ACKGROUND The hemoglobin glycation index(HGI)represents the discrepancy between the glucose management indicator(GMI)based on mean blood glucose levels and laboratory values of glycated hemoglobin(HbA1c).The HGI is a ...ACKGROUND The hemoglobin glycation index(HGI)represents the discrepancy between the glucose management indicator(GMI)based on mean blood glucose levels and laboratory values of glycated hemoglobin(HbA1c).The HGI is a promising indicator for identifying individuals with excessive glycosylation,facilitating personalized evaluation and prediction of diabetic complications.However,the factors influencing the HGI in patients with type 1 diabetes(T1D)remain unclear.Autoimmune destruction of pancreaticβcells is central in T1D pathogenesis,yet insulin resistance can also be a feature of patients with T1D and their coexistence is called“double diabetes”(DD).However,knowledge regarding the relationship between DD features and the HGI in T1D is limited.AIM To assess the association between the HGI and DD features in adults with T1D.METHODS A total of 83 patients with T1D were recruited for this cross-sectional study.Laboratory HbA1c and GMI from continuous glucose monitoring data were collected to calculate the HGI.DD features included a family history of type 2 diabetes,overweight/obesity/central adiposity,hypertension,atherogenic dyslipidemia,an abnormal percentage of body fat(PBF)and/or visceral fat area(VFA)and decreased estimated insulin sensitivity.Skin autofluorescence of advanced glycation end products(SAF-AGEs),diabetic complications,and DD features were assessed,and their association with the HGI was analyzed.RESULTS A discrepancy was observed between HbA1c and GMI among patients with T1D and DD.A higher HGI was associated with an increased number of SAF-AGEs and a higher prevalence of diabetic microangiopathy(P=0.030),particularly retinopathy(P=0.031).Patients with three or more DD features exhibited an eight-fold increased risk of having a high HGI,compared with those without DD features(adjusted odds ratio=8.12;95%confidence interval:1.52-43.47).Specifically,an elevated PBF and/or VFA and decreased estimated insulin sensitivity were associated with high HGI.Regression analysis identified estimated insulin sensitivity and VFA as factors independently associated with HGI.CONCLUSION In patients with T1D,DD features are associated with a higher HGI,which represents a trend toward excessive glycosylation and is associated with a higher prevalence of chronic diabetic complications.展开更多
This paper is devoted to demonstrating several multiplicity results of nontrivial weak solutions to double phase problems of Kirchhoff type with Hardy potentials.The main features of the paper are the appearance of no...This paper is devoted to demonstrating several multiplicity results of nontrivial weak solutions to double phase problems of Kirchhoff type with Hardy potentials.The main features of the paper are the appearance of non-local Kirchhoff coefficients and the Hardy potential,the absence of the compactness condition of Palais-Smale,and the L^(∞)-bound for any possible weak solution.To establish multiplicity results,we utilize the fountain theorem and the dual fountain theorem as main tools.Also,we give the L^(∞)-bound for any possible weak solution by exploiting the De Giorgi iteration method and a truncated energy technique.As an application,we give the existence of a sequence of infinitely many weak solutions converging to zero in L^(∞)-norm.To derive this result,we employ the modified functional method and the dual fountain theorem.展开更多
Porcine circovirus type 3(PCV3)was initially identified in 2016 in pigs exhibiting unexplained cardiac and multi-organ inflammation in the USA(Palinski et al.2017).PCV3 has subsequently been identified in numerous cou...Porcine circovirus type 3(PCV3)was initially identified in 2016 in pigs exhibiting unexplained cardiac and multi-organ inflammation in the USA(Palinski et al.2017).PCV3 has subsequently been identified in numerous countries,including China,Brazil,Italy,and others,demonstrating widespread viral dissemination(Tan et al.2021).Notably,recent investigations have revealed PCV3 infection across multiple species,including pigs,cattle,dogs,wild boars,chamois,roe deer,and others(Tan et al.2021).This evidence suggests potential viral propagation beyond its primary host(pigs).展开更多
BACKGROUND Exogenous insulin may trigger immune-mediated complications,particularly among East Asian populations.Double diabetes,characterized by overlapping features of type 1 diabetes(T1D)and type 2 diabetes(T2D),ma...BACKGROUND Exogenous insulin may trigger immune-mediated complications,particularly among East Asian populations.Double diabetes,characterized by overlapping features of type 1 diabetes(T1D)and type 2 diabetes(T2D),may arise from insulin-induced autoimmunity.This study aimed to explore the association between high-risk human leukocyte antigen(HLA)class Ⅱ genotypes and susceptibility to double diabetes in patients initially diagnosed with T2D.AIM To investigate clinical and immunogenic features of patients who develop double diabetes following exogenous insulin therapy.METHODS We retrospectively analyzed five cases from Peking Union Medical College Hospital and 18 cases identified from published literature.Patients were categorized into two groups:The T2D→T1D group,characterized by autoimmune progression,and the stable T2D(T2D→T2D).Clinical characteristics and HLA class Ⅱ genotypes were compared descriptively between the two groups.RESULTS A total of 23 patients were included in the analysis.Of these,10 progressed from theT2D→T1D with autoimmune features,while 13 remained in the stable T2D→T2D group.There was no statistically significant difference in age at diagnosis between the two groups(57.10±16.11 years vs 60.31±17.41 years).In the T2D→T1D group,70%of patients carried the HLA-DRB104:05 allele and 40%carried DRB109:01,both of which are commonly associated with a high risk of T1D.In contrast,the T2D→T2D group showed greater genetic heterogeneity,with a broader distribution of HLA-DRB1 alleles,including DRB103:02(n=4),DRB109:01(n=4),and several lower frequency alleles such as DRB1*04:05,*08:03,*03:01,*04:06,*14:01,*04:01,*12:02,*15:02 and*02:01.CONCLUSION These findings suggest that patients in the T2D→T1D group exhibit a stronger autoimmune genetic predisposition,characterized by an enrichment of high-risk HLA class II alleles.In contrast,individuals with stable T2D demonstrate greater HLA diversity and lack definitive autoimmune-associated markers.展开更多
