红皮病的病因及临床分析

目的探讨红皮病的发病原因、临床特点及实验室检查。方法对国内报道的红皮病临床分析类文献进行回顾性总结。观察患者的一般情况、病因、临床特点、实验室检查等。结果国内各地收治的1392例红皮病患者中,主要发病原因为继发于其他皮肤病的患者人数达960例,占68.97%,其中继发于银屑病、湿疹者较多,分别占65.42%和23.85%;药物相关患者243例,占17.46%;恶性肿瘤相关患者41例,占2.95%;原因不明患者148例,占10.63%。红皮病的临床特点主要表现为红斑、鳞屑、肿胀、瘙痒等症状,可累及掌趾关节、黏膜、指/趾甲及毛发,伴有淋巴结肿大、不规则发热等,也可出现心律失常、呼吸道感染、脾大、肝大、腹痛、腹泻等症状。血液常规和生化检查中出现各种异常,如白细胞增多、血红蛋白降低、血浆白蛋白、电解质紊乱、血沉加快等。结论红皮病的主要病因是继发于其他皮肤病及用药混乱,临床需要仔细询问病史,全面体检,注意筛查皮肤淋巴瘤、肺癌、胃癌等恶性肿瘤,对原因不明患者应长期随访观察,争取早发现、早诊断、早预防、早治疗。

Coxsackievirus A6 was the most common enterovirus serotype causing hand,foot,and mouth disease in Shiyan City,central China

BACKGROUND Hand,foot,and mouth disease(HFMD)has become one of the most common infectious diseases in China.Before 2016,the primary causal serotypes were enterovirus A71(EV-A71)and coxsackievirus A16(CV-A16).Following the introduction of EV-A71 vaccines in China since 2016,the situation could change.CV-A6 has recently replaced EV-A71 and CV-A16 in some areas of China.However,the epidemiological characteristics of central China remain unknown.AIM To investigate the clinical symptoms and pathogen spectrum of HFMD in Shiyan City,central China,in recent years.METHODS The epidemiological,clinical,and laboratory data from HFMD cases reported to the Shiyan Center for Disease Control and Prevention between January 2016 and December 2020 were analyzed.196 throat swab specimens were collected from hospitalized HFMD patients between January 2018 and December 2020.To detect and genotype enteroviruses,real-time reverse transcription-polymerase chain reaction and sequencing of the 5'-untranslated region were used.In Shiyan,168 laboratory-confirmed HFMD cases were studied using a logistic regression model to determine the effect of predominant enterovirus serotypes.Based on the logistic regression model,the least absolute shrinkage and selection operator model was used to analyze the correlation between CV-A6 infection and various clinical characteristics in HFMD patients in Shiyan.RESULTS From 2016 to 2020,35840 HFMD cases were reported in Shiyan.The number of cases decreased by 48.4%from 2016 to 2017.Approximately 1.58-fold increases were found in 2018 and 2019 when compared to the previous year,respectively.In 2020,a decrease of about 85.5%was reported when compared to 2019.The most common serotypes shifted from EV-A71 and CV-A16(about 60%-80%in 2016 and 2018)to others(more than 80.0%in 2017,2019,and 2020).EV-A71 lost its dominance in 2017 in Shiyan.Among 196 confirmed HFMD cases,85.7%tested positive for enterovirus,with CV-A6 being the most common serotype(121/168,72.0%).The positive rates for CV-A16 and CVA10 were 4.8%and 3.0%,respectively.There was no EV-A71 discovered.Infection with CV-A6 was linked to fever,myocardial damage,increased creatine kinase MB isoenzyme,and lactate dehydrogenase levels.CONCLUSION CV-A6 was the most common enterovirus serotype in Shiyan City,replacing EV-A71 and CV-A16 as the HFMD pathogen.Developing vaccines against CV-A6 or multiple pathogens,as well as rising CV-A6 surveillance,will help prevent HFMD in central China.

Improvement of Thermoelectric Performance in BiCuSeO Oxide by Ho Doping and Band Modulation

We try to use Ho doping combined with band modulation to adjust the thermoelectric properties for BiCuSeO.The results show that Ho doping can increase the carrier concentration and increase the electrical conductivity in the whole temperature range.Although Seebeck coefficient decreases due to the increase of carrier concentration,it still keeps relatively high values,especially in the middle and high temperature range.On this basis,the band-modulation sample can maintain relatively higher carrier concentration while maintaining relatively higher mobility,and further improve the electrical transporting performance.In addition,due to the introduction of a large number of interfaces in the band-modulation samples,the phonon scattering is enhanced effectively and the lattice thermal conductivity is reduced.Finally,the maximal power factor(PF)of 5.18μW·cm^-1K^-2and the dimensionless thermoelectric figure of merits(ZT)of 0.81 are obtained from the 10%Ho modulation doped sample at 873 K.

