In order to solve the no-wait flowshop scheduling problem to minimize the maximum lateness,three job-block-based neighborhoods are proposed,among which the block exchange neighborhood have a size of O（n4）while the b...In order to solve the no-wait flowshop scheduling problem to minimize the maximum lateness,three job-block-based neighborhoods are proposed,among which the block exchange neighborhood have a size of O（n4）while the block swap and the simplified block exchange neighborhoods have a size of O（n3）.With larger sizes than the existing neighborhoods,the proposed neighborhoods can enhance the solution quality of local search algorithms.Speedup properties for the neighborhoods are developed,which can evaluate a neighbor in constant time and explore the neighborhoods in time proportional to their proposed sizes. Unlike the dominance-rule-based speedup method,the proposed speedups are applicable to any machine number.Three neighborhoods and the union of block swap and the simplified block exchange neighborhoods are compared in the tabu search.Computational results on benchmark instances show that three tabu search algorithms with O（n3）neighborhoods outperform the existing algorithms and the tabu search algorithm with the union has the best performance among all the tested algorithms.展开更多
The scheduling problem on a single batching machine with family jobs was proposed.The single batching machine can process a group of jobs simultaneously as a batch.Jobs in the same batch complete at the same time.The ...The scheduling problem on a single batching machine with family jobs was proposed.The single batching machine can process a group of jobs simultaneously as a batch.Jobs in the same batch complete at the same time.The batch size is assumed to be unbounded.Jobs that belong to different families can not be processed in the same batch.The objective function is minimizing maximum lateness.For the problem with fixed number of m families and n jobs,a polynomial time algorithm based on dynamic programming with time complexity of O(n(n/m+1)m)was presented.展开更多
In parallel-batching machine scheduling, all jobs in a batch start and complete at the same time, and the processing time of the batch is the maximum processing time of any job in it. For the unbounded parallel-batchi...In parallel-batching machine scheduling, all jobs in a batch start and complete at the same time, and the processing time of the batch is the maximum processing time of any job in it. For the unbounded parallel-batching machine scheduling problem of minimizing the maximum lateness, denoted 1|p-batch|L_(max), a dynamic programming algorithm with time complexity O(n^2) is well known in the literature.Later, this algorithm is improved to be an O(n log n) algorithm. In this note, we present another O(n log n) algorithm with simplifications on data structure and implementation details.展开更多
Winter precipitation over eastern China displays remarkable interannual variability,which has been suggested to be closely related to El Niño-Southern Oscillation(ENSO).This study finds that ENSO impacts on easte...Winter precipitation over eastern China displays remarkable interannual variability,which has been suggested to be closely related to El Niño-Southern Oscillation(ENSO).This study finds that ENSO impacts on eastern China precipitation patterns exhibit obvious differences in early(November-December)and late(January-February)winter.In early winter,precipitation anomalies associated with ENSO are characterized by a monopole spatial distribution over eastern China.In contrast,the precipitation anomaly pattern in late winter remarkably changes,manifesting as a dipole spatial distribution.The noteworthy change in precipitation responses from early to late winter can be largely attributed to the seasonally varying Kuroshio anticyclonic anomalies.During the early winter of El Niño years,anticyclonic circulation anomalies appear both over the Philippine Sea and Kuroshio region,enhancing water vapor transport to the entirety of eastern China,thus contributing to more precipitation there.During the late winter of El Niño years,the anticyclone over the Philippine Sea is further strengthened,while the one over the Kuroshio dissipates,which could result in differing water vapor transport between northern and southern parts of eastern China and thus a dipole precipitation distribution.Roughly the opposite anomalies of circulation and precipitation are displayed during La Niña winters.Further analysis suggests that the seasonally-varying Kuroshio anticyclonic anomalies are possibly related to the enhancement of ENSO-related tropical central-eastern Pacific convection from early to late winter.These results have important implications for the seasonal-tointerannual predictability of winter precipitation over eastern China.展开更多
The Early Paleozoic tectono-thermal event was a significant orogenic activity during the Phanerozoic era,which had a profound impact on the early crust of the South China Block(SCB) and established the foundation for ...The Early Paleozoic tectono-thermal event was a significant orogenic activity during the Phanerozoic era,which had a profound impact on the early crust of the South China Block(SCB) and established the foundation for later tectonic activity.The Wuyi-Yunkai orogenic belt in Southeastern China was extensively exposed to Early Paleozoic magmatism,the genetic mechanism of which remains controversial.To shed light on this issue,detailed petrological,geochemical,and zircon U-Pb-Hf isotopic studies were carried out on two granitoids,namely the Yuntongshan pluton and the Gaoqiao pluton,identified in the central Wuyishan.Zircon U-Pb chronology of the Yuntongshan and Gaoqiao bodies yielded ages of437±4 Ma(MSWD=2.2) and 404±2 Ma(MSWD=12),respectively,indicating that they were emplaced during the Early Silurian and Early Devonian periods.These granitoids are primarily composed of biotite-granite and biotite-monzonitic-granites,with high concentrations of S_(i)O_(2)(73.59-75.91 wt%),K_(2)O+Na_(2)O(8.31-8.73wt%),and low contents of MgO,CaO,Cr,Ni.They are classified as high-K calc-alkaline and weakly metaluminous-strongly peraluminous S-type granites.These granitoids are enriched in light rare earth elements(LREEs) and large ion lithophile elements(LILEs) and depleted in heavy rare earth elements(HREEs) and high field strength elements(HFSEs) with arc affinity.The εHf(t) values of-3.3 to-15.4 with two-stage Hf model ages ranging from 2829 to 1644 Ma,combined with the presence of Neoproterozoic inherited zircons,suggest that the primary magma of these granitoids was derived from the partial melting of Neoproterozoic crust with a Paleoproterozoic crustal model age.These findings,combined with the spatio-temporal distribution of regional magmatism,reveal that the late Early-Paleozoic granitoids formed in the intraplate orogenic background originating from the subduction of the proto-Tethys Ocean and proto-Pacific Ocean around the margin of the east Gondwana supercontinent.展开更多
The Upper Cretaceous Qingshankou Formation black shales,deposited in the late Turonian(LTB shales),are the main source rocks of the Songliao Basin.The origins of organic matter enrichment of the shales is a contentiou...The Upper Cretaceous Qingshankou Formation black shales,deposited in the late Turonian(LTB shales),are the main source rocks of the Songliao Basin.The origins of organic matter enrichment of the shales is a contentious subject fuelling many ongoing debates.This study investigates the genesis of the organic matter-rich shale by using molecular geochemistry.The LTB shales can be divided into three sections.The SectionⅠshales were deposited in saline,stratified and anoxic water conditions,which are related to seawater incursion events.At least three episodic and periodic seawater incursion events were recognized during SectionⅠshale deposition.The SectionⅡshales deposited in brackish to fresh and deep lake-level conditions with high primary productivity,which are related to lake-level transgression.The SectionⅢshales were deposited under fresh and slightly oxidized water conditions,which are related to lake-level regression.Two organic matter enrichment models for the LTB shales are identified,that is,the seawater incursion model and the maximum lake-level transgression sedimentation model,which act on different shale sections,both playing significant roles in the enrichment of organic matter.展开更多
