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Human immunodeficiency virus recency testing coverage and partner-notification-services among people-living with human immunodeficiency virus in low- and middle-income countries
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作者 Ibrahim Ahmed El-Imam Timothy Antipas Peter +7 位作者 Hassan Fredrick Fussi Zuhura Mbwana Ally Hafidha Mhando Bakari Mariam Salim Mbwana Upendo Kayeke Chenya Beatrice Kelvin Mpimo Haji Mbwana Ally Habib Omari Ramadhani 《World Journal of Virology》 2025年第4期112-125,共14页
BACKGROUND Human immunodeficiency virus(HIV)recency testing provides data that can be used to monitor the trend of new HIV infections.The effectiveness of using people identified with recent infection to identify part... BACKGROUND Human immunodeficiency virus(HIV)recency testing provides data that can be used to monitor the trend of new HIV infections.The effectiveness of using people identified with recent infection to identify partners with new HIV infection through partner notification services(PNS)is not well documented.AIM To determine the pooled prevalence of recency testing coverage,recent infection,reclassification(recent to longterm infection)and PNS cascade among newly diagnosed people living with HIV.METHODS PubMed,Cochrane Library and Embase were searched for articles published between January 2018 and November 2024.Studies were included if they reported recency coverage and/or PNS among people newly diagnosed with HIV and used recent infection testing algorithm(RITA).Recency coverage was defined as proportion of people tested using rapid testing for recent infection(RTRI)among those newly diagnosed with HIV.RITA further classifies RTRI results using viral load results(≥1000 copies/mL vs<1000 copies/mL)to confirm recency status.For studies with PNS,we evaluated the cascade:Number of partners elicited,successfully contacted,eligible for HIV testing,tested and HIV diagnosis.PNS effectiveness was measured by proportion of new HIV diagnoses from tested partners.Using random effects models,we computed the pooled estimate of recency outcomes and 95%confidence intervals(CIs).RESULTS Twenty-five studies from 17-low-and middle-income countries were included.Of 276315 newly diagnosed people living with HIV,79864 underwent RTRI with an overall pooled recency coverage of 87%(95%CI:67-96).The pooled prevalence of RTRI and RITA recency were 12%(95%CI:9-16)and 7%(95%CI:4-10),respectively.Pooled prevalence of RTRI reclassification was 34%(95%CI:22-49).Of the recent cases who agreed to PNS,253 partners were elicited with an estimated elicitation ratio of 1:1.6.Among partners elicited,99%were successfully contacted,75%were eligible for testing,68%tested for HIV,and 15%were diagnosed with HIV.CONCLUSION High recency testing coverage among newly diagnosed individuals demonstrates the feasibility of monitoring new HIV infections in LMIC.While PNS yielded moderate HIV diagnoses,its targeted approach remains a critical strategy for identifying undiagnosed cases. 展开更多
关键词 Human immunodeficiency virus recency testing coverage Rapid test for recent infection Recent infection testing algorithm Partner notification services MISCLASSIFICATION Recent infection surveillance Low-and mid-income countries
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Nail abnormalities in upper extremity transplantation:Perspectives and insights from systemic diseases and organ transplantation
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作者 Naga Anvesh Kodali Ramu Janarthanan +6 位作者 Zeynep Demir Bedreddin Sazoglu Omer Faruk Dirican Dmitry Tuder Fatih Zor Yalcin Kulahci Vijay S Gorantla 《World Journal of Transplantation》 2026年第1期115-128,共14页
Nail changes following upper extremity transplantation(UET)cannot be overlooked as they possess diagnostic and prognostic relevance in allotransplantation of upper limbs.This comprehensive review explores nail and nai... Nail changes following upper extremity transplantation(UET)cannot be overlooked as they possess diagnostic and prognostic relevance in allotransplantation of upper limbs.This comprehensive review explores nail and nail bed related changes encountered in UET recipients in the literature.The differential diagnosis of nail abnormalities in UET includes a wide range of systemic,local and iatrogenic conditions other than immune responses to the allograft.It requires interdisciplinary evaluation by primary transplant surgeons,pathologists,dermatologists and immunologists.The possible underlying mechanisms of nail pathology in UET and the management are discussed.It also underscores the importance of onychodystrophy and need for timely intervention and to improve outcomes in UET recipients. 展开更多
关键词 Vascularized composite allotransplantation Upper extremity transplantation Hand transplantation Nail abnormalities Onychodystrophy Graft rejection Nailfold capillaroscopy
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Pituranthos chloranthus essential oil alleviates cisplatin-induced nephrotoxicity and potentiates antitumor activities:An in vivo and in vitro study
