The University of Washington has played a pivotal role in the field of sinology with faculty and alumni producing major publications in Chinese history,literature,phonetics,and linguistics.These contributions have bee...The University of Washington has played a pivotal role in the field of sinology with faculty and alumni producing major publications in Chinese history,literature,phonetics,and linguistics.These contributions have been instrumental in the development of sinology as a field and have both directly and indirectly influenced the study of Chinese Medicine.By tracing the history of the Department of Asian Languages and Literature and examining several major figures,we can better understand how these individuals shaped the development of Chinese Medicine and contributed to its spread worldwide.展开更多
Community detection is a fundamental problem in network analysis for identifying densely connected node clusters,with successful applications in diverse fields like social networks,recommendation systems,biology,and c...Community detection is a fundamental problem in network analysis for identifying densely connected node clusters,with successful applications in diverse fields like social networks,recommendation systems,biology,and cyberattack detection.Overlapping community detection refers to the case of a node belonging to multiple communities simultaneously,which is a much more meaningful and challenging task.Graph representation learning with Evolutionary Computation has been studied well in overlapping community detection to deal with complex network structures and characteristics.However,most of them focus on searching the entire solution space,which can be inefficient and lead to inadequate results.To overcome the problem,a structural feature node extraction method is first proposed that can effectively map a network into a structural embedding space.Thus,nodes within the network are classified into hierarchical levels based on their structural feature strength,and only nodes with relatively high strength are considered in subsequent search steps to reduce the search space.Then,a maximal-clique representation method is employed on the given vertex set to identify overlapping nodes.A hybrid clique-based multi-objective evolutionary algorithmwith decomposition method is designed to address cliques and the remaining unexplored nodes separately.The number of communities generated with this allocation method is closer to the actual partition count with high division quality.Experimental results on nine usually used real-world networks,five synthetic networks,and two large-scale networks demonstrate the effectiveness of the proposed methodology in terms of community quality and algorithmic efficiency,compared to traditional,MOEA-based,and graph embedding-based community detection algorithms.展开更多
INTRODUCTION As a culture we hold dear social values such as public good,health and well-being,quality of life,diversity,and equity.The focus of this article is how Seattle’s Central Library,a Silver LEED™project,int...INTRODUCTION As a culture we hold dear social values such as public good,health and well-being,quality of life,diversity,and equity.The focus of this article is how Seattle’s Central Library,a Silver LEED™project,integrates social benefit into its design.While LEED provides credit opportunities for some social issues,many are not addressed by the LEED System.The Seattle project provides a rich example of how to integrate a broader range of social sustainability into green design thinking.Issues for consideration include:design to encourage social interaction,accessibility,economic development,cultural arts,and improved staffefficiency and ergonomics.This discussion searches for lessons learned that might inspire the emergence of new LEED credits.展开更多
BACKGROUND Advanced heart failure and transplant(AHFTC)teams are crucial in the management of patients in cardiogenic shock.We sought to explore the impact of AHFTC physicians on outcomes in patients receiving extraco...BACKGROUND Advanced heart failure and transplant(AHFTC)teams are crucial in the management of patients in cardiogenic shock.We sought to explore the impact of AHFTC physicians on outcomes in patients receiving extracorporeal membrane oxygenation(ECMO)support.AIM To determine whether outcomes differ in the care of ECMO patients when AHFTC physicians serve in a primary vs consultative role.METHODS We conducted a retrospective cohort study of 51 patients placed on veno-venous(VV)and veno-arterial(VA)ECMO between January 2015 and February 2023 at our institution.We compared ECMO outcomes between teams managed primarily by intensivists vs teams where AHFTC physicians played a direct role in ECMO management,including patient selection.Our primary outcome measure was survival to 30 days post hospital discharge.RESULTS For combined VA and VV ECMO patients,survival to 30 days post discharge in the AHFTC cohort was significantly higher(67%vs 30%,P=0.01),largely driven by a significantly increased 30-day post discharge survival in VA ECMO patients in the AHFTC group(64%vs 20%,P=0.05).CONCLUSION This study suggests that patients in shock requiring VA ECMO support may have improved survival 30 days after hospital discharge when an AHFTC team serves in a direct role in the selection and management of patients.Further studies are needed to validate this impact.展开更多
Due to their persistence,bioaccumulation,and resistance to degradation,perfluorinated substances(PFASs)have significant impacts on the environment and human health.This study comprehensively analyzed and assessed the ...Due to their persistence,bioaccumulation,and resistance to degradation,perfluorinated substances(PFASs)have significant impacts on the environment and human health.This study comprehensively analyzed and assessed the occurrence characteristics,sources,and potential ecological risks of 13 PFASs in the Yangtze River.The results indicated that the concentrations ofΣPFASs range from 5.1 to 57.7 ng/L,with more severe pollution downstream and perfluorobutane sulfonate(PFBuS)being the main pollutant.ΣPFASs showed a positive correlation with total organic carbon and absorbance under the condition of UV wavelength 254 nm(UV_(254)),and a negative correlation with total dissolved solids.Positive matrix factorization model analysis revealed that the primary sources of PFASs in the study area are food packaging,the electroplating industry,and the manufacturing and processing of fluoropolymer-containing products.The total ecological risk value of PFASs indicated that the ecological risks to algae,invertebrates,and fish are negligible.The annual load of ΣPFASs in the Yangtze River was 39.00 t,with the highest concentrations of pollutants being PFBuS(26.41 t/year),perfluorobutanoic acid(6.47 t/year),and perfluorooctanoic acid(PFOA,3.19t/year).While PFASs have not yet posed a risk to aquatic organisms,the increase in the use of short-chain PFASs substitutes(C4-C7)due to the regulation of PFOA and perfluorooctane sulfonate highlights the need for continued monitoring of short-chain PFASs pollution.展开更多