Tephra layers in the western Philippine Sea,characterized by abundant volcanic glass shards,may provide crucial evidence on the eruption history of volcanoes and tectonic evolution of the western Pacific.A 220-ka sedi...Tephra layers in the western Philippine Sea,characterized by abundant volcanic glass shards,may provide crucial evidence on the eruption history of volcanoes and tectonic evolution of the western Pacific.A 220-ka sediment core from the Benham Rise in the western Philippine Sea offers new insights into the provenance of four intercalated tephra layers(T1–T4,in chronological order)containing either colorless or brown glass shards.Relative to primitive mantle,all glass shards are enriched in large-ion lithophile elements,such as Rb,Cs,and Pb,and depleted in high field-strength elements,such as Th,Nb,and Ta,indicating a subduction-related origin.The colorless glass shards are characterized by high SiO_(2)(>78%)and light rare earth element(LREE)contents as well as high La/Sm ratios(>9),low FeO and MgO contents(<1%),low Sr/Y(<15)and high Ba/Th ratios(>100),pointing to a rhyolitic composition and a medium-K calc-alkaline serial affinity.In contrast,the brown glass shards are characterized by lower SiO_(2)(<63%)and LREE contents,higher FeO,MgO,and CaO contents,lower La/Sm(<6)and Ba/Th(<75),and similar Sr/Y ratios(<15),indicating derivation from medium to high-K calc-alkaline andesite magma.Brown glass shards from layers T3(152 ka)and T4(172 ka)were correlated with volcanic deposits from the Taal and Laguna Caldera in the Maccolod Corridor,respectively,while the colorless glass shards from layers T1(36.5 ka)and T2(61.2 ka)were likely sourced from the Irosin Caldera in the Bicol Arc.Establishing the provenance of late Pleistocene tephra layers in the western Philippine Sea is helpful to complement a Philippine volcanic history and establish a regional tephrochronostratigraphy.展开更多
The southwest Lahad Datu felsic rocks were previously thought to have formed in the late Triassic as part of the microcontinental crystalline basement.Based on U-Pb ages,geochemistry,and the Hfisotopes of zircon from ...The southwest Lahad Datu felsic rocks were previously thought to have formed in the late Triassic as part of the microcontinental crystalline basement.Based on U-Pb ages,geochemistry,and the Hfisotopes of zircon from the southeastern Sabah gabbro and granite,in this study,the tectonic properties of the Sabah area during the Triassic were investigated.The weighted average U-Pb zircon ages of the gabbro and granite samples were determined to be(230.9±2.5)Ma and(207.1±3.3)Ma,respectively.The granite had SiO_(2) contents of 66.54%-79.47%,low TiO_(2) contents of 0.08%-0.3%,Al_(2)O_(3) contents of 10.97%-16.22%,Na_(2)O contents of 5.91 %-6.39%,and low K_(2)O contents of 0.15%-0.65%.The chondrite-normalized rare earth element(REE) patterns exhibit light REE enrichment,with right-sloping curves.The primitive mantle-normalized trace element spider diagrams exhibit Th,U,La,Sr,and Zr enrichment and Nb,Ta,P and Ti depletions,i.e.,the geochemical characteristics of typical island arc igneous rocks.The tectonic discriminant diagram indicates that the granite is a volcanic arc granite.The Hf isotopic an alysis of gabbro zircon revealed that the zircons have ε_(Hf)(t)values of 12.08-16.24(mean of 14.32) and two-stage model ages(t_(DM2)) of 223-491 Ma(mean of 347 Ma).This indicates that the diagenetic magma of the gabbro was mainly derived from melting of newly formed crustal materials.The ophiolite in southeast Sabah has existed since the early Late Triassic.The crystalline basement granite in southeastern S abah was emplaced lasted from late Triassic to early Cretaceous.Based on previous studies and global plate reconstruction models,it is speculated that the southeastern Sabah granite may have been formed in an island arc setting,i.e.,where the oceanic crust of the Paleo-Tethys Ocean collided with the oceanic crust of the Panthalassa Ocean.展开更多
A sediment core(YJK19-02)collected from the southern outlet of Hangzhou Bay near the Yongjiang River estuary in East China was analyzed for grain size,lignin,bulk elemental composition,stable carbon isotope,and rare e...A sediment core(YJK19-02)collected from the southern outlet of Hangzhou Bay near the Yongjiang River estuary in East China was analyzed for grain size,lignin,bulk elemental composition,stable carbon isotope,and rare earth elements(REEs)to determine the sources and diagenesis of sedimentary organic matter(OM)of the estuary and adjacent areas since the Late Pleistocene.δ^(13)C values(-24.80‰–-23.60‰),total organic carbon/total nitrogen(TOC/TN)molar ratios(8.00–12.14),and light rare earth element/heavy rare earth element ratios(LREE/HREE=8.34–8.91)revealed the predominance of terrestrial sources of OM,mainly from the Changjiang(Yangtze)River.The lignin parameters of syringyl/vanillyl(S/V=0.20–0.73)and cinnamyl/vanillyl(C/V=0.03–0.19)ratios indicate the predominance of nonwoody angiosperms,and the vanillic acid/vanillin ratios[(Ad/Al)_(V)=0.32–1.57]indicate medium to high degrees of lignin degradation.An increasing trend ofΛ(total lignin in mg/100-mg OC)values from ca.14500 a BP to ca.11000 a BP reflected the increase in temperature during the Late Pleistocene.However,a time lag effect of temperature on vegetation abundance was also revealed.The relatively higher and stableΛvalues correspond to the higher temperature during the mid-Holocene from ca.8500 a BP to ca.4500 a BP.Λvalues decreased from ca.4000 a BP to the present,corresponding to historical temperature fluctuations during this time.Our results show that the vegetation abundance in the Yongjiang River Basin since the Late Pleistocene was related to the temperature fluctuation duo to climate change.展开更多
In video surveillance,anomaly detection requires training machine learning models on spatio-temporal video sequences.However,sometimes the video-only data is not sufficient to accurately detect all the abnormal activi...In video surveillance,anomaly detection requires training machine learning models on spatio-temporal video sequences.However,sometimes the video-only data is not sufficient to accurately detect all the abnormal activities.Therefore,we propose a novel audio-visual spatiotemporal autoencoder specifically designed to detect anomalies for video surveillance by utilizing audio data along with video data.This paper presents a competitive approach to a multi-modal recurrent neural network for anomaly detection that combines separate spatial and temporal autoencoders to leverage both spatial and temporal features in audio-visual data.The proposed model is trained to produce low reconstruction error for normal data and high error for abnormal data,effectively distinguishing between the two and assigning an anomaly score.Training is conducted on normal datasets,while testing is performed on both normal and anomalous datasets.The anomaly scores from the models are combined using a late fusion technique,and a deep dense layer model is trained to produce decisive scores indicating whether a sequence is normal or anomalous.The model’s performance is evaluated on the University of California,San Diego Pedestrian 2(UCSD PED 2),University of Minnesota(UMN),and Tampere University of Technology(TUT)Rare Sound Events datasets using six evaluation metrics.It is compared with state-of-the-art methods depicting a high Area Under Curve(AUC)and a low Equal Error Rate(EER),achieving an(AUC)of 93.1 and an(EER)of 8.1 for the(UCSD)dataset,and an(AUC)of 94.9 and an(EER)of 5.9 for the UMN dataset.The evaluations demonstrate that the joint results from the combined audio-visual model outperform those from separate models,highlighting the competitive advantage of the proposed multi-modal approach.展开更多
The Tyrannosauridae,which is characterized by specialized pachydont dentition and putative bone-cracking predatory strategies,is one of the most extensively studied theropod lineages.Although tooth replacement pattern...The Tyrannosauridae,which is characterized by specialized pachydont dentition and putative bone-cracking predatory strategies,is one of the most extensively studied theropod lineages.Although tooth replacement patterns,crucial for understanding feeding behaviors,have been thoroughly studied in this group,studies on non-tyrannosaurid tyrannosauroids are relatively scarce.This study utilizes high-resolution CT data to investigate the tooth replacement pattern in two specimens of Guanlong wucaii,a Late Jurassic tyrannosauroid,and provides insights into the evolution of tooth replacement across Tyrannosauroidea.Second-generation replacement teeth,a rarity observed mainly in giant predatory theropods(e.g.some tyrannosaurids),were detected in the dentary dentition of the juvenile Guanlong.Zahnreihen reconstructions display a consistent cephalad alternating tooth replacement pattern in the maxilla and the dentary of both of the examined individuals,with Z-spacing values exceeding 2.0.As Guanlong grows,the Z-spacing value in the maxillary dentition increases,resembling the ontogenetic changes documented in the Tyrannosauridae.Additionally,like Tarbosaurus,Guanlong also displays a discontinuity between the tooth replacement waves at the premaxilla-maxilla boundary.This study thus demonstrates that some tyrannosaurid-like tooth replacement patterns were acquired before the origin of the Tyrannosauridae.展开更多
