Multi-level programmable photonic integrated circuits(PICs)and optical metasurfaces have gained widespread attention in many fields,such as neuromorphic photonics,opticalcommunications,and quantum information.In this ...Multi-level programmable photonic integrated circuits(PICs)and optical metasurfaces have gained widespread attention in many fields,such as neuromorphic photonics,opticalcommunications,and quantum information.In this paper,we propose pixelated programmable Si_(3)N_(4)PICs with record-high 20-level intermediate states at 785 nm wavelength.Such flexibility in phase or amplitude modulation is achieved by a programmable Sb_(2)S_(3)matrix,the footprint of whose elements can be as small as 1.2μm,limited only by the optical diffraction limit of anin-house developed pulsed laser writing system.We believe our work lays the foundation for laser-writing ultra-high-level(20 levels and even more)programmable photonic systems and metasurfaces based on phase change materials,which could catalyze diverse applications such as programmable neuromorphic photonics,biosensing,optical computing,photonic quantum computing,and reconfigurable metasurfaces.展开更多
RNAi therapeutics possess the potential to cure many uncurable human diseases.For instance,RNAi therapeutics using liposomes showed remarkable survival benefits in patients with liver diseases.However,the extension of...RNAi therapeutics possess the potential to cure many uncurable human diseases.For instance,RNAi therapeutics using liposomes showed remarkable survival benefits in patients with liver diseases.However,the extension of liposomes to deliver RNA to cure other ailments has largely been unsuccessful.Therefore,researchers are focusing on designing and testing different combinations of materials for versatile RNA delivery applications.Yet,an efficient and safe RNA delivery platform has not been identified.In this work,we have developed a new class of RNA-delivery vehicle called“Gelasomes,”using an incongruous combination of gelatin and lipidoid to exploit each material’s unique properties while overcoming their inherent limitations.The low in vivo toxicity of Gelasomes is attributed to the exterior gelatin layers that shield the exposure of cationic lipidoid-siRNA clusters and yet present a biocompatible surface.Indeed,toxicity studies in mice indicate that repeated administration of Gelasomes(up to 48 mg/kg BW)is well-tolerated with no notable changes in body weight,hematology,or serum chemistry.Interestingly,the gelatin outer layer efficiently protects siRNA from serum degradation(48 h),preserving its functionality beyond two months of storage.Notably,Gelasomes possess dual siRNA conjugation modes,i.e.,electrostatic binding with lipidoid core and covalent attachment to gelatin surface.The bivalency coupled with lipidoids’high transfection efficiency rendered Gelasomes with remarkably high gene silencing efficiency(>90%)at very low treatment doses in vitro(40μg/mL).In vivo studies further confirmed the high gene silencing ability of Gelasomes in non-small cell lung tumor mouse models.This new platform is tunable on all fronts:size,degree of surface coating,and biomolecule functionalization.Truncating the lipidoid C14-tail to a C8-tail yielded Gelasomes of reduced size.As lipidoids with different carbon lengths are synthesizable,we can develop a library of Gelasomes with different sizes.The surface coating with less gelatin resulted in high transfection efficiency at low doses of Gelasomes.The structure of Gelasomes offers chemical handles to couple target-specific molecules like antibodies to tune their properties for efficient biological application.展开更多
In this paper,an integrated estimation guidance and control(IEGC)system is designed based on the command filtered backstepping approach for circular field-of-view(FOV)strapdown missiles.The threedimensional integrated...In this paper,an integrated estimation guidance and control(IEGC)system is designed based on the command filtered backstepping approach for circular field-of-view(FOV)strapdown missiles.The threedimensional integrated estimation guidance and control nonlinear model with limited actuator deflection angle is established considering the seeker's FOV constraint.The boundary time-varying integral barrier Lyapunov function(IBLF)is employed in backstepping design to constrain the body line-of-sight(BLOS)in IEGC system to fit a circular FOV.Then,the nonlinear adaptive controller is designed to estimate the changing aerodynamic parameters.The generalized extended state observer(GESO)is designed to estimate the acceleration of the maneuvering targets and the unmatched time-varying disturbances for improving tracking accuracy.Furthermore,the command filters are used to solve the"differential expansion"problem during the backstepping design.The Lyapunov theory is used to prove the stability of the overall closed-loop IEGC system.Finally,the simulation results validate the integrated system's effectiveness,achieving high accuracy strikes against maneuvering targets.展开更多
Despite the pressing demand for integrated spectrometers,a solution that deliver high-performance while being practically operated is still missing.Furthermore,current integrated spectrometers lack reconfigurability i...Despite the pressing demand for integrated spectrometers,a solution that deliver high-performance while being practically operated is still missing.Furthermore,current integrated spectrometers lack reconfigurability in their performance,which is highly desirable for dynamic working scenarios.This study presents a viable solution by demonstrating a userfriendly,reconfigurable spectrometer on silicon.At the core of this innovative spectrometer is a programmable photonic circuit capable of exhibiting diverse spectral responses,which can be significantly adjusted using on-chip phase shifters.The distinguishing feature of our spectrometer lies in its inverse design approach,facilitating effortless control and efficient manipulation of the programmable circuit.By eliminating the need for intricate configuration,our design reduces power consumption and mitigates control complexity.Additionally,our reconfigurable spectrometer offers two distinct operating conditions.In the Ultra-High-Performance mode,it is activated by multiple phase-shifters and achieves exceptional spectral resolution in the picometer scale while maintaining broad bandwidth.On the other hand,the Ease-of-Use mode further simplifies the control logic and reduces power consumption by actuating a single-phase shifter.Although this mode provides a slightly degraded spectral resolution of approximately 0.3 nm,it prioritizes ease of use and is wellsuited for applications where ultra-fine spectral reconstruction is not a primary requirement.展开更多
BACKGROUND The concept of positive health(PH)supports an integrated approach for patients by taking into account six dimensions of health.This approach is especially relevant for patients with chronic disorders.Chroni...BACKGROUND The concept of positive health(PH)supports an integrated approach for patients by taking into account six dimensions of health.This approach is especially relevant for patients with chronic disorders.Chronic gastrointestinal and hepatopancreatico-biliary(GI-HPB)disorders are among the top-6 of the most prevalent chronically affected organ systems.The impact of chronic GI-HPB disorders on individuals may be disproportionally high because:(1)The affected organ system frequently contributes to a malnourished state;and(2)persons with chronic GIHPB disorders are often younger than persons with chronic diseases in other organ systems.AIM To describe and quantify the dimensions of PH in patients with chronic GI-HPB disorders.METHODS Prospective,observational questionnaire study performed between 2019 and 2021 in 235 patients with a chronic GIHPB disorder attending the Outpatient Department of the Maastricht University Medical Center.Validated questionnaires and data from patient files were used to quantify the six dimensions of PH.Internal consistency was tested with McDonald’s Omega.Zero-order Pearson correlations and t-tests were used to assess associations and differences.A P value<0.05 was considered significant.RESULTS The GI-HPB patients scored significantly worse in all dimensions of PH compared to control data or norm scores from the general population.Regarding quality of life,participation and daily functioning,GI-HPB patients scored in the same range as patients with chronic disorders in other organ systems,but depressive symptoms(in 35%)and malnutrition(in 45%)were more frequent in patients with chronic GI-HPB disorders.Intercorrelation scores between the six dimensions were only very weak to weak,forcing us to quantify each domain separately.CONCLUSION All six dimensions of PH are impaired in the GI-HPB patients.Malnutrition and depressive symptoms are more prevalent compared to patients with chronic disorders in other organ systems.展开更多
