Advanced intensity measures(IMs)based on an inelastic deformation spectrum improved the evaluation of the median engineering demand parameters(EDPs)and reduced dispersion.In this regard,an optimized two-degreefreedom(...Advanced intensity measures(IMs)based on an inelastic deformation spectrum improved the evaluation of the median engineering demand parameters(EDPs)and reduced dispersion.In this regard,an optimized two-degreefreedom(2DOF)modal pushover-based scaling procedure(2DMPS)has been developed for a nonlinear dynamic analysis of asymmetric in-plan buildings.The 2DMPS procedure scales ground motions to approach close enough to a target value of the inelastic displacement of the first-mode inelastic 2DOF modal stick,extended for structures with significant contributions of higher modes.Further,4-,6-and 13-story RC SMRF buildings were selected for analyses using ground motion records scaled by the 2DMPS procedure,the modal pushover-based scaling method(MPS),and ASCE/SEI 7-16 scaling procedures.The median values of EDPs on scaled records closely matched the benchmark results.The bias in the EDP values due to the scaled records in every group regarding their median value was lower than the dispersion of the 21 unscaled records.These results generally demonstrate the accuracy and efficiency of the 2DMPS method.Additionally,the 2DOF modal stick’s inelastic response spectra are better suited for calculating seismic demands for one-way asymmetric-plan structures than the SDOF inelastic response spectra.展开更多
As healthcare systems increasingly embrace digitalization,effective management of electronic health records(EHRs)has emerged as a critical priority,particularly in inpatient settings where data sensitivity and realtim...As healthcare systems increasingly embrace digitalization,effective management of electronic health records(EHRs)has emerged as a critical priority,particularly in inpatient settings where data sensitivity and realtime access are paramount.Traditional EHR systems face significant challenges,including unauthorized access,data breaches,and inefficiencies in tracking follow-up appointments,which heighten the risk of misdiagnosis and medication errors.To address these issues,this research proposes a hybrid blockchain-based solution for securely managing EHRs,specifically designed as a framework for tracking inpatient follow-ups.By integrating QR codeenabled data access with a blockchain architecture,this innovative approach enhances privacy protection,data integrity,and auditing capabilities,while facilitating swift and real-time data retrieval.The architecture adheres to Role-Based Access Control(RBAC)principles and utilizes robust encryption techniques,including SHA-256 and AES-256-CBC,to secure sensitive information.A comprehensive threat model outlines trust boundaries and potential adversaries,complemented by a validated data transmission protocol.Experimental results demonstrate that the framework remains reliable in concurrent access scenarios,highlighting its efficiency and responsiveness in real-world applications.This study emphasizes the necessity for hybrid solutions in managing sensitive medical information and advocates for integrating blockchain technology and QR code innovations into contemporary healthcare systems.展开更多
In this paper,large deviations principle(LDP)and moderate deviations principle(MDP)of record numbers in random walks are studied under certain conditions.The results show that the rate functions of LDP and MDP are dif...In this paper,large deviations principle(LDP)and moderate deviations principle(MDP)of record numbers in random walks are studied under certain conditions.The results show that the rate functions of LDP and MDP are different from those of weak record numbers,which are interesting complements of the conclusions by Li and Yao[1].展开更多
Personal video recorders (PVRs) have altered the way users consume television (TV) content by allowing users to record programs and watch them at their convenience, overcoming the constraints of live broadcasting. How...Personal video recorders (PVRs) have altered the way users consume television (TV) content by allowing users to record programs and watch them at their convenience, overcoming the constraints of live broadcasting. However, standalone PVRs are limited by their individual storage capacities, restricting the number of programs they can store. While online catch-up TV services such as Hulu and Netflix mitigate this limitation by offering on-demand access to broadcast programs shortly after their initial broadcast, they require substantial storage and network resources, leading to significant infrastructural costs for service providers. To