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作者 Aida Lahmar Jihed Boubaker +4 位作者 Fairouz Sioud Manel Njima Abir Salek Mouna Selmi Leila Chekir-Ghedira 《Asian Pacific Journal of Tropical Biomedicine》 2026年第1期40-50,共11页
Objective:To study the potential of Pituranthos chloranthus essential oil(PC)as a chemoprotective agent.Methods:In the in vitro study,cell proliferation were determined in CT26,SW620,and SW480 cells.Cells were exposed... Objective:To study the potential of Pituranthos chloranthus essential oil(PC)as a chemoprotective agent.Methods:In the in vitro study,cell proliferation were determined in CT26,SW620,and SW480 cells.Cells were exposed to in creasing concentrations of PC(0,6.25,12.5,25,50,100,and 200μg/mL).Combination index was calculated by applying the Chou-Talalay method,apoptopsis was analyzed by annexin V/propidium iodide staining,reactive oxygen species accumulation,and theΔψm drop were also assessed.In the in vivo study,mice were divided into 5 groups:the normal control group,the CT26 tumor-bearing group,the CT26 tumor-bearing mice+PC group,the CT26 tumor-bearing mice+cisplatin group,and the CT26 tumor-bearing mice+cisplatin+PC group.Organ coefficients and tumor volume were calculated.Alanine aminotransferase,aspartate aminotransferase,creatinine,and tumor necrosis factor-αlevels were assessed.Results:Cisplatin with PC induced a synergistic effect,allowing for reduced cisplatin dose while maintaining the same therapeutic efficacy.PC-cisplatin combinations inhibited cell viability by significantly inducing apoptosis,increasing reactive oxygen species accumulation and reducing mitochondrial membrane potential.Co-treatment with cisplatin and PC restored organ coefficients,reduced tumor volume,and alleviated nephrotoxicity in CT26 tumor-bearing mice by restoring kidney function markers and ameliorating kidney inflammation status.Conclusions:PC shows a chemoprotective potential by enhancing the antitumor effect of cisplatin while alleviating its side effects. 展开更多
关键词 Pituranthos chloranthus CISPLATIN Chemoprotective agent CT26 tumor-bearing mice Colorectal cancer TOXICITY
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Reproductive resilience and trade-offs:Egg component allocation under nutritional constraints in Japanese Quail
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作者 Gebrehaweria K.Reda Sawadi F.Ndunguru +6 位作者 Renáta Knop James K.Lugata Brigitta Csernus Gabriella Gulyás Csaba Szabó Ádám Z.Lendvai Levente Czeglédi 《Avian Research》 2025年第3期531-542,共12页
Under natural conditions, organisms regularly experience seasonal or unpredictable fluctuations in their diet that may shape the quantity and quality of their reproduction. While these dietary shifts are known to infl... Under natural conditions, organisms regularly experience seasonal or unpredictable fluctuations in their diet that may shape the quantity and quality of their reproduction. While these dietary shifts are known to influence overall reproductive output, their specific effects on the proportional composition of egg components remain unexplored. To partially simulate the natural conditions, we conducted two trials using adult Japanese Quails (Coturnix japonica) to examine how dietary restriction and unpredictable feeding influence the proportional composition of egg components. In the first trial, quails were assigned to one of four treatments: full-fed (control) or restricted feeding at 20% (DR20), 30% (DR30), and 40% (DR40) below daily intake. In the second trial, quails were assigned to one of three treatments: full feeding (control), constant 40% restriction (DR40), or unpredictable feeding schedule (UNPR). Each trial lasted for 14 days, and birds were housed individually. Severe dietary restrictions (DR30, DR40) reduced albumen and shell mass, shell thickness, and egg volume. However, yolk mass, yolk color, egg shape index, and shell density remained unaffected across all dietary levels. Severe restrictions also increased the yolk ratio while reducing the albumen ratio, suggesting that birds may evolutionarily prioritize yolk deposition to sustain reproductive functions. However, reduced albumen content due to maternal nutritional stress may also limit essential nutrients, and disrupt the embryo's osmoregulation, which ultimately affects offspring quality. Reduced shell contents at the severe restriction levels can affect the egg's ability to provide physical protection, regulate gas exchange and control water loss, thereby influencing embryonic development. In contrast, moderate restriction (DR20) and unpredictable feeding (UNPR) had no effect on any of the egg traits. These findings suggest that quails strategically allocate resources among egg components under dietary constraints, indicating potential trade-offs in reproductive investment. The resilience observed under moderate restriction and unpredictability underscores the species' adaptive capacity in fluctuating environments. 展开更多
关键词 Dietary restriction Egg components Japanese Quail Resource allocation Unpredictable feeding
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Spinal cord injury–associated disruption of the autonomic immune control:Does biological sex matter?