Numerical investigation on thermomechanical behavior of alumina–calcium hexaluminate refractories for purging plug

Alumina–spinel refractories used in slit-type purging plugs are susceptible to cross-sectional damage,resulting in a serious mismatch between their service life and that of ladle.Alumina–calcium hexaluminate refractories have gradually become the new trend in purging plug materials with the development of refining technology.The thermomechanical damage of slit-type purging plugs with alumina–calcium hexaluminate refractory was investigated by the thermo-solid coupling simulation.Combined with the polynomial fitting and design of experiments methods,the influence of thermophysical parameters on temperature and thermal stress of alumina–calcium hexaluminate refractories for purging plugs was systematically analyzed.The results show that the maximum thermal stress of the purging plugs appears during the stages of steel transporting and stirring,and the vulnerable parts are located above Y=0.323 m.The thermal conductivity and the coefficient of thermal expansion of the material are the most sensitive parameters to the temperature and thermal stress inside the structure,respectively.The addition of more calcium hexaluminate can relieve the stress concentration and large deformation around the slits.Consequently,when the content of calcium hexaluminate is 47 wt.%and in the form of aggregate-binder,the temperature and thermal stress distribution inside the refractory are optimal,which can effectively improve the service life of the slit-type purging plug.

Numerical study of creep effect on purging plug performance under cyclic service

The service life of the purging plug is one of the fundamental factors that determine the downtime and usage efficiency of the whole ladle.The creep behaviour of the purging plug was thus investigated to identify the possible failure mechanism.At first,the creep parameters of the Norton–Bailey strain hardening rule were inversely identified via the results of the creep test.Then,the thermal-solid coupling model approach was employed to predict the creep behaviour of the purging plug,in which the Norton–Bailey strain hardening rule was applied.The numerical results show that the temperature of the purging plug presents a cyclic trend after the first service period since the preheating temperature is lower than the temperature of molten steel.Furthermore,the distribution of the creep strain intensity in a layered form could also contribute to a gradual spalling of the purging plug end in service.Besides,the creep strain concentration around the slit can be responsible for the clogging of the purging plug.

An Arabidopsis mutant atcsr-2 exhibits high cadmium stress sensitivity involved in the restriction of H_2S emission

The gene AtCSR encodes peptidyl-prolyl cis/trans isomerases (PPIases) that accelerate energetically unfavorable cis/trans isomerization of the peptide bond preceding proline production.In our studies,we found that AtCSR was associated with cadmium (Cd)-sensitive response in Arabidopsis.Our results show that AtCSR expression was triggered by Cd-stress in wild type Arabidopsis.The expression of some genes responsible for Cd2+ transportation into vacuoles was induced,and the expression of the iron-regulated transporter 1 (IRT1) related to Cd2+ absorption from the environment was not induced in wild type with Cd2+ treatment.The expression of Cd-transportation related genes was not in response to Cd-stress,whereas IRT expression increased dramatically in atcsr-2 with Cd2+ treatment.The expression of glutathione 1 (GSH1) was consistent with GSH being much lower in atcsr-2 in comparison with the wild type with Cd2+ treatment.Additionally,malondialdehyde (MDA),hydrogen peroxide,and Cd2+ contents,and activities of some antioxidative enzymes,differed between the wild type and atcsr-2.Hydrogen sulfide (H2S) has been confirmed as the third gas-transmitter over recent years.The findings revealed that the expression pattern of H2 S-releasing related genes and that of Cd-induced chelation and transportation genes matched well in the wild type and atcsr-2,and H2S could regulate the expression of the Cd-induced genes and alleviate Cd-triggered toxicity.Finally,one possible suggestion was given:down-regulation of atcsr-2,depending on H2S gas-transmitter not only weakened Cd2+ chelation,but also reduced Cd2+ transportation into vacuoles,as well as enhancing the Cd2+ assimilation,thus rendering atcsr-2 mutant sensitive to Cd-stress.

