In this paper, we build on the concept of equivalent fundamental-mode source to propose using delayed neutrons as a neutron source in multiplication experiments to acquire the effective multiplication factor keffof su...In this paper, we build on the concept of equivalent fundamental-mode source to propose using delayed neutrons as a neutron source in multiplication experiments to acquire the effective multiplication factor keffof subcritical systems, which is difficult to acquire directly from conventional neutron source multiplication method. We analyzed the difference between a fundamental-mode fission source and delayed neutron source,then adopted a factor to convert delayed neutron distribution to an equivalent fundamental-mode source distribution, and employed Monte Carlo code to acquire this factor.The delayed neutron multiplication measurement method was established for the first time, and corresponding experiments were conducted in subcritical systems. The multiplication of delayed neutrons was measured based on Chinese Fast Burst Reactor-Ⅱ(CFBR-Ⅱ) at subcritical states, and keffwas acquired from delayed neutron multiplication successfully(0.9921 and 0.9969, respectively).The relative difference between k_(eff)obtained by the new method and previous values acquired by the positive period method is less than 1% for these two studied cases.展开更多
BACKGROUND Acute variceal bleeding(AVB)in patients with cirrhosis remains life-threatening;moreover,the current risk stratification methods have certain limitations.Rebleeding and mortality after AVB remain major chal...BACKGROUND Acute variceal bleeding(AVB)in patients with cirrhosis remains life-threatening;moreover,the current risk stratification methods have certain limitations.Rebleeding and mortality after AVB remain major challenges.Although preemptive transjugular intrahepatic portosystemic shunt(p-TIPS)can improve outcomes,not all patients benefit equally.Accurate risk stratification is needed to guide treatment decisions and identify those most likely to benefit from p-TIPS.AIM To develop an artificial intelligence(AI)-driven model to guide AVB treatment decisions,and identify candidates eligible for p-TIPS.METHODS Patients with cirrhosis and AVB,from two multicenter retrospective cohorts in China,who received endoscopic variceal ligation plus pharmacotherapy(n=1227)or p-TIPS(n=1863)were included.Baseline data within 24 hours of hospital admission were obtained.The AI-AVB model,based on the six-week failure and one-year mortality rates,was developed to predict treatment efficacy and compared with standard risk scores.Outcomes and adverse events of the treatments were compared across the high-and low-risk subgroups stratified using the AI-AVB model.RESULTS The AI-AVB model demonstrated superior predictive performance compared to traditional risk stratification methods.In the internal validation cohort,the model achieved an area under the curve(AUC)of 0.842 for predicting six-week treatment failure and 0.954 for one-year mortality.In the external validation cohort,the AUCs were 0.814 and 0.889,respectively.The model effectively identified patients at high risk of first-line treatment failure who may benefit from aggressive interventions such as p-TIPS.In contrast,advancing the treatment strategy for low-risk patients did not notably improve the short-term prognosis.CONCLUSION The AI-AVB model can predict treatment outcomes,stratify the failure risk in cirrhotic patients with AVB,aid in clinical decisions,identify p-TIPS beneficiaries,and optimize personalized treatment strategies.展开更多
Radiative cooling fabric creates a thermally comfortable environment without energy input,providing a sustainable approach to personal thermal management.However,most currently reported fabrics mainly focus on outdoor...Radiative cooling fabric creates a thermally comfortable environment without energy input,providing a sustainable approach to personal thermal management.However,most currently reported fabrics mainly focus on outdoor cooling,ignoring to achieve simultaneous cooling both indoors and outdoors,thereby weakening the overall cooling performance.Herein,a full-scale structure fabric with selective emission properties is constructed for simultaneous indoor and outdoor cooling.The fabric achieves 94%reflectance performance in the sunlight band(0.3–2.5μm)and 6%in the mid-infrared band(2.5–25μm),effectively minimizing heat absorption and radiation release obstruction.It also demonstrates 81%radiative emission performance in the atmospheric window band(8–13μm)and 25%radiative transmission performance in the mid-infrared band(2.5–25μm),providing 60 and 26 W m−2 net cooling power outdoors and indoors.In practical applications,the fabric achieves excellent indoor and outdoor human cooling,with temperatures 1.4–5.5℃ lower than typical polydimethylsiloxane film.This work proposes a novel design for the advanced radiative cooling fabric,offering significant potential to realize sustainable personal thermal management.展开更多
The China Spallation Neutron Source(CSNS)is the fourth pulsed accelerator-driven neutron source in the world,and it achieved its design target of 100 kW in 2020.The planned China Spallation Neutron Source Phase II(CSN...The China Spallation Neutron Source(CSNS)is the fourth pulsed accelerator-driven neutron source in the world,and it achieved its design target of 100 kW in 2020.The planned China Spallation Neutron Source Phase II(CSNS-II)commenced in 2024.The CSNS-II linac design primarily involves the addition of a radio-frequency ion source and a section of a superconducting linear accelerator composed of two types of superconducting cavities,namely double-spoke and six-cell elliptical cavities,after the drift tube linac(DTL).The development of the double-spoke superconducting cavity began in early 2021,and by January 2023,the welding,post-processing,and vertical tests of two 324 MHz double-spoke cavity prototypes were completed,with vertical test gradients of 11.6 and 15 MV/m,and Q_(0)≥3×10^(10)@E_(acc)≤10 MV/m.The R&D of the cryomodule began in January 2022.In October 2023,the clean assembly of the double-spoke cavity string and cold mass installation of the cryomodule commenced,with the installation of the cryomodule and valve box completing in two months.In January 2024,a horizontal test of the cryomodule was completed,making it the first double-spoke cavity cryomodule in China.The test results showed that the maximum gradients of the two superconducting cavities at a pulse width of 4 ms and repetition frequency of 25 Hz were 12.8 and 15.2 MV/m,respectively.This article provides a detailed introduction to the double-spoke superconducting cavity,tuner,coupler,and cryomodule,elaborates on the clean assembly of the cavity string and cold mass installation of the cryomodule,and provides a detailed analysis of the horizontal test results.展开更多
