BACKGROUND Aortic dissection is a complex and dangerous cardiovascular disease,with many complications in the perioperative period,including severe acute respiratory distress syndrome(ARDS),which affects prognosis and...BACKGROUND Aortic dissection is a complex and dangerous cardiovascular disease,with many complications in the perioperative period,including severe acute respiratory distress syndrome(ARDS),which affects prognosis and increases mortality.Despite the effect of prone positioning(PP)in improving oxygenation in patients with severe ARDS,reports about PP early after cardiac surgery are few and such an opt-ion may be an issue in cardiac surgery patients because of the recent sternotomy.CASE SUMMARY A 40-year-old male patient diagnosed with acute type A aortic dissection on October 22,2021 underwent ascending artery replacement plus total aortic arch replacement plus stent elephant trunk implantation under cardiopulmonary bypass.Unfortunately,he developed ARDS on postoperative day 1.Despite comprehensive treatment with aggressive pulmonary protective ventilation,fluid management with continuous renal replacement therapy,the condition continued to deteriorate and rapidly progressed to severe ARDS with a minimum oxygenation index of 51.We are ready to implement salvage therapy,including PP and extracorporeal membrane oxygenation(ECMO).Due to the large amount of pericardial mediastinal and thoracic drainage after thoracotomy,ECMO may result in massive postoperative bleeding.Prolonged prone ventilation is often inappropriate after thoracotomy.Therefore,we chose short-term PP for<6 h.Finally,the oxygenation index greatly improved and the diffuse exudation in both lungs of the patient was significantly reduced with short-term prone positioning.CONCLUSION Intermittent short-term PP can improve early postoperative severe ARDS after acute aortic dissection.展开更多
Objective To evaluate the impact of sex and reproductive health education using lifeplanning skills training among senior high school students in a rural county. Methods The study was conducted in three senior high sc...Objective To evaluate the impact of sex and reproductive health education using lifeplanning skills training among senior high school students in a rural county. Methods The study was conducted in three senior high schools of Shangcai County with comparable socio-cultural, economic, and demographic characteristics, two as intervention sites and one as the control. A three-month life-planning skills training course was conducted among all grade one students in the intervention schools. The baseline survey was conducted prior to the intervention, once again three months after the intervention was initiated. Data were collected through questionnaires, FGDs and 1Dis to evaluate the effect of the intervention program. Results After the intervention, the median score of reproductive health knowledge was higher in the intervention group (55.66) than that in control group (38.68). Students from the intervention group were also more comfortable with their developmental changes which were going through, In the end line survey, 92.70% of the students in the intervention group suggested that reproductive health education should be carried out among all middle school students in Shangcai County. Multivariate analysis also indicated that peers and family had a significant effect on students' sex-related knowledge, attitudes and behaviors. Conclusion Sex and reproductive health education via provision of life-planning skills training can significantly increase students' sex and reproductive health knowl- edge and was welcomed by students, teachers and parents.展开更多
By adopting the distributed problem-solving strategy, swarm intelligence algorithms have been successfully applied to many optimization problems that are difficult to deal with using traditional methods. At present, t...By adopting the distributed problem-solving strategy, swarm intelligence algorithms have been successfully applied to many optimization problems that are difficult to deal with using traditional methods. At present, there are many well-implemented algorithms, such as particle swarm optimization, genetic algorithm, artificial bee colony algorithm, and ant colony optimization. These algorithms have already shown favorable performances. However, with the objects becoming increasingly complex, it is becoming gradually more difficult for these algorithms to meet human's demand in terms of accuracy and time. Designing a new algorithm to seek better solutions for optimization problems is becoming increasingly essential. Dolphins have many noteworthy biological characteristics and living habits such as echolocation, information exchanges, cooperation, and division of labor. Combining these biological characteristics and living habits with swarm intelligence and bringing them into optimization problems, we propose a brand new algorithm named the ‘dolphin swarm algorithm' in this paper. We also provide the definitions of the algorithm and specific descriptions of the four pivotal phases in the algorithm, which are the search phase, call phase, reception phase, and predation phase. Ten benchmark functions with different properties are tested using the dolphin swarm algorithm, particle swarm optimization, genetic algorithm, and artificial bee colony algorithm. The convergence rates and benchmark function results of these four algorithms are compared to testify the effect of the dolphin swarm algorithm. The results show that in most cases, the dolphin swarm algorithm performs better. The dolphin swarm algorithm possesses some great features, such as first-slow-then-fast convergence, periodic convergence, local-optimum-free, and no specific demand on benchmark functions. Moreover, the dolphin swarm algorithm is particularly appropriate to optimization problems, with more calls of fitness functions and fewer individuals.展开更多
