目的探讨微滴数字聚合酶链反应(ddPCR)在重症急性胰腺炎(SAP)合并疑似血流感染(BSI)病原学诊断中的价值。方法选取2022年7—9月某院重症医学科收治的SAP患者,在疑似BSI发作时同步采集静脉血进行ddPCR检测和血培养(BC)及药敏试验(AST),...目的探讨微滴数字聚合酶链反应(ddPCR)在重症急性胰腺炎(SAP)合并疑似血流感染(BSI)病原学诊断中的价值。方法选取2022年7—9月某院重症医学科收治的SAP患者,在疑似BSI发作时同步采集静脉血进行ddPCR检测和血培养(BC)及药敏试验(AST),记录两种检测方法的耗时,比较ddPCR与BC的检测结果,计算ddPCR的病原学诊断效能,并探讨ddPCR检测病原菌载量值与感染指标水平的相关性。结果共纳入22例患者,采集52份静脉血标本进行检测,BC阳性17份(32.7%),检出病原体29株;ddPCR阳性41份(78.8%),检测出病原体73株。ddPCR耗时低于BC[(0.16±0.03)d VS(5.92±1.20)d,P<0.001]。在ddPCR检测范围内,以BC为金标准,ddPCR检测的灵敏度和特异度分别为80.0%、28.6%;联合检测前1周内非血标本微生物证据综合判定BSI,ddPCR检测的灵敏度和特异度分别提高至91.9%、76.9%。ddPCR耐药基因检测中,19份检出bla KPC,9份检出bla NDM/IMP,6份检出V an A/V an M,5份检出mec A。相关性分析显示病原菌载量值与C反应蛋白、降钙素原水平呈正相关(r分别为0.347、0.414,均P<0.05)。结论ddPCR作为一种辅助BC诊断BSI的检测方法具有灵敏度高、耗时低等优势,值得进一步探讨其在临床中的应用。展开更多
Predictive Business Process Monitoring(PBPM)is a significant research area in Business Process Management(BPM)aimed at accurately forecasting future behavioral events.At present,deep learning methods are widely cited ...Predictive Business Process Monitoring(PBPM)is a significant research area in Business Process Management(BPM)aimed at accurately forecasting future behavioral events.At present,deep learning methods are widely cited in PBPM research,but no method has been effective in fusing data information into the control flow for multi-perspective process prediction.Therefore,this paper proposes a process prediction method based on the hierarchical BERT and multi-perspective data fusion.Firstly,the first layer BERT network learns the correlations between different category attribute data.Then,the attribute data is integrated into a weighted event-level feature vector and input into the second layer BERT network to learn the impact and priority relationship of each event on future predicted events.Next,the multi-head attention mechanism within the framework is visualized for analysis,helping to understand the decision-making logic of the framework and providing visual predictions.Finally,experimental results show that the predictive accuracy of the framework surpasses the current state-of-the-art research methods and significantly enhances the predictive performance of BPM.展开更多
Metallic Li is a promising anode material for high energy density batteries but it suffers from poor stability and formation of unsafe dendrites. Previous studies demonstrated that 3 D metal foams are able to improve ...Metallic Li is a promising anode material for high energy density batteries but it suffers from poor stability and formation of unsafe dendrites. Previous studies demonstrated that 3 D metal foams are able to improve the stability of Li metal but the properties of these foams are inherently limited. Here we report a facile surface modification approach via magnetron sputtering of mixed oxides that effectively modulate the properties of Cu foams for supporting Li metal with remarkable stability. We discovered that hybrid Li anodes with Li metal thermally infused to aluminum-zinc oxides(AZO) coated Cu foams have significantly improved stability and reactivity compared with pristine Li foils and Li infused to unmodified Cu foams. Full cells assembled with a Li Fe PO4 cathode and a hybrid anode maintained low and stable charge-transfer resistance(<50) during 500 cycles in carbonate electrolytes, and exhibited superior rate capability(~100 m Ah g-1 at 20 C) along with better electrochemical reversibility and surface stability. The AZO modified Cu foams had superior mechanical strength and afforded the hybrid anodes with minimized volume change without the formation of dendrites during battery cycling. The rational construction of surface architecture to precisely control Li plating and stripping may have great implications for the practical applications of Li metal batteries.展开更多