Characterization and mechanism of dissolution behavior of Al_(2)O_(3)/MgO oxides in molten slags

Al_(2)O_(3)-and MgO-based oxides are among the most common oxides in the steelmaking industry.They exist as the main components of refractories,inclusions,or slags.Al_(2)O_(3)-and MgO-based oxides interact with molten slags continuously during the steel smelting process,which may lead to the dissolution and absorption of the oxides by molten slags,or reactions between oxides and molten slags to form intermediate products.Understanding the dissolution behavior of Al_(2)O_(3)-and MgO-based oxides in molten slags is important for prolonging the service life of refractories and removing inclusions in molten steel.Therefore,Al_(2)O_(3)-and MgO-based oxides are considered,and the test methods,dissolution mechanisms,and influencing factors are comprehensively introduced,which can provide a foundation for refractories wear and high-quality steel smelting.

Investigating Ion Transport through Artificial Transmembrane Channels Containing Introverted Groups

The investigation on the relationship between structure and transport activity of artificial transmembrane channels has still re-mained a challenge because of lacking strategy to precisely arrange the functional group in the channel structures.Herein,we report a general strategy to monitor ion transport through the artificial channels by using unimolecular tubular molecules containing intro-verted groups.We found that the ion transport rate decreased with elongation of the introverted sidechains and the channel with propyl group as the introverted sidechain exhibited the longest opening duration time.Moreover,we have revealed that,comparing to the ion transport rate,the opening duration is a more important factor for determining the transport activity of the artificial channels.

Structural optimization and design of purging plug for improving its service performance

Purging plug with slits is widely used in the secondary refining process,and its service life determines the downtime and production efficiency.To achieve a good performance in service life,optimizing the geometric structure of the slit,which can alleviate the stress concentration around the slit,was employed using the finite plate model.Furthermore,the performance of the purging plugs with different shapes of slits in the refining effect was investigated by conducting the water model experiments.The numerical simulation results showed that the appropriate shapes of slits could alleviate the stress concentration phenomena.In the water model experiment,the mixing time of the purging plug with circular slits is lesser than that of the purging plug with rectangular slits when the gas flow is less than 6.02 L/min.Compared with the rectangular slits,the circular slits are detrimental to smaller and well-distributed bubbles.Thus,the inclusion removal rate of the purging plug with circular slits is approximately 10%larger than that of the purging plug with the rectangular slits.

Influence of h-BN particle size on fracture behavior and thermal shock resistance of Al2O3-C refractories

h-BN can be applied in Al_(2)O_(3)–C refractories to substitute graphite due to their similar crystal structure and better resistance to molten steel and oxidation.The effects of h-BN particle size on the mechanical properties and fracture behavior of Al_(2)O_(3)–C refractories were investigated through wedge splitting test and microstructural analyses.The obtained results demonstrated that the addition of larger-sized h-BN was conducive to the growth of in situ formed SiC whiskers,which contributed to the highest flexural strength(42.63±3.10 MPa)of specimen D10.In comparison,the smaller-sized h-BN can induce more crack propagation paths along the interface and within matrix,leading to more tortuous crack propagation paths,and thus the thermal shock-related parameters such as specific fracture energy,characteristic length,and thermal shock resistance were improved.Consequently,the residual strength ratio of Al_(2)O_(3)–C refractories was increased from 35.5%to 42.5%with decreasing the h-BN particle size from 10 to 0.1μm.

Artificial cavernosa-like tissue based on multibubble Matrigel and a human corpus cavernous fibroblast scaffold

Ex vivo tissue culture of the human corpus cavernosum(cc)can be used to explore the tissue structural changes and complex signaling networks.At present,artificial Cc-like tissues based on acellular or three-dimensional(3D)-printed scaffolds are used to solve the scarcity of primary penis tissue samples.However,inconvenience and high costs limit the wide application of such methods.Here,we describe a simple,fast,and economical method of constructing artificial CC-like tissue.Human Cc fibroblasts(FBs),endothelial cells(ECs),and smooth muscle cells(SMCs)were expanded in vitro and mixed with Matrigel in specific proportions.A large number of bubbles were formed in the mixture by vortexing combined with pipette blowing,creating a porous,spongy,and spatial structure.The Cc FBs produced a variety of signaling factors,showed multidirectional differentiation potential,and grew in a 3D grid in Matrigel,which is necessary for CC-like tissue to maintain a porous structure as a cell scaffold.Within the C-like tissue,ECs covered the surface of the lumen,and SMCs were located inside the trabeculae,similar to the structure of the primary Cc.Various cell components remained stable for 3 days in vitro,but the EC content decreased on the 7th day.Wingless/integrated(WNT)signaling activation led to lumen atrophy and increased tissue fibrosis in CC-like tissue,inducing the same changes in characteristics as in the primary Cc.This study describes a preparation method for human artificial cC-like tissue that may provide an improved experimental platform for exploring the function and structure of the cC and conducting drug screening for erectile dysfunction therapy.