Publications by authors named "XiaoLei Shi"

Background: The optimal anesthetic method for endovascular therapy in acute large core stroke remains unclear. This study aimed to evaluate the impact of anesthetic methods on outcomes in patients with large core stroke.

Methods: This study was a subanalysis of a prospective, multicenter registry at 38 stroke centers in China.

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Introduction: Landmark thrombectomy trials demonstrated improved functional outcomes after endovascular therapy (EVT) for large core strokes (LCSs). This study explored the impact of recanalization attempts and procedure time (PT) on outcomes in LCS patients.

Patients And Methods: This was a retrospective study of patients with LCSs who underwent EVT from a prospective multicentre cohort.

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Objectives: Hypertriglyceridemia-associated acute pancreatitis (HTG-AP) is one of the most common etiologies of acute pancreatitis (AP) worldwide. Compared to other etiologies, patients with HTG-AP may develop more severe AP, but previous studies yielded controversial conclusion due to the lack of adequate adjustment for the confounders. Therefore, this study aimed to examine the possibility and risk factors of developing severe AP in HTG-AP.

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Te-free thermoelectrics have garnered significant interest due to their immense thermoelectric potential and low cost. However, most Te-free thermoelectrics have relatively low performance because of the strong electrical and thermal transport conflicts and unsatisfactory compatibility of interfaces between device materials. Here, we develop lattice defect engineering through Cu doping to realize a record-high figure of merit of ~1.

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Here, we design exotic interfaces within a flexible thermoelectric device, incorporating a polyimide substrate, Ti contact layer, Cu electrode, Ti barrier layer, and thermoelectric thin film. The device features 162 pairs of thin-film legs with high room-temperature performance, using p-BiSbTe and n-BiTeSe, with figure-of-merit values of 1.39 and 1.

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Importance: The impact of adjunctive intra-arterial tenecteplase administration following near-complete to complete reperfusion by endovascular thrombectomy (EVT) for acute ischemic stroke is unknown.

Objective: To assess the efficacy and adverse events of adjunctive intra-arterial tenecteplase in patients with large vessel occlusion stroke who had achieved near-complete to complete reperfusion (defined as a score on the expanded Thrombolysis in Cerebral Infarction [eTICI] scale of 2c to 3) after EVT.

Design, Setting, And Participants: Investigator-initiated, randomized, open-label, blinded outcome assessment trial implemented at 34 hospitals in China among 540 patients with stroke due to proximal intracranial large vessel occlusion within 24 hours of the time they were last known to be well, with an eTICI score of 2c to 3 after EVT, and without prior intravenous thrombolysis.

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Silver-based fast ionic conductors show promising potential in thermoelectric applications. Among these, AgS offers unique high plasticity but low electrical conductivity, whereas AgTe exhibits high intrinsic electrical conductivity yet faces limitations due to high thermal conductivity and poor plasticity. Developing a composite thermoelectric material that combines the benefits of both is therefore essential.

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Background: Major depressive disorder (MDD) is characterized by persistent feelings of sadness and loss of interest. Ketamine has been widely used to treat MDD owing to its rapid effect in relieving depressive symptoms. Importantly, not all patients respond to ketamine treatment.

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Background And Objectives: Despite achieving ideal reperfusion (eTICI = 3) through endovascular treatment (EVT), some acute ischemic stroke (AIS) patients still experience poor outcomes. This study aims to evaluate the efficacy and safety of tirofiban in AIS patients with ideal reperfusion, focusing on its effects in large artery atherosclerosis (LAA) and cardioembolic (CE) stroke.

Methods: A total of 474 AIS patients from the RESCUE-BT database were included.

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Flavonoids derived from plants in the citrus family can have an alleviating effect on allergic asthma. The aim of this study was to provide insights into the mechanisms by which these compounds exert their effects on allergic asthma by combining theoretical and practical approaches. Aurantii Fructus Immaturus flavonoids (AFIFs) were obtained by solvent extraction and were determined by high performance liquid chromatography (HPLC).

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The anti-tumor efficacy of current pharmacotherapy is severely hampered due to the adaptive evolution of tumors, urgently needing effective therapeutic strategies capable of breaking such adaptability. Metabolic reprogramming, as an adaptive survival mechanism, is closely related to therapy resistance of tumors. Colorectal cancer (CRC) cells exhibit a high energy dependency that is sustained by an adaptive metabolic conversion between glucose and glutamine, helping tumor cells to withstand nutrient-deficient microenvironments and various treatments.

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Limited flexibility, complex manufacturing processes, high costs, and insufficient performance are major factors restricting the scalability and commercialization of flexible inorganic thermoelectrics for wearable electronics and other high-end cooling applications. We developed an innovative, cost-effective technology that integrates solvothermal, screen-printing, and sintering techniques to produce an inorganic flexible thermoelectric film. Our printable film, comprising BiTe-based nanoplates as highly orientated grains and Te nanorods as "nanobinders," shows excellent thermoelectric performance for printable films, good flexibility, large-scale manufacturability, and low cost.

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Background: Severe acute pancreatitis (SAP) is characterized by high mortality rates and various complications, including skeletal muscle atrophy, which significantly exacerbates its outcomes. Despite its clinical relevance, the mechanistic understanding of the relationship between skeletal muscle and the pancreas in SAP remains limited. Our study aimed to elucidate this "organ crosstalk" and its potential implications.

