BACKGROUND Posterior reversible encephalopathy syndrome(PRES)is a complex neurological disorder characterized by symptoms such as headaches,seizures,confusion,and visual disturbances.The pathophysiology of PRES involv...BACKGROUND Posterior reversible encephalopathy syndrome(PRES)is a complex neurological disorder characterized by symptoms such as headaches,seizures,confusion,and visual disturbances.The pathophysiology of PRES involves endothelial dysfunction,disrupted cerebral autoregulation,and resulting vasogenic edema.Hypertension and other factors that alter cerebral autoregulation are critical in its development.Corticosteroids,widely used for their anti-inflammatory and immunosuppressive properties,play a controversial role in PRES.AIM To elucidate the dual role of corticosteroids in the context of PRES by critically evaluating the existing literature.Specifically,it seeks to assess the results of PRES induced by corticosteroid therapy and the efficacy and safety of corticosteroids in the treatment of PRES.By synthesizing case reports and series,this review aims to provide a comprehensive understanding of the mechanisms,clinical presentations,and management strategies associated with corticosteroid-related PRES.METHODS The review was carried out according to the PRISMA guidelines.The databases searched included Science Direct,PubMed,and Hinari.The search strategy encompassed terms related to corticosteroids and PRES.Studies were included if they were peer-reviewed articles examining corticosteroids in PRES,excluding non-English publications,reviews,and editorials.Data on patient demographics,clinical characteristics,imaging findings,corticosteroid regimens,and outcomes were extracted.The risk of bias was evaluated using the Joanna Briggs Institute tool for case reports.RESULTS A total of 56 cases of PRES(66.1%women,33.9%men)potentially induced by corticosteroids and 14 cases in which corticosteroids were used to treat PRES were identified.Cases of PRES reportedly caused by corticosteroids showed a mean age of approximately 25.2 years,with seizures,headaches,hypertension,and visual disturbances being common clinical sequelae.Magnetic resonance findings typically revealed vasogenic edema in the bilateral parieto-occipital lobes.High-dose or prolonged corticosteroid therapy was a significant risk factor.On the contrary,in the treatment cases,corticosteroids were associated with positive outcomes,including resolution of vasogenic edema and stabilization of symptoms,particularly in patients with underlying inflammatory or autoimmune diseases.CONCLUSION Corticosteroids have a dual role in PRES,capable of both inducing and treating the condition.The current body of literature suggests that corticosteroids may play a greater role as a precipitating agent of PRES rather than treating.Corticosteroids may induce PRES through hypertension and subsequent increased cerebral blood flow and loss of autoregulation.Corticosteroids may aid in the management of PRES:(1)Enhancing endothelial stability;(2)Antiinflammatory properties;and(3)Improving blood-brain barrier integrity.Mechanisms which may reduce or mitigate vasogenic edema formation.展开更多
Pseudoephedrine (PSE) is a widely used nasal decongestant. A review by the European Medicines Agency has reported that PSE may be associated with risks of posterior reversible encephalopathy syndrome (PRES) and revers...Pseudoephedrine (PSE) is a widely used nasal decongestant. A review by the European Medicines Agency has reported that PSE may be associated with risks of posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS). PRES and RCVS are rare but serious conditions that affect cerebral blood flow. This review discusses the pharmacology of PSE and potential risks for PRES and RCVS and concludes that considering the common use of PSE, with over 70 million packs of PSE taken each year in the European Union and the United Kingdom, and the rare occurrence of PRES and RCVS, that the risks of developing PRES/RCVS on exposure to PSE are likely to be very low.展开更多
Dear Editor,Posterior reverse encephalopathy syndrome(PRES),manifests as a confusional state/delirium,convulsion,or acute blindness which illustrates in magnetic resonance imaging(MRI)typical bilateral white matter le...Dear Editor,Posterior reverse encephalopathy syndrome(PRES),manifests as a confusional state/delirium,convulsion,or acute blindness which illustrates in magnetic resonance imaging(MRI)typical bilateral white matter lesions.These clinical and radiological changes are reversible in two to three weeks,usually generated by acute hypertension,preeclampsia,eclampsia,immunosuppression,septicemia,and end-stage renal disease.PRES is commonly diagnosed in patients in their thirties.展开更多
Dear Editor,In this case,we discuss a teenager who experienced severe eye pain and elevated intraocular pressure(IOP)caused by reverse pupillary block,which was successfully resolved using Neodymium-doped yttrium alum...Dear Editor,In this case,we discuss a teenager who experienced severe eye pain and elevated intraocular pressure(IOP)caused by reverse pupillary block,which was successfully resolved using Neodymium-doped yttrium aluminum garnet(Nd:YAG)laser peripheral iridotomy(LPI).展开更多
Reversible solid oxide cells(RSOCs)are capable of converting various energy resources,between electricity and chemical fuels,with high efficiency and flexibility,making them suitable for grid balancing and renewable e...Reversible solid oxide cells(RSOCs)are capable of converting various energy resources,between electricity and chemical fuels,with high efficiency and flexibility,making them suitable for grid balancing and renewable energy consumption.However,the practical application of RSOCs is still limited by the insufficient activity and stability of the electrodes in different operating modes.Herein,a highly efficient symmetrical electrode composed of La_(0.3)Sr_(0.6)Ti_(0.1)Co_(0.2)Fe_(0.7)O_(3-δ)(LSTCF)nanofibers and in situ exsolved Co_(3)Fe_(7) nanoparticles is developed for boosting the performance of RSOCs.The reversible phase transition,high activity and stability of the electrode have been confirmed by a combination of experimental(e.g.,transmission electron microscopy and X-ray absorption fine structure)and computational studies.Electrolyte-supported RSOCs with the symmetrical electrode demonstrate excellent catalytic activity and stability,achieving a high peak power density of 0.98 W cm^(-2)in the fuel cell mode using H_(2)as the fuel(or 0.53 W cm^(-2)using CH_(4)as the fuel)and a high current density of 1.09 A cm^(-2) at 1.4 V in the CO_(2)electrolysis mode(or 1.03 A cm^(-2)at 1.3 V for H_(2)O electrolysis)at 800℃while maintaining excellent durability for over 100 h.展开更多
