Solar insecticidal lamps(SIL) can effectively control pests and reduce the use of pesticides. Combining SIL and Internet of Things(IoT) has formed a new type of agricultural IoT,known as SIL-IoT, which can improve the...Solar insecticidal lamps(SIL) can effectively control pests and reduce the use of pesticides. Combining SIL and Internet of Things(IoT) has formed a new type of agricultural IoT,known as SIL-IoT, which can improve the effectiveness of migratory phototropic pest control. However, since the SIL is connected to the Internet, it is vulnerable to various security issues.These issues can lead to serious consequences, such as tampering with the parameters of SIL, illegally starting and stopping SIL,etc. In this paper, we describe the overall security requirements of SIL-IoT and present an extensive survey of security and privacy solutions for SIL-IoT. We investigate the background and logical architecture of SIL-IoT, discuss SIL-IoT security scenarios, and analyze potential attacks. Starting from the security requirements of SIL-IoT we divide them into six categories, namely privacy, authentication, confidentiality, access control, availability,and integrity. Next, we describe the SIL-IoT privacy and security solutions, as well as the blockchain-based solutions. Based on the current survey, we finally discuss the challenges and future research directions of SIL-IoT.展开更多
Tuberculosis(TB)remains a leading cause of death among infectious diseases,particularly in poor countries.Viral infections,multidrug-resistant and ex-tensively drug-resistant TB strains,as well as the coexistence of c...Tuberculosis(TB)remains a leading cause of death among infectious diseases,particularly in poor countries.Viral infections,multidrug-resistant and ex-tensively drug-resistant TB strains,as well as the coexistence of chronic illnesses such as diabetes mellitus(DM)greatly aggravate TB morbidity and mortality.DM[particularly type 2 DM(T2DM)]and TB have converged making their control even more challenging.Two contemporary global epidemics,TB-DM behaves like a syndemic,a synergistic confluence of two highly prevalent diseases.T2DM is a risk factor for developing more severe forms of multi-drug resistant-TB and TB recurrence after preventive treatment.Since a bidirectional relationship exists between TB and DM,it is necessary to concurrently treat both,and promote recommendations for the joint management of both diseases.There are also some drug-drug interactions resulting in adverse treatment outcomes in TB-DM patients including treatment failure,and reinfection.In addition,autophagy may play a role in these comorbidities.Therefore,the TB-DM comorbidities present several health challenges,requiring a focus on multidisciplinary collaboration and integrated strategies,to effectively deal with this double burden.To effectively manage the comorbidity,further screening in affected countries,more suitable drugs,and better treatment strategies are required.展开更多
China and Myanmar are geographically adjacent and have close economic and trade cooperation. China has been Myanmar’s largest trading partner and largest source of investment for many consecutive years. With the offi...China and Myanmar are geographically adjacent and have close economic and trade cooperation. China has been Myanmar’s largest trading partner and largest source of investment for many consecutive years. With the official entry into force of RCEP (Regional Comprehensive Economic Partnership) for Myanmar on May 1, 2022, the reduction of trade tariffs on goods and flexible rules of origin between China and Myanmar will undoubtedly bring more practical results to China Myanmar economic and trade cooperation. However, the implementation of RCEP in Myanmar may face a series of challenges such as poor business environment, weak human resource management, and outdated infrastructure construction. Finally, the article provides countermeasures for China Myanmar economic and trade cooperation from three aspects: optimizing the business environment to attract Chinese investment, increasing investment in education and training to improve labor quality, strengthening infrastructure construction to enhance economic support.展开更多
Infected necrotizing pancreatitis(INP)represents a severe condition in patients with acute pancreatitis.Invasive interventions are recommended in symptomatic INP.Growing evidence has suggested interventional strategie...Infected necrotizing pancreatitis(INP)represents a severe condition in patients with acute pancreatitis.Invasive interventions are recommended in symptomatic INP.Growing evidence has suggested interventional strategies of INP evolving from traditional surgery to minimally invasive step-up endoscopic procedures.However,there is still no standardized protocol for endoscopic interventions.Recently,various studies have been published about the endoscopic management of INP.This article reviews published articles and guidelines to present the progress and challenges of endoscopic transluminal drainage and necrosectomy in INP.展开更多
As one of the most concerned digital technologies in recent years,blockchain and distributed ledger technology are an important driving force for a new round of technological development.It is currently in the process...As one of the most concerned digital technologies in recent years,blockchain and distributed ledger technology are an important driving force for a new round of technological development.It is currently in the process of accelerating its evolution and maturity,and has gradually integrated with other digital technologies.It has been applied in many industries,providing decentralized solutions for various industries,realizing innovative storage models,and building a new trust system.As blockchain technology is officially incorporated into China’s new information infrastructure category,the application fields of blockchain have expanded rapidly,gradually extending from the financial field and government affairs to other fields in the real economy.At the same time,with the continuous development of the globalized economy,blockchain technology will also have a profound impact on international technological and economic development.Therefore,for the healthy and orderly development and real implementation of the blockchain industry,standardize the application of blockchain,effectively break through the cognitive and technical barriers between different countries,industries and systems on a global scale,prevent application risks,the development of the global blockchain industry needs standardization basis,which is particularly important and urgent.A sound standard system is an important key to the successful development of technology,and formulating the right standard at the right time for technology development helps ensure the ease of use and interoperability of the technology.From the perspective of international standardization,this article first introduces the general situation of ISO,ITU-T,IEEE,W3C and other international standardization organizations,and sorts out the status quo of the blockchain standardization working groups of mainstream international standardization organizations.All blockchain-related standards under development have been analyzed for the characteristics of international blockchain technology standards and industry application standards.Through data analysis,the overlaps,differences and conflicts in the field of international blockchain standard formulation are sorted out,and suggestions for blockchain standardization work in the application and development of blockchain technology standardization by international organizations and industries are put forward.The plans and layouts of future international standards are summarized to help the development of the international standardization of blockchain.展开更多
