Background:Microglia and brain macrophages contribute significantly to the tumor microenvironment in highly malignant glioblastoma where they are considered important drivers of tumor progression.A better understandin...Background:Microglia and brain macrophages contribute significantly to the tumor microenvironment in highly malignant glioblastoma where they are considered important drivers of tumor progression.A better understanding of the role of the brain macrophages present in glioblastoma appears crucial for improving therapeutic outcomes,especially in the context of novel immunotherapeutic approaches.Methods:We investigated the regulation of two well-established markers for microglia and brain macrophages,IBA1 and CD163,in relation to glioblastoma tumor necrosis using immunohistochemistry and modality fusion heatmaps of whole slide images obtained from adjacent tissue sections.Results:IBA1 and CD163 showed remarkable differences in relation to glioblastoma tumor necrosis.Generally,IBA1 immunoreactive cells were far less common in necrotic tissue areas than CD163-expressing cells.We also found extensive and frequently diffuse extracellular CD163 deposition,especially in hypocellular necrobiotic tumor regions where IBA1 was typically absent.Conclusions:Resident microglia seem more likely to be important for the diffuse infiltration of glioma cells in hypercellular tissue areas,whereas myeloid macrophages may be the main macrophage population in the wake of tumor necrosis.Since the necrotic niche with its interactions between microglia,brain macrophages,and glioblastoma/glioma stem cells is increasingly recognised as an important factor in tumor progression,further detailed studies of the macrophage populations in glioblastoma are warranted.展开更多
Background: Data on diabetes mellitus in general population in Benin is scarce. This study aimed therefore to assess prevalence and risk factors of diabetes mellitus in Benin. Methods: The study consisted of a cross-s...Background: Data on diabetes mellitus in general population in Benin is scarce. This study aimed therefore to assess prevalence and risk factors of diabetes mellitus in Benin. Methods: The study consisted of a cross-sectional survey, using the World Health Organisation (WHO)’s instrument for stepwise surveillance (STEPS) of non-communicable diseases risk factors. A five-stage random sample of 25 to 64 years old male and female adults living in Benin participated in structured interviews and their size, weight and blood pressure were measured according to standardized procedures. Glycaemia was measured using ACCUTREND? test strips for capillary blood glucose. Prevalence and means were computed with their 95% confidence interval and standard error respectively, taking into account the sampling design. Prevalence was compared by Khi2 and means by Student’s t test. Univariate and multivariate logistic regressions were performed to identify socio-demographic diabetes’s risk factors. Results: A total of 3772 adults participated in the study. The average age of respondents was 44.2 years. Overall, 68.3% of subjects were illiterate, 82.4% lived in rural areas, 82.57% were self-employed, 20% overweight, 7.51% obese and the prevalence of hypertension was 29.5 p.100. The prevalence of diabetes mellitus was 1.4 p.100 [CI95% = (0.94:2.05)]. This prevalence was higher in men than in women (2.1% vs. 0.8%, p = 0.0031). This prevalence was higher in urban areas than in rural areas. The Littoral department had the highest prevalence (3.4%), followed by the Collines department (2.7%), Donga (2.4%) and Borgou (2.3%). As many as 49.3% of subjects diagnosed with diabetes mellitus were not aware of their status. The age group of 56 - 64 years had the highest risk [OR = 6.6, IC95% = (1.6;22.4)]. The risk of diabetes was higher in people living in urban areas than in people living in rural areas [OR = 3.04 CI95% = (1.6;6.0)]. After controlling for confounding factors, risk factors of diabetes were gender, men being more at risk than women (p = 0.002) age from 55 to 64 years (p = 0.009), overweight (p < 0.0001) and obesity (p = 0.002). Conclusion: Our findings suggested that diabetes mellitus was common in Benin. The prevalence of diabetes is more likely to increase in regard to the nutritional transitions (diet) and the accelerating urbanization of Benin. Communication campaigns for behavioral change are needed to slow down or even reverse this trend.展开更多
Objectives:Nurses working in critical care units may encounter substantial work-related strain,and elevated levels of stress can lead to burnout,ultimately impacting both the quality of nursing care and their overall ...Objectives:Nurses working in critical care units may encounter substantial work-related strain,and elevated levels of stress can lead to burnout,ultimately impacting both the quality of nursing care and their overall working experience.This study aimed to assess job burnout and determine the factors that contribute to it among critical care nurses in the Eastern Province of Saudi Arabia.Methods:This study employed a descriptive,exploratory,cross-sectional research design.A total of 220 nurses employed in the critical care units of 5 private hospitals in the eastern region were selected for participation in this study using a convenience sample method.An electronic survey was distributed to critical care nurses in the Eastern Province who satisfied the specified inclusion criteria.The job burnout questionnaire utilized in this study was derived from previously conducted research,which has been established as a reliable and valid survey instrument.The process of data analysis was conducted utilizing the SPSS program.The scientific research conducted on human subjects adhered rigorously to all ethical considerations.Results:The highest percentage of nurses at the critical care units reported experiencing moderate levels of job burnout.Nurses exhibiting greater levels of professional experience demonstrated a statistically significant reduction in overall burnout scores when compared to their less experienced counterparts.Furthermore,within the realm of sociodemographic factors,it was found that the only significant independent predictor for job burnout was the level of experience among critical care nurses.Conclusions:The prevalence of burnout among nurses in critical care settings was found to be significant,with most participants reporting moderate levels of burnout which can yield significant ramifications for nurses and healthcare professionals.Consequently,healthcare organizations must accord primacy to the welfare of their staff and adopt proactive strategies to mitigate job burnout.展开更多
