Recently,information acquired at the canopy top,such as spectral and textural data,has been widely used to estimate plant nitrogen(N)accumulation(PNA).The response of crops to N uptake involves not only changes in hor...Recently,information acquired at the canopy top,such as spectral and textural data,has been widely used to estimate plant nitrogen(N)accumulation(PNA).The response of crops to N uptake involves not only changes in horizontal canopy top information but also an increase in vertical plant height(PH).It remains unclear whether the fusion of spectral indices with PH can improve the estimation performance of PNA models based on spectral remote sensing across different growth stages.展开更多
In this paper,a nonlinear control approach for an unstable networked plant in the presence of actuator and sensor limitations using robust right coprime factorization is proposed.The actuator is limited by upper and l...In this paper,a nonlinear control approach for an unstable networked plant in the presence of actuator and sensor limitations using robust right coprime factorization is proposed.The actuator is limited by upper and lower constraints and the sensor in the feedback loop is subjected to network-induced unknown time-varying delay and noise.With this nonlinear control method,we first employ right coprime factorization based on isomorphism and operator theory to factorize the plant,so that bounded input bounded output(BIBO)stability can be guaranteed.Next,continuous-time generalized predictive control(CGPC)is utilized for the unstable operator of the right coprime factorized plant to guarantee inner stability and enables the closed-loop dynamics of the system with predictive characteristics.Meanwhile,a second-Do F(degrees of freedom)switched controller that satisfies a perturbed Bezout identity and a robustness condition is designed.By using the CGPC controller that possesses predictive behavior and the second-Do F switched stabilizer,the overall stability of the plant subjected to actuator limitations is guaranteed.To address sensor limitations that exist in networked plants in the form of delay and noise which often cause system performance degradation,we implement an identity operator definition in the feedback loop to compensate for these adverse effects.Further,a pre-operator is designed to ensure that the plant output tracks the reference input.Finally,the effectiveness of the proposed design scheme is demonstrated by simulations.展开更多
Tibetan alpine steppes are large and sensitive terrestrial carbon(C)reservoirs that are experiencing desertification due to global change and overgrazing,which can lead to stronger resource limitations for both above-...Tibetan alpine steppes are large and sensitive terrestrial carbon(C)reservoirs that are experiencing desertification due to global change and overgrazing,which can lead to stronger resource limitations for both above-and belowground communities.Soil nutrients,especially nitrogen(N)and phosphorus(P),are the crucial resources for plant growth and microbial metabolism.However,whether both plant and soil microbial communities in the degraded alpine steppes are limited by these soil nutrients remains unclear,which limits our understanding of the mechanisms of desertification and subsequent ecosystem restoration.Here,we evaluated potential nutrient limitations of the plant and soil microbial communities in the alpine steppe across five stages of desertification using stoichiometry-based approaches.Our results showed that soil microbial metabolism was mainly limited by C and P,and the plant N limitation and microbial C limitation were intensified while the microbial P limitation was relieved during desertification.Plant-soil-microbe interactions had significant impacts on the microbial C and P limitations,explaining 72 and 61%of the variation,respectively.Specifically,desertification ultimately affected microbial metabolic limitations by regulating soil pH,soil nutrients,and the plant N limitation.Moreover,the microbial C limitation further reduced microbial C use efficiency(CUE)with desertification,which is detrimental for organic C retention in the degraded soil.Overall,this study revealed that microbial metabolic limitations through plant-microbe interactions were the key drivers affecting soil microbial CUE,and it provided insights that can advance our knowledge of the microbial regulation of nutrient cycles and C sequestration.展开更多
BACKGROUND Pulse oximetry has become a cornerstone technology in healthcare,providing non-invasive monitoring of oxygen saturation levels and pulse rate.Despite its widespread use,the technology has inherent limitatio...BACKGROUND Pulse oximetry has become a cornerstone technology in healthcare,providing non-invasive monitoring of oxygen saturation levels and pulse rate.Despite its widespread use,the technology has inherent limitations and challenges that must be addressed to ensure accurate and reliable patient care.AIM To comprehensively evaluate the advantages,limitations,and challenges of pulse oximetry in clinical practice,as well as to propose recommendations for optimizing its use.METHODS A systematic literature review was conducted to identify studies related to pulse oximetry and its applications in various clinical settings.Relevant articles were selected based on predefined inclusion and exclusion criteria,and data were synthesized to provide a comprehensive overview of the topic.RESULTS Pulse oximetry offers numerous advantages,including non-invasiveness,real-time feedback,portability,and costeffectiveness.However,several limitations and challenges were identified,including motion artifacts,poor peripheral perfusion,ambient light interference,and patient-specific factors such as skin pigmentation and hemoglobin variants.Recommendations for optimizing pulse oximetry use include technological advancements,education and training initiatives,quality assurance protocols,and interdisciplinary collaboration.CONCLUSION Pulse oximetry is crucial in modern healthcare,offering invaluable insights into patients’oxygenation status.Despite its limitations,pulse oximetry remains an indispensable tool for monitoring patients in diverse clinical settings.By implementing the recommendations outlined in this review,healthcare providers can enhance the effectiveness,accessibility,and safety of pulse oximetry monitoring,ultimately improving patient outcomes and quality of care.展开更多
