Study of the f_{0}(980) and f_{0}(500) Scalar Mesons through the Decay D_{s}^{+}→π^{+}π^{-}e^{+}ν_{e}

Using e^{+}e^{-} collision data corresponding to an integrated luminosity of 7.33  fb^{-1} recorded by the BESIII detector at center-of-mass energies between 4.128 and 4.226 GeV, we present an analysis of the decay D_{s}^{+}→π^{+}π^{-}e^{+}ν_{e}, where the D_{s}^{+} is produced via the process e^{+}e^{-}→D_{s}^{*±}D_{s}^{∓}. We observe the f_{0}(980) in the π^{+}π^{-} system and the branching fraction of the decay D_{s}^{+}→f_{0}(980)e^{+}ν_{e} with f_{0}(980)→π^{+}π^{-} measured to be (1.72±0.13_{stat}±0.10_{syst})×10^{-3}, where the uncertainties are statistical and systematic, respectively. The dynamics of the D_{s}^{+}→f_{0}(980)e^{+}ν_{e} decay are studied with the simple pole parametrization of the hadronic form factor and the Flatté formula describing the f_{0}(980) in the differential decay rate, and the product of the form factor f_{+}^{f_{0}}(0) and the c→s Cabibbo-Kobayashi-Maskawa matrix element |V_{cs}| is determined for the first time to be f_{+}^{f_{0}}(0)|V_{cs}|=0.504±0.017_{stat}±0.035_{syst}. Furthermore, the decay D_{s}^{+}→f_{0}(500)e^{+}ν_{e} is searched for the first time but no signal is found. The upper limit on the branching fraction of D_{s}^{+}→f_{0}(500)e^{+}ν_{e}, f_{0}(500)→π^{+}π^{-} decay is set to be 3.3×10^{-4} at 90% confidence level.

Strontium-Doped Hydroxyapatite Coating Improves Osteo/Angiogenesis for Ameliorative Graft-Bone Integration via the Macrophage-Derived Cytokines-Mediated Integrin Signal Pathway

Polyethylene terephthalate (PET) artificial ligaments, renowned for their superior mechanical properties, have been extensively adopted in anterior cruciate ligament (ACL) reconstruction surgeries. However, the inherent bio-inertness of PET introduces formidable barriers to graft-bone integration, a critical aspect of rehabilitation. Previous interventions, ranging from surface roughening to chemical modifications, have aimed to address this challenge; however, consistently effective techniques for inducing graft-bone integration remain scarce. Our study employed advanced surface-coating methodologies to introduce strontium-doped hydroxyapatite (SrHA) onto PET ligaments. Detailed scanning electron microscopy (SEM) examinations revealed a uniform and integrative coating of SrHA on PET fibers. Furthermore, spectroscopic analysis confirmed the steady release of strontium ions from the coated surface under physiological conditions. In-depth cellular studies proved that extracellular strontium emanating from SrHA-coated PET (PET@SrHA) ligaments actively steers the M2 macrophage polarization. Additionally, macrophages (Mφs) manifested a heightened secretion of prohealing cytokines when exposed to PET@SrHA. Subsequent investigations showed that these cytokines acted as mediators, activating integrin signaling pathways among macrophages, vascular endothelial cells, and osteoblasts. As a direct consequence, an increased rate of angiogenesis and osteogenic differentiation was observed, vital for graft-bone integration following ACL reconstruction with PET@SrHA ligaments. From a biochemical standpoint, our results pinpoint strontium ions as influential immunomodulators, sculpting the graft-bone interface's immune environment. This insight presents the SrHA-coating technique as a viable therapeutic strategy, holding sound promise for improving angiogenesis and osseointegration outcomes during ACL reconstruction using PET-based grafts.

Observation of D^{+}→K_{S}^{0}a_{0}(980)^{+} in the Amplitude Analysis of D^{+}→K_{S}^{0}π^{+}η

We perform for the first time an amplitude analysis of the decay D^{+}→K_{S}^{0}π^{+}η and report the observation of the decay D^{+}→K_{S}^{0}a_{0}(980)^{+} using 2.93  fb^{-1} of e^{+}e^{-} collision data taken at a center-of-mass energy of 3.773 GeV with the BESIII detector. As the only W-annihilation-free decay among D to a_{0}(980) pseudoscalar, D^{+}→K_{S}^{0}a_{0}(980)^{+} is the ideal decay in extracting the contributions of the W-emission amplitudes involving a_{0}(980) and to study the final-state interactions. The absolute branching fraction of D^{+}→K_{S}^{0}π^{+}η is measured to be (1.27±0.04_{stat}±0.03_{syst})%. The branching fractions of intermediate processes D^{+}→K_{S}^{0}a_{0}(980)^{+} with a_{0}(980)^{+}→π^{+}η and D^{+}→π^{+}K[over ¯]_{0}^{*}(1430)^{0} with K[over ¯]_{0}^{*}(1430)^{0}→K_{S}^{0}η are measured to be (1.33±0.05_{stat}±0.04_{syst})% and (0.14±0.03_{stat}±0.01_{syst})%, respectively.

Observation of Significant Flavor-SU(3) Breaking in the Kaon Wave Function at 12<Q^{2}<25 GeV^{2} and Discovery of the Charmless Decay ψ(3770)→K_{S}^{0}K_{L}^{0}

We present cross sections for the reaction e^{+}e^{-}→K_{S}^{0}K_{L}^{0} at center-of-mass energies ranging from 3.51 to 4.95 GeV using data samples collected in the BESIII experiment, corresponding to a total integrated luminosity of 26.5  fb^{-1}. The ratio of neutral-to-charged kaon form factors at large momentum transfers (12 Collapse

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Affiliation(s)

