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Anlotinib reverses osimertinib resistance by inhibiting epithelial-to-mesenchymal transition and angiogenesis in nonsmall cell lung cancer 被引量:1
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作者 Liting Lyu Xin Hua +5 位作者 Jiaxin Liu Sutong Zhan Qianqian Zhang Xiao Liang Jian Feng Yong Song 《Journal of Biomedical Research》 2025年第5期452-466,共15页
In the present study,we aimed to investigate whether anlotinib reverses osimertinib resistance by inhibiting the formation of epithelial-mesenchymal transition(EMT)and angiogenesis.In a clinical case,anlotinib reverse... In the present study,we aimed to investigate whether anlotinib reverses osimertinib resistance by inhibiting the formation of epithelial-mesenchymal transition(EMT)and angiogenesis.In a clinical case,anlotinib reversed osimertinib resistance in non-small cell lung cancer(NSCLC).Therefore,we performed immunohistochemical analyses on tumor tissues from three NSCLC patients with osimertinib resistance to analyze alterations in the expression levels of EMT markers and vascular endothelial growth factor A(VEGFA)before and after the development of osimertinib resistance.The results revealed the downregulation of E-cadherin,coupled with the upregulation of vimentin and VEGFA in tumor tissues of patients exhibiting osimertinib resistance,compared with those in tissues from patients before receiving osimertinib.Subsequently,we established osimertinib-resistant(Osi-R)cell lines and found that the Osi-R cells acquired EMT features.Next,we analyzed the synergistic effects of the combination therapy to verify whether anlotinib could reverse osimertinib resistance by inhibiting EMT.The expression levels of VEGFA and tube formation were analyzed in the combination group in vitro.Finally,we determined the reversal of osimertinib resistance by the combination of osimertinib and anlotinib in vivo using 20 nude mice.The combined treatment of osimertinib and anlotinib effectively prevented the metastasis of Osi-R cells,inhibited tumor growth,exerted antitumor activity,and ultimately reversed osimertinib resistance in mice.The co-administration of osimertinib and anlotinib demonstrated synergistic efficacy in inhibiting EMT and angiogenesis in three NSCLC patients,ultimately reversing osimertinib resistance. 展开更多
关键词 non-small cell lung cancer osimertinib anlotinib RESISTANCE epithelial-to-mesenchymal transition
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Energy Transition and Sustainable Development:Global Energy Market Analysis and Outlook for 2025 被引量:1
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作者 Zhou Jie 《China Oil & Gas》 2025年第1期I0001-I0004,共4页
China Oil&Gas,as a prominent academic journal in the energy industry,has been dedicated to advancing academic research and industrial development in the oil and gas energy field.As one of the authoritative media o... China Oil&Gas,as a prominent academic journal in the energy industry,has been dedicated to advancing academic research and industrial development in the oil and gas energy field.As one of the authoritative media outlets in the international energy sector,the magazine has long focused on the evolution of the global energy landscape and has organized and participated in several influential academic activities and research projects. 展开更多
关键词 SUSTAINABLE OUTLOOK transition
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Effect of macrophage- to- myofibroblast transition on silicosis 被引量:1
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作者 Fei Geng Jingrou Xu +12 位作者 Xichen Ren Ying Zhao Yuhao Cai Yaqian Li Fuyu Jin Tian Li Xuemin Gao Wenchen Cai Hong Xu Zhongqiu Wei Na Mao Ying Sun Fang Yang 《Animal Models and Experimental Medicine》 2025年第2期363-371,共9页
Background:The aim was to explore the effect of macrophage polarization and macrophage-to-myofibroblast transition(MMT)in silicosis.Methods:Male Wistar rats were divided into a control group and a silicosis group deve... Background:The aim was to explore the effect of macrophage polarization and macrophage-to-myofibroblast transition(MMT)in silicosis.Methods:Male Wistar rats were divided into a control group and a silicosis group developed using a HOPE MED 8050 dynamic automatic dusting system.Murine mac-rophage MH-S cells were randomly divided into a control group and an SiO_(2) group.The pathological changes in lung tissue were observed using hematoxylin and eosin(HE)and Van Gieson(VG)staining.The distribution and location of macrophage marker(F4/80),M1 macrophage marker(iNOS),M2 macrophage marker(CD206),and myofibroblast marker(α-smooth muscle actin[α-SMA])were detected using immu-nohistochemical and immunofluorescent staining.The expression changes in iNOS,Arg,α-SMA,vimentin,and type I collagen(Col I)were measured using Western blot.Results:The results of HE and VG staining showed obvious silicon nodule formation and the distribution of thick collagen fibers in the lung tissue of the silicosis group.Macrophage marker F4/80 increased gradually from 8 to 32 weeks after exposure to silica.Immunohistochemical and immunofluorescent staining results revealed that there were more iNOS-positive cells and some CD206-positive cells in the lung tissue of the silicosis group at 8 weeks.More CD206-positive cells were found in the silicon nodules of the lung tissues in the silicosis group at 32 weeks.Western blot analysis showed that the expressions of Inducible nitric oxide synthase and Arg protein in the lung tissues of the silicosis group were upregulated compared with those of the con-trol group.The results of immunofluorescence staining showed the co-expression of F4/80,α-SMA,and Col I,and CD206 andα-SMA were co-expressed in the lung tissue of the silicosis group.The extracted rat alveolar lavage fluid revealed F4/80+α-SMA+,CD206+α-SMA+,and F4/80+α-SMA+Col I+cells using immunofluorescence staining.Similar results were also found in MH-S cells induced by SiO_(2).Conclusions:The development of silicosis is accompanied by macrophage polarization and MMT. 展开更多
