BACKGROUND:This study aims to evaluate the eff ect of continuous renal replacement therapy(CRRT)on inflammation-related anemia,iron metabolism,and the prognosis in sepsis patients with acute kidney injury(AKI).METHODS...BACKGROUND:This study aims to evaluate the eff ect of continuous renal replacement therapy(CRRT)on inflammation-related anemia,iron metabolism,and the prognosis in sepsis patients with acute kidney injury(AKI).METHODS:Sepsis patients with AKI were prospectively enrolled and randomized into the CRRT and control groups.The clinical and laboratory data on days 1,3 and 7 after intensive care unit(ICU)admission were collected.The serum interleukin(IL)-6,hepcidin,erythropoietin,ferritin,and soluble transferrin receptor(sTfR)were determined by enzyme-linked immunosorbent assay.The Sequential Organ Failure Assessment(SOFA)score and 28-day mortality were recorded.Data were analyzed using Pearson’s Chi-square test or Fisher’s exact test(categorical variables),and Mann-Whitney U-test or t-test(continuous variables).RESULTS:The hemoglobin and serum erythropoietin levels did not signifi cantly diff er between the CRRT and control groups though gradually decreased within the first week of ICU admission.On days 3 and 7,the serum IL-6,hepcidin,ferritin,and red blood cell distribution width significantly decreased in the CRRT group compared to the control group(all P<0.05).On day 7,the serum iron was significantly elevated in the CRRT group compared to the control group(P<0.05).However,the serum sTfR did not signifi cantly diff er between the groups over time.In addition,the SOFA scores were signifi cantly lower in the CRRT group compared to the control group on day 7.The 28-day mortality did not signifi cantly diff er between the control and CRRT groups(38.0%vs.28.2%,P=0.332).CONCLUSION:CRRT might have beneficial effects on the improvement in inflammationrelated iron metabolism and disease severity during the fi rst week of ICU admission but not anemia and 28-day mortality in sepsis patients with AKI.展开更多
Background:Chloroquine(CQ)is an antimalarial drug that was first synthesized by Hans Andersag,a German scientist,in 1934.Chloroquine has been widely researched and used over the years.The rapid development in the fiel...Background:Chloroquine(CQ)is an antimalarial drug that was first synthesized by Hans Andersag,a German scientist,in 1934.Chloroquine has been widely researched and used over the years.The rapid development in the fields of modern science and technology has also contributed to the increase in interest in chloroquine.Hence,it is necessary to comprehensively summarize the research trends to understand the breakthroughs made in the field.Methods:The required data was compiled by analyzing the Web of Science Core Collection(WoSCC)database.The search period for studying global research trends in chloroquine research was set from 2012 to 2021 to ensure a comprehensive analysis over an extended timeframe.Data retrieval was performed on April 4,2022,focusing on articles and reviews published in English.The retrieval words were:(TS=(chloroquine))OR(TS=(aralen)).A total of 1,091 reviews and 7,259 articles were retrieved and analyzed.The data obtained from WoSCC was captured and analyzed using VOS viewer(version 1.6.16)and Citesspace(version 5.8.R5).Results:The number of literature reports on chloroquine published in the past 10 years has shown an annual increase.Among the countries,the United States has contributed the highest number of papers and ranks first in terms of both H-index and citation count.The League of European Research Universities is one of the largest research-focused university networks,and Malaria Journal stands out as a prominent journal publishing articles relevant to the field of study.A paper authored by Gautret and Philippe in 2020 achieved the highest citation score globally.The biosynthesis of chloroquine,mechanisms of drug resistance,and drug combinations are receiving growing attention.Conclusion:The research area of chloroquine has been significantly influenced by the American and China.The progress of chloroquine research is further propelled by fruitful collaborations among various countries.Researchers have extensively studied the anti-malarial effect,drug resistance mechanism,and autophagy of chloroquine for the development of a treatment method for COVID-19 based on chloroquine.Bibliometric analysis can be employed to identify hotspots,new directions,and frontiers in the field of chloroquine research.展开更多
In this work, the growth kinetics of MX (M - metal, X - C/N) nanoprecipitates in type 347H austenitic steel was systematically studied. To investigate the coarsening behavior and the growth mechanism of MX carbonitr...In this work, the growth kinetics of MX (M - metal, X - C/N) nanoprecipitates in type 347H austenitic steel was systematically studied. To investigate the coarsening behavior and the growth mechanism of MX carbonitrides during long-term aging, experiments were performed at 700, 800, 850, and 900℃ for different periods (1, 24, 70, and 100 h). The precipitation behavior of carbonitrides in specimens subjected to various aging conditions was explored using carbon replicas and transmission electron microscopy (TEM) observations. The corresponding sizes ofMX carbonitrides were measured. The results demonstrates that MX carbonitrides precipitate in type 347H austenitic steel as Nb(C,N). The coarsening rate constant is time-independent; however, an increase in aging temperature results in an increase in coarsening rate of Nb(C,N). The coarsening process was analyzed according to the calculated diffusion activation energy of Nb(C,N). When the aging temperature was 800-900℃, the mean activation energy was 294 kJ·mol -1, and the coarsening behavior was controlled primarily by the diffusion of Nb atoms.展开更多