This work outlines an experimental investigation of grain-size-dependent structure evolution under tension in nickel with a grain size gradient.Two opposite and competing processes,grain refinement and coarsening,were...This work outlines an experimental investigation of grain-size-dependent structure evolution under tension in nickel with a grain size gradient.Two opposite and competing processes,grain refinement and coarsening,were examined within one specimen,due to the widely ranging grain size in gradient-structured(GS)Ni.A tensioninduced minimum grain size of approximately 280 nm was determined in GS Ni,which is comparable to those obtained by severe plastic deformation processes.The minimum grain size was phenomenologically explained using a dislocation model.Below the minimum grain size,the Ni’s grain coarsening ability peaked at approximately 50 nm and progressively decreased with decreasing grain size,showing an inverse grain-size-dependent coarsening tendency.Moreover,this inverse grain coarsening behavior was related to a transition in the deformation mechanism,through which the deformation process was accommodated more by partial dislocation than by full dislocation below a critical grain size.This was confirmed by observation of the microstructure and low temperature tensile testing results.This work demonstrates a high-throughput strategy for exploring the minimum grain size and grain-size-dependent coarsening in metals.展开更多
Imatinib mesylate(IM)is the first-line treatment for Philadelphia(Ph)chromosomal positive leukemia by inhibiting phosphorylation of substrates via binding to the ABL kinase domain.Because of the drug resistance,side e...Imatinib mesylate(IM)is the first-line treatment for Philadelphia(Ph)chromosomal positive leukemia by inhibiting phosphorylation of substrates via binding to the ABL kinase domain.Because of the drug resistance,side effects and the high cost of IM,it is necessary to find anti-cancer drugs with relatively low toxicity and cost,and enhanced efficacy,such as traditional Chinese medicines(TCMs).As one of TCMs,Huai Qi Huang(HQH)was chosen to treat BV173 and K562 cells.Various concentrations of HQH were added to cells for 24-72 h.Co-treatment of HQH and trametinib,an MEK inhibitor,was used to verify the synergistic effects on cell viability and apoptosis.Knockdown and overexpression of mitogen-activated protein kinase kinase 4(MEK4)were implemented to demonstrate the role of MEK in cell apoptosis.Cell viability and apoptosis were measured by cell counting kit-8 assay(CCK8)and flow cytometry,respectively.Western blotting and real-time quantitative PCR(RT-qPCR)were used to assess protein and mRNA expression levels,respectively.The results showed that HQH inhibited survival and promoted apoptosis of BV173 and K562 cells in a dose-dependent manner,accompanied with down-regulation of PRKCH mRNA as well as CRAF,MEK4,phospho-ERK(pERK)and BCL2 proteins,and up-regulation of cleaved caspase3 protein.Co-treatment of HQH and trametinib had.a synergistic effect on inhibiting survival and promoting apoptosis.MEK4 knockdown increased apoptosis,and had a synergistic effeet with HQH.In contrast,MEK4 overexpression decreased.apoptosis,and had the opposite efect with HQH.Collectively,the results of this study may identify a therapeutic mechanism of HQH on promoting apoptosis,and provide a potential option for treatment of Pht leukemia.展开更多
