A study was conducted on the effect of time delay and structural parameters on the vibration reduction of a time delayed coupled negative stiffness dynamic absorber in nonlinear vibration reduction systems. Taking dyn...A study was conducted on the effect of time delay and structural parameters on the vibration reduction of a time delayed coupled negative stiffness dynamic absorber in nonlinear vibration reduction systems. Taking dynamic absorbers with different structural and control parameters as examples, the effects of third-order nonlinear coefficients, time-delay control parameters, and negative stiffness coefficients on reducing the replication of the main system were discussed. The nonlinear dynamic absorber has a very good vibration reduction effect at the resonance point of the main system and a nearby area, and when 1 increases to a certain level, the stable region of the system continues to increase. The amplitude curve of the main system of a nonlinear dynamic absorber will generate Hop bifurcation and saddle node bifurcation in the region far from the resonance point, resulting in almost periodic motion and jumping phenomena in the system. For nonlinear dynamic absorbers with determined structural parameters, time-delay feedback control can be adopted to control the amplitude of the main system. For different negative stiffness coefficients, there exists a minimum damping point for the amplitude of the main system under the determined system structural parameters and time-delay feedback control parameters.展开更多
Objective:To explore and analyze the effect and safety of personalized nursing in improving thrombocytopenia after lymphoma chemotherapy.Methods:80 lymphoma patients with thrombocytopenia after lymphoma chemotherapy i...Objective:To explore and analyze the effect and safety of personalized nursing in improving thrombocytopenia after lymphoma chemotherapy.Methods:80 lymphoma patients with thrombocytopenia after lymphoma chemotherapy in the Department of Hematology of our hospital from May 2021 to May 2023 were selected as the research objects,and they were divided into an experimental group and reference group by random drawing,with 40 cases in each group.The experimental group received individualized nursing,and the reference group received routine nursing.The platelet count,platelet-related indicators,incidence of adverse reactions,and life scores were compared between the two groups.Results:Before the intervention,there was no significant difference in platelet count between the groups(P>0.05);after the intervention,the platelet count in the experimental group was significantly higher compared to the reference group(P<0.05).In the experimental group,the duration for platelet decline and the time for platelets to normalize were notably shorter compared to the reference group(P<0.05).Moreover,the personality group displayed a significantly lower incidence of adverse reactions than the reference group(P<0.05).Prior to the intervention,there were no statistically significant differences(P>0.05)in the life scores between the two groups,such as functional condition,symptom manifestation,and health scores among the groups.However,post-intervention,the personality group exhibited a significant improvement in those scores compared to the reference group(P<0.05).Conclusion:Individualized nursing can optimize the platelet level in thrombocytopenia after lymphoma chemotherapy,improve symptoms,and reduce the occurrence of adverse reactions.展开更多
Vehicular communications and networking(VCN)is considered a billion-dollar industry.Its development not only possesses economic value,but also has enormous social potential.The earliest vehicular network started from ...Vehicular communications and networking(VCN)is considered a billion-dollar industry.Its development not only possesses economic value,but also has enormous social potential.The earliest vehicular network started from the dedicated short range networks,such as the IEEE 802.11p standard established at the beginning of this century.In recent years,the public access network based VCN has been rapidly advanced.For example,LTE-V based on 4G LTE is under standardization。展开更多
An estimate-and-forward(EF) scheme for single-input single-output(SISO) and multiple-input multiple-output(MIMO) full-duplex two-way relay networks is proposed and analyzed. The relay estimates the received signal fro...An estimate-and-forward(EF) scheme for single-input single-output(SISO) and multiple-input multiple-output(MIMO) full-duplex two-way relay networks is proposed and analyzed. The relay estimates the received signal from two terminal nodes by a minimum mean squared error(MMSE) estimation and forwards a scaled version of the MMSE estimate to the destination. The proposed EF outperforms conventional amplify-and-forward(AF) and decode-and-forward(DF) across all signal-to-noise ratio(SNR) region. Because its computational complexity is high for relays with a large number of antennas(large MIMO) and/or high order constellations, an approximate EF scheme, called list EF, are thus proposed to reduce the computational complexity. The proposed list EF computes a candidate list for the MMSE estimate by using a sphere decoder, and it approaches the performance of the exact EF relay at a negligible performance loss. The proposed forwarding approach also could be used to other relay networks, such as half-duplex, one-way or massive MIMO relay networks.展开更多