Familial hypercholesterolemia(FH)is characterized by elevated low-density lipoprotein cholesterol levels due to genetic mutations,presenting with xanthomas,corneal arch,and severe cardiovascular diseases.Early identif...Familial hypercholesterolemia(FH)is characterized by elevated low-density lipoprotein cholesterol levels due to genetic mutations,presenting with xanthomas,corneal arch,and severe cardiovascular diseases.Early identification,diagnosis,and treatment are crucial to prevent severe complications like acute myocardial infarction.Statins are the primary treatment,supplemented by Ezetimibe and proprotein convertase subtilisin/kexin type 9 inhibitors,though their effectiveness can be limited in severe cases.Over 90%of FH cases remain undiagnosed,and current treatments are often inadequate,underscoring the need for improved diagnostic and management systems.Future strategies include advancements in gene testing,precision medicine,and novel drugs,along with gene therapy approaches like AAV-mediated gene therapy and clustered regularly interspaced short palindromic repeats.Lifestyle modifications,including health education,dietary control,and regular exercise,are essential for managing FH and preventing related diseases.Research into FH-related gene mutations,especially LDLR,is critical for accurate diagnosis and effective treatment.展开更多
The sinking of diatoms is critic al to the formation of oceanic biological pumps and coastal hypoxic zones.However,little is known about the effects of different nutrient restrictions on diatom sinking.In this study,w...The sinking of diatoms is critic al to the formation of oceanic biological pumps and coastal hypoxic zones.However,little is known about the effects of different nutrient restrictions on diatom sinking.In this study,we measured the sinking velocity(SV) of Thalassiosira weissflogii using a new phytoplankton video observation instrument and analyzed major biochemical components under varying nutrient conditions.Our results showed that the SV of T.weissflogii under different nutrient limitation conditions varied substantially.The highest SV of(1.77±0.02) m/d was obtained under nitrate limitation,signific antly surpassing that under phosphate limitation at(0.98±0.13) m/d.As the nutrient limitation was released,the SV steadily decreased to(0.32±0.03) m/d and(0.15±0.05) m/d,respectively.Notably;under conditions with limited nitrate and phosphate concentrations,the SV values of T.weissflogii significantly positively correlated with the lipid content(P <0.001),with R^(2) values of 0.86 and 0.69,respectively.The change of the phytoplankton SV was primarily related to the intracellular compo sition,which is controlled by nutrient conditions but did not significantly correlate with transparent extracellular polymer and biosilica contents.The results of this study help to understand the regulation of the vertical sinking process of diatoms by nutrient restriction and provide new insights into phytoplankton dynamics and their relationship with the marine nutrient structure.展开更多
An integrated approach that considers the performance limitations of tracking control systems for air-breathing hypersonic vehicles is proposed. First, a set of ascent trajectories is obtained as candidates for tracki...An integrated approach that considers the performance limitations of tracking control systems for air-breathing hypersonic vehicles is proposed. First, a set of ascent trajectories is obtained as candidates for tracking control through a trajectory design method that considers the available acceleration. Second, the basic theory of performance limitations, which is adopted to calculate the limits on control performance through the trajectory, is integrated. The openloop dynamics of air-breathing hypersonic vehicles is responsible for these limits on the control system. Comprehensive specifications on stability, tracking accuracy, and robustness are derived, and the flight envelope with constraints and control specifications is identified. Simulation results suggest that trajectory design should consider restrictions on control performance to obtain reliable solutions.展开更多
Lactic acid bacteria (LAB) play a critical role in food, agricultural, and clinical applications. The fast growing characteristics of LAB and their metabolic activity have been the key in most applications including f...Lactic acid bacteria (LAB) play a critical role in food, agricultural, and clinical applications. The fast growing characteristics of LAB and their metabolic activity have been the key in most applications including food production, agricultural industry, and probiotics. However, the biochemical and biophysical environments have significant effect on the growth and metabolic activity of LAB. While the biochemical conditions are most likely established, controlling and optimizing of biochemical conditions have many limitations and challenges. In addition to selecting the right strain, desirable metabolic processes required optimizing and controlling the available nutrients including sugars, peptides, free amino acids, minerals, and vitamins in addition to buffering agents. Thus, much of research was conducted to understand the impact of available nutrients on the growth and metabolic activities of LAB. However, only a few nutritional parameters could be controlled at a time while holding other parameters constant. The nutritional parameters may also interact with each other resulting in faulty results. Characteristics of LAB such as fastidiousness in their nutritional requirements, ability to produce acid and antimicrobial compounds, and variations in the nutritional requirements among strains have added additional limitations and challenges in this regard. Thus, chemically defined media (CDM) were suggested to deal with different limitations and challenges. However, due to differences in growth conditions, results obtained in CDM may face some obstacles when it comes to industrial applications. Thus, this paper aimed to review the recent data in regard to the role of the nutritional requirements of LAB in optimizing and controlling metabolic activities and to discuss the associated limitations and challenges.展开更多
