This paper establishes an evaluation model of the customer satisfaction index for the wellhead blowout preventers of China＇s petroleum industry based on evaluation models of the customer satisfaction index at home an...This paper establishes an evaluation model of the customer satisfaction index for the wellhead blowout preventers of China＇s petroleum industry based on evaluation models of the customer satisfaction index at home and aboard, and by considering the consuming situation in China and the features of the China＇s petroleum industry. For the existence of： （1） multiple correlations among the factors in the model; （2） the variables need to be explained, but that are hard to observe; （3） the customer satisfaction degree of observation variables appears the shape of skewness or two or three peaks, the correlations between the satisfaction index and its factors cannot be described by common multiple regression. This paper uses a partial least squares （PLS） method based on principal components and typical correlative analysis to solve the problem. When PLS is used in the model of the customer satisfaction index of the wellhead blowout preventers, the latent variables and the explanation degree coefficient of the manifest variable to the corresponding latent variables are estimated by PLS path analysis, and the influencing coefficient among the latent variables in the model is estimated by PLS regression analysis. PLS is also be used to calculate and analyze the model and disclose the correlations among the structural variables as well as the correlation between structural variables and its corresponding observation variables, evaluating results of which provide useful information for petroleum industry to improve the product quality and to the enhancement of the customer satisfaction to the product.展开更多
A shear ram is of great significance to ensuring the safe operation of oil/gas well drilling and production,but the mechanical properties of the ram itself in the shearing process are rarely researched.Based on the ba...A shear ram is of great significance to ensuring the safe operation of oil/gas well drilling and production,but the mechanical properties of the ram itself in the shearing process are rarely researched.Based on the basic motion law of the shear ram,combined its structural and operating parameters comprehensively,a model for solving the stress on the cutting edge was established corresponding to three stages(i.e.,shear point contact,cutting and penetrating the drill pipe)according to the wedge stress theory.Then,based on the novel shear ram,the numerical simulation and indoor shear experiment were carried out on CT90 coiled tubing to understand the variation laws of ram stress and shear point stress in the shearing process.And the following research results were obtained.First,when the shear point doesn't contact with the CT90 coiled tubing,the stress at the V-shaped angular center of the ram is the largest,and that at the shear point is extremely small.Second,when the shear point just touches the CT90 coiled tubing,the phenomenon of stress concentration occurs in the vicinity of the shear point of the ram cutting edge.Third,when the shear point cuts into the CT90 coiled tubing,the stress on the shear point and on both wedge edges is the largest,reaching the strength limit of the ram(1050MPa).Fourth,when the shear point enters the annulus after penetrating the CT90 coiled tubing,the ram stress on both sides of the junction between the cutting edge chamfer and the vertical plane is the largest.Fifth,After the CT90 coiled tubing is cut,crack damage occurs in the vicinity of the shear point of the ram cutting edge.In conclusion,the research results can better reflect the stress state of the ram cutting edge and its interaction with the drill pipe in the shearing process,and can provide an important reference for the design,manufacturing and the correct field application of shear rams.展开更多
Background:In 2021,the American College of Medical Genetics and Genomics(ACMG)recommended reporting actionable genotypes in 73 genes associated with diseases for which preventive or therapeutic measures are available....Background:In 2021,the American College of Medical Genetics and Genomics(ACMG)recommended reporting actionable genotypes in 73 genes associated with diseases for which preventive or therapeutic measures are available.Evaluations of the association of actionable genotypes in these genes with life span are currently lacking.展开更多
China’s coastal regions,characterized by dense populations and industrial agglomeration,face escalating threats from typhoon disasters.Understanding the evolution of socio-economic exposure to future typhoon landfall...China’s coastal regions,characterized by dense populations and industrial agglomeration,face escalating threats from typhoon disasters.Understanding the evolution of socio-economic exposure to future typhoon landfalls under global change is critical for effective disaster risk management.This study utilizes future typhoon track data simulated by the regional climate model version 4(RegCM4),combined with projected population and Gross Domestic Product(GDP)data for China’s coastal regions under three Shared Socioeconomic Pathways(SSPs:SSP1,sustainability;SSP2,middle of the road;SSP5,fossil-fueled development).We analyze typhoon impact zones for future periods(2030s,2050s,and 2090s)under Representative Concentration Pathways(RCPs:RCP2.6,RCP4.5,and RCP8.5,representing low,medium,and high greenhouse gas emission scenarios,respectively).Exposure levels for 