Objective This study aimed to assess anxiety,depression,and stress among inpatients with cancer.Methods Two hundred thirty-five hospitalized patients with cancer were surveyed with the Depression Anxiety Stress Scales...Objective This study aimed to assess anxiety,depression,and stress among inpatients with cancer.Methods Two hundred thirty-five hospitalized patients with cancer were surveyed with the Depression Anxiety Stress Scales(simplified Chinese Version).The software program SPSS 25.0 was used for statistical analysis of the survey data.Results The average scores of depression,anxiety,and stress of inpatients with cancer were 12.17,11.84,and 13.98 respectively,which were higher than the normal range.The scores of anxiety and stress of inpatients with different caregivers were statistically different(P=0.024/0.036).The anxiety and stress scores of inpatients with spouses as caregivers were higher than those of inpatients with children as caregivers.There was a statistically significant difference in the incidence of stress between inpatients with cancer with religious beliefs and inpatients with cancer without religious beliefs(P=0.026),and those with religious beliefs had greater incidence of stress.The score of anxiety was significantly higher for inpatients with children than for inpatients without children(P=0.040).Conclusion The anxiety,depression,and stress levels of inpatients with cancer are relatively high.It is necessary to pay special attention to the psychological status of these patients during clinical diagnosis and treatment to improve their quality of life.展开更多
Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.T...Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.This article attempts to review the mental health status,assessment tools,and psychological interventions of the caregivers of cancer patients,and calls on social and medical workers to pay attention to the mental and physical health status of the caregivers of cancer patients.展开更多
Mental distress is prevalent among cancer patients.Many measurements have been developed to screen and evaluate such distress.About one-third of the persons with cancer will experience significant levels of distress,r...Mental distress is prevalent among cancer patients.Many measurements have been developed to screen and evaluate such distress.About one-third of the persons with cancer will experience significant levels of distress,requiring targeted psychosocial intervention.Mental distress has been endorsed as the sixth vital sign by the International Psycho-Oncology Society(IPOS) in 2009.The need for effective screening and psychological interventions is well recognized as a necessary,integral part of oncology care.This systematic review examines the psychometric properties of the existing tools used to screen patients for emotional distress and the applicable intervention methods.展开更多
This paper compares Ceramic Decal design and traditional printing design through computer; show the innovation advantages of computer Ceramic Decal design prominent, such as computer color advantage, computer design s...This paper compares Ceramic Decal design and traditional printing design through computer; show the innovation advantages of computer Ceramic Decal design prominent, such as computer color advantage, computer design software brings innovation advantage. The computer brings to the thinking innovation advantage and computer Ceramic Decal design than the traditional ceramic decal in the design process. Through the design advantage that computer has very important influence and significance of ceramic decal.展开更多
Channel prediction is an effective approach for reducing the feedback or estimation overhead in massive multi-input multi-output (m-MIMO) systems. However, existing channel prediction methods lack precision due to mod...Channel prediction is an effective approach for reducing the feedback or estimation overhead in massive multi-input multi-output (m-MIMO) systems. However, existing channel prediction methods lack precision due to model mismatch errors or network generalization issues. Large language models (LLMs) have demonstrated powerful modeling and generalization abilities, and have been successfully applied to cross-modal tasks, including the time series analysis. Leveraging the expressive power of LLMs, we propose a pre-trained LLM-empowered channel prediction(LLM4CP)method to predict the future downlink channel state information (CSI) sequence based on the historical uplink CSI sequence. We fine-tune the network while freezing most of the parameters of the pre-trained LLM for better cross-modality knowledge transfer. To bridge the gap between the channel data and the feature space of the LLM,preprocessor, embedding, and output modules are specifically tailored by taking into account unique channel characteristics. Simulations validate that the proposed method achieves state-of-the-art (SOTA) prediction performance on full-sample, few-shot, and generalization tests with low training and inference costs.展开更多