关键词 MACROPHAGE macrophage-to-myofibroblast transition SILICOSIS
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Medium-entropy configuration enabling reversible P2-OP4 phase transition in layered oxides for high-rate sodium-ion batteries 被引量:1
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作者 Fei-Fei Hong Xin Zhou +9 位作者 Hao Liu Gui-Lin Feng Xiao-Hong Liu Heng Zhang Wei-Feng Fan Bin Zhang Mei-Hua Zuo Wang-Yan Xing Ping Zhang Wei Xiang 《Rare Metals》 2025年第5期2997-3007,共11页
Layered transition metal oxides have emerged as promising cathode materials for sodium ion batteries.However,irreversible phase transitions cause structural distortion and cation rearrangement,leading to sluggish Na+d... Layered transition metal oxides have emerged as promising cathode materials for sodium ion batteries.However,irreversible phase transitions cause structural distortion and cation rearrangement,leading to sluggish Na+dynamics and rapid capacity decay.In this study,we propose a medium-entropy cathode by simultaneously introducing Fe,Mg,and Li dopants into a typical P2-type Na_(0.75)Ni_(0.25)Mn_(0.75)O_(2)cathode.The modified Na_(0.75)Ni_(0.2125)Mn_(0.6375)Fe_(0.05)Mg_(0.05)Li_(0.05)O_(2)cathode predominantly exhibits a main P2 phase(93.5%)with a minor O3 phase(6.5%).Through spectroscopy techniques and electrochemical investigations,we elucidate the redox mechanisms of Ni^(2+/3+/4+),Mn^(3+/4+),Fe^(3+/4+),and O_(2)-/O_(2)^(n-)during charging/discharging.The medium-entropy doping mitigates the detrimental P2-O_(2)phase transition at high-voltage,replacing it with a moderate and reversible structural evolution(P2-OP4),thereby enhancing structural stability.Consequently,the modified cathode exhibits a remarkable rate capacity of 108.4 mAh·g^(-1)at 10C,with a capacity retention of 99.0%after 200 cycles at 1C,82.5%after 500 cycles at 5C,and 76.7%after 600 cycles at 10C.Furthermore,it also demonstrates superior electrochemical performance at high cutoff voltage of 4.5 V and extreme temperature(55 and 0℃).This work offers solutions to critical challenges in sodium ion batteries cathode materials. 展开更多
关键词 Layered oxide cathode Sodium ion batteries Phase transition Medium-entropy P2/O3 biphasic structure
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Metabolic landscape of human alveolar type II epithelial cells undergoing epithelial-mesenchymal transition induced directly by silica exposure 被引量:1
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作者 Jin Sun Na Zhao +8 位作者 Ruijia Zhang Yizheng Li Tiantian Yu Qiying Nong Li Lin Xubin Yang Tiangang Luan Baowei Chen Yongshun Huang 《Journal of Environmental Sciences》 2025年第3期676-687,共12页
Epithelial-mesenchymal transition(EMT)plays an irreplaceable role in the development of silicosis.However,molecular mechanisms of EMT induced by silica exposure still remain to be addressed.Herein,metabolic profiles o... Epithelial-mesenchymal transition(EMT)plays an irreplaceable role in the development of silicosis.However,molecular mechanisms of EMT induced by silica exposure still remain to be addressed.Herein,metabolic profiles of human alveolar type II epithelial cells(A549 cells)exposed directly to silica were characterized using non-targeted metabolomic approaches.A total of 84 differential metabolites(DMs)were identified in silica-treated A549 cells undergoing EMT,which were mainly enriched in metabolisms of amino acids(e.g.,glutamate,alanine,aspartate),purine metabolism,glycolysis,etc.The number of DMs identified in the A549 cells obviously increased with the elevated exposure concentration of silica.Remarkably,glutamine catabolism was significantly promoted in the silica-treated A549 cells,and the levels of related metabolites(e.g.,succinate)and enzymes(e.g.,α-ketoglutarate(α-KG)dehydrogenase)were substantially up-regulated,with a preference toα-KG pathway.Supplementation of glutamine into the cell culture could substantially enhance the expression levels of both EMT-related markers and Snail(zinc finger transcription factor).Our results suggest that the EMT of human alveolar epithelial cells directly induced by silica can be essential to the development of silicosis. 展开更多
关键词 Silica exposure Human alveolar type II epithelial cells(ATII cells) Epithelial-mesenchymal transition(EMT) Metabolomics GLUTAMINE
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RGS4 promotes the progression of gastric cancer through the focal adhesion kinase/phosphatidyl-inositol-3-kinase/protein kinase B pathway and epithelial-mesenchymal transition
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作者 Peng-Yu Chen Pei-Yao Wang +7 位作者 Bang Liu Yang-Pu Jia Zhao-Xiong Zhang Xin Liu Dao-Han Wang Yong-Jia Yan Wei-Hua Fu Feng Zhu 《World Journal of Gastroenterology》 SCIE CAS 2025年第2期113-127,共15页
