The Internet of Things(IoT)plays an essential role in the current and future generations of information,network,and communication development and applications.This research focuses on vocal tract visualization and mod...The Internet of Things(IoT)plays an essential role in the current and future generations of information,network,and communication development and applications.This research focuses on vocal tract visualization and modeling,which are critical issues in realizing inner vocal tract animation.That is applied in many fields,such as speech training,speech therapy,speech analysis and other speech production-related applications.This work constructed a geometric model by observation of Magnetic Resonance Imaging data,providing a new method to annotate and construct 3D vocal tract organs.The proposed method has two advantages compared with previous methods.Firstly it has a uniform construction protocol for all speech organs.Secondly,this method can build correspondent feature points between different speech organs.There are less than three control parameters can be used to describe every speech organ accurately,for which the accumulated contribution rate is more than 88%.By means of the reconfiguration,the model error is less than 1.0 mm.Regarding to the data from Chinese Magnetic resonance imaging(MRI),this is the first work of 3D vocal tract model.It will promote the theoretical research and development of the intelligent Internet of Things facing speech generation-related issues.展开更多
Background: Currently, hepatectomy remains the first-line therapy for hepatocellular carcinoma(HCC). However, surgery for patients with huge( > 10 cm) HCCs is controversial. This retrospective study aimed to explor...Background: Currently, hepatectomy remains the first-line therapy for hepatocellular carcinoma(HCC). However, surgery for patients with huge( > 10 cm) HCCs is controversial. This retrospective study aimed to explore long-term survival after hepatectomy for patients with huge HCC. Methods: The records of 188 patients with pathologically confirmed HCC who underwent curative hepatectomy between 2007 and 2017 were reviewed;patients were divided into three groups according to tumor size: huge( > 10 cm;n = 84), large(5–10 cm;n = 51) and small( < 5 cm;n = 53) HCC. Kaplan-Meier analysis was used to assess overall survival(OS) and disease-free survival(DFS), and log-rank analysis was performed for pairwise comparisons among the three groups. Risk factors for survival and recurrence were analyzed using the Cox proportional hazard model. Results: The median follow-up period was 20 months. Although the prognosis of small HCC was better than that of huge and large HCC, OS and DFS were not significantly different between huge and large HCC( P = 0.099 and P = 0.831, respectively). A family history of HCC, poor Child-Pugh class, vascular invasion, diolame, pathologically positive margins, and operative time ≥240 min were identified as independent risk factors for OS and DFS in a multivariate model. Tumor size( > 10 cm) had significant effect on OS, and postoperative antiviral therapy and postoperative complications also had significant effects on DFS. Conclusions: Huge HCC is not a contraindication of hepatectomy. Although most of these patients experienced recurrence after surgery, OS and DFS were not significantly different from those of patients with large HCC after resection.展开更多
This work aimed at studying the feasibility of calculating the coal–oxygen diffusion properties during the low temperature oxidation process of lignite so as to predict its spontaneous combustion process. Coal sample...This work aimed at studying the feasibility of calculating the coal–oxygen diffusion properties during the low temperature oxidation process of lignite so as to predict its spontaneous combustion process. Coal samples were oxidized in air ambient under different temperatures. Scanning Electron Microscope was used to indicate the surface morphology changes of oxidization. Then, based on fractal theory and flow characteristics, the fractal dimension of gas diffusion in the pore ways was calculated under different temperature. Considering pore size distribution, connectivity distribution and Fick diffusion mechanisms, the relationship between the gas diffusivity change with pore area fractal dimension and porosity was investigated, and multiple linear equation of the coal–oxygen diffusion coefficients and pore parameters was obtained. Comparison between the experimental data and model prediction verifies the validity of the model. The research provides a theoretical basis for the prediction model of coal–oxygen diffusion law.展开更多
BACKGROUND:In the management of critically ill patients,the assessment of volume responsiveness and the decision to administer a fluid bolus constitute a common dilemma for physicians.Static indices of cardiac preload...BACKGROUND:In the management of critically ill patients,the assessment of volume responsiveness and the decision to administer a fluid bolus constitute a common dilemma for physicians.Static indices of cardiac preload are poor predictors of volume responsiveness.Passive leg raising(PLR) mimics an endogenous volume expansion(VE) that can be used to predict fluid responsiveness.This study was to assess the changes in stroke volume index(SVI) induced by PLR as an indicator of fluid responsiveness in mechanically ventilated patients with severe sepsis.METHODS:This was a prospective study.Thirty-two mechanically ventilated patients with severe sepsis were admitted for VE in ICU of the First Affiliated Hospital,Zhejiang University School of Medicine and Ningbo Medical Treatment Center Lihuili Hospital from May 2010 to December 2011.Patients with non-sinus rhythm or arrhythmia,parturients,and amputation of the lower limbs were excluded.Measurements of SVI were obtained in a semi-recumbent position(baseline) and during PLR by the technique of pulse indicator continuous cardiac output(PiCCO) system prior to VE.Measurements were repeated after VE(500 mL 6%hydroxyethyl starch infusion within 30 minutes)to classify patients as either volume responders or non-responders based on their changes in stroke volume index(ASVI) over 15%.Heart rate(HR),systolic artery blood pressure(ABPs),diastolic artery blood pressure(ABPd),mean arterial blood pressure(ABPm),mean central venous pressure(CVPm)and cardiac index(CI) were compared between the two groups.The changes of ABPs,ABPm,CVPm,and SVI after PLR and VE were compared with the indices at the baseline.The ROC curve was drawn to evaluate the value of ASVI and the change of CVPm(ACVPm) in predicting volume responsiveness.SPSS 17.0 software was used for statistical analysis.RESULTS:Among the 32 patients,22 were responders and 10 were non-responders.After PLR among the responders,some hemodynamic variables(including ABPs,ABPd,ABPm and CVPm)were significantly elevated(101.2±17.6 vs.118.6±23.7,P=0.03;52.8±10.7 vs.64.8±10.7,P=0.006;68.3+11.7 vs.81.9±14.4,P=0.008;6.8±3.2 vs.11.9±4.0,P=0.001).After PLR,the area under curve(AUC) and the ROC curve of △SV1 and ACVPm for predicting the responsiveness after VE were0.882±0.061(95%CI 0.759-1.000) and 0.805±0.079(95%CI 0.650-0.959) when the cut-off levels of ASVI and ACVPm were 8.8%and 12.7%,the sensitivities were 72.7%and 72.7%,and the specificities were 80%and 80%.CONCLUSION:Changes in ASVI and ACVPm induced by PLR are accurate indices for predicting fluid responsiveness in mechanically ventilated patients with severe sepsis.展开更多
