Objective To compare the effect of patient positioning on bronchoscopy-guided bronchoalveolar lavage(BAL)recovery rate and to inform position selection in clinical practice.Methods A retrospective study was conducted ...Objective To compare the effect of patient positioning on bronchoscopy-guided bronchoalveolar lavage(BAL)recovery rate and to inform position selection in clinical practice.Methods A retrospective study was conducted using routine BAL records from 2019 to 2024 at a single center.Four position groups were analyzed(n=110 each):supine,lateral nondependent(target lung up),lateral dependent(target lung down),and prone.The primary outcome was recovery rate(%).Distributional assumptions were evaluated with the Shapiro-Wilk test and Levene's test.Group differences were assessed by one-way analysis of variance(ANOVA);pairwise post-hoc comparisons used Welch's t test with mean differences and 95%confidence intervals(CI).A linear regression model adjusted for lobar site was used to estimate lobe-adjusted marginal means by position.Results Mean(x±SD)recovery rates were:supine 52.08±7.70%,lateral nondependent 62.66±8.27%,lateral dependent 45.98±8.50%,prone 55.12±7.59%.Between-group differences were significant(ANOVA F=82.14,P<0.001).Lobe-adjusted marginal means were directionally consistent with unadjusted results.Conclusions Patient position is significantly associated with BAL recovery.When clinically feasible and safe,placing the target lung in the nondependent position yields higher recovery rates.展开更多
BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting in...BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting incident MetS in young adults.AIM To investigate the associations of various non-insulin-based IR(NI-IR)indices with new-onset MetS in young military personnel.METHODS A total of 2890 armed forces personnel in Taiwan who were aged 18-39 years and did not have MetS at baseline were followed to monitor the incidence of new-onset MetS from 2014 to the end of 2020.Six NI-IR indices,including the metabolic score for IR(METS-IR),triglyceride(TG)-to-high-density lipoprotein cholesterol(HDL-C)ratio,TG glucose(TyG)index,Zhejiang University(ZJU)index,total cholesterol(TC)-to-HDL-C ratio,and alanine transaminase(ALT)-to-aspartate transaminase(AST)ratio,were defined according to specific criteria.Incident MetS was identified on the basis of each annual health examination using the International Diabetes Federation criteria.Multiple Cox regression analyses were conducted,adjusting for age,sex,waist circumference,smoking status,alcohol consumption status,and physical activity,to assess the associations of the NI-IR indices with incident MetS.The area under the receiver operating characteristic curve(AUROC)was used to compare the capacities of these NI-IR indices for predicting new-onset MetS.RESULTS During a median follow-up of 5.8 years,there were 673 patients with new-onset MetS(23%).All six of the NI-IR indices were significantly and positively associated with incident MetS.In the entire cohort,the greatest AUROC was found for the METS-IR[0.782;95%confidence interval(CI):0.762-0.801;all P values compared to the other NIIR indices<0.05],followed by the TG/HDL-C ratio(0.752;95%CI:0.731-0.772),ZJU index(0.743;95%CI:0.722-0.764),TyG index(0.734;95%CI:0.713-0.756),TC/HDL-C ratio(0.731;95%CI:0.709-0.752),and then the ALT/AST ratio(0.734;95%CI:0.713-0.756).CONCLUSION This study suggests that almost all the NI-IR indices are associated with the development of MetS in military young adults.The METS-IR is the strongest predictor of new-onset MetS before midlife.展开更多
association with academic and clinical performance.This study aimed to determine the EI level of hospital-based nursing students and examine differences between full-time and part-time students.Methods:We conducted a ...association with academic and clinical performance.This study aimed to determine the EI level of hospital-based nursing students and examine differences between full-time and part-time students.Methods:We conducted a cross-sectional study in a hospital-based nursing school.EI level was measured using the Schutte Self-report Emotional Intelligence Scale(SSEIS).Results:We recruited 287 participants(mean age:21.9 years).Their mean SSEIS score was 119.6(95%CI=118.57-120.65).The mean SSEIS scores of 172 full-time and 115 part-time nurses were 120.7(95%CI=119.3-122.0)and 118.1(95%CI=116.5-119.6),respectively.There was no significant difference between the groups.Conclusion:The EI difference between full-time and part-time nursing students was statistically insignificant.The need for further EI development among both full-time and part-time students must be addressed.展开更多
Mindfulness would enhance university students’emotional well-being and study engagement.However,the role of affect(positive and negative emotions)and psychological resources(psychological capital)linking mindfulness ...Mindfulness would enhance university students’emotional well-being and study engagement.However,the role of affect(positive and negative emotions)and psychological resources(psychological capital)linking mindfulness to study engagement remain underexplored.This cross-sectional study surveyed 688 Chinese university students(females=413,mean age=20.3,SD=0.83),using validated self-report measures of mindfulness,positive and negative emotions,psychological capital,and study engagement.Structural equation modeling and bias-corrected bootstrap analyses(5000 resamples)revealed that mindfulness directly enhanced positive emotions,psychological capital,and study engagement,while reducing negative emotions.Positive emotions partially mediated the positive effect of mindfulness on psychological capital and study engagement.Negative emotions partially and negatively mediated only the mindfulness-psychological capital link.Psychological capital independently mediated the mindfulness-engagement relationship,and two sequential mediation pathways emerged:(a)mindfulness→positive emotions→psychological capital→higher study engagement and(b)mindfulness→reduced negative emotions→psychological capital→higher study engagement.Consistent with broaden-and-build(B&B)theory and Conservation of Resources(COR)theory,these findings suggest that mindfulness fosters study engagement primarily by promoting positive emotional experiences and strengthening psychological capital.By implication,university student support programs should employ mindfulness-based interventions to cultivate emotional and psychological resources for higher students’engagement and overall well-being.展开更多
