The sixth-generation(6G)networks will consist of multiple bands such as low-frequency,midfrequency,millimeter wave,terahertz and other bands to meet various business requirements and networking scenarios.The dynamic c...The sixth-generation(6G)networks will consist of multiple bands such as low-frequency,midfrequency,millimeter wave,terahertz and other bands to meet various business requirements and networking scenarios.The dynamic complementarity of multiple bands are crucial for enhancing the spectrum efficiency,reducing network energy consumption,and ensuring a consistent user experience.This paper investigates the present researches and challenges associated with deployment of multi-band integrated networks in existing infrastructures.Then,an evolutionary path for integrated networking is proposed with the consideration of maturity of emerging technologies and practical network deployment.The proposed design principles for 6G multi-band integrated networking aim to achieve on-demand networking objectives,while the architecture supports full spectrum access and collaboration between high and low frequencies.In addition,the potential key air interface technologies and intelligent technologies for integrated networking are comprehensively discussed.It will be a crucial basis for the subsequent standards promotion of 6G multi-band integrated networking technology.展开更多
This paper proposes an efficient strategy for resource utilization in Elastic Optical Networks (EONs) to minimize spectrum fragmentation and reduce connection blocking probability during Routing and Spectrum Allocatio...This paper proposes an efficient strategy for resource utilization in Elastic Optical Networks (EONs) to minimize spectrum fragmentation and reduce connection blocking probability during Routing and Spectrum Allocation (RSA). The proposed method, Dynamic Threshold-Based Routing and Spectrum Allocation with Fragmentation Awareness (DT-RSAF), integrates rerouting and spectrum defragmentation as needed. By leveraging Yen’s shortest path algorithm, DT-RSAF enhances resource utilization while ensuring improved service continuity. A dynamic threshold mechanism enables the algorithm to adapt to varying network conditions, while its fragmentation awareness effectively mitigates spectrum fragmentation. Simulation results on NSFNET and COST 239 topologies demonstrate that DT-RSAF significantly outperforms methods such as K-Shortest Path Routing and Spectrum Allocation (KSP-RSA), Load Balanced and Fragmentation-Aware (LBFA), and the Invasive Weed Optimization-based RSA (IWO-RSA). Under heavy traffic, DT-RSAF reduces the blocking probability by up to 15% and achieves lower Bandwidth Fragmentation Ratios (BFR), ranging from 74% to 75%, compared to 77% - 80% for KSP-RSA, 75% - 77% for LBFA, and approximately 76% for IWO-RSA. DT-RSAF also demonstrated reasonable computation times compared to KSP-RSA, LBFA, and IWO-RSA. On a small-sized network, its computation time was 8710 times faster than that of Integer Linear Programming (ILP) on the same network topology. Additionally, it achieved a similar execution time to LBFA and outperformed IWO-RSA in terms of efficiency. These results highlight DT-RSAF’s capability to maintain large contiguous frequency blocks, making it highly effective for accommodating high-bandwidth requests in EONs while maintaining reasonable execution times.展开更多
Understanding the photon number statistics of a quantum emitter(QE)interacting with complex photonic environments is fundamental to advances in quantum optics and nanophotonics.We introduce a general theoretical frame...Understanding the photon number statistics of a quantum emitter(QE)interacting with complex photonic environments is fundamental to advances in quantum optics and nanophotonics.We introduce a general theoretical framework for calculating the modal photon number density spectrum(MPNDS)in arbitrary dielectric structures with an embedded two-level QE.We validate our approach by investigating a system composed of a two-level QE and a photonic crystal(PhC)slab with an L3 cavity and a waveguide,finding that the MPNDS exhibits significant changes in both waveguide and background radiative channels as the interaction between the QE and modal field transitions from weak coupling to strong coupling.We observe that the number of photons guided along the waveguide shows a strong dependence on the QE’s transition frequency and transition dipole moment,but demonstrates robustness to the transition dipole moment when the transition frequency approaches the waveguide cutoff frequency.Our work allows for the determination and tailoring of light emission characteristics across diverse radiative channels in complex photonic environments.展开更多
Signal to noise ratio （SNR） and resolution are two important but contradictory characteristics used to evaluate the quality of seismic data. For relatively preserving SNR while enhancing resolution, the signal purit...Signal to noise ratio （SNR） and resolution are two important but contradictory characteristics used to evaluate the quality of seismic data. For relatively preserving SNR while enhancing resolution, the signal purity spectrum is introduced, estimated, and used to define the desired output amplitude spectrum after deconvolution. Since a real reflectivity series is blue rather than white, the effects of white reflectivity hypothesis on wavelets are experimentally analyzed and color compensation is applied after spectrum whitening. Experiments on real seismic data indicate that the cascade of the two processing stages can improve the ability of seismic data to delineate the geological details.展开更多
Machinery condition monitoring is beneficial to equipment maintenance and has been receiving much attention from academia and industry.Machine learning,especially deep learning,has become popular for machinery conditi...Machinery condition monitoring is beneficial to equipment maintenance and has been receiving much attention from academia and industry.Machine learning,especially deep learning,has become popular for machinery condition monitoring because that can fully use available data and computational power.Since significant accidents might be caused if wrong fault alarms are given for machine condition monitoring,interpretable machine learning models,integrate signal processing knowledge to enhance trustworthiness of models,are gradually becoming a research hotspot.A previous spectrum-based and interpretable optimized weights method has been proposed to indicate faulty and fundamental frequencies when the analyzed data only contains a healthy type and a fault type.Considering that multiclass fault types are naturally met in practice,this work aims to explore the interpretable optimized weights method for multiclass fault type scenarios.Therefore,a new multiclass optimized weights spectrum(OWS)is proposed and further studied theoretically and numerically.It is found that the multiclass OWS is capable of capturing the characteristic components associated with different conditions and clearly indicating specific fault characteristic frequencies(FCFs)corresponding to each fault condition.This work can provide new insights into spectrum-based fault classification models,and the new multiclass OWS also shows great potential for practical applications.展开更多
Definite emission colorfrom rare-earth Eu^(2+)cannot be guaranteed in distinct hosts because its spectrum behavior is strongly dependent on surrounding microenvironment.Herein,we propose a strategy of heterostructure ...Definite emission colorfrom rare-earth Eu^(2+)cannot be guaranteed in distinct hosts because its spectrum behavior is strongly dependent on surrounding microenvironment.Herein,we propose a strategy of heterostructure polyhedron BO3-PO4 substitution that can realize customizable and even predictable Eu^(2+)emission.Taking Sr_(3)La(PO_(4))_(3):Eu^(2+)blue phosphor as host,we prepared a series of BO3-PO4 substitution-designed Sr_(3)La(PO_(4))_(3):Eu^(2+)(SLP_(3-x)B_(x):Eu^(2+))phosphors via solid-state reaction.Structural and spectral analyses demonstrate that substitution of PO_(4)with BO_(3)unit drives Eu^(2+)to migrate from original occupied Sr sites to unoccupied six-coordinated La sites,bringing out a brand-new broadband yellow-emitting peak at 530 nm,enabling an efficient spectrum tailoring from initial blue emission at 420 nm to white-light and then yellow.Strikingly,we find that the resultant Eu^(2+)spectrum behavior in as-prepared SLP_(3-x)B_(x):Eu^(2+)and Eu^(2+)-doped other borophosphate phosphors is highly similar(although they have different microenvironments).Such exciting findings indicate that proposed BO3-PO4 substitution-strategy possesses an ability of predicting emission by modulating Eu^(2+)site-selective occupation.Utilizing SLP_(3-x)B_(x):Eu^(2+)(x=0.1 and 0.4)phosphors,we fabricated optical temperature sensor and white LED prototypes,showcasing remarkable temperature sensitivity of S_(r)=1.1%/K and good color rendering index(CRI)of 83.This work may aid the discovery of novel functional materials with specific,desirablephysicochemical properties.展开更多
