Abstract Many of the doubts, disputes, and misunderstandings surrounding theory in legal research are due to our lack of attention to the fact that there are different types of legal research and that each of them understands, uses, and creates theory in its own way. Therefore, to clarify the different concepts and functions of theory, this article presents and discusses four types of legal research, which reflect different discipline dimensions: Law as a practical discipline, Law as a positivist social science, Law as an interpretivist social science, and Law as a humanity. Understanding these differences can help unmake some of the misunderstandings and anxieties around the use of theory in legal research and allow a more rigorous employment of theory by researchers. It also helps to position the field of legal research in relation to other disciplines and legal practice. doubts disputes understands uses way Therefore dimensions science humanity researchers practice

Resumo Muitas das dúvidas, disputas e incompreensões sobre a teoria na pesquisa em Direito ocorrem porque frequentemente não nos atentamos para o fato de que a teoria pode ter diversas definições e usos a depender do tipo de pesquisa em Direito que se produz. Portanto, para esclarecer os diferentes conceitos de teoria e as suas funções, o presente artigo apresenta e discute quatro tipos de pesquisa no Direito, que refletem dimensões diferentes dessa disciplina: Direito como disciplina prática, como ciência social positivista, como ciência social interpretativista e como humanidade. Compreender essas diferenças desfaz algumas confusões e angústia em torno do uso teoria na pesquisa em Direito e permite que se trabalhe com a teoria de forma mais rigorosa, além de ajudar a posicionar o campo da pesquisa em Direito em relação a outras disciplinas e à prática jurídica. dúvidas produz Portanto funções positivista humanidade rigorosa jurídica

Abstract This article is based on a representative and randomly selected sample of 396 individual criminal decisions from the Federal Supreme Court, issued between January 1, 2020, and June 22, 2021, related to the COVID-19 pandemic. We tracked the petitions, the type of imprisonment, the date of judgment, the type of legal action, and the outcomes of these requests. Subsequently, we conducted a qualitative analysis of the arguments employed by the Court in reaching its decisions. The main objective of the study is to understand how the Court ruled on requests for release from incarceration and the impact of the Covid-19 pandemic in the judicial reasoning. The findings indicate that the pandemic had no relevant impact on the Court’s decision-making process. Dismissals on procedural grounds prevailed, allowing the court to avoid ruling on the merits of a claim. On the other hand, when the merits were analyzed, the pandemic was not treated as a sufficient argument for releasing a prisoner. Additionally, during the pandemic, CNJ’s Recommendation No. 62 and ADPF No. 347 had no argumentative prominence in the few decisions that granted requests for release. This research reinforces the diagnosis that the pandemic has not changed how the Judiciary deals with imprisonment. This finding contributes to understand the challenges in tackling mass incarceration in Brazil. 39 1 2020 22 2021 COVID19 COVID 19 COVID-1 petitions imprisonment judgment action Subsequently Covid19 Covid Covid-1 reasoning Courts s decisionmaking decision making process prevailed claim hand analyzed prisoner Additionally CNJs CNJ No 6 34 Brazil 3 202 2 COVID1 COVID- Covid1 Covid- 20

Resumo Este artigo é baseado em uma amostra representativa e aleatória de 396 decisões monocráticas penais do Supremo Tribunal Federal, proferidas entre 01/01/2020 e 22/06/2021, que mencionam a pandemia de Covid-19. Foram mapeados os pedidos, o tipo de prisão, a data de julgamento, o tipo de ação e o resultado dos pedidos. Em seguida, foi feita uma análise qualitativa dos argumentos utilizados pela Corte para decidir. O objetivo principal do estudo é compreender como a Corte julgou pedidos de desencarceramento e o peso da pandemia de Covid-19 na argumentação judicial. Os dados indicam que a pandemia não teve impacto relevante na forma de decidir do STF em casos de prisão. Prevaleceram os indeferimentos de pedidos de soltura, com significativa mobilização argumentativa de óbices processuais, permitindo que a Corte não se posicionasse sobre questões de mérito. Por outro lado, quando o mérito foi analisado, a pandemia não foi tratada como argumento suficiente para desencarcerar. Ademais, a pandemia, a Recomendação 62 do CNJ e a ADPF 347 não tiveram grande destaque argumentativo nas poucas decisões que concederam pedidos de desencarceramento. A pesquisa reforça o diagnóstico de que a pandemia não mudou o modo como o Judiciário lida com a prisão. Esse achado de pesquisa contribui para a compreensão dos obstáculos para o enfrentamento do superencarceramento no Brasil. 39 Federal 01012020 01 2020 01/01/202 22062021 22 06 2021 22/06/2021 Covid19. Covid19 Covid 19. 19 prisão julgamento seguida Covid-1 judicial soltura processuais lado analisado desencarcerar Ademais 6 34 Brasil 3 0101202 0 202 01/01/20 2206202 2 22/06/202 Covid1 1 Covid- 010120 20 01/01/2 220620 22/06/20 01012 01/01/ 22062 22/06/2 0101 01/01 2206 22/06/ 010 01/0 220 22/06 01/ 22/0 22/

