This editorial is a commentary on the article by Ni et al,which was published in the World Journal of Clinical Cases.The article discusses the diagnostic and therapeutic challenges of melioidosis caused by Burkholderi...This editorial is a commentary on the article by Ni et al,which was published in the World Journal of Clinical Cases.The article discusses the diagnostic and therapeutic challenges of melioidosis caused by Burkholderia pseudomallei.The case study highlights a rare instance of multisystemic melioidosis in a female patient who did not have a travel history,emphasizing the significance of recognizing this condition in non-endemic regions.Diagnostic complexities and therapeutic strategies are addressed,emphasizing the need for heightened clinical suspicion,comprehensive evaluation,and multidisciplinary collaboration.The editorial delves into the clinical presentation,diagnostic dilemmas,therapeutic approaches,and their implications for patient care in managing multi-systemic melioidosis.展开更多
Nonalcoholic fatty liver disease(NAFLD) is the most common cause of chronic liver disease. NAFLD includes a wide spectrum of liver conditions ranging from simple steatosis to nonalcoholic steatohepatitis and advanced ...Nonalcoholic fatty liver disease(NAFLD) is the most common cause of chronic liver disease. NAFLD includes a wide spectrum of liver conditions ranging from simple steatosis to nonalcoholic steatohepatitis and advanced hepatic fibrosis. NAFLD has been recognized as a hepatic manifestation of metabolic syndrome linked with insulin resistance. NAFLD should be considered not only a liver specific disease but also an early mediator of systemic diseases. Therefore, NAFLD is usually associated with cardiovascular disease, chronic kidney disease, type 2 diabetes, obesity, and dyslipidemia. NAFLD is highly prevalent in the general population and is associated with increased cardiovascular morbidity and mortality. The underlying mechanisms and pathogenesis of NAFLD with regard to other medical disorders are not yet fully understood. This review focuses on pathogenesis of NAFLD and its relation with other systemic diseases.展开更多
The Belt and Road global navigation satellite system(B&R GNSS)network is the first large-scale deployment of Chinese GNSS equipment in a seismic system.Prior to this,there have been few systematic assessments of t...The Belt and Road global navigation satellite system(B&R GNSS)network is the first large-scale deployment of Chinese GNSS equipment in a seismic system.Prior to this,there have been few systematic assessments of the data quality of Chinese GNSS equipment.In this study,data from four representative GNSS sites in different regions of China were analyzed using the G-Nut/Anubis software package.Four main indicators(data integrity rate,data validity ratio,multi-path error,and cycle slip ratio)used to systematically analyze data quality,while evaluating the seismic monitoring capabilities of the network based on earthquake magnitudes estimated from high-frequency GNSS data are evaluated by estimating magnitude based on highfrequency GNSS data.The results indicate that the quality of the data produced by the three types of Chinese receivers used in the network meets the needs of earthquake monitoring and the new seismic industry standards,which provide a reference for the selection of equipment for future new projects.After the B&R GNSS network was established,the seismic monitoring capability for earthquakes with magnitudes greater than M_(W)6.5 in most parts of the Sichuan-Yunnan region improved by approximately 20%.In key areas such as the Sichuan-Yunnan Rhomboid Block,the monitoring capability increased by more than 25%,which has greatly improved the effectiveness of regional comprehensive earthquake management.展开更多
Children are infected with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), but they are asymptomatic or suffer a mild disease compared to adults. However, the post-infectious immune dysregulation may res...Children are infected with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), but they are asymptomatic or suffer a mild disease compared to adults. However, the post-infectious immune dysregulation may result in the Multisystem Inflammatory Syndrome in Children (MIS-C). The most common presentations of MIS are fever, gastrointestinal (diarrhea, vomiting, abdominal pain), cardiovascular, mucocutaneous (rash, mucus membrane changes, conjunctival injection), respiratory (including sore throat), headache, limb and periorbital edema, and elevated inflammation markers. Some clinical and laboratory features of MIS-C are similar to other systemic diseases of childhood as Kawasaki disease and Toxic Shock Syndrome. Here are reported three cases in children with MIS-C, Kawasaki disease and Toxic Shock Syndrome to highlight the similarities and differences of these diseases.展开更多
This contribution discusses the concept of Reliability-Adaptive Systems （RAS） to multi-system operation. A fleet of independently operating systems and a single maintenance unit axe considered. It is the objective i...This contribution discusses the concept of Reliability-Adaptive Systems （RAS） to multi-system operation. A fleet of independently operating systems and a single maintenance unit axe considered. It is the objective in this paper to increase overall performance or workload respectively by avoiding delay due to busy maintenance units. This is achieved by concerted and coordinated derating of individual system performance, which increases reliability. Quantification is carried out by way of a convolution-based approach. The approach is tailored to fleets of ships, aeroplanes, spacecraft, and vehicles （trains, trams, buses, cars, trucks, etc.） - Finally, the effectiveness of derating is validated using different criteria. The RAS concept makes sense if average system output loss due to lowered performance level （yielding longer time to failure） is smaller than average loss due to waiting for maintenance in a non-adaptive case.展开更多
