BACKGROUND Cognitive dysfunction is the main manifestation of central neuropathy.Although cognitive impairments tend to be overlooked in patients with diabetes mellitus(DM),there is a growing body of evidence linking ...BACKGROUND Cognitive dysfunction is the main manifestation of central neuropathy.Although cognitive impairments tend to be overlooked in patients with diabetes mellitus(DM),there is a growing body of evidence linking DM to cognitive dysfunction.Hyperglycemia is closely related to neurological abnormalities,while often disregarded in clinical practice.Changes in cerebral neurotransmitter levels are associated with a variety of neurological abnormalities and may be closely related to blood glucose control in patients with type 2 DM(T2DM).AIM To evaluate the concentrations of cerebral neurotransmitters in T2DM patients exhibiting different hemoglobin A1c(HbA1c)levels.METHODS A total of 130 T2DM patients were enrolled at the Department of Endocrinology of Shanghai East Hospital.The participants were divided into four groups according to their HbA1c levels using the interquartile method,namely Q1(<7.875%),Q2(7.875%-9.050%),Q3(9.050%-11.200%)and Q4(≥11.200%).Clinical data were collected and measured,including age,height,weight,neck/waist/hip circumferences,blood pressure,comorbidities,duration of DM,and biochemical indicators.Meanwhile,neurotransmitters in the left hippocampus and left brainstem area were detected by proton magnetic resonance spectroscopy.RESULTS The HbA1c level was significantly associated with urinary microalbumin(mALB),triglyceride,low-density lipoprotein cholesterol(LDL-C),homeostasis model assessment of insulin resistance(HOMA-IR),and beta cell function(HOMA-β),N-acetylaspartate/creatine(NAA/Cr),and NAA/choline(NAA/Cho).Spearman correlation analysis showed that mALB,LDL-C,HOMA-IR and NAA/Cr in the left brainstem area were positively correlated with the level of HbA1c(P<0.05),whereas HOMA-βwas negatively correlated with the HbA1c level(P<0.05).Ordered multiple logistic regression analysis showed that NAA/Cho[Odds ratio(OR):1.608,95%confidence interval(95%CI):1.004-2.578,P<0.05],LDL-C(OR:1.627,95%CI:1.119-2.370,P<0.05),and HOMA-IR(OR:1.107,95%CI:1.031-1.188,P<0.01)were independent predictors of poor glycemic control.CONCLUSION The cerebral neurotransmitter concentrations in the left brainstem area in patients with T2DM are closely related to glycemic control,which may be the basis for the changes in cognitive function in diabetic patients.展开更多
The 1：2 subharmonic resonance of the labyrinth seals-rotor system is inves- tigated, where the low-frequency vibration of steam turbines can be caused by the gas exciting force. The empirical parameters of gas exciti...The 1：2 subharmonic resonance of the labyrinth seals-rotor system is inves- tigated, where the low-frequency vibration of steam turbines can be caused by the gas exciting force. The empirical parameters of gas exciting force of the Muszynska model are obtained by using the results of computational fluid dynamics （CFD）. Based on the multiple scale method, the 1：2 subharmonic resonance response of the dynamic system is gained by truncating the system with three orders. The transition sets and the local bifurcations diagrams of the dynamics system are presented by employing the singular theory analysis. Meanwhile, the existence conditions of subharmonic resonance non-zero solutions of the dynamic system are obtained, which provides a new theoretical basis in recognizing and protecting the rotor from the subharmonic resonant failure in the turbine machinery.展开更多
The(2+1)-dimensional elliptic Toda equation is a high-dimensional generalization of the Toda lattice and a semidiscrete Kadomtsev–Petviashvili I equation.This paper focuses on investigating the resonant interactions ...The(2+1)-dimensional elliptic Toda equation is a high-dimensional generalization of the Toda lattice and a semidiscrete Kadomtsev–Petviashvili I equation.This paper focuses on investigating the resonant interactions between two breathers,a breather/lump and line solitons as well as lump molecules for the(2+1)-dimensional elliptic Toda equation.Based on the N-soliton solution,we obtain the hybrid solutions consisting of line solitons,breathers and lumps.Through the asymptotic analysis of these hybrid solutions,we derive the phase shifts of the breather,lump and line solitons before and after the interaction between a breather/lump and line solitons.By making the phase shifts infinite,we obtain the resonant solution of two breathers and the resonant solutions of a breather/lump and line solitons.Through the asymptotic analysis of these resonant solutions,we demonstrate that the resonant interactions exhibit the fusion,fission,time-localized breather and rogue lump phenomena.Utilizing the velocity resonance method,we obtain lump–soliton,lump–breather,lump–soliton–breather and lump–breather–breather molecules.The above works have not been reported in the(2+1)-dimensional discrete nonlinear wave equations.展开更多