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Article Synopsis
  • Soybean is a crucial crop for protein and oil, but salt stress significantly reduces its yield by disrupting vital processes like photosynthesis and growth.
  • This study analyzed data from 563 soybean samples globally to conduct a Genome-Wide Association Study (GWAS) aimed at identifying genetic markers (SNPs) linked to salt tolerance.
  • Ten significant SNPs were found, along with candidate genes, which can aid in developing salt-tolerant soybean varieties, demonstrating the potential for effective genomic selection.
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Based on the modified traditional Chinese formula, Compound Oolong tea (WLT) is composed of six herbal medicines which have beneficial effects. The present study aimed to assess the effects of WLT on lipid metabolism and gut microbiota in the mouse obesity model.Totally 32 mice were randomized into 4 groups including normal control (NC), high-fat diet model (HFD), positive control (PC) receiving atorvastatin 10 mg/kg/d, and WLT group with WLT water extra 300 mg/kg/d.

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Objective: This review aimed to summarize the role of the Hippo signaling pathway in renal cell carcinoma (RCC), a urologic malignancy with subtle initial symptoms and high mortality rates due to metastatic RCC. The Hippo signaling pathway, which regulates tissue and organ sizes, plays a crucial role in RCC progression and metastasis. Understanding the involvement of the Hippo signaling pathway in RCC provides valuable insights for the development of targeted therapies and improved patient outcomes.

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Defect engineering is an effective method for tuning the performance of thermoelectric materials and shows significant promise in advancing thermoelectric performance. Given the rapid progress in this research field, this Review summarizes recent advances in the application of defect engineering in thermoelectric materials, offering insights into how defect engineering can enhance thermoelectric performance. By manipulating the micro/nanostructure and chemical composition to introduce defects at various scales, the physical impacts of diverse types of defects on band structure, carrier and phonon transport behaviors, and the improvement of mechanical stability are comprehensively discussed.

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Background: Parkinson's disease (PD) is a prevalent neurodegenerative disorder with poor prognosis. Observational studies have demonstrated a significant correlation between serum galectin-3 and PD, suggesting a potential role of galectin-3 as a biomarker for PD. However, it is still unclear whether galectin-3 contributes to the risk of the disease.

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Background: Schizophrenia, a severe mental disorder, is often complicated by Type 2 Diabetes Mellitus (T2DM), which can further impact patients' psychological health. This study investigated the differences in eating attitudes, depression, and insight between schizophrenic patients with and without comorbid T2DM and explored the correlations among these factors to provide empirical support for clinical interventions.

Methods: This case-control study was conducted in Guangdong Province, China.

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Article Synopsis
  • The study aims to assess the impact of sex on the prognosis of patients with lupus nephritis (LN), focusing on mortality and other renal outcomes.
  • In a cohort of 1,048 LN patients, males showed more aggressive disease characteristics, higher mortality rates (24.2% for males vs. 13.4% for females), and more severe histopathological features, despite similar overall pathology.
  • The findings suggest that male sex is an independent risk factor for worse survival in LN patients, highlighting the need to address sex disparities in patient care.
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Background: Observational studies have suggested an association between plasma haptoglobin and multiple sclerosis (MS). Haptoglobin plays an important role in the pathogenesis of MS. However, whether it has a causal effect on MS remains unknown.

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Article Synopsis
  • Recent trials indicate that patients with large ischemic cores benefit more from endovascular thrombectomy (EVT) than standard medical treatment (SMT), prompting a study on how this benefit varies by occlusion location.
  • The study analyzed 745 patients with acute large vessel occlusions, assessing outcomes using the modified Rankin Scale and focusing on symptomatic intracranial hemorrhage as a safety measure.
  • Results showed better outcomes for patients with internal carotid artery and M1 segment occlusions after EVT, while the benefit for M2 segment occlusions was unclear and there was a higher risk of hemorrhage with EVT across all groups.
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  • Gallbladder cancer (GBC) is aggressive, and this study aimed to create a model to predict patient survival after surgery.
  • Researchers included patients from three hospitals and used statistical methods to develop a nomogram that estimates 1-, 3-, and 5-year survival rates based on eight key factors.
  • The nomogram demonstrated strong predictive accuracy, outperforming traditional survival indicators, and may help clinicians make better decisions for GBC patients.
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Article Synopsis
  • The research focuses on developing flexible MgBi thin films for wearable electronics, highlighting the need for effective fabrication processes and improved thermoelectric performance.* -
  • Using magnetron sputtering and ex-situ annealing, the team successfully created flexible MgBi thin films with a high power factor of 1.59 µW cm K, demonstrating excellent flexibility and adhesion.* -
  • For the first time, they fabricated flexible thermoelectric devices incorporating both p-type and n-type MgBi legs, achieving a notable output power of 0.17 nW and a power density of 1.67 µW cm with a minimal temperature difference.*
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Rationale: Adjunct intra-arterial alteplase has been shown to potentially improve clinical outcomes in patients with large vessel occlusion (LVO) stroke who have undergone successful endovascular thrombectomy. Tenecteplase, known for its enhanced fibrin specificity and extended activity duration, could potentially enhance outcomes in stroke patients after successful reperfusion when used as an adjunct intra-arterial therapy.

Aim: To explore the safety and efficacy of intra-arterial tenecteplase after successful endovascular thrombectomy in patients with LVO stroke.

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