A number of fractal/multifractal methods are introduced for quantifying the mineral deposit spectrum which include a number-size model, grade-tonnage model, power spectrum model, multifractal model and an eigenvalue s...A number of fractal/multifractal methods are introduced for quantifying the mineral deposit spectrum which include a number-size model, grade-tonnage model, power spectrum model, multifractal model and an eigenvalue spectrum model. The first two models characterize mineral deposits spectra based on relationships among the measures of mineral deposits. These include the number of deposits, size of deposits, concentration and volume of mineral deposits. The last three methods that deal with the spatial-temporal spectra of mineral deposit studies are all expected to be popularized in near future. A case study of hydrothermal gold deposits from the Abitibi area, a world-class mineral district, is used to demonstrate the principle as well as the applications of methods proposed in this paper. It has been shown that fractal and multifractal models are generally applicable to modeling of mineral deposits and occurrences. Clusters of mineral deposits were identified by several methods including the power spectral analysis, singularity analysis and the eigenvalue analysis. These clusters contain most of the known mineral deposits in the Timmins and Kirkland Lake camps.展开更多
Appropriate estimates of earthquake response spectrum are essential for design of new structures, or seismic safety evaluation of existing structures. This paper presents an alternative procedure to construct design s...Appropriate estimates of earthquake response spectrum are essential for design of new structures, or seismic safety evaluation of existing structures. This paper presents an alternative procedure to construct design spectrum from a combined normalized response spectrum （NRSc） which is obtained from pseudo-velocity spectrum with the ordinate scaled by different peak ground amplitudes （PGA, PGV, PGD） in different period regions. And a consecutive function./（/） used to normalize the ordinates is defined. Based on a comprehensive study of 220 strong ground motions recorded during recent eleven large worldwide earthquakes, the features of the NRSc are discussed and compared with the traditional normalized acceleration, velocity and displacement response spectra （NRSA, NRSv, NRSD）. And the relationships between ground amplitudes are evaluated by using a weighted mean method instead of the arithmetic mean. Then the NRSc is used to define the design spectrum with given peak ground amplitudes. At last, the smooth spectrum is compared with those derived by the former approaches, and the accuracy of the proposed spectrum is tested through an analysis of the dispersion of ground motion response spectra.展开更多
Dynamic spectrum access technologies based on Cognitive Radio(CR) is under intensive research carried out by the wireless communication society and is expected to solve the problem of spectrum scarcity.However,most en...Dynamic spectrum access technologies based on Cognitive Radio(CR) is under intensive research carried out by the wireless communication society and is expected to solve the problem of spectrum scarcity.However,most enabling technologies related to dynamic spectrum access are con-sidered individually.In this paper,we consider these key technologies jointly and introduce a new implementation scheme for a Dynamic Spectrum Access Network Based on Cognitive Radio(DSAN-BCR).We start with a flexible hardware platform for DSAN-BCR,as well as a flexible protocol structure that dominates the operation of DSAN-BCR.We then focus on the state of the art of key technologies such as spectrum sensing,spectrum resources management,dynamic spectrum access,and routing that are below the network layer in DSAN-BCR,as well as the development of technologies related to higher layers.Last but not the least,we analyze the challenges confronted by these men-tioned technologies in DSAN-BCR,and give the perspectives on the future development of these technologies.The DSAN-BCR introduced is expected to provide a system level guidance to alleviate the problem of spectrum scarcity.展开更多
High-temperature microwave absorbing materials(MAMs)and structures are increasingly appealing due to their critical role in stealth applications under harsh environments.However,the impedance mismatch caused by increa...High-temperature microwave absorbing materials(MAMs)and structures are increasingly appealing due to their critical role in stealth applications under harsh environments.However,the impedance mismatch caused by increased conduction loss often leads to a significant decline in electromagnetic wave absorp-tion(EMWA)performance at elevated temperatures,which severely restricts their practical application.In this study,we propose a novel approach for efficient electromagnetic wave absorption across a wide temperature range using reduced graphene oxide(RGO)/epoxy resin(EP)metacomposites that integrate both electromagnetic parameters and metamaterial design concepts.Due to the discrete distribution of the units,electromagnetic waves can more easily penetrate the interior of materials,thereby exhibiting stable microwave absorption(MA)performance and impedance-matching characteristics suitable across a wide temperature range.Consequently,exceptional MA properties can be achieved within the tem-perature range from 298 to 473 K.Furthermore,by carefully controlling the structural parameters in RGO metacomposites,both the resonant frequency and effective absorption bandwidth(EAB)can be optimized based on precise manipulation of equivalent electromagnetic parameters.This study not only provides an effective approach for the rational design of MA performance but also offers novel insights into achieving super metamaterials with outstanding performance across a wide temperature spectrum.展开更多
Objectives To identify core symptoms and symptom clusters in patients with neuromyelitis optica spectrum disorder(NMOSD)by network analysis.Methods From October 10 to 30,2023,140 patients with NMOSD were selected to p...Objectives To identify core symptoms and symptom clusters in patients with neuromyelitis optica spectrum disorder(NMOSD)by network analysis.Methods From October 10 to 30,2023,140 patients with NMOSD were selected to participate in this online questionnaire survey.The survey tools included a general information questionnaire and a self-made NMOSD symptoms scale,which included the prevalence,severity,and distress of 29 symptoms.Cluster analysis was used to identify symptom clusters,and network analysis was used to analyze the symptom network and node characteristics and central indicators including strength centrality(r_(s)),closeness centrality(r_(c))and betweeness centrality(r_(b))were used to identify core symptoms and symptom clusters.Results The most common symptom was pain(65.7%),followed by paraesthesia(65.0%),fatigue(65.0%),easy awakening(63.6%).Regarding the burden level of symptoms,pain was the most burdensome symptom,followed by paraesthesia,easy awakening,fatigue,and difficulty falling asleep.Six clusters were identified:somatosensory,motor,visual,and memory symptom clusters,bladder and rectum symptom clusters,sleep symptoms clusters,and neuropsychological symptom clusters.Fatigue(r_(s)=12.39,r_(b)=68.00,r_(c)=0.02)was the most central and prominent bridge symptom,and motor symptom cluster(r_(s)=2.68,r_(c)=0.10)was the most central symptom cluster among the six clusters.Conclusions Our study demonstrated the necessity of symptom management targeting fatigue,pain,and motor symptom cluster in patients with NMOSD.展开更多
BACKGROUND Managing critical care emergencies in children with autism spectrum disorder(ASD)presents unique challenges due to their distinct sensory sensitivities,communication difficulties,and behavioral issues.Effec...BACKGROUND Managing critical care emergencies in children with autism spectrum disorder(ASD)presents unique challenges due to their distinct sensory sensitivities,communication difficulties,and behavioral issues.Effective strategies and protocols are essential for optimal care in these high-stress situations.AIM To systematically evaluate and synthesize current evidence on best practices for managing critical care emergencies in children with ASD.The review focuses on key areas,including sensory-friendly environments,communication strategies,behavioral management,and the role of multidisciplinary approaches.METHODS A comprehensive search was conducted across major medical databases,including PubMed,Embase,and Cochrane Library,for studies published between 2000 and 2023.Studies were selected based on their relevance to critical care management in children with ASD,encompassing randomized controlled trials,observational studies,qualitative research,and case studies.Data were extracted and analyzed to identify common themes,successful strategies,and areas for improvement.RESULTS The review identified 50 studies that met the inclusion criteria.Findings highlighted the importance of creating sensory-friendly environments,utilizing effective communication strategies,and implementing individualized behavioral management plans.These findings,derived from a comprehensive review of current evidence,provide valuable insights into the best practices for managing critical care emergencies in children with ASD.Sensory modifications,such as reduced lighting and noise,visual aids,and augmentative and alternative communication tools,enhanced patient comfort and cooperation.The involvement of multidisciplinary teams was crucial in delivering holistic care.Case studies provided practical insights and underscored the need for continuous refi-nement of protocols.CONCLUSION The review emphasizes the need for a tailored approach to managing critical care emergencies for children with ASD.Sensory-friendly adjustments,effective communication,and behavioral strategies supported by a mul-tidisciplinary team are integral to improving outcomes.Despite progress,ongoing refinement of care practices and protocols is necessary.This ongoing process addresses remaining challenges and engages healthcare professionals in continuous improvement of care for children with ASD in critical settings.展开更多
