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
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
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
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
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
Inspired by brick-and-mortar architectures and suture interfaces,we propose a design of bioinspired nacre-like materials with interlocking sutures to improve the toughness of brittle materials.Laser-engraved glass int...Inspired by brick-and-mortar architectures and suture interfaces,we propose a design of bioinspired nacre-like materials with interlocking sutures to improve the toughness of brittle materials.Laser-engraved glass interlockers are laminated with soft interlayers in a staggered arrangement,and the fundamental mechanical properties of the structure are investigated through experiments and numerical modeling.It is found that the tensile performance,such as the strength and toughness,is strongly affected by the interlocking angle and suture line spacing.The geometric interlocking originated from suture interfaces as well as tablet sliding arising from the staggered arrangement of interlockers cooperatively contribute to enhancing the strength and toughness of this bioinspired design.Additionally,the finite element modeling shows the interfacial failure and plastic deformation,revealing the interplay of the geometric interlocking mechanism and the sliding mechanism.This novel bioinspired design paves a new path for fabrication of structural materials combining high stiffness,high strength,and enhanced toughness.展开更多
In the era of exponential growth of digital information,recommender algorithms are vital for helping users navigate vast data to find relevant items.Traditional approaches such as collaborative filtering and contentba...In the era of exponential growth of digital information,recommender algorithms are vital for helping users navigate vast data to find relevant items.Traditional approaches such as collaborative filtering and contentbasedmethods have limitations in capturing complex,multi-faceted relationships in large-scale,sparse datasets.Recent advances in Graph Neural Networks(GNNs)have significantly improved recommendation performance by modeling high-order connection patterns within user-item interaction networks.However,existing GNN-based models like LightGCN and NGCF focus primarily on single-type interactions and often overlook diverse semantic relationships,leading to reduced recommendation diversity and limited generalization.To address these challenges,this paper proposes a dual multi-relational graph neural network recommendation algorithm based on relational interactions.Our approach constructs two complementary graph structures:a User-Item Interaction Graph(UIIG),which explicitly models direct user behaviors such as clicks and purchases,and a Relational Association Graph(RAG),which uncovers latent associations based on user similarities and item attributes.The proposed Dual Multi-relational Graph Neural Network(DMGNN)features two parallel branches that perform multi-layer graph convolutional operations,followed by an adaptive fusion mechanism to effectively integrate information from both graphs.This design enhances the model’s capacity to capture diverse relationship types and complex relational patterns.Extensive experiments conducted on benchmark datasets—including MovieLens-1M,Amazon-Electronics,and Yelp—demonstrate thatDMGNN outperforms state-of-the-art baselines,achieving improvements of up to 12.3%in Precision,9.7%in Recall,and 11.5%in F1 score.Moreover,DMGNN significantly boosts recommendation diversity by 15.2%,balancing accuracy with exploration.These results highlight the effectiveness of leveraging hierarchical multi-relational information,offering a promising solution to the challenges of data sparsity and relation heterogeneity in recommendation systems.Our work advances the theoretical understanding of multi-relational graph modeling and presents practical insights for developing more personalized,diverse,and robust recommender systems.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
Background Globally,suicide is the third leading cause of death among girls aged 15-19 years.However,there is a growing concern that suicide research has paid lttle attention to pregnant adolescent girls,particularly ...Background Globally,suicide is the third leading cause of death among girls aged 15-19 years.However,there is a growing concern that suicide research has paid lttle attention to pregnant adolescent girls,particularly in lowincome and middle-income countries,including Ghana,where nearly one in seven adolescents experiences(unwanted)pregnancy.Aims To assess the prevalence and correlates of suicidal ideation and suicide attempt and the self-reported reasons for attempted suicide among pregnant adolescent girls in Ghana.Methods We collected cross-sectional data(between August 2022 and December 2023)using structured anonymous questionnaires from a sample of 449 pregnant adolescent girls(aged 14-19 years)drawn from the three geographical zones of Ghana.We applied bivariable and multivariable analysis techniques to the data.Results Overall,28.51%(95%confidence interval(Cl)24.37%to 32.93%)reported suicidal ideation,and 18.04%(95%Cl 14.59%to 21.91%)reported suicide attempt during the current pregnancy.Participants who reported attempted suicide endorsed more interpersonal reasons(eg,to communicate distress,to seek help or to influence others)than intrapersonal reasons for their attempted suicide.In the final adjusted logistic regression models,food insecurity(adjusted odds ratio(aOR)=2.69;95%Cl 1.34 to 5.41;p=0.005)was uniquely associated with increased odds of suicidal ideation.Adverse childhood experiences(a0R=3.04;95%CI 1.33 to 6.97;p=0.008),history of attempted suicide before current pregnancy(a0R=3.47;95%CI 1.27 to 9.47;p=0.015)and depression(measured by the 