为了充分利用超高性能混凝土(ultra high performance concrete, UHPC)优越的力学性能,降低桥梁造价,采用粒子群算法对UHPC梁桥进行结构优化设计;针对传统粒子群算法容易陷入局部最优的不足,基于杂交的粒子群算法,在迭代过程中增加选择...为了充分利用超高性能混凝土(ultra high performance concrete, UHPC)优越的力学性能,降低桥梁造价,采用粒子群算法对UHPC梁桥进行结构优化设计;针对传统粒子群算法容易陷入局部最优的不足,基于杂交的粒子群算法,在迭代过程中增加选择杂交的操作,采用非线性自适应权重更新方法对粒子群优化算法进行改进。基于上述改进粒子群优化算法,对公路常用跨径的普通钢筋UHPC梁、预应力UHPC梁的优化设计方法进行了研究。结果表明:(1)相较于传统的粒子群算法,改进的粒子群算法具有更高的收敛速度和收敛精度;(2)普通钢筋UHPC梁的最优高跨比随着跨径的增加而减小,造价逐渐提高;预应力梁的最优高跨比随着跨径的增大先减小后增大,造价逐渐提高。(3)在经济梁高的基础上,减小梁高会大幅增加底板的宽度以满足结构刚度的需要,造价也将大幅增加。展开更多
Spine degeneration is an aging-related disease,but its molecular mechanisms remain unknown,although elevatedβ-catenin signaling has been reported to be involved in intervertebral disc degeneration.Here,we determined ...Spine degeneration is an aging-related disease,but its molecular mechanisms remain unknown,although elevatedβ-catenin signaling has been reported to be involved in intervertebral disc degeneration.Here,we determined the role ofβ-catenin signaling in spinal degeneration and in the homeostasis of the functional spinal unit(FSU),which includes the intervertebral disc,vertebra and facet joint and is the smallest physiological motion unit of the spine.We showed that pain sensitivity in patients with spinal degeneration is highly correlated withβ-catenin protein levels.We then generated a mouse model of spinal degeneration by transgenic expression of constitutively activeβ-catenin in Col2^(+) cells.We found thatβ-catenin-TCF7 activated the transcription of CCL2,a known critical factor in osteoarthritic pain.Using a lumbar spine instability model,we showed that aβ-catenin inhibitor relieved low back pain.Our study indicates thatβ-catenin plays a critical role in maintaining spine tissue homeostasis,its abnormal upregulation leads to severe spinal degeneration,and its targeting could be an avenue to treat this condition.展开更多
Superconductivity is one of most intriguing quantum phenomena,and the quest for elemental superconductors with high critical temperature(T_(c))is of great scientific significance due to their relatively simple materia...Superconductivity is one of most intriguing quantum phenomena,and the quest for elemental superconductors with high critical temperature(T_(c))is of great scientific significance due to their relatively simple material composition and the underlying mechanism.Here we report the experimental discovery of densely compressed scandium(Sc)becoming the first elemental superconductor with T_(c)breaking into 30 K range,which is comparable to the T_(c)values of the classic La-Ba-Cu-O or LaFeAsO superconductors.Our results show that T_(c)^(onset)of Sc increases from~3K at around 43GPa to~32K at about 283GPa(T_(c)^(zero)~31 K),which is well above liquid neon temperature.Interestingly,measured T_(c)shows no sign of saturation up to the maximum pressure achieved in our experiments,indicating that T_(c)may be even higher upon further compression.展开更多
Although aging has traditionally been viewed as the most important risk factor for osteoarthritis(OA),an increasing amount of epidemiological evidence has highlighted the association between metabolic abnormalities an...Although aging has traditionally been viewed as the most important risk factor for osteoarthritis(OA),an increasing amount of epidemiological evidence has highlighted the association between metabolic abnormalities and OA,particularly in younger individuals.Metabolic abnormalities,such as obesity and typeⅡdiabetes,are strongly linked to OA,and they affect both weightbearing and non-weight-bearing joints,thus suggesting that the pathogenesis of OA is more complicated than the mechanical stress induced by overweight.This review aims to explore the recent advances in research on the relationship between metabolic abnormalities and OA risk,including the impact of abnormal glucose and lipid metabolism,the potential pathogenesis and targeted therapeutic strategies.展开更多