2030,2050,and 2100 are calculated based on the annual average frequency of typhoon impacts during these periods,aiming to quantify the distribution characteristics of typhoon-affected population and GDP in China’s coastal regions.Key findings reveal two high-frequency typhoon im-pact zones:the Taiwan Strait region and the northern Qiongzhou Strait region.Furthermore,under RCP2.6,typhoon impacts may ex-tend to Liaoning,while RCP4.5 and RCP8.5 scenarios indicate potential impacts reaching further north to Heilongjiang.Under RCP4.5,Northeast China will experience the largest typhoon-affected area(43.800×10^(4) km^(2))by the 2030s.High population and GDP exposure concentrates in the Yangtze River Delta,the Pearl River Delta,and the Taiwan Strait coastal areas.Notably,Liaoning’s cumulative ex-posed population may exceed 0.100×10^(8) by 2030 and 2050 under RCP4.5 and RCP8.5 due to typhoon track migration.Given China’s location within the Western Pacific typhoon high-incidence region,the northward expansion of impacts will substantially escalate socio-economic exposure in mid-latitude regions previously at lower risk.These findings underscore the imperative for enhanced disaster pre-vention,mitigation strategies and targeted countermeasure research.展开更多
Acute exposure to high altitude can cause acute altitude illnesses and is associated with impaired cognitive and physical performance.The most effective preventive strategies currently recommended include environmenta...Acute exposure to high altitude can cause acute altitude illnesses and is associated with impaired cognitive and physical performance.The most effective preventive strategies currently recommended include environmental acclimatization(slow ascent and/or pre-acclimatization)or pharmacological support of acclimatization using acetazolamide.However,these strategies are not practical for high-altitude exposures that require rapid and unplanned ascent,high physical and mental performance,such as rescue missions or military operations.Dexamethasone and other modulators of the glucocorticoid system take effect quickly and are effective alternatives for preventing acute altitude illnesses when rapidly ascending to high altitudes.As the efficacy of dexamethasone in preventing acute mountain illnesses remains controversial,a review of existing studies on the use of dexamethasone for the prevention of acute mountain sickness was conducted,aiming to determine the best strategy.Possible mechanisms of protection against acute altitude illnesses are discussed based on the results of clinical trials.The data indicate that dexamethasone is most effective at altitudes above 4000 m at doses of 8–16 mg/d.Appropriately designed and powered trials are needed to obtain more evidence-based results on the dosage and timing of dexamethasone administration,and to provide optimized recommendations for the application of this powerful pharmacological tool.展开更多
BACKGROUND Post-endoscopic retrograde cholangiopancreatography pancreatitis(PEP)is a prevalent and potentially serious complication in patients undergoing endoscopic retrograde cholangiopancreatography.AIM To comprehe...BACKGROUND Post-endoscopic retrograde cholangiopancreatography pancreatitis(PEP)is a prevalent and potentially serious complication in patients undergoing endoscopic retrograde cholangiopancreatography.AIM To comprehensively assess the efficacy of indomethacin therapy in reducing PEP risk.METHODS We searched PubMed,EMBASE,Scopus,and Cochrane Library databases to identify randomized controlled trials(RCTs)that compared rectal indomethacin with a control group to prevent PEP.Duplicates were removed,and studies were included based on the established inclusion criteria.We used the Cochrane Collaboration’s tool to assess the risk of bias in the RCTs.A random-effects model was applied to produce pooled risk ratios(RRs)with 95%confidence intervals(CIs).RESULTS We included a total of 30 RCTs involving 16977 patients.Compared to the control group,rectal indomethacin showed comparable rates of overall PEP(PEP;RR=0.85,95%CI:0.69-1.04,I2=79%)with no statistically significant difference of RR in mild(RR=0.92,95%CI:0.74-1.14),moderate(RR=0.78,95%CI:0.59-1.02),or severe PEP(RR=1.12,95%CI:0.75-1.67).There was also no difference in cases of adverse events(RR=0.97,95%CI:0.69-1.35),abdominal pain(RR=1.14,95%CI:0.80-1.62),bleeding(RR=1.07,95%CI:0.70-1.63),or mortality(RR=0.86,95%CI:0.56-1.33)between the two groups.Subgroup analyses were also performed.CONCLUSION Rectal indomethacin appears to be safe and may offer benefit in selected high-risk patients,though findings should be interpreted with caution due to high heterogeneity.展开更多
Challenges in the prevention and treatment of mild cognitive impairment associated with Alzheimer's disease:Increased life expectancy due to advancements in medical care has given rise to an aging population,accom...Challenges in the prevention and treatment of mild cognitive impairment associated with Alzheimer's disease:Increased life expectancy due to advancements in medical care has given rise to an aging population,accompanied by a surge in the incidence of incurable neurodegenerative diseases(NDDs).These diseases primarily affect the cognitive and behavioral functions of older adults by impacting brain activity.Mild cognitive impairment(MCI)is a neurodegenerative condition that affects a significant portion of the population.展开更多