Empirical studies have shown a distinct relationship between academic performance and food insecurity in college students. Specifically, food-insecure students are more likely to report a lower grade point average tha...Empirical studies have shown a distinct relationship between academic performance and food insecurity in college students. Specifically, food-insecure students are more likely to report a lower grade point average than their food secure counterparts. Since the Great Recession, more attention has been given to the topic of hunger and food insecurity among college students;however, the literature still lacks a comprehensive examination of various issues facing today’s college students. Using a multi-systems life course (MSLC) perspective, this paper provides a conceptual explanation of the lived experience of college students by offering a better understanding of the unique challenges faced by this population. Findings from this study will assist researchers, practitioners, and university administrators in their efforts to address hunger among this population.展开更多
Spinal cord injury is a serious disease of the central nervous system involving irreversible nerve injury and various organ system injuries.At present,no effective clinical treatment exists.As one of the artificial hi...Spinal cord injury is a serious disease of the central nervous system involving irreversible nerve injury and various organ system injuries.At present,no effective clinical treatment exists.As one of the artificial hibernation techniques,mild hypothermia has preliminarily confirmed its clinical effect on spinal cord injury.However,its technical defects and barriers,along with serious clinical side effects,restrict its clinical application for spinal cord injury.Artificial hibernation is a futureoriented disruptive technology for human life support.It involves endogenous hibernation inducers and hibernation-related central neuromodulation that activate particular neurons,reduce the central constant temperature setting point,disrupt the normal constant body temperature,make the body adapt"to the external cold environment,and reduce the physiological resistance to cold stimulation.Thus,studying the artificial hibernation mechanism may help develop new treatment strategies more suitable for clinical use than the cooling method of mild hypothermia technology.This review introduces artificial hibernation technologies,including mild hypothermia technology,hibernation inducers,and hibernation-related central neuromodulation technology.It summarizes the relevant research on hypothermia and hibernation for organ and nerve protection.These studies show that artificial hibernation technologies have therapeutic significance on nerve injury after spinal co rd injury through inflammatory inhibition,immunosuppression,oxidative defense,and possible central protection.It also promotes the repair and protection of res pirato ry and digestive,cardiovascular,locomoto r,urinary,and endocrine systems.This review provides new insights for the clinical treatment of nerve and multiple organ protection after spinal cord injury thanks to artificial hibernation.At present,artificial hibernation technology is not mature,and research fa ces various challenges.Neve rtheless,the effort is wo rthwhile for the future development of medicine.展开更多
BACKGROUND Langerhans cell histiocytosis(LCH)is characterized by diabetes insipidus and is an uncommon occurrence.Pathological biopsies still have a certain degree of diagnostic probability.We present a case in which ...BACKGROUND Langerhans cell histiocytosis(LCH)is characterized by diabetes insipidus and is an uncommon occurrence.Pathological biopsies still have a certain degree of diagnostic probability.We present a case in which LCH initially affected the pituitary gland.This resulted in a misdiagnosis of chronic inflammation upon pathological examination.CASE SUMMARY A 25-year-old female exhibited symptoms of diabetes insipidus.Magnetic resonance imaging revealed an enhanced foci in the pituitary gland.After surgical resection of the pituitary lesion,the pathological diagnosis was chronic inflam-mation.However,the patient later experienced bone destruction in the skull and lower limb bones.After the lower limb bone lesion was compared with the initial pituitary lesion,the final diagnosis was modified to LCH.The patient was treated with multiple chemotherapy courses.However,the patient’s condition gradually worsened,and she eventually passed away at home.CONCLUSION LCH should be considered when patients exhibit diabetes insipidus and absence of high signal intensity in the pituitary gland on sagittal T1-weighted image and abnormal enhancement in the pituitary region.展开更多
BACKGROUND ACTA2 gene is a specific gene that encodes actinα2.Multisystem smooth muscle dysfunction syndrome(MSMDS)is a multisystem disease characterized by aortic and cerebrovascular lesions caused by ACTA2 gene mut...BACKGROUND ACTA2 gene is a specific gene that encodes actinα2.Multisystem smooth muscle dysfunction syndrome(MSMDS)is a multisystem disease characterized by aortic and cerebrovascular lesions caused by ACTA2 gene mutations.There have been many reports of cardiac,pulmonary and cerebrovascular lesions caused by MSMDS;however,few studies have focused on seizures caused by MSMDS.CASE SUMMARY Our patient was a girl aged 7 years and 8 mo with recurrent cough,asthma and seizures for 7 years.She was diagnosed with severe pneumonia,congenital heart disease,cardiac insufficiency,and malnutrition in the local hospital.Cardiac ultrasonography revealed congenital heart disease,patent ductus arteriosus(with a diameter of 0.68 cm),left coronary arteriectasis,patent oval foramen(0.12 cm),tricuspid and pulmonary regurgitation,and pulmonary hypertension.Cerebral magnetic resonance imaging and magnetic resonance angiography indicated stiffness in the brain vessels,together with multiple aberrant signaling shadows in bilateral paraventricular regions.A heterozygous mutation(c.536G>A)was identified in the ACTA2 gene,resulting in generation of p.R179H.Finally,the girl was diagnosed with MSMDS combined with epilepsy.The patient had 4 episodes of seizures before treatment,and no onset of seizure was reported after oral administration of sodium valproate for 1 year.CONCLUSION MSMDS has a variety of clinical manifestations and unique cranial imaging features.Cerebrovascular injury and white matter injury may lead to seizures.Gene detection can confirm the diagnosis and prevent missed diagnosis or misdiagnosis.展开更多
