Research Progress of Measuring Tools for Patient Medication Compliance

This paper introduced the content, compilation process, reliability and validity, scoring method of the evaluation tool for patients’ medication compliance at home and abroad, and reviewed the research progress of the tool. The evaluation method, dimension, scoring method, evaluation content and application scope of the tool were compared, so as to provide reference for nurses to comprehensively and accurately evaluate patients’ medication status.

–C≡N functionalizing polycarbonate-based solid-state polymer electrolyte compatible to high-voltage cathodes

Solid-state polymer electrolytes(SPEs) capable of withstanding high voltage are considered to be key for next-generation energy storage devices with inherent safety as well as high energy density.This study involves the rational design of solid-state-C≡N functionalized P(VEC_1-CEA_(0.3))/LiTFSI@CE SPEs and its synthesis by in-situ free radical polymerization of vinyl ethylene carbonate(VEC) and 2-cyanoethyl acrylate(CEA).In situ polymerization yields electrode/electrolyte interfaces with low interfacial resistance,forming a stable SEI layer enriched with LiF,Li_(3)N,and RCOOLi,ensuring stable Li plating/stripping for over 1400 h.The-C≡N moiety renders the αH on the adjacent αC positively charged,thereby endowing it with the capability to anchor TFSI^(-).Simultaneously,the incorporation of-C≡N moiety diminishes the electron-donating ability of the C=O,C-O-C,and-C≡N functional groups,facilitating not only the ion conductivity enhancement but also a more rapid Li^(+)migration proved by DFT theoretical calculations and Raman spectroscopy.At room temperature,t_(Li+) of 0.60 for P(VEC_1-CEA_(0.3))/LiTFSI@CE SPEs is achieved when the ionic conductivity σ_(Li+)is 2.63×10^(-4) S cm^(-1) and the electrochemical window is expanded to5.0 V.Both coin cells with high-areal-loading cathodes and the 6.5-mAh pouch cell,exhibit stable charge/discharge cycling.At 25℃,the 4.45-V Li|P(VEC_1-CEA_(0.3))/LiTFSI@CE|LiCoO_(2) battery performs stable cycling over 200 cycles at 0.2 C,with a capacity retention of 82.1%.

Study on the Impact of Massive Refracturing on the Fracture Network in Tight Oil Reservoir Horizontal Wells

Class III tight oil reservoirs have low porosity and permeability,which are often responsible for low production rates and limited recovery.Extensive repeated fracturing is a well-known technique to fix some of these issues.With such methods,existing fractures are refractured,and/or new fractures are created to facilitate communication with natural fractures.This study explored how different refracturing methods affect horizontal well fracture networks,with a special focus on morphology and related fluid flow changes.In particular,the study relied on the unconventional fracture model(UFM).The evolution of fracture morphology and flow field after the initial fracturing were analyzed accordingly.The simulation results indicated that increased formation energy and reduced reservoir stress differences can promote fracture expansion.It was shown that the length of the fracture network,the width of the fracture network,and the complexity of the fracture can be improved,the oil drainage area can be increased,the distance of oil and gas seepage can be reduced,and the production of a single well can be significantly increased.

Fermi Surface Nesting with Heavy Quasiparticles in the Locally Noncentrosymmetric Superconductor CeRh_(2)As_(2)

The locally noncentrosymmetric heavy fermion superconductor CeRh_(2)As_(2) has attracted considerable interests due to its rich superconducting phases,accompanied by possible quadrupole density wave and pronounced antiferromagnetic excitations.To understand the underlying physics,here we report measurements from highresolution angle-resolved photoemission.Our results reveal fine splittings of the conduction bands related to the locally noncentrosymmetric structure,as well as a quasi-two-dimensional Fermi surface(FS)with strong 4f contributions.The FS shows signs of nesting with an in-plane vector q_(1)=(π/α,π/α),which is facilitated by the heavy bands nearˉ𝑋arising from the characteristic conduction-X hybridization.The FS nesting provides a natural explanation for the observed antiferromagnetic spin fluctuations at(π/α,π/α),which might be the driving force for its unconventional superconductivity.Our experimental results can be reasonably explained by density functional theory plus dynamical mean field theory calculations,which can capture the strong correlation effects.Our study not only provides spectroscopic signature of the key factors underlying the field-induced superconducting transition,but also uncovers the critical role of FS nesting and lattice Kondo effect in the underlying magnetic fluctuations.

