This study investigates the width of the secondary eyewall(SE)immediately following its formation in tropical cyclones with surface environmental winds aligned and counter-aligned with environmental vertical wind shea...This study investigates the width of the secondary eyewall(SE)immediately following its formation in tropical cyclones with surface environmental winds aligned and counter-aligned with environmental vertical wind shear(VWS),using idealized numerical experiments.Results reveal that the SE develops greater radial extent when surface winds align with VWS compared to counter-aligned conditions.In alignment configurations,shear-enhanced surface winds on the right flank amplify surface enthalpy fluxes,thereby elevating boundary-layer entropy within the downshear outer-core region.Subsequently,more vigorous outer rainbands develop,inducing marked acceleration of tangential winds in the outer core preceding SE formation.The resultant radial expansion of supergradient winds near the boundary-layer top triggers widespread convective activity immediately beyond the inner core.Progressive axisymmetrization of this convective forcing ultimately generates an expansive SE structure.展开更多
Microwave ablation(MWA)is a minimally invasive technique for treating hepatic tumors,necessitating precise monitoring to ensure treatment efficacy and minimize damage to surrounding tissues.This study explores the pot...Microwave ablation(MWA)is a minimally invasive technique for treating hepatic tumors,necessitating precise monitoring to ensure treatment efficacy and minimize damage to surrounding tissues.This study explores the potential of photoacoustic imaging(PAI)in monitoring MWA by examining ex vivo porcine liver tissues.In this study,a comprehensive analysis of photoacoustic signals was performed to compare the main lobe width(MLW)between ablated and normal regions in porcine liver tissue.Histological staining with succinate dehydrogenase(SDH)and shear wave elastography(SWE)were employed to validate the changes in tissue elasticity after ablation.The analysis demonstrated a notable reduction in the MLW of the average A-lines in ablated tissues compared to nonablated regions(p<0.01).This reduction,attributed to increased tissue density and enhanced elasticity,indicates accelerated sound propagation in thermally ablated areas,which then serves as a critical parameter for mapping tissue characteristics.The reconstruction of the MLW distribution successfully delineated the ablated regions,and was consistent with the results of SDH staining and SWE.In addition,MLW-based imaging exhibited higher spatial resolution compared to SWE.Incorporating MLW analysis into PAI may be a promising strategy to improve the accuracy and effectiveness of MWA monitoring in clinical settings.展开更多
Data center industries have been facing huge energy challenges due to escalating power consumption and associated carbon emissions.In the context of carbon neutrality,the integration of data centers with renewable ene...Data center industries have been facing huge energy challenges due to escalating power consumption and associated carbon emissions.In the context of carbon neutrality,the integration of data centers with renewable energy has become a prevailing trend.To advance the renewable energy integration in data centers,it is imperative to thoroughly explore the data centers’operational flexibility.Computing workloads and refrigeration systems are recognized as two promising flexible resources for power regulationwithin data centermicro-grids.This paper identifies and categorizes delay-tolerant computing workloads into three types(long-running non-interruptible,long-running interruptible,and short-running)and develops mathematical time-shifting models for each.Additionally,this paper examines the thermal dynamics of the computer room and derives a time-varying temperature model coupled to refrigeration power.Building on these models,this paper proposes a two-stage,multi-time scale optimization scheduling framework that jointly coordinates computing workloads time-shift in day-ahead scheduling and refrigeration power control in intra-day dispatch to mitigate renewable variability.A case study demonstrates that the framework effectively enhances the renewable-energy utilization,improves the operational economy of the data center microgrid,and mitigates the impact of renewable power uncertainty.The results highlight the potential of coordinated computing workloads and thermal system flexibility to support greener,more cost-effective data center operation.展开更多
Organic-inorganic metal halides(OIMHs)have emerged as highly promising novel multifunctional optoelectronic materials,owing to their easily adjustable properties from a variety of combinations of different components....Organic-inorganic metal halides(OIMHs)have emerged as highly promising novel multifunctional optoelectronic materials,owing to their easily adjustable properties from a variety of combinations of different components.But it is still difficult and rare to realize highly tunable multicolor luminescence within the same material.In this work,we successfully incorporated three adjustable emission centers in OIMHs to synthesize a novel OIMH(NEA)_(2)MnBr_(4),with each emission center capable of emitting one of the primary colors—red,green,and blue.The green and red emissions originate from the tetrahedron and octahedron structures in the Mn-based frame,while the blue can be attributed to the contribution of organic components.Additionally,to achieve comparable emission intensity among the three primary colors,we enhanced the blue emission performance by optimizing the ratio of organic structure components and incorporating chirality in the OIMHs.The resulting high-quality films can be obtained by spin-coating method with a photoluminescence quantum yields of up to 96%.More interestingly,by the dual manipulation of excitation wavelength and temperature,the sample can be emitted at least seven distinct colors including a standard white luminescence at(0.33,0.33),opening up promising prospects for multicolor luminescence applications such as high-end anti-counterfeiting technology,light-emitting diodes,X-ray imaging,latent fingerprints,humidity detection,and so on.Therefore,based on application scenarios and requirements,our research on this highly tunable luminescent OIMH material lays a solid foundation for further development of various functional properties of related materials.展开更多
BACKGROUND Post-hepatectomy liver failure(PHLF)after liver resection is one of the main complications causing postoperative death in patients with hepatocellular carcinoma(HCC).It is crucial to help clinicians identif...BACKGROUND Post-hepatectomy liver failure(PHLF)after liver resection is one of the main complications causing postoperative death in patients with hepatocellular carcinoma(HCC).It is crucial to help clinicians identify potential high-risk PHLF patients as early as possible through preoperative evaluation.AIM To identify risk factors for PHLF and develop a prediction model.METHODS This study included 248 patients with HCC at The Second Affiliated Hospital of Air Force Medical University between January 2014 and December 2023;these patients were divided into a training group(n=164)and a validation group(n=84)via random sampling.The independent variables for the occurrence of PHLF were identified by univariate and multivariate analyses and visualized as nomograms.Ultimately,comparisons were made with traditional models via receiver operating characteristic(ROC)curves,calibration curves,and decision curve analysis(DCA).RESULTS In this study,portal vein width[odds ratio(OR)=1.603,95%CI:1.288-1.994,P≤0.001],the preoperative neutrophil-to-lymphocyte ratio(NLR)(OR=1.495,95%CI:1.126-1.984,P=0.005),and the albumin-bilirubin(ALBI)score(OR=8.868,95%CI:2.144-36.678,P=0.003)were independent risk factors for PHLF.A nomogram prediction model was developed using these factors.ROC and DCA analyses revealed that the predictive efficacy and clinical value of this model were better than those of traditional models.CONCLUSION A new Nomogram model for predicting PHLF in HCC patients was successfully established based on portal vein width,the NLR,and the ALBI score,which outperforms the traditional model.展开更多