文摘目的探讨微滴数字聚合酶链反应(ddPCR)在重症急性胰腺炎(SAP)合并疑似血流感染(BSI)病原学诊断中的价值。方法选取2022年7—9月某院重症医学科收治的SAP患者,在疑似BSI发作时同步采集静脉血进行ddPCR检测和血培养(BC)及药敏试验(AST),记录两种检测方法的耗时,比较ddPCR与BC的检测结果,计算ddPCR的病原学诊断效能,并探讨ddPCR检测病原菌载量值与感染指标水平的相关性。结果共纳入22例患者,采集52份静脉血标本进行检测,BC阳性17份(32.7%),检出病原体29株;ddPCR阳性41份(78.8%),检测出病原体73株。ddPCR耗时低于BC[(0.16±0.03)d VS(5.92±1.20)d,P<0.001]。在ddPCR检测范围内,以BC为金标准,ddPCR检测的灵敏度和特异度分别为80.0%、28.6%;联合检测前1周内非血标本微生物证据综合判定BSI,ddPCR检测的灵敏度和特异度分别提高至91.9%、76.9%。ddPCR耐药基因检测中,19份检出bla KPC,9份检出bla NDM/IMP,6份检出V an A/V an M,5份检出mec A。相关性分析显示病原菌载量值与C反应蛋白、降钙素原水平呈正相关(r分别为0.347、0.414,均P<0.05)。结论ddPCR作为一种辅助BC诊断BSI的检测方法具有灵敏度高、耗时低等优势,值得进一步探讨其在临床中的应用。
基金Supported by the National Natural Science Foundation,China(No.61402011)the Open Project Program of the Key Laboratory of Embedded System and Service Computing of Ministry of Education(No.ESSCKF2021-05).
文摘Predictive Business Process Monitoring(PBPM)is a significant research area in Business Process Management(BPM)aimed at accurately forecasting future behavioral events.At present,deep learning methods are widely cited in PBPM research,but no method has been effective in fusing data information into the control flow for multi-perspective process prediction.Therefore,this paper proposes a process prediction method based on the hierarchical BERT and multi-perspective data fusion.Firstly,the first layer BERT network learns the correlations between different category attribute data.Then,the attribute data is integrated into a weighted event-level feature vector and input into the second layer BERT network to learn the impact and priority relationship of each event on future predicted events.Next,the multi-head attention mechanism within the framework is visualized for analysis,helping to understand the decision-making logic of the framework and providing visual predictions.Finally,experimental results show that the predictive accuracy of the framework surpasses the current state-of-the-art research methods and significantly enhances the predictive performance of BPM.
基金The financial supports of the National Natural Science Foundation of China(Grant Nos.51572060,51702067 and 51671074)Special Financial Grant from the China Postdoctoral Science Foundation(No.2017T100239)+1 种基金General Financial Grant from the China Postdoctoral Science Foundation(No.2016M590279)the startup grants from Northern Illinois University。
文摘Metallic Li is a promising anode material for high energy density batteries but it suffers from poor stability and formation of unsafe dendrites. Previous studies demonstrated that 3 D metal foams are able to improve the stability of Li metal but the properties of these foams are inherently limited. Here we report a facile surface modification approach via magnetron sputtering of mixed oxides that effectively modulate the properties of Cu foams for supporting Li metal with remarkable stability. We discovered that hybrid Li anodes with Li metal thermally infused to aluminum-zinc oxides(AZO) coated Cu foams have significantly improved stability and reactivity compared with pristine Li foils and Li infused to unmodified Cu foams. Full cells assembled with a Li Fe PO4 cathode and a hybrid anode maintained low and stable charge-transfer resistance(<50) during 500 cycles in carbonate electrolytes, and exhibited superior rate capability(~100 m Ah g-1 at 20 C) along with better electrochemical reversibility and surface stability. The AZO modified Cu foams had superior mechanical strength and afforded the hybrid anodes with minimized volume change without the formation of dendrites during battery cycling. The rational construction of surface architecture to precisely control Li plating and stripping may have great implications for the practical applications of Li metal batteries.