Tooth developmental anomalies are a group of disorders caused by unfavorable factors affecting the tooth development process,resulting in abnormalities in tooth number,structure,and morphology.These anomalies typicall...Tooth developmental anomalies are a group of disorders caused by unfavorable factors affecting the tooth development process,resulting in abnormalities in tooth number,structure,and morphology.These anomalies typically manifest during childhood,impairing dental function,maxillofacial development,and facial aesthetics,while also potentially impacting overall physical and mental health.The complex etiology and diverse clinical phenotypes of these anomalies pose significant challenges for prevention,early diagnosis,and treatment.As they usually emerge early in life,long-term management and multidisciplinary collaboration in dental care are essential.However,there is currently a lack of systematic clinical guidelines for the diagnosis and treatment of these conditions,adding to the difficulties in clinical practice.In response to this need,this expert consensus summarizes the classifications,etiology,typical clinical manifestations,and diagnostic criteria of tooth developmental anomalies based on current clinical evidence.It also provides prevention strategies and stage-specific clinical management recommendations to guide clinicians in diagnosis and treatment,promoting early intervention and standardized care for these anomalies.展开更多
1.Introduction Injury prevention is an essential element of science and medicine in sports,and it garners attention from stakeholders focused on minimizing athletes’injury risk.Catchy titles including“injury risk”o...1.Introduction Injury prevention is an essential element of science and medicine in sports,and it garners attention from stakeholders focused on minimizing athletes’injury risk.Catchy titles including“injury risk”or“injury prevention”are likely to grab the readers’attention.Meanwhile,studies on injury prevention might assess the impact of interventions on mitigating injury risk factors(e.g.,strength,range of motion(ROM))but fail to report injury data(e.g.,incidence).1,2 Likewise,observational studies may include“injury risk”in their titles,but fail to provide injury data.3 Without injury data.展开更多
Dementia and Alzheimer's disease (AD) are both age-related conditions that predominantly affect older adults.According to prevalence studies,the burden of these diseases on society is expected to increase in the c...Dementia and Alzheimer's disease (AD) are both age-related conditions that predominantly affect older adults.According to prevalence studies,the burden of these diseases on society is expected to increase in the coming years,particularly in relation to rising longevity and life expectancy.Advances in therapeutic and preventive strategies are needed to help reduce their global burden,which remains among the most significant health challenges in aging populations (Brookmeyer et al.,2007).展开更多
This article examines the intelligent forest sentry system in the Mount Tai Scenic Area, analyzing its applications, accomplishments, and significance in forest fire prevention. It highlights the system's critical...This article examines the intelligent forest sentry system in the Mount Tai Scenic Area, analyzing its applications, accomplishments, and significance in forest fire prevention. It highlights the system's critical role in enhancing comprehensive forest fire prevention and control capabilities, accelerating emergency response times, and safeguarding the heritage resources of Mount Tai. Furthermore, the system is evolving into a "Smart Forest and Grassland Resources Supervision Platform" that integrates forest fire early warning, ecological environment monitoring, and pest and disease management to promote the sustainable development of forest resources.展开更多
With the intensification of population aging,knee and hip joint replacement surgeries have become core methods for treating end-stage joint diseases,with over a million cases performed globally each year.Postoperative...With the intensification of population aging,knee and hip joint replacement surgeries have become core methods for treating end-stage joint diseases,with over a million cases performed globally each year.Postoperative rehabilitation nursing,as a crucial aspect of enhancing surgical outcomes,reducing complications,and facilitating patients’return to normal life,has its scientific and effective protocols directly influencing patient prognosis.This article systematically reviews the core research findings on rehabilitation nursing after joint replacement surgery based on the concept of evidence-based medicine,aiming to provide references for the formulation of standardized and personalized rehabilitation nursing plans in clinical settings.展开更多
Alzheimer’s disease,a devastating neurodegenerative disorder,is characterized by progressive cognitive decline,primarily due to amyloid-beta protein deposition and tau protein phosphorylation.Effectively reducing the...Alzheimer’s disease,a devastating neurodegenerative disorder,is characterized by progressive cognitive decline,primarily due to amyloid-beta protein deposition and tau protein phosphorylation.Effectively reducing the cytotoxicity of amyloid-beta42 aggregates and tau oligomers may help slow the progression of Alzheimer’s disease.Conventional drugs,such as donepezil,can only alleviate symptoms and are not able to prevent the underlying pathological processes or cognitive decline.Currently,active and passive immunotherapies targeting amyloid-beta and tau have shown some efficacy in mice with asymptomatic Alzheimer’s disease and other transgenic animal models,attracting considerable attention.However,the clinical application of these immunotherapies demonstrated only limited efficacy before the discovery of lecanemab and donanemab.This review first discusses the advancements in the pathogenesis of Alzheimer’s disease and active and passive immunotherapies targeting amyloid-beta and tau proteins.Furthermore,it reviews the advantages and disadvantages of various immunotherapies and considers their future prospects.Although some antibodies have shown promise in patients with mild Alzheimer’s disease,substantial clinical data are still lacking to validate their effectiveness in individuals with moderate Alzheimer’s disease.展开更多