The method of determining coal pillar strength equations from databases of stable and failed case histories is more than 50 years old and has been applied in different countries by different researchers in a range of ...The method of determining coal pillar strength equations from databases of stable and failed case histories is more than 50 years old and has been applied in different countries by different researchers in a range of mining situations. While common wisdom sensibly limits the use of the resultant pillar strength equations and methods to design scenarios that are consistent with the founding database, there are a number of examples where failures have occurred as a direct result of applying empirical design methods to coal pillar design problems that are inconsistent with the founding database. This paper explores the reasons why empirically derived coal pillar strength equations tend to be problem-specific and should be considered as providing no more than a pillar strength ‘‘index." These include the non-consideration of overburden horizontal stress within the mine stability problem, an inadequate definition of supercritical overburden behavior as it applies to standing coal pillars, and the non-consideration of overburden displacement and coal pillar strain limits. All of which combine to potentially complicate and confuse the back-analysis of coal pillar strength from failed cases. A modified coal pillar design representation and model are presented based on coal pillars acting to reinforce a horizontally stressed overburden, rather than suspend an otherwise unstable self-loaded overburden or section, the latter having been at the core of historical empirical studies into coal pillar strength and stability.展开更多
Worldwide,more than one million people die each year from hepatitis C virus(HCV)related diseases,and over 300 million people are chronically infected with hepatitis B or C.Egypt used to be on the top of the countries ...Worldwide,more than one million people die each year from hepatitis C virus(HCV)related diseases,and over 300 million people are chronically infected with hepatitis B or C.Egypt used to be on the top of the countries with heavy HCV burden.Some countries are making advances in elimination of HCV,yet multiple factors preventing progress;remain for the majority.These factors include lack of global funding sources for treatment,late diagnosis,poor data,and inadequate screening.Treatment of HCV in Egypt has become one of the top national priorities since 2007.Egypt started a national treatment program intending to provide cure for Egyptian HCV-infected patients.Mass HCV treatment program had started using Pegylated interferon and ribavirin between 2007 and 2014.Yet,with the development of highly-effective direct acting antivirals(DAAs)for HCV,elimination of viral hepatitis has become a real possibility.The Egyptian National Committee for the Control of Viral Hepatitis did its best to provide Egyptian HCV patients with DAAs.Egypt adopted a strategy that represents a model of care that could help other countries with high HCV prevalence rate in their battle against HCV.This review covers the effects of HCV management in Egyptian real life settings and the outcome of different treatment protocols.Also,it deals with the current and future strategies for HCV prevention and screening as well as the challenges facing HCV elimination and the prospect of future eradication of HCV.展开更多
Coronary artery calcium data and reporting system(CAC-DRS)is a recently introduced standardized reporting system for calcium scoring on computed tomography.CAC-DRS provides four risk categories(0,1,2 and 3)along with ...Coronary artery calcium data and reporting system(CAC-DRS)is a recently introduced standardized reporting system for calcium scoring on computed tomography.CAC-DRS provides four risk categories(0,1,2 and 3)along with treatment recommendations for each category.As with any other new reporting platform,CAC-DRS has both advantages and disadvantages.Improved communication,better clarity of details,organized management recommendations and utility in future research and education are the major strengths of CAC-DRS.It has many limitations such as questionable need for a new system,few missing components,use of a less accurate visual method and treatment suggestions based on expert opinion instead of clinical trials.In this contemporary review,we discuss the new reporting system CAC-DRS,its application,strengths and limitations and conclude with some remarks for the future.展开更多
The safety limitation of large new-built seagoing ves- sel design and operation is investigated to ensure safety of the new vessels towed through bridge area. We analyze the maneuverabil- ity characteristics of a towi...The safety limitation of large new-built seagoing ves- sel design and operation is investigated to ensure safety of the new vessels towed through bridge area. We analyze the maneuverabil- ity characteristics of a towing fleet, and develop a mathematical drift model of ship motion for the fleet. Based on this drift model and the hydro-meteorological conditions in bridge area, we pro- pose a method to systematically ascertain the safety limitations of water stages, current, wind, speed and visibility. This method is conducive to the safety of both navigation and bridges when large towing fleets transit through bridges.展开更多
Olfactory ensheathing cells(OECs)are crucial players in the continuous regeneration of the olfactory nervous system that occurs through out life and are thought to have unique growth-promoting properties.For this reas...Olfactory ensheathing cells(OECs)are crucial players in the continuous regeneration of the olfactory nervous system that occurs through out life and are thought to have unique growth-promoting properties.For this reason,OEC transplantation has been thoroughly explored for the potential to promote neural repair after both central and peripheral nervous system injuries.Numerous studies have shown that OEC transplantation is safe and can promote recovery after spinal cord injury(SCI),both in animal models and in human clinical trials.To date,a variety of injury types and time-points after injury,as well as different delivery methods,have been tested.Outcomes have been encouraging(in rodent models including,for example,restoration of locomotion,breathing and climbing ability along with induction of axonal sprouting and some axonal regeneration)but highly variable(Barnett and Riddell,2007;Gomez et al.,2018).展开更多