Influence of span-to-depth ratio on dynamic response of vehicle-turnoutbridge system in high-speed railway

For high-speed railways,the smoothness of the railway line significantly affects the operational speed of trains.When the train passes through the turnout on a long-span bridge,the wheel-rail impacts caused by the turnout structure irregularities,and the instability arising from the bridge's flexural deformation lead to a strong coupling effect in the vehicle-turnout-bridge system.This significantly affects both ride comfort and operational safety.For addressing this issue,the present study considered a long-span continuous rigid-frame bridge as an example and established a train-turnout-bridge coupled dynamic model of high-speed railway.Utilizing a selfdeveloped dynamic simulation program,the study analysed the dynamic response characteristics when the train passes through the turnouts on the bridge.It also investigated the influence of different span-to-depth ratios of the bridge on the vehicle dynamic response when the train passes through the main line and branch line of turnouts and then proposed a span-to-depth ratio limit value for a long-span continuous rigid-frame bridge.The research findings suggest that the changes in the span-to-depth ratio have a relatively minor impact on the train’s operational performance but significantly affect the dynamic characteristics of the bridge structure.Based on the findings and a comprehensive assessment of safety indicators,it is advisable to establish a span-to-depth ratio limit of 1/4500 for a long-span continuous rigid-frame bridge.

Two Case Studies of Painless Thyroiditis with Special Presentation

This article reports two cases of painless thyroiditis with special manifestations. Patient 1 was a 76-year-old female patient who presented with palpitations and chest tightness and was diagnosed with hyperthyroidism by thyroid ultrasound and electrocardiogram, which is a painless thyroiditis with atrial fibrillation as the first symptom. Patient 2 is a 44-year-old male patient, with only palpitations, diagnosed as T3 thyroiditis by liver function and thyroid function tests, and accompanied by abnormal liver function, belonging to the painless thyroiditis with elevated FT3 only. This article points out that painless thyroiditis has multiple manifestations and is easily misdiagnosed as other diseases. Therefore, patients with symptoms such as palpitations and chest tightness should undergo cytologic or pathologic examination in time to avoid missed diagnosis and misdiagnosis.

Dynamic behaviors of water-saturated and frozen sandstone subjected to freeze-thaw cycles

In high-altitude cold areas,freeze-thaw(F-T)cycles induced by day-night and seasonal temperature changes cause numerous rock mass slope engineering disasters.To investigate the dynamic properties of rock in the natural environment of a high-altitude cold area,standard specimens were drilled from the slope of the Jiama copper mine in Tibet,and dynamic compression tests were performed on watersaturated and frozen sandstone with different numbers of F-T cycles(0,10,20,30,and 40)by the split Hopkinson pressure bar(SHPB)system with a cryogenic control system.The influence of water-saturated and frozen conditions on the dynamic performance of sandstone was investigated.The following conclusions are drawn:(1)With increasing strain rate,the attenuation factor(la)of water-saturated sandstone and the intensifying factor(li)of frozen sandstone linearly increase.As the number of F-T cycles increases,the dependence factor(ld)of water-saturated sandstone linearly decreases,whereas the ld of frozen sandstone linearly increases.(2)The prediction equation of the dynamic compressive strength of water-saturated and frozen sandstone is obtained,which can be used to predict the dynamic compressive strength of sandstone after various F-T cycles based on the strain rate.(3)The mesoscopic mechanism of water-saturated and frozen sandstone’s dynamic compressive strength evolution is investigated.The water softening effect causes the dynamic compressive strength of water-saturated sandstone to decrease,whereas the strengthening effect of pore ice causes it to increase.(4)The decrease in the relative dynamic compressive strength of water-saturated sandstone and the increase in the relative dynamic compressive strength of frozen sandstone can be attributed to the increased porosity.