The clinical scenario of pediatric liver disease is becoming more intricate due to changes in the disease spectrum,in which an increasing number of inherited/metabolic liver diseases are reported,while infectious dise...The clinical scenario of pediatric liver disease is becoming more intricate due to changes in the disease spectrum,in which an increasing number of inherited/metabolic liver diseases are reported,while infectious diseases show a decreasing trend.The similar clinical manifestations caused by inherited/metabolic diseases might be under-recognized or misdiagnosed due to nonspecific characteristics.A delayed visit to a doctor due to a lack of symptoms or mild symptoms at an early stage will result in late diagnosis and treatment.Moreover,limited diagnostic approaches,especially liver biopsy,are not easily accepted by pediatric patients,leading to challenges in etiological diagnosis.Liver dysfunction due to inherited/metabolic diseases is often caused by a variety of metabolites,so precision treatment is difficult;symptomatic treatment is a compelling option for inherited disorders.展开更多
Cancer stands as a prominent public health concern in China, with elusive intervention targets due to unidentified high-risk causal factors for most cancers. Consequently, emphasis has shifted towards screening, diagn...Cancer stands as a prominent public health concern in China, with elusive intervention targets due to unidentified high-risk causal factors for most cancers. Consequently, emphasis has shifted towards screening, diagnosing, and treating early cancer cases within the general population. However, China faces considerable obstacles in its cancer prevention and control efforts, attributing to the complexity and heterogeneity of the occurrence, progression, and prognosis of malignant tumors across populations, time, and regions. Taking esophageal cancer screening practices as an example, this review outlines the importance and assessment of cancer screening, delineating major challenges in China's cancer prevention and control: 1) limited comprehension of cancer's natural history;2) lack of “China Evidence” supporting screening effectiveness and value;3) compromised efficiency and accuracy in current screening modality;and 4) insufficient sustainability of the current screening practices and translation of relevant scientific research achievements. To address these challenges, we propose potential coping strategies: 1)establishing tailored technologies and pathways for cancer prevention and control based on population-based and clinical epidemiological studies using high-quality designs;2) breaking conventional constraints to establish a novel cancer screening strategy aligned with real-world needs;and 3) establishing enhanced communication platforms among scientific research teams, policymakers, and industrial institutions to foster collaboration and innovation.展开更多
Microneedles(MNs)can be used for the topical treatment of skin disorders as they directly deliver therapeutics to the site of skin lesions,resulting in increased therapeutic efficacy while having minimum side effects....Microneedles(MNs)can be used for the topical treatment of skin disorders as they directly deliver therapeutics to the site of skin lesions,resulting in increased therapeutic efficacy while having minimum side effects.MNs are used to deliver different kinds of therapeutics(e.g.,small molecules,macromolecules,nanomedicines,living cells,bacteria,and exosomes)for treating various skin disorders,including superficial tumors,wounds,skin infections,inflammatory skin diseases,and abnormal skin appearance.The therapeutic efficacy of MNs can be improved by integrating the advantages of multiple therapeutics to perform combination therapy.Through careful designing,MNs can be further modified with biomimetic structures for the responsive drug release from internal and external stimuli and to enhance the transdermal delivery efficiency for robust therapeutic outcomes.Some studies have proposed the use of drug-free MNs as a promising mechanotherapeutic strategy to promote wound healing,scar removal,and hair regeneration via a mechanical communication pathway.Although MNs have several advantages,the practical application of MNs suffers from problems related to industrial manufacture and clinical evaluation,making it difficult for clinical translation.In this study,we summarized the various applications,emerging challenges,and developmental prospects of MNs in skin disorders to provide information on ways to advance clinical translation.展开更多
In light of carbon-neutral pledge, the oil and gas industry has been facing several critical new challenges in China. The current status and new challenges in terms of market mechanism reform, supply-consumption balan...In light of carbon-neutral pledge, the oil and gas industry has been facing several critical new challenges in China. The current status and new challenges in terms of market mechanism reform, supply-consumption balance and key technology innovation in China's oil and gas industry are reviewed in the present study, and new strategies and roadmaps are proposed to cope with the challenges. The study found that (i) the oil and gas market faces challenges such as incomplete pricing mechanisms, unclear subject rights, and the lack of recognition and trading of carbon assets. (ii) the trade-off between short-term supply security and long-term low-carbon supply is the most critical issue. (iii) in addition to typical challenges such as immature technology and lack of funding support, the unclear multiple technology coupling development mode also poses problems for the low-carbon transformation of the oil and gas industry. To address these new challenges, comprehensive strategies and roadmaps for China's oil and gas industry towards carbon neutrality are proposed and discussed in the aspects of participating in market transactions, restructuring production and consumption, deploying key technology innovations, and planning enterprise strategies. The present study is expected to provide a blueprint for the future development of China's oil and gas industry towards carbon neutrality.展开更多
Species distribution models have been widely used to explore suitable habitats of species,the impact of climate change on the distribution of suitable habitats of species,and the construction of ecological reserves.Th...Species distribution models have been widely used to explore suitable habitats of species,the impact of climate change on the distribution of suitable habitats of species,and the construction of ecological reserves.This paper introduced species distribution models commonly used in biodiversity analysis,as well as model performance evaluation indexes,challenges in the application of species distribution models,and finally prospected the development trend of research on species distribution models.展开更多
