We present a systematic study of homogenization of diffusion in random me- dia with emphasis on tile-based random microstructures. We give detailed examples of several such media starting from their physical descripti...We present a systematic study of homogenization of diffusion in random me- dia with emphasis on tile-based random microstructures. We give detailed examples of several such media starting from their physical descriptions, then construct the associated probability spaces and verify their ergodicity. After a discussion of material symmetries of random media, we derive criteria for the isotropy of the homogenized limits in tile-based structures. ~rthermore, we study the periodization Mgorithm for the numerical approxi- mation of the homogenized diffusion tensor and study the algorithm＇s rate of convergence. For one dimensional tile-based media, we prove a central limit result, giving a concrete rate of convergence for periodization. We also provide numerical evidence for a similar central limit behavior in the case of two dimensional tile-based structures.展开更多
Approximately 20%to 30%of the global workforce is engaged in shift work.As a significant cause of circadian disruption,shift work is closely associated with an increased risk for periodontitis.Nevertheless,how shift w...Approximately 20%to 30%of the global workforce is engaged in shift work.As a significant cause of circadian disruption,shift work is closely associated with an increased risk for periodontitis.Nevertheless,how shift work-related circadian disruption functions in periodontitis remains unknown.Herein,we employed a simulated shift work model constructed by controlling the environmental light-dark cycles and revealed that shift work-related circadian disruption exacerbated the progression of experimental periodontitis.RNA sequencing and in vitro experiments indicated that downregulation of the core circadian protein brain and muscle ARNT-like protein 1(BMAL1)and activation of the Gasdermin D(GSDMD)-mediated pyroptosis were involved in the pathogenesis of that.Mechanically,BMAL1 regulated GSDMD-mediated pyroptosis by suppressing NOD-like receptor protein 3(NLRP3)inflammasome signaling through modulating nuclear receptor subfamily 1 group D member 1(NR1D1),and inhibiting Gsdmd transcription via directly binding to the E-box elements in its promoter.GSDMD-mediated pyroptosis accelerated periodontitis progression,whereas downregulated BMAL1 under circadian disruption further aggravated periodontal destruction by increasing GSDMD activity.And restoring the level of BMAL1 by circadian recovery and SR8278 injection alleviated simulated shift work-exacerbated periodontitis via lessening GSDMD-mediated pyroptosis.These findings provide new evidence and potential interventional targets for circadian disruption-accelerated periodontitis.展开更多
During Donald Trump’s first term,the“Trump Shock”brought world politics into an era of uncertainties and pulled the transatlantic alliance down to its lowest point in history.The Trump 2.0 tsunami brewed by the 202...During Donald Trump’s first term,the“Trump Shock”brought world politics into an era of uncertainties and pulled the transatlantic alliance down to its lowest point in history.The Trump 2.0 tsunami brewed by the 2024 presidential election of the United States has plunged the U.S.-Europe relations into more gloomy waters,ushering in a more complex and turbulent period of adjustment.展开更多
It is difficult to improve both energy consumption and detection accuracy simultaneously,and even to obtain the trade-off between them,when detecting and tracking moving targets,especially for Underwater Wireless Sens...It is difficult to improve both energy consumption and detection accuracy simultaneously,and even to obtain the trade-off between them,when detecting and tracking moving targets,especially for Underwater Wireless Sensor Networks(UWSNs).To this end,this paper investigates the relationship between the Degree of Target Change(DoTC)and the detection period,as well as the impact of individual nodes.A Hierarchical Detection and Tracking Approach(HDTA)is proposed.Firstly,the network detection period is determined according to DoTC,which reflects the variation of target motion.Secondly,during the network detection period,each detection node calculates its own node detection period based on the detection mutual information.Taking DoTC as pheromone,an ant colony algorithm is proposed to adaptively adjust the network detection period.The simulation results show that the proposed HDTA with the optimizations of network level and node level significantly improves the detection accuracy by 25%and the network energy consumption by 10%simultaneously,compared to the traditional adaptive period detection schemes.展开更多
BACKGROUND Thyrotoxic periodic paralysis(TPP)is an endocrine emergency caused by thyrotoxicosis,manifesting mainly as periodic myasthenia and hypokalemia,and posing a serious threat to the patient's health.Fatigue...BACKGROUND Thyrotoxic periodic paralysis(TPP)is an endocrine emergency caused by thyrotoxicosis,manifesting mainly as periodic myasthenia and hypokalemia,and posing a serious threat to the patient's health.Fatigue,strenuous exercise,alcohol abuse,high carbohydrate intake and insulin injections are common triggers of paralysis.This article reports a case of severe TPP induced by insulin injection,elucidates the characteristics and pathogenesis of the disease,analyses the risk factors for triggering TPP,and hopefully provides more clinical data for TPP patients.CASE SUMMARY A 38-year-old Asian man presented to the emergency department with a oneweek history of limb weakness and worsening half-day.His medical history included poorly controlled type 2 diabetes and he had been switched to Aspart50 a week earlier.He was alert and oriented with upper extremity strength grade 3 and lower extremity strength grade 1.Emergency department tests showed hypokalemia of 1.6 mmol/L.The paramedics administered 1.5 g of potassium intravenously,followed by 4.0 g orally.Weakness in the arms and legs improved.He was referred to endocrinology where he was diagnosed with Graves'disease,with suboptimal control and insulin injections possibly causing TPP.We stopped his insulin and he was discharged with a potassium level of 4.0 mmol/L.CONCLUSION Insulin is a trigger for TPP and should be avoided in patients with hyperthyroidism.Early recognition and treatment of TPP is crucial,especially in patients presenting with hypokalemic periodic paralysis.展开更多
