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ProRE:A Protocol Message Structure Reconstruction Method Based on Execution Slice Embedding
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作者 Yuyao Huang Hui Shu Fei Kang 《Computers, Materials & Continua》 2026年第3期936-960,共25页
Message structure reconstruction is a critical task in protocol reverse engineering,aiming to recover protocol field structures without access to source code.It enables important applications in network security,inclu... Message structure reconstruction is a critical task in protocol reverse engineering,aiming to recover protocol field structures without access to source code.It enables important applications in network security,including malware analysis and protocol fuzzing.However,existing methods suffer from inaccurate field boundary delineation and lack hierarchical relationship recovery,resulting in imprecise and incomplete reconstructions.In this paper,we propose ProRE,a novel method for reconstructing protocol field structures based on program execution slice embedding.ProRE extracts code slices from protocol parsing at runtime,converts them into embedding vectors using a data flow-sensitive assembly language model,and performs hierarchical clustering to recover complete protocol field structures.Evaluation on two datasets containing 12 protocols shows that ProRE achieves an average F1 score of 0.85 and a cophenetic correlation coefficient of 0.189,improving by 19%and 0.126%respectively over state-of-the-art methods(including BinPRE,Tupni,Netlifter,and QwQ-32B-preview),demonstrating significant superiority in both accuracy and completeness of field structure recovery.Case studies further validate the effectiveness of ProRE in practical malware analysis scenarios. 展开更多
关键词 protocol reverse engineering program slicing code embedding hierarchical clustering
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Fresh Arrival--Rwanda-China avocado export protocol is a milestone in growing agricultural partnership
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作者 ALAFATI MUGABO 《ChinAfrica》 2026年第1期46-47,共2页
Rwanda secured access to one of the world’s most lucrative agricultural markets this month when it finalised a trade protocol allowing fresh avocado exports to China,a deal that could fundamentally alter the trajecto... Rwanda secured access to one of the world’s most lucrative agricultural markets this month when it finalised a trade protocol allowing fresh avocado exports to China,a deal that could fundamentally alter the trajectory of the country’s trade. 展开更多
关键词 China trade protocol Rwanda agricultural partnership fresh avocado exports
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Robust Hyper-Polarization Protocol of Nuclear Spins via Magic Sequence
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作者 Haiyang Li Yongju Li +1 位作者 Hao Liao Ping Wang 《Chinese Physics Letters》 2026年第1期105-128,共24页
Hyperpolarization of nuclear spins is crucial for advancing nuclear magnetic resonance and quantum information technologies,as nuclear spins typically exhibit extremely low polarization at room temperature due to thei... Hyperpolarization of nuclear spins is crucial for advancing nuclear magnetic resonance and quantum information technologies,as nuclear spins typically exhibit extremely low polarization at room temperature due to their small gyromagnetic ratios.A promising approach to achieving high nuclear spin polarization is transferring the polarization of electrons to nuclear spins.The nitrogen-vacancy(NV)center in diamond has emerged as a highly effective medium for this purpose,and various hyperpolarization protocols have been developed.Among these,the pulsed polarization(PulsePol)method has been extensively studied due to its robustness against static energy shifts of the electron spin.In this work,we present a novel polarization protocol and uncover a family of magic sequences for hyperpolarizing nuclear spins,with PulsePol emerging as a special case of our general approach.Notably,we demonstrate that some of these magic sequences exhibit significantly greater robustness compared to the PulsePol protocol in the presence of finite half𝜋pulse duration of the protocol,Rabi and detuning errors.This enhanced robustness positions our protocol as a more suitable candidate for hyper-polarizing nuclear spins species with large gyromagnetic ratios and also ensures better compatibility with high-efficiency readout techniques at high magnetic fields.Additionally,the generality of our protocol allows for its direct application to other solid-state quantum systems beyond the NV center. 展开更多