This paper presents an overview of the pathogens, symptoms of damage, patterns of occurrence, and chemical control methods associated with four major pear tree diseases: pear scab, pear ring rot, pear anthracnose, and...This paper presents an overview of the pathogens, symptoms of damage, patterns of occurrence, and chemical control methods associated with four major pear tree diseases: pear scab, pear ring rot, pear anthracnose, and pear speckle. The objective is to provide valuable references for the scientific and precise prevention and management of diseases in pear orchards, thereby contributing to the production of high-quality and high-yield pear fruits.展开更多
Objective: To evaluate the preventive effect of shoulder dystocia midwifery techniques combined with predictive nursing on shoulder dystocia. Methods: A total of 82 high-risk pregnant women with shoulder dystocia admi...Objective: To evaluate the preventive effect of shoulder dystocia midwifery techniques combined with predictive nursing on shoulder dystocia. Methods: A total of 82 high-risk pregnant women with shoulder dystocia admitted for childbirth from January 2022 to January 2025 were selected and equally divided using a random number table. The experimental group received shoulder dystocia midwifery techniques combined with predictive nursing, while the reference group received routine midwifery care. Indicators such as the preventive effect on shoulder dystocia were compared between the two groups. Results: The incidence of shoulder dystocia in the experimental group was lower than that in the reference group, the duration of labor was shorter, the amount of intra-partum bleeding was less, the incidence of adverse delivery outcomes was lower, and the score for fear of childbirth after intervention was lower than that in the reference group (p < 0.05). Conclusion: Implementing shoulder dystocia midwifery techniques combined with predictive nursing for high-risk pregnant women with shoulder dystocia can prevent shoulder dystocia and other adverse delivery outcomes, shorten the duration of labor, reduce intra-partum bleeding, and alleviate pregnant women’s fear of childbirth, demonstrating high nursing value.展开更多
Rabies is a zoonotic disease with an estimated global mortality of 59,000 people annually and a burden of more than 3.7 million disability-adjusted life years(DALYs)that is caused by a neurotropic lyssavirus[1].Dogs a...Rabies is a zoonotic disease with an estimated global mortality of 59,000 people annually and a burden of more than 3.7 million disability-adjusted life years(DALYs)that is caused by a neurotropic lyssavirus[1].Dogs are the primary source of human rabies,as more than 95%of human cases can be traced to dogs[2,3].China faces a substantial burden of rabies,having endured three major human rabies epidemics,which occurred in the 1950s,1981,and 2007[4].Implementation of various prevention and control measures has decreased the number of human rabies cases from 3,300 in 2007 to 167 in 2024.In China.展开更多
BCL2-associated anthanogene 3 facilitates the clearance of tau protein aggregates:BCL2-associated anthanogene 3(BAG3)is a ubiquitously expressed and highly conserved multi-functional co-chaperone protein involved in m...BCL2-associated anthanogene 3 facilitates the clearance of tau protein aggregates:BCL2-associated anthanogene 3(BAG3)is a ubiquitously expressed and highly conserved multi-functional co-chaperone protein involved in many biological processes that supports cellular homeostasis,including the inhibition of apoptosis by preventing mitochondrial BAX localization(Lin et al.,2022)and the promotion of the degradation of hyperphosphorylated tau aggregates by its interactions with SQSTM1(p62)(Hamano and Mutoh,2022).展开更多
Deepfake is a sort of fake media made by advanced AI methods like Generative Adversarial Networks(GANs).Deepfake technology has many useful uses in education and entertainment,but it also raises a lot of ethical,socia...Deepfake is a sort of fake media made by advanced AI methods like Generative Adversarial Networks(GANs).Deepfake technology has many useful uses in education and entertainment,but it also raises a lot of ethical,social,and security issues,such as identity theft,the dissemination of false information,and privacy violations.This study seeks to provide a comprehensive analysis of several methods for identifying and circumventing Deepfakes,with a particular focus on image-based Deepfakes.There are three main types of detection methods:classical,machine learning(ML)and deep learning(DL)-based,and hybrid methods.There are three main types of preventative methods:technical,legal,and moral.The study investigates the effectiveness of several detection approaches,such as convolutional neural networks(CNNs),frequency domain analysis,and hybrid CNN-LSTM models,focusing on the respective advantages and disadvantages of each method.We also look at new technologies like