Pipeline inner inspection technology based on Pipeline Inspection Gauge(PIG),is the primary means for ensuring the safety of submarine pipelines.The dynamic characteristics of a PIG can change abruptly with the excita...Pipeline inner inspection technology based on Pipeline Inspection Gauge(PIG),is the primary means for ensuring the safety of submarine pipelines.The dynamic characteristics of a PIG can change abruptly with the excitation of obstacles such as girth welds inside the pipeline,which would result in failure or inaccuracy of the inspection results.This study establishes a dynamic model of the PIG sealing disc based on Kelvin spring damping in the circumferentially confined space.The axial vibration differential equations of the PIG is examined in detail.MSC/ADAMS is used to conduct the dynamic simulation of the PIG at different motion velocities and center of mass positions while passing through the girth weld process.Results indicate that the axial vibration caused by the girth weld intensifies substantially as the speed of the PIG increases,while the pitch and vertical vibrations exhibit a significant decline with an increase in the motion velocity.The change in the PIG’s center of mass positions has little effect on its axial vibration,while the pitch and vertical vibration conditions are significantly different in the same circumstances.展开更多
Death due to scorpion envenoming syndrome is a common event in many of the tropical and non-tropical counties. Initial transient hypertension is commonly observed in scorpion sting victims. Scorpion envenoming causes ...Death due to scorpion envenoming syndrome is a common event in many of the tropical and non-tropical counties. Initial transient hypertension is commonly observed in scorpion sting victims. Scorpion envenoming causes autonomic storm resulting in initial transient hypertension followed by hypotension, cold clammy skin, hypothermia, cardiovascular disturbances, acute myocarditis, sarcolemmal defects, pulmonary oedema, acute pancreatitis, disseminated intravascular coagulation (DIC), Adult respiratory distress syndrome (ARDS), and many other clinical manifestations. All these manifestations could be due to sudden increase in catecholamines, angiotensin II, glucagon, Cortisol and either due to suppressed insulin secretion or insulin resistance and death. The sudden increase of metabolic A in counter-regulatory hormones along with either suppressed insulin secretion/or insulin resistance results in glycogenolysis in liver, cardiac and skeletal muscles causing hyperglycemia and a sudden increase in free fatty acid levels. Free Fatty Acids increase the susceptibility of the ventricles to the disorganized electrical behavior, inhibit cardiac sarcolemmal Na+-K+ ATPase activity, increase the tendency to intravascular thrombus, increase myocardial oxygen consumption, interfere with tropomyosin-troponin activation of Actin-Myosin coupling, show detergent effects on cell membranes and they could alter the stabilization of lysosomal membranes and probably become toxic to the myocardium. Based on our animal experiments in which insulin administration reversed the metabolic and ECG changes induced by scorpion envenoming and treating the poisonous scorpion sting victims with insulin, we consider that insulin has a primary metabolic role in preventing, counter-acting and reversing all the deleterious effects of FFA by inhibiting the catecholamine induced by lipolysis, and increasing intra-cellular K+, facilitating glucose transport to the myocardium and glucose metabolism through different pathways. Administration of insulin-glucose infusion to scorpion sting victims appears to be the physiological basis for the control of the metabolic response when that has become a determinant to survival. Treatment using continuous infusion of regular crystalline insulin should be given at the rate of 0.3 U/g glucose and glucose at the rate of 0.1 g/kg body weight/hour, for 48 - 72 hours, with supplementation of potassium as needed and maintenance of fluid, electrolytes and acid-base balance.展开更多
The SARS-CoV-2 2019 pandemic is creating challenges to the management of post-infectious autoimmunity in childhood and adult Covid-19 cases due to its high case fatality. Nearly all of the agents envisioned to treat C...The SARS-CoV-2 2019 pandemic is creating challenges to the management of post-infectious autoimmunity in childhood and adult Covid-19 cases due to its high case fatality. Nearly all of the agents envisioned to treat Covid-19 illness, including the newly recognized pediatric multi-system inflammatory syndrome, impact post-infectious mechanisms in keeping with the multiplier effect of infection, immunity and inflammation, known as I-Cubed (I3).展开更多
In order to simulate the actual operation process of gas turbine more accurately,this paper uses multi system integration simulation technology to study the dynamic characteristics of gas turbine.Firstly,considering t...In order to simulate the actual operation process of gas turbine more accurately,this paper uses multi system integration simulation technology to study the dynamic characteristics of gas turbine.Firstly,considering the factors such as variable stator vanes,air extraction,cooling mixing and multiple inertias,a refined model of gas turbine is established.Then,AMESim is used to establish the model of the VSV actuator of the gas turbine,and Flowmaster is used to establish the model of the secondary air system of the gas turbine.Finally,the multi-system integration simulation model of gas turbine is established by using interface technology to study the dynamic characteristics of gas turbine under load mutation.The simulation results show that the established multisystem simulation model of gas turbine can effectively simulate the dynamic operation process of gas turbine under the condition of load mutation,which is of great significance to the simulation research of gas turbine.展开更多
Two years after the coronavirus disease 2019(COVID-19)pandemic,acute hepatitis of unknown etiology in children(AHUCD)began to be reported worldwide.The novel coronavirus and adenovirus were found in pathogen and antib...Two years after the coronavirus disease 2019(COVID-19)pandemic,acute hepatitis of unknown etiology in children(AHUCD)began to be reported worldwide.The novel coronavirus and adenovirus were found in pathogen and antibody tests in AHUCD cases reported by the World Health Organization.Children are not exposed to the viruses that children are generally exposed to owing to COVID-19 infection preventive measures such as isolation and wearing masks;therefore,some researchers have speculated that this disease is related to reduced exposure to pathogens.Some scientists have also speculated that the disease is related to liver injury and adenoviral hepatitis,which are the sequelae of COVID-19.Some evidence also suggests a weak association between the disease and COVID-19 vaccination.Therefore,further research and investigation of the pathogenesis,preventive measures,and early treatment of hepatitis of unknown etiology are required.This study aimed to synthesize available evidence to further elucidate this disease in order to treat and prevent it effectively.展开更多