BACKGROUND: The study aimed to investigate the clinical characteristics of acute renal failure(ARF) caused by oral acyclovir.METHODS: A 45-year-old Chinese male patient with acyclovir-induced ARF suffered fromabdo...BACKGROUND: The study aimed to investigate the clinical characteristics of acute renal failure(ARF) caused by oral acyclovir.METHODS: A 45-year-old Chinese male patient with acyclovir-induced ARF suffered fromabdominal pain for one day. The pain was extended to the epigastric area from the right lowerquadrant. Transient oliguria was seen in addition to microscopic hematuria and proteinuria. Theserum creatinine concentration was 304 !mol/L. Eight days before the occurrence of ARF, the patienttook oral acyclovir for facial neuritis.RESULTS: His renal function was restored completely following the discontinuation of acyclovir,with continuous renal replacement therapy for 54 hours and some symptomatic treatment.CONCLUSION: The presentation of acute renal failure caused by acyclovir can be diverse, butthe prognosis is good after active treatment.展开更多
Here,the challenges of sample efficiency and navigation performance in deep rein-forcement learning for visual navigation are focused and a deep imitation reinforcement learning approach is proposed.Our contributions ...Here,the challenges of sample efficiency and navigation performance in deep rein-forcement learning for visual navigation are focused and a deep imitation reinforcement learning approach is proposed.Our contributions are mainly three folds:first,a frame-work combining imitation learning with deep reinforcement learning is presented,which enables a robot to learn a stable navigation policy faster in the target-driven navigation task.Second,the surrounding images is taken as the observation instead of sequential images,which can improve the navigation performance for more information.Moreover,a simple yet efficient template matching method is adopted to determine the stop action,making the system more practical.Simulation experiments in the AI-THOR environment show that the proposed approach outperforms previous end-to-end deep reinforcement learning approaches,which demonstrate the effectiveness and efficiency of our approach.展开更多
Deep reinforcement learning has achieved some remarkable results in self-driving.There is quite a lot of work to do in the area of autonomous driving with high real-time requirements because of the inefficiency of rei...Deep reinforcement learning has achieved some remarkable results in self-driving.There is quite a lot of work to do in the area of autonomous driving with high real-time requirements because of the inefficiency of reinforcement learning in exploring large continuous motion spaces.A deep imitation reinforcement learning(DIRL)framework is presented to leam control policies of self-driving vehicles,which is based on a deep deterministic policy gradient algorithm(DDPG)by vision.The DIRL framework comprises two components,the perception module and the conttol module,using imitation learning(IL)and DDPG,respectively;The perception module employs the IL network as an encoder which processes an image into a low-dimensional feature vector.This vector is then delivered to the control module which outputs control commands.Meanwhile,the actor network of the DDPG is initialized with the trained IL network to improve exploration efficiency.In addition,a reward function for reinforcement learning is defined to improve the stability of self-driving vehicles,especially on curves.DIRL is verified by the open racing car simulator(TORCS),and the results show that the correct control strategy is learned successfully and has less training time.展开更多
Objective: To conduct the cloning identification and characterization of the sequence of human IL-17 A promoter so as to analyze the regulatory mechanism of the gene expression of IL-17. Methods: First of all, the pot...Objective: To conduct the cloning identification and characterization of the sequence of human IL-17 A promoter so as to analyze the regulatory mechanism of the gene expression of IL-17. Methods: First of all, the potential promoter region of IL-17 A was found by means of the bioinformatics methods. Then, it was cloned into the reporter vector with PCR technique. Finally, the activity of the test promoter was determined by dual luciferase reporter system. Results: Two transcriptional start points of the upper region, 600 bp and 1000 bp, of IL-17 A were obtained by PCR clone and proved to have certain activities by dual luciferase reporter system. Also, they could be activated by IL-17 A activator STAT3, which could start the expression of the reported gene. Conclusions: Clone established the regulatory region of human IL-17 A promoter, which provided bases to the subsequent function research.展开更多
Developing of high-performance and low-cost electrocatalysts is of great significance to reduce the overpotential and accelerated the reaction rate of oxygen evolution in water splitting and related energy conversion ...Developing of high-performance and low-cost electrocatalysts is of great significance to reduce the overpotential and accelerated the reaction rate of oxygen evolution in water splitting and related energy conversion applications.Herein,Fe,O-dual doped Ni2P(Fe,O-Ni2P)nanoarray is successfully synthesized on carbon cloth demonstrating enhanced electrocatalytic activity and stability for oxygen evolution reaction(OER)under alkaline media.The as-synthesized Fe,O-Ni2P nanoarray exhibits obviously improved OER performance with a low overpotential of 210 mV at 10 mA cm^-2 current density and a Tafel slope of48 mV dec^-1,as well as long-term durability.The strong coupling interaction induced changes in electronic structure lead to relatively higher oxidation state and stronger oxidation ability of the Fe,O-Ni2P nanoarray,together with the high electrochemical surface area and good conductivity contribute to the superior OER performance.This work highlights the anion-cation dual doping strategy may be an effective method for fabrication of catalysts relating to energy conversion applications.展开更多