Analysis and design of linear periodic control systems are closely related to the periodic matrix equations.The biconjugate residual method(BCR for short)have been introduced by Vespucci and Broyden for efficiently so...Analysis and design of linear periodic control systems are closely related to the periodic matrix equations.The biconjugate residual method(BCR for short)have been introduced by Vespucci and Broyden for efficiently solving linear systems Aα=b.The objective of this paper is to provide one new iterative algorithm based on BCR method to find the symmetric periodic solutions of linear periodic matrix equations.This kind of periodic matrix equations has not been dealt with yet.This iterative method is guaranteed to converge in a finite number of steps in the absence of round-off errors.Some numerical results are performed to illustrate the efficiency and feasibility of new method.展开更多
The article studies the evolutionary dynamics of two-population two-strategy game models with and without impulses. First, the payment matrix is given and two evolutionary dynamics models are established by adding sto...The article studies the evolutionary dynamics of two-population two-strategy game models with and without impulses. First, the payment matrix is given and two evolutionary dynamics models are established by adding stochastic and impulse. For the stochastic model without impulses, the existence and uniqueness of solution, and the existence of positive periodic solutions are proved, and a sufficient condition for strategy extinction is given. For the stochastic model with impulses, the existence of positive periodic solutions is proved. Numerical results show that noise and impulses directly affect the model, but the periodicity of the model does not change.展开更多
With the increase of international trade activities and the gradual melting of the polar ice cap,the importance of the Arctic route for marine transportation has been emphasized.Prediction of the polar navigation wind...With the increase of international trade activities and the gradual melting of the polar ice cap,the importance of the Arctic route for marine transportation has been emphasized.Prediction of the polar navigation window period is crucial for navigating in the Arctic route,which is of great significance to the selection of the route and the optimization of navigation.This paper introduces the establishment of a risk index system,determination of risk index weight,establishment of a risk evaluation model,and prediction algorithm for the window period.In addition,data sources of both environmental factors and ship factors are introducted,and their shortcomings are analyzed,followed by introduction of various methods involved in window prediction and analysis of their advantages and disadvantages.The quantitative risk evaluation and window period algorithm can provide a reference for the research of polar navigation window period prediction.展开更多
In this paper,we investigate the periodic traveling wave solutions problem for a single population model with advection and distributed delay.By the bifurcation analysis method,we can obtain periodic traveling wave so...In this paper,we investigate the periodic traveling wave solutions problem for a single population model with advection and distributed delay.By the bifurcation analysis method,we can obtain periodic traveling wave solutions for this model under the influence of advection term and distributed delay.The obtained results indicate that weak kernel and strong kernel can both deduce the existence of periodic traveling wave solutions.Finally,we apply the main results in this paper to Logistic model and Nicholson’s blowflies model.展开更多
The early developmental period is a critical window during which brain cells mature and contribute to both brain development and later life functions.Gamma-aminobutyric acid(GABA),recognized as a major neurotransmitte...The early developmental period is a critical window during which brain cells mature and contribute to both brain development and later life functions.Gamma-aminobutyric acid(GABA),recognized as a major neurotransmitter,plays a crucial role in coordinating synapse formation,neuronal proliferation,and migration during this time.展开更多
BACKGROUND In the treatment of rectal cancer,a temporary loop ileostomy(TLI)is created after low anterior resection to protect bowel function in the postoperative period.Dehydration and kidney failure are significant ...BACKGROUND In the treatment of rectal cancer,a temporary loop ileostomy(TLI)is created after low anterior resection to protect bowel function in the postoperative period.Dehydration and kidney failure are significant potential complications in loop ileostomies.Compared to late closure(3-6 months),early closure(10-14 days)of the TLI may facilitate faster patient recovery and shorter hospital stays.AIM To compare early and late closure of TLIs and demonstrate that early stoma closure can be performed without increasing morbidity.METHODS This study included patients who underwent TLI for rectal cancer,with data collected prospectively between June 2016 and October 2024 and analyzed retrospectively.Patients whose stomas were closed in the late period(3-6 months)between June 2016 and October 2022(group A)were compared with those who underwent early closure(10-14 days)between October 2022 and 2024(group B),with the primary outcome being complication rate and the secondary outcome being quality of life.RESULTS A total of 270 TLIs were created(70.9%).Of these,120(44.4%)were closed in the late period(group A),and 150(55.6%)were closed in the early period(group B).There was no statistically significant difference between group A and group B in terms of demographic and clinicopathological characteristics(P>0.05).Perioperative(anesthesia management,operative time,blood loss,surgical technique)and postoperative findings(anastomotic leak,infection)were similar between the two groups and were not statistically significant(P>0.05).There were no statistically significant differences in complication rates as the primary outcome between the two groups.Quality of life as a secondary outcome was significantly higher in the early closure group(P<0.05).CONCLUSION No statistically significant difference was found between early and late loop ileostomy closure in terms of perioperative and postoperative morbidity.Early closure accelerated patients’psychological and social recovery.展开更多
