Analysis of the Current Situation and Risk Factors of Lower Respiratory Tract Infection among ICU Patients in Guizhou,China During 2019-2022

Objective:This study aims to explore the prevalence,features,and risk factors of lower respiratory tract infections(LRTIs)in the intensive care unit(ICU)of a newly established hospital in Zunyi City.The goal is to devise strategies for preventing LRTIs in the ICU of new hospitals,thereby mitigating the incidence of nosocomial LRTIs in ICU patients.Methods:A case-control study was conducted from March 2019 to December 2022 to investigate the incidence rate of LRTIs in the ICU of a newly constructed hospital in Zunyi City.Patients with LRTIs constituted the case group,while those without LRTIs constituted the control group,where a 1:1 matching principle was adhered to.A single-factor chi-square(χ2)test was employed to analyze the risk factors,with independent risk factors being explored using a multivariate logistic regression analysis.Results:A total of 169 strains of pathogenic bacteria were isolated,comprising 66.28%gram-negative bacteria,17.75%gram-positive bacteria,and 15.97%fungi.The most prevalent pathogens included Acinetobacter baumannii(43.20%),Candida albicans(10.65%),and Pseudomonas aeruginosa(8.88%).Of the 82 strains infected by multidrug-resistant bacteria in patients with LRTIs,81.7%were carbapenem-resistant Acinetobacter baumannii,9.8%were multidrug-resistant Pseudomonas aeruginosa,and 6.1%were carbapenem-resistant Escherichia coli.Identified risk factors included smoking history,total hospitalization days,ICU stay length,hypoproteinemia,indwelling gastric tube,intubation type,duration of mechanical ventilation,usage of antibacterial drugs,and administration of protein drugs(P<0.05).Multivariate logistic regression analysis demonstrated that these factors were independent risk factors for nosocomial LRTIs in ICU patients(P<0.05).Conclusion:ICU patients in our hospital were mainly infected by carbapenem-resistant Acinetobacter baumannii.To prevent LRTIs in patients,tailored preventive measures should be developed and the rational use of antibacterial drugs should be promoted.

我国高校大数据治理能力成熟度模型的构建与实践——基于CMM与ISM融合研究的视角

构建科学有效的高校大数据治理评价模型,对激活大数据在教育数字化转型中的核心驱动作用,发挥高校在教育数字化转型中的引领示范作用具有重要意义。基于此,基于高校大数据治理的核心要素,通过融合解释结构模型(ISM)和能力成熟度模型(CMM)两种研究方法,以ISM的层次结构划分逻辑、核心要素在层次结构中的分布情况等量化手段,强化在CMM构建过程中,划分成熟度等级、确定关键过程域、明晰成熟度等级和关键过程域的对应关系等主要环节的科学性与合理性,构建出包括5个成熟度级别、21项关键过程域在内的我国高校大数据治理能力成熟度模型。同时,基于2022年浙江省高校信息化建设评估项目数据,采取分层抽样法抽取30所高校开展模型的实践应用,以期为高校大数据治理评价研究提供参考。

生成式人工智能赋能教育研究范式变革:机理、风险与对策

在《科学革命的结构》一书中,库恩认为科学革命的本质是范式转换而非知识堆栈。作为新一轮AI革命“皇冠上的明珠”,生成式人工智能(AIGC)凭借其高智能交互、创造性生成、复杂数据处理等能力,拓展出教育研究范式变革的新路径。该研究以AIGC的功能机理与助研情境为基点,从知识论、本体论、方法论与价值论四个维度阐述了该工具对于教育研究范式变革的赋能逻辑。然而,作为一项颠覆性技术,AIGC的助研应用仍面临着知识生成的真实性与合法性质疑、服务客体的局限性、数据安全与伦理的危险性以及信息承载意识形态的侵犯性等问题,应从四个层面制定技术赋能策略:在工具层面,以技术降槛推进教育人工智能知识权力公平;在基建层面,扩大教育研究数字化空间普及;在安全层面,创建科研领域的轻量化专用型语料库;在话语建设层面,支持本土AIGC平台的功能迭代与国际传播。