address these challenges, we propose a collaborative TV content recording system that leverages distributed PVRs, combining their storage into a virtual shared pool without additional costs. Our system aims to support all concurrent playback requests without service interruption while ensuring program availability comparable to that of local devices. The main contributions of our proposed system are fourfold. First, by sharing storage and upload bandwidth among PVRs, our system significantly expands the overall recording capacity and enables simultaneous recording of multiple programs without the physical constraints of standalone devices. Second, by utilizing erasure coding efficiently, our system reduces the storage space required for each program, allowing more programs to be recorded compared to traditional replication. Third, we propose an adaptive redundancy scheme to control the degree of redundancy of each program based on its evolving playback demand, ensuring high-quality playback by providing sufficient bandwidth for popular programs. Finally, we introduce a contribution-based incentive policy that encourages PVRs to actively participate by contributing resources, while discouraging excessive consumption of the combined storage pool. Through extensive experiments, we demonstrate the effectiveness of our proposed collaborative TV program recording system in terms of storage efficiency and performance.展开更多
Savannah,Ga.,April 22,2025-Gulfstream Aerospace Corp.today announced its fleet has achieved an industry-leading 700 city-pair speed records with a Gulfstream G700 flight from Taipei to Miami.This flight commemorates t...Savannah,Ga.,April 22,2025-Gulfstream Aerospace Corp.today announced its fleet has achieved an industry-leading 700 city-pair speed records with a Gulfstream G700 flight from Taipei to Miami.This flight commemorates the 50-year anniversary of Gulfstream's first U.S.National Aeronautic Association(NAA)accredited speed record,set in 1975 by the Gulfstream GII.展开更多
This paper presents the design of a low-power multi-channel analog front-end(AFE) for bio-potential recording. By using time division multiplexing(TDM), a successive approximation register analog-to-digital converter(...This paper presents the design of a low-power multi-channel analog front-end(AFE) for bio-potential recording. By using time division multiplexing(TDM), a successive approximation register analog-to-digital converter(SAR ADC) is shared among all 20 channels. A charge-sharing multiplexer(MUX) is proposed to transmit the output signals from the respective channels to the ADC. By separately pre sampling the output of each channel, the sampling time of each channel is greatly extended and additional active buffers are avoided. The AFE is fabricated in a 65-nm CMOS process, and the whole system consumes 28.2 μW under 1 V supply. Each analog acquisition channel consumes 1.25 μW and occupies a chip area of 0.14 mm2. Measurement results show that the AFE achieves an input referred noise of 1.8 μV·rms in a 350 Hz bandwidth and a noise efficiency factor(NEF) of 4.1. The 12-bit SAR ADC achieves an ENOB of 9.8 bit operating at 25 k S/s. The AFE is experimented on real-world applications by measuring human ECG and a clear ECG waveform is captured.展开更多
This study provides detailed descriptions and illustrations of a new species,Psilota nigritarsa Huo&Zhao,sp.nov.,and a newly recorded species in China,P.nigripilosa Shiraki,1968.It also offers additional measureme...This study provides detailed descriptions and illustrations of a new species,Psilota nigritarsa Huo&Zhao,sp.nov.,and a newly recorded species in China,P.nigripilosa Shiraki,1968.It also offers additional measurements for Psilota bashanensis Huo,Zhao&Liu,2022.The paper proposes a reclassification of the P.innupta-group in the Palaearctic Region into two subgroups based on the morphology of the male genitalia.An updated taxonomic key for the species of the P.innupta-group within the Palaearctic Region is also provided.展开更多