M Ablikim Institute of High Energy Physics, Beijing 100049, People's Republic of China
M N Achasov Budker Institute of Nuclear Physics SB RAS (BINP), Novosibirsk 630090, Russia
P Adlarson Uppsala University, Box 516, SE-75120 Uppsala, Sweden
X C Ai Zhengzhou University, Zhengzhou 450001, People's Republic of China
R Aliberti Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
A Amoroso University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
M R An Liaoning Normal University, Dalian 116029, People's Republic of China
Q An State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
Y Bai Southeast University, Nanjing 211100, People's Republic of China
O Bakina Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
I Balossino INFN Sezione di Ferrara, INFN Sezione di Ferrara, I-44122 Ferrara, Italy
Y Ban Peking University, Beijing 100871, People's Republic of China
H-R Bao University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
V Batozskaya Institute of High Energy Physics, Beijing 100049, People's Republic of China National Centre for Nuclear Research, Warsaw 02-093, Poland
K Begzsuren Institute of Physics and Technology, Peace Avenue 54B, Ulaanbaatar 13330, Mongolia
N Berger Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
M Berlowski National Centre for Nuclear Research, Warsaw 02-093, Poland
M Bertani INFN Laboratori Nazionali di Frascati, INFN Laboratori Nazionali di Frascati, I-00044 Frascati, Italy
D Bettoni INFN Sezione di Ferrara, INFN Sezione di Ferrara, I-44122 Ferrara, Italy
F Bianchi University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
E Bianco University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
A Bortone University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
I Boyko Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
R A Briere Carnegie Mellon University, Pittsburgh, Pennsylvania 15213, USA
A Brueggemann University of Muenster, Wilhelm-Klemm-Strasse 9, 48149 Muenster, Germany
H Cai Wuhan University, Wuhan 430072, People's Republic of China
X Cai Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
A Calcaterra INFN Laboratori Nazionali di Frascati, INFN Laboratori Nazionali di Frascati, I-00044 Frascati, Italy
G F Cao Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
N Cao Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
S A Cetin Turkish Accelerator Center Particle Factory Group, Istinye University, 34010 Istanbul, Turkey
J F Chang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
T T Chang Xinyang Normal University, Xinyang 464000, People's Republic of China
W L Chang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
G R Che Nankai University, Tianjin 300071, People's Republic of China
G Chelkov Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
C Chen Nankai University, Tianjin 300071, People's Republic of China
Chao Chen Soochow University, Suzhou 215006, People's Republic of China
G Chen Institute of High Energy Physics, Beijing 100049, People's Republic of China
H S Chen Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
M L Chen Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
S J Chen Nanjing University, Nanjing 210093, People's Republic of China
S L Chen North China Electric Power University, Beijing 102206, People's Republic of China
S M Chen Tsinghua University, Beijing 100084, People's Republic of China
T Chen Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X R Chen Institute of Modern Physics, Lanzhou 730000, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X T Chen Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y B Chen Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Y Q Chen Jilin University, Changchun 130012, People's Republic of China
Z J Chen Hunan University, Changsha 410082, People's Republic of China
S K Choi Chung-Ang University, Seoul, 06974, Republic of Korea
X Chu Nankai University, Tianjin 300071, People's Republic of China
G Cibinetto INFN Sezione di Ferrara, INFN Sezione di Ferrara, I-44122 Ferrara, Italy
S C Coen Bochum Ruhr-University, D-44780 Bochum, Germany
F Cossio INFN, I-10125, Turin, Italy
J J Cui Shandong University, Jinan 250100, People's Republic of China
H L Dai Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
J P Dai Yunnan University, Kunming 650500, People's Republic of China
A Dbeyssi Helmholtz Institute Mainz, Staudinger Weg 18, D-55099 Mainz, Germany
R E de Boer Bochum Ruhr-University, D-44780 Bochum, Germany
D Dedovich Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
Z Y Deng Institute of High Energy Physics, Beijing 100049, People's Republic of China
A Denig Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
I Denysenko Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
M Destefanis University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
F De Mori University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
B Ding Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Jinan, Jinan 250022, People's Republic of China
X X Ding Peking University, Beijing 100871, People's Republic of China
Y Ding Liaoning University, Shenyang 110036, People's Republic of China
Y Ding Jilin University, Changchun 130012, People's Republic of China
J Dong Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
L Y Dong Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
M Y Dong Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X Dong Wuhan University, Wuhan 430072, People's Republic of China
M C Du Institute of High Energy Physics, Beijing 100049, People's Republic of China
S X Du Zhengzhou University, Zhengzhou 450001, People's Republic of China
Z H Duan Nanjing University, Nanjing 210093, People's Republic of China
P Egorov Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
Y H Fan North China Electric Power University, Beijing 102206, People's Republic of China
J Fang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
S S Fang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
W X Fang Institute of High Energy Physics, Beijing 100049, People's Republic of China
Y Fang Institute of High Energy Physics, Beijing 100049, People's Republic of China
Y Q Fang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
R Farinelli INFN Sezione di Ferrara, INFN Sezione di Ferrara, I-44122 Ferrara, Italy
L Fava University of Eastern Piedmont, I-15121 Alessandria, Italy INFN, I-10125, Turin, Italy
F Feldbauer Bochum Ruhr-University, D-44780 Bochum, Germany
G Felici INFN Laboratori Nazionali di Frascati, INFN Laboratori Nazionali di Frascati, I-00044 Frascati, Italy
C Q Feng State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
J H Feng Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
K Fischer University of Oxford, Keble Road, Oxford OX13RH, United Kingdom
M Fritsch Bochum Ruhr-University, D-44780 Bochum, Germany
C D Fu Institute of High Energy Physics, Beijing 100049, People's Republic of China
J L Fu University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y W Fu Institute of High Energy Physics, Beijing 100049, People's Republic of China
H Gao University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y N Gao Peking University, Beijing 100871, People's Republic of China
Yang Gao State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
S Garbolino INFN, I-10125, Turin, Italy
I Garzia INFN Sezione di Ferrara, INFN Sezione di Ferrara, I-44122 Ferrara, Italy University of Ferrara, I-44122 Ferrara, Italy
P T Ge Wuhan University, Wuhan 430072, People's Republic of China
Z W Ge Nanjing University, Nanjing 210093, People's Republic of China
C Geng Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
E M Gersabeck University of Manchester, Oxford Road, Manchester, M13 9PL, United Kingdom
A Gilman University of Oxford, Keble Road, Oxford OX13RH, United Kingdom
K Goetzen GSI Helmholtzcentre for Heavy Ion Research GmbH, D-64291 Darmstadt, Germany
L Gong Liaoning University, Shenyang 110036, People's Republic of China
W X Gong Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
W Gradl Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
S Gramigna INFN Sezione di Ferrara, INFN Sezione di Ferrara, I-44122 Ferrara, Italy University of Ferrara, I-44122 Ferrara, Italy
M Greco University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
M H Gu Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Y T Gu Guangxi University, Nanning 530004, People's Republic of China
C Y Guan Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Z L Guan Henan University of Technology, Zhengzhou 450001, People's Republic of China
A Q Guo Institute of Modern Physics, Lanzhou 730000, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
L B Guo Nanjing Normal University, Nanjing 210023, People's Republic of China
M J Guo Shandong University, Jinan 250100, People's Republic of China
R P Guo Shandong Normal University, Jinan 250014, People's Republic of China
Y P Guo Fudan University, Shanghai 200433, People's Republic of China
A Guskov Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
J Gutierrez Indiana University, Bloomington, Indiana 47405, USA
T T Han Institute of High Energy Physics, Beijing 100049, People's Republic of China
W Y Han Liaoning Normal University, Dalian 116029, People's Republic of China
X Q Hao Henan Normal University, Xinxiang 453007, People's Republic of China
F A Harris University of Hawaii, Honolulu, Hawaii 96822, USA
K K He Soochow University, Suzhou 215006, People's Republic of China
K L He Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
F H H Heinsius Bochum Ruhr-University, D-44780 Bochum, Germany
C H Heinz Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
Y K Heng Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
C Herold Suranaree University of Technology, University Avenue 111, Nakhon Ratchasima 30000, Thailand
T Holtmann Bochum Ruhr-University, D-44780 Bochum, Germany
P C Hong Fudan University, Shanghai 200433, People's Republic of China
G Y Hou Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X T Hou Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y R Hou University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Z L Hou Institute of High Energy Physics, Beijing 100049, People's Republic of China
B Y Hu Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
H M Hu Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
J F Hu South China Normal University, Guangzhou 510006, People's Republic of China
T Hu Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y Hu Institute of High Energy Physics, Beijing 100049, People's Republic of China
G S Huang State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
K X Huang Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
L Q Huang Institute of Modern Physics, Lanzhou 730000, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X T Huang Shandong University, Jinan 250100, People's Republic of China
Y P Huang Institute of High Energy Physics, Beijing 100049, People's Republic of China
T Hussain University of the Punjab, Lahore-54590, Pakistan
N Hüsken Indiana University, Bloomington, Indiana 47405, USA Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
N In der Wiesche University of Muenster, Wilhelm-Klemm-Strasse 9, 48149 Muenster, Germany
M Irshad State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
J Jackson Indiana University, Bloomington, Indiana 47405, USA
S Jaeger Bochum Ruhr-University, D-44780 Bochum, Germany
S Janchiv Institute of Physics and Technology, Peace Avenue 54B, Ulaanbaatar 13330, Mongolia
J H Jeong Chung-Ang University, Seoul, 06974, Republic of Korea
Q Ji Institute of High Energy Physics, Beijing 100049, People's Republic of China
Q P Ji Henan Normal University, Xinxiang 453007, People's Republic of China
X B Ji Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X L Ji Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Y Y Ji Shandong University, Jinan 250100, People's Republic of China
X Q Jia Shandong University, Jinan 250100, People's Republic of China
Z K Jia State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
H J Jiang Wuhan University, Wuhan 430072, People's Republic of China
P C Jiang Peking University, Beijing 100871, People's Republic of China
S S Jiang Liaoning Normal University, Dalian 116029, People's Republic of China
T J Jiang Hangzhou Normal University, Hangzhou 310036, People's Republic of China
X S Jiang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y Jiang University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
J B Jiao Shandong University, Jinan 250100, People's Republic of China
Z Jiao Huangshan College, Huangshan 245000, People's Republic of China
S Jin Nanjing University, Nanjing 210093, People's Republic of China
Y Jin University of Jinan, Jinan 250022, People's Republic of China
M Q Jing Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X M Jing University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
T Johansson Uppsala University, Box 516, SE-75120 Uppsala, Sweden
X Kui Institute of High Energy Physics, Beijing 100049, People's Republic of China
S Kabana Instituto de Alta Investigación, Universidad de Tarapacá, Casilla 7D, Arica 1000000, Chile
N Kalantar-Nayestanaki University of Groningen, NL-9747 AA Groningen, The Netherlands
X L Kang China University of Geosciences, Wuhan 430074, People's Republic of China
X S Kang Liaoning University, Shenyang 110036, People's Republic of China
M Kavatsyuk University of Groningen, NL-9747 AA Groningen, The Netherlands
B C Ke Zhengzhou University, Zhengzhou 450001, People's Republic of China
V Khachatryan Indiana University, Bloomington, Indiana 47405, USA
A Khoukaz University of Muenster, Wilhelm-Klemm-Strasse 9, 48149 Muenster, Germany
R Kiuchi Institute of High Energy Physics, Beijing 100049, People's Republic of China
R Kliemt GSI Helmholtzcentre for Heavy Ion Research GmbH, D-64291 Darmstadt, Germany
O B Kolcu Turkish Accelerator Center Particle Factory Group, Istinye University, 34010 Istanbul, Turkey
B Kopf Bochum Ruhr-University, D-44780 Bochum, Germany
M Kuessner Bochum Ruhr-University, D-44780 Bochum, Germany
A Kupsc National Centre for Nuclear Research, Warsaw 02-093, Poland Uppsala University, Box 516, SE-75120 Uppsala, Sweden
W Kühn Justus-Liebig-Universitaet Giessen, II. Physikalisches Institut, Heinrich-Buff-Ring 16, D-35392 Giessen, Germany
J J Lane University of Manchester, Oxford Road, Manchester, M13 9PL, United Kingdom
P Larin Helmholtz Institute Mainz, Staudinger Weg 18, D-55099 Mainz, Germany
A Lavania Indian Institute of Technology Madras, Chennai 600036, India
L Lavezzi University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
T T Lei State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
Z H Lei State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
H Leithoff Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
M Lellmann Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
T Lenz Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
C Li Qufu Normal University, Qufu 273165, People's Republic of China
C Li Nankai University, Tianjin 300071, People's Republic of China
C H Li Liaoning Normal University, Dalian 116029, People's Republic of China
Cheng Li State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
D M Li Zhengzhou University, Zhengzhou 450001, People's Republic of China
F Li Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
G Li Institute of High Energy Physics, Beijing 100049, People's Republic of China
H Li State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
H B Li Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
H J Li Henan Normal University, Xinxiang 453007, People's Republic of China
H N Li South China Normal University, Guangzhou 510006, People's Republic of China
Hui Li Nankai University, Tianjin 300071, People's Republic of China
J R Li Tsinghua University, Beijing 100084, People's Republic of China
J S Li Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
J W Li Shandong University, Jinan 250100, People's Republic of China
Ke Li Institute of High Energy Physics, Beijing 100049, People's Republic of China
L J Li Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
L K Li Institute of High Energy Physics, Beijing 100049, People's Republic of China
Lei Li Renmin University of China, Beijing 100872, People's Republic of China
M H Li Nankai University, Tianjin 300071, People's Republic of China
P R Li Lanzhou University, Lanzhou 730000, People's Republic of China
Q X Li Shandong University, Jinan 250100, People's Republic of China
S X Li Fudan University, Shanghai 200433, People's Republic of China
T Li Shandong University, Jinan 250100, People's Republic of China
W D Li Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
W G Li Institute of High Energy Physics, Beijing 100049, People's Republic of China
X H Li State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
X L Li Shandong University, Jinan 250100, People's Republic of China
Xiaoyu Li Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y G Li Peking University, Beijing 100871, People's Republic of China
Z J Li Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
Z X Li Guangxi University, Nanning 530004, People's Republic of China
C Liang Nanjing University, Nanjing 210093, People's Republic of China
H Liang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
H Liang State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
Y F Liang Sichuan University, Chengdu 610064, People's Republic of China
Y T Liang Institute of Modern Physics, Lanzhou 730000, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
G R Liao Guangxi Normal University, Guilin 541004, People's Republic of China
L Z Liao Shandong University, Jinan 250100, People's Republic of China
Y P Liao Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
J Libby Indian Institute of Technology Madras, Chennai 600036, India
A Limphirat Suranaree University of Technology, University Avenue 111, Nakhon Ratchasima 30000, Thailand
D X Lin Institute of Modern Physics, Lanzhou 730000, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
T Lin Institute of High Energy Physics, Beijing 100049, People's Republic of China
B J Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China
B X Liu Wuhan University, Wuhan 430072, People's Republic of China
C Liu Jilin University, Changchun 130012, People's Republic of China
C X Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China
F H Liu Shanxi University, Taiyuan 030006, People's Republic of China
Fang Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China
Feng Liu Central China Normal University, Wuhan 430079, People's Republic of China
G M Liu South China Normal University, Guangzhou 510006, People's Republic of China
H Liu Lanzhou University, Lanzhou 730000, People's Republic of China
H B Liu Guangxi University, Nanning 530004, People's Republic of China
H M Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Huanhuan Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China
Huihui Liu Henan University of Science and Technology, Luoyang 471003, People's Republic of China
J B Liu State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
J Y Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
K Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China
K Y Liu Liaoning University, Shenyang 110036, People's Republic of China
Ke Liu Henan University of Technology, Zhengzhou 450001, People's Republic of China
L Liu State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
L C Liu Nankai University, Tianjin 300071, People's Republic of China
Lu Liu Nankai University, Tianjin 300071, People's Republic of China
M H Liu Fudan University, Shanghai 200433, People's Republic of China
P L Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China
Q Liu University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
S B Liu State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
T Liu Fudan University, Shanghai 200433, People's Republic of China
W K Liu Nankai University, Tianjin 300071, People's Republic of China
W M Liu State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
X Liu Lanzhou University, Lanzhou 730000, People's Republic of China
Y Liu Lanzhou University, Lanzhou 730000, People's Republic of China
Y Liu Zhengzhou University, Zhengzhou 450001, People's Republic of China
Y B Liu Nankai University, Tianjin 300071, People's Republic of China
Z A Liu Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Z Q Liu Shandong University, Jinan 250100, People's Republic of China
X C Lou Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
F X Lu Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
H J Lu Huangshan College, Huangshan 245000, People's Republic of China
J G Lu Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
X L Lu Institute of High Energy Physics, Beijing 100049, People's Republic of China
Y Lu Central South University, Changsha 410083, People's Republic of China
Y P Lu Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Z H Lu Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
C L Luo Nanjing Normal University, Nanjing 210023, People's Republic of China
M X Luo Zhejiang University, Hangzhou 310027, People's Republic of China
T Luo Fudan University, Shanghai 200433, People's Republic of China
X L Luo Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
X R Lyu University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y F Lyu Nankai University, Tianjin 300071, People's Republic of China
F C Ma Liaoning University, Shenyang 110036, People's Republic of China
H Ma Yunnan University, Kunming 650500, People's Republic of China
H L Ma Institute of High Energy Physics, Beijing 100049, People's Republic of China
J L Ma Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
L L Ma Shandong University, Jinan 250100, People's Republic of China
M M Ma Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Q M Ma Institute of High Energy Physics, Beijing 100049, People's Republic of China
R Q Ma Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X Y Ma Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Y Ma Peking University, Beijing 100871, People's Republic of China
Y M Ma Institute of Modern Physics, Lanzhou 730000, People's Republic of China
F E Maas Helmholtz Institute Mainz, Staudinger Weg 18, D-55099 Mainz, Germany
M Maggiora University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
S Malde University of Oxford, Keble Road, Oxford OX13RH, United Kingdom
Q A Malik University of the Punjab, Lahore-54590, Pakistan
A Mangoni INFN Sezione di Perugia, I-06100 Perugia, Italy
Y J Mao Peking University, Beijing 100871, People's Republic of China
Z P Mao Institute of High Energy Physics, Beijing 100049, People's Republic of China
S Marcello University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
Z X Meng University of Jinan, Jinan 250022, People's Republic of China
J G Messchendorp GSI Helmholtzcentre for Heavy Ion Research GmbH, D-64291 Darmstadt, Germany University of Groningen, NL-9747 AA Groningen, The Netherlands
G Mezzadri INFN Sezione di Ferrara, INFN Sezione di Ferrara, I-44122 Ferrara, Italy
H Miao Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