Artificial Intelligence(AI)and Computer Vision(CV)advancements have led to many useful methodologies in recent years,particularly to help visually-challenged people.Object detection includes a variety of challenges,fo...Artificial Intelligence(AI)and Computer Vision(CV)advancements have led to many useful methodologies in recent years,particularly to help visually-challenged people.Object detection includes a variety of challenges,for example,handlingmultiple class images,images that get augmented when captured by a camera and so on.The test images include all these variants as well.These detection models alert them about their surroundings when they want to walk independently.This study compares four CNN-based pre-trainedmodels:ResidualNetwork(ResNet-50),Inception v3,DenseConvolutional Network(DenseNet-121),and SqueezeNet,predominantly used in image recognition applications.Based on the analysis performed on these test images,the study infers that Inception V3 outperformed other pre-trained models in terms of accuracy and speed.To further improve the performance of the Inception v3 model,the thermal exchange optimization(TEO)algorithm is applied to tune the hyperparameters(number of epochs,batch size,and learning rate)showing the novelty of the work.Better accuracy was achieved owing to the inclusion of an auxiliary classifier as a regularizer,hyperparameter optimizer,and factorization approach.Additionally,Inception V3 can handle images of different sizes.This makes Inception V3 the optimum model for assisting visually challenged people in real-world communication when integrated with Internet of Things(IoT)-based devices.展开更多
Text-To-Speech(TTS)is a speech processing tool that is highly helpful for visually-challenged people.The TTS tool is applied to transform the texts into human-like sounds.However,it is highly challenging to accomplish...Text-To-Speech(TTS)is a speech processing tool that is highly helpful for visually-challenged people.The TTS tool is applied to transform the texts into human-like sounds.However,it is highly challenging to accomplish the TTS out-comes for the non-diacritized text of the Arabic language since it has multiple unique features and rules.Some special characters like gemination and diacritic signs that correspondingly indicate consonant doubling and short vowels greatly impact the precise pronunciation of the Arabic language.But,such signs are not frequently used in the texts written in the Arabic language since its speakers and readers can guess them from the context itself.In this background,the current research article introduces an Optimal Deep Learning-driven Arab Text-to-Speech Synthesizer(ODLD-ATSS)model to help the visually-challenged people in the Kingdom of Saudi Arabia.The prime aim of the presented ODLD-ATSS model is to convert the text into speech signals for visually-challenged people.To attain this,the presented ODLD-ATSS model initially designs a Gated Recurrent Unit(GRU)-based prediction model for diacritic and gemination signs.Besides,the Buckwalter code is utilized to capture,store and display the Arabic texts.To improve the TSS performance of the GRU method,the Aquila Optimization Algorithm(AOA)is used,which shows the novelty of the work.To illustrate the enhanced performance of the proposed ODLD-ATSS model,further experi-mental analyses were conducted.The proposed model achieved a maximum accu-racy of 96.35%,and the experimental outcomes infer the improved performance of the proposed ODLD-ATSS model over other DL-based TSS models.展开更多
Hypertension(HTN)is one of the most common chronic diseases affecting over 30%of the adult population globally,with a growing incidence rate.This article aims to identify the commonly used herbs for HTN treatment and ...Hypertension(HTN)is one of the most common chronic diseases affecting over 30%of the adult population globally,with a growing incidence rate.This article aims to identify the commonly used herbs for HTN treatment and examine their claims,criticisms,and challenges.It further aims to provide useful recommendations regarding the use of herbs for HTN treatment.HTN complications,such as coronary heart disease,stroke,peripheral vascular disease,vision impairment,and renal failure can result in morbidity and mortality.The high cost of conventional medications,which sometimes may not even be available or easily accessible with their unfavorable side effects as well as taking more than one pill per day,has led hypertensive patients,particularly those in rural areas,to explore alternative treatments such as herbal therapies.It is crucial to determine the different modes of action,doses,safety,and efficacy of herbal remedies used in combination with conventional medications to improve treatment adherence and enhance patient outcomes.展开更多
Cancer is a leading cause of death globally,and most patients with cancers frequently seek for complementary and alternative medicine(CAM)to ameliorate their condition.Some of the available CAM care include:acupunctur...Cancer is a leading cause of death globally,and most patients with cancers frequently seek for complementary and alternative medicine(CAM)to ameliorate their condition.Some of the available CAM care include:acupuncture,aromatherapy,Ayurvedic medicinal drug,cannabis,chelation remedy,homeopathy,hypnotherapy,massage therapy,naturopathic medication,and conventional Chinese remedy amongst others.Despite the growing use of CAM,the evidence-base for its efficacy and safety is limited.Major challenges confronting the efficient deployment of CAM is lack of standardization and regulation;as well as the demand for more extensive studies to validate their safety and efficacy.Integrative oncology which is the combination of CAM and conventional cancer care is likewise complicated through the potential adverse interactions between CAM options and most cancers drugs.The article serves as a guide for healthcare providers and patients to determine how CAM can be safely integrated into the cancer care paradigm.Taking into account safety concerns,however,more studies need to be conducted to properly evaluate its efficacy.Ultimately,CAM can help cancer patients in achieving greater health and well-being.展开更多