目的探讨改良SWIM技术机械取栓术治疗急性缺血性卒中的有效性和安全性。方法纳入2021年1月至2024年1月在安徽省蚌埠市第三人民医院行血管内机械取栓术的114例急性缺血性卒中患者,分别予以改良SWIM技术(改良取栓组,57例)和常规SWIM技术(...目的探讨改良SWIM技术机械取栓术治疗急性缺血性卒中的有效性和安全性。方法纳入2021年1月至2024年1月在安徽省蚌埠市第三人民医院行血管内机械取栓术的114例急性缺血性卒中患者,分别予以改良SWIM技术(改良取栓组,57例)和常规SWIM技术(常规取栓组,57例),记录首次取栓血管再通率、总体血管再通率、取栓次数、穿刺至再灌注时间,近期神经功能缺损[术后14 d美国国立卫生研究院卒中量表(NIHSS)]和远期神经功能预后[术后90 d改良Rankin量表(mRS)],以及症状性颅内出血发生率和病死率。结果改良取栓组首次取栓血管再通率高于常规取栓组(χ^(2)=5.054,P=0.025),取栓次数少于(Z=2.014,P=0.044)、穿刺至再灌注时间短于(Z=2.630,P=0.009)常规取栓组。改良取栓组与常规取栓组手术前后NIHSS评分差异有统计学意义(F=5.185,P=0.025),两组入院时与术后14 d NIHSS评分差异亦有统计学意义(F=133.705,P=0.000),但处理因素与测量时间之间无交互作用(F=3.148,P=0.079),其中术后14 d改良取栓组NIHSS评分低于常规取栓组(t=2.969,P=0.004),改良取栓组(t=10.286,P=0.000)和常规取栓组(t=6.428,P=0.000)术后14 d NIHSS评分均低于入院时。改良取栓组与常规取栓组手术前后mRS评分差异有统计学意义(F=7.581,P=0.007),两组患者入院时与术后90 d mRS评分差异亦有统计学意义(F=277.328,P=0.000),且处理因素与测量时间之间存在交互作用(F=10.471,P=0.002),改良SWIM技术的效果更佳。改良取栓组术后90 d预后良好(mRS评分≤2分)率高于常规取栓组(χ^(2)=4.267,P=0.039),而两组术后症状性颅内出血发生率(χ^(2)=0.077,P=0.782)和病死率(χ^(2)=0.101,P=0.751)差异均无统计学意义。结论机械取栓术中应用改良SWIM技术较常规SWIM技术具有更好的疗效且安全性相当,值得临床推广。展开更多
Objective:High-fat diet is one of the main risk factors that disrupt the balance of gut microbiota,which eventually will induce colorectal cancer(CRC).Evodiamine(EVO)is a wildly used multifunctional traditional Chines...Objective:High-fat diet is one of the main risk factors that disrupt the balance of gut microbiota,which eventually will induce colorectal cancer(CRC).Evodiamine(EVO)is a wildly used multifunctional traditional Chinese medicine extract.In this study,we investigated the role of gut microbiota in high-fat dietpropelled CRC and the potential of EVO for CRC chemoprevention.Methods:Gut microbiota,serum D-lactic acid and endotoxin from 38 patients with colon cancer and 18 healthy subjects were detected by quantitative real-time polymerase chain reaction and enzyme-linked immunosorbent assay(ELISA).In addition,body mass index,phospho-signal transducer and activator of transcription 3(p-STAT3)expression in cancer tissues and paracancerous tissues were detected by immunohistochemistry.A mouse intestinal inflammatory tumor model was established by azomethane/sodium dextran sulfate,followed by treatment with EVO and 5-aminosalicylic acid(ASA).Gut microbiota and inflammatory factors were detected by quantitative polymerase chain reaction,while serum D-lactic acid and endotoxin were detected by ELISA.Furthermore,cell proliferation,cell apoptosis,and interleukin(IL)-6/STAT3/P65 pathway were evaluated by 5-ethynyl-20-deoxyuridine,terminal-deoxynucleotidyl transferase-mediated nick-end labeling,and Western blot assays.Results:In patients with colon cancer,the numbers of Enterococcus faecalis and Escherichia coli were increased,while those of Bifidobacterium,Campylobacter and Lactobacillus were decreased.Serum endotoxin and D-lactic acid levels and p-STAT3 levels were significantly increased.In the mouse model,both EVO and ASA inhibited tumor formation,decreased the proliferation of tumor cells,and induced apoptosis of tumor cells.Compared with the control group,the numbers of E.faecalis and E.coli were decreased,while Bifidobacterium,Campylobacter and Lactobacillus numbers were increased.In the EVO group,serum endotoxin and D-lactic acid levels and inflammatory factors were significantly decreased.Further,the IL6/STAT3/P65 signaling pathway was inhibited in the EVO group.Conclusion:EVO may inhibit the occurrence of colon cancer by regulating gut microbiota and inhibiting intestinal inflammation.The potential mechanism involves inhibition of the IL6/STAT3/P65 signaling pathway,revealing its potential therapeutic significance in clinical applications.展开更多
After stroke,even high-functioning individuals may experience compromised bimanual coordination and fine motor dexterity,leading to reduced functional independence.Bilateral arm training has been proposed as a promisi...After stroke,even high-functioning individuals may experience compromised bimanual coordination and fine motor dexterity,leading to reduced functional independence.Bilateral arm training has been proposed as a promising intervention to address these deficits.However,the neural basis of the impairment of functional fine motor skills and their relationship to bimanual coordination performance in stroke patients remains unclear,limiting the development of more targeted interventions.To address this gap,our study employed functional near-infrared spectroscopy to investigate cortical responses in patients after stroke as they perform functional tasks that engage fine motor control and coordination.Twenty-four high-functioning patients with ischemic stroke(7 women,17 men;mean age 64.75±10.84 years)participated in this cross-sectional observational study and completed four subtasks from the Purdue Pegboard Test,which measures unimanual and bimanual finger and hand dexterity.We found significant bilateral activation of the sensorimotor cortices during all Purdue Pegboard Test subtasks,with bimanual tasks inducing higher cortical activation than the assembly subtask.Importantly,patients with better bimanual coordination exhibited lower cortical activation during the other three Purdue Pegboard Test subtasks.Notably,the observed neural response patterns varied depending on the specific subtask.In the unaffected hand task,the differences were primarily observed in the ipsilesional hemisphere.In contrast,the bilateral sensorimotor cortices and the contralesional hemisphere played a more prominent role in the bimanual task and assembly task,respectively.While significant correlations were found between cortical activation and unimanual tasks,no significant correlations were observed with bimanual tasks.This study provides insights into the neural basis of bimanual coordination and fine motor skills in high-functioning patients after stroke,highlighting task-dependent neural responses.The findings also suggest that patients who exhibit better bimanual performance demonstrate more efficient cortical activation.Therefore,incorporating bilateral arm training in post-stroke rehabilitation is important for better outcomes.The combination of functional near-infrared spectroscopy with functional motor paradigms is valuable for assessing skills and developing targeted interventions in stroke rehabilitation.展开更多
Here,we demonstrate a photochemical strategy to site-specifically deposit Pd atoms on Au nanoparticles.The high-sensitivity low-energy ion scattering spectra combined with the X-ray photoelectron spectra reveal that t...Here,we demonstrate a photochemical strategy to site-specifically deposit Pd atoms on Au nanoparticles.The high-sensitivity low-energy ion scattering spectra combined with the X-ray photoelectron spectra reveal that the surface electronic structure of Pd can be continuously regulated by tailoring the Pd-to-Au molar ratio and the location of Pd atoms in Au Pd nanoparticles.It is revealed that electron-rich Pd atoms are considerably more active than the net Pd atoms in aerobic alcohol oxidation.Remarkably,the catalyst with the most electron-rich Pd sites(binding energy downshift:1.0 e V)exhibits an extremely high turnover frequency(~500000 h-1 vs 12000 h-1 for that with net Pd atoms)for solvent-free selective oxidation of benzyl alcohol,which is,to the best of our knowledge,the highest value ever reported.Kinetic studies reveal that electron-rich Pd atoms can accelerate the oxidation of benzyl alcohol by facilitating C-H cleavage,as indicated by the significant reduction in the activation energy as compared to net Pd atoms.展开更多
