Background: In developing countries, charity cleft surgical mission is always operated by sporadic surgical teams without systematic follow up and quality assurance. In the past few decades, many mission projects have...Background: In developing countries, charity cleft surgical mission is always operated by sporadic surgical teams without systematic follow up and quality assurance. In the past few decades, many mission projects have been held regularly in China. The purpose of this audit was a retrospective analysis of a 9-year cleft lip and palate charity project operated in a tertiary hospital in China Shenzhen Area to evaluate perioperative and postoperative complications. Nevertheless, understanding the risk profile is essential for establishing a sustainable in-house cleft service in Shenzhen. Methods: A detailed analysis of hospital centralized record in the The University of Hong Kong-Shenzhen Hospital (HKUSZH) was reviewed since the first charity project held in 2015. The parameters of this audit were focused on perioperative complications including anesthesia related problems, early postoperative complications in patients who underwent primary or secondary cleft surgeries. A total of 430 consecutive admitted cases of 311 non-syndromic cleft lip & palate patients were enrolled into the charity project from June 2015 to July 2024. The main anesthesia related complications that occurred during general anesthesia were respiratory tract problems, while intraoperative complication was excessive bleeding, so as wound local infection and reaction were the main early postoperative complications. Results: In our 9-year clinical audit of 430 cleft lip and palate charity surgeries in Shenzhen, we observed no mortalities and a anesthesia-related complication rate of 1.16%. Specific intraoperative complications included excessive bleeding, while early postoperative issues were dominated by wound infections. The fistula rate of 18.7% post palate repair and the average hospital stay of 3.71 days complete the profile of our surgical outcomes. These data underscore the project’s efficacy and offer a reference for international cleft missions aiming for safe and efficient surgical care. Conclusions: This study provides a thorough data review of the complications in the past 9 years charity missions for cleft lip and palate surgery in a well-structured hospital infrastructure and logistic support by local surgical team. There were no perioperative or postoperative death during the study period and the overall short-term complication rate was low. Therefore, it could be a reference model for other international cleft mission in developing country for a safe and efficient service in future.展开更多
A new magnetic field configuration is proposed by introducing a cusped field to the helicon plasma thruster(HPT),and the effects of the cusped field on the discharge characteristics of the HPT are investigated.The exp...A new magnetic field configuration is proposed by introducing a cusped field to the helicon plasma thruster(HPT),and the effects of the cusped field on the discharge characteristics of the HPT are investigated.The experimental results show that the thruster can still achieve a stable W mode discharge with the additional cusped field,while the discharge conditions have been changed so that a higher RF power is required to achieve the W mode under the same experimental conditions.However,the ion density in the plume region is increased by at least one order of magnitude and the ion flux density is increased by a factor of 4 to 5.The ionization enhancement is attributed to the change in magnetic field configuration,which improves the energy coupling efficiency and the ability to confine charged particles(particularly electrons).This magnetic confinement could employ more electrons to ionize the working medium atoms,and the ionization rate is enhanced.The increase in ion density leads to a reduction in the energy available for ion acceleration,resulting in a slight decrease in ion energy.展开更多
Let f be a Hecke eigenform of even integral weight k for the full modular group SL_(2)(Z).Denote byλ_(f)(n)the n th normalized coefficient of f.The sum of Fourier coefficients of cusp form over the quadratic polynomi...Let f be a Hecke eigenform of even integral weight k for the full modular group SL_(2)(Z).Denote byλ_(f)(n)the n th normalized coefficient of f.The sum of Fourier coefficients of cusp form over the quadratic polynomial m^(2)+n^(2) is considered,i.e.,∑_( m^( 2)+n^( 2))≤λ^(2)_( f)(m^(2)+n^(2))=CX+O(X ^(337/491+ϵ)),here X large enough and C is a constant.展开更多