The doubled haploid(DH)technique accelerates homozygosity by inducing chromosome doubling in haploid embryos derived from hybrid plants.This approach offers significant advantages over conventional rice breeding metho...The doubled haploid(DH)technique accelerates homozygosity by inducing chromosome doubling in haploid embryos derived from hybrid plants.This approach offers significant advantages over conventional rice breeding methods by shortening the breeding cycle and enabling rapid development of pure homozygous lines.Anther culture(AC)has been established as an efficient and successful method for producing DH plants via androgenesis in rice.However,despite its success in japonica rice.展开更多
The buoyancy-induced flow constitutes a core scientific issue for thermal management of electronic devices and thermal design of energy systems,where accurate characterization of flow and heat transfer is essential to...The buoyancy-induced flow constitutes a core scientific issue for thermal management of electronic devices and thermal design of energy systems,where accurate characterization of flow and heat transfer is essential to improve thermal efficiency.In this work,buoyancy-induced flow above two heating elements flush-mounted at the bottom of a square enclosure containing air is numerically investigated over a range of Rayleigh numbers(0<Ra≤1.5×10^(8)),with a focus on equal and unequal heat flux conditions under a constraint of constant total thermal energy input.Distinct flow transitions are observed in both cases,leading to the identification of three flow regimes:Steady,periodic unsteady,and chaotic unsteady.Two types of periodic flows are distinguished,in which the first is a periodic flow dominated by a fundamental frequency(FF)and its integer-multiple frequencies(INTMF),while the second is a more complex periodic flow featuring FF,INTMF,and their sub-harmonics.The transitions between these regimes are affected by the relative heat flux of the two heaters.When the heat flux of the two heaters is unequal,the range of Rayleigh numbers corresponding to periodic flow is suppressed.It is also found that the time-averaged maximum temperature of the strong heater increases more rapidly with Ra,while that of the weak heater increases more slowly,reflecting the interaction between buoyancy-driven flow dynamics and asymmetric heat input.Analysis of the time-averaged Nusselt number demonstrates that heat dissipation from the isothermal walls remains roughly equivalent,even when the heat flux of the two heaters differs by a factor of two.These findings highlight the critical roles of Rayleigh number,the number of heaters,and the heat flux ratio of the heaters in determining heat transfer and flow characteristics for buoyancy-driven convection systems,providing important theoretical support and design references for engineering scenarios such as electronic devices and design of new energy systems.展开更多
The electric double layer(EDL)at the electrochemical interface is crucial for ion transport,charge transfer,and surface reactions in aqueous rechargeable zinc batteries(ARZBs).However,Zn anodes routinely encounter per...The electric double layer(EDL)at the electrochemical interface is crucial for ion transport,charge transfer,and surface reactions in aqueous rechargeable zinc batteries(ARZBs).However,Zn anodes routinely encounter persistent dendrite growth and parasitic reactions,driven by the inhomogeneous charge distribution and water-dominated environment within the EDL.Compounding this,classical EDL theory,rooted in meanfield approximations,further fails to resolve molecular-scale interfacial dynamics under battery-operating conditions,limiting mechanistic insights.Herein,we established a multiscale theoretical calculation framework from single molecular characteristics to interfacial ion distribution,revealing the EDL’s structure and interactions between different ions and molecules,which helps us understand the parasitic processes in depth.Simulations demonstrate that water dipole and sulfate ion adsorption at the inner Helmholtz plane drives severe hydrogen evolution and by-product formation.Guided by these insights,we engineered a“water-poor and anion-expelled”EDL using 4,1’,6’-trichlorogalactosucrose(TGS)as an electrolyte additive.As a result,Zn||Zn symmetric cells with TGS exhibited stable cycling for over 4700 h under a current density of 1 mA cm^(−2),while NaV_(3)O_(8)·1.5H_(2)O-based full cells kept 90.4%of the initial specific capacity after 800 cycles at 5 A g^(−1).This work highlights the power of multiscale theoretical frameworks to unravel EDL complexities and guide high-performance ARZB design through integrated theory-experiment approaches.展开更多
Wing design is a critical factor in the aerodynamic performance of flapping-wing(FW)robots.Inspired by the natural wing structures of insects,bats,and birds,we explored how bio-mimetic wing vein morphologies,combined ...Wing design is a critical factor in the aerodynamic performance of flapping-wing(FW)robots.Inspired by the natural wing structures of insects,bats,and birds,we explored how bio-mimetic wing vein morphologies,combined with a bio-inspired double wing clap-and-fling mechanism,affect thrust generation.This study focused on increasing vertical force and payload capacity.Through systematic experimentation with various vein configurations and structural designs,we developed innovative wings optimized for thrust production.Comprehensive tests were conducted to measure aerodynamic forces,power consumption,and wing kinematics across a range of flapping frequencies.Additionally,wings with different aspect ratios,a key factor in wing design,were fabricated and extensively evaluated.The study also examined the role of bio-inspired vein layouts on wing flexibility,a critical component in improving flight efficiency.Our findings demonstrate that the newly developed wing design led to a 20%increase in thrust,achieving up to 30 g-force(gf).This research sheds light on the clap-and-fling effect and establishes a promising framework for bio-inspired wing design,offering significant improvements in both performance and payload capacity for FW robots.展开更多
Time-delayed blasting is widely utilized in engineering to mitigate induced vibration hazards and enhance fragmentation.The underlying vibration reduction principle is the decrease of the charge weight per delay,while...Time-delayed blasting is widely utilized in engineering to mitigate induced vibration hazards and enhance fragmentation.The underlying vibration reduction principle is the decrease of the charge weight per delay,while the potential for further vibration reduction remains debated,largely due to unclear underlying mechanisms.In light of the popularization of electronic detonators and the representativeness of double-hole configurationsfor multiple blastholes,it is essential to investigate the vibration characteristics induced by time-delayed double blastholes.Therefore,a series of doubleborehole experimental blasts was conducted in an underground roadway to clarify the variation in vibration from single-hole to dual-hole conditions.Based on the experimental data and inherent limitations,an exact full-fieldtheoretical model was further employed to systematically analyze the effects of delay time,charge length,and borehole inclination angle on vibrations induced by various doublehole configurations.The experimental data and theoretical analysis reveal that the general scaled distance effectively predicts vibrations in delayed blasting but does not reflectvibration reduction.Increasing delay time causes fluctuatingPPVs,which stabilize slightly above single-hole PPVs as delay times exceed a certain value.The delayed blasting primarily reduces near-fieldfrequencies.Longer charge lengths in double boreholes increase PPV levels and attenuation rates within a certain length,and the vibration behavior of combined long and short charge lengths is governed by the long blasthole.Larger blasthole inclination angles enhance vibration amplitude and reduce PPV attenuation rates.Optimizing inclination angles is more critical than adjusting delay times,and parallel boreholes offer the best vibration control.展开更多