关键词 transferring polarization electrons hyperpolarization protocols quantum information technologiesas nuclear spins pulse polarization nuclear spin polarization magic sequences nuclear magnetic resonance
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NTP协议在广域网主从模式下同步时延优化方法研究
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作者 刘志明 《长江信息通信》 2025年第12期208-210,共3页
随着网络技术的发展,时间同步在分布式系统中变得至关重要。NTP协议作为互联网中时间同步的标准协议,其在广域网环境下的同步精度受到了网络延迟、服务器性能差异等因素的制约。文章提出了一种优化NTP协议同步时延的方法,通过在客户端... 随着网络技术的发展,时间同步在分布式系统中变得至关重要。NTP协议作为互联网中时间同步的标准协议,其在广域网环境下的同步精度受到了网络延迟、服务器性能差异等因素的制约。文章提出了一种优化NTP协议同步时延的方法,通过在客户端增加“最佳参考时钟选择算法”和“包过滤算法”,在不增加网络负载的情况下,有效提高了广域网中NTP协议的同步精度。实验结果表明,该方法能显著降低同步偏差,提高时间同步的效率和精度。 展开更多
关键词 ntp协议 广域网 时间同步 同步时延优化 优化算法
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铁路时间同步网NTP授时服务监测技术 被引量:3
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作者 王子鉴 梁坤 +3 位作者 赵俊良 王剑 陈龙泉 仲崇霞 《中国铁路》 北大核心 2025年第2期119-127,共9页
铁路时间同步网是铁路通信网的重要组成部分,为铁路各系统提供统一的标准时间量值,通过对其进行实时监测,可及时发现潜在问题,减少运行风险。为进一步提升铁路时间同步网监测能力,解决无法准确获取时间节点相对于协调世界时(UTC)的可信... 铁路时间同步网是铁路通信网的重要组成部分,为铁路各系统提供统一的标准时间量值,通过对其进行实时监测,可及时发现潜在问题,减少运行风险。为进一步提升铁路时间同步网监测能力,解决无法准确获取时间节点相对于协调世界时(UTC)的可信时间偏差问题,针对网络时间协议(NTP)服务器的可溯源高精度监测技术开展研究,对监测过程中的影响要素进行分析,研制可溯源监测装置TLab-NM-001,构建能够获取NTP服务器相对于UTC时间偏差的监测系统,搭建验证平台对该监测方法的有效性进行验证。结果表明,该方法时差监测结果优于10μs,远高于现行标准所提性能指标,且监测不确定度优于25μs。研究成果可有效提升铁路时间同步网的监测能力,为增强铁路系统的可靠性与高效性提供技术支撑。 展开更多
关键词 时间同步 铁路时间同步网 网络时间协议 监测 溯源 协调世界时
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经颅磁刺激联合药物治疗阿尔茨海默病的疗效及对认知功能、精神行为症状、AD7c-NTP、5-HT、ACh水平的影响
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作者 李冬梅 敖琦 任胜达 《分子诊断与治疗杂志》 2025年第4期696-699,704,共5页
目的探究经颅磁刺激联合药物治疗阿尔兹海默(AD)患者的疗效以及对患者精神行为症状、晨尿神经丝蛋白(AD7c-NTP)、5-羟色胺(5-HT)、乙酰胆碱(ACh)水平的影响。方法选取2019年10月至2022年10月河北港口集团有限公司港口医院收治的阿尔兹... 目的探究经颅磁刺激联合药物治疗阿尔兹海默(AD)患者的疗效以及对患者精神行为症状、晨尿神经丝蛋白(AD7c-NTP)、5-羟色胺(5-HT)、乙酰胆碱(ACh)水平的影响。方法选取2019年10月至2022年10月河北港口集团有限公司港口医院收治的阿尔兹海默患者共90例,随机分为A、B、C共三组,每组各30例。A组:给予多奈哌齐及甘露特纳治疗;B组:采用经颅磁刺激(rTMS)治疗;C组:rTMS联合药物治疗。比较两组治疗前及治疗12周后认知功能、精神行为、神经递质水平,并分析三组治疗有效率及不良反应发生率。结果C组临床有效率高于A、B组;三组ADAS-Cog及BEHAVE-AD评分均有所降低,C组最低(P<0.05);三组MMSE、MoCA、及MBI评分均升高,C组最高(P<0.05);三组晨尿AD7c-NTP水平均降低,C组最低(P<0.05);三组血清5-HT、ACh水平均升高,C组最高(P<0.05);三组不良反应率比较差异无统计学意义(P>0.05)。结论rTMS联合药物治疗有望改善AD患者精神行为症状及认知功能,调节AD7c-NTP、5-HT、ACh水平,临床疗效高于单独应用药物或者rTMS,安全性好。 展开更多
关键词 经颅磁刺激 药物治疗 阿尔兹海默 精神行为症状 认知功能 AD7c-ntp
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mRNA疫苗原液中NTP残留检测方法的建立与应用 被引量:1
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作者 王魁 郝一楠 +2 位作者 杨利昂 郭冰峰 潘若文 《中国药学杂志》 北大核心 2025年第17期1852-1857,共6页
目的 基高效液相色谱(HPLC)技术平台建立mRNA疫苗原液中核苷三磷酸(nucleoside triphosphate, NTP)残留的检测方法,比较反相高效液相色谱法(RP-HPLC)与尺寸排阻高效液相色谱(SEC-HPLC)检测NTP的一致性,为mRNA疫苗原液的质量控制标准提... 目的 基高效液相色谱(HPLC)技术平台建立mRNA疫苗原液中核苷三磷酸(nucleoside triphosphate, NTP)残留的检测方法,比较反相高效液相色谱法(RP-HPLC)与尺寸排阻高效液相色谱(SEC-HPLC)检测NTP的一致性,为mRNA疫苗原液的质量控制标准提供方法学支撑。方法 以mRNA疫苗原液作为研究对象,分别通过RP-HPLC和SEC-HPLC检测NTP的残留量,对这两种检测方法的专属性、准确度、精密度、线性、范围进行验证,并对这两种检测方法得出的结果进行比较。结果 这两种检测方法验证结果表明专属性强、准确度高(回收率为100%±10%),重复性好(RSD<5%),线性好(r^(2)=1.00),范围广(1~50μmol·L^(-1))满足mRNA疫苗原液中NTP残留的检测要求,且通过这两种检测方法获得的检测结果一致。结论 基于HPLC技术平台建立的RP-HPLC和SEC-HPLC具有特异性强、稳定、可靠的优点,这两种检测方法均可应用于mRNA疫苗原液中的NTP残留检测,其中RP-HPLC适用于4种单核苷酸的独立检测,SEC适用于NTP总核苷酸量检测,均能有效监测mRNA疫苗原液生产过程中NTP含量变化,为mRNA疫苗原液的NTP残留检测标准提供技术支撑。 展开更多
关键词 反相高效液相色谱 尺寸排阻高效液相色谱 mRNA疫苗 核苷三磷酸残留量
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NTP-催化协同体系净化VOCs:作用机制与前景
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作者 程瑶 韩熠垚 +2 位作者 韩杰杰 汪余哲 谢云龙 《材料化学前沿》 2025年第3期310-325,共16页
