Genetic Testing for Global Developmental Delay in Early Childhood.

Importance: Global developmental delay (GDD) is characterized by a complex etiology, diverse phenotypes, and high individual heterogeneity, presenting challenges for early clinical etiologic diagnosis. Cognitive impairment is the core symptom, and despite the pivotal role of genetic factors in GDD development, the understanding of them remains limited. Objectives: To assess the utility of genetic detection in patients with GDD and to examine the potential molecular pathogenesis of GDD to identify targets for early intervention. Design, Setting, and Participants: This multicenter, prospective cohort study enrolled patients aged 12 to 60 months with GDD from 6 centers in China from July 4, 2020, to August 31, 2023. Participants underwent trio whole exome sequencing (trio-WES) coupled with copy number variation sequencing (CNV-seq). Bioinformatics analysis was used to unravel pathogenesis and identify therapeutic targets. Main Outcomes and Measures: The main outcomes of this study involved enhancing the rate of positive genetic diagnosis for GDD, broadening the scope of genetic testing indications, and investigating the underlying pathogenesis. The classification of children into levels of cognitive impairment was based on the developmental quotient assessed using the Gesell scale. Results: The study encompassed 434 patients with GDD (262 [60%] male; mean [SD] age, 25.75 [13.24] months) with diverse degrees of cognitive impairment: mild (98 [23%]), moderate (141 [32%]), severe (122 [28%]), and profound (73 [17%]). The combined use of trio-WES and CNV-seq resulted in a 61% positive detection rate. Craniofacial abnormalities (odds ratio [OR], 2.27; 95% CI, 1.45-3.56), moderate or severe cognitive impairment (OR, 1.69; 95% CI, 1.05-2.70), and age between 12 and 24 months (OR, 1.57; 95% CI, 1.05-2.35) were associated with a higher risk of carrying genetic variants. Additionally, bioinformatics analysis suggested that genetic variants may induce alterations in brain development and function, which may give rise to cognitive impairment. Moreover, an association was found between the dopaminergic pathway and cognitive impairment. Conclusions and Relevance: In this cohort study of patients with GDD, combining trio-WES with CNV-seq was a demonstrable, instrumental strategy for advancing the diagnosis of GDD. The close association among genetic variations, brain development, and clinical phenotypes contributed valuable insights into the pathogenesis of GDD. Notably, the dopaminergic pathway emerged as a promising focal point for potential targets in future precision medical interventions for GDD.

Experimental and Thermal Stress Field Numerical Simulation Study on Laser Metal Deposition of Ti-48Al-2Cr-2Nb Alloy.

The experimental and numerical simulation analysis of a TiAl alloy by laser metal deposition technology is presented in this paper. The research examines the macroscopic morphology, microstructure, and mechanical properties of samples as laser power varies. It also delves into how the temperature field and residual stress evolve under different laser powers. The results reveal that the microstructure of samples is mainly composed of α2-Ti3Al phase and a γ-TiAl phase and that the details of the microstructure are significantly affected by laser power. As laser power increases, coarse lamellar structure content increases, corresponding to a decrease in α2 phase content. The deposited layer hardness ranges from 550 HV to 600 HV, and the average deposition layer hardness decreases with increased laser power. Simulation results predict the molten pool's size, temperature, and residual stresses. A significant increase in the molten pool size is observed when the laser power exceeds 1000 W, and the measured molten pool depths correspond closely to simulation predictions. However, significant tensile stresses are generated in the deposition layer due to high cooling rates, mainly in the x direction. Cracks are observed on the surface of the deposition layer at all laser powers.

Laser cleaning of RTV coating on the insulator surface by using millisecond pulse lasers.