Parthenogenetic embryonic stem cells（pE SCs）, as ＂seed cells＂ for regenerative medicine, are an effective way to build patient-specific pluripotent stem cells, due to the fact that characteristics of self-renewal ...Parthenogenetic embryonic stem cells（pE SCs）, as ＂seed cells＂ for regenerative medicine, are an effective way to build patient-specific pluripotent stem cells, due to the fact that characteristics of self-renewal and pluripotent are similar to embryonic stem cells（ESCs）. Parthenogenetic activation can be performed at meiosis I or meiosis II describing the embryos with distinct patterns of homozygosity and heterozygosity.Heterozygous pE SCs are expected to be used for autologous transplantation, while homozygous pE SCs enable to be used for allogeneic gene therapy in theory but is hampered by immunological barriers defined by the recognition of natural killer（NK）cells. In this review, we describe the mechanism of deriving heterozygous and homozygous pE SCs, and summarize the advantages and limitations of pE SCs in the area of cell therapy.展开更多
There is plenty of evidence that proves the beneficial and reliable effects of rehabilitation therapy,making it the most common treatment for patients with chronic stroke.It is believed that rehabilitation improves fu...There is plenty of evidence that proves the beneficial and reliable effects of rehabilitation therapy,making it the most common treatment for patients with chronic stroke.It is believed that rehabilitation improves functional recovery through neural network remodeling,which is observed as a motor map reorganization or functional connectivity change assessed by intracortical microstimulation or functional magnetic resonance imaging（MRI）.展开更多
Manipulated precipitation patterns can profoundly influence the metabolism of soil microorganisms.However,the responses of soil organic carbon(SOC)and nutrient turnover to microbial metabolic limitation under changing...Manipulated precipitation patterns can profoundly influence the metabolism of soil microorganisms.However,the responses of soil organic carbon(SOC)and nutrient turnover to microbial metabolic limitation under changing precipitation conditions remain unclear in semi-arid ecosystems.This study measured the potential activities of enzymes associated with carbon(C:β-1,4-glucosidase(BG)andβ-D-cellobiosidase(CBH)),nitrogen(N:β-1,4-N-acetylglucosaminidase(NAG)and L-leucine aminopeptidase(LAP))and phosphorus(P:alkaline phosphatase(AP))acquisition,to quantify soil microbial metabolic limitations using enzymatic stoichiometry,and then identify the implications for soil microbial metabolic limitations and carbon use efficiency(CUE)under decreased precipitation by 50%(DP)and increased precipitation by 50%(IP)in a temperate grassland.The results showed that soil C and P were the major elements limiting soil microbial metabolism in temperate grasslands.There was a strong positive dependence between microbial C and P limitations under manipulated precipitation.Microbial metabolism limitation was promoted by DP treatment but reversed by IP treatment.Moreover,CUE was inhibited by DP treatment but promoted by IP treatment.Soil microbial metabolism limitation was mainly regulated by soil moisture and soil C,N,and P stoichiometry,followed by available nutrients(i.e.,NO^(-)_(3),NH^(+)_(4),and dissolved organic C)and microbial biomass(i.e.,MBC and MBN).Overall,these findings highlight the potential role of changing precipitation in regulating ecosystem C turnover by limiting microbial metabolism and CUE in temperate grassland ecosystems.展开更多
Luo and Zhu(2022)write that“DNA-based integrative taxonomy”requires researchers to ensure they have sufficient sampling to justify the delimitation of a species.While we agree that sample size is an undeniably impor...Luo and Zhu(2022)write that“DNA-based integrative taxonomy”requires researchers to ensure they have sufficient sampling to justify the delimitation of a species.While we agree that sample size is an undeniably important aspect of species delimitation,this is neither unique to DNA-based approaches,nor sufficient on its own to address their limitations.As the authors also note,increasing sample size is not always practical.We would add that nor is it always necessary–many species are rare or narrow endemics(Willis&Undy Yule,1922)and the majority of new species are adequately described from only a few specimens(Goodwin et al.,2020).展开更多
One strand of research in public economics has found that increasing ethnic diversity leads to reductions in provision of productive public goods. Another strand of research has emphasized the key role that tax and ex...One strand of research in public economics has found that increasing ethnic diversity leads to reductions in provision of productive public goods. Another strand of research has emphasized the key role that tax and expenditure limitations play in the provision of public services. This paper explores the interaction between these two effects. The regression results suggest that the prior results on ethnic diversity are robust when TELs are taken into consideration. In addition, the imposition of TELs mitigates the negative effect of ethnic fragmentation on the share of local spending on education and roads. It also mitigates the positive correlation between ethnic diversity and total local government revenue and expenditure per capita.展开更多
Hospitality industry and hotels are considered to waste a lot of food.This research aims to focus on food waste management in luxury hotels by investigating three luxury hotels in Budapest(Hungary).The investigation f...Hospitality industry and hotels are considered to waste a lot of food.This research aims to focus on food waste management in luxury hotels by investigating three luxury hotels in Budapest(Hungary).The investigation focuses on qualitative methods,eleven interviews and observations were made from September to December 2018.Results show that in luxury hotels the main challenge is to ensure the correct balance between 5*experience and minimizing food waste.It was found that kitchen,breakfast open-buffet and staff canteen are among the leading causes of food waste,generating even higher food waste compared to conferences,banquets,orála carte options.While a broad range of practices exist that are believed to minimize the food waste of buffets,most of the luxury hotels are only implementing a small ratio of such practices and are only in the beginning of the planning phase to expand their practices in this regard.展开更多
基金supported by the National Key Research and Development Plan Project Sub-Topic of China(Grant Nos.2022YFD1901500 and 2022YFD1901505-07)the National Natural Science Foundation of China(Grant No.32260531)+1 种基金the Key Laboratory of Molecular Breeding for Grain and Oil Crops in Guizhou Province,China(Grant No.Qiankehezhongyindi[2023]8)the Key Laboratory of Functional Agriculture of Guizhou Provincial Higher Education Institutions,China(Grant No.Qianjiaoji[2023]007).