Comprehensive Summary,Low dielectric(low-k)organosilicon polymers have received extensive interests from industry and academia due to good electrical insulation,high temperature resistance,flame retardancy and hydroph...Comprehensive Summary,Low dielectric(low-k)organosilicon polymers have received extensive interests from industry and academia due to good electrical insulation,high temperature resistance,flame retardancy and hydrophobicity.These attractive properties enable them to be utilized as low-k materials in fabrication of electronic devices in high-frequency communication technology.This review summarizes recent progress in developing low-k organosilicon polymers,including the synthetic methods and properties of different organosilicon polymers classified according to the chemical structures.It may provide some inspiration to design new low-k organosilicon polymers for application in the.展开更多
Stratigraphic knowledge,the cornerstone of geoscience,needs to be represented by the Knowledge Graph based upon ontology,in order to apply the state-of-the-art big-data techniques.This study aims to comprehensively co...Stratigraphic knowledge,the cornerstone of geoscience,needs to be represented by the Knowledge Graph based upon ontology,in order to apply the state-of-the-art big-data techniques.This study aims to comprehensively construct the ontologies for the stratigraphic domain.This has been achieved by a federated,crowd intelligence-based collaboration among domain experts of major stratigraphic subdisciplines.The initial step is to enumerate key terms from authoritative references and incorporate them into the Geoscience Professional Knowledge Graphs(GPKGs)of Deep-time Digital Earth Project.During this process,semantic heterogeneities were meticulously addressed by professional judgement aided by an automatic detection of Homonyms at the GPKGs platform.Afterwards,these terms were further differentiated as either classes or properties and arranged in a hierarchical framework in a top-down process.Consequently,seven ontologies are constructed for major stratigraphic branches,i.e.,Lithostratigraphy,Biostratigraphy,Chronostratigraphy,Chemostratigraphy,Magnetostratigraphy,Cyclostratigraphy and Sequence Stratigraphy.The ontology of Biostratigraphy,among them,is elaborated here,as no biostratigraphic ontology has been attempted before to our knowledge.The constructed biostratigraphic ontology comprises following major root classes:Fossil,Biostratigraphic unit,Biostratigraphic horizon.Altogether,they contribute to the eventual dating and correlating of strata in another root class:Biostratigraphic correlation.In summary,the achievements of this study are probably heretofore the most comprehensive ontologies for the stratigraphic domain.Moreover,a proto model of semantic search engine was conceived to discuss potential application of our work for better querying stratigraphic references,utilizing the semantic liaison of the classes in the constructed ontologies.展开更多
Policy evaluation(PE)is a critical sub-problem in reinforcement learning,which estimates the value function for a given policy and can be used for policy improvement.However,there still exist some limitations in curre...Policy evaluation(PE)is a critical sub-problem in reinforcement learning,which estimates the value function for a given policy and can be used for policy improvement.However,there still exist some limitations in current PE methods,such as low sample efficiency and local convergence,especially on complex tasks.In this study,a novel PE algorithm called Least-Squares Truncated Temporal-Difference learning(LST2D)is proposed.In LST2D,an adaptive truncation mechanism is designed,which effectively takes advantage of the fast convergence property of Least-Squares Temporal Difference learning and the asymptotic convergence property of Temporal Difference learning(TD).Then,two feature pre-training methods are utilised to improve the approximation ability of LST2D.Furthermore,an Actor-Critic algorithm based on LST2D and pre-trained feature representations(ACLPF)is proposed,where LST2D is integrated into the critic network to improve learning-prediction efficiency.Comprehensive simulation studies were conducted on four robotic tasks,and the corresponding results illustrate the effectiveness of LST2D.The proposed ACLPF algorithm outperformed DQN,ACER and PPO in terms of sample efficiency and stability,which demonstrated that LST2D can be applied to online learning control problems by incorporating it into the actor-critic architecture.展开更多
This study aimed to evaluate the therapeutic effect of IR-61,a novel mitochondrial heptamethine cyanine dye with antioxidant effects,on diabetes mellitus-induced erectile dysfunction(DMED).Eight-week-old male Sprague-...This study aimed to evaluate the therapeutic effect of IR-61,a novel mitochondrial heptamethine cyanine dye with antioxidant effects,on diabetes mellitus-induced erectile dysfunction(DMED).Eight-week-old male Sprague-Dawley rats were intraperitoneally injected with streptozotocin(STZ)to induce type 1 diabetes.Eight weeks after STZ injection,all rats were divided into three groups:the control group,DM group,and DM+IR-61 group.In the DM+IR-61 group,the rats were administered IR-61(1.6 mg kg-1)twice a week by intravenous injection.At week 13,erectile function was evaluated by determining the ratio of the maximal intracavernous pressure to mean arterial pressure,and the penises were then harvested for fluorescent imaging,transmission electron microscopy,histological examinations,and Western blot analysis.Whole-body imaging suggested that IR-61 was highly accumulated in the penis after intravenous injection.IR-61 treatment significantly improved the maximal ICP of diabetic rats.Additionally,IR-61 ameliorated diabetes-induced inflammation,apoptosis,and phenotypic transition of corpus cavernosum smooth muscle cells(CCSMCs)in penile tissue.IR-61 also attenuated mitochondrial damage,reduced reactive oxygen species production in the corpus cavernosum and upregulated sirtuinl(SIRT1),sirtuin3(SIRT3),nuclear factor(erythroid-derived 2)-like 2(Nrf2),and heme oxygenase expression in penile tissue.In conclusion,IR-61 represents a potential therapeutic option for DMED by protecting the mitochondria of CCSMCs,which may be mediated by activation of the SIRT1,SIRT3,and Nrf2 pathways.展开更多