Dear Editor,Unlike previous outbreaks of the mpox(previously known as monkeypox),which were localized in Africa and resulted in small numbers of infections due to limited human-to-human transmission,the current outbre...Dear Editor,Unlike previous outbreaks of the mpox(previously known as monkeypox),which were localized in Africa and resulted in small numbers of infections due to limited human-to-human transmission,the current outbreak beginning in May 2022,has spread rapidly primarily through human-to-human transmission in non-endemic countries(Gong et al.,2022).As of 27 Sep 2023,115 countries and regions have reported cases of mpox to the World Health Organization(WHO),bringing the total number of confirmed cases to 90,618 including 125 deaths.Although the number of new cases has decreased in most WHO regions in the second half of 2022,the curves reveal a long outbreak tail in different subregions of the Americas.More worrying,106 mpox cases were reported in the mainland of China in June 2023.展开更多
Since the first reported case of monkeypox in the UK in May 2022,there has been an upward trend in monkeypox cases and a global outbreak.However,reports of severe cases are relatively limited.In this study,we report a...Since the first reported case of monkeypox in the UK in May 2022,there has been an upward trend in monkeypox cases and a global outbreak.However,reports of severe cases are relatively limited.In this study,we report a case of severe monkeypox in a patient with HIV.The patient presented with skin lesions that started on his face and around the penis and persisted for several months.Throughout the course of the disease,he received systematic symp-tomatic supportive treatment,topical remedies,and special care for the rash.He also underwent cidofovir antiviral therapy and smallpox‐vaccinated healthy population‐derived plasma therapy in succession,with the condition ultimately showing improvement after plasma treatment.After more than 3 months of hospitalization,he fully recovered.To the best of our knowledge,this is the first reported use of smallpox‐vaccinated healthy population‐derived plasma in the treatment of severe monkeypox cases.展开更多
Background China has a high burden of influenza-associated illness among children.We aimed to evaluate the cost-effectiveness of introducing government-funded influenza vaccination to children in China(fully-funded po...Background China has a high burden of influenza-associated illness among children.We aimed to evaluate the cost-effectiveness of introducing government-funded influenza vaccination to children in China(fully-funded policy)compared with the status quo(self-paid policy).Methods A decision tree model was developed to calculate the economic and health outcomes,from a societal perspective,using national-and provincial-level data.The incremental cost-effectiveness ratio(ICER)[incremental costs per quality-adjusted life year(QALY)gained]was used to compare the fully-funded policy with the self-paid policy under the willingness-to-pay threshold equivalent to national and provincial GDP per capita.Sensitivity analyses were performed and various scenarios were explored based on real-world conditions,including incorporating indirect effect into the analysis.Results Compared to the self-paid policy,implementation of a fully-funded policy could prevent 1,444,768[95%uncertainty range(UR):1,203,446-1,719,761]symptomatic cases,92,110(95%UR:66,953-122,226)influenza-related hospitalizations,and 6494(95%UR:4590-8962)influenza-related death per season.The fully-funded policy was cost-effective nationally(7964 USD per QALY gained)and provincially for 13 of 31 provincial-level administrative divisions(PLADs).The probability of a funded vaccination policy being cost-effective was 56.5%nationally,and the probability in 9 of 31 PLADs was above 75%.The result was most sensitive to the symptomatic influenza rate among children under 5 years[ICER ranging from−25,612(cost-saving)to 14,532 USD per QALY gained].The ICER of the fully-funded policy was substantially lower(becoming cost-saving)if the indirect effects of vaccination were considered.Conclusions Introducing a government-funded influenza policy for children is cost-effective in China nationally and in many PLADs.PLADs with high symptomatic influenza rate and influenza-associated mortality would benefit the most from a government-funded influenza vaccination program.展开更多
The electrochemiluminescence(ECL)behavior of a multiresonance thermally activated delayed fluorescence molecule has been investigated for the first time by means of ECL‐voltage curves,newly designed ECL‐time observa...The electrochemiluminescence(ECL)behavior of a multiresonance thermally activated delayed fluorescence molecule has been investigated for the first time by means of ECL‐voltage curves,newly designed ECL‐time observatory,and ECL spectroscopy.The compound,Mes3DiKTa,shows complex ECL behavior,including a delayed onset time of 5 ms for ECL generation in both the annihilation pathway and the coreactant route,which we attribute to organic long‐persistent ECL(OLECL).Triplet‐triplet annihilation,thermally activated delayed fluorescence and uncompensated solution resistance cannot be ruled out as contributing mechanisms to the ECL.A very long ECL emission decay was attributed to OLECL as well.The absolute ECL efficiencies of Mes3DiKTa were enhanced and reached 0.0013%in annihilation route and 1.1%for the coreactant system,which are superior to those of most other organic ECL materials.It is plausible that ECL materials with comparable behavior as Mes3DiKTa are desirable in applications such as ECL sensing,imaging,and light‐emitting devices.展开更多