It is challenging to reveal the catalytic mechanism of Cu/ZnO catalysts with multivalent copper and improve the performance of CO2 hydrogenation to methanol. We synthesized Cu/ZnO catalysts with different Cu:Zn ratios using acetylacetone salts as the precursors, in which Cu, Cu2O, CuO coexist. The catalytic activity was significantly associated with the abundance of Cu+ active sites on the surface and the formation of more Cu+-ZnO interfaces. When the ratio of Cu:Zn = 5:4, the catalyst without reduction pretreatment showed good performance, with a CO2 conversion rate of 12.9%, methanol selectivity of 85.1%, and the space-time yield of 0.238 gMeOH gcat−1 h−1. It was suggested that Cu+ tends to closely bind with ZnO, and the preparation method leads to more Cu+-ZnO interfaces. The synergistic interaction between Cu+ and ZnO promoted the adsorption and dissociation of CO2 and H2, verifying its dual effect on CO2 and H2 and promoting CO2 hydrogenation to methanol. CuZnO Cu CO CuZn Zn precursors Cu2O O coexist Cu+ZnO interfaces 54, 54 5 4, 4 5:4 129 12 9 12.9% 851 85 1 85.1% spacetime space time 0238 0 238 0.23 gcat1 gcat gcat− h1 h h−1 H 5: 12.9 8 85.1 023 23 0.2 h− 12. 85. 02 2 0.

Abstract The complex pathogenesis of castration-resistant prostate cancer (CRPC) makes it challenging to identify effective treatment methods. Matrix metalloproteinase (MMP)-12 can degrade elastin as well as various extracellular matrix (ECM) components, which is associated with cancer progression. However, the relationship between MMP-12 and CRPC progression is poorly understood. In this study, we observed the effect of MMP-12 on the progression of CRPC and further explored its potential mechanism of action. High levels of MMP-12 were observed in patients with CRPC. We therefore developed cell co-culture and mouse models to study the function of MMP-12. Silencing MMP-12 in CRPC cells disrupted lipid utilization and autophagy marker expression via the CD36/CPT1 and P62/LC3 pathways, respectively, leading to reduced CRPC cell migration and invasion. Moreover, animal experiments confirmed that MMP-12-knockdown CRPC xenograft tumors exhibited reduced tumor growth, and the mechanisms involved the promotion of cancer cell autophagy and the inhibition of lipid catabolism. According to our results, MMP-12 played important roles in the progression of CRPC by disrupting adipocyte maturation and regulating cancer migration and invasion via the modulation of autophagy and lipid catabolism pathways. castrationresistant castration resistant (CRPC methods MMP12 MMP 12 (MMP)-1 ECM (ECM components However MMP-1 understood action coculture co culture MMP12. 12. CD36CPT1 CDCPT CD36 CPT1 CD CPT CD36/CPT P62LC3 PLC P62 LC3 P LC P62/LC pathways respectively Moreover MMP12knockdown MMPknockdown knockdown growth results MMP1 1 (MMP)- MMP- CD36CPT CD3 P62LC P6 (MMP) (MMP

Abstract Objective: We aimed to investigate the regulatory effects of HMGB1/TLR4 signaling pathway on the expression of IL-10 and VEGF in human bone marrow mesenchymal stem cells. Methodology: Human JBMSCs were isolated and cultured. Then, HMGB1 was added into the JBMSCs culture medium, and the protein and mRNA expression levels of IL-10 and VEGF were assessed. Moreover, cells were pretreated with a specific TLR4 inhibitor (TAK-242), and the expression changes of IL-10 and VEGF were compared. Results: Compared with the control group, exposure to HMGB1 in human JBMSCs up-regulated TLR4, IL-10, and VEGF secretion at both protein and mRNA levels (P<0. 05). In addition, the increased expression of IL-10 and VEGF could be restrained in TAK-242 group compared with the HMGB1 group (P<0.05). Conclusions: The results indicated that HMGB1 activate TLR4 signaling pathway in Human JBMSCs, which plays a regulatory role in cytokines expression. Objective HMGB1TLR4 HMGBTLR HMGB TLR HMGB1/TLR IL10 IL 10 IL-1 Methodology cultured Then medium assessed Moreover TAK242, TAK242 TAK 242 , (TAK-242) Results upregulated up regulated IL10, 10, P<0. P0 P 0 (P<0 05. 05 . 05) addition TAK-24 P<0.05. P005 P<0.05 (P<0.05) Conclusions HMGB1TLR IL1 1 IL- TAK24 24 (TAK-242 P<0 (P< TAK-2 P00 P<0.0 (P<0.05 TAK2 2 (TAK-24 P< (P TAK- (P<0.0 (TAK-2 (TAK- (TAK