The Chandipura vesiculovirus(CHPV),a single-stranded,negative sense RNA arbovirus with five structural proteins-the G,N,M,P,and L proteins-is the source of Chandipura virus infection.Children between the ages of 9 mon...The Chandipura vesiculovirus(CHPV),a single-stranded,negative sense RNA arbovirus with five structural proteins-the G,N,M,P,and L proteins-is the source of Chandipura virus infection.Children between the ages of 9 months and 14 years old are the most common recipients of CHPV infection,which is primarily spread by sand flies(Sergentomyia,Phlebotomus species).The potential advantages of black seeds(N.sativa)in the treatment of patients with CHPV infection are the main topic of our current review.The majority of patients infected with CHPV experience neurological complications such as encephalitis and other neurological complications.Since there is currently no approved antiviral treatment,supportive care and symptomatic therapy are the primary methods used to manage CHPV-infected patients.Herbal candidates possessing antioxidant,immunomodulatory,antiviral,and anti-inflammatory qualities may aid in the treatment of CHPV infection.The antiviral,anti-inflammatory,antioxidant,and immunomodulatory qualities of black seeds(N.sativa)have been shown in a number of preclinical and clinical investigations;these attributes could be helpful in the treatment of CHPV infection.Black seeds(N.sativa)may help treat CHPV-infected patients in the early stages of their illness when used in conjunction with symptomatic therapy and supportive care.In patients infected with CHPV,additional randomized controlled clinical trials would assess the efficacy and safety of black seeds(N.sativa).展开更多
There has been a large increase in the number of days per year with numerous EF1-EF5 tornadoes.Given the significant damage incurred by tornadoes upon communities,community resilience analyses for tornado-stricken com...There has been a large increase in the number of days per year with numerous EF1-EF5 tornadoes.Given the significant damage incurred by tornadoes upon communities,community resilience analyses for tornado-stricken communities have been gaining momentum.As the community resilience analysis aims to guide how to lay out effective hazard mitigation strategies to decrease damage and improve recovery,a comprehensive and accurate approach is necessary.Agent-based modeling,an analysis approach in which different types of agents are created with their properties and behavior clearly defined to simulate the processes of those agents in an external environ-ment,is the most comprehensive and accurate approach so far to conducting community resilience simulations and investigating the decision-making for mitigation and recovery under natural hazards.In this paper,agent-based models(ABMs)are created to simulate the recovery process of a virtual testbed based on the real-world community in Joplin City,MO.The tornado path associated with the real-world tornado event that occurred in May 2011 is adopted in the tornado hazard modeling for the Joplin testbed.In addition,agent-based models are created for another virtual community in the Midwest United States named Centerville using an assumed tornado scenario of the same EF-scale as that in Joplin.The effects of hazard mitigation strategies on the two communities are also explored.A comparison between the analysis results of these two testbeds can indicate the influence of the characteristics of a tornado-prone community on the resilience of the community as well as on the effects of hazard mitigation strategies.It is observed that a community’s level of development significantly impacts the tornado resilience.In addition,the effects of a specific type of hazard mitigation strategy on the recovery process are contingent upon testbed characteristics.展开更多
I have attempted to present you with many of the ways that in the United States we are addressing the issue of motor deficits in stroke survivors. Many of these techniques show promise. However,there is much work to b...I have attempted to present you with many of the ways that in the United States we are addressing the issue of motor deficits in stroke survivors. Many of these techniques show promise. However,there is much work to be done in order to determine which techniques may be the most effective for cer-tain patients. It is also need to figure out the timing of many of these techniques in order to maximize their benefit. As this last slide shows,stroke survivors need to be "involved with their own rescue." Without their motivation and practice,stroke survivors will never reach their maximal functional capacity. With new techniques and technologies,rehabilitation professionals can provide stroke survivors with the means to intensify their therapies to facilitate functional recovery,reorganize the brain and return them to a fulfilling quality of life.展开更多
The present study aims to give general hints about hydrodynamic interactions for water wave diffraction on a super large floating structure composed of a large number of box-shaped modules with many small gaps in betw...The present study aims to give general hints about hydrodynamic interactions for water wave diffraction on a super large floating structure composed of a large number of box-shaped modules with many small gaps in between. And meanwhile, it also aims to seek for an effective way to take the gap influence into consideration without numerical difficulties existing in conventional methods. An asymptotic matching technique is exploited by virtue of the smallness of gaps. Formal potential solutions are established for the near field around the gap ends and the far field away from gap ends, respectively, and the unknowns in those solutions are uniquely determined by asymptotic matching. The eigen-function expansion method is used for the outer far field and a series of pulsating sources at each gap end is introduced to simulate the gap influence. Strong hydrodynamic interaction is observed and a new resonant phenomenon, the mechanism of which differs absolutely from any known ones, is revealed in the present study. Sharp peak responses for both vertical and horizontal wave-exciting forces on each block are found around some special resonance frequencies, which depend on the draft of the structure and the gap width. The present results are of practical significance to the design of links (connectors) of modules for super large floating structures. And the importance is also closely related to the hydro-elasticity analysis for super large floating structures, in which local loads may be as important as the integrated loads.展开更多