Significant wave period is an important parameter in coastal and offshore engineering design.Traditional spectral wave models do not directly calculate this parameter,which means that it needs to be estimated from the...Significant wave period is an important parameter in coastal and offshore engineering design.Traditional spectral wave models do not directly calculate this parameter,which means that it needs to be estimated from the spectral periods using empirical formulas.The wave energy period is one of the wave periods directly output by many wave models and is often used in studies of wave energy.This study investigated the relationship between significant wave period and wave energy period using wave data measured at three stations in the coastal waters of China.The observations recorded at these stations in the South China Sea,the East China Sea,and the Bohai Sea covered a wide range of surface wave conditions.Analysis indicated that the ratio of significant wave period to wave energy period is closely related to the Goda peakedness parameter of the wave spectra.Therefore,we proposed an empirical formula in which significant wave period is a function of wave energy period and the Goda peakedness parameter.Evaluation results showed that the performance of this formula is substantially better than that of fitting formulas that use constant coefficients.展开更多
Till date,no study on trends in extreme sea surface temperature(SST)for different return periods has been done over the Gulf of Tonkin(GoT).Based on a 84-year(1940–2023)ERA5 Reanalysis data sets,this study for the fi...Till date,no study on trends in extreme sea surface temperature(SST)for different return periods has been done over the Gulf of Tonkin(GoT).Based on a 84-year(1940–2023)ERA5 Reanalysis data sets,this study for the first time,examined the spatio-temporal pattern in extreme SST for different return periods.Findings showed that more significant moderate to fast warming trends(0.1–0.16°C per decade(dec-1))only existed for the 2 year return period.Temporal trends in the 99th percentile SST are insignificant for all return periods.By using the linear regression method,the variability in extreme SST was obtained.Results showed that moderate warming trends dominated a large portion of GoT.Stronger trends,up to 0.018°C yr-1 are noticed near Guangdong,Haikou and southern Sanya in south China.Extreme SST exhibited a slow warming trend of 0.008°C per year(yr-1)all through the study years.The SST is most stable in most waters in the southern GoT and few waters surrounding Dongfang.Temporal warming rates of SST revealed that 1940–1958,1976–1994 and 2003–2012 were years of more coastal upwelling and could affect aquatic lives.The strongest warming rate of 0.07°C dec-1 occurred during 1994–2003.The GoT appeared warmer during spring.Spatial decadal variability of SST revealed that moderate warming trends occurred in few regions in the southern GoT and in larger portion of the central and northern GoT.The rise in SST between 1980 and 2020 in the GoT is not limited to increased anthropogenic activities.展开更多
Dear Editor,This letter presents an improved repetitive controller(IRC) that uses a complex-coefficient filter to enhance the tracking performance of a system for periodic signals. Compared with the low-pass filter us...Dear Editor,This letter presents an improved repetitive controller(IRC) that uses a complex-coefficient filter to enhance the tracking performance of a system for periodic signals. Compared with the low-pass filter used in the conventional repetitive controller(CRC), the complex-coefficient filter causes less change in the phase and amplitude of a signal at the frequencies of the periodic signal, especially at the fundamental frequency, when the two filters have the same cutofffrequency.展开更多
Executive functions emerge throughout childhood and shape multiple cognitive and behavioral outcomes across the lifespan.Given the importance of these functions,there is considerable interest in understanding the role...Executive functions emerge throughout childhood and shape multiple cognitive and behavioral outcomes across the lifespan.Given the importance of these functions,there is considerable interest in understanding the role of environmental enrichment to support their development.The past 20 years have seen the emergence of a body of evidence around the beneficial effects of engaging in physical activity for executive functioning in children.Despite this,there are still unanswered questions,particularly about the confounding effects of the timing and dose of exercise-based interventions.During development,sensitive periods with heightened neural plasticity and sensitivity to environmental influences can offer an optimal time to introduce enrichment interventions.As such,sensitive periods for executive function could indicate an ideal time to introduce physical activity or be a potential confounder to study results if not considered.This narrative review discusses the potential presence of sensitive periods in preadolescent development where physical activity has greater benefits for executive function.Initially,we briefly review the largely parallel fields investigating the presence of sensitive periods for executive function and the effects of physical activity on executive function outcomes.We then bring together these 2 concepts to discuss the theoretical basis for developmentally sensitive periods during which children may be particularly amenable to physical activity-based interventions and offer potential ways forward to investigate this phenomenon.We hope this review will attract researchers to collaborate in the area and extend our current understanding of the development of executive functions as well as interventions like physical activity.展开更多