本文系统综述了低温等离子体(NTP)技术及其与催化耦合体系在挥发性有机化合物(VOCs)降解中的研究进展。首先介绍了VOCs的定义、来源、环境与健康危害及传统治理技术(催化燃烧、吸附法、生物法)的局限性。重点探讨了NTP降解VOCs的关键影... 本文系统综述了低温等离子体(NTP)技术及其与催化耦合体系在挥发性有机化合物(VOCs)降解中的研究进展。首先介绍了VOCs的定义、来源、环境与健康危害及传统治理技术(催化燃烧、吸附法、生物法)的局限性。重点探讨了NTP降解VOCs的关键影响因素(等离子体参数、VOCs性质、反应条件、电极材料与结构)及作用机理,揭示了高能电子与活性物种(∙OH、O原子等)对不同类别VOCs (芳香烃、含氧有机物、卤代烃)的氧化路径。进一步分析了等离子体–催化耦合体系的两种模式——内耦合(IPC)和外耦合(PPC)的协同机制,包括催化剂对等离子体放电特性的调控、活性物种生成与利用效率的提升,以及臭氧等副产物的控制效果。最后总结了当前技术面临的能量效率低、长期稳定性差等挑战,并展望了新型放电结构、复合催化剂开发及多技术联用的发展方向。 展开更多
关键词 VOCS ntp 催化耦合 降解机制
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Real-life practice of Kelleni’s protocol in treatment and post exposure prophylaxis of SARS-CoV-2 HV.1 and JN.1 subvariants 被引量:1
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作者 Mina Thabet Kelleni 《World Journal of Virology》 2025年第3期1-5,共5页
This article discusses the evolving real-world practice using nitazoxanide,nonsteroidal anti-inflammatory drugs(NSAIDs)and/or azithromycin(Kelleni’s protocol)to manage the evolving manifestations of severe acute resp... This article discusses the evolving real-world practice using nitazoxanide,nonsteroidal anti-inflammatory drugs(NSAIDs)and/or azithromycin(Kelleni’s protocol)to manage the evolving manifestations of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)Omicron EG.5.1,its descendant HV.1 as well as BA.2.86 and its descendant JN.1 subvariants in Egypt in 2024.These subvariants are well-known for their highly evolved immune-evasive properties and the manifestations include some peculiar manifestations as persistent cough besides high fever in young children as well as high fever,persistent severe cough,change of voice,loss of taste and smell,epigastric pain,nausea,vomiting,diarrhea,generalized malaise and marked bone aches in adults including the high-risk groups.It’s suggested that the ongoing SARS-CoV-2 evolution is continuing to mostly affect the high-risk groups of patients,to some of whom we’ve also successfully prescribed nitazoxanide and/or NSAIDs for post-exposure prophylaxis of all household contacts.We also continue to recommend starting the immune-modulatory antiviral Kelleni’s protocol as soon as possible in the course of infection and adjusting it in a personalized manner to be more aggressive from the beginning for the high risk patients,at least until the currently encountered surge of infections subsides. 展开更多
关键词 SARS-CoV-2 HV.1 JN.1 Post exposure prophylaxis Kelleni’s protocol NITAZOXANIDE Non-steroidal anti-inflammatory drugs
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基于NTP校时的列车首尾轮径校正方案研究
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作者 赵悦彤 郑志军 向润梓 《铁路通信信号工程技术》 2025年第7期66-72,共7页
通过对列车自动防护(Automatic Train Protection,ATP)轮径校正的原理深入分析,提出一种基于网络时间协议(Network Time Protocol,NTP)校时的列车首尾轮径校正设计方案。采用NTP校时方法实现列车首尾两端ATP的时间同步,用以获取准确的... 通过对列车自动防护(Automatic Train Protection,ATP)轮径校正的原理深入分析,提出一种基于网络时间协议(Network Time Protocol,NTP)校时的列车首尾轮径校正设计方案。采用NTP校时方法实现列车首尾两端ATP的时间同步,用以获取准确的首尾两端轮径校正开始和结束时间。区分不同位置的轮径值,分别对列车首尾端的轮径值进行轮径校正,由准确的首尾端时间分别获取首尾端速度传感器对应的脉冲数,计算精确的首尾端轮径值,并在模拟环境下进行方案实验验证,结果表明该方案可以实现列车首端尾端同时进行轮径校正,提高轮径校正的效率。 展开更多
关键词 轮径校正 ntp校时 轨道交通
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Incorporating red blanket protocol within code crimson:Streamlining definitive trauma care amid the chaos
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作者 Sohil Pothiawala Savitha Bhagvan Andrew MacCormick 《World Journal of Critical Care Medicine》 2025年第1期14-19,共6页