Anthropogenic climate change is altering species distributions globally.While species distributions are expected to shift to higher latitudes and elevations under global warming,empirical evidence on distribution shif...Anthropogenic climate change is altering species distributions globally.While species distributions are expected to shift to higher latitudes and elevations under global warming,empirical evidence on distribution shifts is mixed,and factors mediating the direction and magnitude of range shifts remain unclear.Using a dataset of 132new provincial records for 96 resident bird species from 2000 to 2023,we measured geographic distance,latitudinal shift,and temperature shift from each new record to the historical range for each species to test for poleward shifts.We assessed taxonomic variation in the magnitude of range shifts and used phylogenetic generalized linear mixed models to quantify relationships between species traits and the extent of range shifts.Our results revealed that new records occurred at a mean geographic distance of 420 km from historical ranges,with mean latitudinal shifts of+1.68°(poleward)and temperature shifts of-1.33℃(toward colder climates).The magnitude of geographic range shifts was strongly constrained by phylogenetic relatedness.Habitat breadth,habitat openness,and centroid latitude of historical ranges emerged as significant predictors of range shifts.Our results suggest that resident bird species'geographic ranges in China are shifting poleward,but the magnitude of these shifts is non-random across lineages.Species with broader habitat preferences and those from warmer climates are more likely to shift farther from their historical ranges and toward higher latitudes.This study emphasizes taxonomic variation in species range shifts and highlights the need for species-and site-specific conservation strategies under global warming.展开更多
Four cynipid gall wasps belonging to three genera are reported with descriptions of their host plants and galls,i.e.,Belizinella vicina Kovalev,1965,Cerroneuroterus folimargo(Monzen,1954),C.monseni(Dettmer,1934)and Ne...Four cynipid gall wasps belonging to three genera are reported with descriptions of their host plants and galls,i.e.,Belizinella vicina Kovalev,1965,Cerroneuroterus folimargo(Monzen,1954),C.monseni(Dettmer,1934)and Neuroterus hakonensis Ashmead,1904.The genus Belizinella and three species,B.vicina,C.monseni and N.hakonensis,are recorded in China for the first time.The species B.vicina is redescribed for the missing or incongruent features from its original description.In addition,the gall host for Ufo rufiventris Wang,Guo,Wang,Pujade-Villar&Chen is also recorded here for the first time.展开更多
A new species Guizygiella haoyangi Yao&Liu,sp.nov.(♂)is reported from Fujian Province,China,and a new record of G.salta(Yin&Gong,1996)in Jiangxi Province.Detailed morphological descriptions,photographs of the...A new species Guizygiella haoyangi Yao&Liu,sp.nov.(♂)is reported from Fujian Province,China,and a new record of G.salta(Yin&Gong,1996)in Jiangxi Province.Detailed morphological descriptions,photographs of the body and genitalia of these two species are provided.展开更多
A 34⁃year⁃old Australian woman broke the Guinness World Record for the most pull⁃ups performed by a woman in 24 hours by doing 7,079 pull⁃ups.To say Olivia Vinson put the old record for most pull⁃ups by a woman in 24 ...A 34⁃year⁃old Australian woman broke the Guinness World Record for the most pull⁃ups performed by a woman in 24 hours by doing 7,079 pull⁃ups.To say Olivia Vinson put the old record for most pull⁃ups by a woman in 24 hours to shame would be an understatement,considering that the Australian fitness enthusiast nearly doubled it.The achieve⁃ment began as a wild proposition from her husband and coach,and even though initially she just laughed at the idea of challenging a world record,it eventually started to make sense.Olivia trained for three months before taking on the challenge in September of last year,but 12 hours into her attempt,she pulled a bicep tendon(肱二头肌腱),which made her unable to perform pull⁃ups anymore.She had to cancel the whole thing,but after healing for a few months,she was back to breaking the Guinness World Record.展开更多
BACKGROUND The neurological and psychiatric sequelae of coronavirus disease 2019(COVID-19)have been documented,yet further data are needed to thoroughly evaluate the impact of COVID-19 on brain health years after the ...BACKGROUND The neurological and psychiatric sequelae of coronavirus disease 2019(COVID-19)have been documented,yet further data are needed to thoroughly evaluate the impact of COVID-19 on brain health years after the infection.AIM To examine whether COVID-19 infection is associated with exacerbation,recurrence,or progression of pre-existing neurological or psychiatric disorders-a highrisk population that is underrepresented in COVID-19 outcome research in National Guard Health Affair patients in 4-years following a COVID-19 diagnosis.METHODS For this multicenter retrospective cohort study,we used data from the National Guard hospitals electronic health records network(BestCare)with over 10 million patients.Our cohort comprised patients who had a COVID-19 diagnosis;a matched control cohort included patient did not expose to COVID-19 in same period.Age and sex were matching factors.We estimated the incidence of 14 