Objective:To evaluate whether the traditional Chinese medicine(TCM)theory of five circuits and six qi(FCSQ)is beneficial in terms of improving clinical effectiveness.Methods:Randomized controlled trials(RCTs)evaluatin...Objective:To evaluate whether the traditional Chinese medicine(TCM)theory of five circuits and six qi(FCSQ)is beneficial in terms of improving clinical effectiveness.Methods:Randomized controlled trials(RCTs)evaluating the clinical value of FCSQ theory were reviewed.Multiple databases(China Network Knowledge Infrastructure,Chinese Scienti fic Journals Database,Wanfang Data,SinoMed,Cochrane Library,PubMed,and Embase)weresystematically searched from inception to June 12,2018.Two authors independently extracted the data and performed a methodological quality assessment of the RCTs.RevMan 5.3 software was used for the data analysis.The effect sizes for the primary outcome measures were expressed as relative risks or mean differences with 95%confidence intervals.Results:A total of 13 RCTs were selected,involving 12 types of diseases and 4695 patients.The methodological quality of the RCTs was generally low.Five studies compared the effectiveness of TCM treatments guided by FCSQ theory with conventional TCM therapies,and the remaining eight studies compared the effectiveness of TCM treatments guided by FCSQ theory with biomedical treatments.All of the RCTs reported that the effectiveness of the treatment intervention was better than that of the intervention in the control group.Conclusion:Because of many methodological problems in existing clinical studies,it remains impossible to definitively conclude that FCSQ theory can improve clinical effectiveness.It is difficult to unify the clinical application of FCSQ theory.The feasibility and repeatability of FCSQas an intervention should be given more attention in future clinical research.Future work should also follow international norms for clinical research implementation and reporting to provide high-quality evidence for evaluating the clinical value of FCSQ theory.展开更多
To date, an important debate regarding the use of Strategic Environmental Assessment in policy and plan-making seems to focus on whether to reform or develop SEA regulations. Despite the well-established theoretic rel...To date, an important debate regarding the use of Strategic Environmental Assessment in policy and plan-making seems to focus on whether to reform or develop SEA regulations. Despite the well-established theoretic relevance of legislation, there is only little empiric evidence, moreover in developing countries. This paper aims to verify the contributions of new regulations to a proper use of SEA, based on the case of the Democratic Republic of Congo. Both the SEA practice previously to the legislation reform and the newly introduced SEA system established by the new regulation were characterized. The new regulation was verified against the previous practice of SEA within the country and the compliance with international performance criteria. The outcomes suggest that the overall quality of SEA documentation is still in need of major improvements. Gaps include alternatives development and impacts monitoring. The biggest performance limitations of the new regulation are related to the length of SEA processes, public consultation, SEA information to provide, and alternatives to consider. Finally, it is suggested that regulation reform or straightforward adoption might not be enough to support an effective use of SEA.展开更多
This study explores the housing distribution effect of the Housing Provident Fund(HPF)system on households.Utilizing data from the China Household Finance Survey conducted in 2013,2015,2017,and 2019,this study empiric...This study explores the housing distribution effect of the Housing Provident Fund(HPF)system on households.Utilizing data from the China Household Finance Survey conducted in 2013,2015,2017,and 2019,this study empirically investigates this effect from two dimensions:the impact of HPF payments on household income and housing loan behavior,and the impact on the Gini coefficient of housing assets within the group.The results indicate that the HPF payment does not significantly impact household income levels.Instead,it increases their likelihood of obtaining housing loans,particularly for middle-income households.Additionally,for any group of families,the HPF payment decreased the housing Gini coefficient among households by approximately 0.11 units.This study may be the first to provide the most direct empirical evidence on the extent of HPF’s impact on housing inequality within a group.It also questions the inference in the literature that“HPF will aggravate housing inequality within the group.”Based on this study’s findings,we expect that housing inequality will continue to be alleviated with continued HPF implementation.In particular,this effect will be more significant if the credit support for lowincome families to purchase houses through the HPF can be further enhanced.展开更多
Evaluation of hydromechanical shear behavior of unsaturated soils is still a challenging issue. The time and cost needed for conducting precise experimental investigation on shear behavior of unsaturated soils have en...Evaluation of hydromechanical shear behavior of unsaturated soils is still a challenging issue. The time and cost needed for conducting precise experimental investigation on shear behavior of unsaturated soils have encouraged several investigators to develop analytical, empirical, or semi-empirical models for predicting the shear behavior of unsaturated soils. However, most of the previously proposed models are for specimens subjected to the isotropic state of stress, without considering the effect of initial shear stress. In this study, a hydromechanical constitutive model is proposed for unsaturated collapsible soils during shearing, with consideration of the effect of the initial shear stress. The model implements an effective stress-based disturbed state concept (DSC) to predict the stress-strain behavior of the soil. Accordingly, material/state variables were defined for both the start of the shearing stage and the critical state of the soil. A series of laboratory tests was performed using a fully automated unsaturated triaxial device to verify the proposed model. The experimental program included 23 suction-controlled unsaturated triaxial shear tests on reconstituted specimens of Gorgan clayey loess wetted to different levels of suctions under both isotropic and anisotropic stress states. The results show excellent agreement between the prediction by the proposed model and the experimental results.展开更多
Wetland degradation is an escalating global challenge with profound impacts on animal diversity,particularly during successional processes.Birds,as highly mobile and environmentally sensitive organisms,serve as effect...Wetland degradation is an escalating global challenge with profound impacts on animal diversity,particularly during successional processes.Birds,as highly mobile and environmentally sensitive organisms,serve as effective indicators of ecological change.While previous studies have primarily focused on local community structures and species diversity during a specific season,there is a need to extend the research timeframe and explore broader spatial variations.Additionally,expanding from simple species diversity indices to more multidimensional diversity indices would provide a more comprehensive understanding of wetland health and resilience.To address these gaps,we investigated the effects of wetland degradation on bird diversity across taxonomic,phylogenetic,and functional dimensions in the Zoige Wetland,a plateau meadow wetland biodiversity hotspot.Surveys were conducted during both breeding(summer)and overwintering(winter)seasons across 20 transects in 5 sampling areas,representing 4 degradation levels(pristine,low,medium,and high).Our study recorded a total of 106 bird species from 32 families and 14 orders,revealing distinct seasonal patterns in bird community composition and diversity.Biodiversity indices were significantly higher in pristine and low-degraded wetlands,particularly benefiting waterfowl(Anseriformes,Ciconiiformes)and wading birds(Charadriiformes)in winter,when these areas provided superior food resources and habitat conditions.In contrast,medium and highly degraded wetlands supported increased numbers of terrestrial birds(Passeriformes)and raptors(Accipitriformes,Falconiformes).Seasonal differences in taxonomic,phylogenetic,and functional diversity indices highlighted the contrasting ecological roles of wetlands during breeding and overwintering periods.Furthermore,indicator species analysis revealed key species associated with specific degradation levels and seasons,providing valuable insights into wetland health.This study underscores the importance of spatiotemporal dynamics in understanding avian responses to wetland degradation.By linking seasonal patterns of bird diversity to habitat conditions,our findings contribute to conservation efforts and provide a framework for assessing wetland degradation and its ecological impacts.展开更多