BACKGROUND Acute appendicitis is the most common abdominal emergency.At present,the main treatments for periappendiceal abscess include antibiotics and surgery.However,the complications and mortality of emergency surg...BACKGROUND Acute appendicitis is the most common abdominal emergency.At present,the main treatments for periappendiceal abscess include antibiotics and surgery.However,the complications and mortality of emergency surgery are high.The preferred therapy is conservative treatment with antibiotics first,ultrasound-guided puncture drainage or surgical treatment is followed when necessary.Endoscopic retrograde appendicitis therapy(ERAT)for acute uncomplicated appendicitis have been proved clinically effective,but it is rarely used in periap-pendiceal abscess.CASE SUMMARY We report a patient admitted to hospital because of“right lower abdominal pain for six days”.The computerized tomography(CT)of patient showed that appendicitis with fecaliths and abscess in the pelvis.The patient was treated by CT-guided puncture and drainage of abdominal abscess combined with ERAT to remove appendiceal fecaliths,irrigation and stent placement.CONCLUSION The patient did not receive surgery because of impoverished family.Abdominal pain did not recur during the follow-up period.This case confirms the value of ERAT in the treatment of periappendiceal abscess.展开更多
In this paper, a finite element method （FEM）-based multi-phase problem based on a newly proposed thermal elastoplastic constitutive model for saturated/unsaturated geomaterial is discussed. A program of FEM named as...In this paper, a finite element method （FEM）-based multi-phase problem based on a newly proposed thermal elastoplastic constitutive model for saturated/unsaturated geomaterial is discussed. A program of FEM named as SOFT, adopting unified field equations for thermo-hydro-mechanical-air （THMA） behavior of geomaterial and using finite element-finite difference （FE-FD） scheme for so/l-water-air three-phase coupling problem, is used in the numerical simulation. As an application of the newly proposed numerical method, two engineering problems, one for slope failure in unsaturated model ground and another for in situ heating test related to deep geological repository of high-level radioactive waste （HLRW）, are simulated. The model tests on slope failure in unsaturated Shirasu ground, carried out by Kitamura et al. （2007）, is simulated in the framework of soil-water-air three-phase coupling under the condition of constant temperature. While the in situ heating test reported by Munoz （2006） is simulated in the same framework under the conditions of variable temperature hut constant air pressure.展开更多
The Late Paleozoic and Mesozoic tectonic framework of the Nanpanjiang Basin has much been disputed.Herein,the middle-acid volcanic rock,dacite,exposed to the Zhesang gold district,southeast Yunnan Province,has been an...The Late Paleozoic and Mesozoic tectonic framework of the Nanpanjiang Basin has much been disputed.Herein,the middle-acid volcanic rock,dacite,exposed to the Zhesang gold district,southeast Yunnan Province,has been analyzed.The results show that the dacite belongs to a calc-alkaline series,SiO_(2)contents range from 62.79 to 76.66 wt%.Zircon SHRIMP U–Pb dating of dacite demonstrates that they were formed in the Early Triassic(247.8±1.7 Ma,MSWD=1.2).All samples exhibit enrichment in LILE(e.g.Rb,K,Th,and U),and depletion in HFSE(e.g.Nb,Ta,and Ti),which has the geochemical affinity of I-type granite.La–La/Sm and La–La/Yb discrimination diagrams show that the partial melting,mainly of the mafic lower crust,of rocks,plays a major role in the formation process.The dacite has low initial ^(87)Sr/^(86)Sr ratios(0.706954 to 0.708589)and negative ε_(Nd)(t)values(-11.77 to-10.88).Zircons in dacite have ε_(Hf)(t)values of-16.2 to-8.3,and the two-stage Hf model ages are 1799–2301 Ma,mostly concentrated between 1800 and 1900 Ma,indicating that the magma source area is the reconstructed ancient lower crust mixed with some mantle materials,and crystal fractionation process underwent in the late stage of magma migration.This study reveals that the arc-volcanic rocks of the Early Triassic in the southern margin of the Nanpanjiang Basin were formed by the subduction of the Late Paleozoic ocean basin within the border region between China and Vietnam.展开更多
Organic cathodes for alkali-metal-ion batteries attract great attentions in recent years,but the ion storage sites are limited to some finite functional groups.This is because an organic cathode must have proper lowes...Organic cathodes for alkali-metal-ion batteries attract great attentions in recent years,but the ion storage sites are limited to some finite functional groups.This is because an organic cathode must have proper lowest unoccupied molecular orbitals(LUMO) to accept electrons at high potential.Herein,a novel type of organophosphate-based cathode has successfully been explored by tuning the LUMO energy level of organophosphates through metal ions with an inert electron pair.For the first time,the P=O of phytate(PA),N,N,N’,N’-ethylenediaminetetrakis(methylene phytate)(EDTMP),and diethylenetriaminepentakis(methyl phytate)(DTPMP) is activated by lead/bismuth(with 6s2electron pair) to storage Li/Na/K ions reversibly.Typically,density functional theory calculations indicate that the LUMO energy of Bi-PA is greatly reduced from-0.99(PA) to-4.61 eV,which shows the first discharge capacity of 173,182 and 206mAh·g-1and the reversibly capacity of 102,102 and 101mAh·g-1with the discharge platform of 2.4,2.1 and 2.4 V for Li/Na/K-ion battery cathodes,respectively.Similarly,with proper LUMO energy level,Pb-PA(-4.63 eV),Pb-EDTMP(-3.71 eV),and Pb-DTPMP(-4.45 eV) all exhibit admirable performance.This unique strategy of organic materials to alkali-metal-ion battery cathodes offers a new avenue for future energy storage systems.展开更多
BACKGROUND Gastroesophageal varices are a rare complication of essential thrombocythemia(ET).ET is a chronic myeloproliferative neoplasm(MPN)characterized by an increased number of blood platelets.CASE SUMMARY A 46-ye...BACKGROUND Gastroesophageal varices are a rare complication of essential thrombocythemia(ET).ET is a chronic myeloproliferative neoplasm(MPN)characterized by an increased number of blood platelets.CASE SUMMARY A 46-year-old woman,who denied a history of liver disease,was admitted to our hospital on presentation of hematemesis.Laboratory examination revealed a hemoglobin level of 83 g/L,and a platelet count of 397×109/L.The appearance of gastric and esophageal varices with red colored signs as displayed by an urgent endoscopy was followed by endoscopic variceal ligation and endoscopic tissue adhesive.Abdominal computed tomography revealed cirrhosis,marked splenomegaly,portal vein thrombosis and portal hypertension.In addition,bone marrow biopsy and evidence of mutated Janus kinase 2,substantiated the onset of ET.The patient was asymptomatic with regular routine blood testing during the 6-mo follow-up period.Therefore,in this case,gastroesophageal varices were induced by ET.CONCLUSION MPN should be given considerable attention when performing differential diagnoses in patients with gastroesophageal varices.An integrated approach such as laboratory tests,radiological examination,and pathological biopsy,should be included to allow optimal decisions and management.展开更多