ABSTRACT In order to enhance the quality and mechanical properties of 3D printing carbon fiber reinforced composite (CFRP) workpiece, this paper prepares 3D printing CFRP laminates by proposing a layered coherent composite scanning path, and carries out orthogonal tests and single factor tests to disclose the effects of different process parameters (i.e., layer thickness, first layer thickness, nozzle temperature and printing speed) on the mechanical performance of the CFRP workpieces. Moreover, The grey relation analysis method is used to analyze the multi-objective parameters of the orthogonal tests results and the process parameters of 3D printing CFRP are optimized based on the tests results. The research results show that the process parameters of 3D printed CFRP can be ranked as delamination thickness, nozzle temperature, first layer thickness and printing speed, in descending order of the impact on the mechanical property of the CFRP laminates. the optimal process parameters for 3D printing include a layer thickness of 0.25 mm, a first layer thickness e of 0.2 mm, a nozzle temperature of 180°C, and printing speed of 45 mm/s. Under this parameter combination, the tensile strength, bending strength, and the interlaminar shear strength (ILSS) of the samples are 52.77 MPa, 276.63 MPa and 38.56 Mpa respectively, and the grey correlation degree increased to 0.845. D (CFRP workpiece path i.e., ie i (i.e. workpieces Moreover multiobjective multi objective 025 0 25 mm 02 2 0. 180C C 180 180°C 4 mms s mm/s combination ILSS (ILSS 5277 52 77 52.7 27663 276 63 276.6 3856 38 56 38.5 respectively 0845 845 0.845 i.e. (i.e 18 527 5 7 52. 2766 27 6 276. 385 3 38. 084 84 0.84 i.e 1 08 8 0.8

Abstract Background Understanding the epidemiology of Streptococcus pneumoniae (S. pneumoniae) isolates is important for pneumonia treatment and prevention. This research aimed to explore the epidemiological characteristics of S. pneumoniae isolated from pediatric inpatients and outpatients during the same period. Methods S. pneumoniae were isolated from unsterile samples of inpatients and outpatients younger than five years old between March 2013 and February 2014. The serotypes were determined using diagnostic pneumococcal antisera. The resistance of each strain to 13 antibiotics was tested using either the E-test or the disc diffusion method. The Sequence Types (STs) were analyzed via Multilocus Sequence Typing (MLST). Results The dominant serotypes obtained from inpatients were 19F (32.9 %), 19A (20.7 %), 23F (10.7 %), 6A (10.0 %), and 14 (8.6 %), while those from outpatients were 19F (13.6 %), 23F (12.9 %), 6A (10.0 %), 6B (10.0 %), and 19A (7.9 %). The coverage rates of 13-valent Pneumococcal Conjugate Vaccine (PCV) formulations were high in both groups. The nonsusceptibility to penicillin, cefuroxime, imipenem, erythromycin, and trimethoprim-sulfamethoxazole among the inpatient isolates was 7.1 %, 92.8 %, 65.7 %, 100 %, and 85.0 %, respectively, while that among the outpatient isolates was 0.7 %, 50.0 %, 38.6 %, 96.4 %, and 65.7 %, respectively. There were 45 and 81 STs detected from the pneumococci isolated from inpatients and outpatients, respectively. CC271 was common among both inpatients and outpatients (43.6 % and 14.3 %). Conclusions Pneumococcal vaccine-related serotypes are prevalent among both inpatients and outpatients, especially among inpatients, who exhibit more severe antibiotic resistance. Therefore, universal immunization with PCV13 would decrease the hospitalization rate due to S. pneumoniae and the antibiotic resistance rate of S. pneumoniae. S (S prevention period 201 2014 antisera 1 Etest E test method (STs MLST. MLST . (MLST) F 32.9 329 32 9 (32. , %) A 20.7 207 20 7 (20. 10.7 107 10 (10. 10.0 0 8.6 86 8 6 (8. 13.6 136 (13. 12.9 129 12 (12. B 7.9 79 (7. %. 13valent valent PCV (PCV groups penicillin cefuroxime imipenem erythromycin trimethoprimsulfamethoxazole trimethoprim sulfamethoxazole 71 7. 928 92 92. 657 65 65. 850 85 85. respectively 07 0. 500 50 50. 386 38 38. 964 96 4 96. CC CC27 43.6 436 43 (43. 143 3 14. vaccinerelated vaccine related Therefore PCV1 (MLST 32. (32 20. 2 (20 10. (10 8. (8 13. (13 12. (12 (7 5 CC2 43. (43 (3 (2 (1 ( (4

Abstract Objective Our aim in this study is to identify the core genes of chronic rhinosinusitis with nasal polyps and analyze the correlations between it and inflammation-related genes. Methods GSE72713 dataset containing gene expression data of ECRSwNP, nonECRSwNP and healthy samples was obtained from Gene Expression Omnibus (GEO) and filtered by limma to identify DEGs among three groups, then the functions and correlated pathways of DEGs were analyzed using GO and KEGG. The core DEGs were selected by the intersection of DEGs and the PPI network was constructed via STRING. The correlations between the expression levels of CRSwNP core gene and inflammation-related genes were analyzed via the Mann-Whitney U test. Results The DEGs among ECRSwNP, nonECRSwNP, and CTRL were filtered respectively, and enrichment analysis showed they were associated with olfaction and/or immune responses. The PPI network was constructed by 7 core DEGs obtained via the intersection among three groups, and ALOX15 was confirmed as the core gene in the network. Subsequently, the correlations between the expression levels of ALOX15 and inflammation-related genes were illustrated. Conclusion In this study, the core gene ALOX15 was selected from the DEGs among ECRSwNP, nonECRSwNP, and CTRL. IL5, IL1RL1, and IL1RAP were found to exhibit a significant positive correlation with ALOX15. Level of Evidence Level 3. inflammationrelated inflammation related GSE GSE7271 ECRSwNP GEO (GEO groups KEGG STRING MannWhitney Mann Whitney test respectively andor or responses ALOX ALOX1 Subsequently illustrated IL5 IL IL1RL1 ILRL RL ILRAP RAP 3 GSE727 IL1RL GSE72 GSE7