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作者 Sara Rito-Fernandes António J.Salgado +1 位作者 Nuno A.Silva Susana Monteiro 《Neural Regeneration Research》 2026年第1期298-299,共2页
The impact of spinal cord injury(SCI)on the immune system is increasingly recognized in a field traditionally focused on motor impairments.SCI can seriously affect the immune system by progressively disrupting the reg... The impact of spinal cord injury(SCI)on the immune system is increasingly recognized in a field traditionally focused on motor impairments.SCI can seriously affect the immune system by progressively disrupting the regulatory mechanisms that control immune responses.This dysregulation varies widely among patients and can evolve over time,ranging from systemic inflammatory responses to immunosuppression,greatly contributing to the morbidity and mortality of individuals with SCI(Bao et al.,2011;Brennan et al.,2024). 展开更多
关键词 MORTALITY SPINAL
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A Review of the Applications of Digital Twin Technology in Marine Research
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作者 LI Yun-zhou YU Ding-feng +11 位作者 YANG Lei ZHANG Lin-qiang CHEN Peng TAO Bang-yi WANG Wen-juan KONG Qing-lin DAI Ren-hai MIAO Bin CHEN Shi-zhe QI Sui-ping WANG Jun-cheng PAN De-lu 《China Ocean Engineering》 2025年第3期383-394,共12页
In recent years, with the development of technologies such as the Internet of Things(Io T), big data and cloud computing, digital twin technology has gradually been applied in marine research. The digital twin realize... In recent years, with the development of technologies such as the Internet of Things(Io T), big data and cloud computing, digital twin technology has gradually been applied in marine research. The digital twin realizes real-time monitoring, analysis and optimization of the state and behavior of a physical object or system by creating a virtual model. Research shows that digital twin technology has extensive application potential in ship design, marine resource development, marine equipment engineering design and optimization, marine ecological protection and early warning of disasters. Although digital twin technology has great potential in marine research, it also faces many challenges, including the complexity of data acquisition and processing, the accuracy and real-time performance of model construction, and the need for multidisciplinary cross-integration. An in-depth analysis of the technical bottlenecks and future development directions will provide an important reference for subsequent research and promote the further application and development of digital twin technology in marine research. 展开更多
关键词 digital twin marine research ship design resource development engineering optimization ecological protection
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Expert elicitations of smallholder agroforestry practices in Seychelles:A SWOT-AHP analysis
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作者 Daniel ETONGO Uvicka BRISTOL +2 位作者 Terence Epule EPULE Ajith BANDARA Sandra SINON 《Regional Sustainability》 2023年第3期282-295,共14页
Agroforestry can leverage the co-benefits of climate change adaptation and mitigation while conserving biodiversity and restoring degraded and deforested lands.The preference of relevant stakeholders regarding agrofor... Agroforestry can leverage the co-benefits of climate change adaptation and mitigation while conserving biodiversity and restoring degraded and deforested lands.The preference of relevant stakeholders regarding agroforestry practices enhances sustainable land management through strategic decision-making in Seychelles and other island states.A suitable approach for assessing stakeholders'preferences of agroforestry is the implementation of the strengths,weaknesses,opportunities,and threats(SWOT)approach in combination with the analytic hierarchy process(AHP)method.The entry point of this study is an extensive literature review process,during which 28 SWOT factors were identified.These SWOT factors were deliberated on during a half-day workshop with agricultural experts who agreed on 20 SWOT factors that reflect the local realities of the Seychelles through a consensus approach.Using the SWOT-AHP approach,focus group discussions were conducted to examine the perceptions of researchers and extension workers about the adoption of agroforestry in Seychelles.The results indicated that the positive aspects of smallholder agroforestry outweigh the negative aspects.For example,increased agricultural production,control runoff and soil erosion receive the highest scores among the strength factors perceived by researchers and extension workers,respectively.The willingness of international organizations to fund agroforestry-related projects and the existence of native tree species on farmlands have the highest scores among the opportunity factors.The lack of education,information,and communication between the government and farmers,and the small land size and crop competition have the highest scores among the weakness factors.Lastly,change in government policies on land use has the highest score among the threat factors by researchers,whereas the most significant threat is climate change and variability for the extension workers.The provision for a 30-year land lease agreement in the National Agroforestry Policy of Seychelles is viewed by both groups as an incentive that could potentially drive the adoption and acceptability of agroforestry.Furthermore,better coordination of various efforts to promote agroforestry and more substantial extension services for farmers,especially the role of technologies for optimal production on small plots of land,can enhance climate resilience in Seychelles and other small island developing states. 展开更多