The care of a patient involved in major trauma with exsanguinating haemorrhage is time-critical to achieve definitive haemorrhage control,and it requires coordinated multidisciplinary care.During initial resuscitation... The care of a patient involved in major trauma with exsanguinating haemorrhage is time-critical to achieve definitive haemorrhage control,and it requires coordinated multidisciplinary care.During initial resuscitation of a patient in the emergency department(ED),Code Crimson activation facilitates rapid decisionmaking by multi-disciplinary specialists for definitive haemorrhage control in operating theatre(OT)and/or interventional radiology(IR)suite.Once this decision has been made,there may still be various factors that lead to delay in transporting the patient from ED to OT/IR.Red Blanket protocol identifies and addresses these factors and processes which cause delay,and aims to facilitate rapid and safe transport of the haemodynamically unstable patient from ED to OT,while minimizing delay in resuscitation during the transfer.The two processes,Code Crimson and Red Blanket,complement each other.It would be ideal to merge the two processes into a single protocol rather than having two separate workflows.Introducing these quality improvement strategies and coor-dinated processes within the trauma framework of the hospitals/healthcare systems will help in further improving the multi-disciplinary care for the complex trauma patients requiring rapid and definitive haemorrhage control. 展开更多
关键词 Red blanket protocol Code crimson HAEMORRHAGE Trauma
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SegInfer:Binary Network Protocol Segmentation Based on Probabilistic Inference
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作者 Guo Maohua Zhu Yuefei Fei Jinlong 《China Communications》 2025年第6期334-354,共21页
Protocol Reverse Engineering(PRE)is of great practical importance in Internet security-related fields such as intrusion detection,vulnerability mining,and protocol fuzzing.For unknown binary protocols having fixed-len... Protocol Reverse Engineering(PRE)is of great practical importance in Internet security-related fields such as intrusion detection,vulnerability mining,and protocol fuzzing.For unknown binary protocols having fixed-length fields,and the accurate identification of field boundaries has a great impact on the subsequent analysis and final performance.Hence,this paper proposes a new protocol segmentation method based on Information-theoretic statistical analysis for binary protocols by formulating the field segmentation of unsupervised binary protocols as a probabilistic inference problem and modeling its uncertainty.Specifically,we design four related constructions between entropy changes and protocol field segmentation,introduce random variables,and construct joint probability distributions with traffic sample observations.Probabilistic inference is then performed to identify the possible protocol segmentation points.Extensive trials on nine common public and industrial control protocols show that the proposed method yields higher-quality protocol segmentation results. 展开更多
关键词 binary protocol probabilistic inference protocol field segmentation protocol reverse engineering related construction
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Machine Learning-Based Routing Protocol in Flying Ad Hoc Networks: A Review
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作者 Priyanka Manjit Kaur +2 位作者 Deepak Prashar Leo Mrsic Arfat Ahmad Khan 《Computers, Materials & Continua》 2025年第2期1615-1643,共29页
“Flying Ad Hoc Networks(FANETs)”,which use“Unmanned Aerial Vehicles(UAVs)”,are developing as a critical mechanism for numerous applications,such as military operations and civilian services.The dynamic nature of F... “Flying Ad Hoc Networks(FANETs)”,which use“Unmanned Aerial Vehicles(UAVs)”,are developing as a critical mechanism for numerous applications,such as military operations and civilian services.The dynamic nature of FANETs,with high mobility,quick node migration,and frequent topology changes,presents substantial hurdles for routing protocol development.Over the preceding few years,researchers have found that machine learning gives productive solutions in routing while preserving the nature of FANET,which is topology change and high mobility.This paper reviews current research on routing protocols and Machine Learning(ML)approaches applied to FANETs,emphasizing developments between 2021 and 2023.The research uses the PRISMA approach to sift through the literature,filtering results from the SCOPUS database to find 82 relevant publications.The research