文摘Recently,information acquired at the canopy top,such as spectral and textural data,has been widely used to estimate plant nitrogen(N)accumulation(PNA).The response of crops to N uptake involves not only changes in horizontal canopy top information but also an increase in vertical plant height(PH).It remains unclear whether the fusion of spectral indices with PH can improve the estimation performance of PNA models based on spectral remote sensing across different growth stages.
文摘In this paper,a nonlinear control approach for an unstable networked plant in the presence of actuator and sensor limitations using robust right coprime factorization is proposed.The actuator is limited by upper and lower constraints and the sensor in the feedback loop is subjected to network-induced unknown time-varying delay and noise.With this nonlinear control method,we first employ right coprime factorization based on isomorphism and operator theory to factorize the plant,so that bounded input bounded output(BIBO)stability can be guaranteed.Next,continuous-time generalized predictive control(CGPC)is utilized for the unstable operator of the right coprime factorized plant to guarantee inner stability and enables the closed-loop dynamics of the system with predictive characteristics.Meanwhile,a second-Do F(degrees of freedom)switched controller that satisfies a perturbed Bezout identity and a robustness condition is designed.By using the CGPC controller that possesses predictive behavior and the second-Do F switched stabilizer,the overall stability of the plant subjected to actuator limitations is guaranteed.To address sensor limitations that exist in networked plants in the form of delay and noise which often cause system performance degradation,we implement an identity operator definition in the feedback loop to compensate for these adverse effects.Further,a pre-operator is designed to ensure that the plant output tracks the reference input.Finally,the effectiveness of the proposed design scheme is demonstrated by simulations.
基金supported by the National Key Research and Development Program of China(2023YFF1304304)。
文摘Tibetan alpine steppes are large and sensitive terrestrial carbon(C)reservoirs that are experiencing desertification due to global change and overgrazing,which can lead to stronger resource limitations for both above-and belowground communities.Soil nutrients,especially nitrogen(N)and phosphorus(P),are the crucial resources for plant growth and microbial metabolism.However,whether both plant and soil microbial communities in the degraded alpine steppes are limited by these soil nutrients remains unclear,which limits our understanding of the mechanisms of desertification and subsequent ecosystem restoration.Here,we evaluated potential nutrient limitations of the plant and soil microbial communities in the alpine steppe across five stages of desertification using stoichiometry-based approaches.Our results showed that soil microbial metabolism was mainly limited by C and P,and the plant N limitation and microbial C limitation were intensified while the microbial P limitation was relieved during desertification.Plant-soil-microbe interactions had significant impacts on the microbial C and P limitations,explaining 72 and 61%of the variation,respectively.Specifically,desertification ultimately affected microbial metabolic limitations by regulating soil pH,soil nutrients,and the plant N limitation.Moreover,the microbial C limitation further reduced microbial C use efficiency(CUE)with desertification,which is detrimental for organic C retention in the degraded soil.Overall,this study revealed that microbial metabolic limitations through plant-microbe interactions were the key drivers affecting soil microbial CUE,and it provided insights that can advance our knowledge of the microbial regulation of nutrient cycles and C sequestration.
文摘BACKGROUND Pulse oximetry has become a cornerstone technology in healthcare,providing non-invasive monitoring of oxygen saturation levels and pulse rate.Despite its widespread use,the technology has inherent limitations and challenges that must be addressed to ensure accurate and reliable patient care.AIM To comprehensively evaluate the advantages,limitations,and challenges of pulse oximetry in clinical practice,as well as to propose recommendations for optimizing its use.METHODS A systematic literature review was conducted to identify studies related to pulse oximetry and its applications in various clinical settings.Relevant articles were selected based on predefined inclusion and exclusion criteria,and data were synthesized to provide a comprehensive overview of the topic.RESULTS Pulse oximetry offers numerous advantages,including non-invasiveness,real-time feedback,portability,and costeffectiveness.However,several limitations and challenges were identified,including motion artifacts,poor peripheral perfusion,ambient light interference,and patient-specific factors such as skin pigmentation and hemoglobin variants.Recommendations for optimizing pulse oximetry use include technological advancements,education and training initiatives,quality assurance protocols,and interdisciplinary collaboration.CONCLUSION Pulse oximetry is crucial in modern healthcare,offering invaluable insights into patients’oxygenation status.Despite its limitations,pulse oximetry remains an indispensable tool for monitoring patients in diverse clinical settings.By implementing the recommendations outlined in this review,healthcare providers can enhance the effectiveness,accessibility,and safety of pulse oximetry monitoring,ultimately improving patient outcomes and quality of care.
