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Continuous positive airway pressure therapy for patients with obstructive sleep apnea and coronary artery disease
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作者 Thang Viet Luong Tien Anh Hoang +4 位作者 Duong Hung Tran Nguyen Nguyen Khoi Pham Huy Cong Nguyen Nam Hoang Nhat Le Hai Nguyen Ngoc Dang 《World Journal of Cardiology》 2025年第10期42-54,共13页
Obstructive sleep apnea(OSA)and coronary artery disease(CAD)frequently coexist,forming a bidirectional pathophysiological loop that amplifies cardiovascular risk.Intermittent hypoxemia in OSA patients promotes endothe... Obstructive sleep apnea(OSA)and coronary artery disease(CAD)frequently coexist,forming a bidirectional pathophysiological loop that amplifies cardiovascular risk.Intermittent hypoxemia in OSA patients promotes endothelial dysfunction,systemic inflammation,oxidative stress,and sympathetic activation,thereby accelerating atherogenesis,whereas myocardial ischemia and ventricular dysfunction in CAD patients can further destabilize upper-airway patency and exacerbate OSA.Continuous positive airway pressure(CPAP)is the standard therapy for OSA and reliably restores sleep architecture;however,large randomized trials have reported inconsistent effects on major adverse cardiovascular events,particularly in patients with established CAD.This mini review synthesizes contemporary data on CPAP across diverse OSA–CAD clinical scenarios,delineates patient phenotypes most likely to achieve cardiovascular benefit and identifies contexts in which CPAP provides limited protection.On the basis of these findings,we propose pragmatic recommendations for patient selection,adherence monitoring and optimization of CPAP therapy and highlight key research priorities,including extended follow-up,adherence-enhancing strategies and multimodal interventions.Clarifying the circumstances under which CPAP is cardioprotective will enable more precise management of patients with OSA,with or without concomitant CAD. 展开更多
关键词 obstructive sleep apnea Coronary artery disease Continuous positive airway pressure Major adverse cardiovascular events Integrated treatment
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Pressure calibrations of high-pressure large-volume presses at HPSTAR
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作者 Yongjiang Xu Peiyan Wu +17 位作者 Sheng Shang Xue Wang Taihang Li Shuchang Gao Shijie Lv Hang Cheng Qianzhi Xu Shang Lei Jiajia Feng Lei Zhao Wim van Westrenen Takayuki Ishii Bin Chen Lei Su Yang Ding Wenge Yang Ho-Kwang Mao Yanhao Lin 《Matter and Radiation at Extremes》 2026年第1期111-130,共20页
Large-volume presses(LVPs)are widely utilized in diverse research fields—including high-pressure physics,chemistry,materials science,and Earth and planetary sciences—to investigate the physical and chemical properti... Large-volume presses(LVPs)are widely utilized in diverse research fields—including high-pressure physics,chemistry,materials science,and Earth and planetary sciences—to investigate the physical and chemical properties of materials under extreme high-pressure and hightemperature conditions.A prerequisite for achieving reproducible property measurements is the determination and control of pressure within experimental setups.However,the lack of precise pressure calibration in LVPs hinders the broader application of such devices in ultrahigh-pressure studies.This study employs a suite of standard phase transition-based pressure markers—comprising metallic conductors,semiconductors,and minerals—through both in situ and ex situ identification approaches,to establish pressure calibration curves ranging from 0.4 to>30 GPa for various types of LVP installed at the Center for High Pressure Science and Technology Advanced Research(HPSTAR),Beijing,including piston–cylinder,cubic,and multi-anvil presses.The results provide a unified and traceable pressure reference for highpressure experiments conducted at HPSTAR,while also offering technical guidance and calibration standards for other researchers utilizing similar LVP systems,thereby enabling more consistent comparison between different laboratories.This work facilitates the advancement of LVP research toward broader applications in higher-pressure regimes. 展开更多
关键词 CHEMISTRY earth planetary sciences pressure calibration high pressure physics materials science investigate physical chemical properties materials determination control pressure
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Periodontitis pathogen Porphyromonas gingivalis promotes chronic obstructive pulmonary disease via affecting neutrophils chemotaxis and function
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作者 Luyao Zhang Huan Tian +4 位作者 Yuanyuan Ma Jing Xu Chang Guo Zuomin Wang Jie Ma 《International Journal of Oral Science》 2026年第1期115-125,共11页
