Kazakhstan is currently drafting new construction regulations that comply with the major provisions of the Eurocodes.Such regulations are created on the basis of seismic zoning maps of various degrees of detail,develo...Kazakhstan is currently drafting new construction regulations that comply with the major provisions of the Eurocodes.Such regulations are created on the basis of seismic zoning maps of various degrees of detail,developed by our Institute of Seismology using a new methodological approach for Kazakhstan.The article is about creating the first normative map of the Detailed Seismic Zoning on a probabilistic foundation for the Republic of Kazakhstan’s East Kazakhstan region.We carried out the probabilistic assessment of seismic hazard using a methodology consistent with the main provisions of Eurocode 8and updated compared with that used in developing maps of Kazakhstan’s General Seismic Zoning and seismic microzoning of Almaty.The most thorough and current data accessible for the area under consideration were combined with contemporary analytical techniques.Updates have been done to not only the databases being used but also the way seismic sources were shown,including active faults now.On a scale of 1:1000000,precise seismic zoning maps of the East Kazakhstan region were created for two probabilities of exceedance:10%and 2%in 50 years in terms of peak ground accelerations and macroseismic intensities.The obtained seismic hazard distribution is generally consistent with the General Seismic Zoning of Kazakhstan’s previous findings.However,because active faults were included and a thoroughly revised catalog was used,there are more pronounced zones of increased danger along the fault in the western part of the region.In the west of the territory,acceleration values also increased due to a more accurate consideration of seismotectonic conditions.Zoning maps are the basis for developing new state building regulations of the Republic of Kazakhstan.展开更多
The rise in breast cancer diagnoses among Chinese women has necessitated the use of X-ray breast screening,which carries a radiation risk.This study aimed to provide a dosimetry protocol for the Chinese female populat...The rise in breast cancer diagnoses among Chinese women has necessitated the use of X-ray breast screening,which carries a radiation risk.This study aimed to provide a dosimetry protocol for the Chinese female population to replace the traditional standard that utilizes simplified breast models,for the accurate estimation of the mean glandular dose of a patient undergoing digital breast tomosynthesis(DBT).The first set of detailed Chinese female breast models and representative breast parameters was constructed.Considering backscatter radiation and computational efficiency,we improved the combination of these models and the Chinese reference adult female whole-body voxel phantom.Image acquisition for four commercial DBT systems that are widely employed in China was simulated using the Monte Carlo method to obtain the normalized glandular dose coefficients of DBT(D_(gN)^(DBT))and the glandular depth dose(D_(g)^(dep)(z))for different breast characteristics and X-ray spectra.We calculated a series of D_(gN)^(DBT) values for breasts with different percentage mass glandularities(5%,25%,50%,75%,and 100%)and compressed breast thicknesses(2,3,4,5,6,and 7 cm)at various tube potentials(25,28,30,32,35,and 49 kV)and target/filter combinations(W/Rh,W/Al,Mo/Mo,Rh/Rh,and Rh/Ag).The parameter dependence of the breast characteristics and beam conditions on D_(gN)^(DBT) in detailed breast models was investigated.The D_(gN)^(DBT) results were 14.6-51.0%lower than those of the traditional dosimetry standard in China.The difference in D_(gN)^(DBT) was mainly due to a decrease in the depth of the main energy deposition area caused by the glandular distribution along the depth direction.The results obtained in this study may be used to improve breast dosimetry in China and provide more detailed information on risk assessment during DBT.展开更多
A cascading failure of landslide dams caused by strong earthquakes or torrential rains in mountainous river valleys can pose great threats to people’s lives,properties,and infrastructures.In this study,based on the t...A cascading failure of landslide dams caused by strong earthquakes or torrential rains in mountainous river valleys can pose great threats to people’s lives,properties,and infrastructures.In this study,based on the three-dimensional Reynoldsaveraged Navier-Stokes equations(RANS),the renormalization group(RNG)k-εturbulence model,suspended and bed load transport equations,and the instability discriminant formula of dam breach side slope,and the explicit finite volume method(FVM),a detailed numerical simulation model for calculating the hydro-morphodynamic characteristics of cascading dam breach process has been developed.The developed numerical model can simulate the breach hydrograph and the dam breach morphology