Repeated wet swelling and dry shrinkage of soil leads to the gradual occurrence of cracks and the formation of a complex fracture network.In order to study the development characteristics and quantitative analysis of ...Repeated wet swelling and dry shrinkage of soil leads to the gradual occurrence of cracks and the formation of a complex fracture network.In order to study the development characteristics and quantitative analysis of cracks in root-soil complex in different growth periods under dry-wet cycles,the alfalfa root-loess complex was in-vestigated during different growth periods under different dry-wet cycles,and a dry-wet cycle experiment was conducted.The crack rate,relative area,average width,total length,and the cracks fractal dimension in the root-soil complex were extracted;the crack development characteristics of plain soil were analyzed under the PG-DwC(dry-wet cycle caused by plant water management during plant growth period),as well as the crack development characteristics of root-soil complex under PG-DWC and EC-DWC(the dry-wet cycles caused by extreme natural conditions such as continuous rain);the effects of plant roots and dry-wet cycles on soil cracks were discussed.The results showed that the average crack width,crack rate,relative crack area,and total crack length of the alfalfa root-loess complex were higher than those of the plain soil during PG-DWC.The result indicated that compared with plain soil during PG-DWC,the presence of plant roots in alfalfa root-soil complex in the same growth period promoted the cracks development to some extent.The alfalfa root-soil complex crack parameters during different growth periods were relatively stable during PG-DWC(O dry-wet cycle).During EC-DWC(1,3,and 5 dry-wet cycles),the alfalfa root-loess complex crack parameters increased with the number of dry-wet cycles during different growth periods.Unlike PG-DWC,the EC-DWC accelerated crack development,and the degree of crack development increased with the number of dry-wet cycles.The existence of plant roots promoted crack development and expansion in the root-soil complex to a certain extent,and the dry-wet cycle certainly promoted crack development and expansion in the root-soil complex.This result contradicts the im-provement in the root-soil complex's macro-mechanical properties during plant growth,due to differences in the mechanical properties of roots and soil.The research results will provide reference for the root soil complex crack development law and the design of slope protection by vegetation.展开更多
The kidney is essential for maintaining fluid,electrolyte,and metabolite homeostasis,and for regulating blood pressure.The pig serves as a valuable biomedical model for human renal physiology,offering insights across ...The kidney is essential for maintaining fluid,electrolyte,and metabolite homeostasis,and for regulating blood pressure.The pig serves as a valuable biomedical model for human renal physiology,offering insights across different physiological states.In this study,single-cell RNA sequencing was used to profile 138469 cells from 12 pig kidney samples collected during the embryonic(E),fattening(F),and pregnancy(P)periods,identifying 29 cell types.Proximal tubule(PT)cells exhibited elevated expression of metabolism-related transcription factors(TFs),including GPD1,ACAA1,and AGMAT,with validation across multiple individuals,periods,and species.Fluorescence homologous double-labeling of paraffin sections further confirmed the expression of ACAA1 and AGMAT in PT cells.Comparative analysis of pig and human kidneys revealed a high degree of similarity among corresponding cell types.Analysis of cell-type heterogeneity highlighted the diversity of thick ascending limb(TAL)cells,identifying a TAL subpopulation related to immune function.Additionally,the functional heterogeneity of kidney-resident macrophages(KRM)was explored across different anatomical sites.In the renal medulla,KRM were implicated in phagocytosis and leukocyte activation,whereas in the renal pelvis,they functioned as ligands,recruiting neutrophils with bactericidal activity to the renal pelvis to combat urinary tract infections.展开更多
Purpose–High-speed turnouts are more complex in structure and thus may cause abnormal vibration of highspeed train car body,affecting driving safety and passenger riding experience.Therefore,it is necessary to analyz...Purpose–High-speed turnouts are more complex in structure and thus may cause abnormal vibration of highspeed train car body,affecting driving safety and passenger riding experience.Therefore,it is necessary to analyze the data characteristics of continuous hunting of high-speed trains passing through turnouts and propose a diagnostic method for engineering applications.Design/methodology/approach–First,Complete Ensemble Empirical Mode Decomposition with Adaptive Noise(CEEMDAN)is performed to determine the first characteristic component of the car body’s lateral acceleration.Then,the Short-Time Fourier Transform(STFT)is performed to calculate the marginal spectra.Finally,the presence of a continuous hunting problem is determined based on the results of the comparison calculations and diagnostic thresholds.To improve computational efficiency,permutation entropy(PE)is used as a fast indicator to identify turnouts with potential problems.Findings–Under continuous hunting conditions,the PE is less than 0.90;the ratio of the maximum peak value of the signal component to the original signal peak value exceeded 0.7,and there is an energy band in the STFT time-frequency map,which corresponds to a frequency distribution range of 1–2 Hz.Originality/value–The research results have revealed the lateral vibration characteristics of the high-speed train’s car body during continuous hunting when passing through turnouts.On this basis,an effective diagnostic method has been proposed.With a focus on practical engineering applications,a rapid screening index for identifying potential issues has been proposed,significantly enhancing the efficiency of diagnostic processes.展开更多
Objective:To investigate the usefulness of the descending aortic retrograde flow area to forward flow area(dAO RF)ratio using echocardiography in managing pulmonary blood flow during the perioperative period following...Objective:To investigate the usefulness of the descending aortic retrograde flow area to forward flow area(dAO RF)ratio using echocardiography in managing pulmonary blood flow during the perioperative period following Blalock-Thomas-Taussig shunt(BTTS)surgery.Methods:This retrospective study analyzed patient characteristics,surgical procedures,and perioperative courses.The dAO RF ratio was measured upon admission to the pediatric intensive care unit(PICU)and 12,24,48,and 72 h post-surgery.Blood pressure,percutaneous oxygen saturation,arterial blood gas values,and lactate levels were measured at the same time as the dAO RF ratio.Results:Seventy-one cases were analyzed.Excessive and low pulmonary blood flow occurred in 17 and two patients,respectively.Four patients required resuscitation within 72 h post-surgery,due to excessive pulmonary blood flow.No deaths occurred within 72 h.The dAO RF ratio was significantly higher in patients with excessive pulmonary blood flow at PICU admission and at its maximum(p=0.049 and p<0.01,respectively).The maximum dAO RF ratio was significantly correlated with lactate levels when measured concurrently;however,there was clinical variability in the resuscitation cases.The dAO RF ratio cutoff of 0.61 was highly accurate(area under the receiver operating characteristic curve:0.91[95%confidence interval:0.82-1.00]),sensitive(82.4%),and specific(94.4%)for detecting excessive pulmonary blood flow.Conclusions:Measuring the dAO RF ratio postoperatively can prevent deterioration in patients with BTTS by accurately detecting excessive pulmonary blood flow,offering a minimally invasive and accurate assessment of perioperative pathophysiology.展开更多