BACKGROUND The Centers for Disease Control and Prevention estimate that Clostridioides difficile(C.difficile)causes half a million infections(CDI)annually and is a major cause of total infectious disease death in the ...BACKGROUND The Centers for Disease Control and Prevention estimate that Clostridioides difficile(C.difficile)causes half a million infections(CDI)annually and is a major cause of total infectious disease death in the United States,causing inflammation of the colon and potentially deadly diarrhea.We recently reported the isolation of ADS024,a Bacillus velezensis(B.velezensis)strain,which demonstrated direct in vitro bactericidal activity against C.difficile,with minimal collateral impact on other members of the gut microbiota.In this study,we hypothesized that in vitro activities of ADS024 will translate in vivo to protect against CDI challenge in mouse models.AIM To investigate the in vivo efficacy of B.velezensis ADS024 in protecting against CDI challenge in mouse models.METHODS To mimic disruption of the gut microbiota,the mice were exposed to vancomycin prior to dosing with ADS024.For the mouse single-dose study,the recovery of ADS024 was assessed via microbiological analysis of intestinal and fecal samples at 4 h,8 h,and 24 h after a single oral dose of 5×108 colony-forming units(CFU)/mouse of freshly grown ADS024.The single-dose study in miniature swine included groups that had been pre-dosed with vancomycin and that had been exposed to a dose range of ADS024,and a group that was not pre-dosed with vancomycin and received a single dose of ADS024.The ADS024 colonies[assessed by quantitative polymerase chain reaction(qPCR)using ADS024-specific primers]were counted on agar plates.For the 28-d miniature swine study,qPCR was used to measure ADS024 levels from fecal samples after oral administration of ADS024 capsules containing 5×109 CFU for 28 consecutive days,followed by MiSeq compositional sequencing and bioinformatic analyses to measure the impact of ADS024 on microbiota.Two studies were performed to determine the efficacy of ADS024 in a mouse model of CDI:Study 1 to determine the effects of fresh ADS024 culture and ADS024 spore preparations on the clinical manifestations of CDI in mice,and Study 2 to compare the efficacy of single daily doses vs dosing 3 times per day with fresh ADS024.C.difficile challenge was performed 24 h after the start of ADS024 exposure.To model the human distal colon,an anerobic fecal fermentation system was used.MiSeq compositional sequencing and bioinformatic analyses were performed to measure microbiota diversity changes following ADS024 treatment.To assess the potential of ADS024 to be a source of antibiotic resistance,its susceptibility to 18 different antibiotics was tested.RESULTS In a mouse model of CDI challenge,single daily doses of ADS024 were as efficacious as multiple daily doses in protecting against subsequent challenge by C.difficile pathogen-induced disease.ADS024 showed no evidence of colonization based on the observation that the ADS024 colonies were not recovered 24 h after single doses in mice or 72 h after single doses in miniature swine.In a 28-d repeat-dose study in miniature swine,ADS024 was not detected in fecal samples using plating and qPCR methods.Phylogenetic analysis performed in the human distal colon model showed that ADS024 had a selective impact on the healthy human colonic microbiota,similarly to the in vivo studies performed in miniature swine.Safety assessments indicated that ADS024 was susceptible to all the antibiotics tested,while in silico testing revealed a low potential for off-target activity or virulence and antibioticresistance mechanisms.CONCLUSION Our findings,demonstrating in vivo efficacy of ADS024 in protecting against CDI challenge in mouse models,support the use of ADS024 in preventing recurrent CDI following standard antibiotic treatment.展开更多
Enrolling in clinical trials could be time-sensitive and time-demanding tasks for the research site, especially if it is a private research organization compared to the research conducted at an academic or medical cen...Enrolling in clinical trials could be time-sensitive and time-demanding tasks for the research site, especially if it is a private research organization compared to the research conducted at an academic or medical center. Every study differs in various aspects, such as phases, study indication, eligibility criteria, etc. In terms of meeting the enrollment deadline, typically, the study indication and availability of the patient’s population at the geographical area of the research site would decide if the trial could be time-consuming. Patient recruitment and retention are critical for the success of every clinical trial;however, worldwide, this area is facing tremendous pressure and challenges. Globally 55% of clinical trials terminated due to low recruitment, with an average enrollment success rate of 40% for Phase III and IV trials. Over 80% of clinical trial attempts fail to enroll, extending the study and adding new study sites. In the United States, more than 80% of clinical trials fail to achieve targeted patient enrollment, and 30% of study participants discontinue participation. This article reviewed various factors hindering clinical trial recruitment and retention and suggested strategies to make the research site successful.展开更多
The development and widespread adoption of new technologies like ChatGPT have had a profound impact on education.This paper discusses how ChatGPT empowers the teaching and learning of technical English translation and...The development and widespread adoption of new technologies like ChatGPT have had a profound impact on education.This paper discusses how ChatGPT empowers the teaching and learning of technical English translation and sheds light on the negative effects and the challenges it brings.Furthermore,it presents strategies for technical English translation teaching assisted by ChatGPT.展开更多
Legacy mine shafts and waste dumps in the Witwatersrand continue to create social and environmental challenges for communities, even in areas where gold mining ceased over 100 years ago. The slow pace of eradication o...Legacy mine shafts and waste dumps in the Witwatersrand continue to create social and environmental challenges for communities, even in areas where gold mining ceased over 100 years ago. The slow pace of eradication of these gold mine shafts and waste dumps (or lack thereof) results in conflict between the communities and authorities, particularly the Department of Mineral Resources and Energy (DMRE) as the relevant authority in the field of environmental management in mining. This paper examines, through a literature review, the past and present legislative framework that resulted in legacy mine shafts and dumps and how communities find themselves living next to these mine sites, which results in social and environmental problems. The paper further explores the governments, particularly the DMRE, proposed initiatives to empower those who intend to extract value from the abandoned mines while curbing the scourge of crime in affected communities.展开更多
This research paper provides an overview of low-temperature construction processes with an emphasis on the challenges that the sector faces and the creative solutions created to deal with them. Low-temperature constru...This research paper provides an overview of low-temperature construction processes with an emphasis on the challenges that the sector faces and the creative solutions created to deal with them. Low-temperature construction has particular challenges with regard to technology, materials, worker safety and technological development. It highlights the necessity of customized regulations and procedures aimed at improving the sustainability and efficiency of construction in regions with low temperatures.展开更多