Neuromyelitis optica spectrum disorders are neuroinflammatory demyelinating disorders that lead to permanent visual loss and motor dysfunction.To date,no effective treatment exists as the exact causative mechanism rem...Neuromyelitis optica spectrum disorders are neuroinflammatory demyelinating disorders that lead to permanent visual loss and motor dysfunction.To date,no effective treatment exists as the exact causative mechanism remains unknown.Therefore,experimental models of neuromyelitis optica spectrum disorders are essential for exploring its pathogenesis and in screening for therapeutic targets.Since most patients with neuromyelitis optica spectrum disorders are seropositive for IgG autoantibodies against aquaporin-4,which is highly expressed on the membrane of astrocyte endfeet,most current experimental models are based on aquaporin-4-IgG that initially targets astrocytes.These experimental models have successfully simulated many pathological features of neuromyelitis optica spectrum disorders,such as aquaporin-4 loss,astrocytopathy,granulocyte and macrophage infiltration,complement activation,demyelination,and neuronal loss;however,they do not fully capture the pathological process of human neuromyelitis optica spectrum disorders.In this review,we summarize the currently known pathogenic mechanisms and the development of associated experimental models in vitro,ex vivo,and in vivo for neuromyelitis optica spectrum disorders,suggest potential pathogenic mechanisms for further investigation,and provide guidance on experimental model choices.In addition,this review summarizes the latest information on pathologies and therapies for neuromyelitis optica spectrum disorders based on experimental models of aquaporin-4-IgG-seropositive neuromyelitis optica spectrum disorders,offering further therapeutic targets and a theoretical basis for clinical trials.展开更多
We performed a PubMed search for microRNAs in autism spectrum disorder that could serve as diagnostic biomarkers in patients and selected 17 articles published from January 2008 to December 2023,of which 4 studies wer...We performed a PubMed search for microRNAs in autism spectrum disorder that could serve as diagnostic biomarkers in patients and selected 17 articles published from January 2008 to December 2023,of which 4 studies were performed with whole blood,4 with blood plasma,5 with blood serum,1 with serum neural cell adhesion molecule L1-captured extracellular vesicles,1 with blood cells,and 2 with peripheral blood mononuclear cells.Most of the studies involved children and the study cohorts were largely males.Many of the studies had performed microRNA sequencing or quantitative polymerase chain reaction assays to measure microRNA expression.Only five studies had used real-time polymerase chain reaction assay to validate microRNA expression in autism spectrum disorder subjects compared to controls.The microRNAs that were validated in these studies may be considered as potential candidate biomarkers for autism spectrum disorder and include miR-500a-5p,-197-5p,-424-5p,-664a-3p,-365a-3p,-619-5p,-664a-3p,-3135a,-328-3p,and-500a-5p in blood plasma and miR-151a-3p,-181b-5p,-320a,-328,-433,-489,-572,-663a,-101-3p,-106b-5p,-19b-3p,-195-5p,and-130a-3p in blood serum of children,and miR-15b-5p and-6126 in whole blood of adults.Several important limitations were identified in the studies reviewed,and need to be taken into account in future studies.Further studies are warranted with children and adults having different levels of autism spectrum disorder severity and consideration should be given to using animal models of autism spectrum disorder to investigate the effects of suppressing or overexpressing specific microRNAs as a novel therapy.展开更多
Objective Autism spectrum disorder(ASD)is a neurodevelopmental condition characterized by difficulties with communication and social interaction,restricted and repetitive behaviors.Previous studies have indicated that...Objective Autism spectrum disorder(ASD)is a neurodevelopmental condition characterized by difficulties with communication and social interaction,restricted and repetitive behaviors.Previous studies have indicated that individuals with ASD exhibit early and lifelong attention deficits,which are closely related to the core symptoms of ASD.Basic visual attention processes may provide a critical foundation for their social communication and interaction abilities.Therefore,this study explores the behavior of children with ASD in capturing attention to changes in topological properties.Methods Our study recruited twenty-seven ASD children diagnosed by professional clinicians according to DSM-5 and twenty-eight typically developing(TD)age-matched controls.In an attention capture task,we recorded the saccadic behaviors of children with ASD and TD in response to topological change(TC)and non-topological change(nTC)stimuli.Saccadic reaction time(SRT),visual search time(VS),and first fixation dwell time(FFDT)were used as indicators of attentional bias.Pearson correlation tests between the clinical assessment scales and attentional bias were conducted.Results This study found that TD children had significantly faster SRT(P<0.05)and VS(P<0.05)for the TC stimuli compared to the nTC stimuli,while the children with ASD did not exhibit significant differences in either measure(P>0.05).Additionally,ASD children demonstrated significantly less attention towards the TC targets(measured by FFDT),in comparison to TD children(P<0.05).Furthermore,ASD children exhibited a significant negative linear correlation between their attentional bias(measured by VS)and their scores on the compulsive subscale(P<0.05).Conclusion The results suggest that children with ASD have difficulty shifting their attention to objects with topological changes during change detection.This atypical attention may affect the child’s cognitive and behavioral development,thereby impacting their social communication and interaction.In sum,our findings indicate that difficulties in attentional capture by TC may be a key feature of ASD.展开更多
BACKGROUND Autism spectrum disorder(ASD)is a complex neurodevelopmental disorder with multifaceted origins.In recent studies,neuroinflammation and immune dysregulation have come to the forefront in its pathogenesis.Th...BACKGROUND Autism spectrum disorder(ASD)is a complex neurodevelopmental disorder with multifaceted origins.In recent studies,neuroinflammation and immune dysregulation have come to the forefront in its pathogenesis.There are studies suggesting that stem cell therapy may be effective in the treatment of ASD.AIM To evolve the landscape of ASD treatment,focusing on the potential benefits and safety of stem cell transplantation.METHODS A detailed case report is presented,displaying the positive outcomes observed in a child who underwent intrathecal and intravenous Wharton’s jelly-derived mesenchymal stem cells(WJ-MSCs)transplantation combined with neurorehabilitation.RESULTS The study demonstrates a significant improvement in the child’s functional outcomes(Childhood Autism Rating Scale,Denver 2 Developmental Screening Test),especially in language and gross motor skills.No serious side effects were encountered during the 2-year follow-up.CONCLUSION The findings support the safety and effectiveness of WJ-MSC transplantation in managing ASD.展开更多