Background:Until January 18,2021,coronavirus disease-2019(COVID-19)has infected more than 93 million individuals and has caused a certain degree of panic.Viral pneumonia caused by common viruses such as respiratory sy...Background:Until January 18,2021,coronavirus disease-2019(COVID-19)has infected more than 93 million individuals and has caused a certain degree of panic.Viral pneumonia caused by common viruses such as respiratory syncytial virus,rhinovirus,human metapneumovirus,human bocavirus,and parainfluenza viruses have been more common in children.However,the incidence of COVID-19 in children was significantly lower than that in adults.The purpose of this study was to describe the clinical manifestations,treatment and outcomes of COVID-19 in children compared with those of other sources of viral pneumonia diagnosed during the COVID-19 outbreak.Methods:Children with COVID-19 and viral pneumonia admitted to 20 hospitals were enrolled in this retrospective multi-center cohort study.A total of 64 children with COVID-19 were defined as the COVID-19 cohort,of which 40 children who developed pneumonia were defined as the COVID-19 pneumonia cohort.Another 284 children with pneumonia caused by other viruses were defined as the viral pneumonia cohort.The epidemiologic,clinical,and laboratory findings were compared by Kolmogorov-Smirnov test,t-test,Mann-Whitney U test and Contingency table method.Drug usage,immunotherapy,blood transfusion,and need for oxygen support were collected as the treatment indexes.Mortality,intensive care needs and symptomatic duration were collected as the outcome indicators.Results:Compared with the viral pneumonia cohort,children in the COVID-19 cohort were mostly exposed to family members confirmed to have COVID-19(53/64 vs.23/284),were of older median age(6.3 years vs.3.2 years),and had a higher proportion of ground-glass opacity(GGO)on computed tomography(18/40 vs.0/38,P<0.001).Children in the COVID-19 pneumonia cohort had a lower proportion of severe cases(1/40 vs.38/284,P=0.048),and lower cases with high fever(3/40 vs.167/284,P<0.001),requiring intensive care(1/40 vs.32/284,P<0.047)and with shorter symptomatic duration(median 5d vs.8d,P<0.001).The proportion of cases with evaluated inflammatory indicators,biochemical indicators related to organ or tissue damage,D-dimer and secondary bacterial infection were lower in the COVID-19 pneumonia cohort than those in the viral pneumonia cohort(P<0.05).No statistical differences were found in the duration of positive PCR results from pharyngeal swabs in 25 children with COVID-19 who received antiviral drugs(lopinavir-ritonavir,ribavirin,and arbidol)as compared with duration in 39 children without antiviral therapy(median 10d vs.9d,P=0.885).Conclusions:The symptoms and severity of COVID-19 pneumonia in children were no more severe than those in children with other viral pneumonia.Lopinavir-ritonavir,ribavirin and arbidol do not shorten the duration of positive PCR results from pharyngeal swabs in children with COVID-19.During the COVID-19 outbreak,attention also must be given to children with infection by other pathogens infection.展开更多
The effect of microstructure variation on the corrosion behavior of high-strength low-alloy(HSLA) steel was investigated. The protective property of the corrosion product layer was also explored. Experimental result...The effect of microstructure variation on the corrosion behavior of high-strength low-alloy(HSLA) steel was investigated. The protective property of the corrosion product layer was also explored. Experimental results reveal that the type of microstructure has significant effect on the corrosion resistance of HSLA steel. The measurement results of weight loss, potentiodynamic polarization curves, and electrochemical impedance spectroscopy indicate that the steel with acicular ferrite microstructure exhibits the lowest corrosion rate. Martensite exhibits a reduced corrosion resistance compared with polygonal ferrite. It is found that the surface of the acicular ferrite specimen uniformly covered by corrosion products is seemingly denser and more compact than those of the other two microstructures, and can provide some amount of protection to the steel; thus, the charge transfer resistance and modulus values of the acicular ferrite specimen are the largest. However, corrosion products on martensite and polygonal ferrite are generally loose, porous, and defective, and can provide minor protectiveness; thus, the charge transfer resistance values for polygonal ferrite and martensite are lower.展开更多
Asparaginase(Asp)represents a key agent in induction remission for acute lymphoblastic leukemia(ALL)and certain subtypes of non-Hodgkin lymphoma(NHL).By catalyzing the hydrolysis of extracellular asparagine,thus deple...Asparaginase(Asp)represents a key agent in induction remission for acute lymphoblastic leukemia(ALL)and certain subtypes of non-Hodgkin lymphoma(NHL).By catalyzing the hydrolysis of extracellular asparagine,thus depleting the level of plasma asparagine necessary for the growth of leukemic lymphoblasts,Asp can inhibit leukemic lymphoblast protein synthesis and lead to subsequent apoptosis with little myelosuppression.[1]This will achieve anti-leukemia efficacy,and promote the remission of leukemia.[2]A previous study showed that an Asp-containing regimen could significantly increase the event-free survival rate(71%vs.31%).[3]A previous study showed that those who completed the Asp regimen had a higher 5-year event-free survival rate(90%)than those who were unable to tolerate toxicity and quitted the treatment(73%).[4]展开更多