Systemic antibiotics increase microbiota pathogenicity and oral bone loss

Periodontitis is the most widespread oral disease and is closely related to the oral microbiota.The oral microbiota is adversely affected by some pharmacologic treatments.Systemic antibiotics are widely used for infectious diseases but can lead to gut dysbiosis,causing negative effects on the human body.Whether systemic antibiotic-induced gut dysbiosis can affect the oral microbiota or even periodontitis has not yet been addressed.In this research,mice were exposed to drinking water containing a cocktail of four antibiotics to explore how systemic antibiotics affect microbiota pathogenicity and oral bone loss.The results demonstrated,for the first time,that gut dysbiosis caused by long-term use of antibiotics can disturb the oral microbiota and aggravate periodontitis.Moreover,the expression of cytokines related to Th17 was increased while transcription factors and cytokines related to Treg were decreased in the periodontal tissue.Fecal microbiota transplantation with normal mice feces restored the gut microbiota and barrier,decreased the pathogenicity of the oral microbiota,reversed the Th17/Treg imbalance in periodontal tissue,and alleviated alveolar bone loss.This study highlights the potential adverse effects of long-term systemic antibiotics-induced gut dysbiosis on the oral microbiota and periodontitis.A Th17/Treg imbalance might be related to this relationship.Importantly,these results reveal that the periodontal condition of patients should be assessed regularly when using systemic antibiotics in clinical practice.

Life cycle assessment of high concentration organic wastewater treatment by catalytic wet air oxidation

There have been many studies on life cycle assessment in sewage treatment,but there are scarce few studies on the treatment of industrial wastewater in combination with advanced oxidation technology,especially in catalytic wet air oxidation(CWAO).There are no cases of using actual industrialized data onto life cycle assessment.This paper uses Simapro 9.0 software to establish a life cycle assessment model for the treatment of high-concentration organic wastewater by CWAO,and comprehensively explains the impact on the environment from three aspects:the construction phase,the operation phase and the demolition phase.In addition,sensitivity analysis and uncertainty analysis were performed.The results showed that the key factors affecting the environment were marine ecotoxicity,mineral resource consumption and global warming,the operation stage had the greatest impact on the environment,which was related to high power consumption during operation and emissions from the treatment process.Sensitivity analysis showed that electricity consumption has the greatest impact on abiotic depletion and freshwater aquatic ecotoxicity,and it also proved that global warming is mainly caused by pollutant emissions during operation phase.Monte Carlo simulations found slightly higher uncertainty for abiotic depletion and toxicity-related impact categories.

Chemical looping conversion of methane via Fe_(2)O_(3)-LaFeO_(3)calcined from LaFe-MOF precursor

The effective utilization of natural gas resources is a promising option for the implementation of the"dual carbon"strategy.However,the capture of carbon dioxide with relatively lower concentration after the combustion of natural gas is the crucial step.Fortunately,the lattice oxygen is used for chemical cycle conversion of methane to overcome the shortcomings mentioned above.A method was proposed to synthesize perovskite for methane cycle conversion using metal organic framework as a precursor.Morphology and pore structure of Fe_(2)O_(3)-LaFeO_(3)composite oxides were regulated by precursor synthesis conditions and calcination process.Moreover,the chemical looping conversion performance of methane was evaluated.The results showed that the pure phase precursor of La[Fe(CN)_(6)]·5H_(2)O was synthesized with the specific surface area of 23.91 m^(2)·g^(-1)under the crystallization of 10 h and the pH value of10.5.Fe_(2)O_(3)-LaFeO_(3)was obtained by controlled calcination of La[Fe(CN)_(6)]·5H_(2)O and Fe_(2)O_(3)with variable mass ratio.The selectivity of CO_(2)can reach more than 99%under the optimal parameters of methane chemical looping conversion:m(Fe_(2)O_(3)):m(LaFeO_(3))=2:1,the reaction temperature is 900℃,the lattice oxygen conversion is less than 40%.Fe_(2)O_(3)-LaFeO_(3)still has good phase and structure stability after five redox reaction and regeneration cycles.