文摘We present a systematic study of homogenization of diffusion in random me- dia with emphasis on tile-based random microstructures. We give detailed examples of several such media starting from their physical descriptions, then construct the associated probability spaces and verify their ergodicity. After a discussion of material symmetries of random media, we derive criteria for the isotropy of the homogenized limits in tile-based structures. ~rthermore, we study the periodization Mgorithm for the numerical approxi- mation of the homogenized diffusion tensor and study the algorithm＇s rate of convergence. For one dimensional tile-based media, we prove a central limit result, giving a concrete rate of convergence for periodization. We also provide numerical evidence for a similar central limit behavior in the case of two dimensional tile-based structures.
基金supported by the National Natural Science Foundation of China(Nos.82170955,82101064)the Xinfei Program funded by Fourth Military Medical University。
文摘Approximately 20%to 30%of the global workforce is engaged in shift work.As a significant cause of circadian disruption,shift work is closely associated with an increased risk for periodontitis.Nevertheless,how shift work-related circadian disruption functions in periodontitis remains unknown.Herein,we employed a simulated shift work model constructed by controlling the environmental light-dark cycles and revealed that shift work-related circadian disruption exacerbated the progression of experimental periodontitis.RNA sequencing and in vitro experiments indicated that downregulation of the core circadian protein brain and muscle ARNT-like protein 1(BMAL1)and activation of the Gasdermin D(GSDMD)-mediated pyroptosis were involved in the pathogenesis of that.Mechanically,BMAL1 regulated GSDMD-mediated pyroptosis by suppressing NOD-like receptor protein 3(NLRP3)inflammasome signaling through modulating nuclear receptor subfamily 1 group D member 1(NR1D1),and inhibiting Gsdmd transcription via directly binding to the E-box elements in its promoter.GSDMD-mediated pyroptosis accelerated periodontitis progression,whereas downregulated BMAL1 under circadian disruption further aggravated periodontal destruction by increasing GSDMD activity.And restoring the level of BMAL1 by circadian recovery and SR8278 injection alleviated simulated shift work-exacerbated periodontitis via lessening GSDMD-mediated pyroptosis.These findings provide new evidence and potential interventional targets for circadian disruption-accelerated periodontitis.
文摘During Donald Trump’s first term,the“Trump Shock”brought world politics into an era of uncertainties and pulled the transatlantic alliance down to its lowest point in history.The Trump 2.0 tsunami brewed by the 2024 presidential election of the United States has plunged the U.S.-Europe relations into more gloomy waters,ushering in a more complex and turbulent period of adjustment.
文摘It is difficult to improve both energy consumption and detection accuracy simultaneously,and even to obtain the trade-off between them,when detecting and tracking moving targets,especially for Underwater Wireless Sensor Networks(UWSNs).To this end,this paper investigates the relationship between the Degree of Target Change(DoTC)and the detection period,as well as the impact of individual nodes.A Hierarchical Detection and Tracking Approach(HDTA)is proposed.Firstly,the network detection period is determined according to DoTC,which reflects the variation of target motion.Secondly,during the network detection period,each detection node calculates its own node detection period based on the detection mutual information.Taking DoTC as pheromone,an ant colony algorithm is proposed to adaptively adjust the network detection period.The simulation results show that the proposed HDTA with the optimizations of network level and node level significantly improves the detection accuracy by 25%and the network energy consumption by 10%simultaneously,compared to the traditional adaptive period detection schemes.
文摘BACKGROUND Thyrotoxic periodic paralysis(TPP)is an endocrine emergency caused by thyrotoxicosis,manifesting mainly as periodic myasthenia and hypokalemia,and posing a serious threat to the patient's health.Fatigue,strenuous exercise,alcohol abuse,high carbohydrate intake and insulin injections are common triggers of paralysis.This article reports a case of severe TPP induced by insulin injection,elucidates the characteristics and pathogenesis of the disease,analyses the risk factors for triggering TPP,and hopefully provides more clinical data for TPP patients.CASE SUMMARY A 38-year-old Asian man presented to the emergency department with a oneweek history of limb weakness and worsening half-day.His medical history included poorly controlled type 2 diabetes and he had been switched to Aspart50 a week earlier.He was alert and oriented with upper extremity strength grade 3 and lower extremity strength grade 1.Emergency department tests showed hypokalemia of 1.6 mmol/L.The paramedics administered 1.5 g of potassium intravenously,followed by 4.0 g orally.Weakness in the arms and legs improved.He was referred to endocrinology where he was diagnosed with Graves'disease,with suboptimal control and insulin injections possibly causing TPP.We stopped his insulin and he was discharged with a potassium level of 4.0 mmol/L.CONCLUSION Insulin is a trigger for TPP and should be avoided in patients with hyperthyroidism.Early recognition and treatment of TPP is crucial,especially in patients presenting with hypokalemic periodic paralysis.
