The combination of immunotherapy and chemotherapy is regarded as a promising approach for the treatment of certain types of cancer. However, the underlying mechanisms need to be fully investigated to guide the design ...The combination of immunotherapy and chemotherapy is regarded as a promising approach for the treatment of certain types of cancer. However, the underlying mechanisms need to be fully investigated to guide the design of more efficient protocols for cancer chemoimmunotherapy. It is well known that danger-associated molecular patterns （DAMPs） can activate immune cells, including dendritic cells （DCs）, via Toll-like receptors （TLRs）; however, the role of DAMPs released from chemical drug-treated tumor cells in the activation of the immune response needs to be further elucidated. Here, we found that colorectal cancer （CRC） cells treated with oxaliplatin （OXA） and/or 5-fluorouracil （5-Fu） released high levels of high-mobility group box 1 （HMGB1） and heat shock protein 70 （HSP70）. After OXA/5-Fu therapy, the sera of CRC patients also exhibited increased levels of HMGB1 and HSP70, both of which are well-known DAMPs. The supernatants of dying CRC cells treated with OXA/5-Fu promoted mouse and human DC maturation, with upregulation of HLA-DR, CD80 and CD86 expression and enhancement of IL-lp, TNF-a, MIP-la, MIP-lp, RANTES and IP-IO production. Vaccines composed of DCs pulsed with the supernatants of chemically stressed CRC cells induced a more significant IFN-y-producing Thl response both in vitroand in vivo. However, the supernatants of chemically stressed CRC cells failed to induce phenotypic maturation and cytokine production in TLR4-deficient DCs, indicating an essential role of TLR4 in DAMP-induced DC maturation and activation. Furthermore, pulsing with the supernatants of chemically stressed CRC cells did not efficiently induce an IFN-y-producing Thl response in TLR4-deficient DCs. Collectively, these results demonstrate that DAMPs released from chemically stressed cancer cells can activate DCs viaTLR4 and enhance the induction of an anti-tumor T-cell immune response, delineating a clinically relevant immuno-adjuvant pathway triggered by DAMPs.展开更多
Ocean energy has progressively gained considerable interest due to its sufficient potential to meet the world’s energy demand,and the blade is the core component in electricity generation from the ocean current.Howev...Ocean energy has progressively gained considerable interest due to its sufficient potential to meet the world’s energy demand,and the blade is the core component in electricity generation from the ocean current.However,the widened hydraulic excitation frequency may satisfy the blade resonance due to the time variation in the velocity and angle of attack of the ocean current,even resulting in blade fatigue and destructively interfering with grid stability.A key parameter that determines the resonance amplitude of the blade is the hydrodynamic damping ratio(HDR).However,HDR is difficult to obtain due to the complex fluid-structure interaction(FSI).Therefore,a literature review was conducted on the hydrodynamic damping characteristics of blade-like structures.The experimental and simulation methods used to identify and obtain the HDR quantitatively were described,placing emphasis on the experimental processes and simulation setups.Moreover,the accuracy and efficiency of different simulation methods were compared,and the modal work approach was recommended.The effects of key typical parameters,including flow velocity,angle of attack,gap,rotational speed,and cavitation,on the HDR were then summarized,and the suggestions on operating conditions were presented from the perspective of increasing the HDR.Subsequently,considering multiple flow parameters,several theoretical derivations and semi-empirical prediction formulas for HDR were introduced,and the accuracy and application were discussed.Based on the shortcomings of the existing research,the direction of future research was finally determined.The current work offers a clear understanding of the HDR of blade-like structures,which could improve the evaluation accuracy of flow-induced vibration in the design stage.展开更多
OBJECTIVE:To evaluate the 10-year therapeutic efficacy of Traditional Chinese Medicine(TCM)using the Strengthening Spleen and Draining Dampness therapy in the management of idiopathic membranous nephropathy(IMN).METHO...OBJECTIVE:To evaluate the 10-year therapeutic efficacy of Traditional Chinese Medicine(TCM)using the Strengthening Spleen and Draining Dampness therapy in the management of idiopathic membranous nephropathy(IMN).METHODS:A single-center,retrospective analysis was conducted on patients diagnosed with IMN who met predefined inclusion and exclusion criteria.Data were collected from the Department of Nephrology at Longhua Hospital,affiliated with Shanghai University of Traditional Chinese Medicine,between January 2007 and December 2011.Clinical parameters including 24-h urinary protein,serum albumin,serum creatinine,and estimated glomerular filtration rate(e GFR,EPI)were assessed at baseline and at 1,3,5,and 10 years of follow-up.The efficacy of the Strengthening Spleen and Draining Dampness therapy was analyzed using repeated measures analysis of variance(ANOVA).Kaplan-Meier survival curves and multivariate proportional hazards model(Cox regression models)were employed to identify factors associated with treatment outcomes.RESULTS:A total of 265 patients were included,with a median follow-up duration of 96 months(36,122).TCM treatment significantly reduced 24-h urinary protein levels(P<0.001),and increased serum albumin levels(P<0.001),while serum creatinine remained stable(P=0.187).Remission rates at 1,3,5,and 10 years were 52.81%,69.71%,68.39%,and 72.36%,respectively,and the rates of avoiding composite outcome events at the same intervals were 98.27%,94.29%,94.19%,and 93.50%.In the subgroup receiving TCM only,remission rates were 56.67%,84.44%,76.32%,and 82.86%.For patients treated initially with Western Medicine followed by TCM,the rates were 52.83%,65.85%,67.47%and 67.75%.In the cohort of patients who received TCM as their first-line therapy,remission rates were 49.23%,62.50%,61.76%,and 69.23%.Multivariate Cox regression analysis revealed that the duration of TCM treatment[hazard ratio(HR)=0.826,95%confidence interval(CI)(0.779,0.876),P<0.001],presence of hypertension[HR=1.912,95%CI(1.181,3.094),P=0.008],baseline serum albumin level[HR=0.930,95%CI(0.894,0.969),P<0.001],and the rate of serum albumin increase within the first year of treatment[HR=0.930,95%CI(0.909,0.957),P<0.001]were significantly associated with clinical outcomes.CONCLUSION:The Strengthening Spleen and Draining Dampness therapy demonstrated robust short-and longterm efficacy in treating IMN,with high rates of remission and renal survival over 10 years.Key factors influencing clinical remission included the duration of TCM treatment,baseline serum albumin levels,the presence of hypertension,and the rate of increase in serum albumin within the first year.These findings suggest that this TCM approach provides a viable long-term treatment option for IMN.展开更多