BACKGROUND Cellular therapies have started an important new therapeutic direction in autistic spectrum disorder(ASD),and the ample diversity of ASD pathophysiology and the different types of cell therapies prompt an e...BACKGROUND Cellular therapies have started an important new therapeutic direction in autistic spectrum disorder(ASD),and the ample diversity of ASD pathophysiology and the different types of cell therapies prompt an equally ample effort to employ clinical studies for studying the ASD causes and cell therapies.Stem cells have yielded so far mixed results in clinical trials,and at patient level the results varied from impressive to no improvement.In this context we have administered autologous cord blood(ACB)and a non-placebo,material intervention repre-sented by an individualized combination of supplements(ICS)to ASD children.METHODS CORDUS clinical study is a crossover study in which both oral ICS and intravenous ACB were sequentially administered to 56 children;ACB was infused as an inpatient procedure.Treatment efficacy was evaluated pre-treatment and post-treatment at 6 months by an independent psychotherapist with Autism Treatment Evaluation Checklist,Quantitative Checklist for Autism in Toddlers and a 16-item comparative table score,after interviewing the children’s parents and therapists.Before and after each intervention participants had a set of blood tests including inflammatory,metabolic and oxidative markers,and the neuronal specific enolase.RESULTS No serious adverse reactions were noted during and after cord blood or supplement administration.ACB improved evaluation scores in 78%of children with age 3–7-years(n=28),but was much less effective in kids older than 8 years or with body weight of more than 35 kg(n=28;only 11%of children improved scores).ICS yielded better results than ACB in 5 cases out of 28,while in 23 kids ACB brought more improvement than ICS(P<0.05);high initial levels of inflammation and ferritin were associated with no improvement.Ample individual differences were noted in children's progress,and statistically significant improvements were seen after ACB on areas such as verbalization and social interaction,but not on irritability or aggressive behavior.CONCLUSION ACB has superior efficacy to ICS in ASD;high inflammation,ferritin,age and body weight predict less improvement;more clinical studies are needed for studying ACB efficacy in ASD.展开更多
Objective: With the increasing volume of trauma surgery, postoperative infections have garnered significant attention, as they not only affect patient outcomes but also raise healthcare costs and the risk of bacterial...Objective: With the increasing volume of trauma surgery, postoperative infections have garnered significant attention, as they not only affect patient outcomes but also raise healthcare costs and the risk of bacterial resistance. This study aims to analyze the microbial spectrum and antibiotic sensitivity of patients with postoperative infections in trauma surgery, providing a basis for clinical treatment and optimizing antibiotic usage strategies in this context. Methods: A retrospective analysis was conducted on patients with traumatic infections who were hospitalized in the departments of spine surgery, upper limb surgery, and lower limb surgery from January 2022 to December 2024. Bacterial culture-positive specimens were analyzed for bacterial species and antibiotic sensitivity. Results: A total of 804 traumatic infection specimens were submitted for testing, including 538 male patients (ages 2 - 95 years) and 266 female patients (ages 4 - 94 years). Among these, 267 cases showed positive culture results, with 172 males (ages 2 - 93 years) and 95 females (ages 4 - 94 years). A total of 153 strains of Gram-negative (G−) bacteria and 114 strains of Gram-positive (G+) bacteria were identified. Among G− bacteria, Escherichia coli was the most frequently isolated (40 strains), followed by Pseudomonas aeruginosa (28 strains) and Enterobacter cloacae (28 strains). Among G+ bacteria, Staphylococcus aureus was the most prevalent (75 strains), followed by Enterococcus faecalis (15 strains) and Streptococcus pyogenes (8 strains). Antibiotic sensitivity testing revealed that the resistance rate of Staphylococcus aureus to penicillin was as high as 93.33%, while the resistance rate of Escherichia coli to trimethoprim-sulfamethoxazole was 57.5%. Conclusion: The main pathogens responsible for postoperative infections in traumatology are Escherichia coli and Staphylococcus aureus, with significant antibiotic resistance. In clinical treatment, antibiotics should be selected rationally based on bacterial spectrum and resistance patterns to improve treatment efficacy.展开更多
This article describes a pilot study aiming at generating social interactions between a humanoid robot and adolescents with autism spectrum disorder (ASD), through the practice of a gesture imitation game. The partici...This article describes a pilot study aiming at generating social interactions between a humanoid robot and adolescents with autism spectrum disorder (ASD), through the practice of a gesture imitation game. The participants were a 17-year-old young lady with ASD and intellectual deficit, and a control participant: a preadolescent with ASD but no intellectual deficit (Asperger syndrome). The game is comprised of four phases: greetings, pairing, imitation, and closing. Field educators were involved, playing specific roles: visual or physical inciter. The use of a robot allows for catching the participants’ attention, playing the imitation game for a longer period of time than with a human partner, and preventing the game partner’s negative facial expressions resulting from tiredness, impatience, or boredom. The participants’ behavior was observed in terms of initial approach towards the robot, positioning relative to the robot in terms of distance and orientation, reactions to the robot’s voice or moves, signs of happiness, and imitation attempts. Results suggest a more and more natural approach towards the robot during the sessions, as well as a higher level of social interaction, based on the variations of the parameters listed above. We use these preliminary results to draw the next steps of our research work as well as identify further perspectives, with this aim in mind: improving social interactions with adolescents with ASD and intellectual deficit, allowing for better integration of these people into our societies.展开更多
Background: Neurodevelopmental abnormalities in experimental fetal alcohol spectrum disorder (FASD) are associated with impaired signaling through complex pathways that mediate neuronal survival, growth, migration, en...Background: Neurodevelopmental abnormalities in experimental fetal alcohol spectrum disorder (FASD) are associated with impaired signaling through complex pathways that mediate neuronal survival, growth, migration, energy metabolism, and plasticity. Gestational dietary soy prevents alcohol-related impairments in placentation and FASD-associated fetal anomalies. Objective: This study was designed to determine if gestational dietary soy would be sufficient to normalize cognitive function in young adolescent offspring after chronic in utero exposure to alcohol. In addition, efforts were made to characterize the mechanisms of FASD prevention by maternal dietary soy. Methods: Pregnant Long Evans rats were fed isocaloric liquid diets containing 0% or 26% caloric ethanol with casein or soy isolate as the protein source from gestation day 6 through delivery/postnatal day 0 (P0). From P24 - P28, the offspring were subjected to Morris water maze (MWM) testing, and on P35, they were sacrificed to harvest temporal lobes for histopathologic and molecular studies. Results: The in-utero ethanol-exposed offspring exhibited significant performance impairments on the MWM test, and they had a significantly reduced mean brain weight with neuronal loss in the CA1 hippocampal region and evidence of white matter myelin loss. Gestational dietary soy nearly normalized MWM performance and preserved brain weight, hippocampal CA1 architecture, and white matter myelin staining in alcohol-exposed offspring. Mechanistically, the main positive effects of soy included increased temporal lobe expression of HES-1 and HIF-1α, reflecting enhanced Notch signaling, and broadly increased expression of GnRH network molecules, including Erb1, Gper1, GnRH, GnRH-R, KiSS, and KiSS-R, irrespective of gestational ethanol exposure. Conclusions: Dietary soy intervention early in pregnancy may reduce FASD-associated cognitive deficits. The findings suggest that targeting Notch and GnRH-related networks may help reduce long-term disability with FASD. Additional mechanistic and experimental research is needed to determine if longer-duration, postnatal dietary soy could prevent the adverse neurobehavioral effects of FASD.展开更多
基金supported by China’s National Key R&D Program(Project Number:2022YFB2902100)。
文摘The sixth-generation(6G)networks will consist of multiple bands such as low-frequency,midfrequency,millimeter wave,terahertz and other bands to meet various business requirements and networking scenarios.The dynamic complementarity of multiple bands are crucial for enhancing the spectrum efficiency,reducing network energy consumption,and ensuring a consistent user experience.This paper investigates the present researches and challenges associated with deployment of multi-band integrated networks in existing infrastructures.Then,an evolutionary path for integrated networking is proposed with the consideration of maturity of emerging technologies and practical network deployment.The proposed design principles for 6G multi-band integrated networking aim to achieve on-demand networking objectives,while the architecture supports full spectrum access and collaboration between high and low frequencies.In addition,the potential key air interface technologies and intelligent technologies for integrated networking are comprehensively discussed.It will be a crucial basis for the subsequent standards promotion of 6G multi-band integrated networking technology.
