BACKGROUND At present,there is no unified and effective treatment for extreme corrosive esophageal stenosis(CES)with esophagotracheal fistula(ETF).This case had extreme and severe esophageal stenosis(ES)and ETF after ...BACKGROUND At present,there is no unified and effective treatment for extreme corrosive esophageal stenosis(CES)with esophagotracheal fistula(ETF).This case had extreme and severe esophageal stenosis(ES)and ETF after ingesting an enzyme-based chemical detergent,resulting in a serious pulmonary infection and severe malnutrition.Upper gastrointestinal imaging showed that he had an ETF,and endoscopy showed that he had extreme and severe esophageal stricture.This case was complex and difficult to treat.According to the domestic and foreign lite-rature,there is no universal treatment that is low-risk.CASE SUMMARY A patient came to our hospital with extreme ES,an ETF,and severe malnutrition complicated with pulmonary tuberculosis 1 mo after the consumption of an enzy-me-based detergent.The ES was serious,and the endoscope was unable to pass through the esophagus.We treated him by endoscopic incision method(EIM),esophageal stent placement(ESP),and endoscopic balloon dilation(EBD)by using the bronchoscope and gastroscope.This treatment not only closed the ETF,but also expanded the esophagus,with minimal trauma,greatly reducing the pain of the patient.According to the literature,there are no similar reported cases.CONCLUSION We report,for the first time,a patient with extreme CES complicated with ETF,where the endoscope could not be passed through his esophagus but he could be examined by bronchoscopy and treated by EIM,ESP,and EBD.展开更多
BACKGROUND Age is a significant risk factor of diabetes mellitus(DM).With the develop of population aging,the incidence of DM remains increasing.Understanding the epidemiology of DM among elderly individuals in a cert...BACKGROUND Age is a significant risk factor of diabetes mellitus(DM).With the develop of population aging,the incidence of DM remains increasing.Understanding the epidemiology of DM among elderly individuals in a certain area contributes to the DM interventions for the local elderly individuals with high risk of DM.AIM To explore the prevalence of DM among elderly individuals in the Lugu community and analyze the related risk factors to provide a valid scientific basis for the health management of elderly individuals.METHODS A total of 4816 elderly people who came to the community for physical examination were retrospectively analyzed.The prevalence of DM among the elderly was calculated.The individuals were divided into a DM group and a non-DM group according to the diagnosis of DM to compare the differences in diastolic blood pressure(DBP)and systolic blood pressure(SBP),fasting blood glucose,body mass index(BMI),waist-to-hip ratio(WHR)and incidence of hypertension(HT),coronary heart disease(CHD),and chronic kidney disease(CKD).RESULTS DM was diagnosed in 32.70%of the 4816 elderly people.The BMI of the DM group(25.16±3.35)was greater than that of the non-DM group(24.61±3.78).The WHR was 0.90±0.04 in the non-DM group and 0.90±0.03 in the DM group,with no significant difference.The left SBP and SBP in the DM group were 137.9 mmHg±11.92 mmHg and 69.95 mmHg±7.75 mmHg,respectively,while they were 126.6 mmHg±12.44 mmHg and 71.15 mmHg±12.55 mmHg,respectively,in the non-DM group.These findings indicate higher SBP and lower DBP in DM patients than in those without DM.In the DM group,1274 patients were diagnosed with HT,accounting for 80.89%.Among the 3241 non-DM patients,1743(53.78%)were hypertensive and 1498(46.22%)were nonhypertensive.The DM group had more cases of HT than did the non-DM group.There were more patients with CHD or CKD in the DM group than in the non-DM group.There were more patients who drank alcohol more frequently(≥3 times)in the DM group than in the non-DM group.CONCLUSION Older adults in the Lugu community are at a greater risk of DM.In elderly individuals,DM is closely related to high BMI and HT,CHD,and CKD.Physical examinations should be actively carried out for elderly people to determine their BMI,SBP,DBP,and other signs,and sufficient attention should be given to abnormalities in the above signs before further diagnosis.展开更多
Resilience of air&space defense system of systems(SoSs)is critical to national air defense security.However,the research on it is still scarce.In this study,the resilience of air&space defense SoSs is firstly ...Resilience of air&space defense system of systems(SoSs)is critical to national air defense security.However,the research on it is still scarce.In this study,the resilience of air&space defense SoSs is firstly defined and the kill network theory is established by combining super network and kill chain theory.Two cases of the SoSs are considered:(a)The kill chains are relatively homogenous;(b)The kill chains are relatively heterogenous.Meanwhile,two capability assessment methods,which are based on the number of kill chains and improved self-information quantity,respectively,are proposed.The improved self-information quantity modeled based on nodes and edges can achieve qualitative and quantitative assessment of the combat capability by using linguistic Pythagorean fuzzy sets.Then,a resilient evaluation index consisting of risk response,survivability,and quick recovery is proposed accordingly.Finally,network models for regional air defense and anti-missile SoSs are established respectively,and the resilience measurement results are verified and analyzed under different attack and recovery strategies,and the optimization strategies are also proposed.The proposed theory and method can meet different demands to evaluate combat capability and optimize resilience of various types of air&space defense and similar SoSs.展开更多