High-efficiency and high-quality removal of sulfurized silicone rubber from insulator surfaces is paramount for high-voltage power systems. To address this issue, and aiming to achieve precise and nondestructive cleaning of room temperature vulcanized (RTV) coatings, we selected millisecond laser cleaning technology in this study. Successful and efficient cleaning of the RTV coating was performed by adjusting laser parameters. Characterization techniques, including scanning electron microscopy, energy-dispersive x-ray spectroscopy, and confocal microscopy, were employed to comprehensively assess the cleaning effects and ensure the integrity of the substrate surface. The results indicate that by adjusting the scanning power combination of the high power of the millisecond pulse laser to 200 W and the low power of 150 W, the glass substrate surface maintains excellent roughness and micro-morphological features after laser cleaning, providing optimal conditions for subsequent processing and utilization. This research contributes an efficient and cost-effective solution to the insulation treatment process in high-voltage power systems.

Direct Write Printing of Ultraviolet-Curable Bulk Superhydrophobic Ink Material.

Although superhydrophobic surfaces have various promising applications, their fabrication methods are often limited to 2D plane surfaces that are vulnerable to abrasion and have limited adhesion to the substrate. Herein, an ultraviolet (UV) curable ink with bulk superhydrophobicity, consisting of poly(dimethylsiloxane) (PDMS) resins, hydrophobic silica, and solvent (porogen), was successfully developed for UV-assisted direct write printing processing. After UV curing of the ink followed by solvent evaporation, the generated porous structure cooperates with silica particles to form a self-similar and hierarchical structure throughout the bulk material, which can keep its original morphology even after cyclic abrasion (over 1000 times) and thus exhibits durable superhydrophobicity. With this unique ink, UV-assisted direct write printing can not only create 2D superhydrophobic surfaces on various substrates (e.g., paper and wire mesh) but also fabricate self-supporting 3D superhydrophobic objects for various applications such as waterproofing and oil-water separation. The printed objects exhibited a stable superhydrophobicity against liquid corrosion and mechanical damage. In addition, the 3D printing approach can be used to optimize the oil-water separation performance of the superhydrophobic porous materials by tuning the pore size, thus presenting promising applications.

Numerical Simulation of Temperature Characteristics and Graphitization Mechanism of Diamond in Laser Powder Bed Fusion.

Thermal damage to diamonds is a major limitation in laser powder bed fusion (LPBF) processing of metal matrix diamond composites. In this paper, a numerical simulation model was established to describe the thermal effect of the Diamond-CuSn10 composite on the LPBF process. The simulation results show that the temperature of the diamond presents a double-peak structure, and the double-peak temperature curve shape can be modulated by modifying the laser scanning offset and the size of the diamond powder. And it suggests that the heat of the diamond mainly comes from the transfer of the molten pool. Then, combined with the experimental phenomenon, the mechanism of diamond graphitization in the LPBF process is analyzed. It indicates that since the surface defects of the diamond inhibit the heat conduction of the diamond, the temperature accumulates on the surface, leading to the graphitization of the diamond. Finally, based on this model, the potential of Ti-coated diamonds to prevent and reduce thermal damage in the LPBF process has been extensively studied. It is found that a Ti coating with low thermal conductivity can effectively reduce diamond temperature and improve diamond graphitization resistance. This study can provide a good method and basis for the preliminary selection of LPBF process parameters and the understanding of the graphitization mechanism of diamond tools.

Effect of new nurse-led healthcare collaborative model on self-efficacy, compliance and quality of life in patients with chronic diseases.