OBJECTIVE:To reach consensus on the diagnostic criteria of syndrome of dampness obstruction in idiopathic membranous nephropathy(IMN)patients by literature research and expert investigation(interviews and a Delphi met...OBJECTIVE:To reach consensus on the diagnostic criteria of syndrome of dampness obstruction in idiopathic membranous nephropathy(IMN)patients by literature research and expert investigation(interviews and a Delphi method).METHODS:Our study was consistent with T/CACM 1336-2020.We searched the monographs and references published in the past 40 years(1983-2022),and established the diagnostic criteria pool of waterdampness syndrome and dampness-turbidity syndrome in Traditional Chinese Medicine(TCM)based on literature by using frequency statistics and correlation analysis.Expert investigation(interview method and two rounds of Delphi method)was used to form the diagnostic criteria of water-dampness syndrome and dampnessturbidity syndrome of idiopathic membranous nephropathy.Clinical diagnostic test research was carried out,and compared with“Diagnostic Criteria for dampness syndrome”(T/CACM 1454-2023)to evaluate the authenticity,reliability and clinical application value of the standard.RESULTS:A total of 122 relevant guides,standards,monographs and documents were included through searching books and Chinese databases.Four experts were interviewed and two rounds of delphi method(75 experts nationwide)were carried out.The experts'opinions are relatively concentrated and the differences are small.Based on the weight of each index,the diagnostic criteria indexes of water-dampness syndrome and dampness-turbidity syndrome were selected.After discussion by the core group members,the diagnostic model of"necessary symptoms and optional symptoms"was established,and the final diagnostic criteria of waterdampness syndrome and dampness-turbidity syndrome were established.One hundred and ninety-one inpatients and outpatients of Guangdong Provincial Hospital of Chinese Medicine from January 2021 to February 2023 were included in Diagnostic test study.There was no statistical difference in gender,age and course of disease(P>0.05).The sensitivity and specificity of the trial standard were 90.34%and 73.33%respectively,while the sensitivity and specificity of T/CACM 1454-2023 were 99.43%and 6.67%,respectively.CONCLUSIONS:The consensus-based diagnostic criteria for IMN can be widely incorporated in TCM.A further clinical study will be conducted to analyze the diagnosis value and cut-off score of our IMN criteria.展开更多
The inflammatory bowel disease(IBD),including Crohn’s disease(CD)and ulcerative colitis,are chronic,relapsing immune mediated disorders of the gastrointestinal homeostasis and intestinal inflammation[1].Failure to re...The inflammatory bowel disease(IBD),including Crohn’s disease(CD)and ulcerative colitis,are chronic,relapsing immune mediated disorders of the gastrointestinal homeostasis and intestinal inflammation[1].Failure to resolve mucosal inflammation and maintain gut barrier are notable shared clinical challenges in IBD,in particular when they activate immune cells within the gut lamia propria.Clinical trials and animal model studies aiming towards DAMPs have demonstrated that they can be effective therapeutic targets in mucosal inflammation of IBD.展开更多
This paper introduces damping amplifier friction vibration absorbers(DAFVAs),compound damping amplifier friction vibration absorbers(CDAFVAs),nested damping amplifier friction vibration absorbers(NDAFVAs),and levered ...This paper introduces damping amplifier friction vibration absorbers(DAFVAs),compound damping amplifier friction vibration absorbers(CDAFVAs),nested damping amplifier friction vibration absorbers(NDAFVAs),and levered damping amplifier friction vibration absorbers(LDAFVAs)for controlling the structural vibrations and addressing the limitations of conventional tuned mass dampers(TMDs)and frictiontuned mass dampers(FTMDs).The closed-form analytical solution for the optimized design parameters is obtained using the H_(2)and H_(∞)optimization approaches.The efficiency of the recently established closed-form equations for the optimal design parameters is confirmed by the analytical examination.The closed form formulas for the dynamic responses of the main structure and the vibration absorbers are derived using the transfer matrix formulations.The foundation is provided by the harmonic and random-white noise excitations.Moreover,the effectiveness of the innovative dampers has been validated through numerical analysis.The optimal DAFVAs,CDAFVAs,NDAFVAs,and LDAFVAs exhibit at least 30%lower vibration reduction capacity compared with the optimal TMD.To demonstrate the effectiveness of the damping amplification mechanism,the novel absorbers are compared with a conventional FTMD.The results show that the optimized novel absorbers achieve at least 91%greater vibration reduction than the FTMD.These results show how the suggested designs might strengthen the structure's resilience to dynamic loads.展开更多
Modularfiloating structures(MFS)offer a sustainable pathway towards the expansion of coastal cities in adaptation tofilooding and sea level rise driven by climate change.It is therefore necessary to develop analytical...Modularfiloating structures(MFS)offer a sustainable pathway towards the expansion of coastal cities in adaptation tofilooding and sea level rise driven by climate change.It is therefore necessary to develop analytical methods easily accessible to architects or structural engineers for the rapid prototyping of MFS designs.This work develops novel closed‑form expressions describing the rigid body dynamics of symmetrically loaded rectangular pontoons across all six degrees of freedom(DOF)excited by surface waves approaching from any arbitrary direction.The derivations were based on Airy wave theory assuming frequency‑independent added mass and damping.When benchmarked against numerical solutions from ANSYS/AQWA for two MFS prototypes,the analytical approach proved capable of predicting the response amplitude operators(RAO)across all DOFs,wave directions,and structural confiigurations.However,while the response of mass‑dominated DOFs(surge,sway,and yaw)were well captured,the damping ratio for stiffness‑dominated DOFs(heave,roll,and pitch)must be judiciously selected to yield accurate RAO results.A parametric investigation further elucidated the contribution of structural geometry and wave directionality on the critical accelerations experienced by an idealizedfiloating structure founded upon a square pontoon under realistic sea states.It was discovered that the largest accelerations were triggered by waves approaching orthogonally to the pontoon.Ultimately,this work facilitates a more streamlined approach for the dynamic analysis of compliantfiloating bodies to supplement detailed modeling efforts via numerical methods.展开更多