基金supported in part by the National Natural Science Foundation of China (62072248, 62072247)the Jiangsu Agriculture Science and Technology Innovation Fund (CX(21)3060)。
文摘Solar insecticidal lamps(SIL) can effectively control pests and reduce the use of pesticides. Combining SIL and Internet of Things(IoT) has formed a new type of agricultural IoT,known as SIL-IoT, which can improve the effectiveness of migratory phototropic pest control. However, since the SIL is connected to the Internet, it is vulnerable to various security issues.These issues can lead to serious consequences, such as tampering with the parameters of SIL, illegally starting and stopping SIL,etc. In this paper, we describe the overall security requirements of SIL-IoT and present an extensive survey of security and privacy solutions for SIL-IoT. We investigate the background and logical architecture of SIL-IoT, discuss SIL-IoT security scenarios, and analyze potential attacks. Starting from the security requirements of SIL-IoT we divide them into six categories, namely privacy, authentication, confidentiality, access control, availability,and integrity. Next, we describe the SIL-IoT privacy and security solutions, as well as the blockchain-based solutions. Based on the current survey, we finally discuss the challenges and future research directions of SIL-IoT.
文摘Tuberculosis(TB)remains a leading cause of death among infectious diseases,particularly in poor countries.Viral infections,multidrug-resistant and ex-tensively drug-resistant TB strains,as well as the coexistence of chronic illnesses such as diabetes mellitus(DM)greatly aggravate TB morbidity and mortality.DM[particularly type 2 DM(T2DM)]and TB have converged making their control even more challenging.Two contemporary global epidemics,TB-DM behaves like a syndemic,a synergistic confluence of two highly prevalent diseases.T2DM is a risk factor for developing more severe forms of multi-drug resistant-TB and TB recurrence after preventive treatment.Since a bidirectional relationship exists between TB and DM,it is necessary to concurrently treat both,and promote recommendations for the joint management of both diseases.There are also some drug-drug interactions resulting in adverse treatment outcomes in TB-DM patients including treatment failure,and reinfection.In addition,autophagy may play a role in these comorbidities.Therefore,the TB-DM comorbidities present several health challenges,requiring a focus on multidisciplinary collaboration and integrated strategies,to effectively deal with this double burden.To effectively manage the comorbidity,further screening in affected countries,more suitable drugs,and better treatment strategies are required.
文摘China and Myanmar are geographically adjacent and have close economic and trade cooperation. China has been Myanmar’s largest trading partner and largest source of investment for many consecutive years. With the official entry into force of RCEP (Regional Comprehensive Economic Partnership) for Myanmar on May 1, 2022, the reduction of trade tariffs on goods and flexible rules of origin between China and Myanmar will undoubtedly bring more practical results to China Myanmar economic and trade cooperation. However, the implementation of RCEP in Myanmar may face a series of challenges such as poor business environment, weak human resource management, and outdated infrastructure construction. Finally, the article provides countermeasures for China Myanmar economic and trade cooperation from three aspects: optimizing the business environment to attract Chinese investment, increasing investment in education and training to improve labor quality, strengthening infrastructure construction to enhance economic support.
文摘Infected necrotizing pancreatitis(INP)represents a severe condition in patients with acute pancreatitis.Invasive interventions are recommended in symptomatic INP.Growing evidence has suggested interventional strategies of INP evolving from traditional surgery to minimally invasive step-up endoscopic procedures.However,there is still no standardized protocol for endoscopic interventions.Recently,various studies have been published about the endoscopic management of INP.This article reviews published articles and guidelines to present the progress and challenges of endoscopic transluminal drainage and necrosectomy in INP.
基金supported by the Key R&D Program of Zhejiang Province(2021C01105)the Key R&D Program of Guangdong Province(2020B0101090003)+1 种基金the National Key R&D Program of China(2021YFB2701100)These supports are gratefully acknowledged.
文摘As one of the most concerned digital technologies in recent years,blockchain and distributed ledger technology are an important driving force for a new round of technological development.It is currently in the process of accelerating its evolution and maturity,and has gradually integrated with other digital technologies.It has been applied in many industries,providing decentralized solutions for various industries,realizing innovative storage models,and building a new trust system.As blockchain technology is officially incorporated into China’s new information infrastructure category,the application fields of blockchain have expanded rapidly,gradually extending from the financial field and government affairs to other fields in the real economy.At the same time,with the continuous development of the globalized economy,blockchain technology will also have a profound impact on international technological and economic development.Therefore,for the healthy and orderly development and real implementation of the blockchain industry,standardize the application of blockchain,effectively break through the cognitive and technical barriers between different countries,industries and systems on a global scale,prevent application risks,the development of the global blockchain industry needs standardization basis,which is particularly important and urgent.A sound standard system is an important key to the successful development of technology,and formulating the right standard at the right time for technology development helps ensure the ease of use and interoperability of the technology.From the perspective of international standardization,this article first introduces the general situation of ISO,ITU-T,IEEE,W3C and other international standardization organizations,and sorts out the status quo of the blockchain standardization working groups of mainstream international standardization organizations.All blockchain-related standards under development have been analyzed for the characteristics of international blockchain technology standards and industry application standards.Through data analysis,the overlaps,differences and conflicts in the field of international blockchain standard formulation are sorted out,and suggestions for blockchain standardization work in the application and development of blockchain technology standardization by international organizations and industries are put forward.The plans and layouts of future international standards are summarized to help the development of the international standardization of blockchain.