Reversible solid oxide cell(RSOC)is a new energy conversion device with significant applications,especially for power grid peaking shaving.However,the reversible conversion process of power generation/energy storage p...Reversible solid oxide cell(RSOC)is a new energy conversion device with significant applications,especially for power grid peaking shaving.However,the reversible conversion process of power generation/energy storage poses challenges for the performance and stability of air electrodes.In this work,a novel high-entropy perovskite oxide La_(0.2)Pr_(0.2)Gd_(0.2)Sm_(0.2)Sr_(0.2)Co_(0.8)Fe_(0.2)O_(3−δ)(HE-LSCF)is proposed and investigated as an air electrode in RSOC.The electrochemical behavior of HE-LSCF was studied as an air electrode in both fuel cell and electrolysis modes.The polarization impedance(Rp)of the HE-LSCF electrode is only 0.25Ω·cm^(2) at 800℃ in an air atmosphere.Notably,at an electrolytic voltage of 2 V and a temperature of 800℃,the current density reaches up to 1.68 A/cm^(2).The HE-LSCF air electrode exhibited excellent reversibility and stability,and its electrochemical performance remains stable after 100 h of reversible operation.With these advantages,HE-LSCF is shown to be an excellent air electrode for RSOC.展开更多
Tactile perception plays a vital role for the human body and is also highly desired for smart prosthesis and advanced robots.Compared to active sensing devices,passive piezoelectric and triboelectric tactile sensors c...Tactile perception plays a vital role for the human body and is also highly desired for smart prosthesis and advanced robots.Compared to active sensing devices,passive piezoelectric and triboelectric tactile sensors consume less power,but lack the capability to resolve static stimuli.Here,we address this issue by utilizing the unique polarization chemistry of conjugated polymers for the first time and propose a new type of bioinspired,passive,and bio-friendly tactile sensors for resolving both static and dynamic stimuli.Specifically,to emulate the polarization process of natural sensory cells,conjugated polymers(including poly(3,4-ethylenedioxythiophen e):poly(styrenesulfonate),polyaniline,or polypyrrole)are controllably polarized into two opposite states to create artificial potential differences.The controllable and reversible polarization process of the conjugated polymers is fully in situ characterized.Then,a micro-structured ionic electrolyte is employed to imitate the natural ion channels and to encode external touch stimulations into the variation in potential difference outputs.Compared with the currently existing tactile sensing devices,the developed tactile sensors feature distinct characteristics including fully organic composition,high sensitivity(up to 773 mV N^(−1)),ultralow power consumption(nW),as well as superior bio-friendliness.As demonstrations,both single point tactile perception(surface texture perception and material property perception)and two-dimensional tactile recognitions(shape or profile perception)with high accuracy are successfully realized using self-defined machine learning algorithms.This tactile sensing concept innovation based on the polarization chemistry of conjugated polymers opens up a new path to create robotic tactile sensors and prosthetic electronic skins.展开更多
Patients admitted with prediabetes and atrial fibrillation are at high risk for major adverse cardiac or cerebrovascular events independent of confounding variables.The shared pathophysiology between these three serio...Patients admitted with prediabetes and atrial fibrillation are at high risk for major adverse cardiac or cerebrovascular events independent of confounding variables.The shared pathophysiology between these three serious but common diseases and their association with atherosclerotic cardiovascular risk factors establish a vicious circle culminating in high atherogenicity.Because of that,it is of paramount importance to perform risk stratification of patients with prediabetes to define phenotypes that benefit from various interventions.Furthermore,stress hyperglycemia assessment of hospitalized patients and consensus on the definition of prediabetes is vital.The roles lifestyle and metformin play in prediabetes are well established.However,the role of glucagon-like peptide agonists and metabolic surgery is less clear.Prediabetes is considered an intermediate between normoglycemia and diabetes along the blood glucose continuum.One billion people are expected to suffer from prediabetes by the year 2045.Therefore,realworld randomized controlled trials to assess major adverse cardiac or cerebrovascular event risk reduction and reversal/prevention of type 2 diabetes among patients are needed to determine the proper interventions.展开更多
Electrochromic(EC)smart windows utilizing a reversible metal electrodeposition device(RMED)offer a compelling alternative for dynamically regulating transmissions of optical and thermal energy.An EC device(ECD)is cons...Electrochromic(EC)smart windows utilizing a reversible metal electrodeposition device(RMED)offer a compelling alternative for dynamically regulating transmissions of optical and thermal energy.An EC device(ECD)is constructed by reversible metal electrodeposition(RME)of Bi/Cu on WO_(3)·xH_(2)O film electrodeposited onto fluorine-doped tin oxide(FTO)transparent conductive glass.The electrolyte consists of CuCl_(2),BiCl_(3),KCl and HCl aqueous solution,supplying necessary components for both electrochemical and electrodeposition processes.The ECD shows ability to rapidly transition between colorless and black states,which achieves a large optical modulation of 77.0%at 570 nm.In the black state,the ECD exhibits a near-zero transmittance in the wavelength range of 400-1100 nm while maintaining 96.6%of its initial optical modulation after coloration/bleaching cycling of 60000 s,exhibiting good cyclic stability.This RMED has relatively high stability under open-circuit voltage and also possesses excellent heat insulation performance.The results offer a solution to overcome the poor cyclic stability of RMEDs and improve the optical modulation of ECDs.展开更多
This paper, an addendum to “Dialectical Thermodynamics’ solution to the conceptual imbroglio that is the reversible path”, this journal, 10, 775-799, was written in response to the requests of several readers to pr...This paper, an addendum to “Dialectical Thermodynamics’ solution to the conceptual imbroglio that is the reversible path”, this journal, 10, 775-799, was written in response to the requests of several readers to provide further evidence of the said “imbroglio”. The evidence here presented relates to the incompatibility existing between the total-entropy and the Gibbs energy prescriptions for the reversible path. The previously published proof of the negentropic nature of the transformation of heat into work is here included to validate out conclusions about the Gibbs energy perspective.展开更多