OBJECTIVE: To explore the impact of routine management compared to case management on social support and self-efficacy of patients with chronic diseases and assess the new nurse-led healthcare collaborative model. METHODS: This is a prospective study which was approved by the Biomedical Ethics Committee of Anhui Medical University. A total of 100 patients with chronic diseases who received treatment and care in Hefei First People's Hospital from January 2020 to December 2021 were selected as the study subjects and divided into a control group and an observation group according to the numerical table method, with 50 cases in each group. In the control group, conventional management was implemented, while the observation received a nurse-led healthcare collaborative care, which included community doctors providing treatment services and family doctors contracting to manage care. The patients in the two groups were compared in terms of self-efficacy, self-management ability, social support, and their attendance. RESULTS: Before the intervention, there was no statistically significant difference in self-efficacy, compliance and quality of life scores between the two groups (P>0.05). After the intervention, self-efficacy, compliance and quality of life scores were significantly higher in the observation group than those in the control group, with statistically significant differences (P<0.05). A statistical assessment of the transfer of patients from the community to the hospital was also conducted for both groups, and it was found that the proportion of patients transferred from the community to the hospital was significantly higher in the observation group compared to that in the control group after surgery, with statistically significant differences in hospital costs, hospital days and readmission rates between the two groups (P<0.05). The proportion of patients transferred from the hospital to nursing home increased by 72.2% in the observation group compared to only 35.5% in the control group, and the discharge rate (home care) was significantly higher in the observation group (P<0.05). CONCLUSION: This study provides some references for the effective management of patients with chronic diseases. By comparing the data from the conventional and case care management models, it can be found that the use of a nurse-led healthcare collaborative model meets the acute medical and nursing service needs of older people, improves timely access to medical and nursing resources, and effectively improves self-efficacy, compliance and quality of life in patients with chronic diseases.

Facile Synthesis of Aminated Graphene Quantum Dots for Promising and Selective Detection of Cobalt and Copper Ions in Aqueous Media.

Due to the rapid development of industrialization, various environmental problems such as water resource pollution are gradually emerging, among which heavy metal pollution is harmful to both human beings and the environment. As a result, there are many metal ion detection methods, among which fluorescence detection stands out because of its rapid, sensitive, low cost and non-toxic characteristics. In recent years, graphene quantum dots have been widely used and studied due to their excellent properties such as high stability, low toxicity and water solubility, and have a broad prospect in the field of metal ion detection. A novel high fluorescence Cu2+, Co2+ sensing probe produced by graphene quantum hydrothermal treatment is reported. After heat treatment with hydrazine hydrate, the small-molecule precursor nitronaphthalene synthesized by self-nitrification was transformed from blue fluorescent GQDs to green fluorescent amino-functionalized N-GQDs. Compared with other metal ions, N-GQDs are more sensitive to Cu2+ and Co2+ on the surface, and N-GQDs have much higher selectivity to Cu2+ and Co2+ than GQDs. The strategy proposed here is simple and economical in design.

Fabrication of Orange Fluorescent Boron-Doped Graphene Quantum Dots for Al3+ Ion Detection.

Aluminum is a kind of metal that we often encounter. It can also be absorbed by the human body invisibly and will affect our bodies to a certain extent, e.g., by causing symptoms associated with Alzheimer's disease. Therefore, the detection of aluminum is particularly important. The methods to detect metal ions include precipitation methods and electrochemical methods, which are cumbersome and costly. Fluorescence detection is a fast and sensitive method with a low cost and non-toxicity. Traditional fluorescent nanomaterials have a high cost, high toxicity, and cause harm to the human body. Graphene quantum dots are a new type of fluorescent nanomaterials with a low cost and non-toxicity that can compensate for the defects of traditional fluorescent nanomaterials. In this paper, c-GQDs and o-GQDs with good performance were prepared by a bottom-up hydrothermal method using o-phenylenediamine as a precursor and citric acid or boric acid as modulators. They have very good optical properties: o-GQDs exhibit orange fluorescence under UV irradiation, while c-GQDs exhibits cyan fluorescence. Then, different metal ions were used for ion detection, and it was found that Al3+ had a good quenching effect on the fluorescence of the o-GQDs. The reason for this phenomenon may be related to the strong binding of Al3+ ions to the N and O functional groups of the o-GQDs and the rapid chelation kinetics. During the chelation process, the separation of o-GQDs' photoexcited electron hole pairs leads to their rapid electron transfer to Al3+, in turn leading to the occurrence of a fluorescence-quenching phenomenon. In addition, there was a good linear relationship between the concentration of the Al3+ ions and the fluorescence intensity, and the correlation coefficient of the linear regression equation was 0.9937. This illustrates the potential for the wide application of GQDs in sensing systems, while also demonstrating that Al3+ sensors can be used to detect Al3+ ions.