As integrated circuits (IC) technologies advance into very-deep-sub-micron (VDSM), electrostatic discharge (ESD) failure becomes one of the most devastating IC reliability problems and on-chip ESD protection des...As integrated circuits (IC) technologies advance into very-deep-sub-micron (VDSM), electrostatic discharge (ESD) failure becomes one of the most devastating IC reliability problems and on-chip ESD protection design emerges as a major challenge to radio frequency (RF), analog, and mixed-signal (AMS) IC designs. This paper reviews key design aspects and recent advances in whole-chip ESD protection designs for RF/AMS IC applications in CMOS technologies.展开更多
Plant-pollinator interactions can be highly variable across years in natural communities.Although variation in the species composition and its basic structure has been investigated to understand the dynamic nature of ...Plant-pollinator interactions can be highly variable across years in natural communities.Although variation in the species composition and its basic structure has been investigated to understand the dynamic nature of pollination networks,little is known about the temporal dynamic of interaction strength between the same plant and pollinator species in any natural community.Pollinator-mediated selection on the evolution of floral traits could be diminished if plant-pollinator interactions vary temporally.To quantify the temporal variation in plant-pollinator interactions and the interaction strength(observed visits),we compared weighted networks between plants and pollinators in a biodiverse alpine meadow in Shangri-La,southwest China for 3 consecutive years.Although plant-pollinator interactions were highly dynamic such that identical interactions only accounted for 10.7%of the total between pair years,the diversity of interactions was stable.These identical interactions contributed 41.2%of total visits and were similar in strength and weighted nestedness.For plant species,72.6%of species were visited by identical pollinator species between pair years,accounting for over half of the total visits and three-quarters at the functional group level.More generalized pollinators contributed more connectiveness and were more central in networks across years.However,there was no similar or even opposite trend for plant species,which suggested that specialized plant species may also be central in pollinator networks.The variation in pollinator composition decreased as pollinator species numbers increased,suggesting that generalized plants experienced stable pollinator partition.The stable,tight interactions between generalized pollinators and specialized plants represent cornerstones of the studied community.展开更多
The current epidemic situation of coronavirus disease 2019(COVID-19)still remains severe.As the National Clinical Research Center for Infectious Diseases,The First Affiliated Hospital of the Zhejiang University School...The current epidemic situation of coronavirus disease 2019(COVID-19)still remains severe.As the National Clinical Research Center for Infectious Diseases,The First Affiliated Hospital of the Zhejiang University School of Medicine is the primary medical care center for COVID-19 in Zhejiang Province.Based on the present expert consensus carried out by the National Health Commission and National Administration of Traditional Chinese Medicine,our team summarized and established an effective treatment strategy centered on“Four-Anti and Two-Balance”for clinical practice.The“Four-Anti and Two-Balance”strategy includes antivirus,anti-shock,antihypoxemia,and anti-secondary infection,and maintaining of water,electrolyte and acid/base balance and microecological balance.Simultaneously,an integrated multidisciplinary personalized treatment is recommended to improve therapeutic effects.The importance of early viral detection,dynamic monitoring of inflammatory indexes,and chest radiographs has been emphasized in clinical decision-making.Sputum was observed with the highest positive rate by reverse transcription-polymerase chain reaction(RTPRC).Viral nucleic acids could be detected in 10%of the patients’blood samples at the acute phase and 50%of patients had positive RT-PCR results in their feces.We also isolated live viral strains from feces,indicating potential infectiousness of feces.Dynamic cytokine detection was necessary to timely identify cytokine storms and for the application of the artificial liver blood purification system.The“Four-Anti and Two-Balance”strategy effectively increased cure rates and reduced mortality.Early antiviral treatment alleviated disease severity and prevented illness progression.We found that lopinavir/ritonavir combined with abidol showed antiviral effects against COVID-19.Shock and hypoxemia were usually caused by cytokine storms.The artificial liver blood purification system was able to rapidly remove inflammatory mediators and block the cytokine storm.Moreover,it also contributed to the balance of fluids,electrolytes,and acids/bases and thus improved treatment efficacy during critical illness.For cases of severe illness,early and also short periods of moderate glucocorticoid administration was supported.Patients with an oxygenation index below 200mmHg were transferred to the intensive care unit.Conservative oxygen therapy was preferred and noninvasive ventilation(NIV)was not recommended.Patients with mechanical ventilation were strictly supervised with cluster ventilator-associated pneumonia prevention strategies.Antimicrobial prophylaxis was prescribed rationally and was not recommended,except for patients with a long course of disease,repeated fever,and elevated procalcitonin,similarly secondary fungal infections were of concern.Some patients with COVID-19 showed intestinal microbial dysbiosis with decreased genus such as Lactobacillus and Bifidobacterium.Nutritional and gastrointestinal function should;therefore,be assessed for all patients.Nutritional support and application of prebiotics or probiotics were suggested to regulate the balance of intestinal microbiota and reduce the risk of secondary infections due to bacterial translocation.Anxiety and fear were common in patients with COVID-19.Therefore,we established a dynamic assessment and warning for psychological crises.We also integrated Chinese medicine in the treatment to promote rehabilitation.We optimized nursing processes for severe patients to promote their rehabilitation.Since viral clearance patterns after severe acute respiratory syndrome coronavirus 2 infections remained unclear,2 weeks quarantine for discharged patients was required,and a regular following-up was also needed.These Zhejiang experiences and suggestions have been implemented in our center and achieved good results.However,since COVID-19 was a newly emerging disease,more work is warranted to further improve strategies of prevention,diagnosis,and treatment for COVID-19.展开更多
基金This work was supported by the Regional Innovation Cooperation Project of Sichuan Province(Grant No.2022YFQ0073).