The present study investigates the flow,heat,and mass transfer analysis in the bioconvection of nanofluid containing motile gyrotactic microorganisms through a semi-porous curved oscillatory channel with a magnetic fi...The present study investigates the flow,heat,and mass transfer analysis in the bioconvection of nanofluid containing motile gyrotactic microorganisms through a semi-porous curved oscillatory channel with a magnetic field.These microorganisms produce density gradients by swimming,which induces macroscopic convection flows in the fluid.This procedure improves the mass and heat transfer,illustrating the interaction between biological activity and fluid dynamics.Furthermore,instead of considering traditional Fourier's and Fick's law the energy and concentration equations are developed by incorporating Cattaneo-Christov double diffusion theory.Moreover,to examine the influence of thermophoresis and Brownian diffusions in the fluid we have adopted the Buongiorno nanofluid model.Due to the oscillation of the surface of the channel,the mathematical development of the considered flow problem is obtained in the form of partial differential equations via the curvilinear coordinate system.The convergent series solution of the governing flow equations is obtained after applying the homotopy analysis method(HAM).The effects of different pertinent flow parameters on velocity,motile microorganism density distribution,concentration,pressure,temperature,and skin friction coefficient are examined and discussed in detail with the help of graphs and tables.It is observed during the current study that the density of microorganisms is enhanced for higher values of Reynolds number,Peclet number,radius of curvature variable,and Lewis number.展开更多
Soft X-ray detectors play a vital role in materials science,high-energy physics and medical imaging.Cs_(2)AgBiBr_(6),a lead-free double perovskite,has gained attention for its excellent optoelectronic properties,stabi...Soft X-ray detectors play a vital role in materials science,high-energy physics and medical imaging.Cs_(2)AgBiBr_(6),a lead-free double perovskite,has gained attention for its excellent optoelectronic properties,stability,and nontoxicity.However,its fast crystallization and requirement for high-temperature annealing(>250℃)often lead to inferior film quality,limiting its application in flexible devices.This study introduces an alloying strategy that significantly improves the quality of Cs_(2)AgBiBr_(6)thin films annealed at a reduced temperature of 150℃.Devices based on the alloyed thin films exhibit an ultra-low dark current of 0.32 nA·cm^(-2)and a quantum efficiency of 725%.Furthermore,the first successful integration of Cs_(2)AgBiBr_(6)with a thinfilm transistor backplane demonstrates its superior imaging performance,indicating that Cs_(2)AgBiBr_(6)is a promising material for next-generation soft X-ray sensors.展开更多
Objective:To explore the therapeutic effect of double-puncture tympanic membrane puncture and tympanic cavity drug injection in patients with acute secretory otitis media.Methods:A total of 84 patients with acute secr...Objective:To explore the therapeutic effect of double-puncture tympanic membrane puncture and tympanic cavity drug injection in patients with acute secretory otitis media.Methods:A total of 84 patients with acute secretory otitis media admitted to our hospital from June 2024 to June 2025 were selected and randomly divided into two groups by drawing lots.The control group(42 cases)was treated with the traditional single-puncture tympanic membrane puncture and tympanic cavity drug injection method,while the observation group(42 cases)was treated with the double-puncture tympanic membrane puncture and tympanic cavity drug injection method.The therapeutic effects of the two groups were compared.Results:The overall treatment response rate,overall complication rate,time to symptom relief,and improvement in hearing threshold in the observation group were all superior to those in the control group,with statistically significant differences(P<0.05).Conclusion:For acute secretory otitis media,the treatment method of double-puncture tympanic membrane puncture and tympanic cavity drug injection demonstrates definite efficacy,significantly reducing the incidence of complications,accelerating symptom relief,and improving hearing function,making it worthy of promotion.展开更多
Co_(3)S_(4)electrocatalysts with mixed valences of Co ions and excellent structural stability possess favorable oxygen evolution reaction(OER)activity,yet challenges remain in fabricating rechargeable lithiumoxygen ba...Co_(3)S_(4)electrocatalysts with mixed valences of Co ions and excellent structural stability possess favorable oxygen evolution reaction(OER)activity,yet challenges remain in fabricating rechargeable lithiumoxygen batteries(LOBs)due to their poor OER performance,resulting from poor electrical conductivity and overly strong intermediate adsorption.In this work,fancy double heterojunctions on 1T/2H-MoS_(2)@Co_(3)S_(4)(1T/2H-MCS)were constructed derived from the charge donation from Co to Mo ions,thus inducing the phase transformation of Mo S_(2)from 2H to 1T.The unique features of these double heterojunctions endow the1T/2H-MCS with complementary catalysis during charging and discharging processes.It is worth noting that 1T-Mo S2@Co3S4could provide fast Co-S-Mo electron transport channels to promote ORR/OER kinetics,and 2H-MoS_(2)@Co_(3)S_(4)contributed to enabling moderate egorbital occupancy when adsorbed with oxygen-containing intermediates.On the basis,the Li_(2)O_(2)nucleation route was changed to solution and surface dual pathways,improving reversible deposition and decomposition kinetics.As a result,1T/2H-MCS cathodes exhibit an improved electrocatalytic performance compared with those of Co_(3)S_(4)and Mo S2cathodes.This innovative heterostructure design provides a reliable strategy to construct efficient transition metal sulfide catalysts by improving electrical conductivity and modulating adsorption toward oxygenated intermediates for LOBs.展开更多