T J Min Nanjing University, Nanjing 210093, People's Republic of China
R E Mitchell Indiana University, Bloomington, Indiana 47405, USA
X H Mo Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
B Moses Indiana University, Bloomington, Indiana 47405, USA
N Yu Muchnoi Budker Institute of Nuclear Physics SB RAS (BINP), Novosibirsk 630090, Russia
J Muskalla Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
Y Nefedov Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
F Nerling Helmholtz Institute Mainz, Staudinger Weg 18, D-55099 Mainz, Germany
I B Nikolaev Budker Institute of Nuclear Physics SB RAS (BINP), Novosibirsk 630090, Russia
Z Ning Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
S Nisar COMSATS University Islamabad, Lahore Campus, Defence Road, Off Raiwind Road, 54000 Lahore, Pakistan
Q L Niu Lanzhou University, Lanzhou 730000, People's Republic of China
W D Niu Soochow University, Suzhou 215006, People's Republic of China
Y Niu Shandong University, Jinan 250100, People's Republic of China
S L Olsen University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Q Ouyang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
S Pacetti INFN Sezione di Perugia, I-06100 Perugia, Italy University of Perugia, I-06100 Perugia, Italy
X Pan Soochow University, Suzhou 215006, People's Republic of China
Y Pan Southeast University, Nanjing 211100, People's Republic of China
A Pathak Jilin University, Changchun 130012, People's Republic of China
P Patteri INFN Laboratori Nazionali di Frascati, INFN Laboratori Nazionali di Frascati, I-00044 Frascati, Italy
Y P Pei State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
M Pelizaeus Bochum Ruhr-University, D-44780 Bochum, Germany
H P Peng State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
Y Y Peng Lanzhou University, Lanzhou 730000, People's Republic of China
K Peters GSI Helmholtzcentre for Heavy Ion Research GmbH, D-64291 Darmstadt, Germany
J L Ping Nanjing Normal University, Nanjing 210023, People's Republic of China
R G Ping Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
S Plura Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
V Prasad Instituto de Alta Investigación, Universidad de Tarapacá, Casilla 7D, Arica 1000000, Chile
F Z Qi Institute of High Energy Physics, Beijing 100049, People's Republic of China
H Qi State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
H R Qi Tsinghua University, Beijing 100084, People's Republic of China
M Qi Nanjing University, Nanjing 210093, People's Republic of China
T Y Qi Fudan University, Shanghai 200433, People's Republic of China
S Qian Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
W B Qian University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
C F Qiao University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
J J Qin University of South China, Hengyang 421001, People's Republic of China
L Q Qin Guangxi Normal University, Guilin 541004, People's Republic of China
X S Qin Shandong University, Jinan 250100, People's Republic of China
Z H Qin Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
J F Qiu Institute of High Energy Physics, Beijing 100049, People's Republic of China
S Q Qu Tsinghua University, Beijing 100084, People's Republic of China
C F Redmer Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
K J Ren Liaoning Normal University, Dalian 116029, People's Republic of China
A Rivetti INFN, I-10125, Turin, Italy
M Rolo INFN, I-10125, Turin, Italy
G Rong Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Ch Rosner Helmholtz Institute Mainz, Staudinger Weg 18, D-55099 Mainz, Germany
S N Ruan Nankai University, Tianjin 300071, People's Republic of China
N Salone National Centre for Nuclear Research, Warsaw 02-093, Poland
A Sarantsev Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
Y Schelhaas Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
K Schoenning Uppsala University, Box 516, SE-75120 Uppsala, Sweden
M Scodeggio INFN Sezione di Ferrara, INFN Sezione di Ferrara, I-44122 Ferrara, Italy University of Ferrara, I-44122 Ferrara, Italy
K Y Shan Fudan University, Shanghai 200433, People's Republic of China
W Shan Hunan Normal University, Changsha 410081, People's Republic of China
X Y Shan State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
J F Shangguan Soochow University, Suzhou 215006, People's Republic of China
L G Shao Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
M Shao State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
C P Shen Fudan University, Shanghai 200433, People's Republic of China
H F Shen Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
W H Shen University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X Y Shen Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
B A Shi University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
H C Shi State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
J L Shi Fudan University, Shanghai 200433, People's Republic of China
J Y Shi Institute of High Energy Physics, Beijing 100049, People's Republic of China
Q Q Shi Soochow University, Suzhou 215006, People's Republic of China
R S Shi Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X Shi Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
J J Song Henan Normal University, Xinxiang 453007, People's Republic of China
T Z Song Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
W M Song Institute of High Energy Physics, Beijing 100049, People's Republic of China Jilin University, Changchun 130012, People's Republic of China
Y J Song Fudan University, Shanghai 200433, People's Republic of China
Y X Song Peking University, Beijing 100871, People's Republic of China
S Sosio University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
S Spataro University of Turin and INFN, University of Turin, I-10125 Turin, Italy INFN, I-10125, Turin, Italy
F Stieler Johannes Gutenberg University of Mainz, Johann-Joachim-Becher-Weg 45, D-55099 Mainz, Germany
Y J Su University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
G B Sun Wuhan University, Wuhan 430072, People's Republic of China
G X Sun Institute of High Energy Physics, Beijing 100049, People's Republic of China
H Sun University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
H K Sun Institute of High Energy Physics, Beijing 100049, People's Republic of China
J F Sun Henan Normal University, Xinxiang 453007, People's Republic of China
K Sun Tsinghua University, Beijing 100084, People's Republic of China
L Sun Wuhan University, Wuhan 430072, People's Republic of China
S S Sun Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
T Sun Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
W Y Sun Jilin University, Changchun 130012, People's Republic of China
Y Sun China University of Geosciences, Wuhan 430074, People's Republic of China
Y J Sun State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
Y Z Sun Institute of High Energy Physics, Beijing 100049, People's Republic of China
Z T Sun Shandong University, Jinan 250100, People's Republic of China
Y X Tan State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
C J Tang Sichuan University, Chengdu 610064, People's Republic of China
G Y Tang Institute of High Energy Physics, Beijing 100049, People's Republic of China
J Tang Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
Y A Tang Wuhan University, Wuhan 430072, People's Republic of China
L Y Tao University of South China, Hengyang 421001, People's Republic of China
Q T Tao Hunan University, Changsha 410082, People's Republic of China
M Tat University of Oxford, Keble Road, Oxford OX13RH, United Kingdom
J X Teng State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
V Thoren Uppsala University, Box 516, SE-75120 Uppsala, Sweden
W H Tian Shanxi Normal University, Linfen 041004, People's Republic of China
W H Tian Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
Y Tian Institute of Modern Physics, Lanzhou 730000, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Z F Tian Wuhan University, Wuhan 430072, People's Republic of China
I Uman Near East University, Nicosia, North Cyprus, 99138, Mersin 10, Turkey
Y Wan Soochow University, Suzhou 215006, People's Republic of China
S J Wang Shandong University, Jinan 250100, People's Republic of China
B Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China
B L Wang University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Bo Wang State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
C W Wang Nanjing University, Nanjing 210093, People's Republic of China
D Y Wang Peking University, Beijing 100871, People's Republic of China
F Wang University of South China, Hengyang 421001, People's Republic of China
H J Wang Lanzhou University, Lanzhou 730000, People's Republic of China
J P Wang Shandong University, Jinan 250100, People's Republic of China
K Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
L L Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China
M Wang Shandong University, Jinan 250100, People's Republic of China
Meng Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
N Y Wang University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
S Wang Fudan University, Shanghai 200433, People's Republic of China
S Wang Lanzhou University, Lanzhou 730000, People's Republic of China
T Wang Fudan University, Shanghai 200433, People's Republic of China
T J Wang Nankai University, Tianjin 300071, People's Republic of China
W Wang Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
W Wang University of South China, Hengyang 421001, People's Republic of China
W P Wang State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
X Wang Peking University, Beijing 100871, People's Republic of China
X F Wang Lanzhou University, Lanzhou 730000, People's Republic of China
X J Wang Liaoning Normal University, Dalian 116029, People's Republic of China
X L Wang Fudan University, Shanghai 200433, People's Republic of China
Y Wang Tsinghua University, Beijing 100084, People's Republic of China
Y D Wang North China Electric Power University, Beijing 102206, People's Republic of China
Y F Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y L Wang Henan Normal University, Xinxiang 453007, People's Republic of China
Y N Wang North China Electric Power University, Beijing 102206, People's Republic of China
Y Q Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China
Yaqian Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China Hebei University, Baoding 071002, People's Republic of China
Yi Wang Tsinghua University, Beijing 100084, People's Republic of China
Z Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Z L Wang University of South China, Hengyang 421001, People's Republic of China
Z Y Wang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Ziyi Wang University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
D Wei University of Science and Technology Liaoning, Anshan 114051, People's Republic of China
D H Wei Guangxi Normal University, Guilin 541004, People's Republic of China
F Weidner University of Muenster, Wilhelm-Klemm-Strasse 9, 48149 Muenster, Germany
S P Wen Institute of High Energy Physics, Beijing 100049, People's Republic of China
C W Wenzel Bochum Ruhr-University, D-44780 Bochum, Germany
U Wiedner Bochum Ruhr-University, D-44780 Bochum, Germany
G Wilkinson University of Oxford, Keble Road, Oxford OX13RH, United Kingdom
M Wolke Uppsala University, Box 516, SE-75120 Uppsala, Sweden
L Wollenberg Bochum Ruhr-University, D-44780 Bochum, Germany
C Wu Liaoning Normal University, Dalian 116029, People's Republic of China
J F Wu Institute of High Energy Physics, Beijing 100049, People's Republic of China China Center of Advanced Science and Technology, Beijing 100190, People's Republic of China
L H Wu Institute of High Energy Physics, Beijing 100049, People's Republic of China
L J Wu Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X Wu Fudan University, Shanghai 200433, People's Republic of China
X H Wu Jilin University, Changchun 130012, People's Republic of China
Y Wu University of Science and Technology of China, Hefei 230026, People's Republic of China
Y H Wu Soochow University, Suzhou 215006, People's Republic of China
Y J Wu Institute of Modern Physics, Lanzhou 730000, People's Republic of China
Z Wu Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
L Xia State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
X M Xian Liaoning Normal University, Dalian 116029, People's Republic of China
T Xiang Peking University, Beijing 100871, People's Republic of China
D Xiao Lanzhou University, Lanzhou 730000, People's Republic of China
G Y Xiao Nanjing University, Nanjing 210093, People's Republic of China
S Y Xiao Institute of High Energy Physics, Beijing 100049, People's Republic of China
Y L Xiao Fudan University, Shanghai 200433, People's Republic of China
Z J Xiao Nanjing Normal University, Nanjing 210023, People's Republic of China
C Xie Nanjing University, Nanjing 210093, People's Republic of China
X H Xie Peking University, Beijing 100871, People's Republic of China
Y Xie Shandong University, Jinan 250100, People's Republic of China
Y G Xie Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Y H Xie Central China Normal University, Wuhan 430079, People's Republic of China
Z P Xie State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
T Y Xing Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
C F Xu Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
C J Xu Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
G F Xu Institute of High Energy Physics, Beijing 100049, People's Republic of China
H Y Xu University of Jinan, Jinan 250022, People's Republic of China
Q J Xu Hangzhou Normal University, Hangzhou 310036, People's Republic of China
Q N Xu Inner Mongolia University, Hohhot 010021, People's Republic of China
W Xu Institute of High Energy Physics, Beijing 100049, People's Republic of China
W L Xu University of Jinan, Jinan 250022, People's Republic of China
X P Xu Soochow University, Suzhou 215006, People's Republic of China
Y C Xu Yantai University, Yantai 264005, People's Republic of China
Z P Xu Nanjing University, Nanjing 210093, People's Republic of China
Z S Xu University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
F Yan Fudan University, Shanghai 200433, People's Republic of China
L Yan Fudan University, Shanghai 200433, People's Republic of China
W B Yan State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
W C Yan Zhengzhou University, Zhengzhou 450001, People's Republic of China
X Q Yan Institute of High Energy Physics, Beijing 100049, People's Republic of China
H J Yang Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
H L Yang Jilin University, Changchun 130012, People's Republic of China
H X Yang Institute of High Energy Physics, Beijing 100049, People's Republic of China
Tao Yang Institute of High Energy Physics, Beijing 100049, People's Republic of China
Y Yang Fudan University, Shanghai 200433, People's Republic of China
Y F Yang Nankai University, Tianjin 300071, People's Republic of China
Y X Yang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Yifan Yang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Z W Yang Lanzhou University, Lanzhou 730000, People's Republic of China
Z P Yao Shandong University, Jinan 250100, People's Republic of China
M Ye Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
M H Ye China Center of Advanced Science and Technology, Beijing 100190, People's Republic of China
J H Yin Institute of High Energy Physics, Beijing 100049, People's Republic of China
Z Y You Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
B X Yu Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
C X Yu Nankai University, Tianjin 300071, People's Republic of China
G Yu Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
J S Yu Hunan University, Changsha 410082, People's Republic of China
T Yu University of South China, Hengyang 421001, People's Republic of China
X D Yu Peking University, Beijing 100871, People's Republic of China
C Z Yuan Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
L Yuan Beihang University, Beijing 100191, People's Republic of China
S C Yuan Institute of High Energy Physics, Beijing 100049, People's Republic of China
Y Yuan Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Z Y Yuan Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
C X Yue Liaoning Normal University, Dalian 116029, People's Republic of China
A A Zafar University of the Punjab, Lahore-54590, Pakistan
F R Zeng Shandong University, Jinan 250100, People's Republic of China
S H Zeng University of South China, Hengyang 421001, People's Republic of China
X Zeng Fudan University, Shanghai 200433, People's Republic of China
Y Zeng Hunan University, Changsha 410082, People's Republic of China
Y J Zeng Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X Y Zhai Jilin University, Changchun 130012, People's Republic of China
Y C Zhai Shandong University, Jinan 250100, People's Republic of China
Y H Zhan Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
A Q Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
B L Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
B X Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China
D H Zhang Nankai University, Tianjin 300071, People's Republic of China
G Y Zhang Henan Normal University, Xinxiang 453007, People's Republic of China
H Zhang University of Science and Technology of China, Hefei 230026, People's Republic of China
H C Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
H H Zhang Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
H H Zhang Jilin University, Changchun 130012, People's Republic of China
H Q Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
H Y Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
J Zhang Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
J Zhang Zhengzhou University, Zhengzhou 450001, People's Republic of China
J J Zhang Shanxi Normal University, Linfen 041004, People's Republic of China
J L Zhang Henan University, Kaifeng 475004, People's Republic of China
J Q Zhang Nanjing Normal University, Nanjing 210023, People's Republic of China
J W Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
J X Zhang Lanzhou University, Lanzhou 730000, People's Republic of China
J Y Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China
J Z Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Jianyu Zhang University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
L M Zhang Tsinghua University, Beijing 100084, People's Republic of China
L Q Zhang Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
Lei Zhang Nanjing University, Nanjing 210093, People's Republic of China
P Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Q Y Zhang Liaoning Normal University, Dalian 116029, People's Republic of China Zhengzhou University, Zhengzhou 450001, People's Republic of China
Shuihan Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Shulei Zhang Hunan University, Changsha 410082, People's Republic of China
X D Zhang North China Electric Power University, Beijing 102206, People's Republic of China
X M Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China
X Y Zhang Shandong University, Jinan 250100, People's Republic of China
Y Zhang University of South China, Hengyang 421001, People's Republic of China
Y Zhang University of Oxford, Keble Road, Oxford OX13RH, United Kingdom
Y T Zhang Zhengzhou University, Zhengzhou 450001, People's Republic of China
Y H Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Yan Zhang State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
Yao Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China
Z D Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China
Z H Zhang Institute of High Energy Physics, Beijing 100049, People's Republic of China
Z L Zhang Jilin University, Changchun 130012, People's Republic of China
Z Y Zhang Nankai University, Tianjin 300071, People's Republic of China
Z Y Zhang Wuhan University, Wuhan 430072, People's Republic of China
G Zhao Institute of High Energy Physics, Beijing 100049, People's Republic of China
J Y Zhao Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
J Z Zhao Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Lei Zhao State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
Ling Zhao Institute of High Energy Physics, Beijing 100049, People's Republic of China
M G Zhao Nankai University, Tianjin 300071, People's Republic of China
R P Zhao University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
S J Zhao Zhengzhou University, Zhengzhou 450001, People's Republic of China
Y B Zhao Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
Y X Zhao Institute of Modern Physics, Lanzhou 730000, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Z G Zhao State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
A Zhemchugov Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia
B Zheng University of South China, Hengyang 421001, People's Republic of China
J P Zheng Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China
W J Zheng Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
Y H Zheng University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
B Zhong Nanjing Normal University, Nanjing 210023, People's Republic of China
X Zhong Sun Yat-Sen University, Guangzhou 510275, People's Republic of China
H Zhou Shandong University, Jinan 250100, People's Republic of China
L P Zhou Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
X Zhou Wuhan University, Wuhan 430072, People's Republic of China
X K Zhou Central China Normal University, Wuhan 430079, People's Republic of China
X R Zhou State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
X Y Zhou Liaoning Normal University, Dalian 116029, People's Republic of China
Y Z Zhou Fudan University, Shanghai 200433, People's Republic of China
J Zhu Nankai University, Tianjin 300071, People's Republic of China
K Zhu Institute of High Energy Physics, Beijing 100049, People's Republic of China
K J Zhu Institute of High Energy Physics, Beijing 100049, People's Republic of China State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
L Zhu Jilin University, Changchun 130012, People's Republic of China
L X Zhu University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
S H Zhu University of Science and Technology Liaoning, Anshan 114051, People's Republic of China
S Q Zhu Nanjing University, Nanjing 210093, People's Republic of China
T J Zhu Fudan University, Shanghai 200433, People's Republic of China
W J Zhu Fudan University, Shanghai 200433, People's Republic of China
Y C Zhu State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China
Z A Zhu Institute of High Energy Physics, Beijing 100049, People's Republic of China University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
J H Zou Institute of High Energy Physics, Beijing 100049, People's Republic of China
J Zu State Key Laboratory of Particle Detection and Electronics, Beijing 100049, Hefei 230026, People's Republic of China University of Science and Technology of China, Hefei 230026, People's Republic of China