As the proportion of composite materials used in aircraft continues to increase, the electromagnetic Shielding Effectiveness (SE) of these materials becomes a critical factor in the electromagnetic safety design of ai...As the proportion of composite materials used in aircraft continues to increase, the electromagnetic Shielding Effectiveness (SE) of these materials becomes a critical factor in the electromagnetic safety design of aircraft structures. The assessment of electromagnetic SE for Slotted Composite Structures(SCSs) is particularly challenging due to their complex geometries and there remains a lack of suitable models for accurately predicting the SE performance of these intricate configurations. To address this issue, this paper introduces SCS-Net, a Deep Neural Network (DNN) method designed to accurately predict the SE of SCS. This method considers the impacts of various structural parameters, material properties and incident wave parameters on the SE of SCSs. In order to better model the SCS, an improved Nicolson-Ross-Weir (NRW) method is introduced in this paper to provide an equivalent flat structure for the SCS and to calculate the electromagnetic parameters of the equivalent structure. Additionally, the prediction of SE via DNNs is limited by insufficient test data, which hinders support for large-sample training. To address the issue of limited measured data, this paper develops a Measurement-Computation Fusion (MCF) dataset construction method. The predictions based on the simulation results show that the proposed method maintains an error of less than 0.07 dB within the 8–10 GHz frequency range. Furthermore, a new loss function based on the weighted L1-norm is established to improve the prediction accuracy for these parameters. Compared with traditional loss functions, the new loss function reduces the maximum prediction error for equivalent electromagnetic parameters by 47%. This method significantly improves the prediction accuracy of SCS-Net for measured data, with a maximum improvement of 23.88%. These findings demonstrate that the proposed method enables precise SE prediction and design for composite structures while reducing the number of test samples needed.展开更多
While liquid-filled porous materials widely exist in both natural and engineering fields,their overall thermo-mechanical behaviors are influenced by the combined effects of solid skeleton,pore-filling liquid,and pore ...While liquid-filled porous materials widely exist in both natural and engineering fields,their overall thermo-mechanical behaviors are influenced by the combined effects of solid skeleton,pore-filling liquid,and pore structure.When the pores are sufficiently small(e.g.,micro/nano-scale pores),surface effects also play a significant role.Accounting for surface effects and liquid compressibility,we develop a theoretical model to predict the effective thermo-mechanical properties of liquid-filled porous materials.Idealized spherical compressible liquid inclusions distributed randomly in an elastic solid matrix are con-sidered,with two scenarios separately considered.In the first scenario,the liquid inclusions are isolated so that the liquid does not flow freely.The effective coefficient of thermal expansion(CTE)and effective bulk modulus of the two-phase material are obtained via the generalized self-consistent method.In the second scenario,the liquid inclusions are connected by micro-channels.We adopt a top-down approach(the mixture theory)to establish general thermo-mechanical constitutive relations for liquid-filled porous materials with surface effects,and then use a bottom-up(micromechanics)approach to determine the coupling coefficients(effective thermo-mechanical parameters)in these constitutive relations.Results show that the presence of surface stress at the solid-liquid interface increases the effective CTE and decreases the effective bulk modulus,especially when liquid compressibility is relatively large;however,the decrease in surface stress caused by increasing temperature weakens such effect.This research not only reveals the mechanism of thermo-mechanical coupling in liquid-filled porous materials having small pores but also provides a theoretical basis for accurate prediction of their thermo-mechanical responses in complex load environments.展开更多
Predictions of fluid distribution,stress field,and natural fracture are essential for exploiting unconventional shale gas reservoirs.Given the high likelihood of tilted fractures in subsurface formations,this study fo...Predictions of fluid distribution,stress field,and natural fracture are essential for exploiting unconventional shale gas reservoirs.Given the high likelihood of tilted fractures in subsurface formations,this study focuses on simultaneous seismic inversion to estimate fluid bulk modulus,effective stress parameter,and fracture density in the tilted transversely isotropic(TTI)medium.In this article,a novel PP-wave reflection coefficient approximation equation is first derived based on the constructed TTI stiffness matrix incorporating fracture density,effective stress parameter,and fluid bulk modulus.The high accuracy of the proposed equation has been demonstrated using an anisotropic two-layer model.Furthermore,a stepwise seismic inversion strategy with the L_(P) quasi-norm sparsity constraint is implemented to obtain the anisotropic and isotropic parameters.Three synthetic model tests with varying signal-to-noise ratios(SNRs)confirm the method's feasibility and noise robustness.Ultimately,the proposed method is applied to a 3D fractured shale gas reservoir in the Sichuan Basin,China.The results have effectively characterized shale gas distribution,stress fields,and tilted natural fractures,with validation from geological structures,well logs,and microseismic events.These findings can provide valuable guidance for hydraulic fracturing development,enabling more reliable predictions of reservoir heterogeneity and completion quality.展开更多
Although generative conversational artificial intelligence(AI)can answer questions well and hold conversations as a person,the semantic ambiguity inherent in text-based communication poses challenges to effective use....Although generative conversational artificial intelligence(AI)can answer questions well and hold conversations as a person,the semantic ambiguity inherent in text-based communication poses challenges to effective use.Effective use reflects the users’utilization of generative conversational AI to achieve their goals,which has not been previously studied.Drawing on the media naturalness theory,we examined how generative conversational AI’s content and style naturalness affect effective use.A two-wave survey was conducted to collect data from 565 users of generative conversational AI.Two techniques were used in this study.Initially,partial least squares structural equation modeling(PLS-SEM)was applied to determine the variables that significantly affected the mechanisms(i.e.,cognitive effort and communication ambiguity)and effective use.Secondly,an artificial neural network model was used to evaluate the relative importance of the significant predictors of mechanisms and effective use identified from the PLS-SEM analysis.The results revealed that the naturalness of content and style differed in their effects on cognitive effort and communication ambiguity.Additionally,cognitive effort and communication ambiguity negatively affected effective use.This study advances the literature on effective use by uncovering the psychological mechanisms underlying effective use and their antecedents.In addition,this study offers insights into the design of generative conversational AI.展开更多
