在基于Mesh-under的IPv6低功耗无线个域网(IPv6over low-power wireless personal area networks,6LoWPAN)中,针对传输路径上中间节点重传缓存溢出导致重传数据分片丢失,造成网络性能下降等问题,提出一种基于Mesh-under的备用缓存机制...在基于Mesh-under的IPv6低功耗无线个域网(IPv6over low-power wireless personal area networks,6LoWPAN)中,针对传输路径上中间节点重传缓存溢出导致重传数据分片丢失,造成网络性能下降等问题,提出一种基于Mesh-under的备用缓存机制。本文所提机制根据传输路径上各节点重传缓存使用情况及数据分片剩余跳数等信息,设置动态重传缓存门限,并为超过该门限的节点从其邻居节点中挑选合适的备用缓存节点,从而完成数据分片的缓存与重传过程,达到均衡使用各节点重传缓存的目的。结果表明,所提机制能够有效避免重传缓存溢出,减小网络能耗,同时进一步提高目的端重组成功率。展开更多
The development in technology of synthetic azo dyes,has led to excessive water resources pollution.Eve n at lower concentration they can impart the quality of water and human life.Herein,we have developed a novel synt...The development in technology of synthetic azo dyes,has led to excessive water resources pollution.Eve n at lower concentration they can impart the quality of water and human life.Herein,we have developed a novel synthesis strategy via introducing salicylic acid(SA)for the synthesis of a leachy crystalline material H-MIL-53(Fe)with hierarchical pores(HP)and exposed coordination unsaturated sites(CUS),which had higher surface area and larger pore volume than the as synthesized MIL-53(Fe).Due to these characteristics,H-MIL-53(Fe)was competent removal of orange G(OG,one of the frequently used azo dyes)with equilibrium in 300 min and the maximum adsorption capacity of 163.9 mg/g.The adsorption mechanism of OG onto H-MIL-53(Fe)was mostly based on electrostatic attraction between CUS of HMIL-53(Fe)along with HP as active species to OG diffusion and bind.By comparing H-MIL-53(Fe)with other adsorbents for OG adsorption,it is undoubtedly that H-MIL-53(Fe)can be used as a promising adsorbent for OG removal from aqueous solutions.展开更多
Preliminary observations on the result of infection by parvovirus of primary cultured cells of human hepatoma and parahepatoma tissue were reported. Human hepatoma and parahepatoma tissue were obtained by the culture ...Preliminary observations on the result of infection by parvovirus of primary cultured cells of human hepatoma and parahepatoma tissue were reported. Human hepatoma and parahepatoma tissue were obtained by the culture method of tissue fragment plating. It was observed that their respective sensitivity to parvovirus H-1 was different. H-1 had inhibitory effect on epithelial cells of hepatoma tissue but without any significant effect on fibroblasts simultaneously, H-l had no effect on epithelial cells and fibroblasts of parahepatoma tissue. Further investigation of the relationship between parvovirus and hepatoma would be helpful not only in elucidating the mechanism of carcinogenesis and its suppression but also in the search of new approach for the treatment of hepatoma.展开更多
Data obtained on conodont distribution in the Permian-Triassic Sovetashen Section of Transcaucasia provide further limitations on the age of the carbon-isotopic anomalies discovered by Baud et al. (1989). The signific...Data obtained on conodont distribution in the Permian-Triassic Sovetashen Section of Transcaucasia provide further limitations on the age of the carbon-isotopic anomalies discovered by Baud et al. (1989). The significance of Caucasian sections for working out the carbon-isotope standard for the Upper Permian and Lower Triassic (Induan) is shown. Original data on carbon-isotope composition of bivalve and brachiopod shells from Permian sediments of North-Eastern Russia (Omolon and Okhotsk areas) have been obtained, which may be used for their correlation.展开更多
Walled-off pancreatic necrosis and a pancreatic abscess are the most severe complications of acute pancreatitis. Surgery in such critically ill patients is often associated with significant morbidity and mortality wit...Walled-off pancreatic necrosis and a pancreatic abscess are the most severe complications of acute pancreatitis. Surgery in such critically ill patients is often associated with significant morbidity and mortality within the first few weeks after the onset of symptoms. Minimal invasive approaches with high success and low mortality rates are therefore of considerable interest. Endoscopic therapy has the potential to offer safe and effective alternative treatment. We report here on 3 consecutive patients with infected walled-off pancreatic necrosis and 1 patient with a pancreatic abscess who underwent direct endoscopic necrosectomy 19-21 d after the onset of acute pancreatitis. The infected pancreatic necrosis or abscess was punctured transluminally with a cystostome and, after balloon dilatation, a non-covered self-expanding biliary metal stent was placed into the necrotic cavity. Following stent deployment, a nasobiliary pigtail catheter was placed into the cavity to ensure continuous irrigation. After 5-7 d, the metal stent was removed endoscopically and the necrotic cavity was entered with a therapeutic gastroscope. Endoscopic debridement was performed via the simultaneous application of a high-flow water-jet system; using a flush knife, a Dormia basket, and hot biopsy forceps. The transluminal endotherapy was repeated 2-5 times daily during the next 10 d. Supportive care included parenteral antibiotics and jejunal feeding. All patients improved dramatically and with resolution of their septic conditions; 3 patients were completely cured without any further complications or the need for surgery. One patient died from a complication of prolonged ventilation severe bilateral pneumonia, not related to the endoscopic procedure. No procedure related complications were observed. Transluminal endoscopic necrosectomy with temporary application of a self-expanding metal stent and a high-flow water-jet system shows promise for enhancing the potential of this endoscopic approach in patients with walled-off pancreatic necrosis and/or a pancreatic abscess.展开更多