Advanced machine learning(ML)approaches such as transfer learning have seldom been applied to approximate quantum many-body systems.Here we demonstrate that a simple recurrent unit(SRU)based efficient and transferable...Advanced machine learning(ML)approaches such as transfer learning have seldom been applied to approximate quantum many-body systems.Here we demonstrate that a simple recurrent unit(SRU)based efficient and transferable sequence learning framework is capable of learning and accurately predicting the time evolution of the one-dimensional(ID)Ising model with simultaneous transverse and parallel magnetic fields,as quantitatively corroborated by relative entropy measurements between the predicted and exact state distributions.At a cost of constant computational complexity,a larger many-body state evolution is predicted in an autoregressive way from just one initial state,without any guidance or knowledge of any Hamiltonian.Our work paves the way for future applications of advanced ML methods in quantum many-body dynamics with knowledge only from a smaller system.展开更多
The influence mechanism of pH and the externally applied stress on sulfide stress corrosion cracking behavior based on the joint analysis of the in situ electrochemical noise and microstructure was studied.The results...The influence mechanism of pH and the externally applied stress on sulfide stress corrosion cracking behavior based on the joint analysis of the in situ electrochemical noise and microstructure was studied.The results showed that{\mathrm{H}}^{+}in solution changes the composition and structure of corrosion product film by affecting the concentration of{\mathrm{S}}^{2-}and{\mathrm{Fe}}^{2+}near the anode surface.When the pH increased from 2.6 to 3.6 and 4.6,the corrosion product film changed from porous Mackinawite to dense and stable FeS.The change in corrosion product type delayed the crack initiation time by 10.5 and 45.5 h,while the uniform corrosion time was prolonged by 6.1 and 46 h,respectively,delaying SSC behavior.After increasing the applied stress,the local plastic deformation on the material surface increases the porosity and crack rate of the corrosion product film and becomes a fast propagation channel for SSC cracks.When the applied stress is 110%of the actual yield strength of the material,the initiation time of stress corrosion cracking is 6 and 18.1 h earlier than that of 90%and 100%,respectively.The local corrosion time was extended by 23.5 and 8.2 h,respectively,accelerating SSC behavior.展开更多
Dissimilar welded joints of reduced activation ferritic/martensitic(RAFM)steel and 316 L austenitic stainless steel were prepared by friction stir welding with different butt joining modes and welding parameters.The w...Dissimilar welded joints of reduced activation ferritic/martensitic(RAFM)steel and 316 L austenitic stainless steel were prepared by friction stir welding with different butt joining modes and welding parameters.The weld quality of the joint was improved by placing the 316 L steel on the advancing side and the RAFM steel on the retreating side,and using a relatively high rotational speed of 400 rpm.The microstructure of the stir zone on the 316 L steel side consisted of single-phase austenite,and the microstructure of the stir zone on the RAFM steel side mainly consisted of lath martensite and equiaxed ferrite.A mechanical mixture of the two steels and diffusion of Cr and Ni could be detected near the bonding interface.Diffusion of Ni from the 316 L steel to the RAFM steel resulted in the formation of a dual-phase structure consisting of austenite and ferrite.The as-welded joints showed good strength and ductility at room temperature and 550°C,which were nearly equal to those of the 316 L base material.The heat-affected zone on the RAFM side had the lowest impact toughness throughout the weld with a value of 13.2 J at-40°C,~52%that of the RAFM base material.展开更多
The sulfide stress corrosion(SSC)behaviors of the high strength low alloy steel at the different temperatures were investigated by the microstructural observation and electrochemical noise(EN)analysis.With the corrosi...The sulfide stress corrosion(SSC)behaviors of the high strength low alloy steel at the different temperatures were investigated by the microstructural observation and electrochemical noise(EN)analysis.With the corrosion temperature increasing from 20 to 40℃,SSC ruptured time is prolonged.The increase in corrosion temperature results in the decrease of the saturation solubility of H_(2)S in the solution and thus increases pH value of solution.The increase in corrosion temperature decreases the size of the holes and cracks in the corrosion product film on the surface of the sample,which is due to the formation of the dense FeS corrosion product film.The current kurtosis results indicate that the time for the first occurrence of crack initiation is postponed by the increase in the corrosion temperature.The standard deviation of current noise signals,current kurtosis,power spectral density and energy distribution plot results shows a great consistency,which suggests that EN analysis method can reflect SSC behaviors in real time.展开更多