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[Diagnostic value of identifying location and amount of free gas in the abdominal cavity by multidetector computed tomography in patients with acute gastrointestinal perforation]

Objective: To evaluate the relationships between the location and extent of diffusion of free intraperitoneal air by multi-slice spiral CT (MSCT) and between the location and size of acute gastrointestinal perforation. Methods: This was a descriptive case series. We examined abdominal CT images of 33 patients who were treated for intraoperatively confirmed gastrointestinal perforation (excluding appendiceal perforation) in the Department of General Surgery, Nanfang Hospital between January and September 2022. We identified five locations of intraperitoneal air: the subphrenic space, hepatic portal space, mid-abdominal wall, mesenteric space, and pelvic cavity. We allocated the 33 patients to an upper gastrointestinal perforation (n=23) and lower gastrointestinal perforation group (n=10) base on intraoperative findings and analyzed the relationships between the locations of free gas and of gastrointestinal perforation. Additionally, we established two models for analyzing the extent of diffusion of free gas in the abdominal cavity and constructed receiver operating characteristic (ROC) curves to analyze the relationships between the two models and the size of the gastrointestinal perforation. Results: In the upper gastrointestinal perforation group, free gas was located around the hepatic portal area in 91.3% (21/23) of patients: this is a significantly greater proportion than that found in the lower gastrointestinal perforation group (5/10) (P=0.016). In contrast, free gas was located in the mesenteric interspace in 8/10 patients in the lower gastrointestinal perforation group; this is a significantly greater proportion than was found in the upper gastrointestinal perforation group (8.7%, 2/23) (P<0.010). The sensitivity of diagnosis of upper gastrointestinal perforation base on the presence of hepatic portal free gas was 84.8% and the specificity 71.4%. Further, the sensitivity of diagnosis of lower gastrointestinal perforation base on the presence of mesenteric interspace free gas was 80.0% and the specificity 91.3%. The rates of presence of free gas in the subdiaphragmatic area, mid-abdominal wall, and pelvic cavity did not differ significantly between the two groups (all P>0.05). Receiver operating characteristic curves showed that when free gas was present in four or more of the studied locations in the abdominal cavity, the optimal cutoff for perforation diameter was 2 cm, the corresponding sensitivity 66.7%, and the specificity 100%, suggesting that abdominal free gas diffuses extensively when the diameter of the perforation is >2 cm. Another model revealed that when free gas is present in three or more of the studied locations, the optimal cutoff for perforation diameter is 1 cm, corresponding to a sensitivity of 91.7% and specificity of 76.2%; suggesting that free gas is relatively confined in the abdominal cavity when the diameter of the perforation is <1 cm. Conclusion: Identifying which of five locations in the abdominal cavity contains free intraperitoneal air by examining MSCT images can be used to assist in the diagnosis of the location and size of acute gastrointestinal perforations.

Investigation of the ΔI=1/2 Rule and Test of CP Symmetry through the Measurement of Decay Asymmetry Parameters in Ξ^{-} Decays

Using (10087±44)×10^{6}  J/ψ events collected with the BESIII detector, numerous Ξ^{-} and Λ decay asymmetry parameters are simultaneously determined from the process J/ψ→Ξ^{-}Ξ[over ¯]^{+}→Λ(pπ^{-})π^{-}Λ[over ¯](n[over ¯]π^{0})π^{+} and its charge-conjugate channel. The precisions of α_{Λ0} for Λ→nπ^{0} and α[over ¯]_{Λ0} for Λ[over ¯]→n[over ¯]π^{0} compared to world averages are improved by factors of 4 and 1.7, respectively. The ratio of decay asymmetry parameters of Λ→nπ^{0} to that of Λ→pπ^{-}, ⟨α_{Λ0}⟩/⟨α_{Λ-}⟩, is determined to be 0.873±0.012_{-0.010}^{+0.011}, where the first and the second uncertainties are statistical and systematic, respectively. The ratio is smaller than unity more than 5σ, which signifies the existence of the ΔI=3/2 transition in Λ for the first time. Besides, we test for CP symmetry in Ξ^{-}→Λπ^{-} and in Λ→nπ^{0} with the best precision to date.

Observation of D_{s}^{+}→η^{'}μ^{+}ν_{μ}, Precision Test of Lepton Flavor Universality with D_{s}^{+}→η^{(')}l^{+}ν_{l}, and First Measurements of D_{s}^{+}→η^{(')}μ^{+}ν_{μ} Decay Dynamics

By analyzing 7.33  fb^{-1} of e^{+}e^{-} annihilation data collected at center-of-mass energies between 4.128 and 4.226 GeV with the BESIII detector, we report the observation of the semileptonic decay D_{s}^{+}→η^{'}μ^{+}ν_{μ}, with a statistical significance larger than 10σ, and the measurements of the D_{s}^{+}→ημ^{+}ν_{μ} and D_{s}^{+}→η^{'}μ^{+}ν_{μ} decay dynamics for the first time. The branching fractions of D_{s}^{+}→ημ^{+}ν_{μ} and D_{s}^{+}→η^{'}μ^{+}ν_{μ} are determined to be (2.235±0.051_{stat}±0.052_{syst})% and (0.801±0.055_{stat}±0.028_{syst})%, respectively, with precision improved by factors of 6.0 and 6.6 compared to the previous best measurements. Combined with the results for the decays D_{s}^{+}→ηe^{+}ν_{e} and D_{s}^{+}→η^{'}e^{+}ν_{e}, the ratios of the decay widths are examined both inclusively and in several ℓ^{+}ν_{ℓ} four-momentum transfer ranges. No evidence for lepton flavor universality violation is found within the current statistics. The products of the hadronic form factors f_{+,0}^{η^{(')}}(0) and the c→s Cabibbo-Kobayashi-Maskawa matrix element |V_{cs}| are determined. The results based on the two-parameter series expansion are f_{+,0}^{η}(0)|V_{cs}|=0.452±0.010_{stat}±0.007_{syst} and f_{+,0}^{η^{'}}(0)|V_{cs}|=0.504±0.037_{stat}±0.012_{syst}, which help to constrain present models on f_{+,0}^{η^{(')}}(0). The forward-backward asymmetries are determined to be ⟨A_{FB}^{η}⟩=-0.059±0.031_{stat}±0.005_{syst} and ⟨A_{FB}^{η^{'}}⟩=-0.064±0.079_{stat}±0.006_{syst} for the first time, which are consistent with the theoretical calculation.