As a novel economic paradigm that drives high-quality economic development,the digital economy(DE)can potentially significantly enhance the utilization efficiency of ecological resources and improve human well-being.B...As a novel economic paradigm that drives high-quality economic development,the digital economy(DE)can potentially significantly enhance the utilization efficiency of ecological resources and improve human well-being.Based on panel data from 285 prefecture-level cities in China spanning 2011-2021,this study empirically investigates the direct effects,transmission mechanisms,and spatial spillover effects of the DE on ecological welfare performance(EWP)using benchmark regression,intermediary effects,and spatial Durbin models.The results show that the DE significantly improved EWP in Chinese cities.This conclusion remains valid even after controlling for relevant influencing factors.Two transmission paths—upgrading of the industrial structure(UIS)and green innovation(GI)—significantly impacted EWP,as verified by the mediation effect model.Additionally,the mediating effect of the UIS was stronger than that of GI.Spatial heterogeneity tests show that the DE had significant effects on the EWP of eastern cities,with little impact on the central and western cities.Accordingly,grounded in regional developmental disparities,the empowering effects of the DE must be fully harnessed to foster an ecological civilization and enhance the well-being of the populace.展开更多
This study focused on investigating the effects of various factors on the mechanical properties of superconducting matrix composites reinforced with ferromagnetic particles and interface phases when exposed to externa...This study focused on investigating the effects of various factors on the mechanical properties of superconducting matrix composites reinforced with ferromagnetic particles and interface phases when exposed to external magnetic fields.A micromechanical model was created by simplifying the basic properties and composition of the interface,utilizing principles such as Eshelby’s equivalent inclusion theory and Hooke’s law,as well as applying uniform stress boundary conditions.Through the development of equations,the study predicted changes in effective mechanical properties,highlighting the significant influence of parameters like the interface phase,inclusions,and magnetic field on the effective elastic modulus and magnetostriction of the composite material.By shedding light on these relationships,the research offers valuable insights for the manufacture and application of ferromagnetic particle-reinforced superconducting matrix composites with interface phases,providing a foundation for future research in this area.展开更多
During nearly 200 years of development in the knowledge of Brownian motion,the Janus sphere,as a typical Brownian particle with special surface properties,has been widely studied in the past few decades.A standard Jan...During nearly 200 years of development in the knowledge of Brownian motion,the Janus sphere,as a typical Brownian particle with special surface properties,has been widely studied in the past few decades.A standard Janus sphere possesses two distinct surfaces.These two surfaces elicit different hydrodynamic interactions with ambient fluids or other interactions in response to environmental stimuli,such as chemical gradients,magnetic fields,and even light.The diffusion of Janus spheres,particularly when controlled by a remotely applied field,has inspired various applications,ranging from the design of micro-swimmers and novel procedures for probing the mechanical properties of suspensions to the fabrication of composites with enhanced performance.In this work,we report a systematic analysis of field-controlled diffusion of Janus spheres.Commencing with stochastic differential equations of motion at the microscale,we derive a coarse-grained Fokker-Planck equation at the macroscale,describing the evolution of the probability distribution function of the Janus sphere in terms of its position and orientation.Leveraging the concept of the hydrodynamic center,we derive,for the first time,explicit generalized Stokes-Einstein relations for long-time effective diffusivity,incorporating the effects of both the surface discontinuity of the Janus sphere and the external fields.The formulae enable predictions of the effective diffusivity as it varies with the slip length and characteristic angle of Janus spheres,and reveal the impact of an aligning potential field on the diffusion coefficients both parallel and perpendicular to the direction of the field.This work not only deepens the understanding of field-controlled diffusion of Janus particles,but also holds a meaningful impact on the future applications in microfluidics and related fields.展开更多
The future space-borne gravitational wave(GW)detectors would provide a promising probe for the new physics beyond the standard model that admits the first-order phase transitions.The predictions for the GW background ...The future space-borne gravitational wave(GW)detectors would provide a promising probe for the new physics beyond the standard model that admits the first-order phase transitions.The predictions for the GW background vary sensitively among different concrete particle physics models but also share a large degeneracy in the model buildings,which motivates an effective model description on the phase transition based on different patterns of the electroweak symmetry breaking(EWSB).In this paper,using the scalar N-plet model as a demonstration,we propose an effective classification for three different patterns of EWSB:(1)radiative symmetry breaking with classical scale invariance,(2)the Higgs mechanism in a generic scalar extension,and(3)higher-dimensional operators.We conclude that a strong first-order phase transition could be realized for(1)and(2)with a small quartic coupling and a small isospin of an additional N-plet field for the light scalar field model with and without the classical scale invariance,and(3)with a large mixing coupling between scalar fields and a large isospin of the N-plet field for the heavy scalar field model.展开更多
The Longfengshan structural belt lies in the southern Changling Depression.The Yingcheng Formation is the primary gas-bearing unit.The Yingcheng Formation has low permeability and contains deep,tight gas that is chall...The Longfengshan structural belt lies in the southern Changling Depression.The Yingcheng Formation is the primary gas-bearing unit.The Yingcheng Formation has low permeability and contains deep,tight gas that is challenging to extract.Industrial gas flow has been achieved from the B218 and B220 well blocks in the sandstone layer of the first member of Yingcheng Formation(Ying I),indicating the potential of this sandstone group for gas production.Although oil and gas are widely distributed in the Ying I sandstone layer,production capacity varies significantly across the formation.into six sublayers.Drilling,logging,and laboratory testing data were integrated to subdivide the Ying I sandstone layer into six sublayers.Core and well logging analyses indicate a braided river delta depositional environment.Data and seismic inversion identify the Ying I-5 sublayer as the primary exploration target.The effective reservoir in the eastern fan body,where porosity ranges from 5%to 13%and maximum effective thickness reaches 34 m.This study basis for optimizing well placement and estimating gas reserve parameters in the Ying I sandstone layer of the Longfengshan area.The findings can guide the development of other tight gas reservoirs.展开更多