关键词 Smallholder farmers AGROFORESTRY Climate resilience Extension worker Strengths weaknesses opportunities and threats(SWOT) Analytic hierarchy process(AHP) SEYCHELLES
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Lysobacter enzymogenes:A fully armed biocontrol warrior 被引量:4
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作者 Long Lin Xiaolong Shao +12 位作者 Yicheng Yang Aprodisia Kavutu Murero Limin Wang Gaoge Xu Yangyang Zhao Sen Han Zhenhe Su Kangwen Xu Mingming Yang Jinxing Liao Kaihuai Li Fengquan Liu Guoliang Qian 《Journal of Integrative Agriculture》 2025年第1期23-35,共13页
Lysobacter enzymogenes is less-studied, but emerging as a powerful biocontrol bacterium producing multiple antimicrobial weapons including lytic enzymes, toxins, secondary metabolites and protein secretion systems.The... Lysobacter enzymogenes is less-studied, but emerging as a powerful biocontrol bacterium producing multiple antimicrobial weapons including lytic enzymes, toxins, secondary metabolites and protein secretion systems.The loss of surface-attached flagellum, production of heat-stable antifungal factor(HSAF, also named as Ningrongmycin) as a novel antifungal antibiotic, and the use of the type Ⅳ secretion system(T4SS) rather than the common type Ⅵ secretion system(T6SS) to kill competitor bacteria make this species unique. These distinct features set L. enzymogenes apart from well-studied plant beneficial biocontrol agents, such as Bacillus and Pseudomonas. This review describes what takes L. enzymogenes to be a unique biocontrol warrior by focusing to illustrate how the lack of flagellum governs morphological and functional co-adaptability, what adapted signaling transduction pathways are adopted to coordinate the biosynthesis of HSAF, and how to ecologically adapt plant rhizosphere by cell-to-cell interacting with microbiome members via the bacterial-killing T4SS. 展开更多
关键词 Lysobacter enzymogenes antimicrobial metabolites loss of flagell typeⅣsecretion system
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Predictors of sustained human immunodeficiency virus viral-load suppression before and after the adoption of Treat All policy in Rwanda
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作者 Hafidha Bakari Mhando Jackson Sebeza +9 位作者 Haji M Ally Hassan F Fussi Lynn Moshi Rahma Musoke Mariam S Mbwana Maximillian F Karia Leticia F Karia Taylor Lascko Habib O Ramadhani Gallican Rwibasira 《World Journal of Virology》 2025年第3期84-94,共11页
BACKGROUND Sustained viral load(VL)suppression is an important indicator of successful treatment among people living with human immunodeficiency virus(HIV).AIM To assess trends of different VL outcomes before and afte... BACKGROUND Sustained viral load(VL)suppression is an important indicator of successful treatment among people living with human immunodeficiency virus(HIV).AIM To assess trends of different VL outcomes before and after adoption of the Treat All policy among people living with HIV in Rwanda.METHODS Between 2014 and 2017,VL suppression[VL suppression(VLS)<200 copies/mL]was measured among people living with HIV from 28 healthcare facilities in Rwanda.Participant VL was measured at 6 months,18 months,and 30 months.The unit of analysis was visit-pair,with subjects across four visit-pair categories:(1)Sustained VL suppression(VL<200 copies/mL at two consecutive visits);(2)Persistent viremia(VL≥200 copies/mL at two consecutive visits);(3)Viral rebound(VL<200 copies/mL at prior visit only);and(4)Newly suppressed(VL<200 copies/mL at subsequent visit only).Poisson regression models with generalized estimating equations were used to estimate adjusted incidence risk ratio(aIRR)and 95%confidence intervals(CIs)for factors associated with sustained VLS.To handle missing data,multiple imputations was performed.RESULTS A total of 634 participants contributed 973 visit-pairs(295 single pairs and 339 double pairs).The median age was 37 years(interquartile range:32-43 years).The incidence rates of sustained VLS,persistent viremia,viral rebound,and new suppression were 85.2%,4.3%,4.6%,and 5.7%,respectively.Young individuals aged 18-24 years had higher incidence of viral rebound compared to those 25 years or older(14.8%vs 4.3%;P=0.011).Of the visit-pairs that had sustained VLS during the first two visits(49.8%;n=485),56.7%exhibited sustained VLS throughout follow-up.Compared to having no education,having at least primary education was associated with an increased likelihood of sustained VLS(aIRR=1.09;95%CI:1.01-1.17).Those who presented with advanced HIV disease at baseline had a 12%reduced likelihood of sustained VLS(aIRR=0.88;95%CI:0.79-0.99).Achieving sustained VLS did not differ before or after adoption of the Treat All policy.When the analysis was repeated on imputed datasets,similar results were found.CONCLUSION Although most people living with HIV have sustained VLS in Rwanda,individuals without formal education,those presenting with advanced HIV,and younger individuals were lagging on multiple outcomes.Interventions tailored to these individuals would improve treatment outcomes to achieve epidemic control. 展开更多
关键词 Sustained viral load suppression Viremia Viral rebound Newly suppressed Treat all policy Rwanda
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Sustained maternal human immunodeficiency virus viral load suppression and cascade of human immunodeficiency virus testing among exposed infants in Rwanda
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作者 Hafidha Mhando Bakari Jackson Sebeza +6 位作者 Haji Mbwana Ally Hassan Fredrick Fussi Habib Omari Ramadhani Peter Memiah Djemima Umutesi Basile Ikuzo Gallican Rwibasira 《World Journal of Virology》 2025年第2期67-78,共12页
