The effectiveness of ultrasound-guided core needle biopsy in detecting lymph node metastases in the axilla in patients with breast cancer: systematic review and meta-analysis

Objective: This study aimed to perform a meta-analysis to investigate the diagnostic safety and accuracy of Ultrasound-Guided Core Needle Biopsy (US-CNB) Axillary Lymph Nodes (ALNs) region in patients with Breast Cancer (BC). Methods: The authors searched the electronic databases PubMed, Scopus, Embase, and Web of Science for clinical trials about US-CNB for the detection of ALNs in breast cancer patients. The authors extracted and pooled raw data from the included studies and performed statistical analyses using Meta-DiSc 1.4 and Review Manager 5.3 software. A random effects model was used to calculate the data. At the same time, data from the Ultrasound-guided Fine-Needle Aspiration (US-FNA) were introduced for comparison with the US-CNB. In addition, the subgroup was performed to explore the causes of heterogeneity. (PROSPERO ID: CRD42022369491). Results: In total, 18 articles with 2521 patients were assessed as meeting the study criteria. The overall sensitivity was 0.90 (95% CI [Confidence Interval], 0.87‒0.91; p = 0.00), the overall specificity was 0.99 (95% CI 0.98‒1.00; p = 0.62), the overall area under the curve (AUC) was 0.98. Next, in the comparison of US-CNB and US-FNA, US-CNB is better than US-FNA in the diagnosis of ALNs metastases. The sensitivity was 0.88 (95% CI 0.84‒0.91; p = 0.12) vs. 0.73 (95% CI 0.69‒0.76; p = 0.91), the specificity was 1.00 (95% CI 0.99‒1.00; p = 1.00) vs. 0.99 (95% CI 0.67‒0.74; p = 0.92), and the AUC was 0.99 vs. 0.98. Subgroup analysis showed that heterogeneity may be related to preoperative Neoadjuvant Chemotherapy (NAC) treatment, region, size of tumor diameter, and the number of punctures. Conclusion: US-CNB has a satisfactory diagnostic performance with good specificity and sensitivity in the preoperative diagnosis of ALNs in BC patients

ICESsuHN105, a Novel Multiple Antibiotic Resistant ICE in Streptococcus suis Serotype 5 Strain HN105

Streptococcussuis serotype 5, an emerging zoonosis bacterial pathogen, has been isolated from infections in both pigs and humans. In this study, we sequenced the first complete genome of a virulent, multidrug-resistant SS5 strain HN105. The strain HN105 displayed enhanced pathogenicity in zebrafish and BABL/c mouse infection models. Comparative genome analysis identified a novel 80K integrative conjugative element (ICE), ICESsuHN105, as required for the multidrug resistance phenotype. Six corresponding antibiotic resistance genes in this ICE were identified, namely tet (O), tet (M), erm (two copies), aph, and spc. Phylogenetic analysis classified the element as a homolog of the ICESa2603 family, containing the typical family backbone and insertion DNA. DNA hybrids mediated by natural transformation between HN105 and ZY05719 verified the antibiotic resistant genes of ICESsuHN105 that could be transferred successfully, while they were dispersedly inserted with a single gene in different genomic locations of ZY05719(HN105) transformants. To further identify the horizontal transfer of ICESsuHN105 as a whole mobile genetic element, a circular intermediate form of ICESsuHN105 was detected by PCR. However, the effective conjugation using serotype 2 S. suis as recipients was not observed in current assays in vitro. Further studies confirmed the presence of the complete lantibiotic locus encoded in ICESsuHN105 that effectively inhibits the growth of other streptococci. In summary, this study demonstrated the presence of antibiotic resistance genes in ICE that are able to transfer between different clinical isolates and adapt to a broader range of Streptococcus serotype or species

Modular Functional-Metabolic Coupling Alterations of Frontoparietal Network in Schizophrenia Patients

