Alzheimer's disease(AD)is a common cause of dementia,characterised by cerebral amyloid-βdeposition,pathological tau and neurodegeneration.The prodromal stage of AD(pAD)refers to patients with mild cognitive impai...Alzheimer's disease(AD)is a common cause of dementia,characterised by cerebral amyloid-βdeposition,pathological tau and neurodegeneration.The prodromal stage of AD(pAD)refers to patients with mild cognitive impairment(MCl)and evidence of AD's pathology.At this stage,disease-modifying interventions should be used to prevent the progression to dementia.Given the inherent heterogeneity of MCl,more specific biomarkers are needed to elucidate the underlying AD's pathology.Although the uses of cerebrospinal fluid and positron emission tomography are widely accepted methods for detecting AD's pathology,their clinical applications are limited by their high costs and invasiveness,particularly in low-income areas in China.Therefore,to improve the early detection of Alzheimer's disease(AD)pathology through cost-effective screening methods,a panel of 45neurologists,psychiatrists andgerontologistswas invited to establish a formal consensus on the screening of pAD in China.The supportive evidence and grades of recommendations are based on a systematic literature review andfocus group discussion.National meetings were held to allow participants to review,vote and provide their expert opinions to reach a consensus.A majority(two-thirds)decision was used for questions for which consensus could not be reached.Recommended screening methods are presented in this publication,including neuropsychological assessment,peripheral biomarkers and brain imaging.In addition,a general workflow for Screening pAD in China is established,which will help clinicians identify individuals at high risk and determine therapeutic targets.展开更多
The mesoscale fiber-matrix interfacial transition zone(FM-ITZ) under induced curing pressure plays a key role in the effectiveness of fiber reinforcement and the engineering application of fiber-reinforced cementitiou...The mesoscale fiber-matrix interfacial transition zone(FM-ITZ) under induced curing pressure plays a key role in the effectiveness of fiber reinforcement and the engineering application of fiber-reinforced cementitious composites(FRCCs). This critical review establishes the link among induced curing pressure(i.e., external loading condition), multiphysics processes(i.e., internal governing mechanism), and interface behavior(i.e., material behavior) for FRCC materials through analysis of the state-of-the-art research findings on the FM-ITZ of FRCC materials. The following results are obtained. For the mechanical process, the induced curing pressure changes the stress state and enhances multicracking behavior, which can strengthen the FM-ITZ. For the hydraulic process, the strengthened seepage of the FM-ITZ under induced curing pressure weakens the effective stress and exaggerates the deficiency in water retention capacity between the bulk matrix and the FMITZ. For the thermal process, the induced curing pressure causes a steep temperature gradient in the FM-ITZ and thus influences the temperature evolution and thermally-induced microcracks in the FM-ITZ. For the chemical process, the induced curing pressure enhances hydration kinetics and results in the formation of additional hydration products in the FM-ITZ. Moreover, recommendations are proposed on the basis of findings from this review to facilitate the implementation of fiber reinforcement in cemented paste backfill technology.展开更多
基金the National Natural Science Foundation of China(82171198,U20A20354)the Sci-Tech Innovation 2030 Agenda of China(2022ZD0211603).
文摘Alzheimer's disease(AD)is a common cause of dementia,characterised by cerebral amyloid-βdeposition,pathological tau and neurodegeneration.The prodromal stage of AD(pAD)refers to patients with mild cognitive impairment(MCl)and evidence of AD's pathology.At this stage,disease-modifying interventions should be used to prevent the progression to dementia.Given the inherent heterogeneity of MCl,more specific biomarkers are needed to elucidate the underlying AD's pathology.Although the uses of cerebrospinal fluid and positron emission tomography are widely accepted methods for detecting AD's pathology,their clinical applications are limited by their high costs and invasiveness,particularly in low-income areas in China.Therefore,to improve the early detection of Alzheimer's disease(AD)pathology through cost-effective screening methods,a panel of 45neurologists,psychiatrists andgerontologistswas invited to establish a formal consensus on the screening of pAD in China.The supportive evidence and grades of recommendations are based on a systematic literature review andfocus group discussion.National meetings were held to allow participants to review,vote and provide their expert opinions to reach a consensus.A majority(two-thirds)decision was used for questions for which consensus could not be reached.Recommended screening methods are presented in this publication,including neuropsychological assessment,peripheral biomarkers and brain imaging.In addition,a general workflow for Screening pAD in China is established,which will help clinicians identify individuals at high risk and determine therapeutic targets.
基金the Natural Sciences and Engineering Research Council of Canada (NSERC)Lakehead University for their financial support。
文摘The mesoscale fiber-matrix interfacial transition zone(FM-ITZ) under induced curing pressure plays a key role in the effectiveness of fiber reinforcement and the engineering application of fiber-reinforced cementitious composites(FRCCs). This critical review establishes the link among induced curing pressure(i.e., external loading condition), multiphysics processes(i.e., internal governing mechanism), and interface behavior(i.e., material behavior) for FRCC materials through analysis of the state-of-the-art research findings on the FM-ITZ of FRCC materials. The following results are obtained. For the mechanical process, the induced curing pressure changes the stress state and enhances multicracking behavior, which can strengthen the FM-ITZ. For the hydraulic process, the strengthened seepage of the FM-ITZ under induced curing pressure weakens the effective stress and exaggerates the deficiency in water retention capacity between the bulk matrix and the FMITZ. For the thermal process, the induced curing pressure causes a steep temperature gradient in the FM-ITZ and thus influences the temperature evolution and thermally-induced microcracks in the FM-ITZ. For the chemical process, the induced curing pressure enhances hydration kinetics and results in the formation of additional hydration products in the FM-ITZ. Moreover, recommendations are proposed on the basis of findings from this review to facilitate the implementation of fiber reinforcement in cemented paste backfill technology.