This study uses,primarily,the 2020 National Population Census data to comprehensively examine the phenomenon of the“male marriage squeeze”and provide a socio-demographic portrait of involuntary bachelors in rural Ch...This study uses,primarily,the 2020 National Population Census data to comprehensively examine the phenomenon of the“male marriage squeeze”and provide a socio-demographic portrait of involuntary bachelors in rural China.The descriptive findings make clear the pronounced male marriage squeeze in rural China.In 2020,China recorded its highest historical sex ratio of marriageable population,reaching 110.The age-specific proportions of never-married men surpass those of women,particularly in rural areas where a significant proportion of men remain unmarried throughout their lives.Between 2010 and 2020,men in rural areas exhibited a notable trend of delayed marriage.The likelihood of rural men getting married steadily declined during this decade,with rural men significantly less likely to get married than urban men.In China,the concentration of involuntary bachelors is mainly in rural areas,characterized by lower socioeconomic status,and inferior living conditions.While educational qualification among involuntary bachelors in rural areas has improved,it still lags behind that of currently or previously married men.Another problem is that the elderly population in rural areas faces resource scarcity,increasing the reliance on the minimum subsistence allowance.Elderly involuntary bachelors are generally in poorer health than their married peers,and the health disparity is widening.To make matters worse,a high percentage of these men live alone.展开更多
Physiological computing uses human physiological data as system inputs in real time.It includes,or significantly overlaps with,brain-computer interfaces,affective computing,adaptive automation,health informatics,and p...Physiological computing uses human physiological data as system inputs in real time.It includes,or significantly overlaps with,brain-computer interfaces,affective computing,adaptive automation,health informatics,and physiological signal based biometrics.Physiological computing increases the communication bandwidth from the user to the computer,but is also subject to various types of adversarial attacks,in which the attacker deliberately manipulates the training and/or test examples to hijack the machine learning algorithm output,leading to possible user confusion,frustration,injury,or even death.However,the vulnerability of physiological computing systems has not been paid enough attention to,and there does not exist a comprehensive review on adversarial attacks to them.This study fills this gap,by providing a systematic review on the main research areas of physiological computing,different types of adversarial attacks and their applications to physiological computing,and the corresponding defense strategies.We hope this review will attract more research interests on the vulnerability of physiological computing systems,and more importantly,defense strategies to make them more secure.展开更多
In underwater optical wireless communication(UOWC),a channel is characterized by abundant scattering/absorption effects and optical turbulence.Most previous studies on UOWC have been limited to scattering/absorption e...In underwater optical wireless communication(UOWC),a channel is characterized by abundant scattering/absorption effects and optical turbulence.Most previous studies on UOWC have been limited to scattering/absorption effects.However,experiments in the literature indicate that underwater optical turbulence(UOT)can cause severe degradation of UOWC performance.In this paper,we characterize an UOWC channel with both scattering/absorption and UOT taken into consideration,and a spatial diversity receiver scheme,say a singleinput–multiple-output(SIMO) scheme,based on a light-emitting-diode(LED) source and multiple detectors is proposed to mitigate deep fading.The Monte Carlo based statistical simulation method is introduced to evaluate the bit-error-rate performance of the system.It is shown that spatial diversity can effectively reduce channel fading and remarkably extend communication range.展开更多
文摘A study was conducted on the effect of time delay and structural parameters on the vibration reduction of a time delayed coupled negative stiffness dynamic absorber in nonlinear vibration reduction systems. Taking dynamic absorbers with different structural and control parameters as examples, the effects of third-order nonlinear coefficients, time-delay control parameters, and negative stiffness coefficients on reducing the replication of the main system were discussed. The nonlinear dynamic absorber has a very good vibration reduction effect at the resonance point of the main system and a nearby area, and when 1 increases to a certain level, the stable region of the system continues to increase. The amplitude curve of the main system of a nonlinear dynamic absorber will generate Hop bifurcation and saddle node bifurcation in the region far from the resonance point, resulting in almost periodic motion and jumping phenomena in the system. For nonlinear dynamic absorbers with determined structural parameters, time-delay feedback control can be adopted to control the amplitude of the main system. For different negative stiffness coefficients, there exists a minimum damping point for the amplitude of the main system under the determined system structural parameters and time-delay feedback control parameters.