BACKGROUND Regulator of G protein signaling(RGS)proteins participate in tumor formation and metastasis by acting on theα-subunit of heterotrimeric G proteins.The speci-fic effect of RGS,particularly RGS4,on the progr... BACKGROUND Regulator of G protein signaling(RGS)proteins participate in tumor formation and metastasis by acting on theα-subunit of heterotrimeric G proteins.The speci-fic effect of RGS,particularly RGS4,on the progression of gastric cancer(GC)is not yet clear.AIM To explore the role and underlying mechanisms of action of RGS4 in GC develop-ment.METHODS The prognostic significance of RGS4 in GC was analyzed using bioinformatics based public databases and verified by immunohistochemistry and quantitative polymerase chain reaction in 90 patients with GC.Function assays were employed to assess the carcinogenic impact of RGS4,and the mechanism of its possible influence was detected by western blot analysis.A nude mouse xenograft model was established to study the effects of RGS4 on GC growth in vitro.RESULTS RGS4 was highly expressed in GC tissues compared with matched adjacent normal tissues.Elevated RGS4 expression was correlated with increased tumor-node-metastasis stage,increased tumor grade as well as poorer overall survival in patients with GC.Cell experiments demonstrated that RGS4 knockdown suppressed GC cell proliferation,migration and invasion.Similarly,xenograft experiments confirmed that RGS4 silencing significantly inhibited tumor growth.Moreover,RGS4 knockdown resulted in reduced phosphorylation levels of focal adhesion kinase,phosphatidyl-inositol-3-kinase,and protein kinase B,decreased vimentin and N-cadherin,and elevated E-cadherin.CONCLUSION High RGS4 expression in GC indicates a worse prognosis and RGS4 is a prognostic marker.RGS4 influences tumor progression via the focal adhesion kinase/phosphatidyl-inositol-3-kinase/protein kinase B pathway and epithelial-mesenchymal transition. 展开更多
关键词 Gastric cancer PROGNOSIS Regulator of G protein signaling 4 Focal adhesion kinase Epithelial-mesenchymal transition
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A novel W-band substrate integrated microstrip to ultra-thin cavity filter transition
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作者 CAO Yi TANG Xiao-Hong +1 位作者 LIU Yong CAI Zong-Qi 《红外与毫米波学报》 北大核心 2025年第4期540-545,共6页
A novel substrate integrated microstrip to ultra-thin cavity filter transition operating in the W-band is proposed in this letter.The structure is a new method of connecting microstrip circuits and waveguide filters,a... A novel substrate integrated microstrip to ultra-thin cavity filter transition operating in the W-band is proposed in this letter.The structure is a new method of connecting microstrip circuits and waveguide filters,and this new structure enables a planar integrated transition from microstrip lines to ultra-thin cavity filters,thereby reducing the size of the transition structure and achieving miniaturization.The structure includes a conventional tapered microstrip transition structure,which guides the electromagnetic field from the microstrip line to the reduced-height dielectric-filled waveguide,and an air-filled matching cavity which is placed between the dielectric-filled waveguide and the ultra-thin cavity filter.The heights of the microstrip line,the dielectric-filled waveguide and the ultra-thin cavity filter are the same,enabling seamless integration within a planar radio-frequency(RF)circuit.To facilitate testing,mature finline transition structures are integrated at both ends of the microstrip line during fabrications.The simulation results of the fabricated microstrip to ultra-thin cavity filter transition with the finline transition structure,with a passband of 91.5-96.5 GHz,has an insertion loss of less than 1.9 dB and a return loss lower than-20 dB.And the whole structure has also been measured which achieves an insertion loss less than 2.6 dB and a return loss lower than-15 dB within the filter's passband,including the additional insertion loss introduced by the finline transitions.Finally,a W-band compact up-conversion module is designed,and the test results show that after using the proposed structure,the module achieves 95 dBc suppression of the 84 GHz local oscillator.It is also demonstrated that the structure proposed in this letter achieves miniaturization of the system integration without compromising the filter performance. 展开更多
关键词 transition ultra-thin cavity filter planar W-BAND MINIATURIZATION
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Bearing Fault Diagnosis Based on the Markov Transition Field and SE-IShufflenetV2 Model
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作者 Chaozhi Cai Tiexin Xu +1 位作者 Jianhua Ren Yingfang Xue 《Structural Durability & Health Monitoring》 EI 2025年第1期125-144,共20页