study uses machine learning-based routing algorithms to beat the issues of high mobility,dynamic topologies,and intermittent connection in FANETs.When compared with conventional routing,it gives an energy-efficient and fast decision-making solution in a real-time environment,with greater fault tolerance capabilities.These protocols aim to increase routing efficiency,flexibility,and network stability using ML’s predictive and adaptive capabilities.This comprehensive review seeks to integrate existing information,offer novel integration approaches,and recommend future research topics for improving routing efficiency and flexibility in FANETs.Moreover,the study highlights emerging trends in ML integration,discusses challenges faced during the review,and discusses overcoming these hurdles in future research. 展开更多
关键词 FANET protocol machine learning
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Deep Auto-Encoder Based Intelligent and Secure Time Synchronization Protocol(iSTSP)for Security-Critical Time-Sensitive WSNs
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作者 Ramadan Abdul-Rashid Mohd Amiruddin Abd Rahman Abdulaziz Yagoub Barnawi 《Computer Modeling in Engineering & Sciences》 2025年第9期3213-3250,共38页
Accurate time synchronization is fundamental to the correct and efficient operation of Wireless Sensor Networks(WSNs),especially in security-critical,time-sensitive applications.However,most existing protocols degrade... Accurate time synchronization is fundamental to the correct and efficient operation of Wireless Sensor Networks(WSNs),especially in security-critical,time-sensitive applications.However,most existing protocols degrade substantially under malicious interference.We introduce iSTSP,an Intelligent and Secure Time Synchronization Protocol that implements a four-stage defense pipeline to ensure robust,precise synchronization even in hostile environments:(1)trust preprocessing that filters node participation using behavioral trust scoring;(2)anomaly isolation employing a lightweight autoencoder to detect and excise malicious nodes in real time;(3)reliability-weighted consensus that prioritizes high-trust nodes during time aggregation;and(4)convergence-optimized synchronization that dynamically adjusts parameters using theoretical stability bounds.We provide rigorous convergence analysis including a closed-form expression for convergence time,and validate the protocol through both simulations and realworld experiments on a controlled 16-node testbed.Under Sybil attacks with five malicious nodes within this testbed,iSTSP maintains synchronization error increases under 12%and achieves a rapid convergence.Compared to state-ofthe-art protocols like TPSN,SE-FTSP,and MMAR-CTS,iSTSP offers 60%faster detection,broader threat coverage,and more than 7 times lower synchronization error,with a modest 9.3%energy overhead over 8 h.We argue this is an acceptable trade-off for mission-critical deployments requiring guaranteed security.These findings demonstrate iSTSP’s potential as a reliable solution for secure WSN synchronization and motivate future work on large-scale IoT deployments and integration with energy-efficient communication protocols. 展开更多
关键词 Time-sensitive wireless sensor networks(TS-WSNs) secure time synchronization protocol trust-based authentication autoencoder model deep learning malicious node detection Internet of Things energyefficient communication protocols
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Tuning the Coefficients of Thermal Expansion of the Crystallized Cordierite Glasses by Thermal Treatment Protocols
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作者 DUAN Qiang KE Xuefei +1 位作者 QIAO Ang TAO Haizheng 《Journal of Wuhan University of Technology(Materials Science)》 2025年第5期1239-1243,共5页
