AIM： To investigate if high-definition （HD） colonoscope with i-Scan gave a higher detection rate of mucosal le- sions vs standard white-light instruments. METHODS： Data were collected from the computer- ized datab...AIM： To investigate if high-definition （HD） colonoscope with i-Scan gave a higher detection rate of mucosal le- sions vs standard white-light instruments. METHODS： Data were collected from the computer- ized database of the endoscopy unit of our tertiary referral center. We retrospectively analyzed 1101 con- secutive colonoscopies that were performed over 1 year with standard white-light （n = 849） or HD＋ with i-Scan （n = 252） instruments by four endoscopists, in an outpatient setting. Colonoscopy records included patients＇ main details and family history for colorectal cancer, indication for colonoscopy （screening, diagnos- tic or surveillance）, type of instrument used （standard white-light or HD＋ plus i-Scan）, name of endoscopist and bowel preparation. Records for each procedure included whether the cecum was reached or not and the reason for failure, complications during or imme- diately after the procedure, and number, size, location and characteristics of the lesions. Polyps or protruding lesions were defined as sessile or pedunculated, and nonprotruding lesions were defined according to Paris classification. For each lesion, histological diagnosis was recorded. RESULTS： Eight hundred and forty-nine colonosco- pies were carried with the standard white-light video colonoscope and 252 with the HD＋ plus i-Scan video colonoscope, The four endoscopists did 264, 300, 276 and 261 procedures, respectively; 21.6%, 24.0%, 21.7% and 24.1% of them with the HD＋ plus i-Scan technique. There were no significant differences be- tween the four endoscopists in either the number of procedures done or the proportions of each imaging technique used. Both techniques detected one or more mucosal lesions in 522/1101 procedures （47.4%）. The overall number of lesions recognized was 1266; 645 in the right colon and 621 in the left. A significantly higher number of colonoscopies recognized lesions in the HD＋ plus i-Scan mode （171/252 = 67.9%） than with the standard white-light technique （4展开更多
The Pearl River Delta(PRD),a tornado hotspot,forms a distinct trumpet-shaped coastline that concaves toward the South China Sea.During the summer monsoon season,low-level southwesterlies over the PRD’s sea surface te...The Pearl River Delta(PRD),a tornado hotspot,forms a distinct trumpet-shaped coastline that concaves toward the South China Sea.During the summer monsoon season,low-level southwesterlies over the PRD’s sea surface tend to be turned toward the west coast,constituting a convergent wind field along with the landward-side southwesterlies,which influences regional convective weather.This two-part study explores the roles of this unique land–sea contrast of the trumpet-shaped coastline in the formation of a tornadic mesovortex within monsoonal flows in this region.Part I primarily presents observational analyses of pre-storm environments and storm evolutions.The rotating storm developed in a lowshear environment(not ideal for a supercell)under the interactions of three air masses under the influence of the land–sea contrast,monsoon,and storm cold outflows.This intersection zone(or“triple point”)is typically characterized by local enhancements of ambient vertical vorticity and convergence.Based on a rapid-scan X-band phased-array radar,finger-like echoes were recognized shortly after the gust front intruded on the triple point.Developed over the triple point,they rapidly wrapped up with a well-defined low-level mesovortex.It is thus presumed that the triple point may have played roles in the mesovortex genesis,which will be demonstrated in Part II with multiple sensitivity numerical simulations.The findings also suggest that when storms pass over the boundary intersection zone in the PRD,the expected possibility of a rotating storm occurring is relatively high,even in a low-shear environment.Improved knowledge of such environments provides additional guidance to assess the regional tornado risk.展开更多
Superparamagnetic iron oxide nanoparticles(SPIONs)have immeasurable potentials in many fields such as nanobiotechnology and biomedical engineering because of their superparamagnetic properties and small particle size....Superparamagnetic iron oxide nanoparticles(SPIONs)have immeasurable potentials in many fields such as nanobiotechnology and biomedical engineering because of their superparamagnetic properties and small particle size.This review introduces the methods for SPIONs synthesis,including co-precipitation,thermal decomposition,microemulsion and hydrothermal reaction,and surface modification of SPIONs with organometallic and inorganic metals,surface modification for targeted drug delivery,and the use of SPIONs as a contrast agent.In addition,this article also provides an overview of recent progress in SPIONs for the treatment of glioma,lung cancer and breast cancer.展开更多