Background:Double blind-ending ureter(DBU)is an extremely rare congenital anomaly involving a duplicated ureter with no connection to the renal pelvis or bladder,making diagnosis difficult.Case Description:A 10-year-o...Background:Double blind-ending ureter(DBU)is an extremely rare congenital anomaly involving a duplicated ureter with no connection to the renal pelvis or bladder,making diagnosis difficult.Case Description:A 10-year-old girl presented with recurrent abdominal pain and ultrasound evidence of left hydroureteronephrosis.Magnetic resonance imaging(MRI)and three-dimensional(3D)reconstruction revealed a 30 cm blind-ending ureter.Robotic-assisted excision(Da Vinci Xi)was performed safely,preserving adjacent structures.Histology confirmed a nonfunctional ureteral remnant.Conclusions:DBU is a rare duplication variant.Advanced imaging and robotic surgery are essential for accurate diagnosis and effective,minimally invasive treatment.展开更多
Abiotic oxygen formation predates photosynthesis,sustaining early chemical evolution,yet its elementary mechanisms remain contested.Here,we show the production pathways for molecular oxygen from doubly ionized carbon ...Abiotic oxygen formation predates photosynthesis,sustaining early chemical evolution,yet its elementary mechanisms remain contested.Here,we show the production pathways for molecular oxygen from doubly ionized carbon dioxide upon electron-impact.Through fragment ions and electron coincidence momentum imaging,we unambiguously determine the ionization mechanism by measuring the projectile energy loss in association with the C^(+) +O_(2)^(+) channel.Further potential energy and trajectory calculations enable us to elucidate the dynamical details of this fragmentation process,in which a bond rearrangement pathway is found to proceed via the structural deformation to a triangular intermediate.Moreover,we demonstrate a further roaming pathway for the formation of O_(2)^(+) from CO_(2)^(+) 2,in which a frustrated C-O bond cleavage leaves the O atom without sufficient energy to escape.The O atom then wanders around varied configuration spaces of the flat potential energy regions and forms a C-O-O_(2)^(+) intermediate prior to the final products C^(+) +O_(2)^(+).Considering the large quantities of free electrons in interstellar space,the processes revealed here are expected to be significant and should be incorporated into atmospheric evolution models.展开更多
[Objective] This study aimed to explore the effects of continuous application of controlled release nitrogen fertilizer under double rice cropping system. [Method] By modeling three types of paddy soils in Dong-Ting L...[Objective] This study aimed to explore the effects of continuous application of controlled release nitrogen fertilizer under double rice cropping system. [Method] By modeling three types of paddy soils in Dong-Ting Lake area, four treatments as no fertilizer （CK）, urea, controlled release nitrogen fertilizer （CRNF） and 70% controlled release nitrogen fertilizer （70% CRNF） were designed in the micro-plot trials from 2005 to 2008. [Result] The rice yield in treatment CRNF at N 150 kg/hm2 was increased by 10.3%, 8.0% and 2.4% compared with treatment of urea, in alluvial sandy loamy paddy soil （ALS）, purple calcareous clayey paddy soil （PCS）, and reddish yellow loamy paddy soil （RYS）, respectively; and the yield in treatment of 70% CRNF was increased by 6.1%, 2.6% and -0.8%, respectively. The ranking order of nitrogen uptake amount by plant in early rice and late rice was CRNF 70% CRNF urea CK in all three types of soil. Nitrogen utilization efficiency of CRNF in above three types of soil was 60.7%, 59.6% and 56.3%, increased by 23.8%, 19.4% and 16.3% compared with that in treatment of urea, respectively. Nitrogen utilization efficiency of CRNF in early rice was increased year by year, and was higher than that of 70% CRNF during the whole experiment stage, while that in late rice was increased first and then decreased from the 3rd year. [Conclusion] Continuous application CRNF could alleviate the decreasing of soil nitrogen fertility and organic carbon especially in ALS, increase rice yield and nitrogen utilization efficiency in double-rice cropping system.展开更多
In this study,we successfully synthesized double perovskite-type oxide NdBa0.5Ca0.5Co1.5Fe0.5O5+δ(NBCCF)using a conventional wet chemical method as the oxygen electrode for reversible solid oxide electrochemical cell...In this study,we successfully synthesized double perovskite-type oxide NdBa0.5Ca0.5Co1.5Fe0.5O5+δ(NBCCF)using a conventional wet chemical method as the oxygen electrode for reversible solid oxide electrochemical cells(RSOCs).The polarization resistance(Rp)of the composite electrode NBCCFGd0.1Ce0.9O2(GDC)is only 0.079Ωcm^2 at 800℃under air.The single cell based on NBCCF-GDC electrode displays a peak power density of 0.941 W/cm^2 in fuel cell mode and a low Rp value of 0.134Ωcm^2.In electrolysis cell mode,the cell displays an outstanding oxygen evolution reaction(OER)activity and shows current density as high as 0.92 A/cm^2 with 50 vol%AH(Absolute Humidity)at 800℃and applied voltage of 1.3 V.Most importantly,the cell exhibits admirable durability of 60 h both in electrolysis mode and fuel cell mode with distinguished reversibility.All these results suggest that NBCCF is a promising candidate electrode for RSOC.展开更多
A new approach that using polarized photon–gluon collisions reported by STAR Collaboration is used to do tomography of the ultrarelativistic nucleus.The collision can be treated as a double-slit experiment at Fermi s...A new approach that using polarized photon–gluon collisions reported by STAR Collaboration is used to do tomography of the ultrarelativistic nucleus.The collision can be treated as a double-slit experiment at Fermi scale and solves a mystery last over 20 years in extracting the nuclear radius via vector meson photoproduction.展开更多
From the general formula for calculating the efficiency of planetary geartrains, the efficiency of the double crank ring-plate-type pin-cycloidal gear planetary drive isderived. To prove the theory, an experimental st...From the general formula for calculating the efficiency of planetary geartrains, the efficiency of the double crank ring-plate-type pin-cycloidal gear planetary drive isderived. To prove the theory, an experimental study has been conducted. The tested value of theefficiency of a sample set of the new-type drive in the experiment agrees with the calculated one.It shows that the new-type drive is of not merely high bearing capacity, but also quite highefficiency.展开更多
基金Supported by the National Key R D Program of China,No.2022YFC2010102Natural Science Foundation of Hunan Province,No.2021JC0003+1 种基金National Natural Science Foundation of China,No.82070812the Sinocare Diabetes Foundation,No.LYF2022039.