Table of contents Preamble 1 Introduction 1.1 Class of recommendations and level of evidences 1.2 Definition and categories of hypertension in the elderly 1.3 Current status of epidemiology of hypertension in the elde...Table of contents Preamble 1 Introduction 1.1 Class of recommendations and level of evidences 1.2 Definition and categories of hypertension in the elderly 1.3 Current status of epidemiology of hypertension in the elderly 1.4 The characteristics of hypertension in the elderly.展开更多
AIM: To explore the effect of in vitro porcine esophageal variceal pressure on complete ligation degree for polycyclic ligators. METHODS: An in vitro model of experimental porcine venous vessels was used to test vario...AIM: To explore the effect of in vitro porcine esophageal variceal pressure on complete ligation degree for polycyclic ligators. METHODS: An in vitro model of experimental porcine venous vessels was used to test various venous pressures. Three treatment groups were designated according to the preset pressure range: P1 = 25-30 cm H2O; P2 = 35-40 cm H2O; P3 = 45-50 cm H2 O. The effect of pressure on ligation was assessed and compared among the groups. RESULTS: Complete ligation was achieved at a rate of 56.25%(18/32) in group P1, 37.5%(12/32) in group P2, and 33.33%(11/33) in group P3(χ2 = 3.6126; P = 0.0573). CONCLUSION: Higher variceal pressures impair the ligation completion rate. Therefore, measuring variceal pressure may help predict the effect of endoscopic ligation and guide treatment choice.展开更多
The theory of tune feedback correction and the principle of a feedback algorithm based on machine learning are introduced,with a focus on the application of lasso regression for tune feedback correction.Simulation ver...The theory of tune feedback correction and the principle of a feedback algorithm based on machine learning are introduced,with a focus on the application of lasso regression for tune feedback correction.Simulation verification and online feedback correction results are presented.The results show that,after applying machine learning,the feedback accuracy of the tune feedback system was higher,and the betatron tune stability was further improved.展开更多
The Five-hundred-meter Aperture Spherical radio Telescope(FAST) is the largest single-dish radio telescope in the world. In this paper, we apply photogrammetry to measure local area surface accuracy of the FAST main r...The Five-hundred-meter Aperture Spherical radio Telescope(FAST) is the largest single-dish radio telescope in the world. In this paper, we apply photogrammetry to measure local area surface accuracy of the FAST main reflector. Contrast with the existing photogrammetric methods that need to stick the cooperation target on the panel. In this paper, we directly detect nodes according to their natural feature. Analyzing the FAST reflector composition, we propose a two-step Hough transform method for node detection. Due to the high similarity of the neighboring area around nodes, it is hard to match two images by the feature matching method. Therefore, we apply the nodes combination approach to obtain the homography matrix between two photos for nodes matching. After nodes detection and matching,triangulation and bundle adjustment algorithms are adopted for 3 D reconstruction. During the experiment,the adjusted node position deform a local area of the FAST main reflector into a spherical cap with a radius of 300 m. The experimental result shows that the measurement accuracy of the sphere with a radius of 300 m is 12.299 mm, indicating that it is feasible to apply photogrammetry for the FAST main reflector measurement.展开更多
AIM:To assess systematically the association between regulatory T cells(Tregs)and hepatocellular carcinoma(HCC).METHODS:We searched Medline,Embase and Wanfang databases for literature on the populations of Tregs in HC...AIM:To assess systematically the association between regulatory T cells(Tregs)and hepatocellular carcinoma(HCC).METHODS:We searched Medline,Embase and Wanfang databases for literature on the populations of Tregs in HCC patients and controls,using the pooled OR and 95%CIs for assessment.There were no limitations with respect to publication date or language.The references of qualifying articles were also searched.We excluded studies with unclear data or overlapping studies.Twenty-three studies met our criteria,and the quality of these studies was assessed using the Scottish Intercollegiate Guidelines Network(SIGN).The meta-analysis of association between Tregs and HCC was undertaken using the random-effects approach,as described by DerSimonian and Laird.Subgroup analysis was performed when at least three studies were available.Potential publication bias was assessed by visual inspection of the funnel plot,and an asymmetric plot suggested possible publication bias.RESULTS:Twenty-three studies with a total of 1279HCC patients and 547 healthy volunteers as controls were enrolled.The frequency of circulating Tregs in HCC patients was 87%higher than in healthy controls(OR=1.87,95%CI:1.49-2.34).The frequency of Tregs in the HCC tumor microenvironment was significantly higher than that in tumor-surrounding tissue and biopsy specimens from healthy livers(OR=4.04,95%CI:2.10-7.79,P=0.000;OR=2.869,95%CI:2.16-3.82,P=0.000).However,subgroup analyses based on the different types of tumors or patient characteristics such as tumor size,tumor number orαfetoprotein(AFP)levels in HCC patients,showed that populations of Tregs as a whole were not significantly changed between groups(P>0.05 for all).CONCLUSION:There is an obvious association between Tregs and pathogenesis of HCC.Further welldesigned clinical studies are warranted to illustrate the potential role of Tregs in HCC.展开更多