Advances in Laser Drilling of Structural Ceramics.

The high-quality, high-efficiency micro-hole drilling of structural ceramics to improve the thermal conductivity of hot-end parts or achieve high-density electronic packaging is still a technical challenge for conventional processing techniques. Recently, the laser drilling method (LDM) has become the preferred processing tool for structural ceramics, and it plays an irreplaceable role in the industrialized processing of group holes on structural ceramic surfaces. A variety of LDMs such as long pulsed laser drilling, short pulsed laser drilling, ultrafast pulsed laser drilling, liquid-assisted laser drilling, combined pulse laser drilling have been developed to achieved high-quality and high-efficiency micro-hole drilling through controlling the laser-matter interaction. This article reviews the characteristics of different LDMs and systematically compares the morphology, diameter, circularity, taper angle, cross-section, heat affect zone, recast layer, cracks, roughness, micro-nano structure, photothermal effect and photochemical reaction of the drilling. Additionally, exactly what processing parameters and ambient environments are optimal for precise and efficient laser drilling and their recent advancements were analyzed. Finally, a summary and outlook of the LDM technology are also highlighted.

Knockdown of circ-FURIN suppresses the proliferation and induces apoptosis of granular cells in polycystic ovary syndrome via miR-195-5p/BCL2 axis.

BACKGROUND: Polycystic ovary syndrome (PCOS) is an endocrine disease that increases the risk of infertility. Circular RNAs (circRNAs) play important roles in regulating the biological processes of PCOS. Our study was designed to explore the function of circ-FURIN in PCOS. METHODS: Circ-FURIN expression was detected using RT-qPCR. The protein expression of AVEN, BCL2, XIAP and AREL1 was measured using western blot. Dual-luciferase reporter and RNA pull-down assays were applied to clarify the interaction between miR-195-5p and circ-FURIN or BCL2. Functionally, cell proliferation was assessed by MTT and colony formation assays. Cell apoptosis was analyzed by flow cytometry. RESULTS: Circ-FURIN was upregulated in PCOS patients and granular cells (GCs). Knockdown of circ-FURIN inhibited cell proliferation and promoted apoptosis of KGN cells, along with the increased expression of caspase-3 and Bax and the decreased levels of p-PI3K. Gene ontology (GO) analysis indicated circ-FURIN is associated with apoptotic signaling pathway and cell death. Subsequently, BCL2 expression was elevated in patients with PCOS and positively regulated by circ-FURIN. Furthermore, circ-FURIN was served as a sponge of miR-195-5p to directly target to BCL2. The levels of miR-195-5p were reduced in PCOS and KGN cells. Knockdown of circ-FURIN decreased the expression of BCL2, which was abolished by miR-195-5p inhibitor. At last, rescue experiments revealed that overexpression of BCL2 reversed the effects of circ-FURIN knockdown on cell proliferation and apoptosis of KGN cells. CONCLUSIONS: Loss of circ-FURIN alleviated the development of PCOS via miR-195-5p/BCL2 axis. Circ-FURIN may be the novel biomarker for PCOS.

Analysis of Incidence and Clinical Characteristics of RSV Infection in Hospitalized Children: A Retrospective Study.