基金Supported by NSFC (No.12371378)NSF of Fujian Province (Nos.2024J01980,2023J01955)。
文摘Analysis and design of linear periodic control systems are closely related to the periodic matrix equations.The biconjugate residual method(BCR for short)have been introduced by Vespucci and Broyden for efficiently solving linear systems Aα=b.The objective of this paper is to provide one new iterative algorithm based on BCR method to find the symmetric periodic solutions of linear periodic matrix equations.This kind of periodic matrix equations has not been dealt with yet.This iterative method is guaranteed to converge in a finite number of steps in the absence of round-off errors.Some numerical results are performed to illustrate the efficiency and feasibility of new method.
基金Supported by the National Natural Science Foundation of China(10671182)。
文摘The article studies the evolutionary dynamics of two-population two-strategy game models with and without impulses. First, the payment matrix is given and two evolutionary dynamics models are established by adding stochastic and impulse. For the stochastic model without impulses, the existence and uniqueness of solution, and the existence of positive periodic solutions are proved, and a sufficient condition for strategy extinction is given. For the stochastic model with impulses, the existence of positive periodic solutions is proved. Numerical results show that noise and impulses directly affect the model, but the periodicity of the model does not change.
文摘With the increase of international trade activities and the gradual melting of the polar ice cap,the importance of the Arctic route for marine transportation has been emphasized.Prediction of the polar navigation window period is crucial for navigating in the Arctic route,which is of great significance to the selection of the route and the optimization of navigation.This paper introduces the establishment of a risk index system,determination of risk index weight,establishment of a risk evaluation model,and prediction algorithm for the window period.In addition,data sources of both environmental factors and ship factors are introducted,and their shortcomings are analyzed,followed by introduction of various methods involved in window prediction and analysis of their advantages and disadvantages.The quantitative risk evaluation and window period algorithm can provide a reference for the research of polar navigation window period prediction.
基金Supported by the National Natural Science Foundation of China(12261050)Science and Technology Project of Department of Education of Jiangxi Province(GJJ2201612 and GJJ211027)Natural Science Foundation of Jiangxi Province of China(20212BAB202021)。
文摘In this paper,we investigate the periodic traveling wave solutions problem for a single population model with advection and distributed delay.By the bifurcation analysis method,we can obtain periodic traveling wave solutions for this model under the influence of advection term and distributed delay.The obtained results indicate that weak kernel and strong kernel can both deduce the existence of periodic traveling wave solutions.Finally,we apply the main results in this paper to Logistic model and Nicholson’s blowflies model.
基金supported by the Center for Cognition and Sociality,Institute for Basic Science(IBS)(IBS-R001-D2)(to WK).
文摘The early developmental period is a critical window during which brain cells mature and contribute to both brain development and later life functions.Gamma-aminobutyric acid(GABA),recognized as a major neurotransmitter,plays a crucial role in coordinating synapse formation,neuronal proliferation,and migration during this time.
文摘BACKGROUND In the treatment of rectal cancer,a temporary loop ileostomy(TLI)is created after low anterior resection to protect bowel function in the postoperative period.Dehydration and kidney failure are significant potential complications in loop ileostomies.Compared to late closure(3-6 months),early closure(10-14 days)of the TLI may facilitate faster patient recovery and shorter hospital stays.AIM To compare early and late closure of TLIs and demonstrate that early stoma closure can be performed without increasing morbidity.METHODS This study included patients who underwent TLI for rectal cancer,with data collected prospectively between June 2016 and October 2024 and analyzed retrospectively.Patients whose stomas were closed in the late period(3-6 months)between June 2016 and October 2022(group A)were compared with those who underwent early closure(10-14 days)between October 2022 and 2024(group B),with the primary outcome being complication rate and the secondary outcome being quality of life.RESULTS A total of 270 TLIs were created(70.9%).Of these,120(44.4%)were closed in the late period(group A),and 150(55.6%)were closed in the early period(group B).There was no statistically significant difference between group A and group B in terms of demographic and clinicopathological characteristics(P>0.05).Perioperative(anesthesia management,operative time,blood loss,surgical technique)and postoperative findings(anastomotic leak,infection)were similar between the two groups and were not statistically significant(P>0.05).There were no statistically significant differences in complication rates as the primary outcome between the two groups.Quality of life as a secondary outcome was significantly higher in the early closure group(P<0.05).CONCLUSION No statistically significant difference was found between early and late loop ileostomy closure in terms of perioperative and postoperative morbidity.Early closure accelerated patients’psychological and social recovery.
基金The National Natural Science Foundation of China under contract No.41821004the Basic Scientific Fund for National Public Research Institutes of China under contract No.2020Q08the Fund of Laoshan Laboratory under contract No.LSKJ202201600.
