Objective:To investigate the quantitative characteristics of abdominal wall aesthetics in young East Asian women.Methods:A cross-sectional survey study design was adopted. From June to August 2024, the Department of Plastic Surgery of Zhongshan Hospital, Fudan University disseminated volunteer recruitment announcements via multiple channels. Young female volunteers from East Asia aged 22-35 years were stratified enrolled according to the demographic ratios (30∶2∶1) of young women aged 22-35 years in China, Japan, and Repubic of Korea reported by authoritative organizations. These volunteers were unanimously evaluated to have an aesthetically "GOOD" abdominal wall via observations by four plastic surgery medical staff and four individuals without a medical background with meeting other inclusion and exclusion criteria. Three-dimensional (3D) photography was utilized to capture and reconstruct the 3D images of the abdominal walls. Key aesthetic landmarks of the abdominal wall were observed and measured. The main parameters include linearity, proportionality, angles, and areas of the umbilicus, abdominal wall depression, rectus abdominis protrusion, and abdominal wall contour. Statistical software (SPSS 26.0) was employed to calculate the average level of each parameter. Continuous variables conforming to the normal distribution were expressed as Mean±SD. Continuous variables that do not conform to the normal distribution were expressed as M( Q1,Q3), and compared using Mann-Whitney U test. Categorical variables were presented as frequencies and proportions (%). P<0.05 was considered statistically significant. Results:A total of 63 young East Asian women defined having an aesthetically "GOOD" abdominal wall were enrolled with an age of (26.7±7.4) years and body mass index of (19.6±3.9) kg/m 2. Umbilicus: 52.4%(33/63) umbilicus exhibited a vertical elliptical shape with a vertical diameter of 1.8(1.7, 2.1) cm, transverse diameter of 1.2 (1.0, 1.7) cm, depth of 0.4(0.3, 0.7) cm and projected area of 2.1(1.3, 3.0) cm 2; the presence of a bulge at the base of the umbilicus was relatively rare [6 cases (9.5%)], and no cases were observed protrusion beyond the abdominal wall and most umbilicus were at the lower 3/5 level of abdominal wall. Midline depression: the upper umbilical segment was significantly longer than the lower segment [7.8 (6.7, 8.4) cm vs. 3.6 (2.8, 4.1) cm, P<0.01], with an approximate upper-to-lower ratio of 2∶1; the upper segment was also wider [0.6 (0.5, 0.6) cm vs. 0.4 (0.4, 0.5) cm, P<0.01] and deeper than the lower segment [ 0.4(0.3, 0.6)cm vs. 0.1(0.1, 0.3) cm ( P<0.05)]. Semilunar lines: the left side measured a length of 14.5(10.6, 16.4) cm while right side measured 15.6(14.7, 16.1) cm ( P>0.05). Costal margin depression: the left side measured a depth of 0.3(0.2, 0.4) cm and the right side 0.3(0.2, 0.6) cm ( P>0.05) with infrasternal angle(upper abdominal angle) measuring 72.6°(59.8°, 89.6°). Iliac fossa depression: the depth of left side measured 1.0(0.8, 1.3) cm, while right side 1.0(0.8, 1.1) cm ( P>0.05); the left projected area was 16.4 (14.7, 18.3) cm 2 and right side 15.8(13.6, 17.8) cm 2 ( P>0.05). Rectus abdominis eminence: at costal margin level, the left side measured a width of 4.8 (4.1, 5.1) cm and the right side 4.7(4.1, 4.9) cm ( P>0.05); at umbilical level, the left side width was 4.1(3.7, 4.5) cm and the right side 3.8(3.2, 4.7) cm ( P>0.05); the overall projected area was 36.5(33.7, 38.5) cm 2. Outer contour lines: the length of left side was 33.6(31.5, 35.8) cm and the right side 35.7(31.6, 38.5) cm ( P>0.05); the waistline was located at the 2/5 level of the abdominal wall, approximately 2.4(1.7, 3.6) cm higher than the umbilicus; the outer contour of abdominal wall exhibited a morphology reminiscent of swan-neck vase. Conclusion:Using 3D photography technology, the body surface measurements of the abdominal wall in young East Asian women were conducted to quantify its aesthetic characteristics. The abdominal wall deemed aesthetically pleasing typically exhibits a "swan-neck vase" shape, characterized by relatively fixed landmark points, lines, planes, and proportional relationships. These results reflect the current positive and health-oriented aesthetic preferences prevalent among the general public.