Purely organic room-temperature phosphorescence(RTP)is current hotspot in the research fields of chemistry,biology,materials etc.Herein,we report that photo-thermal double response reversible ultralong RTP flexible el...Purely organic room-temperature phosphorescence(RTP)is current hotspot in the research fields of chemistry,biology,materials etc.Herein,we report that photo-thermal double response reversible ultralong RTP flexible elastic material with multicolor delayed fluorescence,which is constructed by 4-biphenylboronic acid(BOH),polyethylene glycol,2,2-bis(hydroxymethyl)propionic acid,isophorone diamine and isophorone diisocyanate copolymer.Importantly,the supramolecular phosphorescent elastomer not only exhibits extending RTP emission with a lifetime up to 1.21 s,but also gives a visible afterglow of 20 s via encapsulation of BOH unities by the deep cavities of hydroxypropyl-β-cyclodextrin(β-CD-HP)and in situ polymerization.Especially,after doping organic dyes(Fluorescein isothiocyanate,Sulforhodamine 101,Rhodamine B),supramolecular phosphorescent elastomer achieves multicolor delayed fluorescence realized by RTP energy transfer from phosphorescent donor to dye acceptors,which possesses reversible photo-thermal responsiveness and maintains high efficiency in delayed emission even after dozens of cycles.Present research provides a new approach for constructing multicolor delayed fluorescent supramolecular elastomers.展开更多
Avian metapneumovirus(aMPV),a paramyxovirus,causes acute respiratory diseases in turkeys and swollen head syndrome in chickens.This study established a reverse genetics system for aMPV subtype B LN16-A strain based on...Avian metapneumovirus(aMPV),a paramyxovirus,causes acute respiratory diseases in turkeys and swollen head syndrome in chickens.This study established a reverse genetics system for aMPV subtype B LN16-A strain based on T7 RNA polymerase.Full-length cDNA of the LN16-A strain was constructed by assembling 5 cDNA fragments between the T7 promoter and hepatitis delta virus ribozyme.Transfection of this plasmid,along with the supporting plasmids encoding the N,P,M2-1,and L proteins of LN16-A into BSR-T7/5 cells,resulted in the recovery of aMPV subtype B.To identify an effective insertion site,the enhanced green fluorescent protein(EGFP)gene was inserted into different sites of the LN16-A genome to generate recombinant LN16-As.The results showed that the expression levels of EGFP at the site between the G and L genes of LN16-A were significantly higher than those at the other two sites(between the leader and N genes or replacing the SH gene).To verify the availability of the site between G and L for foreign gene expression,the VP2 gene of very virulent infectious bursal disease virus(vvIBDV)was inserted into this site,and recombinant LN16-A(rLN16A-vvVP2)was successfully rescued.Single immunization of specificpathogen-free chickens with rLN16A-vvVP2 induced high levels of neutralizing antibodies and provided 100%protection against the virulent aMPV subtype B and vvIBDV.Establishing a reverse genetics system here provides an important foundation for understanding aMPV pathogenesis and developing novel vector vaccines.展开更多
Amplitude dissipation and phase dispersion occur when seismic waves propagate in attenuated anisotropic media,affecting the quality of migration imaging.To compensate and correct for these effects,the fractional Lapla...Amplitude dissipation and phase dispersion occur when seismic waves propagate in attenuated anisotropic media,affecting the quality of migration imaging.To compensate and correct for these effects,the fractional Laplacian pure viscoacoustic wave equation capable of producing stable and noise-free wavefields has been proposed and implemented in the Q-compensated reverse time migration(RTM).In addition,the second-order Taylor series expansion is usually adopted in the hybrid finite-difference/pseudo-spectral(HFDPS)strategy to solve spatially variable fractional Laplacian.However,during forward modeling and Q-compensated RTM,this HFDPS strategy requires 11 and 17 fast Fourier transforms(FFTs)per time step,respectively,leading to computational inefficiency.To improve computational efficiency,we introduce two high-efficiency HFDPS numerical modeling strategies based on asymptotic approximation and algebraic methods.Through the two strategies,the number of FFTs decreased from 11 to 6 and 5 per time step during forward modeling,respectively.Numerical examples demonstrate that wavefields simulated using the new numerical modeling strategies are accurate and highly efficient.Finally,these strategies are employed for implementing high-efficiency and stable Q-compensated RTM techniques in tilted transversely isotropic media,reducing the number of FFTs from 17 to 9 and 8 per time step,respectively,significantly improving computational efficiency.Synthetic data examples illustrate the effectiveness of the proposed Q-compensated RTM scheme in compensating amplitude dissipation and correcting phase distortion.展开更多
This study aims to enhance the maneuvering advantages of the waterjet unit through parametric design,performance evaluation,and optimization of the one-piece waterjet propulsion steering and reversing gear(SRG).The SR...This study aims to enhance the maneuvering advantages of the waterjet unit through parametric design,performance evaluation,and optimization of the one-piece waterjet propulsion steering and reversing gear(SRG).The SRG’s performance evaluation stems mainly from the effect of the free surface,the varying sailing speeds of the ship,and its performance while functioning at the stern of the waterjet-propelled vessel.Parameters such as the length,width,and height of the steering gear,as well as the inclination,width,and curvature of the reversing gear,significantly influence the SRG.Although the free surface has a great impact on the force of the SRG,its performance trend remains unaffected.When the SRG operates at the stern of the ship,the optimized scheme’s lateral force improves by an average of 8.08%for sailing with a rudder angle condition and an average of 45.69%for reversing sailing with a rudder angle condition.The longitudinal force of the optimized scheme improves by more than 23%when sailing without a rudder angle condition and by an average of 31.75%when sailing with a reversed rudder angle condition.Additionally,the speed of the rotor has a minimal effect on the lateral force and a significant effect on the longitudinal force.展开更多