文摘The Internet of Things(IoT)plays an essential role in the current and future generations of information,network,and communication development and applications.This research focuses on vocal tract visualization and modeling,which are critical issues in realizing inner vocal tract animation.That is applied in many fields,such as speech training,speech therapy,speech analysis and other speech production-related applications.This work constructed a geometric model by observation of Magnetic Resonance Imaging data,providing a new method to annotate and construct 3D vocal tract organs.The proposed method has two advantages compared with previous methods.Firstly it has a uniform construction protocol for all speech organs.Secondly,this method can build correspondent feature points between different speech organs.There are less than three control parameters can be used to describe every speech organ accurately,for which the accumulated contribution rate is more than 88%.By means of the reconfiguration,the model error is less than 1.0 mm.Regarding to the data from Chinese Magnetic resonance imaging(MRI),this is the first work of 3D vocal tract model.It will promote the theoretical research and development of the intelligent Internet of Things facing speech generation-related issues.
基金supported by a grant from the Key Research and Development Plan of Anhui province(1804h08020239)
文摘Background: Currently, hepatectomy remains the first-line therapy for hepatocellular carcinoma(HCC). However, surgery for patients with huge( > 10 cm) HCCs is controversial. This retrospective study aimed to explore long-term survival after hepatectomy for patients with huge HCC. Methods: The records of 188 patients with pathologically confirmed HCC who underwent curative hepatectomy between 2007 and 2017 were reviewed;patients were divided into three groups according to tumor size: huge( > 10 cm;n = 84), large(5–10 cm;n = 51) and small( < 5 cm;n = 53) HCC. Kaplan-Meier analysis was used to assess overall survival(OS) and disease-free survival(DFS), and log-rank analysis was performed for pairwise comparisons among the three groups. Risk factors for survival and recurrence were analyzed using the Cox proportional hazard model. Results: The median follow-up period was 20 months. Although the prognosis of small HCC was better than that of huge and large HCC, OS and DFS were not significantly different between huge and large HCC( P = 0.099 and P = 0.831, respectively). A family history of HCC, poor Child-Pugh class, vascular invasion, diolame, pathologically positive margins, and operative time ≥240 min were identified as independent risk factors for OS and DFS in a multivariate model. Tumor size( > 10 cm) had significant effect on OS, and postoperative antiviral therapy and postoperative complications also had significant effects on DFS. Conclusions: Huge HCC is not a contraindication of hepatectomy. Although most of these patients experienced recurrence after surgery, OS and DFS were not significantly different from those of patients with large HCC after resection.
基金Supported by the National Natural Science Foundation of China(51204179,51204182)the Natural Science Foundation of Jiangsu Province,China(BK20141242)
文摘This work aimed at studying the feasibility of calculating the coal–oxygen diffusion properties during the low temperature oxidation process of lignite so as to predict its spontaneous combustion process. Coal samples were oxidized in air ambient under different temperatures. Scanning Electron Microscope was used to indicate the surface morphology changes of oxidization. Then, based on fractal theory and flow characteristics, the fractal dimension of gas diffusion in the pore ways was calculated under different temperature. Considering pore size distribution, connectivity distribution and Fick diffusion mechanisms, the relationship between the gas diffusivity change with pore area fractal dimension and porosity was investigated, and multiple linear equation of the coal–oxygen diffusion coefficients and pore parameters was obtained. Comparison between the experimental data and model prediction verifies the validity of the model. The research provides a theoretical basis for the prediction model of coal–oxygen diffusion law.
文摘BACKGROUND:In the management of critically ill patients,the assessment of volume responsiveness and the decision to administer a fluid bolus constitute a common dilemma for physicians.Static indices of cardiac preload are poor predictors of volume responsiveness.Passive leg raising(PLR) mimics an endogenous volume expansion(VE) that can be used to predict fluid responsiveness.This study was to assess the changes in stroke volume index(SVI) induced by PLR as an indicator of fluid responsiveness in mechanically ventilated patients with severe sepsis.METHODS:This was a prospective study.Thirty-two mechanically ventilated patients with severe sepsis were admitted for VE in ICU of the First Affiliated Hospital,Zhejiang University School of Medicine and Ningbo Medical Treatment Center Lihuili Hospital from May 2010 to December 2011.Patients with non-sinus rhythm or arrhythmia,parturients,and amputation of the lower limbs were excluded.Measurements of SVI were obtained in a semi-recumbent position(baseline) and during PLR by the technique of pulse indicator continuous cardiac output(PiCCO) system prior to VE.Measurements were repeated after VE(500 mL 6%hydroxyethyl starch infusion within 30 minutes)to classify patients as either volume responders or non-responders based on their changes in stroke volume index(ASVI) over 15%.Heart rate(HR),systolic artery blood pressure(ABPs),diastolic artery blood pressure(ABPd),mean arterial blood pressure(ABPm),mean central venous pressure(CVPm)and cardiac index(CI) were compared between the two groups.The changes of ABPs,ABPm,CVPm,and SVI after PLR and VE were compared with the indices at the baseline.The ROC curve was drawn to evaluate the value of ASVI and the change of CVPm(ACVPm) in predicting volume responsiveness.SPSS 17.0 software was used for statistical analysis.RESULTS:Among the 32 patients,22 were responders and 10 were non-responders.After PLR among the responders,some hemodynamic variables(including ABPs,ABPd,ABPm and CVPm)were significantly elevated(101.2±17.6 vs.118.6±23.7,P=0.03;52.8±10.7 vs.64.8±10.7,P=0.006;68.3+11.7 vs.81.9±14.4,P=0.008;6.8±3.2 vs.11.9±4.0,P=0.001).After PLR,the area under curve(AUC) and the ROC curve of △SV1 and ACVPm for predicting the responsiveness after VE were0.882±0.061(95%CI 0.759-1.000) and 0.805±0.079(95%CI 0.650-0.959) when the cut-off levels of ASVI and ACVPm were 8.8%and 12.7%,the sensitivities were 72.7%and 72.7%,and the specificities were 80%and 80%.CONCLUSION:Changes in ASVI and ACVPm induced by PLR are accurate indices for predicting fluid responsiveness in mechanically ventilated patients with severe sepsis.