Cleft palate is a common congenital malformation of the maxillofacial region,and its postoperative speech disorders(such as hypernasality,nasal emission,and articulation errors)can significantly impact patients’commu...Cleft palate is a common congenital malformation of the maxillofacial region,and its postoperative speech disorders(such as hypernasality,nasal emission,and articulation errors)can significantly impact patients’communication abilities and psychological well-being.Traditional speech-language therapy faces challenges such as insufficient personalization of training methods,limited scenarios,and low patient compliance,making it inadequate for long-term rehabilitation needs.The innovative intervention model of a mobile interactive platform combined with games and picture books,through immersive experiences,instant feedback,and engaging designs,holds promise for enhancing patient participation and overall treatment outcomes.Therefore,this paper provides a comprehensive review from five perspectives:the pathological mechanisms and treatment needs of cleft palate speech disorders,the advantages of games and picture books as carriers in cleft palate speech therapy,the technological implementation of mobile interactive platforms,clinical application effects,and current challenges and limitations.The aim is to offer valuable insights for clinical practice and technological development in cleft palate speech rehabilitation.展开更多
Periodontal disease is a risk factor for many systemic diseases such as Alzheimer’s disease and adverse pregnancy outcomes.Cleft palate(CP),the most common congenital craniofacial defect,has a multifaceted etiology i...Periodontal disease is a risk factor for many systemic diseases such as Alzheimer’s disease and adverse pregnancy outcomes.Cleft palate(CP),the most common congenital craniofacial defect,has a multifaceted etiology influenced by complex genetic and environmental risk factors such as maternal bacterial or virus infection.A prior case-control study revealed a surprisingly strong association between maternal periodontal disease and CP in offspring.However,the precise relationship remains unclear.In this study,the relationship between maternal oral pathogen and CP in offspring was studied by sonicated P.gingivalis injected intravenously and orally into pregnant mice.We investigated an obvious increasing CP(12.5%)in sonicated P.gingivalis group which had inhibited osteogenesis in mesenchyme and blocked efferocytosis in epithelium.Then glycolysis and H4K12 lactylation(H4K12la)were detected to elevate in both mouse embryonic palatal mesenchyme(MEPM)cells and macrophages under P.gingivalis exposure which further promoted the transcription of metallopeptidase domain17(ADAM17),subsequently mediated the shedding of transforming growth factor-beta receptor 1(TGFBR1)in MEPM cells and mer tyrosine kinase(MerTK)in macrophages and resulted in the suppression of efferocytosis and osteogenesis in palate,eventually caused abnormalities in palate fusion and ossification.The abnormal efferocytosis also led to a predominance of M1 macrophages,which indirectly inhibited palatal osteogenesis via extracellular vesicles.Furthermore,pharmacological ADAM17 inhibition could ameliorate the abnormality of P.gingivalis-induced abnormal palate development.Therefore,our study extends the knowledge of how maternal oral pathogen affects fetal palate development and provides a novel perspective to understand the pathogenesis of CP.展开更多
Objective To observe the clinical efficacy of fire needling and bloodletting at cleft points for acute gouty arthritis, and to explore its functional mechanism. Methods Thirty-five patients with acute gouty arthritis ...Objective To observe the clinical efficacy of fire needling and bloodletting at cleft points for acute gouty arthritis, and to explore its functional mechanism. Methods Thirty-five patients with acute gouty arthritis were enrolled into this study, and fire needling and bloodletting with 10 mL/ time were applied at cleft points of corresponding meridians and collaterals at the affected side. The treatment was conducted for once every other day, and treatment for three consecutive times was needed. Serum uric acid （UA） and pain score were tested in patients before treatment and on the 6th day after treatment, follow-up visit for 3 months was performed in patients who stopped treatment, and recurrence rate was calculated. Results Budzyuski 6-point behavioral rating scale was applied to score pain. T-test was conducted on mean and standard deviation of pain score before treatment （4.09 ＋ 0.82） and after treatment （1.14 ＋ 1.33）, showing that the difference was significant （P〈0.05）; t-test was also conducted on mean and standard deviation of serum UA before treatment [（555.34 ＋ 53.09） pmol/L] and after treatment [（414.23 ＋ 67.04） pmol/L], showing that the difference was significant （P〈0.05）; among the 35 patients with acute gouty arthritis, 14 patients were cured （40.0%）, improvement was found in 19 patients （54.3%）, and effectiveness was found in 33 patients （94.3%）. Based on follow-up visit for 3 months in 33 patients with efficacy, recurrence was found in 3 patients （9.1%）. Conclusion Fire needling and bloodletting at cleft points is an effective method in treatment of acute gouty arthritis with significant analgesic effect, efficacy of reducing serum UA, high cure rate and low recurrence rate, which is worth of being generalized clinically.展开更多