文摘This paper proposes an efficient strategy for resource utilization in Elastic Optical Networks (EONs) to minimize spectrum fragmentation and reduce connection blocking probability during Routing and Spectrum Allocation (RSA). The proposed method, Dynamic Threshold-Based Routing and Spectrum Allocation with Fragmentation Awareness (DT-RSAF), integrates rerouting and spectrum defragmentation as needed. By leveraging Yen’s shortest path algorithm, DT-RSAF enhances resource utilization while ensuring improved service continuity. A dynamic threshold mechanism enables the algorithm to adapt to varying network conditions, while its fragmentation awareness effectively mitigates spectrum fragmentation. Simulation results on NSFNET and COST 239 topologies demonstrate that DT-RSAF significantly outperforms methods such as K-Shortest Path Routing and Spectrum Allocation (KSP-RSA), Load Balanced and Fragmentation-Aware (LBFA), and the Invasive Weed Optimization-based RSA (IWO-RSA). Under heavy traffic, DT-RSAF reduces the blocking probability by up to 15% and achieves lower Bandwidth Fragmentation Ratios (BFR), ranging from 74% to 75%, compared to 77% - 80% for KSP-RSA, 75% - 77% for LBFA, and approximately 76% for IWO-RSA. DT-RSAF also demonstrated reasonable computation times compared to KSP-RSA, LBFA, and IWO-RSA. On a small-sized network, its computation time was 8710 times faster than that of Integer Linear Programming (ILP) on the same network topology. Additionally, it achieved a similar execution time to LBFA and outperformed IWO-RSA in terms of efficiency. These results highlight DT-RSAF’s capability to maintain large contiguous frequency blocks, making it highly effective for accommodating high-bandwidth requests in EONs while maintaining reasonable execution times.
基金Project supported by the Basic and Applied Basic Research Project,Guangzhou Basic Research Plan(Grant No.202201011444).
文摘Understanding the photon number statistics of a quantum emitter(QE)interacting with complex photonic environments is fundamental to advances in quantum optics and nanophotonics.We introduce a general theoretical framework for calculating the modal photon number density spectrum(MPNDS)in arbitrary dielectric structures with an embedded two-level QE.We validate our approach by investigating a system composed of a two-level QE and a photonic crystal(PhC)slab with an L3 cavity and a waveguide,finding that the MPNDS exhibits significant changes in both waveguide and background radiative channels as the interaction between the QE and modal field transitions from weak coupling to strong coupling.We observe that the number of photons guided along the waveguide shows a strong dependence on the QE’s transition frequency and transition dipole moment,but demonstrates robustness to the transition dipole moment when the transition frequency approaches the waveguide cutoff frequency.Our work allows for the determination and tailoring of light emission characteristics across diverse radiative channels in complex photonic environments.
基金supported by the National Natural Science Foundation of China(Grant No.41174117)PetroChina Innovation Foundation(Grant No.2010D-5006-0301)
文摘Signal to noise ratio （SNR） and resolution are two important but contradictory characteristics used to evaluate the quality of seismic data. For relatively preserving SNR while enhancing resolution, the signal purity spectrum is introduced, estimated, and used to define the desired output amplitude spectrum after deconvolution. Since a real reflectivity series is blue rather than white, the effects of white reflectivity hypothesis on wavelets are experimentally analyzed and color compensation is applied after spectrum whitening. Experiments on real seismic data indicate that the cascade of the two processing stages can improve the ability of seismic data to delineate the geological details.
基金supported by the National Natural Science Foundation of China under Grant Nos.523B2043 and 52475112.
文摘Machinery condition monitoring is beneficial to equipment maintenance and has been receiving much attention from academia and industry.Machine learning,especially deep learning,has become popular for machinery condition monitoring because that can fully use available data and computational power.Since significant accidents might be caused if wrong fault alarms are given for machine condition monitoring,interpretable machine learning models,integrate signal processing knowledge to enhance trustworthiness of models,are gradually becoming a research hotspot.A previous spectrum-based and interpretable optimized weights method has been proposed to indicate faulty and fundamental frequencies when the analyzed data only contains a healthy type and a fault type.Considering that multiclass fault types are naturally met in practice,this work aims to explore the interpretable optimized weights method for multiclass fault type scenarios.Therefore,a new multiclass optimized weights spectrum(OWS)is proposed and further studied theoretically and numerically.It is found that the multiclass OWS is capable of capturing the characteristic components associated with different conditions and clearly indicating specific fault characteristic frequencies(FCFs)corresponding to each fault condition.This work can provide new insights into spectrum-based fault classification models,and the new multiclass OWS also shows great potential for practical applications.
基金the Natural Science Foundation of Xinjiang Uygur Autonomous Region(2021D01E19,2022TSYCXC0016)the Project of youth science and technology innovation talent project of Xinjiang Normal University(XJNUQB2022-15)+1 种基金the National Natural Science Foundations of China(52262029,51762040)Postgraduate Research and the Research Fund of Xinjiang Normal University Research Platform Student Project(XSY202201013).