With the rapid development of generative artificial intelligence(GAI)technologies,their widespread application in academic research and writing is continuously expanding the boundaries of sci-entific inquiry.However,this trend has also raised a series of ethical and regulatory challenges,inclu-ding issues related to authorship,content authenticity,citation accuracy,and accountability.In light of the growing involvement of AI in generating academic content,establishing an open,controllable,and trustworthy ethical governance framework has become a key task for safeguarding research integrity and maintaining trust within the academic community.This expert consensus outlines ethical requirements across key stages of AI-assisted academic writing-including topic selection,data management,citation practices,and authorship attribution.It aims to clarify the boundaries and ethical obligations surrounding AI use in academic writing,ensuring that technological tools enhance efficiency without compromising in-tegrity.The goal is to provide guidance and institutional support for building a responsible and sustainable research ecosystem.

Objective:To analyze the effect of deep brain electrical stimulation therapy on Parkinson's disease patients with frozen gait and explore its prognostic factors.Methods:A retrospective study was conducted on 86 Parkinson's disease patients with frozen gait admitted to our hospital from January 2020 to December 2022.All patients received deep brain electrical stimulation therapy.Conduct a 2-year outpatient follow-up for all patients,and analyze the scores of the Parkinson's Disease Rating Scale Part 2(UPDRS Ⅱ),Parkinson's Disease Rating Scale Part 3(UPDRS Ⅲ),Fugl Meyer Lower Limb Motor Function Assessment Scale(FMA),and Schwab&England Daily Activity Scale(S&E)before and after medication opening and closing,6 months after surgery,1 year after surgery,and 2 years after surgery.And based on the 2-year follow-up results of the patients,the prognosis level of the patients was evaluated according to the S&E score during drug closure.60 patients with drug closure S&E score＞70 were divided into a good prognosis group,and 26 patients with drug closure S&E score≤70 were divided into a poor prognosis group.Logistic regression model was used to analyze the influencing factors of deep brain electrical stimulation therapy in Parkinson's disease gait freezing patients.Results:At 6 months,1 year,and 2 years after surgery,the UPDRS Ⅱ and UPDRS Ⅲ scores of all patients were lower than those before surgery(P＜0.05).The UPDRS Ⅱ and UPDRS Ⅲ scores of patients before surgery,6 months,1 year,and 2 years after surgery were lower than those of patients before surgery(P＜0.05);At 6 months,1 year,and 2 years after surgery,the FMA and S&E scores of all patients were higher than those before surgery(P＜0.05).There was no significant difference in the FMA and S&E scores between 6 months,1 year,and 2 years after surgery(P＞0.05).However,the FMA and S&E scores at 6 months,1 year,and 2 years after surgery were lower than those at the end of surgery(P＜0.05);There was no significant difference between the gender,BMI,combined underlying disease,levodopa equivalent dose,preoperative UPDRSⅢ score before the on and off periods,and FMA scores before the on and off periods(P＞0.05),Age,Parkinson's disease stage,preoperative UPDRS Ⅱ score between open and off period,and preoperative S&E score between the good prognosis and off prognosis groups(P＜0.05);The UPDRS Ⅱ score(95％CI:1.353～5.782,OR value:2.462),S&E score(95％CI:1.658～4.687,OR value:2.789),and S&E score(95％CI:1.265～6.879,OR value:3.645)before opening surgery are independent influencing factors on deep brain electrical stimulation therapy in Parkinson's disease gait freezing patients(P＜0.05).Conclusion:Deep brain electrical stimulation therapy can improve the condition and motor function of Parkinson's disease patients with frozen gait,but some patients may have poor prognosis due to the influence of UPDRS Ⅱ score before surgery and S&E scores during the opening and closing phases.