Focusing on the ultralow expansion functionality of the crystalized glass containing the cordierite crystal phase with the molar composition 20.7MgO·20.7Al_(2)O_(3)·51.6SiO_(2)·7.0TiO_(2),we systematica... Focusing on the ultralow expansion functionality of the crystalized glass containing the cordierite crystal phase with the molar composition 20.7MgO·20.7Al_(2)O_(3)·51.6SiO_(2)·7.0TiO_(2),we systematically investigated impacts of thermal treatment protocols on T dependence of coefficients of thermal expansion(CTE).Except for the phase compositions,morphology is identified as another important factor to control the T dependence of CTE.By using X-ray diffraction and scanning electron microscope,various modes of T dependence of CTE for crystallized glasses are ascribed to their different phase compositions and microstructure with finely dispersed nanoparticles.These understanding contributes to the further modification of CTE of the crystalized glass by altering their thermal treatment scenarios. 展开更多
关键词 coefficients of thermal expansion crystalized glass CORDIERITE thermal treatment protocols
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Efficacy and safety of acupoint application for gastrointestinal function in treating post-stroke depression:Protocol for a randomized controlled trial
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作者 Xuan Zhang Shuhui Li +2 位作者 Juntao Wang Chung Tai Lau Jacky C.P.Chan 《Journal of Traditional Chinese Medical Sciences》 2025年第4期552-558,共7页
Objective:To evaluate the efficacy and safety of acupoint application for post-stroke depression(PSD)by regulating gastrointestinal function.A secondary objective is to explore the potential mechanism underlying this ... Objective:To evaluate the efficacy and safety of acupoint application for post-stroke depression(PSD)by regulating gastrointestinal function.A secondary objective is to explore the potential mechanism underlying this approach from the perspective of gut microbiota.Methods:This multicenter,randomized,double-blind(patients and assessors),placebo-controlled trial will enroll 80 patients with PSD,and include a 1-week run-in period,a 4-week treatment phase,and a 12-week follow-up.Eligible participants will randomly be assigned in a 1:1 ratio to either the acupoint application or placebo(non-acupoint)groups.Treatments will be administered thrice weekly for 4 weeks.The primary outcome is change in the Hamilton Rating Scale for Depression(HAMD)score.Secondary outcomes include the Beck Depression Inventory(BDI),36-Item Short-Form Health Survey(SF-36),Barthel Index of Activities of Daily Living,Social Adaptation Self-Evaluation Scale(SASS),and gut microbiota profiling.All outcomes will be assessed at baseline(prior to treatment),during treatment(weeks 2 and 4),and during follow-up(weeks 8,12,and 16).The Treatment Emergent Symptom Scale(TESS)will be used for evaluation throughout the 4-week treatment phase.Discussion:The results of this study will provide important evidence supporting a novel treatment strategy for PSD that targets gastrointestinal regulation,potentially informing future clinical practice. 展开更多
关键词 Acupoint application Gut microbiota Post-stroke depression protocol Randomized controlled trial
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Ultrasound guided femoral nerve blocks as a compulsory pain protocol in femoral neck fractures
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作者 Yuri Klassov 《World Journal of Orthopedics》 2025年第12期82-90,共9页
BACKGROUND Femur fractures are one of the most serious injuries that occur in the older population and are associated with severe pain and increased mortality.The primary objective of this study was to find if there w... BACKGROUND Femur fractures are one of the most serious injuries that occur in the older population and are associated with severe pain and increased mortality.The primary objective of this study was to find if there was a significant difference in pain scores in patients treated with femoral nerve blocks(FNB)compared with patients treated with the standard analgesia protocol.The secondary objective was to find if there was a significant difference in morbidity between the two groups.AIM To evaluate the effectiveness of ultrasound(US)-guided FNB in managing preoperative