文摘BACKGROUND: The study aimed to investigate the clinical characteristics of acute renal failure(ARF) caused by oral acyclovir.METHODS: A 45-year-old Chinese male patient with acyclovir-induced ARF suffered fromabdominal pain for one day. The pain was extended to the epigastric area from the right lowerquadrant. Transient oliguria was seen in addition to microscopic hematuria and proteinuria. Theserum creatinine concentration was 304 !mol/L. Eight days before the occurrence of ARF, the patienttook oral acyclovir for facial neuritis.RESULTS: His renal function was restored completely following the discontinuation of acyclovir,with continuous renal replacement therapy for 54 hours and some symptomatic treatment.CONCLUSION: The presentation of acute renal failure caused by acyclovir can be diverse, butthe prognosis is good after active treatment.
基金National Natural Science Foundation of China,Grant/Award Numbers:61703418,61825305。
文摘Here,the challenges of sample efficiency and navigation performance in deep rein-forcement learning for visual navigation are focused and a deep imitation reinforcement learning approach is proposed.Our contributions are mainly three folds:first,a frame-work combining imitation learning with deep reinforcement learning is presented,which enables a robot to learn a stable navigation policy faster in the target-driven navigation task.Second,the surrounding images is taken as the observation instead of sequential images,which can improve the navigation performance for more information.Moreover,a simple yet efficient template matching method is adopted to determine the stop action,making the system more practical.Simulation experiments in the AI-THOR environment show that the proposed approach outperforms previous end-to-end deep reinforcement learning approaches,which demonstrate the effectiveness and efficiency of our approach.
基金Liaoning Provincial Natutal Science Foundation project,Grant/Award Number:2019-zd-0578。
文摘Deep reinforcement learning has achieved some remarkable results in self-driving.There is quite a lot of work to do in the area of autonomous driving with high real-time requirements because of the inefficiency of reinforcement learning in exploring large continuous motion spaces.A deep imitation reinforcement learning(DIRL)framework is presented to leam control policies of self-driving vehicles,which is based on a deep deterministic policy gradient algorithm(DDPG)by vision.The DIRL framework comprises two components,the perception module and the conttol module,using imitation learning(IL)and DDPG,respectively;The perception module employs the IL network as an encoder which processes an image into a low-dimensional feature vector.This vector is then delivered to the control module which outputs control commands.Meanwhile,the actor network of the DDPG is initialized with the trained IL network to improve exploration efficiency.In addition,a reward function for reinforcement learning is defined to improve the stability of self-driving vehicles,especially on curves.DIRL is verified by the open racing car simulator(TORCS),and the results show that the correct control strategy is learned successfully and has less training time.
基金supported by the Natural Science Research Foundation of Anhui Provincial Education Department(KJ2016A464,KJ2016A478,KJ2014A161,KJ2015A248)General Natural Science Research Project of Anhui Education Department(KJ2015B022by,KJ2015B005by)+1 种基金the Foundation for Excellent Young Scholars of Anhui province(gxyq ZD2016163)the Scientific Research Innovation Team project of Anhui Colleges and Universities(2016-40)
文摘Objective: To conduct the cloning identification and characterization of the sequence of human IL-17 A promoter so as to analyze the regulatory mechanism of the gene expression of IL-17. Methods: First of all, the potential promoter region of IL-17 A was found by means of the bioinformatics methods. Then, it was cloned into the reporter vector with PCR technique. Finally, the activity of the test promoter was determined by dual luciferase reporter system. Results: Two transcriptional start points of the upper region, 600 bp and 1000 bp, of IL-17 A were obtained by PCR clone and proved to have certain activities by dual luciferase reporter system. Also, they could be activated by IL-17 A activator STAT3, which could start the expression of the reported gene. Conclusions: Clone established the regulatory region of human IL-17 A promoter, which provided bases to the subsequent function research.
基金financial support from the National Science Foundation of China(51671094,21606189)China Postdoctoral Science Foundation(2017M612174)+1 种基金Shandong Provincial Natural Science Foundation(ZR2015BQ011)the Science and Technology Project of University of Jinan(XKY1826)。
文摘Developing of high-performance and low-cost electrocatalysts is of great significance to reduce the overpotential and accelerated the reaction rate of oxygen evolution in water splitting and related energy conversion applications.Herein,Fe,O-dual doped Ni2P(Fe,O-Ni2P)nanoarray is successfully synthesized on carbon cloth demonstrating enhanced electrocatalytic activity and stability for oxygen evolution reaction(OER)under alkaline media.The as-synthesized Fe,O-Ni2P nanoarray exhibits obviously improved OER performance with a low overpotential of 210 mV at 10 mA cm^-2 current density and a Tafel slope of48 mV dec^-1,as well as long-term durability.The strong coupling interaction induced changes in electronic structure lead to relatively higher oxidation state and stronger oxidation ability of the Fe,O-Ni2P nanoarray,together with the high electrochemical surface area and good conductivity contribute to the superior OER performance.This work highlights the anion-cation dual doping strategy may be an effective method for fabrication of catalysts relating to energy conversion applications.