A bearing fault diagnosis method based on the Markov transitionfield(MTF)and SEnet(SE)-IShufflenetV2 model is proposed in this paper due to the problems of complex working conditions,low fault diagnosis accuracy,and poo... A bearing fault diagnosis method based on the Markov transitionfield(MTF)and SEnet(SE)-IShufflenetV2 model is proposed in this paper due to the problems of complex working conditions,low fault diagnosis accuracy,and poor generalization of rolling bearing.Firstly,MTF is used to encode one-dimensional time series vibration sig-nals and convert them into time-dependent and unique two-dimensional feature images.Then,the generated two-dimensional dataset is fed into the SE-IShufflenetV2 model for training to achieve fault feature extraction and classification.This paper selects the bearing fault datasets from Case Western Reserve University and Paderborn University to experimentally verify the effectiveness and superiority of the proposed method.The generalization performance of the proposed method is tested under the variable load condition and different signal-to-noise ratios(SNRs).The experimental results show that the average accuracy of the proposed method under different working conditions is 99.2%without adding noise.The accuracy under different working conditions from 0 to 1 HP is 100%.When the SNR is 0 dB,the average accuracy of the proposed method can still reach 98.7%under varying working conditions.Therefore,the bearing fault diagnosis method proposed in this paper is characterized by high accuracy,strong anti-noise ability,and generalization.Moreover,the proposed method can also overcome the influence of variable working conditions on diagnosis accuracy,providing method support for the accurate diagnosis of bearing faults under strong noise and variable working conditions. 展开更多
关键词 Bearings Markov transitionfield SE-IShufflenetV2
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Characteristics of Transition Layer at Soft Metal-Substrate Interface for Metal Seal
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作者 Zhang Dawei Zhang Xuekai +5 位作者 Cao Zixuan Ge Ziyi Lv Shichang Li Zhijun Zhao Shengdun Hu Yanghu 《稀有金属材料与工程》 北大核心 2025年第1期1-9,共9页
The pressure-actuated metal seal with soft metal coating has been widely used in complex working conditions such as high temperature,low temperature and high pressure.The investigation of the characteristics and bindi... The pressure-actuated metal seal with soft metal coating has been widely used in complex working conditions such as high temperature,low temperature and high pressure.The investigation of the characteristics and binding strength of the transition layer between the soft metal coating and the superalloy substrate is important to improve the sealing performance and to model and simplify the working through-process of metal sealing.The distribution characteristics of elements at soft metal-substrate interface and the binding strength between coating and substrate under different thicknesses and material combinations of coating layer were studied by experimental methods.The results indicate that the thickness of soft metal coating has little influence on the interface morphology of GH4169-Cu,GH4169-Ag and Cu-Ag,but has an influence on the thickness of transition layer between different metals,while this influence is weakened with increasing the coating thickness,and the thickness of transition layer is about 2μm when the coating thickness is more than 30μm.The cross-cut test shows that the Cu,Ag and Cu-Ag coatings are all well combined with nickel-based superalloy GH4169 substrate.The materials of soft metal,i.e.the coating materials,have significant influence on the characteristic of transition layer and the surface characteristics of coating after cross-cut test. 展开更多
关键词 pressure-actuated metal seal nickel-based superalloy copper coating silver coating element transition layer
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Forging an easier path through graduation:Improving the patient transition from paediatric to adult critical care
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作者 Stephen Warrillow Ben Gelbart +2 位作者 Jess Stevens Gordon Baikie Mark E Howard 《World Journal of Critical Care Medicine》 2025年第1期82-90,共9页
Adolescence and the journey to adulthood involves exciting opportunities as well as psychosocial stress for young people growing up.These normal experiences are potentially magnified for teenagers living with chronic ... Adolescence and the journey to adulthood involves exciting opportunities as well as psychosocial stress for young people growing up.These normal experiences are potentially magnified for teenagers living with chronic illness or disability and their families.Advances in care have improved survival for children with a variety of serious chronic medical conditions such that many who may once have died in childhood now survive well into adulthood with ongoing morbidity.For those with highly complex needs,care is often provided at major paediatric hospitals with expertise,specially trained personnel,and resources to support young people and their families for the first decades of life.At the end of adolescence,however,it is generally appropriate and necessary for young adults and their caregivers to transition to the care of clinicians trained in the care of adults at general hospitals.While there are some well-managed models to support this journey of transition,these are often specific to certain conditions and usually do not involve intensive care.Many patients may encounter considerable challenges during this period.Difficulties may include the loss of established therapeutic relationships,a perception of austerity and reduced amenity in facilities oriented to caring for adult patients,and care by clinicians with less experience with more common paediatric conditions.In addition,there is a risk of potential conflict between clinicians and families regarding goals of care in the event of a critical illness when it occurs in a young adult with major disability and long-term health issues.These challenges present genuine opportunities to better understand the transition from paediatric to adult-based care and to improve processes that assist clinicians who support patients and families as they shift between healthcare settings. 展开更多