AIM:To investigate the impact of preoperative anterior corneal topographic parameters on the morphology of the postoperative effective optical zone(EOZ)in patients undergoing keratorefractive lenticule extraction(KLEx...AIM:To investigate the impact of preoperative anterior corneal topographic parameters on the morphology of the postoperative effective optical zone(EOZ)in patients undergoing keratorefractive lenticule extraction(KLEx)and wavefront-guided LASIK(WG-LASIK).METHODS:This retrospective study included 310 eyes from patients who underwent either KLEx(via small incision lenticule extraction,171 eyes)or WG-LASIK(139 eyes).Patients were stratified into subgroups based on the median values of spherical equivalent(SE)and anterior corneal topographic parameters.Postoperative EOZ parameters were measured 1mo after surgery and compared across subgroups.Correlation analysis and multivariable linear regression analysis were performed to explore the associations between preoperative anterior corneal topographic parameters and EOZ parameters.RESULTS:A total of 310 eyes were included(KLEx:171 eyes from 88 patients;WG-LASIK:139 eyes from 82 patients).The mean age was 30.65±5.67y in the KLEx cohort and 29.06±5.94y in the WG-LASIK cohort.In the KLEx cohort,SE,preoperative mean keratometry(Km),steep keratometry(K2),and anterior corneal astigmatism(K2-K1)were positively correlated with the postoperative optical zone reduction ratio(RR=EOZ/planned optical zone×100%;all P<0.01).Multivariable regression identified SE[β=0.027,95%confidence interval(CI):0.022-0.032,P<0.001],Km(β=0.009,95%CI:0.002-0.016,P=0.014),and anterior corneal astigmatism(β=0.031,95%CI:0.013-0.049,P<0.001)as significant predictors of RR(R²=0.456,P<0.001).In the WG-LASIK cohort,SE was positively correlated with RR(P<0.01);K2 and anterior corneal astigmatism were positively correlated with both RR(P<0.05)and EOZ eccentricity(P<0.01).Multivariable regression showed SE(β=0.015,95%CI:0.007-0.023,P<0.001)and anterior corneal astigmatism(β=0.029,95%CI:0.012-0.047,P=0.001)were significant predictors of RR(R²=0.121,P<0.001).CONCLUSION:Preoperative anterior corneal topographic parameters,particularly anterior corneal astigmatism,significantly affect postoperative EOZ morphology in both KLEx and WG-LASIK.Additionally,Km is a predictor of EOZ reduction specifically in KLEx.展开更多
Re-entrant honeycombs are widely used in safeguard structures due to their geometric simplicity and excellent energy absorption capacities.However,traditional re-entrant honeycombs exhibit insufficient stiffness and s...Re-entrant honeycombs are widely used in safeguard structures due to their geometric simplicity and excellent energy absorption capacities.However,traditional re-entrant honeycombs exhibit insufficient stiffness and stability owing to the lack of internal support.This paper proposes a new hybrid honeycomb by integrating a chiral component inside the re-entrant honeycomb.Since Young's modulus is a key parameter to evaluate the energy absorption performance and stiffness,an analytical model is given to predict the effective Young's modulus of the proposed hybrid honeycomb.It is found that the optimal design scheme is to directly insert a circular ring inside the re-entrant honeycomb.The normalized specific energy absorption(SEA)of the hybrid honeycomb is 95%larger than that of the traditional re-entrant honeycomb.The normalized SEA first increases to a peak value and then decreases with the cell wall thickness.The optimal thickness of the cell wall for the maximum SEA is derived in terms of the geometric configuration of the unit cell.The normalized SEA first decreases to a valley value and then increases with the re-entrant angle.A longer horizontal cell wall results in a smaller normalized SEA.This paper provides a new design method for safeguard structures with high stiffness and energy absorption performance.展开更多
BACKGROUND Blonanserin,a novel antipsychotic,has demonstrated efficacy in treating both positive and negative symptoms.However,limited research exists on its dose-dependent effectiveness and safety in patients with an...BACKGROUND Blonanserin,a novel antipsychotic,has demonstrated efficacy in treating both positive and negative symptoms.However,limited research exists on its dose-dependent effectiveness and safety in patients with and without prominent nega-tive symptoms(PNS).AIM To evaluate the effectiveness and safety of blonanserin monotherapy for first-episode schizophrenia in real-world clinical settings and to explore the efficacy and safety of different doses of blonanserin for patients with PNS and without PNS.METHODS A 12-week,multicenter,prospective post-marketing surveillance was conducted.In this study,we included patients with first-episode schizophrenia who received blonanserin monotherapy.Patients were divided into those with PNS and without PNS,based on the Brief Psychiatric Rating Scale(BPRS)negative symptoms subscale scores.Additionally,patients were labeled as high-dose and low-dose was evaluated through the incidence of adverse drug reactions(ADRs).RESULTS A total of 653 patients were included in the analysis,with 613 completing the study.The BPRS total score decreased significantly from 47.94±16.31 at baseline to 26.88±9.47 at 12 weeks(P<0.001).A significant interaction of PNS×dose×time was observed for BPRS total scores(F=3.47,P=0.040)and negative symptom subscale scores(F=6.76,P=0.002).In the PNS group,the high-dose group showed greater reductions in BPRS total scores(P=0.001)and negative symptom subscale scores(P=0.003)than the low-dose group in week 12.In the without PNS group,no significant difference was observed between the high-dose and low-dose groups at any visit.Most adverse reactions were mild or moderate,with extrapyramidal symptoms(9.3%)being most common;1.5%of patients gained≥7%body weight at 12 weeks.CONCLUSION Blonanserin effectively alleviated the clinical symptoms of first-episode schizophrenia with an acceptable safety profile.High-dose blonanserin is particularly beneficial for patients with PNS in the acute phase of first-episode schizophrenia.However,due to the limitation of ADR reporting the real world,the ADR incidence observed in this study may be underestimated.展开更多
Africa can draw inspiration from China’s multi-pronged approach to fighting poverty.Without a doubt,China’s poverty alleviation is a success that has not been achieved by any country I can think of.There is so much ...Africa can draw inspiration from China’s multi-pronged approach to fighting poverty.Without a doubt,China’s poverty alleviation is a success that has not been achieved by any country I can think of.There is so much that Africa can learn from China in this regard.African nations can draw inspiration from the effectiveness of China’s governance in delivering results.展开更多
Background:Ischemic preconditioning(IPC)is purported to have beneficial effects on athletic performance,although findings are inconsistent,with some studies reporting placebo effects.The majority of studies have inves...Background:Ischemic preconditioning(IPC)is purported to have beneficial effects on athletic performance,although findings are inconsistent,with some studies reporting placebo effects.The majority of studies have investigated IPC alongside a placebo condition,but without a control condition that was devoid of experimental manipulation,thereby limiting accurate determination of the IPC effects.Therefore,the aims of this study were to assess the impact of the IPC intervention,compared to both placebo and no intervention,on exercise capacity and athletic performance.Methods:A systematic search of PubMed,Embase,SPORTDiscus,Cochrane Library,and Latin American and Caribbean Health Sciences Literature(LILACS)covering records from their inception until July 2023 was conducted.To qualify for inclusion,studies had to apply IPC as an acute intervention,comparing it with placebo and/or control conditions.Outcomes of interest were performance(force,number of repetitions,power,time to exhaustion,and time trial performance),physiological measurements(maximum oxygen consumption,and heart rate),or perceptual measurements(RPE).For each outcome measure,we conducted 3 independent meta-analyses(IPC vs.placebo,IPC vs.control,placebo vs.control)using an inverse-variance random-effects model.The between-treatment effects were quantified by the standardized mean difference(SMD),accompanied by their respective 95%confidence intervals.Additionally,we employed the Grading of Recommendations,Assessment,Development and Evaluation(GRADE)approach to assess the level of certainty in the evidence.Results:Seventy-nine studies were included in the quantitative analysis.Overall,IPC demonstrates a comparable effect to the placebo condition(using a low-pressure tourniquet),irrespective of the subjects'training level(all outcomes presenting p>0.05),except for the outcome of time to exhaustion,which exhibits a small magnitude effect(SMD=0.37;p=0.002).Additionally,the placebo exhibited effects notably greater than the control condition(outcome:number of repetitions;SMD=0.45;p=0.03),suggesting a potential influence of participants'cognitive perception on the outcomes.However,the evidence is of moderate to low certainty,regardless of the comparison or outcome.Conclusion:IPC has significant effects compared to the control intervention,but it did not surpass the placebo condition.Its administration might be influenced by the cognitive perception of the receiving subject,and the efficacy of IPC as an ergogenic strategy for enhancing exercise capacity and athletic performance remains questionable.展开更多
基金supported by the National Natural Science Foundation of China(81503678).