With the rapid expansion of multimedia data,protecting digital information has become increasingly critical.Reversible data hiding offers an effective solution by allowing sensitive information to be embedded in multi...With the rapid expansion of multimedia data,protecting digital information has become increasingly critical.Reversible data hiding offers an effective solution by allowing sensitive information to be embedded in multimedia files while enabling full recovery of the original data after extraction.Audio,as a vital medium in communication,entertainment,and information sharing,demands the same level of security as images.However,embedding data in encrypted audio poses unique challenges due to the trade-offs between security,data integrity,and embedding capacity.This paper presents a novel interpolation-based reversible data hiding algorithm for encrypted audio that achieves scalable embedding capacity.By increasing sample density through interpolation,embedding opportunities are significantly enhanced while maintaining encryption throughout the process.The method further integrates multiple most significant bit(multi-MSB)prediction and Huffman coding to optimize compression and embedding efficiency.Experimental results on standard audio datasets demonstrate the proposed algorithm’s ability to embed up to 12.47 bits per sample with over 9.26 bits per sample available for pure embedding capacity,while preserving full reversibility.These results confirm the method’s suitability for secure applications that demand high embedding capacity and perfect reconstruction of original audio.This work advances reversible data hiding in encrypted audio by offering a secure,efficient,and fully reversible data hiding framework.展开更多
Erosion in slurry pumps presents a persistent challenge in industrial applications.This study examines the erosion of the static components of a 150ZJ-C42 centrifugal slurry pump,currently in operation at a beneficiat...Erosion in slurry pumps presents a persistent challenge in industrial applications.This study examines the erosion of the static components of a 150ZJ-C42 centrifugal slurry pump,currently in operation at a beneficiation plant,under varying particle conditions.Utilizing high-precision three-dimensional reverse engineering,the pump’s flow passage geometry was reconstructed to facilitate detailed erosion analysis.Focusing on the front and rear baffles of the pump chamber,as well as the volute,erosion patterns were analyzed for different particle volume concentrations and sizes.The results reveal that the highest erosion damage consistently occurs near the volute tongue,with wear being most severe in regions adjacent to the partition plate near the rear cover.Erosion damage intensity in this area correlates positively with particle diameter.Notably,the average erosion rate in the volute surpasses that of the front and rear chamber liners,reaching a value as high as 6.03×10^(-7)kg·m^(-2)·s^(-1)at a particle concentration of 9%and diameter of 0.1 mm,adversely impacting pump stability.For the pump chamber baffles,increased erosion is observed at a particle diameter of 0.05 mm under constant volume concentration conditions,while higher particle concentrations exacerbate localized erosion.展开更多
The nervous system function requires a precise but plastic neural architecture.The neuronal shape dictates how neurons interact with each other and with other cells,being the morphology of dendrites and axons the cent...The nervous system function requires a precise but plastic neural architecture.The neuronal shape dictates how neurons interact with each other and with other cells,being the morphology of dendrites and axons the central determinant of the functional properties of neurons and neural circuits.The topological and structural morphology of axons and dendrites defines and determines how synapses are conformed.The morphological diversity of axon and dendrite arborization governs the neuron’s inputs,synaptic integration,neuronal computation,signal transmission,and network circuitry,hence defining the particular connectivity and function of the different brain areas.展开更多
With the growing emphasis on digital technologies and cultural heritage in vocational education,the effective integration of modern technologies with traditional culture has become a central focus of current pedagogic...With the growing emphasis on digital technologies and cultural heritage in vocational education,the effective integration of modern technologies with traditional culture has become a central focus of current pedagogical reforms.This study explores strategies for incorporating Web3D technology and chuanzheng culture into the“reverse engineering technology”curriculum.By leveraging Web3D technology for the digital restoration and visualization of chuanzheng culture,students can engage deeply with its historical and technical significance in a virtual environment.Furthermore,integrating chuanzheng culture into the“reverse engineering technology”course enhances the content and instructional methods,fostering students′practical skills and cultural awareness.This innovative approach enriches the curriculum,increases student engagement,and strengthens cultural identity,offering a novel teaching model for vocational education.展开更多
The Moroccan automotive industry is experiencing steady growth,positioning itself as the largest manufacturer of passenger cars in Africa.This expansion is leading to a significant increase in waste generation,particu...The Moroccan automotive industry is experiencing steady growth,positioning itself as the largest manufacturer of passenger cars in Africa.This expansion is leading to a significant increase in waste generation,particularly from end-of-life vehicles(ELVs),which require proper dismantling and disposal to minimize environmental harm.Millions of tonnes of automotive waste are generated annually,necessitating efficient waste management strategies to mitigate environmental and health risks.ELVs contain hazardous substances such as heavy metals,oils,and plastics,which,if not properly managed,can contaminate soil and water resources.To address this challenge,reverse logistics networks play a crucial role in optimizing the recovery of used components,enhancing recycling efficiency,and ensuring the safe disposal of hazardous and non-recyclable waste.This paper introduces a mathematical programming model designed to minimize the total costs associated with ELVs collection,treatment,and transportation while also accounting for revenues from the resale of repaired,directly reusable,or recycled components.The proposed model determines the optimal locations for processing facilities and establishes efficient material flows within the reverse logistics network.By integrating economic and environmental considerations,this model supports the development of a sustainable and cost-effective automotive waste management system,ultimately contributing to a circular economy approach in the industry.展开更多