基于国际原子能机构277和381报告对直线加速器双模式光子线和电子线输出量校准研究

目的:基于国际原子能机构(IAEA)TRS 277和TRS 381《高能电子束和光子束中使用平行电离室的国际剂量测定操作规范》报告,校准加速器配置的不同档能量射线水中的吸收剂量,确保临床放疗中直线加速器输出剂量的精确性。方法:采用Elekta Infinity直线加速器,光子线能量6 MV分别为均整(FF)模式和非均整(FFF)模式;电子线能量分别为4、6、8、10、12和15 MeV。根据IAEATRS277和TRS381报告,使用PTW剂量仪、PTW30013指型电离室和PTW34001平行板电离室分别进行光子线和电子线水中输出剂量的校准,对各步骤的误差进行分析,对比采用不同标准对直线加速器的输出量水中校准的准确性。结果:6 MV的FF模式和FFF模式光子线在水中最大剂量点处的输出量分别为1.003和1.008 cGy/MU;4、6、8、10、12和15 MeV的电子线每档能量在水中最大剂量点处的输出量分别为1.003、1.002、0.998、0.999、1.000和1.003 cGy/MU。每档能量的射线在水中最大剂量点处的输出量校准为1 MU对应1 cCy,误差<1%。结论:根据IAEA TRS277号和TRS381号报告对直线加速器的输出剂量在水中进行校准,可以保证直线加速器的输出剂量的准确性。

Early systemic anticoagulation reduces hospital readmission in acute necrotizing pancreatitis patients:A retrospective cohort study

Background:Early systemic anticoagulation(SAC)is a common practice in acute necrotizing pancreatitis(ANP),and its impact on in-hospital clinical outcomes had been assessed.However,whether it affects long-term outcomes is unknown.This study aimed to evaluate the effect of SAC on 90-day readmission and other long-term outcomes in ANP patients.Methods:During January 2013 and December 2018,ANP patients admitted within 7 days from the onset of abdominal pain were screened.The primary outcome was 90-day readmission after discharge.Cox proportional-hazards regression model and mediation analysis were used to define the relationship between early SAC and 90-day readmission.Results:A total of 241 ANP patients were enrolled,of whom 143 received early SAC during their hospitalization and 98 did not.Patients who received early SAC experienced a lower incidence of splanchnic venous thrombosis(SVT)[risk ratio(RR)=0.40,95%CI:0.26-0.60,P<0.01]and lower 90-day readmission with an RR of 0.61(95%CI:0.41-0.91,P=0.02)than those who did not.For the quality of life,patients who received early SAC had a significantly higher score in the subscale of vitality(P=0.03)while the other subscales were all comparable between the two groups.Multivariable Cox regression model showed that early SAC was an independent protective factor for 90-day readmission after adjusting for potential confounders with a hazard ratio of 0.57(95%CI:0.34-0.96,P=0.04).Mediation analysis showed that SVT mediated 37.0%of the early SAC-90-day readmission causality.Conclusions:The application of early SAC may reduce the risk of 90-day readmission in the survivors of ANP patients,and reduced SVT incidence might be the primary contributor.

Neuronal conversion from glia to replenish the lost neurons

Neuronal injury,aging,and cerebrovascular and neurodegenerative diseases such as cerebral infarction,Alzheimer’s disease,Parkinson’s disease,frontotemporal dementia,amyotrophic lateral sclerosis,and Huntington’s disease are characte rized by significant neuronal loss.Unfo rtunately,the neurons of most mammals including humans do not possess the ability to self-regenerate.Replenishment of lost neurons becomes an appealing therapeutic strategy to reve rse the disease phenotype.Transplantation of pluripotent neural stem cells can supplement the missing neurons in the brain,but it carries the risk of causing gene mutation,tumorigenesis,severe inflammation,and obstructive hydrocephalus induced by brain edema.Conversion of neural or non-neural lineage cells into functional neurons is a promising strategy for the diseases involving neuron loss,which may overcome the above-mentioned disadvantages of neural stem cell therapy.Thus far,many strategies to transfo rm astrocytes,fibroblasts,microglia,Muller glia,NG2 cells,and other glial cells to mature and functional neurons,or for the conversion between neuronal subtypes have been developed thro ugh the regulation of transcription factors,polypyrimidine tra ct binding protein 1(PTBP1),and small chemical molecules or are based on a combination of several factors and the location in the central nervous system.However,some recent papers did not obtain expected results,and discrepancies exist.Therefore,in this review,we discuss the history of neuronal transdifferentiation,summarize the strategies for neuronal replenishment and conversion from glia,especially astrocytes,and point out that biosafety,new strategies,and the accurate origin of the truly co nverted neurons in vivo should be focused upon in future studies.It also arises the attention of replenishing the lost neurons from glia by gene therapies such as up-regulation of some transc ription factors or downregulation of PTBP1 or drug interfe rence therapies.