文摘Objective:To explore and analyze the effect and safety of personalized nursing in improving thrombocytopenia after lymphoma chemotherapy.Methods:80 lymphoma patients with thrombocytopenia after lymphoma chemotherapy in the Department of Hematology of our hospital from May 2021 to May 2023 were selected as the research objects,and they were divided into an experimental group and reference group by random drawing,with 40 cases in each group.The experimental group received individualized nursing,and the reference group received routine nursing.The platelet count,platelet-related indicators,incidence of adverse reactions,and life scores were compared between the two groups.Results:Before the intervention,there was no significant difference in platelet count between the groups(P>0.05);after the intervention,the platelet count in the experimental group was significantly higher compared to the reference group(P<0.05).In the experimental group,the duration for platelet decline and the time for platelets to normalize were notably shorter compared to the reference group(P<0.05).Moreover,the personality group displayed a significantly lower incidence of adverse reactions than the reference group(P<0.05).Prior to the intervention,there were no statistically significant differences(P>0.05)in the life scores between the two groups,such as functional condition,symptom manifestation,and health scores among the groups.However,post-intervention,the personality group exhibited a significant improvement in those scores compared to the reference group(P<0.05).Conclusion:Individualized nursing can optimize the platelet level in thrombocytopenia after lymphoma chemotherapy,improve symptoms,and reduce the occurrence of adverse reactions.
文摘Vehicular communications and networking(VCN)is considered a billion-dollar industry.Its development not only possesses economic value,but also has enormous social potential.The earliest vehicular network started from the dedicated short range networks,such as the IEEE 802.11p standard established at the beginning of this century.In recent years,the public access network based VCN has been rapidly advanced.For example,LTE-V based on 4G LTE is under standardization。
基金supported in part by the National Natural Science Foundation of China 61501461, 61471269, 61622101 and 61571020the National 973 Project under grant 2013CB336700+2 种基金the National 863 Project under grant SS2015AA011306the National Science Foundation under grant number CNS-1343189 and ECCS-1232305the Early Career Development Award of SKLMCCS (Y3S9021F34)
文摘An estimate-and-forward(EF) scheme for single-input single-output(SISO) and multiple-input multiple-output(MIMO) full-duplex two-way relay networks is proposed and analyzed. The relay estimates the received signal from two terminal nodes by a minimum mean squared error(MMSE) estimation and forwards a scaled version of the MMSE estimate to the destination. The proposed EF outperforms conventional amplify-and-forward(AF) and decode-and-forward(DF) across all signal-to-noise ratio(SNR) region. Because its computational complexity is high for relays with a large number of antennas(large MIMO) and/or high order constellations, an approximate EF scheme, called list EF, are thus proposed to reduce the computational complexity. The proposed list EF computes a candidate list for the MMSE estimate by using a sphere decoder, and it approaches the performance of the exact EF relay at a negligible performance loss. The proposed forwarding approach also could be used to other relay networks, such as half-duplex, one-way or massive MIMO relay networks.
基金a grant from the National Key Research and Development Program:the Key Technology of Palliative Care and Nursing for Cancer Patients(No.2017YFC1309200).