Endoscopic retrograde cholangiopancreatography(ERCP) has a significant complication rate which can be lowered by adopting technical variations of proven beneficial effect and prophylactic maneuvers such as pancreatic ...Endoscopic retrograde cholangiopancreatography(ERCP) has a significant complication rate which can be lowered by adopting technical variations of proven beneficial effect and prophylactic maneuvers such as pancreatic stenting during ERCP or periprocedural non-steroidal anti-inflammatory drug administration.However,adoption of these prophylactic maneuvers by endoscopists is not uniform.In this editorial we discuss the beneficial effects of the aforementioned maneuvers.展开更多
The unique features of jointed post-tensioned wall systems, which include minimum structural damage and re-centering capability when subjected to earthquake lateral loads, are the result of using unbonded post-tension...The unique features of jointed post-tensioned wall systems, which include minimum structural damage and re-centering capability when subjected to earthquake lateral loads, are the result of using unbonded post-tensioning to attach the walls to the foundation, along with employing energy dissipating shear connectors between the walls. Using acceptance criteria defined in terms of inter-story drift, residual drift, and floor acceleration, this study presents a multiplelevel performance-based seismic evaluation of two five-story unbonded post-tensioned jointed precast wall systems. The design and analysis of these two wall systems, established as the direct displacement-based and force-based solutions for a prototype building used in the PREcast Seismic Structural Systems （PRESSS） program, were performed at 60% scale so that the analysis model could be validated using the PRESSS test data. Both buildings satisfied the performance criteria at four levels of earthquake motions although the design base shear of the direct displacement-based jointed wall system was 50% of that demanded by the force-based design method. The study also investigated the feasibility of controlling the maximum transient inter-story drift in a jointed wall system by increasing the number of energy dissipating shear connectors between the walls but without significantly affecting its re-centering capability.展开更多
To investigate the cytotoxic activity of actinomycete isolated from marine sediment. Methods: In the present study the DNA was isolated and the ITS region of 16s rRNA was amplified by polymerase chain reaction, using ...To investigate the cytotoxic activity of actinomycete isolated from marine sediment. Methods: In the present study the DNA was isolated and the ITS region of 16s rRNA was amplified by polymerase chain reaction, using two universal bacterial primers, 1492R (5′-GGTTACCTTGTTAC GACTT-3′) and Eubac27F (5′-AGAGTTTGATCCTGGCTC AG-3′). The amplified products were purified using TIANgel mini purification kit, ligated to MD18-T simple vector (TaKaRa), and transformed into competent cells of Escherichia coli DH5α. 16S rRNA gene fragment was sequenced using forward primer M13F (-47) and reverse primer M13R (-48). Blast search sequence similarity was found against the existing non-redundant nucleotide sequence database thus, identified as Streptomyces sp SU, Streptomyces rubralavandulae strain SU1, Streptomyces cacaoi strain SU2, Streptomyces cavourensis strain SU3, Streptomyces avidinii strain SU4, Streptomyces globisporus strain SU5, Streptomyces variabilis strain SU6, Streptomycescoelicolor strain SU 7. Among the eight identified isolates, one actinomycete Streptomyces avidinii strain SU4 was selected for further study. Results: Crude extract of the actinomycete isolate exhibited IC50 in 64.5 μg against Hep-2 cell line, 250 μg in VERO cell line. This value is very close to the criteria of cytotoxicity activity for the crude extracts, as established by the American National Cancer Institute (NCI) is in IC50 < 30 μg /mL. The GC MS analysis showed that the active principle might be 1,2-benzenedicarboxylic acid, bis(2-methylpropyl) ester (12.17%), isooctyl phthalate (15.29%) with the retention time 15.642 and 21.612, respectively. Conclusions: This study clearly proves that the marine sediment derived actinomycetes with bioactive metabolites can be expected to provide high quality biological material for high throughout biochemical and anticancer screening programs. These results help us to conclude that the potential of using metabolic engineering and post genomic approaches to isolate more bioactive compounds and make their possible commercial application is not far off.展开更多
In the following four articles, we will provide an overview of the current clinical work in different areas of liver transplantation. For many decades, this transplantation has been the treatment choice for patients ...In the following four articles, we will provide an overview of the current clinical work in different areas of liver transplantation. For many decades, this transplantation has been the treatment choice for patients suffering from chronic and acute liver diseases.展开更多
Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). The only way to prevent this complication is to avoid an ERCP all together. Because of the risks involved, a...Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). The only way to prevent this complication is to avoid an ERCP all together. Because of the risks involved, a careful consideration should be given to the indication for ERCP and the potential risk/benefit ratio of the test. Once a decision to perform an ERCP is made, the procedure should be carried out with meticulous care by an experienced endoscopist, and with a minimum of pancreatic duct opacification. Several pharmacologic agents have been tested, but to date the most important method of reducing post ERCP pancreatitis is the placement of pancreatic stent. Pancreatic stents should be placed in all patients at high risk of this complication such as those undergoing pancreatic sphincterotomy, pancreatic duct manipulation and intervention, and patients with suspected sphincter of Oddi dysfunction. Pancreatic stents should be also considered in patients requiring precut sphincterotomy to gain biliary access.展开更多