In order to investigate the microstructure and mechanical property evolution of low-carbon reduced activation ferritic/martensitic(RAFM)steel during isothermal aging,the normalized and tempered specimens were aged at ...In order to investigate the microstructure and mechanical property evolution of low-carbon reduced activation ferritic/martensitic(RAFM)steel during isothermal aging,the normalized and tempered specimens were aged at 600℃for 500,1000,and 3000 h,respectively.The microstructural evolution with aging time was analyzed,including the precipitation and growth of M23C6 and MX-type carbides as well as the formation of Laves phase.The results indicate that the coarsening of M23C6 is more obvious than that of MX with increase in aging time.During the long-term thermal exposure,the Fe2 W Laves phase precipitates adjacent to M23C6 along the prior austenite grain boundaries and packet boundaries.Lower carbon content can delay the precipitation of Laves phase compared to the steel containing higher carbon.In addition,the Laves phase precipitated along boundaries can provide the precipitation strengthening,slightly increasing the tensile strength of low-carbon RAFM steel after aging for 3000 h.展开更多
The RAFM(reduced activation ferritic/martensitic)steels containing different tantalum contents(0wt.%,0.027wt.%,0.073wt.%)were designed and cast.Differential scanning calorimetry and optical microscopy were employe...The RAFM(reduced activation ferritic/martensitic)steels containing different tantalum contents(0wt.%,0.027wt.%,0.073wt.%)were designed and cast.Differential scanning calorimetry and optical microscopy were employed to explore the influence of tantalum content on the austenitic transformation of RAFM steels.The austenitic transformation kinetics was described by aphase-transformation model.The model,involving site saturation nucleation,diffusion-controlled growth and impingement correction,was established based on the classical Johnson-Mehl-Avrami-Kolmogorov model.The phase-transformation kinetics parameters,including D_0(pre-exponential factor for diffusion)and Q_d(activation energy for diffusion),were calculated by fitting the experimental data and the kinetic model.The results indicated that the average grain size is decreased with the increase of tantalum.The values of A_(c1) and A_(c3) (onset and finish temperature of austenitic transformation,respectively)are increased by increasing the tantalum content.The increase of tantalum caused the decrease of D_0.However,Q_d is increased with the increase of tantalum.In addition,as a carbides forming element,tantalum would reduce the carbon diffusion coefficient and slow down the austenitic transformation rate.展开更多
Influence of deformation twinning on high-temperature instantaneous performance of cold-rolled S31042 steel was investigated by optical microscopy, scanning electron microscopy, transmission electron microscopy, and h...Influence of deformation twinning on high-temperature instantaneous performance of cold-rolled S31042 steel was investigated by optical microscopy, scanning electron microscopy, transmission electron microscopy, and high-temperature tensile test. An increasing number of deformation twins have formed as the cold rolling reduction degree increases during the cold rolling process. During the tensile process at 700 ℃, M23C6 particles generated along the deformation twin boundaries, and NbCrN nanoparticles dispersedly precipitated throughout the austenite grains. For the high-temperature tensile sample subjected to cold reduction for 80%, it is observed from the fractured cross section that numerous defor-mation twin boundaries were decorated by discontinuous M23C6 particles. Therefore, austenite grains were divided into several independent zones by the deformation twins, and the grains were refined. Due to the grain refinement strengthening and precipitation strengthening, the high-temperature temporal strength of the 80% cold-rolled sample was significantly improved, and simultaneously, this sample exhibited favorable high-temperature elongation.展开更多
In order to research the hot deformation behavior of 9CrMoCoB heat-resistant steel,hot compression tests were performed over a wide range of temperatures from 850 to 1150℃ and strain rates from 0.01 to 10.00 s^-1.The...In order to research the hot deformation behavior of 9CrMoCoB heat-resistant steel,hot compression tests were performed over a wide range of temperatures from 850 to 1150℃ and strain rates from 0.01 to 10.00 s^-1.The flow stress appears to increase with the decrease in deformation temperature and the increase in strain rate.The relationship between microstructural evolution and deformation parameters was studied,indicating that both low strain rate and high deformation temperature appear to promote the dynamic recrystallization,while excessively high temperature with low strain rate would result in the high non-uniformity of grain size.The experimental stress-strain data was applied to calculate the material constants involved in the Arrhenius-type constitutive model and the modified Zerilli-Armstrong(MZA)model,and feasibility of these two models was evaluated.The results show that the MZA model is more accurate to predict the high-temperature flow behavior of the experimental steel than the Arrhenius-type constitutive equation.展开更多
The authors regret that we misused the dimensions of the ten-sile samples when drawing the stress--strain curves as shown in Fig.13(a)in the original paper.This leads to the mis-calculated values of the Fig.13(a)stres...The authors regret that we misused the dimensions of the ten-sile samples when drawing the stress--strain curves as shown in Fig.13(a)in the original paper.This leads to the mis-calculated values of the Fig.13(a)stress-strain curves.The original data of the tensile experiments have been checked,and the correct figure is provided in this correction as below.展开更多
基金funded by the Shenzhen Key Medical Discipline Construction Fund(S ZXK046)the National Nature Science Foundation of China(81571869).