The brain's extracellular matrix(ECM),which is comprised of protein and glycosaminoglycan(GAG)scaffolds,constitutes 20%-40% of the human brain and is considered one of the largest influencers on brain cell functio...The brain's extracellular matrix(ECM),which is comprised of protein and glycosaminoglycan(GAG)scaffolds,constitutes 20%-40% of the human brain and is considered one of the largest influencers on brain cell functioning(Soles et al.,2023).Synthesized by neural and glial cells,the brain's ECM regulates a myriad of homeostatic cellular processes,including neuronal plasticity and firing(Miyata et al.,2012),cation buffering(Moraws ki et al.,2015),and glia-neuron interactions(Anderson et al.,2016).Considering the diversity of functions,dynamic remodeling of the brain's ECM indicates that this understudied medium is an active participant in both normal physiology and neurological diseases.展开更多
Lithic miniaturization is a key adaptive and technological feature of human populations and one of the key cultural hallmarks in the Late Pleistocene of Eastern Asia.In northern China this form of stone tool technolog...Lithic miniaturization is a key adaptive and technological feature of human populations and one of the key cultural hallmarks in the Late Pleistocene of Eastern Asia.In northern China this form of stone tool technology is well represented,including by microblade technology.Lithic miniaturization has been identified in South China,though this technological feature has received little research attention in comparison to the north.Here,we examine three miniaturized lithic assemblages in South China,ranging from the terminal Pleistocene to middle Holocene.To examine technological variations in lithic miniaturization,the three assemblages were subject to comparative quantitative analyses,including principal component analysis(PCA),K-means clustering and the Zingg system.The three sites were found to exhibit varied temporal and geographic patterns of lithic miniaturization across South China,potentially related to fluctuating climatic conditions and changes in population dynamics since the Late Pleistocene.展开更多
The Himalayan monal(Lophophorus impejanus),Nepal’s national bird,is a protected species facing significant conservation challenges.Understanding the distribution and habitat preferences of the Himalayan monal(HM)is c...The Himalayan monal(Lophophorus impejanus),Nepal’s national bird,is a protected species facing significant conservation challenges.Understanding the distribution and habitat preferences of the Himalayan monal(HM)is crucial for its conservation.This study was conducted in the Langtang National Park(LNP),Nepal using the route census method during both winter(November/December 2022)and summer(June 2023)seasons to examine the seasonal variation in HM’s elevational distribution and habitat preference.Further,we assessed their conservation threats by conducting a semi-structured questionnaire survey with the local residents.During the winter period,the HMs preferred grassland habitats,while in the summer,their preference shifted to shrubland and barren area.HM abundance was negatively associated with the Normalized Differential Vegetation Index(NDVI)and the shortest distance from the survey trails in the winter.The HMs actively avoided areas with high anthropogenic pressure.In the summer,they showed a wider elevational range up to 4400 m above sea level(a.s.l.),with a higher sighting frequency between 3600 and 3900 m a.s.l.The questionnaire survey of the local residents revealed that anthropogenic pressure such as poaching and free-ranging livestock grazing are the major threats to the species in the study area.This study provides valuable insight into the complex habitat preferences and critical threats faced by the HMs in LNP and underscores the urgent need for targeted conservation action.展开更多
LiNiO_(2)(LNO)is one of the most promising cathode materials for lithium-ion batteries.Tungsten element in enhancing the stability of LNO has been researched extensively.However,the understanding of the specific dopin...LiNiO_(2)(LNO)is one of the most promising cathode materials for lithium-ion batteries.Tungsten element in enhancing the stability of LNO has been researched extensively.However,the understanding of the specific doping process and existing form of W are still not perfect.This study proposes a lithium-induced grain boundary phase W doping mechanism.The results demonstrate that the introduced W atomsfirst react with the lithium source to generate a Li–W–O phase at the grain boundary of primary particles.With the increase of lithium ratio,W atoms gradually diffuse from the grain boundary phase to the interior layered structure to achieve W doping.The feasibility of grain boundary phase doping is verified byfirst principles calculation.Furthermore,it is found that the Li2WO4 grain boundary phase is an excellent lithium ion conductor,which can protect the cathode surface and improve the rate performance.The doped W can alleviate the harmful H2↔H3 phase transition,thereby inhibiting the generation of microcracks,and improving the electrochemical performance.Consequently,the 0.3 wt%W-doped sample provides a significant improved capacity retention of 88.5%compared with the pristine LNO(80.7%)after 100 cycles at 2.8–4.3 V under 1C.展开更多
Optical and hybrid convolutional neural networks(CNNs)recently have become of increasing interest to achieve low-latency,low-power image classification,and computer-vision tasks.However,implementing optical nonlineari...Optical and hybrid convolutional neural networks(CNNs)recently have become of increasing interest to achieve low-latency,low-power image classification,and computer-vision tasks.However,implementing optical nonlinearity is challenging,and omitting the nonlinear layers in a standard CNN comes with a significant reduction in accuracy.We use knowledge distillation to compress modified AlexNet to a single linear convolutional layer and an electronic backend(two fully connected layers).We obtain comparable performance with a purely electronic CNN with five convolutional layers and three fully connected layers.We implement the convolution optically via engineering the point spread function of an inverse-designed meta-optic.Using this hybrid approach,we estimate a reduction in multiply-accumulate operations from 17M in a conventional electronic modified AlexNet to only 86 K in the hybrid compressed network enabled by the optical front end.This constitutes over 2 orders of magnitude of reduction in latency and power consumption.Furthermore,we experimentally demonstrate that the classification accuracy of the system exceeds 93%on the MNIST dataset of handwritten digits.展开更多