To reduce the negative impact of the power amplifier(PA)nonlinear distortion caused by the orthogonal frequency division multiplexing(OFDM)waveform with high peak-to-average power ratio(PAPR)in integrated radar and co...To reduce the negative impact of the power amplifier(PA)nonlinear distortion caused by the orthogonal frequency division multiplexing(OFDM)waveform with high peak-to-average power ratio(PAPR)in integrated radar and communication(RadCom)systems is studied,the channel estimation in passive sensing scenarios.Adaptive channel estimation methods are proposed based on different pilot patterns,considering nonlinear distortion and channel sparsity.The proposed methods achieve sparse channel results by manipulating the least squares(LS)frequency-domain channel estimation results to preserve the most significant taps.The decision-aided method is used to optimize the sparse channel results to reduce the effect of nonlinear distortion.Numerical results show that the channel estimation performance of the proposed methods is better than that of the conventional methods under different pilot patterns.In addition,the bit error rate performance in communication and passive radar detection performance show that the proposed methods have good comprehensive performance.展开更多
The economic operation of integrated energy system(IES)faces new challenges such as multi-timescale characteristics of heterogeneous energy sources,and cooperative operation of hybrid energy storage system(HESS).To th...The economic operation of integrated energy system(IES)faces new challenges such as multi-timescale characteristics of heterogeneous energy sources,and cooperative operation of hybrid energy storage system(HESS).To this end,this paper investigates the multi-timescale rolling opti-mization problem for IES integrated with HESS.Firstly,the architecture of IES with HESS is established,a comparative analysis is conducted to evaluate the advantages of the HESS over a single energy storage system(SESS)in stabilizing power fluctuations.Secondly,the dayahead and real-time scheduling cost functions of IES are established,the day-ahead scheduling mainly depends on operation costs of the components in IES,the real-time optimal scheduling adopts the Lya-punov optimization method to schedule the battery and hydrogen energy storage in each time slot,so as to minimize the real-time average scheduling operation cost,and the problem of day-ahead and real-time scheduling error,which caused by the uncertainty of the energy storage is solved by online optimization.Finally,the proposed model is verified to reduce the scheduling operation cost and the dispatching error by performing an arithmetic example analysis of the IES in Shanghai,which provides a reference for the safe and stable operation of the IES.展开更多
BACKGROUND Breast cancer(BC)is the second leading cause of tumor-related mortality after lung cancer.Chemotherapy resistance remains a major challenge to progress in BC treatment,warranting further exploration of feas...BACKGROUND Breast cancer(BC)is the second leading cause of tumor-related mortality after lung cancer.Chemotherapy resistance remains a major challenge to progress in BC treatment,warranting further exploration of feasible and effective alternative therapies.AIM To analyzed the quality of life(QoL)and survival of patients with BC treated with integrated traditional Chinese and Western medicine(TCM-WM).METHODS This study included 226 patients with BC admitted to the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine between February 2018 and February 2023,including 100 who received conventional Western medicine treatment(control group)and 126 who received TCM-WM treatment(research group).The total effective rate,side effects(alopecia,nausea and vomiting,hepatorenal toxicity,and myelosuppression),QoL assessed using the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire(EORTC QLQ-C30),1-year overall survival(OS),recurrence and metastasis rates,and serum inflammatory factors[interleukin(IL)-6,IL-10,and tumor necrosis factor alpha]were comparatively analyzed.RESULTS The research group showed statistically better overall efficacy,EORTC QoL-C30 scores,and 1-year OS than the control group,with markedly lower side effects and 1-year recurrence and metastasis rates.Moreover,the posttreatment levels of serum inflammatory in the research group were significantly lower than the baseline and those in the control group.CONCLUSION Overall,TCM-WM demonstrated significantly improved therapeutic efficacy while ensuring drug safety in BC,which not only improved patients’QoL and prolonged survival,but also significantly inhibited the inflammatory response.展开更多
Integrated geophysical technology is a necessary and effective means for geothermal exploration.However,integration of geophysical technology for large‐scale surveys with those for geothermal reservoir localization i...Integrated geophysical technology is a necessary and effective means for geothermal exploration.However,integration of geophysical technology for large‐scale surveys with those for geothermal reservoir localization is still in development.This study used the controlled source audio‐frequency magnetotelluric method technology for large‐scale exploration to obtain underground electrical structure information and micromotion detection technology to obtain underground wave velocity structure information.The combination of two detection technologies was used for local identification of geothermal reservoirs.Further,auxiliary correction and inversion constraint were implemented through the audio magnetotelluric sounding technology for maximum authenticity restoration of the near‐and transition‐field data.Through these technology improvements,a geothermal geological model was established for the Binhai County of Jiangsu Province in China and potential geothermal well locations were identified.On this basis,a geothermal well was drilled nearly 3000m deep,with a daily water volume of over 2000m3/day and a geothermal water temperature of 51°C at the well head.It is found that predictions using the above integrated geophysical exploration technology are in good agreement with the well geological formation data.This integrated geophysical technology can be effectively applied for geothermal exploration with high precision and reliability.展开更多
BACKGROUND Patients with BRAF V600E mutant metastatic colorectal cancer(mCRC)have a low incidence rate,poor biological activity,suboptimal response to conventional treatments,and a poor prognosis.In the previous cohor...BACKGROUND Patients with BRAF V600E mutant metastatic colorectal cancer(mCRC)have a low incidence rate,poor biological activity,suboptimal response to conventional treatments,and a poor prognosis.In the previous cohort study on mCRC conducted by our team,it was observed that integrated Chinese and Western medicine treatment could significantly prolong the overall survival(OS)of patients with colorectal cancer.Therefore,we further explored the survival benefits in the population with BRAF V600E mutant mCRC.AIM To evaluate the efficacy of integrated Chinese and Western medicine in the treatment of BRAF V600E mutant metastatic colorectal cancer.METHODS A cohort study was conducted on patients with BRAF V600E mutant metastatic colorectal cancer admitted to Xiyuan Hospital of China Academy of Chinese Medical Sciences and Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region from January 2016 to December 2022.The patients were divided into two cohorts.RESULTS A total of 34 cases were included,with 23 in Chinese-Western medicine cohort(cohort A)and 11 in Western medicine cohort(cohort B).The median overall survival was 19.9 months in cohort A and 14.2 months in cohort B,with a statistically significant difference(P=0.038,hazard ratio=0.46).The 1-3-year survival rates were 95.65%(22/23),39.13%(9/23),and 26.09%(6/23)in cohort A,and 63.64%(7/11),18.18%(2/11),and 9.09%(1/11)in cohort B,respectively.Subgroup analysis showed statistically significant differences in median OS between the two cohorts in the right colon,liver metastasis,chemotherapy,and first-line treatment subgroups(P<0.05).CONCLUSION Integrated Chinese and Western medicine can prolong the survival and reduce the risk of death in patients with BRAF V600E mutant metastatic colorectal cancer,with more pronounced benefits observed in patients with right colon involvement,liver metastasis,combined chemotherapy,and first-line treatment.展开更多