文摘BACKGROUND:This study aims to evaluate the eff ect of continuous renal replacement therapy(CRRT)on inflammation-related anemia,iron metabolism,and the prognosis in sepsis patients with acute kidney injury(AKI).METHODS:Sepsis patients with AKI were prospectively enrolled and randomized into the CRRT and control groups.The clinical and laboratory data on days 1,3 and 7 after intensive care unit(ICU)admission were collected.The serum interleukin(IL)-6,hepcidin,erythropoietin,ferritin,and soluble transferrin receptor(sTfR)were determined by enzyme-linked immunosorbent assay.The Sequential Organ Failure Assessment(SOFA)score and 28-day mortality were recorded.Data were analyzed using Pearson’s Chi-square test or Fisher’s exact test(categorical variables),and Mann-Whitney U-test or t-test(continuous variables).RESULTS:The hemoglobin and serum erythropoietin levels did not signifi cantly diff er between the CRRT and control groups though gradually decreased within the first week of ICU admission.On days 3 and 7,the serum IL-6,hepcidin,ferritin,and red blood cell distribution width significantly decreased in the CRRT group compared to the control group(all P<0.05).On day 7,the serum iron was significantly elevated in the CRRT group compared to the control group(P<0.05).However,the serum sTfR did not signifi cantly diff er between the groups over time.In addition,the SOFA scores were signifi cantly lower in the CRRT group compared to the control group on day 7.The 28-day mortality did not signifi cantly diff er between the control and CRRT groups(38.0%vs.28.2%,P=0.332).CONCLUSION:CRRT might have beneficial effects on the improvement in inflammationrelated iron metabolism and disease severity during the fi rst week of ICU admission but not anemia and 28-day mortality in sepsis patients with AKI.
基金the Natural Science Foundation of Chongqing(Grant No.cstc2021jcyj-msxmX0148)Chongqing Key Clinical Specialty Construction Project(No.CQZDZK007)+2 种基金Beijing University of Chinese Medicine"Exploration and Practice of the Teaching Model of"Three Harmonics"in Mathematics and Physics in Medical Colleges"(JY21024)Beijing University of Chinese Medicine"Junling Hou Teaching Master Workshop"(MSGZF-202001)Beijing University of Chinese Medicine"Research on the Experimental Teaching of Electrical Engineering and Electronics Based on the Thought of Integrating Chinese Medicine"(XJY22024).
文摘Background:Chloroquine(CQ)is an antimalarial drug that was first synthesized by Hans Andersag,a German scientist,in 1934.Chloroquine has been widely researched and used over the years.The rapid development in the fields of modern science and technology has also contributed to the increase in interest in chloroquine.Hence,it is necessary to comprehensively summarize the research trends to understand the breakthroughs made in the field.Methods:The required data was compiled by analyzing the Web of Science Core Collection(WoSCC)database.The search period for studying global research trends in chloroquine research was set from 2012 to 2021 to ensure a comprehensive analysis over an extended timeframe.Data retrieval was performed on April 4,2022,focusing on articles and reviews published in English.The retrieval words were:(TS=(chloroquine))OR(TS=(aralen)).A total of 1,091 reviews and 7,259 articles were retrieved and analyzed.The data obtained from WoSCC was captured and analyzed using VOS viewer(version 1.6.16)and Citesspace(version 5.8.R5).Results:The number of literature reports on chloroquine published in the past 10 years has shown an annual increase.Among the countries,the United States has contributed the highest number of papers and ranks first in terms of both H-index and citation count.The League of European Research Universities is one of the largest research-focused university networks,and Malaria Journal stands out as a prominent journal publishing articles relevant to the field of study.A paper authored by Gautret and Philippe in 2020 achieved the highest citation score globally.The biosynthesis of chloroquine,mechanisms of drug resistance,and drug combinations are receiving growing attention.Conclusion:The research area of chloroquine has been significantly influenced by the American and China.The progress of chloroquine research is further propelled by fruitful collaborations among various countries.Researchers have extensively studied the anti-malarial effect,drug resistance mechanism,and autophagy of chloroquine for the development of a treatment method for COVID-19 based on chloroquine.Bibliometric analysis can be employed to identify hotspots,new directions,and frontiers in the field of chloroquine research.
基金Projects(2015GB107003,2015GB119001)supported by the International Thermonuclear Experimental Reactor(ITER)Program,ChinaProjects(51474155,11672200,51674175)supported by the National Natural Science Foundation of China
基金the China National Funds for Distinguished Young Scientists (No.51325401)the National High Technology Research and Development Program of China (No.2015AA042504)the National Natural Science Foundation of China (No.51474156) for financial support
文摘In this work, the growth kinetics of MX (M - metal, X - C/N) nanoprecipitates in type 347H austenitic steel was systematically studied. To investigate the coarsening behavior and the growth mechanism of MX carbonitrides during long-term aging, experiments were performed at 700, 800, 850, and 900℃ for different periods (1, 24, 70, and 100 h). The precipitation behavior of carbonitrides in specimens subjected to various aging conditions was explored using carbon replicas and transmission electron microscopy (TEM) observations. The corresponding sizes ofMX carbonitrides were measured. The results demonstrates that MX carbonitrides precipitate in type 347H austenitic steel as Nb(C,N). The coarsening rate constant is time-independent; however, an increase in aging temperature results in an increase in coarsening rate of Nb(C,N). The coarsening process was analyzed according to the calculated diffusion activation energy of Nb(C,N). When the aging temperature was 800-900℃, the mean activation energy was 294 kJ·mol -1, and the coarsening behavior was controlled primarily by the diffusion of Nb atoms.
