BACKGROUND Gastritis is one of the most frequently diagnosed diseases requiring medical treatment in South Korea.Fexuprazan,a novel potassium-competitive acid blocker,has been approved for treating gastritis and erosi...BACKGROUND Gastritis is one of the most frequently diagnosed diseases requiring medical treatment in South Korea.Fexuprazan,a novel potassium-competitive acid blocker,has been approved for treating gastritis and erosive esophagitis.Meanwhile,rebamipide is the most commonly used mucoprotective agent for acute and chronic gastritis in real-world settings in South Korea.However,there have been no studies comparing the efficacy of these two drugs yet.AIM To compare the efficacy of fexuprazan with that of rebamipide for acute and chronic gastritis.METHODS This was a matching-adjusted indirect comparison.Individual patient data from a phase III study of fexuprazan(10 mg BID)were compared with cumulative data from two matching studies of rebamipide(100 mg TID).Erosion improvement and healing rates were compared between two weeks of fexurapan,two weeks of rebamipide,and four weeks of rebamipide.The two main outcome variables were presented as percentages,and the risk differences(RD)and 95%confidence intervals(CI)were calculated for the relative treatment effects.RESULTS In the primary analysis,the erosion improvement and healing rates after a twoweek treatment with fexuprazan were 64.5%and 53.2%,respectively,while a twoweek treatment with rebamipide resulted in erosion improvement and healing rates of 43.6%(RD:21.0%;95%CI:9.6-32.3;P<0.01)and 35.6%(RD:17.6%;95%CI:6.1-29.2;P=0.003),respectively.In the additional analysis,the erosion improvement and healing rates for the two-week fexuprazan treatment(64.2%and 51.2%,respectively)were similar to those obtained during a four-week treatment with rebamipide(60.6%;RD:3.6%;95%CI:-9.8,17.0;P=0.600 and 53.5%;RD:-2.3%;95%CI:-16.1,11.5;P=0.744,respectively).CONCLUSION The two-week fexuprazan treatment was superior to the two-week rebamipide treatment and similar to the fourweek rebamipide treatment for patients with gastritis.展开更多
State of health(SOH)estimation of e-mobilities operated in real and dynamic conditions is essential and challenging.Most of existing estimations are based on a fixed constant current charging and discharging aging pro...State of health(SOH)estimation of e-mobilities operated in real and dynamic conditions is essential and challenging.Most of existing estimations are based on a fixed constant current charging and discharging aging profiles,which overlooked the fact that the charging and discharging profiles are random and not complete in real application.This work investigates the influence of feature engineering on the accuracy of different machine learning(ML)-based SOH estimations acting on different recharging sub-profiles where a realistic battery mission profile is considered.Fifteen features were extracted from the battery partial recharging profiles,considering different factors such as starting voltage values,charge amount,and charging sliding windows.Then,features were selected based on a feature selection pipeline consisting of filtering and supervised ML-based subset selection.Multiple linear regression(MLR),Gaussian process regression(GPR),and support vector regression(SVR)were applied to estimate SOH,and root mean square error(RMSE)was used to evaluate and compare the estimation performance.The results showed that the feature selection pipeline can improve SOH estimation accuracy by 55.05%,2.57%,and 2.82%for MLR,GPR and SVR respectively.It was demonstrated that the estimation based on partial charging profiles with lower starting voltage,large charge,and large sliding window size is more likely to achieve higher accuracy.This work hopes to give some insights into the supervised ML-based feature engineering acting on random partial recharges on SOH estimation performance and tries to fill the gap of effective SOH estimation between theoretical study and real dynamic application.展开更多
Due to the acceleration of urbanization,the municipal waste(MW)problem has transformed into a global challenge for urb-an sustainability.To elucidate historical trends,current focal points,and future directions in MW ...Due to the acceleration of urbanization,the municipal waste(MW)problem has transformed into a global challenge for urb-an sustainability.To elucidate historical trends,current focal points,and future directions in MW research,we conducted a bibliometric analysis and employed knowledge graph visualization to scrutinize a total of 34212 articles,which were published between 1991 and 2021 in the Web of Science(WoS)core database.The results indicated that current major research themes encompass waste classifica-tion and recycling,waste management and public behavior,waste disposal methods and technologies,as well as environmental impact and evaluation.There has been a shift in the research focus from the environmental impacts of waste incineration to sustainable manage-ment related issues.A comparison of research from six typical countries revealed the differences in research priorities and techniques advantages.Scholars from the USA and Britain initiated MW research earlier than other countries and investigated management issues in depth,such as public behavior and willingness to pay.Meanwhile,Japanese,German,and Swedish scholars conducted extensive studies on advanced waste treatment technologies,such as disposal and recycling,risk assessment,and waste-to-energy techniques.Chinese scholars placed particular emphasis on end-of-pipe treatments and their associated environmental impacts.Hotspots and poten-tial future frontiers were identified by burst detection analysis.Keywords with high value of burst index(BI)worldwide are food waste and circular economy.Chinese scholars have put great efforts on waste environmental impact and its recycling technologies,while we’re expecting to further investigating vulnerable population.Furthermore,this study contributes to bridging the regional gap of scientific research among different countries and fostering international collaboration.展开更多
To compare finite element analysis(FEA)predictions and stereovision digital image correlation(StereoDIC)strain measurements at the same spatial positions throughout a region of interest,a field comparison procedure is...To compare finite element analysis(FEA)predictions and stereovision digital image correlation(StereoDIC)strain measurements at the same spatial positions throughout a region of interest,a field comparison procedure is developed.The procedure includes(a)conversion of the finite element data into a triangular mesh,(b)selection of a common coordinate system,(c)determination of the rigid body transformation to place both measurements and FEA data in the same system and(d)interpolation of the FEA nodal information to the same spatial locations as the StereoDIC measurements using barycentric coordinates.For an aluminum Al-6061 double edge notched tensile specimen,FEA results are obtained using both the von Mises isotropic yield criterion and Hill’s quadratic anisotropic yield criterion,with the unknown Hill model parameters determined using full-field specimen strain measurements for the nominally plane stress specimen.Using Hill’s quadratic anisotropic yield criterion,the point-by-point comparison of experimentally based full-field strains and stresses to finite element predictions are shown to be in excellent agreement,confirming the effectiveness of the field comparison process.展开更多
BACKGROUND Non-proliferative diabetic retinopathy(NPDR)poses a significant challenge in diabetes management due to its microvascular changes in the retina.Laser photocoagulation,a conventional therapy,aims to mitigate...BACKGROUND Non-proliferative diabetic retinopathy(NPDR)poses a significant challenge in diabetes management due to its microvascular changes in the retina.Laser photocoagulation,a conventional therapy,aims to mitigate the risk of progressing to proliferative diabetic retinopathy(PDR).AIM To compare the efficacy and safety of multi-spot vs single-spot scanning panretinal laser photocoagulation in NPDR patients.METHODS Forty-nine NPDR patients(86 eyes)treated between September 2020 and July 2022 were included.They were randomly allocated into single-spot(n=23,40 eyes)and multi-spot(n=26,46 eyes)groups.Treatment outcomes,including bestcorrected visual acuity(BCVA),central macular thickness(CMT),and mean threshold sensitivity,were assessed at predetermined intervals over 12 months.Adverse reactions were also recorded.RESULTS Energy levels did not significantly differ between groups(P>0.05),but the multi-spot group exhibited lower energy density(P<0.05).BCVA and CMT improvements were noted in the multi-spot group at one-month posttreatment(P<0.05).Adverse reaction incidence was similar between groups(P>0.05).CONCLUSION While energy intensity and safety were comparable between modalities,multi-spot scanning demonstrated lower energy density and showed superior short-term improvements in BCVA and CMT for NPDR patients,with reduced laser-induced damage.展开更多