As an online course-teaching mode,Massive Open Online Course(MOOC)has drawn great attention from both teachers and students.It is necessary to give full play to the advantages of MOOC resources and to enhance teachers...As an online course-teaching mode,Massive Open Online Course(MOOC)has drawn great attention from both teachers and students.It is necessary to give full play to the advantages of MOOC resources and to enhance teachers’consciousness of“identity remodeling”in the process of Integrated Business English flipping classroom teaching.Combining the advantages of MOOC and flipped classroom teaching during before-,during-,and after-class will greatly help promote the overall quality of business English teaching in universities.展开更多
Objective: To investigate the effect of the integrated nursing model in the prevention of chemotherapy-induced peripheral injury. Methods: A total of 60 tumor patients receiving oxaliplatin for 1 - 6 cycles of chemoth...Objective: To investigate the effect of the integrated nursing model in the prevention of chemotherapy-induced peripheral injury. Methods: A total of 60 tumor patients receiving oxaliplatin for 1 - 6 cycles of chemotherapy from January to September 2023 were selected. 30 patients were selected from January to March and divided into the control group, and 30 patients were selected from July to 9 as the experimental group. The control group received conventional chemotherapy nursing, while the experimental group received integrated nursing. Anxiety, peripheral nerve toxicity stage and quality of life score were compared between the two groups before and after intervention. Results: After intervention, the scores of the self-rating Anxiety Scale (SAS) and the total scores of the oxaliplatin Levi specific sensory neurotoxicity scale in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (P< 0.05);The Quality of Life Scale (FACT-G) score of cancer patients was higher than that of control group, and the difference was statistically significant (P< 0.05). Conclusion: The integrated nursing model can effectively reduce the anxiety of patients, reduce the incidence of peripheral nerve injury and improve the quality of life of patients.展开更多
The BOPPPS model has been widely used in information-based teaching reform,which emphasizes studentcentered principles and student participation and interaction,including six steps:bridge-in,objective,pre-assessment,p...The BOPPPS model has been widely used in information-based teaching reform,which emphasizes studentcentered principles and student participation and interaction,including six steps:bridge-in,objective,pre-assessment,participatory learning,post-assessment,and summary.This paper applies the BOPPPS model in the Integrated English course at the three stages of teaching practice-before class,during class,and after class-to achieve blended teaching.It shows that this teaching mode provides students with a more abundant learning experience,helps to stimulate students’learning interests,and improves their comprehensive language application skills.展开更多
Purpose:To analyze the application path of the integration of clinical medicine integrated courses with the elements of ideology and politics under the theory of“Sanquan Education,”and to provide references for the ...Purpose:To analyze the application path of the integration of clinical medicine integrated courses with the elements of ideology and politics under the theory of“Sanquan Education,”and to provide references for the promotion of educational reform in medical schools.Methods:60 clinical medicine undergraduates at Jiamusi University in 2018 and 2019 were randomly selected as research subjects.On the basis of the analysis of students’characteristics and pre-study content,the students were divided into the integration group and the traditional group,each with 30 students.Students in the integration group carried out clinical medicine integrated class with the integration of ideological and political elements.Students in the traditional group carried out the traditional clinical medicine integrated class.Classroom evaluation scales,anonymous questionnaires,and interviews were used to conduct research,collect data,and compare and observe the application effects.Results:After carrying out different modes of clinical medicine integrated courses,the undergraduates of the Excellent Physician Class in the integration group were higher than those in the traditional group in terms of teaching satisfaction,comprehensive quality,basic knowledge test,and case analysis scores through questionnaire analysis(P<0.05).In the evaluation of the effect of ideological education,the undergraduates of the Excellent Physician Class of the integration group were higher than the traditional group in terms of the acceptance of doctor-patient communication,the correct rate of mastering the history of the discipline,and the correct rate of mastering the frontiers and policies(P<0.05).Conclusion:Through the integration of clinical medicine integrated course and ideological and political elements,we can help students establish correct values while teaching them professional knowledge,improve the implementation of moral education in medical schools,cultivate excellent medical workers with high morality and firm beliefs for the society,and realize the fundamental educational task of establishing morality and educating people in medical schools in the context of“Sanquan Education.”展开更多
To enhance our talent cultivation model through“school-enterprise cooperation and industry-teaching fusion”,we aim to improve the“4321”Industry-Education Integration System.This includes actively promoting the use...To enhance our talent cultivation model through“school-enterprise cooperation and industry-teaching fusion”,we aim to improve the“4321”Industry-Education Integration System.This includes actively promoting the use of case banks and project banks in teaching to develop students’practical engineering skills through hands-on application of professional knowledge.Additionally,landscape design courses emphasize practical learning experiences to implement the fundamental goal of“cultivating morality”.Guided by enhancing students’practical skills,we ensure alignment with course objectives and professional training requirements,emphasizing the seamless integration of theory and practice.展开更多
The overall teaching design for the junior middle school English unit aims to maximize the use of teaching resources by using the unit as the central theme,integrating it throughout all sections and related activities...The overall teaching design for the junior middle school English unit aims to maximize the use of teaching resources by using the unit as the central theme,integrating it throughout all sections and related activities.This approach continually reinforces students’understanding and retention of individual lesson content while fostering their core literacy and skills.It promotes a comprehensive development of students’listening,speaking,reading,and writing skills,allowing them to engage repeatedly with the language materials until they internalize them as part of their language proficiency.展开更多