BACKGROUND Schwannomas,also known as neurinomas,are benign tumors derived from Schwann cells.Gastrointestinal schwannomas are rare and are most frequently reported in the stomach.They are usually asymptomatic and are ...BACKGROUND Schwannomas,also known as neurinomas,are benign tumors derived from Schwann cells.Gastrointestinal schwannomas are rare and are most frequently reported in the stomach.They are usually asymptomatic and are difficult to diagnose preoperatively;however,endoscopy and imaging modalities can provide beneficial preliminary diagnostic data.There are various surgical options for management.Here,we present a case of a large gastric schwannoma(GS)managed by combined laparoscopic and endoscopic surgery.CASE SUMMARY A 28-year-old woman presented with a 2-mo history of epigastric discomfort and a feeling of abdominal fullness.On upper gastrointestinal endoscopy and endoscopic ultrasonography,a hypoechogenic submucosal mass was detected in the gastric antrum:It emerged from the muscularis propria and projected intraluminally.Computed tomography showed a nodular lesion(4 cm×3.5 cm),which exhibited uniform enhancement,on the gastric antrum wall.Based on these findings,a preliminary diagnosis of gastrointestinal stromal tumor was established,with schwannoma as a differential.Considering the large tumor size,we planned to perform endoscopic resection and to convert to laparoscopic treatment,if necessary.Eventually,the patient underwent combined laparoscopic and gastroscopic surgery.Immunohistochemically,the resected specimen showed positivity for S-100 and negativity for desmin,DOG-1,α-smooth muscle actin,CD34,CD117,and p53.The Ki-67 index was 3%,and a final diagnosis of GS was established.CONCLUSION Combined laparoscopic and endoscopic surgery is a minimally invasive and effective treatment option for large GSs.展开更多
Background:To examine the association between alcohol drinking and short sleep duration among Chinese adults.Methods:Based on inclusion and exclusion criteria,28,167 records of 15,074 adults longitudinal data were obt...Background:To examine the association between alcohol drinking and short sleep duration among Chinese adults.Methods:Based on inclusion and exclusion criteria,28,167 records of 15,074 adults longitudinal data were obtained from the China Health and Nutrition Survey for the period from 2004 to 2011.A multilevel logistic regression model was employed to explore the association between alcohol drinking and sleep duration.Results:Compared with nondrinking participants,a high drinking frequency was positively correlated with a short sleep duration in both the males(odds ratio(OR)=1.33,95%confidence interval(CI)=1.20–1.48,P<0.001)and females(OR=1.60,95%CI=1.18–2.18,P=0.003)before the covariates were adjusted.After adjusting for age,residence area,education level,marital status,smoking,coffee consumption,tea consumption,and activity level,this association remained significant in the males(OR=1.31,95%CI=1.17–1.46,P<0.001)but not in the females(OR=1.16,95%CI=0.85–1.59,P=0.340).Conclusion:The present results suggest that a high drinking frequency was positively correlated with a short sleep duration in male population.Comprehensive measures therefore need to be implemented to improve sleep duration,especially to increase awareness of the dangers of drinking alcohol.展开更多
Naphthyl-α-diimine nickel complexes with systematically varied ligand sterics, activated by modified methylaluminoxane(MMAO), were tested in the polymerization of higher α-olefin(1-hexene, 1-decene and 1-hexadecene)...Naphthyl-α-diimine nickel complexes with systematically varied ligand sterics, activated by modified methylaluminoxane(MMAO), were tested in the polymerization of higher α-olefin(1-hexene, 1-decene and 1-hexadecene) under suitable conditions. The polymerization results indicated the possibility of precise microstructure control, depending on catalyst structure, polymerization temperature, monomer concentration and types of monomers, which in turn strongly affects the resultant polymer properties. Naphthyl-α-diimine nickel complex bearing chiral bulky sec-phenethyl groups in the o-naphthyl position showed good catalytic activity, and resulted in branched polymers(42-88/1000 C) with high molecular weights(M_n:(4.3-15.2) × 10~4 g·mol^(-1)) and narrow molecular weight distribution(M_w/M_n = 1.13-1.29, RT), which suggested a living polymerization. The increasing steric hindrance of catalyst leads to enhance insertion for 2,1-insertion of α-olefin and the chain-walking reaction.展开更多
Worldwide,lung cancer is the most common malignancy and the leading cause of cancer-related death.After the era of chemotherapy,radiotherapy,and molecular-targeted therapy,the treatment of advanced lung cancer has ent...Worldwide,lung cancer is the most common malignancy and the leading cause of cancer-related death.After the era of chemotherapy,radiotherapy,and molecular-targeted therapy,the treatment of advanced lung cancer has entered a new era of immunotherapy,represented by immune checkpoint inhibitors(ICIs),including programmed cell death protein-1/programmed cell death protein ligand-1(PD-1/PD-L1)inhibitors and cytotoxic T-lymphocyte-associated antigen-4(CTLA-4)inhibitors.[1]However,patients treated with ICIs may experience unexpected systemic toxicities,some fatal.Thus,managing immunotherapy-related toxicity has become increasingly significant in patients with lung cancer.Here,we review the latest developments on the clinical features and management of immunotherapy-related toxicity in patients with lung cancer in order to promote the standardization of immunotherapy for lung cancer.展开更多