As an important part of urban infrastructure,urban water system is of great and far-reaching significance for ensuring urban flood control and waterlogging safety,protecting ecological environment and building livable...As an important part of urban infrastructure,urban water system is of great and far-reaching significance for ensuring urban flood control and waterlogging safety,protecting ecological environment and building livable homes.Taking the urban water system of Nantong as an example,Nantong Water Resources Bureau issued R evision of Nantong Urban Water System Planning in 2017,and put forward the construction of the"two circles,eight lakes and nine veins"water system layout,giving new vitality to the urban water system.In view of problems existing in newly excavated artificial landscape lakes,such as fragile water ecosystem,strong eutrophication trend,poor environmental sensory effect and unsatisfactory water landscape effect,it is urgent to study the in-situ water ecological restoration technique of"algae-controlling zooplankton+submerged plant community"to build a"grass-type clear water"ecosystem for artificial landscape lakes,so as to improve the water sensory index and self-purification ability and finally realize the double improvement of"sensory effect and water quality"of artificial landscape lakes.展开更多
Cyclical fluctuations in asset prices are closely related to the overall stability of the macroeconomy and have thus become a significant topic in academic and professional exploration.Among these fluctuations,changes...Cyclical fluctuations in asset prices are closely related to the overall stability of the macroeconomy and have thus become a significant topic in academic and professional exploration.Among these fluctuations,changes in the supply of the U.S.dollar,the global reserve,and primary settlement currency have a broad and far-reaching impact on international financial markets.Since COVID-19,asset prices across various countries have shown differing trends due to fluctuations in the U.S.dollar supply.Housing prices,a key focus in asset pricing research,have been affected to varying degrees.This thesis utilizes seven house price indices from representative cities worldwide from 2020 to 2023 to compare the differential impacts across various countries using an empirical approach.The results indicate that the impact of the U.S.dollar money supply(M2)diminishes in a gradient from the U.S.to East Asia,and then to Europe.展开更多
Objective To analyze the development status of contract development manufacturing organization(CDMO)at home and abroad,and to make some suggestions for the development of CDMO in China.Methods The relevant literature ...Objective To analyze the development status of contract development manufacturing organization(CDMO)at home and abroad,and to make some suggestions for the development of CDMO in China.Methods The relevant literature was searched and reviewed,and the development status of CDMOs in the United States,France,Japan and China was compared from the aspects of market scale,development process,development focus,advantages and disadvantages,and policy support.Then,some suggestions for the development of CDMO enterprises in China were summarized.Results and Conclusion Through the comparison of CDMO development at home and abroad,it can be seen that China started CDMO late,there were many technical barriers and its globalization layout were not sufficient.However,the development trend was good and it focused on the field of chemical drugs and biological drugs to constantly develop innovative drugs.China needs to continuously improve its own technical capabilities to carry out innovative research.Therefore,cost reduction and efficiency increase will be the key elements for the development of CDMOs,and they are expected to have a rapid and comprehensive development in the future.展开更多
Three A10 absolute gravimeters(AGs) were first acquired in China by the Hubei Earthquake Agency under the Belt and Road Seismic Monitoring Network Project. Although AG measuring and testing technique is not new, the p...Three A10 absolute gravimeters(AGs) were first acquired in China by the Hubei Earthquake Agency under the Belt and Road Seismic Monitoring Network Project. Although AG measuring and testing technique is not new, the purchase and simultaneous testing of 3 A10 absolute gravimeters is unprecedented in China. This study conducted the first acceptance testing of the AGs at 3 locations(the Jiufengshan Gravity Observation Station, the Global Navigation Satellite System Observation Station in Wuhan, and the Jiugongshan Observation Station in Xianning). The results were compared using a method based on expert validation, and the acceptance testing scheme was formulated by referring to the Technical Regulations for Tectonic Environment Monitoring Networks in China and Specifications for Gravimetry Control. Based on the repeatability, precision, and consistency of the measured g values, the results from each instrument were evaluated using the air pressure precision test. Comparing the instrument reference values, the final test results can identify the indicator parameters for 3 A10 AGs, the effects of the surrounding environment, and the related parameters on measurement precision. The precision of A10-059, A10-058, and A10-057 exceeded 0.78 μGal, 0.79 μGal, and 0.42 μGal, respectively.This testing scheme can be used as a reference for conducting acceptance testing of AGs in the future and obtaining absolute gravimetric measurements.展开更多
Amomi Fructus(Sharen,AF)is a traditional Chinese medicine(TCM)from three source species(or varieties),including Wurfbainia villosa var.villosa(WVV),W.villosa var.xanthioides(WVX),or W.longiligularis(WL).Among them,WVV...Amomi Fructus(Sharen,AF)is a traditional Chinese medicine(TCM)from three source species(or varieties),including Wurfbainia villosa var.villosa(WVV),W.villosa var.xanthioides(WVX),or W.longiligularis(WL).Among them,WVV has been transplanted from its top-geoherb region,Guangdong,to its current main production area,Yunnan,for>50 years in China.However,the genetic and transcriptomic differentiation among multiple AF source species(or varieties)and between the origin and transplanted populations of WVV is unknown.In our study,the observed overall higher expression of terpenoid biosynthesis genes in WVV than in WVX provided possible evidence for the better pharmacological effect of WVV.We also screened six candidate borneol dehydrogenases(BDHs)that potentially catalyzed borneol into camphor in WVV and functionally verified them.Highly expressed genes at the P2 stage of WVV,Wv05G1424 and Wv05G1438,were capable of catalyzing the formation of camphor from(+)-borneol,(-)-borneol and DL-isoborneol.Moreover,the BDH genes may experience independent evolution after acquiring the ancestral copies,and the following tandem duplications might account for the abundant camphor content in WVV.Furthermore,four populations of WVV,WVX,and WL are genetically differentiated,and the gene flow from WVX to WVV in Yunnan contributed to the greater genetic diversity in the introduced population(WVV-JH)than in its top-geoherb region(WVV-YC),which showed the lowest genetic diversity and might undergo genetic degradation.In addition,terpene synthesis(TPS)and BDH genes were selected among populations of multiple AF source species(or varieties)and between the top-and non-top-geoherb regions,which might explain the difference in metabolites between these populations.Our findings provide important guidance for the conservation,genetic improvement,and industrial development of the three source species(or varieties)and for identifying top-geoherbalism with molecular markers,and proper clinical application of AF.展开更多
There is great controversy regarding the origin and source of natural gas in the Lower Triassic Feix-ianguan Formation in the Eastern Sichuan Basin.This seriously restricts the study of natural gas dy-namics in the Fe...There is great controversy regarding the origin and source of natural gas in the Lower Triassic Feix-ianguan Formation in the Eastern Sichuan Basin.This seriously restricts the study of natural gas dy-namics in the Feixianguan Formation and thus hampers natural gas exploration in the region,so further study is urgently required.Using experimental tests of natural gas composition,stable isotopes,and noble gas isotopes with gas chromatography(GC)and mass spectrometry(MS)studies of source rock and reservoir asphalt saturated hydrocarbons,the natural gas geochemical characteristics,the genetic identification and a gas-source comparison of the Feixianguan Formation were studied.Then,con-strained by the thermal history,the histories of gas generation and expulsion were restored by basin simulation technology.Finally,a gas accumulation model was established for the Feixianguan Formation.The results showed that(1)the H_(2)S-rich and H2S-poor gas reservoirs of the Feixianguan Formation are distributed on the east and west sides of the Kaijiang-Liangping trough in the Eastern Sichuan Basin,respectively.The carbon and hydrogen isotope compositions of the natural gas in the gas reservoirs are generally heavy and have typical characteristics of high-maturity dry gas reservoirs.(2)The natural gas of the Feixianguan Formation is organic thermogenic gas,which is mainly oil-type gas generated by the secondary cracking of crude oil.The gas-generating parent material is mainly type II kerogen.(3)The natural gas of the Feixianguan Formation in the Eastern Sichuan Basin was mainly generated by argil-laceous source rocks of the Upper Permian Longtan Formation.(4)Natural gas accumulation occurred as follows:the paleo-structure heights were filled with crude oil in the Early Jurassic,and paleo-oil res-ervoirs were formed in the Feixianguan Formation;during the Middle-Late Jurassic,the paleo-oil res-ervoirs were cracked when the reservoir temperatures rose above 160 C,and paleo-gas reservoirs were formed.Since the end of the Late Jurassic,the paleo-gas reservoirs have been adjusted and reformed to form the present-day natural gas reservoirs.These results provide a basis for studying natural gas accumulation dynamics of the Feixianguan Formation in the Eastern Sichuan Basin.展开更多