基金Scientific Research Project of Military Logistics Department,Grant Award Number:CLB20J032。
文摘Background:Until January 18,2021,coronavirus disease-2019(COVID-19)has infected more than 93 million individuals and has caused a certain degree of panic.Viral pneumonia caused by common viruses such as respiratory syncytial virus,rhinovirus,human metapneumovirus,human bocavirus,and parainfluenza viruses have been more common in children.However,the incidence of COVID-19 in children was significantly lower than that in adults.The purpose of this study was to describe the clinical manifestations,treatment and outcomes of COVID-19 in children compared with those of other sources of viral pneumonia diagnosed during the COVID-19 outbreak.Methods:Children with COVID-19 and viral pneumonia admitted to 20 hospitals were enrolled in this retrospective multi-center cohort study.A total of 64 children with COVID-19 were defined as the COVID-19 cohort,of which 40 children who developed pneumonia were defined as the COVID-19 pneumonia cohort.Another 284 children with pneumonia caused by other viruses were defined as the viral pneumonia cohort.The epidemiologic,clinical,and laboratory findings were compared by Kolmogorov-Smirnov test,t-test,Mann-Whitney U test and Contingency table method.Drug usage,immunotherapy,blood transfusion,and need for oxygen support were collected as the treatment indexes.Mortality,intensive care needs and symptomatic duration were collected as the outcome indicators.Results:Compared with the viral pneumonia cohort,children in the COVID-19 cohort were mostly exposed to family members confirmed to have COVID-19(53/64 vs.23/284),were of older median age(6.3 years vs.3.2 years),and had a higher proportion of ground-glass opacity(GGO)on computed tomography(18/40 vs.0/38,P<0.001).Children in the COVID-19 pneumonia cohort had a lower proportion of severe cases(1/40 vs.38/284,P=0.048),and lower cases with high fever(3/40 vs.167/284,P<0.001),requiring intensive care(1/40 vs.32/284,P<0.047)and with shorter symptomatic duration(median 5d vs.8d,P<0.001).The proportion of cases with evaluated inflammatory indicators,biochemical indicators related to organ or tissue damage,D-dimer and secondary bacterial infection were lower in the COVID-19 pneumonia cohort than those in the viral pneumonia cohort(P<0.05).No statistical differences were found in the duration of positive PCR results from pharyngeal swabs in 25 children with COVID-19 who received antiviral drugs(lopinavir-ritonavir,ribavirin,and arbidol)as compared with duration in 39 children without antiviral therapy(median 10d vs.9d,P=0.885).Conclusions:The symptoms and severity of COVID-19 pneumonia in children were no more severe than those in children with other viral pneumonia.Lopinavir-ritonavir,ribavirin and arbidol do not shorten the duration of positive PCR results from pharyngeal swabs in children with COVID-19.During the COVID-19 outbreak,attention also must be given to children with infection by other pathogens infection.
基金financially supported by the National Science Fund for Distinguished Young Scholars (No. 51325401)the International Thermonuclear Experimental Reactor (ITER) Program Special Project (No. 2014GB125006)+1 种基金the Major State Basic Research Development Program of China (No. 2014CB046805)the National Natural Science Foundation of China (No. 51474156)
文摘The effect of microstructure variation on the corrosion behavior of high-strength low-alloy(HSLA) steel was investigated. The protective property of the corrosion product layer was also explored. Experimental results reveal that the type of microstructure has significant effect on the corrosion resistance of HSLA steel. The measurement results of weight loss, potentiodynamic polarization curves, and electrochemical impedance spectroscopy indicate that the steel with acicular ferrite microstructure exhibits the lowest corrosion rate. Martensite exhibits a reduced corrosion resistance compared with polygonal ferrite. It is found that the surface of the acicular ferrite specimen uniformly covered by corrosion products is seemingly denser and more compact than those of the other two microstructures, and can provide some amount of protection to the steel; thus, the charge transfer resistance and modulus values of the acicular ferrite specimen are the largest. However, corrosion products on martensite and polygonal ferrite are generally loose, porous, and defective, and can provide minor protectiveness; thus, the charge transfer resistance values for polygonal ferrite and martensite are lower.
基金Shanghai Natural Science Foundation(No.19ZR1432900)supported this study.