BACKGROUND Gastrointestinal endoscopy technology has significantly improved the diagnostic accuracy and the successful treatment of gastrointestinal diseases.However,a series of ethical issues have emerged,such as exp...BACKGROUND Gastrointestinal endoscopy technology has significantly improved the diagnostic accuracy and the successful treatment of gastrointestinal diseases.However,a series of ethical issues have emerged,such as expanding treatment indications,which affect the fair distribution of medical resources.There is limited research on ethical issues in the field of digestive endoscopy.AIM To investigate the level of ethical awareness among gastrointestinal endoscopy practitioners and analyze the ethical issues involved in gastrointestinal endoscopy technology.METHODS A questionnaire survey was performed to collect relevant data(gender,age,degree of education,professional title,personnel category,the level of understanding medical ethical principles,ethics training and its learning pathways)from gastrointestinal endoscopy practitioners at the Second Hospital of Dalian Medical University and Dalian Friendship Hospital,including licensed physicians and nurses(including trainees and graduate students).RESULTS The majority of gastrointestinal endoscopy practitioners have received training on ethics,but there is still considerable room for improvement in their ethical awareness.Different learning pathways may affect the mastery of ethical principles, and understanding of ethical principles is more easily achieved through hospital ethics institutions.CONCLUSIONTo address the ethical issues in gastrointestinal endoscopy technology, it is necessary to enhance the humanisticeducation of gastrointestinal endoscopy practitioners, incorporate ethical standards into the technology assessmentprocess, and establish a patient-centered diagnostic and treatment model to improve the ethical awareness of practitionersand achieve a balance between technology and ethics.展开更多
AIM:To investigate the potential causal associations between 41 inflammatory cytokines and myopia using a two-sample Mendelian randomization(MR)approach.METHODS:Publicly available genome-wide association study(GWAS)da...AIM:To investigate the potential causal associations between 41 inflammatory cytokines and myopia using a two-sample Mendelian randomization(MR)approach.METHODS:Publicly available genome-wide association study(GWAS)datasets were utilized for this two-sample MR analysis.Inflammatory cytokine-related GWAS data were extracted from The University of Bristol’s Research Data Repository,and myopia-related GWAS data were obtained from the FinnGen project.Single nucleotide polymorphisms(SNPs)associated with inflammatory cytokines were systematically selected as instrumental variables(IVs)based on three rigorous criteria:relevance,independence,and exclusion of pleiotropy.Five MR methods were employed for causal inference:the inverse-variance weighted(IVW)method as the primary analysis,supplemented by MREgger regression,weighted median estimator,simple mode,and weighted mode approaches.Sensitivity analyses were performed to evaluate the robustness of the causal estimates.RESULTS:A total of 773 myopia-associated SNPs were identified.MR analysis revealed that higher levels of macrophage inflammatory protein 1-α(MIP-1α)were associated with a 17%reduced risk of myopia[odds ratio(OR)=0.83;95%confidence interval(CI):0.69-0.99;P<0.05].In contrast,elevated levels of eotaxin(OR=1.26;95%CI:1.07-1.47;P<0.01),stromal cell-derived factor-1α(SDF-1α;OR=1.68;95%CI:1.08-2.62;P<0.05),and interleukin-2 receptor subunit alpha(IL-2Rα;OR=1.25;95%CI:1.01-1.53;P<0.05)were significantly associated with an increased risk of myopia.Sensitivity analyses confirmed the reliability of these results.CONCLUSION:This study provides evidence supporting a causal relationship between specific inflammatory cytokines and myopia.MIP-1αmay act as a protective factor against myopia,while eotaxin,SDF-1α,and IL-2Rαare potential risk factors for myopia.These findings emphasize the critical role of inflammatory pathways in the pathogenesis of myopia,offering novel insights for the development of preventive and therapeutic strategies for myopia.展开更多
Background:Despite highly effective vaccines against SARS-CoV-2,COVID-19 vaccine hesitancy persisted in some populations in England during the pandemic,with rates and motivations for hesitancy varying by demographic g...Background:Despite highly effective vaccines against SARS-CoV-2,COVID-19 vaccine hesitancy persisted in some populations in England during the pandemic,with rates and motivations for hesitancy varying by demographic group.Addressing the drivers of vaccine hesitancy through targeted interventions in hesitant groups is a public health priority for better and more rapid control of disease spread.We aimed to characterise the determinants and subtypes of vaccine hesitancy and identify more persistent forms of hesitancy via analysis of vaccine uptake in a large cross-sectional cohort with linked National Health Service(NHS)data.展开更多
Background:To determine whether initiating a glucagon-like peptide-1 receptor agonist(GLP-1 RA)within 3 months of type 2 diabetes(T2DM)diagnosis alters the subsequent risk of overall and site-specific cancer and wheth...Background:To determine whether initiating a glucagon-like peptide-1 receptor agonist(GLP-1 RA)within 3 months of type 2 diabetes(T2DM)diagnosis alters the subsequent risk of overall and site-specific cancer and whether this association differs by baseline body-mass index(BMI).Methods:This retrospective cohort study used electronic health records from the TriNetX U.S.research network.Adults aged 20 years or older diagnosed with T2DM between 2016 and 2024 were included if they received any hypoglycemic agents within 3 months before and after diagnosis.Following 1:1 propensity score matching,both the GLP-1 RA user and non-user groups included 183,264 patients.The study outcome was defined as a diagnosis of malignant neoplasms.Hazard ratios(HRs)for overall and site-specific cancer risk were estimated using Cox proportional hazards models.Kaplan–Meier analysis and stratified analysis by BMI were performed.Results:Early GLP-1 RA use demonstrated a modest but significant association with reduced overall cancer risk(HR 0.93;95%CI:0.90–0.96).Reduced risks were noted for cancers of the digestive(HR 0.81),respiratory(HR 0.66),and female genital(HR 0.87)systems.In stratified analysis,benefits were more pronounced in patients with BMI≥30,particularly for pancreatic and colorectal cancers.Conclusion:Early initiation of GLP-1 receptor agonists in patients with diagnosed T2DM was associated with a modest reduction in overall cancer risk,particularly among individuals with obesity.These findings highlight the dual metabolic and oncologic value of prompt GLP-1 RA therapy.展开更多