Development of the telencephalon relies upon several signaling centers-localized cellular populations that supply secreted factors to pattern the cortical neuroepithelium.One such signaling center is the cortical hem,...Development of the telencephalon relies upon several signaling centers-localized cellular populations that supply secreted factors to pattern the cortical neuroepithelium.One such signaling center is the cortical hem,which arises during embryonic development at the telencephalic dorsal midline,adjacent to the choroid plexus and hippocampal primordium(Figure 1A).While the cortical hem has also been described in reptiles and birds,most of our knowledge about the developmental roles of the cortical hem is derived from the analysis in mice.The cortical hem produces several types of secreted molecules,including wingless-related integration site(Wnt)and bone morphogenetic(Bmp)proteins.The cortical hem is particularly important for the development of the hippocampus,which is involved in learning and memory,and the neocortex,which is the most complex brain region that mediates multiple types of behavior and higher cognitive functions(Mangale et al.,2008;Dal-Valle-Anton and Borrell,2022).展开更多
BACKGROUND As red blood cell distribution width(RDW)and albumin have been shown to be independent predictors of mortality from various diseases,this study aimed to investigate the effect of the RDW to albumin ratio(RA...BACKGROUND As red blood cell distribution width(RDW)and albumin have been shown to be independent predictors of mortality from various diseases,this study aimed to investigate the effect of the RDW to albumin ratio(RA)as an independent predictor of the prognosis of patients admitted to the coronary care unit(CCU).AIM To use the RDW and albumin level to predict the prognosis of patients in the CCU.METHODS Data were obtained from the Medical Information Mart Intensive Care III database.The primary outcome was 365-day all-cause mortality,whereas the secondary outcomes were 30-and 90-day all-cause mortality,hospital length of stay(LOS),and CCU LOS.Cox proportional hazards regression model,propen-sity score matching,and receiver operating characteristic curve analyses were used.RESULTS The hazard ratio(95%confidence interval)of the upper tertile(RA>4.66)was 1.62(1.29 to 2.03)when compared with the reference(RA<3.84)in 365-day all-cause mortality.This trend persisted after adjusting for demographic and clinical variables in the propensity score-matching analysis.Similar trends were observed for the secondary outcomes of hospital and CCU LOS.Receiver operating characteristic curve analysis was performed by combining the RA and sequential organ failure assessment(SOFA)scores,and the C-statistic was higher than that of the SOFA scores(0.733 vs 0.702,P<0.001).CONCLUSION RA is an independent prognostic factor in patients admitted to the CCU.RA combined with the SOFA score can improve the predictive ability of the SOFA score.However,our results should be verified in future prospective studies.展开更多
Air pollution in China covers a large area with complex sources and formation mechanisms,making it a unique place to conduct air pollution and atmospheric chemistry research.The National Natural Science Foundation of ...Air pollution in China covers a large area with complex sources and formation mechanisms,making it a unique place to conduct air pollution and atmospheric chemistry research.The National Natural Science Foundation of China’s Major Research Plan entitled“Fundamental Researches on the Formation and Response Mechanism of the Air Pollution Complex in China”(or the Plan)has funded 76 research projects to explore the causes of air pollution in China,and the key processes of air pollution in atmospheric physics and atmospheric chemistry.In order to summarize the abundant data from the Plan and exhibit the long-term impacts domestically and internationally,an integration project is responsible for collecting the various types of data generated by the 76 projects of the Plan.This project has classified and integrated these data,forming eight categories containing 258 datasets and 15 technical reports in total.The integration project has led to the successful establishment of the China Air Pollution Data Center(CAPDC)platform,providing storage,retrieval,and download services for the eight categories.This platform has distinct features including data visualization,related project information querying,and bilingual services in both English and Chinese,which allows for rapid searching and downloading of data and provides a solid foundation of data and support for future related research.Air pollution control in China,especially in the past decade,is undeniably a global exemplar,and this data center is the first in China to focus on research into the country’s air pollution complex.展开更多
BACKGROUND Red blood cell distribution width(RDW)is associated with the development and progression of various diseases.AIM To explore the association between pretreatment RDW and short-term outcomes after laparoscopi...BACKGROUND Red blood cell distribution width(RDW)is associated with the development and progression of various diseases.AIM To explore the association between pretreatment RDW and short-term outcomes after laparoscopic pancreatoduodenectomy(LPD).METHODS A total of 804 consecutive patients who underwent LPD at our hospital between March 2017 and November 2021 were retrospectively analyzed.Correlations between pretreatment RDW and clinicopathological characteristics and short-term outcomes were investigated.RESULTS Patients with higher pretreatment RDW were older,had higher Eastern Cooperative Oncology Group scores and were associated with poorer short-term outcomes than those with normal RDW.High pretreatment RDW was an independent risk factor for postoperative complications(POCs)(hazard ratio=2.973,95%confidence interval:2.032-4.350,P<0.001)and severe POCs of grade IIIa or higher(hazard ratio=3.138,95%confidence interval:2.042-4.824,P<0.001)based on the Clavien-Dino classification system.Subgroup analysis showed that high pretreatment RDW was an independent risk factor for Clavien-Dino classi-fication grade IIIb or higher POCs,a comprehensive complication index score≥26.2,severe postoperative pancreatic fistula,severe bile leakage and severe hemorrhage.High pretreatment RDW was positively associated with the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio and was negatively associated with albumin and the prognostic nutritional index.CONCLUSION Pretreatment RDW was a special parameter for patients who underwent LPD.It was associated with malnutrition,severe inflammatory status and poorer short-term outcomes.RDW could be a surrogate marker for nutritional and inflammatory status in identifying patients who were at high risk of developing POCs after LPD.展开更多