In this paper,a typical experiment is carried out based on a high-resolution air-sea coupled model,namely,the coupled ocean-atmosphere-wave-sediment transport(COAWST)model,on both heterogeneous many-core(SW)and homoge...In this paper,a typical experiment is carried out based on a high-resolution air-sea coupled model,namely,the coupled ocean-atmosphere-wave-sediment transport(COAWST)model,on both heterogeneous many-core(SW)and homogenous multicore(Intel)supercomputing platforms.We construct a hindcast of Typhoon Lekima on both the SW and Intel platforms,compare the simulation results between these two platforms and compare the key elements of the atmospheric and ocean modules to reanalysis data.The comparative experiment in this typhoon case indicates that the domestic many-core computing platform and general cluster yield almost no differences in the simulated typhoon path and intensity,and the differences in surface pressure(PSFC)in the WRF model and sea surface temperature(SST)in the short-range forecast are very small,whereas a major difference can be identified at high latitudes after the first 10 days.Further heat budget analysis verifies that the differences in SST after 10 days are mainly caused by shortwave radiation variations,as influenced by subsequently generated typhoons in the system.These typhoons generated in the hindcast after the first 10 days attain obviously different trajectories between the two platforms.展开更多
With the development of cloud computing technology,more and more data owners upload their local data to the public cloud server for storage and calculation.While this can save customers’operating costs,it also poses ...With the development of cloud computing technology,more and more data owners upload their local data to the public cloud server for storage and calculation.While this can save customers’operating costs,it also poses privacy and security challenges.Such challenges can be solved using secure multi-party computation(SMPC),but this still exposes more security issues.In cloud computing using SMPC,clients need to process their data and submit the processed data to the cloud server,which then performs the calculation and returns the results to each client.Each client and server must be honest.If there is cooperation or dishonest behavior between clients,some clients may profit from it or even disclose the private data of other clients.This paper proposes the SMPC based on a Partially-Homomorphic Encryption(PHE)scheme in which an addition homomorphic encryption algorithm with a lower computational cost is used to ensure data comparability and Zero-Knowledge Proof(ZKP)is used to limit the client’s malicious behavior.In addition,the introduction of Oblivious Transfer(OT)technology also ensures that the semi-honest cloud server knows nothing about private data,so that the cloud server of this scheme can calculate the correct data in the case of malicious participant models and safely return the calculation results to each client.Finally,the security analysis shows that the scheme not only ensures the privacy of participants,but also ensures the fairness of the comparison protocol data.展开更多
The present paper has two-fold purposes.First,the current work provides an integrated theoretical framework to compare popular mobile wallet service providers based on users’views in the Indian context.To this end,we...The present paper has two-fold purposes.First,the current work provides an integrated theoretical framework to compare popular mobile wallet service providers based on users’views in the Indian context.To this end,we propose a new grey correlationbased Picture Fuzzy-Evaluation based on Distance from Average Solution(GCPF-EDAS)framework for the comparative analysis.We integrate the fundamental framework of the Technology Acceptance Model and Unified theory of acceptance and use of technology vis-a-vis service quality dimensions for criteria selection.For comparative ranking,we conduct our analysis under uncertain environments using picture fuzzy numbers.We find that user-friendliness,a wide variety of use,and familiarity and awareness about the products help reduce the uncertainty factors and obtain positive impressions from the users.It is seen that PhonePe(A3),Google Pay(A2),Amazon Pay(A4)and PayTM(A1)hold top positions.For validation of the result,we first compare the ranking provided by our proposed model with that derived by using picture fuzzy score based extensions of EDAS and another widely used algorithm such as The Technique for Order of Preference by Similarity to Ideal Solution.We observe a significant consistency.We then carry out rank reversal test for GCPF-EDAS model.We notice that our proposed GCPF-EDAS model does not suffers from rank reversal phenomenon.To examine the stability in the result for further validation,we carry out the sensitivity analysis by varying the differentiating coefficient and exchanging the criteria weights.We find that our proposed method provides stable result for the present case study and performs better as ranking order does not get changed significantly with the changes in the given conditions.展开更多
Objective:This study compared the prevalence,awareness,treatment and control of hypertension and associated factors in China and the United States(US).Methods:Adult data from nationally representative samples were der...Objective:This study compared the prevalence,awareness,treatment and control of hypertension and associated factors in China and the United States(US).Methods:Adult data from nationally representative samples were derived from the Chronic Disease and Risk Factors Surveillance in 2010 and 2013 in China and the National Health and Nutrition Examination Survey in 2010 and 2013 in the US.Multivariable logistic and Poisson regression analysis were conducted to assess associations of the four outcomes with body weight status and behavioral factors.Results:Age-standardized prevalence rates of hypertension was 35.7%(95%confidence interval[CI]:35.4%to 36.1%)in 2010 and 29.8%(95%CI:29.4%to 30.2%)in 2013 in China,and 35.3%(95%CI:33.6%to 37.1%)in 2010 and 37.9%(95%CI:36.0%to 39.7%)in 2013 in the US.Among hypertensive participants,the age-standardized rates of treatment were 18.4%(95%CI:17.9%to 1&9%)in 2010 and 23.8%(95%CI:23.1%to 24.6%)in 2013 in China and 54.5%(95%CI:50.3%to 5&7%)in 2010 and 50.9%(95%CI:46.5%to 55.3%)in 2013 in the US;the age-standardized hypertension control rates were 3.2%(95%CI:3.0%to 3.5%)and 5.7%(95%CI:5.3%to 6.0%)in 2010 and 2013 in China and 50.6%(95%CI:46.2%to 55.0%)and 55.3%(95%CI:50.3%to 60.3%)in the US.Obesity was significantly associated with prevalence,awareness and control rates in both countries.Different from the US,obesity was negatively associated with hypertension control in China.Conclusion:Hypertension prevalence in China is similar to that in the US,but the control rate in China was significantly lower.Obesity was a critical risk factor for poor hypertension control in China.展开更多
The paper focused on how social comparison orientation people apply influences their psychological well-being and how self-efficacy plays an important role in buffering some negative influence from upward social compa...The paper focused on how social comparison orientation people apply influences their psychological well-being and how self-efficacy plays an important role in buffering some negative influence from upward social comparison compared with someone better in one domain.In Festinger’s(1954)social comparison theory,the social comparison orientation instructed how people process the information they compared for,and related emotion was induced differently.In this paper,2,000 college students in Boston were proposed to participate in two experiments that discuss how different social comparison orientations affect their perception of life satisfaction.For the hypothetical result,we proposed that a high level of engagement in social comparison and ability-based social comparison was associated with less life satisfaction than the participants who had a low level of social comparison and opinion-based social comparison.In terms of coping strategy,we assumed that a high level of self-efficacy,which is the belief in capability to achieve a certain goal,will buffer the negative impact from upward comparison and improve the life satisfaction of those participants who like to engage with social comparison and ability-based comparison orientation.展开更多