基金Supported by National Key Research and Development Program of China,No.2022YFE0209900.
文摘Familial hypercholesterolemia(FH)is characterized by elevated low-density lipoprotein cholesterol levels due to genetic mutations,presenting with xanthomas,corneal arch,and severe cardiovascular diseases.Early identification,diagnosis,and treatment are crucial to prevent severe complications like acute myocardial infarction.Statins are the primary treatment,supplemented by Ezetimibe and proprotein convertase subtilisin/kexin type 9 inhibitors,though their effectiveness can be limited in severe cases.Over 90%of FH cases remain undiagnosed,and current treatments are often inadequate,underscoring the need for improved diagnostic and management systems.Future strategies include advancements in gene testing,precision medicine,and novel drugs,along with gene therapy approaches like AAV-mediated gene therapy and clustered regularly interspaced short palindromic repeats.Lifestyle modifications,including health education,dietary control,and regular exercise,are essential for managing FH and preventing related diseases.Research into FH-related gene mutations,especially LDLR,is critical for accurate diagnosis and effective treatment.
基金The Key R&D Program of Zhejiang under contract No.2023C03120the Science Foundation of Donghai Laboratory under contract No.DH-2022KF0215+2 种基金the National Key Research and Development Program of China under contract No.2021YFC3101702the National Programme on Global Change and Air-Sea Interaction (PhaseⅡ)—Hypoxia and Acidification Monitoring Warning Project in the Changjiang EstuaryLong-term Observation and Research Plan in the Changjiang Estuary and Adjacent East China Sea (LORCE) Project under contract No.SZ2001。
文摘The sinking of diatoms is critic al to the formation of oceanic biological pumps and coastal hypoxic zones.However,little is known about the effects of different nutrient restrictions on diatom sinking.In this study,we measured the sinking velocity(SV) of Thalassiosira weissflogii using a new phytoplankton video observation instrument and analyzed major biochemical components under varying nutrient conditions.Our results showed that the SV of T.weissflogii under different nutrient limitation conditions varied substantially.The highest SV of(1.77±0.02) m/d was obtained under nitrate limitation,signific antly surpassing that under phosphate limitation at(0.98±0.13) m/d.As the nutrient limitation was released,the SV steadily decreased to(0.32±0.03) m/d and(0.15±0.05) m/d,respectively.Notably;under conditions with limited nitrate and phosphate concentrations,the SV values of T.weissflogii significantly positively correlated with the lipid content(P <0.001),with R^(2) values of 0.86 and 0.69,respectively.The change of the phytoplankton SV was primarily related to the intracellular compo sition,which is controlled by nutrient conditions but did not significantly correlate with transparent extracellular polymer and biosilica contents.The results of this study help to understand the regulation of the vertical sinking process of diatoms by nutrient restriction and provide new insights into phytoplankton dynamics and their relationship with the marine nutrient structure.
基金supported by Aerospace Science and Technology Innovation Fund of China (No. CASC2016)Six Talent Peaks Project in Jiangsu Province of China (KTHY025)+3 种基金Funding of Jiangsu Innovation Program for Graduate Educationthe National Natural Science Foundation of China (Nos. 61403191, 11572149)the Funding of Jiangsu Innovation Program for Graduate Education of China (Nos. KYLX_0281, KYLX15_0318 and NZ2015205)the Fundamental Research Funds for the Central Universities of China
文摘An integrated approach that considers the performance limitations of tracking control systems for air-breathing hypersonic vehicles is proposed. First, a set of ascent trajectories is obtained as candidates for tracking control through a trajectory design method that considers the available acceleration. Second, the basic theory of performance limitations, which is adopted to calculate the limits on control performance through the trajectory, is integrated. The openloop dynamics of air-breathing hypersonic vehicles is responsible for these limits on the control system. Comprehensive specifications on stability, tracking accuracy, and robustness are derived, and the flight envelope with constraints and control specifications is identified. Simulation results suggest that trajectory design should consider restrictions on control performance to obtain reliable solutions.
文摘Lactic acid bacteria (LAB) play a critical role in food, agricultural, and clinical applications. The fast growing characteristics of LAB and their metabolic activity have been the key in most applications including food production, agricultural industry, and probiotics. However, the biochemical and biophysical environments have significant effect on the growth and metabolic activity of LAB. While the biochemical conditions are most likely established, controlling and optimizing of biochemical conditions have many limitations and challenges. In addition to selecting the right strain, desirable metabolic processes required optimizing and controlling the available nutrients including sugars, peptides, free amino acids, minerals, and vitamins in addition to buffering agents. Thus, much of research was conducted to understand the impact of available nutrients on the growth and metabolic activities of LAB. However, only a few nutritional parameters could be controlled at a time while holding other parameters constant. The nutritional parameters may also interact with each other resulting in faulty results. Characteristics of LAB such as fastidiousness in their nutritional requirements, ability to produce acid and antimicrobial compounds, and variations in the nutritional requirements among strains have added additional limitations and challenges in this regard. Thus, chemically defined media (CDM) were suggested to deal with different limitations and challenges. However, due to differences in growth conditions, results obtained in CDM may face some obstacles when it comes to industrial applications. Thus, this paper aimed to review the recent data in regard to the role of the nutritional requirements of LAB in optimizing and controlling metabolic activities and to discuss the associated limitations and challenges.