On the basis of the model tests,this paper explores the coupled hydrodynamic performance of the moonpool and the hull.This study aims to compare and analyze the variation in the hull heave response between the piston ...On the basis of the model tests,this paper explores the coupled hydrodynamic performance of the moonpool and the hull.This study aims to compare and analyze the variation in the hull heave response between the piston resonance state of the moonpool under wave excitation and the non-resonance state of the moonpool under wave-current excitation.A novel damping device specifically designed and fabricated for stepped moonpools has been developed.Before and after the installation of the damping device,the free surface response characteristics of the moonpool and heave motion response characteristics of the hull are compared.The findings show a clear correlation between the current speed and heave response characteristics of the hull.During the seakeeping design phase of the drilling vessel,the current speed is an additional critical factor that cannot be disregarded,alongside the moonpool effect.A correlation exists between the fluid dynamics occurring within the moonpool and the heave motion of the vessel hull.A reduction in the amplitude of the motion of the moonpool water results in a decrease in the heave motion of the hull.This study provides a reference for alleviating the seakeeping of a drill ship’s heave response and enhancing the safety and efficiency of the operation.展开更多
This paper investigates the impact of the model top and damping layer on the numerical simulation of tropical cyclones(TCs)and reveals the significant role of stratospheric gravity waves(SGWs).TCs can generate SGWs,wh...This paper investigates the impact of the model top and damping layer on the numerical simulation of tropical cyclones(TCs)and reveals the significant role of stratospheric gravity waves(SGWs).TCs can generate SGWs,which propagate upward and outward into the stratosphere.These SGWs can reach the damping layer,which is a consequence of the numerical scheme employed,where they can affect the tangential circulation through the dragging and forcing processes.In models with a higher top boundary,this tangential circulation develops far from the TC and has minimal direct impact on TC intensity.By comparison,in models with a lower top(e.g.,20 km),the damping layer is located just above the top of the TC.The SGW dragging in the damping layer and the consequent tangential force can thus induce ascent outside the eyewall,promote latent heat release,tilt the eyewall,and enlarge the inner-core radius.This process will reduce inner-core vorticity advection within the boundary layer,and eventually inhibits the intensification of the TC.This suggests that when the thickness of the damping layer is 5 km,the TC numerical model top height should be at least higher than 20 km to generate more accurate simulations.展开更多
In this article,the global attractors of 2D g-Navier-Stokes equations are obtained in the space of C_(Hg) and CVg respectively.When the external force f is sufficiently small,the studies indicate that the global attra...In this article,the global attractors of 2D g-Navier-Stokes equations are obtained in the space of C_(Hg) and CVg respectively.When the external force f is sufficiently small,the studies indicate that the global attractor in C_(Hg) is equal to the global attractor in C_(Vg).展开更多
Not many 17‑year‑old girls know how to join two pipes together or light the pilot light.These are skills I have learned over the past five years as an assistant to my plumber dad.This summer job demands an attitude of...Not many 17‑year‑old girls know how to join two pipes together or light the pilot light.These are skills I have learned over the past five years as an assistant to my plumber dad.This summer job demands an attitude of perseverance and grace that I frequently struggle to adopt.Each humid morning,my dad and I drag awkward and heavy toolboxes into people's dark and damp basements where I usually get lost in mazes of storage boxes.Nevertheless,I stick to it.I am the plumber's daughter and helper.展开更多
For the solution of peridynamic equations of motion,a meshless approach is typically used instead of utilizing semi-analytical or mesh-based approaches.In contrast,the literature has limited analytical solutions.This ...For the solution of peridynamic equations of motion,a meshless approach is typically used instead of utilizing semi-analytical or mesh-based approaches.In contrast,the literature has limited analytical solutions.This study develops a novel analytical solution for one-dimensional peridynamic models,considering the effect of damping.After demonstrating the details of the analytical solution,various demonstration problems are presented.First,the free vibration of a damped system is considered for under-damped and critically damped conditions.Peridynamic solutions and results from the classical theory are compared against each other,and excellent agreement is observed between the two approaches.Next,forced vibration analyses of undamped and damped conditions are performed.In addition,the effect of horizon size is investigated.It is shown that for smaller horizon sizes,peridynamic results agree well with classical results,whereas results from these two approaches deviate from each other as the horizon size increases.展开更多