AIM： To disclose geographic differences in genetic changes involved in gallbladder carcinogenesis between two distinct high-incidence areas of Japan and Hungary. METHODS： We examined 42 cases of gallbladder carcinom...AIM： To disclose geographic differences in genetic changes involved in gallbladder carcinogenesis between two distinct high-incidence areas of Japan and Hungary. METHODS： We examined 42 cases of gallbladder carcinoma： 22 Japanese and 20 Hungarian cases, p53 mutations at exons 5 to 8 and K-ras mutations at codon 12 were tested by direct sequencing. Microsatellite instability was determined from fluorescent dye-labeled PCR amplifications of flve-microsatellite markers （BAT-25, BAT-26, D2S123, DSS346, and D17S250）. RESULTS： Mutations of p53 were detected in 11 of 22 Japanese cases and 6 of 18 Hungarian cases （11/22 vs 6/18, P = 0.348）. Transition at CpG sites was found in none of 11 Japanese cases and 2 of 6 Hungarian cases; the difference was marginally significant （0/11 vs 2/6,P = 0.110）. K-ras mutations were detected in only one of the Hungarian cases. Eight of 19 （42.1%） ]apanese cases were MSI-high （presence of novel peaks in more than one of the five loci analyzed）, whereas only 1 of 15 （6.7%） Hungarian cases was MSI-high （P = 0.047）. CONCLUSION： It appears that the p53 mutations and MSI differ in patients with gallbladder carcinoma between two distinct high-incidence areas. Geographic variation might exist in the process of gallbladder carcinogenesis.展开更多
BACKGROUND Emergency situations in inflammatory bowel diseases(IBD)put significant burden on both the patient and the healthcare system.AIM To prospectively measure Quality-of-Care indicators and resource utilization ...BACKGROUND Emergency situations in inflammatory bowel diseases(IBD)put significant burden on both the patient and the healthcare system.AIM To prospectively measure Quality-of-Care indicators and resource utilization after the implementation of the new rapid access clinic service(RAC)at a tertiary IBD center.METHODS Patient access,resource utilization and outcome parameters were collected from consecutive patients contacting the RAC between July 2017 and March 2019 in this observational study.For comparing resource utilization and healthcare costs,emergency department(ED)visits of IBD patients with no access to RAC services were evaluated between January 2018 and January 2019.Time to appointment,diagnostic methods,change in medical therapy,unplanned ED visits,hospitalizations and surgical admissions were calculated and compared.RESULTS 488 patients(Crohn’s disease:68.4%/ulcerative colitis:31.6%)contacted the RAC with a valid medical reason.Median time to visit with an IBD specialist following the index contact was 2 d.Patients had objective clinical and laboratory assessment(C-reactive protein and fecal calprotectin in 91%and 73%).Fast-track colonoscopy/sigmoidoscopy was performed in 24.6%of the patients,while computed tomography/magnetic resonance imaging in only 8.1%.Medical therapy was changed in 54.4%.ED visits within 30 d following the RAC visit occurred in 8.8%(unplanned ED visit rate:5.9%).Diagnostic procedures and resource utilization at the ED(n=135 patients)were substantially different compared to RAC users:Abdominal computed tomography was more frequent(65.7%,P<0.001),coupled with multiple specialist consults,more frequent hospital admission(P<0.001),higher steroid initiation(P<0.001).Average medical cost estimates of diagnostic procedures and services per patient was$403 CAD vs$1885 CAD comparing all RAC and ED visits.CONCLUSION Implementation of a RAC improved patient care by facilitating easier access to IBD specific medical care,optimized resource utilization and helped avoiding ED visits and subsequent hospitalizations.展开更多
This review covers extensively the synthesis&surface modification,characterization,and application of magnetic nanoparticles.For biomedical applications,consideration should be given to factors such as design stra...This review covers extensively the synthesis&surface modification,characterization,and application of magnetic nanoparticles.For biomedical applications,consideration should be given to factors such as design strategies,the synthesis process,coating,and surface passivation.The synthesis method regulates post-synthetic change and specific applications in vitro and in vivo imaging/diagnosis and pharmacotherapy/administration.Special insights have been provided on biodistribution,pharmacokinetics,and toxicity in a living system,which is imperative for their wider application in biology.These nanoparticles can be decorated with multiple contrast agents and thus can also be used as a probe for multi-mode imaging or double/triple imaging,for example,MRI-CT,MRI-PET.Similarly loading with different drug molecules/dye/fluorescent molecules and integration with other carriers have found application not only in locating these particles in vivo but simultaneously target drug delivery/hyperthermia inside the body.Studies are underway to collect the potential of these magnetically driven nanoparticles in various scientific fields such as particle interaction,heat conduction,imaging,and magnetism.Surely,this comprehensive data will help in the further development of advanced techniques for theranostics based on high-performance magnetic nanoparticles and will lead this research area in a new sustainable direction.展开更多