The 1:2 internal resonance of coupled dynamic system with quadratic and cubic nonlinearities is studied. The normal forms of this system in 1 :2 internal resonance were derived by using the direct method of normal for...The 1:2 internal resonance of coupled dynamic system with quadratic and cubic nonlinearities is studied. The normal forms of this system in 1 :2 internal resonance were derived by using the direct method of normal form. In the normal,forms, quadratic and cubic nonlinearities were remained. Based on a new convenient transformation technique, the 4-dimension bifurcation equations were reduced to 3-dimension. A bifurcation equation with one-dimension was obtained. Then the bifurcation behaviors of a universal unfolding were studied by using the singularity theory. The method of this paper can be applied to analyze the bifurcation behavior in strong internal resonance on 4-dimension center manifolds.展开更多
A vibro-impact forming machine with double masses is considered. The components of the vibrating system collide with each other. Such models play an important role in the studies of dynamics of mechanical systems with...A vibro-impact forming machine with double masses is considered. The components of the vibrating system collide with each other. Such models play an important role in the studies of dynamics of mechanical systems with impacting components. The Poincaré section associated with the state of the impact-forming system, just immediately after the impact, is chosen, and the period n single-impact motion and its disturbed map are derived analytically. A center manifold theorem technique is applied to reduce the Poincaré map to a two-dimensional map, and the normal form map associated with codimension two bifurcation of 1：2 resonance is obtained, Unfolding of the normal form map is analyzed. Dynamical behavior of the impact-forming system, near the point of codimension two bifurcation, is investigated by using qualitative analyses and numerical simulation. Near the point of codimension two bifurcation there exists not only Neimark-Sacker bifurcation associated with period one single-impact motion, but also Neimark-Sacker bifurcation of period two double-impact motion. Transition of different forms of fixed points of single-impact periodic orbits, near the bifurcation point, is demonstrated, and different routes from periodic impact motions to chaos are also discussed.展开更多
Soliton molecules(SMs)of the(2+1)-dimensional generalized KonopelchenkoDubrovsky-Kaup-Kupershmidt(gKDKK)equation are found by utilizing a velocity resonance ansatz to N-soliton solutions,which can transform to asymmet...Soliton molecules(SMs)of the(2+1)-dimensional generalized KonopelchenkoDubrovsky-Kaup-Kupershmidt(gKDKK)equation are found by utilizing a velocity resonance ansatz to N-soliton solutions,which can transform to asymmetric solitons upon assigning appropriate values to some parameters.Furthermore,a double-peaked lump solution can be constructed with breather degeneration approach.By applying a mixed technique of a resonance ansatz and conjugate complexes of partial parameters to multisoliton solutions,various kinds of interactional structures are constructed;There include the soliton molecule(SM),the breather molecule(BM)and the soliton-breather molecule(SBM).Graphical investigation and theoretical analysis show that the interactions composed of SM,BM and SBM are inelastic.展开更多
BACKGROUND A 70-year-old man with hepatitis C virus-related recurrent hepatocellular carcinoma was admitted for further diagnosis of a 1 cm iso-hyperechoic nodule in segment(S)5.CASE SUMMARY Gadolinium ethoxybenzyl di...BACKGROUND A 70-year-old man with hepatitis C virus-related recurrent hepatocellular carcinoma was admitted for further diagnosis of a 1 cm iso-hyperechoic nodule in segment(S)5.CASE SUMMARY Gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging(EOB-MRI)revealed the nodule in S5 with a defect at the hepatobiliary phase,hyperintensity on diffusion weighted imaging(DWI)and hypointensity on apparent diffusion coefficient(ADC)map.Contrast-enhanced computed tomography revealed hypervascularity at the early phase,and delayed contrast-enhancement was observed at the late phase.Contrast-enhanced ultrasound(US)revealed incomplete defect at the late vascular phase.Inflammatory liver tumor,lymphoproliferative disease,intrahepatic cholangiocarcinoma(small duct type)and bile duct adenoma were suspected through the imaging studies.US guided biopsy,however,showed a noncaseating hepatic sarcoid-like epithelioid granuloma(HSEG),and histopathological analysis disclosed spindle shaped epithelioid cells harboring Langhans-type multinucleated giant cells.One month after admission,EOB-MRI signaled the disappearance of the defect at the hepatobiliary phase,of hyperintensity on DWI,of hypointensity on ADC map,and no stain at the early phase.CONCLUSION That the patient had received BNT162b2 messenger RNA(mRNA)coronavirus disease 2019 vaccination 3 mo before the occurrence of HSEG,and that its disappearance was confirmed 4 mo after mRNA vaccination suggested that the drug-induced sarcoidosis-like reaction(DISR)might be induced by the mRNA vaccination.Fortunately,rechallenge of drug-induced DISR with the third mRNA vaccination was not confirmed.展开更多
基金Supported by the Academic Leaders Training Program of Pudong Health Bureau of Shanghai,No.PWRd2023-03Clinical Research Fund of Shanghai Municipal Commission of Health,No.202040136+1 种基金National Natural Science Foundation of China,No.82070842Jiangxi Health Commission Science and Technology Plan Project,No.202212838 and No.202212852.