The seismic capacity curves of three types of buildings including frame,frame-shear wall and shear wall ob- tained by pushover analysis under different lateral load patterns are compared with those from nonlinear time...The seismic capacity curves of three types of buildings including frame,frame-shear wall and shear wall ob- tained by pushover analysis under different lateral load patterns are compared with those from nonlinear time history analy- sis.Based on the numerical results obtained a two-phase load pattern:an inverted triangle(first mode)load pattern until the base shear force reaches β times its maximum value,V_(max)followed by a(x/H)~α form,here β and α being some coeffi- cients depending on the type of the structures considered,is proposed in the paper,which can provide excellent approxima- tion of the seismic capacity curve for low-to-mid-rise shear type buildings.Furthermore,it is shown both the two-phase load pattern proposed and the invariant uniform pattern can be used for low-to-mid-rise shear-bending type and low-rise bending type of buildings.No suitable load patterns have been found for high-rise buildings.展开更多
It is widely known that the seismic response characteristics of a soil site depends heavily on several key dynamic properties of the soil stratum,such as predominant frequency and damping ratio.A widely used method fo...It is widely known that the seismic response characteristics of a soil site depends heavily on several key dynamic properties of the soil stratum,such as predominant frequency and damping ratio.A widely used method for estimating the predominant frequency of a soil site by using microtremor records,proposed by Nakamura,is investigated to determine its effectiveness in estimating the damping ratio.The authors conducted some microtremor measurements of soil sites in Hong Kong and found that Nakamura's method might also be used to estimate the damping ratio of a soil site.Damping ratio data from several typical soil sites were obtained from both Nakamura's ratio curves using the half power point method and resonant column tests.Regression analysis indicates that there is a strong correlation between the damping ratios derived from these two different approaches.展开更多
The problem on the dynamic response of a rigid embedded foundation in the presence of an underground rigid tunnel and subjected to excitation of incident anti-plane SH waves is analyzed.By using the exact analytical s...The problem on the dynamic response of a rigid embedded foundation in the presence of an underground rigid tunnel and subjected to excitation of incident anti-plane SH waves is analyzed.By using the exact analytical solution for the two-dimensional SH-wave propagation in and around both the surface rigid foundation and subsurface rigid tunnel,those aspects of the resulting ground motions that are of special interest and importance for seismic resistant design in earthquake analyses have been examined.The computed amplitudes of the resulting periodic ground motions display a very complicated wave-interference between the surface foundation and underground tunnel that lead to observed standing wave patterns, together with abrupt changes in the wave amplitudes and large amplification of the incident motions.展开更多
The distinct element method(DEM)has been used successfully for the dynamic analysis of rigid block sys- tems.One of many difficulties associated with DEM is modeling of damping.In this paper,new procedures are propose...The distinct element method(DEM)has been used successfully for the dynamic analysis of rigid block sys- tems.One of many difficulties associated with DEM is modeling of damping.In this paper,new procedures are proposed for the damping modeling and its numerical implementation in distinct element analysis of rigid muhi-block systems.The stiff- ness proportional damping is constructed for the prescribed damping ratio,based on the non-zero fundamental frequency ef- fective during the time interval while the boundary conditions remain essentially constant.At this time interval,the funda- mental frequency can be estimated without complete eigenvalue analysis.The damping coefficients will vary while the damp- ing ratio remains the same throughout the entire analysis.A new numerical procedure is developed to prevent unnecessary energy loss that can occur during the separation phases.These procedures were implemented in the development of the dis- tinet element method for the dynamic analyses of piled multi-block systems.The analysis results |or the single-block and two-block systems were in a good agreement with the analytic predictions.Applications to the seismic analyses of piled four- block systems revealed that the new procedures can make a significant difference and may lead to much-improved results.展开更多
The single-layer latticed cylindrical shell is one of the most widely adopted space-fl'amed structures.In this paper,free vibration properties and dynamic response to horizontal and vertical seismic waves of singl...The single-layer latticed cylindrical shell is one of the most widely adopted space-fl'amed structures.In this paper,free vibration properties and dynamic response to horizontal and vertical seismic waves of single-layer latticed cylindrical shells are analyzed by the finite element method using ANSYS software.In the numerical study,where hundreds of cases were analyzed,the parameters considered included rise-span ratio,length-span ratio,surface load and member section size.Moreover,to better define the actual behavior of single-layer latticed shells,the study is focused on the dynamic stress response to both axial forces and bending moments.Based on the numerical results,the effects of the parameters considered on the stresses are discussed and a modified seismic force coefficient method is suggested.In addition,some advice based on these research results is presented to help in the future design of such structures.展开更多
基金funding but aspects of this work(computer analysis)were supported by an Australian Research Council(ARC)grant,DP150104472(MBG)The Australian Genomics and Outcomes of Glioma project was funded by a Cancer Council NSW Strategic Research Partnership Grant.
