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Biomedical subjects

Hui Wei

Publications and source records attributed to Hui Wei.

2 recordsLinked to original sources

How contemporary academic structures constrain scientific creativity and hold back early-career researchers.

We argue that contemporary scientific systems progressively constrain high-risk and conceptually innovative research while being increasingly structured around short funding cycles, productivity-based evaluation criteria and risk-averse frameworks that favour predictable and non-transformative research outputs. Drawing on recent empirical literature, we show how such systems can place disproportionate pressure on early-career researchers by incentivizing safe, tractable and easily evaluated outputs. Structural academic mechanisms such as peer review and funding, escalating publication costs and institutional inequalities interact with precarious employment and hierarchical dependencies. In this environment, we contend that strategic conformity becomes a rational career path. This risks suppressing creativity and critical thinking precisely at the stage when scientific independence could otherwise emerge. Consequently, the probability of substantive contributions by early-career researchers is declining, while talent may increasingly abandon academia or cluster within a limited number of well-resourced institutions and national systems. By adopting a systems-level perspective, we argue that scientific creativity is not merely an individual trait but an emerging property of a supportive academic landscape and that maintaining or restoring it may require substantial structural reforms. These include promoting stable research pathways, decentralized decision-making and evaluation frameworks that better recognize collaboration, originality, persistence and nonlinear career trajectories. Without systemic change, we risk stifling the potential of early-career researchers to go beyond the confines of existing methods and approaches and deliver transformative advances. This would limit their capacity to meaningfully change our understanding of the world or benefit society, with impacts that fall short of their potential.

Journal Article

Incidence of silent cerebral lesions during pulsed field ablation for paroxysmal atrial fibrillation.

BACKGROUND: Radiofrequency catheter ablation (RFCA) is a first-line treatment for paroxysmal atrial fibrillation (PAF). Complications such as silent cerebral lesion (SCL) may occur during ablation. Pulsed field ablation (PFA) is a non-thermal method thatablates cardiac tissue via irreversible electroporation. Limited studies have reported the incidence of SCL during PFA, with highly variable results. However, randomized controlled trials (RCTs) remain scarce. The objective of this study was to compare perioperative SCL incidence between PFA and RFCA, and to identify risk factors for SCL during PFA. METHODS: In this prospective pilot RCT (ChiCTR2400088774), 62 patients with PAF were randomized 1:1 to undergo PFA or RFCA. Cerebral MRI (3.0 T) was performed preoperatively and 24-48h postoperatively. SCL was defined as a new acute brain lesion on MRI without neurological deficits. Baseline and surgical data of the patients were collected. RESULTS: SCL was detected post-procedure in 6.45% (2/31) in the RFCA group, 12.90% (4/31) in the PFA group. No statistically significant difference in the incidence of postoperative SCL was detected between the two groups (p&#x2009;=&#x2009;0.67). Left atrium dimension (LAD), left atrial operation time (LAOT), left ventricular end-diastolic dimension (LVEDD), and total operation time (TOT) were significantly higher in SCL group than those in no-SCL group (p&#x2009;<&#x2009;0.05) through univariate analyses. CONCLUSIONS: SCL incidence was 12.90% in the PFA group versus 6.45% in the RFCA group. While no statistically significant difference was detected between two groups, the numerically higher rate in the PFA group warrants larger studies to evaluate cerebral safety associated with PFA.

Humans