Current treatments for chronic hepatitis B(CHB)are lifelong,often accompanied by side effects and the risk of drug resistance,highlighting the urgent need for alternative therapies such as therapeutic vaccines.However...Current treatments for chronic hepatitis B(CHB)are lifelong,often accompanied by side effects and the risk of drug resistance,highlighting the urgent need for alternative therapies such as therapeutic vaccines.However,challenges such as selecting appropriate antigens and addressing multiple hepatitis B virus(HBV)genotypes hinder the development of these vaccines.One approach to overcoming these challenges is reverse vaccinology(RV)combined with immunoinformatics.RV uses computational methods to identify antigens from pathogen genetic information,including genomic and proteomic data.These methods have helped researchers identify conserved epitopes across bacterial strains or viral species,including multiple HBV genotypes.Computational tools,such as epitope mapping algorithms,molecular docking analysis,molecular dynamics simulations,and immune response simulations,enable key epitope identification,predict vaccine candidates'binding potential to immune cell receptors,and forecast the immune response.Together,these approaches streamline therapeutic vaccine design for CHB,making it faster,more cost-effective,and accurate.This review aims to explore the potential role of RV and immunoinformatics in advancing therapeutic vaccine design for CHB.展开更多
文摘BACKGROUND Posterior reversible encephalopathy syndrome(PRES)is a complex neurological disorder characterized by symptoms such as headaches,seizures,confusion,and visual disturbances.The pathophysiology of PRES involves endothelial dysfunction,disrupted cerebral autoregulation,and resulting vasogenic edema.Hypertension and other factors that alter cerebral autoregulation are critical in its development.Corticosteroids,widely used for their anti-inflammatory and immunosuppressive properties,play a controversial role in PRES.AIM To elucidate the dual role of corticosteroids in the context of PRES by critically evaluating the existing literature.Specifically,it seeks to assess the results of PRES induced by corticosteroid therapy and the efficacy and safety of corticosteroids in the treatment of PRES.By synthesizing case reports and series,this review aims to provide a comprehensive understanding of the mechanisms,clinical presentations,and management strategies associated with corticosteroid-related PRES.METHODS The review was carried out according to the PRISMA guidelines.The databases searched included Science Direct,PubMed,and Hinari.The search strategy encompassed terms related to corticosteroids and PRES.Studies were included if they were peer-reviewed articles examining corticosteroids in PRES,excluding non-English publications,reviews,and editorials.Data on patient demographics,clinical characteristics,imaging findings,corticosteroid regimens,and outcomes were extracted.The risk of bias was evaluated using the Joanna Briggs Institute tool for case reports.RESULTS A total of 56 cases of PRES(66.1%women,33.9%men)potentially induced by corticosteroids and 14 cases in which corticosteroids were used to treat PRES were identified.Cases of PRES reportedly caused by corticosteroids showed a mean age of approximately 25.2 years,with seizures,headaches,hypertension,and visual disturbances being common clinical sequelae.Magnetic resonance findings typically revealed vasogenic edema in the bilateral parieto-occipital lobes.High-dose or prolonged corticosteroid therapy was a significant risk factor.On the contrary,in the treatment cases,corticosteroids were associated with positive outcomes,including resolution of vasogenic edema and stabilization of symptoms,particularly in patients with underlying inflammatory or autoimmune diseases.CONCLUSION Corticosteroids have a dual role in PRES,capable of both inducing and treating the condition.The current body of literature suggests that corticosteroids may play a greater role as a precipitating agent of PRES rather than treating.Corticosteroids may induce PRES through hypertension and subsequent increased cerebral blood flow and loss of autoregulation.Corticosteroids may aid in the management of PRES:(1)Enhancing endothelial stability;(2)Antiinflammatory properties;and(3)Improving blood-brain barrier integrity.Mechanisms which may reduce or mitigate vasogenic edema formation.
文摘Pseudoephedrine (PSE) is a widely used nasal decongestant. A review by the European Medicines Agency has reported that PSE may be associated with risks of posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS). PRES and RCVS are rare but serious conditions that affect cerebral blood flow. This review discusses the pharmacology of PSE and potential risks for PRES and RCVS and concludes that considering the common use of PSE, with over 70 million packs of PSE taken each year in the European Union and the United Kingdom, and the rare occurrence of PRES and RCVS, that the risks of developing PRES/RCVS on exposure to PSE are likely to be very low.
文摘Dear Editor,Posterior reverse encephalopathy syndrome(PRES),manifests as a confusional state/delirium,convulsion,or acute blindness which illustrates in magnetic resonance imaging(MRI)typical bilateral white matter lesions.These clinical and radiological changes are reversible in two to three weeks,usually generated by acute hypertension,preeclampsia,eclampsia,immunosuppression,septicemia,and end-stage renal disease.PRES is commonly diagnosed in patients in their thirties.
文摘Dear Editor,In this case,we discuss a teenager who experienced severe eye pain and elevated intraocular pressure(IOP)caused by reverse pupillary block,which was successfully resolved using Neodymium-doped yttrium aluminum garnet(Nd:YAG)laser peripheral iridotomy(LPI).
基金supported by the National Natural Science Foundation of China(No.52377212 and 51877173)program of Beijing Huairou Laboratory(ZD2022006A)+2 种基金the Key R&D Project of Shaanxi Province(2023-YBGY-057)the State Key Laboratory of Electrical Insulation and Power Equipment(EIPE22314,EIPE22306)the Natural Science Basic Research Program of Shaanxi(No.2023-JC-QN-0483).
文摘Reversible solid oxide cells(RSOCs)are capable of converting various energy resources,between electricity and chemical fuels,with high efficiency and flexibility,making them suitable for grid balancing and renewable energy consumption.However,the practical application of RSOCs is still limited by the insufficient activity and stability of the electrodes in different operating modes.Herein,a highly efficient symmetrical electrode composed of La_(0.3)Sr_(0.6)Ti_(0.1)Co_(0.2)Fe_(0.7)O_(3-δ)(LSTCF)nanofibers and in situ exsolved Co_(3)Fe_(7) nanoparticles is developed for boosting the performance of RSOCs.The reversible phase transition,high activity and stability of the electrode have been confirmed by a combination of experimental(e.g.,transmission electron microscopy and X-ray absorption fine structure)and computational studies.Electrolyte-supported RSOCs with the symmetrical electrode demonstrate excellent catalytic activity and stability,achieving a high peak power density of 0.98 W cm^(-2)in the fuel cell mode using H_(2)as the fuel(or 0.53 W cm^(-2)using CH_(4)as the fuel)and a high current density of 1.09 A cm^(-2) at 1.4 V in the CO_(2)electrolysis mode(or 1.03 A cm^(-2)at 1.3 V for H_(2)O electrolysis)at 800℃while maintaining excellent durability for over 100 h.