Objective To explore the remote efficacy and safety of consciousness-restoring resuscitation （Xingnao Kaiqiao, short for XNKQ） acupuncture on cerebral infarction at recovery phase. Methods Two hundred and thirty-fou...Objective To explore the remote efficacy and safety of consciousness-restoring resuscitation （Xingnao Kaiqiao, short for XNKQ） acupuncture on cerebral infarction at recovery phase. Methods Two hundred and thirty-four cases of cerebral infarction at recovery phase were randomized into XNKQ group and routine acupuncture group （routine group） in light of SAS code. One hundred and sixteen cases in the XNKQ group were treated with XNKQ acupuncture （once a day, totally 4 weeks） and routine treatment with western medicine. One hundred and eighteen cases in the routine group received routine acupuncture and routine treatment with western medicine. Follow-up lasted 6 months. Primary indexes： the situations of survival, treatment and recurrence at the end of follow-up. Secondary indexes： assessment of nerve functions at the end of follow-up and rate of adverse events during acupunc- ture. Results In 6 months follow-up, the mortality was 0.86% and rate of continuous treatment was 36.21% in the XNKQ group and they were 1.69% and 36.44% respectively in the routine group. The differences did not present statistical significance between the two groups （X^2 = 0.29, P=0.59; X^2 = 0.32, P = 0.57）. Concerning to the decrease of recurrence rate and improvement of nerve functions, the out-comes in the XNKQ group were superior to those in the routine group （P〈0.01）. Severe adverse events did not happen in the two groups. Conclusion XNKQ acupuncture is safe therapy and its remote efficacy is superior to that of routine acupuncture in the decrease of recurrence rate and improvement of nerve functions.展开更多
In order to study the calculation methods of bending behavior of Chinese reinforced concrete beams from 1912 to 1949, tests on the mechanical performance of 66 rebars from different modem Chinese concrete buildings, t...In order to study the calculation methods of bending behavior of Chinese reinforced concrete beams from 1912 to 1949, tests on the mechanical performance of 66 rebars from different modem Chinese concrete buildings, the concrete compressive strength of 12 modem Chinese concrete buildings, and the concrete cover thickness of 9 modem Chinese concrete buildings are carried out; and the actual material properties and structural conformations of modem Chinese concrete buildings are obtained. Then, the comparison on calculation methods of bending behavior including the original Chinese calculation method, the present Chinese calculation method, the present American calculation method and the present European calculation method is studied. The results show that the original Chinese calculation method of bending behavior is based on the allowable stress calculation method, and the design safety factors are 3.55 to 4. 0. In term of the calculation area of longitudinal rebars of reinforced concrete beams, without considering earthquake action, the original Chinese structural calculation method is safer than the present Chinese structural calculation method, the present European structural calculation method, and the present American structural calculation method. The results can provide support for the structural safety assessments of modem Chinese reinforced concrete buildings.展开更多
More focuses of foreign language teaching theory and practice are on the study of first language and second language acquisition. The article deals with the concept of first and second language acquisition, the relati...More focuses of foreign language teaching theory and practice are on the study of first language and second language acquisition. The article deals with the concept of first and second language acquisition, the relationship between them and the factors influencing on them. The characteristics of the children acquisition and adult acquisition are also studied.展开更多
A comparison study is performed to contrast the improvements in the tropical Pacific oceanic state of a low-resolution model respectively via data assimilation and by an increase in horizontal resolution. A low resolu...A comparison study is performed to contrast the improvements in the tropical Pacific oceanic state of a low-resolution model respectively via data assimilation and by an increase in horizontal resolution. A low resolution model (LR) (1°lat by 2°lon) and a high-resolution model (HR) (0.5°lat by 0.5°lon) are employed for the comparison. The authors perform 20-yr numerical experiments and analyze the annual mean fields of temperature and salinity. The results indicate that the low-resolution model with data assimilation behaves better than the high-resolution model in the estimation of ocean large-scale features. From 1990 to 2000, the average of HR's RMSE (root-mean-square error) relative to independent Tropical Atmosphere Ocean project (TAO) mooring data at randomly selected points is 0.97℃ compared to a RMSE of 0.56℃ for LR with temperature assimilation. Moreover, the LR with data assimilation is more frugal in computation. Although there is room to improve the high-resolution model, the low-resolution model with data assimilation may be an advisable choice in achieving a more realistic large-scale state of the ocean at the limited level of information provided by the current observational system.展开更多
This paper presents a comparison study of workspace and dexterity of two Tricept units for Reconfigurable Parallel Kinematic Machines （RPKMs）. The modular leg of RPKMs is designed and the RPKMs can be built by chang...This paper presents a comparison study of workspace and dexterity of two Tricept units for Reconfigurable Parallel Kinematic Machines （RPKMs）. The modular leg of RPKMs is designed and the RPKMs can be built by changing tile setting of modules. A compositive kinematic model is developed accordingly. The inverse kinematics and Jacobian of these two Trieept units are analyzed. Considering workspaee volume and dexterity, the effeets of geometric size of some modules on the two Trieept units are discussed. In the end, comparison results of these two Tricept units are. given. The eomparison of two kinds of Parallel Kinematic Machines （PKMs） can be of help in the design and configuration planning of the RPKMs.展开更多