Chronic obstructive pulmonary disease(COPD),a disease responsible for early mortality worldwide,is well accepted to be associated with periodontitis epidemiologically.Although both of the diseases are the multi-microb... Chronic obstructive pulmonary disease(COPD),a disease responsible for early mortality worldwide,is well accepted to be associated with periodontitis epidemiologically.Although both of the diseases are the multi-microbial inflammatory disease,the precise underlying mechanisms by which periodontitis influences the progression of COPD remains largely unknown.Here,we established COPD accompanied with periodontitis mouse models and observed the pronounced progress in pulmonary symptoms and histopathology,cha racterized by poorer respiratory function,thicke ned bronchial walls,and increased neutrophils infiltration in lung tissue.Mechanistically,periodontitis pathogen Porphyromonas gingivalis(P.gingivalis)relocated in the lung through the respiratory tract and LPS from P.gingivalis promoted the secretion of chemokines CXCL2 and G-CSF of alveolar epithelial cells through NF-κB and p38 MAPK pathways to recruit neutrophils.Furthermore,exposure to P.gingivalis of infiltrated neutrophils released matrix metallopeptidase-8(MMP-8)and neutrophil elastase(NE),which aggravated airway inflammation and tissue damage.These findings indicated that periodontitis could exacerbate COPD via its pathogen P.gingivalis,which translocated in the lung and stimulated neutrophil chemotaxis and activation in the lung. 展开更多
关键词 neutrophils chemotaxis pulmonary symptoms HISTOPATHOLOGY PERIODONTITIS neutrophils function chronic obstructive pulmonary disease respiratory function chronic obstructive pulmonary disease copd
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Analysis relationship between body composition and blood pressure among rural adults
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作者 Yunus Elon Evelin Malinti +1 位作者 Joshua H.L.Tobing Samuel Maju Simanjuntak 《Frontiers of Nursing》 2026年第1期51-60,共10页
Objective:Hypertension is a serious public health concern that is influenced by a variety of body composition parameters.This study examines the associations between body composition metrics and blood pressure(BP)in a... Objective:Hypertension is a serious public health concern that is influenced by a variety of body composition parameters.This study examines the associations between body composition metrics and blood pressure(BP)in a rural population,specifically how variations in body fat distribution and other metrics affect systolic blood pressure(SBP)and diastolic blood pressure(DBP).Methods:A cross-sectional study of 226 participants examined the relationships between body composition metrics—such as total body fat,visceral fat,and body mass index(BMI)—and BP.Correlation and regression analyses were used to assess these relationships.Results:The study found substantial positive correlations between visceral fat and total body fat with both SBP and DBP.Visceral fat was strongly connected with both SBP(r=0.145,P=0.030)and DBP(r=0.331,P<0.01),while total body fat was significantly correlated with DBP(r=0.268,P<0.01)but not SBP.Body composition variables explained 12.8% of the variance in SBP(R^(2)=0.128,P=0.001)and 15.0% in DBP(R^(2)=0.150,P<0.001).Conclusions:The study found substantial connections between body composition,particularly visceral and subcutaneous fat and systolic and DBP.Higher levels of visceral fat were linked to elevate BP.Body composition accounted for a significant amount of BP fluctuation. 展开更多
关键词 blood pressure body composition HYPERTENSION systolic and diastolic blood pressure visceral fat
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The mediating effect of blood pressure between healthy lifestyles and stroke:Results from the China Kadoorie Biobank study
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作者 Zidong Wang Jiaxi Zhou +12 位作者 Xikang Fan Jian Su Houyue Geng Xun Wu Yujie Hua Hongfu Ren Jun Lyu Pei Pei Canqing Yu Dianjianyi Sun Yan Lu Jinyi Zhou Ran Tao 《Journal of Biomedical Research》 2026年第1期23-31,共9页
While a healthy lifestyle is known to reduce the risk of stroke,the extent to which blood pressure(BP)mediates this association remains unclear.The present study aimed to quantify the mediating role of BP in the assoc... While a healthy lifestyle is known to reduce the risk of stroke,the extent to which blood pressure(BP)mediates this association remains unclear.The present study aimed to quantify the mediating role of BP in the association between combined lifestyle factors and stroke incidence.Using data from 51929 participants free of major cardiovascular diseases or cancer at baseline,we employed structural equation modeling to assess the mediating effects of systolic(SBP)and diastolic(DBP)blood pressure.During the follow-up,2811 incident stroke cases were identified.A healthy lifestyle was significantly associated with a reduced risk of stroke,with SBP mediating 44.70%(β=-0.0014,95%confidence interval[CI]:-0.0016 to-0.0012)and DBP mediating 37.81%(β=-0.0012,95%CI:-0.0015 to-0.0009)of this association.The mediating effects were attenuated but remained significant for ischemic stroke(SBP:33.21%;DBP:27.24%).In conclusion,approximately two-fifths of the protective association between a healthy lifestyle and stroke may be mediated by BP.These findings suggest that BP control may serve as an important early indicator for evaluating the effectiveness of lifestyle interventions in reducing stroke risk. 展开更多
关键词 STROKE blood pressure LIFESTYLE mediation analysis
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Experimental Verification of Intrinsic Pressure Framework in an Activity Landscape