基金supported by Fundamental Research Funds for the Central Universities(2023KYJD1008)the Science Research Projects of the Anhui Higher Education Institutions of China(2022AH051582).
文摘Reversible solid oxide cell(RSOC)is a new energy conversion device with significant applications,especially for power grid peaking shaving.However,the reversible conversion process of power generation/energy storage poses challenges for the performance and stability of air electrodes.In this work,a novel high-entropy perovskite oxide La_(0.2)Pr_(0.2)Gd_(0.2)Sm_(0.2)Sr_(0.2)Co_(0.8)Fe_(0.2)O_(3−δ)(HE-LSCF)is proposed and investigated as an air electrode in RSOC.The electrochemical behavior of HE-LSCF was studied as an air electrode in both fuel cell and electrolysis modes.The polarization impedance(Rp)of the HE-LSCF electrode is only 0.25Ω·cm^(2) at 800℃ in an air atmosphere.Notably,at an electrolytic voltage of 2 V and a temperature of 800℃,the current density reaches up to 1.68 A/cm^(2).The HE-LSCF air electrode exhibited excellent reversibility and stability,and its electrochemical performance remains stable after 100 h of reversible operation.With these advantages,HE-LSCF is shown to be an excellent air electrode for RSOC.
基金financially supported by the Sichuan Science and Technology Program(2022YFS0025 and 2024YFFK0133)supported by the“Fundamental Research Funds for the Central Universities of China.”。
文摘Tactile perception plays a vital role for the human body and is also highly desired for smart prosthesis and advanced robots.Compared to active sensing devices,passive piezoelectric and triboelectric tactile sensors consume less power,but lack the capability to resolve static stimuli.Here,we address this issue by utilizing the unique polarization chemistry of conjugated polymers for the first time and propose a new type of bioinspired,passive,and bio-friendly tactile sensors for resolving both static and dynamic stimuli.Specifically,to emulate the polarization process of natural sensory cells,conjugated polymers(including poly(3,4-ethylenedioxythiophen e):poly(styrenesulfonate),polyaniline,or polypyrrole)are controllably polarized into two opposite states to create artificial potential differences.The controllable and reversible polarization process of the conjugated polymers is fully in situ characterized.Then,a micro-structured ionic electrolyte is employed to imitate the natural ion channels and to encode external touch stimulations into the variation in potential difference outputs.Compared with the currently existing tactile sensing devices,the developed tactile sensors feature distinct characteristics including fully organic composition,high sensitivity(up to 773 mV N^(−1)),ultralow power consumption(nW),as well as superior bio-friendliness.As demonstrations,both single point tactile perception(surface texture perception and material property perception)and two-dimensional tactile recognitions(shape or profile perception)with high accuracy are successfully realized using self-defined machine learning algorithms.This tactile sensing concept innovation based on the polarization chemistry of conjugated polymers opens up a new path to create robotic tactile sensors and prosthetic electronic skins.
文摘Patients admitted with prediabetes and atrial fibrillation are at high risk for major adverse cardiac or cerebrovascular events independent of confounding variables.The shared pathophysiology between these three serious but common diseases and their association with atherosclerotic cardiovascular risk factors establish a vicious circle culminating in high atherogenicity.Because of that,it is of paramount importance to perform risk stratification of patients with prediabetes to define phenotypes that benefit from various interventions.Furthermore,stress hyperglycemia assessment of hospitalized patients and consensus on the definition of prediabetes is vital.The roles lifestyle and metformin play in prediabetes are well established.However,the role of glucagon-like peptide agonists and metabolic surgery is less clear.Prediabetes is considered an intermediate between normoglycemia and diabetes along the blood glucose continuum.One billion people are expected to suffer from prediabetes by the year 2045.Therefore,realworld randomized controlled trials to assess major adverse cardiac or cerebrovascular event risk reduction and reversal/prevention of type 2 diabetes among patients are needed to determine the proper interventions.
文摘Electrochromic(EC)smart windows utilizing a reversible metal electrodeposition device(RMED)offer a compelling alternative for dynamically regulating transmissions of optical and thermal energy.An EC device(ECD)is constructed by reversible metal electrodeposition(RME)of Bi/Cu on WO_(3)·xH_(2)O film electrodeposited onto fluorine-doped tin oxide(FTO)transparent conductive glass.The electrolyte consists of CuCl_(2),BiCl_(3),KCl and HCl aqueous solution,supplying necessary components for both electrochemical and electrodeposition processes.The ECD shows ability to rapidly transition between colorless and black states,which achieves a large optical modulation of 77.0%at 570 nm.In the black state,the ECD exhibits a near-zero transmittance in the wavelength range of 400-1100 nm while maintaining 96.6%of its initial optical modulation after coloration/bleaching cycling of 60000 s,exhibiting good cyclic stability.This RMED has relatively high stability under open-circuit voltage and also possesses excellent heat insulation performance.The results offer a solution to overcome the poor cyclic stability of RMEDs and improve the optical modulation of ECDs.
文摘This paper, an addendum to “Dialectical Thermodynamics’ solution to the conceptual imbroglio that is the reversible path”, this journal, 10, 775-799, was written in response to the requests of several readers to provide further evidence of the said “imbroglio”. The evidence here presented relates to the incompatibility existing between the total-entropy and the Gibbs energy prescriptions for the reversible path. The previously published proof of the negentropic nature of the transformation of heat into work is here included to validate out conclusions about the Gibbs energy perspective.