Combined theoretical and experimental efforts are put forward to study the critical factors influencing deformation mode transitions in face-centered cubic materials.We revisit the empirical relationship between the s...Combined theoretical and experimental efforts are put forward to study the critical factors influencing deformation mode transitions in face-centered cubic materials.We revisit the empirical relationship between the stacking fault energy(SFE)and the prevalent deformation mechanism.With ab initio calculated SFE,we establish the critical boundaries between various deformation modes in the model Cr-Co-Ni solid solution alloys.Satisfying agreement between theoretical predictions and experimental observations are reached.Our findings shield light on applying quantum mechanical calculations in designing transformation-induced plasticity and twinning-induced plasticity mechanisms for achieving advanced mechanical properties.展开更多
The macro- and microscopic results were that this body of basalt tectonically heavily loaded, strongly altered by clay minerals and characterized by hydro-metasomatic alteration. The geochemical analyzes revealed that...The macro- and microscopic results were that this body of basalt tectonically heavily loaded, strongly altered by clay minerals and characterized by hydro-metasomatic alteration. The geochemical analyzes revealed that the original magma could be a mantle origin of high iron and magnesium containing basalt （tholeiites, 10%-15%）. As regards to the palaeogeographic environment, it can be said that due to the periodic sea flooding, it pushed into a lower area, covered with sediment where the surrounding areas were highlighted （biikkszentkereszt and bukkszentlaszl6 tufts）.展开更多
Purpose: During the COVID-19 pandemic, a significant number of measures were taken worldwide to limit the transmission of SARS-CoV-2, and in many ways, changed human life. All these measures had harmful consequences a...Purpose: During the COVID-19 pandemic, a significant number of measures were taken worldwide to limit the transmission of SARS-CoV-2, and in many ways, changed human life. All these measures had harmful consequences and impacted the well-being of many people. Children were one of the most vulnerable groups. We conducted the present study to assess children’s and staff’s well-being in French-speaking primary schools in Belgium during the COVID-19 pandemic. Methods: A 37-question questionnaire for each child based on the Revised Children’s Manifest Anxiety Scale (RCMAS), and a 14-question questionnaire for each staff based on the Hospital Anxiety and Depression (HAD) scale was undertaken in order to assess the well-being. Multiple logistic regressions were performed to assess the relationship between RCMAS or HAD and other explanatory variables. Staff reported their perception of their current life and their future life in 5 years on a Visual Analogue Scale (VAS). Results: A total of 231 children and 221 staff in 11 primary schools answered the well-being questionnaire between January and May 2021. 53% (122/231) of children had symptoms of anxiety. Girls reported more anxiety symptoms than boys (≥10: 59%;Adj OR = 2.25;95% CI [1.28;4.03]). 52% (120/231) of children had a definite state of social desirability. According to age, the youngest (6 - 7 years) children were more likely to have social desirability (≥5: 71%;Adj OR = 3.44;95% CI [1.53;8.09]) compared to the oldest (10 - 12 years). Children who did not practice outdoor/street activities were more likely to have social desirability (≥5: 60%;Adj OR = 2.59;95% CI [1.38;4.99]). In schools with a higher local incidence of SARS-CoV-2, children were more likely to have social desirability (≥5: 64%;Adj OR = 2.15;95% CI [1.13;4.17]). In schools with a lower socioeconomic status, children were more likely to have social desirability (≥5: 72%;Adj OR = 2.74;95% CI [1.23;6.37]). Higher RCMAS anxiety (r = −0.18;p −0.23;p −0.20;p Conclusion: Our results showed that the well-being of children was impacted during the COVID-19 pandemic. Special attention must be focused on the most vulnerable groups, as the consequences can be catastrophic in the long term.展开更多
Purpose: During the COVID-19 pandemic, closing schools was discussed to limit the virus transmission, despite a lack of evidence on the role of young children in the virus spread. We undertook a study among Belgian pr...Purpose: During the COVID-19 pandemic, closing schools was discussed to limit the virus transmission, despite a lack of evidence on the role of young children in the virus spread. We undertook a study among Belgian primary schools to assess the SARS-CoV-2 antibody seroprevalence and its relationship with local incidence, school size, and socioeconomic status (SES). Methods: Schools were purposively selected using three criteria: an area with either a low or a high COVID-19 incidence, either a small or a large size, and either a low or a high SES. 932 (/2488, 38%) children and 242 (/444, 55%) staff signed informed consent. COVID-19 antibodies were tested using rapid finger prick tests. Results: Children participation was positively correlated with staff (r = +0.33;95% CI [−0.34;0.78]), and strongly with SES (r = +0.81;95% CI [0.40;0.95]). Seroprevalence was 21% in children (191/922) and 25% in staff (61/240). Seroprevalence did not correlate with local cumulative incidence (children: r = +0.06;95% CI [−0.59;0.67];staff: r = +0.26;95% CI [−0.40;0.74]). In staff, seroprevalence was higher in schools with higher SES (r = +0.37;95% CI [−0.29;0.79]), but not in children (r = −0.10;95% CI [−0.66;0.53]). Conclusion:The lower seroprevalence in children suggests they are lower transmitters than adults, but poor socioeconomic levels were less representative.展开更多