文摘Significant wave period is an important parameter in coastal and offshore engineering design.Traditional spectral wave models do not directly calculate this parameter,which means that it needs to be estimated from the spectral periods using empirical formulas.The wave energy period is one of the wave periods directly output by many wave models and is often used in studies of wave energy.This study investigated the relationship between significant wave period and wave energy period using wave data measured at three stations in the coastal waters of China.The observations recorded at these stations in the South China Sea,the East China Sea,and the Bohai Sea covered a wide range of surface wave conditions.Analysis indicated that the ratio of significant wave period to wave energy period is closely related to the Goda peakedness parameter of the wave spectra.Therefore,we proposed an empirical formula in which significant wave period is a function of wave energy period and the Goda peakedness parameter.Evaluation results showed that the performance of this formula is substantially better than that of fitting formulas that use constant coefficients.
文摘Till date,no study on trends in extreme sea surface temperature(SST)for different return periods has been done over the Gulf of Tonkin(GoT).Based on a 84-year(1940–2023)ERA5 Reanalysis data sets,this study for the first time,examined the spatio-temporal pattern in extreme SST for different return periods.Findings showed that more significant moderate to fast warming trends(0.1–0.16°C per decade(dec-1))only existed for the 2 year return period.Temporal trends in the 99th percentile SST are insignificant for all return periods.By using the linear regression method,the variability in extreme SST was obtained.Results showed that moderate warming trends dominated a large portion of GoT.Stronger trends,up to 0.018°C yr-1 are noticed near Guangdong,Haikou and southern Sanya in south China.Extreme SST exhibited a slow warming trend of 0.008°C per year(yr-1)all through the study years.The SST is most stable in most waters in the southern GoT and few waters surrounding Dongfang.Temporal warming rates of SST revealed that 1940–1958,1976–1994 and 2003–2012 were years of more coastal upwelling and could affect aquatic lives.The strongest warming rate of 0.07°C dec-1 occurred during 1994–2003.The GoT appeared warmer during spring.Spatial decadal variability of SST revealed that moderate warming trends occurred in few regions in the southern GoT and in larger portion of the central and northern GoT.The rise in SST between 1980 and 2020 in the GoT is not limited to increased anthropogenic activities.
基金supported in part by the National Natural Science Foundation of China(61873348,6230 3266,62273200)JSPS(Japan Society for the Promotion of Science) KAKENHI(22H03998,23K25252)
文摘Dear Editor,This letter presents an improved repetitive controller(IRC) that uses a complex-coefficient filter to enhance the tracking performance of a system for periodic signals. Compared with the low-pass filter used in the conventional repetitive controller(CRC), the complex-coefficient filter causes less change in the phase and amplitude of a signal at the frequencies of the periodic signal, especially at the fundamental frequency, when the two filters have the same cutofffrequency.
文摘Executive functions emerge throughout childhood and shape multiple cognitive and behavioral outcomes across the lifespan.Given the importance of these functions,there is considerable interest in understanding the role of environmental enrichment to support their development.The past 20 years have seen the emergence of a body of evidence around the beneficial effects of engaging in physical activity for executive functioning in children.Despite this,there are still unanswered questions,particularly about the confounding effects of the timing and dose of exercise-based interventions.During development,sensitive periods with heightened neural plasticity and sensitivity to environmental influences can offer an optimal time to introduce enrichment interventions.As such,sensitive periods for executive function could indicate an ideal time to introduce physical activity or be a potential confounder to study results if not considered.This narrative review discusses the potential presence of sensitive periods in preadolescent development where physical activity has greater benefits for executive function.Initially,we briefly review the largely parallel fields investigating the presence of sensitive periods for executive function and the effects of physical activity on executive function outcomes.We then bring together these 2 concepts to discuss the theoretical basis for developmentally sensitive periods during which children may be particularly amenable to physical activity-based interventions and offer potential ways forward to investigate this phenomenon.We hope this review will attract researchers to collaborate in the area and extend our current understanding of the development of executive functions as well as interventions like physical activity.
基金the Key Research and Development Project of Ningxia Hui Autonomous Region(No.2023BEG02072)for their financial support.
文摘Repeated wet swelling and dry shrinkage of soil leads to the gradual occurrence of cracks and the formation of a complex fracture network.In order to study the development characteristics and quantitative analysis of cracks in root-soil complex in different growth periods under dry-wet cycles,the alfalfa root-loess complex was in-vestigated during different growth periods under different dry-wet cycles,and a dry-wet cycle experiment was conducted.The crack rate,relative area,average width,total length,and the cracks fractal dimension in the root-soil complex were extracted;the crack development characteristics of plain soil were analyzed under the PG-DwC(dry-wet cycle caused by plant water management during plant growth period),as well as the crack development characteristics of root-soil complex under PG-DWC and EC-DWC(the dry-wet cycles caused by extreme natural conditions such as continuous rain);the effects of plant roots and dry-wet cycles on soil cracks were discussed.The results showed that the average crack width,crack rate,relative crack area,and total crack length of the alfalfa root-loess complex were higher than those of the plain soil during PG-DWC.The result indicated that compared with plain soil during PG-DWC,the presence of plant roots in alfalfa root-soil complex in the same growth period promoted the cracks development to some extent.The alfalfa root-soil complex crack parameters during different growth periods were relatively stable during PG-DWC(O dry-wet cycle).During EC-DWC(1,3,and 5 dry-wet cycles),the alfalfa root-loess complex crack parameters increased with the number of dry-wet cycles during different growth periods.Unlike PG-DWC,the EC-DWC accelerated crack development,and the degree of crack development increased with the number of dry-wet cycles.The existence of plant roots promoted crack development and expansion in the root-soil complex to a certain extent,and the dry-wet cycle certainly promoted crack development and expansion in the root-soil complex.This result contradicts the im-provement in the root-soil complex's macro-mechanical properties during plant growth,due to differences in the mechanical properties of roots and soil.The research results will provide reference for the root soil complex crack development law and the design of slope protection by vegetation.