基金Supported by the Shenzhen Science and Technology Innovation Program,No.JCYJ20220818102801004(to Dai DL).
文摘The clinical scenario of pediatric liver disease is becoming more intricate due to changes in the disease spectrum,in which an increasing number of inherited/metabolic liver diseases are reported,while infectious diseases show a decreasing trend.The similar clinical manifestations caused by inherited/metabolic diseases might be under-recognized or misdiagnosed due to nonspecific characteristics.A delayed visit to a doctor due to a lack of symptoms or mild symptoms at an early stage will result in late diagnosis and treatment.Moreover,limited diagnostic approaches,especially liver biopsy,are not easily accepted by pediatric patients,leading to challenges in etiological diagnosis.Liver dysfunction due to inherited/metabolic diseases is often caused by a variety of metabolites,so precision treatment is difficult;symptomatic treatment is a compelling option for inherited disorders.
基金supported by the National Key R&D Program of China (No. 2021YFC2500405)。
文摘Cancer stands as a prominent public health concern in China, with elusive intervention targets due to unidentified high-risk causal factors for most cancers. Consequently, emphasis has shifted towards screening, diagnosing, and treating early cancer cases within the general population. However, China faces considerable obstacles in its cancer prevention and control efforts, attributing to the complexity and heterogeneity of the occurrence, progression, and prognosis of malignant tumors across populations, time, and regions. Taking esophageal cancer screening practices as an example, this review outlines the importance and assessment of cancer screening, delineating major challenges in China's cancer prevention and control: 1) limited comprehension of cancer's natural history;2) lack of “China Evidence” supporting screening effectiveness and value;3) compromised efficiency and accuracy in current screening modality;and 4) insufficient sustainability of the current screening practices and translation of relevant scientific research achievements. To address these challenges, we propose potential coping strategies: 1)establishing tailored technologies and pathways for cancer prevention and control based on population-based and clinical epidemiological studies using high-quality designs;2) breaking conventional constraints to establish a novel cancer screening strategy aligned with real-world needs;and 3) establishing enhanced communication platforms among scientific research teams, policymakers, and industrial institutions to foster collaboration and innovation.
基金financially supported by the National Natural Science Foundation of China(82104071)Natural Science Foundation of Guangdong Province(2022B1515020085)Leading Entrepreneurship Team Project of Zengcheng District(202001004)。
文摘Microneedles(MNs)can be used for the topical treatment of skin disorders as they directly deliver therapeutics to the site of skin lesions,resulting in increased therapeutic efficacy while having minimum side effects.MNs are used to deliver different kinds of therapeutics(e.g.,small molecules,macromolecules,nanomedicines,living cells,bacteria,and exosomes)for treating various skin disorders,including superficial tumors,wounds,skin infections,inflammatory skin diseases,and abnormal skin appearance.The therapeutic efficacy of MNs can be improved by integrating the advantages of multiple therapeutics to perform combination therapy.Through careful designing,MNs can be further modified with biomimetic structures for the responsive drug release from internal and external stimuli and to enhance the transdermal delivery efficiency for robust therapeutic outcomes.Some studies have proposed the use of drug-free MNs as a promising mechanotherapeutic strategy to promote wound healing,scar removal,and hair regeneration via a mechanical communication pathway.Although MNs have several advantages,the practical application of MNs suffers from problems related to industrial manufacture and clinical evaluation,making it difficult for clinical translation.In this study,we summarized the various applications,emerging challenges,and developmental prospects of MNs in skin disorders to provide information on ways to advance clinical translation.
基金support provided by the Major Program of National Social Science Foundation of China(No.21ZDA030)Natural Science Foundation of Xinjiang(No.2022D01E56)Open Research Fund of Tianshan Research Institute(No.TSKF20220010).
文摘In light of carbon-neutral pledge, the oil and gas industry has been facing several critical new challenges in China. The current status and new challenges in terms of market mechanism reform, supply-consumption balance and key technology innovation in China's oil and gas industry are reviewed in the present study, and new strategies and roadmaps are proposed to cope with the challenges. The study found that (i) the oil and gas market faces challenges such as incomplete pricing mechanisms, unclear subject rights, and the lack of recognition and trading of carbon assets. (ii) the trade-off between short-term supply security and long-term low-carbon supply is the most critical issue. (iii) in addition to typical challenges such as immature technology and lack of funding support, the unclear multiple technology coupling development mode also poses problems for the low-carbon transformation of the oil and gas industry. To address these new challenges, comprehensive strategies and roadmaps for China's oil and gas industry towards carbon neutrality are proposed and discussed in the aspects of participating in market transactions, restructuring production and consumption, deploying key technology innovations, and planning enterprise strategies. The present study is expected to provide a blueprint for the future development of China's oil and gas industry towards carbon neutrality.