BACKGROUND To prevent mother to child transmission(MTCT)of human immunodeficiency virus(HIV),sustained maternal viral load suppression(VLS)and early HIV testing among HIV exposed infants(HEI)is critical.AIM To investi... BACKGROUND To prevent mother to child transmission(MTCT)of human immunodeficiency virus(HIV),sustained maternal viral load suppression(VLS)and early HIV testing among HIV exposed infants(HEI)is critical.AIM To investigate maternal viral load results and infant HIV testing uptake at 6-weeks,and 9-months and 18-months in Rwanda.METHODS Between 2015 and 2022,VLS(<200 copies/mL)was measured among pregnant women living with HIV(WLHIV)from 38-healthcare facilities.Viral loads(VL)were measured at 6-months,12-months and 24-months,respectively.For maternal VL,the unit of analysis was visit-pair,and the pairs were created to define those with VL<200 copies/mL at two consecutive visits as having sustained VLS,persistent viremia(VL≥200 copies/mL at two consecutive visits),viral rebound(VL<200 copies/mL at prior visit only)and newly suppressed(VL<200 copies/mL at subsequent visit only).HEI were considered to have persistent HIV testing if they had all three HIV tests.Poisson regression models with generalized estimating equations were used to estimate the adjusted incidence rate ratio(aIRR)and 95%CI for factors associated with sustained VLS and persistent HIV testing.RESULTS A total of 1145 mother-infant pairs were analyzed.Infant HIV testing uptake at 6-weeks,9-months and 18-months was 1145(100.0%),1089(95.1%),1006(87.9%)respectively.Nine hundred ninety-nine HEI(87.3%)tested for HIV persistently.At 18-months,the incidence of HIV among HEI was 8(0.7%).Of 1145 mothers,1076(94.0%)had≥2 VL results making a total of 2010 visit-pairs(142-single;934-double visit-pairs).The incidence rate of sustained VLS,persistent viremia,viral rebound and new suppression were 91.0%,1.3%,3.6%and 4.0%respectively.Maternal disclosure of HIV status(aIRR=1.08,95%CI:1.02-1.14)was associated with increased likelihood of sustained VLS.Having peer support(aIRR=1.0595%CI:1.01-1.10)was associated with persistent HIV testing among HEI.CONCLUSION Sustained VLS is high among pregnant WLHIV in Rwanda.The low incidence of HIV among HEI may be attributed to high VLS levels.Targeted interventions,including enhanced HIV disclosure and peer support,are crucial for improving sustained VLS and increasing infant HIV testing uptake to reduce MTCT. 展开更多
关键词 Sustained viral load suppression Mother to child human immunodeficiency virus transmission Women living with human immunodeficiency virus Human immunodeficiency virus exposed infants Human immunodeficiency virus testing Rwanda
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Local and regional processes drive high plant taxonomic turnover in rocky outcrops of Serra do Cipó,MG
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作者 Miriam Cristina Alvarez PEREIRA Herval Vieira PINTO-JUNIOR 《Journal of Mountain Science》 2025年第6期2068-2082,共15页
Potential interactive effects and trade-offs between drivers can regulate species diversity,affecting distributions by several orders of magnitude and distribution.The decomposition ofβ-diversity into turnover and ne... Potential interactive effects and trade-offs between drivers can regulate species diversity,affecting distributions by several orders of magnitude and distribution.The decomposition ofβ-diversity into turnover and nestedness could disentangle community assembly rules and offer the opportunity to encompass the processes that structure the communities and maintain theβ-diversity on the campo rupestre.We evaluatedα-andβ-diversity and species conservation status of rocky outcrop communities in the Parque Nacional da Serra do Cipó,as well as the decomposed component of theβ-diversity index.Due to the isolation characteristics of rocky outcrops,we expect to find high taxonomic turnover among the communities.The study was performed on five quartzitic rocky outcrops divided into two sampling stations.We used field expeditions and plant inventory data of shrubs and herbaceous layers.We recorded 286 angiosperms taxa among rocky outcrops of campo rupestre of Serra do Cipó.The structure andα-diversity showed significant differences among rocky outcrops and an evident oligarchic structure in the plant communities analyzed.Taxonomicβ-diversity showed high turnover with a significant contribution of the turnover component to this index.This pattern reflects the interplay between regional and local scale processes.Therefore,we believe this approach becomes a unified framework,which allows the comparison of diversity patterns and ecological processes in rocky outcrops ecosystems.We highlight the high percentage of not evaluated species for threats and the need to fill this lack. 展开更多
关键词 Floristic composition β-diversity Campo rupestre Grassy ecosystem Atlantic Forest CERRADO
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Adding implantable cardioverter-defibrillator to cardiac resynchronization therapy in patients with non-ischemic cardiomyopathy:a systematic review and meta-analysis with focus on elderly subpopulation
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作者 Vanda Devesa Neto Gonçalo Costa +1 位作者 Luís Ferreira Santos Rogério Teixeira 《Journal of Geriatric Cardiology》 2025年第9期775-783,共9页