neurological and psychiatric outcomes in nearly 4 years after a confirmed diagnosis of COVID-19.Using a multiple logistic regression,we compared incidences with those in propensity score-matched cohorts of patients with no exposure to COVID-19.Ramadan M et al.Neurological and psychiatric risks post-COVID-19 RESULTS Our primary cohort comprised 4437 patients diagnosed with COVID-19,and our propensity-score 1:1 matched control cohort comprised 4437 individuals.Nearly two-third of the COVID-19 cohort(71%)were diagnosed in 2020,and 2021.The most prevalent diagnoses for both cohorts were epilepsy 30.68%,mood disorder 23.92%,and nerve plexus disorder 22.13%.Dementia was nearly 4 times higher among COVID-19 cohort(8.27%)compared to the control cohort(2.57%).Five neurological and psychiatric outcomes had odds ratios(OR)that were significantly higher than 1 for people who had COVID-19 compared to people who had never been infected.These outcomes were cognitive deficit OR=1.54,95%confidence interval(CI):1.23-1.91,P=0.0001;nerve plexus disorder OR=1.13,95%CI:1.01-1.25,P=0.02;substance use disorder OR=1.95,95%CI:1.12-3.38,P=0.01;mood disorder OR=1.16,95%CI:1.05-1.29,P=0.003;and anxiety disorder OR=1.39,95%CI:1.07-1.79,P=0.01.CONCLUSION The study highlights the persistent risk of neurological and psychiatric conditions in COVID-19 survivors up to four years post-infection.Although the incidence was lower than in previous large studies,long-term consequences remain significant,emphasizing the need for ongoing monitoring and support in mental health and neurological care.展开更多
Objectives:Electronic health records(EHRs)offer valuable real-world data(RWD)for Chinese medicine research.However,significant methodological challenges remain in developing integrative Chinese-Western medicine(ICWM)d...Objectives:Electronic health records(EHRs)offer valuable real-world data(RWD)for Chinese medicine research.However,significant methodological challenges remain in developing integrative Chinese-Western medicine(ICWM)databases.This study aims to establish a best-practice methodological framework,referred to as BRIDGE,to guide the construction of ICWM databases using EHRs.Methods:We developed the methodological framework through a comprehensive process,including systematic literature review,synthesis of empirical experiences,thematic expert discussions,and consultation with an external panel to reach consensus.Results:The BRIDGE framework outlines 6 core components for ICWM-EHR database development:Overall design,database architecture,data extraction and linkage,data governance,data verification,and data quality evaluation.Key data elements include variables related to study population,treatment or exposure,outcomes,and confounders.These databases support various research applications,particularly in evaluating the effectiveness and safety of integrative therapies.To demonstrate its practical value,we developed an ICWM-EHR database on women’s reproductive lifespan,encompassing 2,064,482 patients.This database captures women’s health conditions across the life course,from reproductive age to older adulthood.Conclusions:The BRIDGE methodological framework provides a standardized approach to building high-quality ICWM-EHR databases.It offers a unique opportunity to strengthen the methodological rigor and real-world relevance of Chinese medicine research in integrated healthcare settings.展开更多
文摘Advanced intensity measures(IMs)based on an inelastic deformation spectrum improved the evaluation of the median engineering demand parameters(EDPs)and reduced dispersion.In this regard,an optimized two-degreefreedom(2DOF)modal pushover-based scaling procedure(2DMPS)has been developed for a nonlinear dynamic analysis of asymmetric in-plan buildings.The 2DMPS procedure scales ground motions to approach close enough to a target value of the inelastic displacement of the first-mode inelastic 2DOF modal stick,extended for structures with significant contributions of higher modes.Further,4-,6-and 13-story RC SMRF buildings were selected for analyses using ground motion records scaled by the 2DMPS procedure,the modal pushover-based scaling method(MPS),and ASCE/SEI 7-16 scaling procedures.The median values of EDPs on scaled records closely matched the benchmark results.The bias in the EDP values due to the scaled records in every group regarding their median value was lower than the dispersion of the 21 unscaled records.These results generally demonstrate the accuracy and efficiency of the 2DMPS method.Additionally,the 2DOF modal stick’s inelastic response spectra are better suited for calculating seismic demands for one-way asymmetric-plan structures than the SDOF inelastic response spectra.