文摘ACKGROUND The hemoglobin glycation index(HGI)represents the discrepancy between the glucose management indicator(GMI)based on mean blood glucose levels and laboratory values of glycated hemoglobin(HbA1c).The HGI is a promising indicator for identifying individuals with excessive glycosylation,facilitating personalized evaluation and prediction of diabetic complications.However,the factors influencing the HGI in patients with type 1 diabetes(T1D)remain unclear.Autoimmune destruction of pancreaticβcells is central in T1D pathogenesis,yet insulin resistance can also be a feature of patients with T1D and their coexistence is called“double diabetes”(DD).However,knowledge regarding the relationship between DD features and the HGI in T1D is limited.AIM To assess the association between the HGI and DD features in adults with T1D.METHODS A total of 83 patients with T1D were recruited for this cross-sectional study.Laboratory HbA1c and GMI from continuous glucose monitoring data were collected to calculate the HGI.DD features included a family history of type 2 diabetes,overweight/obesity/central adiposity,hypertension,atherogenic dyslipidemia,an abnormal percentage of body fat(PBF)and/or visceral fat area(VFA)and decreased estimated insulin sensitivity.Skin autofluorescence of advanced glycation end products(SAF-AGEs),diabetic complications,and DD features were assessed,and their association with the HGI was analyzed.RESULTS A discrepancy was observed between HbA1c and GMI among patients with T1D and DD.A higher HGI was associated with an increased number of SAF-AGEs and a higher prevalence of diabetic microangiopathy(P=0.030),particularly retinopathy(P=0.031).Patients with three or more DD features exhibited an eight-fold increased risk of having a high HGI,compared with those without DD features(adjusted odds ratio=8.12;95%confidence interval:1.52-43.47).Specifically,an elevated PBF and/or VFA and decreased estimated insulin sensitivity were associated with high HGI.Regression analysis identified estimated insulin sensitivity and VFA as factors independently associated with HGI.CONCLUSION In patients with T1D,DD features are associated with a higher HGI,which represents a trend toward excessive glycosylation and is associated with a higher prevalence of chronic diabetic complications.
文摘This paper is devoted to demonstrating several multiplicity results of nontrivial weak solutions to double phase problems of Kirchhoff type with Hardy potentials.The main features of the paper are the appearance of non-local Kirchhoff coefficients and the Hardy potential,the absence of the compactness condition of Palais-Smale,and the L^(∞)-bound for any possible weak solution.To establish multiplicity results,we utilize the fountain theorem and the dual fountain theorem as main tools.Also,we give the L^(∞)-bound for any possible weak solution by exploiting the De Giorgi iteration method and a truncated energy technique.As an application,we give the existence of a sequence of infinitely many weak solutions converging to zero in L^(∞)-norm.To derive this result,we employ the modified functional method and the dual fountain theorem.
基金supported by the National Key Research and Development Program of China (2023YFD1800500)the Jiangsu Innovative and Entrepreneurial Talent Team Project,China (JSSCTD202224)+1 种基金the 111 Project D18007the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD),China
文摘Porcine circovirus type 3(PCV3)was initially identified in 2016 in pigs exhibiting unexplained cardiac and multi-organ inflammation in the USA(Palinski et al.2017).PCV3 has subsequently been identified in numerous countries,including China,Brazil,Italy,and others,demonstrating widespread viral dissemination(Tan et al.2021).Notably,recent investigations have revealed PCV3 infection across multiple species,including pigs,cattle,dogs,wild boars,chamois,roe deer,and others(Tan et al.2021).This evidence suggests potential viral propagation beyond its primary host(pigs).
基金Supported by CAMS Innovation Fund for Medical Sciences,No.2021-I2M-1-002Healthcare Quality and Safety Incubation Programme of the Peking Union Medical Foundation,No.XHFY 2406the National High-Level Hospital Clinical Research Funding,No.2022-PUMCH-B-015.
文摘BACKGROUND Exogenous insulin may trigger immune-mediated complications,particularly among East Asian populations.Double diabetes,characterized by overlapping features of type 1 diabetes(T1D)and type 2 diabetes(T2D),may arise from insulin-induced autoimmunity.This study aimed to explore the association between high-risk human leukocyte antigen(HLA)class Ⅱ genotypes and susceptibility to double diabetes in patients initially diagnosed with T2D.AIM To investigate clinical and immunogenic features of patients who develop double diabetes following exogenous insulin therapy.METHODS We retrospectively analyzed five cases from Peking Union Medical College Hospital and 18 cases identified from published literature.Patients were categorized into two groups:The T2D→T1D group,characterized by autoimmune progression,and the stable T2D(T2D→T2D).Clinical characteristics and HLA class Ⅱ genotypes were compared descriptively between the two groups.RESULTS A total of 23 patients were included in the analysis.Of these,10 progressed from theT2D→T1D with autoimmune features,while 13 remained in the stable T2D→T2D group.There was no statistically significant difference in age at diagnosis between the two groups(57.10±16.11 years vs 60.31±17.41 years).In the T2D→T1D group,70%of patients carried the HLA-DRB104:05 allele and 40%carried DRB109:01,both of which are commonly associated with a high risk of T1D.In contrast,the T2D→T2D group showed greater genetic heterogeneity,with a broader distribution of HLA-DRB1 alleles,including DRB103:02(n=4),DRB109:01(n=4),and several lower frequency alleles such as DRB1*04:05,*08:03,*03:01,*04:06,*14:01,*04:01,*12:02,*15:02 and*02:01.CONCLUSION These findings suggest that patients in the T2D→T1D group exhibit a stronger autoimmune genetic predisposition,characterized by an enrichment of high-risk HLA class II alleles.In contrast,individuals with stable T2D demonstrate greater HLA diversity and lack definitive autoimmune-associated markers.