The technology of solid-state lighting has developed for decades in various industries.Phosphor,as an element part,determines the application domain of lighting products.For instance,blue and redemitting phosphors are...The technology of solid-state lighting has developed for decades in various industries.Phosphor,as an element part,determines the application domain of lighting products.For instance,blue and redemitting phosphors are required in the process of plant supplementing light,arrow-band emitting phosphors are applied to backlight displays,etc.In this work,a Bi^(3+)-activated blue phosphor was obtained in a symmetrical and co mpact crystal structure of Gd3Sb07(GSO).Then,the co-doping strategy of alkali metal ions(Li^(+),Na^(+),and K^(+))was used to optimize the performance.The result shows that the photoluminescence intensity is increased by 2.1 times and 1.3 times respectively by introducing Li~+and K^(+)ions.Not only that,it also achieves narrow-band emitting with the full width of half-maximum(FWHM)reaching 42 nm through Na^(+)doping,and its excitation peak position also shifts from 322 to 375 nm,which can be well excited by near-ultraviolet(NUV)light emitting diode(LED)chips(365 nm).Meanwhile,the electroluminescence spectrum of GSO:0.6 mol%Bi^(3+),3 wt%Na^(+)matches up to 93.39%of the blue part of the absorption spectrum of chlorophyll a.In summary,the Bi^(3+)-activated blue phosphor reported in this work can synchronously meet the requirements of plant light replenishment and field emission displays.展开更多
The growth of computing power in data centers(DCs)leads to an increase in energy consumption and noise pollution of air cooling systems.Chip-level cooling with high-efficiency coolant is one of the promising methods t...The growth of computing power in data centers(DCs)leads to an increase in energy consumption and noise pollution of air cooling systems.Chip-level cooling with high-efficiency coolant is one of the promising methods to address the cooling challenge for high-power devices in DCs.Hybrid nanofluid(HNF)has the advantages of high thermal conductivity and good rheological properties.This study summarizes the numerical investigations of HNFs in mini/micro heat sinks,including the numerical methods,hydrothermal characteristics,and enhanced heat transfer technologies.The innovations of this paper include:(1)the characteristics,applicable conditions,and scenarios of each theoretical method and numerical method are clarified;(2)the molecular dynamics(MD)simulation can reveal the synergy effect,micro motion,and agglomeration morphology of different nanoparticles.Machine learning(ML)presents a feasiblemethod for parameter prediction,which provides the opportunity for the intelligent regulation of the thermal performance of HNFs;(3)the HNFs flowboiling and the synergy of passive and active technologies may further improve the overall efficiency of liquid cooling systems in DCs.This review provides valuable insights and references for exploring the multi-phase flow and heat transport mechanisms of HNFs,and promoting the practical application of HNFs in chip-level liquid cooling in DCs.展开更多
Propelled by the rise of artificial intelligence,cloud services,and data center applications,next-generation,low-power,local-oscillator-less,digital signal processing(DSP)-free,and short-reach coherent optical communi...Propelled by the rise of artificial intelligence,cloud services,and data center applications,next-generation,low-power,local-oscillator-less,digital signal processing(DSP)-free,and short-reach coherent optical communication has evolved into an increasingly prominent area of research in recent years.Here,we demonstrate DSP-free coherent optical transmission by analog signal processing in frequency synchronous optical network(FSON)architecture,which supports polarization multiplexing and higher-order modulation formats.The FSON architecture that allows the numerous laser sources of optical transceivers within a data center can be quasi-synchronized by means of a tree-distributed homology architecture.In conjunction with our proposed pilot-tone assisted Costas loop for an analog coherent receiver,we achieve a record dual-polarization 224-Gb/s 16-QAM 5-km mismatch transmission with reset-free carrier phase recovery in the optical domain.Our proposed DSP-free analog coherent detection system based on the FSON makes it a promising solution for next-generation,low-power,and high-capacity coherent data center interconnects.展开更多
BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an invasive endoscopic procedure used mainly to treat hepato-pancreato-biliary(HPB)diseases.The need for ERCP has increased with the rising number of H...BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an invasive endoscopic procedure used mainly to treat hepato-pancreato-biliary(HPB)diseases.The need for ERCP has increased with the rising number of HPB diseases over the past decade.Thus,due to increased demand,ERCP is performed at more centers.Currently,it is performed by general surgeons,gastroenterology and invasive radiology specialists in the United States and Europe as recommended by the British Society of Gastroenterology(BSG).AIM To present the results of ERCP procedures from fourteen surgical centers in Türkiye.METHODS Fourteen surgical centers performing ERCP were included in the present study.The age,gender,ERCP indication,success status,post-ERCP complications,ERCP reports and the files of 66993 patients who underwent ERCP were collected from the participating centers.The results are discussed according to the targets declared by the BSG,which are volume load per annum,proportion of successful cannulation(>85%),bile duct clearance rate(>75%),stenting rate for strictures(>80%)and complications(<6%).RESULTS A total of 66993 ERCP procedures were performed in the centers included in the study up to August 2024.29250(43.6%)of the procedures were performed urgently,especially for suppurative cholangitis,biliary tract injuries,etc.The remaining 37743(56.4%)cases were performed electively.50.2%of the patients were female and 49.8%were male.The average ages were 56.5 years for women and 55.9 years for men.General anesthesia was used in 84.1%of the patients while sedation was used in 15.9%.The indications were bile duct stone(78.7%),pancreatic tumor(3.9%),papillary tumor(3.3%),cholangiocarcinoma(2.6%),Oddi sphincter dysfunction(2.4%),bile leakage after cholecystectomy(2%),bile leakage after hydatid cyst surgery(1.9%),biliary stricture(1.7%),and other diseases(3.1%).Hyperamylasemia and post-ERCP pancreatitis were the most common complications as observed in 8.1%of the patients.They were usually self-limited and responded to supportive measures.The frequency of the other complications was also consistent with the literature.CONCLUSION There is a huge shortage of ERCP endoscopists worldwide due to insufficient ERCP training and centers especially in developing and underdeveloped countries.As patients requiring ERCP usually present to surgical practitioners,the incorporation of surgeons into this training program is an effective and reliable solution.The BSG recommends the incorporation of surgeons and radiologists in addition to gastroenterology specialists.This study is the first to present the results of ERCP procedures from fourteen surgical centers throughout Türkiye.The results suggest that the surgical centers included were able to achieve the targets set by the BSG.This study demonstrated that the surgical ERCP units in the present work have reached satisfactory results and provided a reliable and successful ERCP service.There are currently no issues regarding the validity and appropriateness of the surgeons performing ERCP.Therefore,ERCP training should be encouraged in surgeons and more surgical ERCP centers should be provided.展开更多
Promising aqueous zinc metal batteries(AZMBs)continue to face significant challenges regarding zinc anode reversibility due to detrimental reactions including hydrogen evolution and corrosion.Herein,the d-band center ...Promising aqueous zinc metal batteries(AZMBs)continue to face significant challenges regarding zinc anode reversibility due to detrimental reactions including hydrogen evolution and corrosion.Herein,the d-band center is used as an“intuitive descriptor”to compare the hydrogen evolution activity of zinc-based transition bimetallic oxides(ZTBOs)of fourth-period transition metal elements,and the advantages of ZnTi_(3)O_(7)(ZTO)functional protective layer in inhibiting hydrogen evolution and extending the lifespan of the zinc anode are selectively identified.展开更多