OBJECTIVE: To investigate the incidence and clinical characteristics of hospitalized children with respiratory syncytial virus (RSV) infection, and to provide evidence for the importance of preventive strategies and improvements in supportive care of RSV infection. METHODS: This retrospective study included children under 14 years who received throat swab test and were diagnosed with RSV infection from January 2019 to December 2020. Throat swabs and intravenous blood were the main sources of samples, which were obtained within 24 hours of hospitalization. Direct immunofluorescence assay was used to diagnose RSV infection. RESULTS: Among the 448 hospitalized children with RSV infection, males (71.9%) showed the highest proportion, the highest incidence was found in children<6 months old (45.3%), and 76.6% of them had pneumonia. Pharyngeal redness, cough, expectoration, and mental fatigue were the most common symptoms in hospitalized children of all ages. More than 60% of hospitalized children had increased lymphocyte count, aspartate aminotransferase, creatine kinase-MB form, lactate dehydrogenase, and α-HBDH levels. The rates of myocardial damage, respiratory failure, stay in the intensive care unit (ICU), use of mechanical ventilation, and absorption of oxygen were higher in children<6 months old. Except for children who were 37-60 months old, the percentage of length of hospital stay≥7 days in the other age groups was greater than 62.0%. Except for children who were 0-28 days old and>61 months old, the other age groups showed a re-hospitalization situation due to re-infection with RSV. In hospitalized children diagnosed with RSV infection from throat swabs, we also performed the RSV IgM test and found that 59.2% of them were positive, 8.0% of them were weakly positive, and 32.8% of them were negative. CONCLUSION: This study analyzes the incidence and clinical characteristics of hospitalized children with RSV infection, which provides evidence for the importance of preventive strategies and improvements in supportive care of RSV infection.

Laser processing of alumina ceramic by a spatially superposing millisecond laser and a nanosecond laser with different beam shapes.

Advanced combined pulse laser (CPL) processing technology with high processing efficiency is of interest for both academic and engineering prospects. However, the influence of the spatial superposition of the CPL on the processing quality is unclear. Here, we use a CPL composed of a nanosecond and millisecond laser with different beam shapes to drill alumina ceramic. Experimental and simulation results suggest that the CPL drilling process actively homogenizes the laser in the hole through multi-reflection of the laser, and thus holes with high circularity are obtained without the influence of the beam shape of the nanosecond laser. The research shows this to be a novel processing method, and that the processing quality is independent of the laser beam shape.

Nanosecond-millisecond combined pulse laser drilling of alumina ceramic.

A nanosecond-millisecond combined pulse laser (CPL) drilling method was proposed for drilling alumina ceramic. The total energy consumption of the CPL drilling was 1/7 of that of a conventional millisecond laser, and the drilling quality was better. The simulation results demonstrated that, due to the nonuniform reflection of the millisecond laser in the keyhole, the ellipse keyhole ablated by the off-axis incident nanosecond pulses had no effect on the circularity of the through hole. In addition, the multireflection of the laser in the keyhole enhanced the absorption, so the keyhole ablated by the nanosecond pulses could be used as a target for limiting the absorption of the subsequent millisecond pulses. In this context, the keyhole could be used to reduce the hole diameter if the subsequent millisecond laser had a bigger spot size, and this CPL drilling method could be used as an effective group hole drilling method.

Laser processing of alumina ceramic by spatially and temporally superposing the millisecond pulse and nanosecond pulse train.

A novel combined laser pulses (CLPs) consisting of a millisecond (ms) pulse and an assisted nanosecond (ns) pulse train was proposed for drilling alumina ceramic. The processing efficiency and quality were well improved by spatially and temporally superposing the ms and ns laser beams. As a result, due to the multi-reflection of keyhole and ejection of melt, the temporally superposed CLPs could decrease the energy consumption of the drilling by an order of magnitude compared with the conventional ms pulse. On the other hand, the spatial distribution of the ns laser on the focal plane was elliptical due to the off-axis distortion of the optical system. However, since the reflection of the laser in the keyhole was non-uniform, the spatially superposed CLPs showed no dependence on the shape of the focused elliptical ns laser spot in terms of the drilling quality. The research results have an important guiding for improving the efficiency and quality of laser processing, especially for the alumina ceramic laser processing.

LncRNA HCP5 promotes cell proliferation and inhibits apoptosis via miR-27a-3p/IGF-1 axis in human granulosa-like tumor cell line KGN.