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作者 Zihao Sun Longfei Li +6 位作者 Chuyun Wang Jing Wang Huaicheng Chen Gao Wang Fangfu Ye Liyu Liu Mingcheng Yang 《Chinese Physics Letters》 2026年第1期322-326,共5页
The intrinsic pressure framework,which treats self-propelling force as an external force,provides a convenient and consistent description of mechanical equilibrium in active matter.However,direct experimental evidence... The intrinsic pressure framework,which treats self-propelling force as an external force,provides a convenient and consistent description of mechanical equilibrium in active matter.However,direct experimental evidence is still lacking.To validate this framework,here we employ a programmable robotic platform,where a single light-controlled wheeled robot travels in an activity landscape.Our experiments quantitatively demonstrate that the intrinsic pressure difference across the activity interface is balanced by the emerged polarization force.This result unambiguously confirms the theoretical predictions,thus validating the intrinsic pressure framework and laying the experimental foundation for the intrinsic pressure-based mechanical description of dry active matter. 展开更多
关键词 intrinsic pressure framework activity landscape intrinsic pressure difference robotic platform programmable robotic platformwhere self propelling force polarization force mechanical equilibrium
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New approaches to treating chronic obstructive pulmonary disease with Colla corii asini
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作者 Wenchao Zhang Siman Sun +3 位作者 Xiaoyu Fan Jiuming He Qing Li Hongtao Jin 《Animal Models and Experimental Medicine》 2026年第1期50-58,共9页
Chronic obstructive pulmonary disease(COPD)is one of the leading causes of death and disability worldwide.Its complex etiology involves factors such as smoking,air pollution,genetic susceptibility,and social environme... Chronic obstructive pulmonary disease(COPD)is one of the leading causes of death and disability worldwide.Its complex etiology involves factors such as smoking,air pollution,genetic susceptibility,and social environment.With the accelerating global aging population and urbanization,the incidence and burden of COPD continue to rise.Current treatment strategies for COPD are relatively conservative,primarily focusing on bronchodilators,inhaled corticosteroids,and long-term oxygen therapy.Although these approaches can alleviate symptoms and slow disease progression to some ex-tent,they fail to effectively target the underlying mechanisms of the disease,leaving an unmet clinical need for more-effective therapies.This highlights the urgency of de-veloping innovative drugs that are both safe and efficacious to address the challenges in COPD treatment.As a traditional Chinese medicine with a long history,Colla corii asini has garnered significant attention for its diverse pharmacological effects and fa-vorable safety profile.Research has shown that Colla corii asini possesses multiple bio-logical activities,including hematopoiesis,nourishing the lungs,enhancing immunity,anti-infection,antiaging,antitumor,and antifatigue effects.Moreover,it has demon-strated potential in regulating oxidative stress,immune imbalance,and inflammatory responses.Recent evidence suggests that Colla corii asini may play a protective role in lung function through multitarget and multipathway mechanisms.Based on previ-ous research findings,this paper explores the potential therapeutic value of Colla corii asini in COPD treatment by addressing the current clinical management challenges and identifying potential therapeutic targets.It also integrates the pharmacological effects of Colla corii asini into a broader treatment context,providing new perspec-tives for comprehensive COPD management and laying the theoretical foundation for its modernization and innovative application. 展开更多
关键词 chronic obstructive pulmonary disease Colla corii asini PHARMACOLOGY therapeutic targets
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Artificial Intelligence-Enhanced Wearable Blood Pressure Monitoring in Resource-Limited Settings:A Co-Design of Sensors,Model,and Deployment
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作者 Yiming Zhang Shirong Qiu +9 位作者 Kai Du Shun Wu Ting Xiang Kenghao Zheng Zijun Liu Hanjie Chen Nan Ji Fa Wang Weijia Wu Yuan-Ting Zhang 《Nano-Micro Letters》 2026年第5期561-589,共29页
Accurate blood pressure(BP)monitoring is essential for preventing and managing cardiovascular disease.Advancements in materials science,medicine,flexible electronic,and artificial intelligence(AI)have enabled cuffless... Accurate blood pressure(BP)monitoring is essential for preventing and managing cardiovascular disease.Advancements in materials science,medicine,flexible electronic,and artificial intelligence(AI)have enabled cuffless,unobtrusive BP monitoring systems,offering an alternative to traditional sphygmomanometers.However,extending these advances to real-world cardiovascular care particularly in resource-limited settings remains challenging due to constraints in computational resources,power efficiency,and deployment scalability.This review presents a comprehensive synthesis of AI-enhanced wearable BP monitoring,emphasizing its potential for personalized,scalable,and accessible healthcare.We systematically analyze the end-to-end system architecture,from mechano-electric sensing principles and AI-based estimation models to edge-aware deployment strategies tailored for low-resource environments.We further discuss clinical validation metrics and implementation barriers and prospective strategies.To bridge lab-to-field translation,we propose an innovative"sensor-model-deployment-assessment"co-design framework.This roadmap highlights how AI-enhanced BP technologies can support proactive hypertension control and promote cardiovascular health equity on a global scale. 展开更多
