BACKGROUND Measles is a highly contagious disease that caused by a measles virus.While measles vaccination is highly effective in preventing the disease,those who are unvaccinated or have not completed the vaccine ser...BACKGROUND Measles is a highly contagious disease that caused by a measles virus.While measles vaccination is highly effective in preventing the disease,those who are unvaccinated or have not completed the vaccine series are at significant risk.AIM To assess the clinical characteristics and outcomes of measles in vaccinated vs unvaccinated children in Ramadi city.METHODS Clinically confirmed cases of measles at Al-Ramadi Teaching Hospital for Ma-ternity and Children,identified between June and December 2023,were enrolled in this prospective cohort study.The cases were divided into two groups(va-ccinated and unvaccinated).The clinical characteristics and outcomes were com-pared between unvaccinated and vaccinated children.RESULTS Of 289 kids,there were 222(76.8%)children under 5 years old,and 161(55.7%)boys.Around 2/3rd children were unvaccinated.Besides,only 5(4.9%)kids from the vaccinated group received three doses.Fever,maculopapular rashes,and cough were the most common manifestations.Unvaccinated children had higher rate of developing complications(pneumonia and diarrhea with P values 0.001 and 0.01 respectively),longer hospital admission period(P value=0.008),and the need for respiratory care unit(RCU)admission comparing with the vaccinated children(4 cases for unvaccinated group vs 1 case for vaccinated group).CONCLUSION Unvaccinated kids were associated with more complications,longer admission hospital stays,and RCU admission.We recommend that public health directors utilize artificial intelligence tools to help control future measles epidemics.展开更多
This paper presents in-situ seismic performance tests of a bridge before its demolition due to accumulated scouring problem. The tests were conducted on three single columns and one caisson-type foundation. The three ...This paper presents in-situ seismic performance tests of a bridge before its demolition due to accumulated scouring problem. The tests were conducted on three single columns and one caisson-type foundation. The three single columns were 1.8 m in diameter,reinforced by 30-D32 longitudinal reinforcements and laterally hooped by D16 reinforcements with spacing of 20 cm. The column height is 9.54 m,10.59 m and 10.37 m for Column P2,P3,and P4,respectively. Column P2 had no exposed foundation and was subjected to pseudo-dynamic tests with peak ground acceleration of 0.32 g first,followed by one cyclic loading test. Column P3 was the benchmark specimen with exposed length of 1.2 m on its foundation. The exposed length for Column P4 was excavated to 4 m,approximately 1/3 of the foundation length,to study the effect of the scouring problem to the column performance. Both Column P3 and Column P4 were subjected to cyclic loading tests. Based on the test results,due to the large dimension of the caisson foundation and the well graded gravel soil type that provided large lateral resistance,the seismic performance among the three columns had only minor differences. Lateral push tests were also conducted on the caisson foundation at Column P5. The caisson was 12 m long and had circular cross-sections whose diameters were 5 m in the upper portion and 4 m in the lower portion. An analytical model to simulate the test results was developed in the OpenSees platform. The analytical model comprised nonlinear flexural elements as well as nonlinear soil springs. The analytical results closely followed the experimental test results. A parametric study to predict the behavior of the bridge column with different ground motions and different levels of scouring on the foundation are also discussed.展开更多
The distribution of plant species and relationships between species and soil factors in the east central part of Gurbantunggut Desert was studied to provide more insight into the flora and determine differences in veg...The distribution of plant species and relationships between species and soil factors in the east central part of Gurbantunggut Desert was studied to provide more insight into the flora and determine differences in vegetation across various parts of the desert. Two-way Cluster Analysis showed that the vegetation in the area could be divided into three groups, the first group was dominated by the shrub species, Ephedra przewalskii and the grass species, Carex physodes mainly in areas of flat grounds and gentle slopes; the second group