Explainable Artificial Intelligence(XAI)and blockchain-based frameworks.The essay looks at the use of algorithmic protocols,watermarking,and blockchain-based content verification as possible ways to stop certain things from happening.Recent advancements,including adversarial training and anti-Deepfake data generation,are essential because of their potential to alleviate rising concerns.This reviewshows that there aremajor problems,such as the difficulty of improving the capabilities of existing systems,the high running expenses,and the risk of being attacked by enemies.It stresses the importance of working together across fields,including academia,business,and government,to create robust,scalable,and ethical solutions.Themain goals of futurework should be to create lightweight,real-timedetection systems,connect them to large language models(LLMs),and put in place worldwide regulatory frameworks.This essay argues for a complete and varied plan to keep digital information real and build confidence in a time when media is driven by artificial intelligence.It uses both technical and non-technical means.展开更多
Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the...Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the past decades worldwide[1],but the growth in healthy life expectancy has generally lagged behind[2].China has made substantial strides in enhancing both life expectancy and healthy life expectancy.展开更多
文摘This paper establishes an evaluation model of the customer satisfaction index for the wellhead blowout preventers of China＇s petroleum industry based on evaluation models of the customer satisfaction index at home and aboard, and by considering the consuming situation in China and the features of the China＇s petroleum industry. For the existence of： （1） multiple correlations among the factors in the model; （2） the variables need to be explained, but that are hard to observe; （3） the customer satisfaction degree of observation variables appears the shape of skewness or two or three peaks, the correlations between the satisfaction index and its factors cannot be described by common multiple regression. This paper uses a partial least squares （PLS） method based on principal components and typical correlative analysis to solve the problem. When PLS is used in the model of the customer satisfaction index of the wellhead blowout preventers, the latent variables and the explanation degree coefficient of the manifest variable to the corresponding latent variables are estimated by PLS path analysis, and the influencing coefficient among the latent variables in the model is estimated by PLS regression analysis. PLS is also be used to calculate and analyze the model and disclose the correlations among the structural variables as well as the correlation between structural variables and its corresponding observation variables, evaluating results of which provide useful information for petroleum industry to improve the product quality and to the enhancement of the customer satisfaction to the product.
基金supported by the National Major Special Project of Oil and Gas(No.2016ZX05042003-001,2016ZX05066004-002)the Scientific and Technological Research Guidance Project(No.MTKJ2016-279)by the China National Coal Association,and the Jiangsu Provincial Postdoctoral Scientific and Technological Funding Program(No.1601053C).
文摘A shear ram is of great significance to ensuring the safe operation of oil/gas well drilling and production,but the mechanical properties of the ram itself in the shearing process are rarely researched.Based on the basic motion law of the shear ram,combined its structural and operating parameters comprehensively,a model for solving the stress on the cutting edge was established corresponding to three stages(i.e.,shear point contact,cutting and penetrating the drill pipe)according to the wedge stress theory.Then,based on the novel shear ram,the numerical simulation and indoor shear experiment were carried out on CT90 coiled tubing to understand the variation laws of ram stress and shear point stress in the shearing process.And the following research results were obtained.First,when the shear point doesn't contact with the CT90 coiled tubing,the stress at the V-shaped angular center of the ram is the largest,and that at the shear point is extremely small.Second,when the shear point just touches the CT90 coiled tubing,the phenomenon of stress concentration occurs in the vicinity of the shear point of the ram cutting edge.Third,when the shear point cuts into the CT90 coiled tubing,the stress on the shear point and on both wedge edges is the largest,reaching the strength limit of the ram(1050MPa).Fourth,when the shear point enters the annulus after penetrating the CT90 coiled tubing,the ram stress on both sides of the junction between the cutting edge chamfer and the vertical plane is the largest.Fifth,After the CT90 coiled tubing is cut,crack damage occurs in the vicinity of the shear point of the ram cutting edge.In conclusion,the research results can better reflect the stress state of the ram cutting edge and its interaction with the drill pipe in the shearing process,and can provide an important reference for the design,manufacturing and the correct field application of shear rams.
文摘Background:In 2021,the American College of Medical Genetics and Genomics(ACMG)recommended reporting actionable genotypes in 73 genes associated with diseases for which preventive or therapeutic measures are available.Evaluations of the association of actionable genotypes in these genes with life span are currently lacking.