Cryopreservation of living cells and tissues plays a vital role in biomedical research,clinical applications,biotechnology innovation,the development of new vaccines and drugs,and the conservation of endangered specie...Cryopreservation of living cells and tissues plays a vital role in biomedical research,clinical applications,biotechnology innovation,the development of new vaccines and drugs,and the conservation of endangered species.While significant technological breakthroughs have been achieved in cooling methods-particularly through vitrification for large tissue and organs-the lack of optimal rewarming technology remains a key obstacle to successful cryopreservation,especially for larger samples such as tissues and organs.The primary challenges during the warming process include non-uniformity heating and insufficient rewarming rates,which can lead to thermal stress-induced structural damage and lethal ice recrystallization,ultimately compromising the integrity and functionality of biological materials.In recent years,various advanced warming techniques have emerged,employing different energy conversion approaches to achieve volumetric heating while minimizing the risk of overheating.These techniques involve thermal,mechanical-thermal,and electromagnetic-thermal energy conversions.However,each method presents its own limitation.This review aims to summarize recent advancements in rewarming technologies for cryopreservation,with a focus on their mechanisms,applications,and the key challenges that must be addressed to enable broader adoption in medical and commercial contexts.展开更多
We generalize the convex duality symmetry in Gibbs' statistical ensemble formulation, between the Gibbs entropy φ_(V,N)(E) as a function of mean internal energy E and Massieu's free entropy Ψ_(V,N)(β) as a ...We generalize the convex duality symmetry in Gibbs' statistical ensemble formulation, between the Gibbs entropy φ_(V,N)(E) as a function of mean internal energy E and Massieu's free entropy Ψ_(V,N)(β) as a function of inverse temperature β. The duality in terms of Legendre–Fenchel transform tells us that Gibbs' thermodynamic entropy is to the law of large numbers(LLN) for arithmetic sample mean values what Shannon's information entropy is to the LLN for empirical counting frequencies in independent and identically distributed data. Proceeding with the same mathematical logic, we identify the energy of the state {ui} as the conjugate variable to the counting of statistical occurrence {mi} and find a Hamilton–Jacobi equation for the Shannon entropy analogous to an equation of state in thermodynamics. An eigenvalue problem that is reminiscent of certain features in quantum mechanics arises in the entropy theory of statistical counting frequencies of Markov correlated data.展开更多
BACKGROUND Discordance between endoscopic and histologic assessments in Crohn’s disease(CD)have been observed,however the prevalence and cause are unclear.AIM To assess if a protocolized approach to biopsy collection...BACKGROUND Discordance between endoscopic and histologic assessments in Crohn’s disease(CD)have been observed,however the prevalence and cause are unclear.AIM To assess if a protocolized approach to biopsy collection facilitates understanding of this discordance in patients with ileal CD.METHODS Patients with known ileal CD underwent colonoscopy with endoscopic disease activity assessment.Three protocolized biopsies were taken respectively from an ulcer edge,7-mm,and 14-mm away from the ulcer edge in patients with discrete ileal ulcer(s).In patients with no ulcers as controls,the same 3-site biopsy protocol was applied in a randomly selected area of endoscopically-unremarkable terminal ileal mucosa.A blinded pathologist assessed mucosal inflammation in each biopsy using 3 validated histologic indices.RESULTS Twenty-four participants had visible ulcer(s)on endoscopy and 12 served as no-ulcer controls.Of biopsies taken from an ulcer edge,only 67%showed histologic evidence of active(neutrophilic)inflammation,and 33%showed histologic features of ulcer or erosion;all were from either large(n=4)or very large(n=4)ulcers.In the no-ulcer controls,no biopsies showed histologic features of ulcer or erosion,but 8%showed active inflammation.CONCLUSION A striking discordance exists between endoscopic and histologic assessments for mucosal inflammation in patients with active ileal CD,even in biopsies targeted at an ulcer edge,while a higher concordance is seen in patients with no endoscopic disease activity.It remains unclear how to incorporate histologic disease activity into the treatment paradigm.Further research is needed to optimize biopsy protocols and histologic assessments for CD.展开更多
Highly energy-efficient buildings have generated remarkable interest over the last few years.There is a need for simulation based effective control systems for efficient usage of electrical and fossil fuel driven devi...Highly energy-efficient buildings have generated remarkable interest over the last few years.There is a need for simulation based effective control systems for efficient usage of electrical and fossil fuel driven devices,as they contribute to energy-efficient buildings and assist in gaining flexibility for the human occupancy-based energy loads.In this context,the integrated energy profile of a building can be ascertained by effective research approaches,as this knowledge would be beneficial to understand the demographics with respect to human occupancy and activities,as well as estimate varying energy consumption over time.Utility data from Smart Meter(SM)readings can reveal detailed information that could be mapped to predict resident occupancy and the usage patterns of specific types of appliances over desired time intervals.This research develops a user-driven simulation tool with realistic data acquisition options and assumptions of potential human behavior to determine energy usage patterns over time without the utility billing information.In this work,factors such as level of human occupancy,the possibility of space being occupied,thermostat settings,building envelope infrastructural aspects,types of appliances used in households,appliance energy related capacities,and the probability of using each appliance is considered,along with variance in weather,and heating-cooling systems specifications.For five specific benchmarked scenarios,the range of the random numbers is specified based on assumed potential human behavior for occupancy and energy-consuming appliances usage probabilities,with respect to the time of the day,weekday,and weekends.The simulation is developed using the Visual Basic Application(VBA)^(R)in Microsoft Excel^(R),based on the discrete-event Monte Carlo Simulation(MCS).The simulated energy usage and the cost are reflected in the sensitivity analysis by comparing factors such as the level of human occupancy,appliance type,and time intervals.展开更多