文摘Asparaginase(Asp)represents a key agent in induction remission for acute lymphoblastic leukemia(ALL)and certain subtypes of non-Hodgkin lymphoma(NHL).By catalyzing the hydrolysis of extracellular asparagine,thus depleting the level of plasma asparagine necessary for the growth of leukemic lymphoblasts,Asp can inhibit leukemic lymphoblast protein synthesis and lead to subsequent apoptosis with little myelosuppression.[1]This will achieve anti-leukemia efficacy,and promote the remission of leukemia.[2]A previous study showed that an Asp-containing regimen could significantly increase the event-free survival rate(71%vs.31%).[3]A previous study showed that those who completed the Asp regimen had a higher 5-year event-free survival rate(90%)than those who were unable to tolerate toxicity and quitted the treatment(73%).[4]
基金the National Natural Science Foundation of China under Grant Nos 11874431 and 11804181the National Key R&D Program of China under Grant No 2018YFA0306800+1 种基金the Guangdong Science and Technology Innovation Youth Talent Program under Grant Nos 2016TQ03X688 and 2018YFA0306504the Research Fund Program of the State Key Laboratory of Low-Dimensional Quantum Physics under Grant No ZZ201803.
文摘Advanced machine learning(ML)approaches such as transfer learning have seldom been applied to approximate quantum many-body systems.Here we demonstrate that a simple recurrent unit(SRU)based efficient and transferable sequence learning framework is capable of learning and accurately predicting the time evolution of the one-dimensional(ID)Ising model with simultaneous transverse and parallel magnetic fields,as quantitatively corroborated by relative entropy measurements between the predicted and exact state distributions.At a cost of constant computational complexity,a larger many-body state evolution is predicted in an autoregressive way from just one initial state,without any guidance or knowledge of any Hamiltonian.Our work paves the way for future applications of advanced ML methods in quantum many-body dynamics with knowledge only from a smaller system.
基金supported by the National Key R&D Program of China(2022YFB3705300)the National Natural Science Foundation of China(Nos.52034004,52271111 and 52171123).
文摘The influence mechanism of pH and the externally applied stress on sulfide stress corrosion cracking behavior based on the joint analysis of the in situ electrochemical noise and microstructure was studied.The results showed that{\mathrm{H}}^{+}in solution changes the composition and structure of corrosion product film by affecting the concentration of{\mathrm{S}}^{2-}and{\mathrm{Fe}}^{2+}near the anode surface.When the pH increased from 2.6 to 3.6 and 4.6,the corrosion product film changed from porous Mackinawite to dense and stable FeS.The change in corrosion product type delayed the crack initiation time by 10.5 and 45.5 h,while the uniform corrosion time was prolonged by 6.1 and 46 h,respectively,delaying SSC behavior.After increasing the applied stress,the local plastic deformation on the material surface increases the porosity and crack rate of the corrosion product film and becomes a fast propagation channel for SSC cracks.When the applied stress is 110%of the actual yield strength of the material,the initiation time of stress corrosion cracking is 6 and 18.1 h earlier than that of 90%and 100%,respectively.The local corrosion time was extended by 23.5 and 8.2 h,respectively,accelerating SSC behavior.
基金financially supported by the National Natural Science Foundation of China(Nos.517011741,U1660201)the National Magnetic Confinement Fusion Energy Research Project(No.2015GB119001).
文摘Dissimilar welded joints of reduced activation ferritic/martensitic(RAFM)steel and 316 L austenitic stainless steel were prepared by friction stir welding with different butt joining modes and welding parameters.The weld quality of the joint was improved by placing the 316 L steel on the advancing side and the RAFM steel on the retreating side,and using a relatively high rotational speed of 400 rpm.The microstructure of the stir zone on the 316 L steel side consisted of single-phase austenite,and the microstructure of the stir zone on the RAFM steel side mainly consisted of lath martensite and equiaxed ferrite.A mechanical mixture of the two steels and diffusion of Cr and Ni could be detected near the bonding interface.Diffusion of Ni from the 316 L steel to the RAFM steel resulted in the formation of a dual-phase structure consisting of austenite and ferrite.The as-welded joints showed good strength and ductility at room temperature and 550°C,which were nearly equal to those of the 316 L base material.The heat-affected zone on the RAFM side had the lowest impact toughness throughout the weld with a value of 13.2 J at-40°C,~52%that of the RAFM base material.
基金the National Natural Science Foundation of China(Grant Nos.51975404,52034004 and 52171123)for grant and financial support.
文摘The sulfide stress corrosion(SSC)behaviors of the high strength low alloy steel at the different temperatures were investigated by the microstructural observation and electrochemical noise(EN)analysis.With the corrosion temperature increasing from 20 to 40℃,SSC ruptured time is prolonged.The increase in corrosion temperature results in the decrease of the saturation solubility of H_(2)S in the solution and thus increases pH value of solution.The increase in corrosion temperature decreases the size of the holes and cracks in the corrosion product film on the surface of the sample,which is due to the formation of the dense FeS corrosion product film.The current kurtosis results indicate that the time for the first occurrence of crack initiation is postponed by the increase in the corrosion temperature.The standard deviation of current noise signals,current kurtosis,power spectral density and energy distribution plot results shows a great consistency,which suggests that EN analysis method can reflect SSC behaviors in real time.