Phenol,which belongs to the C_(6)H_(6)O isomeric group,is the simplest molecule in the family of alcohol of the aromatic series.Although phenol has yet to be detected in the interstellar medium,a tentative identificat...Phenol,which belongs to the C_(6)H_(6)O isomeric group,is the simplest molecule in the family of alcohol of the aromatic series.Although phenol has yet to be detected in the interstellar medium,a tentative identification was reported toward the Orion KL hot core using the IRAM-30 m line survey.To explore some more species of this isomeric group,we consider ten species to study the fate of their astronomical detection.It is noticed that phenol is the most energetically favorable isomer of this group.In contrast,propargyl ether is the least favorable(having relative energy~103kcal mol^(-1)compared to phenol)species of this group.So far,the studies associated with the formation of phenol are heavily concentrated on combustion chemistry.Here,we suggest a few key reactions(C_(6)H_(6)+OH→C_(6)H_(5)+H_(2)O,C_(6)H_(6)+O→C_(6)H_(5)OH,C_(6)H_(6)+H→C_(6)H_(5)+H_(2),and C_(6)H_(5)+OH→C_(6)H_(5)OH+hν)for the formation of phenol.All these pathways are included in a large gas-grain chemical network to study its formation in high mass star-forming regions and dark cloud environments.It is noticed that the phenyl(-C_(6)H_(5))formation by the ice-phase hydrogen abstraction reaction of benzene(i.e.,C_(6)H_(6)+OH→C_(6)H_(5)+H_(2)O if allowed at~10 K)could serve as the starting point for the formation of phenol in the gas phase by radiative association reaction C_(6)H_(5)+OH→C_(6)H_(5)OH+hν.The gasphase reaction C_(6)H_(6)+O→C_(6)H_(5)OH significantly contributes to the formation of phenol,when the ice-phase reaction C_(6)H_(6)+OH→C_(6)H_(5)+H_(2)O is not considered at low temperature.Band 4 ALMA archival data of a hot molecular core,G10.47+0.03,are analyzed.It yields an upper limit on phenol abundance of 5.19×10^(-9).Our astrochemical model delivers an upper limit on phenol abundance of~2.20×10^(-9)in the hot molecular core,whereas its production in the dark cloud is not satisfactory.展开更多
Introduction: In our setting there is a lack of publications on female hypertension in general population motivating this study to look for electro- and echocardiographic findings of female hypertension. Methods: We p...Introduction: In our setting there is a lack of publications on female hypertension in general population motivating this study to look for electro- and echocardiographic findings of female hypertension. Methods: We performed a cross-sectional study during 6 months in the cardiology department of the UH-GT including 324 female patients aged 18 and more seen in the outpatient unit and by whom the diagnosis of hypertension was set. All patients consented to be study participants after receiving clearly information about the study and that care giving will not be affected by their eventual refusal. Data collection has been done with all needed confidentiality rules. A survey formular was used to collect data in order to record them in an Access database. Analysis was done using IBM SPSS software. Quantitative data are presented as mean with standard deviation and qualitative as proportion. Level of significance for statistic test was set at 5%. Results: During the study time 324 among 524 hypertensive patients visited our outpatient unit giving a prevalence of fHTN of 61.8%. The means for age, body mass index (BMI) in female hypertensive patients were respectively 52 ± 14.461 years and 27.35 ± 06.585 Kg/m<sup>2</sup>. Main ECG findings were left ventricular hypertrophy (LVH) and sinus tachycardia with respectively 93.6% and 46.4% followed by isolated ventricular extrasystole with 33.7%. Echocardiography findings included LVH, relative wall thickness (RWT) and reduced ejection fraction (EF) in respectively 41.05%, 37.35% and 21.91%. The left ventricular mass (LV) mass and geometry were abnormal in 44.4% and 37.3%. Remodeling as geometry modification (18.2%) and mitral flow Type 2 (90.4%) have been the most abnormal findings. Conclusion: Hypertension induced modifications mainly LVH in ECG and Echocardiography in female patients less than encountered among male hypertensive patients.展开更多
Ionogels are an attractive class of materials for smart and flexible electronics and are prepared from the combination of a polymer and ionic liquid which is entrapped in this matrix.Ionogels provide a continuous cond...Ionogels are an attractive class of materials for smart and flexible electronics and are prepared from the combination of a polymer and ionic liquid which is entrapped in this matrix.Ionogels provide a continuous conductive phase with high thermal,mechanical,and chemical stability.However,because of the higher percentage of ionic liquids it is difficult to obtain an ionogel with high ionic conductivity and mechanical stability,which are very important from an application point of view.In this work,ionogel films with high flexibility,excellent ionic conductivity,and exceptional stability were prepared using polyvinyl alcohol as the host polymer matrix and 1-ethyl-3-methylimidazolium hydrogen sulfate as the ionic liquid using water as the solvent for energy storage application.The prepared ionogel films exhibited good mechanical stability along with sustaining strain of more than 100%at room temperature and low temperature,the ability to withstand twisting up to 360and different bending conditions,and excellent ionic conductivity of 5.12×10^(-3) S/cm.The supercapacitor cell fabricated using the optimized ionogel film showed a capacitance of 39.9 F/g with an energy and power densities of 5.5 W,h/kg and 0.3 kW/kg,respectively confirming the suitability of ionogels for supercapacitor application.展开更多