Because of its good stability and conductivity,titanium nitride(TiN)is considered to be a very promising alternative support for Pt catalyst;however,the preparation of TiN supports is still challenging.In this work,at...Because of its good stability and conductivity,titanium nitride(TiN)is considered to be a very promising alternative support for Pt catalyst;however,the preparation of TiN supports is still challenging.In this work,atomic layer deposition was facilely adopted to fabricate TiN nanoparticles onto carbon nanotubes(CNTs),and then the prepared TiN/CNTs hybrid was used as a support of Pt catalyst.The resulting TiN/CNTs-supported Pt nanoparticles(Pt@TiN/CNTs)nanocomposite showed higher catalytic activity and long-term stability toward the oxygen reduction reaction than the commercial Pt/C,which should be due to the high conductivity and high stability of TiN support,as well as the favorable Pt-TiN strong interaction.展开更多
Background:Since the outbreak of coronavirus disease 2019(COVID-19),human mobility restriction measures have raised controversies,partly because of the inconsistent findings.An empirical study is promptly needed to re...Background:Since the outbreak of coronavirus disease 2019(COVID-19),human mobility restriction measures have raised controversies,partly because of the inconsistent findings.An empirical study is promptly needed to reliably assess the causal effects of the mobility restriction.The purpose of this study was to quantify the causal effects of human mobility restriction on the spread of COVID-19.Methods:Our study applied the difference-in-difference(DID)model to assess the declines of population mobility at the city level,and used the log-log regression model to examine the effects of population mobility declines on the disease spread measured by cumulative or new cases of COVID-19 over time after adjusting for confounders.Results:The DID model showed that a continual expansion of the relative declines over time in 2020.After 4 weeks,population mobility declined by-54.81%(interquartile range,-65.50%to-43.56%).The accrued population mobility declines were associated with the significant reduction of cumulative COVID-19 cases throughout 6 weeks(ie,1%decline of population mobility was associated with 0.72%[95%CI:0.50%-0.93%]reduction of cumulative cases for 1 week,1.42%2 weeks,1.69%3 weeks,1.72%4 weeks,1.64%5 weeks,and 1.52%6 weeks).The impact on the weekly new cases seemed greater in the first 4 weeks but faded thereafter.The effects on cumulative cases differed by cities of different population sizes,with greater effects seen in larger cities.Conclusions:Persistent population mobility restrictions are well deserved.Implementation of mobility restrictions in major cities with large population sizes may be even more important.展开更多
The coronavirus disease 2019(COVID-19)pandemic has affected over twenty million people worldwide since its outbreak,[1]in which approximately 19%are expected to progress to severe or critical disease,constituting the ...The coronavirus disease 2019(COVID-19)pandemic has affected over twenty million people worldwide since its outbreak,[1]in which approximately 19%are expected to progress to severe or critical disease,constituting the high-risk group for death.[2]The reported case-fatality rates among the severe COVID-19 varied a lot across different regions from zero to 61.5%[1,3]and the reason behind remained unclear.Very limited data concerning management of severe cases were reported from low case-fatality areas.In this study,we described the clinical features,multi-strategy management,and respiratory support resources usage for the severe COVID-19 in Sichuan province,where the 28-day case-fatality rate was 0.6%in all patients and 3.7%in severe cases,which was much lower compared with that reported in most of the studies worldwide.展开更多
Background:Tuberculosis(TB)is still one of the most serious infectious diseases in the mainland of China.So it was urgent for the formulation of more effective measures to prevent and control it.Methods:The data of re...Background:Tuberculosis(TB)is still one of the most serious infectious diseases in the mainland of China.So it was urgent for the formulation of more effective measures to prevent and control it.Methods:The data of reported TB cases in 340 prefectures from the mainland of China were extracted from the China Information System for Disease Control and Prevention(CISDCP)during January 2005 to December 2015.The Kulldorff’s retrospective space-time scan statistics was used to identify the temporal,spatial and spatio-temporal clusters of reported TB in the mainland of China by using the discrete Poisson probability model.Spatio-temporal clusters of sputum smear-positive(SS+)reported TB and sputum smearnegative(SS-)reported TB were also detected at the prefecture level.Results:A total of 10200528 reported TB cases were collected from 2005 to 2015 in 340 prefectures,including 5283983 SS-TB cases and 4631734 SS+TB cases with specific sputum smear results,284811 cases without sputum smear test.Significantly TB clustering patterns in spatial,temporal and spatiotemporal were observed in this research.Results of the Kulldorff’s scan found twelve significant space-time clusters of reported TB.The most likely spatio-temporal cluster(RR=3.27,P<0.001)was mainly located in Xinjiang Uygur Autonomous Region of western China,covering five prefectures and clustering in the time frame from September 2012 to November 2015.The spatio-temporal clustering results of SS+TB and SS-TB also showed the most likely clusters distributed in the western China.However,the clustering time of SS+TB was concentrated before 2010 while SS-TB was mainly concentrated after 2010.Conclusions:This study identified the time and region of TB,SS+TB and SS-TB clustered easily in 340 prefectures in the mainland of China,which is helpful in prioritizing resource assignment in high-risk periods and high-risk areas,and to formulate powerful strategy to prevention and control TB.展开更多
