The existing deep-sea sediment plume tests are mostly under small-scale static water and rarely under large-scale flowing water conditions.In this study,large-scale tank experiments of flowing water were designed and ...The existing deep-sea sediment plume tests are mostly under small-scale static water and rarely under large-scale flowing water conditions.In this study,large-scale tank experiments of flowing water were designed and conducted to investigate the morphological characteristics and concentration evolution of the sediment plumes under different discharge rates(Q)and initial sediment concentrations(c).Viscosity tests,resuspension tests and free settling tests of the sediment solution with different c values were performed to reveal the settling mechanism of the plume diffusion process.The results show that the plume diffusion morphology variation in flowing water has four stages and the plume concentration evolution has three stages.The larger the Q,the smaller the initial incidence angle at the discharge outlet,the larger the diffusion range,the poorer the stability and the more complicated the diffusion morphology.The larger the c,the larger the settling velocity,the faster the formation of high-concentration accumulation zone,the better the stability and the clearer the diffusion boundary.The research results could provide experimental data for assessing the impact of deep-sea mining on the ocean environment.展开更多
BACKGROUND Both Gilbert's syndrome(GS)and hereditary spherocytosis(HS)are common genetic disorders.However,comorbidity of GS with HS has always been considered a rare phenomenon,and it can impede accurate diagnose...BACKGROUND Both Gilbert's syndrome(GS)and hereditary spherocytosis(HS)are common genetic disorders.However,comorbidity of GS with HS has always been considered a rare phenomenon,and it can impede accurate diagnoses in the presence of isolated unconjugated hyperbilirubinemia.CASE SUMMARY In a study on Levitt’s carbon monoxide(CO)breath test for the differential diagnosis of isolated hyperbilirubinemia,we found six GS patients with HS in 6 mo.The patients,including five males and one female,aged 25-58 years,were from four families and generally in good health.Their chronic fluctuating jaundice and/or hyperbilirubinemia had been diagnosed as simple constitutional jaundice for 6-30 years.Liver function tests showed isolated unconjugated hyperbilirubinemia with serum total bilirubin ranging from 20.7-75.4μmol/L.Blood hemoglobin was normal in five cases,and slightly decreased in one(11.5 g/dL).Overt hemolytic signs were absent,while erythrocyte lifespan determined by the newly developed Levitt’s CO breath test was significantly short(15-50 d),definitely demonstrating the presence of hemolysis.Given that their unconjugated hyperbilirubinemia compared inappropriately with hemolytic severity,as indicated by the hemoglobin level,further combined genetic tests for both UGT1A1 and hereditary erythrocyte deficiencies were conducted.These tests confirmed,at last,the coexistence of GS with HS.CONCLUSION Comorbidity of GS and HS might not be uncommon in isolated unconjugated hyperbilirubinemia.While CO breath test would sensitively detect the hemolysis,the discordance between the hyperbilirubinemia and hemoglobin level could strongly indicate the coexistence of GS and HS.展开更多
Dear Editor,Chimeric antigen receptor T(CAR-T)cells have achieved substantial advances in the treatment of B-cell malignancies.Despite high initial response rates,some patients relapse,characterized by targeted antige...Dear Editor,Chimeric antigen receptor T(CAR-T)cells have achieved substantial advances in the treatment of B-cell malignancies.Despite high initial response rates,some patients relapse,characterized by targeted antigen loss(Shalabi et al.,2018).展开更多
基金supported by the Major Project of Hunan Natural Science Foundation,China(No.2021JC0010)the National Natural Science Foundation of China(No.51274251)。
文摘The existing deep-sea sediment plume tests are mostly under small-scale static water and rarely under large-scale flowing water conditions.In this study,large-scale tank experiments of flowing water were designed and conducted to investigate the morphological characteristics and concentration evolution of the sediment plumes under different discharge rates(Q)and initial sediment concentrations(c).Viscosity tests,resuspension tests and free settling tests of the sediment solution with different c values were performed to reveal the settling mechanism of the plume diffusion process.The results show that the plume diffusion morphology variation in flowing water has four stages and the plume concentration evolution has three stages.The larger the Q,the smaller the initial incidence angle at the discharge outlet,the larger the diffusion range,the poorer the stability and the more complicated the diffusion morphology.The larger the c,the larger the settling velocity,the faster the formation of high-concentration accumulation zone,the better the stability and the clearer the diffusion boundary.The research results could provide experimental data for assessing the impact of deep-sea mining on the ocean environment.
文摘BACKGROUND Both Gilbert's syndrome(GS)and hereditary spherocytosis(HS)are common genetic disorders.However,comorbidity of GS with HS has always been considered a rare phenomenon,and it can impede accurate diagnoses in the presence of isolated unconjugated hyperbilirubinemia.CASE SUMMARY In a study on Levitt’s carbon monoxide(CO)breath test for the differential diagnosis of isolated hyperbilirubinemia,we found six GS patients with HS in 6 mo.The patients,including five males and one female,aged 25-58 years,were from four families and generally in good health.Their chronic fluctuating jaundice and/or hyperbilirubinemia had been diagnosed as simple constitutional jaundice for 6-30 years.Liver function tests showed isolated unconjugated hyperbilirubinemia with serum total bilirubin ranging from 20.7-75.4μmol/L.Blood hemoglobin was normal in five cases,and slightly decreased in one(11.5 g/dL).Overt hemolytic signs were absent,while erythrocyte lifespan determined by the newly developed Levitt’s CO breath test was significantly short(15-50 d),definitely demonstrating the presence of hemolysis.Given that their unconjugated hyperbilirubinemia compared inappropriately with hemolytic severity,as indicated by the hemoglobin level,further combined genetic tests for both UGT1A1 and hereditary erythrocyte deficiencies were conducted.These tests confirmed,at last,the coexistence of GS with HS.CONCLUSION Comorbidity of GS and HS might not be uncommon in isolated unconjugated hyperbilirubinemia.While CO breath test would sensitively detect the hemolysis,the discordance between the hyperbilirubinemia and hemoglobin level could strongly indicate the coexistence of GS and HS.
基金supported by the National Key R&D Program of China(2019YFA0906100 and 2019YFA0904200 to Y.J.C.)the Shenzhen Science and Technology Innovation Program(JCYJ20180504165501371 to Y.J.C.)+2 种基金the National Natural Science Foundation of China(32171464 and 81872783 to Y.J.C.),the Prevention and Control of COVID-2019 Research Program in University of Guangdong Province(2020KZDZX1176 to S.Z.)the Shenzhen Basic Research Program(JCYJ20180507182203049 to S.Z.)the Shenzhen Key Laboratory Foundation(ZDSYS20200811143757022 to S.Z.).
文摘Dear Editor,Chimeric antigen receptor T(CAR-T)cells have achieved substantial advances in the treatment of B-cell malignancies.Despite high initial response rates,some patients relapse,characterized by targeted antigen loss(Shalabi et al.,2018).