5-item World Health Organization Well-Being Index;aOR=0.31;95%CI 0.12 to 0.77;p=0.012)were uniquely associated with increased odds of suicide attempt.Five variables were commonly associated with increased odds of both suicidal ideation and suicide attempt:conflict with parents,alcohol use,pregnancy-related anxiety,history of attempted suicide and intimate partner violence.While being in junior high school was uniquely associated with reduced odds of suicidal ideation,intimate partner's acceptance of paternity was commonly associated with reduced odds of both suicidal ideation and suicide attempt.Conclusions Although the prevalence estimates of suicidal ideation and suicide attempt in this study are comparable with known rates among non-pregnant adolescent girls in Ghana,additional research is needed to nuance our understanding of the correlates identified in this study.The evidence aiso highlights a need for both routine antepartum primary care mental health screening for suicidality and related risks and targeted prevention and intervention programmes.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
BACKGROUND In patients with chronic liver disease or hepatic dysfunction with sarcopenia,there is an increased risk of frailty as measured by functional impairment,making frailty a vital predictor of post-transplant m...BACKGROUND In patients with chronic liver disease or hepatic dysfunction with sarcopenia,there is an increased risk of frailty as measured by functional impairment,making frailty a vital predictor of post-transplant mortality.AIM To investigate the effects of frailty on mortality after liver transplantation.METHODS A retrospective review of post-transplant outcomes in liver transplant recipients assessed frailty using Karnofsky Performance Score.Data from the Scientific Registry of Transplant Recipients database for 37427 liver transplant recipients was used.RESULTS Of 82.7%frail patients,42.7%were severely frail and 40%were moderately frail(P<0.001)at the time of transplantation.Compared with non-frail patients,post-transplant mortality in frail patients was significantly higher at 12 months[odds ratio(OR)=1.94,P=0.02].Secondary analysis of the data revealed that liver grafts from donation after circulatory death(DCD)were more likely to be associated with frail patients at transplant(OR=1.86,P<0.001).Furthermore,a donor history of hypertension was associated with a lower likelihood of frailty in the recipient at the time of transplant(OR=0.65,P=0.03).CONCLUSION Recipient frailty is associated with increased mortality at 12 months following liver transplantation,and liver transplants from donors with DCD are associated with increased frailty of the liver transplant recipient.展开更多
BACKGROUND Anemia is a prevalent and challenging complication in patients with hematologic and solid malignancies,which stems from the direct effects of malignancy,treatment-induced toxicities,and systemic inflammatio...BACKGROUND Anemia is a prevalent and challenging complication in patients with hematologic and solid malignancies,which stems from the direct effects of malignancy,treatment-induced toxicities,and systemic inflammation.It affects patients’survival,functional status,and quality of life profoundly.Recent literature has highlighted the emerging role of the gut microbiome in the pathogenesis of cancer-associated anemia.The gut microbiota,through its intricate interplay with iron metabolism,inflammatory pathways,and immune modulation,may either exacerbate or ameliorate anemia depending on its composition,and functional integrity.Dysbiosis,characterized by disruption in the gut microbial ecosystem,is very common in cancer patients.This microbial imbalance is implicated in anemia causation through diminished iron absorption,persistent low-grade inflammation,and suppression of erythropoiesis.AIM To consolidate current evidence regarding the interplay between gut microbiome and anemia in the setting of malignancies.It aims to provide a detailed exploration of the mechanistic links between dysbiosis and anemia,identifies unique challenges associated with various cancer types,and evaluates the efficacy of microbiome-focused therapies.Through this integrative approach,the review seeks to establish a foundation for innovative clinical strategies aimed at mitigating anemia and improving patient outcomes in oncology.METHODS A literature search was performed using multiple databases,including Google Scholar,PubMed,Scopus,and Web of Science,using a combination of keywords and Boolean operators to refine results.Keywords included“cancerassociated anemia”,“gut microbiome”,“intestinal microbiota”,“iron metabolism”,“gut dysbiosis”,“short-chain fatty acids”,“hematopoiesis”,“probiotics”,“prebiotics”,and“fecal microbiota transplantation”.Articles published in English between 2000 and December 2024 were included,with a focus on contemporary and relevant findings.RESULTS Therapeutic strategies aimed at restoration of gut microbial homeostasis,such as probiotics,prebiotics,dietary interventions,and fecal microbiota transplantation(FMT),can inhibit anemia-causing pathways by enhancing microbial diversity,suppressing detrimental flora,reducing systemic inflammation and optimizing nutrient absorption.CONCLUSION Gut dysbiosis causes anemia and impairs response to chemotherapy in cancer patients.Microbiome-centered interventions,such as probiotics,prebiotics,dietary modifications,and FMT,have shown efficacy in restoring microbial balance,reducing inflammation,and enhancing nutrient bioavailability.Emerging approaches,including engineered probiotics and bacteriophage therapies,are promising precision-based,customizable solutions for various microbiome compositions and imbalances.Future research should focus on integrating microbiometargeted strategies with established anemia therapies.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 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.