evolution during the cascading failure process of landslide dams.A model test of the breaches of two cascading landslide dams has been used as the validation case.The comparison of the calculated and measured results indicates that the breach hydrograph and the breach morphology evolution process of the upstream and downstream dams are generally consistent with each other,and the relative errors of the key breaching parameters,i.e.,the peak breach flow and the time to peak of each dam,are less than±5%.Further,the comparison of the breach hydrographs of the upstream and downstream dams shows that there is an amplification effect of the breach flood on the cascading landslide dam failures.Three key parameters,i.e.,the distance between the upstream and the downstream dams,the river channel slope,and the downstream dam height,have been used to study the flood amplification effect.The parameter sensitivity analyses show that the peak breach flow at the downstream dam decreases with increasing distance between the upstream and the downstream dams,and the downstream dam height.Further,the peak breach flow at the downstream dam first increases and then decreases with steepening of the river channel slope.When the flood caused by the upstream dam failure flows to the downstream dam,it can produce a surge wave that overtops and erodes the dam crest,resulting in a lowering of the dam crest elevation.This has an impact on the failure occurrence time and the peak breach flow of the downstream dam.The influence of the surge wave on the downstream dam failure process is related to the volume of water that overtops the dam crest and the erosion characteristics of dam material.Moreover,the cascading failure case of the Xiaogangjian and Lower Xiaogangjian landslide dams has also been used as the representative case for validating the model.In comparisons of the calculated and measured breach hydrographs and final breach morphologies,the relative errors of the key dam breaching parameters are all within±10%,which verify the rationality of the model is applicable to real-world cases.Overall,the numerical model developed in this study can provide important technical support for the risk assessment and emergency treatment of failures of cascading landslide dams.展开更多
BACKGROUND Tuberculosis(TB)is a chronic respiratory infectious disease that considerably jeopardizes human health,and there is no effective vaccine suitable for its prevention in the entire population.AIM To investiga...BACKGROUND Tuberculosis(TB)is a chronic respiratory infectious disease that considerably jeopardizes human health,and there is no effective vaccine suitable for its prevention in the entire population.AIM To investigate the promotion of medication adherence and disease cognition in patients with drug-resistant(DR-)TB using detailed nursing management.METHODS In total,114 patients with DR-TB who were diagnosed and treated at our hospital between January 2019 and January 2023 were included in this study.Patients in the control group(n=57)were managed with conventional nursing care,while those in the observation group(n=57)were managed with detailed nursing care.Medication adherence,disease awareness scores,medication safety,and nursing satisfaction were compared between the two groups after the intervention.RESULTS The post-intervention medication compliance rate was 91.23%in the observation group and 75.44%in the control group,with the former being 15.79%higher than the latter(P<0.05).There was no statistically significant difference in the disease awareness scores between the two groups before the intervention;the disease awareness scores of the observation group were significantly higher than those of the control group after the intervention(P<0.05).The incidence of gastrointestinal reactions,joint swelling and pain,hearing loss,electrolyte disorders,and liver and kidney function abnormalities were lower in the observation group than those in the control group.The total nursing satisfaction of the observation group was higher than that of the control group(P<0.05).CONCLUSION Implementation of detailed nursing management for patients with DR-TB can effectively improve medication adherence,enhance awareness of the disease,ensure safety of medication,and improve satisfaction with nursing care.展开更多