关键词 Wearable blood pressure RESOURCE-LIMITED EdgeAI Cardiovascular health
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Deep Learning-Assisted Organogel Pressure Sensor for Alphabet Recognition and Bio-Mechanical Motion Monitoring
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作者 Kusum Sharma Kousik Bhunia +5 位作者 Subhajit Chatterjee Muthukumar Perumalsamy Anandhan Ayyappan Saj Theophilus Bhatti Yung‑Cheol Byun Sang-Jae Kim 《Nano-Micro Letters》 2026年第2期644-663,共20页
Wearable sensors integrated with deep learning techniques have the potential to revolutionize seamless human-machine interfaces for real-time health monitoring,clinical diagnosis,and robotic applications.Nevertheless,... Wearable sensors integrated with deep learning techniques have the potential to revolutionize seamless human-machine interfaces for real-time health monitoring,clinical diagnosis,and robotic applications.Nevertheless,it remains a critical challenge to simultaneously achieve desirable mechanical and electrical performance along with biocompatibility,adhesion,self-healing,and environmental robustness with excellent sensing metrics.Herein,we report a multifunctional,anti-freezing,selfadhesive,and self-healable organogel pressure sensor composed of cobalt nanoparticle encapsulated nitrogen-doped carbon nanotubes(CoN CNT)embedded in a polyvinyl alcohol-gelatin(PVA/GLE)matrix.Fabricated using a binary solvent system of water and ethylene glycol(EG),the CoN CNT/PVA/GLE organogel exhibits excellent flexibility,biocompatibility,and temperature tolerance with remarkable environmental stability.Electrochemical impedance spectroscopy confirms near-stable performance across a broad humidity range(40%-95%RH).Freeze-tolerant conductivity under sub-zero conditions(-20℃)is attributed to the synergistic role of CoN CNT and EG,preserving mobility and network integrity.The Co N CNT/PVA/GLE organogel sensor exhibits high sensitivity of 5.75 k Pa^(-1)in the detection range from 0 to 20 k Pa,ideal for subtle biomechanical motion detection.A smart human-machine interface for English letter recognition using deep learning achieved 98%accuracy.The organogel sensor utility was extended to detect human gestures like finger bending,wrist motion,and throat vibration during speech. 展开更多
关键词 Wearable ORGANOGEL Deep learning pressure sensor Bio-mechanical motion
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The Application Value of Chest CT Combined with Serum Vanin-1 and SPP1 in Diagnosing the Severity of Chronic Obstructive Pulmonary Disease
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作者 Yufei Wei Yijie Cui +1 位作者 Wei Zhang Xueyao Wang 《Journal of Clinical and Nursing Research》 2026年第1期354-359,共6页
Objective:To investigate the quantitative assessment efficacy of chest CT combined with serum Vanin-1 and SPP1 in determining the progression stage of chronic obstructive pulmonary disease(COPD).Methods:A total of 100... Objective:To investigate the quantitative assessment efficacy of chest CT combined with serum Vanin-1 and SPP1 in determining the progression stage of chronic obstructive pulmonary disease(COPD).Methods:A total of 100 COPD subjects from our hospital from January 2020 to December 2023 were included and randomly divided into a healthy control group and an experimental group(50 cases each).The healthy control group underwent slow vital capacity measurement using a spirometer,while the experimental group underwent high-resolution thin-slice CT scans and serum Vanin-1 and SPP1 concentration measurements.Pulmonary function parameters,symptom burden,biomarker concentrations,and imaging characteristics were compared between the two groups.Results:The FEV1/FVC ratio in the experimental group(58.3±7.2)was lower than that in the healthy control group(92.1±4.8);the total CAT score(22.4±3.5)was higher than that in the healthy control group(3.1±1.2);both Vanin-1(18.7±2.3μg/L)and SPP1(25.6±4.1μg/L)levels were higher than those in the healthy control group;LAA%-950(38.7±6.2%)and WA%(68.5±5.3%)were significantly higher than those in the healthy control group(all p<0.001).Conclusion:Chest CT combined with serum Vanin-1 and SPP1 can accurately quantify the pathological progression of COPD,providing a dual basis for clinical staging and individualized intervention. 展开更多
关键词 Chronic obstructive pulmonary disease Chest CT Vanin-1 SPP1 Disease assessment
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Evaporation of a CO_(2)Droplet in a High Temperature,Supercritical Pressure Environment
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作者 Yendoubouame Lare Koffi Sagna Amah Séna d’Almeida 《Frontiers in Heat and Mass Transfer》 2026年第1期247-265,共19页