数据大屏赋能高校数智治理的逻辑、案例与优化路向——基于浙江省107所高校数据的实证研究

数据大屏是高校数据可视化的核心载体之一,能够臂助教育管理者科学、直观且高效地洞察高校治理实况,助力高校制定治理决策,然而国内关于数据大屏的研究尚处于起步阶段,实证研究匮乏。针对此现状,文章首先针对浙江省高校展开调查,发现数据大屏对推动高校数智治理具有凸显顶层导向、呈现发展趋向、协助差异调节等价值。然后,文章阐述并分析了浙江省高校数据大屏的设计思路、呈现样态与效能。最后,文章从四个维度阐明其赋能高校数智治理的优化路向,包括优化数据库合成,赋能治理降本增效;共享多源数据流,赋能治理“一盘棋”联动;实施多样态干预,赋能治理过程补偏救弊;重视投产比指标,赋能治理转型可持续发展。文章通过研究,旨在为基于可视化技术的高校数智治理改革与创新提供高质量借鉴。

Fully relativistic energies,transition properties,and lifetimes of lithium-like germanium

Employing two fully relativistic methods,the multi-reference configuration Dirac-Hartree-Fock(MCDHF)methodand the relativistic many-body perturbation theory(RMBPT)method,we report energies and lifetime values for the lowest35 energy levels of the(1s^(2))nl configurations(where the principal quantum number n=2-6 and the angular quantum numberl=0,...,n-1)of lithium-like germanium(Ge XXX),as well as complete data on the transition wavelengths,radiativerates,absorption oscillator strengths,and line strengths between the levels.Both the allowed(E1)and forbidden(magneticdipole M1,magnetic quadrupole M2,and electric quadrupole E2)ones are reported.The results from the two methodsare consistent with each other and align well with previous accurate experimental and theoretical findings.We assess theoverall accuracies of present RMBPT results to be likely the most precise ones to date.The present fully relativistic resultsshould be helpful for soft x-ray laser research,spectral line identification,plasma modeling and diagnosing.The datasetspresented in this paper are openly available at https://doi.org/10.57760/sciencedb.j00113.00135.

Self-confocal NIR-II fluorescence microscopy for multifunctional in vivo imaging

Fluorescence imaging in the second near-infrared window(NIR-II,900–1880 nm)with less scattering background in biological tissues has been combined with the confocal microscopic system for achieving deep in vivo imaging with high spatial resolution.However,the traditional NIR-IIfluorescence confocal microscope with separate excitation focus and detection pinhole makes it possess low confocal e±ciency,as well as di±cultly to adjust.Two types of upgraded NIR-IIfluorescence confocal microscopes,sharing the same pinhole by excitation and emission focus,leading to higher confocal e±ciency,are built in this work.One type is-ber-pinhole-based confocal microscope applicable to CW laser excitation.It is constructed forfluorescence intensity imaging with large depth,high stabilization and low cost,which could replace multiphotonfluorescence microscopy in some applications(e.g.,cerebrovascular and hepatocellular imaging).The other type is air-pinhole-based confocal microscope applicable to femtosecond(fs)laser excitation.It can be employed not only for NIR-IIfluorescence intensity imaging,but also for multi-channelfluorescence lifetime imaging to recognize different structures with similarfluorescence spectrum.Moreover,it can be facilely combined with multiphotonfluorescence microscopy.A single fs pulsed laser is utilized to achieve up-conversion(visible multiphotonfluorescence)and down-conversion(NIR-II one-photonfluorescence)excitation simultaneously,extending imaging spectral channels,and thus facilitates multi-structure and multi-functional observation.

Auxin-brassinosteroid crosstalk:Regulating rice plant architecture and grain shape

Rice(Oryza sativa)plant architecture and grain shape,which determine grain quality and yield,are modulatedby auxin and brassinosteroid via regulation of cell elongation and proliferation.We review the signaltransduction of these hormones and the crosstalk between their signals on the regulation of rice plantarchitecture and grain shape.

Circumscription of the East Asia clade (Apiaceae subfamily Apioideae) and the taxonomic placements of several problematic genera