ABSTRACT The original two-order separating sieve has a good potato-soil separating ability, but it causes significant damage to potatoes while ensuring a high potato detection rate, which in turn affects the working effectiveness of the potato digger. Thus, it is necessary to improve the design of the original swing separation sieve with a two-order sieve surface to one with a three-order sieve surface to solve the contradiction between the potato detection and potato damage. On this basis, the movement characteristics of potatoes and the separation performance of the new sieve were experimentally investigated. The experiment was conducted in a test field in Wuchuan County using a completely randomized design in a single-factor scheme with three factors and five levels, with five crank speeds (140, 150, 180, 210 and 225 rpm), five machine forward speeds (1.41, 1.51, 1.70, 1.89 and 2.21 km h-1) and five boom-connecting rod length combinations (250-350-1,030, 250-370-1,040, 270-370-1,050, 290-370-1,060 and 310-370-1,070 mm). Each experiment was repeated three times at each level, and the average value was taken as the final result. The experimental results demonstrate that the new three-order separation sieve can ensure a high potato detection rate while maintaining a low potato skin breakage rate. twoorder two order potatosoil soil ability digger Thus threeorder basis investigated singlefactor single factor levels 140, 140 (140 150 180 21 22 rpm, rpm , rpm) 1.41, 141 1 41 (1.41 151 51 1.51 170 70 1.70 189 89 1.8 221 2 2.2 h1 h h-1 boomconnecting boom connecting 2503501,030, 2503501030 250 350 1,030, 030 (250-350-1,030 2503701,040, 2503701040 370 1,040, 040 250-370-1,040 2703701,050, 2703701050 270 1,050, 050 270-370-1,050 2903701,060 2903701060 290 1,060 060 290-370-1,06 3103701,070 3103701070 310 1,070 070 310-370-1,07 mm. mm . mm) level result 14 (14 15 18 1.41 4 (1.4 5 1.5 17 7 1.7 8 1. 2. h- 2503501 2503501,030 250350103 25 35 1030 1,030 03 (250-350-1,03 2503701 2503701,040 250370104 37 1040 1,040 04 250-370-1,04 2703701 2703701,050 270370105 27 1050 1,050 05 270-370-1,05 2903701 2903701,06 290370106 29 1060 1,06 06 290-370-1,0 3103701 3103701,07 310370107 31 1070 1,07 07 310-370-1,0 (1 1.4 (1. 250350 2503501,03 25035010 3 103 1,03 0 (250-350-1,0 250370 2503701,04 25037010 104 1,04 250-370-1,0 270370 2703701,05 27037010 105 1,05 270-370-1,0 290370 2903701,0 29037010 106 1,0 290-370-1, 310370 3103701,0 31037010 107 310-370-1, ( 25035 2503501,0 10 (250-350-1, 25037 2503701,0 250-370-1, 27037 2703701,0 270-370-1, 29037 2903701, 1, 290-370-1 31037 3103701, 310-370-1 2503 2503501, (250-350-1 2503701, 250-370-1 2703 2703701, 270-370-1 2903 290-370- 3103 310-370- (250-350- 250-370- 270-370- 290-370 310-370 (250-350 250-370 270-370 290-37 310-37 (250-35 250-37 270-37 290-3 310-3 (250-3 250-3 270-3 290- 310- (250- 250- 270- (250 (25 (2