During the Late Miocene,numerous medium to large-sized herbivores,that resemble the living Ovibos in skeletal morphology,dispersed throughout the Holarctic realm and comprised eleven genera:Lantiantragus,Shaanxispira,...During the Late Miocene,numerous medium to large-sized herbivores,that resemble the living Ovibos in skeletal morphology,dispersed throughout the Holarctic realm and comprised eleven genera:Lantiantragus,Shaanxispira,Tsaidamotherium,Criotherium,Mesembriacerus,Hezhengia,Urmiatherium,Parurmiatherium,Plesiaddax,Sinotragus,and Prosinotragus.These genera are primarily found in eastern Asia,in which nine genera are found in northern China,as well as in countries in eastern Europe and western Asia.They are distinguished by unique characteristics,including a perpendicular braincase,specialized horn cores,and a robust basioccipital.Previous studies have often classified these‘ovibovin’bovids as part of the conventional subfamily/tribe Ovibovinae/Ovibovini,along with extant Ovibos.Nevertheless,an increasing number of studies do not support the monophyly of the subfamily/tribe Ovibovinae/Ovibovini,nor is a close relationship likely between these Late Miocene‘ovibovin’bovids and extant Ovibos.Among the eleven genera of‘ovibovin’bovids,Plesiaddax,Hezhengia,and Urmiatherium are often considered to have a very close relationship and conventionally form the tribe Urmiatheriini.However,previous phylogenetic analyses do not support the monophyly of Urmiatheriini.This paper presents a summary of the transmutation of the terms Ovibovidae/Ovibovinae/Ovibovini/Ovibovina,the temporal and spatial distribution of the Late Miocene‘ovibovin’bovids in Eurasia,the principal characteristics of these taxa,and the previous phylogenetic analyses.展开更多
BACKGROUND Thiopurine-induced leucopenia significantly hinders the wide application of thiopurines.Dose optimization guided by nudix hydrolase 15(NUDT15)has significantly reduced the early leucopenia rate,but there ar...BACKGROUND Thiopurine-induced leucopenia significantly hinders the wide application of thiopurines.Dose optimization guided by nudix hydrolase 15(NUDT15)has significantly reduced the early leucopenia rate,but there are no definitive biomarkers for late risk leucopenia prediction.AIM To determine the predictive value of early monitoring of DNA-thioguanine(DNATG)or 6-thioguanine nucleotides(6TGN)for late leucopenia under a NUDT15-guided thiopurine dosing strategy in patients with Crohn’s disease(CD).METHODS Blood samples were collected within two months after thiopurine initiation for detection of metabolite concentrations.Late leucopenia was defined as a leukocyte count<3.5×10^(9)/L over two months.RESULTS Of 148 patients studied,late leucopenia was observed in 15.6%(17/109)of NUDT15/thiopurine methyltransferase(TPMT)normal and 64.1%(25/39)of intermediate metabolizers.In patients suffering late leucopenia,early DNATG levels were significantly higher than in those who did not develop late leucopenia(P=4.9×10^(-13)).The DNATG threshold of 319.43 fmol/μg DNA could predict late leucopenia in the entire sample with an area under the curve(AUC)of 0.855(sensitivity 83%,specificity 81%),and in NUDT15/TPMT normal metabolizers,the predictive performance of a threshold of 315.72 fmol/μg DNA was much more remarkable with an AUC of 0.902(sensitivity 88%,specificity 85%).6TGN had a relatively poor correlation with late leucopenia whether in the entire sample(P=0.021)or NUDT15/TPMT normal or intermediate metabolizers(P=0.018,P=0.55,respectively).CONCLUSION Proactive therapeutic drug monitoring of DNATG could be an effective strategy to prevent late leucopenia in both NUDT15/TPMT normal and intermediate metabolizers with CD,especially the former.展开更多
BACKGROUND Panic disorder(PD)involves emotion dysregulation,but its underlying mechanisms remain poorly understood.Previous research suggests that implicit emotion regulation may play a central role in PD-related emot...BACKGROUND Panic disorder(PD)involves emotion dysregulation,but its underlying mechanisms remain poorly understood.Previous research suggests that implicit emotion regulation may play a central role in PD-related emotion dysregulation and symptom maintenance.However,there is a lack of studies exploring the neural mechanisms of implicit emotion regulation in PD using neurophysiological indicators.AIM To study the neural mechanisms of implicit emotion regulation in PD with eventrelated potentials(ERP).METHODS A total of 25 PD patients and 20 healthy controls(HC)underwent clinical evaluations.The study utilized a case-control design with random sampling,selecting participants for the case group from March to December 2018.Participants performed an affect labeling task,using affect labeling as the experimental condition and gender labeling as the control condition.ERP and behavioral data were recorded to compare the late positive potential(LPP)within and between the groups.RESULTS Both PD and HC groups showed longer reaction times and decreased accuracy under the affect labeling.In the HC group,late LPP amplitudes exhibited a dynamic pattern of initial increase followed by decrease.Importantly,a significant group×condition interaction effect was observed.Simple effect analysis revealed a reduction in the differences of late LPP amplitudes between the affect labeling and gender labeling conditions in the PD group compared to the HC group.Furthermore,among PD patients under the affect labeling,the late LPP was negatively correlated with disease severity,symptom frequency,and intensity.CONCLUSION PD patients demonstrate abnormalities in implicit emotion regulation,hampering their ability to mobilize cognitive resources for downregulating negative emotions.The late LPP amplitude in response to affect labeling may serve as a potentially valuable clinical indicator of PD severity.展开更多
BACKGROUND By comprehensively analyzing the blood flow parameters of the umbilical and middle cerebral arteries,doctors can more accurately identify fetal intrauterine distress,as well as assess its severity,so that t...BACKGROUND By comprehensively analyzing the blood flow parameters of the umbilical and middle cerebral arteries,doctors can more accurately identify fetal intrauterine distress,as well as assess its severity,so that timely interventions can be implemented to safeguard the health and safety of the fetus.AIM To identify the relationship between ultrasound parameters of the umbilical and middle cerebral arteries and intrauterine distress.METHODS Clinical data of pregnant women admitted between January 2021 and January 2023 were collected and divided into the observation and control groups(n=50 each),according to the presence or absence of intrauterine distress.The ultrasound hemodynamic parameters of the uterine artery(UtA),fetal middle cerebral artery(MCA),and umbilical artery(UmA)were compared with neonatal outcomes and occurrence of intrauterine distress in the two groups.RESULTS Comparison of ultrasonic hemodynamic parameters,resistance index(RI),pulsatility index(PI),and systolic maximal blood flow velocity of UmA compared to diastolic blood flow velocity(S/D),revealed higher values of fetal MCA,PI,and S/D of UmA in pregnant women with UtA compared to controls(P<0.05),while there was no difference between the two groups in terms of RI(P<0.05)The incidence of a neonatal Apgar score of 8-10 points was lower in the observation group(66.7%)than in the control group(90.0%),and neonatal weight(2675.5±27.6 g)was lower than in the control group(3117.5±31.2 g).Further,cesarean section rate was higher in the observation group(70.0%)than in the control group(11.7%),and preterm labor rate was higher in the observation group(40.0%)than in the control group(10.0%).The incidence of fetal distress,neonatal growth restriction and neonatal asphyxia were also higher in the observation group(all P<0.05).CONCLUSION Fetal MCA,UmA,and maternal UtA hemodynamic abnormalities all develop in pregnant women with intrauterine distress during late pregnancy,which suggests that clinical attention should be paid to them,and monitoring should be strengthened to provide guidance for clinical intervention.展开更多
Hepatocellular carcinoma(HCC)is a disease of public health concern in Nigeria,with chronic hepatitis B and C infections contributing most to the disease burden.Despite the increasing incidence of HCC,surveillance prac...Hepatocellular carcinoma(HCC)is a disease of public health concern in Nigeria,with chronic hepatitis B and C infections contributing most to the disease burden.Despite the increasing incidence of HCC,surveillance practices for early diagnosis and possible cure are not deeply rooted in the country.This article aims to review the current status of HCC surveillance in Nigeria,stressing the encounters,breaches,and potential prospects.Several factors,such as limited tools for screening and diagnostics,insufficient infrastructure,and low cognizance among the doctors,and the general public affect the surveillance practices for HCC in Nigeria.Moreover,the lack of standardized guidelines and protocols for HCC surveillance further intensifies the suboptimal diagnosis and treatment.Nevertheless,there are opportunities for refining surveillance practices in the country.This would be achieved through boosted public health sensitization campaigns,integrating HCC screening into routine clinical services,and leveraging technological developments for early detection and monitoring.Furthermore,collaboration between government agencies,healthcare providers,and international organizations can facilitate the development of comprehensive HCC surveillance programs person-alized to the Nigerian setting.Thus,HCC surveillance practice faces substantial challenges.By addressing the drawbacks and leveraging prospects,Nigeria can improve HCC surveillance,with subsequent improved outcomes for individuals at risk of developing the disease.展开更多