BACKGROUND Development of distant metastasis(DM)is a major concern during treatment of nasopharyngeal carcinoma(NPC).However,studies have demonstrated im-proved distant control and survival in patients with advanced N...BACKGROUND Development of distant metastasis(DM)is a major concern during treatment of nasopharyngeal carcinoma(NPC).However,studies have demonstrated im-proved distant control and survival in patients with advanced NPC with the addition of chemotherapy to concomitant chemoradiotherapy.Therefore,precise prediction of metastasis in patients with NPC is crucial.AIM To develop a predictive model for metastasis in NPC using detailed magnetic resonance imaging(MRI)reports.METHODS This retrospective study included 792 patients with non-distant metastatic NPC.A total of 469 imaging variables were obtained from detailed MRI reports.Data were stratified and randomly split into training(50%)and testing sets.Gradient boosting tree(GBT)models were built and used to select variables for predicting DM.A full model comprising all variables and a reduced model with the top-five variables were built.Model performance was assessed by area under the curve(AUC).RESULTS Among the 792 patients,94 developed DM during follow-up.The number of metastatic cervical nodes(30.9%),tumor invasion in the posterior half of the nasal cavity(9.7%),two sides of the pharyngeal recess(6.2%),tubal torus(3.3%),and single side of the parapharyngeal space(2.7%)were the top-five contributors for predicting DM,based on their relative importance in GBT models.The testing AUC of the full model was 0.75(95%confidence interval[CI]:0.69-0.82).The testing AUC of the reduced model was 0.75(95%CI:0.68-0.82).For the whole dataset,the full(AUC=0.76,95%CI:0.72-0.82)and reduced models(AUC=0.76,95%CI:0.71-0.81)outperformed the tumor node-staging system(AUC=0.67,95%CI:0.61-0.73).CONCLUSION The GBT model outperformed the tumor node-staging system in predicting metastasis in NPC.The number of metastatic cervical nodes was identified as the principal contributing variable.展开更多
With the“metaverse”concept gaining traction,virtual idols have surged into popular culture.These 2D digital avatars,crafted with virtual technology,have won over many young people.Icons such as Luo Tianyi,A-SOUL,and...With the“metaverse”concept gaining traction,virtual idols have surged into popular culture.These 2D digital avatars,crafted with virtual technology,have won over many young people.Icons such as Luo Tianyi,A-SOUL,and Liu Yexi have debuted to great fanfare,significantly boosting the commercial value of virtual idols.In the rapidly evolving landscape of virtual technology,how is China’s virtual idol industry faring?Let’s delve into the details.展开更多
To my knowledge,there have been 3 books[1–3]and 2 book chapters written about me.[4–5]For those who are interested in the details of my life,please refer to these books/book chapters.The title of this article is an ...To my knowledge,there have been 3 books[1–3]and 2 book chapters written about me.[4–5]For those who are interested in the details of my life,please refer to these books/book chapters.The title of this article is an English translation of the title of the book I refer to as reference 1,which I find appropriate to describe the role that I play in China.展开更多
Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the e...Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.展开更多
This article is the first to translate and introduce more than ten Manchu documents related to Lobzangdanjin,and to explore in details into the historical truths reflected in the sources:escape of him in the second ye...This article is the first to translate and introduce more than ten Manchu documents related to Lobzangdanjin,and to explore in details into the historical truths reflected in the sources:escape of him in the second year of Yongzheng from Gasin Am,following north side of Kunlun Mountains heading to the west,and then entered into Jungaria via Keriye Corridor;during the reign of Emperor Yongzheng,there were several negotiations between Qing court and Jungarian Khanate regarding the deportation of Lobzangdanjin;in the 2Oth year of Qianlong reign,after Qing army conquered Dawachi and arrived in Ili,Lobzangdanjin with his son voluntarily surrendered;after being deported to Beijing,Emperor Qianlong pardoned the his sins and reused his two sons;as well as his circumstances during his stay in Jungaria.Author also corrected certain errors in Qing official records,such as the Qing Veritable Records and"Tables and Biographies of Mongolian Nobilities",as well as erroneous views in previous researches.展开更多
The annual sessions of China’s National People’s Congress and the National Committee of the Chinese People’s Political Consultative Conference,commonly known as Two Sessions,held in March in Beijing,not only provid...The annual sessions of China’s National People’s Congress and the National Committee of the Chinese People’s Political Consultative Conference,commonly known as Two Sessions,held in March in Beijing,not only provided details about China’s development in the past year,but also outlined the development trajectory for the future.展开更多