Objective:To investigate the association between albumin-corrected anion gap(ACAG)and short-to long-term death out-comes in patients with acute pancreatitis(AP).Methods:This retrospective study was based on the Medical Information Mart for Inten-sive Care-IV database,and the adult patients who were diagnosed with AP and were admitted to the intensive care unit were enrolled in this study.Cox regression risk analysis,receiver operating charac-teristic(ROC)curve analysis,Kaplan-Meier survival curve analy-sis,restricted cubic spline,and subgroup analysis were used to in-vestigate the value of ACAG in predicting the death outcome of AP patients.Results:A total of 444 patients were enrolled in this study,and according to the death status of the patients on day 28 after ad-mission,the patients were divided into survival group with 412 pa-tients and death group with 32 patients,with a mortality rate of 7.2%on day 28 after admission.The multivariate Cox regression analysis showed that ACAG was an independent predictive factor for all-cause mortality rate on day 28 after admission in AP patients(hazard ratio[HR]=1.18,95%CI=1.05-1.32),while it was not an in-dependent predictive factor for death outcome on days 90(HR=1.05,95%CI=0.97-1.14)and 180(HR=1.01,95%CI=0.94-1.09)and at 1 year(HR=1.02,95%CI=0.95-1.10).The ROC curve analysis showed that ACAG had an area under the ROC curve(AUC)of 0.732(95%CI=0.632-0.832)in predicting 28-day death outcome,which was better than that of AG(AUC=0.665,95%CI=0.550-0.781)and serum albumin(Alb)(AUC=0.655,95%CI=0.550-0.761)and was similar to that of Sequential Organ Failure Assessment(SOFA)score(AUC=0.745,95%CI=0.651-0.838).The ROC curve showed that the optimal cut-off value of ACAG was 21.375.Based on the cut-off value of ACAG of 21.375,the patients were divided into high-value group and normal-value group,and the Kaplan-Meier curve analysis showed that the patients with a high level of ACAG had a significantly higher mortality rate than those with normal ACAG(P<0.001).The subgroup analysis showed that the results were stable.Conclusion:ACAG can be used as an independent pre-dictive factor for all-cause mortality rate on day 28 after admission in AP patients,with a better efficacy than AG and Alb and a similar efficacy to SOFA.However,it is not significantly associated with 90-day,180-day,and 1-year death outcomes in AP patients.

The 2024 National Education Work Conference pointed out that at the current juncture of the critical period for achieving the goals and tasks of the 14th Five-Year Plan,the implementation of the Education Powerhouse Construction Plan Outline should be taken as the main line of work,and building first-class disciplines is an crucial task for a higher education powerhouse.In 2022,forensic medicine was officially listed as a first-level discipline under the medical category,presenting an un-precedented historical opportunity for the development of forensic medicine.The forensic medicine dis-cipline of Southern Medical University comprehensively improves the quality of talent cultivation and facilitates the construction of first-class disciplines as its main direction.It aims to initiate and imple-ment a high-level faculty team building plan featuring"combining recruitment and cultivation,inter-disciplinary integration";make vigorous efforts to establish a first-level doctoral program,refine advan-tageous second-level disciplines and research directions;and establish an innovative research platform from a high starting point with deep integration.The discipline adheres to moral cultivation and the Five Domains of Education simultaneous development,to build a high-quality talent joint training model.Guided by the construction of the national legal system and industry needs,the discipline will enhance social service capabilities.The forensic medicine construction in our university will continue to contribute to the rule of law in China and educational power.