Objective: To analyze the impact of an integrated extended care model on improving the quality of life of elderly patients with Type 2 Diabetes Mellitus (T2DM). Methods: A total of 176 patients admitted to the hospita...Objective: To analyze the impact of an integrated extended care model on improving the quality of life of elderly patients with Type 2 Diabetes Mellitus (T2DM). Methods: A total of 176 patients admitted to the hospital from March 2015 to February 2018 were selected and randomly assigned to an observation group and a control group, with 88 patients each. The control group implemented conventional nursing interventions, and the observation group carried out an integrated extended-care model. The level of glycemic control, quality of life, and daily medication adherence between both groups were compared. Results: The observation group showed significant improvement in the level of glycemic control, and their fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels were significantly lower as compared with those in the study group (P < 0.05). The quality of life of the patients in the observation group was higher than that of the control group (P < 0.05). The observation group had a higher compliance score (95.48 ± 7.45) than the control group (81.31 ± 8.72) (t = 8.909, P < 0.05). Conclusion: The integrated extended care model allows patients to receive comprehensive and individualized nursing services after discharge, which improves the effect of drug therapy and the quality of life of patients.展开更多
In an integrated energy system(IES) composed of multiple subsystems, energy coupling causes an energy supply blockage or shutdown in one subsystem, thereby affecting the energy flow distribution optimization of other ...In an integrated energy system(IES) composed of multiple subsystems, energy coupling causes an energy supply blockage or shutdown in one subsystem, thereby affecting the energy flow distribution optimization of other subsystems.The energy supply should be globally optimized during the IES energy supply restoration process to produce the highest restoration net income. Mobile emergency sources can be quickly and flexibly connected to supply energy after an energy outage to ensure a reliable supply to the system, which adds complexity to the decision. This study focuses on a powergas IES with mobile emergency sources and analyzes the coupling relationship between the gas distribution system and the power distribution system in terms of sources, networks, and loads, and the influence of mobile emergency source transportation. The influence of the transient process caused by the restoration operation of the gas distribution system on the power distribution system is also discussed. An optimization model for power-gas IES restoration was established with the objective of maximizing the net income. The coordinated restoration optimization decision-making process was also built to realize the decoupling iteration of the power-gas IES, including system status recognition, mobile emergency source dispatching optimization, gas-to-power gas flow optimization, and parallel intra-partition restoration scheme optimization for both the power and gas distribution systems. A simulation test power-gas IES consisting of an 81-node medium-voltage power distribution network, an 89-node medium-pressure gas distribution network, and four mobile emergency sources was constructed. The simulation analysis verified the efficiency of the proposed coordinated restoration optimization method.展开更多
Conferring surfaces with superhydrophilic/superaerophobic characteristics is desirable for synthesizing efficient gas reaction catalysts.However,complicated procedures,high costs,and poor interfaces hinder commerciali...Conferring surfaces with superhydrophilic/superaerophobic characteristics is desirable for synthesizing efficient gas reaction catalysts.However,complicated procedures,high costs,and poor interfaces hinder commercialization.Here,an integrated electrode with tunable wettability derived from a hierarchically porous wood scaffold was well designed for urea oxidation reaction(UOR).Interestingly,the outer surface of the wood lumen was optimized to the preferred wettability via stoichiometry to promote electrolyte permeation and gas escape.This catalyst exhibits outstanding activity and durability for UOR in alkaline media,requiring only a potential of 1.36 V(vs.RHE)to deliver 10 m A cm^(-2)and maintain its activity without significant decay for 60 h.These experiments and theoretical calculations demonstrate that the nickel(oxy)hydroxide layer formed through surface reconstruction of nickel nanoparticles improves the active sites and intrinsic activity.Moreover,the superwetting properties of the electrode promote mass transfer by guaranteeing substantial contact with the electrolyte and accelerating the separation of gaseous products during electrocatalysis.These findings provide the understanding needed to manipulate the surface wettability through rational design and fabrication of efficient electrocatalysts for gas-evolving processes.展开更多
BACKGROUND Attention-deficit/hyperactivity disorder(ADHD)is one of the most common disorders in child and adolescent psychiatry,with a prevalence of more than 5%.Despite extensive research on ADHD in the last 10 to 20...BACKGROUND Attention-deficit/hyperactivity disorder(ADHD)is one of the most common disorders in child and adolescent psychiatry,with a prevalence of more than 5%.Despite extensive research on ADHD in the last 10 to 20 years,effective treatments are still lacking.Instead,the concept of ADHD seems to have become broader and more heterogeneous.Therefore,the diagnosis and treatment of ADHD remains challenging for clinicians.AIM To investigate the effects of a multimodal integrated intervention for children with ADHD.METHODS Between March 2019 and September 2020,a total of 100 children with ADHD who were diagnosed and treated at our hospital were assessed for eligibility,two of whom revoked their consent.A case-control study was conducted in which the children were equally assigned,using a randomized number table,to either a medication group(methylphenidate hydrochloride extended-release tablets and atomoxetine hydrochloride tablets)or a multimodal integrated intervention group(medication+parent training+behavior modification+sensory integration therapy+sand tray therapy),with 49 patients in each group.The clinical endpoint was the efficacy of the different intervention modalities.RESULTS The two groups of children with ADHD had comparable patient characteristics(P>0.05).Multimodal integrated intervention resulted in a significantly higher treatment efficacy(91.84%)than medication alone(75.51%)(P<0.05).Children who received the multimodal integrated intervention showed lower scores in the Conners Parent Symptom Questionnaire and the Weiss Functional Impairment Rating Scale than those treated with medication alone(P<0.05).The Sensory Integration Scale scores of children in the multimodal integrated intervention group were higher than those of children in the medication group(P<0.05).Children who received the multimodal integrated intervention had higher compliance and family satisfaction and a lower incidence of adverse events than those treated with medication alone(P<0.05).CONCLUSION Multimodal integrated intervention effectively alleviated symptoms associated with ADHD in children.It enhanced their memory and attention with high safety and parental satisfaction,demonstrating good potential for clinical promotion.展开更多
基金funded by the National Nature Science Foundation of China(Grant Nos.52175509 and 52130504)National Key Research and Development Program of China(2017YFF0204705)2021 Postdoctoral Innovation Research Plan of Hubei Province(0106100226)。
文摘Multi-level programmable photonic integrated circuits(PICs)and optical metasurfaces have gained widespread attention in many fields,such as neuromorphic photonics,opticalcommunications,and quantum information.In this paper,we propose pixelated programmable Si_(3)N_(4)PICs with record-high 20-level intermediate states at 785 nm wavelength.Such flexibility in phase or amplitude modulation is achieved by a programmable Sb_(2)S_(3)matrix,the footprint of whose elements can be as small as 1.2μm,limited only by the optical diffraction limit of anin-house developed pulsed laser writing system.We believe our work lays the foundation for laser-writing ultra-high-level(20 levels and even more)programmable photonic systems and metasurfaces based on phase change materials,which could catalyze diverse applications such as programmable neuromorphic photonics,biosensing,optical computing,photonic quantum computing,and reconfigurable metasurfaces.