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.
基金Project supported by the National Natural Science Foundation of China(Nos.12202257,12072184,12002197)。
文摘Inspired by brick-and-mortar architectures and suture interfaces,we propose a design of bioinspired nacre-like materials with interlocking sutures to improve the toughness of brittle materials.Laser-engraved glass interlockers are laminated with soft interlayers in a staggered arrangement,and the fundamental mechanical properties of the structure are investigated through experiments and numerical modeling.It is found that the tensile performance,such as the strength and toughness,is strongly affected by the interlocking angle and suture line spacing.The geometric interlocking originated from suture interfaces as well as tablet sliding arising from the staggered arrangement of interlockers cooperatively contribute to enhancing the strength and toughness of this bioinspired design.Additionally,the finite element modeling shows the interfacial failure and plastic deformation,revealing the interplay of the geometric interlocking mechanism and the sliding mechanism.This novel bioinspired design paves a new path for fabrication of structural materials combining high stiffness,high strength,and enhanced toughness.
文摘In the era of exponential growth of digital information,recommender algorithms are vital for helping users navigate vast data to find relevant items.Traditional approaches such as collaborative filtering and contentbasedmethods have limitations in capturing complex,multi-faceted relationships in large-scale,sparse datasets.Recent advances in Graph Neural Networks(GNNs)have significantly improved recommendation performance by modeling high-order connection patterns within user-item interaction networks.However,existing GNN-based models like LightGCN and NGCF focus primarily on single-type interactions and often overlook diverse semantic relationships,leading to reduced recommendation diversity and limited generalization.To address these challenges,this paper proposes a dual multi-relational graph neural network recommendation algorithm based on relational interactions.Our approach constructs two complementary graph structures:a User-Item Interaction Graph(UIIG),which explicitly models direct user behaviors such as clicks and purchases,and a Relational Association Graph(RAG),which uncovers latent associations based on user similarities and item attributes.The proposed Dual Multi-relational Graph Neural Network(DMGNN)features two parallel branches that perform multi-layer graph convolutional operations,followed by an adaptive fusion mechanism to effectively integrate information from both graphs.This design enhances the model’s capacity to capture diverse relationship types and complex relational patterns.Extensive experiments conducted on benchmark datasets—including MovieLens-1M,Amazon-Electronics,and Yelp—demonstrate thatDMGNN outperforms state-of-the-art baselines,achieving improvements of up to 12.3%in Precision,9.7%in Recall,and 11.5%in F1 score.Moreover,DMGNN significantly boosts recommendation diversity by 15.2%,balancing accuracy with exploration.These results highlight the effectiveness of leveraging hierarchical multi-relational information,offering a promising solution to the challenges of data sparsity and relation heterogeneity in recommendation systems.Our work advances the theoretical understanding of multi-relational graph modeling and presents practical insights for developing more personalized,diverse,and robust recommender systems.
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the Global WACh Rising Star Seed Award by the Department of Global Health,University of Washington,Seattle,USA(Grant No:UW/GWACh/RSA/2023-01)。
文摘Background Globally,suicide is the third leading cause of death among girls aged 15-19 years.However,there is a growing concern that suicide research has paid lttle attention to pregnant adolescent girls,particularly in lowincome and middle-income countries,including Ghana,where nearly one in seven adolescents experiences(unwanted)pregnancy.Aims To assess the prevalence and correlates of suicidal ideation and suicide attempt and the self-reported reasons for attempted suicide among pregnant adolescent girls in Ghana.Methods We collected cross-sectional data(between August 2022 and December 2023)using structured anonymous questionnaires from a sample of 449 pregnant adolescent girls(aged 14-19 years)drawn from the three geographical zones of Ghana.We applied bivariable and multivariable analysis techniques to the data.Results Overall,28.51%(95%confidence interval(Cl)24.37%to 32.93%)reported suicidal ideation,and 18.04%(95%Cl 14.59%to 21.91%)reported suicide attempt during the current pregnancy.Participants who reported attempted suicide endorsed more interpersonal reasons(eg,to communicate distress,to seek help or to influence others)than intrapersonal reasons for their attempted suicide.In the final adjusted logistic regression models,food insecurity(adjusted odds ratio(aOR)=2.69;95%Cl 1.34 to 5.41;p=0.005)was uniquely associated with increased odds of suicidal ideation.Adverse childhood experiences(a0R=3.04;95%CI 1.33 to 6.97;p=0.008),history of attempted suicide before current pregnancy(a0R=3.47;95%CI 1.27 to 9.47;p=0.015)and depression(measured by the 5-item World Health Organization Well-Being Index;aOR=0.31;95%CI 0.12 to 0.77;p=0.012)were uniquely associated with increased odds of suicide attempt.Five variables were commonly associated with increased odds of both suicidal ideation and suicide attempt:conflict with parents,alcohol use,pregnancy-related anxiety,history of attempted suicide and intimate partner violence.While being in junior high school was uniquely associated with reduced odds of suicidal ideation,intimate partner's acceptance of paternity was commonly associated with reduced odds of both suicidal ideation and suicide attempt.Conclusions Although the prevalence estimates of suicidal ideation and suicide attempt in this study are comparable with known rates among non-pregnant adolescent girls in Ghana,additional research is needed to nuance our understanding of the correlates identified in this study.The evidence aiso highlights a need for both routine antepartum primary care mental health screening for suicidality and related risks and targeted prevention and intervention programmes.