基金Under the auspices of National Key Research and Development Program of China(No.2017YFA0604902,2024YFF1306802)Natural Science Foundation of Fujian Province(No.2022J01497)Open Project of the Strait Meteorology Laboratory(No.2025KF03)。
文摘China’s coastal regions,characterized by dense populations and industrial agglomeration,face escalating threats from typhoon disasters.Understanding the evolution of socio-economic exposure to future typhoon landfalls under global change is critical for effective disaster risk management.This study utilizes future typhoon track data simulated by the regional climate model version 4(RegCM4),combined with projected population and Gross Domestic Product(GDP)data for China’s coastal regions under three Shared Socioeconomic Pathways(SSPs:SSP1,sustainability;SSP2,middle of the road;SSP5,fossil-fueled development).We analyze typhoon impact zones for future periods(2030s,2050s,and 2090s)under Representative Concentration Pathways(RCPs:RCP2.6,RCP4.5,and RCP8.5,representing low,medium,and high greenhouse gas emission scenarios,respectively).Exposure levels for 2030,2050,and 2100 are calculated based on the annual average frequency of typhoon impacts during these periods,aiming to quantify the distribution characteristics of typhoon-affected population and GDP in China’s coastal regions.Key findings reveal two high-frequency typhoon im-pact zones:the Taiwan Strait region and the northern Qiongzhou Strait region.Furthermore,under RCP2.6,typhoon impacts may ex-tend to Liaoning,while RCP4.5 and RCP8.5 scenarios indicate potential impacts reaching further north to Heilongjiang.Under RCP4.5,Northeast China will experience the largest typhoon-affected area(43.800×10^(4) km^(2))by the 2030s.High population and GDP exposure concentrates in the Yangtze River Delta,the Pearl River Delta,and the Taiwan Strait coastal areas.Notably,Liaoning’s cumulative ex-posed population may exceed 0.100×10^(8) by 2030 and 2050 under RCP4.5 and RCP8.5 due to typhoon track migration.Given China’s location within the Western Pacific typhoon high-incidence region,the northward expansion of impacts will substantially escalate socio-economic exposure in mid-latitude regions previously at lower risk.These findings underscore the imperative for enhanced disaster pre-vention,mitigation strategies and targeted countermeasure research.
文摘Acute exposure to high altitude can cause acute altitude illnesses and is associated with impaired cognitive and physical performance.The most effective preventive strategies currently recommended include environmental acclimatization(slow ascent and/or pre-acclimatization)or pharmacological support of acclimatization using acetazolamide.However,these strategies are not practical for high-altitude exposures that require rapid and unplanned ascent,high physical and mental performance,such as rescue missions or military operations.Dexamethasone and other modulators of the glucocorticoid system take effect quickly and are effective alternatives for preventing acute altitude illnesses when rapidly ascending to high altitudes.As the efficacy of dexamethasone in preventing acute mountain illnesses remains controversial,a review of existing studies on the use of dexamethasone for the prevention of acute mountain sickness was conducted,aiming to determine the best strategy.Possible mechanisms of protection against acute altitude illnesses are discussed based on the results of clinical trials.The data indicate that dexamethasone is most effective at altitudes above 4000 m at doses of 8–16 mg/d.Appropriately designed and powered trials are needed to obtain more evidence-based results on the dosage and timing of dexamethasone administration,and to provide optimized recommendations for the application of this powerful pharmacological tool.
文摘BACKGROUND Post-endoscopic retrograde cholangiopancreatography pancreatitis(PEP)is a prevalent and potentially serious complication in patients undergoing endoscopic retrograde cholangiopancreatography.AIM To comprehensively assess the efficacy of indomethacin therapy in reducing PEP risk.METHODS We searched PubMed,EMBASE,Scopus,and Cochrane Library databases to identify randomized controlled trials(RCTs)that compared rectal indomethacin with a control group to prevent PEP.Duplicates were removed,and studies were included based on the established inclusion criteria.We used the Cochrane Collaboration’s tool to assess the risk of bias in the RCTs.A random-effects model was applied to produce pooled risk ratios(RRs)with 95%confidence intervals(CIs).RESULTS We included a total of 30 RCTs involving 16977 patients.Compared to the control group,rectal indomethacin showed comparable rates of overall PEP(PEP;RR=0.85,95%CI:0.69-1.04,I2=79%)with no statistically significant difference of RR in mild(RR=0.92,95%CI:0.74-1.14),moderate(RR=0.78,95%CI:0.59-1.02),or severe PEP(RR=1.12,95%CI:0.75-1.67).There was also no difference in cases of adverse events(RR=0.97,95%CI:0.69-1.35),abdominal pain(RR=1.14,95%CI:0.80-1.62),bleeding(RR=1.07,95%CI:0.70-1.63),or mortality(RR=0.86,95%CI:0.56-1.33)between the two groups.Subgroup analyses were also performed.CONCLUSION Rectal indomethacin appears to be safe and may offer benefit in selected high-risk patients,though findings should be interpreted with caution due to high heterogeneity.
基金supported by The Basic Science Research Program through the National Research Foundation of Korea(NRF)funded by the Ministry of Education(RS-2023-00244901)(to RB)。
文摘Challenges in the prevention and treatment of mild cognitive impairment associated with Alzheimer's disease:Increased life expectancy due to advancements in medical care has given rise to an aging population,accompanied by a surge in the incidence of incurable neurodegenerative diseases(NDDs).These diseases primarily affect the cognitive and behavioral functions of older adults by impacting brain activity.Mild cognitive impairment(MCI)is a neurodegenerative condition that affects a significant portion of the population.