Both the characters of Sun Wukong in The Journey to the West,which is a traditional Chinese fiction,and Dean in On the Road,which is a typical American Beat Generation novel,have been pursuing a carefree lifestyle bas...Both the characters of Sun Wukong in The Journey to the West,which is a traditional Chinese fiction,and Dean in On the Road,which is a typical American Beat Generation novel,have been pursuing a carefree lifestyle based on their living environments respectively,but their values of freedom bear quite different meanings:Sun Wukong tries his best to struggle for a happy life for all his family and his friends as well as for himself with little consideration of the risk of his own life,while Dean is always on his way at random for his own personal happiness with little consideration for anybody else.Therefore,Sun Wukong’s behavior represents a kind of collectivism within his individualism,while Dean’s act reflects his American free life style of individualism to a certain extent.展开更多
Introduction: Brain abscess represents 8% of intracranial masses in developing countries. Despite the advances in neuro-imaging, still, the diagnosis of brain abscess is difficult and may need a biopsy in most cases t...Introduction: Brain abscess represents 8% of intracranial masses in developing countries. Despite the advances in neuro-imaging, still, the diagnosis of brain abscess is difficult and may need a biopsy in most cases to verify the diagnosis because may even lead to death. CT scan with contrast is a good tool for diagnosing and localizing brain abscesses in late stages, however, it is difficult to diagnose them in the early stages. The development of MRI helps to more accurately diagnose brain abscess. Surgical management of brain abscesses is either medical or surgical through craniotomy or burr holes. Indications of each are still a point of debate among most neurosurgeons. Methodology: This is a descriptive longitudinal prospective study to compare the outcomes of two surgical procedures used in The National Centre for Neurological Sciences-Khartoum-Sudan (NCNS) from 2012 to 2015, craniotomy and excision of the abscess membrane versus burr hole and aspiration of brain abscess in terms of duration of hospitalization, length of antibiotic use, recurrence rate, number of images needed for follow-up, and the final postoperative early and late outcomes. The data was collected through a designed questionnaire and was then analyzed using SPSS version 20. No significant ethical approval was required for this study. Results: Fifty-four patients were operated on through craniotomy (29/54) and burr hole (25/54). Their ages ranged from 1 year to 53 years with an average presentation at 13 years of age. Most patients presented with fever (23.1%), convulsions (16%), vomiting (16.7%) and headache (15.4%). The mean of illness for both groups was almost 2 months. The majority of patients in this study were having no risk factors (38.9%) while the major risk factors seen were cardiac diseases (14.8%), neurosurgical procedures (13%) and otitis media (11.1%). As most patients presented late, the diagnosis of most was made using CT brain with contrast (83.3%). In most of the patients (85.2%) there were no organisms separated in the culture. 8/54 patients had positive cultures, 7/8 were bacterial and only one (1/8) was fungal. Most patients received antibiotics for 45 days postoperatively in both craniotomy and burr hole groups. When both groups were compared, those operated with craniotomy were found to have a relatively higher length of hospital stay, however, no significant difference was found between both groups. Also, it was found that those operated on with craniotomy had a high cure rate and less recurrence in comparison with burr hole group. Deterioration and death were significantly higher among craniotomy group. Only CT brain was used as the imaging modality of choice for follow-up in both groups for 4 months’ duration and it was noted that complete evacuation was significantly higher among craniotomy group while remnants were higher among burr hole group. Conclusion: Brain abscess is still a challenging condition for neurosurgeons in Sudan. The limited number of Sudanese neurosurgeons, neurosurgical centers and diagnostic facilities contributed to delay in diagnosing brain abscess in most patients. It is important to design a strict protocol and precautions for any neurosurgical operation or bedside procedure to prevent infection and subsequent brain abscess development. CT brain with contrast is a good imaging tool for assessing the size, site and stage of brain abscesses. No significant difference between craniotomy or burr hole for clearance from brain abscess in terms of antibiotic used or duration of hospital stay. However, burr hole aspiration is associated with higher rates of recurrences. On the other hand, craniotomy and excision have relatively higher neurologic morbidity postoperative with expectantly higher post-operative hospitalization but no differences in the final outcome. Therefore, the selection of surgical technique should be individualized in each case based on the abscess site size source patient fitness for surgery and neurosurgeon’s preference.展开更多
Mongolian pine (Pinus sylvestiris Linnaeus var. mongolica Litvinov) as a valuable conifer tree species has been broadly introduced to the sandy land areas in 揟hree North?regions (North, northwest and northeast of Chi...Mongolian pine (Pinus sylvestiris Linnaeus var. mongolica Litvinov) as a valuable conifer tree species has been broadly introduced to the sandy land areas in 揟hree North?regions (North, northwest and northeast of China), but many problems occurred in the earliest Mongolian pine plantations in Zhanggutai, Zhangwu County, Liaoning Province (ZZL). In order to clarify the reason, comprehensive investigations were carried out on differences in structure characteristics, growth processes and ecological factors between artificial stands (the first plantation established in ZZL in 1950s) and natural stands (the origin forests of the tree species in Honghuaerji, Inner Mongolia) on sandy land. The results showed that variation of diameter-class distributions in artificial stands and natural stands could be described by Weibull and Normal distribution models, respectively. Chapman-Richards growth model was employed to reconstruct the growth process of Mongolian pine based on the data from field investigation and stem analysis. The ages of maximum of relative growth rate and average growth rate of DBH, height, and volume of planted trees were 11, 22 years, 8, 15 years and 35, 59 years earlier than those of natural stand trees, respectively. In respect of the incremental acceleration of volume, the artificial and natural stands reached their maximum values at 14 years and 33 years respectively. The quantitative maturity ages of artificial stands and natural stands were 43 years and 102 years respectively. It was concluded that the life span of the Mongolian pine trees in natural stands was about 60 years longer than those in artificial stands. The differences mentioned above between artificial and natural Mongolian pine forests on sandy land were partially attributed to the drastic variations of ecological conditions such as latitude, temperature, precipitation, evaporation and height above sea level. Human beings' disturbances and higher density in plantation forest may be ascribed as additional reasons. Those results may be potentially useful for the management and afforestation of Mongolian pine plantations on sandy land in arid and semi-arid areas.展开更多
文摘BACKGROUND Gastritis is one of the most frequently diagnosed diseases requiring medical treatment in South Korea.Fexuprazan,a novel potassium-competitive acid blocker,has been approved for treating gastritis and erosive esophagitis.Meanwhile,rebamipide is the most commonly used mucoprotective agent for acute and chronic gastritis in real-world settings in South Korea.However,there have been no studies comparing the efficacy of these two drugs yet.AIM To compare the efficacy of fexuprazan with that of rebamipide for acute and chronic gastritis.METHODS This was a matching-adjusted indirect comparison.Individual patient data from a phase III study of fexuprazan(10 mg BID)were compared with cumulative data from two matching studies of rebamipide(100 mg TID).Erosion improvement and healing rates were compared between two weeks of fexurapan,two weeks of rebamipide,and four weeks of rebamipide.The two main outcome variables were presented as percentages,and the risk differences(RD)and 95%confidence intervals(CI)were calculated for the relative treatment effects.RESULTS In the primary analysis,the erosion improvement and healing rates after a twoweek treatment with fexuprazan were 64.5%and 53.2%,respectively,while a twoweek treatment with rebamipide resulted in erosion improvement and healing rates of 43.6%(RD:21.0%;95%CI:9.6-32.3;P<0.01)and 35.6%(RD:17.6%;95%CI:6.1-29.2;P=0.003),respectively.In the additional analysis,the erosion improvement and healing rates for the two-week fexuprazan treatment(64.2%and 51.2%,respectively)were similar to those obtained during a four-week treatment with rebamipide(60.6%;RD:3.6%;95%CI:-9.8,17.0;P=0.600 and 53.5%;RD:-2.3%;95%CI:-16.1,11.5;P=0.744,respectively).CONCLUSION The two-week fexuprazan treatment was superior to the two-week rebamipide treatment and similar to the fourweek rebamipide treatment for patients with gastritis.