文摘BACKGROUND At present,there is no unified and effective treatment for extreme corrosive esophageal stenosis(CES)with esophagotracheal fistula(ETF).This case had extreme and severe esophageal stenosis(ES)and ETF after ingesting an enzyme-based chemical detergent,resulting in a serious pulmonary infection and severe malnutrition.Upper gastrointestinal imaging showed that he had an ETF,and endoscopy showed that he had extreme and severe esophageal stricture.This case was complex and difficult to treat.According to the domestic and foreign lite-rature,there is no universal treatment that is low-risk.CASE SUMMARY A patient came to our hospital with extreme ES,an ETF,and severe malnutrition complicated with pulmonary tuberculosis 1 mo after the consumption of an enzy-me-based detergent.The ES was serious,and the endoscope was unable to pass through the esophagus.We treated him by endoscopic incision method(EIM),esophageal stent placement(ESP),and endoscopic balloon dilation(EBD)by using the bronchoscope and gastroscope.This treatment not only closed the ETF,but also expanded the esophagus,with minimal trauma,greatly reducing the pain of the patient.According to the literature,there are no similar reported cases.CONCLUSION We report,for the first time,a patient with extreme CES complicated with ETF,where the endoscope could not be passed through his esophagus but he could be examined by bronchoscopy and treated by EIM,ESP,and EBD.
基金Supported by the Capital’s Funds for Health Improvement and Research,No.2023-3S-002.
文摘BACKGROUND Age is a significant risk factor of diabetes mellitus(DM).With the develop of population aging,the incidence of DM remains increasing.Understanding the epidemiology of DM among elderly individuals in a certain area contributes to the DM interventions for the local elderly individuals with high risk of DM.AIM To explore the prevalence of DM among elderly individuals in the Lugu community and analyze the related risk factors to provide a valid scientific basis for the health management of elderly individuals.METHODS A total of 4816 elderly people who came to the community for physical examination were retrospectively analyzed.The prevalence of DM among the elderly was calculated.The individuals were divided into a DM group and a non-DM group according to the diagnosis of DM to compare the differences in diastolic blood pressure(DBP)and systolic blood pressure(SBP),fasting blood glucose,body mass index(BMI),waist-to-hip ratio(WHR)and incidence of hypertension(HT),coronary heart disease(CHD),and chronic kidney disease(CKD).RESULTS DM was diagnosed in 32.70%of the 4816 elderly people.The BMI of the DM group(25.16±3.35)was greater than that of the non-DM group(24.61±3.78).The WHR was 0.90±0.04 in the non-DM group and 0.90±0.03 in the DM group,with no significant difference.The left SBP and SBP in the DM group were 137.9 mmHg±11.92 mmHg and 69.95 mmHg±7.75 mmHg,respectively,while they were 126.6 mmHg±12.44 mmHg and 71.15 mmHg±12.55 mmHg,respectively,in the non-DM group.These findings indicate higher SBP and lower DBP in DM patients than in those without DM.In the DM group,1274 patients were diagnosed with HT,accounting for 80.89%.Among the 3241 non-DM patients,1743(53.78%)were hypertensive and 1498(46.22%)were nonhypertensive.The DM group had more cases of HT than did the non-DM group.There were more patients with CHD or CKD in the DM group than in the non-DM group.There were more patients who drank alcohol more frequently(≥3 times)in the DM group than in the non-DM group.CONCLUSION Older adults in the Lugu community are at a greater risk of DM.In elderly individuals,DM is closely related to high BMI and HT,CHD,and CKD.Physical examinations should be actively carried out for elderly people to determine their BMI,SBP,DBP,and other signs,and sufficient attention should be given to abnormalities in the above signs before further diagnosis.
基金supported by National Natural Science Foundation of China,grant numbers 72001214National Social Science Foundation of China,Young Talent Fund of University Association for Science and Technology in Shaanxi,China,No.20190108Natural Science Foundation of Shaanxi Province,grant number 2020JQ-484.
文摘Resilience of air&space defense system of systems(SoSs)is critical to national air defense security.However,the research on it is still scarce.In this study,the resilience of air&space defense SoSs is firstly defined and the kill network theory is established by combining super network and kill chain theory.Two cases of the SoSs are considered:(a)The kill chains are relatively homogenous;(b)The kill chains are relatively heterogenous.Meanwhile,two capability assessment methods,which are based on the number of kill chains and improved self-information quantity,respectively,are proposed.The improved self-information quantity modeled based on nodes and edges can achieve qualitative and quantitative assessment of the combat capability by using linguistic Pythagorean fuzzy sets.Then,a resilient evaluation index consisting of risk response,survivability,and quick recovery is proposed accordingly.Finally,network models for regional air defense and anti-missile SoSs are established respectively,and the resilience measurement results are verified and analyzed under different attack and recovery strategies,and the optimization strategies are also proposed.The proposed theory and method can meet different demands to evaluate combat capability and optimize resilience of various types of air&space defense and similar SoSs.