This study aimed to reveal the potential roles of long non-coding RNA HCP5 (lncRNA HCP5) and its potential molecular mechanism in polycystic ovarian syndrome (PCOS). The human granulosa-like tumor cell line KGN was used for assessing the effects of HCP5 in the proliferation and apoptosis of granulosa cells (GCs). The results showed that downregulation of HCP5 suppressed cell proliferation through arresting cell cycle progression at G1 phase, and induced the apoptosis via activating mitochondrial pathway, while overexpression of HCP5 played the opposite effects in KGN cells. We predicted and confirmed miR-27a-3p was a directly target to HCP5 and it could directly bind with insulin-like growth factor-1 (IGF-1). Next, we performed gain- and loss-of-functions approaches by transfecting miR-27a-3p inhibitor into HCP5 knocking down cells and transfecting miR-27a-3p mimics into HCP5 overexpressing cells. The results demonstrated that downregulation and upregulation of miR-27a-3p could block the effects on the proliferation and apoptosis mediated by silencing and overexpressing HCP5 in KGN cells. Additionally, miR-27a-3p inhibitor remarkably reversed the IGF-1 decrease regulated by knocking down HCP5 and miR-27a-3p mimics inhibited the IGF-1 increase modulated by overexpressing HCP5 in KGN cells. Furthermore, we observed that the promoted cell vitality and reduced apoptosis mediated by enforced expression of HCP5 could be alleviated when the KGN cells transfected with IGF-1 siRNA. Our findings indicate that HCP5 might be a potential regulatory factor for development of PCOS through regulating the miR-27a-3p/IGF-1 axis.

Experimental study on the optimum matching of CW-nanosecond combined pulse laser drilling.

A combined pulse laser (CPL) drilling method that consisted of a continuous wave (CW) laser and an assisted nanosecond laser was used for drilling the Q235B steel. The influence of the repetition rate of the nanosecond laser on the CPL drilling efficiency was analyzed. The results show that the plasma screening threshold during the CPL drilling was about ${1.40} \times {{10}^9}\,\,{\rm W}/{{\rm cm}^2}$1.40×109W/cm2. When the peak power density of the nanosecond laser exceeded the plasma screening threshold, it still could not compensate for the energy loss caused by the plasma screening, even though the high-pressure shock wave introduced by the plasma could improve the drilling efficiency. On the other hand, when the peak power density of the nanosecond laser was lower than the plasma screening threshold, it was shown that the optimum matching between the CW laser and nanosecond laser could be obtained when the repetition rate of the nanosecond laser was between 10 and 25 kHz. Finally, the results show that the CPL drilling method had a better drilling efficiency and quality than conventional millisecond laser drilling.

LncRNA ANRIL affects the sensitivity of ovarian cancer to cisplatin via regulation of let-7a/HMGA2 axis.

This paper tried to explore ANRIL expression in ovarian cancer and how it affects cisplatin-sensitivity of ovarian cancer cells via regulation of let-7a/high-mobility group protein A2 (HMGA2) axis. qRT-PCR was used to detect ANRIL and let-7a levels in ovarian cancer tissues and cell lines (SKOV3 and SKOV3/DDP). Then cells were randomly assigned into Blank, negative control siRNA, ANRIL siRNA, let-7a inhibitor, and ANRIL siRNA+let-7a-inhibitor groups. CCK-8 assay was applied for assessing cell viability of cells treated with different concentrations of cisplatin. Flow cytometry was employed to test cell apoptosis rate. qRT-PCR and Western blot were performed for related molecules detection. Nude mice transplanted with SKOV3/DDP cells were used to confirm the effects of ANRIL siRNA on the cisplatin-sensitivity. Ovarian cancer tissues and cisplatin-resistant cells had increased ANRIL expression and decreased let-7a expression, and those patients with higher clinical stage and pathological grade showed higher ANRIL and lower let-7a. Dual-luciferase reporter-gene assay confirmed the targeting relationship between ANRIL and let-7a, and between let-7a and HMGA2. The cell viability and cisplatin IC50 were decreased in ANRIL siRNA group exposed to different concentrations of cisplatin, with enhanced apoptosis, as well as elevated let-7a and declined HMGA2, which would be reversed by let-7a inhibitor. Meanwhile, ANRIL down-regulation enhanced the inhibitory effect of cisplatin on tumor growth of nude mice and reduced tumor weight. Silencing ANRIL expression reduced HMGA2 expression to promote the apoptosis and improve cisplatin-sensitivity of ovarian cancer cells via up-regulating let-7a expression.