Advancements in light engineering have led to the creation of pulsed laser sources capable of delivering high-repetition-rate,high-power few-cycle laser pulses across a wide spectral range,enabling exploration of many...Advancements in light engineering have led to the creation of pulsed laser sources capable of delivering high-repetition-rate,high-power few-cycle laser pulses across a wide spectral range,enabling exploration of many fascinating nonlinear processes occurring in all states of matter.High-harmonic generation,one such process,which converts the low-frequency photons of the driver laser field into soft x-rays,has revolutionized atomic,molecular,and optical physics,leading to progress in attosecond science and ultrafast optoelectronics.The Extreme Light Infrastructure,Attosecond Light Pulse Source(ELI ALPS)facility pioneers state-of-the-art tools for research in these areas.This paper outlines the design rationale,capabilities,and applications of plasma-and gas-based high-repetition-rate(1 kHz to 100 kHz)attosecond extreme ultraviolet(XUV)beamlines developed at ELI ALPS,highlighting their potential for advancing various research fields.展开更多
文摘在基于Mesh-under的IPv6低功耗无线个域网(IPv6over low-power wireless personal area networks,6LoWPAN)中,针对传输路径上中间节点重传缓存溢出导致重传数据分片丢失,造成网络性能下降等问题,提出一种基于Mesh-under的备用缓存机制。本文所提机制根据传输路径上各节点重传缓存使用情况及数据分片剩余跳数等信息,设置动态重传缓存门限,并为超过该门限的节点从其邻居节点中挑选合适的备用缓存节点,从而完成数据分片的缓存与重传过程,达到均衡使用各节点重传缓存的目的。结果表明,所提机制能够有效避免重传缓存溢出,减小网络能耗,同时进一步提高目的端重组成功率。
基金the National Natural Science Foundation of China(Nos.21876132,21577100)the National Program for Support of Top-Notch Young Professionals,Shanghai Rising-Star Program(No.18QA1404300)+2 种基金the Fundamental Research Funds for the Central Universities(Nos.22120180102,22120200146)Young Excellent Talents in Tongji University(No.2015KJ001)Science&Technology Commission of Shanghai Municipality(No.18DZ1204400)。
文摘The development in technology of synthetic azo dyes,has led to excessive water resources pollution.Eve n at lower concentration they can impart the quality of water and human life.Herein,we have developed a novel synthesis strategy via introducing salicylic acid(SA)for the synthesis of a leachy crystalline material H-MIL-53(Fe)with hierarchical pores(HP)and exposed coordination unsaturated sites(CUS),which had higher surface area and larger pore volume than the as synthesized MIL-53(Fe).Due to these characteristics,H-MIL-53(Fe)was competent removal of orange G(OG,one of the frequently used azo dyes)with equilibrium in 300 min and the maximum adsorption capacity of 163.9 mg/g.The adsorption mechanism of OG onto H-MIL-53(Fe)was mostly based on electrostatic attraction between CUS of HMIL-53(Fe)along with HP as active species to OG diffusion and bind.By comparing H-MIL-53(Fe)with other adsorbents for OG adsorption,it is undoubtedly that H-MIL-53(Fe)can be used as a promising adsorbent for OG removal from aqueous solutions.
文摘Preliminary observations on the result of infection by parvovirus of primary cultured cells of human hepatoma and parahepatoma tissue were reported. Human hepatoma and parahepatoma tissue were obtained by the culture method of tissue fragment plating. It was observed that their respective sensitivity to parvovirus H-1 was different. H-1 had inhibitory effect on epithelial cells of hepatoma tissue but without any significant effect on fibroblasts simultaneously, H-l had no effect on epithelial cells and fibroblasts of parahepatoma tissue. Further investigation of the relationship between parvovirus and hepatoma would be helpful not only in elucidating the mechanism of carcinogenesis and its suppression but also in the search of new approach for the treatment of hepatoma.
文摘Data obtained on conodont distribution in the Permian-Triassic Sovetashen Section of Transcaucasia provide further limitations on the age of the carbon-isotopic anomalies discovered by Baud et al. (1989). The significance of Caucasian sections for working out the carbon-isotope standard for the Upper Permian and Lower Triassic (Induan) is shown. Original data on carbon-isotope composition of bivalve and brachiopod shells from Permian sediments of North-Eastern Russia (Omolon and Okhotsk areas) have been obtained, which may be used for their correlation.
文摘Walled-off pancreatic necrosis and a pancreatic abscess are the most severe complications of acute pancreatitis. Surgery in such critically ill patients is often associated with significant morbidity and mortality within the first few weeks after the onset of symptoms. Minimal invasive approaches with high success and low mortality rates are therefore of considerable interest. Endoscopic therapy has the potential to offer safe and effective alternative treatment. We report here on 3 consecutive patients with infected walled-off pancreatic necrosis and 1 patient with a pancreatic abscess who underwent direct endoscopic necrosectomy 19-21 d after the onset of acute pancreatitis. The infected pancreatic necrosis or abscess was punctured transluminally with a cystostome and, after balloon dilatation, a non-covered self-expanding biliary metal stent was placed into the necrotic cavity. Following stent deployment, a nasobiliary pigtail catheter was placed into the cavity to ensure continuous irrigation. After 5-7 d, the metal stent was removed endoscopically and the necrotic cavity was entered with a therapeutic gastroscope. Endoscopic debridement was performed via the simultaneous application of a high-flow water-jet system; using a flush knife, a Dormia basket, and hot biopsy forceps. The transluminal endotherapy was repeated 2-5 times daily during the next 10 d. Supportive care included parenteral antibiotics and jejunal feeding. All patients improved dramatically and with resolution of their septic conditions; 3 patients were completely cured without any further complications or the need for surgery. One patient died from a complication of prolonged ventilation severe bilateral pneumonia, not related to the endoscopic procedure. No procedure related complications were observed. Transluminal endoscopic necrosectomy with temporary application of a self-expanding metal stent and a high-flow water-jet system shows promise for enhancing the potential of this endoscopic approach in patients with walled-off pancreatic necrosis and/or a pancreatic abscess.