BACKGROUND Cardiac resynchronization therapy(CRT)has been a major therapeutic advancement for patients with heart failure and electrical dyssynchrony.While CRT improves symptoms,reduces hospitalizations,and enhances s... BACKGROUND Cardiac resynchronization therapy(CRT)has been a major therapeutic advancement for patients with heart failure and electrical dyssynchrony.While CRT improves symptoms,reduces hospitalizations,and enhances survival,the role of implantable cardioverter-defibrillators(ICDs)alongside CRT in patients with non-ischemic cardiomyopathy(NICM)remains controversial.To evaluate and compare the outcomes of CRT with ICD(CRT-D)versus CRT with pacemaker-only(CRT-P)in individuals diagnosed with NICM,with a specific focus on the elderly.METHODS A comprehensive search of PubMed,Embase,and the Cochrane Central Register of Controlled Trials was conducted in January 2024.Studies comparing CRT-D and CRT-P in patients with NICM were included,with subgroup analyses focusing on patients aged 75 years and older.RESULTS Twelve studies,including two randomized clinical trials,with a total of 62,145 patients and 16,754 pooled death events(9,171 in CRT-D and 7,583 in CRT-P),were analyzed.CRT-D was associated with a significantly lower risk of all-cause mortality compared to CRT-P(pooled OR=0.72;95%CI:0.61-0.85;P<0.01),with significant heterogeneity(I2=83%).RCT subgroup analysis,was not statistically significant(pooled OR=0.82;95%CI:0.64-1.06;P=0.41;I2=0%).In patients older than 75 years,no significant difference in mortality risk was observed(pooled OR 0.96;95%CI:0.81-1.15;I2=39%).CONCLUSION Our meta-analysis suggests that the addition of ICD therapy to CRT in patients with NICM significantly reduces all-cause mortality.However,this benefit does not extend to cardiovascular mortality,likely due to the primary role of ICDs in preventing sudden cardiac death rather than other causes such as progressive heart failure.The survival advantage of CRT-D is most pronounced in younger patients,with those over 75 years of age deriving less benefit.This highlights the importance of careful patient selection,considering age and comorbidities,when deciding on ICD implantation in NICM patients. 展开更多
关键词 Cardiac Resynchronization Therapy Implantable Cardioverter Defibrillator cardiac resynchronization therapy crt MORTALITY Non Ischemic Cardiomyopathy ELDERLY Meta Analysis heart failure electrical dyssynchronywhile
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社会组织参与应急管理进展与前瞻——基于CiteSpace的文献计量学分析 被引量:1
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作者 郭东旭 姜月亮 沈体雁 《灾害学》 北大核心 2025年第3期116-123,共8页
该文梳理了我国社会组织参与应急管理领域的相关研究文献,总结该领域的研究进展和研究趋势。运用CiteSpace软件,对2003—2024年CNKI数据库收录的856篇相关研究文献进行可视化分析,并根据时间线逻辑,将我国社会组织参与应急管理领域研究... 该文梳理了我国社会组织参与应急管理领域的相关研究文献,总结该领域的研究进展和研究趋势。运用CiteSpace软件,对2003—2024年CNKI数据库收录的856篇相关研究文献进行可视化分析,并根据时间线逻辑,将我国社会组织参与应急管理领域研究发展历程划分为三个阶段,初步探索期、稳步深入期和快速提升期。研究结果表明:该领域研究文献数量总体呈现稳定增长趋势;领域内形成了一批代表性学者,且机构内部合作稳定增加,但高产作者较少,且跨院校、跨机构合作有限;领域内研究热点集中在多主体应急合作机制、社会应急治理共同体及应急协同效果优化路径等方面。未来可从完善体制机制、构建本土化理论、加强量化研究三方面进一步推进。 展开更多
关键词 社会组织 应急管理 CITESPACE 研究热点 文献计量
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Fostering hope and recovery:enhancing psychological resources in military personnel with post-traumatic stress disorder
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作者 Bénédicte Aubet Charles Martin-Krumm Marion Trousselard 《Military Medical Research》 2025年第10期1670-1672,共3页
Dear Editor,Post-traumatic stress disorder(PTSD)is a major issue for military personnel,with prevalence rates between 1%and 35%in veterans^([1]),significantly higher than in the general population^([2]).Psychological ... Dear Editor,Post-traumatic stress disorder(PTSD)is a major issue for military personnel,with prevalence rates between 1%and 35%in veterans^([1]),significantly higher than in the general population^([2]).Psychological resources,particularly hope,can protect against PTSD and promote post-traumatic growth^([3]).Hope,conceptualized as both a trait and a state,contributes to well-being and resilience and is negatively associated with PTSD symptoms,representing a psychological factor while mitigating the impact of trauma by fostering resilience and adaptive coping mechanisms. 展开更多
关键词 Post-traumatic stress disorder(PTSD) HOPE SELF-ESTEEM Positive mental health WELL-BEING Military personnel REHABILITATION
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A quasi-optimal stacking method for up-the-ramp readout images
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作者 Guanghuan Wang Hu Zhan +5 位作者 Zun Luo Chengqi Liu Youhua Xu Chun Lin Yanfeng Wei Wenlong Fan 《Astronomical Techniques and Instruments》 2025年第2期119-126,共8页
A detector's nondestructive readout mode allows its pixels to be read multiple times during integration,enabling generation of a series of"up-the-ramp"images that continuously accumulate photons between ... A detector's nondestructive readout mode allows its pixels to be read multiple times during integration,enabling generation of a series of"up-the-ramp"images that continuously accumulate photons between successive frames.Because noise is correlated across these images,optimal stacking generally requires the images to be weighted unequally to achieve the best possible target signal-to-noise ratio(SNR).Objects in the sky present wildly varied brightness characteristics,and the counts in individual pixels of the same object can also span wide ranges.Therefore,a single set of weights cannot be optimal in all cases.To ensure that the stacked image is easily calibratable,we apply the same weight to all pixels within the same frame.In practice,results for high-SNR cases degraded only slightly when we used weights derived for low-SNR cases,whereas the low-SNR cases remained more sensitive to the weights.Therefore,we propose a quasi-optimal stacking method that maximizes the stacked SNR for the case where the RSN=1 per pixel in the last frame and use simulated data to demonstrate that this approach enhances the SNR more strongly than the equal-weight stacking and ramp fitting methods.Furthermore,we estimate the improvements in the limiting magnitudes for the China Space Station Telescope using the proposed method.When compared with the conventional readout mode,which is equivalent to selecting the last frame from the nondestructive readout,stacking 30 up-the-ramp images can improve the limiting magnitude by approximately 0.5 mag for the telescope's near-infrared observations,effectively reducing readout noise by approximately 62%. 展开更多