Objective:To analyze the different clinical features of patients with early-onset(EO-NMOSDs)and late-onset neuromyelitis optica spectrum diseases(LO-NMOSDs).Methods:A total of 51patients with neuromyelitis optica spec...Objective:To analyze the different clinical features of patients with early-onset(EO-NMOSDs)and late-onset neuromyelitis optica spectrum diseases(LO-NMOSDs).Methods:A total of 51patients with neuromyelitis optica spectrum disease who were diagnosed in our hospital for the first time from January 2015 to December 2022 were included in the First Affiliated Hospital of Hainan Medical College and divided into 22 cases in the EO-NMOSDs group and 29 cases in the LO-NMOSDs group according to whether the age of onset was 50 years old.The basic data,Extended Disability Status Scale(EDSS)score,blood and cerebrospinal fluid test indicators of the two groups were statistically analyzed.Results:There were no significant differences in demographic characteristics,clinical features and serum AQP-4 antibody positivity rate between the two groups(all P>0.05),and there were significant differences in triglycerides(TG),low-density lipoprotein(LDL),apolipoprotein A(APOA),apolipoprotein B(APOB)and lipoprotein a(P=0.010,P=0.048,P=0.014,P=0.061,P=0.001,respectively),and cerebrospinal fluid LDH,There were significant differences between microprotein quantification and EDSS score(P=0.018,P=0.034,P=0.025,respectively),and the level of microprotein quantification in cerebrospinal fluid of LO-NMOSDs had a certain correlation with the degree of disability(r=0.52,P<0.03).Conclusion:LO-NMOSDs and EO-NMOSDs group patients have similar demographic characteristics,serum AQP-4 antibody positive rate and clinical features,but compared with EO-NMOSDs,patients in LO-NMOSDs group are prone to abnormal lipid metabolism,higher trace proteins in cerebrospinal fluid and more likely to be disabled,and among LO-NMOSDs,the higher the trace protein in the cerebrospinal fluid,the more severe the disability status of patients.展开更多
[Objectives]To study the reference value of thyroid function in healthy women of childbearing age during different pregnancies(early,middle and late pregnancy)in Jingzhou City.[Methods]362 healthy women of childbearin...[Objectives]To study the reference value of thyroid function in healthy women of childbearing age during different pregnancies(early,middle and late pregnancy)in Jingzhou City.[Methods]362 healthy women of childbearing age during different pregnancies(early,middle and late pregnancy)were selected as the study group,and 360 non-pregnant women were selected as the control group.Serum thyroid hormone levels in the two groups were detected,and the reference value was expressed as the median(M)and 95%confidence interval(CI).On this basis,the chart of changing trend of thyroid hormone in the early,middle and late pregnancy were plotted.[Results]Compared with the control group,FT3,TT4,TT3,FT4and TSH in the early,middle and late pregnancy were significantly different in the study group(P<0.05).In the study group,there were significant differences in the early,middle and late pregnancy(P<0.05).[Conclusions]This trend chart has certain reference value in the screening,diagnosis and treatment of thyroid diseases in healthy women of childbearing age during different pregnancies(early,middle and late pregnancy)in Jingzhou City of Hubei Province.展开更多
Background: The choice of the appropriate operative intervention in patients with late and neglected hip fracture continuous to be a huge dilemma for orthopedic surgeons. Purpose: To evaluate the satisfaction or other...Background: The choice of the appropriate operative intervention in patients with late and neglected hip fracture continuous to be a huge dilemma for orthopedic surgeons. Purpose: To evaluate the satisfaction or otherwise of some treatment options using the modified Harris-hip score (HHS) in resource poor setting. Materials and Methods: A retrospective cross-sectional study conducted at ATBUTH, Bauchi. Data of 60 patients over the age of 18 years with hip fractures (femoral neck, intertrochanteric and sub trochanteric fractures) who had operative intervention between 1st September 2019 and 31st August 2020 with cannulated screws, Proximal femur lock compression plate (PFLCP), cementlessor cemented bipolar hemiarthroplasty (BHA). Results: The mean age of studied patients was 65.7 ± 16.1 years, with age ranging from 19 - 101 years. M:F ratio was 1.2:1 across all age groups and 1:1.4 amongst those >60 years. 51 patients (85%) presented > 1 week after injury with 24 patients (40%) sustaining hip fractures from low energy trivial indoor fall and 28 patients (46.7%) mostly younger sustaining fractures from high energy motor vehicular accident (MVA). The prevalence rate for femoral neck, intertrochanteric and subtrochanteric fractures were 32 (53.3%), 17 (28.3%) and 11 (18.3%) respectively. From the data retrieved, 21patients (35.0%), 17 patients (28.3%), 20 patients (33.3%) and 2 patients (3.3%) had PFLCP, cemented BHA, cementless BHA and cannulated screw fixation respectively. Most (66.7%) of those who had PFLCP achieved satisfactory radiologic union and there was also 94.1% and 85% satisfactory outcome rate amongst the patients with cemented BHA and cementless BHA respectively. Irrespective of the operative intervention method at 1 year follow-up, there was a statistically significant improvement in post-operative HHS (P value 0.02), with 83.4% having good to excellent results. Conclusion: There is highrate of late and neglected hip fracture in our environment. Satisfactory outcome with statistically significant improvement in Post-operative HHS was achieved in patients treated for hip fractures.展开更多
Research background: Breast cancer remains a major public health problem, with a high number of new cases and deaths each year. However, despite advances in research to improve this disease, there is a high rate of la...Research background: Breast cancer remains a major public health problem, with a high number of new cases and deaths each year. However, despite advances in research to improve this disease, there is a high rate of late detection, leading to diagnosis at an advanced stage and a reduced chance of survival. Objective: The aim of this study is to identify the factors associated with late detection of breast cancer in women in Sub-Saharan Africa from 2014 to 2020.Setting: This systematic review focuses on sub-Saharan Africa. Methods: We searched for articles in four databases (PubMed, Embase, Global-Health and CINAHL) between 2014 and 2020 and performed a narrative synthesis to organize and group the different factors associated with late breast cancer detection. Result: After reviewing 583 publications, 6 studies were selected, highlighting factors such as lack of awareness, knowledge gaps, difficulties in accessing health services and financial constraints associated with late breast cancer screening. The participants, who ranged in number from 20 to 1776, were mainly aged between 18 and 25, with a mean age of 25 years and 6 months. Conclusion: The analysis enabled us to identify various factors associated with late breast cancer screening. Collaboration between health professionals, community organizations and policy-makers is essential to foster an environment conducive to the prevention and early detection of breast cancer.展开更多
基金The National Natural Science Foundation of China(No.60672092,60504029,60873236)the National High Technology Researchand Development Program of China(863 Program)(No.2008AA04Z103)
文摘In order to solve the no-wait flowshop scheduling problem to minimize the maximum lateness,three job-block-based neighborhoods are proposed,among which the block exchange neighborhood have a size of O（n4）while the block swap and the simplified block exchange neighborhoods have a size of O（n3）.With larger sizes than the existing neighborhoods,the proposed neighborhoods can enhance the solution quality of local search algorithms.Speedup properties for the neighborhoods are developed,which can evaluate a neighbor in constant time and explore the neighborhoods in time proportional to their proposed sizes. Unlike the dominance-rule-based speedup method,the proposed speedups are applicable to any machine number.Three neighborhoods and the union of block swap and the simplified block exchange neighborhoods are compared in the tabu search.Computational results on benchmark instances show that three tabu search algorithms with O（n3）neighborhoods outperform the existing algorithms and the tabu search algorithm with the union has the best performance among all the tested algorithms.