文摘Table of contents Preamble 1 Introduction 1.1 Class of recommendations and level of evidences 1.2 Definition and categories of hypertension in the elderly 1.3 Current status of epidemiology of hypertension in the elderly 1.4 The characteristics of hypertension in the elderly.
基金Special Financial Grant from the China Postdoctoral Science Foundation,No.2012T50868Beijing Municipal Committee and Municipal Government Priority Access to the District Project of Emergency Startup Funds,No.Z111107056811048
文摘AIM: To explore the effect of in vitro porcine esophageal variceal pressure on complete ligation degree for polycyclic ligators. METHODS: An in vitro model of experimental porcine venous vessels was used to test various venous pressures. Three treatment groups were designated according to the preset pressure range: P1 = 25-30 cm H2O; P2 = 35-40 cm H2O; P3 = 45-50 cm H2 O. The effect of pressure on ligation was assessed and compared among the groups. RESULTS: Complete ligation was achieved at a rate of 56.25%(18/32) in group P1, 37.5%(12/32) in group P2, and 33.33%(11/33) in group P3(χ2 = 3.6126; P = 0.0573). CONCLUSION: Higher variceal pressures impair the ligation completion rate. Therefore, measuring variceal pressure may help predict the effect of endoscopic ligation and guide treatment choice.
基金supported by the National Natural Science Foundation of China (No. 11975227)Hefei Science Center,CAS (No.2019HSC-KPRD003)
文摘The theory of tune feedback correction and the principle of a feedback algorithm based on machine learning are introduced,with a focus on the application of lasso regression for tune feedback correction.Simulation verification and online feedback correction results are presented.The results show that,after applying machine learning,the feedback accuracy of the tune feedback system was higher,and the betatron tune stability was further improved.
文摘The Five-hundred-meter Aperture Spherical radio Telescope(FAST) is the largest single-dish radio telescope in the world. In this paper, we apply photogrammetry to measure local area surface accuracy of the FAST main reflector. Contrast with the existing photogrammetric methods that need to stick the cooperation target on the panel. In this paper, we directly detect nodes according to their natural feature. Analyzing the FAST reflector composition, we propose a two-step Hough transform method for node detection. Due to the high similarity of the neighboring area around nodes, it is hard to match two images by the feature matching method. Therefore, we apply the nodes combination approach to obtain the homography matrix between two photos for nodes matching. After nodes detection and matching,triangulation and bundle adjustment algorithms are adopted for 3 D reconstruction. During the experiment,the adjusted node position deform a local area of the FAST main reflector into a spherical cap with a radius of 300 m. The experimental result shows that the measurement accuracy of the sphere with a radius of 300 m is 12.299 mm, indicating that it is feasible to apply photogrammetry for the FAST main reflector measurement.
基金Supported by National Natural Science Foundation of China,No.81130035,No.81372054,No.81071545,and No.81121004the National Basic Research Program of China,No.2012CB518102
文摘AIM:To assess systematically the association between regulatory T cells(Tregs)and hepatocellular carcinoma(HCC).METHODS:We searched Medline,Embase and Wanfang databases for literature on the populations of Tregs in HCC patients and controls,using the pooled OR and 95%CIs for assessment.There were no limitations with respect to publication date or language.The references of qualifying articles were also searched.We excluded studies with unclear data or overlapping studies.Twenty-three studies met our criteria,and the quality of these studies was assessed using the Scottish Intercollegiate Guidelines Network(SIGN).The meta-analysis of association between Tregs and HCC was undertaken using the random-effects approach,as described by DerSimonian and Laird.Subgroup analysis was performed when at least three studies were available.Potential publication bias was assessed by visual inspection of the funnel plot,and an asymmetric plot suggested possible publication bias.RESULTS:Twenty-three studies with a total of 1279HCC patients and 547 healthy volunteers as controls were enrolled.The frequency of circulating Tregs in HCC patients was 87%higher than in healthy controls(OR=1.87,95%CI:1.49-2.34).The frequency of Tregs in the HCC tumor microenvironment was significantly higher than that in tumor-surrounding tissue and biopsy specimens from healthy livers(OR=4.04,95%CI:2.10-7.79,P=0.000;OR=2.869,95%CI:2.16-3.82,P=0.000).However,subgroup analyses based on the different types of tumors or patient characteristics such as tumor size,tumor number orαfetoprotein(AFP)levels in HCC patients,showed that populations of Tregs as a whole were not significantly changed between groups(P>0.05 for all).CONCLUSION:There is an obvious association between Tregs and pathogenesis of HCC.Further welldesigned clinical studies are warranted to illustrate the potential role of Tregs in HCC.