关键词 Astronomical detectors Infrared observatories Astronomy data reduction Astronomy image processing
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Geochemical Peculiarities and Genesis of Mud Volcanic Fluids Originated from Marine and Freshwater Strata:Insights from the North Tian Shan and the North Caucasus Mud Volcanoes
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作者 George Chelnokov Li Zhang +7 位作者 Vasilii Lavrushin Xiangxian Ma Yuanyuan Shao Yuxin Guo Zhongping Li Chunhui Cao Huayun Tang Guodong Zheng 《Journal of Earth Science》 2025年第5期2208-2223,共16页
The phenomenon of mud volcanism has a connection with the processes of hydrocarbon generation.However,the genesis of sediments is not often taken into consideration.The study of mud volcanoes in the West Kuban margina... The phenomenon of mud volcanism has a connection with the processes of hydrocarbon generation.However,the genesis of sediments is not often taken into consideration.The study of mud volcanoes in the West Kuban marginal marine basin and the Junggar freshwater basin revealed significant isotope-geochemical differences due to various types of sedimentation.The waters from both basins exhibit three principal geochemical facies:Na-HCO_(3),Na-Cl-HCO_(3),and Na-Cl,of which the latter type of water is the dominant.The analysis of genetic coefficients(Cl/Br,Na/Br,and B/Cl)allowed us to distinguish different pathways of mud volcanic water evolution:evaporite dissolution,formation(sedimentation)waters,and waters formed by active water-rock interaction.Through statistical research,we were able to determine that noticeable variations in the behavior of chemical elements in waters from different areas can reflect discrepancies in the geological environment and the evolutionary stage of the diagenetic water transformation.Using thermodynamic modeling,the main directions of mass transfer were shown.It was established that the waters of the Junggar Basin were at a relatively early stage of evolution and had reached equilibrium only with carbonates,while in the formation waters of the West Kuban Basin,element concentrations were also controlled by silicate minerals.The correlations betweenδ^(18)O andδ~2H values and saturation indices of halides,aluminosilicates,sulfates,and borates confirm the enrichment of water with heavy isotopes during interactions with rocks without evaporation or thermal water partition.These reactions are characterized by clay dehydration and water enrichment with^(18)O and B.The data obtained made it possible to clarify the depths of formation of mud-volcanic fluids and their possible stratigraphic sources. 展开更多
关键词 mud volcanoes fluid isotopes Junggar Basin North Caucasus environmental geology
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Geomagnetic Data Denoising Based on Deep Residual Shrinkage Network
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作者 Zhang Bin Yang Chao +2 位作者 Zheng Hao-Hao Yan Jia-Yong Ma Chang-Ying 《Applied Geophysics》 2025年第3期820-834,897,共16页
Geomagnetic data hold significant value in fields such as earthquake monitoring and deep earth exploration.However,the increasing severity of anthropogenic noise contamination in existing geomagnetic observatory data ... Geomagnetic data hold significant value in fields such as earthquake monitoring and deep earth exploration.However,the increasing severity of anthropogenic noise contamination in existing geomagnetic observatory data poses substantial challenges to high-precision computational analysis of geomagnetic data.To overcome this problem,we propose a denoising method for geomagnetic data based on the Residual Shrinkage Network(RSN).We construct a sample library of simulated and measured geomagnetic data develop and train the RSN denoising network.Through its unique soft thresholding module,RSN adaptively learns and removes noise from the data,effectively improving data quality.In experiments with noise-added measured data,RSN enhances the quality of the noisy data by approximately 12 dB on average.The proposed method is further validated through denoising analysis on measured data by comparing results of time-domain sequences,multiple square coherence and geomagnetic transfer functions. 展开更多
关键词 residual shrinkage network(RSN) signal processing geomagnetic signal denoising electromagnetic exploration deep learning(DL)
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Some Generalized q-Bessel Type Wavelets and Associated Transforms
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作者 Imen Rezgui Anouar Ben Mabrouk 《Analysis in Theory and Applications》 CSCD 2018年第1期57-76,共20页
In this paper wavelet functions are introduced in the context of q-theory. We precisely extend the case of Bessel and q-Bessel wavelets to the generalized q-Bessel wavelets. Starting from the (q,v)-extension (v = ... In this paper wavelet functions are introduced in the context of q-theory. We precisely extend the case of Bessel and q-Bessel wavelets to the generalized q-Bessel wavelets. Starting from the (q,v)-extension (v = (α,β)) of the q-case, associated generalized q-wavelets and generalized q-wavelet transforms are developed for the new context. Reconstruction and Placherel type formulas are proved. 展开更多
关键词 WAVELETS Besel function q-Bessel function modified Bessel functions generalizedq-Bessel functions q-Bessel wavelets.