RESUMO A peneira de separação de duas ordens original tem uma boa capacidade de separação batata-solo, mas causa danos significativos às batatas ao mesmo tempo em que garante uma alta taxa de evidência de batatas, o que, por sua vez, afeta a eficácia do trabalho da escavadeira de batatas. Assim, o estudo teve como objetivo aprimorar a peneira de separação de balanço original com uma superfície de peneira de duas ordens para uma nova peneira de separação com uma superfície de peneira de três ordens para resolver a contradição entre a taxa obvia de batatas e os danos às batatas na operação da peneira original. Com base nisso, as características de movimentação das batatas e o desempenho de separação da nova peneira foram investigados experimentalmente no campo. O experimento foi conduzido em um campo de teste no Condado de Wuchuan, utilizando um delineamento completamente aleatório em um esquema de fator único com três fatores e cinco níveis, com cinco velocidades de manivela (140, 150, 180, 210 e 225 rpm), cinco velocidades de avanço da máquina (1,41, 1,51, 1,70, 1,89 e 2,21 km h-1) e cinco combinações de comprimento da haste de ligação do braço (250-350-1.030, 250-370-1.040, 270-370-1.050, 290-370-1.060 e 310-370-1.070 mm). Cada experimento foi repetido três vezes em cada nível, e o valor médio foi considerado como o resultado final. Os resultados experimentais demonstram que a nova peneira de separação de três ordens pode garantir uma alta taxa de detecção de batatas enquanto mantém uma baixa taxa de danos à casca das batatas. batatasolo, batatasolo batata solo, solo batata-solo vez Assim nisso Wuchuan níveis 140, 140 (140 150 180 21 22 rpm, rpm , rpm) 1,41, 141 1 41 (1,41 151 51 1,51 170 70 1,70 189 89 1,8 221 2 2,2 h1 h h-1 2503501.030, 2503501030 250 350 1.030, 030 (250-350-1.030 2503701.040, 2503701040 370 1.040, 040 250-370-1.040 2703701.050, 2703701050 270 1.050, 050 270-370-1.050 2903701.060 2903701060 290 1.060 060 290-370-1.06 3103701.070 3103701070 310 1.070 070 310-370-1.07 mm. mm . mm) nível final 14 (14 15 18 1,41 4 (1,4 5 1,5 17 7 1,7 8 1, 2, h- 2503501 2503501.030 250350103 25 35 1030 1.030 03 (250-350-1.03 2503701 2503701.040 250370104 37 1040 1.040 04 250-370-1.04 2703701 2703701.050 270370105 27 1050 1.050 05 270-370-1.05 2903701 2903701.06 290370106 29 1060 1.06 06 290-370-1.0 3103701 3103701.07 310370107 31 1070 1.07 07 310-370-1.0 (1 1,4 (1, 250350 2503501.03 25035010 3 103 1.03 0 (250-350-1.0 250370 2503701.04 25037010 104 1.04 250-370-1.0 270370 2703701.05 27037010 105 1.05 270-370-1.0 290370 2903701.0 29037010 106 1.0 290-370-1. 310370 3103701.0 31037010 107 310-370-1. ( 25035 2503501.0 10 (250-350-1. 25037 2503701.0 250-370-1. 27037 2703701.0 270-370-1. 29037 2903701. 1. 290-370-1 31037 3103701. 310-370-1 2503 2503501. (250-350-1 2503701. 250-370-1 2703 2703701. 270-370-1 2903 290-370- 3103 310-370- (250-350- 250-370- 270-370- 290-370 310-370 (250-350 250-370 270-370 290-37 310-37 (250-35 250-37 270-37 290-3 310-3 (250-3 250-3 270-3 290- 310- (250- 250- 270- (250 (25 (2

ABSTRACT Objective: The optimal target for blood glucose concentration in critically ill patients is unclear. We will perform a systematic review and meta-analysis with aggregated and individual patient data from randomized controlled trials, comparing intensive glucose control with liberal glucose control in critically ill adults. Data sources: MEDLINE®, Embase, the Cochrane Central Register of Clinical Trials, and clinical trials registries (World Health Organization, clinical trials.gov). The authors of eligible trials will be invited to provide individual patient data. Published trial-level data from eligible trials that are not at high risk of bias will be included in an aggregated data meta-analysis if individual patient data are not available. Methods: Inclusion criteria: randomized controlled trials that recruited adult patients, targeting a blood glucose of ≤ 120mg/dL (≤ 6.6mmol/L) compared to a higher blood glucose concentration target using intravenous insulin in both groups. Excluded studies: those with an upper limit blood glucose target in the intervention group of > 120mg/dL (> 6.6mmol/L), or where intensive glucose control was only performed in the intraoperative period, and those where loss to follow-up exceeded 10% by hospital discharge. Primary endpoint: In-hospital mortality during index hospital admission. Secondary endpoints: mortality and survival at other timepoints, duration of invasive mechanical ventilation, vasoactive agents, and renal replacement therapy. A random effect Bayesian meta-analysis and hierarchical Bayesian models for individual patient data will be used. Discussion: This systematic review with aggregate and individual patient data will address the clinical question, ‘what is the best blood glucose target for critically ill patients overall?’ Protocol version 0.4 - 06/26/2023 PROSPERO registration: CRD42021278869 Objective unclear metaanalysis meta analysis adults sources MEDLINE MEDLINE® Embase Trials World Organization trials.gov. trialsgov trials.gov . gov trials.gov) triallevel trial level available Methods criteria 120mgdL mgdL 120mg dL mg ( 6.6mmol/L 66mmolL mmolL 6 6mmol L mmol groups studies 6.6mmol/L, , period followup follow up 10 discharge endpoint Inhospital In admission endpoints timepoints ventilation agents therapy used Discussion question what overall overall? 04 0 4 0. 06262023 06 26 2023 06/26/202 registration CRD CRD4202127886 1 0626202 2 202 06/26/20 CRD420212788 062620 20 06/26/2 CRD42021278 06262 06/26/ CRD4202127 0626 06/26 CRD420212 062 06/2 CRD42021 06/ CRD4202 CRD420 CRD42 CRD4