基金supported by the International Cooperation and Exchange Program of the National Natural Science Foundation of China(32261133531)。
文摘The kidney is essential for maintaining fluid,electrolyte,and metabolite homeostasis,and for regulating blood pressure.The pig serves as a valuable biomedical model for human renal physiology,offering insights across different physiological states.In this study,single-cell RNA sequencing was used to profile 138469 cells from 12 pig kidney samples collected during the embryonic(E),fattening(F),and pregnancy(P)periods,identifying 29 cell types.Proximal tubule(PT)cells exhibited elevated expression of metabolism-related transcription factors(TFs),including GPD1,ACAA1,and AGMAT,with validation across multiple individuals,periods,and species.Fluorescence homologous double-labeling of paraffin sections further confirmed the expression of ACAA1 and AGMAT in PT cells.Comparative analysis of pig and human kidneys revealed a high degree of similarity among corresponding cell types.Analysis of cell-type heterogeneity highlighted the diversity of thick ascending limb(TAL)cells,identifying a TAL subpopulation related to immune function.Additionally,the functional heterogeneity of kidney-resident macrophages(KRM)was explored across different anatomical sites.In the renal medulla,KRM were implicated in phagocytosis and leukocyte activation,whereas in the renal pelvis,they functioned as ligands,recruiting neutrophils with bactericidal activity to the renal pelvis to combat urinary tract infections.
基金support from the funds of National Natural Science Foundation of China(52308473)China Academy of Railway Science Corporation Limited(2022YJ192)are gratefully acknowledged。
文摘Purpose–High-speed turnouts are more complex in structure and thus may cause abnormal vibration of highspeed train car body,affecting driving safety and passenger riding experience.Therefore,it is necessary to analyze the data characteristics of continuous hunting of high-speed trains passing through turnouts and propose a diagnostic method for engineering applications.Design/methodology/approach–First,Complete Ensemble Empirical Mode Decomposition with Adaptive Noise(CEEMDAN)is performed to determine the first characteristic component of the car body’s lateral acceleration.Then,the Short-Time Fourier Transform(STFT)is performed to calculate the marginal spectra.Finally,the presence of a continuous hunting problem is determined based on the results of the comparison calculations and diagnostic thresholds.To improve computational efficiency,permutation entropy(PE)is used as a fast indicator to identify turnouts with potential problems.Findings–Under continuous hunting conditions,the PE is less than 0.90;the ratio of the maximum peak value of the signal component to the original signal peak value exceeded 0.7,and there is an energy band in the STFT time-frequency map,which corresponds to a frequency distribution range of 1–2 Hz.Originality/value–The research results have revealed the lateral vibration characteristics of the high-speed train’s car body during continuous hunting when passing through turnouts.On this basis,an effective diagnostic method has been proposed.With a focus on practical engineering applications,a rapid screening index for identifying potential issues has been proposed,significantly enhancing the efficiency of diagnostic processes.
文摘Objective:To investigate the usefulness of the descending aortic retrograde flow area to forward flow area(dAO RF)ratio using echocardiography in managing pulmonary blood flow during the perioperative period following Blalock-Thomas-Taussig shunt(BTTS)surgery.Methods:This retrospective study analyzed patient characteristics,surgical procedures,and perioperative courses.The dAO RF ratio was measured upon admission to the pediatric intensive care unit(PICU)and 12,24,48,and 72 h post-surgery.Blood pressure,percutaneous oxygen saturation,arterial blood gas values,and lactate levels were measured at the same time as the dAO RF ratio.Results:Seventy-one cases were analyzed.Excessive and low pulmonary blood flow occurred in 17 and two patients,respectively.Four patients required resuscitation within 72 h post-surgery,due to excessive pulmonary blood flow.No deaths occurred within 72 h.The dAO RF ratio was significantly higher in patients with excessive pulmonary blood flow at PICU admission and at its maximum(p=0.049 and p<0.01,respectively).The maximum dAO RF ratio was significantly correlated with lactate levels when measured concurrently;however,there was clinical variability in the resuscitation cases.The dAO RF ratio cutoff of 0.61 was highly accurate(area under the receiver operating characteristic curve:0.91[95%confidence interval:0.82-1.00]),sensitive(82.4%),and specific(94.4%)for detecting excessive pulmonary blood flow.Conclusions:Measuring the dAO RF ratio postoperatively can prevent deterioration in patients with BTTS by accurately detecting excessive pulmonary blood flow,offering a minimally invasive and accurate assessment of perioperative pathophysiology.