Melt spinning （MS） and ball milling （BM） were employed to fabricate YMg11Ni alloy, and their structures and hydrogen storage performances were examined. The results reveal that the as-spun and as-milled alloys bot...Melt spinning （MS） and ball milling （BM） were employed to fabricate YMg11Ni alloy, and their structures and hydrogen storage performances were examined. The results reveal that the as-spun and as-milled alloys both exhibit the nanocrystalline and amorphous structure. The as-milled alloy shows a larger hydrogen absorption capacity as compared with the as-spun alloy. More than that, the as-milled alloy exhibits lower onset hydrogen desorption temperature than the as-spun one, which are 549.8 and 560.9 K, respectively. Additionally, the as-milled alloy shows a superior hydrogen desorption property to the as-spun one. On the basis of the time needed by desorbing hydrogen of 3 wt% H2, for the as- milled alloy, it needs 1106, 456, 343, and 180 s corresponding to hydrogen desorption temperatures of 593, 613, 633, and 653 K. However, for the as-spun alloy, the time needed is greater than 2928, 842, 356, and 197 s corresponding to the same temperatures. Hydrogen desorption activation energies of as-milled and as-spun alloys are 98.01 and 105.49 kJ/mol, respectively, which is responsible for that the as-milled alloy possesses a much faster dehydriding rate. By means of the measurement of pressure-composition-temperature （P-C-T） curves, the dehydrogenation enthalpy change of the alloys prepared by MS （△Hoe（MS）） and BM （△Hdc（BM）） is 81.84 and 79.46 kJ/mol, respectively, viz. △Hde（MS） 〉 △Hoc（BM）.展开更多
Three different Ti-Si oxide structuares, silica supported titania, silica coated titania and intimately mixed silicatitania, containing 10%-40% SiO2, were made by sol-gel process. The variations of microstructure para...Three different Ti-Si oxide structuares, silica supported titania, silica coated titania and intimately mixed silicatitania, containing 10%-40% SiO2, were made by sol-gel process. The variations of microstructure parameters of nanocrystalline （nc） TiO2-anatase in the three kirds of binary oxides, including in-plane spacing d, cell constants （ao, co）, cell volume V, cell axial ratio co/ao and crystal grain size, were comparatively investigated by high resolution transmission electron microscopy （HRTEM） and X-ray diffraction （XRD）. It is found that the microstructure parameters vary remarkably with increasing SiO2 content and annealing temperature. Different structured Ti-Si binary oxides lead to different variation tendencies of microstructure parameters. The more SiO2 the binary oxide contains, the more lattice defects of nc TiO2-anatase appear; diffusion or migration of Si cations could be an important influential factor in the variations of microstructure. The grain size of nc TiO2 in the three kinds of binary oxides not only depends on SiO2 content and annealing temperature but also on the degree of lattice microstrain and distortion of nc TiO2-anatase. Both grain size and phase transformation of nc TiO2-anatase are effectively inhibited with increasing SiO2 content.展开更多
In order to compare the two species＇ flight performance over the exposed and windy Falsterbo Peninsula, where thermal conditions seldomly are very favorable, we used tracking radar to study flight parameters of sparr...In order to compare the two species＇ flight performance over the exposed and windy Falsterbo Peninsula, where thermal conditions seldomly are very favorable, we used tracking radar to study flight parameters of sparrowhawks Accipiter ni- sus and common buzzards Buteo buteo during autumn migration. The results showed a clear difference between sparrowhawks and common buzzards in their flight altitudes and speeds, and in the wind conditions they encountered. Common buzzards had higher flight altitudes and were more selective of wind. Flight altitude was negatively related to the wind speed, which was most pronounced for common buzzards. Sparrowhawks had higher mean air- and cross-country speeds than common buzzards. Air- speed was negatively related, whereas ground and cross-country speeds were positively related to the tailwind component for both raptors. The differences between sparrowhawks and buzzards could to a large degree be explained by a larger dependence on thermal soaring among the common buzzards; a strategy associated with selectivity for favourable thermal and wind conditions during migratory flight. An additional important explanation for the interspecific differences was the habit of the sparrowhawks to combine migratory flight with hunting for prey, which makes it prone to fly at lower altitudes and use flapping flight to a much larger degree than common buzzards which do not forage during their migratory passage of the Falsterbo Peninsula [Current Zoo- logy 60（5）： 670-679, 2014].展开更多
The cross sections of fragments produced in the 140 A MeV58,64Ni＋9 Be projectile fragmentation reactions are calculated by using the antisymmetrized molecular dynamics （AMD） model, the modified statistical abrasion...The cross sections of fragments produced in the 140 A MeV58,64Ni＋9 Be projectile fragmentation reactions are calculated by using the antisymmetrized molecular dynamics （AMD） model, the modified statistical abrasion- ablation （SAA） model, and the empirical EPAX2/EPAX3 formulae. The Gogny-gO interaction is taken as the effective nucleon-nucleon interaction in the AMD calculation, and the decays of fragments obtained from the AMD results are calculated by using the GEMINI code. The calculated cross sections of fragments are compared.展开更多
With recent advances in biotechnology, genome-wide association study （GWAS） has been widely used to identify genetic variants that underlie human complex diseases and traits. In case-control GWAS, typical statistica...With recent advances in biotechnology, genome-wide association study （GWAS） has been widely used to identify genetic variants that underlie human complex diseases and traits. In case-control GWAS, typical statistical strategy is traditional logistical regression （LR） based on single-locus analysis. However, such a single-locus analysis leads to the well-known multiplicity problem, with a risk of inflating type I error and reducing power. Dimension reduction-based techniques, such as principal component-based logistic regression （PC-LR）, partial least squares-based logistic regression （PLS-LR）, have recently gained much attention in the analysis of high dimensional genomic data. However, the perfor- mance of these methods is still not clear, especially in GWAS. We conducted simulations and real data application to compare the type I error and power of PC-LR, PLS-LR and LR applicable to GWAS within a defined single nucleotide polymorphism （SNP） set region. We found that PC-LR and PLS can reasonably control type I error under null hypothesis. On contrast, LR, which is corrected by Bonferroni method, was more conserved in all simulation settings. In particular, we found that PC-LR and PLS-LR had comparable power and they both outperformed LR, especially when the causal SNP was in high linkage disequilibrium with genotyped ones and with a small effective size in simulation. Based on SNP set analysis, we applied all three methods to analyze non-small cell lung cancer GWAS data.展开更多