BACKGROUND Acute pancreatitis is an uncommon complication of gastrointestinal endoscopy,especially if the patient has none of the common risk factors associated with pancreatitis;such as alcoholism,gallstones,hypertri...BACKGROUND Acute pancreatitis is an uncommon complication of gastrointestinal endoscopy,especially if the patient has none of the common risk factors associated with pancreatitis;such as alcoholism,gallstones,hypertriglyceridemia,hypercalcemia or the use of certain drugs.CASE SUMMARY A 56-year-old female patient developed abdominal pain immediately after the completion of an upper gastrointestinal endoscopy.The pain was predominantly in the upper and middle abdomen and was persistent and severe.The patient was diagnosed with acute pancreatitis.Treatment included complete fasting,octreotide injection prepared in a prefilled syringe to inhibit pancreatic enzymes secretion,ulinastatin injection to inhibit pancreatic enzymes activity,esomeprazole for gastric acid suppression,fluid replacement and nutritional support.Over the next 3 d,the patient's symptoms improved.The patient remained hemodynamically stable throughout hospitalization and was discharged home in a clinically stable state.CONCLUSION Pancreatitis should be considered in the differential diagnosis of abdominal pain after upper and lower gastrointestinal endoscopy.展开更多
BACKGROUND The nonspecific clinical,radiological and pathological characteristics of gastric syphilis can establish it as an imitator of other gastric diseases.The absence of primary or secondary lubricating lesions s...BACKGROUND The nonspecific clinical,radiological and pathological characteristics of gastric syphilis can establish it as an imitator of other gastric diseases.The absence of primary or secondary lubricating lesions should not prevent consideration of gastric syphilis.CASE SUMMARY A 63-year-old female patient presented to the hospital with dull pain in the middle and upper abdomen without apparent cause for one week,which was aggravated for two days.The patient had been sexually active with the same male partner for the past years,but her partner was promiscuous.Abdominal contrastenhanced computed tomography(CT)and positron emission tomography/CT suggested gastric cancer.The gastroscopy revealed an antral gastric ulcer with gastric retention,and also suggested gastric cancer.But no cancer cells were found in the biopsies taken during the two gastroscopies.Treponema pallidum(T.pallidum)antibodies:ELISA positive,rapid plasma reagin titer 1:16.Hematoxylin and eosin(HE)stain showed macrophage infiltration in the lamina propria.Numerous spirochetes were observed by immunohistochemical staining using a monoclonal antibody against T.pallidum.The patient was finally diagnosed with gastric syphilis.CONCLUSION Only a few cases of gastric syphilis have been misdiagnosed as gastric cancer.Penicillin can relieve symptoms of gastric syphilis.展开更多
Objective The aim of this study was to determine the prognostic significance of the C-reactive protein-toalbumin ratio (CRP/Alb) for stage IE/IIE upper aerodigestive tract extranodal NK/T cell lymphoma patients. Metho...Objective The aim of this study was to determine the prognostic significance of the C-reactive protein-toalbumin ratio (CRP/Alb) for stage IE/IIE upper aerodigestive tract extranodal NK/T cell lymphoma patients. Methods One hundred and fourteen patients diagnosed with extranodal NK/T cell lymphoma at Sichuan Cancer Hospital from September 2011 to November 2016 were retrospectively reviewed. An optimal cutoff value of CRP/Alb for overall survival rate as an endpoint was obtained using the receiver operating curve (ROC). Results The optimal cutoff value of CRP/Alb was 0.15. For the low CRP/Alb group, the 3-year progression-free survival (PFS) was 78.6% and the 3-year overall survival (OS) was 80.7%. The 3-year PFS and OS values for the high CRP/Alb group were 41.6% and 45.2%, respectively. Differences for PFS (P < 0.001) and OS (P < 0.001) between the two groups were statistically significant. Univariate analysis showed that ECOG, IPI, CRP, GPS, and CRP/Alb were significantly associated with PFS. Similarly, all five were also significantly associated with OS. Multivariate analysis further confirmed that ECOG and CRP/ Alb were independent prognostic factors for both PFS and OS. Moreover, the cutoff value of CRP/Alb showed superior prognostic ability in discriminating between patients with different outcomes in low-risk group based on GPS, IPI, and KPI scores. Conclusion CRP/Alb is a promising prognostic marker for early-stage extranodal NK/T cell lymphoma.展开更多
A 22-year-old man with a 2-year history of heroin vapor inhalation developed spongiform leukoencephalopathy and underwent clinical and home-based rehabilitative treatments. Activities of daily living were measured usi...A 22-year-old man with a 2-year history of heroin vapor inhalation developed spongiform leukoencephalopathy and underwent clinical and home-based rehabilitative treatments. Activities of daily living were measured using the Functional Independence Measure at discharge and at 6, 12, and 24 months after discharge. His neurological symptoms gradually disappeared with rehabilitative treatment, and the functional scale scores increased from 55 on admission to 105 at 24 months after discharge. These results suggest that home-based rehabilitation was effective in ameliorating the pathology and improving activities of daily living in this patient with heroin-induced spongiform leukoencephalopathy.展开更多
基金supported by the National Natural Science Foundation of China(Nos.11175164 and 91326109)
文摘In this paper, we build on the concept of equivalent fundamental-mode source to propose using delayed neutrons as a neutron source in multiplication experiments to acquire the effective multiplication factor keffof subcritical systems, which is difficult to acquire directly from conventional neutron source multiplication method. We analyzed the difference between a fundamental-mode fission source and delayed neutron source,then adopted a factor to convert delayed neutron distribution to an equivalent fundamental-mode source distribution, and employed Monte Carlo code to acquire this factor.The delayed neutron multiplication measurement method was established for the first time, and corresponding experiments were conducted in subcritical systems. The multiplication of delayed neutrons was measured based on Chinese Fast Burst Reactor-Ⅱ(CFBR-Ⅱ) at subcritical states, and keffwas acquired from delayed neutron multiplication successfully(0.9921 and 0.9969, respectively).The relative difference between k_(eff)obtained by the new method and previous values acquired by the positive period method is less than 1% for these two studied cases.