基金financial support received from the National Key Research and Development Program of China(Grant no.2017YFB0702003)the National Natural Science Foundation of China(Grant no.51471165).
文摘This work outlines an experimental investigation of grain-size-dependent structure evolution under tension in nickel with a grain size gradient.Two opposite and competing processes,grain refinement and coarsening,were examined within one specimen,due to the widely ranging grain size in gradient-structured(GS)Ni.A tensioninduced minimum grain size of approximately 280 nm was determined in GS Ni,which is comparable to those obtained by severe plastic deformation processes.The minimum grain size was phenomenologically explained using a dislocation model.Below the minimum grain size,the Ni’s grain coarsening ability peaked at approximately 50 nm and progressively decreased with decreasing grain size,showing an inverse grain-size-dependent coarsening tendency.Moreover,this inverse grain coarsening behavior was related to a transition in the deformation mechanism,through which the deformation process was accommodated more by partial dislocation than by full dislocation below a critical grain size.This was confirmed by observation of the microstructure and low temperature tensile testing results.This work demonstrates a high-throughput strategy for exploring the minimum grain size and grain-size-dependent coarsening in metals.
基金The present study was supported by the National Natural Science Foundation of China(No.81700147).
文摘Imatinib mesylate(IM)is the first-line treatment for Philadelphia(Ph)chromosomal positive leukemia by inhibiting phosphorylation of substrates via binding to the ABL kinase domain.Because of the drug resistance,side effects and the high cost of IM,it is necessary to find anti-cancer drugs with relatively low toxicity and cost,and enhanced efficacy,such as traditional Chinese medicines(TCMs).As one of TCMs,Huai Qi Huang(HQH)was chosen to treat BV173 and K562 cells.Various concentrations of HQH were added to cells for 24-72 h.Co-treatment of HQH and trametinib,an MEK inhibitor,was used to verify the synergistic effects on cell viability and apoptosis.Knockdown and overexpression of mitogen-activated protein kinase kinase 4(MEK4)were implemented to demonstrate the role of MEK in cell apoptosis.Cell viability and apoptosis were measured by cell counting kit-8 assay(CCK8)and flow cytometry,respectively.Western blotting and real-time quantitative PCR(RT-qPCR)were used to assess protein and mRNA expression levels,respectively.The results showed that HQH inhibited survival and promoted apoptosis of BV173 and K562 cells in a dose-dependent manner,accompanied with down-regulation of PRKCH mRNA as well as CRAF,MEK4,phospho-ERK(pERK)and BCL2 proteins,and up-regulation of cleaved caspase3 protein.Co-treatment of HQH and trametinib had.a synergistic effect on inhibiting survival and promoting apoptosis.MEK4 knockdown increased apoptosis,and had a synergistic effeet with HQH.In contrast,MEK4 overexpression decreased.apoptosis,and had the opposite efect with HQH.Collectively,the results of this study may identify a therapeutic mechanism of HQH on promoting apoptosis,and provide a potential option for treatment of Pht leukemia.