基金supported by the grants No.82370912 from the National Natural Science Foundation of ChinaNo.2022020801010499 from the Bureau of Science and Technology of Wuhan,ChinaNo.2042023kf0231 from the Fundamental Research Funds for the Central Universities,China。
文摘Tooth developmental anomalies are a group of disorders caused by unfavorable factors affecting the tooth development process,resulting in abnormalities in tooth number,structure,and morphology.These anomalies typically manifest during childhood,impairing dental function,maxillofacial development,and facial aesthetics,while also potentially impacting overall physical and mental health.The complex etiology and diverse clinical phenotypes of these anomalies pose significant challenges for prevention,early diagnosis,and treatment.As they usually emerge early in life,long-term management and multidisciplinary collaboration in dental care are essential.However,there is currently a lack of systematic clinical guidelines for the diagnosis and treatment of these conditions,adding to the difficulties in clinical practice.In response to this need,this expert consensus summarizes the classifications,etiology,typical clinical manifestations,and diagnostic criteria of tooth developmental anomalies based on current clinical evidence.It also provides prevention strategies and stage-specific clinical management recommendations to guide clinicians in diagnosis and treatment,promoting early intervention and standardized care for these anomalies.
基金Centre of Research,Education,Innovation,and Intervention in Sport(CIFI2D)is financed by the Portuguese Foundation for Science and Technology,under the DOI https://doi.org/10.54499/UIDB/05913/2020。
文摘1.Introduction Injury prevention is an essential element of science and medicine in sports,and it garners attention from stakeholders focused on minimizing athletes’injury risk.Catchy titles including“injury risk”or“injury prevention”are likely to grab the readers’attention.Meanwhile,studies on injury prevention might assess the impact of interventions on mitigating injury risk factors(e.g.,strength,range of motion(ROM))but fail to report injury data(e.g.,incidence).1,2 Likewise,observational studies may include“injury risk”in their titles,but fail to provide injury data.3 Without injury data.
文摘Dementia and Alzheimer's disease (AD) are both age-related conditions that predominantly affect older adults.According to prevalence studies,the burden of these diseases on society is expected to increase in the coming years,particularly in relation to rising longevity and life expectancy.Advances in therapeutic and preventive strategies are needed to help reduce their global burden,which remains among the most significant health challenges in aging populations (Brookmeyer et al.,2007).
文摘This article examines the intelligent forest sentry system in the Mount Tai Scenic Area, analyzing its applications, accomplishments, and significance in forest fire prevention. It highlights the system's critical role in enhancing comprehensive forest fire prevention and control capabilities, accelerating emergency response times, and safeguarding the heritage resources of Mount Tai. Furthermore, the system is evolving into a "Smart Forest and Grassland Resources Supervision Platform" that integrates forest fire early warning, ecological environment monitoring, and pest and disease management to promote the sustainable development of forest resources.
文摘With the intensification of population aging,knee and hip joint replacement surgeries have become core methods for treating end-stage joint diseases,with over a million cases performed globally each year.Postoperative rehabilitation nursing,as a crucial aspect of enhancing surgical outcomes,reducing complications,and facilitating patients’return to normal life,has its scientific and effective protocols directly influencing patient prognosis.This article systematically reviews the core research findings on rehabilitation nursing after joint replacement surgery based on the concept of evidence-based medicine,aiming to provide references for the formulation of standardized and personalized rehabilitation nursing plans in clinical settings.
基金supported by the Nature Science Foundation of Liaoning Province,Nos.2022-MS-211,2021-MS-064,and 2024-MS-048(all to YC).
文摘Alzheimer’s disease,a devastating neurodegenerative disorder,is characterized by progressive cognitive decline,primarily due to amyloid-beta protein deposition and tau protein phosphorylation.Effectively reducing the cytotoxicity of amyloid-beta42 aggregates and tau oligomers may help slow the progression of Alzheimer’s disease.Conventional drugs,such as donepezil,can only alleviate symptoms and are not able to prevent the underlying pathological processes or cognitive decline.Currently,active and passive immunotherapies targeting amyloid-beta and tau have shown some efficacy in mice with asymptomatic Alzheimer’s disease and other transgenic animal models,attracting considerable attention.However,the clinical application of these immunotherapies demonstrated only limited efficacy before the discovery of lecanemab and donanemab.This review first discusses the advancements in the pathogenesis of Alzheimer’s disease and active and passive immunotherapies targeting amyloid-beta and tau proteins.Furthermore,it reviews the advantages and disadvantages of various immunotherapies and considers their future prospects.Although some antibodies have shown promise in patients with mild Alzheimer’s disease,substantial clinical data are still lacking to validate their effectiveness in individuals with moderate Alzheimer’s disease.
基金Supported by Innovation Project of Hebei Academy of Agricultural and Forestry Sciences(2022KJCXZX-CGS-7)Hebei Agriculture Research System(HBCT2024170406).