基金funded by Multimedia University,Cyberjaya,Selangor,Malaysia(Grant Number:PostDoc(MMUI/240029)).
文摘As healthcare systems increasingly embrace digitalization,effective management of electronic health records(EHRs)has emerged as a critical priority,particularly in inpatient settings where data sensitivity and realtime access are paramount.Traditional EHR systems face significant challenges,including unauthorized access,data breaches,and inefficiencies in tracking follow-up appointments,which heighten the risk of misdiagnosis and medication errors.To address these issues,this research proposes a hybrid blockchain-based solution for securely managing EHRs,specifically designed as a framework for tracking inpatient follow-ups.By integrating QR codeenabled data access with a blockchain architecture,this innovative approach enhances privacy protection,data integrity,and auditing capabilities,while facilitating swift and real-time data retrieval.The architecture adheres to Role-Based Access Control(RBAC)principles and utilizes robust encryption techniques,including SHA-256 and AES-256-CBC,to secure sensitive information.A comprehensive threat model outlines trust boundaries and potential adversaries,complemented by a validated data transmission protocol.Experimental results demonstrate that the framework remains reliable in concurrent access scenarios,highlighting its efficiency and responsiveness in real-world applications.This study emphasizes the necessity for hybrid solutions in managing sensitive medical information and advocates for integrating blockchain technology and QR code innovations into contemporary healthcare systems.
基金supported by the National Natural Science Foundation of China(Grant No.11671145)the Science and Technology Commission of Shanghai Municipality(Grant No.18dz2271000).
文摘In this paper,large deviations principle(LDP)and moderate deviations principle(MDP)of record numbers in random walks are studied under certain conditions.The results show that the rate functions of LDP and MDP are different from those of weak record numbers,which are interesting complements of the conclusions by Li and Yao[1].
基金supported by the National Research Foundation of Korea(NRF)grant funded by the Korea government(MSIT)(Nos.2019R1A2C1002221 and RS-2023-00252186)Institute of Information&Communications Technology Planning&Evaluation(IITP)grant funded by the Korea government(MSIT)(Nos.2021-0-00590,RS-2021-II210590Decentralized High Performance Consensus for Large-Scale Blockchains).
文摘Personal video recorders (PVRs) have altered the way users consume television (TV) content by allowing users to record programs and watch them at their convenience, overcoming the constraints of live broadcasting. However, standalone PVRs are limited by their individual storage capacities, restricting the number of programs they can store. While online catch-up TV services such as Hulu and Netflix mitigate this limitation by offering on-demand access to broadcast programs shortly after their initial broadcast, they require substantial storage and network resources, leading to significant infrastructural costs for service providers. To address these challenges, we propose a collaborative TV content recording system that leverages distributed PVRs, combining their storage into a virtual shared pool without additional costs. Our system aims to support all concurrent playback requests without service interruption while ensuring program availability comparable to that of local devices. The main contributions of our proposed system are fourfold. First, by sharing storage and upload bandwidth among PVRs, our system significantly expands the overall recording capacity and enables simultaneous recording of multiple programs without the physical constraints of standalone devices. Second, by utilizing erasure coding efficiently, our system reduces the storage space required for each program, allowing more programs to be recorded compared to traditional replication. Third, we propose an adaptive redundancy scheme to control the degree of redundancy of each program based on its evolving playback demand, ensuring high-quality playback by providing sufficient bandwidth for popular programs. Finally, we introduce a contribution-based incentive policy that encourages PVRs to actively participate by contributing resources, while discouraging excessive consumption of the combined storage pool. Through extensive experiments, we demonstrate the effectiveness of our proposed collaborative TV program recording system in terms of storage efficiency and performance.