文摘Definite emission colorfrom rare-earth Eu^(2+)cannot be guaranteed in distinct hosts because its spectrum behavior is strongly dependent on surrounding microenvironment.Herein,we propose a strategy of heterostructure polyhedron BO3-PO4 substitution that can realize customizable and even predictable Eu^(2+)emission.Taking Sr_(3)La(PO_(4))_(3):Eu^(2+)blue phosphor as host,we prepared a series of BO3-PO4 substitution-designed Sr_(3)La(PO_(4))_(3):Eu^(2+)(SLP_(3-x)B_(x):Eu^(2+))phosphors via solid-state reaction.Structural and spectral analyses demonstrate that substitution of PO_(4)with BO_(3)unit drives Eu^(2+)to migrate from original occupied Sr sites to unoccupied six-coordinated La sites,bringing out a brand-new broadband yellow-emitting peak at 530 nm,enabling an efficient spectrum tailoring from initial blue emission at 420 nm to white-light and then yellow.Strikingly,we find that the resultant Eu^(2+)spectrum behavior in as-prepared SLP_(3-x)B_(x):Eu^(2+)and Eu^(2+)-doped other borophosphate phosphors is highly similar(although they have different microenvironments).Such exciting findings indicate that proposed BO3-PO4 substitution-strategy possesses an ability of predicting emission by modulating Eu^(2+)site-selective occupation.Utilizing SLP_(3-x)B_(x):Eu^(2+)(x=0.1 and 0.4)phosphors,we fabricated optical temperature sensor and white LED prototypes,showcasing remarkable temperature sensitivity of S_(r)=1.1%/K and good color rendering index(CRI)of 83.This work may aid the discovery of novel functional materials with specific,desirablephysicochemical properties.
文摘A number of fractal/multifractal methods are introduced for quantifying the mineral deposit spectrum which include a number-size model, grade-tonnage model, power spectrum model, multifractal model and an eigenvalue spectrum model. The first two models characterize mineral deposits spectra based on relationships among the measures of mineral deposits. These include the number of deposits, size of deposits, concentration and volume of mineral deposits. The last three methods that deal with the spatial-temporal spectra of mineral deposit studies are all expected to be popularized in near future. A case study of hydrothermal gold deposits from the Abitibi area, a world-class mineral district, is used to demonstrate the principle as well as the applications of methods proposed in this paper. It has been shown that fractal and multifractal models are generally applicable to modeling of mineral deposits and occurrences. Clusters of mineral deposits were identified by several methods including the power spectral analysis, singularity analysis and the eigenvalue analysis. These clusters contain most of the known mineral deposits in the Timmins and Kirkland Lake camps.
基金The Major Research Plan of National Natural Science foundation of China under Grant No.91215301National Natural Science Foundation of China under Grant Nos.51178152,51238012+1 种基金Natural Scientific Research Innovation Foundation in Harbin Institute of Technology under Grant No.HIT.NSRIF.2011115Harbin Institute of Technology Key Innovation Scheme Training Project under Grant No.HIT.KISTP.2014033
文摘Appropriate estimates of earthquake response spectrum are essential for design of new structures, or seismic safety evaluation of existing structures. This paper presents an alternative procedure to construct design spectrum from a combined normalized response spectrum （NRSc） which is obtained from pseudo-velocity spectrum with the ordinate scaled by different peak ground amplitudes （PGA, PGV, PGD） in different period regions. And a consecutive function./（/） used to normalize the ordinates is defined. Based on a comprehensive study of 220 strong ground motions recorded during recent eleven large worldwide earthquakes, the features of the NRSc are discussed and compared with the traditional normalized acceleration, velocity and displacement response spectra （NRSA, NRSv, NRSD）. And the relationships between ground amplitudes are evaluated by using a weighted mean method instead of the arithmetic mean. Then the NRSc is used to define the design spectrum with given peak ground amplitudes. At last, the smooth spectrum is compared with those derived by the former approaches, and the accuracy of the proposed spectrum is tested through an analysis of the dispersion of ground motion response spectra.
文摘Dynamic spectrum access technologies based on Cognitive Radio(CR) is under intensive research carried out by the wireless communication society and is expected to solve the problem of spectrum scarcity.However,most enabling technologies related to dynamic spectrum access are con-sidered individually.In this paper,we consider these key technologies jointly and introduce a new implementation scheme for a Dynamic Spectrum Access Network Based on Cognitive Radio(DSAN-BCR).We start with a flexible hardware platform for DSAN-BCR,as well as a flexible protocol structure that dominates the operation of DSAN-BCR.We then focus on the state of the art of key technologies such as spectrum sensing,spectrum resources management,dynamic spectrum access,and routing that are below the network layer in DSAN-BCR,as well as the development of technologies related to higher layers.Last but not the least,we analyze the challenges confronted by these men-tioned technologies in DSAN-BCR,and give the perspectives on the future development of these technologies.The DSAN-BCR introduced is expected to provide a system level guidance to alleviate the problem of spectrum scarcity.
基金supported by the National Nature Science Foundation of China(Nos.22305066 and 52372041).
文摘High-temperature microwave absorbing materials(MAMs)and structures are increasingly appealing due to their critical role in stealth applications under harsh environments.However,the impedance mismatch caused by increased conduction loss often leads to a significant decline in electromagnetic wave absorp-tion(EMWA)performance at elevated temperatures,which severely restricts their practical application.In this study,we propose a novel approach for efficient electromagnetic wave absorption across a wide temperature range using reduced graphene oxide(RGO)/epoxy resin(EP)metacomposites that integrate both electromagnetic parameters and metamaterial design concepts.Due to the discrete distribution of the units,electromagnetic waves can more easily penetrate the interior of materials,thereby exhibiting stable microwave absorption(MA)performance and impedance-matching characteristics suitable across a wide temperature range.Consequently,exceptional MA properties can be achieved within the tem-perature range from 298 to 473 K.Furthermore,by carefully controlling the structural parameters in RGO metacomposites,both the resonant frequency and effective absorption bandwidth(EAB)can be optimized based on precise manipulation of equivalent electromagnetic parameters.This study not only provides an effective approach for the rational design of MA performance but also offers novel insights into achieving super metamaterials with outstanding performance across a wide temperature spectrum.
基金supported by the Specific Research Fund for Top-notch Talents of Guangdong Provincial Hospital of Chinese Medicine(No.2022KT1188).
文摘Objectives To identify core symptoms and symptom clusters in patients with neuromyelitis optica spectrum disorder(NMOSD)by network analysis.Methods From October 10 to 30,2023,140 patients with NMOSD were selected to participate in this online questionnaire survey.The survey tools included a general information questionnaire and a self-made NMOSD symptoms scale,which included the prevalence,severity,and distress of 29 symptoms.Cluster analysis was used to identify symptom clusters,and network analysis was used to analyze the symptom network and node characteristics and central indicators including strength centrality(r_(s)),closeness centrality(r_(c))and betweeness centrality(r_(b))were used to identify core symptoms and symptom clusters.Results The most common symptom was pain(65.7%),followed by paraesthesia(65.0%),fatigue(65.0%),easy awakening(63.6%).Regarding the burden level of symptoms,pain was the most burdensome symptom,followed by paraesthesia,easy awakening,fatigue,and difficulty falling asleep.Six clusters were identified:somatosensory,motor,visual,and memory symptom clusters,bladder and rectum symptom clusters,sleep symptoms clusters,and neuropsychological symptom clusters.Fatigue(r_(s)=12.39,r_(b)=68.00,r_(c)=0.02)was the most central and prominent bridge symptom,and motor symptom cluster(r_(s)=2.68,r_(c)=0.10)was the most central symptom cluster among the six clusters.Conclusions Our study demonstrated the necessity of symptom management targeting fatigue,pain,and motor symptom cluster in patients with NMOSD.