This work presents a method for the three-dimensional localization of individual shallow NV center in diamond,leveraging the near-field quenching effect of a gold tip.Our experimental setup involves the use of an atom...This work presents a method for the three-dimensional localization of individual shallow NV center in diamond,leveraging the near-field quenching effect of a gold tip.Our experimental setup involves the use of an atomic force microscope to precisely move the gold tip close to the NV center,while simultaneously employing a home-made confocal microscope to monitor the fluorescence of the NV center.This approach allows for lateral super-resolution,achieving a full width at half maximum(FWHM)of 38.0 nm and a location uncertainty of 0.7 nm.Additionally,we show the potential of this method for determining the depth of the NV centers.We also attempt to determine the depth of the NV centers in combination with finite-difference time-domain(FDTD)simulations.Compared to other depth determination methods,this approach allows for simultaneous lateral and longitudinal localization of individual NV centers,and holds promise for facilitating manipulation of the local environment surrounding the NV center.展开更多
Introduction: Cephalocele is a herniation of brain tissue and/or its membranes due to a dehiscence of the skull. It can be presented as a meningocele, encephalocele, or meningoencephalocele. Objective: To share a seri...Introduction: Cephalocele is a herniation of brain tissue and/or its membranes due to a dehiscence of the skull. It can be presented as a meningocele, encephalocele, or meningoencephalocele. Objective: To share a series of cases of operated cephaloceles. Materials and Methods: This was a retrospective observational study conducted at the Regional Hospital Center of Kaolack from February 1, 2022, to January 31, 2024. We analyzed clinical, radiological, therapeutic, and evolutionary data of all patients operated on for cephalocele. Results: We recorded 11 patients operated on for cephalocele over 23 months. The average age was 2 months, with extremes ranging from 6 days to 7 months. The sex ratio was 0.4. A history of consanguinity among parents was found in 7 out of 11 cases. Three mothers had no prenatal follow-up. Occipital location was predominant, and the average diameter of the neck was 7 cm. All patients underwent a brain CT scan, revealing an encephalocele in seven cases and a meningocele in four cases. Additionally, six out of seven patients had associated hydrocephalus. All patients were operated on, and a favorable outcome was obtained in seven patients. Four cases of reoperation were noted, among which we noted two cases of death. Conclusion: This malformation remains relevant, with its incidence linked to the socio-economic level of a country. The risk of morbidity and mortality is very high, emphasizing the need for good prenatal follow-up.展开更多
Introduction: Head injuries constitute a public health problem in Cameroon and everywhere else in the world. They represent 23% of admissions to the Yaounde emergency center (CURY), which is a center exclusively dedic...Introduction: Head injuries constitute a public health problem in Cameroon and everywhere else in the world. They represent 23% of admissions to the Yaounde emergency center (CURY), which is a center exclusively dedicated, since 2014, to emergency care in Yaounde. In the management of trauma brain injuries at CURY, several are operated on. However, to date, no evaluation of these operated patients has yet been made. Goals: The objective of this study was to highlight the prognostic factors in patients operated for TBI at CURY. Methodology: We conducted a descriptive study whose data collection was done retrospectively over 2 years (01 January 2021 to 31 December 2022) at CURY. Data was collected from the registers of operative reports. Results: We enrolled 105 medical reports of patients who were victims of TBI operated on. The male gender predominated with a sex ratio of 3/1. The average age of the patients was 37.5 ± 18.83 years. Public road accidents were the leading cause of TBI in 75.2% of cases. The means of transport of the victims were mostly non-medical 97.1%. 45.7% of patients were admitted in less than 6 hours following injury. The initial clinical evaluation found 45.8% of patients with a Glasgow Coma Score (GCS) between [14, 15], and 13.2% of patients had a GCS 8. The indications for surgery were extradural hematoma (30%), followed by acute subdural hematoma (24%). The major complication was postoperative infection (25%). The mortality rate of the series was 7.9%. Poor prognostic factors were the depth of the coma on admission, advanced age and postoperative complications. Conclusion: The results of this study suggest that most patients operated on for TBI at CURY had a favorable outcome. The poor prognostic factors were the depth of the coma on admission, advanced age, postoperative complications and comorbidities.展开更多
Introduction: Childbirth on a scarred uterus is a major issue for health centers, especially peripheral, due to the major obstetric risks it presents. The objectives were to evaluate the frequency, route of delivery a...Introduction: Childbirth on a scarred uterus is a major issue for health centers, especially peripheral, due to the major obstetric risks it presents. The objectives were to evaluate the frequency, route of delivery and maternal-fetal prognosis of this type of delivery at csref of Kolondiéba. Materials and Methods: This was a retrospective cross-sectional study for one year (1 January 2023-31 December 2023). All patients admitted to the maternity ward of the center with at least one uterine scar and treated in the center were included. We extracted data from partograms, OR records, birth records and obstetric records. Input was done on Excel 2010 and analysis on SPSS.23. Results: The frequency of scarring uterus was 16.8% (217/1285 births). The average age was 27. Pauciparous were most represented (59%). Patients were received from community health centers (44.7%). Prenatal consultation sessions (1 - 3 sessions) were performed at (64.9%). Uterine scars were obstetric in (99%). The cesarean section was performed immediately in (59.4%), it was prophylactic in 17%. The uterine test was attempted in (25.34%) with (69%) success. We recorded 3.6% uterine ruptures, 8.7% postoperative complications, 5.5% stillbirths and one maternal death (0.46%). Conclusion: Births on a scarred uterus are frequent and associated with a high rate of complications.展开更多
基金jointly supported by the National Natural Science Foundation of China[grant numbers U2342202,42175005,and 42175016]the Qing Lan Project[grant number R2023Q06]。
文摘This study investigates the width of the secondary eyewall(SE)immediately following its formation in tropical cyclones with surface environmental winds aligned and counter-aligned with environmental vertical wind shear(VWS),using idealized numerical experiments.Results reveal that the SE develops greater radial extent when surface winds align with VWS compared to counter-aligned conditions.In alignment configurations,shear-enhanced surface winds on the right flank amplify surface enthalpy fluxes,thereby elevating boundary-layer entropy within the downshear outer-core region.Subsequently,more vigorous outer rainbands develop,inducing marked acceleration of tangential winds in the outer core preceding SE formation.The resultant radial expansion of supergradient winds near the boundary-layer top triggers widespread convective activity immediately beyond the inner core.Progressive axisymmetrization of this convective forcing ultimately generates an expansive SE structure.