In the present work,the conventional natural gas dehydration method(CDM)and stripping gas method(SGM)are technically and economically analyzed,utilizing Aspen HYSYS and Aspen Process Economic Analyzer(APEA),respective...In the present work,the conventional natural gas dehydration method(CDM)and stripping gas method(SGM)are technically and economically analyzed,utilizing Aspen HYSYS and Aspen Process Economic Analyzer(APEA),respectively.To optimize the CDM and SGM,the sensitivities of the water content of dry gas,reboiler duty and raw material loss are analyzed against solvent rate and stripping gas rate.The optimized processes are set to achieve a targeted value of water content in dry gas and analyzed at optimized point.The analysis shows that SGM gives 46%lower TEG feed rate,42%lower reboiler duty and 99.97%pure regenerated TEG.Moreover,economic analysis reveals that SGM has 38%lower annual operating cost compared to CDM.According to results,from both technical and economic point of view,SGM is more feasible for natural gas dehydration compared to CDM.展开更多
文摘Objective To compare the effect of patient positioning on bronchoscopy-guided bronchoalveolar lavage(BAL)recovery rate and to inform position selection in clinical practice.Methods A retrospective study was conducted using routine BAL records from 2019 to 2024 at a single center.Four position groups were analyzed(n=110 each):supine,lateral nondependent(target lung up),lateral dependent(target lung down),and prone.The primary outcome was recovery rate(%).Distributional assumptions were evaluated with the Shapiro-Wilk test and Levene's test.Group differences were assessed by one-way analysis of variance(ANOVA);pairwise post-hoc comparisons used Welch's t test with mean differences and 95%confidence intervals(CI).A linear regression model adjusted for lobar site was used to estimate lobe-adjusted marginal means by position.Results Mean(x±SD)recovery rates were:supine 52.08±7.70%,lateral nondependent 62.66±8.27%,lateral dependent 45.98±8.50%,prone 55.12±7.59%.Between-group differences were significant(ANOVA F=82.14,P<0.001).Lobe-adjusted marginal means were directionally consistent with unadjusted results.Conclusions Patient position is significantly associated with BAL recovery.When clinically feasible and safe,placing the target lung in the nondependent position yields higher recovery rates.
基金Supported by Medical Affairs Bureau Ministry of National Defense,No.MND-MAB-D-114222Hualien Armed Forces General Hospital,No.HAFGH-D-114008.
文摘BACKGROUND Some non-insulin-based insulin resistance(IR)indices have been found to be associated with metabolic syndrome(MetS);however,few cohort studies have compared the capacities of these indices for predicting incident MetS in young adults.AIM To investigate the associations of various non-insulin-based IR(NI-IR)indices with new-onset MetS in young military personnel.METHODS A total of 2890 armed forces personnel in Taiwan who were aged 18-39 years and did not have MetS at baseline were followed to monitor the incidence of new-onset MetS from 2014 to the end of 2020.Six NI-IR indices,including the metabolic score for IR(METS-IR),triglyceride(TG)-to-high-density lipoprotein cholesterol(HDL-C)ratio,TG glucose(TyG)index,Zhejiang University(ZJU)index,total cholesterol(TC)-to-HDL-C ratio,and alanine transaminase(ALT)-to-aspartate transaminase(AST)ratio,were defined according to specific criteria.Incident MetS was identified on the basis of each annual health examination using the International Diabetes Federation criteria.Multiple Cox regression analyses were conducted,adjusting for age,sex,waist circumference,smoking status,alcohol consumption status,and physical activity,to assess the associations of the NI-IR indices with incident MetS.The area under the receiver operating characteristic curve(AUROC)was used to compare the capacities of these NI-IR indices for predicting new-onset MetS.RESULTS During a median follow-up of 5.8 years,there were 673 patients with new-onset MetS(23%).All six of the NI-IR indices were significantly and positively associated with incident MetS.In the entire cohort,the greatest AUROC was found for the METS-IR[0.782;95%confidence interval(CI):0.762-0.801;all P values compared to the other NIIR indices<0.05],followed by the TG/HDL-C ratio(0.752;95%CI:0.731-0.772),ZJU index(0.743;95%CI:0.722-0.764),TyG index(0.734;95%CI:0.713-0.756),TC/HDL-C ratio(0.731;95%CI:0.709-0.752),and then the ALT/AST ratio(0.734;95%CI:0.713-0.756).CONCLUSION This study suggests that almost all the NI-IR indices are associated with the development of MetS in military young adults.The METS-IR is the strongest predictor of new-onset MetS before midlife.
文摘association with academic and clinical performance.This study aimed to determine the EI level of hospital-based nursing students and examine differences between full-time and part-time students.Methods:We conducted a cross-sectional study in a hospital-based nursing school.EI level was measured using the Schutte Self-report Emotional Intelligence Scale(SSEIS).Results:We recruited 287 participants(mean age:21.9 years).Their mean SSEIS score was 119.6(95%CI=118.57-120.65).The mean SSEIS scores of 172 full-time and 115 part-time nurses were 120.7(95%CI=119.3-122.0)and 118.1(95%CI=116.5-119.6),respectively.There was no significant difference between the groups.Conclusion:The EI difference between full-time and part-time nursing students was statistically insignificant.The need for further EI development among both full-time and part-time students must be addressed.
文摘Mindfulness would enhance university students’emotional well-being and study engagement.However,the role of affect(positive and negative emotions)and psychological resources(psychological capital)linking mindfulness to study engagement remain underexplored.This cross-sectional study surveyed 688 Chinese university students(females=413,mean age=20.3,SD=0.83),using validated self-report measures of mindfulness,positive and negative emotions,psychological capital,and study engagement.Structural equation modeling and bias-corrected bootstrap analyses(5000 resamples)revealed that mindfulness directly enhanced positive emotions,psychological capital,and study engagement,while reducing negative emotions.Positive emotions partially mediated the positive effect of mindfulness on psychological capital and study engagement.Negative emotions partially and negatively mediated only the mindfulness-psychological capital link.Psychological capital independently mediated the mindfulness-engagement relationship,and two sequential mediation pathways emerged:(a)mindfulness→positive emotions→psychological capital→higher study engagement and(b)mindfulness→reduced negative emotions→psychological capital→higher study engagement.Consistent with broaden-and-build(B&B)theory and Conservation of Resources(COR)theory,these findings suggest that mindfulness fosters study engagement primarily by promoting positive emotional experiences and strengthening psychological capital.By implication,university student support programs should employ mindfulness-based interventions to cultivate emotional and psychological resources for higher students’engagement and overall well-being.