文摘AIM： To disclose geographic differences in genetic changes involved in gallbladder carcinogenesis between two distinct high-incidence areas of Japan and Hungary. METHODS： We examined 42 cases of gallbladder carcinoma： 22 Japanese and 20 Hungarian cases, p53 mutations at exons 5 to 8 and K-ras mutations at codon 12 were tested by direct sequencing. Microsatellite instability was determined from fluorescent dye-labeled PCR amplifications of flve-microsatellite markers （BAT-25, BAT-26, D2S123, DSS346, and D17S250）. RESULTS： Mutations of p53 were detected in 11 of 22 Japanese cases and 6 of 18 Hungarian cases （11/22 vs 6/18, P = 0.348）. Transition at CpG sites was found in none of 11 Japanese cases and 2 of 6 Hungarian cases; the difference was marginally significant （0/11 vs 2/6,P = 0.110）. K-ras mutations were detected in only one of the Hungarian cases. Eight of 19 （42.1%） ]apanese cases were MSI-high （presence of novel peaks in more than one of the five loci analyzed）, whereas only 1 of 15 （6.7%） Hungarian cases was MSI-high （P = 0.047）. CONCLUSION： It appears that the p53 mutations and MSI differ in patients with gallbladder carcinoma between two distinct high-incidence areas. Geographic variation might exist in the process of gallbladder carcinogenesis.
文摘BACKGROUND Emergency situations in inflammatory bowel diseases(IBD)put significant burden on both the patient and the healthcare system.AIM To prospectively measure Quality-of-Care indicators and resource utilization after the implementation of the new rapid access clinic service(RAC)at a tertiary IBD center.METHODS Patient access,resource utilization and outcome parameters were collected from consecutive patients contacting the RAC between July 2017 and March 2019 in this observational study.For comparing resource utilization and healthcare costs,emergency department(ED)visits of IBD patients with no access to RAC services were evaluated between January 2018 and January 2019.Time to appointment,diagnostic methods,change in medical therapy,unplanned ED visits,hospitalizations and surgical admissions were calculated and compared.RESULTS 488 patients(Crohn’s disease:68.4%/ulcerative colitis:31.6%)contacted the RAC with a valid medical reason.Median time to visit with an IBD specialist following the index contact was 2 d.Patients had objective clinical and laboratory assessment(C-reactive protein and fecal calprotectin in 91%and 73%).Fast-track colonoscopy/sigmoidoscopy was performed in 24.6%of the patients,while computed tomography/magnetic resonance imaging in only 8.1%.Medical therapy was changed in 54.4%.ED visits within 30 d following the RAC visit occurred in 8.8%(unplanned ED visit rate:5.9%).Diagnostic procedures and resource utilization at the ED(n=135 patients)were substantially different compared to RAC users:Abdominal computed tomography was more frequent(65.7%,P<0.001),coupled with multiple specialist consults,more frequent hospital admission(P<0.001),higher steroid initiation(P<0.001).Average medical cost estimates of diagnostic procedures and services per patient was$403 CAD vs$1885 CAD comparing all RAC and ED visits.CONCLUSION Implementation of a RAC improved patient care by facilitating easier access to IBD specific medical care,optimized resource utilization and helped avoiding ED visits and subsequent hospitalizations.
基金Parveen Kumar acknowledges the department of science and technology(DST)New Delhi for the INSPIRE(Innovation in Science Pursuit for Inspired Research)-Faculty grant.
文摘This review covers extensively the synthesis&surface modification,characterization,and application of magnetic nanoparticles.For biomedical applications,consideration should be given to factors such as design strategies,the synthesis process,coating,and surface passivation.The synthesis method regulates post-synthetic change and specific applications in vitro and in vivo imaging/diagnosis and pharmacotherapy/administration.Special insights have been provided on biodistribution,pharmacokinetics,and toxicity in a living system,which is imperative for their wider application in biology.These nanoparticles can be decorated with multiple contrast agents and thus can also be used as a probe for multi-mode imaging or double/triple imaging,for example,MRI-CT,MRI-PET.Similarly loading with different drug molecules/dye/fluorescent molecules and integration with other carriers have found application not only in locating these particles in vivo but simultaneously target drug delivery/hyperthermia inside the body.Studies are underway to collect the potential of these magnetically driven nanoparticles in various scientific fields such as particle interaction,heat conduction,imaging,and magnetism.Surely,this comprehensive data will help in the further development of advanced techniques for theranostics based on high-performance magnetic nanoparticles and will lead this research area in a new sustainable direction.
基金provided by the Major State Basic Research Development Program of China(2016YFB0701405)supported by the KTH-SJTU collaborative research and development seed grant+6 种基金the Swedish Research Councilthe Swedish Foundation for Strategic Researchthe China Scholarship Councilthe Swedish Foundation for International Cooperation in Research and Higher Educationthe Hungarian Scientific Research Fund(research project OTKA 128229)the Fundamental Research Funds for the Central Universities under grant No.N180204015partially funded by the Swedish Research Council through grant agreement no.2018–05973
文摘Combined theoretical and experimental efforts are put forward to study the critical factors influencing deformation mode transitions in face-centered cubic materials.We revisit the empirical relationship between the stacking fault energy(SFE)and the prevalent deformation mechanism.With ab initio calculated SFE,we establish the critical boundaries between various deformation modes in the model Cr-Co-Ni solid solution alloys.Satisfying agreement between theoretical predictions and experimental observations are reached.Our findings shield light on applying quantum mechanical calculations in designing transformation-induced plasticity and twinning-induced plasticity mechanisms for achieving advanced mechanical properties.
文摘The macro- and microscopic results were that this body of basalt tectonically heavily loaded, strongly altered by clay minerals and characterized by hydro-metasomatic alteration. The geochemical analyzes revealed that the original magma could be a mantle origin of high iron and magnesium containing basalt （tholeiites, 10%-15%）. As regards to the palaeogeographic environment, it can be said that due to the periodic sea flooding, it pushed into a lower area, covered with sediment where the surrounding areas were highlighted （biikkszentkereszt and bukkszentlaszl6 tufts）.