基金funded by China Scholarship Council.The fund number is 202108320111 and 202208320055。
文摘State of health(SOH)estimation of e-mobilities operated in real and dynamic conditions is essential and challenging.Most of existing estimations are based on a fixed constant current charging and discharging aging profiles,which overlooked the fact that the charging and discharging profiles are random and not complete in real application.This work investigates the influence of feature engineering on the accuracy of different machine learning(ML)-based SOH estimations acting on different recharging sub-profiles where a realistic battery mission profile is considered.Fifteen features were extracted from the battery partial recharging profiles,considering different factors such as starting voltage values,charge amount,and charging sliding windows.Then,features were selected based on a feature selection pipeline consisting of filtering and supervised ML-based subset selection.Multiple linear regression(MLR),Gaussian process regression(GPR),and support vector regression(SVR)were applied to estimate SOH,and root mean square error(RMSE)was used to evaluate and compare the estimation performance.The results showed that the feature selection pipeline can improve SOH estimation accuracy by 55.05%,2.57%,and 2.82%for MLR,GPR and SVR respectively.It was demonstrated that the estimation based on partial charging profiles with lower starting voltage,large charge,and large sliding window size is more likely to achieve higher accuracy.This work hopes to give some insights into the supervised ML-based feature engineering acting on random partial recharges on SOH estimation performance and tries to fill the gap of effective SOH estimation between theoretical study and real dynamic application.
基金Under the auspices of the General Program of National Natural Science Foundation of China(No.42271112)General Research Project of Beijing Municipal Commission of Education Science(No.KM202011417008)。
文摘Due to the acceleration of urbanization,the municipal waste(MW)problem has transformed into a global challenge for urb-an sustainability.To elucidate historical trends,current focal points,and future directions in MW research,we conducted a bibliometric analysis and employed knowledge graph visualization to scrutinize a total of 34212 articles,which were published between 1991 and 2021 in the Web of Science(WoS)core database.The results indicated that current major research themes encompass waste classifica-tion and recycling,waste management and public behavior,waste disposal methods and technologies,as well as environmental impact and evaluation.There has been a shift in the research focus from the environmental impacts of waste incineration to sustainable manage-ment related issues.A comparison of research from six typical countries revealed the differences in research priorities and techniques advantages.Scholars from the USA and Britain initiated MW research earlier than other countries and investigated management issues in depth,such as public behavior and willingness to pay.Meanwhile,Japanese,German,and Swedish scholars conducted extensive studies on advanced waste treatment technologies,such as disposal and recycling,risk assessment,and waste-to-energy techniques.Chinese scholars placed particular emphasis on end-of-pipe treatments and their associated environmental impacts.Hotspots and poten-tial future frontiers were identified by burst detection analysis.Keywords with high value of burst index(BI)worldwide are food waste and circular economy.Chinese scholars have put great efforts on waste environmental impact and its recycling technologies,while we’re expecting to further investigating vulnerable population.Furthermore,this study contributes to bridging the regional gap of scientific research among different countries and fostering international collaboration.
基金Financial support provided by Correlated Solutions Incorporated to perform StereoDIC experimentsthe Department of Mechanical Engineering at the University of South Carolina for simulation studies is deeply appreciated.
文摘To compare finite element analysis(FEA)predictions and stereovision digital image correlation(StereoDIC)strain measurements at the same spatial positions throughout a region of interest,a field comparison procedure is developed.The procedure includes(a)conversion of the finite element data into a triangular mesh,(b)selection of a common coordinate system,(c)determination of the rigid body transformation to place both measurements and FEA data in the same system and(d)interpolation of the FEA nodal information to the same spatial locations as the StereoDIC measurements using barycentric coordinates.For an aluminum Al-6061 double edge notched tensile specimen,FEA results are obtained using both the von Mises isotropic yield criterion and Hill’s quadratic anisotropic yield criterion,with the unknown Hill model parameters determined using full-field specimen strain measurements for the nominally plane stress specimen.Using Hill’s quadratic anisotropic yield criterion,the point-by-point comparison of experimentally based full-field strains and stresses to finite element predictions are shown to be in excellent agreement,confirming the effectiveness of the field comparison process.
文摘BACKGROUND Non-proliferative diabetic retinopathy(NPDR)poses a significant challenge in diabetes management due to its microvascular changes in the retina.Laser photocoagulation,a conventional therapy,aims to mitigate the risk of progressing to proliferative diabetic retinopathy(PDR).AIM To compare the efficacy and safety of multi-spot vs single-spot scanning panretinal laser photocoagulation in NPDR patients.METHODS Forty-nine NPDR patients(86 eyes)treated between September 2020 and July 2022 were included.They were randomly allocated into single-spot(n=23,40 eyes)and multi-spot(n=26,46 eyes)groups.Treatment outcomes,including bestcorrected visual acuity(BCVA),central macular thickness(CMT),and mean threshold sensitivity,were assessed at predetermined intervals over 12 months.Adverse reactions were also recorded.RESULTS Energy levels did not significantly differ between groups(P>0.05),but the multi-spot group exhibited lower energy density(P<0.05).BCVA and CMT improvements were noted in the multi-spot group at one-month posttreatment(P<0.05).Adverse reaction incidence was similar between groups(P>0.05).CONCLUSION While energy intensity and safety were comparable between modalities,multi-spot scanning demonstrated lower energy density and showed superior short-term improvements in BCVA and CMT for NPDR patients,with reduced laser-induced damage.