文摘BACKGROUND Cognitive dysfunction is the main manifestation of central neuropathy.Although cognitive impairments tend to be overlooked in patients with diabetes mellitus(DM),there is a growing body of evidence linking DM to cognitive dysfunction.Hyperglycemia is closely related to neurological abnormalities,while often disregarded in clinical practice.Changes in cerebral neurotransmitter levels are associated with a variety of neurological abnormalities and may be closely related to blood glucose control in patients with type 2 DM(T2DM).AIM To evaluate the concentrations of cerebral neurotransmitters in T2DM patients exhibiting different hemoglobin A1c(HbA1c)levels.METHODS A total of 130 T2DM patients were enrolled at the Department of Endocrinology of Shanghai East Hospital.The participants were divided into four groups according to their HbA1c levels using the interquartile method,namely Q1(<7.875%),Q2(7.875%-9.050%),Q3(9.050%-11.200%)and Q4(≥11.200%).Clinical data were collected and measured,including age,height,weight,neck/waist/hip circumferences,blood pressure,comorbidities,duration of DM,and biochemical indicators.Meanwhile,neurotransmitters in the left hippocampus and left brainstem area were detected by proton magnetic resonance spectroscopy.RESULTS The HbA1c level was significantly associated with urinary microalbumin(mALB),triglyceride,low-density lipoprotein cholesterol(LDL-C),homeostasis model assessment of insulin resistance(HOMA-IR),and beta cell function(HOMA-β),N-acetylaspartate/creatine(NAA/Cr),and NAA/choline(NAA/Cho).Spearman correlation analysis showed that mALB,LDL-C,HOMA-IR and NAA/Cr in the left brainstem area were positively correlated with the level of HbA1c(P<0.05),whereas HOMA-βwas negatively correlated with the HbA1c level(P<0.05).Ordered multiple logistic regression analysis showed that NAA/Cho[Odds ratio(OR):1.608,95%confidence interval(95%CI):1.004-2.578,P<0.05],LDL-C(OR:1.627,95%CI:1.119-2.370,P<0.05),and HOMA-IR(OR:1.107,95%CI:1.031-1.188,P<0.01)were independent predictors of poor glycemic control.CONCLUSION The cerebral neurotransmitter concentrations in the left brainstem area in patients with T2DM are closely related to glycemic control,which may be the basis for the changes in cognitive function in diabetic patients.
基金supported by the National Natural Science Foundation of China (No. 10632040)
文摘The 1：2 subharmonic resonance of the labyrinth seals-rotor system is inves- tigated, where the low-frequency vibration of steam turbines can be caused by the gas exciting force. The empirical parameters of gas exciting force of the Muszynska model are obtained by using the results of computational fluid dynamics （CFD）. Based on the multiple scale method, the 1：2 subharmonic resonance response of the dynamic system is gained by truncating the system with three orders. The transition sets and the local bifurcations diagrams of the dynamics system are presented by employing the singular theory analysis. Meanwhile, the existence conditions of subharmonic resonance non-zero solutions of the dynamic system are obtained, which provides a new theoretical basis in recognizing and protecting the rotor from the subharmonic resonant failure in the turbine machinery.
基金the National Natural Science Foundation of China(Grant Nos.12061051 and 11965014)。
文摘The(2+1)-dimensional elliptic Toda equation is a high-dimensional generalization of the Toda lattice and a semidiscrete Kadomtsev–Petviashvili I equation.This paper focuses on investigating the resonant interactions between two breathers,a breather/lump and line solitons as well as lump molecules for the(2+1)-dimensional elliptic Toda equation.Based on the N-soliton solution,we obtain the hybrid solutions consisting of line solitons,breathers and lumps.Through the asymptotic analysis of these hybrid solutions,we derive the phase shifts of the breather,lump and line solitons before and after the interaction between a breather/lump and line solitons.By making the phase shifts infinite,we obtain the resonant solution of two breathers and the resonant solutions of a breather/lump and line solitons.Through the asymptotic analysis of these resonant solutions,we demonstrate that the resonant interactions exhibit the fusion,fission,time-localized breather and rogue lump phenomena.Utilizing the velocity resonance method,we obtain lump–soliton,lump–breather,lump–soliton–breather and lump–breather–breather molecules.The above works have not been reported in the(2+1)-dimensional discrete nonlinear wave equations.