Background: Brain functional dysconnectivity, as well as altered network organization, have been demonstrated to occur in schizophrenia. Brain networks are increasingly understood to exhibit modular community structures, which provides advantages in robustness and functional adaptivity. The frontoparietal network (FPN) serves as an important functional module, and metabolic and functional alterations in the FPN are associated with the pathophysiology of schizophrenia. However, how intra-modular biochemical disruptions lead to inter-modular dysfunction of the FPN, remains unclear. In this study, we aim to investigate alterations in the modular functional-metabolic coupling of the FPN, in patients with schizophrenia.Methods: We combined resting-state functional magnetic resonance imaging (rs-fMRI) and magnetic resonance spectroscopy (MRS) technology and acquired multimodal neuroimaging data in 20 patients with schizophrenia and 26 healthy controls. For the MRS, the dorsolateral prefrontal cortex (DLPFC) region within the FPN was explored. Metabolites including gamma aminobutyric acid (GABA), N-aspart-acetyl (NAA) and glutamate + glutamine (Glx) were quantified, using LCModel software. A graph theoretical approach was applied for functional modular parcellation. The relationship between inter/intra-modular connectivity and metabolic concentration was examined using the Pearson correlation analysis. Moreover, correlations with schizophrenia symptomatology were investigated by the Spearman correlation analysis.Results: The functional topological network consisted of six modules in both subject groups, namely, the default mode, frontoparietal, central, hippocampus, occipital, and subcortical modules. Inter-modular connectivity between the frontoparietal and central modules, and the frontoparietal and the hippocampus modules was decreased in the patient group compared to the healthy controls, while the connectivity within the frontoparietal modular increased in the patient group. Moreover, a positive correlation between the frontoparietal and central module functional connectivity and the NAA in the DLPFC was found in the healthy control group (r = 0.614, p = 0.001), but not in the patient group. Significant functional dysconnectivity between the frontoparietal and limbic modules was correlated with the clinical symptoms of patients.Conclusions: This study examined the links between functional connectivity and the neuronal metabolic level in the DLPFC of SCZ. Impaired functional connectivity of the frontoparietal areas in SCZ, may be partially explained by a neurochemical-functional connectivity decoupling effect. This disconnection pattern can further provide useful insights in the cognitive and perceptual impairments of schizophrenia in future studies

Green synthesis of Au-Pd bimetallic nanoparticles: Single-step bioreduction method with plant extract

A facile and eco-friendly method for the preparation of Au-Pd bimetallic nanoparticles (similar to 7 nm) has been developed based on simultaneous bioreduction of Au(III) and Pd(II) precursors with Cacumen Platycladi leaf extract in aqueous environment. The morphology, structure, and size were confirmed with the aid of transmission electron microscopy, selected area electron diffraction. UV-vis spectroscopy, X-ray diffraction, and energy dispersive X-ray spectroscopy. The results from Fourier transform infrared spectroscopy showed that the C=O and C-O groups in the plant extract played a critical role in capping the nanoparticles. Importantly, the process can be described as pure "green chemistry" technique since no additional synthetic reagents are used as reductants or stabilizers. (C) 2011 Elsevier B.V. All rights reserved.National Natural Science Foundation of China[21036004, 20976146]; Natural Science Foundation of Fujian Province of China[2010J05032, 2010J01052]WOS:00029506830004

Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer

BackgroundPrediction and management of short-term postoperative complications in patients with colorectal cancer are essential in postoperative rehabilitation. Through CT scan images, we can easily measure some parameters of abdomen anatomic characteristics. This study aimed to assess whether there is a relationship between the abdomen anatomic characteristics and short-term postoperative complications.Materials and methodsWe conducted a retrospective study. Eighty patients in each complication group and non-complication group were recruited with propensity score match. Demographics, perioperative laboratory results and surgical information were collected and compared between groups with univariate analysis. Significant elements were brought into subsequent logistic regression analysis and ROC analysis for further identification.ResultsUnivariate analysis showed that preoperative white blood cells, preoperative neutrophil counts, rectus abdominis thickness (RAT), subcutaneous fat thickness (SFT), and abdomen depth (AD) were significantly different between the complication group and non-complication group. Logistic regression analysis demonstrated that higher RAT (p = 0.002), SFT (p < 0.001) and AD (p < 0.001) independently predicted the incidence of short-term postoperative complications.ConclusionsIn this study on patients undergoing radical resection of colorectal cancer, abdomen anatomic characteristics including higher RAT, SFT and AD are associated with an increased risk of short-term postoperative complications