The Fe–Mn damping alloys possess considerable damping capacity,but their yield strength is rather low.The 800 MPa Fe–Mn alloy with expected damping capacity was designed by the combination of grain refinement and ε...The Fe–Mn damping alloys possess considerable damping capacity,but their yield strength is rather low.The 800 MPa Fe–Mn alloy with expected damping capacity was designed by the combination of grain refinement and ε-martensite introduction.The yield strength can be greatly raised to around 700 MPa by refining grain size from 88.4 to 1.8μm.Although there exist numerous stacking faults in the fine-grained alloy,the damping capacity is strongly deteriorated due to the suppression of thermally activated ε-martensite.We demonstrate that the stacking faults cannot provide effective contribution to damping capacity and hence introduce a considerable volume fraction of stress/strain-induced ε-martensite to raise damping sources,including ε-martensite and γ/ε interfaces,etc.,by a small pre-strain.From this,the damping capacity can be improved,and the yield strength can be further enhanced from nearly 700 MPa to around 800 MPa.Thus,the combination of high yield strength and good damping capacity is realized.展开更多
Fissured clays exhibit unique geotechnical behaviors,with the stiffness characteristics evolving dynamically in response to environmental changes.To address this issue,reported here is a systematic assessment of how d...Fissured clays exhibit unique geotechnical behaviors,with the stiffness characteristics evolving dynamically in response to environmental changes.To address this issue,reported here is a systematic assessment of how dryingewetting(DW)cycles affect the small-strain stiffness characteristics of fissured clay.Resonant column tests are taken to examine the nonlinear attenuation behavior of the small-strain shear modulus(SSSM)and damping ratio of fissured clay under various DW cycle and consolidation pressure(25e200 kPa)conditions.Scanning electron microscopy(SEM)and computed tomography(CT)are employed to reveal the microstructure of fissured clay.The HardineDrnevich(H-D)model is used to describe the decay law of its SSSM,and the small strain stiffness characteristics of fissured soil are analyzed in view of damage mechanics.The results show that the SSSM of the fissured clay decreases as the DWcycles increase,with the greatest attenuation at original soil state.The damping ratio exhibits an incremental trend with escalating strain and a higher number of DW cycles.Regarding damage,DW cycles can lead to the formation of microcracks in the sample,and the aggregates disperse into smaller aggregates,which then aggregates again,resulting in structural damage.The damage variables of the samples under various confining pressures and DW cycles are analyzed based on the principle of strain damage.Finally,the volume changes and the distribution of different pore sizes obtained through CT are analyzed to investigate the stiffness attenuation under DW cycles.Additionally,the study examines the propagation direction of secondary cracks induced by primary fissures,which will play an important role in reduction of the stiffness.Our investigations contribute to understanding of soil mechanics and practical applications in areas where fissured clay is prevalent.展开更多
The outstanding comprehensive mechanical properties of newly developed hybrid lattice structures make them useful in engineering applications for bearing multiple mechanical loads.Additive-manufacturing technologies m...The outstanding comprehensive mechanical properties of newly developed hybrid lattice structures make them useful in engineering applications for bearing multiple mechanical loads.Additive-manufacturing technologies make it possible to fabricate these highly spatially programmable structures and greatly enhance the freedom in their design.However,traditional analytical methods do not sufficiently reflect the actual vibration-damping mechanism of lattice structures and are limited by their high computational cost.In this study,a hybrid lattice structure consisting of various cells was designed based on quasi-static and vibration experiments.Subsequently,a novel parametric design method based on a data-driven approach was developed for hybrid lattices with engineered properties.The response surface method was adopted to define the sensitive optimization target.A prediction model for the lattice geometric parameters and vibration properties was established using a backpropagation neural network.Then,it was integrated into the genetic algorithm to create the optimal hybrid lattice with varying geometric features and the required wide-band vibration-damping characteristics.Validation experiments were conducted,demonstrating that the optimized hybrid lattice can achieve the target properties.In addition,the data-driven parametric design method can reduce computation time and be widely applied to complex structural designs when analytical and empirical solutions are unavailable.展开更多
文摘The combination of immunotherapy and chemotherapy is regarded as a promising approach for the treatment of certain types of cancer. However, the underlying mechanisms need to be fully investigated to guide the design of more efficient protocols for cancer chemoimmunotherapy. It is well known that danger-associated molecular patterns （DAMPs） can activate immune cells, including dendritic cells （DCs）, via Toll-like receptors （TLRs）; however, the role of DAMPs released from chemical drug-treated tumor cells in the activation of the immune response needs to be further elucidated. Here, we found that colorectal cancer （CRC） cells treated with oxaliplatin （OXA） and/or 5-fluorouracil （5-Fu） released high levels of high-mobility group box 1 （HMGB1） and heat shock protein 70 （HSP70）. After OXA/5-Fu therapy, the sera of CRC patients also exhibited increased levels of HMGB1 and HSP70, both of which are well-known DAMPs. The supernatants of dying CRC cells treated with OXA/5-Fu promoted mouse and human DC maturation, with upregulation of HLA-DR, CD80 and CD86 expression and enhancement of IL-lp, TNF-a, MIP-la, MIP-lp, RANTES and IP-IO production. Vaccines composed of DCs pulsed with the supernatants of chemically stressed CRC cells induced a more significant IFN-y-producing Thl response both in vitroand in vivo. However, the supernatants of chemically stressed CRC cells failed to induce phenotypic maturation and cytokine production in TLR4-deficient DCs, indicating an essential role of TLR4 in DAMP-induced DC maturation and activation. Furthermore, pulsing with the supernatants of chemically stressed CRC cells did not efficiently induce an IFN-y-producing Thl response in TLR4-deficient DCs. Collectively, these results demonstrate that DAMPs released from chemically stressed cancer cells can activate DCs viaTLR4 and enhance the induction of an anti-tumor T-cell immune response, delineating a clinically relevant immuno-adjuvant pathway triggered by DAMPs.