基金Supported by Key Research and Development Program of Jiangsu Province,No.BE2023767Xuzhou Key Research and Development Program under Grant,No.KC23273+1 种基金Affiliated Hospital of Xuzhou Medical University,No.2022ZL26Construction Project of High-Level Hospital of Jiangsu Province,No.GSPSJ20240802.
文摘BACKGROUND Acute variceal bleeding(AVB)in patients with cirrhosis remains life-threatening;moreover,the current risk stratification methods have certain limitations.Rebleeding and mortality after AVB remain major challenges.Although preemptive transjugular intrahepatic portosystemic shunt(p-TIPS)can improve outcomes,not all patients benefit equally.Accurate risk stratification is needed to guide treatment decisions and identify those most likely to benefit from p-TIPS.AIM To develop an artificial intelligence(AI)-driven model to guide AVB treatment decisions,and identify candidates eligible for p-TIPS.METHODS Patients with cirrhosis and AVB,from two multicenter retrospective cohorts in China,who received endoscopic variceal ligation plus pharmacotherapy(n=1227)or p-TIPS(n=1863)were included.Baseline data within 24 hours of hospital admission were obtained.The AI-AVB model,based on the six-week failure and one-year mortality rates,was developed to predict treatment efficacy and compared with standard risk scores.Outcomes and adverse events of the treatments were compared across the high-and low-risk subgroups stratified using the AI-AVB model.RESULTS The AI-AVB model demonstrated superior predictive performance compared to traditional risk stratification methods.In the internal validation cohort,the model achieved an area under the curve(AUC)of 0.842 for predicting six-week treatment failure and 0.954 for one-year mortality.In the external validation cohort,the AUCs were 0.814 and 0.889,respectively.The model effectively identified patients at high risk of first-line treatment failure who may benefit from aggressive interventions such as p-TIPS.In contrast,advancing the treatment strategy for low-risk patients did not notably improve the short-term prognosis.CONCLUSION The AI-AVB model can predict treatment outcomes,stratify the failure risk in cirrhotic patients with AVB,aid in clinical decisions,identify p-TIPS beneficiaries,and optimize personalized treatment strategies.
基金financially supported by Heilongjiang Postdoctoral Fund(Grant No.LBH-Z24057)Outstanding Master’s and Doctoral Thesis of Longjiang in the New Era(Grant No.LJYXL2023-076).
文摘Radiative cooling fabric creates a thermally comfortable environment without energy input,providing a sustainable approach to personal thermal management.However,most currently reported fabrics mainly focus on outdoor cooling,ignoring to achieve simultaneous cooling both indoors and outdoors,thereby weakening the overall cooling performance.Herein,a full-scale structure fabric with selective emission properties is constructed for simultaneous indoor and outdoor cooling.The fabric achieves 94%reflectance performance in the sunlight band(0.3–2.5μm)and 6%in the mid-infrared band(2.5–25μm),effectively minimizing heat absorption and radiation release obstruction.It also demonstrates 81%radiative emission performance in the atmospheric window band(8–13μm)and 25%radiative transmission performance in the mid-infrared band(2.5–25μm),providing 60 and 26 W m−2 net cooling power outdoors and indoors.In practical applications,the fabric achieves excellent indoor and outdoor human cooling,with temperatures 1.4–5.5℃ lower than typical polydimethylsiloxane film.This work proposes a novel design for the advanced radiative cooling fabric,offering significant potential to realize sustainable personal thermal management.
文摘The China Spallation Neutron Source(CSNS)is the fourth pulsed accelerator-driven neutron source in the world,and it achieved its design target of 100 kW in 2020.The planned China Spallation Neutron Source Phase II(CSNS-II)commenced in 2024.The CSNS-II linac design primarily involves the addition of a radio-frequency ion source and a section of a superconducting linear accelerator composed of two types of superconducting cavities,namely double-spoke and six-cell elliptical cavities,after the drift tube linac(DTL).The development of the double-spoke superconducting cavity began in early 2021,and by January 2023,the welding,post-processing,and vertical tests of two 324 MHz double-spoke cavity prototypes were completed,with vertical test gradients of 11.6 and 15 MV/m,and Q_(0)≥3×10^(10)@E_(acc)≤10 MV/m.The R&D of the cryomodule began in January 2022.In October 2023,the clean assembly of the double-spoke cavity string and cold mass installation of the cryomodule commenced,with the installation of the cryomodule and valve box completing in two months.In January 2024,a horizontal test of the cryomodule was completed,making it the first double-spoke cavity cryomodule in China.The test results showed that the maximum gradients of the two superconducting cavities at a pulse width of 4 ms and repetition frequency of 25 Hz were 12.8 and 15.2 MV/m,respectively.This article provides a detailed introduction to the double-spoke superconducting cavity,tuner,coupler,and cryomodule,elaborates on the clean assembly of the cavity string and cold mass installation of the cryomodule,and provides a detailed analysis of the horizontal test results.