Hand,foot,and mouth disease(HFMD)is a prevalent infectious affliction primarily affecting children,with a small portion of cases progressing to neurological complications.Notably,in a subset of severe HFMD cases,neuro...Hand,foot,and mouth disease(HFMD)is a prevalent infectious affliction primarily affecting children,with a small portion of cases progressing to neurological complications.Notably,in a subset of severe HFMD cases,neurological manifestations may result in significant sequelae and pose a risk of mortality.We systematically conducted literature retrieval from the databases PubMed(1957–2023),Embase(1957–2023),and Web of Science(1957–2023),in addition to consulting authoritative guidelines.Subsequently,we rigorously selected the most relevant articles within the scope of this review for comprehensive analysis.It is widely recognized that the severity of HFMD is attributed to a multifaceted array of pathophysiological mechanisms.The implication of multi-system dysfunction appears to be perturbances of the human defense system;therefore,it contributes to the severity of HFMD.In this review,we provide an overview and analysis of recent insights into the molecular mechanisms contributing to the severity of HFMD,with a particular focus on cytokine release syndrome,the involvement of the renin-angiotensin system,regional immunity,endothelial dysfunction,catecholamine storm,viral invasion,and the molecular mechanisms of neurological damage.We speculate that the domino effect of diverse physiological systems,initiated by damage to the central nervous system,serve as the primary mechanisms governing the severity of HFMD.Simultaneously,we emphasize the knowledge gaps and research urgently required to delineate a quick roadmap for ongoing and essential studies on HFMD.展开更多
In order to reduce the environmental impact of conventional sludge treatment methods and to utilize the energy in sludge more effectively,a coupled system based on sewage sludge gasifier(SSG),solid oxide fuel cells(SO...In order to reduce the environmental impact of conventional sludge treatment methods and to utilize the energy in sludge more effectively,a coupled system based on sewage sludge gasifier(SSG),solid oxide fuel cells(SOFC),supercritical CO_(2)cycle(S-CO_(2)),and organic Rankine cycle(ORC)is proposed.The clean syngas obtained from sludge gasification is mixed with CH4 and then first utilized by the fuel cell.The exhaust gas from the fuel cell is fully combusted in the afterburning chamber and then enters the bottom cycle system consisting of S-CO_(2)&ORC to generate electricity.To understand the performance of the system,thermodynamic and economic analyses were conducted to examine the project's performance.The thermodynamics as well as the economics of the coupled system were analyzed to arrive at the following conclusions,the power production of the system is 37.34 MW;the exergy efficiency is 55.62%,and the net electrical efficiency is 61.48%.The main exergy destruction is the gasifier and SOFC,accounting for 62.45%of the total exergy destruction.It takes only6.13 years to repay the construction investment in the novel system,and the project obtains a NPV of 17723820USD during 20 years lifetime.The above findings indicate that the new coupled system has a better performance in terms of energy utilization and economy.展开更多
Global navigation satellite system(GNSS)carrier phase observations are two orders of higher accuracy than pseudo-range observations,and they are less affected by multipath besides.As a result,the time transfer accurac...Global navigation satellite system(GNSS)carrier phase observations are two orders of higher accuracy than pseudo-range observations,and they are less affected by multipath besides.As a result,the time transfer accuracy can reach 0.1 ns,and the frequency transfer stability can reach 1×10^-15 with carrier phase(CP)method,therefore CP method is considered the most accurate and promising time transfer technology.The focus of this paper is to present a comprehensive summary of CP method,with specific attention directed toward day-boundary clock jump,ambiguity resolution(AR),multi-system time transfer and real-time time transfer.Day-boundary clock jump is essentially caused by pseudo-range noise.Several approaches were proposed to solve the problem,such as continuously processing strategy,sliding batch and bidirectional filtering methods which were compared in this study.Additionally,researches on AR in CP method were introduced.Many scholars attempted to fix the single-difference ambiguities to improve the time transfer result,however,owing to the uncalibrated phase delay(UPD)was not considered,the current studies on AR in CP method were still immature.Moreover,because four GNSS systems could be used for time-transfer currently,which was helpful to increase the accuracy and reliability,the researches on multi-system time transfer were reviewed.What’s more,real-time time transfer attracted more attention nowadays,the preliminary research results were presented.展开更多
文摘This editorial is a commentary on the article by Ni et al,which was published in the World Journal of Clinical Cases.The article discusses the diagnostic and therapeutic challenges of melioidosis caused by Burkholderia pseudomallei.The case study highlights a rare instance of multisystemic melioidosis in a female patient who did not have a travel history,emphasizing the significance of recognizing this condition in non-endemic regions.Diagnostic complexities and therapeutic strategies are addressed,emphasizing the need for heightened clinical suspicion,comprehensive evaluation,and multidisciplinary collaboration.The editorial delves into the clinical presentation,diagnostic dilemmas,therapeutic approaches,and their implications for patient care in managing multi-systemic melioidosis.