基金supported by the National Natural Science Foundation of China(NSFC,Nos.22175195,22075311 and 21975278).
文摘Comprehensive Summary,Low dielectric(low-k)organosilicon polymers have received extensive interests from industry and academia due to good electrical insulation,high temperature resistance,flame retardancy and hydrophobicity.These attractive properties enable them to be utilized as low-k materials in fabrication of electronic devices in high-frequency communication technology.This review summarizes recent progress in developing low-k organosilicon polymers,including the synthetic methods and properties of different organosilicon polymers classified according to the chemical structures.It may provide some inspiration to design new low-k organosilicon polymers for application in the.
基金supported by the National Natural Science Foundation of China(Grant No.41725007)National Key R&D Program of China(Grant No.2018YFE0204201)+1 种基金Fundamental Research Funds for the Central Universities(0206-14380121)Frontiers Science Center for Critical Earth Material Cycling Fund(JBGS2101).
文摘Stratigraphic knowledge,the cornerstone of geoscience,needs to be represented by the Knowledge Graph based upon ontology,in order to apply the state-of-the-art big-data techniques.This study aims to comprehensively construct the ontologies for the stratigraphic domain.This has been achieved by a federated,crowd intelligence-based collaboration among domain experts of major stratigraphic subdisciplines.The initial step is to enumerate key terms from authoritative references and incorporate them into the Geoscience Professional Knowledge Graphs(GPKGs)of Deep-time Digital Earth Project.During this process,semantic heterogeneities were meticulously addressed by professional judgement aided by an automatic detection of Homonyms at the GPKGs platform.Afterwards,these terms were further differentiated as either classes or properties and arranged in a hierarchical framework in a top-down process.Consequently,seven ontologies are constructed for major stratigraphic branches,i.e.,Lithostratigraphy,Biostratigraphy,Chronostratigraphy,Chemostratigraphy,Magnetostratigraphy,Cyclostratigraphy and Sequence Stratigraphy.The ontology of Biostratigraphy,among them,is elaborated here,as no biostratigraphic ontology has been attempted before to our knowledge.The constructed biostratigraphic ontology comprises following major root classes:Fossil,Biostratigraphic unit,Biostratigraphic horizon.Altogether,they contribute to the eventual dating and correlating of strata in another root class:Biostratigraphic correlation.In summary,the achievements of this study are probably heretofore the most comprehensive ontologies for the stratigraphic domain.Moreover,a proto model of semantic search engine was conceived to discuss potential application of our work for better querying stratigraphic references,utilizing the semantic liaison of the classes in the constructed ontologies.
基金supported by the National Science Foundation of China(32071535),the Science Foundation of Henan Province(212300410038)the Joint Fund of the National Natural Science Foundation of China and the Karst Science Research Center of Guizhou Province(U1812401).
基金Joint Funds of the National Natural Science Foundation of China,Grant/Award Number:U21A20518National Natural Science Foundation of China,Grant/Award Numbers:62106279,61903372。
文摘Policy evaluation(PE)is a critical sub-problem in reinforcement learning,which estimates the value function for a given policy and can be used for policy improvement.However,there still exist some limitations in current PE methods,such as low sample efficiency and local convergence,especially on complex tasks.In this study,a novel PE algorithm called Least-Squares Truncated Temporal-Difference learning(LST2D)is proposed.In LST2D,an adaptive truncation mechanism is designed,which effectively takes advantage of the fast convergence property of Least-Squares Temporal Difference learning and the asymptotic convergence property of Temporal Difference learning(TD).Then,two feature pre-training methods are utilised to improve the approximation ability of LST2D.Furthermore,an Actor-Critic algorithm based on LST2D and pre-trained feature representations(ACLPF)is proposed,where LST2D is integrated into the critic network to improve learning-prediction efficiency.Comprehensive simulation studies were conducted on four robotic tasks,and the corresponding results illustrate the effectiveness of LST2D.The proposed ACLPF algorithm outperformed DQN,ACER and PPO in terms of sample efficiency and stability,which demonstrated that LST2D can be applied to online learning control problems by incorporating it into the actor-critic architecture.
基金the National Key Research and Development Program(2016Y FC1000805)University Innovation Team Building Program of Chongqing(CXTDG201602020)Science and Technology Research Program of Chongqing Municipal Education Commission(KJQN202000433).
文摘This study aimed to evaluate the therapeutic effect of IR-61,a novel mitochondrial heptamethine cyanine dye with antioxidant effects,on diabetes mellitus-induced erectile dysfunction(DMED).Eight-week-old male Sprague-Dawley rats were intraperitoneally injected with streptozotocin(STZ)to induce type 1 diabetes.Eight weeks after STZ injection,all rats were divided into three groups:the control group,DM group,and DM+IR-61 group.In the DM+IR-61 group,the rats were administered IR-61(1.6 mg kg-1)twice a week by intravenous injection.At week 13,erectile function was evaluated by determining the ratio of the maximal intracavernous pressure to mean arterial pressure,and the penises were then harvested for fluorescent imaging,transmission electron microscopy,histological examinations,and Western blot analysis.Whole-body imaging suggested that IR-61 was highly accumulated in the penis after intravenous injection.IR-61 treatment significantly improved the maximal ICP of diabetic rats.Additionally,IR-61 ameliorated diabetes-induced inflammation,apoptosis,and phenotypic transition of corpus cavernosum smooth muscle cells(CCSMCs)in penile tissue.IR-61 also attenuated mitochondrial damage,reduced reactive oxygen species production in the corpus cavernosum and upregulated sirtuinl(SIRT1),sirtuin3(SIRT3),nuclear factor(erythroid-derived 2)-like 2(Nrf2),and heme oxygenase expression in penile tissue.In conclusion,IR-61 represents a potential therapeutic option for DMED by protecting the mitochondria of CCSMCs,which may be mediated by activation of the SIRT1,SIRT3,and Nrf2 pathways.