The East Asia(or Physospermopsis) clade was recognized in previous molecular phylogenetic investigations into the higher-level relationships of Apiaceae subfamily Apioideae. The composition of this clade, the phylogenetic relationships among its constituent taxa, and the placement of species previously determined to be problematic have yet to be resolved. Herein, nr DNA ITS sequences were obtained for150 accessions of Apioideae, representing species whose distributions are in East Asia or genera having one or more species included within the East Asia clade. These data, along with published ITS sequences from other Apioideae(for 3678 accessions altogether), were subjected to maximum likelihood and Bayesian inference analyses. The results show that the East Asia clade contains representatives of 11currently recognized genera: Hansenia, Hymenolaena, Keraymonia, Sinolimprichtia, Acronema, Hymenidium, Physospermopsis, Pimpinella, Sinocarum, Tongoloa, and Trachydium. However, the latter seven genera have members falling outside of the East Asia clade, including the generic types of all except Tongoloa. Within the clade, the species comprising these seven genera are widely intermingled, greatly increasing confusion among relationships than previously realized. The problematic species Physospermopsis cuneata is confirmed as falling within the East Asia clade, whereas P. rubrinervis allies with the generic type in tribe Pleurospermeae. Physospermopsis kingdon-wardii is confirmed as a member of the genus Physospermopsis, whereas the generic attributions of P. cuneata and Tongoloa stewardii remain unclear. Two species of Sinocarum(S. filicinum and S. wolffianum) are transferred into the genus Meeboldia. This is the most comprehensive molecular phylogenetic investigation of the East Asia clade to date, and while the results increase systematic understanding of the clade, they also highlight the need for further studies of one of the most taxonomically intractable groups in Apioideae.

Optimizing the power conversion processes in diluted donor/acceptor heterojunctions towards 19.4%efficiency all-polymer solar cells

All polymer solar cells(all-PSCs)promise mechanically-flexible and morphologically-stable organic photovoltaics and have aroused increased interests very recently.However,due to their disorderly conformation structures within the photoactive film,inefficient charge generation and carrier transport are observed which lead to inferior photovoltaic performance compared to smaller molecular acceptor-based photovoltaics.Here,by diluting PM6 with a cutting-edge polymeric acceptor PY-IT and diluting PY-IT with PM6 or D18,donor-dominating or acceptor-dominating heterojunctions were prepared.Synchrotron X-ray and multiple spectrometer techniques reveal that the diluted heterojunctions receive increased structural order,translating to enhanced carrier mobility,improved exciton diffusion length,and suppressed non-radiative recombination loss during the power conversion.As the results,the corresponding PM6+1%PY-IT/PY-IT+1%D18 and PM6+1%PY-IT/PY-IT+1%PM6 devices fabricated by layer-by-layer deposition received superior power conversion efficiency(PCE)of 19.4%and 18.8%respectively,along with enhanced operational lifetimes in air,outperforming the PCE of 17.5%in the PM6/PY-IT reference device.

Cybersecurity Landscape on Remote State Estimation:A Comprehensive Review

Cyber-physical systems(CPSs)have emerged as an essential area of research in the last decade,providing a new paradigm for the integration of computational and physical units in modern control systems.Remote state estimation(RSE)is an indispensable functional module of CPSs.Recently,it has been demonstrated that malicious agents can manipulate data packets transmitted through unreliable channels of RSE,leading to severe estimation performance degradation.This paper aims to present an overview of recent advances in cyber-attacks and defensive countermeasures,with a specific focus on integrity attacks against RSE.Firstly,two representative frameworks for the synthesis of optimal deception attacks with various performance metrics and stealthiness constraints are discussed,which provide a deeper insight into the vulnerabilities of RSE.Secondly,a detailed review of typical attack detection and resilient estimation algorithms is included,illustrating the latest defensive measures safeguarding RSE from adversaries.Thirdly,some prevalent attacks impairing the confidentiality and data availability of RSE are examined from both attackers'and defenders'perspectives.Finally,several challenges and open problems are presented to inspire further exploration and future research in this field.

Accelerating the evaluation of operational lifetimes of perovskite solar cells and modules

Compared with the power conversion efficicency,the operational stability of perovskite solar cells(PsCs)remains a major challenge hampering its commercialization.However,conducting a light soaking test under 1 sun illumination to get a long lifetime is time-consuming and experimentally inefficient.Here,we report an accelerated stability test protocol by aging PsCs under high-intensity light illumination to accelerate the evaluation of their operation stability.It is found that the efficiency degradation rate of a typical inverted PsC is almost linearly dependent on the light intensity within the range of 1 to 4 suns regardless of the encapsulations.The results prove that it can save the light-soaking time by at least 4 times to predict the operation lifetime on the basis of the equivalent light irradiation dose.

Production and test of sPHENIX W/SciFiber electromagnetic calorimeter blocks in China

The sPHENIX experiment is a new generation of large acceptance detectors at the relativistic heavy ion collider at Brookhaven National Laboratory,with scientific goals focusing on probing the strongly interacting Quark–Gluon plasma with hard probes of jets,open heavy flavor particles,andγproduction.The EMCal detector,which covers the pseudo-rapidity region of|η|≤1.1,is an essential subsystem of sPHENIX.In this study,we focused on producing and testing EMCal blocks covering a pseudo-rapidity of|η|∈[0.8,1.1].These,in conjunction with the central pseudo-rapidity EMCal blocks,significantly enhance the sPHENIX physics capability of the jet andγparticle measurements.In this paper,the detector module production and testing of sPHENIX W-powder/scintillating fiber(W/ScFi)electromagnetic calorimeter blocks are presented.The selection of the tungsten powder,mold fabrication,QA procedures,and cosmic ray test results are discussed.