文摘BACKGROUND Managing critical care emergencies in children with autism spectrum disorder(ASD)presents unique challenges due to their distinct sensory sensitivities,communication difficulties,and behavioral issues.Effective strategies and protocols are essential for optimal care in these high-stress situations.AIM To systematically evaluate and synthesize current evidence on best practices for managing critical care emergencies in children with ASD.The review focuses on key areas,including sensory-friendly environments,communication strategies,behavioral management,and the role of multidisciplinary approaches.METHODS A comprehensive search was conducted across major medical databases,including PubMed,Embase,and Cochrane Library,for studies published between 2000 and 2023.Studies were selected based on their relevance to critical care management in children with ASD,encompassing randomized controlled trials,observational studies,qualitative research,and case studies.Data were extracted and analyzed to identify common themes,successful strategies,and areas for improvement.RESULTS The review identified 50 studies that met the inclusion criteria.Findings highlighted the importance of creating sensory-friendly environments,utilizing effective communication strategies,and implementing individualized behavioral management plans.These findings,derived from a comprehensive review of current evidence,provide valuable insights into the best practices for managing critical care emergencies in children with ASD.Sensory modifications,such as reduced lighting and noise,visual aids,and augmentative and alternative communication tools,enhanced patient comfort and cooperation.The involvement of multidisciplinary teams was crucial in delivering holistic care.Case studies provided practical insights and underscored the need for continuous refi-nement of protocols.CONCLUSION The review emphasizes the need for a tailored approach to managing critical care emergencies for children with ASD.Sensory-friendly adjustments,effective communication,and behavioral strategies supported by a mul-tidisciplinary team are integral to improving outcomes.Despite progress,ongoing refinement of care practices and protocols is necessary.This ongoing process addresses remaining challenges and engages healthcare professionals in continuous improvement of care for children with ASD in critical settings.
文摘Neuromyelitis optica spectrum disorders are neuroinflammatory demyelinating disorders that lead to permanent visual loss and motor dysfunction.To date,no effective treatment exists as the exact causative mechanism remains unknown.Therefore,experimental models of neuromyelitis optica spectrum disorders are essential for exploring its pathogenesis and in screening for therapeutic targets.Since most patients with neuromyelitis optica spectrum disorders are seropositive for IgG autoantibodies against aquaporin-4,which is highly expressed on the membrane of astrocyte endfeet,most current experimental models are based on aquaporin-4-IgG that initially targets astrocytes.These experimental models have successfully simulated many pathological features of neuromyelitis optica spectrum disorders,such as aquaporin-4 loss,astrocytopathy,granulocyte and macrophage infiltration,complement activation,demyelination,and neuronal loss;however,they do not fully capture the pathological process of human neuromyelitis optica spectrum disorders.In this review,we summarize the currently known pathogenic mechanisms and the development of associated experimental models in vitro,ex vivo,and in vivo for neuromyelitis optica spectrum disorders,suggest potential pathogenic mechanisms for further investigation,and provide guidance on experimental model choices.In addition,this review summarizes the latest information on pathologies and therapies for neuromyelitis optica spectrum disorders based on experimental models of aquaporin-4-IgG-seropositive neuromyelitis optica spectrum disorders,offering further therapeutic targets and a theoretical basis for clinical trials.
文摘We performed a PubMed search for microRNAs in autism spectrum disorder that could serve as diagnostic biomarkers in patients and selected 17 articles published from January 2008 to December 2023,of which 4 studies were performed with whole blood,4 with blood plasma,5 with blood serum,1 with serum neural cell adhesion molecule L1-captured extracellular vesicles,1 with blood cells,and 2 with peripheral blood mononuclear cells.Most of the studies involved children and the study cohorts were largely males.Many of the studies had performed microRNA sequencing or quantitative polymerase chain reaction assays to measure microRNA expression.Only five studies had used real-time polymerase chain reaction assay to validate microRNA expression in autism spectrum disorder subjects compared to controls.The microRNAs that were validated in these studies may be considered as potential candidate biomarkers for autism spectrum disorder and include miR-500a-5p,-197-5p,-424-5p,-664a-3p,-365a-3p,-619-5p,-664a-3p,-3135a,-328-3p,and-500a-5p in blood plasma and miR-151a-3p,-181b-5p,-320a,-328,-433,-489,-572,-663a,-101-3p,-106b-5p,-19b-3p,-195-5p,and-130a-3p in blood serum of children,and miR-15b-5p and-6126 in whole blood of adults.Several important limitations were identified in the studies reviewed,and need to be taken into account in future studies.Further studies are warranted with children and adults having different levels of autism spectrum disorder severity and consideration should be given to using animal models of autism spectrum disorder to investigate the effects of suppressing or overexpressing specific microRNAs as a novel therapy.
文摘Objective Autism spectrum disorder(ASD)is a neurodevelopmental condition characterized by difficulties with communication and social interaction,restricted and repetitive behaviors.Previous studies have indicated that individuals with ASD exhibit early and lifelong attention deficits,which are closely related to the core symptoms of ASD.Basic visual attention processes may provide a critical foundation for their social communication and interaction abilities.Therefore,this study explores the behavior of children with ASD in capturing attention to changes in topological properties.Methods Our study recruited twenty-seven ASD children diagnosed by professional clinicians according to DSM-5 and twenty-eight typically developing(TD)age-matched controls.In an attention capture task,we recorded the saccadic behaviors of children with ASD and TD in response to topological change(TC)and non-topological change(nTC)stimuli.Saccadic reaction time(SRT),visual search time(VS),and first fixation dwell time(FFDT)were used as indicators of attentional bias.Pearson correlation tests between the clinical assessment scales and attentional bias were conducted.Results This study found that TD children had significantly faster SRT(P<0.05)and VS(P<0.05)for the TC stimuli compared to the nTC stimuli,while the children with ASD did not exhibit significant differences in either measure(P>0.05).Additionally,ASD children demonstrated significantly less attention towards the TC targets(measured by FFDT),in comparison to TD children(P<0.05).Furthermore,ASD children exhibited a significant negative linear correlation between their attentional bias(measured by VS)and their scores on the compulsive subscale(P<0.05).Conclusion The results suggest that children with ASD have difficulty shifting their attention to objects with topological changes during change detection.This atypical attention may affect the child’s cognitive and behavioral development,thereby impacting their social communication and interaction.In sum,our findings indicate that difficulties in attentional capture by TC may be a key feature of ASD.
文摘BACKGROUND Autism spectrum disorder(ASD)is a complex neurodevelopmental disorder with multifaceted origins.In recent studies,neuroinflammation and immune dysregulation have come to the forefront in its pathogenesis.There are studies suggesting that stem cell therapy may be effective in the treatment of ASD.AIM To evolve the landscape of ASD treatment,focusing on the potential benefits and safety of stem cell transplantation.METHODS A detailed case report is presented,displaying the positive outcomes observed in a child who underwent intrathecal and intravenous Wharton’s jelly-derived mesenchymal stem cells(WJ-MSCs)transplantation combined with neurorehabilitation.RESULTS The study demonstrates a significant improvement in the child’s functional outcomes(Childhood Autism Rating Scale,Denver 2 Developmental Screening Test),especially in language and gross motor skills.No serious side effects were encountered during the 2-year follow-up.CONCLUSION The findings support the safety and effectiveness of WJ-MSC transplantation in managing ASD.