文摘Objective This study aimed to assess anxiety,depression,and stress among inpatients with cancer.Methods Two hundred thirty-five hospitalized patients with cancer were surveyed with the Depression Anxiety Stress Scales(simplified Chinese Version).The software program SPSS 25.0 was used for statistical analysis of the survey data.Results The average scores of depression,anxiety,and stress of inpatients with cancer were 12.17,11.84,and 13.98 respectively,which were higher than the normal range.The scores of anxiety and stress of inpatients with different caregivers were statistically different(P=0.024/0.036).The anxiety and stress scores of inpatients with spouses as caregivers were higher than those of inpatients with children as caregivers.There was a statistically significant difference in the incidence of stress between inpatients with cancer with religious beliefs and inpatients with cancer without religious beliefs(P=0.026),and those with religious beliefs had greater incidence of stress.The score of anxiety was significantly higher for inpatients with children than for inpatients without children(P=0.040).Conclusion The anxiety,depression,and stress levels of inpatients with cancer are relatively high.It is necessary to pay special attention to the psychological status of these patients during clinical diagnosis and treatment to improve their quality of life.
基金Supported by a grant from The National Key Research and Development Program:The Key Technology of Palliative Care and Nursing for Cancer Patients(No.2017YFC1309200).
文摘Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.This article attempts to review the mental health status,assessment tools,and psychological interventions of the caregivers of cancer patients,and calls on social and medical workers to pay attention to the mental and physical health status of the caregivers of cancer patients.
基金Supported by a grant from The National Key Research and Development Program:The Key Technology of Palliative Care and Nursing for Cancer Patients(No.2017YFC1309200)
文摘Mental distress is prevalent among cancer patients.Many measurements have been developed to screen and evaluate such distress.About one-third of the persons with cancer will experience significant levels of distress,requiring targeted psychosocial intervention.Mental distress has been endorsed as the sixth vital sign by the International Psycho-Oncology Society(IPOS) in 2009.The need for effective screening and psychological interventions is well recognized as a necessary,integral part of oncology care.This systematic review examines the psychometric properties of the existing tools used to screen patients for emotional distress and the applicable intervention methods.
文摘This paper compares Ceramic Decal design and traditional printing design through computer; show the innovation advantages of computer Ceramic Decal design prominent, such as computer color advantage, computer design software brings innovation advantage. The computer brings to the thinking innovation advantage and computer Ceramic Decal design than the traditional ceramic decal in the design process. Through the design advantage that computer has very important influence and significance of ceramic decal.
基金supported in part by the National Natural Science Foundation of China under Grants 62125101 and 62341101in part by the New Cornerstone Science Foundation through the XPLORER PRIZE+2 种基金in part by Guangdong Provincial Key Lab of Integrated Communication,Sensing and Computation for Ubiquitous Internet of Things under Grant 2023B1212010007in part by Guangzhou Municipal Science and Technology Project under Grant 2023A03J0011in part by Guangdong Provincial Department of Education Major Research Project under Grant 2023ZDZX1037.
文摘Channel prediction is an effective approach for reducing the feedback or estimation overhead in massive multi-input multi-output (m-MIMO) systems. However, existing channel prediction methods lack precision due to model mismatch errors or network generalization issues. Large language models (LLMs) have demonstrated powerful modeling and generalization abilities, and have been successfully applied to cross-modal tasks, including the time series analysis. Leveraging the expressive power of LLMs, we propose a pre-trained LLM-empowered channel prediction(LLM4CP)method to predict the future downlink channel state information (CSI) sequence based on the historical uplink CSI sequence. We fine-tune the network while freezing most of the parameters of the pre-trained LLM for better cross-modality knowledge transfer. To bridge the gap between the channel data and the feature space of the LLM,preprocessor, embedding, and output modules are specifically tailored by taking into account unique channel characteristics. Simulations validate that the proposed method achieves state-of-the-art (SOTA) prediction performance on full-sample, few-shot, and generalization tests with low training and inference costs.
基金supported by the National Key Plan for Scientific R&D of China(2021YFC2301900)the National Science Fund for Distinguished Young Scholars(82025022)+2 种基金Guangdong Science and Technology Plan Project,Construction of high-level biosafety laboratories(2021B1212030010)Shenzhen Science and Technology Program(ZDSYS20210623091810030)Shenzhen Medical Research Funds(B2302052).