Epigenetic silencing schlafen-11 sensitizes esophageal cancer to ATM inhibitor

BACKGROUND Targeting DNA damage response(DDR)pathway is a cutting-edge strategy.It has been reported that Schlafen-11(SLFN11)contributes to increase chemosensitivity by participating in DDR.However,the detailed mechanism is unclear.AIM To investigate the role of SLFN11 in DDR and the application of synthetic lethal in esophageal cancer with SLFN11 defects.METHODS To reach the purpose,eight esophageal squamous carcinoma cell lines,142 esophageal dysplasia(ED)and 1007 primary esophageal squamous cell carcinoma(ESCC)samples and various techniques were utilized,including methylationspecific polymerase chain reaction,CRISPR/Cas9 technique,Western blot,colony formation assay,and xenograft mouse model.RESULTS Methylation of SLFN11 was exhibited in 9.15%of(13/142)ED and 25.62%of primary(258/1007)ESCC cases,and its expression was regulated by promoter region methylation.SLFN11 methylation was significantly associated with tumor differentiation and tumor size(both P<0.05).However,no significant associations were observed between promoter region methylation and age,gender,smoking,alcohol consumption,TNM stage,or lymph node metastasis.Utilizing DNA damaged model induced by low dose cisplatin,SLFN11 was found to activate non-homologous end-joining and ATR/CHK1 signaling pathways,while inhibiting the ATM/CHK2 signaling pathway.Epigenetic silencing of SLFN11 was found to sensitize the ESCC cells to ATM inhibitor(AZD0156),both in vitro and in vivo.CONCLUSION SLFN11 is frequently methylated in human ESCC.Methylation of SLFN11 is sensitive marker of ATM inhibitor in ESCC.

Recent advances in single-atom catalysts(SACs)for photocatalytic applications

Artificial photocatalysis represents a hopeful avenue for tackling the global crisis of environmental and energy sustainability.The crux of industrial application in photocatalysis lies in efficient photocatalysts that can inhibit the recombination of photogenerated charge carriers,thereby boost the efficiency of chemical reactions.In the past decade,single-atom catalysts(SACs)have been growing extremely rapidly and have become the forefront of photocatalysis owing to their superior utilization of metal atoms and outstanding catalytic activity.In this work,we provide an overview of the latest advancements and challenges in SACs for photocatalysis,focusing on the photocatalytic mechanisms,encompassing the generation,separation,migration,and surface extraction of photogenerated carriers.We also explore the design,synthesis,and characterization of SACs and introduce the progress of SACs for photocatalytic applications,such as water splitting and CO_(2)reduction.Lastly,we offer our personal perspectives on the opportunities and challenges of SACs in photocatalysis,aiming to provide insights into the future studies of SACs for photocatalytic applications.

Adaptive predictor-based control for a helicopter system with input delays:Design and experiments

In this paper,we consider a 2-degrees-of-freedom(DOF)helicopter system subject to long input delays and uncertain system parameters.To address the challenges including unknown system parameters and input delays in control design,we develop an adaptive predictor-feedback control law to achieve trajectory tracking.Stability of the closed-loop system is further established,where the tracking errors are shown to converge towards zero.Through simulation and experiments on the helicopter system,we illustrate that tracking of a desired trajectory is achieved with the proposed control scheme.

软体织物防护材料耐久性能及寿命预测

本文基于海上风电冲刷防护问题,通过盐雾老化试验,对软体织物防护材料进行外观观察及测量,结果表明,材料在寿命期内可以保证基本形态的完整,具有良好的耐久性;同时使用WDW-03塑料拉伸试验机进行拉伸试验并以拉伸强度下降25%时作为软体织物防护材料的老化性能终止指标,对该材料进行寿命预测,结果表明该材料在15~20℃的海洋温度条件下的预测寿命约为34~37年。

基于信号注入法的Prius永磁同步电机退磁故障诊断

永磁同步电机在电动汽车领域得到广泛应用,但由于弱磁控制与碰撞震动等因素,容易发生退磁故障。信号注入法得到的特征信号明显,噪声小,能够很好地反映电机不同故障状态。以Prius 2017款永磁同步电机为研究对象,分析了永磁体退磁规律,以此建立了永磁同步电机退磁故障模型,并通过信号注入法实现了退磁故障诊断。