基金Supported by Zhejiang Provincial Natural Science Foundation of China,No. LGF18H160036
文摘BACKGROUND Schwannomas,also known as neurinomas,are benign tumors derived from Schwann cells.Gastrointestinal schwannomas are rare and are most frequently reported in the stomach.They are usually asymptomatic and are difficult to diagnose preoperatively;however,endoscopy and imaging modalities can provide beneficial preliminary diagnostic data.There are various surgical options for management.Here,we present a case of a large gastric schwannoma(GS)managed by combined laparoscopic and endoscopic surgery.CASE SUMMARY A 28-year-old woman presented with a 2-mo history of epigastric discomfort and a feeling of abdominal fullness.On upper gastrointestinal endoscopy and endoscopic ultrasonography,a hypoechogenic submucosal mass was detected in the gastric antrum:It emerged from the muscularis propria and projected intraluminally.Computed tomography showed a nodular lesion(4 cm×3.5 cm),which exhibited uniform enhancement,on the gastric antrum wall.Based on these findings,a preliminary diagnosis of gastrointestinal stromal tumor was established,with schwannoma as a differential.Considering the large tumor size,we planned to perform endoscopic resection and to convert to laparoscopic treatment,if necessary.Eventually,the patient underwent combined laparoscopic and gastroscopic surgery.Immunohistochemically,the resected specimen showed positivity for S-100 and negativity for desmin,DOG-1,α-smooth muscle actin,CD34,CD117,and p53.The Ki-67 index was 3%,and a final diagnosis of GS was established.CONCLUSION Combined laparoscopic and endoscopic surgery is a minimally invasive and effective treatment option for large GSs.
基金This study was supported by the National Social Science Foundation of China(No.16BGL183)This research uses data from China Health and Nutrition Survey+1 种基金The authors would like to thank the National Institute of Nutrition and Food Safety,China Center for Disease Control and Prevention,Carolina Population Center,the University of North Carolina at Chapel Hill,the National Institute for Health(R01-HD30880,DK056350,and R01-HD38700)the Fogarty International Center,NIH for financial support for the China Health and Nutrition Survey data collection and analysis files from 1989 to 2006 and both parties plus the China-Japan Friendship Hospital,Ministry of Health for support for China Health and Nutrition Survey 2009 and future surveys.
文摘Background:To examine the association between alcohol drinking and short sleep duration among Chinese adults.Methods:Based on inclusion and exclusion criteria,28,167 records of 15,074 adults longitudinal data were obtained from the China Health and Nutrition Survey for the period from 2004 to 2011.A multilevel logistic regression model was employed to explore the association between alcohol drinking and sleep duration.Results:Compared with nondrinking participants,a high drinking frequency was positively correlated with a short sleep duration in both the males(odds ratio(OR)=1.33,95%confidence interval(CI)=1.20–1.48,P<0.001)and females(OR=1.60,95%CI=1.18–2.18,P=0.003)before the covariates were adjusted.After adjusting for age,residence area,education level,marital status,smoking,coffee consumption,tea consumption,and activity level,this association remained significant in the males(OR=1.31,95%CI=1.17–1.46,P<0.001)but not in the females(OR=1.16,95%CI=0.85–1.59,P=0.340).Conclusion:The present results suggest that a high drinking frequency was positively correlated with a short sleep duration in male population.Comprehensive measures therefore need to be implemented to improve sleep duration,especially to increase awareness of the dangers of drinking alcohol.
基金financially supported by the Fundamental Research Funds for the Central Universities (WK2060200025)Advanced Catalysis and Green Manufacturing Collaborative Innovation Center (ACGM2016-06-01)Yixing Taodu Ying Cai Program
文摘Naphthyl-α-diimine nickel complexes with systematically varied ligand sterics, activated by modified methylaluminoxane(MMAO), were tested in the polymerization of higher α-olefin(1-hexene, 1-decene and 1-hexadecene) under suitable conditions. The polymerization results indicated the possibility of precise microstructure control, depending on catalyst structure, polymerization temperature, monomer concentration and types of monomers, which in turn strongly affects the resultant polymer properties. Naphthyl-α-diimine nickel complex bearing chiral bulky sec-phenethyl groups in the o-naphthyl position showed good catalytic activity, and resulted in branched polymers(42-88/1000 C) with high molecular weights(M_n:(4.3-15.2) × 10~4 g·mol^(-1)) and narrow molecular weight distribution(M_w/M_n = 1.13-1.29, RT), which suggested a living polymerization. The increasing steric hindrance of catalyst leads to enhance insertion for 2,1-insertion of α-olefin and the chain-walking reaction.
基金National Natural Science Foundation of China to Wei-Min Li(No.81871890)。
文摘Worldwide,lung cancer is the most common malignancy and the leading cause of cancer-related death.After the era of chemotherapy,radiotherapy,and molecular-targeted therapy,the treatment of advanced lung cancer has entered a new era of immunotherapy,represented by immune checkpoint inhibitors(ICIs),including programmed cell death protein-1/programmed cell death protein ligand-1(PD-1/PD-L1)inhibitors and cytotoxic T-lymphocyte-associated antigen-4(CTLA-4)inhibitors.[1]However,patients treated with ICIs may experience unexpected systemic toxicities,some fatal.Thus,managing immunotherapy-related toxicity has become increasingly significant in patients with lung cancer.Here,we review the latest developments on the clinical features and management of immunotherapy-related toxicity in patients with lung cancer in order to promote the standardization of immunotherapy for lung cancer.