This study presents a numerical investigation of the transient relaxation dynamics of a near-critical CO_(2)droplet immersed in a warmer supercritical environment composed of the same fluid.Three thermodynamic regimes... This study presents a numerical investigation of the transient relaxation dynamics of a near-critical CO_(2)droplet immersed in a warmer supercritical environment composed of the same fluid.Three thermodynamic regimes were analysed:quasi-critical(T_(r)=1.01,P_(r)=1.01),transitional(T_(r)=2.01,P_(r)=1.01),and deep supercritical(T_(r)=5.01,P_(r)=3.01).Theevolution of density,temperature,and velocity fieldswas examined to characterize the internal structure and stability of the interfacial transition layer.The evolution of density,temperature,and velocity fields highlights the competition between thermal diffusion,compressibility,andmass confinement in shaping the stability of the interfacial transition layer.Near the critical point,strong gradients and flux discontinuities emerge,consistent with known instabilities,whereas higher reduced conditions promote homogenization and stabilized transport.In the deep supercritical regime,smooth and nearly uniform fields indicate robust thermal stability.The model is validated against prior studies on droplet evaporation under supercritical and trans-critical conditions.Beyond theoretical insights,the results underline practical implications for advanced propulsion,heat transfer,and evaporation systems as well as for safe CO_(2)supercritical storage and extraction processes in energy,aerospace,pharmaceutical,and materials industries. 展开更多
关键词 Navier-Stokes equations EVAPORATION supercritical pressure temperature density and velocity
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Improving Efficiency of Light Pressure Electric Generator Using Graphene Oxide Nanospacer Between Ag Nanoparticles
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作者 Ha Young Lee Sung-Hyun Kim +3 位作者 Sun-Lyeong Hwang Hyung Soo Ahn Heedae Kim Sam Nyung Yi 《Carbon Energy》 2026年第1期38-47,共10页
Improving device efficiency is fundamental for advancing energy harvesting technology,particularly in systems designed to convert light energy into electrical output.In our previous studies,we developed a basic struct... Improving device efficiency is fundamental for advancing energy harvesting technology,particularly in systems designed to convert light energy into electrical output.In our previous studies,we developed a basic structure light pressure electric generator(Basic-LPEG),which utilized a layered configuration of Ag/Pb(Zr,Ti)O_(3)(PZT)/Pt/GaAs to generate electricity based on light-induced pressure on the PZT.In this study,we sought to enhance the performance of this Basic-LPEG by introducing Ag nanoparticles/graphene oxide(AgNPs/GO)composite units(NP-LPEG),creating upgraded harvesting device.Specifically,by depositing the AgNPs/GO units twice onto the Basic-LPEG,we observed an increase in output voltage and current from 241 mV and 3.1μA to 310 mV and 9.3μA,respectively,under a solar simulator.The increase in electrical output directly correlated with the intensity of the light pressure impacting the PZT,as well as matched the Raman measurements,finite-difference time-domain simulations,and COMSOL Multiphysics Simulation.Experimental data revealed that the enhancement in electrical output was proportional to the number of hot spots generated between Ag nanoparticles,where the electric field experienced substantial amplification.These results underline the effectiveness of AgNPs/GO units in boosting the light-induced electric generation capacity,thereby providing a promising pathway for high-efficiency energy harvesting devices. 展开更多
关键词 Ag nanoparticles energy harvesting graphene oxide light pressure PIEZOELECTRIC
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Curvilinear Supine Position for Pressure Injury Prevention in Pediatric Cardiac Surgery Patients:A Randomized Controlled Trial
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作者 Qianxue Yang Xiuli Xiao +2 位作者 Minzhe Xing Shuo Qin Xian Li 《Journal of Clinical and Nursing Research》 2026年第1期345-353,共9页
Background:Pressure injury(PI)is a prevalent complication in pediatric cardiac surgery,with higher incidence than in general pediatric populations due to children’s thin skin,underdeveloped subcutaneous tissue,and pr... Background:Pressure injury(PI)is a prevalent complication in pediatric cardiac surgery,with higher incidence than in general pediatric populations due to children’s thin skin,underdeveloped subcutaneous tissue,and prolonged intraoperative pressure.Objective:To evaluate the effectiveness of the curvilinear supine position(CSP)in preventing PI among children undergoing congenital heart disease(CHD)surgery.Methods:Between October 2024 and February 2025,a single-center randomized controlled trial was conducted.Of the 80 children initially enrolled for congenital heart disease(CHD)surgery,77(aged 1 month to 14 years)completed the study and were included in the final analysis after 3 were excluded due to protocol violations.Participants were randomly assigned to the CSP group(n=38)or the conventional supine position group(n=39).Results:The incidence of PI was significantly lower in the CSP group(2.6%)compared to the control group(20.5%)(p=0.029).Postoperative LDH levels were also significantly reduced in the CSP group(422.67±86.52 U/L vs.592.92±215.71 U/L;p=0.031),while preoperative LDH and surgical variables(e.g.,cardiopulmonary bypass time)were comparable between groups.Although the CSP group had a shorter hospital stay(17.24 vs.22.51 days),the difference was not statistically significant(p=0.085).Caregiver satisfaction was significantly higher in the CSP group(100.0%vs.84.6%;p=0.025).Conclusion:CSP effectively reduces PI incidence,mitigates tissue injury,and enhances caregiver satisfaction in pediatric cardiac surgery,offering a safe and feasible strategy for perioperative PI prevention. 展开更多