文摘Background:Microglia and brain macrophages contribute significantly to the tumor microenvironment in highly malignant glioblastoma where they are considered important drivers of tumor progression.A better understanding of the role of the brain macrophages present in glioblastoma appears crucial for improving therapeutic outcomes,especially in the context of novel immunotherapeutic approaches.Methods:We investigated the regulation of two well-established markers for microglia and brain macrophages,IBA1 and CD163,in relation to glioblastoma tumor necrosis using immunohistochemistry and modality fusion heatmaps of whole slide images obtained from adjacent tissue sections.Results:IBA1 and CD163 showed remarkable differences in relation to glioblastoma tumor necrosis.Generally,IBA1 immunoreactive cells were far less common in necrotic tissue areas than CD163-expressing cells.We also found extensive and frequently diffuse extracellular CD163 deposition,especially in hypocellular necrobiotic tumor regions where IBA1 was typically absent.Conclusions:Resident microglia seem more likely to be important for the diffuse infiltration of glioma cells in hypercellular tissue areas,whereas myeloid macrophages may be the main macrophage population in the wake of tumor necrosis.Since the necrotic niche with its interactions between microglia,brain macrophages,and glioblastoma/glioma stem cells is increasingly recognised as an important factor in tumor progression,further detailed studies of the macrophage populations in glioblastoma are warranted.
文摘Background: Data on diabetes mellitus in general population in Benin is scarce. This study aimed therefore to assess prevalence and risk factors of diabetes mellitus in Benin. Methods: The study consisted of a cross-sectional survey, using the World Health Organisation (WHO)’s instrument for stepwise surveillance (STEPS) of non-communicable diseases risk factors. A five-stage random sample of 25 to 64 years old male and female adults living in Benin participated in structured interviews and their size, weight and blood pressure were measured according to standardized procedures. Glycaemia was measured using ACCUTREND? test strips for capillary blood glucose. Prevalence and means were computed with their 95% confidence interval and standard error respectively, taking into account the sampling design. Prevalence was compared by Khi2 and means by Student’s t test. Univariate and multivariate logistic regressions were performed to identify socio-demographic diabetes’s risk factors. Results: A total of 3772 adults participated in the study. The average age of respondents was 44.2 years. Overall, 68.3% of subjects were illiterate, 82.4% lived in rural areas, 82.57% were self-employed, 20% overweight, 7.51% obese and the prevalence of hypertension was 29.5 p.100. The prevalence of diabetes mellitus was 1.4 p.100 [CI95% = (0.94:2.05)]. This prevalence was higher in men than in women (2.1% vs. 0.8%, p = 0.0031). This prevalence was higher in urban areas than in rural areas. The Littoral department had the highest prevalence (3.4%), followed by the Collines department (2.7%), Donga (2.4%) and Borgou (2.3%). As many as 49.3% of subjects diagnosed with diabetes mellitus were not aware of their status. The age group of 56 - 64 years had the highest risk [OR = 6.6, IC95% = (1.6;22.4)]. The risk of diabetes was higher in people living in urban areas than in people living in rural areas [OR = 3.04 CI95% = (1.6;6.0)]. After controlling for confounding factors, risk factors of diabetes were gender, men being more at risk than women (p = 0.002) age from 55 to 64 years (p = 0.009), overweight (p < 0.0001) and obesity (p = 0.002). Conclusion: Our findings suggested that diabetes mellitus was common in Benin. The prevalence of diabetes is more likely to increase in regard to the nutritional transitions (diet) and the accelerating urbanization of Benin. Communication campaigns for behavioral change are needed to slow down or even reverse this trend.