基金supported by the National Natural Science Foundation of China(82427808,61875085)the Jiangsu Provincial University Natural Science Foundation(25KJB413004)+1 种基金the Nanjing Health Science and Technology Development Foundation(ZKX24043)the Fundamental Research Funds for the Central Universities(NJ2024029).
文摘Microwave ablation(MWA)is a minimally invasive technique for treating hepatic tumors,necessitating precise monitoring to ensure treatment efficacy and minimize damage to surrounding tissues.This study explores the potential of photoacoustic imaging(PAI)in monitoring MWA by examining ex vivo porcine liver tissues.In this study,a comprehensive analysis of photoacoustic signals was performed to compare the main lobe width(MLW)between ablated and normal regions in porcine liver tissue.Histological staining with succinate dehydrogenase(SDH)and shear wave elastography(SWE)were employed to validate the changes in tissue elasticity after ablation.The analysis demonstrated a notable reduction in the MLW of the average A-lines in ablated tissues compared to nonablated regions(p<0.01).This reduction,attributed to increased tissue density and enhanced elasticity,indicates accelerated sound propagation in thermally ablated areas,which then serves as a critical parameter for mapping tissue characteristics.The reconstruction of the MLW distribution successfully delineated the ablated regions,and was consistent with the results of SDH staining and SWE.In addition,MLW-based imaging exhibited higher spatial resolution compared to SWE.Incorporating MLW analysis into PAI may be a promising strategy to improve the accuracy and effectiveness of MWA monitoring in clinical settings.
基金supported by Science and Technology Standard Project of Guangdong Electric Power Design Institute(ER11301W,ER11811W).
文摘Data center industries have been facing huge energy challenges due to escalating power consumption and associated carbon emissions.In the context of carbon neutrality,the integration of data centers with renewable energy has become a prevailing trend.To advance the renewable energy integration in data centers,it is imperative to thoroughly explore the data centers’operational flexibility.Computing workloads and refrigeration systems are recognized as two promising flexible resources for power regulationwithin data centermicro-grids.This paper identifies and categorizes delay-tolerant computing workloads into three types(long-running non-interruptible,long-running interruptible,and short-running)and develops mathematical time-shifting models for each.Additionally,this paper examines the thermal dynamics of the computer room and derives a time-varying temperature model coupled to refrigeration power.Building on these models,this paper proposes a two-stage,multi-time scale optimization scheduling framework that jointly coordinates computing workloads time-shift in day-ahead scheduling and refrigeration power control in intra-day dispatch to mitigate renewable variability.A case study demonstrates that the framework effectively enhances the renewable-energy utilization,improves the operational economy of the data center microgrid,and mitigates the impact of renewable power uncertainty.The results highlight the potential of coordinated computing workloads and thermal system flexibility to support greener,more cost-effective data center operation.
基金supported by supported by the Basic Research Project of State Key Laboratory of Photovoltaic Science and Technology(No.202401020302)funding support from the National Natural Science Foundation of China(No.62274040 and No.62304046)Shanghai science and technology innovation action plan(No.24DZ3001200)。
文摘Organic-inorganic metal halides(OIMHs)have emerged as highly promising novel multifunctional optoelectronic materials,owing to their easily adjustable properties from a variety of combinations of different components.But it is still difficult and rare to realize highly tunable multicolor luminescence within the same material.In this work,we successfully incorporated three adjustable emission centers in OIMHs to synthesize a novel OIMH(NEA)_(2)MnBr_(4),with each emission center capable of emitting one of the primary colors—red,green,and blue.The green and red emissions originate from the tetrahedron and octahedron structures in the Mn-based frame,while the blue can be attributed to the contribution of organic components.Additionally,to achieve comparable emission intensity among the three primary colors,we enhanced the blue emission performance by optimizing the ratio of organic structure components and incorporating chirality in the OIMHs.The resulting high-quality films can be obtained by spin-coating method with a photoluminescence quantum yields of up to 96%.More interestingly,by the dual manipulation of excitation wavelength and temperature,the sample can be emitted at least seven distinct colors including a standard white luminescence at(0.33,0.33),opening up promising prospects for multicolor luminescence applications such as high-end anti-counterfeiting technology,light-emitting diodes,X-ray imaging,latent fingerprints,humidity detection,and so on.Therefore,based on application scenarios and requirements,our research on this highly tunable luminescent OIMH material lays a solid foundation for further development of various functional properties of related materials.
基金Supported by Shaanxi Provincial Social Development Fund,No.2024SF-YBXM-140.