pain and reducing morbidity in patients with neck femur fractures compared to the standard analgesia protocol.The study seeks to determine whether FNB offers superior outcomes in terms of pain control,rehospitalization rates,and mortality.METHODS This retrospective cohort study included 1577 patients suffering from neck femur fractures.387 patients were treated with a FNB for pain management upon arrival at the emergency department,the rest were treated with standard analgesia.Pain was assessed from electronic medical records using the visual analogue scale(VAS)pre surgery,12-and 24-hour post-surgery.To determine morbidity and mortality during hospitalizations and 6 months after,it was collected from electronic medical records.RESULTS In a cohort of 1577 patients,those receiving US-guided FNB had significantly lower preoperative VAS pain scores(1.46±2.49 vs 1.82±2.59,P=0.001),reduced rehospitalization rates(0.99±1.96 vs 1.46±2.34,P<0.001),and lower mortality(16%vs 32%,P<0.001)compared to standard analgesia.CONCLUSION US guided FNB is more effective for pain management compared with standard analgesia.This method was also found to significantly reduce the risk of morbidity in those patients. 展开更多
关键词 Hip fracture Femur fracture Femoral nerve block Ultrasound guided Analgesia protocol
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Improving nursing care protocols for diabetic patients through a systematic review and meta-analysis of recent years
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作者 Mónica Grande-Alonso María Barbado García +2 位作者 Soledad Cristóbal-Aguado Soledad Aguado-Henche Rafael Moreno-Gómez-Toledano 《World Journal of Diabetes》 2025年第2期257-269,共13页
BACKGROUND Diabetes mellitus has become one of the major pandemics of the 21st century.In this scenario,nursing interventions are essential for improving self-care and quality of life in patients with type 2 diabetes ... BACKGROUND Diabetes mellitus has become one of the major pandemics of the 21st century.In this scenario,nursing interventions are essential for improving self-care and quality of life in patients with type 2 diabetes mellitus.Nursing interventions are crucial for managing the disease and preventing complications.AIM To analyse nursing interventions in recent years through a systematic review and meta-analysis and to propose improvements in care plans.METHODS This study conducted a systematic review and meta-analysis of the impact of nursing interventions on quantitative glycaemic variables,such as glycated haemoglobin and fasting plasma glucose.RESULTS After confirming that the combined effect of all studies from the past 5 years positively impacts quantitative variables,a descriptive analysis of the studies with the most significant changes was conducted.Based on this,an improvement in diabetic patient care protocols has been proposed through follow-up plans tailored to the patient’s technological skills.CONCLUSION The combined results obtained and the proposal for improvement developed in this manuscript could help to improve the quality of life of many people around the world. 展开更多
关键词 Diabetes mellitus Nursing interventions Systematic review META-ANALYSIS protocol enhancement proposal
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Effect of alpha-tocopherol and OTR-4131 on muscle degeneration after rotator cuff tear in rats:An experimental protocol
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作者 Stavros Stamiris Angeliki Cheva +7 位作者 Michael Potoupnis Elissavet Anestiadou Dimitrios Stamiris Chryssa Bekiari Antonia Loukousia Papavasiliou Kyriakos Eleftherios Tsiridis Ioannis Sarris 《World Journal of Methodology》 2025年第4期287-298,共12页