关键词 Curvilinear supine position pressure injury CHILDREN Perioperative nursing Cardiac surgery
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Hepatic artery infusion chemotherapy for advanced hepatocellular carcinoma with obstructive jaundice:A case report and review of literature
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作者 Li Zhang Pan Xiao +2 位作者 Lian-Dong Shi Ke-Xin Chen You-Fu Bing 《World Journal of Gastrointestinal Oncology》 2026年第1期242-249,共8页
BACKGROUND Hepatocellular carcinoma(HCC)is a major type of liver cancer worldwide.In advanced stages,portal vein tumor thrombosis(PVTT)and jaundice are common,whereas obstructive jaundice(OJ)is relatively rare.Both co... BACKGROUND Hepatocellular carcinoma(HCC)is a major type of liver cancer worldwide.In advanced stages,portal vein tumor thrombosis(PVTT)and jaundice are common,whereas obstructive jaundice(OJ)is relatively rare.Both conditions markedly reduce survival and increase therapeutic complexity.Recently,hepatic artery infusion chemotherapy(HAIC)in combination with targeted immunotherapy has shown promise for advanced HCC.CASE SUMMARY We report a 47-year-old male with advanced HCC complicated by PVTT and OJ,who was admitted with marked jaundice of the skin and sclera.Imaging revealed a large hepatic mass(14.5 cm×11.3 cm)in the right lobe with associated portal vein tumor thrombus.The tertiary bile duct was only mildly dilated,making percutaneous transhepatic cholangiography drainage infeasible.The patient underwent reduced-dose HAIC,which resulted in significant tumor shrinkage and marked reduction in serum bilirubin.This improvement enabled sequential treatment with lenvatinib and camrelizumab.After six cycles,both liver function and alphafetoprotein levels improved.The patient achieved a progression-free survival of 20 months and an overall survival of 29 months.CONCLUSION HAIC can treat high-bilirubin HCC with PVTT and OJ,allowing for subsequent targeted immunotherapy. 展开更多
关键词 Hepatocellular carcinoma obstructive jaundice Hepatic artery perfusion chemotherapy Portal vein tumor thrombosis Case report
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Analysis of In-Station Pressure Drops in Shale Gas Gathering Systems Using CFD and Network Modeling
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作者 Kunyi Wu Bo Lei +5 位作者 Yanhua Qiu Hui Li Shize Wei Feng Wang Yu Wu Liming Zhang 《Fluid Dynamics & Materials Processing》 2026年第2期225-252,共28页
This study investigates in-station pressure drop mechanisms in a shale gas gathering system,providing a quantitative basis for flow system optimization.Computational fluid dynamics(CFD)simulations,based on field-measu... This study investigates in-station pressure drop mechanisms in a shale gas gathering system,providing a quantitative basis for flow system optimization.Computational fluid dynamics(CFD)simulations,based on field-measured parameters related to a representative case(a shale gas platform located in Sichuan,China)are conducted to analyze the flow characteristics of specific fittings and manifolds,and to quantify fitting resistance coefficients and manifold inlet interference.The resulting coefficients are integrated into a full-station gathering network model in PipeSim,which,combined with production data,enables evaluation of pressure losses and identification of equivalent pipeline blockages.The results indicate that the resistance coefficients,valid only for fittings under the studied field-specific geometries,are 0.21 for 90◦elbows in the fully open position,0.16 for gate valve passages in the fully open position,and 2.3 for globe valve passages.Manifold interference decreases with lower high-pressure inlet values,whereas inlets farther from the high-pressure side experience stronger disturbances.Interestingly,significant discrepancies between simulated and measured pressure drops reveal partial blockages,corresponding to effective diameter reductions of 65 mm,38 mm,44 mm,38 mm,and 28 mm for Wells 1#,3#,5#,and 6#,respectively. 展开更多
关键词 CFD simulation resistance coefficient correction pressure drop analysis production enhancement
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Plasma Metabolites Mediate the Associations of Gut Microbial Diversity with Ambulatory Blood Pressure and Its Variability
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作者 Zhenghao Tang Zhennan Lin +9 位作者 Jianxin Li Fangchao Liu Jie Cao Shufeng Chen Keyong Huang Hongfan Li Dongsheng Hu Jianfeng Huang Dongfeng Gu Xiangfeng Lu 《Biomedical and Environmental Sciences》 2026年第1期26-35,共10页