文摘BACKGROUND Gastrointestinal endoscopy technology has significantly improved the diagnostic accuracy and the successful treatment of gastrointestinal diseases.However,a series of ethical issues have emerged,such as expanding treatment indications,which affect the fair distribution of medical resources.There is limited research on ethical issues in the field of digestive endoscopy.AIM To investigate the level of ethical awareness among gastrointestinal endoscopy practitioners and analyze the ethical issues involved in gastrointestinal endoscopy technology.METHODS A questionnaire survey was performed to collect relevant data(gender,age,degree of education,professional title,personnel category,the level of understanding medical ethical principles,ethics training and its learning pathways)from gastrointestinal endoscopy practitioners at the Second Hospital of Dalian Medical University and Dalian Friendship Hospital,including licensed physicians and nurses(including trainees and graduate students).RESULTS The majority of gastrointestinal endoscopy practitioners have received training on ethics,but there is still considerable room for improvement in their ethical awareness.Different learning pathways may affect the mastery of ethical principles, and understanding of ethical principles is more easily achieved through hospital ethics institutions.CONCLUSIONTo address the ethical issues in gastrointestinal endoscopy technology, it is necessary to enhance the humanisticeducation of gastrointestinal endoscopy practitioners, incorporate ethical standards into the technology assessmentprocess, and establish a patient-centered diagnostic and treatment model to improve the ethical awareness of practitionersand achieve a balance between technology and ethics.
文摘AIM:To investigate the potential causal associations between 41 inflammatory cytokines and myopia using a two-sample Mendelian randomization(MR)approach.METHODS:Publicly available genome-wide association study(GWAS)datasets were utilized for this two-sample MR analysis.Inflammatory cytokine-related GWAS data were extracted from The University of Bristol’s Research Data Repository,and myopia-related GWAS data were obtained from the FinnGen project.Single nucleotide polymorphisms(SNPs)associated with inflammatory cytokines were systematically selected as instrumental variables(IVs)based on three rigorous criteria:relevance,independence,and exclusion of pleiotropy.Five MR methods were employed for causal inference:the inverse-variance weighted(IVW)method as the primary analysis,supplemented by MREgger regression,weighted median estimator,simple mode,and weighted mode approaches.Sensitivity analyses were performed to evaluate the robustness of the causal estimates.RESULTS:A total of 773 myopia-associated SNPs were identified.MR analysis revealed that higher levels of macrophage inflammatory protein 1-α(MIP-1α)were associated with a 17%reduced risk of myopia[odds ratio(OR)=0.83;95%confidence interval(CI):0.69-0.99;P<0.05].In contrast,elevated levels of eotaxin(OR=1.26;95%CI:1.07-1.47;P<0.01),stromal cell-derived factor-1α(SDF-1α;OR=1.68;95%CI:1.08-2.62;P<0.05),and interleukin-2 receptor subunit alpha(IL-2Rα;OR=1.25;95%CI:1.01-1.53;P<0.05)were significantly associated with an increased risk of myopia.Sensitivity analyses confirmed the reliability of these results.CONCLUSION:This study provides evidence supporting a causal relationship between specific inflammatory cytokines and myopia.MIP-1αmay act as a protective factor against myopia,while eotaxin,SDF-1α,and IL-2Rαare potential risk factors for myopia.These findings emphasize the critical role of inflammatory pathways in the pathogenesis of myopia,offering novel insights for the development of preventive and therapeutic strategies for myopia.
文摘Background:Despite highly effective vaccines against SARS-CoV-2,COVID-19 vaccine hesitancy persisted in some populations in England during the pandemic,with rates and motivations for hesitancy varying by demographic group.Addressing the drivers of vaccine hesitancy through targeted interventions in hesitant groups is a public health priority for better and more rapid control of disease spread.We aimed to characterise the determinants and subtypes of vaccine hesitancy and identify more persistent forms of hesitancy via analysis of vaccine uptake in a large cross-sectional cohort with linked National Health Service(NHS)data.
基金financial support fromthe Chung Shan Medical University Hospital,Taiwan(CSH-2022-A-009).
文摘Background:To determine whether initiating a glucagon-like peptide-1 receptor agonist(GLP-1 RA)within 3 months of type 2 diabetes(T2DM)diagnosis alters the subsequent risk of overall and site-specific cancer and whether this association differs by baseline body-mass index(BMI).Methods:This retrospective cohort study used electronic health records from the TriNetX U.S.research network.Adults aged 20 years or older diagnosed with T2DM between 2016 and 2024 were included if they received any hypoglycemic agents within 3 months before and after diagnosis.Following 1:1 propensity score matching,both the GLP-1 RA user and non-user groups included 183,264 patients.The study outcome was defined as a diagnosis of malignant neoplasms.Hazard ratios(HRs)for overall and site-specific cancer risk were estimated using Cox proportional hazards models.Kaplan–Meier analysis and stratified analysis by BMI were performed.Results:Early GLP-1 RA use demonstrated a modest but significant association with reduced overall cancer risk(HR 0.93;95%CI:0.90–0.96).Reduced risks were noted for cancers of the digestive(HR 0.81),respiratory(HR 0.66),and female genital(HR 0.87)systems.In stratified analysis,benefits were more pronounced in patients with BMI≥30,particularly for pancreatic and colorectal cancers.Conclusion:Early initiation of GLP-1 receptor agonists in patients with diagnosed T2DM was associated with a modest reduction in overall cancer risk,particularly among individuals with obesity.These findings highlight the dual metabolic and oncologic value of prompt GLP-1 RA therapy.