基金National Natural Science Foundation of China(No.70832002)Graduate Student Innovation Fund of Fudan University,China
文摘The scheduling problem on a single batching machine with family jobs was proposed.The single batching machine can process a group of jobs simultaneously as a batch.Jobs in the same batch complete at the same time.The batch size is assumed to be unbounded.Jobs that belong to different families can not be processed in the same batch.The objective function is minimizing maximum lateness.For the problem with fixed number of m families and n jobs,a polynomial time algorithm based on dynamic programming with time complexity of O(n(n/m+1)m)was presented.
基金Supported by NSFC(11571323 11201121)+1 种基金NSFSTDOHN(162300410221)NSFEDOHN(2013GGJS-079)
文摘In parallel-batching machine scheduling, all jobs in a batch start and complete at the same time, and the processing time of the batch is the maximum processing time of any job in it. For the unbounded parallel-batching machine scheduling problem of minimizing the maximum lateness, denoted 1|p-batch|L_(max), a dynamic programming algorithm with time complexity O(n^2) is well known in the literature.Later, this algorithm is improved to be an O(n log n) algorithm. In this note, we present another O(n log n) algorithm with simplifications on data structure and implementation details.
基金supported by the National Key R&D Program of China (2022YFF0801602)the High-Performance Computing Center of Nanjing University of Information Science and Technology for their support of this work
文摘Winter precipitation over eastern China displays remarkable interannual variability,which has been suggested to be closely related to El Niño-Southern Oscillation(ENSO).This study finds that ENSO impacts on eastern China precipitation patterns exhibit obvious differences in early(November-December)and late(January-February)winter.In early winter,precipitation anomalies associated with ENSO are characterized by a monopole spatial distribution over eastern China.In contrast,the precipitation anomaly pattern in late winter remarkably changes,manifesting as a dipole spatial distribution.The noteworthy change in precipitation responses from early to late winter can be largely attributed to the seasonally varying Kuroshio anticyclonic anomalies.During the early winter of El Niño years,anticyclonic circulation anomalies appear both over the Philippine Sea and Kuroshio region,enhancing water vapor transport to the entirety of eastern China,thus contributing to more precipitation there.During the late winter of El Niño years,the anticyclone over the Philippine Sea is further strengthened,while the one over the Kuroshio dissipates,which could result in differing water vapor transport between northern and southern parts of eastern China and thus a dipole precipitation distribution.Roughly the opposite anomalies of circulation and precipitation are displayed during La Niña winters.Further analysis suggests that the seasonally-varying Kuroshio anticyclonic anomalies are possibly related to the enhancement of ENSO-related tropical central-eastern Pacific convection from early to late winter.These results have important implications for the seasonal-tointerannual predictability of winter precipitation over eastern China.
基金supported by the National Natural Science Foundation of China (No.41702204)the Central Fundamental Research (grant number DZLXJK201504)the Major State Research Development Program of China (grant number 2016YFC0600202)。
文摘The Early Paleozoic tectono-thermal event was a significant orogenic activity during the Phanerozoic era,which had a profound impact on the early crust of the South China Block(SCB) and established the foundation for later tectonic activity.The Wuyi-Yunkai orogenic belt in Southeastern China was extensively exposed to Early Paleozoic magmatism,the genetic mechanism of which remains controversial.To shed light on this issue,detailed petrological,geochemical,and zircon U-Pb-Hf isotopic studies were carried out on two granitoids,namely the Yuntongshan pluton and the Gaoqiao pluton,identified in the central Wuyishan.Zircon U-Pb chronology of the Yuntongshan and Gaoqiao bodies yielded ages of437±4 Ma(MSWD=2.2) and 404±2 Ma(MSWD=12),respectively,indicating that they were emplaced during the Early Silurian and Early Devonian periods.These granitoids are primarily composed of biotite-granite and biotite-monzonitic-granites,with high concentrations of S_(i)O_(2)(73.59-75.91 wt%),K_(2)O+Na_(2)O(8.31-8.73wt%),and low contents of MgO,CaO,Cr,Ni.They are classified as high-K calc-alkaline and weakly metaluminous-strongly peraluminous S-type granites.These granitoids are enriched in light rare earth elements(LREEs) and large ion lithophile elements(LILEs) and depleted in heavy rare earth elements(HREEs) and high field strength elements(HFSEs) with arc affinity.The εHf(t) values of-3.3 to-15.4 with two-stage Hf model ages ranging from 2829 to 1644 Ma,combined with the presence of Neoproterozoic inherited zircons,suggest that the primary magma of these granitoids was derived from the partial melting of Neoproterozoic crust with a Paleoproterozoic crustal model age.These findings,combined with the spatio-temporal distribution of regional magmatism,reveal that the late Early-Paleozoic granitoids formed in the intraplate orogenic background originating from the subduction of the proto-Tethys Ocean and proto-Pacific Ocean around the margin of the east Gondwana supercontinent.
基金funded by a grant from the National Natural Science Foundation of China(Grant Nos.U2244207,42102200)the China Geological Survey Foundation(Grant Nos.DD20230257,DD20242404)。
文摘The Upper Cretaceous Qingshankou Formation black shales,deposited in the late Turonian(LTB shales),are the main source rocks of the Songliao Basin.The origins of organic matter enrichment of the shales is a contentious subject fuelling many ongoing debates.This study investigates the genesis of the organic matter-rich shale by using molecular geochemistry.The LTB shales can be divided into three sections.The SectionⅠshales were deposited in saline,stratified and anoxic water conditions,which are related to seawater incursion events.At least three episodic and periodic seawater incursion events were recognized during SectionⅠshale deposition.The SectionⅡshales deposited in brackish to fresh and deep lake-level conditions with high primary productivity,which are related to lake-level transgression.The SectionⅢshales were deposited under fresh and slightly oxidized water conditions,which are related to lake-level regression.Two organic matter enrichment models for the LTB shales are identified,that is,the seawater incursion model and the maximum lake-level transgression sedimentation model,which act on different shale sections,both playing significant roles in the enrichment of organic matter.