文摘The 1:2 internal resonance of coupled dynamic system with quadratic and cubic nonlinearities is studied. The normal forms of this system in 1 :2 internal resonance were derived by using the direct method of normal form. In the normal,forms, quadratic and cubic nonlinearities were remained. Based on a new convenient transformation technique, the 4-dimension bifurcation equations were reduced to 3-dimension. A bifurcation equation with one-dimension was obtained. Then the bifurcation behaviors of a universal unfolding were studied by using the singularity theory. The method of this paper can be applied to analyze the bifurcation behavior in strong internal resonance on 4-dimension center manifolds.
基金The project supported by the National Natural Science Foundation of China （10572055, 50475109） and the Natural Science Foundation of Gansu Province Government of China （3ZS051-A25-030（key item）） The English text was polished by Keren Wang.
文摘A vibro-impact forming machine with double masses is considered. The components of the vibrating system collide with each other. Such models play an important role in the studies of dynamics of mechanical systems with impacting components. The Poincaré section associated with the state of the impact-forming system, just immediately after the impact, is chosen, and the period n single-impact motion and its disturbed map are derived analytically. A center manifold theorem technique is applied to reduce the Poincaré map to a two-dimensional map, and the normal form map associated with codimension two bifurcation of 1：2 resonance is obtained, Unfolding of the normal form map is analyzed. Dynamical behavior of the impact-forming system, near the point of codimension two bifurcation, is investigated by using qualitative analyses and numerical simulation. Near the point of codimension two bifurcation there exists not only Neimark-Sacker bifurcation associated with period one single-impact motion, but also Neimark-Sacker bifurcation of period two double-impact motion. Transition of different forms of fixed points of single-impact periodic orbits, near the bifurcation point, is demonstrated, and different routes from periodic impact motions to chaos are also discussed.
基金Supported by the National Natural Science Foundation of China(12001424)the Natural Science Basic Research Program of Shaanxi Province(2021JZ-21)the Fundamental Research Funds for the Central Universities(2020CBLY013)。
文摘Soliton molecules(SMs)of the(2+1)-dimensional generalized KonopelchenkoDubrovsky-Kaup-Kupershmidt(gKDKK)equation are found by utilizing a velocity resonance ansatz to N-soliton solutions,which can transform to asymmetric solitons upon assigning appropriate values to some parameters.Furthermore,a double-peaked lump solution can be constructed with breather degeneration approach.By applying a mixed technique of a resonance ansatz and conjugate complexes of partial parameters to multisoliton solutions,various kinds of interactional structures are constructed;There include the soliton molecule(SM),the breather molecule(BM)and the soliton-breather molecule(SBM).Graphical investigation and theoretical analysis show that the interactions composed of SM,BM and SBM are inelastic.
文摘BACKGROUND A 70-year-old man with hepatitis C virus-related recurrent hepatocellular carcinoma was admitted for further diagnosis of a 1 cm iso-hyperechoic nodule in segment(S)5.CASE SUMMARY Gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging(EOB-MRI)revealed the nodule in S5 with a defect at the hepatobiliary phase,hyperintensity on diffusion weighted imaging(DWI)and hypointensity on apparent diffusion coefficient(ADC)map.Contrast-enhanced computed tomography revealed hypervascularity at the early phase,and delayed contrast-enhancement was observed at the late phase.Contrast-enhanced ultrasound(US)revealed incomplete defect at the late vascular phase.Inflammatory liver tumor,lymphoproliferative disease,intrahepatic cholangiocarcinoma(small duct type)and bile duct adenoma were suspected through the imaging studies.US guided biopsy,however,showed a noncaseating hepatic sarcoid-like epithelioid granuloma(HSEG),and histopathological analysis disclosed spindle shaped epithelioid cells harboring Langhans-type multinucleated giant cells.One month after admission,EOB-MRI signaled the disappearance of the defect at the hepatobiliary phase,of hyperintensity on DWI,of hypointensity on ADC map,and no stain at the early phase.CONCLUSION That the patient had received BNT162b2 messenger RNA(mRNA)coronavirus disease 2019 vaccination 3 mo before the occurrence of HSEG,and that its disappearance was confirmed 4 mo after mRNA vaccination suggested that the drug-induced sarcoidosis-like reaction(DISR)might be induced by the mRNA vaccination.Fortunately,rechallenge of drug-induced DISR with the third mRNA vaccination was not confirmed.