In this review, we give a retrospect of the recent progress in nonequilibrium statistical mechanics and thermodynamics in small dynamical systems. For systems with only a few number of particles, fluctuations and nonl...In this review, we give a retrospect of the recent progress in nonequilibrium statistical mechanics and thermodynamics in small dynamical systems. For systems with only a few number of particles, fluctuations and nonlinearity become sig- nificant and contribute to the nonequilibrium behaviors of the systems, hence the statistical properties and thermodynamics should be carefully studied. We review recent developments of this topic by starting from the Gallavotti-Cohen fluctuation theorem, and then to the Evans-Searles transient fluctuation theorem, Jarzynski free-energy equality, and the Crooks fluc- tuation relation. We also investigate the nonequilibrium free energy theorem for trajectories involving changes of the heat bath temperature and propose a generalized free-energy relation. It should be noticed that the non-Markovian property of the heat bath may lead to the violation of the free-energy relation.展开更多
In recent years, a large number of high voltage direct current(HVDC) transmission projects have been connected to AC systems. This has started to have an impact on AC/DC hybrid power grids, particularly receiving term...In recent years, a large number of high voltage direct current(HVDC) transmission projects have been connected to AC systems. This has started to have an impact on AC/DC hybrid power grids, particularly receiving terminal power grids. An HVDC system is a large-scale power electronic integrated nonlinear system, and it includes a primary system and a control and protection system. Hence, the precision and degree of detail of HVDC systems directly affect the actual effect of simulation. In recent years, in the case of the normal operation and failure of AC power grids, the abnormal fluctuation and even locking of HVDC systems caused by the inappropriate strategies of the control and protection system component have strongly affected power grids. This has significantly affected the safety and stability of receiving power grids and normal operation. In this study, the actual engineering HVDC control logic provided by a manufacturer is analyzed and simulated based on the user defined component library of the ADPSS electromagnetic transient calculation program, and an HVDC control model based on an actual system is established. The accuracy of the DC control custom model based on ADPSS is verified through the simulation of an actual power grid.展开更多
Dear Editor,We read with interest the recently published study by Trigueros et al([1]),highlighting the financial and management conditions of femtosecond laser-assisted cataract surgery(FLACS).The authors derived...Dear Editor,We read with interest the recently published study by Trigueros et al([1]),highlighting the financial and management conditions of femtosecond laser-assisted cataract surgery(FLACS).The authors derived a simulation to estimate.展开更多
The reconstruction of the dimerized overlayer system with vacancies is studied via a diatomic chain Frenkel Kontorova model.We present the details of the exactly solvable model and the analytical solution of the atomi...The reconstruction of the dimerized overlayer system with vacancies is studied via a diatomic chain Frenkel Kontorova model.We present the details of the exactly solvable model and the analytical solution of the atomic displacements in the ground state.Our calculations explain the 2×N reconstruction observed in Ge/Si(100)and Ga/Si(112).展开更多
For a co_dimension two bifurcation system on a three_dimensional central manifold, which is parametrically excited by a real noise, a rather general model is obtained by assuming that the real noise is an output of a ...For a co_dimension two bifurcation system on a three_dimensional central manifold, which is parametrically excited by a real noise, a rather general model is obtained by assuming that the real noise is an output of a linear filter system_a zeromean stationary Gaussian diffusion process which satisfies detailed balance condition. By means of the asymptotic analysis approach given by L. Arnold and the expression of the eigenvalue spectrum of Fokker_Planck operator, the asymptotic expansions of invariant measure and maximal Lyapunov exponent for the relevant system are obtained.展开更多
For a real noise parametrically excited co_dimension two bifurcation system on a three_dimensional central manifold, a model of enhanced generality is developed in the present paper by assuming the real noise to be an...For a real noise parametrically excited co_dimension two bifurcation system on a three_dimensional central manifold, a model of enhanced generality is developed in the present paper by assuming the real noise to be an output of a linear filter system, namely,a zero_mean stationary Gaussian diffusion process that satisfies the detailed balance condition. On such basis, asymptotic expansions of invariant measure and maximal Lyapunov exponent for the relevant system are established by use of Arnold asymptotic analysis approach in parallel with the eigenvalue spectrum of Fokker_Planck operator.展开更多