Aim To assess simultaneously various risk states of a system. Methods\ Using the catastrophe and fuzzy theory, the energy and uncertainty in a system are set as two control variables and the function of the system is...Aim To assess simultaneously various risk states of a system. Methods\ Using the catastrophe and fuzzy theory, the energy and uncertainty in a system are set as two control variables and the function of the system is used as the state variable for analysis. Results and Conclusion\ A risk analysis model named the cusp model is presented. Various states regarding the safety of the system such as the accident state, no accident state and miss state can be represented at will on the cusp model.展开更多
文摘Background: In developing countries, charity cleft surgical mission is always operated by sporadic surgical teams without systematic follow up and quality assurance. In the past few decades, many mission projects have been held regularly in China. The purpose of this audit was a retrospective analysis of a 9-year cleft lip and palate charity project operated in a tertiary hospital in China Shenzhen Area to evaluate perioperative and postoperative complications. Nevertheless, understanding the risk profile is essential for establishing a sustainable in-house cleft service in Shenzhen. Methods: A detailed analysis of hospital centralized record in the The University of Hong Kong-Shenzhen Hospital (HKUSZH) was reviewed since the first charity project held in 2015. The parameters of this audit were focused on perioperative complications including anesthesia related problems, early postoperative complications in patients who underwent primary or secondary cleft surgeries. A total of 430 consecutive admitted cases of 311 non-syndromic cleft lip & palate patients were enrolled into the charity project from June 2015 to July 2024. The main anesthesia related complications that occurred during general anesthesia were respiratory tract problems, while intraoperative complication was excessive bleeding, so as wound local infection and reaction were the main early postoperative complications. Results: In our 9-year clinical audit of 430 cleft lip and palate charity surgeries in Shenzhen, we observed no mortalities and a anesthesia-related complication rate of 1.16%. Specific intraoperative complications included excessive bleeding, while early postoperative issues were dominated by wound infections. The fistula rate of 18.7% post palate repair and the average hospital stay of 3.71 days complete the profile of our surgical outcomes. These data underscore the project’s efficacy and offer a reference for international cleft missions aiming for safe and efficient surgical care. Conclusions: This study provides a thorough data review of the complications in the past 9 years charity missions for cleft lip and palate surgery in a well-structured hospital infrastructure and logistic support by local surgical team. There were no perioperative or postoperative death during the study period and the overall short-term complication rate was low. Therefore, it could be a reference model for other international cleft mission in developing country for a safe and efficient service in future.
基金sponsored by the National Key Research and Development Program of China(Nos.2020YFC2201100 and 2021YFE0116000)National Natural Science Foundation of China(Nos.12175032,12102082,12275044,52372373 and 12211530449)+4 种基金the Fundamental Research Funds for the Central Universities(Nos.DUT22GF305 and DUT22QN232)S&T Program of Hebei Province(Nos.YCYZ202201 and 216Z1901G)S&T Innovation Program of Hebei Province(Nos.SJMYF2022X18 and SJMYF2022X 06)Beijing Nova Program(No.20240484718)Langfang Science and Technology Program(No.2022011039).
文摘A new magnetic field configuration is proposed by introducing a cusped field to the helicon plasma thruster(HPT),and the effects of the cusped field on the discharge characteristics of the HPT are investigated.The experimental results show that the thruster can still achieve a stable W mode discharge with the additional cusped field,while the discharge conditions have been changed so that a higher RF power is required to achieve the W mode under the same experimental conditions.However,the ion density in the plume region is increased by at least one order of magnitude and the ion flux density is increased by a factor of 4 to 5.The ionization enhancement is attributed to the change in magnetic field configuration,which improves the energy coupling efficiency and the ability to confine charged particles(particularly electrons).This magnetic confinement could employ more electrons to ionize the working medium atoms,and the ionization rate is enhanced.The increase in ion density leads to a reduction in the energy available for ion acceleration,resulting in a slight decrease in ion energy.
基金Supported in part by the Natural Science Foundation of Henan Youth Foundation(Grant No.222300420034)National Natural Science Foundation of China(Grant No.11871193).
文摘Let f be a Hecke eigenform of even integral weight k for the full modular group SL_(2)(Z).Denote byλ_(f)(n)the n th normalized coefficient of f.The sum of Fourier coefficients of cusp form over the quadratic polynomial m^(2)+n^(2) is considered,i.e.,∑_( m^( 2)+n^( 2))≤λ^(2)_( f)(m^(2)+n^(2))=CX+O(X ^(337/491+ϵ)),here X large enough and C is a constant.