Objective Evidence suggests that depleted gut microbialα-diversity is associated with hypertension;however,whether metabolic markers affect this relationship remains unknown.We aimed to determine the potential metabo... Objective Evidence suggests that depleted gut microbialα-diversity is associated with hypertension;however,whether metabolic markers affect this relationship remains unknown.We aimed to determine the potential metabolites mediating the associations ofα-diversity with blood pressure(BP)and BP variability(BPV).Methods Metagenomics and plasma targeted metabolomics were conducted on 523 Chinese participants from the MetaSalt study.The 24-hour,daytime,and nighttime BP and BPV were calculated based on ambulatory BP measurements.Linear mixed models were used to characterize the relationships betweenα-diversity(Shannon and Chao1 index)and BP indices.Mediation analyses were performed to assess the contribution of metabolites to the observed associations.The influence of key metabolites on hypertension was further evaluated in a prospective cohort of 2,169 participants.Results Gut microbial richness(Chao1)was negatively associated with 24-hour systolic BP,daytime systolic BP,daytime diastolic BP,24-hour systolic BPV,and nighttime systolic BPV(P<0.05).Moreover,26 metabolites were strongly associated with richness(Bonferroni P<0.05).Among them,four key metabolites(imidazole propionate,2-hydroxy-3-methylbutyric acid,homovanillic acid,and hydrocinnamic acid)mediated the associations between richness and BP indices(proportions of mediating effects:14.1%–67.4%).These key metabolites were also associated with hypertension in the prospective cohort.For example,each 1-standard deviation unit increase in hydrocinnamic acid significantly reduced the risk of prevalent(OR[95%CI]=0.90[0.82,0.99];P=0.03)and incident hypertension(HR[95%CI]=0.83[0.71,0.96];P=0.01).Conclusion Our results suggest that gut microbial richness correlates with lower BP and BPV,and that certain metabolites mediate these associations.These findings provide novel insights into the pathogenesis and prevention of hypertension. 展开更多
关键词 Ambulatory blood pressure monitoring Gut microbial richness Plasma metabolites MEDIATION HYPERTENSION
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Curcumin attenuates pressure overload-induced cardiac fibrosis in mice via modulating the miR-29b/HDAC4 axis
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作者 Yu Xiang Ying Lv +2 位作者 Xiao-Xiang Liu Bo-Tao Li Jing Liu 《Asian Pacific Journal of Tropical Biomedicine》 2026年第2期59-67,I0001,I0002,共11页
Objective:To investigate the antifibrotic effects of curcumin in a transverse aortic constriction(TAC)mouse model and elucidate its molecular mechanisms.Methods:Male C57BL/6 mice underwent TAC and received vehicle,low... Objective:To investigate the antifibrotic effects of curcumin in a transverse aortic constriction(TAC)mouse model and elucidate its molecular mechanisms.Methods:Male C57BL/6 mice underwent TAC and received vehicle,low-dose curcumin(50 mg/kg),high-dose curcumin(200 mg/kg),high-dose curcumin plus a scrambled control antagomir,or high-dose curcumin plus anti-miR-29b treatments.Cardiac function was assessed by echocardiography.Fibrosis was evaluated by histology,collagen volume fraction,and hydroxyproline content.Expression of miR-29b,HDAC4,and fibrosis-related markers(Col1a1,Col3a1,TGF-β1)was measured by quantitative RT-PCR and Western blotting assays.Myocardial procollagen type I carboxy-terminal propeptide was determined by ELISA,and HDAC4-specific enzymatic activity was assayed using a fluorogenic kit.Results:Curcumin improved cardiac function,reduced fibrosis,restored miR-29b expression,and suppressed HDAC4 expression and activity in a dose-dependent manner.Furthermore,curcumin decreased myocardial procollagen type I carboxy-terminal propeptide levels,confirming reduced collagen synthesis.Anti-miR-29b administration partially abrogated the antifibrotic and cardioprotective effects of curcumin.Conclusions:Curcumin attenuates pressure overload-induced cardiac fibrosis and dysfunction in a TAC mouse model via modulation of the miR-29b/HDAC4 axis and suppression of collagen synthesis. 展开更多
关键词 CURCUMIN Cardiac fibrosis MiR-29b HDAC4 Heart failure pressure overload
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Experimental investigation on trigger dynamics of molten droplet under external disturbance pressure during fuel-coolant interaction
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作者 He-Lin Chen Cheng Peng +2 位作者 Xian-Pin Meng Jian Deng Jiang Wu 《Nuclear Science and Techniques》 2026年第3期189-207,共19页
Fuel-coolant interaction(FCI)remains one of the most complex challenges in severe accident research,with the triggering process being a key aspect that may govern subsequent fine fragmentation and potential steam expl... Fuel-coolant interaction(FCI)remains one of the most complex challenges in severe accident research,with the triggering process being a key aspect that may govern subsequent fine fragmentation and potential steam explosions.In this study,the evolution characteristics of droplet-water interactions under external disturbance conditions were investigated using a self-designed FCI experimental setup.The experimental observations revealed that cavity formation reduced the drag force on the droplet,thereby increasing its peak velocity.However,the external disturbance pressure can disrupt the cavity,leading to a reduction in the droplet peak velocity.Furthermore,it was found that an increase in external disturbance pressure tended to increase the peak value of the droplet expansion rate,thereby promoting the fine-fragmentation process.This effect holds regardless of the initial droplet temperature,coolant temperature,or even when using droplet materials such as lead,which is generally considered unfavorable for steam explosions.Comparative analyses indicated that a higher external disturbance pressure may shorten the triggering time of the droplet surface and enhance the trigger intensity.These findings provide important phenomenological insights for further investigation of the triggering mechanisms in the initial stage of fuel-coolant interactions. 展开更多