文摘Objective:To evaluate whether the traditional Chinese medicine(TCM)theory of five circuits and six qi(FCSQ)is beneficial in terms of improving clinical effectiveness.Methods:Randomized controlled trials(RCTs)evaluating the clinical value of FCSQ theory were reviewed.Multiple databases(China Network Knowledge Infrastructure,Chinese Scienti fic Journals Database,Wanfang Data,SinoMed,Cochrane Library,PubMed,and Embase)weresystematically searched from inception to June 12,2018.Two authors independently extracted the data and performed a methodological quality assessment of the RCTs.RevMan 5.3 software was used for the data analysis.The effect sizes for the primary outcome measures were expressed as relative risks or mean differences with 95%confidence intervals.Results:A total of 13 RCTs were selected,involving 12 types of diseases and 4695 patients.The methodological quality of the RCTs was generally low.Five studies compared the effectiveness of TCM treatments guided by FCSQ theory with conventional TCM therapies,and the remaining eight studies compared the effectiveness of TCM treatments guided by FCSQ theory with biomedical treatments.All of the RCTs reported that the effectiveness of the treatment intervention was better than that of the intervention in the control group.Conclusion:Because of many methodological problems in existing clinical studies,it remains impossible to definitively conclude that FCSQ theory can improve clinical effectiveness.It is difficult to unify the clinical application of FCSQ theory.The feasibility and repeatability of FCSQas an intervention should be given more attention in future clinical research.Future work should also follow international norms for clinical research implementation and reporting to provide high-quality evidence for evaluating the clinical value of FCSQ theory.
文摘To date, an important debate regarding the use of Strategic Environmental Assessment in policy and plan-making seems to focus on whether to reform or develop SEA regulations. Despite the well-established theoretic relevance of legislation, there is only little empiric evidence, moreover in developing countries. This paper aims to verify the contributions of new regulations to a proper use of SEA, based on the case of the Democratic Republic of Congo. Both the SEA practice previously to the legislation reform and the newly introduced SEA system established by the new regulation were characterized. The new regulation was verified against the previous practice of SEA within the country and the compliance with international performance criteria. The outcomes suggest that the overall quality of SEA documentation is still in need of major improvements. Gaps include alternatives development and impacts monitoring. The biggest performance limitations of the new regulation are related to the length of SEA processes, public consultation, SEA information to provide, and alternatives to consider. Finally, it is suggested that regulation reform or straightforward adoption might not be enough to support an effective use of SEA.
基金funded by the Humanities and Social Sciences Research Project of the Ministry of Education of China(Project No.23XJC790007).
文摘This study explores the housing distribution effect of the Housing Provident Fund(HPF)system on households.Utilizing data from the China Household Finance Survey conducted in 2013,2015,2017,and 2019,this study empirically investigates this effect from two dimensions:the impact of HPF payments on household income and housing loan behavior,and the impact on the Gini coefficient of housing assets within the group.The results indicate that the HPF payment does not significantly impact household income levels.Instead,it increases their likelihood of obtaining housing loans,particularly for middle-income households.Additionally,for any group of families,the HPF payment decreased the housing Gini coefficient among households by approximately 0.11 units.This study may be the first to provide the most direct empirical evidence on the extent of HPF’s impact on housing inequality within a group.It also questions the inference in the literature that“HPF will aggravate housing inequality within the group.”Based on this study’s findings,we expect that housing inequality will continue to be alleviated with continued HPF implementation.In particular,this effect will be more significant if the credit support for lowincome families to purchase houses through the HPF can be further enhanced.
文摘Evaluation of hydromechanical shear behavior of unsaturated soils is still a challenging issue. The time and cost needed for conducting precise experimental investigation on shear behavior of unsaturated soils have encouraged several investigators to develop analytical, empirical, or semi-empirical models for predicting the shear behavior of unsaturated soils. However, most of the previously proposed models are for specimens subjected to the isotropic state of stress, without considering the effect of initial shear stress. In this study, a hydromechanical constitutive model is proposed for unsaturated collapsible soils during shearing, with consideration of the effect of the initial shear stress. The model implements an effective stress-based disturbed state concept (DSC) to predict the stress-strain behavior of the soil. Accordingly, material/state variables were defined for both the start of the shearing stage and the critical state of the soil. A series of laboratory tests was performed using a fully automated unsaturated triaxial device to verify the proposed model. The experimental program included 23 suction-controlled unsaturated triaxial shear tests on reconstituted specimens of Gorgan clayey loess wetted to different levels of suctions under both isotropic and anisotropic stress states. The results show excellent agreement between the prediction by the proposed model and the experimental results.
基金supported by the Southwest Minzu University Research Startup Funds (No.16011221038,RQD2022021)Double World-Class Project (No.CX2023010)。
文摘Wetland degradation is an escalating global challenge with profound impacts on animal diversity,particularly during successional processes.Birds,as highly mobile and environmentally sensitive organisms,serve as effective indicators of ecological change.While previous studies have primarily focused on local community structures and species diversity during a specific season,there is a need to extend the research timeframe and explore broader spatial variations.Additionally,expanding from simple species diversity indices to more multidimensional diversity indices would provide a more comprehensive understanding of wetland health and resilience.To address these gaps,we investigated the effects of wetland degradation on bird diversity across taxonomic,phylogenetic,and functional dimensions in the Zoige Wetland,a plateau meadow wetland biodiversity hotspot.Surveys were conducted during both breeding(summer)and overwintering(winter)seasons across 20 transects in 5 sampling areas,representing 4 degradation levels(pristine,low,medium,and high).Our study recorded a total of 106 bird species from 32 families and 14 orders,revealing distinct seasonal patterns in bird community composition and diversity.Biodiversity indices were significantly higher in pristine and low-degraded wetlands,particularly benefiting waterfowl(Anseriformes,Ciconiiformes)and wading birds(Charadriiformes)in winter,when these areas provided superior food resources and habitat conditions.In contrast,medium and highly degraded wetlands supported increased numbers of terrestrial birds(Passeriformes)and raptors(Accipitriformes,Falconiformes).Seasonal differences in taxonomic,phylogenetic,and functional diversity indices highlighted the contrasting ecological roles of wetlands during breeding and overwintering periods.Furthermore,indicator species analysis revealed key species associated with specific degradation levels and seasons,providing valuable insights into wetland health.This study underscores the importance of spatiotemporal dynamics in understanding avian responses to wetland degradation.By linking seasonal patterns of bird diversity to habitat conditions,our findings contribute to conservation efforts and provide a framework for assessing wetland degradation and its ecological impacts.
基金supported by the National Natural Science Foundation of China(Nos.62101020 and 62141405)the Special Scientific Research Project of Civil Aircraft,China(No.MJZ5-2N22).