文摘This paper presents an overview of the pathogens, symptoms of damage, patterns of occurrence, and chemical control methods associated with four major pear tree diseases: pear scab, pear ring rot, pear anthracnose, and pear speckle. The objective is to provide valuable references for the scientific and precise prevention and management of diseases in pear orchards, thereby contributing to the production of high-quality and high-yield pear fruits.
文摘Objective: To evaluate the preventive effect of shoulder dystocia midwifery techniques combined with predictive nursing on shoulder dystocia. Methods: A total of 82 high-risk pregnant women with shoulder dystocia admitted for childbirth from January 2022 to January 2025 were selected and equally divided using a random number table. The experimental group received shoulder dystocia midwifery techniques combined with predictive nursing, while the reference group received routine midwifery care. Indicators such as the preventive effect on shoulder dystocia were compared between the two groups. Results: The incidence of shoulder dystocia in the experimental group was lower than that in the reference group, the duration of labor was shorter, the amount of intra-partum bleeding was less, the incidence of adverse delivery outcomes was lower, and the score for fear of childbirth after intervention was lower than that in the reference group (p < 0.05). Conclusion: Implementing shoulder dystocia midwifery techniques combined with predictive nursing for high-risk pregnant women with shoulder dystocia can prevent shoulder dystocia and other adverse delivery outcomes, shorten the duration of labor, reduce intra-partum bleeding, and alleviate pregnant women’s fear of childbirth, demonstrating high nursing value.
文摘Rabies is a zoonotic disease with an estimated global mortality of 59,000 people annually and a burden of more than 3.7 million disability-adjusted life years(DALYs)that is caused by a neurotropic lyssavirus[1].Dogs are the primary source of human rabies,as more than 95%of human cases can be traced to dogs[2,3].China faces a substantial burden of rabies,having endured three major human rabies epidemics,which occurred in the 1950s,1981,and 2007[4].Implementation of various prevention and control measures has decreased the number of human rabies cases from 3,300 in 2007 to 167 in 2024.In China.
基金supported by the award W81XWH1910309 (to HF) from the Department of Defensethe award R01-AG075092-01 (to HF)+2 种基金the award RF1AG063521 from the National Institute of Aging at the National Institutes of Healththe Neurological Research Institute Seed grant (to HF) from The Ohio State Universitythe Summer Undergraduate Research Fellowship (to NS) from The Ohio State University Chronic Brain Injury Discovery Theme
文摘BCL2-associated anthanogene 3 facilitates the clearance of tau protein aggregates:BCL2-associated anthanogene 3(BAG3)is a ubiquitously expressed and highly conserved multi-functional co-chaperone protein involved in many biological processes that supports cellular homeostasis,including the inhibition of apoptosis by preventing mitochondrial BAX localization(Lin et al.,2022)and the promotion of the degradation of hyperphosphorylated tau aggregates by its interactions with SQSTM1(p62)(Hamano and Mutoh,2022).
基金funded by the Arab Open University,Riyadh,Saudi Arabia.
文摘Deepfake is a sort of fake media made by advanced AI methods like Generative Adversarial Networks(GANs).Deepfake technology has many useful uses in education and entertainment,but it also raises a lot of ethical,social,and security issues,such as identity theft,the dissemination of false information,and privacy violations.This study seeks to provide a comprehensive analysis of several methods for identifying and circumventing Deepfakes,with a particular focus on image-based Deepfakes.There are three main types of detection methods:classical,machine learning(ML)and deep learning(DL)-based,and hybrid methods.There are three main types of preventative methods:technical,legal,and moral.The study investigates the effectiveness of several detection approaches,such as convolutional neural networks(CNNs),frequency domain analysis,and hybrid CNN-LSTM models,focusing on the respective advantages and disadvantages of each method.We also look at new technologies like Explainable Artificial Intelligence(XAI)and blockchain-based frameworks.The essay looks at the use of algorithmic protocols,watermarking,and blockchain-based content verification as possible ways to stop certain things from happening.Recent advancements,including adversarial training and anti-Deepfake data generation,are essential because of their potential to alleviate rising concerns.This reviewshows that there aremajor problems,such as the difficulty of improving the capabilities of existing systems,the high running expenses,and the risk of being attacked by enemies.It stresses the importance of working together across fields,including academia,business,and government,to create robust,scalable,and ethical solutions.Themain goals of futurework should be to create lightweight,real-timedetection systems,connect them to large language models(LLMs),and put in place worldwide regulatory frameworks.This essay argues for a complete and varied plan to keep digital information real and build confidence in a time when media is driven by artificial intelligence.It uses both technical and non-technical means.
文摘Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the past decades worldwide[1],but the growth in healthy life expectancy has generally lagged behind[2].China has made substantial strides in enhancing both life expectancy and healthy life expectancy.