文摘Savannah,Ga.,April 22,2025-Gulfstream Aerospace Corp.today announced its fleet has achieved an industry-leading 700 city-pair speed records with a Gulfstream G700 flight from Taipei to Miami.This flight commemorates the 50-year anniversary of Gulfstream's first U.S.National Aeronautic Association(NAA)accredited speed record,set in 1975 by the Gulfstream GII.
基金supported by the National Key R&D Program of China under Grant 2018YFA0701400 and 2018YFA0701401.
文摘This paper presents the design of a low-power multi-channel analog front-end(AFE) for bio-potential recording. By using time division multiplexing(TDM), a successive approximation register analog-to-digital converter(SAR ADC) is shared among all 20 channels. A charge-sharing multiplexer(MUX) is proposed to transmit the output signals from the respective channels to the ADC. By separately pre sampling the output of each channel, the sampling time of each channel is greatly extended and additional active buffers are avoided. The AFE is fabricated in a 65-nm CMOS process, and the whole system consumes 28.2 μW under 1 V supply. Each analog acquisition channel consumes 1.25 μW and occupies a chip area of 0.14 mm2. Measurement results show that the AFE achieves an input referred noise of 1.8 μV·rms in a 350 Hz bandwidth and a noise efficiency factor(NEF) of 4.1. The 12-bit SAR ADC achieves an ENOB of 9.8 bit operating at 25 k S/s. The AFE is experimented on real-world applications by measuring human ECG and a clear ECG waveform is captured.
基金The research is supported by the National Natural Sciences Foundation of China(31900345)China Postdoctoral Science Foundation(2022M722020)+2 种基金the Key Project of Shaanxi Province Science and Technology Department(2024JCYBMS-152)the Key Project of Scientific Research Program of Shaanxi Provincial Education Department(23JY020)Key Projects of Shaanxi University of Technology(SLGKYXM2302,X20240134)。
文摘This study provides detailed descriptions and illustrations of a new species,Psilota nigritarsa Huo&Zhao,sp.nov.,and a newly recorded species in China,P.nigripilosa Shiraki,1968.It also offers additional measurements for Psilota bashanensis Huo,Zhao&Liu,2022.The paper proposes a reclassification of the P.innupta-group in the Palaearctic Region into two subgroups based on the morphology of the male genitalia.An updated taxonomic key for the species of the P.innupta-group within the Palaearctic Region is also provided.
基金supported by grants from the National Natural Science Foundation of China(Grant No.32271733)Guangdong Basic and Applied Basic Research Foundation(Grant No.2023A1515011045)+1 种基金Science and Technology Projects in Guangzhou(Grant No.2023A04J0121)SCNU Training Program of Innovation for Undergraduates,China。
文摘Anthropogenic climate change is altering species distributions globally.While species distributions are expected to shift to higher latitudes and elevations under global warming,empirical evidence on distribution shifts is mixed,and factors mediating the direction and magnitude of range shifts remain unclear.Using a dataset of 132new provincial records for 96 resident bird species from 2000 to 2023,we measured geographic distance,latitudinal shift,and temperature shift from each new record to the historical range for each species to test for poleward shifts.We assessed taxonomic variation in the magnitude of range shifts and used phylogenetic generalized linear mixed models to quantify relationships between species traits and the extent of range shifts.Our results revealed that new records occurred at a mean geographic distance of 420 km from historical ranges,with mean latitudinal shifts of+1.68°(poleward)and temperature shifts of-1.33℃(toward colder climates).The magnitude of geographic range shifts was strongly constrained by phylogenetic relatedness.Habitat breadth,habitat openness,and centroid latitude of historical ranges emerged as significant predictors of range shifts.Our results suggest that resident bird species'geographic ranges in China are shifting poleward,but the magnitude of these shifts is non-random across lineages.Species with broader habitat preferences and those from warmer climates are more likely to shift farther from their historical ranges and toward higher latitudes.This study emphasizes taxonomic variation in species range shifts and highlights the need for species-and site-specific conservation strategies under global warming.