was dominated by C. physodes, Artemisia songorica and A. xerophytica mainly on the slope of sand dunes and the third group was dominated by the shrub species, Haloxylon persicum mainly on the top of sand dunes. There was no difference in plant density between Groups 1 and 2 but there was a significant decrease in Group 3. Soil water under vegetation Group 3 was much lower than that in the other two groups at all soil depths. The EC, organic matter, total P and soluble Na, Ca and Mg varied very similarly with soil water. Canonical corre- spondence analysis （CCA） satisfactorily assessed the species-soil relations in the area. The distribution of plant species was strongly correlated with the soil factors of water content, organic matter, EC and nutrients. The variations in species occurrence explained by the three CCA axes were about 70%, indicating that some explanatory site variables may exist outside our studied parameters. Soil texture is suggested to be included in future studies to improve the explanation of CCA.展开更多
To modify two-step experimental etch-and-rinse dentin adhesive with different concentrations of riboflavin and to study its effect on the bond strength,degree of conversion,along with resin infiltration within the dem...To modify two-step experimental etch-and-rinse dentin adhesive with different concentrations of riboflavin and to study its effect on the bond strength,degree of conversion,along with resin infiltration within the demineralized dentin substrate,an experimental adhesive-system was modified with different concentrations of riboflavin（mlm,0,1%,3%,5%and 10%）.Dentin surfaces were etched with 37%phosphoric acid,bonded with respective adhesives,restored with restorative composite-resin,and sectioned into resin-dentin slabs and beams to be stored for 24 h or 9 months in artificial saliva.Micro-tensile bond testing was performed with scanning electron microscopy to analyse the failure of debonded beams.The degree of conversion was evaluated with Fourier transform infrared spectroscopy（FTIR） at different time points along with micro-Raman spectroscopy analysis.Data was analyzed with one-way and two-way analysis of variance followed by Tukey＇s for pair-wise comparison.Modification with 1%and 3%riboflavin increased the micro-tensile bond strength compared to the control at 24 h and 9-month storage with no significant differences in degree of conversion（P〈0.05）.The most predominant failure mode was the mixed fracture among all specimens except 10%riboflavin-modified adhesive specimens where cohesive failure was predominant.Raman analysis revealed that 1%and 3%riboflavin adhesives specimens showed relatively higher resin infiltration.The incorporation of riboflavin in the experimental two-step etch-and-rinse adhesive at 3%（mlm） improved the immediate bond strengths and bond durability after 9-month storage in artificial saliva without adversely affecting the degree of conversion of the adhesive monomers and resin infiltration.展开更多
文摘BACKGROUND Measles is a highly contagious disease that caused by a measles virus.While measles vaccination is highly effective in preventing the disease,those who are unvaccinated or have not completed the vaccine series are at significant risk.AIM To assess the clinical characteristics and outcomes of measles in vaccinated vs unvaccinated children in Ramadi city.METHODS Clinically confirmed cases of measles at Al-Ramadi Teaching Hospital for Ma-ternity and Children,identified between June and December 2023,were enrolled in this prospective cohort study.The cases were divided into two groups(va-ccinated and unvaccinated).The clinical characteristics and outcomes were com-pared between unvaccinated and vaccinated children.RESULTS Of 289 kids,there were 222(76.8%)children under 5 years old,and 161(55.7%)boys.Around 2/3rd children were unvaccinated.Besides,only 5(4.9%)kids from the vaccinated group received three doses.Fever,maculopapular rashes,and cough were the most common manifestations.Unvaccinated children had higher rate of developing complications(pneumonia and diarrhea with P values 0.001 and 0.01 respectively),longer hospital admission period(P value=0.008),and the need for respiratory care unit(RCU)admission comparing with the vaccinated children(4 cases for unvaccinated group vs 1 case for vaccinated group).CONCLUSION Unvaccinated kids were associated with more complications,longer admission hospital stays,and RCU admission.We recommend that public health directors utilize artificial intelligence tools to help control future measles epidemics.