文摘As the proportion of composite materials used in aircraft continues to increase, the electromagnetic Shielding Effectiveness (SE) of these materials becomes a critical factor in the electromagnetic safety design of aircraft structures. The assessment of electromagnetic SE for Slotted Composite Structures(SCSs) is particularly challenging due to their complex geometries and there remains a lack of suitable models for accurately predicting the SE performance of these intricate configurations. To address this issue, this paper introduces SCS-Net, a Deep Neural Network (DNN) method designed to accurately predict the SE of SCS. This method considers the impacts of various structural parameters, material properties and incident wave parameters on the SE of SCSs. In order to better model the SCS, an improved Nicolson-Ross-Weir (NRW) method is introduced in this paper to provide an equivalent flat structure for the SCS and to calculate the electromagnetic parameters of the equivalent structure. Additionally, the prediction of SE via DNNs is limited by insufficient test data, which hinders support for large-sample training. To address the issue of limited measured data, this paper develops a Measurement-Computation Fusion (MCF) dataset construction method. The predictions based on the simulation results show that the proposed method maintains an error of less than 0.07 dB within the 8–10 GHz frequency range. Furthermore, a new loss function based on the weighted L1-norm is established to improve the prediction accuracy for these parameters. Compared with traditional loss functions, the new loss function reduces the maximum prediction error for equivalent electromagnetic parameters by 47%. This method significantly improves the prediction accuracy of SCS-Net for measured data, with a maximum improvement of 23.88%. These findings demonstrate that the proposed method enables precise SE prediction and design for composite structures while reducing the number of test samples needed.
基金supported by the National Natural Science Foundation of China(Grant Nos.12032010,12272179,and 52102425)the Postgraduate Research&Practice Innovation Program of Jiangsu Province(Grant No.KYCX23_0351).
文摘While liquid-filled porous materials widely exist in both natural and engineering fields,their overall thermo-mechanical behaviors are influenced by the combined effects of solid skeleton,pore-filling liquid,and pore structure.When the pores are sufficiently small(e.g.,micro/nano-scale pores),surface effects also play a significant role.Accounting for surface effects and liquid compressibility,we develop a theoretical model to predict the effective thermo-mechanical properties of liquid-filled porous materials.Idealized spherical compressible liquid inclusions distributed randomly in an elastic solid matrix are con-sidered,with two scenarios separately considered.In the first scenario,the liquid inclusions are isolated so that the liquid does not flow freely.The effective coefficient of thermal expansion(CTE)and effective bulk modulus of the two-phase material are obtained via the generalized self-consistent method.In the second scenario,the liquid inclusions are connected by micro-channels.We adopt a top-down approach(the mixture theory)to establish general thermo-mechanical constitutive relations for liquid-filled porous materials with surface effects,and then use a bottom-up(micromechanics)approach to determine the coupling coefficients(effective thermo-mechanical parameters)in these constitutive relations.Results show that the presence of surface stress at the solid-liquid interface increases the effective CTE and decreases the effective bulk modulus,especially when liquid compressibility is relatively large;however,the decrease in surface stress caused by increasing temperature weakens such effect.This research not only reveals the mechanism of thermo-mechanical coupling in liquid-filled porous materials having small pores but also provides a theoretical basis for accurate prediction of their thermo-mechanical responses in complex load environments.
基金financially supported by the Natural Science Foundation of Sichuan Province(Grant Nos.2023NSFSC0767 and2024NSFSC0809)the China Postdoctoral Science Foundation(Grant No.2024MF750281)the Postdoctoral Fellowship Program of CPSF(Grant No.GZC20230326)。
文摘Predictions of fluid distribution,stress field,and natural fracture are essential for exploiting unconventional shale gas reservoirs.Given the high likelihood of tilted fractures in subsurface formations,this study focuses on simultaneous seismic inversion to estimate fluid bulk modulus,effective stress parameter,and fracture density in the tilted transversely isotropic(TTI)medium.In this article,a novel PP-wave reflection coefficient approximation equation is first derived based on the constructed TTI stiffness matrix incorporating fracture density,effective stress parameter,and fluid bulk modulus.The high accuracy of the proposed equation has been demonstrated using an anisotropic two-layer model.Furthermore,a stepwise seismic inversion strategy with the L_(P) quasi-norm sparsity constraint is implemented to obtain the anisotropic and isotropic parameters.Three synthetic model tests with varying signal-to-noise ratios(SNRs)confirm the method's feasibility and noise robustness.Ultimately,the proposed method is applied to a 3D fractured shale gas reservoir in the Sichuan Basin,China.The results have effectively characterized shale gas distribution,stress fields,and tilted natural fractures,with validation from geological structures,well logs,and microseismic events.These findings can provide valuable guidance for hydraulic fracturing development,enabling more reliable predictions of reservoir heterogeneity and completion quality.
基金supported by the National Natural Science Foundation of China(NSFC)(Grant No.72171095)the National Social Science Foundation of China(Grant No.22VRC153)the Wuhan Textile University Fund(Grant Nos.2024289 and 2024380)。
文摘Although generative conversational artificial intelligence(AI)can answer questions well and hold conversations as a person,the semantic ambiguity inherent in text-based communication poses challenges to effective use.Effective use reflects the users’utilization of generative conversational AI to achieve their goals,which has not been previously studied.Drawing on the media naturalness theory,we examined how generative conversational AI’s content and style naturalness affect effective use.A two-wave survey was conducted to collect data from 565 users of generative conversational AI.Two techniques were used in this study.Initially,partial least squares structural equation modeling(PLS-SEM)was applied to determine the variables that significantly affected the mechanisms(i.e.,cognitive effort and communication ambiguity)and effective use.Secondly,an artificial neural network model was used to evaluate the relative importance of the significant predictors of mechanisms and effective use identified from the PLS-SEM analysis.The results revealed that the naturalness of content and style differed in their effects on cognitive effort and communication ambiguity.Additionally,cognitive effort and communication ambiguity negatively affected effective use.This study advances the literature on effective use by uncovering the psychological mechanisms underlying effective use and their antecedents.In addition,this study offers insights into the design of generative conversational AI.
基金funded by the Natural Science Foundation of Shandong Province[Grant No.ZR2022MD104]Rizhao Natural Science Foundation Youth Fund Project[Grant No.RZ2021ZR36]Taishan Scholars Youth Expert Support Plan of Shandong Province[Grant No.tsqn202306183].
文摘As a novel economic paradigm that drives high-quality economic development,the digital economy(DE)can potentially significantly enhance the utilization efficiency of ecological resources and improve human well-being.Based on panel data from 285 prefecture-level cities in China spanning 2011-2021,this study empirically investigates the direct effects,transmission mechanisms,and spatial spillover effects of the DE on ecological welfare performance(EWP)using benchmark regression,intermediary effects,and spatial Durbin models.The results show that the DE significantly improved EWP in Chinese cities.This conclusion remains valid even after controlling for relevant influencing factors.Two transmission paths—upgrading of the industrial structure(UIS)and green innovation(GI)—significantly impacted EWP,as verified by the mediation effect model.Additionally,the mediating effect of the UIS was stronger than that of GI.Spatial heterogeneity tests show that the DE had significant effects on the EWP of eastern cities,with little impact on the central and western cities.Accordingly,grounded in regional developmental disparities,the empowering effects of the DE must be fully harnessed to foster an ecological civilization and enhance the well-being of the populace.