基金supported by the National Natural Science Foundation of China(31472032,31071970)Zhejiang Provincial Natural Science Foundation for Distinguished Young Scholars(LR14C040002)。
文摘Four cynipid gall wasps belonging to three genera are reported with descriptions of their host plants and galls,i.e.,Belizinella vicina Kovalev,1965,Cerroneuroterus folimargo(Monzen,1954),C.monseni(Dettmer,1934)and Neuroterus hakonensis Ashmead,1904.The genus Belizinella and three species,B.vicina,C.monseni and N.hakonensis,are recorded in China for the first time.The species B.vicina is redescribed for the missing or incongruent features from its original description.In addition,the gall host for Ufo rufiventris Wang,Guo,Wang,Pujade-Villar&Chen is also recorded here for the first time.
基金supported by the Key Laboratoryy of Jiangxi Province for Biological Invasion and Biosecurity(2023SSY02111)。
文摘A new species Guizygiella haoyangi Yao&Liu,sp.nov.(♂)is reported from Fujian Province,China,and a new record of G.salta(Yin&Gong,1996)in Jiangxi Province.Detailed morphological descriptions,photographs of the body and genitalia of these two species are provided.
文摘A 34⁃year⁃old Australian woman broke the Guinness World Record for the most pull⁃ups performed by a woman in 24 hours by doing 7,079 pull⁃ups.To say Olivia Vinson put the old record for most pull⁃ups by a woman in 24 hours to shame would be an understatement,considering that the Australian fitness enthusiast nearly doubled it.The achieve⁃ment began as a wild proposition from her husband and coach,and even though initially she just laughed at the idea of challenging a world record,it eventually started to make sense.Olivia trained for three months before taking on the challenge in September of last year,but 12 hours into her attempt,she pulled a bicep tendon(肱二头肌腱),which made her unable to perform pull⁃ups anymore.She had to cancel the whole thing,but after healing for a few months,she was back to breaking the Guinness World Record.
文摘BACKGROUND The neurological and psychiatric sequelae of coronavirus disease 2019(COVID-19)have been documented,yet further data are needed to thoroughly evaluate the impact of COVID-19 on brain health years after the infection.AIM To examine whether COVID-19 infection is associated with exacerbation,recurrence,or progression of pre-existing neurological or psychiatric disorders-a highrisk population that is underrepresented in COVID-19 outcome research in National Guard Health Affair patients in 4-years following a COVID-19 diagnosis.METHODS For this multicenter retrospective cohort study,we used data from the National Guard hospitals electronic health records network(BestCare)with over 10 million patients.Our cohort comprised patients who had a COVID-19 diagnosis;a matched control cohort included patient did not expose to COVID-19 in same period.Age and sex were matching factors.We estimated the incidence of 14 neurological and psychiatric outcomes in nearly 4 years after a confirmed diagnosis of COVID-19.Using a multiple logistic regression,we compared incidences with those in propensity score-matched cohorts of patients with no exposure to COVID-19.Ramadan M et al.Neurological and psychiatric risks post-COVID-19 RESULTS Our primary cohort comprised 4437 patients diagnosed with COVID-19,and our propensity-score 1:1 matched control cohort comprised 4437 individuals.Nearly two-third of the COVID-19 cohort(71%)were diagnosed in 2020,and 2021.The most prevalent diagnoses for both cohorts were epilepsy 30.68%,mood disorder 23.92%,and nerve plexus disorder 22.13%.Dementia was nearly 4 times higher among COVID-19 cohort(8.27%)compared to the control cohort(2.57%).Five neurological and psychiatric outcomes had odds ratios(OR)that were significantly higher than 1 for people who had COVID-19 compared to people who had never been infected.These outcomes were cognitive deficit OR=1.54,95%confidence interval(CI):1.23-1.91,P=0.0001;nerve plexus disorder OR=1.13,95%CI:1.01-1.25,P=0.02;substance use disorder OR=1.95,95%CI:1.12-3.38,P=0.01;mood disorder OR=1.16,95%CI:1.05-1.29,P=0.003;and anxiety disorder OR=1.39,95%CI:1.07-1.79,P=0.01.CONCLUSION The study highlights the persistent risk of neurological and psychiatric conditions in COVID-19 survivors up to four years post-infection.Although the incidence was lower than in previous large studies,long-term consequences remain significant,emphasizing the need for ongoing monitoring and support in mental health and neurological care.