文摘BACKGROUND Cellular therapies have started an important new therapeutic direction in autistic spectrum disorder(ASD),and the ample diversity of ASD pathophysiology and the different types of cell therapies prompt an equally ample effort to employ clinical studies for studying the ASD causes and cell therapies.Stem cells have yielded so far mixed results in clinical trials,and at patient level the results varied from impressive to no improvement.In this context we have administered autologous cord blood(ACB)and a non-placebo,material intervention repre-sented by an individualized combination of supplements(ICS)to ASD children.METHODS CORDUS clinical study is a crossover study in which both oral ICS and intravenous ACB were sequentially administered to 56 children;ACB was infused as an inpatient procedure.Treatment efficacy was evaluated pre-treatment and post-treatment at 6 months by an independent psychotherapist with Autism Treatment Evaluation Checklist,Quantitative Checklist for Autism in Toddlers and a 16-item comparative table score,after interviewing the children’s parents and therapists.Before and after each intervention participants had a set of blood tests including inflammatory,metabolic and oxidative markers,and the neuronal specific enolase.RESULTS No serious adverse reactions were noted during and after cord blood or supplement administration.ACB improved evaluation scores in 78%of children with age 3–7-years(n=28),but was much less effective in kids older than 8 years or with body weight of more than 35 kg(n=28;only 11%of children improved scores).ICS yielded better results than ACB in 5 cases out of 28,while in 23 kids ACB brought more improvement than ICS(P<0.05);high initial levels of inflammation and ferritin were associated with no improvement.Ample individual differences were noted in children's progress,and statistically significant improvements were seen after ACB on areas such as verbalization and social interaction,but not on irritability or aggressive behavior.CONCLUSION ACB has superior efficacy to ICS in ASD;high inflammation,ferritin,age and body weight predict less improvement;more clinical studies are needed for studying ACB efficacy in ASD.
文摘Objective: With the increasing volume of trauma surgery, postoperative infections have garnered significant attention, as they not only affect patient outcomes but also raise healthcare costs and the risk of bacterial resistance. This study aims to analyze the microbial spectrum and antibiotic sensitivity of patients with postoperative infections in trauma surgery, providing a basis for clinical treatment and optimizing antibiotic usage strategies in this context. Methods: A retrospective analysis was conducted on patients with traumatic infections who were hospitalized in the departments of spine surgery, upper limb surgery, and lower limb surgery from January 2022 to December 2024. Bacterial culture-positive specimens were analyzed for bacterial species and antibiotic sensitivity. Results: A total of 804 traumatic infection specimens were submitted for testing, including 538 male patients (ages 2 - 95 years) and 266 female patients (ages 4 - 94 years). Among these, 267 cases showed positive culture results, with 172 males (ages 2 - 93 years) and 95 females (ages 4 - 94 years). A total of 153 strains of Gram-negative (G−) bacteria and 114 strains of Gram-positive (G+) bacteria were identified. Among G− bacteria, Escherichia coli was the most frequently isolated (40 strains), followed by Pseudomonas aeruginosa (28 strains) and Enterobacter cloacae (28 strains). Among G+ bacteria, Staphylococcus aureus was the most prevalent (75 strains), followed by Enterococcus faecalis (15 strains) and Streptococcus pyogenes (8 strains). Antibiotic sensitivity testing revealed that the resistance rate of Staphylococcus aureus to penicillin was as high as 93.33%, while the resistance rate of Escherichia coli to trimethoprim-sulfamethoxazole was 57.5%. Conclusion: The main pathogens responsible for postoperative infections in traumatology are Escherichia coli and Staphylococcus aureus, with significant antibiotic resistance. In clinical treatment, antibiotics should be selected rationally based on bacterial spectrum and resistance patterns to improve treatment efficacy.
文摘This article describes a pilot study aiming at generating social interactions between a humanoid robot and adolescents with autism spectrum disorder (ASD), through the practice of a gesture imitation game. The participants were a 17-year-old young lady with ASD and intellectual deficit, and a control participant: a preadolescent with ASD but no intellectual deficit (Asperger syndrome). The game is comprised of four phases: greetings, pairing, imitation, and closing. Field educators were involved, playing specific roles: visual or physical inciter. The use of a robot allows for catching the participants’ attention, playing the imitation game for a longer period of time than with a human partner, and preventing the game partner’s negative facial expressions resulting from tiredness, impatience, or boredom. The participants’ behavior was observed in terms of initial approach towards the robot, positioning relative to the robot in terms of distance and orientation, reactions to the robot’s voice or moves, signs of happiness, and imitation attempts. Results suggest a more and more natural approach towards the robot during the sessions, as well as a higher level of social interaction, based on the variations of the parameters listed above. We use these preliminary results to draw the next steps of our research work as well as identify further perspectives, with this aim in mind: improving social interactions with adolescents with ASD and intellectual deficit, allowing for better integration of these people into our societies.
文摘Background: Neurodevelopmental abnormalities in experimental fetal alcohol spectrum disorder (FASD) are associated with impaired signaling through complex pathways that mediate neuronal survival, growth, migration, energy metabolism, and plasticity. Gestational dietary soy prevents alcohol-related impairments in placentation and FASD-associated fetal anomalies. Objective: This study was designed to determine if gestational dietary soy would be sufficient to normalize cognitive function in young adolescent offspring after chronic in utero exposure to alcohol. In addition, efforts were made to characterize the mechanisms of FASD prevention by maternal dietary soy. Methods: Pregnant Long Evans rats were fed isocaloric liquid diets containing 0% or 26% caloric ethanol with casein or soy isolate as the protein source from gestation day 6 through delivery/postnatal day 0 (P0). From P24 - P28, the offspring were subjected to Morris water maze (MWM) testing, and on P35, they were sacrificed to harvest temporal lobes for histopathologic and molecular studies. Results: The in-utero ethanol-exposed offspring exhibited significant performance impairments on the MWM test, and they had a significantly reduced mean brain weight with neuronal loss in the CA1 hippocampal region and evidence of white matter myelin loss. Gestational dietary soy nearly normalized MWM performance and preserved brain weight, hippocampal CA1 architecture, and white matter myelin staining in alcohol-exposed offspring. Mechanistically, the main positive effects of soy included increased temporal lobe expression of HES-1 and HIF-1α, reflecting enhanced Notch signaling, and broadly increased expression of GnRH network molecules, including Erb1, Gper1, GnRH, GnRH-R, KiSS, and KiSS-R, irrespective of gestational ethanol exposure. Conclusions: Dietary soy intervention early in pregnancy may reduce FASD-associated cognitive deficits. The findings suggest that targeting Notch and GnRH-related networks may help reduce long-term disability with FASD. Additional mechanistic and experimental research is needed to determine if longer-duration, postnatal dietary soy could prevent the adverse neurobehavioral effects of FASD.