基金Supported by the National Natural Science Foundation of China(Nos.42076049,42376050)the Strategic Priority Research Program of the Chinese Academy of Sciences(No.XDB42000000)the Laoshan Laboratory(No.LSKJ202204201)。
文摘Tephra layers in the western Philippine Sea,characterized by abundant volcanic glass shards,may provide crucial evidence on the eruption history of volcanoes and tectonic evolution of the western Pacific.A 220-ka sediment core from the Benham Rise in the western Philippine Sea offers new insights into the provenance of four intercalated tephra layers(T1–T4,in chronological order)containing either colorless or brown glass shards.Relative to primitive mantle,all glass shards are enriched in large-ion lithophile elements,such as Rb,Cs,and Pb,and depleted in high field-strength elements,such as Th,Nb,and Ta,indicating a subduction-related origin.The colorless glass shards are characterized by high SiO_(2)(>78%)and light rare earth element(LREE)contents as well as high La/Sm ratios(>9),low FeO and MgO contents(<1%),low Sr/Y(<15)and high Ba/Th ratios(>100),pointing to a rhyolitic composition and a medium-K calc-alkaline serial affinity.In contrast,the brown glass shards are characterized by lower SiO_(2)(<63%)and LREE contents,higher FeO,MgO,and CaO contents,lower La/Sm(<6)and Ba/Th(<75),and similar Sr/Y ratios(<15),indicating derivation from medium to high-K calc-alkaline andesite magma.Brown glass shards from layers T3(152 ka)and T4(172 ka)were correlated with volcanic deposits from the Taal and Laguna Caldera in the Maccolod Corridor,respectively,while the colorless glass shards from layers T1(36.5 ka)and T2(61.2 ka)were likely sourced from the Irosin Caldera in the Bicol Arc.Establishing the provenance of late Pleistocene tephra layers in the western Philippine Sea is helpful to complement a Philippine volcanic history and establish a regional tephrochronostratigraphy.
基金The National Science and Technology Major Project under contract No. 2016ZX05026-004the National Key R&D Program of China under contract No. 2019YFC0605402the National Natural Science Foundation of China under contract No.41790453。
文摘The southwest Lahad Datu felsic rocks were previously thought to have formed in the late Triassic as part of the microcontinental crystalline basement.Based on U-Pb ages,geochemistry,and the Hfisotopes of zircon from the southeastern Sabah gabbro and granite,in this study,the tectonic properties of the Sabah area during the Triassic were investigated.The weighted average U-Pb zircon ages of the gabbro and granite samples were determined to be(230.9±2.5)Ma and(207.1±3.3)Ma,respectively.The granite had SiO_(2) contents of 66.54%-79.47%,low TiO_(2) contents of 0.08%-0.3%,Al_(2)O_(3) contents of 10.97%-16.22%,Na_(2)O contents of 5.91 %-6.39%,and low K_(2)O contents of 0.15%-0.65%.The chondrite-normalized rare earth element(REE) patterns exhibit light REE enrichment,with right-sloping curves.The primitive mantle-normalized trace element spider diagrams exhibit Th,U,La,Sr,and Zr enrichment and Nb,Ta,P and Ti depletions,i.e.,the geochemical characteristics of typical island arc igneous rocks.The tectonic discriminant diagram indicates that the granite is a volcanic arc granite.The Hf isotopic an alysis of gabbro zircon revealed that the zircons have ε_(Hf)(t)values of 12.08-16.24(mean of 14.32) and two-stage model ages(t_(DM2)) of 223-491 Ma(mean of 347 Ma).This indicates that the diagenetic magma of the gabbro was mainly derived from melting of newly formed crustal materials.The ophiolite in southeast Sabah has existed since the early Late Triassic.The crystalline basement granite in southeastern S abah was emplaced lasted from late Triassic to early Cretaceous.Based on previous studies and global plate reconstruction models,it is speculated that the southeastern Sabah granite may have been formed in an island arc setting,i.e.,where the oceanic crust of the Paleo-Tethys Ocean collided with the oceanic crust of the Panthalassa Ocean.
基金Supported by the China Institute of Water Resources and Hydropower Research(No.K20231586)the Water Conservancy Bureau of Yunyang County(No.YYX24C00008)+1 种基金the Ecological Forestry Development Center of Lishui City(No.2021ZDZX03)the Asia-Pacific Network for Global Change Research(No.CRRP2020-06MY-Loh)。
文摘A sediment core(YJK19-02)collected from the southern outlet of Hangzhou Bay near the Yongjiang River estuary in East China was analyzed for grain size,lignin,bulk elemental composition,stable carbon isotope,and rare earth elements(REEs)to determine the sources and diagenesis of sedimentary organic matter(OM)of the estuary and adjacent areas since the Late Pleistocene.δ^(13)C values(-24.80‰–-23.60‰),total organic carbon/total nitrogen(TOC/TN)molar ratios(8.00–12.14),and light rare earth element/heavy rare earth element ratios(LREE/HREE=8.34–8.91)revealed the predominance of terrestrial sources of OM,mainly from the Changjiang(Yangtze)River.The lignin parameters of syringyl/vanillyl(S/V=0.20–0.73)and cinnamyl/vanillyl(C/V=0.03–0.19)ratios indicate the predominance of nonwoody angiosperms,and the vanillic acid/vanillin ratios[(Ad/Al)_(V)=0.32–1.57]indicate medium to high degrees of lignin degradation.An increasing trend ofΛ(total lignin in mg/100-mg OC)values from ca.14500 a BP to ca.11000 a BP reflected the increase in temperature during the Late Pleistocene.However,a time lag effect of temperature on vegetation abundance was also revealed.The relatively higher and stableΛvalues correspond to the higher temperature during the mid-Holocene from ca.8500 a BP to ca.4500 a BP.Λvalues decreased from ca.4000 a BP to the present,corresponding to historical temperature fluctuations during this time.Our results show that the vegetation abundance in the Yongjiang River Basin since the Late Pleistocene was related to the temperature fluctuation duo to climate change.
基金supported and funded by the Deanship of Scientific Research at Imam Mohammad Ibn Saud Islamic University(IMSIU)(grant number IMSIU-RG23148).
文摘In video surveillance,anomaly detection requires training machine learning models on spatio-temporal video sequences.However,sometimes the video-only data is not sufficient to accurately detect all the abnormal activities.Therefore,we propose a novel audio-visual spatiotemporal autoencoder specifically designed to detect anomalies for video surveillance by utilizing audio data along with video data.This paper presents a competitive approach to a multi-modal recurrent neural network for anomaly detection that combines separate spatial and temporal autoencoders to leverage both spatial and temporal features in audio-visual data.The proposed model is trained to produce low reconstruction error for normal data and high error for abnormal data,effectively distinguishing between the two and assigning an anomaly score.Training is conducted on normal datasets,while testing is performed on both normal and anomalous datasets.The anomaly scores from the models are combined using a late fusion technique,and a deep dense layer model is trained to produce decisive scores indicating whether a sequence is normal or anomalous.The model’s performance is evaluated on the University of California,San Diego Pedestrian 2(UCSD PED 2),University of Minnesota(UMN),and Tampere University of Technology(TUT)Rare Sound Events datasets using six evaluation metrics.It is compared with state-of-the-art methods depicting a high Area Under Curve(AUC)and a low Equal Error Rate(EER),achieving an(AUC)of 93.1 and an(EER)of 8.1 for the(UCSD)dataset,and an(AUC)of 94.9 and an(EER)of 5.9 for the UMN dataset.The evaluations demonstrate that the joint results from the combined audio-visual model outperform those from separate models,highlighting the competitive advantage of the proposed multi-modal approach.