文摘Objectives:Nurses working in critical care units may encounter substantial work-related strain,and elevated levels of stress can lead to burnout,ultimately impacting both the quality of nursing care and their overall working experience.This study aimed to assess job burnout and determine the factors that contribute to it among critical care nurses in the Eastern Province of Saudi Arabia.Methods:This study employed a descriptive,exploratory,cross-sectional research design.A total of 220 nurses employed in the critical care units of 5 private hospitals in the eastern region were selected for participation in this study using a convenience sample method.An electronic survey was distributed to critical care nurses in the Eastern Province who satisfied the specified inclusion criteria.The job burnout questionnaire utilized in this study was derived from previously conducted research,which has been established as a reliable and valid survey instrument.The process of data analysis was conducted utilizing the SPSS program.The scientific research conducted on human subjects adhered rigorously to all ethical considerations.Results:The highest percentage of nurses at the critical care units reported experiencing moderate levels of job burnout.Nurses exhibiting greater levels of professional experience demonstrated a statistically significant reduction in overall burnout scores when compared to their less experienced counterparts.Furthermore,within the realm of sociodemographic factors,it was found that the only significant independent predictor for job burnout was the level of experience among critical care nurses.Conclusions:The prevalence of burnout among nurses in critical care settings was found to be significant,with most participants reporting moderate levels of burnout which can yield significant ramifications for nurses and healthcare professionals.Consequently,healthcare organizations must accord primacy to the welfare of their staff and adopt proactive strategies to mitigate job burnout.
文摘The Chandipura vesiculovirus(CHPV),a single-stranded,negative sense RNA arbovirus with five structural proteins-the G,N,M,P,and L proteins-is the source of Chandipura virus infection.Children between the ages of 9 months and 14 years old are the most common recipients of CHPV infection,which is primarily spread by sand flies(Sergentomyia,Phlebotomus species).The potential advantages of black seeds(N.sativa)in the treatment of patients with CHPV infection are the main topic of our current review.The majority of patients infected with CHPV experience neurological complications such as encephalitis and other neurological complications.Since there is currently no approved antiviral treatment,supportive care and symptomatic therapy are the primary methods used to manage CHPV-infected patients.Herbal candidates possessing antioxidant,immunomodulatory,antiviral,and anti-inflammatory qualities may aid in the treatment of CHPV infection.The antiviral,anti-inflammatory,antioxidant,and immunomodulatory qualities of black seeds(N.sativa)have been shown in a number of preclinical and clinical investigations;these attributes could be helpful in the treatment of CHPV infection.Black seeds(N.sativa)may help treat CHPV-infected patients in the early stages of their illness when used in conjunction with symptomatic therapy and supportive care.In patients infected with CHPV,additional randomized controlled clinical trials would assess the efficacy and safety of black seeds(N.sativa).
基金Financial support for this work was provided by the US Department of Commerce,the National Institute of Standards and Technology(NIST)under the Financial Assistance Award Number#70NANB20H008the US National Science Foundation(NSF)under Award Number 2052930.
文摘There has been a large increase in the number of days per year with numerous EF1-EF5 tornadoes.Given the significant damage incurred by tornadoes upon communities,community resilience analyses for tornado-stricken communities have been gaining momentum.As the community resilience analysis aims to guide how to lay out effective hazard mitigation strategies to decrease damage and improve recovery,a comprehensive and accurate approach is necessary.Agent-based modeling,an analysis approach in which different types of agents are created with their properties and behavior clearly defined to simulate the processes of those agents in an external environ-ment,is the most comprehensive and accurate approach so far to conducting community resilience simulations and investigating the decision-making for mitigation and recovery under natural hazards.In this paper,agent-based models(ABMs)are created to simulate the recovery process of a virtual testbed based on the real-world community in Joplin City,MO.The tornado path associated with the real-world tornado event that occurred in May 2011 is adopted in the tornado hazard modeling for the Joplin testbed.In addition,agent-based models are created for another virtual community in the Midwest United States named Centerville using an assumed tornado scenario of the same EF-scale as that in Joplin.The effects of hazard mitigation strategies on the two communities are also explored.A comparison between the analysis results of these two testbeds can indicate the influence of the characteristics of a tornado-prone community on the resilience of the community as well as on the effects of hazard mitigation strategies.It is observed that a community’s level of development significantly impacts the tornado resilience.In addition,the effects of a specific type of hazard mitigation strategy on the recovery process are contingent upon testbed characteristics.
文摘I have attempted to present you with many of the ways that in the United States we are addressing the issue of motor deficits in stroke survivors. Many of these techniques show promise. However,there is much work to be done in order to determine which techniques may be the most effective for cer-tain patients. It is also need to figure out the timing of many of these techniques in order to maximize their benefit. As this last slide shows,stroke survivors need to be "involved with their own rescue." Without their motivation and practice,stroke survivors will never reach their maximal functional capacity. With new techniques and technologies,rehabilitation professionals can provide stroke survivors with the means to intensify their therapies to facilitate functional recovery,reorganize the brain and return them to a fulfilling quality of life.