Background:Recent evidence has shown that prophylactic antibiotic treatment in patients with acute pancreatitis is not associated with a significant decrease in mortality or morbidity.The use and efficacy of prophylac...Background:Recent evidence has shown that prophylactic antibiotic treatment in patients with acute pancreatitis is not associated with a significant decrease in mortality or morbidity.The use and efficacy of prophylactic antibiotic treatment in acute pancreatitis remain controversial.This meta-analysis was conducted to assess whether antibiotic prophylaxis is beneficial in patients with acute pancreatitis.Methods:We searched randomized controlled trials(RCTs)of prophylactic use of antibiotics using Medline(PubMed),Embase,the Cochrane Library,and Web of Science.The data were analyzed using Review Manager 5.3 software.We performed pooled analyses for infected pancreatic necrosis,mortality,surgical intervention,and non-pancreatic infection.Odds ratios(ORs)from each trial were pooled using a random or fixed effects model,depending on the heterogeneity of the included studies.Sub-group analysis or sensitivity analysis was conducted to explore potential sources of heterogeneity,when necessary.Results:Totally,11 RCTs involving 747 participants were included,with an intervention group(prophylactic use of antibiotics,n=376)and control group(n=371).No significant differences were found regarding antibiotic prophylaxis with respect to incidence of infected pancreatic necrosis(OR,0.74;95%confidence interval[CI],0.50–1.09;P=0.13),surgical intervention(OR,0.92;95%CI,0.62–1.38;P=0.70),and morality(OR,0.71;95%CI,0.44–1.15;P=0.16).However,antibiotic prophylaxis was associated with a statistically significant reduction in the incidence of non-pancreatic infection(OR,0.59;95%CI,0.42–0.84;P=0.004).Conclusions:Prophylactic antibiotics can reduce the incidence of non-pancreatic infection in patients with AP.展开更多
RNA can interact with RNA-binding proteins(RBPs),mRNA,or other non-coding RNAs(ncRNAs)to form complex regulatory networks.High-throughput CLIP-seq,degradome-seq,and RNA-RNA interactome sequencing methods represent pow...RNA can interact with RNA-binding proteins(RBPs),mRNA,or other non-coding RNAs(ncRNAs)to form complex regulatory networks.High-throughput CLIP-seq,degradome-seq,and RNA-RNA interactome sequencing methods represent powerful approaches to identify biologically relevant ncRNA-target and protein-ncRNA interactions.However,assigning ncRNAs to their regulatory target genes or interacting RNA-binding proteins(RBPs)remains technically challenging.Chemical modifications to mRNA also play important roles in regulating gene expression.Investigation of the functional roles of these modifications relies highly on the detection methods used.RNA structure is also critical at nearly every step of the RNA life cycle.In this review,we summarize recent advances and limitations in CLIP technologies and discuss the computational challenges of and bioinformatics tools used for decoding the functions and regulatory networks of ncRNAs.We also summarize methods used to detect RNA modifications and to probe RNA structure.展开更多
基金Supported by the Chongqing Medical Scientific Research Project(Joint Project of Chongqing Health Commission and Science and Technology Bureau),No.2020FYYX163Chongqing Medical Key Discipline Construction Project,No.ZDXK202103Fundamental Research Funds for the Central Universities and Advanced Middle-Aged and Young Medical Talents Project in Chongqing,No.2022CDJYGRH-014。
文摘BACKGROUND Aortic dissection is a complex and dangerous cardiovascular disease,with many complications in the perioperative period,including severe acute respiratory distress syndrome(ARDS),which affects prognosis and increases mortality.Despite the effect of prone positioning(PP)in improving oxygenation in patients with severe ARDS,reports about PP early after cardiac surgery are few and such an opt-ion may be an issue in cardiac surgery patients because of the recent sternotomy.CASE SUMMARY A 40-year-old male patient diagnosed with acute type A aortic dissection on October 22,2021 underwent ascending artery replacement plus total aortic arch replacement plus stent elephant trunk implantation under cardiopulmonary bypass.Unfortunately,he developed ARDS on postoperative day 1.Despite comprehensive treatment with aggressive pulmonary protective ventilation,fluid management with continuous renal replacement therapy,the condition continued to deteriorate and rapidly progressed to severe ARDS with a minimum oxygenation index of 51.We are ready to implement salvage therapy,including PP and extracorporeal membrane oxygenation(ECMO).Due to the large amount of pericardial mediastinal and thoracic drainage after thoracotomy,ECMO may result in massive postoperative bleeding.Prolonged prone ventilation is often inappropriate after thoracotomy.Therefore,we chose short-term PP for<6 h.Finally,the oxygenation index greatly improved and the diffuse exudation in both lungs of the patient was significantly reduced with short-term prone positioning.CONCLUSION Intermittent short-term PP can improve early postoperative severe ARDS after acute aortic dissection.