基金Supported by the National Natural Science Foundation of China(Nos.52222904 and 52309117)China Postdoctoral Science Foundation(Nos.2022TQ0168 and 2023M731895).
文摘Ocean energy has progressively gained considerable interest due to its sufficient potential to meet the world’s energy demand,and the blade is the core component in electricity generation from the ocean current.However,the widened hydraulic excitation frequency may satisfy the blade resonance due to the time variation in the velocity and angle of attack of the ocean current,even resulting in blade fatigue and destructively interfering with grid stability.A key parameter that determines the resonance amplitude of the blade is the hydrodynamic damping ratio(HDR).However,HDR is difficult to obtain due to the complex fluid-structure interaction(FSI).Therefore,a literature review was conducted on the hydrodynamic damping characteristics of blade-like structures.The experimental and simulation methods used to identify and obtain the HDR quantitatively were described,placing emphasis on the experimental processes and simulation setups.Moreover,the accuracy and efficiency of different simulation methods were compared,and the modal work approach was recommended.The effects of key typical parameters,including flow velocity,angle of attack,gap,rotational speed,and cavitation,on the HDR were then summarized,and the suggestions on operating conditions were presented from the perspective of increasing the HDR.Subsequently,considering multiple flow parameters,several theoretical derivations and semi-empirical prediction formulas for HDR were introduced,and the accuracy and application were discussed.Based on the shortcomings of the existing research,the direction of future research was finally determined.The current work offers a clear understanding of the HDR of blade-like structures,which could improve the evaluation accuracy of flow-induced vibration in the design stage.
基金Supported by the National Key Research and Development Project,Clinical Study on the Treatment of Refractory Membranous Nephropathy with the Treatment of Strengthening Spleen and Draining Dampness in Method using Single Group Target Value Method(No.2019YFC1709403)Systematic Study on the Diagnosis and Treatment Rules of Membranous Nephropathy in Traditional Chinese Medicine(No.2023YFC35033501,No.2023YFC35033503)。
文摘OBJECTIVE:To evaluate the 10-year therapeutic efficacy of Traditional Chinese Medicine(TCM)using the Strengthening Spleen and Draining Dampness therapy in the management of idiopathic membranous nephropathy(IMN).METHODS:A single-center,retrospective analysis was conducted on patients diagnosed with IMN who met predefined inclusion and exclusion criteria.Data were collected from the Department of Nephrology at Longhua Hospital,affiliated with Shanghai University of Traditional Chinese Medicine,between January 2007 and December 2011.Clinical parameters including 24-h urinary protein,serum albumin,serum creatinine,and estimated glomerular filtration rate(e GFR,EPI)were assessed at baseline and at 1,3,5,and 10 years of follow-up.The efficacy of the Strengthening Spleen and Draining Dampness therapy was analyzed using repeated measures analysis of variance(ANOVA).Kaplan-Meier survival curves and multivariate proportional hazards model(Cox regression models)were employed to identify factors associated with treatment outcomes.RESULTS:A total of 265 patients were included,with a median follow-up duration of 96 months(36,122).TCM treatment significantly reduced 24-h urinary protein levels(P<0.001),and increased serum albumin levels(P<0.001),while serum creatinine remained stable(P=0.187).Remission rates at 1,3,5,and 10 years were 52.81%,69.71%,68.39%,and 72.36%,respectively,and the rates of avoiding composite outcome events at the same intervals were 98.27%,94.29%,94.19%,and 93.50%.In the subgroup receiving TCM only,remission rates were 56.67%,84.44%,76.32%,and 82.86%.For patients treated initially with Western Medicine followed by TCM,the rates were 52.83%,65.85%,67.47%and 67.75%.In the cohort of patients who received TCM as their first-line therapy,remission rates were 49.23%,62.50%,61.76%,and 69.23%.Multivariate Cox regression analysis revealed that the duration of TCM treatment[hazard ratio(HR)=0.826,95%confidence interval(CI)(0.779,0.876),P<0.001],presence of hypertension[HR=1.912,95%CI(1.181,3.094),P=0.008],baseline serum albumin level[HR=0.930,95%CI(0.894,0.969),P<0.001],and the rate of serum albumin increase within the first year of treatment[HR=0.930,95%CI(0.909,0.957),P<0.001]were significantly associated with clinical outcomes.CONCLUSION:The Strengthening Spleen and Draining Dampness therapy demonstrated robust short-and longterm efficacy in treating IMN,with high rates of remission and renal survival over 10 years.Key factors influencing clinical remission included the duration of TCM treatment,baseline serum albumin levels,the presence of hypertension,and the rate of increase in serum albumin within the first year.These findings suggest that this TCM approach provides a viable long-term treatment option for IMN.