基金financially supported by the National Natural Science Foundation of China(No.22131008)。
文摘Purely organic room-temperature phosphorescence(RTP)is current hotspot in the research fields of chemistry,biology,materials etc.Herein,we report that photo-thermal double response reversible ultralong RTP flexible elastic material with multicolor delayed fluorescence,which is constructed by 4-biphenylboronic acid(BOH),polyethylene glycol,2,2-bis(hydroxymethyl)propionic acid,isophorone diamine and isophorone diisocyanate copolymer.Importantly,the supramolecular phosphorescent elastomer not only exhibits extending RTP emission with a lifetime up to 1.21 s,but also gives a visible afterglow of 20 s via encapsulation of BOH unities by the deep cavities of hydroxypropyl-β-cyclodextrin(β-CD-HP)and in situ polymerization.Especially,after doping organic dyes(Fluorescein isothiocyanate,Sulforhodamine 101,Rhodamine B),supramolecular phosphorescent elastomer achieves multicolor delayed fluorescence realized by RTP energy transfer from phosphorescent donor to dye acceptors,which possesses reversible photo-thermal responsiveness and maintains high efficiency in delayed emission even after dozens of cycles.Present research provides a new approach for constructing multicolor delayed fluorescent supramolecular elastomers.
基金supported by the grants from the National Key Research and Development Program of China(2022YFD1800604)the China Agriculture Research System(CARS-41)the Heilongjiang Touyan Innovation Team Program,China。
文摘Avian metapneumovirus(aMPV),a paramyxovirus,causes acute respiratory diseases in turkeys and swollen head syndrome in chickens.This study established a reverse genetics system for aMPV subtype B LN16-A strain based on T7 RNA polymerase.Full-length cDNA of the LN16-A strain was constructed by assembling 5 cDNA fragments between the T7 promoter and hepatitis delta virus ribozyme.Transfection of this plasmid,along with the supporting plasmids encoding the N,P,M2-1,and L proteins of LN16-A into BSR-T7/5 cells,resulted in the recovery of aMPV subtype B.To identify an effective insertion site,the enhanced green fluorescent protein(EGFP)gene was inserted into different sites of the LN16-A genome to generate recombinant LN16-As.The results showed that the expression levels of EGFP at the site between the G and L genes of LN16-A were significantly higher than those at the other two sites(between the leader and N genes or replacing the SH gene).To verify the availability of the site between G and L for foreign gene expression,the VP2 gene of very virulent infectious bursal disease virus(vvIBDV)was inserted into this site,and recombinant LN16-A(rLN16A-vvVP2)was successfully rescued.Single immunization of specificpathogen-free chickens with rLN16A-vvVP2 induced high levels of neutralizing antibodies and provided 100%protection against the virulent aMPV subtype B and vvIBDV.Establishing a reverse genetics system here provides an important foundation for understanding aMPV pathogenesis and developing novel vector vaccines.
基金support this research during the 14th Fiveyear Plan period under contract number 2021QNLM020001the Major Scientific and Technological Projects of Shandong Energy Group under contract number SNKJ2022A06-R23+2 种基金the National Natural Science Foundation of China under contract number 42374164the Funds for Creative Research Groups of China under contract number 41821002the basic theoretical research of seismic wave imaging technology in complex oilfield of Changqing Oilfield Company under contract number 2023e10502.
文摘Amplitude dissipation and phase dispersion occur when seismic waves propagate in attenuated anisotropic media,affecting the quality of migration imaging.To compensate and correct for these effects,the fractional Laplacian pure viscoacoustic wave equation capable of producing stable and noise-free wavefields has been proposed and implemented in the Q-compensated reverse time migration(RTM).In addition,the second-order Taylor series expansion is usually adopted in the hybrid finite-difference/pseudo-spectral(HFDPS)strategy to solve spatially variable fractional Laplacian.However,during forward modeling and Q-compensated RTM,this HFDPS strategy requires 11 and 17 fast Fourier transforms(FFTs)per time step,respectively,leading to computational inefficiency.To improve computational efficiency,we introduce two high-efficiency HFDPS numerical modeling strategies based on asymptotic approximation and algebraic methods.Through the two strategies,the number of FFTs decreased from 11 to 6 and 5 per time step during forward modeling,respectively.Numerical examples demonstrate that wavefields simulated using the new numerical modeling strategies are accurate and highly efficient.Finally,these strategies are employed for implementing high-efficiency and stable Q-compensated RTM techniques in tilted transversely isotropic media,reducing the number of FFTs from 17 to 9 and 8 per time step,respectively,significantly improving computational efficiency.Synthetic data examples illustrate the effectiveness of the proposed Q-compensated RTM scheme in compensating amplitude dissipation and correcting phase distortion.
基金supported by the Sanya Science and Education Innovation Park of Wuhan University of Technology(Grant No.2022KF0017)Hainan Provincial Natural Science Foundation of China(Grant No.522QN342)+1 种基金the National Natural Science Foundation of China(Grant No.52201376)Natural Science Foundation of Hubei Province,China(Grant No.2023AFB683).
文摘This study aims to enhance the maneuvering advantages of the waterjet unit through parametric design,performance evaluation,and optimization of the one-piece waterjet propulsion steering and reversing gear(SRG).The SRG’s performance evaluation stems mainly from the effect of the free surface,the varying sailing speeds of the ship,and its performance while functioning at the stern of the waterjet-propelled vessel.Parameters such as the length,width,and height of the steering gear,as well as the inclination,width,and curvature of the reversing gear,significantly influence the SRG.Although the free surface has a great impact on the force of the SRG,its performance trend remains unaffected.When the SRG operates at the stern of the ship,the optimized scheme’s lateral force improves by an average of 8.08%for sailing with a rudder angle condition and an average of 45.69%for reversing sailing with a rudder angle condition.The longitudinal force of the optimized scheme improves by more than 23%when sailing without a rudder angle condition and by an average of 31.75%when sailing with a reversed rudder angle condition.Additionally,the speed of the rotor has a minimal effect on the lateral force and a significant effect on the longitudinal force.
基金funded by theNational Science and Technology Council of Taiwan under the grant number NSTC 113-2221-E-035-058.