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.
文摘BACKGROUND In patients with chronic liver disease or hepatic dysfunction with sarcopenia,there is an increased risk of frailty as measured by functional impairment,making frailty a vital predictor of post-transplant mortality.AIM To investigate the effects of frailty on mortality after liver transplantation.METHODS A retrospective review of post-transplant outcomes in liver transplant recipients assessed frailty using Karnofsky Performance Score.Data from the Scientific Registry of Transplant Recipients database for 37427 liver transplant recipients was used.RESULTS Of 82.7%frail patients,42.7%were severely frail and 40%were moderately frail(P<0.001)at the time of transplantation.Compared with non-frail patients,post-transplant mortality in frail patients was significantly higher at 12 months[odds ratio(OR)=1.94,P=0.02].Secondary analysis of the data revealed that liver grafts from donation after circulatory death(DCD)were more likely to be associated with frail patients at transplant(OR=1.86,P<0.001).Furthermore,a donor history of hypertension was associated with a lower likelihood of frailty in the recipient at the time of transplant(OR=0.65,P=0.03).CONCLUSION Recipient frailty is associated with increased mortality at 12 months following liver transplantation,and liver transplants from donors with DCD are associated with increased frailty of the liver transplant recipient.
文摘BACKGROUND Anemia is a prevalent and challenging complication in patients with hematologic and solid malignancies,which stems from the direct effects of malignancy,treatment-induced toxicities,and systemic inflammation.It affects patients’survival,functional status,and quality of life profoundly.Recent literature has highlighted the emerging role of the gut microbiome in the pathogenesis of cancer-associated anemia.The gut microbiota,through its intricate interplay with iron metabolism,inflammatory pathways,and immune modulation,may either exacerbate or ameliorate anemia depending on its composition,and functional integrity.Dysbiosis,characterized by disruption in the gut microbial ecosystem,is very common in cancer patients.This microbial imbalance is implicated in anemia causation through diminished iron absorption,persistent low-grade inflammation,and suppression of erythropoiesis.AIM To consolidate current evidence regarding the interplay between gut microbiome and anemia in the setting of malignancies.It aims to provide a detailed exploration of the mechanistic links between dysbiosis and anemia,identifies unique challenges associated with various cancer types,and evaluates the efficacy of microbiome-focused therapies.Through this integrative approach,the review seeks to establish a foundation for innovative clinical strategies aimed at mitigating anemia and improving patient outcomes in oncology.METHODS A literature search was performed using multiple databases,including Google Scholar,PubMed,Scopus,and Web of Science,using a combination of keywords and Boolean operators to refine results.Keywords included“cancerassociated anemia”,“gut microbiome”,“intestinal microbiota”,“iron metabolism”,“gut dysbiosis”,“short-chain fatty acids”,“hematopoiesis”,“probiotics”,“prebiotics”,and“fecal microbiota transplantation”.Articles published in English between 2000 and December 2024 were included,with a focus on contemporary and relevant findings.RESULTS Therapeutic strategies aimed at restoration of gut microbial homeostasis,such as probiotics,prebiotics,dietary interventions,and fecal microbiota transplantation(FMT),can inhibit anemia-causing pathways by enhancing microbial diversity,suppressing detrimental flora,reducing systemic inflammation and optimizing nutrient absorption.CONCLUSION Gut dysbiosis causes anemia and impairs response to chemotherapy in cancer patients.Microbiome-centered interventions,such as probiotics,prebiotics,dietary modifications,and FMT,have shown efficacy in restoring microbial balance,reducing inflammation,and enhancing nutrient bioavailability.Emerging approaches,including engineered probiotics and bacteriophage therapies,are promising precision-based,customizable solutions for various microbiome compositions and imbalances.Future research should focus on integrating microbiometargeted strategies with established anemia therapies.