文摘BACKGROUND Post-hepatectomy liver failure(PHLF)after liver resection is one of the main complications causing postoperative death in patients with hepatocellular carcinoma(HCC).It is crucial to help clinicians identify potential high-risk PHLF patients as early as possible through preoperative evaluation.AIM To identify risk factors for PHLF and develop a prediction model.METHODS This study included 248 patients with HCC at The Second Affiliated Hospital of Air Force Medical University between January 2014 and December 2023;these patients were divided into a training group(n=164)and a validation group(n=84)via random sampling.The independent variables for the occurrence of PHLF were identified by univariate and multivariate analyses and visualized as nomograms.Ultimately,comparisons were made with traditional models via receiver operating characteristic(ROC)curves,calibration curves,and decision curve analysis(DCA).RESULTS In this study,portal vein width[odds ratio(OR)=1.603,95%CI:1.288-1.994,P≤0.001],the preoperative neutrophil-to-lymphocyte ratio(NLR)(OR=1.495,95%CI:1.126-1.984,P=0.005),and the albumin-bilirubin(ALBI)score(OR=8.868,95%CI:2.144-36.678,P=0.003)were independent risk factors for PHLF.A nomogram prediction model was developed using these factors.ROC and DCA analyses revealed that the predictive efficacy and clinical value of this model were better than those of traditional models.CONCLUSION A new Nomogram model for predicting PHLF in HCC patients was successfully established based on portal vein width,the NLR,and the ALBI score,which outperforms the traditional model.
基金supported by R01 NS093009 grant from NIH(to VVC).
文摘Development of the telencephalon relies upon several signaling centers-localized cellular populations that supply secreted factors to pattern the cortical neuroepithelium.One such signaling center is the cortical hem,which arises during embryonic development at the telencephalic dorsal midline,adjacent to the choroid plexus and hippocampal primordium(Figure 1A).While the cortical hem has also been described in reptiles and birds,most of our knowledge about the developmental roles of the cortical hem is derived from the analysis in mice.The cortical hem produces several types of secreted molecules,including wingless-related integration site(Wnt)and bone morphogenetic(Bmp)proteins.The cortical hem is particularly important for the development of the hippocampus,which is involved in learning and memory,and the neocortex,which is the most complex brain region that mediates multiple types of behavior and higher cognitive functions(Mangale et al.,2008;Dal-Valle-Anton and Borrell,2022).
文摘BACKGROUND As red blood cell distribution width(RDW)and albumin have been shown to be independent predictors of mortality from various diseases,this study aimed to investigate the effect of the RDW to albumin ratio(RA)as an independent predictor of the prognosis of patients admitted to the coronary care unit(CCU).AIM To use the RDW and albumin level to predict the prognosis of patients in the CCU.METHODS Data were obtained from the Medical Information Mart Intensive Care III database.The primary outcome was 365-day all-cause mortality,whereas the secondary outcomes were 30-and 90-day all-cause mortality,hospital length of stay(LOS),and CCU LOS.Cox proportional hazards regression model,propen-sity score matching,and receiver operating characteristic curve analyses were used.RESULTS The hazard ratio(95%confidence interval)of the upper tertile(RA>4.66)was 1.62(1.29 to 2.03)when compared with the reference(RA<3.84)in 365-day all-cause mortality.This trend persisted after adjusting for demographic and clinical variables in the propensity score-matching analysis.Similar trends were observed for the secondary outcomes of hospital and CCU LOS.Receiver operating characteristic curve analysis was performed by combining the RA and sequential organ failure assessment(SOFA)scores,and the C-statistic was higher than that of the SOFA scores(0.733 vs 0.702,P<0.001).CONCLUSION RA is an independent prognostic factor in patients admitted to the CCU.RA combined with the SOFA score can improve the predictive ability of the SOFA score.However,our results should be verified in future prospective studies.
基金supported by the National Natural Science Foundation of China(Grant No.92044303)。
文摘Air pollution in China covers a large area with complex sources and formation mechanisms,making it a unique place to conduct air pollution and atmospheric chemistry research.The National Natural Science Foundation of China’s Major Research Plan entitled“Fundamental Researches on the Formation and Response Mechanism of the Air Pollution Complex in China”(or the Plan)has funded 76 research projects to explore the causes of air pollution in China,and the key processes of air pollution in atmospheric physics and atmospheric chemistry.In order to summarize the abundant data from the Plan and exhibit the long-term impacts domestically and internationally,an integration project is responsible for collecting the various types of data generated by the 76 projects of the Plan.This project has classified and integrated these data,forming eight categories containing 258 datasets and 15 technical reports in total.The integration project has led to the successful establishment of the China Air Pollution Data Center(CAPDC)platform,providing storage,retrieval,and download services for the eight categories.This platform has distinct features including data visualization,related project information querying,and bilingual services in both English and Chinese,which allows for rapid searching and downloading of data and provides a solid foundation of data and support for future related research.Air pollution control in China,especially in the past decade,is undeniably a global exemplar,and this data center is the first in China to focus on research into the country’s air pollution complex.
基金Supported by the National Natural Science Foundation of China,No.81302124.
文摘BACKGROUND Red blood cell distribution width(RDW)is associated with the development and progression of various diseases.AIM To explore the association between pretreatment RDW and short-term outcomes after laparoscopic pancreatoduodenectomy(LPD).METHODS A total of 804 consecutive patients who underwent LPD at our hospital between March 2017 and November 2021 were retrospectively analyzed.Correlations between pretreatment RDW and clinicopathological characteristics and short-term outcomes were investigated.RESULTS Patients with higher pretreatment RDW were older,had higher Eastern Cooperative Oncology Group scores and were associated with poorer short-term outcomes than those with normal RDW.High pretreatment RDW was an independent risk factor for postoperative complications(POCs)(hazard ratio=2.973,95%confidence interval:2.032-4.350,P<0.001)and severe POCs of grade IIIa or higher(hazard ratio=3.138,95%confidence interval:2.042-4.824,P<0.001)based on the Clavien-Dino classification system.Subgroup analysis showed that high pretreatment RDW was an independent risk factor for Clavien-Dino classi-fication grade IIIb or higher POCs,a comprehensive complication index score≥26.2,severe postoperative pancreatic fistula,severe bile leakage and severe hemorrhage.High pretreatment RDW was positively associated with the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio and was negatively associated with albumin and the prognostic nutritional index.CONCLUSION Pretreatment RDW was a special parameter for patients who underwent LPD.It was associated with malnutrition,severe inflammatory status and poorer short-term outcomes.RDW could be a surrogate marker for nutritional and inflammatory status in identifying patients who were at high risk of developing POCs after LPD.