Research Progress of Eco-Friendly Portland Cement Porous Concrete:A Review

With the great impetus of energy conservation and emission reduction policies in various countries,the proposal of concepts such as“Sponge City”and“Eco-City”,and the emphasis on restoration and governance of ecological environment day by day,portland cement porous concrete(PCPC),as a novel building material,has attracted more and more attention from scientific researchers and engineers.PCPC possesses the peculiar pore structure,which owns numerous functions like river embankment protection,vegetation greening as well as air-cleaning,and has been of wide application in different engineering fields.This paper reviews the salient properties of PCPC,detailedly expounds the research progress of domestic and foreign literature about this subject in the past ten years(2010–2020),conducts the statistical analysis of the distribution rule of its major properties around the world,combines with the engineering application to summarize the excellent properties of PCPC,and makes a forecast of future research direction.

Mechanical and Permeability Analysis and Optimization of Recycled Aggregate Pervious Concrete Based on Response Surface Method

In this paper,the effects of different influencing factors and factor interaction on the compressive strength and permeability of recycled aggregate pervious concrete(RAPC)were studied based on the response surface method(RSM).By selecting the maximum aggregate size,water cement ratio and target porosity as design variables,combined with laboratory tests and numerical analysis,the influences of three factors on the compressive strength and permeability coefficient of RAPC were revealed.The regression equation of compressive strength and permeability coefficient of recycled aggregate pervious concrete were established based on RSM,and the response surface model was optimized to determine the optimal ratio of RAPC under the conditions of meeting the mechanical and permeability properties.The results show that the mismatch item of the model is not significant,the model is credible,and the accuracy and reliability of the test are high,but the degree of uncorrelation between the test data and the model is not obvious.The sensitivity of the three factors to the compressive strength is water cement ratio>maximum coarse aggregate particle size>target porosity,and the sensitivity to the permeability coefficient is target porosity>maximum coarse aggregate particle size>water cement ratio.The absolute errors of the model prediction results and the model optimization results are 1.28 MPa and 0.19 mm/s,and the relative errors are 5.06%and 4.19%,respectively.With high accuracy,RSM can match the measured results of compressive strength and permeability coefficient of RAPC.

Sperm Quality and Environment: A Retrospective, Cohort Study among 21,715 Semen Samples in a Southern Province of China

To explore the differences of male semen parameters in different seasons of the year, so as to explore the potential climatic factors affecting spermatogenesis and male reproductive ability, we retrospectively analyzed 21,715 semen analysis data from January 2018 to February 2021, grouped by year and season, and finally the relationships among semen parameters and semen and meteorological parameters were compared. Environmental exposures prior to 3 months were analyzed and correlation analysis was performed.The semen concentration decreased year by year (p < 0.01). However, the Progressive motility (PR) and total PR number had been increased (p < 0.01). There were statistical differences in sperm parameters which include semen volume, sperm concentration, total sperm number, progressive motility (PR), total PR number and total motility in different seasons, winter and spring were better than summer and autumn (p < 0.01). Total sperm number and sperm concentration were positively correlated with PR (R = 0.420, R = 0.440, p < 0.01). There was no correlation between daylight duration and semen parameters. Sperm parameters were positively or negatively correlated with environmental temperature, air pressure or humidity which had an overall effect on semen quality. It is suggested that seasonal factors should be considered when evaluating male reproductive ability. Besides referring to conventional semen parameters, other factors such as season and climate should also be considered.

Assess of the Value of Semen Examination Items in the Diagnosis of Male Infertility

Background: Although semen analysis is a basic method to evaluate male fertility, there was a certain deviation between the semen examination and the actual situation in clinical application. Objective: To evaluate the application value of semen examination items in the diagnosis of male infertility. Method: Males recruited from the Third Affiliated Hospital of Sun Yat-sen University from June 2017 to December 2018 were divided into three groups: normal fertility group, physical examination group (premarital physical examination), and male infertility group. Each group received the following examination such as semen analysis (including semen volume, sperm concentration, progressive motility, total motility, round cell concentration), acrosin activity, and sperm morphology. All the semen analysis items mentioned above were operated according to the WHO laboratory manual for the examination and procession of human semen (Fifth edition) and related documents. Results: The normal fertility group and physical examination group showed significantly higher levels in sperm concentration, progressive motility, total motility, and sperm morphology than those in the male infertility group (P < 0.05);both the normal fertility group and the physical examination group have a higher qualified rate in sperm concentration, progressive motility, total motility and sperm morphology than the male infertility group, all P < 0.001. The percentage of patients having all qualified items in each group was 28.13%, 6.67%, and 6.51% separately. Conclusion: The diagnosis efficiency was higher in sperm concentration, progressive motility, total motility, and sperm morphology than in other semen examination items. A more objective and efficient method of semen examination should be explored to facilitate the diagnoses of male infertility in the future.