基金supported by the National Key Research&Development Program of China(No.2024YFC3505800)the National Natural Science Foundation of China(Nos.82474334,82474335 and 72174132)+3 种基金National Science Fund for Distinguished Young Scholars(No.82225049)the Key Research&Development Projects of Sichuan Provincial Department of Science and Technology(Nos.2024YFFK0174 and 2024YFFK0152)1.3.5 Project for Disciplines of Excellence,West China Hospital,Sichuan University(Nos.ZYYC24010 and ZYGD23004)the Special Fund for Traditional Chinese Medicine of Sichuan Provincial Administration of Traditional Chinese Medicine(No.2024zd023).
文摘Objectives:Electronic health records(EHRs)offer valuable real-world data(RWD)for Chinese medicine research.However,significant methodological challenges remain in developing integrative Chinese-Western medicine(ICWM)databases.This study aims to establish a best-practice methodological framework,referred to as BRIDGE,to guide the construction of ICWM databases using EHRs.Methods:We developed the methodological framework through a comprehensive process,including systematic literature review,synthesis of empirical experiences,thematic expert discussions,and consultation with an external panel to reach consensus.Results:The BRIDGE framework outlines 6 core components for ICWM-EHR database development:Overall design,database architecture,data extraction and linkage,data governance,data verification,and data quality evaluation.Key data elements include variables related to study population,treatment or exposure,outcomes,and confounders.These databases support various research applications,particularly in evaluating the effectiveness and safety of integrative therapies.To demonstrate its practical value,we developed an ICWM-EHR database on women’s reproductive lifespan,encompassing 2,064,482 patients.This database captures women’s health conditions across the life course,from reproductive age to older adulthood.Conclusions:The BRIDGE methodological framework provides a standardized approach to building high-quality ICWM-EHR databases.It offers a unique opportunity to strengthen the methodological rigor and real-world relevance of Chinese medicine research in integrated healthcare settings.
文摘通过野外调查、标本鉴定及文献查阅,发现陕西省被子植物分布新记录8种,分别为神农架铁线莲(Clematis shenlungchiaensis M.Y.Fang)、南川景天(Sedum rosthornianum Diels)、皱叶雀梅藤(Sageretia rugosa Hance)、盐芥〔Eutrema salsugineum(Pall.)Al-Shehbaz et Warwick〕、神农架蓼(Koenigia hedbergii Bo Li et W.Du)、薄叶新耳草〔Neanotis hirsuta(Linn.f.)W.H.Lewis〕、水蓑衣〔Hygrophila ringens(Linn.)R.Brown ex Spreng.〕、水蜡烛〔Pogostemon yatabeanus(Makino)Press〕。此外,新耳草属(Neanotis W.H.Lewis)、水蓑衣属(Hygrophila R.Br.)和刺蕊草属(Pogostemon Desf.)为陕西省新记录属。