RESUMO Objetivo: Não está claro qual é a meta ideal de concentração de glicose no sangue em pacientes em estado grave. Realizaremos uma revisão sistemática e uma metanálise com dados agregados e de pacientes individuais de estudos controlados e randomizados, comparando o controle intensivo da glicose com o controle liberal da glicose em adultos em estado grave. Fontes de dados: MEDLINE®, Embase, Cochrane Central Register of Clinical Trials e registros de ensaios clínicos (Organização Mundial da Saúde, clinical trials.gov). Os autores dos estudos qualificados serão convidados a fornecer dados individuais de pacientes. Os dados publicados em nível de ensaio qualificado que não apresentem alto risco de viés serão incluídos em uma metanálise de dados agregados se os dados individuais de pacientes não estiverem disponíveis. Métodos: Critérios de inclusão: ensaios clínicos controlados e randomizados que recrutaram pacientes adultos, com meta de glicemia ≤ 120mg/dL (≤ 6,6mmol/L) comparada a uma meta de concentração de glicemia mais alta com insulina intravenosa em ambos os grupos. Estudos excluídos: aqueles com meta de glicemia no limite superior no grupo de intervenção > 120mg/dL (> 6,6mmol/L), ou em que o controle intensivo de glicose foi realizado apenas no período intraoperatório, e aqueles em que a perda de seguimento excedeu 10% até a alta hospitalar. Desfecho primário: Mortalidade intra-hospitalar durante a admissão hospitalar. Desfechos secundários: Mortalidade e sobrevida em outros momentos, duração da ventilação mecânica invasiva, agentes vasoativos e terapia de substituição renal. Utilizaremos metanálise bayesiana de efeito randômico e modelos bayesianos hierárquicos para dados individuais de pacientes. Discussão: Essa revisão sistemática com dados agregados e de pacientes individuais abordará a questão clínica: Qual é a melhor meta de glicose no sangue de pacientes graves em geral? Protocolo versão 0.4 - 26/06/2023 Registro PROSPERO: CRD42021278869 Objetivo grave MEDLINE MEDLINE® Embase Organização Saúde trials.gov. trialsgov trials.gov . trials gov trials.gov) disponíveis Métodos inclusão 120mgdL mgdL 120mg dL mg ( 6,6mmol/L 66mmolL mmolL 6 6mmol L mmol grupos excluídos 6,6mmol/L, , intraoperatório 10 hospitalar primário intrahospitalar intra secundários momentos invasiva renal Discussão clínica geral 04 0 4 0. 26062023 26 06 2023 26/06/202 PROSPERO CRD CRD4202127886 1 2606202 2 202 26/06/20 CRD420212788 260620 20 26/06/2 CRD42021278 26062 26/06/ CRD4202127 2606 26/06 CRD420212 260 26/0 CRD42021 26/ CRD4202 CRD420 CRD42 CRD4

Abstract Objective MicroRNA-29a-3p has been reported in a variety of cancers, but its role in hypopharyngeal cancer remains unclear. This study was to determine the role of microRNA-29a-3p in the occurrence and development of hypopharyngeal cancer. Methods 40 patients with hypopharyngeal cancer who underwent surgery in the Affiliated Hospital of Jining Medical University from April 2013 to November 2017 were selected for this study. The cancer tissue samples of the patients were collected, and the patients were followed up for three years. The expression of microRNA-29a-3p in tissue samples was detected by in situ hybridization with fluorescent probe, and the relationships among microRNA-29a-3p and clinicopathological factors, postoperative recurrent-metastasis, survival time were studied. Immunohistochemical was used to detect the expression of Ki67 and E-cadherin in tissue samples. Results Combined with HE staining results showed that microRNA-29a-3p expression was relatively high in non-cancer tissue cells (red blood cells and fibroblasts in tumor interstitial vessels), but was relatively low in cancer tissue and cells. According to the follow-up data of 40 patients with hypopharyngeal cancer, tumor size, T-stage, tumor differentiation, postoperative recurrent-metastasis of hypopharyngeal cancer patients were significantly negatively correlated with microRNA-29a-3p (p< 0.05). Immunohistochemica results further confirmed that microRNA-29a-3p was negatively correlated with the expression of Ki67 and E-cadherin. The survival time of patients positively related with microRNA-29a-3p expression (p< 0.05). Moreover, ROC curve analysis showed that the area under the curve of the combined detection of miRNA-29a-3p+Ki67+E-cadherin was larger than that of the single detection of the three indexes. Conclusions The expression of microRNA-29a-3p is closely related to the occurrence, development and prognosis of hypopharyngeal cancer, and it affects the proliferation and invasion. This indicates that microRNA-29a-3p serves as a therapeutic target for the occurrence and development of hypopharyngeal cancer. The evidence of study designs of this study is IV using “Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence”. MicroRNA29a3p MicroRNAap MicroRNA 29a 3p p cancers unclear microRNA29a3p microRNAap microRNA 4 201 collected years probe factors recurrentmetastasis, recurrentmetastasis recurrent metastasis, metastasis studied Ki Ki6 Ecadherin E cadherin noncancer non red vessels, vessels , vessels) followup follow size Tstage, Tstage T stage, stage T-stage differentiation p< (p 0.05. 005 0.05 . 0 05 0.05) Ecadherin. cadherin. Moreover miRNA29a3p+Ki67+Ecadherin miRNA29a3pKi67Ecadherin miRNAapKiEcadherin miRNA 3p+Ki67+E indexes invasion Oxford EvidenceBased Evidence Based Evidence. Evidence” 20 00 0.0 miRNA29a3p pKi 3pKi67E pKiE 2 0. miRNAap