Given the rapid growth of sustainable construction strategies globally and the importance of resiliency in civil infrastructure,it is crucial to adopt best practices.Modular construction is one such practice and is co...Given the rapid growth of sustainable construction strategies globally and the importance of resiliency in civil infrastructure,it is crucial to adopt best practices.Modular construction is one such practice and is considered a better alternative to conventional construction in terms of resilience,construction times,resource efficiency,and sustainability.However,the continued expansion of modular construction relies on quantifying and evaluating its sustainability and the purported benefits.This paper develops and checks feasibility through an integrated multi-level decision support framework to empirically evaluate the sustainability performances of single-family residential modular homes.Criteria and indicator development and calculation,benchmark scale establishment,quantitative and qualitative data collection from literature and surveys,and multi-criteria decision analysis are unique aspects of this framework.The results of the two case studies located in the Okanagan region,Canada showed that modular homes perform at a higher level of sustainability than their conventional counterparts across multiple metrics and levels related to environmental and economic factors.The modular homes scored eco-efficiency values of 62.5 and 56.0,respectively and fell into higher performance range.The proposed frame-work offers flexibility in examining different dimensions of sustainability,providing valuable insights into the key parameters that need to be addressed to enhance overall sustainability.This research,which integrates life cycle thinking and decision-making,helps the construction industry and,municipalities,governments,and pol-icymakers in making informed decisions on the selection of suitable construction methods in city developments and move towards a more resilient and sustainable sector.展开更多
Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organ...Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organization(WHO)HPV Vaccine Introduction Clearing House reported that 147 countries(of 194 reporting)had fully introduced the HPV vaccine into their national schedules as of 20242.After COVID-19 pandemic disruptions,global coverage is again increasing.展开更多
Human exercise performance is influenced by factors related to inherent individual characteristics along with other modifiable factors.During exercise in the heat,sweating provides the major avenue for cooling.When bo...Human exercise performance is influenced by factors related to inherent individual characteristics along with other modifiable factors.During exercise in the heat,sweating provides the major avenue for cooling.When body water losses exceed 2%body mass,changes in physiological responses are observed in a dose-response manner.Human sweat varies in electrolyte content due to differences in ion channel re-absorption in the sweat duct.Moderate hypohydration(>2%body mass)is associated with physical and mental performance impairments,although this depends on the environment(e.g.,warm to hot)and type of exercise(e.g.,endurance)or cognitive task(e.g.,sustained attention,executive function,motor coordination)involved.This begs the question:Is simply adding water the optimal“solution”to improving human performance during events eliciting dehydration?This review focuses on literature applicable to athletes and military personnel during exertion in the heat.Historically,optimally formulating a sports drink to ingest during exercise has focused on appropriate levels of carbohydrate,with more recent interest spanning from higher electrolyte concentrations to amino acid formulations.Evidence to support recommendations regarding beverage bioavailability during exercise comes from studies comparing the appearance of heavy water(tagged within a beverage)in blood.Fluid delivery appears enhanced with moderately concentrated carbohydrate while electrolyte composition plays a lesser role.Despite the robust historical scientific literature related to fluid replacement,the quest for the optimal sports drink during exercise in the heat continues to generate interest considering global warming trends and the increasing numbers of new hydration-related products for exercising individuals.展开更多
We present a new two-dimensional(2D)map of total Galactic extinction,Av,across the entire dust half-layer from the Sun to extragalactic space for Galactic latitudes|b|>13°,as well as a three-dimensional(3D)map...We present a new two-dimensional(2D)map of total Galactic extinction,Av,across the entire dust half-layer from the Sun to extragalactic space for Galactic latitudes|b|>13°,as well as a three-dimensional(3D)map of Av within 2 kpc of the Sun.These maps are based on A_(V)and distance estimates derived from a data set,which utilizes Gaia Data Release 3 parallaxes and multi-band photometry for nearly 100 million dwarf stars.We apply our own corrections to account for significant systematics in this data set.Our 2D map achieves an angular resolution of6'.1,while the 3D map offers a transverse resolution of 3.56 pc—corresponding to variable angular resolution depending on distance—and a radial resolution of 50 pc.In constructing these maps,we pay particular attention to the solar neighborhood(within 200 pc)and to high Galactic latitudes.The 3D map predicts Av from the Sun to any extended object within the Galactic dust layer with an accuracy ofσ(A_(V))=0.1 mag.The 2D map provides Av estimates for the entire dust half-layer up to extragalactic distances with an accuracy ofσ(A_(V))=0.07 mag.We provide A_(V)estimates from our maps for various classes of extended celestial objects with angular size primarily in the range of 2′-40′,including 19,809 galaxies and quasars,170 Galactic globular clusters,458 open clusters,and several hundred molecular clouds from two lists.We also present extinction values for 8293 TypeⅠa supernovae.Comparison of our extinction estimates with those from previous maps and literature sources reveals systematic differences,indicating large-scale spatial variations in the extinction law and suggesting that earlier 2D reddening maps based on infrared dust emission tend to underestimate low extinction values.展开更多
文摘The University of Washington has played a pivotal role in the field of sinology with faculty and alumni producing major publications in Chinese history,literature,phonetics,and linguistics.These contributions have been instrumental in the development of sinology as a field and have both directly and indirectly influenced the study of Chinese Medicine.By tracing the history of the Department of Asian Languages and Literature and examining several major figures,we can better understand how these individuals shaped the development of Chinese Medicine and contributed to its spread worldwide.