基金supported by the National Natural Science Foundation of China(No.12262020).
文摘This study focused on investigating the effects of various factors on the mechanical properties of superconducting matrix composites reinforced with ferromagnetic particles and interface phases when exposed to external magnetic fields.A micromechanical model was created by simplifying the basic properties and composition of the interface,utilizing principles such as Eshelby’s equivalent inclusion theory and Hooke’s law,as well as applying uniform stress boundary conditions.Through the development of equations,the study predicted changes in effective mechanical properties,highlighting the significant influence of parameters like the interface phase,inclusions,and magnetic field on the effective elastic modulus and magnetostriction of the composite material.By shedding light on these relationships,the research offers valuable insights for the manufacture and application of ferromagnetic particle-reinforced superconducting matrix composites with interface phases,providing a foundation for future research in this area.
基金Project supported by the National Natural Science Foundation of China(Nos.12302079 and 11521202)the National Natural Science Foundation of U.S.A.(No.DMS-2306254)。
文摘During nearly 200 years of development in the knowledge of Brownian motion,the Janus sphere,as a typical Brownian particle with special surface properties,has been widely studied in the past few decades.A standard Janus sphere possesses two distinct surfaces.These two surfaces elicit different hydrodynamic interactions with ambient fluids or other interactions in response to environmental stimuli,such as chemical gradients,magnetic fields,and even light.The diffusion of Janus spheres,particularly when controlled by a remotely applied field,has inspired various applications,ranging from the design of micro-swimmers and novel procedures for probing the mechanical properties of suspensions to the fabrication of composites with enhanced performance.In this work,we report a systematic analysis of field-controlled diffusion of Janus spheres.Commencing with stochastic differential equations of motion at the microscale,we derive a coarse-grained Fokker-Planck equation at the macroscale,describing the evolution of the probability distribution function of the Janus sphere in terms of its position and orientation.Leveraging the concept of the hydrodynamic center,we derive,for the first time,explicit generalized Stokes-Einstein relations for long-time effective diffusivity,incorporating the effects of both the surface discontinuity of the Janus sphere and the external fields.The formulae enable predictions of the effective diffusivity as it varies with the slip length and characteristic angle of Janus spheres,and reveal the impact of an aligning potential field on the diffusion coefficients both parallel and perpendicular to the direction of the field.This work not only deepens the understanding of field-controlled diffusion of Janus particles,but also holds a meaningful impact on the future applications in microfluidics and related fields.
基金supported by the National Key Research and Development Program of China under Grant Nos.2021YFC2203004,2021YFA0718304,2020YFC2201501RGC is supported by the National Natural Science Foundation of China under Grants Nos.11947302,11991052,11690022,11821505 and 11851302+8 种基金the Strategic Priority Research Program of the Chinese Academy of Sciences(CAS)under Grant Nos.XDB23030100 and XDA15020701the Key Research Program of the CAS under Grant No.XDPB15the Key Research Program of Frontier Sciences of CAS.SJW is supported by the National Key Research and Development Program of China under Grant Nos.2021YFC2203004 and 2021YFA0718304the National Natural Science Foundation of China under Grant Nos.12422502 and 12105344the China Manned Space Project under Grant No.CMS-CSST-2021-B01JHY is supported by the National Science Foundation of China under Grant Nos.12022514,11875003 and 12047503the National Key Research and Development Program of China under Grant Nos.2020YFC2201501 and 2021YFA0718304the CAS Project for Young Scientists in Basic Research under Grant No.YSBR-006the Key Research Program of the CAS under Grant No.XDPB15.
文摘The future space-borne gravitational wave(GW)detectors would provide a promising probe for the new physics beyond the standard model that admits the first-order phase transitions.The predictions for the GW background vary sensitively among different concrete particle physics models but also share a large degeneracy in the model buildings,which motivates an effective model description on the phase transition based on different patterns of the electroweak symmetry breaking(EWSB).In this paper,using the scalar N-plet model as a demonstration,we propose an effective classification for three different patterns of EWSB:(1)radiative symmetry breaking with classical scale invariance,(2)the Higgs mechanism in a generic scalar extension,and(3)higher-dimensional operators.We conclude that a strong first-order phase transition could be realized for(1)and(2)with a small quartic coupling and a small isospin of an additional N-plet field for the light scalar field model with and without the classical scale invariance,and(3)with a large mixing coupling between scalar fields and a large isospin of the N-plet field for the heavy scalar field model.
基金Supported by the Key Scientific and Technological Projects of Sinopec(No.P25165).
文摘The Longfengshan structural belt lies in the southern Changling Depression.The Yingcheng Formation is the primary gas-bearing unit.The Yingcheng Formation has low permeability and contains deep,tight gas that is challenging to extract.Industrial gas flow has been achieved from the B218 and B220 well blocks in the sandstone layer of the first member of Yingcheng Formation(Ying I),indicating the potential of this sandstone group for gas production.Although oil and gas are widely distributed in the Ying I sandstone layer,production capacity varies significantly across the formation.into six sublayers.Drilling,logging,and laboratory testing data were integrated to subdivide the Ying I sandstone layer into six sublayers.Core and well logging analyses indicate a braided river delta depositional environment.Data and seismic inversion identify the Ying I-5 sublayer as the primary exploration target.The effective reservoir in the eastern fan body,where porosity ranges from 5%to 13%and maximum effective thickness reaches 34 m.This study basis for optimizing well placement and estimating gas reserve parameters in the Ying I sandstone layer of the Longfengshan area.The findings can guide the development of other tight gas reservoirs.
文摘AIM:To investigate the impact of preoperative anterior corneal topographic parameters on the morphology of the postoperative effective optical zone(EOZ)in patients undergoing keratorefractive lenticule extraction(KLEx)and wavefront-guided LASIK(WG-LASIK).METHODS:This retrospective study included 310 eyes from patients who underwent either KLEx(via small incision lenticule extraction,171 eyes)or WG-LASIK(139 eyes).Patients were stratified into subgroups based on the median values of spherical equivalent(SE)and anterior corneal topographic parameters.Postoperative EOZ parameters were measured 1mo after surgery and compared across subgroups.Correlation analysis and multivariable linear regression analysis were performed to explore the associations between preoperative anterior corneal topographic parameters and EOZ parameters.RESULTS:A total of 310 eyes were included(KLEx:171 eyes from 88 patients;WG-LASIK:139 eyes from 82 patients).The mean age was 30.65±5.67y in the KLEx cohort and 29.06±5.94y in the WG-LASIK cohort.In the KLEx cohort,SE,preoperative mean keratometry(Km),steep keratometry(K2),and anterior corneal astigmatism(K2-K1)were positively correlated with the postoperative optical zone reduction ratio(RR=EOZ/planned optical zone×100%;all P<0.01).Multivariable regression identified SE[β=0.027,95%confidence interval(CI):0.022-0.032,P<0.001],Km(β=0.009,95%CI:0.002-0.016,P=0.014),and anterior corneal astigmatism(β=0.031,95%CI:0.013-0.049,P<0.001)as significant predictors of RR(R²=0.456,P<0.001).In the WG-LASIK cohort,SE was positively correlated with RR(P<0.01);K2 and anterior corneal astigmatism were positively correlated with both RR(P<0.05)and EOZ eccentricity(P<0.01).Multivariable regression showed SE(β=0.015,95%CI:0.007-0.023,P<0.001)and anterior corneal astigmatism(β=0.029,95%CI:0.012-0.047,P=0.001)were significant predictors of RR(R²=0.121,P<0.001).CONCLUSION:Preoperative anterior corneal topographic parameters,particularly anterior corneal astigmatism,significantly affect postoperative EOZ morphology in both KLEx and WG-LASIK.Additionally,Km is a predictor of EOZ reduction specifically in KLEx.