文摘The method of determining coal pillar strength equations from databases of stable and failed case histories is more than 50 years old and has been applied in different countries by different researchers in a range of mining situations. While common wisdom sensibly limits the use of the resultant pillar strength equations and methods to design scenarios that are consistent with the founding database, there are a number of examples where failures have occurred as a direct result of applying empirical design methods to coal pillar design problems that are inconsistent with the founding database. This paper explores the reasons why empirically derived coal pillar strength equations tend to be problem-specific and should be considered as providing no more than a pillar strength ‘‘index." These include the non-consideration of overburden horizontal stress within the mine stability problem, an inadequate definition of supercritical overburden behavior as it applies to standing coal pillars, and the non-consideration of overburden displacement and coal pillar strain limits. All of which combine to potentially complicate and confuse the back-analysis of coal pillar strength from failed cases. A modified coal pillar design representation and model are presented based on coal pillars acting to reinforce a horizontally stressed overburden, rather than suspend an otherwise unstable self-loaded overburden or section, the latter having been at the core of historical empirical studies into coal pillar strength and stability.
文摘Worldwide,more than one million people die each year from hepatitis C virus(HCV)related diseases,and over 300 million people are chronically infected with hepatitis B or C.Egypt used to be on the top of the countries with heavy HCV burden.Some countries are making advances in elimination of HCV,yet multiple factors preventing progress;remain for the majority.These factors include lack of global funding sources for treatment,late diagnosis,poor data,and inadequate screening.Treatment of HCV in Egypt has become one of the top national priorities since 2007.Egypt started a national treatment program intending to provide cure for Egyptian HCV-infected patients.Mass HCV treatment program had started using Pegylated interferon and ribavirin between 2007 and 2014.Yet,with the development of highly-effective direct acting antivirals(DAAs)for HCV,elimination of viral hepatitis has become a real possibility.The Egyptian National Committee for the Control of Viral Hepatitis did its best to provide Egyptian HCV patients with DAAs.Egypt adopted a strategy that represents a model of care that could help other countries with high HCV prevalence rate in their battle against HCV.This review covers the effects of HCV management in Egyptian real life settings and the outcome of different treatment protocols.Also,it deals with the current and future strategies for HCV prevention and screening as well as the challenges facing HCV elimination and the prospect of future eradication of HCV.
文摘Coronary artery calcium data and reporting system(CAC-DRS)is a recently introduced standardized reporting system for calcium scoring on computed tomography.CAC-DRS provides four risk categories(0,1,2 and 3)along with treatment recommendations for each category.As with any other new reporting platform,CAC-DRS has both advantages and disadvantages.Improved communication,better clarity of details,organized management recommendations and utility in future research and education are the major strengths of CAC-DRS.It has many limitations such as questionable need for a new system,few missing components,use of a less accurate visual method and treatment suggestions based on expert opinion instead of clinical trials.In this contemporary review,we discuss the new reporting system CAC-DRS,its application,strengths and limitations and conclude with some remarks for the future.
基金Supported by the Key Projects of Golden Waterway Transit Capacity Improving Technologies(201132822430)
文摘The safety limitation of large new-built seagoing ves- sel design and operation is investigated to ensure safety of the new vessels towed through bridge area. We analyze the maneuverabil- ity characteristics of a towing fleet, and develop a mathematical drift model of ship motion for the fleet. Based on this drift model and the hydro-meteorological conditions in bridge area, we pro- pose a method to systematically ascertain the safety limitations of water stages, current, wind, speed and visibility. This method is conducive to the safety of both navigation and bridges when large towing fleets transit through bridges.
基金supported by a Clem Jones Foundation grant to JS and JEa Perry Cross Spinal Research Foundation grant to JE and JS+1 种基金a Motor Accident Insurance Commission grant to JS and JEa Griffith University International Postgraduate Research Scholarship to RR
文摘Olfactory ensheathing cells(OECs)are crucial players in the continuous regeneration of the olfactory nervous system that occurs through out life and are thought to have unique growth-promoting properties.For this reason,OEC transplantation has been thoroughly explored for the potential to promote neural repair after both central and peripheral nervous system injuries.Numerous studies have shown that OEC transplantation is safe and can promote recovery after spinal cord injury(SCI),both in animal models and in human clinical trials.To date,a variety of injury types and time-points after injury,as well as different delivery methods,have been tested.Outcomes have been encouraging(in rodent models including,for example,restoration of locomotion,breathing and climbing ability along with induction of axonal sprouting and some axonal regeneration)but highly variable(Barnett and Riddell,2007;Gomez et al.,2018).