文摘Nonalcoholic fatty liver disease(NAFLD) is the most common cause of chronic liver disease. NAFLD includes a wide spectrum of liver conditions ranging from simple steatosis to nonalcoholic steatohepatitis and advanced hepatic fibrosis. NAFLD has been recognized as a hepatic manifestation of metabolic syndrome linked with insulin resistance. NAFLD should be considered not only a liver specific disease but also an early mediator of systemic diseases. Therefore, NAFLD is usually associated with cardiovascular disease, chronic kidney disease, type 2 diabetes, obesity, and dyslipidemia. NAFLD is highly prevalent in the general population and is associated with increased cardiovascular morbidity and mortality. The underlying mechanisms and pathogenesis of NAFLD with regard to other medical disorders are not yet fully understood. This review focuses on pathogenesis of NAFLD and its relation with other systemic diseases.
基金supported by grants from the National Natural Science Foundation of China(No.42004010)the B&R Seismic Monitoring Network Project of the China Earthquake Networks Center(No.5007).
文摘The Belt and Road global navigation satellite system(B&R GNSS)network is the first large-scale deployment of Chinese GNSS equipment in a seismic system.Prior to this,there have been few systematic assessments of the data quality of Chinese GNSS equipment.In this study,data from four representative GNSS sites in different regions of China were analyzed using the G-Nut/Anubis software package.Four main indicators(data integrity rate,data validity ratio,multi-path error,and cycle slip ratio)used to systematically analyze data quality,while evaluating the seismic monitoring capabilities of the network based on earthquake magnitudes estimated from high-frequency GNSS data are evaluated by estimating magnitude based on highfrequency GNSS data.The results indicate that the quality of the data produced by the three types of Chinese receivers used in the network meets the needs of earthquake monitoring and the new seismic industry standards,which provide a reference for the selection of equipment for future new projects.After the B&R GNSS network was established,the seismic monitoring capability for earthquakes with magnitudes greater than M_(W)6.5 in most parts of the Sichuan-Yunnan region improved by approximately 20%.In key areas such as the Sichuan-Yunnan Rhomboid Block,the monitoring capability increased by more than 25%,which has greatly improved the effectiveness of regional comprehensive earthquake management.
文摘Children are infected with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), but they are asymptomatic or suffer a mild disease compared to adults. However, the post-infectious immune dysregulation may result in the Multisystem Inflammatory Syndrome in Children (MIS-C). The most common presentations of MIS are fever, gastrointestinal (diarrhea, vomiting, abdominal pain), cardiovascular, mucocutaneous (rash, mucus membrane changes, conjunctival injection), respiratory (including sore throat), headache, limb and periorbital edema, and elevated inflammation markers. Some clinical and laboratory features of MIS-C are similar to other systemic diseases of childhood as Kawasaki disease and Toxic Shock Syndrome. Here are reported three cases in children with MIS-C, Kawasaki disease and Toxic Shock Syndrome to highlight the similarities and differences of these diseases.
文摘This contribution discusses the concept of Reliability-Adaptive Systems （RAS） to multi-system operation. A fleet of independently operating systems and a single maintenance unit axe considered. It is the objective in this paper to increase overall performance or workload respectively by avoiding delay due to busy maintenance units. This is achieved by concerted and coordinated derating of individual system performance, which increases reliability. Quantification is carried out by way of a convolution-based approach. The approach is tailored to fleets of ships, aeroplanes, spacecraft, and vehicles （trains, trams, buses, cars, trucks, etc.） - Finally, the effectiveness of derating is validated using different criteria. The RAS concept makes sense if average system output loss due to lowered performance level （yielding longer time to failure） is smaller than average loss due to waiting for maintenance in a non-adaptive case.
文摘Empirical studies have shown a distinct relationship between academic performance and food insecurity in college students. Specifically, food-insecure students are more likely to report a lower grade point average than their food secure counterparts. Since the Great Recession, more attention has been given to the topic of hunger and food insecurity among college students;however, the literature still lacks a comprehensive examination of various issues facing today’s college students. Using a multi-systems life course (MSLC) perspective, this paper provides a conceptual explanation of the lived experience of college students by offering a better understanding of the unique challenges faced by this population. Findings from this study will assist researchers, practitioners, and university administrators in their efforts to address hunger among this population.