Objective:To investigate the effects of propionic acid produced by Akkermansia muciniphila on the radiosensitivity of colorectal cancer and the underlying mechanism. Methods:Normal human colon mucosal epithelial cells (NCM460) were used to determine the appropriate concentration of propionic acid. Human colorectal cancer cells (HCT-8) were treated with A. muciniphila-conditioned medium or propionic acid, followed by exposure to 6 Gy γ-ray irradiation, and cell survival and proliferation were measured by clone formation assay and Cell Counting Kit-8 (CCK-8) assay, respectively. A mouse model of colorectal cancer was established using azoxymethane/dextran sodium sulfate. The mice were divided into control model group, irradiation group, and irradiation+ propionic acid group. Their body weight, colorectal length, tumor count, and tumor area were recorded. The radiosensitizing effect of propionic acid was assessed with HE staining, immunohistochemical staining, and enzyme-linked immunosorbent assay. The mechanism was explored by using RT-PCR and flow cytometry. Results:CCK-8 assay showed that 1-mmol/L propionic acid had no significant effect on the proliferation of NCM460 cells ( P>0.05), which was used for subsequent experiments. Pretreated with A. muciniphila-conditioned medium or propionic acid, the survival and proliferation abilities of irradiated HCT cells were significantly decreased ( t=3.14-34.98, P<0.05). Compared with the irradiation group, the colorectal cancer mice in the irradiation+ propionic acid group showed a significantly longer colorectal length ( t=3.50, P<0.05) and a significantly smaller number of tumors ( t=3.48, P<0.05); the two groups had significantly smaller tumor areas than the control model group ( t=5.97, 7.30, P<0.05). HE staining and immunohistochemical staining showed that propionic acid restored colorectal structure, and decreased Ki67 expression in colorectal tissue ( t=14.50, 3.40, P<0.05). Propionic acid treatment significantly reduced the levels of the inflammatory factors interleukin-6 and tumor necrosis factor-α, as compared with the mice receiving irradiation alone ( t=4.86, 5.06, P<0.05). Irradiation plus propionic acid treatment significantly increased p53 expression and significantly aggravated G 2/M phase block and cell apoptosis ( t=20.35, 13.05, P<0.05). Conclusions:The A. muciniphila metabolite propionic acid plays a sensitizing role in radiation therapy for colorectal cancer by promoting G 2/M phase block and apoptosis in colorectal cancer cells.

Aim To investigate the protective effect of Shengmai Yin on myocardial ischemia/reperfusion in-jury(MI/RI)in vitro and in vivo and to unravel the underlying mechanism.Methods SD rats were divid-ed into the sham group,model group,and Shengmai Yin group(SM).Rat MI/RI model was established.Cardiac function,infarct area,pathological changes,cardiomyocyte apoptosis,macrophage infiltration,and serum cTnT and CK-MB levels were measured.The mRNA and protein expressions of Calpain-1 and Cal-pain-2 were assessed.The hypoxia/reoxygenation(H/R)model was constructed in H9c2 cells.The active ingredients of Shengmai Yin were screened using net-work pharmacology and verified by CCK-8.In the car-diomyocytes H/R model,Fluo-4 AM staining was used to detect the changes of Ca2+levels.Results Com-pared with model group,LVEF and LVFS of Shengmai Yin-treated rats increased,myocardial infarction area was reduced,while myocardial tissue injury was allevi-ated.Myocardial apoptosis rate and the number of macrophages were reduced.Similarly,cTnT and CK-MB levels decreased.In addition,the expression lev-els of Calpain-1 and Calpain-2 mRNA and protein de-creased in the SM treatment group.Under the H/R model,all the active ingredients of Shengmai decoction had protective effects on cardiomyocytes,and the treat-ment could reduce the level of Ca2+in cardiomyocytes.Conclusions Shengmai Yin has protective effects on MI/RI in rats.This effect may be related to the de-crease in Ca2+levels,as well as Calpain-1 and Calap-in-2 mRNA and protein expression.