基金Supported by Natural Science Foundation of Hunan Province (2021JJ30375)Natural Science Foundation of Hunan Provincial Department of Education (20A275)Science and Technology Innovation Team Project of Hunan Province (201937924).
文摘Species distribution models have been widely used to explore suitable habitats of species,the impact of climate change on the distribution of suitable habitats of species,and the construction of ecological reserves.This paper introduced species distribution models commonly used in biodiversity analysis,as well as model performance evaluation indexes,challenges in the application of species distribution models,and finally prospected the development trend of research on species distribution models.
基金Princess Nourah bint Abdulrahman University Researchers Supporting Project number(PNURSP2023R191)Princess Nourah bint Abdulrahman University,Riyadh,Saudi Arabia.The authors would like to thank the Deanship of Scientific Research at Umm Al-Qura University for supporting this work by Grant Code:(22UQU4310373DSR61)This study is supported via funding from Prince Sattam bin Abdulaziz University project number(PSAU/2023/R/1444).
文摘Artificial Intelligence(AI)and Computer Vision(CV)advancements have led to many useful methodologies in recent years,particularly to help visually-challenged people.Object detection includes a variety of challenges,for example,handlingmultiple class images,images that get augmented when captured by a camera and so on.The test images include all these variants as well.These detection models alert them about their surroundings when they want to walk independently.This study compares four CNN-based pre-trainedmodels:ResidualNetwork(ResNet-50),Inception v3,DenseConvolutional Network(DenseNet-121),and SqueezeNet,predominantly used in image recognition applications.Based on the analysis performed on these test images,the study infers that Inception V3 outperformed other pre-trained models in terms of accuracy and speed.To further improve the performance of the Inception v3 model,the thermal exchange optimization(TEO)algorithm is applied to tune the hyperparameters(number of epochs,batch size,and learning rate)showing the novelty of the work.Better accuracy was achieved owing to the inclusion of an auxiliary classifier as a regularizer,hyperparameter optimizer,and factorization approach.Additionally,Inception V3 can handle images of different sizes.This makes Inception V3 the optimum model for assisting visually challenged people in real-world communication when integrated with Internet of Things(IoT)-based devices.
基金The authors extend their appreciation to the King Salman center for Disability Research for funding this work through Research Group no KSRG-2022-030.
文摘Text-To-Speech(TTS)is a speech processing tool that is highly helpful for visually-challenged people.The TTS tool is applied to transform the texts into human-like sounds.However,it is highly challenging to accomplish the TTS out-comes for the non-diacritized text of the Arabic language since it has multiple unique features and rules.Some special characters like gemination and diacritic signs that correspondingly indicate consonant doubling and short vowels greatly impact the precise pronunciation of the Arabic language.But,such signs are not frequently used in the texts written in the Arabic language since its speakers and readers can guess them from the context itself.In this background,the current research article introduces an Optimal Deep Learning-driven Arab Text-to-Speech Synthesizer(ODLD-ATSS)model to help the visually-challenged people in the Kingdom of Saudi Arabia.The prime aim of the presented ODLD-ATSS model is to convert the text into speech signals for visually-challenged people.To attain this,the presented ODLD-ATSS model initially designs a Gated Recurrent Unit(GRU)-based prediction model for diacritic and gemination signs.Besides,the Buckwalter code is utilized to capture,store and display the Arabic texts.To improve the TSS performance of the GRU method,the Aquila Optimization Algorithm(AOA)is used,which shows the novelty of the work.To illustrate the enhanced performance of the proposed ODLD-ATSS model,further experi-mental analyses were conducted.The proposed model achieved a maximum accu-racy of 96.35%,and the experimental outcomes infer the improved performance of the proposed ODLD-ATSS model over other DL-based TSS models.
文摘Hypertension(HTN)is one of the most common chronic diseases affecting over 30%of the adult population globally,with a growing incidence rate.This article aims to identify the commonly used herbs for HTN treatment and examine their claims,criticisms,and challenges.It further aims to provide useful recommendations regarding the use of herbs for HTN treatment.HTN complications,such as coronary heart disease,stroke,peripheral vascular disease,vision impairment,and renal failure can result in morbidity and mortality.The high cost of conventional medications,which sometimes may not even be available or easily accessible with their unfavorable side effects as well as taking more than one pill per day,has led hypertensive patients,particularly those in rural areas,to explore alternative treatments such as herbal therapies.It is crucial to determine the different modes of action,doses,safety,and efficacy of herbal remedies used in combination with conventional medications to improve treatment adherence and enhance patient outcomes.
文摘Cancer is a leading cause of death globally,and most patients with cancers frequently seek for complementary and alternative medicine(CAM)to ameliorate their condition.Some of the available CAM care include:acupuncture,aromatherapy,Ayurvedic medicinal drug,cannabis,chelation remedy,homeopathy,hypnotherapy,massage therapy,naturopathic medication,and conventional Chinese remedy amongst others.Despite the growing use of CAM,the evidence-base for its efficacy and safety is limited.Major challenges confronting the efficient deployment of CAM is lack of standardization and regulation;as well as the demand for more extensive studies to validate their safety and efficacy.Integrative oncology which is the combination of CAM and conventional cancer care is likewise complicated through the potential adverse interactions between CAM options and most cancers drugs.The article serves as a guide for healthcare providers and patients to determine how CAM can be safely integrated into the cancer care paradigm.Taking into account safety concerns,however,more studies need to be conducted to properly evaluate its efficacy.Ultimately,CAM can help cancer patients in achieving greater health and well-being.