基金supported by the Key Projects of the National Natural Science Foundation of China,No.11932013(to XC)Key Military Logistics Research Projects,No.B WJ21J002(to XC)+4 种基金the Key projects of the Special Zone for National Defence Innovation,No.21-163-12-ZT006002-13(to XC)the National Nature Science Foundation of China No.82272255(to XC)the National Defense Science and Technology Outstanding Youth Science Fund Program,No.2021-JCIQ-ZQ-035(to XC)the Scientific Research Innovation Team Project of Armed Police Characteristic Medical Center,No.KYCXTD0104(to ZL)the National Natural Science Foundation of China Youth Fund,No.82004467(to BC)。
文摘Spinal cord injury is a serious disease of the central nervous system involving irreversible nerve injury and various organ system injuries.At present,no effective clinical treatment exists.As one of the artificial hibernation techniques,mild hypothermia has preliminarily confirmed its clinical effect on spinal cord injury.However,its technical defects and barriers,along with serious clinical side effects,restrict its clinical application for spinal cord injury.Artificial hibernation is a futureoriented disruptive technology for human life support.It involves endogenous hibernation inducers and hibernation-related central neuromodulation that activate particular neurons,reduce the central constant temperature setting point,disrupt the normal constant body temperature,make the body adapt"to the external cold environment,and reduce the physiological resistance to cold stimulation.Thus,studying the artificial hibernation mechanism may help develop new treatment strategies more suitable for clinical use than the cooling method of mild hypothermia technology.This review introduces artificial hibernation technologies,including mild hypothermia technology,hibernation inducers,and hibernation-related central neuromodulation technology.It summarizes the relevant research on hypothermia and hibernation for organ and nerve protection.These studies show that artificial hibernation technologies have therapeutic significance on nerve injury after spinal co rd injury through inflammatory inhibition,immunosuppression,oxidative defense,and possible central protection.It also promotes the repair and protection of res pirato ry and digestive,cardiovascular,locomoto r,urinary,and endocrine systems.This review provides new insights for the clinical treatment of nerve and multiple organ protection after spinal cord injury thanks to artificial hibernation.At present,artificial hibernation technology is not mature,and research fa ces various challenges.Neve rtheless,the effort is wo rthwhile for the future development of medicine.
基金Supported by Hainan Academician Innovation Platform Fund,and the Hainan Province Clinical Medical Center.
文摘BACKGROUND Langerhans cell histiocytosis(LCH)is characterized by diabetes insipidus and is an uncommon occurrence.Pathological biopsies still have a certain degree of diagnostic probability.We present a case in which LCH initially affected the pituitary gland.This resulted in a misdiagnosis of chronic inflammation upon pathological examination.CASE SUMMARY A 25-year-old female exhibited symptoms of diabetes insipidus.Magnetic resonance imaging revealed an enhanced foci in the pituitary gland.After surgical resection of the pituitary lesion,the pathological diagnosis was chronic inflam-mation.However,the patient later experienced bone destruction in the skull and lower limb bones.After the lower limb bone lesion was compared with the initial pituitary lesion,the final diagnosis was modified to LCH.The patient was treated with multiple chemotherapy courses.However,the patient’s condition gradually worsened,and she eventually passed away at home.CONCLUSION LCH should be considered when patients exhibit diabetes insipidus and absence of high signal intensity in the pituitary gland on sagittal T1-weighted image and abnormal enhancement in the pituitary region.
基金Zhejiang Medical and Health Science and Technology Program,No.2020KY327 and No.2017KY660.
文摘BACKGROUND ACTA2 gene is a specific gene that encodes actinα2.Multisystem smooth muscle dysfunction syndrome(MSMDS)is a multisystem disease characterized by aortic and cerebrovascular lesions caused by ACTA2 gene mutations.There have been many reports of cardiac,pulmonary and cerebrovascular lesions caused by MSMDS;however,few studies have focused on seizures caused by MSMDS.CASE SUMMARY Our patient was a girl aged 7 years and 8 mo with recurrent cough,asthma and seizures for 7 years.She was diagnosed with severe pneumonia,congenital heart disease,cardiac insufficiency,and malnutrition in the local hospital.Cardiac ultrasonography revealed congenital heart disease,patent ductus arteriosus(with a diameter of 0.68 cm),left coronary arteriectasis,patent oval foramen(0.12 cm),tricuspid and pulmonary regurgitation,and pulmonary hypertension.Cerebral magnetic resonance imaging and magnetic resonance angiography indicated stiffness in the brain vessels,together with multiple aberrant signaling shadows in bilateral paraventricular regions.A heterozygous mutation(c.536G>A)was identified in the ACTA2 gene,resulting in generation of p.R179H.Finally,the girl was diagnosed with MSMDS combined with epilepsy.The patient had 4 episodes of seizures before treatment,and no onset of seizure was reported after oral administration of sodium valproate for 1 year.CONCLUSION MSMDS has a variety of clinical manifestations and unique cranial imaging features.Cerebrovascular injury and white matter injury may lead to seizures.Gene detection can confirm the diagnosis and prevent missed diagnosis or misdiagnosis.