基金Supported by Jiangsu Province Engineering Research Center of Agricultural and Rural Pollution Prevention Technology and Equipment(Sufagaigaojifa[2022]No.1103)Innovation and Entrepreneurship Incubation Program for Students in Vocational Colleges of Jiangsu Province in 2023(G-2023-1257)+3 种基金High-end Training Program for Teachers Professional Leaders in Higher Vocational Colleges of Jiangsu Province in 2023(Sugaozhipeihan[2023]No.9)General Project of Philosophy and Social Science Research in Colleges and Universities of Jiangsu Province in 2023(2023SJYB1785)Project of Nantong Science and Technology Bureau(MSZ2022176MS22022120).
文摘As an important part of urban infrastructure,urban water system is of great and far-reaching significance for ensuring urban flood control and waterlogging safety,protecting ecological environment and building livable homes.Taking the urban water system of Nantong as an example,Nantong Water Resources Bureau issued R evision of Nantong Urban Water System Planning in 2017,and put forward the construction of the"two circles,eight lakes and nine veins"water system layout,giving new vitality to the urban water system.In view of problems existing in newly excavated artificial landscape lakes,such as fragile water ecosystem,strong eutrophication trend,poor environmental sensory effect and unsatisfactory water landscape effect,it is urgent to study the in-situ water ecological restoration technique of"algae-controlling zooplankton+submerged plant community"to build a"grass-type clear water"ecosystem for artificial landscape lakes,so as to improve the water sensory index and self-purification ability and finally realize the double improvement of"sensory effect and water quality"of artificial landscape lakes.
文摘Cyclical fluctuations in asset prices are closely related to the overall stability of the macroeconomy and have thus become a significant topic in academic and professional exploration.Among these fluctuations,changes in the supply of the U.S.dollar,the global reserve,and primary settlement currency have a broad and far-reaching impact on international financial markets.Since COVID-19,asset prices across various countries have shown differing trends due to fluctuations in the U.S.dollar supply.Housing prices,a key focus in asset pricing research,have been affected to varying degrees.This thesis utilizes seven house price indices from representative cities worldwide from 2020 to 2023 to compare the differential impacts across various countries using an empirical approach.The results indicate that the impact of the U.S.dollar money supply(M2)diminishes in a gradient from the U.S.to East Asia,and then to Europe.
文摘Objective To analyze the development status of contract development manufacturing organization(CDMO)at home and abroad,and to make some suggestions for the development of CDMO in China.Methods The relevant literature was searched and reviewed,and the development status of CDMOs in the United States,France,Japan and China was compared from the aspects of market scale,development process,development focus,advantages and disadvantages,and policy support.Then,some suggestions for the development of CDMO enterprises in China were summarized.Results and Conclusion Through the comparison of CDMO development at home and abroad,it can be seen that China started CDMO late,there were many technical barriers and its globalization layout were not sufficient.However,the development trend was good and it focused on the field of chemical drugs and biological drugs to constantly develop innovative drugs.China needs to continuously improve its own technical capabilities to carry out innovative research.Therefore,cost reduction and efficiency increase will be the key elements for the development of CDMOs,and they are expected to have a rapid and comprehensive development in the future.
基金supported by the Open Fund of Wuhan,Gravitation and Solid Earth Tides,National Observation and Research Station (No. WHYWZ202214)the Scientific Research Fund of Institute of Seismology and Institute of Crustal Dynamics,China Earthquake Administration (Grant No.IS202236336, No. IS202226326)+1 种基金the Researchof Hubei Earthquake Agency (No. 2022HBJJ039)the National Natural Science Foundation of China (No. 41774093)
文摘Three A10 absolute gravimeters(AGs) were first acquired in China by the Hubei Earthquake Agency under the Belt and Road Seismic Monitoring Network Project. Although AG measuring and testing technique is not new, the purchase and simultaneous testing of 3 A10 absolute gravimeters is unprecedented in China. This study conducted the first acceptance testing of the AGs at 3 locations(the Jiufengshan Gravity Observation Station, the Global Navigation Satellite System Observation Station in Wuhan, and the Jiugongshan Observation Station in Xianning). The results were compared using a method based on expert validation, and the acceptance testing scheme was formulated by referring to the Technical Regulations for Tectonic Environment Monitoring Networks in China and Specifications for Gravimetry Control. Based on the repeatability, precision, and consistency of the measured g values, the results from each instrument were evaluated using the air pressure precision test. Comparing the instrument reference values, the final test results can identify the indicator parameters for 3 A10 AGs, the effects of the surrounding environment, and the related parameters on measurement precision. The precision of A10-059, A10-058, and A10-057 exceeded 0.78 μGal, 0.79 μGal, and 0.42 μGal, respectively.This testing scheme can be used as a reference for conducting acceptance testing of AGs in the future and obtaining absolute gravimetric measurements.
基金This study was supported by Yunnan Science and Technology Talents and Platform Program(Academician and ExpertWorkstations,202205AF150071)the National Key Research and Development Program of China(Nos.2020YFA0907900,2022YFD1600300,and 2017YFC1701100)+6 种基金Open Projects of Guangxi Key Laboratory of Medicinal Resources Conservation and Genetic Improvement(No.KL2022KF01)the Shenzhen Science and Technology Program(No.KQTD2016113010482651)special funds for Science Technology Innovation and Industrial Development of Shenzhen Dapeng New District(Nos.RC201901-05 and PT201901-19)the China Postdoctoral Science Foundation(No.2020 M672904)the Basic and Applied Basic Research Fund of Guangdong(No.2020A1515110912)National Natural Science Foundation of China(Nos.32070242 and 82260736)Science Technology and Innovation Commission of Shenzhen Municipality of China(ZDSYS 20200811142605017).
文摘Amomi Fructus(Sharen,AF)is a traditional Chinese medicine(TCM)from three source species(or varieties),including Wurfbainia villosa var.villosa(WVV),W.villosa var.xanthioides(WVX),or W.longiligularis(WL).Among them,WVV has been transplanted from its top-geoherb region,Guangdong,to its current main production area,Yunnan,for>50 years in China.However,the genetic and transcriptomic differentiation among multiple AF source species(or varieties)and between the origin and transplanted populations of WVV is unknown.In our study,the observed overall higher expression of terpenoid biosynthesis genes in WVV than in WVX provided possible evidence for the better pharmacological effect of WVV.We also screened six candidate borneol dehydrogenases(BDHs)that potentially catalyzed borneol into camphor in WVV and functionally verified them.Highly expressed genes at the P2 stage of WVV,Wv05G1424 and Wv05G1438,were capable of catalyzing the formation of camphor from(+)-borneol,(-)-borneol and DL-isoborneol.Moreover,the BDH genes may experience independent evolution after acquiring the ancestral copies,and the following tandem duplications might account for the abundant camphor content in WVV.Furthermore,four populations of WVV,WVX,and WL are genetically differentiated,and the gene flow from WVX to WVV in Yunnan contributed to the greater genetic diversity in the introduced population(WVV-JH)than in its top-geoherb region(WVV-YC),which showed the lowest genetic diversity and might undergo genetic degradation.In addition,terpene synthesis(TPS)and BDH genes were selected among populations of multiple AF source species(or varieties)and between the top-and non-top-geoherb regions,which might explain the difference in metabolites between these populations.Our findings provide important guidance for the conservation,genetic improvement,and industrial development of the three source species(or varieties)and for identifying top-geoherbalism with molecular markers,and proper clinical application of AF.
基金supported by the National Natural Science Foundation of China(Grant No.41972109)the Chengdu University of Technology Postgraduate Innovative Cultivation Program(CDUT2022BJCX004).