A semi-spring and semi-edge combined contact model in CDEM and its application to analysis of Jiweishan landslide

Continuum-based discrete element method(CDEM)is an explicit numerical method used for simulation of progressive failure of geological body.To improve the efficiency of contact detection and simplify the calculation steps for contact forces,semi-spring and semi-edge are introduced in calculation.Semispring is derived from block vertex,and formed by indenting the block vertex into each face(24semisprings for a hexahedral element).The formation process of semi-edge is the same as that of semi-spring(24semi-edges for a hexahedral element).Based on the semi-springs and semi-edges,a new type of combined contact model is presented.According to this model,six contact types could be reduced to two,i.e.the semi-spring target face contact and semi-edge target edge contact.By the combined model,the contact force could be calculated directly(the information of contact type is not necessary),and the failure judgment could be executed in a straightforward way(each semi-spring and semi-edge own their characteristic areas).The algorithm has been successfully programmed in C++program.Some simple numerical cases are presented to show the validity and accuracy of this model.Finally,the failure mode,sliding distance and critical friction angle of Jiweishan landslide are studied with the combined model.

Orthogonal design to sift the optimal parameter of Neiguan acupuncture for cerebral infarction

The individual difference and non-repeatability in acupuncture have not only restricted the devel- opment of acupuncture, but have also affected the specificity of acupoints. The present study used instruments to control needle depth, lifting and thrusting frequency, and the duration of acupuncture. Effects of the quantified acupuncture were observed at Neiguan （PC6） with different stimulation parameters. A frequency of 1, 2, or 3 Hz and duration of 5, 60, or 180 seconds were used to observe cerebral blood flow and ratio of infarct volume recovery. Results showed that stimulation at Neiguan with a frequency of 1 Hz and long duration of 180 seconds or 2/3 Hz and long duration of 5/60 seconds significantly increased cerebral blood flow and decreased the ratio of infarct volume. In- teractions between frequency and duration play a critical role in quantified acupuncture therapy.

MnO_(2) cathode materials with the improved stability via nitrogen doping for aqueous zinc-ion batteries

The research and exploration of manganese-based aqueous zinc-ion batteries have been controversial of cycle stability and mechanism investigation,thus improving the stability and exploring storage mechanism are still the most main issue.Defect engineering has become an effective method to improve cycle stability.Herein,a nitrogen-doped ε-MnO_(2)(MnO_(2)@N)has been prepared using electrochemical deposition and heat treatment under nitrogen atmosphere.As the cathode for zinc-ion batteries,the capacity retention rate of MnO_(2)@N cathode is close to 100%after 500 cycles at 0.5 A g^(-1),while the capacity retention rate for the initial MnO_(2) cathode is 62%.At 5 A g^(-1),the capacity retention rate of MnO_(2)@N cathode is 83%after 1000 cycles,which is much higher than the 27%capacity retention rate for the original MnO_(2) cathode.And it can be found that the oxygen vacancies increase after nitrogen doping,which can improve the conductivity of the MnO_(2)@N cathode.Also,there is Mn-N bond in MnO_(2)@N,which can enhance the electrochemical stability of MnO_(2)@N cathode.In addition,the electrochemical mechanism of MnO_(2)@N cathode has been explored by the CV,GCD and GITT tests.It is found that nitrogen doping promotes the intercalation of H^(+) and the corresponding capacity contribution.Compared with the original MnO_(2) cathode,the diffusion coefficient of H^(+) and Zn^(2+) in MnO_(2)@N cathode increases.Also,the reactions during the charging and discharging process are explored through the ex-situ XRD test.And this work may provide some new ideas for improving the stability of manganese-based zinc-ion batteries.