基金Project supported by the Key R&D Projects in Hunan Province(2021SK2047,2022NK2044)Science and Technology Innovation Program of Hunan Province(2022WZ1022)Superior Youth Project of the Science Research Project of Hunan Provincial Department of Education(22B0211)。
文摘The technology of solid-state lighting has developed for decades in various industries.Phosphor,as an element part,determines the application domain of lighting products.For instance,blue and redemitting phosphors are required in the process of plant supplementing light,arrow-band emitting phosphors are applied to backlight displays,etc.In this work,a Bi^(3+)-activated blue phosphor was obtained in a symmetrical and co mpact crystal structure of Gd3Sb07(GSO).Then,the co-doping strategy of alkali metal ions(Li^(+),Na^(+),and K^(+))was used to optimize the performance.The result shows that the photoluminescence intensity is increased by 2.1 times and 1.3 times respectively by introducing Li~+and K^(+)ions.Not only that,it also achieves narrow-band emitting with the full width of half-maximum(FWHM)reaching 42 nm through Na^(+)doping,and its excitation peak position also shifts from 322 to 375 nm,which can be well excited by near-ultraviolet(NUV)light emitting diode(LED)chips(365 nm).Meanwhile,the electroluminescence spectrum of GSO:0.6 mol%Bi^(3+),3 wt%Na^(+)matches up to 93.39%of the blue part of the absorption spectrum of chlorophyll a.In summary,the Bi^(3+)-activated blue phosphor reported in this work can synchronously meet the requirements of plant light replenishment and field emission displays.
基金funded by the Science and Technology Project of Tianjin(No.24YDTPJC00680)the National Natural Science Foundation of China(No.52406191).
文摘The growth of computing power in data centers(DCs)leads to an increase in energy consumption and noise pollution of air cooling systems.Chip-level cooling with high-efficiency coolant is one of the promising methods to address the cooling challenge for high-power devices in DCs.Hybrid nanofluid(HNF)has the advantages of high thermal conductivity and good rheological properties.This study summarizes the numerical investigations of HNFs in mini/micro heat sinks,including the numerical methods,hydrothermal characteristics,and enhanced heat transfer technologies.The innovations of this paper include:(1)the characteristics,applicable conditions,and scenarios of each theoretical method and numerical method are clarified;(2)the molecular dynamics(MD)simulation can reveal the synergy effect,micro motion,and agglomeration morphology of different nanoparticles.Machine learning(ML)presents a feasiblemethod for parameter prediction,which provides the opportunity for the intelligent regulation of the thermal performance of HNFs;(3)the HNFs flowboiling and the synergy of passive and active technologies may further improve the overall efficiency of liquid cooling systems in DCs.This review provides valuable insights and references for exploring the multi-phase flow and heat transport mechanisms of HNFs,and promoting the practical application of HNFs in chip-level liquid cooling in DCs.
基金supported by the National Natural Science Foundation of China(Grant Nos.62405250 and 62471404)the China Postdoctoral Science Foundation(Grant No.2024M762955)+1 种基金the Key Project of Westlake Institute for Optoelectronics(Grant No.2023GD003)the Optical Com-munication and Sensing Laboratory,School of Engineering,Westlake University.
文摘Propelled by the rise of artificial intelligence,cloud services,and data center applications,next-generation,low-power,local-oscillator-less,digital signal processing(DSP)-free,and short-reach coherent optical communication has evolved into an increasingly prominent area of research in recent years.Here,we demonstrate DSP-free coherent optical transmission by analog signal processing in frequency synchronous optical network(FSON)architecture,which supports polarization multiplexing and higher-order modulation formats.The FSON architecture that allows the numerous laser sources of optical transceivers within a data center can be quasi-synchronized by means of a tree-distributed homology architecture.In conjunction with our proposed pilot-tone assisted Costas loop for an analog coherent receiver,we achieve a record dual-polarization 224-Gb/s 16-QAM 5-km mismatch transmission with reset-free carrier phase recovery in the optical domain.Our proposed DSP-free analog coherent detection system based on the FSON makes it a promising solution for next-generation,low-power,and high-capacity coherent data center interconnects.
文摘BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an invasive endoscopic procedure used mainly to treat hepato-pancreato-biliary(HPB)diseases.The need for ERCP has increased with the rising number of HPB diseases over the past decade.Thus,due to increased demand,ERCP is performed at more centers.Currently,it is performed by general surgeons,gastroenterology and invasive radiology specialists in the United States and Europe as recommended by the British Society of Gastroenterology(BSG).AIM To present the results of ERCP procedures from fourteen surgical centers in Türkiye.METHODS Fourteen surgical centers performing ERCP were included in the present study.The age,gender,ERCP indication,success status,post-ERCP complications,ERCP reports and the files of 66993 patients who underwent ERCP were collected from the participating centers.The results are discussed according to the targets declared by the BSG,which are volume load per annum,proportion of successful cannulation(>85%),bile duct clearance rate(>75%),stenting rate for strictures(>80%)and complications(<6%).RESULTS A total of 66993 ERCP procedures were performed in the centers included in the study up to August 2024.29250(43.6%)of the procedures were performed urgently,especially for suppurative cholangitis,biliary tract injuries,etc.The remaining 37743(56.4%)cases were performed electively.50.2%of the patients were female and 49.8%were male.The average ages were 56.5 years for women and 55.9 years for men.General anesthesia was used in 84.1%of the patients while sedation was used in 15.9%.The indications were bile duct stone(78.7%),pancreatic tumor(3.9%),papillary tumor(3.3%),cholangiocarcinoma(2.6%),Oddi sphincter dysfunction(2.4%),bile leakage after cholecystectomy(2%),bile leakage after hydatid cyst surgery(1.9%),biliary stricture(1.7%),and other diseases(3.1%).Hyperamylasemia and post-ERCP pancreatitis were the most common complications as observed in 8.1%of the patients.They were usually self-limited and responded to supportive measures.The frequency of the other complications was also consistent with the literature.CONCLUSION There is a huge shortage of ERCP endoscopists worldwide due to insufficient ERCP training and centers especially in developing and underdeveloped countries.As patients requiring ERCP usually present to surgical practitioners,the incorporation of surgeons into this training program is an effective and reliable solution.The BSG recommends the incorporation of surgeons and radiologists in addition to gastroenterology specialists.This study is the first to present the results of ERCP procedures from fourteen surgical centers throughout Türkiye.The results suggest that the surgical centers included were able to achieve the targets set by the BSG.This study demonstrated that the surgical ERCP units in the present work have reached satisfactory results and provided a reliable and successful ERCP service.There are currently no issues regarding the validity and appropriateness of the surgeons performing ERCP.Therefore,ERCP training should be encouraged in surgeons and more surgical ERCP centers should be provided.