关键词 Paediatric intensive care DISABILITY Adult intensive care transition Critical care
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Pressure-Driven Semiconductor-to-Metal, Magnetic, and Structural Transitions in the Ferrimagnetic Semiconductor Mn_(3)Si_(2)Te_(6)
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作者 Jun Hou Hanming Ma +11 位作者 Qiangwei Yin Xiutong Deng Pengfei Shan Zhaorong Yang Yoshiya Uwatoko Xiaohui Yu Xiaoli Ma Youguo Shi Xiaoli Dong Hechang Lei Jianping Sun Jinguang Cheng 《Chinese Physics Letters》 2025年第5期161-168,共8页
Mn_(3)Si_(2)Te_(6) is a ferrimagnetic nodal-line semiconductor with colossal angular magnetoresistance at ambient pressure.In this work,we investigated the effect of hydrostatic pressure on its electrical transport pr... Mn_(3)Si_(2)Te_(6) is a ferrimagnetic nodal-line semiconductor with colossal angular magnetoresistance at ambient pressure.In this work,we investigated the effect of hydrostatic pressure on its electrical transport properties,magnetic transition,and crystal structure by measuring resistivity,DC and AC magnetic susceptibility,and XRD under various pressures up to~20 GPa.Our results confirmed the occurrence of pressure-induced structural transition at P_(c)≈10–12 GPa accompanied by a concurrent drop of room-temperature resistance in Mn_(3)Si_(2)Te_(6).In the low-pressure phase at PP_(c),the sample exhibits a metallic behavior in the whole temperature range and its resistivity exhibits a kink anomaly at T_(M),characteristic of critical scattering around a magnetic transition.Recovery of the Raman spectrum upon decompression indicated that pressure-induced structural transition is reversible without amorphization under hydrostatic pressure conditions.Our present work not only resolves some existing controversial issues but also provides new insights into pressure-driven diverse behaviors of Mn_(3)Si_(2)Te_(6). 展开更多
关键词 structural transition magnetic transition electrical transport properties pressure driven transitions crystal structure colossal angular magnetoresistance hydrostatic pressure resistivitydc ac magnetic susceptibilityand
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High-Pressure Phase Transitions and Mechanisms in Lanthanum Mononitride
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作者 Hao Chen Dan Zhou +1 位作者 Ying Xu Quan Li 《Chinese Physics Letters》 2025年第6期163-169,共7页
A longstanding discrepancy between theoretical predictions and experimental observations on the highpressurestructural transformations of lanthanum mononitride(LaN)has posed challenges for understandingthe behavior of... A longstanding discrepancy between theoretical predictions and experimental observations on the highpressurestructural transformations of lanthanum mononitride(LaN)has posed challenges for understandingthe behavior of heavy transition metal mononitrides.Here,we systematically investigate the structural evolutionof LaN under high pressure using first-principles calculations combined with angle-dispersive synchrotron X-raydiffraction,identifying the phase transition sequence and corresponding phase boundaries.Analyses of energetics,kinetic barriers,and lattice dynamics reveal distinct mechanisms driving these transitions.These results clarifythe structural stability of LaN and offer guidance for studying other heavy transition metal mononitrides withcomplex electronic behavior under extreme conditions. 展开更多
关键词 phase transition sequence understandingthe behavior heavy transition metal mononitridesherewe high pressure phase transitions lanthanum mononitride theoretical predictions lattice dynamics structural stability lanthanum mononitride lan
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Effect of start cooling temperature on microstructure,crystallographic orientation and ductile-to-brittle transition behavior of high strength steel
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作者 LIU Wen-jian LI Hong-ying +5 位作者 KONG Yao-jie LIU Ji-wen LIU Dan GAO Qing PENG Ning-qi XIONG Xiang-jiang 《Journal of Central South University》 2025年第3期776-788,共13页
The ductile-to-brittle transition temperature(DBTT)of high strength steels can be optimized by tailoring microstructure and crystallographic orientation characteristics,where the start cooling temperature plays a key ... The ductile-to-brittle transition temperature(DBTT)of high strength steels can be optimized by tailoring microstructure and crystallographic orientation characteristics,where the start cooling temperature plays a key role.In this work,X70 steels with different start cooling temperatures were prepared through thermo-mechanical control process.The quasi-polygonal ferrite(QF),granular bainite(GB),bainitic ferrite(BF)and martensite-austenite constituents were formed at the start cooling temperatures of 780℃(C1),740℃(C2)and 700℃(C3).As start cooling temperature decreased,the amount of GB decreased,the microstructure of QF and BF increased.Microstructure characteristics of the three samples,such as high-angle grain boundaries(HAGBs),MA constituents and crystallographic orientation,also varied with the start cooling temperatures.C2 sample had the lowest DBTT value(−86℃)for its highest fraction of HAGBs,highest content of<110>oriented grains and lowest content of<001>oriented grains parallel to TD.The high density of{332}<113>and low density of rotated cube{001}<110>textures also contributed to the best impact toughness of C2 sample.In addition,a modified model was used in this paper to quantitatively predict the approximate DBTT value of steels. 展开更多