基金financially supported by the Shandong Provincial Natural Science Foundation(Nos.ZR2016JL007 and ZR2014JL010)the National Natural Science Foundation of China(No.21775078)。
文摘Because of its good stability and conductivity,titanium nitride(TiN)is considered to be a very promising alternative support for Pt catalyst;however,the preparation of TiN supports is still challenging.In this work,atomic layer deposition was facilely adopted to fabricate TiN nanoparticles onto carbon nanotubes(CNTs),and then the prepared TiN/CNTs hybrid was used as a support of Pt catalyst.The resulting TiN/CNTs-supported Pt nanoparticles(Pt@TiN/CNTs)nanocomposite showed higher catalytic activity and long-term stability toward the oxygen reduction reaction than the commercial Pt/C,which should be due to the high conductivity and high stability of TiN support,as well as the favorable Pt-TiN strong interaction.
基金supported by the grants from the National Natural Science Foundation of China(Nos.71704122 and 71974138)National Science and Technology Major Project(No.2018ZX10302206)1·3·5 project for disciplines of excellence,West China Hospital,Sichuan University(No.ZYYC08003)。
文摘Background:Since the outbreak of coronavirus disease 2019(COVID-19),human mobility restriction measures have raised controversies,partly because of the inconsistent findings.An empirical study is promptly needed to reliably assess the causal effects of the mobility restriction.The purpose of this study was to quantify the causal effects of human mobility restriction on the spread of COVID-19.Methods:Our study applied the difference-in-difference(DID)model to assess the declines of population mobility at the city level,and used the log-log regression model to examine the effects of population mobility declines on the disease spread measured by cumulative or new cases of COVID-19 over time after adjusting for confounders.Results:The DID model showed that a continual expansion of the relative declines over time in 2020.After 4 weeks,population mobility declined by-54.81%(interquartile range,-65.50%to-43.56%).The accrued population mobility declines were associated with the significant reduction of cumulative COVID-19 cases throughout 6 weeks(ie,1%decline of population mobility was associated with 0.72%[95%CI:0.50%-0.93%]reduction of cumulative cases for 1 week,1.42%2 weeks,1.69%3 weeks,1.72%4 weeks,1.64%5 weeks,and 1.52%6 weeks).The impact on the weekly new cases seemed greater in the first 4 weeks but faded thereafter.The effects on cumulative cases differed by cities of different population sizes,with greater effects seen in larger cities.Conclusions:Persistent population mobility restrictions are well deserved.Implementation of mobility restrictions in major cities with large population sizes may be even more important.
基金supported by the Project of Novel Coronavirus Pneumonia in West China Hospital(No.HX2019nCoV027)。
文摘The coronavirus disease 2019(COVID-19)pandemic has affected over twenty million people worldwide since its outbreak,[1]in which approximately 19%are expected to progress to severe or critical disease,constituting the high-risk group for death.[2]The reported case-fatality rates among the severe COVID-19 varied a lot across different regions from zero to 61.5%[1,3]and the reason behind remained unclear.Very limited data concerning management of severe cases were reported from low case-fatality areas.In this study,we described the clinical features,multi-strategy management,and respiratory support resources usage for the severe COVID-19 in Sichuan province,where the 28-day case-fatality rate was 0.6%in all patients and 3.7%in severe cases,which was much lower compared with that reported in most of the studies worldwide.
基金The research was supported by the National S&T Major Project(Grant No.2014ZX10004005–001).
文摘Background:Tuberculosis(TB)is still one of the most serious infectious diseases in the mainland of China.So it was urgent for the formulation of more effective measures to prevent and control it.Methods:The data of reported TB cases in 340 prefectures from the mainland of China were extracted from the China Information System for Disease Control and Prevention(CISDCP)during January 2005 to December 2015.The Kulldorff’s retrospective space-time scan statistics was used to identify the temporal,spatial and spatio-temporal clusters of reported TB in the mainland of China by using the discrete Poisson probability model.Spatio-temporal clusters of sputum smear-positive(SS+)reported TB and sputum smearnegative(SS-)reported TB were also detected at the prefecture level.Results:A total of 10200528 reported TB cases were collected from 2005 to 2015 in 340 prefectures,including 5283983 SS-TB cases and 4631734 SS+TB cases with specific sputum smear results,284811 cases without sputum smear test.Significantly TB clustering patterns in spatial,temporal and spatiotemporal were observed in this research.Results of the Kulldorff’s scan found twelve significant space-time clusters of reported TB.The most likely spatio-temporal cluster(RR=3.27,P<0.001)was mainly located in Xinjiang Uygur Autonomous Region of western China,covering five prefectures and clustering in the time frame from September 2012 to November 2015.The spatio-temporal clustering results of SS+TB and SS-TB also showed the most likely clusters distributed in the western China.However,the clustering time of SS+TB was concentrated before 2010 while SS-TB was mainly concentrated after 2010.Conclusions:This study identified the time and region of TB,SS+TB and SS-TB clustered easily in 340 prefectures in the mainland of China,which is helpful in prioritizing resource assignment in high-risk periods and high-risk areas,and to formulate powerful strategy to prevention and control TB.