基金support from National Natural Science Foundation of China(52272198 and 22109163)。
文摘Promising aqueous zinc metal batteries(AZMBs)continue to face significant challenges regarding zinc anode reversibility due to detrimental reactions including hydrogen evolution and corrosion.Herein,the d-band center is used as an“intuitive descriptor”to compare the hydrogen evolution activity of zinc-based transition bimetallic oxides(ZTBOs)of fourth-period transition metal elements,and the advantages of ZnTi_(3)O_(7)(ZTO)functional protective layer in inhibiting hydrogen evolution and extending the lifespan of the zinc anode are selectively identified.
基金supported by the National Natural Science Foundation of China(T2325023,92265204,12104447)the National Key R&D Program of China(2023YFF0718400)+1 种基金the Innovation Program for Quantum Science and Technology(2021ZD0302200)the Fundamental Research Funds for the Central Universities。
文摘This work presents a method for the three-dimensional localization of individual shallow NV center in diamond,leveraging the near-field quenching effect of a gold tip.Our experimental setup involves the use of an atomic force microscope to precisely move the gold tip close to the NV center,while simultaneously employing a home-made confocal microscope to monitor the fluorescence of the NV center.This approach allows for lateral super-resolution,achieving a full width at half maximum(FWHM)of 38.0 nm and a location uncertainty of 0.7 nm.Additionally,we show the potential of this method for determining the depth of the NV centers.We also attempt to determine the depth of the NV centers in combination with finite-difference time-domain(FDTD)simulations.Compared to other depth determination methods,this approach allows for simultaneous lateral and longitudinal localization of individual NV centers,and holds promise for facilitating manipulation of the local environment surrounding the NV center.
文摘Introduction: Cephalocele is a herniation of brain tissue and/or its membranes due to a dehiscence of the skull. It can be presented as a meningocele, encephalocele, or meningoencephalocele. Objective: To share a series of cases of operated cephaloceles. Materials and Methods: This was a retrospective observational study conducted at the Regional Hospital Center of Kaolack from February 1, 2022, to January 31, 2024. We analyzed clinical, radiological, therapeutic, and evolutionary data of all patients operated on for cephalocele. Results: We recorded 11 patients operated on for cephalocele over 23 months. The average age was 2 months, with extremes ranging from 6 days to 7 months. The sex ratio was 0.4. A history of consanguinity among parents was found in 7 out of 11 cases. Three mothers had no prenatal follow-up. Occipital location was predominant, and the average diameter of the neck was 7 cm. All patients underwent a brain CT scan, revealing an encephalocele in seven cases and a meningocele in four cases. Additionally, six out of seven patients had associated hydrocephalus. All patients were operated on, and a favorable outcome was obtained in seven patients. Four cases of reoperation were noted, among which we noted two cases of death. Conclusion: This malformation remains relevant, with its incidence linked to the socio-economic level of a country. The risk of morbidity and mortality is very high, emphasizing the need for good prenatal follow-up.
文摘Introduction: Head injuries constitute a public health problem in Cameroon and everywhere else in the world. They represent 23% of admissions to the Yaounde emergency center (CURY), which is a center exclusively dedicated, since 2014, to emergency care in Yaounde. In the management of trauma brain injuries at CURY, several are operated on. However, to date, no evaluation of these operated patients has yet been made. Goals: The objective of this study was to highlight the prognostic factors in patients operated for TBI at CURY. Methodology: We conducted a descriptive study whose data collection was done retrospectively over 2 years (01 January 2021 to 31 December 2022) at CURY. Data was collected from the registers of operative reports. Results: We enrolled 105 medical reports of patients who were victims of TBI operated on. The male gender predominated with a sex ratio of 3/1. The average age of the patients was 37.5 ± 18.83 years. Public road accidents were the leading cause of TBI in 75.2% of cases. The means of transport of the victims were mostly non-medical 97.1%. 45.7% of patients were admitted in less than 6 hours following injury. The initial clinical evaluation found 45.8% of patients with a Glasgow Coma Score (GCS) between [14, 15], and 13.2% of patients had a GCS 8. The indications for surgery were extradural hematoma (30%), followed by acute subdural hematoma (24%). The major complication was postoperative infection (25%). The mortality rate of the series was 7.9%. Poor prognostic factors were the depth of the coma on admission, advanced age and postoperative complications. Conclusion: The results of this study suggest that most patients operated on for TBI at CURY had a favorable outcome. The poor prognostic factors were the depth of the coma on admission, advanced age, postoperative complications and comorbidities.
文摘Introduction: Childbirth on a scarred uterus is a major issue for health centers, especially peripheral, due to the major obstetric risks it presents. The objectives were to evaluate the frequency, route of delivery and maternal-fetal prognosis of this type of delivery at csref of Kolondiéba. Materials and Methods: This was a retrospective cross-sectional study for one year (1 January 2023-31 December 2023). All patients admitted to the maternity ward of the center with at least one uterine scar and treated in the center were included. We extracted data from partograms, OR records, birth records and obstetric records. Input was done on Excel 2010 and analysis on SPSS.23. Results: The frequency of scarring uterus was 16.8% (217/1285 births). The average age was 27. Pauciparous were most represented (59%). Patients were received from community health centers (44.7%). Prenatal consultation sessions (1 - 3 sessions) were performed at (64.9%). Uterine scars were obstetric in (99%). The cesarean section was performed immediately in (59.4%), it was prophylactic in 17%. The uterine test was attempted in (25.34%) with (69%) success. We recorded 3.6% uterine ruptures, 8.7% postoperative complications, 5.5% stillbirths and one maternal death (0.46%). Conclusion: Births on a scarred uterus are frequent and associated with a high rate of complications.