关键词 X70 steel start cooling temperature ductile-to-brittle transition martensite-austenite islands crystallographic orientation ductile-to-brittle transition temperature(DBTT) prediction model
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Perception of Senior Nurses regarding the Transition of Newly Graduated Nurses at Colonial War Memorial Hospital, Fiji
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作者 Samsun Ayub Laisa Tikomaimaleya Vani Rainima 《Open Journal of Nursing》 2025年第1期30-44,共15页
Introduction and Background: Registered nurses’ transit to the clinical placement areas after completing a three-year Bachelor of Nursing training. They should be supported by nurse leaders and nurse educators;to gai... Introduction and Background: Registered nurses’ transit to the clinical placement areas after completing a three-year Bachelor of Nursing training. They should be supported by nurse leaders and nurse educators;to gain confidence and the ability to perform critical care nursing, deal with high patient numbers, the ability to work independently and manage relationships with providers, families and the interprofessional team. Methods: A qualitative research design was employed to explore two important aspects of nursing professionalism. Firstly, the sentiments of senior registered nurses about professional mentorship of newly graduated nurses NGNs. Secondly the strategies employed by senior nurses to assist the transition of NGNs to professional nursing. Two nurse unit managers (NUM) participated as key informants. Results: Two themes will be discussed from the pilot study: Responsibilities and challenges faced by senior nurses while they supervise (NGNs) in their wards. Senior nurses’ workload and responsibilities fully occupy them during the days’ work, leaving very little time to spend supervising the NGNs. The challenges faced by senior nurses are those of restricted time, no proper resources, and mentoring manuals to guide the senior nurses. Discussion: The results of the pilot study present the challenges of senior nurses in supervising and training NGNs during transition, as they must complete the administrative tasks, finalizing rosters, and have direct patient contact. They usually face challenges while supervising the NGNs, sometimes leaving them to work on their own where the NGN is prone to make mistakes during patient care. Conclusion: Support and supervision are key to a successful transition, but senior nurses face difficulties, and challenges in many forms, there are no mentors available for the NGNs in any ward at the CWM Hospital while they train and supervise them during transitions. SNs take up a lot of responsibilities and provide support and supervision to NGNs. Some NGNs have undesirable attitudes that hinder the learning and teaching process. They also acknowledge that NGNs also need to play their role in learning to adapt to the new clinical environment with various challenges they face themselves. 展开更多
关键词 Experiences WORKLOAD PRECEPTORSHIP MENTORING transition
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Characteristics of the Epidemiological Transition from 1990 to 2020 in Côte d’Ivoire
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作者 Guillaume Okoubo Daniel Kouadio Ekra +1 位作者 Ekissi Orsot Tetchi Calixte Guehi 《Open Journal of Epidemiology》 2025年第1期76-87,共12页
Background: Since it was theorised by Abdel Omran in 1971, the epidemiological transition has been well documented in Latin America, Asia and even increasingly in Africa south of the Sahara. According to this theory, ... Background: Since it was theorised by Abdel Omran in 1971, the epidemiological transition has been well documented in Latin America, Asia and even increasingly in Africa south of the Sahara. According to this theory, sub-Saharan Africa is in the first phase of development corresponding to the “age of plague and famine”. Given the health statistics currently available, more and more low- and middle-income countries, including those in sub-Saharan Africa, are experiencing an increase in mortality and the economic impact associated with non-communicable diseases. Côte d’Ivoire is one of the countries in sub-Saharan Africa where non-communicable diseases are currently on the rise. Despite the significant changes observed over the last decades, few studies have been carried out on the epidemiological transition in Côte d’Ivoire. It therefore seemed necessary to examine the changes in patterns of disease occurrence and causes of death in Côte d’Ivoire. Objectives: This work aimed to determine the reality of the epidemiological transition in Côte d’Ivoire and characterize its facies