文摘目的探讨改良SWIM技术机械取栓术治疗急性缺血性卒中的有效性和安全性。方法纳入2021年1月至2024年1月在安徽省蚌埠市第三人民医院行血管内机械取栓术的114例急性缺血性卒中患者,分别予以改良SWIM技术(改良取栓组,57例)和常规SWIM技术(常规取栓组,57例),记录首次取栓血管再通率、总体血管再通率、取栓次数、穿刺至再灌注时间,近期神经功能缺损[术后14 d美国国立卫生研究院卒中量表(NIHSS)]和远期神经功能预后[术后90 d改良Rankin量表(mRS)],以及症状性颅内出血发生率和病死率。结果改良取栓组首次取栓血管再通率高于常规取栓组(χ^(2)=5.054,P=0.025),取栓次数少于(Z=2.014,P=0.044)、穿刺至再灌注时间短于(Z=2.630,P=0.009)常规取栓组。改良取栓组与常规取栓组手术前后NIHSS评分差异有统计学意义(F=5.185,P=0.025),两组入院时与术后14 d NIHSS评分差异亦有统计学意义(F=133.705,P=0.000),但处理因素与测量时间之间无交互作用(F=3.148,P=0.079),其中术后14 d改良取栓组NIHSS评分低于常规取栓组(t=2.969,P=0.004),改良取栓组(t=10.286,P=0.000)和常规取栓组(t=6.428,P=0.000)术后14 d NIHSS评分均低于入院时。改良取栓组与常规取栓组手术前后mRS评分差异有统计学意义(F=7.581,P=0.007),两组患者入院时与术后90 d mRS评分差异亦有统计学意义(F=277.328,P=0.000),且处理因素与测量时间之间存在交互作用(F=10.471,P=0.002),改良SWIM技术的效果更佳。改良取栓组术后90 d预后良好(mRS评分≤2分)率高于常规取栓组(χ^(2)=4.267,P=0.039),而两组术后症状性颅内出血发生率(χ^(2)=0.077,P=0.782)和病死率(χ^(2)=0.101,P=0.751)差异均无统计学意义。结论机械取栓术中应用改良SWIM技术较常规SWIM技术具有更好的疗效且安全性相当,值得临床推广。
基金supported by Wenzhou Science and Technology Bureau Project(to Zhu Liqing,No.Y20190088)。
文摘Objective:High-fat diet is one of the main risk factors that disrupt the balance of gut microbiota,which eventually will induce colorectal cancer(CRC).Evodiamine(EVO)is a wildly used multifunctional traditional Chinese medicine extract.In this study,we investigated the role of gut microbiota in high-fat dietpropelled CRC and the potential of EVO for CRC chemoprevention.Methods:Gut microbiota,serum D-lactic acid and endotoxin from 38 patients with colon cancer and 18 healthy subjects were detected by quantitative real-time polymerase chain reaction and enzyme-linked immunosorbent assay(ELISA).In addition,body mass index,phospho-signal transducer and activator of transcription 3(p-STAT3)expression in cancer tissues and paracancerous tissues were detected by immunohistochemistry.A mouse intestinal inflammatory tumor model was established by azomethane/sodium dextran sulfate,followed by treatment with EVO and 5-aminosalicylic acid(ASA).Gut microbiota and inflammatory factors were detected by quantitative polymerase chain reaction,while serum D-lactic acid and endotoxin were detected by ELISA.Furthermore,cell proliferation,cell apoptosis,and interleukin(IL)-6/STAT3/P65 pathway were evaluated by 5-ethynyl-20-deoxyuridine,terminal-deoxynucleotidyl transferase-mediated nick-end labeling,and Western blot assays.Results:In patients with colon cancer,the numbers of Enterococcus faecalis and Escherichia coli were increased,while those of Bifidobacterium,Campylobacter and Lactobacillus were decreased.Serum endotoxin and D-lactic acid levels and p-STAT3 levels were significantly increased.In the mouse model,both EVO and ASA inhibited tumor formation,decreased the proliferation of tumor cells,and induced apoptosis of tumor cells.Compared with the control group,the numbers of E.faecalis and E.coli were decreased,while Bifidobacterium,Campylobacter and Lactobacillus numbers were increased.In the EVO group,serum endotoxin and D-lactic acid levels and inflammatory factors were significantly decreased.Further,the IL6/STAT3/P65 signaling pathway was inhibited in the EVO group.Conclusion:EVO may inhibit the occurrence of colon cancer by regulating gut microbiota and inhibiting intestinal inflammation.The potential mechanism involves inhibition of the IL6/STAT3/P65 signaling pathway,revealing its potential therapeutic significance in clinical applications.
基金supported by the National Key R&D Program of China,No.2020YFC2004202(to DX).
文摘After stroke,even high-functioning individuals may experience compromised bimanual coordination and fine motor dexterity,leading to reduced functional independence.Bilateral arm training has been proposed as a promising intervention to address these deficits.However,the neural basis of the impairment of functional fine motor skills and their relationship to bimanual coordination performance in stroke patients remains unclear,limiting the development of more targeted interventions.To address this gap,our study employed functional near-infrared spectroscopy to investigate cortical responses in patients after stroke as they perform functional tasks that engage fine motor control and coordination.Twenty-four high-functioning patients with ischemic stroke(7 women,17 men;mean age 64.75±10.84 years)participated in this cross-sectional observational study and completed four subtasks from the Purdue Pegboard Test,which measures unimanual and bimanual finger and hand dexterity.We found significant bilateral activation of the sensorimotor cortices during all Purdue Pegboard Test subtasks,with bimanual tasks inducing higher cortical activation than the assembly subtask.Importantly,patients with better bimanual coordination exhibited lower cortical activation during the other three Purdue Pegboard Test subtasks.Notably,the observed neural response patterns varied depending on the specific subtask.In the unaffected hand task,the differences were primarily observed in the ipsilesional hemisphere.In contrast,the bilateral sensorimotor cortices and the contralesional hemisphere played a more prominent role in the bimanual task and assembly task,respectively.While significant correlations were found between cortical activation and unimanual tasks,no significant correlations were observed with bimanual tasks.This study provides insights into the neural basis of bimanual coordination and fine motor skills in high-functioning patients after stroke,highlighting task-dependent neural responses.The findings also suggest that patients who exhibit better bimanual performance demonstrate more efficient cortical activation.Therefore,incorporating bilateral arm training in post-stroke rehabilitation is important for better outcomes.The combination of functional near-infrared spectroscopy with functional motor paradigms is valuable for assessing skills and developing targeted interventions in stroke rehabilitation.