Determination of the Σ^{+} Timelike Electromagnetic Form Factors

Based on data samples collected with the BESIII detector at the BEPCII collider, the process e^{+}e^{-}→Σ^{+}Σ[over ¯]^{-} is studied at center-of-mass energies sqrt[s]=2.3960, 2.6454, and 2.9000 GeV. Using a fully differential angular description of the final state particles, both the relative magnitude and phase information of the Σ^{+} electromagnetic form factors in the timelike region are extracted. The relative phase between the electric and magnetic form factors is determined to be sinΔΦ=-0.67±0.29(stat)±0.18(syst) at sqrt[s]=2.3960  GeV, ΔΦ=55°±19°(stat)±14°(syst) at sqrt[s]=2.6454  GeV, and 78°±22°(stat)±9°(syst) at sqrt[s]=2.9000  GeV. For the first time, the phase of the hyperon electromagnetic form factors is explored in a wide range of four-momentum transfer. The evolution of the phase along with four-momentum transfer is an important input for understanding its asymptotic behavior and the dynamics of baryons.

First Measurement of the Decay Asymmetry in the Pure W-Boson-Exchange Decay Λ_{c}^{+}→Ξ^{0}K^{+}

Based on 4.4  fb^{-1} of e^{+}e^{-} annihilation data collected at the center-of-mass energies between 4.60 and 4.70 GeV with the BESIII detector at the BEPCII collider, the pure W-boson-exchange decay Λ_{c}^{+}→Ξ^{0}K^{+} is studied with a full angular analysis. The corresponding decay asymmetry is measured for the first time to be α_{Ξ^{0}K^{+}}=0.01±0.16(stat)±0.03(syst). This result reflects the noninterference effect between the S- and P-wave amplitudes. The phase shift between S- and P-wave amplitudes has two solutions, which are δ_{p}-δ_{s}=-1.55±0.25(stat)±0.05(syst)  rad or 1.59±0.25(stat)±0.05(syst)  rad.

Efficacy and Safety of First-line Therapies for Advanced Unresectable Oesophageal Squamous Cell Cancer: a Systematic Review and Network Meta-analysis

AIM

To compare the clinical efficacy and safety of first-line treatments for advanced unresectable oesophageal squamous cell cancer.

MATERIALS AND METHODS

A systematic review and network meta-analysis was carried out by retrieving and retaining relevant literature from databases. The studies were randomised controlled trials comparing first-line treatments for advanced unresectable oesophageal squamous cell cancer. A Bayesian network meta-analysis was used to assess clinical outcomes.

RESULTS

Nine studies including 4499 patients receiving first-line treatments were analysed. For all populations, toripalimab plus chemotherapy tended to provide the best overall survival (hazard ratio 0.58, 95% confidence intervals 0.43-0.78) and sintilimab plus chemotherapy provided the best progression-free survival (0.56, 0.46-0.68). Nivolumab plus chemotherapy presented the best objective response rate (odds ratio 2.45, 1.78-3.42) and camrelizumab plus chemotherapy (0.47, 0.29-0.74) appeared to be the safest. Sintilimab plus chemotherapy (0.55, 0.40-0.75) and nivolumab (0.54, 0.37-0.80) plus chemotherapy had the best overall survival in programmed death ligand 1 (PD-L1) tumour proportion score <1% and ≥1% subgroups. Toripalimab plus chemotherapy (0.61, 0.40-0.93) and pembrolizumab (0.57, 0.43-0.75) were the best in overall survival in combined positive score <10 and ≥10 subgroups, respectively. Toripalimab plus chemotherapy showed the best overall survival in the Asian group; pembrolizumab presented better overall survival in the Asian population than the non-Asian group.

CONCLUSION

Most immunotherapy combined with chemotherapy showed superior clinical benefits and sintilimab plus chemotherapy, toripalimab plus chemotherapy and tislelizumab plus chemotherapy had better comprehensive clinical efficacy. PD-L1 expression detection and ethnicity differences are still of great significance and most suitable regimens varied from each subgroup.

Insufficient recovery of proprioception in chronic ankle instability after surgical restabilization: A systematic review

Surgical repair or reconstruction of the lateral ligaments for patients with chronic ankle instability (CAI) could, logically, restore the proprioception of ankle through retensing receptors. To validate this hypothesis, seven databases were systematically searched, and thirteen studies comprising a total of 347 patients with CAI were included. Although five studies reported improved proprioceptive outcomes after surgeries, the other five studies with between-limb/group comparisons reported residual deficits at final follow-up, which does not consistently support proprioceptive recovery after existing surgical restabilization for CAI. More controlled studies are needed to provide evidence-based protocols to improve proprioceptive recovery after ankle restabilization for CAI.

Risk Factors for Ipsilateral Versus Contralateral Reinjury After ACL Reconstruction in Athletes: A Systematic Review and Meta-analysis

Background

Anterior cruciate ligament (ACL) reinjury after ACL reconstruction (ACLR) can occur on the ipsilateral or contralateral side. Limited evidence exists regarding the difference between the incidence of reinjury to either knee, which is important in developing interventions to prevent ACL reinjury.

Purpose

To compare the reinjury rate of the ACL on the ipsilateral side versus the contralateral side in athletes after ACLR and investigate the risk factors that may cause different reinjury rates between the sides.

Study Design

Systematic review; Level of evidence, 4.

Methods

A systematic review was performed based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies that involved ACL reinjury in athletes after ACLR were reviewed. Considering several risk factors, including age and sex, a comparison of ACL reinjury incidence on the ipsilateral and contralateral sides was performed using a meta-analysis.

Results

Of the 17 selected studies, 3 were found to be at high risk of bias, and thus, 14 (n = 3424 participants) studies were included in the meta-analysis. In this athletic population, the contralateral ACL had a significantly higher rupture rate than the ipsilateral graft (risk ratio [RR], 1.41; P < .0001). Female athletes were found to have a greater risk of ACL reinjury on the contralateral versus the ipsilateral side (RR, 1.65; P = .0005), but different results were found in male athletes. (RR, 0.81; P = .21). There was no statistical difference in the incidence rate of ACL reinjury to either side in adolescent athletes (RR, 1.15; P = .28).

Conclusion

The contralateral ACL was more vulnerable to reinjury than the ipsilateral side in athletes after ACLR. Female athletes were more likely to reinjure their contralateral native ACL, while the same trend was not found in their male counterparts. The reinjury rate was comparable in both knees in adolescent athletes.

Test of CP Symmetry in Hyperon to Neutron Decays

The quantum entangled J/ψ→Σ^{+}Σ[over ¯]^{-} pairs from (1.0087±0.0044)×10^{10}  J/ψ events taken by the BESIII detector are used to study the nonleptonic two-body weak decays Σ^{+}→nπ^{+} and Σ[over ¯]^{-}→n[over ¯]π^{-}. The CP-odd weak decay parameters of the decays Σ^{+}→nπ^{+} (α_{+}) and Σ[over ¯]^{-}→n[over ¯]π^{-} (α[over ¯]_{-}) are determined to be 0.0481±0.0031_{stat}±0.0019_{syst} and -0.0565±0.0047_{stat}±0.0022_{syst}, respectively. The decay parameter α[over ¯]_{-} is measured for the first time, and the accuracy of α_{+} is improved by a factor of 4 compared to the previous results. The simultaneously determined decay parameters allow the first precision CP symmetry test for any hyperon decay with a neutron in the final state with the measurement of A_{CP}=(α_{+}+α[over ¯]_{-})/(α_{+}-α[over ¯]_{-})=-0.080±0.052_{stat}±0.028_{syst}. Assuming CP conservation, the average decay parameter is determined as ⟨α_{+}⟩=(α_{+}-α[over ¯]_{-})/2=-0.0506±0.0026_{stat}±0.0019_{syst}, while the ratios α_{+}/α_{0} and α[over ¯]_{-}/α[over ¯]_{0} are -0.0490±0.0032_{stat}±0.0021_{syst} and -0.0571±0.0053_{stat}±0.0032_{syst}, where α_{0} and α[over ¯]_{0} are the decay parameters of the decays Σ^{+}→pπ^{0} and Σ[over ¯]^{-}→p[over ¯]π^{0}, respectively.

Measurement of Energy-Dependent Pair-Production Cross Section and Electromagnetic Form Factors of a Charmed Baryon

We study the process e^{+}e^{-}→Λ_{c}^{+}Λ[over ¯]_{c}^{-} at twelve center-of-mass energies from 4.6119 to 4.9509 GeV using data samples collected by the BESIII detector at the BEPCII collider. The Born cross sections and effective form factors (|G_{eff}|) are determined with unprecedented precision after combining the single and double-tag methods based on the decay process Λ_{c}^{+}→pK^{-}π^{+}. Flat cross sections around 4.63 GeV are obtained and no indication of the resonant structure Y(4630), as reported by Belle, is found. In addition, no oscillatory behavior is discerned in the |G_{eff}| energy dependence of Λ_{c}^{+}, in contrast to what is seen for the proton and neutron cases. Analyzing the cross section together with the polar-angle distribution of the Λ_{c}^{+} baryon at each energy point, the moduli of electric and magnetic form factors (|G_{E}| and |G_{M}|) are extracted and separated. For the first time, the energy dependence of the form factor ratio |G_{E}/G_{M}| is observed, which can be well described by an oscillatory function.

Early assessment of acute kidney injury in severe acute pancreatitis with multimodal DWI: an animal model

OBJECTIVES

To evaluate the feasibility of multimodal diffusion-weighted imaging (DWI) for detecting the occurrence and severity of acute kidney injury (AKI) caused by severe acute pancreatitis (SAP) in rats.

METHODS

SAP was induced in thirty rats by the retrograde injection of 5.0% sodium taurocholate through the biliopancreatic duct. Six rats underwent MRI of the kidneys 24 h before and 2, 4, 6, and 8 h after this AKI model was generated. Conventional and functional MRI sequences were used, including intravoxel incoherent motion imaging (IVIM), diffusion tensor imaging (DTI), and diffusion kurtosis imaging (DTI). The main DWI parameters and histological results were analyzed.

RESULTS

The fast apparent diffusion coefficient (ADC) of the renal cortex was significantly reduced at 2 h, as was the fractional anisotropy (FA) value of the renal cortex on DTI. The mean kurtosis (MK) values for the renal cortex and medulla gradually increased after model generation. The renal histopathological score was negatively correlated with the medullary slow ADC, fast ADC, and perfusion scores for both the renal cortex and medulla, as were the ADC and FA values of the renal medulla in DTI, whereas the MK values of the cortex and medulla were positively correlated (r = 0.733, 0.812). Thus, the cortical fast ADC, medullary MK, FADTI, and slow ADC were optimal parameters for diagnosing AKI. Of these parameters, cortical fast ADC had the highest diagnostic efficacy (AUC = 0.950).

CONCLUSIONS

The fast ADC of the renal cortex is the core indicator of early AKI, and the medullary MK value might serve as a sensitive biomarker for grading renal injury in SAP rats.

CLINICAL RELEVANCE STATEMENT

The multimodal parameters of renal IVIM, DTI, and DKI are potential beneficial for the early diagnosis and severity grading of renal injury in SAP patients.

KEY POINTS

• The multimodal parameters of renal DWI, including IVIM, DTI, and DKI, may be valuable for the noninvasive detection of early AKI and the severity grading of renal injury in SAP rats. • Cortical fast ADC, medullary MK, FA, and slow ADC are optimal parameters for early diagnosis of AKI, and cortical fast ADC has the highest diagnostic efficacy. • Medullary fast ADC, MK, and FA as well as cortical MK are useful for predicting the severity grade of AKI, and the renal medullary MK value exhibits the strongest correlation with pathological scores.

Q-TWiST analysis of survival benefits with brigatinib versus crizotinib in patients with anaplastic lymphoma kinase-positive non-small cell lung cancer based on results of the ALTA-1L trial

OBJECTIVES

The ALTA-1L phase 3 open-label trial demonstrated increased progression-free survival (PFS) with brigatinib versus crizotinib in patients with anaplastic lymphoma kinase-positive (ALK-positive) locally advanced or metastatic non-small cell lung cancer (NSCLC) previously untreated with ALK-targeted therapy. This post-hoc analysis of data from the ALTA-1L trial used the quality-adjusted (QA) time without symptoms of disease or toxicity (Q-TWiST) methodology to compare the QA survival benefit of brigatinib versus crizotinib in this patient population.