基金supported in part by the National Natural Science Foundation of China under Grants 62473176,62073155,62002137,62106088,and 62206113National Key Laboratory of Ship Structural Safety underGrant 450324300the Postgraduate Research&Practice Innovation Programof Jiangsu Province under Grant KYCX24_2642.
文摘Community detection is a fundamental problem in network analysis for identifying densely connected node clusters,with successful applications in diverse fields like social networks,recommendation systems,biology,and cyberattack detection.Overlapping community detection refers to the case of a node belonging to multiple communities simultaneously,which is a much more meaningful and challenging task.Graph representation learning with Evolutionary Computation has been studied well in overlapping community detection to deal with complex network structures and characteristics.However,most of them focus on searching the entire solution space,which can be inefficient and lead to inadequate results.To overcome the problem,a structural feature node extraction method is first proposed that can effectively map a network into a structural embedding space.Thus,nodes within the network are classified into hierarchical levels based on their structural feature strength,and only nodes with relatively high strength are considered in subsequent search steps to reduce the search space.Then,a maximal-clique representation method is employed on the given vertex set to identify overlapping nodes.A hybrid clique-based multi-objective evolutionary algorithmwith decomposition method is designed to address cliques and the remaining unexplored nodes separately.The number of communities generated with this allocation method is closer to the actual partition count with high division quality.Experimental results on nine usually used real-world networks,five synthetic networks,and two large-scale networks demonstrate the effectiveness of the proposed methodology in terms of community quality and algorithmic efficiency,compared to traditional,MOEA-based,and graph embedding-based community detection algorithms.
文摘INTRODUCTION As a culture we hold dear social values such as public good,health and well-being,quality of life,diversity,and equity.The focus of this article is how Seattle’s Central Library,a Silver LEED™project,integrates social benefit into its design.While LEED provides credit opportunities for some social issues,many are not addressed by the LEED System.The Seattle project provides a rich example of how to integrate a broader range of social sustainability into green design thinking.Issues for consideration include:design to encourage social interaction,accessibility,economic development,cultural arts,and improved staffefficiency and ergonomics.This discussion searches for lessons learned that might inspire the emergence of new LEED credits.
文摘BACKGROUND Advanced heart failure and transplant(AHFTC)teams are crucial in the management of patients in cardiogenic shock.We sought to explore the impact of AHFTC physicians on outcomes in patients receiving extracorporeal membrane oxygenation(ECMO)support.AIM To determine whether outcomes differ in the care of ECMO patients when AHFTC physicians serve in a primary vs consultative role.METHODS We conducted a retrospective cohort study of 51 patients placed on veno-venous(VV)and veno-arterial(VA)ECMO between January 2015 and February 2023 at our institution.We compared ECMO outcomes between teams managed primarily by intensivists vs teams where AHFTC physicians played a direct role in ECMO management,including patient selection.Our primary outcome measure was survival to 30 days post hospital discharge.RESULTS For combined VA and VV ECMO patients,survival to 30 days post discharge in the AHFTC cohort was significantly higher(67%vs 30%,P=0.01),largely driven by a significantly increased 30-day post discharge survival in VA ECMO patients in the AHFTC group(64%vs 20%,P=0.05).CONCLUSION This study suggests that patients in shock requiring VA ECMO support may have improved survival 30 days after hospital discharge when an AHFTC team serves in a direct role in the selection and management of patients.Further studies are needed to validate this impact.
基金supported by the Strategic Priority Research Program of the Chinese Academy of Sciences(No.XDB0750000)the National Natural Science Foundation of China(Nos.52270012 and 52470018)the Ministry of Science and Technology of China(Nos.2022YFC3203705 and2021YFC3200904)。
文摘Due to their persistence,bioaccumulation,and resistance to degradation,perfluorinated substances(PFASs)have significant impacts on the environment and human health.This study comprehensively analyzed and assessed the occurrence characteristics,sources,and potential ecological risks of 13 PFASs in the Yangtze River.The results indicated that the concentrations ofΣPFASs range from 5.1 to 57.7 ng/L,with more severe pollution downstream and perfluorobutane sulfonate(PFBuS)being the main pollutant.ΣPFASs showed a positive correlation with total organic carbon and absorbance under the condition of UV wavelength 254 nm(UV_(254)),and a negative correlation with total dissolved solids.Positive matrix factorization model analysis revealed that the primary sources of PFASs in the study area are food packaging,the electroplating industry,and the manufacturing and processing of fluoropolymer-containing products.The total ecological risk value of PFASs indicated that the ecological risks to algae,invertebrates,and fish are negligible.The annual load of ΣPFASs in the Yangtze River was 39.00 t,with the highest concentrations of pollutants being PFBuS(26.41 t/year),perfluorobutanoic acid(6.47 t/year),and perfluorooctanoic acid(PFOA,3.19t/year).While PFASs have not yet posed a risk to aquatic organisms,the increase in the use of short-chain PFASs substitutes(C4-C7)due to the regulation of PFOA and perfluorooctane sulfonate highlights the need for continued monitoring of short-chain PFASs pollution.