基金the support of the NCI grant(R01-CA27467701)for funding this project.
文摘RNAi therapeutics possess the potential to cure many uncurable human diseases.For instance,RNAi therapeutics using liposomes showed remarkable survival benefits in patients with liver diseases.However,the extension of liposomes to deliver RNA to cure other ailments has largely been unsuccessful.Therefore,researchers are focusing on designing and testing different combinations of materials for versatile RNA delivery applications.Yet,an efficient and safe RNA delivery platform has not been identified.In this work,we have developed a new class of RNA-delivery vehicle called“Gelasomes,”using an incongruous combination of gelatin and lipidoid to exploit each material’s unique properties while overcoming their inherent limitations.The low in vivo toxicity of Gelasomes is attributed to the exterior gelatin layers that shield the exposure of cationic lipidoid-siRNA clusters and yet present a biocompatible surface.Indeed,toxicity studies in mice indicate that repeated administration of Gelasomes(up to 48 mg/kg BW)is well-tolerated with no notable changes in body weight,hematology,or serum chemistry.Interestingly,the gelatin outer layer efficiently protects siRNA from serum degradation(48 h),preserving its functionality beyond two months of storage.Notably,Gelasomes possess dual siRNA conjugation modes,i.e.,electrostatic binding with lipidoid core and covalent attachment to gelatin surface.The bivalency coupled with lipidoids’high transfection efficiency rendered Gelasomes with remarkably high gene silencing efficiency(>90%)at very low treatment doses in vitro(40μg/mL).In vivo studies further confirmed the high gene silencing ability of Gelasomes in non-small cell lung tumor mouse models.This new platform is tunable on all fronts:size,degree of surface coating,and biomolecule functionalization.Truncating the lipidoid C14-tail to a C8-tail yielded Gelasomes of reduced size.As lipidoids with different carbon lengths are synthesizable,we can develop a library of Gelasomes with different sizes.The surface coating with less gelatin resulted in high transfection efficiency at low doses of Gelasomes.The structure of Gelasomes offers chemical handles to couple target-specific molecules like antibodies to tune their properties for efficient biological application.
文摘In this paper,an integrated estimation guidance and control(IEGC)system is designed based on the command filtered backstepping approach for circular field-of-view(FOV)strapdown missiles.The threedimensional integrated estimation guidance and control nonlinear model with limited actuator deflection angle is established considering the seeker's FOV constraint.The boundary time-varying integral barrier Lyapunov function(IBLF)is employed in backstepping design to constrain the body line-of-sight(BLOS)in IEGC system to fit a circular FOV.Then,the nonlinear adaptive controller is designed to estimate the changing aerodynamic parameters.The generalized extended state observer(GESO)is designed to estimate the acceleration of the maneuvering targets and the unmatched time-varying disturbances for improving tracking accuracy.Furthermore,the command filters are used to solve the"differential expansion"problem during the backstepping design.The Lyapunov theory is used to prove the stability of the overall closed-loop IEGC system.Finally,the simulation results validate the integrated system's effectiveness,achieving high accuracy strikes against maneuvering targets.
基金supports from following sources:National Key R&D Program of China(grant No.2021YFB2801500)National Natural Science Foundation of China(grant No.62375126,No.62105149 and No.62334001)+1 种基金Natural Science Foundation of Jiangsu Province(grant No.BK20210288)Opening Foundation of Key Laboratory of Laser&Infrared System(Shandong University),Minister of Education Key Lab of Modern Optical Technologies of Education Ministry of China,Soochow University State Key Laboratory of Advanced Optical Communication Systems and Networks,China Specially-appointed Professor Fund of Jiangsu.
文摘Despite the pressing demand for integrated spectrometers,a solution that deliver high-performance while being practically operated is still missing.Furthermore,current integrated spectrometers lack reconfigurability in their performance,which is highly desirable for dynamic working scenarios.This study presents a viable solution by demonstrating a userfriendly,reconfigurable spectrometer on silicon.At the core of this innovative spectrometer is a programmable photonic circuit capable of exhibiting diverse spectral responses,which can be significantly adjusted using on-chip phase shifters.The distinguishing feature of our spectrometer lies in its inverse design approach,facilitating effortless control and efficient manipulation of the programmable circuit.By eliminating the need for intricate configuration,our design reduces power consumption and mitigates control complexity.Additionally,our reconfigurable spectrometer offers two distinct operating conditions.In the Ultra-High-Performance mode,it is activated by multiple phase-shifters and achieves exceptional spectral resolution in the picometer scale while maintaining broad bandwidth.On the other hand,the Ease-of-Use mode further simplifies the control logic and reduces power consumption by actuating a single-phase shifter.Although this mode provides a slightly degraded spectral resolution of approximately 0.3 nm,it prioritizes ease of use and is wellsuited for applications where ultra-fine spectral reconstruction is not a primary requirement.