文摘Here,we demonstrate a photochemical strategy to site-specifically deposit Pd atoms on Au nanoparticles.The high-sensitivity low-energy ion scattering spectra combined with the X-ray photoelectron spectra reveal that the surface electronic structure of Pd can be continuously regulated by tailoring the Pd-to-Au molar ratio and the location of Pd atoms in Au Pd nanoparticles.It is revealed that electron-rich Pd atoms are considerably more active than the net Pd atoms in aerobic alcohol oxidation.Remarkably,the catalyst with the most electron-rich Pd sites(binding energy downshift:1.0 e V)exhibits an extremely high turnover frequency(~500000 h-1 vs 12000 h-1 for that with net Pd atoms)for solvent-free selective oxidation of benzyl alcohol,which is,to the best of our knowledge,the highest value ever reported.Kinetic studies reveal that electron-rich Pd atoms can accelerate the oxidation of benzyl alcohol by facilitating C-H cleavage,as indicated by the significant reduction in the activation energy as compared to net Pd atoms.
基金Supported by the Medical Health Science and Technology Project of Zhejiang Provincial Health Commission,No.2020KY1082 and No.2021KY1238.
文摘BACKGROUND Acute appendicitis is the most common abdominal emergency.At present,the main treatments for periappendiceal abscess include antibiotics and surgery.However,the complications and mortality of emergency surgery are high.The preferred therapy is conservative treatment with antibiotics first,ultrasound-guided puncture drainage or surgical treatment is followed when necessary.Endoscopic retrograde appendicitis therapy(ERAT)for acute uncomplicated appendicitis have been proved clinically effective,but it is rarely used in periap-pendiceal abscess.CASE SUMMARY We report a patient admitted to hospital because of“right lower abdominal pain for six days”.The computerized tomography(CT)of patient showed that appendicitis with fecaliths and abscess in the pelvis.The patient was treated by CT-guided puncture and drainage of abdominal abscess combined with ERAT to remove appendiceal fecaliths,irrigation and stent placement.CONCLUSION The patient did not receive surgery because of impoverished family.Abdominal pain did not recur during the follow-up period.This case confirms the value of ERAT in the treatment of periappendiceal abscess.
文摘In this paper, a finite element method （FEM）-based multi-phase problem based on a newly proposed thermal elastoplastic constitutive model for saturated/unsaturated geomaterial is discussed. A program of FEM named as SOFT, adopting unified field equations for thermo-hydro-mechanical-air （THMA） behavior of geomaterial and using finite element-finite difference （FE-FD） scheme for so/l-water-air three-phase coupling problem, is used in the numerical simulation. As an application of the newly proposed numerical method, two engineering problems, one for slope failure in unsaturated model ground and another for in situ heating test related to deep geological repository of high-level radioactive waste （HLRW）, are simulated. The model tests on slope failure in unsaturated Shirasu ground, carried out by Kitamura et al. （2007）, is simulated in the framework of soil-water-air three-phase coupling under the condition of constant temperature. While the in situ heating test reported by Munoz （2006） is simulated in the same framework under the conditions of variable temperature hut constant air pressure.
基金supported by the Open Fund for Sanjiang Key Laboratory of Mineralization and Resource Exploration and Utilization,Ministry of Natural Resources(ZRZYBSJSYS2021002)Yunnan Major Scientific and Technological Projects(Grant No.202202AG050006)+2 种基金the National Natural Science Foundation of China(No.41772070)supported by the National Research Center of Geoanalysis(NRCG)Chinese Academy of Geological Sciences(CAGS)。
文摘The Late Paleozoic and Mesozoic tectonic framework of the Nanpanjiang Basin has much been disputed.Herein,the middle-acid volcanic rock,dacite,exposed to the Zhesang gold district,southeast Yunnan Province,has been analyzed.The results show that the dacite belongs to a calc-alkaline series,SiO_(2)contents range from 62.79 to 76.66 wt%.Zircon SHRIMP U–Pb dating of dacite demonstrates that they were formed in the Early Triassic(247.8±1.7 Ma,MSWD=1.2).All samples exhibit enrichment in LILE(e.g.Rb,K,Th,and U),and depletion in HFSE(e.g.Nb,Ta,and Ti),which has the geochemical affinity of I-type granite.La–La/Sm and La–La/Yb discrimination diagrams show that the partial melting,mainly of the mafic lower crust,of rocks,plays a major role in the formation process.The dacite has low initial ^(87)Sr/^(86)Sr ratios(0.706954 to 0.708589)and negative ε_(Nd)(t)values(-11.77 to-10.88).Zircons in dacite have ε_(Hf)(t)values of-16.2 to-8.3,and the two-stage Hf model ages are 1799–2301 Ma,mostly concentrated between 1800 and 1900 Ma,indicating that the magma source area is the reconstructed ancient lower crust mixed with some mantle materials,and crystal fractionation process underwent in the late stage of magma migration.This study reveals that the arc-volcanic rocks of the Early Triassic in the southern margin of the Nanpanjiang Basin were formed by the subduction of the Late Paleozoic ocean basin within the border region between China and Vietnam.
基金financially supported by the Science and Technology Commission of Shanghai Municipality (No. 22ZR1471300)the National Science Foundation of China (Nos. 21871008,51922103 and 21801247)+1 种基金the Key Research Program of Chinese Academy of Sciences (No.QYZDJ-SSW-JSC013)China Postdoctoral Science Foundation (Nos.2020M671242 and 2021T140688)。
文摘Organic cathodes for alkali-metal-ion batteries attract great attentions in recent years,but the ion storage sites are limited to some finite functional groups.This is because an organic cathode must have proper lowest unoccupied molecular orbitals(LUMO) to accept electrons at high potential.Herein,a novel type of organophosphate-based cathode has successfully been explored by tuning the LUMO energy level of organophosphates through metal ions with an inert electron pair.For the first time,the P=O of phytate(PA),N,N,N’,N’-ethylenediaminetetrakis(methylene phytate)(EDTMP),and diethylenetriaminepentakis(methyl phytate)(DTPMP) is activated by lead/bismuth(with 6s2electron pair) to storage Li/Na/K ions reversibly.Typically,density functional theory calculations indicate that the LUMO energy of Bi-PA is greatly reduced from-0.99(PA) to-4.61 eV,which shows the first discharge capacity of 173,182 and 206mAh·g-1and the reversibly capacity of 102,102 and 101mAh·g-1with the discharge platform of 2.4,2.1 and 2.4 V for Li/Na/K-ion battery cathodes,respectively.Similarly,with proper LUMO energy level,Pb-PA(-4.63 eV),Pb-EDTMP(-3.71 eV),and Pb-DTPMP(-4.45 eV) all exhibit admirable performance.This unique strategy of organic materials to alkali-metal-ion battery cathodes offers a new avenue for future energy storage systems.