基金Project supported by the National Natural Science Foundation of China(Grant No.59879011 and 19732004)the Foundation of the Ministry of Education of China
文摘The present study aims to give general hints about hydrodynamic interactions for water wave diffraction on a super large floating structure composed of a large number of box-shaped modules with many small gaps in between. And meanwhile, it also aims to seek for an effective way to take the gap influence into consideration without numerical difficulties existing in conventional methods. An asymptotic matching technique is exploited by virtue of the smallness of gaps. Formal potential solutions are established for the near field around the gap ends and the far field away from gap ends, respectively, and the unknowns in those solutions are uniquely determined by asymptotic matching. The eigen-function expansion method is used for the outer far field and a series of pulsating sources at each gap end is introduced to simulate the gap influence. Strong hydrodynamic interaction is observed and a new resonant phenomenon, the mechanism of which differs absolutely from any known ones, is revealed in the present study. Sharp peak responses for both vertical and horizontal wave-exciting forces on each block are found around some special resonance frequencies, which depend on the draft of the structure and the gap width. The present results are of practical significance to the design of links (connectors) of modules for super large floating structures. And the importance is also closely related to the hydro-elasticity analysis for super large floating structures, in which local loads may be as important as the integrated loads.
文摘Endoscopic retrograde cholangiopancreatography(ERCP) has a significant complication rate which can be lowered by adopting technical variations of proven beneficial effect and prophylactic maneuvers such as pancreatic stenting during ERCP or periprocedural non-steroidal anti-inflammatory drug administration.However,adoption of these prophylactic maneuvers by endoscopists is not uniform.In this editorial we discuss the beneficial effects of the aforementioned maneuvers.
文摘The unique features of jointed post-tensioned wall systems, which include minimum structural damage and re-centering capability when subjected to earthquake lateral loads, are the result of using unbonded post-tensioning to attach the walls to the foundation, along with employing energy dissipating shear connectors between the walls. Using acceptance criteria defined in terms of inter-story drift, residual drift, and floor acceleration, this study presents a multiplelevel performance-based seismic evaluation of two five-story unbonded post-tensioned jointed precast wall systems. The design and analysis of these two wall systems, established as the direct displacement-based and force-based solutions for a prototype building used in the PREcast Seismic Structural Systems （PRESSS） program, were performed at 60% scale so that the analysis model could be validated using the PRESSS test data. Both buildings satisfied the performance criteria at four levels of earthquake motions although the design base shear of the direct displacement-based jointed wall system was 50% of that demanded by the force-based design method. The study also investigated the feasibility of controlling the maximum transient inter-story drift in a jointed wall system by increasing the number of energy dissipating shear connectors between the walls but without significantly affecting its re-centering capability.
文摘To investigate the cytotoxic activity of actinomycete isolated from marine sediment. Methods: In the present study the DNA was isolated and the ITS region of 16s rRNA was amplified by polymerase chain reaction, using two universal bacterial primers, 1492R (5′-GGTTACCTTGTTAC GACTT-3′) and Eubac27F (5′-AGAGTTTGATCCTGGCTC AG-3′). The amplified products were purified using TIANgel mini purification kit, ligated to MD18-T simple vector (TaKaRa), and transformed into competent cells of Escherichia coli DH5α. 16S rRNA gene fragment was sequenced using forward primer M13F (-47) and reverse primer M13R (-48). Blast search sequence similarity was found against the existing non-redundant nucleotide sequence database thus, identified as Streptomyces sp SU, Streptomyces rubralavandulae strain SU1, Streptomyces cacaoi strain SU2, Streptomyces cavourensis strain SU3, Streptomyces avidinii strain SU4, Streptomyces globisporus strain SU5, Streptomyces variabilis strain SU6, Streptomycescoelicolor strain SU 7. Among the eight identified isolates, one actinomycete Streptomyces avidinii strain SU4 was selected for further study. Results: Crude extract of the actinomycete isolate exhibited IC50 in 64.5 μg against Hep-2 cell line, 250 μg in VERO cell line. This value is very close to the criteria of cytotoxicity activity for the crude extracts, as established by the American National Cancer Institute (NCI) is in IC50 < 30 μg /mL. The GC MS analysis showed that the active principle might be 1,2-benzenedicarboxylic acid, bis(2-methylpropyl) ester (12.17%), isooctyl phthalate (15.29%) with the retention time 15.642 and 21.612, respectively. Conclusions: This study clearly proves that the marine sediment derived actinomycetes with bioactive metabolites can be expected to provide high quality biological material for high throughout biochemical and anticancer screening programs. These results help us to conclude that the potential of using metabolic engineering and post genomic approaches to isolate more bioactive compounds and make their possible commercial application is not far off.