文摘Cleft palate is a common congenital malformation of the maxillofacial region,and its postoperative speech disorders(such as hypernasality,nasal emission,and articulation errors)can significantly impact patients’communication abilities and psychological well-being.Traditional speech-language therapy faces challenges such as insufficient personalization of training methods,limited scenarios,and low patient compliance,making it inadequate for long-term rehabilitation needs.The innovative intervention model of a mobile interactive platform combined with games and picture books,through immersive experiences,instant feedback,and engaging designs,holds promise for enhancing patient participation and overall treatment outcomes.Therefore,this paper provides a comprehensive review from five perspectives:the pathological mechanisms and treatment needs of cleft palate speech disorders,the advantages of games and picture books as carriers in cleft palate speech therapy,the technological implementation of mobile interactive platforms,clinical application effects,and current challenges and limitations.The aim is to offer valuable insights for clinical practice and technological development in cleft palate speech rehabilitation.
基金funded by grants from the National Natural Science Foundation of China(grant numbers 82170912 and 82370910)the Beijing Stomatological Hospital,Capital Medical University Young Scientist Program(No.YSP202404).
文摘Periodontal disease is a risk factor for many systemic diseases such as Alzheimer’s disease and adverse pregnancy outcomes.Cleft palate(CP),the most common congenital craniofacial defect,has a multifaceted etiology influenced by complex genetic and environmental risk factors such as maternal bacterial or virus infection.A prior case-control study revealed a surprisingly strong association between maternal periodontal disease and CP in offspring.However,the precise relationship remains unclear.In this study,the relationship between maternal oral pathogen and CP in offspring was studied by sonicated P.gingivalis injected intravenously and orally into pregnant mice.We investigated an obvious increasing CP(12.5%)in sonicated P.gingivalis group which had inhibited osteogenesis in mesenchyme and blocked efferocytosis in epithelium.Then glycolysis and H4K12 lactylation(H4K12la)were detected to elevate in both mouse embryonic palatal mesenchyme(MEPM)cells and macrophages under P.gingivalis exposure which further promoted the transcription of metallopeptidase domain17(ADAM17),subsequently mediated the shedding of transforming growth factor-beta receptor 1(TGFBR1)in MEPM cells and mer tyrosine kinase(MerTK)in macrophages and resulted in the suppression of efferocytosis and osteogenesis in palate,eventually caused abnormalities in palate fusion and ossification.The abnormal efferocytosis also led to a predominance of M1 macrophages,which indirectly inhibited palatal osteogenesis via extracellular vesicles.Furthermore,pharmacological ADAM17 inhibition could ameliorate the abnormality of P.gingivalis-induced abnormal palate development.Therefore,our study extends the knowledge of how maternal oral pathogen affects fetal palate development and provides a novel perspective to understand the pathogenesis of CP.
文摘Objective To observe the clinical efficacy of fire needling and bloodletting at cleft points for acute gouty arthritis, and to explore its functional mechanism. Methods Thirty-five patients with acute gouty arthritis were enrolled into this study, and fire needling and bloodletting with 10 mL/ time were applied at cleft points of corresponding meridians and collaterals at the affected side. The treatment was conducted for once every other day, and treatment for three consecutive times was needed. Serum uric acid （UA） and pain score were tested in patients before treatment and on the 6th day after treatment, follow-up visit for 3 months was performed in patients who stopped treatment, and recurrence rate was calculated. Results Budzyuski 6-point behavioral rating scale was applied to score pain. T-test was conducted on mean and standard deviation of pain score before treatment （4.09 ＋ 0.82） and after treatment （1.14 ＋ 1.33）, showing that the difference was significant （P〈0.05）; t-test was also conducted on mean and standard deviation of serum UA before treatment [（555.34 ＋ 53.09） pmol/L] and after treatment [（414.23 ＋ 67.04） pmol/L], showing that the difference was significant （P〈0.05）; among the 35 patients with acute gouty arthritis, 14 patients were cured （40.0%）, improvement was found in 19 patients （54.3%）, and effectiveness was found in 33 patients （94.3%）. Based on follow-up visit for 3 months in 33 patients with efficacy, recurrence was found in 3 patients （9.1%）. Conclusion Fire needling and bloodletting at cleft points is an effective method in treatment of acute gouty arthritis with significant analgesic effect, efficacy of reducing serum UA, high cure rate and low recurrence rate, which is worth of being generalized clinically.
文摘Aim To assess simultaneously various risk states of a system. Methods\ Using the catastrophe and fuzzy theory, the energy and uncertainty in a system are set as two control variables and the function of the system is used as the state variable for analysis. Results and Conclusion\ A risk analysis model named the cusp model is presented. Various states regarding the safety of the system such as the accident state, no accident state and miss state can be represented at will on the cusp model.