文摘The Tyrannosauridae,which is characterized by specialized pachydont dentition and putative bone-cracking predatory strategies,is one of the most extensively studied theropod lineages.Although tooth replacement patterns,crucial for understanding feeding behaviors,have been thoroughly studied in this group,studies on non-tyrannosaurid tyrannosauroids are relatively scarce.This study utilizes high-resolution CT data to investigate the tooth replacement pattern in two specimens of Guanlong wucaii,a Late Jurassic tyrannosauroid,and provides insights into the evolution of tooth replacement across Tyrannosauroidea.Second-generation replacement teeth,a rarity observed mainly in giant predatory theropods(e.g.some tyrannosaurids),were detected in the dentary dentition of the juvenile Guanlong.Zahnreihen reconstructions display a consistent cephalad alternating tooth replacement pattern in the maxilla and the dentary of both of the examined individuals,with Z-spacing values exceeding 2.0.As Guanlong grows,the Z-spacing value in the maxillary dentition increases,resembling the ontogenetic changes documented in the Tyrannosauridae.Additionally,like Tarbosaurus,Guanlong also displays a discontinuity between the tooth replacement waves at the premaxilla-maxilla boundary.This study thus demonstrates that some tyrannosaurid-like tooth replacement patterns were acquired before the origin of the Tyrannosauridae.
文摘During the Late Miocene,numerous medium to large-sized herbivores,that resemble the living Ovibos in skeletal morphology,dispersed throughout the Holarctic realm and comprised eleven genera:Lantiantragus,Shaanxispira,Tsaidamotherium,Criotherium,Mesembriacerus,Hezhengia,Urmiatherium,Parurmiatherium,Plesiaddax,Sinotragus,and Prosinotragus.These genera are primarily found in eastern Asia,in which nine genera are found in northern China,as well as in countries in eastern Europe and western Asia.They are distinguished by unique characteristics,including a perpendicular braincase,specialized horn cores,and a robust basioccipital.Previous studies have often classified these‘ovibovin’bovids as part of the conventional subfamily/tribe Ovibovinae/Ovibovini,along with extant Ovibos.Nevertheless,an increasing number of studies do not support the monophyly of the subfamily/tribe Ovibovinae/Ovibovini,nor is a close relationship likely between these Late Miocene‘ovibovin’bovids and extant Ovibos.Among the eleven genera of‘ovibovin’bovids,Plesiaddax,Hezhengia,and Urmiatherium are often considered to have a very close relationship and conventionally form the tribe Urmiatheriini.However,previous phylogenetic analyses do not support the monophyly of Urmiatheriini.This paper presents a summary of the transmutation of the terms Ovibovidae/Ovibovinae/Ovibovini/Ovibovina,the temporal and spatial distribution of the Late Miocene‘ovibovin’bovids in Eurasia,the principal characteristics of these taxa,and the previous phylogenetic analyses.
基金Supported by the National Natural Science Foundation of China,No.82020108031,No.81973398,and No.82104290Guangdong Provincial Key Laboratory of Construction Foundation,No.2020B1212060034Guangdong Basic and Applied Basic Research Foundation,No.2022A1515012549 and No.2023A1515012667.
文摘BACKGROUND Thiopurine-induced leucopenia significantly hinders the wide application of thiopurines.Dose optimization guided by nudix hydrolase 15(NUDT15)has significantly reduced the early leucopenia rate,but there are no definitive biomarkers for late risk leucopenia prediction.AIM To determine the predictive value of early monitoring of DNA-thioguanine(DNATG)or 6-thioguanine nucleotides(6TGN)for late leucopenia under a NUDT15-guided thiopurine dosing strategy in patients with Crohn’s disease(CD).METHODS Blood samples were collected within two months after thiopurine initiation for detection of metabolite concentrations.Late leucopenia was defined as a leukocyte count<3.5×10^(9)/L over two months.RESULTS Of 148 patients studied,late leucopenia was observed in 15.6%(17/109)of NUDT15/thiopurine methyltransferase(TPMT)normal and 64.1%(25/39)of intermediate metabolizers.In patients suffering late leucopenia,early DNATG levels were significantly higher than in those who did not develop late leucopenia(P=4.9×10^(-13)).The DNATG threshold of 319.43 fmol/μg DNA could predict late leucopenia in the entire sample with an area under the curve(AUC)of 0.855(sensitivity 83%,specificity 81%),and in NUDT15/TPMT normal metabolizers,the predictive performance of a threshold of 315.72 fmol/μg DNA was much more remarkable with an AUC of 0.902(sensitivity 88%,specificity 85%).6TGN had a relatively poor correlation with late leucopenia whether in the entire sample(P=0.021)or NUDT15/TPMT normal or intermediate metabolizers(P=0.018,P=0.55,respectively).CONCLUSION Proactive therapeutic drug monitoring of DNATG could be an effective strategy to prevent late leucopenia in both NUDT15/TPMT normal and intermediate metabolizers with CD,especially the former.
基金Supported by The National Natural Science Foundation of China,No.81871080the Key R&D Program of Jining(Major Program),No.2023YXNS004+2 种基金the National Natural Science Foundation of China,No.81401486the Natural Science Foundation of Liaoning Province of China,No.20170540276the Medicine and Health Science Technology Development Program of Shandong Province,No.202003070713.
文摘BACKGROUND Panic disorder(PD)involves emotion dysregulation,but its underlying mechanisms remain poorly understood.Previous research suggests that implicit emotion regulation may play a central role in PD-related emotion dysregulation and symptom maintenance.However,there is a lack of studies exploring the neural mechanisms of implicit emotion regulation in PD using neurophysiological indicators.AIM To study the neural mechanisms of implicit emotion regulation in PD with eventrelated potentials(ERP).METHODS A total of 25 PD patients and 20 healthy controls(HC)underwent clinical evaluations.The study utilized a case-control design with random sampling,selecting participants for the case group from March to December 2018.Participants performed an affect labeling task,using affect labeling as the experimental condition and gender labeling as the control condition.ERP and behavioral data were recorded to compare the late positive potential(LPP)within and between the groups.RESULTS Both PD and HC groups showed longer reaction times and decreased accuracy under the affect labeling.In the HC group,late LPP amplitudes exhibited a dynamic pattern of initial increase followed by decrease.Importantly,a significant group×condition interaction effect was observed.Simple effect analysis revealed a reduction in the differences of late LPP amplitudes between the affect labeling and gender labeling conditions in the PD group compared to the HC group.Furthermore,among PD patients under the affect labeling,the late LPP was negatively correlated with disease severity,symptom frequency,and intensity.CONCLUSION PD patients demonstrate abnormalities in implicit emotion regulation,hampering their ability to mobilize cognitive resources for downregulating negative emotions.The late LPP amplitude in response to affect labeling may serve as a potentially valuable clinical indicator of PD severity.
文摘BACKGROUND By comprehensively analyzing the blood flow parameters of the umbilical and middle cerebral arteries,doctors can more accurately identify fetal intrauterine distress,as well as assess its severity,so that timely interventions can be implemented to safeguard the health and safety of the fetus.AIM To identify the relationship between ultrasound parameters of the umbilical and middle cerebral arteries and intrauterine distress.METHODS Clinical data of pregnant women admitted between January 2021 and January 2023 were collected and divided into the observation and control groups(n=50 each),according to the presence or absence of intrauterine distress.The ultrasound hemodynamic parameters of the uterine artery(UtA),fetal middle cerebral artery(MCA),and umbilical artery(UmA)were compared with neonatal outcomes and occurrence of intrauterine distress in the two groups.RESULTS Comparison of ultrasonic hemodynamic parameters,resistance index(RI),pulsatility index(PI),and systolic maximal blood flow velocity of UmA compared to diastolic blood flow velocity(S/D),revealed higher values of fetal MCA,PI,and S/D of UmA in pregnant women with UtA compared to controls(P<0.05),while there was no difference between the two groups in terms of RI(P<0.05)The incidence of a neonatal Apgar score of 8-10 points was lower in the observation group(66.7%)than in the control group(90.0%),and neonatal weight(2675.5±27.6 g)was lower than in the control group(3117.5±31.2 g).Further,cesarean section rate was higher in the observation group(70.0%)than in the control group(11.7%),and preterm labor rate was higher in the observation group(40.0%)than in the control group(10.0%).The incidence of fetal distress,neonatal growth restriction and neonatal asphyxia were also higher in the observation group(all P<0.05).CONCLUSION Fetal MCA,UmA,and maternal UtA hemodynamic abnormalities all develop in pregnant women with intrauterine distress during late pregnancy,which suggests that clinical attention should be paid to them,and monitoring should be strengthened to provide guidance for clinical intervention.