文摘Purpose: During the COVID-19 pandemic, a significant number of measures were taken worldwide to limit the transmission of SARS-CoV-2, and in many ways, changed human life. All these measures had harmful consequences and impacted the well-being of many people. Children were one of the most vulnerable groups. We conducted the present study to assess children’s and staff’s well-being in French-speaking primary schools in Belgium during the COVID-19 pandemic. Methods: A 37-question questionnaire for each child based on the Revised Children’s Manifest Anxiety Scale (RCMAS), and a 14-question questionnaire for each staff based on the Hospital Anxiety and Depression (HAD) scale was undertaken in order to assess the well-being. Multiple logistic regressions were performed to assess the relationship between RCMAS or HAD and other explanatory variables. Staff reported their perception of their current life and their future life in 5 years on a Visual Analogue Scale (VAS). Results: A total of 231 children and 221 staff in 11 primary schools answered the well-being questionnaire between January and May 2021. 53% (122/231) of children had symptoms of anxiety. Girls reported more anxiety symptoms than boys (≥10: 59%;Adj OR = 2.25;95% CI [1.28;4.03]). 52% (120/231) of children had a definite state of social desirability. According to age, the youngest (6 - 7 years) children were more likely to have social desirability (≥5: 71%;Adj OR = 3.44;95% CI [1.53;8.09]) compared to the oldest (10 - 12 years). Children who did not practice outdoor/street activities were more likely to have social desirability (≥5: 60%;Adj OR = 2.59;95% CI [1.38;4.99]). In schools with a higher local incidence of SARS-CoV-2, children were more likely to have social desirability (≥5: 64%;Adj OR = 2.15;95% CI [1.13;4.17]). In schools with a lower socioeconomic status, children were more likely to have social desirability (≥5: 72%;Adj OR = 2.74;95% CI [1.23;6.37]). Higher RCMAS anxiety (r = −0.18;p −0.23;p −0.20;p Conclusion: Our results showed that the well-being of children was impacted during the COVID-19 pandemic. Special attention must be focused on the most vulnerable groups, as the consequences can be catastrophic in the long term.
文摘Purpose: During the COVID-19 pandemic, closing schools was discussed to limit the virus transmission, despite a lack of evidence on the role of young children in the virus spread. We undertook a study among Belgian primary schools to assess the SARS-CoV-2 antibody seroprevalence and its relationship with local incidence, school size, and socioeconomic status (SES). Methods: Schools were purposively selected using three criteria: an area with either a low or a high COVID-19 incidence, either a small or a large size, and either a low or a high SES. 932 (/2488, 38%) children and 242 (/444, 55%) staff signed informed consent. COVID-19 antibodies were tested using rapid finger prick tests. Results: Children participation was positively correlated with staff (r = +0.33;95% CI [−0.34;0.78]), and strongly with SES (r = +0.81;95% CI [0.40;0.95]). Seroprevalence was 21% in children (191/922) and 25% in staff (61/240). Seroprevalence did not correlate with local cumulative incidence (children: r = +0.06;95% CI [−0.59;0.67];staff: r = +0.26;95% CI [−0.40;0.74]). In staff, seroprevalence was higher in schools with higher SES (r = +0.37;95% CI [−0.29;0.79]), but not in children (r = −0.10;95% CI [−0.66;0.53]). Conclusion:The lower seroprevalence in children suggests they are lower transmitters than adults, but poor socioeconomic levels were less representative.
基金the SVMCM scholarship,Government of West Bengalthe DST-INSPIRE Fellowship scheme for financial assistancethe CSIR fellowship。
文摘Phenol,which belongs to the C_(6)H_(6)O isomeric group,is the simplest molecule in the family of alcohol of the aromatic series.Although phenol has yet to be detected in the interstellar medium,a tentative identification was reported toward the Orion KL hot core using the IRAM-30 m line survey.To explore some more species of this isomeric group,we consider ten species to study the fate of their astronomical detection.It is noticed that phenol is the most energetically favorable isomer of this group.In contrast,propargyl ether is the least favorable(having relative energy~103kcal mol^(-1)compared to phenol)species of this group.So far,the studies associated with the formation of phenol are heavily concentrated on combustion chemistry.Here,we suggest a few key reactions(C_(6)H_(6)+OH→C_(6)H_(5)+H_(2)O,C_(6)H_(6)+O→C_(6)H_(5)OH,C_(6)H_(6)+H→C_(6)H_(5)+H_(2),and C_(6)H_(5)+OH→C_(6)H_(5)OH+hν)for the formation of phenol.All these pathways are included in a large gas-grain chemical network to study its formation in high mass star-forming regions and dark cloud environments.It is noticed that the phenyl(-C_(6)H_(5))formation by the ice-phase hydrogen abstraction reaction of benzene(i.e.,C_(6)H_(6)+OH→C_(6)H_(5)+H_(2)O if allowed at~10 K)could serve as the starting point for the formation of phenol in the gas phase by radiative association reaction C_(6)H_(5)+OH→C_(6)H_(5)OH+hν.The gasphase reaction C_(6)H_(6)+O→C_(6)H_(5)OH significantly contributes to the formation of phenol,when the ice-phase reaction C_(6)H_(6)+OH→C_(6)H_(5)+H_(2)O is not considered at low temperature.Band 4 ALMA archival data of a hot molecular core,G10.47+0.03,are analyzed.It yields an upper limit on phenol abundance of 5.19×10^(-9).Our astrochemical model delivers an upper limit on phenol abundance of~2.20×10^(-9)in the hot molecular core,whereas its production in the dark cloud is not satisfactory.