基金financially supported by the National Natural Science Foundation of China(No.51805542)the Strategic Cooperation Technology Projects of CNPC and CUPB(ZLZX2020-05)the Science Foundation of China University of Petroleum,Beijing(No.2462020YXZZ046 and 2462020XKJS01)
文摘Pipeline inner inspection technology based on Pipeline Inspection Gauge(PIG),is the primary means for ensuring the safety of submarine pipelines.The dynamic characteristics of a PIG can change abruptly with the excitation of obstacles such as girth welds inside the pipeline,which would result in failure or inaccuracy of the inspection results.This study establishes a dynamic model of the PIG sealing disc based on Kelvin spring damping in the circumferentially confined space.The axial vibration differential equations of the PIG is examined in detail.MSC/ADAMS is used to conduct the dynamic simulation of the PIG at different motion velocities and center of mass positions while passing through the girth weld process.Results indicate that the axial vibration caused by the girth weld intensifies substantially as the speed of the PIG increases,while the pitch and vertical vibrations exhibit a significant decline with an increase in the motion velocity.The change in the PIG’s center of mass positions has little effect on its axial vibration,while the pitch and vertical vibration conditions are significantly different in the same circumstances.
文摘Death due to scorpion envenoming syndrome is a common event in many of the tropical and non-tropical counties. Initial transient hypertension is commonly observed in scorpion sting victims. Scorpion envenoming causes autonomic storm resulting in initial transient hypertension followed by hypotension, cold clammy skin, hypothermia, cardiovascular disturbances, acute myocarditis, sarcolemmal defects, pulmonary oedema, acute pancreatitis, disseminated intravascular coagulation (DIC), Adult respiratory distress syndrome (ARDS), and many other clinical manifestations. All these manifestations could be due to sudden increase in catecholamines, angiotensin II, glucagon, Cortisol and either due to suppressed insulin secretion or insulin resistance and death. The sudden increase of metabolic A in counter-regulatory hormones along with either suppressed insulin secretion/or insulin resistance results in glycogenolysis in liver, cardiac and skeletal muscles causing hyperglycemia and a sudden increase in free fatty acid levels. Free Fatty Acids increase the susceptibility of the ventricles to the disorganized electrical behavior, inhibit cardiac sarcolemmal Na+-K+ ATPase activity, increase the tendency to intravascular thrombus, increase myocardial oxygen consumption, interfere with tropomyosin-troponin activation of Actin-Myosin coupling, show detergent effects on cell membranes and they could alter the stabilization of lysosomal membranes and probably become toxic to the myocardium. Based on our animal experiments in which insulin administration reversed the metabolic and ECG changes induced by scorpion envenoming and treating the poisonous scorpion sting victims with insulin, we consider that insulin has a primary metabolic role in preventing, counter-acting and reversing all the deleterious effects of FFA by inhibiting the catecholamine induced by lipolysis, and increasing intra-cellular K+, facilitating glucose transport to the myocardium and glucose metabolism through different pathways. Administration of insulin-glucose infusion to scorpion sting victims appears to be the physiological basis for the control of the metabolic response when that has become a determinant to survival. Treatment using continuous infusion of regular crystalline insulin should be given at the rate of 0.3 U/g glucose and glucose at the rate of 0.1 g/kg body weight/hour, for 48 - 72 hours, with supplementation of potassium as needed and maintenance of fluid, electrolytes and acid-base balance.
文摘The SARS-CoV-2 2019 pandemic is creating challenges to the management of post-infectious autoimmunity in childhood and adult Covid-19 cases due to its high case fatality. Nearly all of the agents envisioned to treat Covid-19 illness, including the newly recognized pediatric multi-system inflammatory syndrome, impact post-infectious mechanisms in keeping with the multiplier effect of infection, immunity and inflammation, known as I-Cubed (I3).
基金National Science and Technology Major Project(J2019-I-0012-0012)。
文摘In order to simulate the actual operation process of gas turbine more accurately,this paper uses multi system integration simulation technology to study the dynamic characteristics of gas turbine.Firstly,considering the factors such as variable stator vanes,air extraction,cooling mixing and multiple inertias,a refined model of gas turbine is established.Then,AMESim is used to establish the model of the VSV actuator of the gas turbine,and Flowmaster is used to establish the model of the secondary air system of the gas turbine.Finally,the multi-system integration simulation model of gas turbine is established by using interface technology to study the dynamic characteristics of gas turbine under load mutation.The simulation results show that the established multisystem simulation model of gas turbine can effectively simulate the dynamic operation process of gas turbine under the condition of load mutation,which is of great significance to the simulation research of gas turbine.