from 1990 to 2020. Methods: A literature review was carried out using PubMed, Medline, Google Scholar, Google, institutional websites (WHO, World Bank), university library websites and institutional reports from Côte d’Ivoire. The indicators sought were mortality, morbidity, life expectancy and fertility. Results: Mortality fell overall from 13.88‰ to 9.70‰, with variations linked to cyclical situations. Life expectancy rose by 52.6 to 59.03 years, although it is still below 60. Fertility has fallen from 6.3 to 4.5 children. There is a general downward trend in morbidity due to communicable diseases between 2009 and 2019, followed by an increase in non-communicable diseases. Conclusion: Côte d’Ivoire is undergoing an original and complex epidemiological transition that needs to be taken into account in health policies and strategies. 展开更多
关键词 Epidemiological transition Omran’s Theory of Epidemiological transition Communicable Diseases Non-Communicable Diseases Côte d’Ivoire
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South Sudan: The Perils of Security Governance and the Treacherous Path to Democratic Transition
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作者 Luka Biong Deng Kuol 《International Relations and Diplomacy》 2025年第2期50-73,共24页
There is a growing recognition of the critical role of security governance in advancing democratic transition in the post-conflict environment.Despite such a recognition,the security sector reform concept has overshad... There is a growing recognition of the critical role of security governance in advancing democratic transition in the post-conflict environment.Despite such a recognition,the security sector reform concept has overshadowed the importance of the overarching strategic role of security governance in transition to democracy,particularly in Africa.This paper assesses the status and challenges facing security governance and how they thwarted the efforts to furthering the democratic transition in South Sudan.The paper shows a deterioration in security,safety and security governance outcomes since the independence of South Sudan in 2011 with such a trend unlikely to be abated in the near future without strategic interventions.Some of the challenges facing security governance in South Sudan include the legacies of some historical events including the“Big Tent Policy”,absence of strategic leadership,lack of overarching policy framework,impractical and tenuous security arrangements in the 2018 peace agreement,persistent postponement of the first elections,and dysfunctional justice sector.The paper provides some strategic and operational recommendations to improve security governance and advance democratic transition in South Sudan.These recommendations include formulation of an inclusive and people-centered national security policy,rigorous judicial reform,and early political agreement on new political infrastructure if conditions for holding the first national elections are not met in 2026. 展开更多
关键词 SECURITY GOVERNANCE South Sudan Peace Agreement POLICY JUSTICE REFORM Democratic transition
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Comprehensive analysis of characteristics of dry-wet events and their transitions in Uttar Pradesh,India
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作者 Shivani Gond Ashish Kumar Agnihotri +1 位作者 Nitesh Gupta P.K.S.Dikshit 《Water Science and Engineering》 2025年第1期59-68,共10页
Understanding the occurrence and characteristics of dry and wet events is crucial for effective disaster prevention,resource management,and risk reduction in vulnerable regions.This study analyzed the spatiotemporal p... Understanding the occurrence and characteristics of dry and wet events is crucial for effective disaster prevention,resource management,and risk reduction in vulnerable regions.This study analyzed the spatiotemporal patterns of dry-wet events and their transition characteristics in Uttar Pradesh,India.The standardized precipitation evapotranspiration index(SPEI)at a monthly timescale was utilized to identify hotspot regions vulnerable to concurrent and frequent dry and wet events and their transitions.The severity,duration,and intensity of dry and wet events were characterized with the run theory over SPEI time series data from 18 synoptic stations in Uttar Pradesh over 48 years(1971-2018),sourced from the Indian Institute of Tropical Meteorology and the India Meteorological Department.Multiple assessment methods were utilized to examine the interaction of these extreme events,considering characteristics such as wet-dry ratio,average transition time,and rapid transition times from wet to dry events and from dry to wet events.Average wet durations ranged from 1.27 to 1.58 months,and average dry durations ranged from 1.29 to 1.82 months.Rapid transition times from dry to wet events ranged from 2.5 to 4.1 months,and those for wet-to-dry events ranged from 2.1 to 5.3 months.The eastern region experienced a significantly high number of dry events,while the western and Bundelkhand regions experienced more intense dry events.In contrast,the eastern region had intense wet events.This research on the occurrence of dry-wet events and their transitions can provide valuable insights for government decision-making and disaster prevention and reduction efforts. 展开更多
关键词 Climate extreme SPEI Dry and wet event Average transition time Rapid transition time