关键词 External disturbance pressure Molten droplet Transit velocity Expansion rate Fuel-coolant interaction
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A relay-based probabilistic prediction model for multi-fidelity scenarios in total pressure loss of a compressor cascade with micro-textured surfaces
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作者 Liyue WANG Cong WANG +2 位作者 Xinyue LAN Haochen ZHANG Gang SUN 《Chinese Journal of Aeronautics》 2026年第1期55-65,共11页
The micro-riblet structures have been demonstrated effective in controlling the Total Pressure Loss(TPL)of aero-engine blades.However,due to the considerable scale gap between micro-texture and an actual aero-engine b... The micro-riblet structures have been demonstrated effective in controlling the Total Pressure Loss(TPL)of aero-engine blades.However,due to the considerable scale gap between micro-texture and an actual aero-engine blade,wind tunnel tests and numerical simulations with massive grids directly describing the global flow field are costly for aerodynamic evaluation.Furthermore,the fine micro surface structure brings unavoidable manufacturing errors,and the probability prediction contributes to gaining the confidence interval of the results.Therefore,a novel relay-based probabilistic model for multi-fidelity scenarios in the TPL prediction of a compressor cascade with micro-riblet surfaces is proposed to trade off accuracy and efficiency.Combined with the low-fidelity flow data generated by an aerodynamic solution strategy using the boundary surrogate model and the high-fidelity flow data from the experiment,the relay-based modeling has been achieved through knowledge transferring,and the confidence interval can be provided by the Gaussian Process Regression(GPR)model.The TPL of compressor cascades with micro-riblet surfaces under different surface structures at March number Ma=0.64,0.74,0.84 have been evaluated using the Relay-Based Probabilistic(RBP)model.The results illustrate that the RBP model could provide higher accuracy than the Single-Fidelity-Data-Driven(SFDD)prediction model,which show the promising potential of multi-fidelity scenarios data fusion in the aerodynamic evaluation of multi-scale configurations. 展开更多
关键词 Knowledge transfer Micro-riblet Multi-fidelity surrogate Probability prediction model Total pressure loss
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Propagation characteristics of pressure waves caused by arc discharge in oil under impulse voltage
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作者 Yuhang Li Yuanxiang Zhou +1 位作者 Junguang Yin Jianning Chen 《iEnergy》 2026年第1期87-96,共10页
Arc faults within the transformers can generate sudden pressure surges,constituting significant hazards that may precipitate oil tank explosions and severely compromise power system stability.Conventional power−freque... Arc faults within the transformers can generate sudden pressure surges,constituting significant hazards that may precipitate oil tank explosions and severely compromise power system stability.Conventional power−frequency arc discharge experiments encounter limitations in isolating pressure wave characteristics due to persistent gas generation and arc reignition.To circumvent these challenges,an oil-immersed impulse voltage discharge platform was conceived and engineered to investigate pressure wave propagation dynamics.A pressure numerical simulation model and theoretical model of oil−solid interface reflection and refraction were subsequently established to elucidate the pressure propagation mechanism.The experimental and simulation results show that the pressure wave generated by pulsed arc discharge in oil propagates radially in the form of spherical waves.Due to the viscous loss and wave front expansion of transformer oil,the peak pressure decays exponentially with distance,with a decay coefficientβ=1.15.When pressure waves encounter metal obstacles inside transformer oil,there are two propagation paths:direct transmission through and multiple reflections through,and a mode transformation of pressure waves occurs at the oil−solid interface,mainly propagating through obstacles in the form of transverse waves.This work quantitatively delineates the energy pressure wave coupling,propagation dynamics,and attenuation mechanisms,providing critical insights for assessing and mitigating arc fault-induced transformer explosion risks. 展开更多
关键词 Transformer oil Impulse discharge pressure wave PROPAGATION Liquid−solid interface
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