基金Supported by National 973 Project of China (2006CB504504)Tianjin Municipal Key Technologies Research Program(05YFGDSF02300)
文摘Objective To explore the remote efficacy and safety of consciousness-restoring resuscitation （Xingnao Kaiqiao, short for XNKQ） acupuncture on cerebral infarction at recovery phase. Methods Two hundred and thirty-four cases of cerebral infarction at recovery phase were randomized into XNKQ group and routine acupuncture group （routine group） in light of SAS code. One hundred and sixteen cases in the XNKQ group were treated with XNKQ acupuncture （once a day, totally 4 weeks） and routine treatment with western medicine. One hundred and eighteen cases in the routine group received routine acupuncture and routine treatment with western medicine. Follow-up lasted 6 months. Primary indexes： the situations of survival, treatment and recurrence at the end of follow-up. Secondary indexes： assessment of nerve functions at the end of follow-up and rate of adverse events during acupunc- ture. Results In 6 months follow-up, the mortality was 0.86% and rate of continuous treatment was 36.21% in the XNKQ group and they were 1.69% and 36.44% respectively in the routine group. The differences did not present statistical significance between the two groups （X^2 = 0.29, P=0.59; X^2 = 0.32, P = 0.57）. Concerning to the decrease of recurrence rate and improvement of nerve functions, the out-comes in the XNKQ group were superior to those in the routine group （P〈0.01）. Severe adverse events did not happen in the two groups. Conclusion XNKQ acupuncture is safe therapy and its remote efficacy is superior to that of routine acupuncture in the decrease of recurrence rate and improvement of nerve functions.
基金The National Natural Science Foundation of China(No.51138002)the Foundation for the Author of National Excellent Doctoral Dissertation of PR China(No.201452)the Open Fund of Shanghai Key Laboratory of Engineering Structure Safety(No.2015-KF06)
文摘In order to study the calculation methods of bending behavior of Chinese reinforced concrete beams from 1912 to 1949, tests on the mechanical performance of 66 rebars from different modem Chinese concrete buildings, the concrete compressive strength of 12 modem Chinese concrete buildings, and the concrete cover thickness of 9 modem Chinese concrete buildings are carried out; and the actual material properties and structural conformations of modem Chinese concrete buildings are obtained. Then, the comparison on calculation methods of bending behavior including the original Chinese calculation method, the present Chinese calculation method, the present American calculation method and the present European calculation method is studied. The results show that the original Chinese calculation method of bending behavior is based on the allowable stress calculation method, and the design safety factors are 3.55 to 4. 0. In term of the calculation area of longitudinal rebars of reinforced concrete beams, without considering earthquake action, the original Chinese structural calculation method is safer than the present Chinese structural calculation method, the present European structural calculation method, and the present American structural calculation method. The results can provide support for the structural safety assessments of modem Chinese reinforced concrete buildings.
文摘More focuses of foreign language teaching theory and practice are on the study of first language and second language acquisition. The article deals with the concept of first and second language acquisition, the relationship between them and the factors influencing on them. The characteristics of the children acquisition and adult acquisition are also studied.
基金This study is supported by the Key Program of Chinese Academy of Sciences KZCX3 SW-221the National Natural Science Foundation of China(Grant No.40233033 and 40221503).
文摘A comparison study is performed to contrast the improvements in the tropical Pacific oceanic state of a low-resolution model respectively via data assimilation and by an increase in horizontal resolution. A low resolution model (LR) (1°lat by 2°lon) and a high-resolution model (HR) (0.5°lat by 0.5°lon) are employed for the comparison. The authors perform 20-yr numerical experiments and analyze the annual mean fields of temperature and salinity. The results indicate that the low-resolution model with data assimilation behaves better than the high-resolution model in the estimation of ocean large-scale features. From 1990 to 2000, the average of HR's RMSE (root-mean-square error) relative to independent Tropical Atmosphere Ocean project (TAO) mooring data at randomly selected points is 0.97℃ compared to a RMSE of 0.56℃ for LR with temperature assimilation. Moreover, the LR with data assimilation is more frugal in computation. Although there is room to improve the high-resolution model, the low-resolution model with data assimilation may be an advisable choice in achieving a more realistic large-scale state of the ocean at the limited level of information provided by the current observational system.
文摘This paper presents a comparison study of workspace and dexterity of two Tricept units for Reconfigurable Parallel Kinematic Machines （RPKMs）. The modular leg of RPKMs is designed and the RPKMs can be built by changing tile setting of modules. A compositive kinematic model is developed accordingly. The inverse kinematics and Jacobian of these two Trieept units are analyzed. Considering workspaee volume and dexterity, the effeets of geometric size of some modules on the two Trieept units are discussed. In the end, comparison results of these two Tricept units are. given. The eomparison of two kinds of Parallel Kinematic Machines （PKMs） can be of help in the design and configuration planning of the RPKMs.
基金financially supported by the National Natural Science Foundations of China(Nos.51371094 and 51471054)the Natural Science Foundation of Inner Mongolia,China(No.2015MS0558)
文摘Melt spinning （MS） and ball milling （BM） were employed to fabricate YMg11Ni alloy, and their structures and hydrogen storage performances were examined. The results reveal that the as-spun and as-milled alloys both exhibit the nanocrystalline and amorphous structure. The as-milled alloy shows a larger hydrogen absorption capacity as compared with the as-spun alloy. More than that, the as-milled alloy exhibits lower onset hydrogen desorption temperature than the as-spun one, which are 549.8 and 560.9 K, respectively. Additionally, the as-milled alloy shows a superior hydrogen desorption property to the as-spun one. On the basis of the time needed by desorbing hydrogen of 3 wt% H2, for the as- milled alloy, it needs 1106, 456, 343, and 180 s corresponding to hydrogen desorption temperatures of 593, 613, 633, and 653 K. However, for the as-spun alloy, the time needed is greater than 2928, 842, 356, and 197 s corresponding to the same temperatures. Hydrogen desorption activation energies of as-milled and as-spun alloys are 98.01 and 105.49 kJ/mol, respectively, which is responsible for that the as-milled alloy possesses a much faster dehydriding rate. By means of the measurement of pressure-composition-temperature （P-C-T） curves, the dehydrogenation enthalpy change of the alloys prepared by MS （△Hoe（MS）） and BM （△Hdc（BM）） is 81.84 and 79.46 kJ/mol, respectively, viz. △Hde（MS） 〉 △Hoc（BM）.