基金supported by National Institute on Aging(NIH-NIA)R21 AG074152(to KMA)National Institute of Allergy and Infectious Diseases(NIAID)grant DP2 AI171150(to KMA)Department of Defense(DoD)grant AZ210089(to KMA)。
文摘The brain's extracellular matrix(ECM),which is comprised of protein and glycosaminoglycan(GAG)scaffolds,constitutes 20%-40% of the human brain and is considered one of the largest influencers on brain cell functioning(Soles et al.,2023).Synthesized by neural and glial cells,the brain's ECM regulates a myriad of homeostatic cellular processes,including neuronal plasticity and firing(Miyata et al.,2012),cation buffering(Moraws ki et al.,2015),and glia-neuron interactions(Anderson et al.,2016).Considering the diversity of functions,dynamic remodeling of the brain's ECM indicates that this understudied medium is an active participant in both normal physiology and neurological diseases.
基金National Natural Science Foundation of China,No.42177424,No.42488201Youth Innovation Promotion Association of the Chinese Academy of Sciences,No.2020074National Key Research and Development Projects,No.2022YFF0801502。
文摘Lithic miniaturization is a key adaptive and technological feature of human populations and one of the key cultural hallmarks in the Late Pleistocene of Eastern Asia.In northern China this form of stone tool technology is well represented,including by microblade technology.Lithic miniaturization has been identified in South China,though this technological feature has received little research attention in comparison to the north.Here,we examine three miniaturized lithic assemblages in South China,ranging from the terminal Pleistocene to middle Holocene.To examine technological variations in lithic miniaturization,the three assemblages were subject to comparative quantitative analyses,including principal component analysis(PCA),K-means clustering and the Zingg system.The three sites were found to exhibit varied temporal and geographic patterns of lithic miniaturization across South China,potentially related to fluctuating climatic conditions and changes in population dynamics since the Late Pleistocene.
基金an MSc thesis research grant from the Zoological Society of London(ZSL)Nepal.RCK’s effort was supported in part by the Office of Research Infrastructure Programs(ORIP)of the National Institutes of Health through grant number P51OD010425 to the Washington National Primate Research Center,USA。
文摘The Himalayan monal(Lophophorus impejanus),Nepal’s national bird,is a protected species facing significant conservation challenges.Understanding the distribution and habitat preferences of the Himalayan monal(HM)is crucial for its conservation.This study was conducted in the Langtang National Park(LNP),Nepal using the route census method during both winter(November/December 2022)and summer(June 2023)seasons to examine the seasonal variation in HM’s elevational distribution and habitat preference.Further,we assessed their conservation threats by conducting a semi-structured questionnaire survey with the local residents.During the winter period,the HMs preferred grassland habitats,while in the summer,their preference shifted to shrubland and barren area.HM abundance was negatively associated with the Normalized Differential Vegetation Index(NDVI)and the shortest distance from the survey trails in the winter.The HMs actively avoided areas with high anthropogenic pressure.In the summer,they showed a wider elevational range up to 4400 m above sea level(a.s.l.),with a higher sighting frequency between 3600 and 3900 m a.s.l.The questionnaire survey of the local residents revealed that anthropogenic pressure such as poaching and free-ranging livestock grazing are the major threats to the species in the study area.This study provides valuable insight into the complex habitat preferences and critical threats faced by the HMs in LNP and underscores the urgent need for targeted conservation action.
基金supported by the National Natural Science Foundation of China(No.52122407,No.52174285,52404317)the Science and Technology Innovation Program of Hunan Province(No.2022RC3048).
文摘LiNiO_(2)(LNO)is one of the most promising cathode materials for lithium-ion batteries.Tungsten element in enhancing the stability of LNO has been researched extensively.However,the understanding of the specific doping process and existing form of W are still not perfect.This study proposes a lithium-induced grain boundary phase W doping mechanism.The results demonstrate that the introduced W atomsfirst react with the lithium source to generate a Li–W–O phase at the grain boundary of primary particles.With the increase of lithium ratio,W atoms gradually diffuse from the grain boundary phase to the interior layered structure to achieve W doping.The feasibility of grain boundary phase doping is verified byfirst principles calculation.Furthermore,it is found that the Li2WO4 grain boundary phase is an excellent lithium ion conductor,which can protect the cathode surface and improve the rate performance.The doped W can alleviate the harmful H2↔H3 phase transition,thereby inhibiting the generation of microcracks,and improving the electrochemical performance.Consequently,the 0.3 wt%W-doped sample provides a significant improved capacity retention of 88.5%compared with the pristine LNO(80.7%)after 100 cycles at 2.8–4.3 V under 1C.