文摘BACKGROUND The Centers for Disease Control and Prevention estimate that Clostridioides difficile(C.difficile)causes half a million infections(CDI)annually and is a major cause of total infectious disease death in the United States,causing inflammation of the colon and potentially deadly diarrhea.We recently reported the isolation of ADS024,a Bacillus velezensis(B.velezensis)strain,which demonstrated direct in vitro bactericidal activity against C.difficile,with minimal collateral impact on other members of the gut microbiota.In this study,we hypothesized that in vitro activities of ADS024 will translate in vivo to protect against CDI challenge in mouse models.AIM To investigate the in vivo efficacy of B.velezensis ADS024 in protecting against CDI challenge in mouse models.METHODS To mimic disruption of the gut microbiota,the mice were exposed to vancomycin prior to dosing with ADS024.For the mouse single-dose study,the recovery of ADS024 was assessed via microbiological analysis of intestinal and fecal samples at 4 h,8 h,and 24 h after a single oral dose of 5×108 colony-forming units(CFU)/mouse of freshly grown ADS024.The single-dose study in miniature swine included groups that had been pre-dosed with vancomycin and that had been exposed to a dose range of ADS024,and a group that was not pre-dosed with vancomycin and received a single dose of ADS024.The ADS024 colonies[assessed by quantitative polymerase chain reaction(qPCR)using ADS024-specific primers]were counted on agar plates.For the 28-d miniature swine study,qPCR was used to measure ADS024 levels from fecal samples after oral administration of ADS024 capsules containing 5×109 CFU for 28 consecutive days,followed by MiSeq compositional sequencing and bioinformatic analyses to measure the impact of ADS024 on microbiota.Two studies were performed to determine the efficacy of ADS024 in a mouse model of CDI:Study 1 to determine the effects of fresh ADS024 culture and ADS024 spore preparations on the clinical manifestations of CDI in mice,and Study 2 to compare the efficacy of single daily doses vs dosing 3 times per day with fresh ADS024.C.difficile challenge was performed 24 h after the start of ADS024 exposure.To model the human distal colon,an anerobic fecal fermentation system was used.MiSeq compositional sequencing and bioinformatic analyses were performed to measure microbiota diversity changes following ADS024 treatment.To assess the potential of ADS024 to be a source of antibiotic resistance,its susceptibility to 18 different antibiotics was tested.RESULTS In a mouse model of CDI challenge,single daily doses of ADS024 were as efficacious as multiple daily doses in protecting against subsequent challenge by C.difficile pathogen-induced disease.ADS024 showed no evidence of colonization based on the observation that the ADS024 colonies were not recovered 24 h after single doses in mice or 72 h after single doses in miniature swine.In a 28-d repeat-dose study in miniature swine,ADS024 was not detected in fecal samples using plating and qPCR methods.Phylogenetic analysis performed in the human distal colon model showed that ADS024 had a selective impact on the healthy human colonic microbiota,similarly to the in vivo studies performed in miniature swine.Safety assessments indicated that ADS024 was susceptible to all the antibiotics tested,while in silico testing revealed a low potential for off-target activity or virulence and antibioticresistance mechanisms.CONCLUSION Our findings,demonstrating in vivo efficacy of ADS024 in protecting against CDI challenge in mouse models,support the use of ADS024 in preventing recurrent CDI following standard antibiotic treatment.
文摘Enrolling in clinical trials could be time-sensitive and time-demanding tasks for the research site, especially if it is a private research organization compared to the research conducted at an academic or medical center. Every study differs in various aspects, such as phases, study indication, eligibility criteria, etc. In terms of meeting the enrollment deadline, typically, the study indication and availability of the patient’s population at the geographical area of the research site would decide if the trial could be time-consuming. Patient recruitment and retention are critical for the success of every clinical trial;however, worldwide, this area is facing tremendous pressure and challenges. Globally 55% of clinical trials terminated due to low recruitment, with an average enrollment success rate of 40% for Phase III and IV trials. Over 80% of clinical trial attempts fail to enroll, extending the study and adding new study sites. In the United States, more than 80% of clinical trials fail to achieve targeted patient enrollment, and 30% of study participants discontinue participation. This article reviewed various factors hindering clinical trial recruitment and retention and suggested strategies to make the research site successful.
文摘The development and widespread adoption of new technologies like ChatGPT have had a profound impact on education.This paper discusses how ChatGPT empowers the teaching and learning of technical English translation and sheds light on the negative effects and the challenges it brings.Furthermore,it presents strategies for technical English translation teaching assisted by ChatGPT.
文摘Legacy mine shafts and waste dumps in the Witwatersrand continue to create social and environmental challenges for communities, even in areas where gold mining ceased over 100 years ago. The slow pace of eradication of these gold mine shafts and waste dumps (or lack thereof) results in conflict between the communities and authorities, particularly the Department of Mineral Resources and Energy (DMRE) as the relevant authority in the field of environmental management in mining. This paper examines, through a literature review, the past and present legislative framework that resulted in legacy mine shafts and dumps and how communities find themselves living next to these mine sites, which results in social and environmental problems. The paper further explores the governments, particularly the DMRE, proposed initiatives to empower those who intend to extract value from the abandoned mines while curbing the scourge of crime in affected communities.
文摘This research paper provides an overview of low-temperature construction processes with an emphasis on the challenges that the sector faces and the creative solutions created to deal with them. Low-temperature construction has particular challenges with regard to technology, materials, worker safety and technological development. It highlights the necessity of customized regulations and procedures aimed at improving the sustainability and efficiency of construction in regions with low temperatures.