文摘With the rapid expansion of multimedia data,protecting digital information has become increasingly critical.Reversible data hiding offers an effective solution by allowing sensitive information to be embedded in multimedia files while enabling full recovery of the original data after extraction.Audio,as a vital medium in communication,entertainment,and information sharing,demands the same level of security as images.However,embedding data in encrypted audio poses unique challenges due to the trade-offs between security,data integrity,and embedding capacity.This paper presents a novel interpolation-based reversible data hiding algorithm for encrypted audio that achieves scalable embedding capacity.By increasing sample density through interpolation,embedding opportunities are significantly enhanced while maintaining encryption throughout the process.The method further integrates multiple most significant bit(multi-MSB)prediction and Huffman coding to optimize compression and embedding efficiency.Experimental results on standard audio datasets demonstrate the proposed algorithm’s ability to embed up to 12.47 bits per sample with over 9.26 bits per sample available for pure embedding capacity,while preserving full reversibility.These results confirm the method’s suitability for secure applications that demand high embedding capacity and perfect reconstruction of original audio.This work advances reversible data hiding in encrypted audio by offering a secure,efficient,and fully reversible data hiding framework.
基金The authors gratefully acknowledge the filnancial support of the National Natural Science Foundation of China(Grant No.52369018)the Major Training Program of University Research and Innovation Platform of Gansu Provincial Department of Education(No.2024CXPT-09)+1 种基金the Administration of Central Funds Guiding the Local Science and Technology Development,China(Grant No.23ZYQA0320)the Double First-Class Key Program of Gansu Provincial Department of Education,Grant No.GCJ2022-38.
文摘Erosion in slurry pumps presents a persistent challenge in industrial applications.This study examines the erosion of the static components of a 150ZJ-C42 centrifugal slurry pump,currently in operation at a beneficiation plant,under varying particle conditions.Utilizing high-precision three-dimensional reverse engineering,the pump’s flow passage geometry was reconstructed to facilitate detailed erosion analysis.Focusing on the front and rear baffles of the pump chamber,as well as the volute,erosion patterns were analyzed for different particle volume concentrations and sizes.The results reveal that the highest erosion damage consistently occurs near the volute tongue,with wear being most severe in regions adjacent to the partition plate near the rear cover.Erosion damage intensity in this area correlates positively with particle diameter.Notably,the average erosion rate in the volute surpasses that of the front and rear chamber liners,reaching a value as high as 6.03×10^(-7)kg·m^(-2)·s^(-1)at a particle concentration of 9%and diameter of 0.1 mm,adversely impacting pump stability.For the pump chamber baffles,increased erosion is observed at a particle diameter of 0.05 mm under constant volume concentration conditions,while higher particle concentrations exacerbate localized erosion.
基金supported by the Wellcome Trust(grant No.103852).
文摘The nervous system function requires a precise but plastic neural architecture.The neuronal shape dictates how neurons interact with each other and with other cells,being the morphology of dendrites and axons the central determinant of the functional properties of neurons and neural circuits.The topological and structural morphology of axons and dendrites defines and determines how synapses are conformed.The morphological diversity of axon and dendrite arborization governs the neuron’s inputs,synaptic integration,neuronal computation,signal transmission,and network circuitry,hence defining the particular connectivity and function of the different brain areas.
基金supported by Fujian Provincial Education Science‘14th Five⁃Year Plan’2023 Annual Project(FJJKGZ23⁃055)2024 Fujian Social Science Foundation Program(FJ2024B146)2023 Fujian Provincial Vocational Education Research Project(GA2023007).
文摘With the growing emphasis on digital technologies and cultural heritage in vocational education,the effective integration of modern technologies with traditional culture has become a central focus of current pedagogical reforms.This study explores strategies for incorporating Web3D technology and chuanzheng culture into the“reverse engineering technology”curriculum.By leveraging Web3D technology for the digital restoration and visualization of chuanzheng culture,students can engage deeply with its historical and technical significance in a virtual environment.Furthermore,integrating chuanzheng culture into the“reverse engineering technology”course enhances the content and instructional methods,fostering students′practical skills and cultural awareness.This innovative approach enriches the curriculum,increases student engagement,and strengthens cultural identity,offering a novel teaching model for vocational education.
文摘The Moroccan automotive industry is experiencing steady growth,positioning itself as the largest manufacturer of passenger cars in Africa.This expansion is leading to a significant increase in waste generation,particularly from end-of-life vehicles(ELVs),which require proper dismantling and disposal to minimize environmental harm.Millions of tonnes of automotive waste are generated annually,necessitating efficient waste management strategies to mitigate environmental and health risks.ELVs contain hazardous substances such as heavy metals,oils,and plastics,which,if not properly managed,can contaminate soil and water resources.To address this challenge,reverse logistics networks play a crucial role in optimizing the recovery of used components,enhancing recycling efficiency,and ensuring the safe disposal of hazardous and non-recyclable waste.This paper introduces a mathematical programming model designed to minimize the total costs associated with ELVs collection,treatment,and transportation while also accounting for revenues from the resale of repaired,directly reusable,or recycled components.The proposed model determines the optimal locations for processing facilities and establishes efficient material flows within the reverse logistics network.By integrating economic and environmental considerations,this model supports the development of a sustainable and cost-effective automotive waste management system,ultimately contributing to a circular economy approach in the industry.
基金Supported by Riset Unggulan of Institut Teknologi Bandung,No.125/IT1.B07.1/SPP-DRI/Ⅲ/2025.
文摘Current treatments for chronic hepatitis B(CHB)are lifelong,often accompanied by side effects and the risk of drug resistance,highlighting the urgent need for alternative therapies such as therapeutic vaccines.However,challenges such as selecting appropriate antigens and addressing multiple hepatitis B virus(HBV)genotypes hinder the development of these vaccines.One approach to overcoming these challenges is reverse vaccinology(RV)combined with immunoinformatics.RV uses computational methods to identify antigens from pathogen genetic information,including genomic and proteomic data.These methods have helped researchers identify conserved epitopes across bacterial strains or viral species,including multiple HBV genotypes.Computational tools,such as epitope mapping algorithms,molecular docking analysis,molecular dynamics simulations,and immune response simulations,enable key epitope identification,predict vaccine candidates'binding potential to immune cell receptors,and forecast the immune response.Together,these approaches streamline therapeutic vaccine design for CHB,making it faster,more cost-effective,and accurate.This review aims to explore the potential role of RV and immunoinformatics in advancing therapeutic vaccine design for CHB.