文摘As integrated circuits (IC) technologies advance into very-deep-sub-micron (VDSM), electrostatic discharge (ESD) failure becomes one of the most devastating IC reliability problems and on-chip ESD protection design emerges as a major challenge to radio frequency (RF), analog, and mixed-signal (AMS) IC designs. This paper reviews key design aspects and recent advances in whole-chip ESD protection designs for RF/AMS IC applications in CMOS technologies.
基金supported by the National Science Foundation of China(Nos.31300451 and 31030016).
文摘Plant-pollinator interactions can be highly variable across years in natural communities.Although variation in the species composition and its basic structure has been investigated to understand the dynamic nature of pollination networks,little is known about the temporal dynamic of interaction strength between the same plant and pollinator species in any natural community.Pollinator-mediated selection on the evolution of floral traits could be diminished if plant-pollinator interactions vary temporally.To quantify the temporal variation in plant-pollinator interactions and the interaction strength(observed visits),we compared weighted networks between plants and pollinators in a biodiverse alpine meadow in Shangri-La,southwest China for 3 consecutive years.Although plant-pollinator interactions were highly dynamic such that identical interactions only accounted for 10.7%of the total between pair years,the diversity of interactions was stable.These identical interactions contributed 41.2%of total visits and were similar in strength and weighted nestedness.For plant species,72.6%of species were visited by identical pollinator species between pair years,accounting for over half of the total visits and three-quarters at the functional group level.More generalized pollinators contributed more connectiveness and were more central in networks across years.However,there was no similar or even opposite trend for plant species,which suggested that specialized plant species may also be central in pollinator networks.The variation in pollinator composition decreased as pollinator species numbers increased,suggesting that generalized plants experienced stable pollinator partition.The stable,tight interactions between generalized pollinators and specialized plants represent cornerstones of the studied community.
基金This study was supported by the Zhejiang Provincial Key Research and Development Program(2020C03123).
文摘The current epidemic situation of coronavirus disease 2019(COVID-19)still remains severe.As the National Clinical Research Center for Infectious Diseases,The First Affiliated Hospital of the Zhejiang University School of Medicine is the primary medical care center for COVID-19 in Zhejiang Province.Based on the present expert consensus carried out by the National Health Commission and National Administration of Traditional Chinese Medicine,our team summarized and established an effective treatment strategy centered on“Four-Anti and Two-Balance”for clinical practice.The“Four-Anti and Two-Balance”strategy includes antivirus,anti-shock,antihypoxemia,and anti-secondary infection,and maintaining of water,electrolyte and acid/base balance and microecological balance.Simultaneously,an integrated multidisciplinary personalized treatment is recommended to improve therapeutic effects.The importance of early viral detection,dynamic monitoring of inflammatory indexes,and chest radiographs has been emphasized in clinical decision-making.Sputum was observed with the highest positive rate by reverse transcription-polymerase chain reaction(RTPRC).Viral nucleic acids could be detected in 10%of the patients’blood samples at the acute phase and 50%of patients had positive RT-PCR results in their feces.We also isolated live viral strains from feces,indicating potential infectiousness of feces.Dynamic cytokine detection was necessary to timely identify cytokine storms and for the application of the artificial liver blood purification system.The“Four-Anti and Two-Balance”strategy effectively increased cure rates and reduced mortality.Early antiviral treatment alleviated disease severity and prevented illness progression.We found that lopinavir/ritonavir combined with abidol showed antiviral effects against COVID-19.Shock and hypoxemia were usually caused by cytokine storms.The artificial liver blood purification system was able to rapidly remove inflammatory mediators and block the cytokine storm.Moreover,it also contributed to the balance of fluids,electrolytes,and acids/bases and thus improved treatment efficacy during critical illness.For cases of severe illness,early and also short periods of moderate glucocorticoid administration was supported.Patients with an oxygenation index below 200mmHg were transferred to the intensive care unit.Conservative oxygen therapy was preferred and noninvasive ventilation(NIV)was not recommended.Patients with mechanical ventilation were strictly supervised with cluster ventilator-associated pneumonia prevention strategies.Antimicrobial prophylaxis was prescribed rationally and was not recommended,except for patients with a long course of disease,repeated fever,and elevated procalcitonin,similarly secondary fungal infections were of concern.Some patients with COVID-19 showed intestinal microbial dysbiosis with decreased genus such as Lactobacillus and Bifidobacterium.Nutritional and gastrointestinal function should;therefore,be assessed for all patients.Nutritional support and application of prebiotics or probiotics were suggested to regulate the balance of intestinal microbiota and reduce the risk of secondary infections due to bacterial translocation.Anxiety and fear were common in patients with COVID-19.Therefore,we established a dynamic assessment and warning for psychological crises.We also integrated Chinese medicine in the treatment to promote rehabilitation.We optimized nursing processes for severe patients to promote their rehabilitation.Since viral clearance patterns after severe acute respiratory syndrome coronavirus 2 infections remained unclear,2 weeks quarantine for discharged patients was required,and a regular following-up was also needed.These Zhejiang experiences and suggestions have been implemented in our center and achieved good results.However,since COVID-19 was a newly emerging disease,more work is warranted to further improve strategies of prevention,diagnosis,and treatment for COVID-19.