Separate lateral parametrial lymph node dissection improves detection rate of parametrial lymph node metastasis in early-stage cervical cancer: 10-year clinical evaluation in a single center in China

Objective: To investigate the clinical significance of separate lateral parametrial lymph node dissection(LPLND) in improving parametrial lymph node(PLN) and its metastasis detection rate during radical hysterectomy for early-stage cervical cancer.Methods: From July 2007 to August 2017, 2,695 patients with cervical cancer in stage IB1-IIA2 underwent radical hysterectomy were included. Of these patients, 368 underwent separate dissection of PLNs using the LPLND method, and 2,327 patients underwent conventional radical hysterectomy(CRH). We compared the surgical parameters, PLN detection rate and PLN metastasis rate between the two groups.Results: Compared with CRH group, the rate of laparoscopic surgery was higher(60.3% vs. 15.9%, P<0.001),and the blood transfusion rate was lower(19.0% vs. 29.0%, P<0.001) in the LPLND group. PLNs were detected in 356 cases(96.7%) in the LPLND group, and 270 cases(11.6%) in the CRH group(P<0.001), respectively. The number of PLNs detected in the LPLND group was higher than that in the CRH group(median 3 vs. 1, P<0.001).The PLN metastases were detected in 25 cases(6.8%) in the LPLND group, and 18 cases(0.8%) in the CRH group(P<0.001), respectively. In multivariable analysis, LPLND is an independent factor not only for PLN detection [odds ratio(OR)=228.999, 95% confidence interval(95% CI): 124.661-420.664;P<0.001], but also for PLN metastasis identification(OR=10.867, 95% CI: 5.381-21.946;P<0.001).Conclusions: LPLND is feasible and safe. The surgical method significantly improves the detection rate of PLN and avoids omission of PLN metastasis during radical hysterectomy for early-stage cervical cancer.

A New Species of the Genus Rhacophorus (Anura： Rhacophoridae) from Dabie Mountains in East China

A new species of rhacophorid of the genus Rhacophorus is described from the Dabie Mountains of west Anhui, east China. The new species, Rhacophorus zhoukaiyae sp. nov. is distinguished from its congeners by a combination of the following characters： 1） the ventral surface and front-and-rear of the femur is paler yellowish and decorated with irregular grayish blotching, and without obvious spots on the dorsum of the hand and foot webbing; 2） the outer metatarsal tubercle is small; 3） outer fingers are half-webbed and outer toes two third webbed; 4） the skin on the dorsum is smooth and without compressed warts; 5） the throat, chest and belly are pure paler yellowish; 6） the dorsal part of the fingers and toes are grayish-white; 7） the iris is golden-yellow. In addition, the phylogenetic tree showed that all the individuals of R. zhoukaiyae sp. nov. clustered into one distinct clade which suggested the validity of this species. This results could also be used to the support of species delimitation. Currently, this species is known only from mid-elevation montane evergreen forest in the Dabie Mountains of west Anhui, China.

Production of aryl oxygen-containing compounds from catalytic pyrolysis of bagasse lignin over LaTixFe1xO3

A new approach,named production of aryl oxygen-containing compounds from the catalytic pyrolysis of bagasse lignin(BL) over perovskite oxide,was proposed,A series of LaTixFe1-xO3(LTF-x) samples were prepared by the solid state reaction method.The crystal phase and morphology of LTF-x were characterized by XRD and SEM respectively.Catalytic pyrolysis performance of LTF-x was performed by TG-DTG and the distribution patterns of gaseous,liquid and solid products from BL was investigated using a fixed-bed micro-reactor.The optimal reaction conditions were determined:the pyrolysis temperature was 600℃,the mass ratio of mBL:mLTF-0.2 was 3:1,the veloeity of earrier gas was 100 ml·min-1.The gaseous produets were mainly eomposed of CO2,CO,CH4 and CnHm(n=2-4,m=2 n+2 or m=2 n),The main aryl oxygen-containing compounds in liquid products were phenolics,guaiacols,syringols and phenylates,the rest were benzenes,furans,esters and carboxylic acid.The total contents of aryl oxygencontaining compounds were from 62% up to more than 72% under the action of the perovskite.Moreover,the LTF-0.2 sample had nice regenerability.