Evaluation of amplified spontaneous emission in thin disk lasers using the spectral linewidth.

Amplified spontaneous emission (ASE) is important to power scaling of the large-scale, high-gain thin disk laser. In this paper, spectral properties of ASE in Yb:YAG thin disk lasers are deeply studied in both theory and experiment. The experimental results show that the ASE strength is much stronger when emitted from the edge surface than the pumping area. And the spectrum of ASE emitted from the coarsened edge surface is angle independent. Meanwhile, the reabsorption effect in the Yb:YAG crystal on spectral linewidth is analyzed and corrected. Finally, ASE spectral linewidths have been measured. We demonstrate that the spectral linewidths can evaluate ASE strength effectively.

A 9­lncRNA risk score system for predicting the prognosis of patients with hepatitis B virus­positive hepatocellular carcinoma.

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer, and can be induced by hepatitis B virus (HBV) infection. The aim of the present study was to screen prognosis­associated long noncoding RNAs (lncRNAs) and construct a risk score system for the disease. The RNA­sequencing data of patients with HCC (including 100 HCC samples and 26 normal samples) were extracted from The Cancer Genome Atlas (TCGA) database. In addition, GSE55092, GSE19665 and GSE10186 datasets were downloaded from the Gene Expression Omnibus database. Combined with weighted gene co­expression network analysis, the identification and functional annotation of stable modules was performed. Using the MetaDE package, the consensus differentially expressed RNAs (DE­RNAs) were analyzed. To construct a risk score system, prognosis­associated lncRNAs and the optimal lncRNA combination were separately analyzed by survival and penalized packages. Finally, pathway enrichment analysis for the nodes in an lncRNA­mRNA network was conducted via Gene Set Enrichment Analysis. A total of four stable modules and 3,051 consensus DE­RNAs were identified. The stable modules were significantly associated with the histological grades of HCC, tumor, node and metastasis stage, pathological stage, recurrence and exposure to radiation therapy. A 9­lncRNA optimal combination [DiGeorge syndrome critical region gene 9, glucosidase, ß, acid 3 (GBA3), HLA complex group 4, N­acetyltransferase 8B, neighbor of breast cancer 1 gene 2, prostate androgen­regulated transcript 1, ret finger protein like 1 antisense RNA 1, solute carrier family 22 member 18 antisense and T­cell leukemia/lymphoma 6] was selected from the 14 prognosis­associated lncRNAs, and was further supported by the validation dataset, GSE10186. The lncRNA­mRNA co­expression network revealed lncRNA GBA3 as a positive regulator of phosphoenolpyruvate carboxykinase 2, an important enzyme in the metabolic pathway of gluconeogenesis. A risk score system was established based on the optimal 9 lncRNAs, which may be valuable for predicting the prognosis of patients with HBV­positive HCC and improving understanding of mechanisms associated with the pathogenesis of this disease. On the contrary, a larger, independent cohort of patients is required to further validate the risk­score system.

Reflow soldering method with gradient energy band generated by optical system.

Laser reflow soldering is an important technology in electronic components processing. In this paper, we presented a simple but efficient method to achieve reflow soldering process with gradient energy band created by just two parallel mirrors. The detailed influence of the variety of optical parameters on the soldering process has been analyzed by using the finite element method. And the modulation of the optical parameters on reflow soldering parameters also has been demonstrated. In our experiment, one HR mirror and one-mirror with transmissivity of 10% have been used to create a gradient energy band with an incident laser power of 50W. In summary, both the simulations and the experiments show that the typical reflow soldering profile has been acquired by the optical system. The high quality joints on both the front and rear surface of the capacitor can be acquired by just one surface radiation of the optical system.