文摘BACKGROUND The concept of positive health(PH)supports an integrated approach for patients by taking into account six dimensions of health.This approach is especially relevant for patients with chronic disorders.Chronic gastrointestinal and hepatopancreatico-biliary(GI-HPB)disorders are among the top-6 of the most prevalent chronically affected organ systems.The impact of chronic GI-HPB disorders on individuals may be disproportionally high because:(1)The affected organ system frequently contributes to a malnourished state;and(2)persons with chronic GIHPB disorders are often younger than persons with chronic diseases in other organ systems.AIM To describe and quantify the dimensions of PH in patients with chronic GI-HPB disorders.METHODS Prospective,observational questionnaire study performed between 2019 and 2021 in 235 patients with a chronic GIHPB disorder attending the Outpatient Department of the Maastricht University Medical Center.Validated questionnaires and data from patient files were used to quantify the six dimensions of PH.Internal consistency was tested with McDonald’s Omega.Zero-order Pearson correlations and t-tests were used to assess associations and differences.A P value<0.05 was considered significant.RESULTS The GI-HPB patients scored significantly worse in all dimensions of PH compared to control data or norm scores from the general population.Regarding quality of life,participation and daily functioning,GI-HPB patients scored in the same range as patients with chronic disorders in other organ systems,but depressive symptoms(in 35%)and malnutrition(in 45%)were more frequent in patients with chronic GI-HPB disorders.Intercorrelation scores between the six dimensions were only very weak to weak,forcing us to quantify each domain separately.CONCLUSION All six dimensions of PH are impaired in the GI-HPB patients.Malnutrition and depressive symptoms are more prevalent compared to patients with chronic disorders in other organ systems.
基金supported by the National Natural Science Foundation of China(61931015,62071335,62250024)the Natural Science Foundation of Hubei Province of China(2021CFA002)+1 种基金the Fundamental Research Funds for the Central Universities of China(2042022dx0001)the Science and Technology Program of Shenzhen(JCYJ20170818112037398).
文摘To reduce the negative impact of the power amplifier(PA)nonlinear distortion caused by the orthogonal frequency division multiplexing(OFDM)waveform with high peak-to-average power ratio(PAPR)in integrated radar and communication(RadCom)systems is studied,the channel estimation in passive sensing scenarios.Adaptive channel estimation methods are proposed based on different pilot patterns,considering nonlinear distortion and channel sparsity.The proposed methods achieve sparse channel results by manipulating the least squares(LS)frequency-domain channel estimation results to preserve the most significant taps.The decision-aided method is used to optimize the sparse channel results to reduce the effect of nonlinear distortion.Numerical results show that the channel estimation performance of the proposed methods is better than that of the conventional methods under different pilot patterns.In addition,the bit error rate performance in communication and passive radar detection performance show that the proposed methods have good comprehensive performance.
基金supported by the National Natural Science Foundation of China(No.12171145)。
文摘The economic operation of integrated energy system(IES)faces new challenges such as multi-timescale characteristics of heterogeneous energy sources,and cooperative operation of hybrid energy storage system(HESS).To this end,this paper investigates the multi-timescale rolling opti-mization problem for IES integrated with HESS.Firstly,the architecture of IES with HESS is established,a comparative analysis is conducted to evaluate the advantages of the HESS over a single energy storage system(SESS)in stabilizing power fluctuations.Secondly,the dayahead and real-time scheduling cost functions of IES are established,the day-ahead scheduling mainly depends on operation costs of the components in IES,the real-time optimal scheduling adopts the Lya-punov optimization method to schedule the battery and hydrogen energy storage in each time slot,so as to minimize the real-time average scheduling operation cost,and the problem of day-ahead and real-time scheduling error,which caused by the uncertainty of the energy storage is solved by online optimization.Finally,the proposed model is verified to reduce the scheduling operation cost and the dispatching error by performing an arithmetic example analysis of the IES in Shanghai,which provides a reference for the safe and stable operation of the IES.
文摘BACKGROUND Breast cancer(BC)is the second leading cause of tumor-related mortality after lung cancer.Chemotherapy resistance remains a major challenge to progress in BC treatment,warranting further exploration of feasible and effective alternative therapies.AIM To analyzed the quality of life(QoL)and survival of patients with BC treated with integrated traditional Chinese and Western medicine(TCM-WM).METHODS This study included 226 patients with BC admitted to the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine between February 2018 and February 2023,including 100 who received conventional Western medicine treatment(control group)and 126 who received TCM-WM treatment(research group).The total effective rate,side effects(alopecia,nausea and vomiting,hepatorenal toxicity,and myelosuppression),QoL assessed using the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire(EORTC QLQ-C30),1-year overall survival(OS),recurrence and metastasis rates,and serum inflammatory factors[interleukin(IL)-6,IL-10,and tumor necrosis factor alpha]were comparatively analyzed.RESULTS The research group showed statistically better overall efficacy,EORTC QoL-C30 scores,and 1-year OS than the control group,with markedly lower side effects and 1-year recurrence and metastasis rates.Moreover,the posttreatment levels of serum inflammatory in the research group were significantly lower than the baseline and those in the control group.CONCLUSION Overall,TCM-WM demonstrated significantly improved therapeutic efficacy while ensuring drug safety in BC,which not only improved patients’QoL and prolonged survival,but also significantly inhibited the inflammatory response.
基金Geological and Mineral Resources Survey of Metallogenic Belt in the Middle and Lower Reaches of Yangtze River,Grant/Award Number:1212011220540Jiangsu 1:50000 Dingsanwei,Kaishan Island,Yangqiao,Chenjiagang,New Huaihe Estuary,Xiangshui Estuary,Dayou,Xiaojie,DayuJian District,Grant/Award Numbers:Base[2012]02‐014‐009,Base[2013]01‐019‐002,Base[2014]01‐021‐003。
文摘Integrated geophysical technology is a necessary and effective means for geothermal exploration.However,integration of geophysical technology for large‐scale surveys with those for geothermal reservoir localization is still in development.This study used the controlled source audio‐frequency magnetotelluric method technology for large‐scale exploration to obtain underground electrical structure information and micromotion detection technology to obtain underground wave velocity structure information.The combination of two detection technologies was used for local identification of geothermal reservoirs.Further,auxiliary correction and inversion constraint were implemented through the audio magnetotelluric sounding technology for maximum authenticity restoration of the near‐and transition‐field data.Through these technology improvements,a geothermal geological model was established for the Binhai County of Jiangsu Province in China and potential geothermal well locations were identified.On this basis,a geothermal well was drilled nearly 3000m deep,with a daily water volume of over 2000m3/day and a geothermal water temperature of 51°C at the well head.It is found that predictions using the above integrated geophysical exploration technology are in good agreement with the well geological formation data.This integrated geophysical technology can be effectively applied for geothermal exploration with high precision and reliability.
基金Supported by National Natural Science Foundation of China,No.82174461Hospital Capability Enhancement Project of Xiyuan Hospital,CACMS,No.XYZX0201-22Technology Innovation Project of China Academy of Chinese Medical Sciences,No.CI2021A01811.