文摘In the following four articles, we will provide an overview of the current clinical work in different areas of liver transplantation. For many decades, this transplantation has been the treatment choice for patients suffering from chronic and acute liver diseases.
文摘Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). The only way to prevent this complication is to avoid an ERCP all together. Because of the risks involved, a careful consideration should be given to the indication for ERCP and the potential risk/benefit ratio of the test. Once a decision to perform an ERCP is made, the procedure should be carried out with meticulous care by an experienced endoscopist, and with a minimum of pancreatic duct opacification. Several pharmacologic agents have been tested, but to date the most important method of reducing post ERCP pancreatitis is the placement of pancreatic stent. Pancreatic stents should be placed in all patients at high risk of this complication such as those undergoing pancreatic sphincterotomy, pancreatic duct manipulation and intervention, and patients with suspected sphincter of Oddi dysfunction. Pancreatic stents should be also considered in patients requiring precut sphincterotomy to gain biliary access.
文摘The seismic capacity curves of three types of buildings including frame,frame-shear wall and shear wall ob- tained by pushover analysis under different lateral load patterns are compared with those from nonlinear time history analy- sis.Based on the numerical results obtained a two-phase load pattern:an inverted triangle(first mode)load pattern until the base shear force reaches β times its maximum value,V_(max)followed by a(x/H)~α form,here β and α being some coeffi- cients depending on the type of the structures considered,is proposed in the paper,which can provide excellent approxima- tion of the seismic capacity curve for low-to-mid-rise shear type buildings.Furthermore,it is shown both the two-phase load pattern proposed and the invariant uniform pattern can be used for low-to-mid-rise shear-bending type and low-rise bending type of buildings.No suitable load patterns have been found for high-rise buildings.
基金Research project (PolyU 5076/97E),of the Department of Civil and Structural Engineering,The Hong Kong Polytechnic University
文摘It is widely known that the seismic response characteristics of a soil site depends heavily on several key dynamic properties of the soil stratum,such as predominant frequency and damping ratio.A widely used method for estimating the predominant frequency of a soil site by using microtremor records,proposed by Nakamura,is investigated to determine its effectiveness in estimating the damping ratio.The authors conducted some microtremor measurements of soil sites in Hong Kong and found that Nakamura's method might also be used to estimate the damping ratio of a soil site.Damping ratio data from several typical soil sites were obtained from both Nakamura's ratio curves using the half power point method and resonant column tests.Regression analysis indicates that there is a strong correlation between the damping ratios derived from these two different approaches.
文摘The problem on the dynamic response of a rigid embedded foundation in the presence of an underground rigid tunnel and subjected to excitation of incident anti-plane SH waves is analyzed.By using the exact analytical solution for the two-dimensional SH-wave propagation in and around both the surface rigid foundation and subsurface rigid tunnel,those aspects of the resulting ground motions that are of special interest and importance for seismic resistant design in earthquake analyses have been examined.The computed amplitudes of the resulting periodic ground motions display a very complicated wave-interference between the surface foundation and underground tunnel that lead to observed standing wave patterns, together with abrupt changes in the wave amplitudes and large amplification of the incident motions.
文摘The distinct element method(DEM)has been used successfully for the dynamic analysis of rigid block sys- tems.One of many difficulties associated with DEM is modeling of damping.In this paper,new procedures are proposed for the damping modeling and its numerical implementation in distinct element analysis of rigid muhi-block systems.The stiff- ness proportional damping is constructed for the prescribed damping ratio,based on the non-zero fundamental frequency ef- fective during the time interval while the boundary conditions remain essentially constant.At this time interval,the funda- mental frequency can be estimated without complete eigenvalue analysis.The damping coefficients will vary while the damp- ing ratio remains the same throughout the entire analysis.A new numerical procedure is developed to prevent unnecessary energy loss that can occur during the separation phases.These procedures were implemented in the development of the dis- tinet element method for the dynamic analyses of piled multi-block systems.The analysis results |or the single-block and two-block systems were in a good agreement with the analytic predictions.Applications to the seismic analyses of piled four- block systems revealed that the new procedures can make a significant difference and may lead to much-improved results.
基金National Natural Science Foundation of China,Grant No.59895410
文摘The single-layer latticed cylindrical shell is one of the most widely adopted space-fl'amed structures.In this paper,free vibration properties and dynamic response to horizontal and vertical seismic waves of single-layer latticed cylindrical shells are analyzed by the finite element method using ANSYS software.In the numerical study,where hundreds of cases were analyzed,the parameters considered included rise-span ratio,length-span ratio,surface load and member section size.Moreover,to better define the actual behavior of single-layer latticed shells,the study is focused on the dynamic stress response to both axial forces and bending moments.Based on the numerical results,the effects of the parameters considered on the stresses are discussed and a modified seismic force coefficient method is suggested.In addition,some advice based on these research results is presented to help in the future design of such structures.