Abstract Objectives To determine whether tinnitus negatively impacts the accuracy of sound source localization in participants with normal hearing. Methods Seventy-five participants with tinnitus and 74 without tinnitus were enrolled in this study. The accuracy of sound source discrimination on the horizontal plane was compared between the two participant groups. The test equipment consisted of 37 loudspeakers arranged in a 180° arc facing forward with 5° intervals between them. The stimuli were pure tones of 0.25, 0.5, 1, 2, 4, and 8 kHz at 50 dB SPL. The stimuli were divided into three groups: low frequency (LF: 0.25, 0.5, and 1 kHz), 2 kHz, and high frequency (HF: 4 and 8 kHz) stimuli. Results The Root Mean Square Error (RMSE) score of all the stimuli in the tinnitus group was significantly higher than that in the control group (13.45 ± 3.34 vs. 11.44 ± 2.56, p = 4.115, t < 0.001). The RMSE scores at LF, 2 kHz, and HF were significantly higher in the tinnitus group than those in the control group (LF: 11.66 ± 3.62 vs. 10.04 ± 3.13, t = 2.918, p = 0.004; 2 kHz: 16.63 ± 5.45 vs. 14.43 ± 4.52, t = 2.690, p = 0.008; HF: 13.42 ± 4.74 vs. 11.14 ± 3.68, t = 3.292, p = 0.001). Thus, the accuracy of sound source discrimination in participants with tinnitus was significantly worse than that in those without tinnitus, despite the stimuli frequency. There was no difference in the ability to localize the sound of the matched frequency and other frequencies (12.86 ± 6.29 vs. 13.87 ± 3.14, t = 1.204, p = 0.236). Additionally, there was no correlation observed between the loudness of tinnitus and RMSE scores (r = 0.096, p = 0.434), and the Tinnitus Handicap Inventory (THI) and RMSE scores (r = −0.056, p = 0.648). Conclusions Our present data suggest that tinnitus negatively impacted sound source localization accuracy, even when participants had normal hearing. The matched pitch and loudness and the impact of tinnitus on patients’ daily lives were not related to the sound source localization ability. Level of evidence 4. hearing Seventyfive Seventy five 7 study groups 3 180 5 them 025 0 25 0.25 05 0.5 SPL LF (LF , (HF (RMSE 13.45 1345 13 45 (13.4 334 34 3.3 vs 1144 11 44 11.4 256 56 2.56 4115 115 4.115 0.001. 0001 0.001 . 001 0.001) 1166 66 11.6 362 62 3.6 1004 10 04 10.0 313 3.13 2918 918 2.918 0.004 0004 004 1663 16 63 16.6 545 5.4 1443 14 43 14.4 452 52 4.52 2690 690 2.690 0.008 0008 008 1342 42 13.4 474 4.7 1114 11.1 368 68 3.68 3292 292 3.292 Thus 12.86 1286 12 86 (12.8 629 6 29 6.2 1387 87 13.8 314 3.14 1204 204 1.204 0.236. 0236 0.236 236 0.236) Additionally r 0096 096 0.096 0.434, 0434 0.434 434 0.434) THI (THI 0056 056 −0.056 0.648. 0648 0.648 648 0.648) patients 18 02 0.2 0. 134 (13. 33 3. 114 11. 2.5 411 4.11 000 0.00 00 116 36 100 10. 31 3.1 291 91 2.91 166 16. 54 5. 144 14. 4.5 269 69 2.69 13. 47 111 329 3.29 12.8 128 (12. 6. 138 120 20 1.20 023 0.23 23 009 09 0.09 043 0.43 005 −0.05 064 0.64 64 (13 2. 41 4.1 0.0 9 2.9 26 2.6 32 3.2 12. (12 1.2 0.4 −0.0 06 0.6 (1 1. −0. ( −0 −