文摘BACKGROUND Patients with BRAF V600E mutant metastatic colorectal cancer(mCRC)have a low incidence rate,poor biological activity,suboptimal response to conventional treatments,and a poor prognosis.In the previous cohort study on mCRC conducted by our team,it was observed that integrated Chinese and Western medicine treatment could significantly prolong the overall survival(OS)of patients with colorectal cancer.Therefore,we further explored the survival benefits in the population with BRAF V600E mutant mCRC.AIM To evaluate the efficacy of integrated Chinese and Western medicine in the treatment of BRAF V600E mutant metastatic colorectal cancer.METHODS A cohort study was conducted on patients with BRAF V600E mutant metastatic colorectal cancer admitted to Xiyuan Hospital of China Academy of Chinese Medical Sciences and Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region from January 2016 to December 2022.The patients were divided into two cohorts.RESULTS A total of 34 cases were included,with 23 in Chinese-Western medicine cohort(cohort A)and 11 in Western medicine cohort(cohort B).The median overall survival was 19.9 months in cohort A and 14.2 months in cohort B,with a statistically significant difference(P=0.038,hazard ratio=0.46).The 1-3-year survival rates were 95.65%(22/23),39.13%(9/23),and 26.09%(6/23)in cohort A,and 63.64%(7/11),18.18%(2/11),and 9.09%(1/11)in cohort B,respectively.Subgroup analysis showed statistically significant differences in median OS between the two cohorts in the right colon,liver metastasis,chemotherapy,and first-line treatment subgroups(P<0.05).CONCLUSION Integrated Chinese and Western medicine can prolong the survival and reduce the risk of death in patients with BRAF V600E mutant metastatic colorectal cancer,with more pronounced benefits observed in patients with right colon involvement,liver metastasis,combined chemotherapy,and first-line treatment.
基金“Provincial Online and Offline Hybrid First-Class Course-Integrated Business English 1-of Zhejiang Province in 2020”.
文摘As an online course-teaching mode,Massive Open Online Course(MOOC)has drawn great attention from both teachers and students.It is necessary to give full play to the advantages of MOOC resources and to enhance teachers’consciousness of“identity remodeling”in the process of Integrated Business English flipping classroom teaching.Combining the advantages of MOOC and flipped classroom teaching during before-,during-,and after-class will greatly help promote the overall quality of business English teaching in universities.
文摘Objective: To investigate the effect of the integrated nursing model in the prevention of chemotherapy-induced peripheral injury. Methods: A total of 60 tumor patients receiving oxaliplatin for 1 - 6 cycles of chemotherapy from January to September 2023 were selected. 30 patients were selected from January to March and divided into the control group, and 30 patients were selected from July to 9 as the experimental group. The control group received conventional chemotherapy nursing, while the experimental group received integrated nursing. Anxiety, peripheral nerve toxicity stage and quality of life score were compared between the two groups before and after intervention. Results: After intervention, the scores of the self-rating Anxiety Scale (SAS) and the total scores of the oxaliplatin Levi specific sensory neurotoxicity scale in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (P< 0.05);The Quality of Life Scale (FACT-G) score of cancer patients was higher than that of control group, and the difference was statistically significant (P< 0.05). Conclusion: The integrated nursing model can effectively reduce the anxiety of patients, reduce the incidence of peripheral nerve injury and improve the quality of life of patients.
基金The Sichuan Association for Non-Government Education Research Project“Task-Based Curriculum Design and Research under the Construction of Practical Teaching System:Taking the Integrated English as an Example”(MBXH23YB463)2023 Courses Ideological and Political Project of Southwest Jiaotong University Hope College“Integrated English I”(KCSZ2023022)。
文摘The BOPPPS model has been widely used in information-based teaching reform,which emphasizes studentcentered principles and student participation and interaction,including six steps:bridge-in,objective,pre-assessment,participatory learning,post-assessment,and summary.This paper applies the BOPPPS model in the Integrated English course at the three stages of teaching practice-before class,during class,and after class-to achieve blended teaching.It shows that this teaching mode provides students with a more abundant learning experience,helps to stimulate students’learning interests,and improves their comprehensive language application skills.
基金Heilongjiang Province Education Science Planning Key Project(Project number:GJB1423157)。
文摘Purpose:To analyze the application path of the integration of clinical medicine integrated courses with the elements of ideology and politics under the theory of“Sanquan Education,”and to provide references for the promotion of educational reform in medical schools.Methods:60 clinical medicine undergraduates at Jiamusi University in 2018 and 2019 were randomly selected as research subjects.On the basis of the analysis of students’characteristics and pre-study content,the students were divided into the integration group and the traditional group,each with 30 students.Students in the integration group carried out clinical medicine integrated class with the integration of ideological and political elements.Students in the traditional group carried out the traditional clinical medicine integrated class.Classroom evaluation scales,anonymous questionnaires,and interviews were used to conduct research,collect data,and compare and observe the application effects.Results:After carrying out different modes of clinical medicine integrated courses,the undergraduates of the Excellent Physician Class in the integration group were higher than those in the traditional group in terms of teaching satisfaction,comprehensive quality,basic knowledge test,and case analysis scores through questionnaire analysis(P<0.05).In the evaluation of the effect of ideological education,the undergraduates of the Excellent Physician Class of the integration group were higher than the traditional group in terms of the acceptance of doctor-patient communication,the correct rate of mastering the history of the discipline,and the correct rate of mastering the frontiers and policies(P<0.05).Conclusion:Through the integration of clinical medicine integrated course and ideological and political elements,we can help students establish correct values while teaching them professional knowledge,improve the implementation of moral education in medical schools,cultivate excellent medical workers with high morality and firm beliefs for the society,and realize the fundamental educational task of establishing morality and educating people in medical schools in the context of“Sanquan Education.”
基金The Chongqing University of Engineering for 2024 Construction Project Landscape for Comprehensive Project Library:Riverfront Space Renewal Project of Diaoyuzui Peninsula,Dadukou,Chongqing(Project No.2024-JZ-XMK054-XM083)。
文摘To enhance our talent cultivation model through“school-enterprise cooperation and industry-teaching fusion”,we aim to improve the“4321”Industry-Education Integration System.This includes actively promoting the use of case banks and project banks in teaching to develop students’practical engineering skills through hands-on application of professional knowledge.Additionally,landscape design courses emphasize practical learning experiences to implement the fundamental goal of“cultivating morality”.Guided by enhancing students’practical skills,we ensure alignment with course objectives and professional training requirements,emphasizing the seamless integration of theory and practice.