PATIENTS AND METHODS

The Q-TWiST analysis was performed using final (January 29, 2021) individual patient-level blinded independent review committee (BIRC)- and investigator-assessed survival data for brigatinib (n = 137) and crizotinib (n = 138) in adult patients (N = 275) with ALK-positive locally advanced or metastatic NSCLC previously untreated with ALK-targeted therapy. Q-TWiST was compared between the two treatments. Subgroup analyses were performed in patients stratified by various clinicopathological characteristics, including presence or absence of brain metastases at baseline.

RESULTS

Brigatinib was associated with significantly longer time without symptoms of disease or toxicity (P < 0.001) than crizotinib, with significantly greater Q-TWiST (mean [SE] months: BIRC-assessed, 28.2 [1.2] versus 25.1 [1.1], P = 0.045; investigator-assessed, 28.5 [1.2] versus 24.8 [1.1], P = 0.018). Relative gains in Q-TWiST with brigatinib compared to crizotinib were clinically meaningful (BIRC-assessed, 10.4%; investigator-assessed, 12.3%). Patients with brain metastases at baseline receiving brigatinib had significantly greater Q-TWiST (mean [SE] months: BIRC-assessed, 29.0 [1.9] versus 19.0 [1.9], P = 0.0001) than those receiving crizotinib.

CONCLUSION

First-line brigatinib treatment was associated with significant and clinically meaningful gains in Q-TWiST compared to crizotinib in patients with ALK-positive locally advanced or metastatic NSCLC, supporting the results of the ALTA-1L trial and brigatinib as a safe and effective first-line treatment for ALK-positive NSCLC.

Determination of Spin-Parity Quantum Numbers for the Narrow Structure near the pΛ[over ¯] Threshold in e^{+}e^{-}→pK^{-}Λ[over ¯]+c.c

A narrow structure in the pΛ[over ¯] system near the mass threshold, named as X(2085), is observed in the process e^{+}e^{-}→pK^{-}Λ[over ¯] with a statistical significance greater than 20σ. Its spin and parity are determined for the first time to be J^{P}=1^{+} in an amplitude analysis, with a statistical significance greater than 5σ over other quantum numbers (0^{-},1^{-} and 2^{+}). The pole positions of X(2085) are measured to be M_{pole}=(2084_{-2}^{+4}±9)  MeV and Γ_{pole}=(58_{-3}^{+4}±25)  MeV, where the first uncertainties are statistical and the second ones are systematic. The analysis is based on the study of the process e^{+}e^{-}→pK^{-}Λ[over ¯] and uses the data samples collected with the BESIII detector at the center-of-mass energies sqrt[s]=4.008, 4.178, 4.226, 4.258, 4.416, and 4.682 GeV with a total integrated luminosity of 8.35  fb^{-1}.

Precise Measurement of the e^{+}e^{-}→D_{s}^{*+}D_{s}^{*-} Cross Sections at Center-of-Mass Energies from Threshold to 4.95 GeV

The process e^{+}e^{-}→D_{s}^{*+}D_{s}^{*-} is studied with a semi-inclusive method using data samples at center-of-mass energies from threshold to 4.95 GeV collected with the BESIII detector operating at the Beijing Electron Positron Collider. The Born cross sections of the process are measured for the first time with high precision in this energy region. Two resonance structures are observed in the energy-dependent cross sections around 4.2 and 4.4 GeV. By fitting the cross sections with a coherent sum of three Breit-Wigner amplitudes and one phase-space amplitude, the two significant structures are assigned masses of (4186.8±8.7±30) and (4414.6±3.4±6.1)  MeV/c^{2}, widths of (55±15±53) and (122.5±7.5±8.1)  MeV, where the first errors are statistical and the second ones are systematic. The inclusion of a third Breit-Wigner amplitude is necessary to describe a structure around 4.79 GeV.

First Experimental Study of the Purely Leptonic Decay D_{s}^{*+}→e^{+}ν_{e}

Using 7.33  fb^{-1} of e^{+}e^{-} collision data taken with the BESIII detector at the BEPCII collider, we report the first experimental study of the purely leptonic decay D_{s}^{*+}→e^{+}ν_{e}. Our data contain a signal of this decay with a statistical significance of 2.9σ. The branching fraction of D_{s}^{*+}→e^{+}ν_{e} is measured to be (2.1_{-0.9_{stat}}^{+1.2}±0.2_{syst})×10^{-5}, corresponding to an upper limit of 4.0×10^{-5} at the 90% confidence level. Taking the total width of the D_{s}^{*+} [(0.070±0.028)  keV] predicted with the radiative D_{s}^{*+} decay from the lattice QCD calculation as input, the decay constant of the D_{s}^{*+} is determined to be f_{D_{s}^{*+}}=(214_{-46_{stat}}^{+61}±44_{syst})  MeV, corresponding to an upper limit of 354 MeV at the 90% confidence level.

The Incidence and Prognosis Value of Perineural Invasion in Rectal Carcinoma: From Meta-Analyses and Real-World Clinical Pathological Features

AIMS

Perineural invasion (PNI) is a special type of metastasis of several cancers and has been reported as being a factor for poor prognosis in colorectal carcinoma. However, investigations of PNI in only rectal cancer and a comprehensive analysis combining meta-analyses with real-world case studies remain lacking.

MATERIALS AND METHODS

First, articles from 2000 to 2020 concerning the relationship between PNI and rectal cancer prognoses and clinical features were meta-analysed. Subsequently, we carried out a retrospective analysis of 312 rectal cancer cases that underwent radical surgery in the real world. The incidence of PNI and the relationship between PNI and prognosis, as well as clinicopathological factors, were investigated.

RESULTS

The incidence of PNI was 23.09% and 33.01% in the meta-analysis and clinical cases, respectively. PNI occurred as early as stage I (2.94%). Moreover, neoadjuvant therapy significantly reduced the PNI-positive rate (20.34% versus 26.54%). Both meta-analysis and real-world clinical case studies suggested that PNI-positive patients had poorer prognoses than PNI-negative patients. We established an effective risk model consisting of T stage, differentiation and lymphovascular invasion to predict PNI in rectal cancer.

CONCLUSION

PNI is a poor prognostic factor for rectal cancer and could occur even in stage I. Additionally, neoadjuvant therapy could sufficiently reduce the PNI-positive rate. T stage, lymphovascular invasion and differentiation grade were independent risk factors for PNI and the risk model that included these factors could predict the probability of PNI.

[Effects of enhancing the expression of aryl hydrocarbon receptor in post-traumatic mice macrophages on the inflammatory cytokine level and bactericidal ability]

Objective: To explore the expression pattern of aryl hydrocarbon receptor (AhR) in mice peritoneal macrophages (PMs) after major trauma and analyze the effects of enhanced AhR expression on the inflammatory cytokine level and bactericidal ability after trauma. Methods: The experimental study method was used. Forty 6-8-week-old male C57BL/6J mice (the same mouse age, sex, and strain below) were divided into control group, post trauma hour (PTH) 2 group, PTH 6 group, and PTH 12 group according to the random number table (the same grouping method below), with 10 mice in each group. Mice in the latter 3 groups were constructed as severe trauma model with fracture+blood loss, while mice in control group were left untreated. The primary PMs (the same cells below) were extracted from the mice in control group, PTH 2 group, PTH 6 group, and PTH 12 group when uninjured or at PTH 2, 6, and 12, respectively. Then the protein and mRNA expressions of AhR were detected by Western blotting and real-time fluorescence quantitative reverse transcription polymerase chain reaction, respectively, and the gene expressions of AhR signaling pathway related molecules were analyzed by transcriptome sequencing. Twenty mice were divided into control group and PTH 6 group, with 10 mice in each group, and the PMs were extracted. The level of ubiquitin of AhR was detected by immunoprecipitation. Twelve mice were divided into dimethyl sulfoxide (DMSO) alone group, PTH 6+DMSO group, MG-132 alone group, and PTH 6+MG-132 group, with 3 mice in each group. After the corresponding treatment, PMs were extracted, and the protein expression of AhR was detected by Western blotting. Twenty mice were constructed as PTH 6 model. Then, the PMs were extracted and divided into empty negative control adenovirus (Ad-NC) group and AhR overexpression adenovirus (Ad-AhR) group. The protein expression of AhR was detected by Western blotting at 36 h after some PMs were transfected with the corresponding adenovirus. The rest cells in Ad-NC group were divided into Ad-NC alone group and Ad-NC+endotoxin/lipopolysaccharide (LPS) group, and the rest cells in Ad-AhR group were divided into Ad-AhR alone group and Ad-AhR+LPS group. The expressions of interleukin-6 (IL-6) and tumor necrosis factor α (TNF-α) in the cell supernatant were detected by enzyme-linked immunosorbent assay at 12 h after the corresponding treatment (n=6). Twenty mice were obtained to extract PMs. The cells were divided into control+Ad-NC group, PTH 6+Ad-NC group, control+Ad-AhR group, and PTH 6+Ad-AhR group, and the intracellular bacterial load was detected by plate spread method after the corresponding treatment (n=6). Data were statistically analyzed with one-way analysis of variance, least significant difference test, analysis of variance for factorial design, and independent sample t test. Results: Compared with 1.16±0.28 of control group, the protein expressions of AhR in PMs in PTH 2 group (0.59±0.14), PTH 6 group (0.72±0.16), and PTH 12 group (0.71±0.17) were all significantly decreased (P<0.05). The overall comparison of the difference of AhR mRNA expression in PMs among control group, PTH 2 group, PTH 6 group, and PTH 12 group showed no statistical significance (P>0.05). The AhR signaling pathway related molecules included AhR, AhR inhibitor, cytochrome P450 family member 1b1, cytochrome P450 family member 11a1, heat shock protein 90, aryl hydrocarbon receptor-interaction protein, and heat shock protein 70 interaction protein. The heat shock protein 90 expression of PMs in PTH 2 group was higher than that in control group, while the expressions of other molecules did not change significantly after trauma. Compared with that in control group, the level of ubiquitin of AhR in PMs in PTH 6 group was increased. Compared with that in DMSO alone group, the protein expression of AhR in PMs in PTH 6+DMSO group was decreased, while that in PMs in MG-132 alone group had no significant change. Compared with that in PTH 6+DMSO group, the protein expression of AhR in PMs in PTH 6+MG-132 group was up-regulated. At transfection hour 36, compared with that in Ad-NC group, the protein expression of AhR in PMs in Ad-AhR group was increased. At treatment hour 12, compared with those in Ad-NC+LPS group, the expressions of IL-6 and TNF-α in PM supernatant of Ad-AhR+LPS group were significantly decreased (with t values of 4.80 and 3.82, respectively, P<0.05). The number of intracellular bacteria of 1×106 PMs in control+Ad-NC group, PTH 6+Ad-NC group, control+Ad-AhR group, and PTH 6+Ad-AhR group was (3.0±1.8), (41.8±10.2), (1.8±1.2), and (24.2±6.3) colony forming unit, respectively. Compared with that in PTH 6+Ad-NC group, the number of intracellular bacteria of PMs in PTH 6+Ad-AhR group was significantly decreased (t=3.61, P<0.05). Conclusions: Ubiquitin degradation of AhR in PMs of mice after major trauma results in decreased protein expression of AhR. Increasing the expression of AhR in post-traumatic macrophages can reduce the expressions of LPS-induced inflammatory cytokines IL-6 and TNF-α, and improve the bactericidal ability of macrophages after trauma.

[Lactate-induced up-regulation of PLEKHA4 promotes proliferation and apoptosis of human glioma cells]

OBJECTIVE

To investigate the effect of lactic acid-induced upregulation of PLEKHA4 expression on biological behaviors of glioma cells and the possible molecular mechanism.

METHODS

GEO database and GEPIA2 website were used to analyze the relationship between PLEKHA4 expression level and the pathological grade of glioma. A specific PLEKHA4 siRNA was transfected in glioma U251 and T98G cells, and the changes in cell proliferation ability were assessed by real-time cell analysis technology and Edu experiment. The colony-forming ability of the cells was evaluated using plate cloning assay, and cell cycle changes and cell apoptosis were analyzed with flow cytometry. The mRNA expression of PLEKHA4 was detected by PCR in glioma samples and controls and in glioma cells treated with lactic acid and glucose. Xenograft mice in vivo was used to detect tumor formation in nude mice; Western blotting was used to detect the expressions of cyclinD1, CDK2, Bcl2, β-catenin and phosphorylation of the key proteins in the MAPK signaling pathway.