文摘Dear Editor,Unlike previous outbreaks of the mpox(previously known as monkeypox),which were localized in Africa and resulted in small numbers of infections due to limited human-to-human transmission,the current outbreak beginning in May 2022,has spread rapidly primarily through human-to-human transmission in non-endemic countries(Gong et al.,2022).As of 27 Sep 2023,115 countries and regions have reported cases of mpox to the World Health Organization(WHO),bringing the total number of confirmed cases to 90,618 including 125 deaths.Although the number of new cases has decreased in most WHO regions in the second half of 2022,the curves reveal a long outbreak tail in different subregions of the Americas.More worrying,106 mpox cases were reported in the mainland of China in June 2023.
基金Science and Technology Research Projects of Shenzhen,Grant/Award Number:JSGG20220606141001003National Key Research and Development Program of China,Grant/Award Number:2022YFC2304403,2022YFC2304404+2 种基金National Natural Science Foundation of China,Grant/Award Number:81971915,82272318Shenzhen Fund for Guangdong Provincial High‐level Clinical Key Specialties,Grant/Award Number:No.SZGSP011Shenzhen Fund for Guangdong Provincial High‐level Clinical Key Specialties(No.SZGSP011)。
文摘Since the first reported case of monkeypox in the UK in May 2022,there has been an upward trend in monkeypox cases and a global outbreak.However,reports of severe cases are relatively limited.In this study,we report a case of severe monkeypox in a patient with HIV.The patient presented with skin lesions that started on his face and around the penis and persisted for several months.Throughout the course of the disease,he received systematic symp-tomatic supportive treatment,topical remedies,and special care for the rash.He also underwent cidofovir antiviral therapy and smallpox‐vaccinated healthy population‐derived plasma therapy in succession,with the condition ultimately showing improvement after plasma treatment.After more than 3 months of hospitalization,he fully recovered.To the best of our knowledge,this is the first reported use of smallpox‐vaccinated healthy population‐derived plasma in the treatment of severe monkeypox cases.
文摘Background China has a high burden of influenza-associated illness among children.We aimed to evaluate the cost-effectiveness of introducing government-funded influenza vaccination to children in China(fully-funded policy)compared with the status quo(self-paid policy).Methods A decision tree model was developed to calculate the economic and health outcomes,from a societal perspective,using national-and provincial-level data.The incremental cost-effectiveness ratio(ICER)[incremental costs per quality-adjusted life year(QALY)gained]was used to compare the fully-funded policy with the self-paid policy under the willingness-to-pay threshold equivalent to national and provincial GDP per capita.Sensitivity analyses were performed and various scenarios were explored based on real-world conditions,including incorporating indirect effect into the analysis.Results Compared to the self-paid policy,implementation of a fully-funded policy could prevent 1,444,768[95%uncertainty range(UR):1,203,446-1,719,761]symptomatic cases,92,110(95%UR:66,953-122,226)influenza-related hospitalizations,and 6494(95%UR:4590-8962)influenza-related death per season.The fully-funded policy was cost-effective nationally(7964 USD per QALY gained)and provincially for 13 of 31 provincial-level administrative divisions(PLADs).The probability of a funded vaccination policy being cost-effective was 56.5%nationally,and the probability in 9 of 31 PLADs was above 75%.The result was most sensitive to the symptomatic influenza rate among children under 5 years[ICER ranging from−25,612(cost-saving)to 14,532 USD per QALY gained].The ICER of the fully-funded policy was substantially lower(becoming cost-saving)if the indirect effects of vaccination were considered.Conclusions Introducing a government-funded influenza policy for children is cost-effective in China nationally and in many PLADs.PLADs with high symptomatic influenza rate and influenza-associated mortality would benefit the most from a government-funded influenza vaccination program.
基金supports to this study by Natural Sciences and Engineering Research Council Canada(NSERC,DG RGPIN‐2018‐06556 and SPG STPGP‐2016‐493924)Canada Foundation of Innovation/Ontario Innovation Trust(CFI/OIT,9040)The University of Western Ontario.