文摘There is great controversy regarding the origin and source of natural gas in the Lower Triassic Feix-ianguan Formation in the Eastern Sichuan Basin.This seriously restricts the study of natural gas dy-namics in the Feixianguan Formation and thus hampers natural gas exploration in the region,so further study is urgently required.Using experimental tests of natural gas composition,stable isotopes,and noble gas isotopes with gas chromatography(GC)and mass spectrometry(MS)studies of source rock and reservoir asphalt saturated hydrocarbons,the natural gas geochemical characteristics,the genetic identification and a gas-source comparison of the Feixianguan Formation were studied.Then,con-strained by the thermal history,the histories of gas generation and expulsion were restored by basin simulation technology.Finally,a gas accumulation model was established for the Feixianguan Formation.The results showed that(1)the H_(2)S-rich and H2S-poor gas reservoirs of the Feixianguan Formation are distributed on the east and west sides of the Kaijiang-Liangping trough in the Eastern Sichuan Basin,respectively.The carbon and hydrogen isotope compositions of the natural gas in the gas reservoirs are generally heavy and have typical characteristics of high-maturity dry gas reservoirs.(2)The natural gas of the Feixianguan Formation is organic thermogenic gas,which is mainly oil-type gas generated by the secondary cracking of crude oil.The gas-generating parent material is mainly type II kerogen.(3)The natural gas of the Feixianguan Formation in the Eastern Sichuan Basin was mainly generated by argil-laceous source rocks of the Upper Permian Longtan Formation.(4)Natural gas accumulation occurred as follows:the paleo-structure heights were filled with crude oil in the Early Jurassic,and paleo-oil res-ervoirs were formed in the Feixianguan Formation;during the Middle-Late Jurassic,the paleo-oil res-ervoirs were cracked when the reservoir temperatures rose above 160 C,and paleo-gas reservoirs were formed.Since the end of the Late Jurassic,the paleo-gas reservoirs have been adjusted and reformed to form the present-day natural gas reservoirs.These results provide a basis for studying natural gas accumulation dynamics of the Feixianguan Formation in the Eastern Sichuan Basin.
基金This work is supported by the National Key Research and Development Plan program of the Ministry of Science and Technology of China(No.2016YFB0201100)Additionally,this work is supported by the National Laboratory for Marine Science and Technology(Qingdao)Major Project of the Aoshan Science and Technology Innovation Program(No.2018ASKJ01-04)the Open Fundation of Key Laboratory of Marine Science and Numerical Simulation,Ministry of Natural Resources(No.2021-YB-02).
文摘In this paper,a typical experiment is carried out based on a high-resolution air-sea coupled model,namely,the coupled ocean-atmosphere-wave-sediment transport(COAWST)model,on both heterogeneous many-core(SW)and homogenous multicore(Intel)supercomputing platforms.We construct a hindcast of Typhoon Lekima on both the SW and Intel platforms,compare the simulation results between these two platforms and compare the key elements of the atmospheric and ocean modules to reanalysis data.The comparative experiment in this typhoon case indicates that the domestic many-core computing platform and general cluster yield almost no differences in the simulated typhoon path and intensity,and the differences in surface pressure(PSFC)in the WRF model and sea surface temperature(SST)in the short-range forecast are very small,whereas a major difference can be identified at high latitudes after the first 10 days.Further heat budget analysis verifies that the differences in SST after 10 days are mainly caused by shortwave radiation variations,as influenced by subsequently generated typhoons in the system.These typhoons generated in the hindcast after the first 10 days attain obviously different trajectories between the two platforms.
基金supported by the National Natural Science Foundation of China under Grant No.(62202118.61962009)And in part by Natural Science Foundation of Shandong Province(ZR2021MF086)+1 种基金And in part by Top Technology Talent Project from Guizhou Education Department(Qian jiao ji[2022]073)And in part by Foundation of Guangxi Key Laboratory of Cryptography and Information Security(GCIS202118).
文摘With the development of cloud computing technology,more and more data owners upload their local data to the public cloud server for storage and calculation.While this can save customers’operating costs,it also poses privacy and security challenges.Such challenges can be solved using secure multi-party computation(SMPC),but this still exposes more security issues.In cloud computing using SMPC,clients need to process their data and submit the processed data to the cloud server,which then performs the calculation and returns the results to each client.Each client and server must be honest.If there is cooperation or dishonest behavior between clients,some clients may profit from it or even disclose the private data of other clients.This paper proposes the SMPC based on a Partially-Homomorphic Encryption(PHE)scheme in which an addition homomorphic encryption algorithm with a lower computational cost is used to ensure data comparability and Zero-Knowledge Proof(ZKP)is used to limit the client’s malicious behavior.In addition,the introduction of Oblivious Transfer(OT)technology also ensures that the semi-honest cloud server knows nothing about private data,so that the cloud server of this scheme can calculate the correct data in the case of malicious participant models and safely return the calculation results to each client.Finally,the security analysis shows that the scheme not only ensures the privacy of participants,but also ensures the fairness of the comparison protocol data.
文摘The present paper has two-fold purposes.First,the current work provides an integrated theoretical framework to compare popular mobile wallet service providers based on users’views in the Indian context.To this end,we propose a new grey correlationbased Picture Fuzzy-Evaluation based on Distance from Average Solution(GCPF-EDAS)framework for the comparative analysis.We integrate the fundamental framework of the Technology Acceptance Model and Unified theory of acceptance and use of technology vis-a-vis service quality dimensions for criteria selection.For comparative ranking,we conduct our analysis under uncertain environments using picture fuzzy numbers.We find that user-friendliness,a wide variety of use,and familiarity and awareness about the products help reduce the uncertainty factors and obtain positive impressions from the users.It is seen that PhonePe(A3),Google Pay(A2),Amazon Pay(A4)and PayTM(A1)hold top positions.For validation of the result,we first compare the ranking provided by our proposed model with that derived by using picture fuzzy score based extensions of EDAS and another widely used algorithm such as The Technique for Order of Preference by Similarity to Ideal Solution.We observe a significant consistency.We then carry out rank reversal test for GCPF-EDAS model.We notice that our proposed GCPF-EDAS model does not suffers from rank reversal phenomenon.To examine the stability in the result for further validation,we carry out the sensitivity analysis by varying the differentiating coefficient and exchanging the criteria weights.We find that our proposed method provides stable result for the present case study and performs better as ranking order does not get changed significantly with the changes in the given conditions.
基金supported in part by research grants from the National Key Research and Development Program of China(Grant Number:2017YFC0907200 and 2017YFC0907201).
文摘Objective:This study compared the prevalence,awareness,treatment and control of hypertension and associated factors in China and the United States(US).Methods:Adult data from nationally representative samples were derived from the Chronic Disease and Risk Factors Surveillance in 2010 and 2013 in China and the National Health and Nutrition Examination Survey in 2010 and 2013 in the US.Multivariable logistic and Poisson regression analysis were conducted to assess associations of the four outcomes with body weight status and behavioral factors.Results:Age-standardized prevalence rates of hypertension was 35.7%(95%confidence interval[CI]:35.4%to 36.1%)in 2010 and 29.8%(95%CI:29.4%to 30.2%)in 2013 in China,and 35.3%(95%CI:33.6%to 37.1%)in 2010 and 37.9%(95%CI:36.0%to 39.7%)in 2013 in the US.Among hypertensive participants,the age-standardized rates of treatment were 18.4%(95%CI:17.9%to 1&9%)in 2010 and 23.8%(95%CI:23.1%to 24.6%)in 2013 in China and 54.5%(95%CI:50.3%to 5&7%)in 2010 and 50.9%(95%CI:46.5%to 55.3%)in 2013 in the US;the age-standardized hypertension control rates were 3.2%(95%CI:3.0%to 3.5%)and 5.7%(95%CI:5.3%to 6.0%)in 2010 and 2013 in China and 50.6%(95%CI:46.2%to 55.0%)and 55.3%(95%CI:50.3%to 60.3%)in the US.Obesity was significantly associated with prevalence,awareness and control rates in both countries.Different from the US,obesity was negatively associated with hypertension control in China.Conclusion:Hypertension prevalence in China is similar to that in the US,but the control rate in China was significantly lower.Obesity was a critical risk factor for poor hypertension control in China.