文摘为了充分利用超高性能混凝土(ultra high performance concrete, UHPC)优越的力学性能,降低桥梁造价,采用粒子群算法对UHPC梁桥进行结构优化设计;针对传统粒子群算法容易陷入局部最优的不足,基于杂交的粒子群算法,在迭代过程中增加选择杂交的操作,采用非线性自适应权重更新方法对粒子群优化算法进行改进。基于上述改进粒子群优化算法,对公路常用跨径的普通钢筋UHPC梁、预应力UHPC梁的优化设计方法进行了研究。结果表明:(1)相较于传统的粒子群算法,改进的粒子群算法具有更高的收敛速度和收敛精度;(2)普通钢筋UHPC梁的最优高跨比随着跨径的增加而减小,造价逐渐提高;预应力梁的最优高跨比随着跨径的增大先减小后增大,造价逐渐提高。(3)在经济梁高的基础上,减小梁高会大幅增加底板的宽度以满足结构刚度的需要,造价也将大幅增加。
基金supported by the National Key Research and Development Program of China(2021YFB3800800)to L.T.and D.C.supported by the National Natural Science Foundation of China(NSFC)grants 82030067,82161160342,and 82250710174 to D.C.+1 种基金NSFC grant 82172397 to L.T.supported by the Chinese Postdoctoral Science Foundation(2022M710158)。
文摘Spine degeneration is an aging-related disease,but its molecular mechanisms remain unknown,although elevatedβ-catenin signaling has been reported to be involved in intervertebral disc degeneration.Here,we determined the role ofβ-catenin signaling in spinal degeneration and in the homeostasis of the functional spinal unit(FSU),which includes the intervertebral disc,vertebra and facet joint and is the smallest physiological motion unit of the spine.We showed that pain sensitivity in patients with spinal degeneration is highly correlated withβ-catenin protein levels.We then generated a mouse model of spinal degeneration by transgenic expression of constitutively activeβ-catenin in Col2^(+) cells.We found thatβ-catenin-TCF7 activated the transcription of CCL2,a known critical factor in osteoarthritic pain.Using a lumbar spine instability model,we showed that aβ-catenin inhibitor relieved low back pain.Our study indicates thatβ-catenin plays a critical role in maintaining spine tissue homeostasis,its abnormal upregulation leads to severe spinal degeneration,and its targeting could be an avenue to treat this condition.
基金supported by the National Key R&D Program of China(Grant No.2021YFA1401800,2022YFA1403800,and 2022YFA1403900)the National Natural Science Foundation of China(Grant Nos.11921004 and U2032220)+1 种基金Chinese Academy of Sciences(Grant No.XDB33010200)NSERC Canada for a Discovery Grant。
文摘Superconductivity is one of most intriguing quantum phenomena,and the quest for elemental superconductors with high critical temperature(T_(c))is of great scientific significance due to their relatively simple material composition and the underlying mechanism.Here we report the experimental discovery of densely compressed scandium(Sc)becoming the first elemental superconductor with T_(c)breaking into 30 K range,which is comparable to the T_(c)values of the classic La-Ba-Cu-O or LaFeAsO superconductors.Our results show that T_(c)^(onset)of Sc increases from~3K at around 43GPa to~32K at about 283GPa(T_(c)^(zero)~31 K),which is well above liquid neon temperature.Interestingly,measured T_(c)shows no sign of saturation up to the maximum pressure achieved in our experiments,indicating that T_(c)may be even higher upon further compression.
基金supported by the National Key Research and Development Program of China(2021YFB3800800)to L.T.and D.Csupported by the National Natural Science Foundation of China(NSFC)grants(82030067,82161160342 and 82250710174)to D.C.,grant 82360429 to Y.C and grant 82172397 to L.T+5 种基金supported by National Science Foundation of Guangxi(2022JJA141126)Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical UniversityChina Postdoctoral Science Foundation(2019M650235)Key R&D Project of Qingxiu District,Nanning,Guangxi(2021003)to Y.C.the Hong Kong RGC grant HKU-17101821 to W.W.L.and D.C.SIAT Innovation Program for Excellent Young Researchers to K.L.
文摘Although aging has traditionally been viewed as the most important risk factor for osteoarthritis(OA),an increasing amount of epidemiological evidence has highlighted the association between metabolic abnormalities and OA,particularly in younger individuals.Metabolic abnormalities,such as obesity and typeⅡdiabetes,are strongly linked to OA,and they affect both weightbearing and non-weight-bearing joints,thus suggesting that the pathogenesis of OA is more complicated than the mechanical stress induced by overweight.This review aims to explore the recent advances in research on the relationship between metabolic abnormalities and OA risk,including the impact of abnormal glucose and lipid metabolism,the potential pathogenesis and targeted therapeutic strategies.