基金financially supported by the National Natural Science Foundation of China (Nos. U1660201, 51474156 and 51501126)the National Magnetic Confinement Fusion Energy Research Project (No. 2015GB119001)
文摘In order to investigate the microstructure and mechanical property evolution of low-carbon reduced activation ferritic/martensitic(RAFM)steel during isothermal aging,the normalized and tempered specimens were aged at 600℃for 500,1000,and 3000 h,respectively.The microstructural evolution with aging time was analyzed,including the precipitation and growth of M23C6 and MX-type carbides as well as the formation of Laves phase.The results indicate that the coarsening of M23C6 is more obvious than that of MX with increase in aging time.During the long-term thermal exposure,the Fe2 W Laves phase precipitates adjacent to M23C6 along the prior austenite grain boundaries and packet boundaries.Lower carbon content can delay the precipitation of Laves phase compared to the steel containing higher carbon.In addition,the Laves phase precipitated along boundaries can provide the precipitation strengthening,slightly increasing the tensile strength of low-carbon RAFM steel after aging for 3000 h.
基金financially sponsored by the China National Funds for Distinguished Young Scientists (Granted No.51325401)the National Natural Science Foundation of China(Granted No.51501126)the National Magnetic Confinement Fusion Energy Research Program(Granted No.2015GB119001)
文摘The RAFM(reduced activation ferritic/martensitic)steels containing different tantalum contents(0wt.%,0.027wt.%,0.073wt.%)were designed and cast.Differential scanning calorimetry and optical microscopy were employed to explore the influence of tantalum content on the austenitic transformation of RAFM steels.The austenitic transformation kinetics was described by aphase-transformation model.The model,involving site saturation nucleation,diffusion-controlled growth and impingement correction,was established based on the classical Johnson-Mehl-Avrami-Kolmogorov model.The phase-transformation kinetics parameters,including D_0(pre-exponential factor for diffusion)and Q_d(activation energy for diffusion),were calculated by fitting the experimental data and the kinetic model.The results indicated that the average grain size is decreased with the increase of tantalum.The values of A_(c1) and A_(c3) (onset and finish temperature of austenitic transformation,respectively)are increased by increasing the tantalum content.The increase of tantalum caused the decrease of D_0.However,Q_d is increased with the increase of tantalum.In addition,as a carbides forming element,tantalum would reduce the carbon diffusion coefficient and slow down the austenitic transformation rate.
基金The authors would like to acknowledge the National Natural Science Foundation of China (Granted Nos. 51325401, 51474156 and U1660201)the National Magnetic Confinement Fusion Energy Research Program (No. 2015GB119001) for Grant and financial support.
文摘Influence of deformation twinning on high-temperature instantaneous performance of cold-rolled S31042 steel was investigated by optical microscopy, scanning electron microscopy, transmission electron microscopy, and high-temperature tensile test. An increasing number of deformation twins have formed as the cold rolling reduction degree increases during the cold rolling process. During the tensile process at 700 ℃, M23C6 particles generated along the deformation twin boundaries, and NbCrN nanoparticles dispersedly precipitated throughout the austenite grains. For the high-temperature tensile sample subjected to cold reduction for 80%, it is observed from the fractured cross section that numerous defor-mation twin boundaries were decorated by discontinuous M23C6 particles. Therefore, austenite grains were divided into several independent zones by the deformation twins, and the grains were refined. Due to the grain refinement strengthening and precipitation strengthening, the high-temperature temporal strength of the 80% cold-rolled sample was significantly improved, and simultaneously, this sample exhibited favorable high-temperature elongation.
基金The authors are grateful to the National Natural Science Foundation of China(Granted Nos.51474156 and U1660201)the National Magnetic Confinement Fusion Energy Research Project(Granted No.2015GB119001)for grant and financial support.
文摘In order to research the hot deformation behavior of 9CrMoCoB heat-resistant steel,hot compression tests were performed over a wide range of temperatures from 850 to 1150℃ and strain rates from 0.01 to 10.00 s^-1.The flow stress appears to increase with the decrease in deformation temperature and the increase in strain rate.The relationship between microstructural evolution and deformation parameters was studied,indicating that both low strain rate and high deformation temperature appear to promote the dynamic recrystallization,while excessively high temperature with low strain rate would result in the high non-uniformity of grain size.The experimental stress-strain data was applied to calculate the material constants involved in the Arrhenius-type constitutive model and the modified Zerilli-Armstrong(MZA)model,and feasibility of these two models was evaluated.The results show that the MZA model is more accurate to predict the high-temperature flow behavior of the experimental steel than the Arrhenius-type constitutive equation.
文摘The authors regret that we misused the dimensions of the ten-sile samples when drawing the stress--strain curves as shown in Fig.13(a)in the original paper.This leads to the mis-calculated values of the Fig.13(a)stress-strain curves.The original data of the tensile experiments have been checked,and the correct figure is provided in this correction as below.