The decarbonisation of petroleum and other fossil hydrocarbon fuels for the facile production and safe storage of hydrogen

The importance of extracted and refined fossil carbonaceous fuels (petroleum, diesel etc.) to the development of human society cannot be overestimated. These natural resources have improved billions of lives, worldwide, in providing accessible, relatively inexpensive energy at nearly every scale. Notwithstanding the credible advances in renewable energy production over the past decade or so, the aerial combustion of coal, natural gas and liquid fossil fuels, given humankinds insatiable demand for power, will continue to be the ready source of more than 85% of the world's energy in the foreseeable and possibly the distant future. Human activities based on the combustion of fossil fuels, however, has led to significant anthropogenic emissions of carbon dioxide (CO2) to the atmosphere – and that fact is now seen as the major contributor to global warming and climate change. To stabilise global mean temperatures will depend on the ultimate transformation of humankind's energy system to one that does not introduce CO2 into the atmosphere. The hydrogen economy has long been mooted as a route to achieving the required net-zero emissions energy future. Paradoxically, fossil fuel sources such as petroleum, crude and extra-heavy crude oil, petrol, diesel and methane are reported here to produce high volumes of high-purity hydrogen through their microwave-initiated catalytic dehydrogenation using fine iron particles. The co-product of this dehydrogenation process, solid carbon, can be safely stored underground in perpetuity or converted in future to valuable hydrocarbons and other materials. Through their catalytic dehydrogenation to yield carbon-free hydrogen – rather than through their aerial combustion to produce carbon dioxide – petroleum and other fossil fuels can now serve as an energy pathway to stabilising global mean temperatures

Biosynthesis of Gold Nanoparticles by Foliar Broths: Roles of Biocompounds and Other Attributes of the Extracts

Biosynthesis of nanoparticles has arisen as a promising alternative to conventional synthetic methodologies owing to its eco-friendly advantages, and the involved bioprotocol still needs further clarification. This research, for the first time from the standpoint of statistics, confirmed an electrostatic force or ionic bond-based interaction between the chloroauric ions and the involved bioconstituents and manifested that reducing sugars and flavonoids were both important reductants responsible for conversion of Au(III) to Au(0). The result also demonstrated that the proteins were not the reducing agents, yet they might be protection agents in biosynthesis of gold nanoparticles (GNPs). Besides, a significant linear relationship was found between the anti-oxidant ability of the foliar broths and their capability to reduce Au(III) into Au(0). Furthermore, the preliminary investigation based on the boxplot on the size/shape distribution of the biosynthesized GNPs revealed that gold nanospheres with higher degree of homogeneity in size tended to be promoted by foliar broths containing higher content of reducing sugars/flavonoids and proteins. Otherwise, i.e., for those broths with lower content of the above biocompounds, sphere GNPs of wider size distribution or even gold nanotriangles tended to be fabricated

Adverse Weather Target Detection Algorithm Based on Adaptive Color Levels and Improved YOLOv5

With the continuous development of artificial intelligence and computer vision technology, autonomous vehicles have developed rapidly. Although self-driving vehicles have achieved good results in normal environments, driving in adverse weather can still pose a challenge to driving safety. To improve the detection ability of self-driving vehicles in harsh environments, we first construct a new color levels offset compensation model to perform adaptive color levels correction on images, which can effectively improve the clarity of targets in adverse weather and facilitate the detection and recognition of targets. Then, we compare several common one-stage target detection algorithms and improve on the best-performing YOLOv5 algorithm. We optimize the parameters of the Backbone of the YOLOv5 algorithm by increasing the number of model parameters and incorporating the Transformer and CBAM into the YOLOv5 algorithm. At the same time, we use the loss function of EIOU to replace the loss function of the original CIOU. Finally, through the ablation experiment comparison, the improved algorithm improves the detection rate of the targets, with the mAP reaching 94.7% and the FPS being 199.86