基金the Special Project of State Key Laboratory of Dampness Syndrome of Chinese Medicine:Study on Criteria for Diagnosis of Dampness Syndrome of Idiopathic Membranous Nephropathy,Cohort Study on Pathogenesis and Material Basis of Dampness Syndrome of Idiopathic Membranous Nephropathy,Randomized Controlled Clinical Study of Sanqi Qushi Granule in Treatment of Membranous Nephropathy(No.SZ2021ZZ02,SZ2021ZZ09 and SZ2021ZZ36)the 2020 Guangdong Provincial Science and Technology Innovation Strategy Special Fund:Guangdong-Hong Kong-Macao Joint Lab(No.2020B1212030006)+2 种基金the Natural Science Foundation of Guangdong Province:Study on the Mechanism of Sanqi Qushi Prescription Delaying Podocellular Senescence in Membranous Nephropathy based on Cyclic Guanosine Monophosphate-Adenosine Monophosphate Synthase-Stimulator of Interferon Genes-Nuclear Factor Kappa-B Signaling Pathway(No.2022A1515011628)the Guangzhou Science and Technology Plan Project:to Explore the Mechanism of Treating Membranous Nephropathy from the Perspective of Regulating Amino Acid Metabolism Disorder(No.2023A03J0746)Special Funding for Scientific and Technological Research on Traditional Chinese Medicine,Guangdong Provincial Hospital of Chinese Medicine:a Multimodular Machine Learning Prediction Model based on Pathological Image-transcriptomics and Traditional Chinese Medicine Syndromes was Used to Investigate the Prognostic Correlation of Long non-coding RNA Molecules in Nephropathy and the Intervention Mechanism of Sanqi Qushi Formula,to Investigate the Pathogenesis and Microbiological Mechanism of Dampness Syndrome of Membranous Nephropathy based on the Microecological Changes of Tongue Coating(No.YN2023MB02,YN2023MB10)。
文摘OBJECTIVE:To reach consensus on the diagnostic criteria of syndrome of dampness obstruction in idiopathic membranous nephropathy(IMN)patients by literature research and expert investigation(interviews and a Delphi method).METHODS:Our study was consistent with T/CACM 1336-2020.We searched the monographs and references published in the past 40 years(1983-2022),and established the diagnostic criteria pool of waterdampness syndrome and dampness-turbidity syndrome in Traditional Chinese Medicine(TCM)based on literature by using frequency statistics and correlation analysis.Expert investigation(interview method and two rounds of Delphi method)was used to form the diagnostic criteria of water-dampness syndrome and dampnessturbidity syndrome of idiopathic membranous nephropathy.Clinical diagnostic test research was carried out,and compared with“Diagnostic Criteria for dampness syndrome”(T/CACM 1454-2023)to evaluate the authenticity,reliability and clinical application value of the standard.RESULTS:A total of 122 relevant guides,standards,monographs and documents were included through searching books and Chinese databases.Four experts were interviewed and two rounds of delphi method(75 experts nationwide)were carried out.The experts'opinions are relatively concentrated and the differences are small.Based on the weight of each index,the diagnostic criteria indexes of water-dampness syndrome and dampness-turbidity syndrome were selected.After discussion by the core group members,the diagnostic model of"necessary symptoms and optional symptoms"was established,and the final diagnostic criteria of waterdampness syndrome and dampness-turbidity syndrome were established.One hundred and ninety-one inpatients and outpatients of Guangdong Provincial Hospital of Chinese Medicine from January 2021 to February 2023 were included in Diagnostic test study.There was no statistical difference in gender,age and course of disease(P>0.05).The sensitivity and specificity of the trial standard were 90.34%and 73.33%respectively,while the sensitivity and specificity of T/CACM 1454-2023 were 99.43%and 6.67%,respectively.CONCLUSIONS:The consensus-based diagnostic criteria for IMN can be widely incorporated in TCM.A further clinical study will be conducted to analyze the diagnosis value and cut-off score of our IMN criteria.
基金supported by the National Natural Science Foundation of China(81571881,81772052,and 81801971)Medical Research Program of Jiangsu Commission of Health(H2018058)+1 种基金Key Project of Science Foundation of the 12th Five-Year Plan(BNJ13J002)Postgraduate Research&Practice Innovation Program of Jiangsu Province(KYCX19＿0052)
文摘The inflammatory bowel disease(IBD),including Crohn’s disease(CD)and ulcerative colitis,are chronic,relapsing immune mediated disorders of the gastrointestinal homeostasis and intestinal inflammation[1].Failure to resolve mucosal inflammation and maintain gut barrier are notable shared clinical challenges in IBD,in particular when they activate immune cells within the gut lamia propria.Clinical trials and animal model studies aiming towards DAMPs have demonstrated that they can be effective therapeutic targets in mucosal inflammation of IBD.