基金supported by the Science and Technology Innovation Program of Fujian Agriculture and Forestry University,China(Grant No.KFB22045)the General Program of Natural Science Foundation Fujian,China(Grant No.2023J01460).
文摘The doubled haploid(DH)technique accelerates homozygosity by inducing chromosome doubling in haploid embryos derived from hybrid plants.This approach offers significant advantages over conventional rice breeding methods by shortening the breeding cycle and enabling rapid development of pure homozygous lines.Anther culture(AC)has been established as an efficient and successful method for producing DH plants via androgenesis in rice.However,despite its success in japonica rice.
基金supported by the Tianjin Education Commission Research Program Project(No.2024KJ105)。
文摘The buoyancy-induced flow constitutes a core scientific issue for thermal management of electronic devices and thermal design of energy systems,where accurate characterization of flow and heat transfer is essential to improve thermal efficiency.In this work,buoyancy-induced flow above two heating elements flush-mounted at the bottom of a square enclosure containing air is numerically investigated over a range of Rayleigh numbers(0<Ra≤1.5×10^(8)),with a focus on equal and unequal heat flux conditions under a constraint of constant total thermal energy input.Distinct flow transitions are observed in both cases,leading to the identification of three flow regimes:Steady,periodic unsteady,and chaotic unsteady.Two types of periodic flows are distinguished,in which the first is a periodic flow dominated by a fundamental frequency(FF)and its integer-multiple frequencies(INTMF),while the second is a more complex periodic flow featuring FF,INTMF,and their sub-harmonics.The transitions between these regimes are affected by the relative heat flux of the two heaters.When the heat flux of the two heaters is unequal,the range of Rayleigh numbers corresponding to periodic flow is suppressed.It is also found that the time-averaged maximum temperature of the strong heater increases more rapidly with Ra,while that of the weak heater increases more slowly,reflecting the interaction between buoyancy-driven flow dynamics and asymmetric heat input.Analysis of the time-averaged Nusselt number demonstrates that heat dissipation from the isothermal walls remains roughly equivalent,even when the heat flux of the two heaters differs by a factor of two.These findings highlight the critical roles of Rayleigh number,the number of heaters,and the heat flux ratio of the heaters in determining heat transfer and flow characteristics for buoyancy-driven convection systems,providing important theoretical support and design references for engineering scenarios such as electronic devices and design of new energy systems.
基金supported by the National Natural Science Foundation of China(52471240)the Natural Science Foundation of Zhejiang Province(LZ23B030003)+2 种基金the Fundamental Research Funds for the Central Universities(226-2024-00075)support from the Engineering and Physical Sciences Research Council(EPSRC,UK)RiR grant-RIR18221018-1EU COST CA23155。
文摘The electric double layer(EDL)at the electrochemical interface is crucial for ion transport,charge transfer,and surface reactions in aqueous rechargeable zinc batteries(ARZBs).However,Zn anodes routinely encounter persistent dendrite growth and parasitic reactions,driven by the inhomogeneous charge distribution and water-dominated environment within the EDL.Compounding this,classical EDL theory,rooted in meanfield approximations,further fails to resolve molecular-scale interfacial dynamics under battery-operating conditions,limiting mechanistic insights.Herein,we established a multiscale theoretical calculation framework from single molecular characteristics to interfacial ion distribution,revealing the EDL’s structure and interactions between different ions and molecules,which helps us understand the parasitic processes in depth.Simulations demonstrate that water dipole and sulfate ion adsorption at the inner Helmholtz plane drives severe hydrogen evolution and by-product formation.Guided by these insights,we engineered a“water-poor and anion-expelled”EDL using 4,1’,6’-trichlorogalactosucrose(TGS)as an electrolyte additive.As a result,Zn||Zn symmetric cells with TGS exhibited stable cycling for over 4700 h under a current density of 1 mA cm^(−2),while NaV_(3)O_(8)·1.5H_(2)O-based full cells kept 90.4%of the initial specific capacity after 800 cycles at 5 A g^(−1).This work highlights the power of multiscale theoretical frameworks to unravel EDL complexities and guide high-performance ARZB design through integrated theory-experiment approaches.
基金Nguyen Tat Thanh University,Ho Chi Minh City,Vietnam for supporting this study。
文摘Wing design is a critical factor in the aerodynamic performance of flapping-wing(FW)robots.Inspired by the natural wing structures of insects,bats,and birds,we explored how bio-mimetic wing vein morphologies,combined with a bio-inspired double wing clap-and-fling mechanism,affect thrust generation.This study focused on increasing vertical force and payload capacity.Through systematic experimentation with various vein configurations and structural designs,we developed innovative wings optimized for thrust production.Comprehensive tests were conducted to measure aerodynamic forces,power consumption,and wing kinematics across a range of flapping frequencies.Additionally,wings with different aspect ratios,a key factor in wing design,were fabricated and extensively evaluated.The study also examined the role of bio-inspired vein layouts on wing flexibility,a critical component in improving flight efficiency.Our findings demonstrate that the newly developed wing design led to a 20%increase in thrust,achieving up to 30 g-force(gf).This research sheds light on the clap-and-fling effect and establishes a promising framework for bio-inspired wing design,offering significant improvements in both performance and payload capacity for FW robots.
基金supported by the National Natural Science Foundation of China(Grant Nos.42407267 and 52374152)the Natural Science Foundation of Jiangsu Province,China(Grant No.BK20220975).