基金Project supported by Guangdong Basic and Applied Basic Research Foundation(Nos.2022A1515240072,2023A1515240053,2022B1515020099,and 2023A1515012641)Shenzhen Science and Technology Program(No.JCYJ20220818102409020)the National Natural Science Foundation of China(Nos.12102104 and 12002180)。
文摘Re-entrant honeycombs are widely used in safeguard structures due to their geometric simplicity and excellent energy absorption capacities.However,traditional re-entrant honeycombs exhibit insufficient stiffness and stability owing to the lack of internal support.This paper proposes a new hybrid honeycomb by integrating a chiral component inside the re-entrant honeycomb.Since Young's modulus is a key parameter to evaluate the energy absorption performance and stiffness,an analytical model is given to predict the effective Young's modulus of the proposed hybrid honeycomb.It is found that the optimal design scheme is to directly insert a circular ring inside the re-entrant honeycomb.The normalized specific energy absorption(SEA)of the hybrid honeycomb is 95%larger than that of the traditional re-entrant honeycomb.The normalized SEA first increases to a peak value and then decreases with the cell wall thickness.The optimal thickness of the cell wall for the maximum SEA is derived in terms of the geometric configuration of the unit cell.The normalized SEA first decreases to a valley value and then increases with the re-entrant angle.A longer horizontal cell wall results in a smaller normalized SEA.This paper provides a new design method for safeguard structures with high stiffness and energy absorption performance.
文摘BACKGROUND Blonanserin,a novel antipsychotic,has demonstrated efficacy in treating both positive and negative symptoms.However,limited research exists on its dose-dependent effectiveness and safety in patients with and without prominent nega-tive symptoms(PNS).AIM To evaluate the effectiveness and safety of blonanserin monotherapy for first-episode schizophrenia in real-world clinical settings and to explore the efficacy and safety of different doses of blonanserin for patients with PNS and without PNS.METHODS A 12-week,multicenter,prospective post-marketing surveillance was conducted.In this study,we included patients with first-episode schizophrenia who received blonanserin monotherapy.Patients were divided into those with PNS and without PNS,based on the Brief Psychiatric Rating Scale(BPRS)negative symptoms subscale scores.Additionally,patients were labeled as high-dose and low-dose was evaluated through the incidence of adverse drug reactions(ADRs).RESULTS A total of 653 patients were included in the analysis,with 613 completing the study.The BPRS total score decreased significantly from 47.94±16.31 at baseline to 26.88±9.47 at 12 weeks(P<0.001).A significant interaction of PNS×dose×time was observed for BPRS total scores(F=3.47,P=0.040)and negative symptom subscale scores(F=6.76,P=0.002).In the PNS group,the high-dose group showed greater reductions in BPRS total scores(P=0.001)and negative symptom subscale scores(P=0.003)than the low-dose group in week 12.In the without PNS group,no significant difference was observed between the high-dose and low-dose groups at any visit.Most adverse reactions were mild or moderate,with extrapyramidal symptoms(9.3%)being most common;1.5%of patients gained≥7%body weight at 12 weeks.CONCLUSION Blonanserin effectively alleviated the clinical symptoms of first-episode schizophrenia with an acceptable safety profile.High-dose blonanserin is particularly beneficial for patients with PNS in the acute phase of first-episode schizophrenia.However,due to the limitation of ADR reporting the real world,the ADR incidence observed in this study may be underestimated.
文摘Africa can draw inspiration from China’s multi-pronged approach to fighting poverty.Without a doubt,China’s poverty alleviation is a success that has not been achieved by any country I can think of.There is so much that Africa can learn from China in this regard.African nations can draw inspiration from the effectiveness of China’s governance in delivering results.
基金partially supported by the State Funding Agency of Minas Gerais,Brazil(FAPEMIG),Process No.APQ-01811-21supported by Alexander von Humboldt-Stiftung(AvH)/Coordena??o de Aperfei?oamento de Pessoal de Nível Superior(CAPES)+1 种基金National Council for Scientific and Technological Development-CNPq(Process No.308138/2022-8)supported by National Council for Scientific and Technological Development-CNPq(Process No.BPD-00905-22).
文摘Background:Ischemic preconditioning(IPC)is purported to have beneficial effects on athletic performance,although findings are inconsistent,with some studies reporting placebo effects.The majority of studies have investigated IPC alongside a placebo condition,but without a control condition that was devoid of experimental manipulation,thereby limiting accurate determination of the IPC effects.Therefore,the aims of this study were to assess the impact of the IPC intervention,compared to both placebo and no intervention,on exercise capacity and athletic performance.Methods:A systematic search of PubMed,Embase,SPORTDiscus,Cochrane Library,and Latin American and Caribbean Health Sciences Literature(LILACS)covering records from their inception until July 2023 was conducted.To qualify for inclusion,studies had to apply IPC as an acute intervention,comparing it with placebo and/or control conditions.Outcomes of interest were performance(force,number of repetitions,power,time to exhaustion,and time trial performance),physiological measurements(maximum oxygen consumption,and heart rate),or perceptual measurements(RPE).For each outcome measure,we conducted 3 independent meta-analyses(IPC vs.placebo,IPC vs.control,placebo vs.control)using an inverse-variance random-effects model.The between-treatment effects were quantified by the standardized mean difference(SMD),accompanied by their respective 95%confidence intervals.Additionally,we employed the Grading of Recommendations,Assessment,Development and Evaluation(GRADE)approach to assess the level of certainty in the evidence.Results:Seventy-nine studies were included in the quantitative analysis.Overall,IPC demonstrates a comparable effect to the placebo condition(using a low-pressure tourniquet),irrespective of the subjects'training level(all outcomes presenting p>0.05),except for the outcome of time to exhaustion,which exhibits a small magnitude effect(SMD=0.37;p=0.002).Additionally,the placebo exhibited effects notably greater than the control condition(outcome:number of repetitions;SMD=0.45;p=0.03),suggesting a potential influence of participants'cognitive perception on the outcomes.However,the evidence is of moderate to low certainty,regardless of the comparison or outcome.Conclusion:IPC has significant effects compared to the control intervention,but it did not surpass the placebo condition.Its administration might be influenced by the cognitive perception of the receiving subject,and the efficacy of IPC as an ergogenic strategy for enhancing exercise capacity and athletic performance remains questionable.