基金the postdoctoral research grant received from the University of Glasgow for the partial financial support for this research work。
文摘This paper introduces damping amplifier friction vibration absorbers(DAFVAs),compound damping amplifier friction vibration absorbers(CDAFVAs),nested damping amplifier friction vibration absorbers(NDAFVAs),and levered damping amplifier friction vibration absorbers(LDAFVAs)for controlling the structural vibrations and addressing the limitations of conventional tuned mass dampers(TMDs)and frictiontuned mass dampers(FTMDs).The closed-form analytical solution for the optimized design parameters is obtained using the H_(2)and H_(∞)optimization approaches.The efficiency of the recently established closed-form equations for the optimal design parameters is confirmed by the analytical examination.The closed form formulas for the dynamic responses of the main structure and the vibration absorbers are derived using the transfer matrix formulations.The foundation is provided by the harmonic and random-white noise excitations.Moreover,the effectiveness of the innovative dampers has been validated through numerical analysis.The optimal DAFVAs,CDAFVAs,NDAFVAs,and LDAFVAs exhibit at least 30%lower vibration reduction capacity compared with the optimal TMD.To demonstrate the effectiveness of the damping amplification mechanism,the novel absorbers are compared with a conventional FTMD.The results show that the optimized novel absorbers achieve at least 91%greater vibration reduction than the FTMD.These results show how the suggested designs might strengthen the structure's resilience to dynamic loads.
文摘Modularfiloating structures(MFS)offer a sustainable pathway towards the expansion of coastal cities in adaptation tofilooding and sea level rise driven by climate change.It is therefore necessary to develop analytical methods easily accessible to architects or structural engineers for the rapid prototyping of MFS designs.This work develops novel closed‑form expressions describing the rigid body dynamics of symmetrically loaded rectangular pontoons across all six degrees of freedom(DOF)excited by surface waves approaching from any arbitrary direction.The derivations were based on Airy wave theory assuming frequency‑independent added mass and damping.When benchmarked against numerical solutions from ANSYS/AQWA for two MFS prototypes,the analytical approach proved capable of predicting the response amplitude operators(RAO)across all DOFs,wave directions,and structural confiigurations.However,while the response of mass‑dominated DOFs(surge,sway,and yaw)were well captured,the damping ratio for stiffness‑dominated DOFs(heave,roll,and pitch)must be judiciously selected to yield accurate RAO results.A parametric investigation further elucidated the contribution of structural geometry and wave directionality on the critical accelerations experienced by an idealizedfiloating structure founded upon a square pontoon under realistic sea states.It was discovered that the largest accelerations were triggered by waves approaching orthogonally to the pontoon.Ultimately,this work facilitates a more streamlined approach for the dynamic analysis of compliantfiloating bodies to supplement detailed modeling efforts via numerical methods.
基金supported by the National Natural Science Foundation of Jiangsu Province,China(Grant No.BK20231255).
文摘On the basis of the model tests,this paper explores the coupled hydrodynamic performance of the moonpool and the hull.This study aims to compare and analyze the variation in the hull heave response between the piston resonance state of the moonpool under wave excitation and the non-resonance state of the moonpool under wave-current excitation.A novel damping device specifically designed and fabricated for stepped moonpools has been developed.Before and after the installation of the damping device,the free surface response characteristics of the moonpool and heave motion response characteristics of the hull are compared.The findings show a clear correlation between the current speed and heave response characteristics of the hull.During the seakeeping design phase of the drilling vessel,the current speed is an additional critical factor that cannot be disregarded,alongside the moonpool effect.A correlation exists between the fluid dynamics occurring within the moonpool and the heave motion of the vessel hull.A reduction in the amplitude of the motion of the moonpool water results in a decrease in the heave motion of the hull.This study provides a reference for alleviating the seakeeping of a drill ship’s heave response and enhancing the safety and efficiency of the operation.
基金supported by the National Natural Science Foundation of China(Grant Nos.42475016,42192555 and 42305085)the China Postdoctoral Science Foundation(Grant No.2023M741615)the 2023 Graduate Research Innovation Project of Hunan Province(Grant No.CX20230011)。
文摘This paper investigates the impact of the model top and damping layer on the numerical simulation of tropical cyclones(TCs)and reveals the significant role of stratospheric gravity waves(SGWs).TCs can generate SGWs,which propagate upward and outward into the stratosphere.These SGWs can reach the damping layer,which is a consequence of the numerical scheme employed,where they can affect the tangential circulation through the dragging and forcing processes.In models with a higher top boundary,this tangential circulation develops far from the TC and has minimal direct impact on TC intensity.By comparison,in models with a lower top(e.g.,20 km),the damping layer is located just above the top of the TC.The SGW dragging in the damping layer and the consequent tangential force can thus induce ascent outside the eyewall,promote latent heat release,tilt the eyewall,and enlarge the inner-core radius.This process will reduce inner-core vorticity advection within the boundary layer,and eventually inhibits the intensification of the TC.This suggests that when the thickness of the damping layer is 5 km,the TC numerical model top height should be at least higher than 20 km to generate more accurate simulations.
基金Supported by the National Natural Science Foundation of China(11971378)Shaanxi Fundamental Science Research Project for Mathematics and Physics(23JSY050)Shaanxi Innovative Training Program for College Students(S202410719114)。
文摘In this article,the global attractors of 2D g-Navier-Stokes equations are obtained in the space of C_(Hg) and CVg respectively.When the external force f is sufficiently small,the studies indicate that the global attractor in C_(Hg) is equal to the global attractor in C_(Vg).