Abstract Introduction: non-alcoholic fatty liver disease (NAFLD) is a disease in which there is excessive fat deposition in hepatocytes due to hepatoprotective factors. Objectives: to assess the association of the triglyceride-glucose index with the occurrence of non-alcoholic fatty liver disease and mortality in elderly inpatients. To identify the TyG index as a predictive factor of NAFLD. Methods: this prospective observational study included elderly inpatients admitted to the Department of Endocrinology at the Linyi Geriatrics Hospital, Affiliated to Shandong Medical College, between August 2020 and April 2021. The TyG index was calculated according to an established formula: TyG = Ln [triglycerides (TG) (mg/dl) × Fasting plasma glucose (FPG) (mg/dl) / 2]. Result: a total of 264 patients were enrolled, with 52 (19.7 %) cases occurred NAFLD. Multivariate logistic regression analysis showed that TyG (OR = 3.889; 95 % CI: 1.134-11.420; p = 0.014) and ALT (OR = 1.064; 95 % CI: 1.012-1.118; p = 0.015) were independently associated with the occurrence of NAFLD. Furthermore, receiver operating characteristic (ROC) curve analysis showed that the area under the curve (AUC) of TyG was 0.727, with sensitivity = 80.4 % and specificity = 57.8 % at cut off = 8.71. A Cox proportional hazards regression model showed that, after adjusting for age, sex, smoking, drinking, hypertension, and type 2 diabetes TyG > 8.71 (HR = 3.191; 95 % CI: 1.347 to 7.560; p < 0.001) was an independent risk factor for mortality in the elderly. Conclusions: the TyG index can predict non-alcoholic fatty liver disease and mortality in elderly Chinese inpatients.

Resumen Introducción: la enfermedad del hígado graso no alcohólico (EHGNA) es una enfermedad en la que una cantidad excesiva de grasa se acumula en los hepatocitos debido a factores hepatoprotectores. Objetivos: evaluar la asociación entre el índice glucemia-triglicéridos con la presencia de hígado graso no alcohólico (EHGNA) y mortalidad en pacientes hospitalizados de avanzada edad. Identificar el índice TyG como factor predictivo de la EHGNA. Métodos: este estudio observacional y prospectivo incluyó a pacientes de avanzada edad hospitalizados en el Departamento de Endocrinología del Hospital de Geriatría de Linyi, Afiliado al Colegio Médico de Shandong, entre agosto de 2020 y abril de 2021. El índice TyG se calculó según una fórmula establecida: TyG = Ln [triglicéridos (TG) (mg/dl) × Glucosa en sangre en ayunas (FPG) (mg/dl) / 2]. Resultado: se incluyeron 264 pacientes, con 52 (19,7 %) casos de EHGNA. El análisis de regresión logística multivariante mostró que el TyG (razón de momios (OR) = 3,889; intervalo de confianza del 95 %: 1,134-11,420; p = 0,014) y ALT (razón de momios (OR) = 1,064; intervalo de confianza del 95 %: 1,012-1,118; p = 0,015) se asociaban de forma independiente con la aparición de EHGNA. Además, el análisis de la curva de características operativas del receptor (ROC) mostró que el área bajo la curva (AUC) de TyG era de 0,727, con una sensibilidad del 80,4 % y una especificidad del 57,8 % en el punto de corte de 8,71. El modelo de regresión de riesgos proporcionales de Cox mostró que, tras ajustar por edad, sexo, tabaquismo, consumo de alcohol, hipertensión y diabetes tipo 2, un TyG > 8,71 (HR = 3,191; intervalo de confianza del 95 %: 1,347 a 7,560; p < 0,001) era un factor de riesgo independiente de mortalidad para los paciente de edad avanzada. Conclusiones: el índice TyG puede predecir la enfermedad del hígado graso no alcohólico y la mortalidad en pacientes chinos hospitalizados de avanzada edad.

Abstract Fruits will be subjected inevitably to various external forces in the process of harvesting, transportation, processing, and storage, which will cause mechanical damage. The research on mechanical properties and damage mechanisms of fruit can effectively control its loss. In this study, fruits are divided into different types according to their morphology and structure. The impact, vibration, static pressure, and other mechanical damage on fruits are studied. It is important to identify the damaged parts of fruit after damage quickly and accurately. Therefore, this study analyzes the application of nondestructive testing technologies such as spectral detection technology, NMR (nuclear magnetic resonance) detection technology, and acoustic and electrical characteristics detection technology in fruit damage detection. harvesting transportation processing storage loss structure impact vibration pressure studied accurately Therefore nuclear resonance

Abstract The innate immune response plays an important role in the pathophysiology of acute respiratory distress syndrome (ARDS); however, no drug has been proven to be beneficial in the management of ARDS. Therefore, the aim of this study was to investigate the effects of using combined sedatives on systemic inflammatory responses in patients with ARDS. A total of 90 patients with ARDS and an intubation time of > 120 h were randomly divided into the propofol group (group P), midazolam group (group M), and combined sedation group (group U). Patients in groups P and M were sedated with propofol and midazolam, respectively, whereas patients in group U were sedated with a combination of propofol, midazolam, and dexmedetomidine. The dosage of sedatives and vasoactive drugs, duration of mechanical ventilation, and incidence of sedative adverse reactions were documented. The dosage of sedatives and vasoactive drugs, as well as the incidence of sedative adverse reactions in group U, was significantly lower than those in groups P and M. Similarly, the duration of mechanical ventilation in group U was significantly shorter than that in groups P and M. Hence, inducing sedation through a combination of multiple drugs can significantly reduce their adverse effects, improve their sedative effect, inhibit systemic inflammatory responses, and improve oxygenation in patients with ARDS. (ARDS) however Therefore 9 12 P, , P) M, M) U. . U) respectively dexmedetomidine documented Similarly Hence effect (ARDS 1