基金supported by the National Science Foundation(Grant Nos.NSF-ECCS-2127235 and EFRI-BRAID-2223495)Part of this work was conducted at the Washington Nanofabrication Facility/Molecular Analysis Facility,a National Nanotechnology Coordinated Infrastructure(NNCI)site at the University of Washington with partial support from the National Science Foundation(Grant Nos.NNCI-1542101 and NNCI-2025489).
文摘Optical and hybrid convolutional neural networks(CNNs)recently have become of increasing interest to achieve low-latency,low-power image classification,and computer-vision tasks.However,implementing optical nonlinearity is challenging,and omitting the nonlinear layers in a standard CNN comes with a significant reduction in accuracy.We use knowledge distillation to compress modified AlexNet to a single linear convolutional layer and an electronic backend(two fully connected layers).We obtain comparable performance with a purely electronic CNN with five convolutional layers and three fully connected layers.We implement the convolution optically via engineering the point spread function of an inverse-designed meta-optic.Using this hybrid approach,we estimate a reduction in multiply-accumulate operations from 17M in a conventional electronic modified AlexNet to only 86 K in the hybrid compressed network enabled by the optical front end.This constitutes over 2 orders of magnitude of reduction in latency and power consumption.Furthermore,we experimentally demonstrate that the classification accuracy of the system exceeds 93%on the MNIST dataset of handwritten digits.
基金supported by National Natural Science Foundation of China(Award Number:2346842).
文摘Cryopreservation of living cells and tissues plays a vital role in biomedical research,clinical applications,biotechnology innovation,the development of new vaccines and drugs,and the conservation of endangered species.While significant technological breakthroughs have been achieved in cooling methods-particularly through vitrification for large tissue and organs-the lack of optimal rewarming technology remains a key obstacle to successful cryopreservation,especially for larger samples such as tissues and organs.The primary challenges during the warming process include non-uniformity heating and insufficient rewarming rates,which can lead to thermal stress-induced structural damage and lethal ice recrystallization,ultimately compromising the integrity and functionality of biological materials.In recent years,various advanced warming techniques have emerged,employing different energy conversion approaches to achieve volumetric heating while minimizing the risk of overheating.These techniques involve thermal,mechanical-thermal,and electromagnetic-thermal energy conversions.However,each method presents its own limitation.This review aims to summarize recent advancements in rewarming technologies for cryopreservation,with a focus on their mechanisms,applications,and the key challenges that must be addressed to enable broader adoption in medical and commercial contexts.
文摘We generalize the convex duality symmetry in Gibbs' statistical ensemble formulation, between the Gibbs entropy φ_(V,N)(E) as a function of mean internal energy E and Massieu's free entropy Ψ_(V,N)(β) as a function of inverse temperature β. The duality in terms of Legendre–Fenchel transform tells us that Gibbs' thermodynamic entropy is to the law of large numbers(LLN) for arithmetic sample mean values what Shannon's information entropy is to the LLN for empirical counting frequencies in independent and identically distributed data. Proceeding with the same mathematical logic, we identify the energy of the state {ui} as the conjugate variable to the counting of statistical occurrence {mi} and find a Hamilton–Jacobi equation for the Shannon entropy analogous to an equation of state in thermodynamics. An eigenvalue problem that is reminiscent of certain features in quantum mechanics arises in the entropy theory of statistical counting frequencies of Markov correlated data.
文摘BACKGROUND Discordance between endoscopic and histologic assessments in Crohn’s disease(CD)have been observed,however the prevalence and cause are unclear.AIM To assess if a protocolized approach to biopsy collection facilitates understanding of this discordance in patients with ileal CD.METHODS Patients with known ileal CD underwent colonoscopy with endoscopic disease activity assessment.Three protocolized biopsies were taken respectively from an ulcer edge,7-mm,and 14-mm away from the ulcer edge in patients with discrete ileal ulcer(s).In patients with no ulcers as controls,the same 3-site biopsy protocol was applied in a randomly selected area of endoscopically-unremarkable terminal ileal mucosa.A blinded pathologist assessed mucosal inflammation in each biopsy using 3 validated histologic indices.RESULTS Twenty-four participants had visible ulcer(s)on endoscopy and 12 served as no-ulcer controls.Of biopsies taken from an ulcer edge,only 67%showed histologic evidence of active(neutrophilic)inflammation,and 33%showed histologic features of ulcer or erosion;all were from either large(n=4)or very large(n=4)ulcers.In the no-ulcer controls,no biopsies showed histologic features of ulcer or erosion,but 8%showed active inflammation.CONCLUSION A striking discordance exists between endoscopic and histologic assessments for mucosal inflammation in patients with active ileal CD,even in biopsies targeted at an ulcer edge,while a higher concordance is seen in patients with no endoscopic disease activity.It remains unclear how to incorporate histologic disease activity into the treatment paradigm.Further research is needed to optimize biopsy protocols and histologic assessments for CD.