文摘Objective To evaluate the impact of sex and reproductive health education using lifeplanning skills training among senior high school students in a rural county. Methods The study was conducted in three senior high schools of Shangcai County with comparable socio-cultural, economic, and demographic characteristics, two as intervention sites and one as the control. A three-month life-planning skills training course was conducted among all grade one students in the intervention schools. The baseline survey was conducted prior to the intervention, once again three months after the intervention was initiated. Data were collected through questionnaires, FGDs and 1Dis to evaluate the effect of the intervention program. Results After the intervention, the median score of reproductive health knowledge was higher in the intervention group (55.66) than that in control group (38.68). Students from the intervention group were also more comfortable with their developmental changes which were going through, In the end line survey, 92.70% of the students in the intervention group suggested that reproductive health education should be carried out among all middle school students in Shangcai County. Multivariate analysis also indicated that peers and family had a significant effect on students' sex-related knowledge, attitudes and behaviors. Conclusion Sex and reproductive health education via provision of life-planning skills training can significantly increase students' sex and reproductive health knowl- edge and was welcomed by students, teachers and parents.
基金Project supported by the National Key Technology R&D Program of China(No.2014BAD10B02)
文摘By adopting the distributed problem-solving strategy, swarm intelligence algorithms have been successfully applied to many optimization problems that are difficult to deal with using traditional methods. At present, there are many well-implemented algorithms, such as particle swarm optimization, genetic algorithm, artificial bee colony algorithm, and ant colony optimization. These algorithms have already shown favorable performances. However, with the objects becoming increasingly complex, it is becoming gradually more difficult for these algorithms to meet human's demand in terms of accuracy and time. Designing a new algorithm to seek better solutions for optimization problems is becoming increasingly essential. Dolphins have many noteworthy biological characteristics and living habits such as echolocation, information exchanges, cooperation, and division of labor. Combining these biological characteristics and living habits with swarm intelligence and bringing them into optimization problems, we propose a brand new algorithm named the ‘dolphin swarm algorithm' in this paper. We also provide the definitions of the algorithm and specific descriptions of the four pivotal phases in the algorithm, which are the search phase, call phase, reception phase, and predation phase. Ten benchmark functions with different properties are tested using the dolphin swarm algorithm, particle swarm optimization, genetic algorithm, and artificial bee colony algorithm. The convergence rates and benchmark function results of these four algorithms are compared to testify the effect of the dolphin swarm algorithm. The results show that in most cases, the dolphin swarm algorithm performs better. The dolphin swarm algorithm possesses some great features, such as first-slow-then-fast convergence, periodic convergence, local-optimum-free, and no specific demand on benchmark functions. Moreover, the dolphin swarm algorithm is particularly appropriate to optimization problems, with more calls of fitness functions and fewer individuals.
文摘Background:Recent evidence has shown that prophylactic antibiotic treatment in patients with acute pancreatitis is not associated with a significant decrease in mortality or morbidity.The use and efficacy of prophylactic antibiotic treatment in acute pancreatitis remain controversial.This meta-analysis was conducted to assess whether antibiotic prophylaxis is beneficial in patients with acute pancreatitis.Methods:We searched randomized controlled trials(RCTs)of prophylactic use of antibiotics using Medline(PubMed),Embase,the Cochrane Library,and Web of Science.The data were analyzed using Review Manager 5.3 software.We performed pooled analyses for infected pancreatic necrosis,mortality,surgical intervention,and non-pancreatic infection.Odds ratios(ORs)from each trial were pooled using a random or fixed effects model,depending on the heterogeneity of the included studies.Sub-group analysis or sensitivity analysis was conducted to explore potential sources of heterogeneity,when necessary.Results:Totally,11 RCTs involving 747 participants were included,with an intervention group(prophylactic use of antibiotics,n=376)and control group(n=371).No significant differences were found regarding antibiotic prophylaxis with respect to incidence of infected pancreatic necrosis(OR,0.74;95%confidence interval[CI],0.50–1.09;P=0.13),surgical intervention(OR,0.92;95%CI,0.62–1.38;P=0.70),and morality(OR,0.71;95%CI,0.44–1.15;P=0.16).However,antibiotic prophylaxis was associated with a statistically significant reduction in the incidence of non-pancreatic infection(OR,0.59;95%CI,0.42–0.84;P=0.004).Conclusions:Prophylactic antibiotics can reduce the incidence of non-pancreatic infection in patients with AP.
文摘RNA can interact with RNA-binding proteins(RBPs),mRNA,or other non-coding RNAs(ncRNAs)to form complex regulatory networks.High-throughput CLIP-seq,degradome-seq,and RNA-RNA interactome sequencing methods represent powerful approaches to identify biologically relevant ncRNA-target and protein-ncRNA interactions.However,assigning ncRNAs to their regulatory target genes or interacting RNA-binding proteins(RBPs)remains technically challenging.Chemical modifications to mRNA also play important roles in regulating gene expression.Investigation of the functional roles of these modifications relies highly on the detection methods used.RNA structure is also critical at nearly every step of the RNA life cycle.In this review,we summarize recent advances and limitations in CLIP technologies and discuss the computational challenges of and bioinformatics tools used for decoding the functions and regulatory networks of ncRNAs.We also summarize methods used to detect RNA modifications and to probe RNA structure.