文摘The paper focused on how social comparison orientation people apply influences their psychological well-being and how self-efficacy plays an important role in buffering some negative influence from upward social comparison compared with someone better in one domain.In Festinger’s(1954)social comparison theory,the social comparison orientation instructed how people process the information they compared for,and related emotion was induced differently.In this paper,2,000 college students in Boston were proposed to participate in two experiments that discuss how different social comparison orientations affect their perception of life satisfaction.For the hypothetical result,we proposed that a high level of engagement in social comparison and ability-based social comparison was associated with less life satisfaction than the participants who had a low level of social comparison and opinion-based social comparison.In terms of coping strategy,we assumed that a high level of self-efficacy,which is the belief in capability to achieve a certain goal,will buffer the negative impact from upward comparison and improve the life satisfaction of those participants who like to engage with social comparison and ability-based comparison orientation.
文摘Both the characters of Sun Wukong in The Journey to the West,which is a traditional Chinese fiction,and Dean in On the Road,which is a typical American Beat Generation novel,have been pursuing a carefree lifestyle based on their living environments respectively,but their values of freedom bear quite different meanings:Sun Wukong tries his best to struggle for a happy life for all his family and his friends as well as for himself with little consideration of the risk of his own life,while Dean is always on his way at random for his own personal happiness with little consideration for anybody else.Therefore,Sun Wukong’s behavior represents a kind of collectivism within his individualism,while Dean’s act reflects his American free life style of individualism to a certain extent.
文摘Introduction: Brain abscess represents 8% of intracranial masses in developing countries. Despite the advances in neuro-imaging, still, the diagnosis of brain abscess is difficult and may need a biopsy in most cases to verify the diagnosis because may even lead to death. CT scan with contrast is a good tool for diagnosing and localizing brain abscesses in late stages, however, it is difficult to diagnose them in the early stages. The development of MRI helps to more accurately diagnose brain abscess. Surgical management of brain abscesses is either medical or surgical through craniotomy or burr holes. Indications of each are still a point of debate among most neurosurgeons. Methodology: This is a descriptive longitudinal prospective study to compare the outcomes of two surgical procedures used in The National Centre for Neurological Sciences-Khartoum-Sudan (NCNS) from 2012 to 2015, craniotomy and excision of the abscess membrane versus burr hole and aspiration of brain abscess in terms of duration of hospitalization, length of antibiotic use, recurrence rate, number of images needed for follow-up, and the final postoperative early and late outcomes. The data was collected through a designed questionnaire and was then analyzed using SPSS version 20. No significant ethical approval was required for this study. Results: Fifty-four patients were operated on through craniotomy (29/54) and burr hole (25/54). Their ages ranged from 1 year to 53 years with an average presentation at 13 years of age. Most patients presented with fever (23.1%), convulsions (16%), vomiting (16.7%) and headache (15.4%). The mean of illness for both groups was almost 2 months. The majority of patients in this study were having no risk factors (38.9%) while the major risk factors seen were cardiac diseases (14.8%), neurosurgical procedures (13%) and otitis media (11.1%). As most patients presented late, the diagnosis of most was made using CT brain with contrast (83.3%). In most of the patients (85.2%) there were no organisms separated in the culture. 8/54 patients had positive cultures, 7/8 were bacterial and only one (1/8) was fungal. Most patients received antibiotics for 45 days postoperatively in both craniotomy and burr hole groups. When both groups were compared, those operated with craniotomy were found to have a relatively higher length of hospital stay, however, no significant difference was found between both groups. Also, it was found that those operated on with craniotomy had a high cure rate and less recurrence in comparison with burr hole group. Deterioration and death were significantly higher among craniotomy group. Only CT brain was used as the imaging modality of choice for follow-up in both groups for 4 months’ duration and it was noted that complete evacuation was significantly higher among craniotomy group while remnants were higher among burr hole group. Conclusion: Brain abscess is still a challenging condition for neurosurgeons in Sudan. The limited number of Sudanese neurosurgeons, neurosurgical centers and diagnostic facilities contributed to delay in diagnosing brain abscess in most patients. It is important to design a strict protocol and precautions for any neurosurgical operation or bedside procedure to prevent infection and subsequent brain abscess development. CT brain with contrast is a good imaging tool for assessing the size, site and stage of brain abscesses. No significant difference between craniotomy or burr hole for clearance from brain abscess in terms of antibiotic used or duration of hospital stay. However, burr hole aspiration is associated with higher rates of recurrences. On the other hand, craniotomy and excision have relatively higher neurologic morbidity postoperative with expectantly higher post-operative hospitalization but no differences in the final outcome. Therefore, the selection of surgical technique should be individualized in each case based on the abscess site size source patient fitness for surgery and neurosurgeon’s preference.
基金The research was supported by innovation research project of Chinese Academy of Sciences (KZCX3-SW-418) and by Nature Science Foundation of Liaoning Province (20021006).
文摘Mongolian pine (Pinus sylvestiris Linnaeus var. mongolica Litvinov) as a valuable conifer tree species has been broadly introduced to the sandy land areas in 揟hree North?regions (North, northwest and northeast of China), but many problems occurred in the earliest Mongolian pine plantations in Zhanggutai, Zhangwu County, Liaoning Province (ZZL). In order to clarify the reason, comprehensive investigations were carried out on differences in structure characteristics, growth processes and ecological factors between artificial stands (the first plantation established in ZZL in 1950s) and natural stands (the origin forests of the tree species in Honghuaerji, Inner Mongolia) on sandy land. The results showed that variation of diameter-class distributions in artificial stands and natural stands could be described by Weibull and Normal distribution models, respectively. Chapman-Richards growth model was employed to reconstruct the growth process of Mongolian pine based on the data from field investigation and stem analysis. The ages of maximum of relative growth rate and average growth rate of DBH, height, and volume of planted trees were 11, 22 years, 8, 15 years and 35, 59 years earlier than those of natural stand trees, respectively. In respect of the incremental acceleration of volume, the artificial and natural stands reached their maximum values at 14 years and 33 years respectively. The quantitative maturity ages of artificial stands and natural stands were 43 years and 102 years respectively. It was concluded that the life span of the Mongolian pine trees in natural stands was about 60 years longer than those in artificial stands. The differences mentioned above between artificial and natural Mongolian pine forests on sandy land were partially attributed to the drastic variations of ecological conditions such as latitude, temperature, precipitation, evaporation and height above sea level. Human beings' disturbances and higher density in plantation forest may be ascribed as additional reasons. Those results may be potentially useful for the management and afforestation of Mongolian pine plantations on sandy land in arid and semi-arid areas.