文摘The electrochemiluminescence(ECL)behavior of a multiresonance thermally activated delayed fluorescence molecule has been investigated for the first time by means of ECL‐voltage curves,newly designed ECL‐time observatory,and ECL spectroscopy.The compound,Mes3DiKTa,shows complex ECL behavior,including a delayed onset time of 5 ms for ECL generation in both the annihilation pathway and the coreactant route,which we attribute to organic long‐persistent ECL(OLECL).Triplet‐triplet annihilation,thermally activated delayed fluorescence and uncompensated solution resistance cannot be ruled out as contributing mechanisms to the ECL.A very long ECL emission decay was attributed to OLECL as well.The absolute ECL efficiencies of Mes3DiKTa were enhanced and reached 0.0013%in annihilation route and 1.1%for the coreactant system,which are superior to those of most other organic ECL materials.It is plausible that ECL materials with comparable behavior as Mes3DiKTa are desirable in applications such as ECL sensing,imaging,and light‐emitting devices.
文摘This study uses,primarily,the 2020 National Population Census data to comprehensively examine the phenomenon of the“male marriage squeeze”and provide a socio-demographic portrait of involuntary bachelors in rural China.The descriptive findings make clear the pronounced male marriage squeeze in rural China.In 2020,China recorded its highest historical sex ratio of marriageable population,reaching 110.The age-specific proportions of never-married men surpass those of women,particularly in rural areas where a significant proportion of men remain unmarried throughout their lives.Between 2010 and 2020,men in rural areas exhibited a notable trend of delayed marriage.The likelihood of rural men getting married steadily declined during this decade,with rural men significantly less likely to get married than urban men.In China,the concentration of involuntary bachelors is mainly in rural areas,characterized by lower socioeconomic status,and inferior living conditions.While educational qualification among involuntary bachelors in rural areas has improved,it still lags behind that of currently or previously married men.Another problem is that the elderly population in rural areas faces resource scarcity,increasing the reliance on the minimum subsistence allowance.Elderly involuntary bachelors are generally in poorer health than their married peers,and the health disparity is widening.To make matters worse,a high percentage of these men live alone.
基金supported by the Open Research Projects of Zhejiang Lab(2021KE0AB04)the Technology Innovation Project of Hubei Province of China(2019AEA171)+1 种基金the National Social Science Foundation of China(19ZDA104 and 20AZD089)the Independent Innovation Research Fund of Huazhong University of Science and Technology(2020WKZDJC004).Author contributions。
文摘Physiological computing uses human physiological data as system inputs in real time.It includes,or significantly overlaps with,brain-computer interfaces,affective computing,adaptive automation,health informatics,and physiological signal based biometrics.Physiological computing increases the communication bandwidth from the user to the computer,but is also subject to various types of adversarial attacks,in which the attacker deliberately manipulates the training and/or test examples to hijack the machine learning algorithm output,leading to possible user confusion,frustration,injury,or even death.However,the vulnerability of physiological computing systems has not been paid enough attention to,and there does not exist a comprehensive review on adversarial attacks to them.This study fills this gap,by providing a systematic review on the main research areas of physiological computing,different types of adversarial attacks and their applications to physiological computing,and the corresponding defense strategies.We hope this review will attract more research interests on the vulnerability of physiological computing systems,and more importantly,defense strategies to make them more secure.
基金supported by the National Key Basic Research Program of China (Grant No.2013CB329201)the National Natural Science Foundation of China (Grant Nos.61171066 and 61471332)the State Key Laboratory of Robotics
文摘In underwater optical wireless communication(UOWC),a channel is characterized by abundant scattering/absorption effects and optical turbulence.Most previous studies on UOWC have been limited to scattering/absorption effects.However,experiments in the literature indicate that underwater optical turbulence(UOT)can cause severe degradation of UOWC performance.In this paper,we characterize an UOWC channel with both scattering/absorption and UOT taken into consideration,and a spatial diversity receiver scheme,say a singleinput–multiple-output(SIMO) scheme,based on a light-emitting-diode(LED) source and multiple detectors is proposed to mitigate deep fading.The Monte Carlo based statistical simulation method is introduced to evaluate the bit-error-rate performance of the system.It is shown that spatial diversity can effectively reduce channel fading and remarkably extend communication range.