BACKGROUND Massive rotator cuff tears(RCTs)result in impaired shoulder function and quality of life.These tears lead to structural changes in the rotator cuff muscles,which compromise recovery after repair and increas... BACKGROUND Massive rotator cuff tears(RCTs)result in impaired shoulder function and quality of life.These tears lead to structural changes in the rotator cuff muscles,which compromise recovery after repair and increase re-tear rates.AIM To investigate the potential inhibitory effects of alpha-tocopherol(vitamin E)and OTR-4131 on muscle atrophy,fatty infiltration,and fibrosis in rotator cuff muscles following a massive RCT using a Wistar rat model,and establish a standardized methodology for evaluating potential therapeutic agents.METHODS This protocol outlines a controlled animal study using 40 male Wistar rats,randomized into five groups.The experimental groups will receive either systemic administration of alpha-tocopherol or local administration of OTR-4131 via intramuscular injection into the supraspinatus and infraspinatus muscles.Two sham groups will receive systemic and local saline injections respectively,while a control group will undergo no intervention.The interventions will be administered after surgical transection of the supraspinatus and infraspinatus tendons.Outcomes will be assessed via wet muscle weight measurements,muscle fiber diameter,fatty infiltration percentage,and fibrosis evaluation using histological methods.RESULTS The study anticipates that alpha-tocopherol and OTR-4131 will reduce muscle atrophy,fatty infiltration,and fibrosis compared to control and sham groups,supporting their potential protective role in rotator cuff muscle degeneration.CONCLUSION The results are expected to improve the understanding on the role of alpha-tocopherol and OTR-4131 in rotator cuff muscle protection after massive RCT and may serve as a foundation for further preclinical and clinical research aimed at improving rotator cuff repair outcomes. 展开更多
关键词 Alpha-tocopherol OTR-4131 Rotator cuff tears Experimental protocol Muscle atrophy Fatty infiltration
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LSAP-IoHT:Lightweight Secure Authentication Protocol for the Internet of Healthcare Things
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作者 Marwa Ahmim Nour Ouafi +3 位作者 Insaf Ullah Ahmed Ahmim Djalel Chefrour Reham Almukhlifi 《Computers, Materials & Continua》 2025年第12期5093-5116,共24页
The Internet of Healthcare Things(IoHT)marks a significant breakthrough in modern medicine by enabling a new era of healthcare services.IoHT supports real-time,continuous,and personalized monitoring of patients’healt... The Internet of Healthcare Things(IoHT)marks a significant breakthrough in modern medicine by enabling a new era of healthcare services.IoHT supports real-time,continuous,and personalized monitoring of patients’health conditions.However,the security of sensitive data exchanged within IoHT remains a major concern,as the widespread connectivity and wireless nature of these systems expose them to various vulnerabilities.Potential threats include unauthorized access,device compromise,data breaches,and data alteration,all of which may compromise the confidentiality and integrity of patient information.In this paper,we provide an in-depth security analysis of LAP-IoHT,an authentication scheme designed to ensure secure communication in Internet of Healthcare Things environments.This analysis reveals several vulnerabilities in the LAP-IoHT protocol,namely its inability to resist various attacks,including user impersonation and privileged insider threats.To address these issues,we introduce LSAP-IoHT,a secure and lightweight authentication protocol for the Internet of Healthcare Things(IoHT).This protocol leverages Elliptic Curve Cryptography(ECC),Physical Unclonable Functions(PUFs),and Three-Factor Authentication(3FA).Its security is validated through both informal analysis and formal verification using the Scyther tool and the Real-Or-Random(ROR)model.The results demonstrate strong resistance against man-in-the-middle(MITM)attacks,replay attacks,identity spoofing,stolen smart device attacks,and insider threats,while maintaining low computational and communication costs. 展开更多
关键词 Internet of healthcare things(IoHT) authentication protocol CRYPTANALYSIS ATTACKS
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