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New challenges of water disasters:Mechanisms,identification,and risks of abrupt transitions between drought and flood
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作者 Shan-shui Yuan Zi-yan Shi 《Water Science and Engineering》 2025年第3期259-261,共3页
In the context of climate change,the acceleration of the global water cycle has led to the emergence of abrupt transitions between drought and flood events,presenting a new challenge for flood and drought disaster mit... In the context of climate change,the acceleration of the global water cycle has led to the emergence of abrupt transitions between drought and flood events,presenting a new challenge for flood and drought disaster mitigation.Abrupt transitions between drought and flood refer to a phenomenon in which an extreme drought event quickly shifts to an extreme flood event,or vice versa,within a relatively short time span.This phenomenon disrupts the traditional spatiotemporal distribution patterns of water-related disasters,reflecting not only the extreme unevenness in the distribution of water resources but also the rapid alternation of the water cycle's evolution(He et al.,2016).Moreover,due to its suddenness,extremity,and complexity,it poses severe threats to human societies and ecosystems.Scientifically addressing abrupt transitions between drought and flood has thus become a new challenge in flood and drought disaster prevention. 展开更多
关键词 climate changethe FLOOD spatiotemporal distribution patterns abrupt transitions drought flood acceleration global water cycle flood drought disaster mitigationabrupt transitions drought flood climate change abrupt transitions
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Aerobic radical polymerization of hydrogels triggered by acetylacetone-transition metal self-initiation
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作者 Chaojian Xu Juxin Yin +5 位作者 Sihong Wang Yue Pan Qianhe Zhang Ningkang Xie Shuo Yang Shaowu Lv 《Chinese Chemical Letters》 2025年第7期543-546,共4页
The performance of hydrogel radical polymerization under ambient conditions is a major challenge because oxygen is an effective radical quencher and the steps to remove or neutralize it are time consuming and laboriou... The performance of hydrogel radical polymerization under ambient conditions is a major challenge because oxygen is an effective radical quencher and the steps to remove or neutralize it are time consuming and laborious.A self-initiating system consisting of transition metals and acetylacetone has been successfully developed.The system is capable of initiating free radical polymerization of hydrogels at room temperature under aerobic conditions,which is attributed to carbon radicals generated by the oxidation of acetylacetone.Some of these carbon radicals reduce oxygen to generate hydroxyl radicals,which together induce self-coagulation of hydrogels.The polymerization system was effective for a variety of monomer and hydrogel swelling and shrinking schemes,and the reaction remained successful when exposed to saturated oxygen.In conclusion,the results demonstrate that the present strategy is an effective approach to addressing the challenge of deoxygenation in polymer synthesis,and provides a convenient method for synthesizing multifunctional hydrogels under ambient conditions. 展开更多
关键词 OXYGEN Radical polymerization HYDROGELS Redox reactions ACETYLACETONE transition metal
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Challenges in the Transition and Transfer of Young Adults with Congenital Heart Disease in Latin America and the Caribbean: The “Timeliness Principle”
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作者 John J.Araujo 《Congenital Heart Disease》 2025年第1期61-75,共15页
Today,more than 90%of children who are born with congenital heart disease survive and reach adulthood,especially in developed countries.Consequently,the population of adults with congenital heart disease has increased... Today,more than 90%of children who are born with congenital heart disease survive and reach adulthood,especially in developed countries.Consequently,the population of adults with congenital heart disease has increased signiffcantly over the last few decades.In Latin America and the Caribbean countries,this same scenario is occurring at an accelerated pace.Loss to follow-up is a global problem in adults with congenital heart disease,ranging from 30–60%.In Latin America and Caribbean countries,it is estimated that less than 10%of adults with congenital heart disease are being followed.The small number of specialists and adult congenital heart disease specialized centers,as well as virtually nonexistent transition and transfer programs,are some of the reasons for this.This article is a narrative review of the current status of the transition and transfer of young adults with congenital heart disease,with a special focus on Latin America and Caribbean countries.It describes the general concepts of transition and transfer,analyzes barriers and,ffnally,presents specialized care alternatives that would reduce losses and improve this population’s care. 展开更多
关键词 Adults with congenital heart disease transition and transfer loss to follow-up transition program Latin America and the Caribbean
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