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Exogenous Alpha-Ketoglutarate(AKG)Modulate Physiological Characteristics,Photosynthesis,Secondary Metabolism and Antioxidant Defense System in Peganum Harmala L.under Nickel Stress
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作者 Marwa Rezgui Wided Ben Ammar +2 位作者 Muhammad Nazim Walid Soufan Chiraz Chaffei Haouari 《Phyton-International Journal of Experimental Botany》 2025年第1期137-155,共19页
Nickel(Ni)toxicity significantly impairs plant growth,photosynthesis,and metabolism by inducing oxidative stress.This study evaluates the potential of exogenous Alpha-Ketoglutarate(AKG)in mitigating Ni-induced stress ... Nickel(Ni)toxicity significantly impairs plant growth,photosynthesis,and metabolism by inducing oxidative stress.This study evaluates the potential of exogenous Alpha-Ketoglutarate(AKG)in mitigating Ni-induced stress in Peganum harmala L.Seedlings were exposed to 0,200,500,and 750μM NiCl2,with or without AKG supplementation.Under 750μM Ni stress,dry weight(DW)decreased by 33.7%,tissue water content(TWC)by 39.9%,and chlorophyll a and total chlorophyll levels were reduced by 17%and 15%,respectively.Ni exposure also significantly increased secondary metabolite production,with leaf anthocyanin content rising by 131%,and superoxide dismutase(SOD)and catalase(CAT)activities increasing by 228%and 53%,respectively,in roots at 500μM Ni.AKG treatment alleviated Ni toxicity by enhancing TWC by 39%and promoting root and shoot growth.Additionally,AKG treatment boosted the synthesis of phenolic compounds and flavonoids,contributing to improved tolerance against Ni stress.These findings demonstrate the potential of AKG in enhancing Ni tolerance in P.harmala,suggesting its promising role in bioremediation of metal-contaminated soils.This is the first study to report the beneficial effects of exogenous AKG in alleviating nickel toxicity in P.harmala L.,offering a new approach for improving plant resilience to heavy metal stress. 展开更多
关键词 ALPHA-KETOGLUTARATE antioxidative enzymes oxidative stress Peganum harmala NICKEL
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Tandem assembly-disassembly-reassembly of hierarchical Co_(19)coordination cluster facilitated by in-situ ligand transformation:Crystallography and ESI-MS revealed mechanism
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作者 Qiu-Jie Chen Tian-Ying Gu +3 位作者 Zhao-Bo Hu Man-Bo Zhang Zheng Yin Ming-Hua Zeng 《Chinese Journal of Structural Chemistry》 2025年第9期35-41,共7页
Odd-numbered and high-nuclearity coordination clusters are extremely rare,yet they represent an intriguing subclass lacking regular repeating building blocks and high structural symmetry for understanding self-assembl... Odd-numbered and high-nuclearity coordination clusters are extremely rare,yet they represent an intriguing subclass lacking regular repeating building blocks and high structural symmetry for understanding self-assembled multiatomic systems.Herein,the largest cobalt and polydentate ligand based cluster featuring odd-nuclearity,namely[Co_(19)(HL1)_(8)(L1)_(12)(L′)_(2)(Ac)_(4)]·10CH_(3)CH_(2)OH·6H_(2)O(1,H_(2)L1=1H-benzo[d]imidazole-2-yl)methanol,HL'=1H-benzo[d]imidazole),was obtained with in-situ ligand transformation from H_(2)L1 to L′.It features a hierarchical trilayer and void-cage inside structure,consisting of central disc-shaped[Co_(7)L_(10)]core with two[Co_(6)]rings on both sides.ESI-MS of crystal 1 yields a series of more than sixteen fragments,all featuring an integrated[Co_(19)]core,suggesting stability of the polynuclear cluster in solution.During increased in-source energy from 0 to 100 eV,all MS peaks shifted to a lower m/z range,but the[Co_(19)]core remained intact,excepting for the stepwise elimination of up to three Ac^(−)anions or three L1 linkers.PXRD tracking of the reaction sediments showed the formation of a key precursor of[Co_(4)L_(4)]cubane at 3 h,and its content decreased at 6 h and vanished at 12 h,followed by the appearance of crystals 1 by the generation of a clear solution at 18 h,suggesting an initial cluster assembly-disassembly process.ESI-MS spectra analysis of both reaction sediment and solution further identify the existence of other crucial higher-nuclearity reassembled fragments of[Co_(7)L_(10)]disk and its expansion of[Co_(13)L_(12)(L′)_(2)].A probable tandem assembly-disassembly-reassembly mechanism is put forward as[CoL_(2)]→[Co_(4)L_(4)]→[Co_(7)L_(10)]→[Co_(13)L_(12)(L′)_(2)]→[Co_(19)L_(2)0(L′)_(2)].Their evolution also indicated the ingenious synergy of coexisting organic,inorganic and in-situ generated ligands,along with diverse coordination geometries of metal ions,plays a directional role in forming odd-numbered and high-nuclearity coordination clusters.Magnetism analysis revealed antiferromagnetic coupling plays dominated role in the cluster. 展开更多
关键词 C019 coordinative cluster ESI-MS Solid-state/solution structural relevance Assembly process In-situ ligand transformation
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