Objective:To understand the coverage and information consistency rate of National Immunization Program (NIP) vaccines among children born during 2020-2021 in Zhejiang Province, Chongqing City, and Shanxi Province (3 provinces) of China .Methods:A simple random sampling method was used to randomly select 3 counties (districts) from each of the 3 provinces, 5 townships from each county (district), and 5 villages from each township. Vaccination information for seven NIP vaccines was collected for children born between 2020 and 2021 in each village. The vaccination coverage, timely coverage, and consistency rates between the survey data and the Immunization Planning Information System data were analyzed.Results:A total of 1 117 children were investigated. The vaccination coverage for each dose of NIP vaccine ranged from 99.10% to 100.00%, with those in Zhejiang Province, Chongqing City, and Shanxi Province ranging from 99.19% to 100.00%, 98.92% to 100.00%, and 99.20% to 100.00%, respectively. The timely coverage of each dose of NIP vaccine ranged from 89.79% to 99.82%, with those in Zhejiang Province, Chongqing City, and Shanxi Province ranging from 94.09% to 99.73%, 89.52% to 99.73%, and 78.55% to 100.00%, respectively. The consistency rate of information on each dose of NIP vaccine ranged from 94.36% to 99.91%, with those in Zhejiang Province, Chongqing City, and Shanxi Province ranging from 97.85% to 99.73%, 98.92% to 100.00%, and 86.06% to 100.00%, respectively.Conclusions:Coverage of NIP vaccines was generally high among children born during 2020-2021 in the 3 provinces of China, but there were regional differences in the timely coverage of some vaccine doses and the vaccination information consistency rate. It is necessary to strengthen the timely vaccination of children's vaccine booster doses and optimize the management of vaccination services.

Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death worldwide, causing a significant socioeconomic burden. This article reviews the effects of influenza vaccination on COPD and finds that influenza vaccine can significantly reduce the risk of influenza infection, reduce the number of acute exacerbations, and reduce the hospitalization rate in patients with COPD. The vaccine has a favorable safety profile and significant economic benefits, which can reduce medical costs. Currently, influenza vaccination mainly faces challenges such as insufficient patient awareness, insufficient support from the medical system, and socio-cultural and economic factors. Efforts should be focused on reducing the acute exacerbation of COPD patients and providing a scientific basis for the prevention and management of COPD patients.

In the canonical model of gene transcription,transcription factors regulate the transcription of target genes by binding to double-stranded DNA(dsDNA)containing its specific consensus motifs.In contrast to dsDNA,G-quadruplexes are atypical nucleic acid secondary structures formed by guanine-rich sequences.G-quadruplex structures are involved in regulating various biological processes,including gene transcription,and have emerged as a significant research topic in the field of molecular biology.Re-cently,many research groups,including us,have revealed that G-quadruplex structures recruit transcrip-tion factors to bind to the promoters more efficiently than dsDNA,thereby enhancing target gene expres-sion.However,there is currently a lack of comprehensive summaries and discussions regarding this atypi-cal model of gene transcription regulation.In this review,we first elucidate the characteristics of G-quad-ruplex structures and the techniques used to identify these structures.G-quadruplexes can be classified into intramolecular and intermolecular types;intramolecular G-quadruplexes are further divided into par-allel,antiparallel and hybrid types.The G-quadruplex structures can be determined using techniques such as circular dichroism,nuclear magnetic resonance spectroscopy and gel migration,among others.Then,we discuss the regulatory role of G-quadruplex in gene transcription.G-quadruplexes are mainly highly enriched in gene promoter.Early studies revealed that G-quadruplexes can inhibit gene transcrip-tion.However,lots of studies have recently proven that this structure has a new function of recruiting transcription factors to activate gene transcription.Finally,we summarize the classification of transcrip-tion factors with G-quadruplex binding activity,including transcription factors with C2H2 zinc fingers,forked head/winged helices,and p53 domains.The DNA-binding domain determines the interaction be-tween transcription factors and G-quadruplex.Moreover,we propose future research directions in the field of G-quadruplex and transcription factors in regulating gene transcription.In conclusion,this review can provide important guidance for understanding the concept of G-quadruplex as a cis-acting element for transcriptional activation.