文摘Introduction: In our setting there is a lack of publications on female hypertension in general population motivating this study to look for electro- and echocardiographic findings of female hypertension. Methods: We performed a cross-sectional study during 6 months in the cardiology department of the UH-GT including 324 female patients aged 18 and more seen in the outpatient unit and by whom the diagnosis of hypertension was set. All patients consented to be study participants after receiving clearly information about the study and that care giving will not be affected by their eventual refusal. Data collection has been done with all needed confidentiality rules. A survey formular was used to collect data in order to record them in an Access database. Analysis was done using IBM SPSS software. Quantitative data are presented as mean with standard deviation and qualitative as proportion. Level of significance for statistic test was set at 5%. Results: During the study time 324 among 524 hypertensive patients visited our outpatient unit giving a prevalence of fHTN of 61.8%. The means for age, body mass index (BMI) in female hypertensive patients were respectively 52 ± 14.461 years and 27.35 ± 06.585 Kg/m<sup>2</sup>. Main ECG findings were left ventricular hypertrophy (LVH) and sinus tachycardia with respectively 93.6% and 46.4% followed by isolated ventricular extrasystole with 33.7%. Echocardiography findings included LVH, relative wall thickness (RWT) and reduced ejection fraction (EF) in respectively 41.05%, 37.35% and 21.91%. The left ventricular mass (LV) mass and geometry were abnormal in 44.4% and 37.3%. Remodeling as geometry modification (18.2%) and mitral flow Type 2 (90.4%) have been the most abnormal findings. Conclusion: Hypertension induced modifications mainly LVH in ECG and Echocardiography in female patients less than encountered among male hypertensive patients.
基金supported by the National Centre for Research and Development(NCBR,Poland)Project number:V4-Japan/2/17/Atom DeC/2022 and the Ministry of Education,Youth and Sports,Czech Republic(contract no.8F21007)+1 种基金the NKFIH(project No.2019e2.1.7-ERA-NET-2021-00029)under the Visegrad Group-Japan 2021 Joint Call on Advanced Materials in cooperation with the International Visegrad Fund.Authors would like to thank Dr.Silvie Vallova(VSB-TUO)for thermal analysis results,Dr.K.M.Gorecki(VSB-TUO)for FTIR measurementsthe Large Research Infrastructure ENREGAT(project No.LM2023056)supported by the Ministry of Education,Youth and Sports of the Czech Republic.
文摘Ionogels are an attractive class of materials for smart and flexible electronics and are prepared from the combination of a polymer and ionic liquid which is entrapped in this matrix.Ionogels provide a continuous conductive phase with high thermal,mechanical,and chemical stability.However,because of the higher percentage of ionic liquids it is difficult to obtain an ionogel with high ionic conductivity and mechanical stability,which are very important from an application point of view.In this work,ionogel films with high flexibility,excellent ionic conductivity,and exceptional stability were prepared using polyvinyl alcohol as the host polymer matrix and 1-ethyl-3-methylimidazolium hydrogen sulfate as the ionic liquid using water as the solvent for energy storage application.The prepared ionogel films exhibited good mechanical stability along with sustaining strain of more than 100%at room temperature and low temperature,the ability to withstand twisting up to 360and different bending conditions,and excellent ionic conductivity of 5.12×10^(-3) S/cm.The supercapacitor cell fabricated using the optimized ionogel film showed a capacitance of 39.9 F/g with an energy and power densities of 5.5 W,h/kg and 0.3 kW/kg,respectively confirming the suitability of ionogels for supercapacitor application.
基金The ELI ALPS project(GINOP-2.3.6-15-2015-00001)is supported by the European Union,and it is co-financed by the European Regional Development Fund.supported by the IMPULSE project,which receives funding from the European Union Framework Programme for Research and Innovation Horizon 2020 under grant agreement no.871161.S.K.and M.U.K.also acknowledges project no.2019-2.1.13-TET-IN-2020-00059+2 种基金support provided by the National Research,Development and Innovation Fund of Hungary,and financed under the 2019-2.1.13-TET-IN funding scheme.D.C.acknowledges support of this work by the Hellenic Foundation for Research and Innovation(HFRI)and the General Secretariat for Research and Technology(GSRT)under the grant no.NEA-APS HFRIFM17-3173support from the Swedish Research Council,the European Research Council(advanced grant QPAP,884900)the Knut and Alice Wallenberg Foundation,including the Wallenberg Center for Quantum Technology(WACQT).
文摘Advancements in light engineering have led to the creation of pulsed laser sources capable of delivering high-repetition-rate,high-power few-cycle laser pulses across a wide spectral range,enabling exploration of many fascinating nonlinear processes occurring in all states of matter.High-harmonic generation,one such process,which converts the low-frequency photons of the driver laser field into soft x-rays,has revolutionized atomic,molecular,and optical physics,leading to progress in attosecond science and ultrafast optoelectronics.The Extreme Light Infrastructure,Attosecond Light Pulse Source(ELI ALPS)facility pioneers state-of-the-art tools for research in these areas.This paper outlines the design rationale,capabilities,and applications of plasma-and gas-based high-repetition-rate(1 kHz to 100 kHz)attosecond extreme ultraviolet(XUV)beamlines developed at ELI ALPS,highlighting their potential for advancing various research fields.