文摘BACKGROUND Gastroesophageal varices are a rare complication of essential thrombocythemia(ET).ET is a chronic myeloproliferative neoplasm(MPN)characterized by an increased number of blood platelets.CASE SUMMARY A 46-year-old woman,who denied a history of liver disease,was admitted to our hospital on presentation of hematemesis.Laboratory examination revealed a hemoglobin level of 83 g/L,and a platelet count of 397×109/L.The appearance of gastric and esophageal varices with red colored signs as displayed by an urgent endoscopy was followed by endoscopic variceal ligation and endoscopic tissue adhesive.Abdominal computed tomography revealed cirrhosis,marked splenomegaly,portal vein thrombosis and portal hypertension.In addition,bone marrow biopsy and evidence of mutated Janus kinase 2,substantiated the onset of ET.The patient was asymptomatic with regular routine blood testing during the 6-mo follow-up period.Therefore,in this case,gastroesophageal varices were induced by ET.CONCLUSION MPN should be given considerable attention when performing differential diagnoses in patients with gastroesophageal varices.An integrated approach such as laboratory tests,radiological examination,and pathological biopsy,should be included to allow optimal decisions and management.
基金Supported by Medical Health Science and Technology Project of Zhejiang Provincial Health Commission,No.2020ZH080the Medical and Health Care Project of Lishui,No.2021SJZC059.
文摘BACKGROUND Acute pancreatitis is an uncommon complication of gastrointestinal endoscopy,especially if the patient has none of the common risk factors associated with pancreatitis;such as alcoholism,gallstones,hypertriglyceridemia,hypercalcemia or the use of certain drugs.CASE SUMMARY A 56-year-old female patient developed abdominal pain immediately after the completion of an upper gastrointestinal endoscopy.The pain was predominantly in the upper and middle abdomen and was persistent and severe.The patient was diagnosed with acute pancreatitis.Treatment included complete fasting,octreotide injection prepared in a prefilled syringe to inhibit pancreatic enzymes secretion,ulinastatin injection to inhibit pancreatic enzymes activity,esomeprazole for gastric acid suppression,fluid replacement and nutritional support.Over the next 3 d,the patient's symptoms improved.The patient remained hemodynamically stable throughout hospitalization and was discharged home in a clinically stable state.CONCLUSION Pancreatitis should be considered in the differential diagnosis of abdominal pain after upper and lower gastrointestinal endoscopy.
基金the Medical Health Science and Technology Project of Zhejiang Provincial Health Commission,No.2020ZH080.
文摘BACKGROUND The nonspecific clinical,radiological and pathological characteristics of gastric syphilis can establish it as an imitator of other gastric diseases.The absence of primary or secondary lubricating lesions should not prevent consideration of gastric syphilis.CASE SUMMARY A 63-year-old female patient presented to the hospital with dull pain in the middle and upper abdomen without apparent cause for one week,which was aggravated for two days.The patient had been sexually active with the same male partner for the past years,but her partner was promiscuous.Abdominal contrastenhanced computed tomography(CT)and positron emission tomography/CT suggested gastric cancer.The gastroscopy revealed an antral gastric ulcer with gastric retention,and also suggested gastric cancer.But no cancer cells were found in the biopsies taken during the two gastroscopies.Treponema pallidum(T.pallidum)antibodies:ELISA positive,rapid plasma reagin titer 1:16.Hematoxylin and eosin(HE)stain showed macrophage infiltration in the lamina propria.Numerous spirochetes were observed by immunohistochemical staining using a monoclonal antibody against T.pallidum.The patient was finally diagnosed with gastric syphilis.CONCLUSION Only a few cases of gastric syphilis have been misdiagnosed as gastric cancer.Penicillin can relieve symptoms of gastric syphilis.
基金Supported by a grant from the Sichuan Health and Family Planning Commission(No.16PJ041)
文摘Objective The aim of this study was to determine the prognostic significance of the C-reactive protein-toalbumin ratio (CRP/Alb) for stage IE/IIE upper aerodigestive tract extranodal NK/T cell lymphoma patients. Methods One hundred and fourteen patients diagnosed with extranodal NK/T cell lymphoma at Sichuan Cancer Hospital from September 2011 to November 2016 were retrospectively reviewed. An optimal cutoff value of CRP/Alb for overall survival rate as an endpoint was obtained using the receiver operating curve (ROC). Results The optimal cutoff value of CRP/Alb was 0.15. For the low CRP/Alb group, the 3-year progression-free survival (PFS) was 78.6% and the 3-year overall survival (OS) was 80.7%. The 3-year PFS and OS values for the high CRP/Alb group were 41.6% and 45.2%, respectively. Differences for PFS (P < 0.001) and OS (P < 0.001) between the two groups were statistically significant. Univariate analysis showed that ECOG, IPI, CRP, GPS, and CRP/Alb were significantly associated with PFS. Similarly, all five were also significantly associated with OS. Multivariate analysis further confirmed that ECOG and CRP/ Alb were independent prognostic factors for both PFS and OS. Moreover, the cutoff value of CRP/Alb showed superior prognostic ability in discriminating between patients with different outcomes in low-risk group based on GPS, IPI, and KPI scores. Conclusion CRP/Alb is a promising prognostic marker for early-stage extranodal NK/T cell lymphoma.
基金supported by Project of Science and Technology Department of Hunan Province, No. 2009SK3171
文摘A 22-year-old man with a 2-year history of heroin vapor inhalation developed spongiform leukoencephalopathy and underwent clinical and home-based rehabilitative treatments. Activities of daily living were measured using the Functional Independence Measure at discharge and at 6, 12, and 24 months after discharge. His neurological symptoms gradually disappeared with rehabilitative treatment, and the functional scale scores increased from 55 on admission to 105 at 24 months after discharge. These results suggest that home-based rehabilitation was effective in ameliorating the pathology and improving activities of daily living in this patient with heroin-induced spongiform leukoencephalopathy.