文摘Time-delayed blasting is widely utilized in engineering to mitigate induced vibration hazards and enhance fragmentation.The underlying vibration reduction principle is the decrease of the charge weight per delay,while the potential for further vibration reduction remains debated,largely due to unclear underlying mechanisms.In light of the popularization of electronic detonators and the representativeness of double-hole configurationsfor multiple blastholes,it is essential to investigate the vibration characteristics induced by time-delayed double blastholes.Therefore,a series of doubleborehole experimental blasts was conducted in an underground roadway to clarify the variation in vibration from single-hole to dual-hole conditions.Based on the experimental data and inherent limitations,an exact full-fieldtheoretical model was further employed to systematically analyze the effects of delay time,charge length,and borehole inclination angle on vibrations induced by various doublehole configurations.The experimental data and theoretical analysis reveal that the general scaled distance effectively predicts vibrations in delayed blasting but does not reflectvibration reduction.Increasing delay time causes fluctuatingPPVs,which stabilize slightly above single-hole PPVs as delay times exceed a certain value.The delayed blasting primarily reduces near-fieldfrequencies.Longer charge lengths in double boreholes increase PPV levels and attenuation rates within a certain length,and the vibration behavior of combined long and short charge lengths is governed by the long blasthole.Larger blasthole inclination angles enhance vibration amplitude and reduce PPV attenuation rates.Optimizing inclination angles is more critical than adjusting delay times,and parallel boreholes offer the best vibration control.
文摘The present study investigates the flow,heat,and mass transfer analysis in the bioconvection of nanofluid containing motile gyrotactic microorganisms through a semi-porous curved oscillatory channel with a magnetic field.These microorganisms produce density gradients by swimming,which induces macroscopic convection flows in the fluid.This procedure improves the mass and heat transfer,illustrating the interaction between biological activity and fluid dynamics.Furthermore,instead of considering traditional Fourier's and Fick's law the energy and concentration equations are developed by incorporating Cattaneo-Christov double diffusion theory.Moreover,to examine the influence of thermophoresis and Brownian diffusions in the fluid we have adopted the Buongiorno nanofluid model.Due to the oscillation of the surface of the channel,the mathematical development of the considered flow problem is obtained in the form of partial differential equations via the curvilinear coordinate system.The convergent series solution of the governing flow equations is obtained after applying the homotopy analysis method(HAM).The effects of different pertinent flow parameters on velocity,motile microorganism density distribution,concentration,pressure,temperature,and skin friction coefficient are examined and discussed in detail with the help of graphs and tables.It is observed during the current study that the density of microorganisms is enhanced for higher values of Reynolds number,Peclet number,radius of curvature variable,and Lewis number.
基金supported by the NSFC under Grant No.62474169the National Key Research and Development Program of China under Grant No.2024YFB3212200the funding from USTC under Grant Nos.WK2100000025,KY2190000003,and KY2190000006。
文摘Soft X-ray detectors play a vital role in materials science,high-energy physics and medical imaging.Cs_(2)AgBiBr_(6),a lead-free double perovskite,has gained attention for its excellent optoelectronic properties,stability,and nontoxicity.However,its fast crystallization and requirement for high-temperature annealing(>250℃)often lead to inferior film quality,limiting its application in flexible devices.This study introduces an alloying strategy that significantly improves the quality of Cs_(2)AgBiBr_(6)thin films annealed at a reduced temperature of 150℃.Devices based on the alloyed thin films exhibit an ultra-low dark current of 0.32 nA·cm^(-2)and a quantum efficiency of 725%.Furthermore,the first successful integration of Cs_(2)AgBiBr_(6)with a thinfilm transistor backplane demonstrates its superior imaging performance,indicating that Cs_(2)AgBiBr_(6)is a promising material for next-generation soft X-ray sensors.
文摘Objective:To explore the therapeutic effect of double-puncture tympanic membrane puncture and tympanic cavity drug injection in patients with acute secretory otitis media.Methods:A total of 84 patients with acute secretory otitis media admitted to our hospital from June 2024 to June 2025 were selected and randomly divided into two groups by drawing lots.The control group(42 cases)was treated with the traditional single-puncture tympanic membrane puncture and tympanic cavity drug injection method,while the observation group(42 cases)was treated with the double-puncture tympanic membrane puncture and tympanic cavity drug injection method.The therapeutic effects of the two groups were compared.Results:The overall treatment response rate,overall complication rate,time to symptom relief,and improvement in hearing threshold in the observation group were all superior to those in the control group,with statistically significant differences(P<0.05).Conclusion:For acute secretory otitis media,the treatment method of double-puncture tympanic membrane puncture and tympanic cavity drug injection demonstrates definite efficacy,significantly reducing the incidence of complications,accelerating symptom relief,and improving hearing function,making it worthy of promotion.
基金financially supported by the National Natural Science Foundation of China(U21A20311,U24A2040,52171141,52272117)the Natural Science Foundation of Shandong Province(ZR2022JQ19)+3 种基金the Key Technology Research Project of Shandong Province(2023CXGC010202)the Taishan Industrial Experts Program(TSCX202306142)the Core Facility Sharing Platform of Shandong Universitythe Foundation of Key Laboratory of Advanced Energy Materials Chemistry(Ministry of Education),Nankai University。
文摘Co_(3)S_(4)electrocatalysts with mixed valences of Co ions and excellent structural stability possess favorable oxygen evolution reaction(OER)activity,yet challenges remain in fabricating rechargeable lithiumoxygen batteries(LOBs)due to their poor OER performance,resulting from poor electrical conductivity and overly strong intermediate adsorption.In this work,fancy double heterojunctions on 1T/2H-MoS_(2)@Co_(3)S_(4)(1T/2H-MCS)were constructed derived from the charge donation from Co to Mo ions,thus inducing the phase transformation of Mo S_(2)from 2H to 1T.The unique features of these double heterojunctions endow the1T/2H-MCS with complementary catalysis during charging and discharging processes.It is worth noting that 1T-Mo S2@Co3S4could provide fast Co-S-Mo electron transport channels to promote ORR/OER kinetics,and 2H-MoS_(2)@Co_(3)S_(4)contributed to enabling moderate egorbital occupancy when adsorbed with oxygen-containing intermediates.On the basis,the Li_(2)O_(2)nucleation route was changed to solution and surface dual pathways,improving reversible deposition and decomposition kinetics.As a result,1T/2H-MCS cathodes exhibit an improved electrocatalytic performance compared with those of Co_(3)S_(4)and Mo S2cathodes.This innovative heterostructure design provides a reliable strategy to construct efficient transition metal sulfide catalysts by improving electrical conductivity and modulating adsorption toward oxygenated intermediates for LOBs.