RESULTS

The results of GEO database and online website analysis showed that PLEKHA4 was highly expressed in glioma tissues and was associated with poor prognosis; PLEKHA4 knockdown obviously inhibited the proliferation and attenuated the clone-forming ability of the glioma cells (P < 0.05). Flow cytometry showed that PLEKHA4 knockdown caused cell cycle arrest in G1 phase and promoted apoptosis of the cells (P < 0.01). PLEKHA4 gene mRNA expression was increased in glioma samples and glioma cells after lactate and glucose treatment (P < 0.01). PLEKHA4 knockdown, tumor formation ability of nude mice decreased; PLEKHA4 knockdown obviously lowered the expression of cyclinD1, CDK2, Bcl2 and other functional proteins, inhibited the phosphorylation of ERK and p38 and reduced the expression of β-catenin protein (P < 0.01).

CONCLUSION

PLEKHA4 knockdown inhibited the proliferation of glioma cells and promoted apoptosis by inhibiting the activation of the MAPK signaling pathway and expression of β-catenin. Lactic acid produced by glycolysis upregulates the expression of PLEKHA4 in glioma cells.

First Study of Reaction Ξ^{0}n→Ξ^{-}p Using Ξ^{0}-Nucleus Scattering at an Electron-Positron Collider

Using (1.0087±0.0044)×10^{10}  J/ψ events collected with the BESIII detector at the BEPCII storage ring, the process Ξ^{0}n→Ξ^{-}p is studied, where the Ξ^{0} baryon is produced in the process J/ψ→Ξ^{0}Ξ[over ¯]^{0} and the neutron is a component of the ^{9}Be, ^{12}C, and ^{197}Au nuclei in the beam pipe. A clear signal is observed with a statistical significance of 7.1σ. The cross section of the reaction Ξ^{0}+^{9}Be→Ξ^{-}+p+^{8}Be is determined to be σ(Ξ^{0}+^{9}Be→Ξ^{-}+p+^{8}Be)=(22.1±5.3_{stat}±4.5_{sys})  mb at the Ξ^{0} momentum of 0.818  GeV/c, where the first uncertainty is statistical and the second is systematic. No significant H-dibaryon signal is observed in the Ξ^{-}p final state. This is the first study of hyperon-nucleon interactions in electron-positron collisions and opens up a new direction for such research.

[Spatial and temporal distribution characteristics of seasonal A(H3N2) influenza in China, 2014-2019]

Objective: To analyze the spatial and temporal distribution characteristics of seasonal A(H3N2) influenza [influenza A(H3N2)] in China and to provide a reference for scientific prevention and control. Methods: The influenza A(H3N2) surveillance data in 2014-2019 was derived from China Influenza Surveillance Information System. A line chart described the epidemic trend analyzed and plotted. Spatial autocorrelation analysis was conducted using ArcGIS 10.7, and spatiotemporal scanning analysis was conducted using SaTScan 10.1. Results: A total of 2 603 209 influenza-like case sample specimens were detected from March 31, 2014, to March 31, 2019, and the influenza A(H3N2) positive rate was 5.96%(155 259/2 603 209). The positive rate of influenza A(H3N2) was statistically significant in the north and southern provinces in each surveillance year (all P<0.05). The high incidence seasons of influenza A (H3N2) were in winter in northern provinces and summer or winter in southern provinces. Influenza A (H3N2) clustered in 31 provinces in 2014-2015 and 2016-2017. High-high clusters were distributed in eight provinces, including Beijing, Tianjin, Hebei, Shandong, Shanxi, Henan, Shaanxi, and Ningxia Hui Autonomous Region in 2014-2015, and high-high clusters were distributed in five provinces including Shanxi, Shandong, Henan, Anhui, and Shanghai in 2016-2017. Spatiotemporal scanning analysis from 2014 to 2019 showed that Shandong and its surrounding twelve provinces clustered from November 2016 to February 2017 (RR=3.59, LLR=9 875.74, P<0.001). Conclusion: Influenza A (H3N2) has high incidence seasons with northern provinces in winter and southern provinces in summer or winter and obvious spatial and temporal clustering characteristics in China from 2014-2019.

Measurements of Normalized Differential Cross Sections of Inclusive π^{0} and K_{S}^{0} Production in e^{+}e^{-} Annihilation at Energies from 2.2324 to 3.6710 GeV

Based on electron positron collision data collected with the BESIII detector operating at the BEPCII storage rings, the differential cross sections of inclusive π^{0} and K_{S}^{0} production as a function of hadron momentum, normalized by the total cross section of the e^{+}e^{-}→hadrons process, are measured at six center-of-mass energies from 2.2324 to 3.6710 GeV. Our results, which cover a relative hadron energy range from 0.1 to 0.9, significantly deviate from several theoretical calculations based on existing fragmentation functions.

Carbonic Anhydrase IX Targeting Mn(II)-Based Magnetic Resonance Molecular Imaging Probe for Hypoxia Tumors

Physiological hypoxic conditions in the tumor microenvironment and consequential overexpression of carbonic anhydrase IX (CA IX) are two characteristics shared by numerous types of solid malignant tumors. Early detection with hypoxia assessment is crucial to improve the prognosis and therapy outcomes of hypoxia tumors. Herein, using acetazolamide (AZA) as a CA IX-targeting moiety, we design and synthesize an Mn(II)-based MR imaging probe (named AZA-TA-Mn) incorporating AZA and two Mn(II) chelates of Mn-TyEDTA on a rigid triazine (TA) scaffold. The per Mn relaxivity of AZA-TA-Mn is 2-fold higher than its monomeric Mn-TyEDTA, which allows it for low-dose imaging of hypoxic tumors. In a xenograft mice model of esophageal squamous cell carcinoma (ESCC), a low dosage of AZA-TA-Mn (0.05 mmol/kg) can selectively produce prolonged and stronger contrast enhancement in the tumor compared to the non-specific Gd-DTPA (0.1 mmol/kg). A competition study of co-injection of free AZA and Mn(II) probes confirms the in vivo tumor selectivity of AZA-TA-Mn, resulting in a more than 2.5-fold decreased tumor-to-muscle contrast-to-noise ratio (ΔCNR) at 60 min post-injection. MR imaging results were further supported by the quantitative analysis of Mn tissue levels, as the co-injection of free AZA resulted in significantly reduced Mn accumulation in tumor tissues. Finally, immunofluorescence staining of tissue sections confirms the positive correlation between the tumor accumulation of AZA-TA-Mn and CA IX overexpression. Hence, using CA IX as the hypoxia biomarker, our results illustrate a practical strategy for the development of novel imaging probes for hypoxic tumors.

Precision Measurement of the Decay Σ^{+}→pγ in the Process J/ψ→Σ^{+}Σ[over ¯]^{-}

Using (10 087±44)×10^{6} J/ψ events collected with the BESIII detector, the radiative hyperon decay Σ^{+}→pγ is studied at an electron-positron collider experiment for the first time. The absolute branching fraction is measured to be (0.996±0.021_{stat}±0.018_{syst})×10^{-3}, which is lower than its world average value by 4.2 standard deviations. Its decay asymmetry parameter is determined to be -0.652±0.056_{stat}±0.020_{syst}. The branching fraction and decay asymmetry parameter are the most precise to date, and the accuracies are improved by 78% and 34%, respectively.

[Piroctone olamine disrupts mitochondrial dynamics in glioma cells through the PI3K/AKT pathway]

OBJECTIVE

To investigate the growth-inhibitory and pro-apoptotic effects of piroctone olamine (PO) on glioma cells and explore the underlying mechanism.

METHODS

Human glioma cell lines U251 and U373 were treated with PO and the changes in cell proliferation were detected using CCK-8 assay and EdU assay. Clone formation assay and flow cytometry were used to examine the changes in clone formation ability and apoptosis of the treated cells. Mitochondrial membrane potential of the cells and morphological changes of the mitochondria were detected using JC-1 staining and a fluorescence probe, respectively. The expressions of mitochondrial fission protein DRP1 and the fusion protein OPA1 were determined with Western blotting. Transcriptome sequencing and differential gene enrichment analysis was performed, and the expression levels of PI3K, AKT and p-AKT in the treated cells were verified using Western blotting.

RESULTS

CCK-8 assay showed that PO significantly inhibited the proliferation of U251 and U373 cells in a time- and dose-dependent manner (P < 0.001). EdU test showed that the proliferative activity of PO-treated cells was significantly decreased, and the number of cell colonies also decreased significantly (P < 0.01). PO treatment significantly increased apoptotic rates (P < 0.01), decreased mitochondrial membrane potential and caused obvious changes in mitochondrial morphology of the cells. Pathway enrichment analysis showed that the down-regulated genes were significantly enriched in the PI3K/AKT pathway, which was verified by Western blotting showing significantly down-regulated expression levels of PI3K, AKT and p-AKT in PO-treated cells (P < 0.05).

CONCLUSION

PO interferes with mitochondrial fusion and fission function through the PI3K/AKT pathway, thereby inhibiting the proliferation and increasing apoptosis of glioma cells.

UV-chlorine advanced oxidation for potable water reuse: A review of the current state of the art and research needs

This paper reports conclusions from a recent study completed for the Water Research Foundation and the State of California to offer guidance on UV-chlorine advanced oxidation for potable water reuse. The fundamentals of UV-chlorine advanced oxidation are discussed, and lessons learned from some of the early adopters of this technology are presented. Important highlights include the significant impact of ammonia and chloramines on UV-chlorine treatment, challenges associated with predicting UV-chlorine performance due to complex photochemistry, and an ongoing need to monitor potential byproducts and transformation products when employing any form of advanced oxidation for potable reuse.

Measurements of the Electric and Magnetic Form Factors of the Neutron for Timelike Momentum Transfer

We present the first measurements of the electric and magnetic form factors of the neutron in the timelike (positive q^{2}) region as function of four-momentum transfer. We explored the differential cross sections of the reaction e^{+}e^{-}→n[over ¯]n with data collected with the BESIII detector at the BEPCII accelerator, corresponding to an integrated luminosity of 354.6  pb^{-1} in total at twelve center-of-mass energies between sqrt[s]=2.0-2.95  GeV. A relative uncertainty of 18% and 12% for the electric and magnetic form factors, respectively, is achieved at sqrt[s]=2.3935  GeV. Our results are comparable in accuracy to those from electron scattering in the comparable spacelike region of four-momentum transfer. The electromagnetic form factor ratio R_{em}≡|G_{E}|/|G_{M}| is within the uncertainties close to unity. We compare our result on |G_{E}| and |G_{M}| to recent model predictions, and the measurements in the spacelike region to test the analyticity of electromagnetic form factors.

Observation of a New X(3872) Production Process e^{+}e^{-}→ωX(3872)

Using 4.7  fb^{-1} of e^{+}e^{-} collision data at center-of-mass energies from 4.661 to 4.951 GeV collected by the BESIII detector at the BEPCII collider, we observe the X(3872) production process e^{+}e^{-}→ωX(3872) for the first time. The significance is 7.8σ, including both the statistical and systematic uncertainties. The e^{+}e^{-}→ωX(3872) Born cross section and the corresponding upper limit at 90% confidence level at each energy point are reported. The line shape of the cross section indicates that the ωX(3872) signals may be from the decays of some nontrivial structures.

[Femtosecond laser-assisted minimally invasive lamellar keratoplasty for advanced keratoconus]

Objective: To evaluate the initial safety and efficacy of femtosecond laser-assisted minimally invasive lamellar keratoplasty (FL-MILK) for advanced keratoconus. Methods: It was a case series study. Patients with advanced keratoconus who underwent FL-MILK between August 2017 and April 2020 at Shandong Eye Hospital were prospectively included. The femtosecond laser was used to create an intrastromal pocket in the recipient cornea and a lamellar cornea in the donor. The lamellar cornea was then gently inserted into the intrastromal pocket through the incision and flattened. Clinical measurements included best-corrected visual acuity, 3-mm anterior corneal mean keratometry, anterior and posterior central corneal elevation, central corneal thickness, corneal biomechanics, and endothelial cell density. The follow-up was conducted at 1 month, 12 months, and 24 months after the operation. Results: There were 33 patients (35 eyes) in the study. Twenty-six patients were male and 7 patients were female. The mean age was (20.34±5.24) years old. All patients completed 12 months of follow-up, and 25 patients (27 eyes) completed 24 months of follow-up. No epithelial ingrowth, infection, or allogeneic rejection was observed. Compared with the preoperative data, the anterior central corneal elevation significantly decreased (P<0.001), the mean keratometry significantly decreased (P<0.05), and the central corneal thickness significantly increased (P<0.001). The corneal biomechanical strength was significantly improved, with the deformation amplitude ratio at 2.0 mm decreasing from 1.39±0.14 preoperatively to 1.21±0.10 at 24 months postoperatively (P<0.001) and the stiffness parameter at the first applanation increasing from 41.49±11.47 preoperatively to 88.41±18.17 at 24 months postoperatively (P<0.001). There were no significant changes in the mean best-corrected visual acuity, posterior corneal elevation, mean spherical equivalent, and endothelial cell density (all P>0.05). Conclusions: FL-MILK may be a feasible option for advanced keratoconus. This procedure may provide a new resolution for keratoconus.