文摘Hepatocellular carcinoma(HCC)is a disease of public health concern in Nigeria,with chronic hepatitis B and C infections contributing most to the disease burden.Despite the increasing incidence of HCC,surveillance practices for early diagnosis and possible cure are not deeply rooted in the country.This article aims to review the current status of HCC surveillance in Nigeria,stressing the encounters,breaches,and potential prospects.Several factors,such as limited tools for screening and diagnostics,insufficient infrastructure,and low cognizance among the doctors,and the general public affect the surveillance practices for HCC in Nigeria.Moreover,the lack of standardized guidelines and protocols for HCC surveillance further intensifies the suboptimal diagnosis and treatment.Nevertheless,there are opportunities for refining surveillance practices in the country.This would be achieved through boosted public health sensitization campaigns,integrating HCC screening into routine clinical services,and leveraging technological developments for early detection and monitoring.Furthermore,collaboration between government agencies,healthcare providers,and international organizations can facilitate the development of comprehensive HCC surveillance programs person-alized to the Nigerian setting.Thus,HCC surveillance practice faces substantial challenges.By addressing the drawbacks and leveraging prospects,Nigeria can improve HCC surveillance,with subsequent improved outcomes for individuals at risk of developing the disease.
基金Hainan Clinical Medicine Center Construction Project(2021)Hainan Provincial Excellent Talent Team(QRCBT202121)Key R&D Plan of Hainan Province(ZDYF2022SHFZ109)。
文摘Objective:To analyze the different clinical features of patients with early-onset(EO-NMOSDs)and late-onset neuromyelitis optica spectrum diseases(LO-NMOSDs).Methods:A total of 51patients with neuromyelitis optica spectrum disease who were diagnosed in our hospital for the first time from January 2015 to December 2022 were included in the First Affiliated Hospital of Hainan Medical College and divided into 22 cases in the EO-NMOSDs group and 29 cases in the LO-NMOSDs group according to whether the age of onset was 50 years old.The basic data,Extended Disability Status Scale(EDSS)score,blood and cerebrospinal fluid test indicators of the two groups were statistically analyzed.Results:There were no significant differences in demographic characteristics,clinical features and serum AQP-4 antibody positivity rate between the two groups(all P>0.05),and there were significant differences in triglycerides(TG),low-density lipoprotein(LDL),apolipoprotein A(APOA),apolipoprotein B(APOB)and lipoprotein a(P=0.010,P=0.048,P=0.014,P=0.061,P=0.001,respectively),and cerebrospinal fluid LDH,There were significant differences between microprotein quantification and EDSS score(P=0.018,P=0.034,P=0.025,respectively),and the level of microprotein quantification in cerebrospinal fluid of LO-NMOSDs had a certain correlation with the degree of disability(r=0.52,P<0.03).Conclusion:LO-NMOSDs and EO-NMOSDs group patients have similar demographic characteristics,serum AQP-4 antibody positive rate and clinical features,but compared with EO-NMOSDs,patients in LO-NMOSDs group are prone to abnormal lipid metabolism,higher trace proteins in cerebrospinal fluid and more likely to be disabled,and among LO-NMOSDs,the higher the trace protein in the cerebrospinal fluid,the more severe the disability status of patients.
文摘[Objectives]To study the reference value of thyroid function in healthy women of childbearing age during different pregnancies(early,middle and late pregnancy)in Jingzhou City.[Methods]362 healthy women of childbearing age during different pregnancies(early,middle and late pregnancy)were selected as the study group,and 360 non-pregnant women were selected as the control group.Serum thyroid hormone levels in the two groups were detected,and the reference value was expressed as the median(M)and 95%confidence interval(CI).On this basis,the chart of changing trend of thyroid hormone in the early,middle and late pregnancy were plotted.[Results]Compared with the control group,FT3,TT4,TT3,FT4and TSH in the early,middle and late pregnancy were significantly different in the study group(P<0.05).In the study group,there were significant differences in the early,middle and late pregnancy(P<0.05).[Conclusions]This trend chart has certain reference value in the screening,diagnosis and treatment of thyroid diseases in healthy women of childbearing age during different pregnancies(early,middle and late pregnancy)in Jingzhou City of Hubei Province.
文摘Background: The choice of the appropriate operative intervention in patients with late and neglected hip fracture continuous to be a huge dilemma for orthopedic surgeons. Purpose: To evaluate the satisfaction or otherwise of some treatment options using the modified Harris-hip score (HHS) in resource poor setting. Materials and Methods: A retrospective cross-sectional study conducted at ATBUTH, Bauchi. Data of 60 patients over the age of 18 years with hip fractures (femoral neck, intertrochanteric and sub trochanteric fractures) who had operative intervention between 1st September 2019 and 31st August 2020 with cannulated screws, Proximal femur lock compression plate (PFLCP), cementlessor cemented bipolar hemiarthroplasty (BHA). Results: The mean age of studied patients was 65.7 ± 16.1 years, with age ranging from 19 - 101 years. M:F ratio was 1.2:1 across all age groups and 1:1.4 amongst those >60 years. 51 patients (85%) presented > 1 week after injury with 24 patients (40%) sustaining hip fractures from low energy trivial indoor fall and 28 patients (46.7%) mostly younger sustaining fractures from high energy motor vehicular accident (MVA). The prevalence rate for femoral neck, intertrochanteric and subtrochanteric fractures were 32 (53.3%), 17 (28.3%) and 11 (18.3%) respectively. From the data retrieved, 21patients (35.0%), 17 patients (28.3%), 20 patients (33.3%) and 2 patients (3.3%) had PFLCP, cemented BHA, cementless BHA and cannulated screw fixation respectively. Most (66.7%) of those who had PFLCP achieved satisfactory radiologic union and there was also 94.1% and 85% satisfactory outcome rate amongst the patients with cemented BHA and cementless BHA respectively. Irrespective of the operative intervention method at 1 year follow-up, there was a statistically significant improvement in post-operative HHS (P value 0.02), with 83.4% having good to excellent results. Conclusion: There is highrate of late and neglected hip fracture in our environment. Satisfactory outcome with statistically significant improvement in Post-operative HHS was achieved in patients treated for hip fractures.
文摘Research background: Breast cancer remains a major public health problem, with a high number of new cases and deaths each year. However, despite advances in research to improve this disease, there is a high rate of late detection, leading to diagnosis at an advanced stage and a reduced chance of survival. Objective: The aim of this study is to identify the factors associated with late detection of breast cancer in women in Sub-Saharan Africa from 2014 to 2020.Setting: This systematic review focuses on sub-Saharan Africa. Methods: We searched for articles in four databases (PubMed, Embase, Global-Health and CINAHL) between 2014 and 2020 and performed a narrative synthesis to organize and group the different factors associated with late breast cancer detection. Result: After reviewing 583 publications, 6 studies were selected, highlighting factors such as lack of awareness, knowledge gaps, difficulties in accessing health services and financial constraints associated with late breast cancer screening. The participants, who ranged in number from 20 to 1776, were mainly aged between 18 and 25, with a mean age of 25 years and 6 months. Conclusion: The analysis enabled us to identify various factors associated with late breast cancer screening. Collaboration between health professionals, community organizations and policy-makers is essential to foster an environment conducive to the prevention and early detection of breast cancer.