文摘The overall teaching design for the junior middle school English unit aims to maximize the use of teaching resources by using the unit as the central theme,integrating it throughout all sections and related activities.This approach continually reinforces students’understanding and retention of individual lesson content while fostering their core literacy and skills.It promotes a comprehensive development of students’listening,speaking,reading,and writing skills,allowing them to engage repeatedly with the language materials until they internalize them as part of their language proficiency.
文摘Objective: To analyze the impact of an integrated extended care model on improving the quality of life of elderly patients with Type 2 Diabetes Mellitus (T2DM). Methods: A total of 176 patients admitted to the hospital from March 2015 to February 2018 were selected and randomly assigned to an observation group and a control group, with 88 patients each. The control group implemented conventional nursing interventions, and the observation group carried out an integrated extended-care model. The level of glycemic control, quality of life, and daily medication adherence between both groups were compared. Results: The observation group showed significant improvement in the level of glycemic control, and their fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels were significantly lower as compared with those in the study group (P < 0.05). The quality of life of the patients in the observation group was higher than that of the control group (P < 0.05). The observation group had a higher compliance score (95.48 ± 7.45) than the control group (81.31 ± 8.72) (t = 8.909, P < 0.05). Conclusion: The integrated extended care model allows patients to receive comprehensive and individualized nursing services after discharge, which improves the effect of drug therapy and the quality of life of patients.
基金supported by the Open Research Fund of Jiangsu Collaborative Innovation Center for Smart Distribution Network (XTCX202001)National Natural Science Foundation of China (52077061)。
文摘In an integrated energy system(IES) composed of multiple subsystems, energy coupling causes an energy supply blockage or shutdown in one subsystem, thereby affecting the energy flow distribution optimization of other subsystems.The energy supply should be globally optimized during the IES energy supply restoration process to produce the highest restoration net income. Mobile emergency sources can be quickly and flexibly connected to supply energy after an energy outage to ensure a reliable supply to the system, which adds complexity to the decision. This study focuses on a powergas IES with mobile emergency sources and analyzes the coupling relationship between the gas distribution system and the power distribution system in terms of sources, networks, and loads, and the influence of mobile emergency source transportation. The influence of the transient process caused by the restoration operation of the gas distribution system on the power distribution system is also discussed. An optimization model for power-gas IES restoration was established with the objective of maximizing the net income. The coordinated restoration optimization decision-making process was also built to realize the decoupling iteration of the power-gas IES, including system status recognition, mobile emergency source dispatching optimization, gas-to-power gas flow optimization, and parallel intra-partition restoration scheme optimization for both the power and gas distribution systems. A simulation test power-gas IES consisting of an 81-node medium-voltage power distribution network, an 89-node medium-pressure gas distribution network, and four mobile emergency sources was constructed. The simulation analysis verified the efficiency of the proposed coordinated restoration optimization method.
基金financially supported by the National Natural Science Foundation of China(31922057)the Young Elite Scientists Sponsorship Program from National Forestry and Grassland Administration of China(2019132614)+2 种基金the Outstanding Innovative Youth Training Program of Changsha(KQ2106050)The Hunan Provincial Innovation Foundation for Postgraduate(CX20210847)the Scientific Innovation Fund for Graduate of Central South University of Forestry and Technology(CX202101019)。
文摘Conferring surfaces with superhydrophilic/superaerophobic characteristics is desirable for synthesizing efficient gas reaction catalysts.However,complicated procedures,high costs,and poor interfaces hinder commercialization.Here,an integrated electrode with tunable wettability derived from a hierarchically porous wood scaffold was well designed for urea oxidation reaction(UOR).Interestingly,the outer surface of the wood lumen was optimized to the preferred wettability via stoichiometry to promote electrolyte permeation and gas escape.This catalyst exhibits outstanding activity and durability for UOR in alkaline media,requiring only a potential of 1.36 V(vs.RHE)to deliver 10 m A cm^(-2)and maintain its activity without significant decay for 60 h.These experiments and theoretical calculations demonstrate that the nickel(oxy)hydroxide layer formed through surface reconstruction of nickel nanoparticles improves the active sites and intrinsic activity.Moreover,the superwetting properties of the electrode promote mass transfer by guaranteeing substantial contact with the electrolyte and accelerating the separation of gaseous products during electrocatalysis.These findings provide the understanding needed to manipulate the surface wettability through rational design and fabrication of efficient electrocatalysts for gas-evolving processes.
基金Supported by Ningbo Medical Key Fostering Discipline Child Health Science,No.2022-F26Ningbo Science and Technology Plan Project Public Welfare Plan,No.2019C50099.
文摘BACKGROUND Attention-deficit/hyperactivity disorder(ADHD)is one of the most common disorders in child and adolescent psychiatry,with a prevalence of more than 5%.Despite extensive research on ADHD in the last 10 to 20 years,effective treatments are still lacking.Instead,the concept of ADHD seems to have become broader and more heterogeneous.Therefore,the diagnosis and treatment of ADHD remains challenging for clinicians.AIM To investigate the effects of a multimodal integrated intervention for children with ADHD.METHODS Between March 2019 and September 2020,a total of 100 children with ADHD who were diagnosed and treated at our hospital were assessed for eligibility,two of whom revoked their consent.A case-control study was conducted in which the children were equally assigned,using a randomized number table,to either a medication group(methylphenidate hydrochloride extended-release tablets and atomoxetine hydrochloride tablets)or a multimodal integrated intervention group(medication+parent training+behavior modification+sensory integration therapy+sand tray therapy),with 49 patients in each group.The clinical endpoint was the efficacy of the different intervention modalities.RESULTS The two groups of children with ADHD had comparable patient characteristics(P>0.05).Multimodal integrated intervention resulted in a significantly higher treatment efficacy(91.84%)than medication alone(75.51%)(P<0.05).Children who received the multimodal integrated intervention showed lower scores in the Conners Parent Symptom Questionnaire and the Weiss Functional Impairment Rating Scale than those treated with medication alone(P<0.05).The Sensory Integration Scale scores of children in the multimodal integrated intervention group were higher than those of children in the medication group(P<0.05).Children who received the multimodal integrated intervention had higher compliance and family satisfaction and a lower incidence of adverse events than those treated with medication alone(P<0.05).CONCLUSION Multimodal integrated intervention effectively alleviated symptoms associated with ADHD in children.It enhanced their memory and attention with high safety and parental satisfaction,demonstrating good potential for clinical promotion.