文摘Parthenogenetic embryonic stem cells（pE SCs）, as ＂seed cells＂ for regenerative medicine, are an effective way to build patient-specific pluripotent stem cells, due to the fact that characteristics of self-renewal and pluripotent are similar to embryonic stem cells（ESCs）. Parthenogenetic activation can be performed at meiosis I or meiosis II describing the embryos with distinct patterns of homozygosity and heterozygosity.Heterozygous pE SCs are expected to be used for autologous transplantation, while homozygous pE SCs enable to be used for allogeneic gene therapy in theory but is hampered by immunological barriers defined by the recognition of natural killer（NK）cells. In this review, we describe the mechanism of deriving heterozygous and homozygous pE SCs, and summarize the advantages and limitations of pE SCs in the area of cell therapy.
基金supported by a Grant-in-Aid for Scientific Research(grant No.17K01493to NO) from the Japan Society for the Promotion of Science
文摘There is plenty of evidence that proves the beneficial and reliable effects of rehabilitation therapy,making it the most common treatment for patients with chronic stroke.It is believed that rehabilitation improves functional recovery through neural network remodeling,which is observed as a motor map reorganization or functional connectivity change assessed by intracortical microstimulation or functional magnetic resonance imaging（MRI）.
基金the National Natural Science Foundation of China(41730638)the Key Research and Development Program of Shaanxi Province,China(2021ZDLSF05-02)+2 种基金the Scientific and Technological Innovation Project of Shaanxi Forestry Academy of Sciences,China(SXLK2021-0206)the Funding of Special Support Plan of Young Talents Project in China(2021)the National Forestry and Grassland Administration in China(20201326015).
文摘Manipulated precipitation patterns can profoundly influence the metabolism of soil microorganisms.However,the responses of soil organic carbon(SOC)and nutrient turnover to microbial metabolic limitation under changing precipitation conditions remain unclear in semi-arid ecosystems.This study measured the potential activities of enzymes associated with carbon(C:β-1,4-glucosidase(BG)andβ-D-cellobiosidase(CBH)),nitrogen(N:β-1,4-N-acetylglucosaminidase(NAG)and L-leucine aminopeptidase(LAP))and phosphorus(P:alkaline phosphatase(AP))acquisition,to quantify soil microbial metabolic limitations using enzymatic stoichiometry,and then identify the implications for soil microbial metabolic limitations and carbon use efficiency(CUE)under decreased precipitation by 50%(DP)and increased precipitation by 50%(IP)in a temperate grassland.The results showed that soil C and P were the major elements limiting soil microbial metabolism in temperate grasslands.There was a strong positive dependence between microbial C and P limitations under manipulated precipitation.Microbial metabolism limitation was promoted by DP treatment but reversed by IP treatment.Moreover,CUE was inhibited by DP treatment but promoted by IP treatment.Soil microbial metabolism limitation was mainly regulated by soil moisture and soil C,N,and P stoichiometry,followed by available nutrients(i.e.,NO^(-)_(3),NH^(+)_(4),and dissolved organic C)and microbial biomass(i.e.,MBC and MBN).Overall,these findings highlight the potential role of changing precipitation in regulating ecosystem C turnover by limiting microbial metabolism and CUE in temperate grassland ecosystems.
基金supported by a Biotechnology and Biological Sciences Research Council(BBSRC)research grant[T001445/1 to R.S.]funded by the BBSRC as part of the Interdisciplinary Biosciences Doctoral Training Partnership at the University of Oxford。
文摘Luo and Zhu(2022)write that“DNA-based integrative taxonomy”requires researchers to ensure they have sufficient sampling to justify the delimitation of a species.While we agree that sample size is an undeniably important aspect of species delimitation,this is neither unique to DNA-based approaches,nor sufficient on its own to address their limitations.As the authors also note,increasing sample size is not always practical.We would add that nor is it always necessary–many species are rare or narrow endemics(Willis&Undy Yule,1922)and the majority of new species are adequately described from only a few specimens(Goodwin et al.,2020).
文摘One strand of research in public economics has found that increasing ethnic diversity leads to reductions in provision of productive public goods. Another strand of research has emphasized the key role that tax and expenditure limitations play in the provision of public services. This paper explores the interaction between these two effects. The regression results suggest that the prior results on ethnic diversity are robust when TELs are taken into consideration. In addition, the imposition of TELs mitigates the negative effect of ethnic fragmentation on the share of local spending on education and roads. It also mitigates the positive correlation between ethnic diversity and total local government revenue and expenditure per capita.
文摘Hospitality industry and hotels are considered to waste a lot of food.This research aims to focus on food waste management in luxury hotels by investigating three luxury hotels in Budapest(Hungary).The investigation focuses on qualitative methods,eleven interviews and observations were made from September to December 2018.Results show that in luxury hotels the main challenge is to ensure the correct balance between 5*experience and minimizing food waste.It was found that kitchen,breakfast open-buffet and staff canteen are among the leading causes of food waste,generating even higher food waste compared to conferences,banquets,orála carte options.While a broad range of practices exist that are believed to minimize the food waste of buffets,most of the luxury hotels are only implementing a small ratio of such practices and are only in the beginning of the planning phase to expand their practices in this regard.