文摘This paper presents in-situ seismic performance tests of a bridge before its demolition due to accumulated scouring problem. The tests were conducted on three single columns and one caisson-type foundation. The three single columns were 1.8 m in diameter,reinforced by 30-D32 longitudinal reinforcements and laterally hooped by D16 reinforcements with spacing of 20 cm. The column height is 9.54 m,10.59 m and 10.37 m for Column P2,P3,and P4,respectively. Column P2 had no exposed foundation and was subjected to pseudo-dynamic tests with peak ground acceleration of 0.32 g first,followed by one cyclic loading test. Column P3 was the benchmark specimen with exposed length of 1.2 m on its foundation. The exposed length for Column P4 was excavated to 4 m,approximately 1/3 of the foundation length,to study the effect of the scouring problem to the column performance. Both Column P3 and Column P4 were subjected to cyclic loading tests. Based on the test results,due to the large dimension of the caisson foundation and the well graded gravel soil type that provided large lateral resistance,the seismic performance among the three columns had only minor differences. Lateral push tests were also conducted on the caisson foundation at Column P5. The caisson was 12 m long and had circular cross-sections whose diameters were 5 m in the upper portion and 4 m in the lower portion. An analytical model to simulate the test results was developed in the OpenSees platform. The analytical model comprised nonlinear flexural elements as well as nonlinear soil springs. The analytical results closely followed the experimental test results. A parametric study to predict the behavior of the bridge column with different ground motions and different levels of scouring on the foundation are also discussed.
文摘The distribution of plant species and relationships between species and soil factors in the east central part of Gurbantunggut Desert was studied to provide more insight into the flora and determine differences in vegetation across various parts of the desert. Two-way Cluster Analysis showed that the vegetation in the area could be divided into three groups, the first group was dominated by the shrub species, Ephedra przewalskii and the grass species, Carex physodes mainly in areas of flat grounds and gentle slopes; the second group was dominated by C. physodes, Artemisia songorica and A. xerophytica mainly on the slope of sand dunes and the third group was dominated by the shrub species, Haloxylon persicum mainly on the top of sand dunes. There was no difference in plant density between Groups 1 and 2 but there was a significant decrease in Group 3. Soil water under vegetation Group 3 was much lower than that in the other two groups at all soil depths. The EC, organic matter, total P and soluble Na, Ca and Mg varied very similarly with soil water. Canonical corre- spondence analysis （CCA） satisfactorily assessed the species-soil relations in the area. The distribution of plant species was strongly correlated with the soil factors of water content, organic matter, EC and nutrients. The variations in species occurrence explained by the three CCA axes were about 70%, indicating that some explanatory site variables may exist outside our studied parameters. Soil texture is suggested to be included in future studies to improve the explanation of CCA.
基金supported,in part,by the Ministry of Education,Singapore,NUS/ARF grants R221000039133 and R221000052112
文摘To modify two-step experimental etch-and-rinse dentin adhesive with different concentrations of riboflavin and to study its effect on the bond strength,degree of conversion,along with resin infiltration within the demineralized dentin substrate,an experimental adhesive-system was modified with different concentrations of riboflavin（mlm,0,1%,3%,5%and 10%）.Dentin surfaces were etched with 37%phosphoric acid,bonded with respective adhesives,restored with restorative composite-resin,and sectioned into resin-dentin slabs and beams to be stored for 24 h or 9 months in artificial saliva.Micro-tensile bond testing was performed with scanning electron microscopy to analyse the failure of debonded beams.The degree of conversion was evaluated with Fourier transform infrared spectroscopy（FTIR） at different time points along with micro-Raman spectroscopy analysis.Data was analyzed with one-way and two-way analysis of variance followed by Tukey＇s for pair-wise comparison.Modification with 1%and 3%riboflavin increased the micro-tensile bond strength compared to the control at 24 h and 9-month storage with no significant differences in degree of conversion（P〈0.05）.The most predominant failure mode was the mixed fracture among all specimens except 10%riboflavin-modified adhesive specimens where cohesive failure was predominant.Raman analysis revealed that 1%and 3%riboflavin adhesives specimens showed relatively higher resin infiltration.The incorporation of riboflavin in the experimental two-step etch-and-rinse adhesive at 3%（mlm） improved the immediate bond strengths and bond durability after 9-month storage in artificial saliva without adversely affecting the degree of conversion of the adhesive monomers and resin infiltration.