文摘Not many 17‑year‑old girls know how to join two pipes together or light the pilot light.These are skills I have learned over the past five years as an assistant to my plumber dad.This summer job demands an attitude of perseverance and grace that I frequently struggle to adopt.Each humid morning,my dad and I drag awkward and heavy toolboxes into people's dark and damp basements where I usually get lost in mazes of storage boxes.Nevertheless,I stick to it.I am the plumber's daughter and helper.
文摘For the solution of peridynamic equations of motion,a meshless approach is typically used instead of utilizing semi-analytical or mesh-based approaches.In contrast,the literature has limited analytical solutions.This study develops a novel analytical solution for one-dimensional peridynamic models,considering the effect of damping.After demonstrating the details of the analytical solution,various demonstration problems are presented.First,the free vibration of a damped system is considered for under-damped and critically damped conditions.Peridynamic solutions and results from the classical theory are compared against each other,and excellent agreement is observed between the two approaches.Next,forced vibration analyses of undamped and damped conditions are performed.In addition,the effect of horizon size is investigated.It is shown that for smaller horizon sizes,peridynamic results agree well with classical results,whereas results from these two approaches deviate from each other as the horizon size increases.
基金supported by Fundamental Research Funds for Central Universities(Grant No.N2107009)Reviving-Liaoning Excellence Plan(Grant No.XLYC2203186).
文摘The Fe–Mn damping alloys possess considerable damping capacity,but their yield strength is rather low.The 800 MPa Fe–Mn alloy with expected damping capacity was designed by the combination of grain refinement and ε-martensite introduction.The yield strength can be greatly raised to around 700 MPa by refining grain size from 88.4 to 1.8μm.Although there exist numerous stacking faults in the fine-grained alloy,the damping capacity is strongly deteriorated due to the suppression of thermally activated ε-martensite.We demonstrate that the stacking faults cannot provide effective contribution to damping capacity and hence introduce a considerable volume fraction of stress/strain-induced ε-martensite to raise damping sources,including ε-martensite and γ/ε interfaces,etc.,by a small pre-strain.From this,the damping capacity can be improved,and the yield strength can be further enhanced from nearly 700 MPa to around 800 MPa.Thus,the combination of high yield strength and good damping capacity is realized.
基金the financial support of the National Key Research and Development Program of China(Grant No.2019YFC1509901).
文摘Fissured clays exhibit unique geotechnical behaviors,with the stiffness characteristics evolving dynamically in response to environmental changes.To address this issue,reported here is a systematic assessment of how dryingewetting(DW)cycles affect the small-strain stiffness characteristics of fissured clay.Resonant column tests are taken to examine the nonlinear attenuation behavior of the small-strain shear modulus(SSSM)and damping ratio of fissured clay under various DW cycle and consolidation pressure(25e200 kPa)conditions.Scanning electron microscopy(SEM)and computed tomography(CT)are employed to reveal the microstructure of fissured clay.The HardineDrnevich(H-D)model is used to describe the decay law of its SSSM,and the small strain stiffness characteristics of fissured soil are analyzed in view of damage mechanics.The results show that the SSSM of the fissured clay decreases as the DWcycles increase,with the greatest attenuation at original soil state.The damping ratio exhibits an incremental trend with escalating strain and a higher number of DW cycles.Regarding damage,DW cycles can lead to the formation of microcracks in the sample,and the aggregates disperse into smaller aggregates,which then aggregates again,resulting in structural damage.The damage variables of the samples under various confining pressures and DW cycles are analyzed based on the principle of strain damage.Finally,the volume changes and the distribution of different pore sizes obtained through CT are analyzed to investigate the stiffness attenuation under DW cycles.Additionally,the study examines the propagation direction of secondary cracks induced by primary fissures,which will play an important role in reduction of the stiffness.Our investigations contribute to understanding of soil mechanics and practical applications in areas where fissured clay is prevalent.
基金supported by National Natural Science Foundation of China(Grant No.52375380)National Key R&D Program of China(Grant No.2022YFB3402200)the Key Project of National Natural Science Foundation of China(Grant No.12032018).
文摘The outstanding comprehensive mechanical properties of newly developed hybrid lattice structures make them useful in engineering applications for bearing multiple mechanical loads.Additive-manufacturing technologies make it possible to fabricate these highly spatially programmable structures and greatly enhance the freedom in their design.However,traditional analytical methods do not sufficiently reflect the actual vibration-damping mechanism of lattice structures and are limited by their high computational cost.In this study,a hybrid lattice structure consisting of various cells was designed based on quasi-static and vibration experiments.Subsequently,a novel parametric design method based on a data-driven approach was developed for hybrid lattices with engineered properties.The response surface method was adopted to define the sensitive optimization target.A prediction model for the lattice geometric parameters and vibration properties was established using a backpropagation neural network.Then,it was integrated into the genetic algorithm to create the optimal hybrid lattice with varying geometric features and the required wide-band vibration-damping characteristics.Validation experiments were conducted,demonstrating that the optimized hybrid lattice can achieve the target properties.In addition,the data-driven parametric design method can reduce computation time and be widely applied to complex structural designs when analytical and empirical solutions are unavailable.