[Current research in liver transplantation during the Covid-19 pandemic]

The coronavirus disease (Covid-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has drastically changed our daily life and clinical practice.Due to the reduction of liver transplantation and the liver injury caused by SARS-CoV-2 infection during the pandemic,the prognosis of waitinglisted liver transplant candidates is worse.Due to the long-term immunosuppressive therapy of liver recipients,their risk of infection is higher than the general population.Although some studies suggested that immunosuppressive therapy seems to have a protective effect in infected patients,it also leads to chronic infection.Due to the concerns about the risk of virus transmission,expert consensus does not recommend the utilization of donor livers with the history of Covid-19.Currently,published articles do not support the argument that virus can be transmitted to recipients through donor livers.Therefore,the feasibility of liver transplantation utilizing donor livers with SARS-CoV-2 infection remains controversial.In this article,current advances in liver transplantation during the Covid-19 pandemic are reviewed to provide a new perspective for liver transplantation in the future.

Observation of Three Charmoniumlike States with J^{PC}=1^{--} in e^{+}e^{-}→D^{*0}D^{*-}π^{+}

The Born cross sections of the process e^{+}e^{-}→D^{*0}D^{*-}π^{+} at center-of-mass energies from 4.189 to 4.951 GeV are measured for the first time. The data samples used correspond to an integrated luminosity of 17.9  fb^{-1} and were collected by the BESIII detector operating at the BEPCII storage ring. Three enhancements around 4.20, 4.47, and 4.67 GeV are visible. The resonances have masses of 4209.6±4.7±5.9  MeV/c^{2}, 4469.1±26.2±3.6  MeV/c^{2}, and 4675.3±29.5±3.5  MeV/c^{2} and widths of 81.6±17.8±9.0  MeV, 246.3±36.7±9.4  MeV, and 218.3±72.9±9.3  MeV, respectively, where the first uncertainties are statistical and the second systematic. The first and third resonances are consistent with the ψ(4230) and ψ(4660) states, respectively, while the second one is compatible with the ψ(4500) observed in the e^{+}e^{-}→K^{+}K^{-}J/ψ process. These three charmoniumlike ψ states are observed in the e^{+}e^{-}→D^{*0}D^{*-}π^{+} process for the first time.

Dopamine multivalent-modified polyaspartic acid for MRI-guided near-infrared photothermal therapy

Nanophotothermal agents that provide efficient and precise treatment at tumor sites are attracting increasing attention in biomedicine. In particular, the method combination of nanophotothermal agents and magnetic resonance imaging (MRI) shows great promise for biomedical therapeutic applications. Herein, a simple nanophotothermal agent with dopamine multivalent-modified polyaspartic acid chelated superparamagnetic iron oxide (SPIO) and ferric ion (SPIO@PAsp-DAFe/PEG) was developed for MRI-guided near-infrared photothermal therapy (PTT). SPIO@PAsp-DAFe/PEG was random SPIO nanocluster with good water solubility, had a diameter of 57.8 ± 7.8 nm in DLS, negatively charged surface (zeta potential = −11 mV), exhibited good stability and outstanding photothermal conversion efficiency (35.4%), and produced superior magnetic resonance enhanced imaging. In the experiment with tumor-bearing mice, the MRI not only monitored the accumulation of SPIO@PAsp-DAFe/PEG nanocomposites enhanced by near-infrared irradiation after intravenous administration but also determined the appropriate time window for PTT. With the use of MRI-guided near-infrared therapy, the SPIO@PAsp-DAFe/PEG nanocomposites provided excellent therapeutic effects, confirming their great potential as effective MRI/PTT therapeutic agents.

A44 A 1000 PATIENT CANADIAN NETWORK FOR AUTOIMMUNE LIVER DISEASE EVALUATION OF CLINICAL AND DEMOGRAPHIC PATTERNS OF AUTOIMMUNE HEPATITIS

Background

We sought to understand how the demographics of autoimmune hepatitis (AIH) have changed over time in Canada.

Purpose

Using a large multi-centre Canadian cohort of patients with AIH, we describe the trends in patient and disease characteristics at presentation across 30 years of clinical practice.

Method

Patients from the Canadian Network for Autoimmune Liver Disease with a confirmed diagnosis of AIH (simplified score ≥6) were included for analysis. Patients were grouped into five cohorts according to the year of diagnosis (i.e., <2000, 2000-2004, 2005-2009, 2010-2014, ≥2015). Patient demographics and baseline clinical and biochemistry features of disease activity were investigated using Chi-square tests and Kruskal-Wallis tests adjusted for multiple comparisons. Logistic and linear regression models with estimated means were utilized to further investigate relationships with time and to adjust for confounding.

Result(s)

1016 patients followed across 10 Canadian health centres with AIH were diagnosed between November 1965 and December 2021. Overall, 76.4% (n=776) of patients were female, and the median age at diagnosis was 46 years (IQR 28.2 - 58.3). Cirrhosis at presentation was seen in 20.6% of patients (n=209). The median age at diagnosis increased significantly from 31.8 years [IQR 17.9 - 46.8] pre-2000 to 54 years [IQR 9.0 - 95.2] after 2014 (p<0.001; Figure 1a). This effect of time persisted after adjusting for sex and cirrhosis status at diagnosis. Female sex and the presence of cirrhosis at diagnosis were factors independently associated with older age at presentation (p<0.0001).

The proportion of patients that presented with cirrhosis at diagnosis increased significantly over calendar time, from 13.7% (n=23) pre-2000 to 30.8% (n=69) after 2014 (p=0.003; Figure 1b). Male sex was independently associated with an increased odds of having cirrhosis at presentation (OR= 1.46, CI 1.02 - 2.07) and higher baseline ALT levels compared to females (p=0.036). The proportion of patients that identified as non-white ethnicity increased significantly from 15.2% (n= 24) pre-2000, to 32% (n= 86) after 2014 (p<0.001, Figure 1b). This effect of time on ethnicity was most pronounced after the year 2010 (OR= 2.32, CI 1.39 - 3.98) and persisted after adjusting for sex. There was no significant pattern of change in sex over calendar time.

Image

Conclusion(s)

In Canada, patients with AIH at presentation are now older, have more advanced disease, and are more ethnically diverse than when compared to 30 years ago.

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Evidence for the Cusp Effect in η' Decays into ηπ^{0}π^{0}

Using a sample of 4.3×10^{5} η^{'}→ηπ^{0}π^{0} events selected from the ten billion J/ψ event dataset collected with the BESIII detector, we study the decay η^{'}→ηπ^{0}π^{0} within the framework of nonrelativistic effective field theory. Evidence for a structure at π^{+}π^{-} mass threshold is observed in the invariant mass spectrum of π^{0}π^{0} with a statistical significance of around 3.5σ, which is consistent with the cusp effect as predicted by the nonrelativistic effective field theory. After introducing the amplitude for describing the cusp effect, the ππ scattering length combination a_{0}-a_{2} is determined to be 0.226±0.060_{stat}±0.013_{syst}, which is in good agreement with theoretical calculation of 0.2644±0.0051.

[Porphyromonas gingivalis infection causes umbilical vein endothelial barrier dysfunction in vitro by down-regulating ZO-1, occludin and VE-cadherin expression]

OBJECTIVE

To explore the molecular mechanisms of Porphyromonas gingivalis infection-induced umbilical vein endothelial barrier dysfunction in vitro.

METHODS

Human umbilical vein endothelial cells (HUVECs) were cultured in vitro, and after the formation of the endothelial barrier, the cells were infected with P. gingivals at a multiplicity of infection (MOI). The transepithelial electrical resistance (TEER) of the cell barrier was measured, and FITC-dextran trans-endothelial permeability assay and bacterial translocation assay were performed to assess the endothelial barrier function. The expression levels of cell junction proteins including ZO-1, occludin and VE-cadherin in the cells were examined by qRT-PCR and Western blotting.

RESULTS

In freshly seeded HUVECs, TEER increased until reaching the maximum on Day 5 (94 Ωcm²), suggesting the formation of the endothelial barrier. P. gingivals infection caused an increase of the permeability of the endothelial barrier as early as 0.5 h after bacterial inoculation, and the barrier function further exacerbated with time, as shown by significantly lowered TEER, increased permeability of FITC-dextran (40 000/70 000), and increased translocation of SYTO9-E. coli cross the barrier. MTT assay suggested that P. gingivals infection did not significantly affect the proliferation of HUVECs (P>0.05), but in P. gingivalsinfected cells, the expressions of ZO-1, occludin and VE-cadherin increased significantly at 24 and 48 h after bacterial inoculation (P < 0.05).

CONCLUSION

P. gingivals may disrupt the endothelial barrier function by down-regulating the expressions of the cell junction proteins (ZO-1, occludin, VE-cadherin) and increasing the permeability of the endothelial barrier.

[Proposal and thoughts on establishing and improving multi-level dental insurance in China]

Oral diseases are highly prevalent in China, while oral health services are generally underutilized and public health resources are wasted. Lacking oral insurance may be one of the leading causes. The basic medical insurance of China does not cover dental care in most cities, which is worthy to further discuss. To better understand the experience of dental insurance from international dental care practice, the dental coverage scope, content, co-pay ratio, and effects of oral insurance on oral health improvement from the abroad countries with typical health insurance systems were summarized by using scoping review. Then, we discussed the coverage scope for dental health of basic medical insurance and private insurance in China. We also analyzed the current issues of dental care coverage and cost-share. At last, we proposed thoughts and suggestions to establish and improve a multi-level oral health insurance system with Chinese characteristics under the basic medical insurance frame. In particular, we gave suggestions on increasing the coverage for high dental care xpenditure by ebasic medical insurance, supplying children and teenagers with preventive dental care, and encouraging private insurance companies to cover dental care expenditure.

Prediction of knee pain improvement over two years for knee osteoarthritis using a dynamic nomogram based on MRI-derived radiomics: a proof-of-concept study

OBJECTIVES

To develop and validate a nomogram to detect improved knee pain in osteoarthritis (OA) by integrating magnetic resonance imaging (MRI) radiomics signature of subchondral bone and clinical characteristics.

METHODS

Participants were selected from the Vitamin D Effects on Osteoarthritis (VIDEO) study. The primary outcome was 20% improvement of knee pain score over 2 years in participants administrated either vitamin D or placebo. Radiomics features of subchondral bone and clinical characteristics from 216 participants were extracted and analyzed. The participants were randomly split into the training and validation cohorts at a ratio of 8:2. Least absolute shrinkage and selection operator (LASSO) regression was used to select features and generate radiomics signatures. The optimal radiomics signature and clinical indicators were fitted into a nomogram using multivariable logistic regression model.

RESULTS

The nomogram showed favorable discrimination performance [AUC_training, 0.79 (95% CI: 0.72-0.79), AUC_validation, 0.83 (95% CI: 0.70-0.96)] as well as a good calibration. Additional contributing value of fusion radiomics signature to the nomogram was statistically significant (NRI, 0.23; IDI, 0.14, P < 0.001 in training cohort and NRI, 0.29; IDI, 0.18, P < 0.05 in validating cohort). Decision curve analysis confirmed the clinical usefulness of nomogram.

CONCLUSION

The radiomics-based nomogram comprising the MR radiomics signature and clinical variables achieves a favorable predictive efficacy and accuracy in differentiating improvement in knee pain among OA patients. This proof-of-concept study provides a promising way to predict clinically meaningful outcomes.