基金the National Natural Science Foundation of China under grant No. 20476067 Key Project of the National Natural Science Foundation of China, No. 90306014.
文摘Three different Ti-Si oxide structuares, silica supported titania, silica coated titania and intimately mixed silicatitania, containing 10%-40% SiO2, were made by sol-gel process. The variations of microstructure parameters of nanocrystalline （nc） TiO2-anatase in the three kirds of binary oxides, including in-plane spacing d, cell constants （ao, co）, cell volume V, cell axial ratio co/ao and crystal grain size, were comparatively investigated by high resolution transmission electron microscopy （HRTEM） and X-ray diffraction （XRD）. It is found that the microstructure parameters vary remarkably with increasing SiO2 content and annealing temperature. Different structured Ti-Si binary oxides lead to different variation tendencies of microstructure parameters. The more SiO2 the binary oxide contains, the more lattice defects of nc TiO2-anatase appear; diffusion or migration of Si cations could be an important influential factor in the variations of microstructure. The grain size of nc TiO2 in the three kinds of binary oxides not only depends on SiO2 content and annealing temperature but also on the degree of lattice microstrain and distortion of nc TiO2-anatase. Both grain size and phase transformation of nc TiO2-anatase are effectively inhibited with increasing SiO2 content.
文摘In order to compare the two species＇ flight performance over the exposed and windy Falsterbo Peninsula, where thermal conditions seldomly are very favorable, we used tracking radar to study flight parameters of sparrowhawks Accipiter ni- sus and common buzzards Buteo buteo during autumn migration. The results showed a clear difference between sparrowhawks and common buzzards in their flight altitudes and speeds, and in the wind conditions they encountered. Common buzzards had higher flight altitudes and were more selective of wind. Flight altitude was negatively related to the wind speed, which was most pronounced for common buzzards. Sparrowhawks had higher mean air- and cross-country speeds than common buzzards. Air- speed was negatively related, whereas ground and cross-country speeds were positively related to the tailwind component for both raptors. The differences between sparrowhawks and buzzards could to a large degree be explained by a larger dependence on thermal soaring among the common buzzards; a strategy associated with selectivity for favourable thermal and wind conditions during migratory flight. An additional important explanation for the interspecific differences was the habit of the sparrowhawks to combine migratory flight with hunting for prey, which makes it prone to fly at lower altitudes and use flapping flight to a much larger degree than common buzzards which do not forage during their migratory passage of the Falsterbo Peninsula [Current Zoo- logy 60（5）： 670-679, 2014].
基金Supported by the Program for Science and Technology Innovation Talents in Universities of Henan Province under Grant No13HASTIT046
文摘The cross sections of fragments produced in the 140 A MeV58,64Ni＋9 Be projectile fragmentation reactions are calculated by using the antisymmetrized molecular dynamics （AMD） model, the modified statistical abrasion- ablation （SAA） model, and the empirical EPAX2/EPAX3 formulae. The Gogny-gO interaction is taken as the effective nucleon-nucleon interaction in the AMD calculation, and the decays of fragments obtained from the AMD results are calculated by using the GEMINI code. The calculated cross sections of fragments are compared.
基金founded by the National Natural Science Foundation of China(81202283,81473070,81373102 and81202267)Key Grant of Natural Science Foundation of the Jiangsu Higher Education Institutions of China(10KJA330034 and11KJA330001)+1 种基金the Research Fund for the Doctoral Program of Higher Education of China(20113234110002)the Priority Academic Program for the Development of Jiangsu Higher Education Institutions(Public Health and Preventive Medicine)
文摘With recent advances in biotechnology, genome-wide association study （GWAS） has been widely used to identify genetic variants that underlie human complex diseases and traits. In case-control GWAS, typical statistical strategy is traditional logistical regression （LR） based on single-locus analysis. However, such a single-locus analysis leads to the well-known multiplicity problem, with a risk of inflating type I error and reducing power. Dimension reduction-based techniques, such as principal component-based logistic regression （PC-LR）, partial least squares-based logistic regression （PLS-LR）, have recently gained much attention in the analysis of high dimensional genomic data. However, the perfor- mance of these methods is still not clear, especially in GWAS. We conducted simulations and real data application to compare the type I error and power of PC-LR, PLS-LR and LR applicable to GWAS within a defined single nucleotide polymorphism （SNP） set region. We found that PC-LR and PLS can reasonably control type I error under null hypothesis. On contrast, LR, which is corrected by Bonferroni method, was more conserved in all simulation settings. In particular, we found that PC-LR and PLS-LR had comparable power and they both outperformed LR, especially when the causal SNP was in high linkage disequilibrium with genotyped ones and with a small effective size in simulation. Based on SNP set analysis, we applied all three methods to analyze non-small cell lung cancer GWAS data.
基金financially supported by the National Research and Development Program of China(2017YFC0210900)the National Natural Science Foundation of China(21978011)。
文摘In the present work,the conventional natural gas dehydration method(CDM)and stripping gas method(SGM)are technically and economically analyzed,utilizing Aspen HYSYS and Aspen Process Economic Analyzer(APEA),respectively.To optimize the CDM and SGM,the sensitivities of the water content of dry gas,reboiler duty and raw material loss are analyzed against solvent rate and stripping gas rate.The optimized processes are set to achieve a targeted value of water content in dry gas and analyzed at optimized point.The analysis shows that SGM gives 46%lower TEG feed rate,42%lower reboiler duty and 99.97%pure regenerated TEG.Moreover,economic analysis reveals that SGM has 38%lower annual operating cost compared to CDM.According to results,from both technical and economic point of view,SGM is more feasible for natural gas dehydration compared to CDM.