文摘AIM： To investigate if high-definition （HD） colonoscope with i-Scan gave a higher detection rate of mucosal le- sions vs standard white-light instruments. METHODS： Data were collected from the computer- ized database of the endoscopy unit of our tertiary referral center. We retrospectively analyzed 1101 con- secutive colonoscopies that were performed over 1 year with standard white-light （n = 849） or HD＋ with i-Scan （n = 252） instruments by four endoscopists, in an outpatient setting. Colonoscopy records included patients＇ main details and family history for colorectal cancer, indication for colonoscopy （screening, diagnos- tic or surveillance）, type of instrument used （standard white-light or HD＋ plus i-Scan）, name of endoscopist and bowel preparation. Records for each procedure included whether the cecum was reached or not and the reason for failure, complications during or imme- diately after the procedure, and number, size, location and characteristics of the lesions. Polyps or protruding lesions were defined as sessile or pedunculated, and nonprotruding lesions were defined according to Paris classification. For each lesion, histological diagnosis was recorded. RESULTS： Eight hundred and forty-nine colonosco- pies were carried with the standard white-light video colonoscope and 252 with the HD＋ plus i-Scan video colonoscope, The four endoscopists did 264, 300, 276 and 261 procedures, respectively; 21.6%, 24.0%, 21.7% and 24.1% of them with the HD＋ plus i-Scan technique. There were no significant differences be- tween the four endoscopists in either the number of procedures done or the proportions of each imaging technique used. Both techniques detected one or more mucosal lesions in 522/1101 procedures （47.4%）. The overall number of lesions recognized was 1266; 645 in the right colon and 621 in the left. A significantly higher number of colonoscopies recognized lesions in the HD＋ plus i-Scan mode （171/252 = 67.9%） than with the standard white-light technique （4
基金supported by the Guangdong Major Project of Basic and Applied Basic Research(Grant No.2020B0301030004)the National Natural Science Foundation of China(Grant Nos.42275006 and 42030604)+1 种基金the Guangdong Basic and Applied Basic Research Foundation(Grant No.2023A1515011705)the Science and Technology Research Project for Society of Foshan(Grant No.2120001008761).
文摘The Pearl River Delta(PRD),a tornado hotspot,forms a distinct trumpet-shaped coastline that concaves toward the South China Sea.During the summer monsoon season,low-level southwesterlies over the PRD’s sea surface tend to be turned toward the west coast,constituting a convergent wind field along with the landward-side southwesterlies,which influences regional convective weather.This two-part study explores the roles of this unique land–sea contrast of the trumpet-shaped coastline in the formation of a tornadic mesovortex within monsoonal flows in this region.Part I primarily presents observational analyses of pre-storm environments and storm evolutions.The rotating storm developed in a lowshear environment(not ideal for a supercell)under the interactions of three air masses under the influence of the land–sea contrast,monsoon,and storm cold outflows.This intersection zone(or“triple point”)is typically characterized by local enhancements of ambient vertical vorticity and convergence.Based on a rapid-scan X-band phased-array radar,finger-like echoes were recognized shortly after the gust front intruded on the triple point.Developed over the triple point,they rapidly wrapped up with a well-defined low-level mesovortex.It is thus presumed that the triple point may have played roles in the mesovortex genesis,which will be demonstrated in Part II with multiple sensitivity numerical simulations.The findings also suggest that when storms pass over the boundary intersection zone in the PRD,the expected possibility of a rotating storm occurring is relatively high,even in a low-shear environment.Improved knowledge of such environments provides additional guidance to assess the regional tornado risk.
基金Supported by National Natural Science Foundation of China(32060228)。
文摘Superparamagnetic iron oxide nanoparticles(SPIONs)have immeasurable potentials in many fields such as nanobiotechnology and biomedical engineering because of their superparamagnetic properties and small particle size.This review introduces the methods for SPIONs synthesis,including co-precipitation,thermal decomposition,microemulsion and hydrothermal reaction,and surface modification of SPIONs with organometallic and inorganic metals,surface modification for targeted drug delivery,and the use of SPIONs as a contrast agent.In addition,this article also provides an overview of recent progress in SPIONs for the treatment of glioma,lung cancer and breast cancer.