文摘Two years after the coronavirus disease 2019(COVID-19)pandemic,acute hepatitis of unknown etiology in children(AHUCD)began to be reported worldwide.The novel coronavirus and adenovirus were found in pathogen and antibody tests in AHUCD cases reported by the World Health Organization.Children are not exposed to the viruses that children are generally exposed to owing to COVID-19 infection preventive measures such as isolation and wearing masks;therefore,some researchers have speculated that this disease is related to reduced exposure to pathogens.Some scientists have also speculated that the disease is related to liver injury and adenoviral hepatitis,which are the sequelae of COVID-19.Some evidence also suggests a weak association between the disease and COVID-19 vaccination.Therefore,further research and investigation of the pathogenesis,preventive measures,and early treatment of hepatitis of unknown etiology are required.This study aimed to synthesize available evidence to further elucidate this disease in order to treat and prevent it effectively.
基金National Natural Science Foundation of China(YJ.,No.82002147 and No.82372229,GD.,No.82273695,and SC.,No.82073618)China Postdoctoral Science Foundation(YJ.,No.2024T170246 and No.2024M750815)+2 种基金Open Research Fund of National Health Commission Key Laboratory of Birth Defects Prevention&Henan Key Laboratory of Population Defects Prevention(YJ.,No.ZD202301)Open Grant from the Pingyuan Laboratory(YJ.,No.2023PY-OP-0202)Open Project of Henan Province Engineering Research Center of Diagnosis and Treatment of Pediatric Infection and Critical Care(YJ.,No.ERC202302)。
文摘Hand,foot,and mouth disease(HFMD)is a prevalent infectious affliction primarily affecting children,with a small portion of cases progressing to neurological complications.Notably,in a subset of severe HFMD cases,neurological manifestations may result in significant sequelae and pose a risk of mortality.We systematically conducted literature retrieval from the databases PubMed(1957–2023),Embase(1957–2023),and Web of Science(1957–2023),in addition to consulting authoritative guidelines.Subsequently,we rigorously selected the most relevant articles within the scope of this review for comprehensive analysis.It is widely recognized that the severity of HFMD is attributed to a multifaceted array of pathophysiological mechanisms.The implication of multi-system dysfunction appears to be perturbances of the human defense system;therefore,it contributes to the severity of HFMD.In this review,we provide an overview and analysis of recent insights into the molecular mechanisms contributing to the severity of HFMD,with a particular focus on cytokine release syndrome,the involvement of the renin-angiotensin system,regional immunity,endothelial dysfunction,catecholamine storm,viral invasion,and the molecular mechanisms of neurological damage.We speculate that the domino effect of diverse physiological systems,initiated by damage to the central nervous system,serve as the primary mechanisms governing the severity of HFMD.Simultaneously,we emphasize the knowledge gaps and research urgently required to delineate a quick roadmap for ongoing and essential studies on HFMD.
基金supported by the National Nature Science Fund of China(No.52276006)Science Fund for Creative Research Groups of the National Natural Science Foundation of China(No.51821004)。
文摘In order to reduce the environmental impact of conventional sludge treatment methods and to utilize the energy in sludge more effectively,a coupled system based on sewage sludge gasifier(SSG),solid oxide fuel cells(SOFC),supercritical CO_(2)cycle(S-CO_(2)),and organic Rankine cycle(ORC)is proposed.The clean syngas obtained from sludge gasification is mixed with CH4 and then first utilized by the fuel cell.The exhaust gas from the fuel cell is fully combusted in the afterburning chamber and then enters the bottom cycle system consisting of S-CO_(2)&ORC to generate electricity.To understand the performance of the system,thermodynamic and economic analyses were conducted to examine the project's performance.The thermodynamics as well as the economics of the coupled system were analyzed to arrive at the following conclusions,the power production of the system is 37.34 MW;the exergy efficiency is 55.62%,and the net electrical efficiency is 61.48%.The main exergy destruction is the gasifier and SOFC,accounting for 62.45%of the total exergy destruction.It takes only6.13 years to repay the construction investment in the novel system,and the project obtains a NPV of 17723820USD during 20 years lifetime.The above findings indicate that the new coupled system has a better performance in terms of energy utilization and economy.
基金supported in part by the National Key Research and Development Program of China(Grant No.2016YFB0800401)in part by the National Natural Science Foundation of China(Grants Nos.61621003,61532020&11472290)。
文摘Global navigation satellite system(GNSS)carrier phase observations are two orders of higher accuracy than pseudo-range observations,and they are less affected by multipath besides.As a result,the time transfer accuracy can reach 0.1 ns,and the frequency transfer stability can reach 1×10^-15 with carrier phase(CP)method,therefore CP method is considered the most accurate and promising time transfer technology.The focus of this paper is to present a comprehensive summary of CP method,with specific attention directed toward day-boundary clock jump,ambiguity resolution(AR),multi-system time transfer and real-time time transfer.Day-boundary clock jump is essentially caused by pseudo-range noise.Several approaches were proposed to solve the problem,such as continuously processing strategy,sliding batch and bidirectional filtering methods which were compared in this study.Additionally,researches on AR in CP method were introduced.Many scholars attempted to fix the single-difference ambiguities to improve the time transfer result,however,owing to the uncalibrated phase delay(UPD)was not considered,the current studies on AR in CP method were still immature.Moreover,because four GNSS systems could be used for time-transfer currently,which was helpful to increase the accuracy and reliability,the researches on multi-system time transfer were reviewed.What’s more,real-time time transfer attracted more attention nowadays,the preliminary research results were presented.