文摘Background:Double blind-ending ureter(DBU)is an extremely rare congenital anomaly involving a duplicated ureter with no connection to the renal pelvis or bladder,making diagnosis difficult.Case Description:A 10-year-old girl presented with recurrent abdominal pain and ultrasound evidence of left hydroureteronephrosis.Magnetic resonance imaging(MRI)and three-dimensional(3D)reconstruction revealed a 30 cm blind-ending ureter.Robotic-assisted excision(Da Vinci Xi)was performed safely,preserving adjacent structures.Histology confirmed a nonfunctional ureteral remnant.Conclusions:DBU is a rare duplication variant.Advanced imaging and robotic surgery are essential for accurate diagnosis and effective,minimally invasive treatment.
基金supported by the National Natural Science Foundation of China (Grant Nos.12325406,92261201,12404305,and W2512072)the Shaanxi Province Natural Science Fundamental Research Project (Grant Nos.2023JC-XJ-03 and23JSQ013)the China Postdoctoral Science Foundation (Grant Nos.BX20240286 and 2024M7625)。
文摘Abiotic oxygen formation predates photosynthesis,sustaining early chemical evolution,yet its elementary mechanisms remain contested.Here,we show the production pathways for molecular oxygen from doubly ionized carbon dioxide upon electron-impact.Through fragment ions and electron coincidence momentum imaging,we unambiguously determine the ionization mechanism by measuring the projectile energy loss in association with the C^(+) +O_(2)^(+) channel.Further potential energy and trajectory calculations enable us to elucidate the dynamical details of this fragmentation process,in which a bond rearrangement pathway is found to proceed via the structural deformation to a triangular intermediate.Moreover,we demonstrate a further roaming pathway for the formation of O_(2)^(+) from CO_(2)^(+) 2,in which a frustrated C-O bond cleavage leaves the O atom without sufficient energy to escape.The O atom then wanders around varied configuration spaces of the flat potential energy regions and forms a C-O-O_(2)^(+) intermediate prior to the final products C^(+) +O_(2)^(+).Considering the large quantities of free electrons in interstellar space,the processes revealed here are expected to be significant and should be incorporated into atmospheric evolution models.
基金Supported by the National Key Technology Research and Development Program of China during the11th Five-Year Plan Period(2008BADA4B08)Science and Technology Innovation Project of Hunan Academy of Agricultural Sciences(2010hnnkycx56)~~
文摘[Objective] This study aimed to explore the effects of continuous application of controlled release nitrogen fertilizer under double rice cropping system. [Method] By modeling three types of paddy soils in Dong-Ting Lake area, four treatments as no fertilizer （CK）, urea, controlled release nitrogen fertilizer （CRNF） and 70% controlled release nitrogen fertilizer （70% CRNF） were designed in the micro-plot trials from 2005 to 2008. [Result] The rice yield in treatment CRNF at N 150 kg/hm2 was increased by 10.3%, 8.0% and 2.4% compared with treatment of urea, in alluvial sandy loamy paddy soil （ALS）, purple calcareous clayey paddy soil （PCS）, and reddish yellow loamy paddy soil （RYS）, respectively; and the yield in treatment of 70% CRNF was increased by 6.1%, 2.6% and -0.8%, respectively. The ranking order of nitrogen uptake amount by plant in early rice and late rice was CRNF 70% CRNF urea CK in all three types of soil. Nitrogen utilization efficiency of CRNF in above three types of soil was 60.7%, 59.6% and 56.3%, increased by 23.8%, 19.4% and 16.3% compared with that in treatment of urea, respectively. Nitrogen utilization efficiency of CRNF in early rice was increased year by year, and was higher than that of 70% CRNF during the whole experiment stage, while that in late rice was increased first and then decreased from the 3rd year. [Conclusion] Continuous application CRNF could alleviate the decreasing of soil nitrogen fertility and organic carbon especially in ALS, increase rice yield and nitrogen utilization efficiency in double-rice cropping system.
基金financial support from National Key Research&Development Project(2016YFE0126900)the National Natural Science Foundation of China(51672095)+2 种基金Hubei Province(2018AAA057)the EPSRC Capital for Great Technologies Grant EP/L017008/1the China Scholarship Council for funding(201806160178)。
文摘In this study,we successfully synthesized double perovskite-type oxide NdBa0.5Ca0.5Co1.5Fe0.5O5+δ(NBCCF)using a conventional wet chemical method as the oxygen electrode for reversible solid oxide electrochemical cells(RSOCs).The polarization resistance(Rp)of the composite electrode NBCCFGd0.1Ce0.9O2(GDC)is only 0.079Ωcm^2 at 800℃under air.The single cell based on NBCCF-GDC electrode displays a peak power density of 0.941 W/cm^2 in fuel cell mode and a low Rp value of 0.134Ωcm^2.In electrolysis cell mode,the cell displays an outstanding oxygen evolution reaction(OER)activity and shows current density as high as 0.92 A/cm^2 with 50 vol%AH(Absolute Humidity)at 800℃and applied voltage of 1.3 V.Most importantly,the cell exhibits admirable durability of 60 h both in electrolysis mode and fuel cell mode with distinguished reversibility.All these results suggest that NBCCF is a promising candidate electrode for RSOC.
文摘A new approach that using polarized photon–gluon collisions reported by STAR Collaboration is used to do tomography of the ultrarelativistic nucleus.The collision can be treated as a double-slit experiment at Fermi scale and solves a mystery last over 20 years in extracting the nuclear radius via vector meson photoproduction.
基金This project is supported by National Natural Science Foundation of China (No.50175011).
文摘From the general formula for calculating the efficiency of planetary geartrains, the efficiency of the double crank ring-plate-type pin-cycloidal gear planetary drive isderived. To prove the theory, an experimental study has been conducted. The tested value of theefficiency of a sample set of the new-type drive in the experiment agrees with the calculated one.It shows that the new-type drive is of not merely high bearing capacity, but also quite highefficiency.