文摘Highly energy-efficient buildings have generated remarkable interest over the last few years.There is a need for simulation based effective control systems for efficient usage of electrical and fossil fuel driven devices,as they contribute to energy-efficient buildings and assist in gaining flexibility for the human occupancy-based energy loads.In this context,the integrated energy profile of a building can be ascertained by effective research approaches,as this knowledge would be beneficial to understand the demographics with respect to human occupancy and activities,as well as estimate varying energy consumption over time.Utility data from Smart Meter(SM)readings can reveal detailed information that could be mapped to predict resident occupancy and the usage patterns of specific types of appliances over desired time intervals.This research develops a user-driven simulation tool with realistic data acquisition options and assumptions of potential human behavior to determine energy usage patterns over time without the utility billing information.In this work,factors such as level of human occupancy,the possibility of space being occupied,thermostat settings,building envelope infrastructural aspects,types of appliances used in households,appliance energy related capacities,and the probability of using each appliance is considered,along with variance in weather,and heating-cooling systems specifications.For five specific benchmarked scenarios,the range of the random numbers is specified based on assumed potential human behavior for occupancy and energy-consuming appliances usage probabilities,with respect to the time of the day,weekday,and weekends.The simulation is developed using the Visual Basic Application(VBA)^(R)in Microsoft Excel^(R),based on the discrete-event Monte Carlo Simulation(MCS).The simulated energy usage and the cost are reflected in the sensitivity analysis by comparing factors such as the level of human occupancy,appliance type,and time intervals.
文摘Given the rapid growth of sustainable construction strategies globally and the importance of resiliency in civil infrastructure,it is crucial to adopt best practices.Modular construction is one such practice and is considered a better alternative to conventional construction in terms of resilience,construction times,resource efficiency,and sustainability.However,the continued expansion of modular construction relies on quantifying and evaluating its sustainability and the purported benefits.This paper develops and checks feasibility through an integrated multi-level decision support framework to empirically evaluate the sustainability performances of single-family residential modular homes.Criteria and indicator development and calculation,benchmark scale establishment,quantitative and qualitative data collection from literature and surveys,and multi-criteria decision analysis are unique aspects of this framework.The results of the two case studies located in the Okanagan region,Canada showed that modular homes perform at a higher level of sustainability than their conventional counterparts across multiple metrics and levels related to environmental and economic factors.The modular homes scored eco-efficiency values of 62.5 and 56.0,respectively and fell into higher performance range.The proposed frame-work offers flexibility in examining different dimensions of sustainability,providing valuable insights into the key parameters that need to be addressed to enhance overall sustainability.This research,which integrates life cycle thinking and decision-making,helps the construction industry and,municipalities,governments,and pol-icymakers in making informed decisions on the selection of suitable construction methods in city developments and move towards a more resilient and sustainable sector.
文摘Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organization(WHO)HPV Vaccine Introduction Clearing House reported that 147 countries(of 194 reporting)had fully introduced the HPV vaccine into their national schedules as of 20242.After COVID-19 pandemic disruptions,global coverage is again increasing.
文摘Human exercise performance is influenced by factors related to inherent individual characteristics along with other modifiable factors.During exercise in the heat,sweating provides the major avenue for cooling.When body water losses exceed 2%body mass,changes in physiological responses are observed in a dose-response manner.Human sweat varies in electrolyte content due to differences in ion channel re-absorption in the sweat duct.Moderate hypohydration(>2%body mass)is associated with physical and mental performance impairments,although this depends on the environment(e.g.,warm to hot)and type of exercise(e.g.,endurance)or cognitive task(e.g.,sustained attention,executive function,motor coordination)involved.This begs the question:Is simply adding water the optimal“solution”to improving human performance during events eliciting dehydration?This review focuses on literature applicable to athletes and military personnel during exertion in the heat.Historically,optimally formulating a sports drink to ingest during exercise has focused on appropriate levels of carbohydrate,with more recent interest spanning from higher electrolyte concentrations to amino acid formulations.Evidence to support recommendations regarding beverage bioavailability during exercise comes from studies comparing the appearance of heavy water(tagged within a beverage)in blood.Fluid delivery appears enhanced with moderately concentrated carbohydrate while electrolyte composition plays a lesser role.Despite the robust historical scientific literature related to fluid replacement,the quest for the optimal sports drink during exercise in the heat continues to generate interest considering global warming trends and the increasing numbers of new hydration-related products for exercising individuals.
基金financial support from the Russian Science Foundation(grant No.20-72-10052)。
文摘We present a new two-dimensional(2D)map of total Galactic extinction,Av,across the entire dust half-layer from the Sun to extragalactic space for Galactic latitudes|b|>13°,as well as a three-dimensional(3D)map of Av within 2 kpc of the Sun.These maps are based on A_(V)and distance estimates derived from a data set,which utilizes Gaia Data Release 3 parallaxes and multi-band photometry for nearly 100 million dwarf stars.We apply our own corrections to account for significant systematics in this data set.Our 2D map achieves an angular resolution of6'.1,while the 3D map offers a transverse resolution of 3.56 pc—corresponding to variable angular resolution depending on distance—and a radial resolution of 50 pc.In constructing these maps,we pay particular attention to the solar neighborhood(within 200 pc)and to high Galactic latitudes.The 3D map predicts Av from the Sun to any extended object within the Galactic dust layer with an accuracy ofσ(A_(V))=0.1 mag.The 2D map provides Av estimates for the entire dust half-layer up to extragalactic distances with an accuracy ofσ(A_(V))=0.07 mag.We provide A_(V)estimates from our maps for various classes of extended celestial objects with angular size primarily in the range of 2′-40′,including 19,809 galaxies and quasars,170 Galactic globular clusters,458 open clusters,and several hundred molecular clouds from two lists.We also present extinction values for 8293 TypeⅠa supernovae.Comparison of our extinction estimates with those from previous maps and literature sources reveals systematic differences,indicating large-scale spatial variations in the extinction law and suggesting that earlier 2D reddening maps based on infrared dust emission tend to underestimate low extinction values.