A tangentially visible imaging system has been developed on the Experimental Advanced Superconducting Tokamak(EAST) to record the full cross-section plasma visible radiation with speed up to 7500 frames per second a...A tangentially visible imaging system has been developed on the Experimental Advanced Superconducting Tokamak(EAST) to record the full cross-section plasma visible radiation with speed up to 7500 frames per second at full resolution or much faster for a limited number of pixels.The edge localized mode(ELM) filaments during ELM eruptions in H-modes are captured.Using these pictures,the current in the filament is estimated.展开更多
This paper gives a brief introduction to the FM-80 low and very low altitude air defense missile system.The paper also describes in details its main components characteristics functions tactical specifications,operati...This paper gives a brief introduction to the FM-80 low and very low altitude air defense missile system.The paper also describes in details its main components characteristics functions tactical specifications,operation and its future improvements.展开更多
Cupping therapy is one of the most ancient traditional and complementary medicine practices that using globally by many civilizations. This protocol is setting the methods for conducting a new comprehensive systematic...Cupping therapy is one of the most ancient traditional and complementary medicine practices that using globally by many civilizations. This protocol is setting the methods for conducting a new comprehensive systematic review to evaluate and set recommendations regarding safety of cupping therapy practice. Randomized clinical trials, case series, and case studies will be selected to be included in this study. PubMed, Trip medical database, and Cochrane Library be searched Since inception to 1 December 2021. The main outcomes of the systematic review will be: details of adverse events, casualty of identified adverse events (WHO-UMC causality scale) and severity of adverse events (Common Terminology Criteria (CTCAE) scale). Assessment of quality of reporting of safety in randomized clinical trials will be done. Classification of adverse events related to cupping therapy, recommendations regarding safety and suggestions regarding future cupping therapy research will be provided in the full-text of the systematic review. Highlights-The first comprehensive systematic review protocol of adverse events related to cupping therapy. There is no time or geographic location limits for selection of studies. The systematic review will give full evaluation of safety of cupping therapy.展开更多
基金the“Seismic hazard assessment of the territories of regions and cities of Kazakhstan on a modern scientific and methodological basis”,program code F.0980,IRN OR11465449The funding source is the Ministry of Education and Science of the Republic of Kazakhstan。
文摘Kazakhstan is currently drafting new construction regulations that comply with the major provisions of the Eurocodes.Such regulations are created on the basis of seismic zoning maps of various degrees of detail,developed by our Institute of Seismology using a new methodological approach for Kazakhstan.The article is about creating the first normative map of the Detailed Seismic Zoning on a probabilistic foundation for the Republic of Kazakhstan’s East Kazakhstan region.We carried out the probabilistic assessment of seismic hazard using a methodology consistent with the main provisions of Eurocode 8and updated compared with that used in developing maps of Kazakhstan’s General Seismic Zoning and seismic microzoning of Almaty.The most thorough and current data accessible for the area under consideration were combined with contemporary analytical techniques.Updates have been done to not only the databases being used but also the way seismic sources were shown,including active faults now.On a scale of 1:1000000,precise seismic zoning maps of the East Kazakhstan region were created for two probabilities of exceedance:10%and 2%in 50 years in terms of peak ground accelerations and macroseismic intensities.The obtained seismic hazard distribution is generally consistent with the General Seismic Zoning of Kazakhstan’s previous findings.However,because active faults were included and a thoroughly revised catalog was used,there are more pronounced zones of increased danger along the fault in the western part of the region.In the west of the territory,acceleration values also increased due to a more accurate consideration of seismotectonic conditions.Zoning maps are the basis for developing new state building regulations of the Republic of Kazakhstan.
基金supported by the National Natural Science Foundation of China(Nos.U2167209 and 12175114)the National Key R&D Program of China(No.2021YFF0603600).
文摘The rise in breast cancer diagnoses among Chinese women has necessitated the use of X-ray breast screening,which carries a radiation risk.This study aimed to provide a dosimetry protocol for the Chinese female population to replace the traditional standard that utilizes simplified breast models,for the accurate estimation of the mean glandular dose of a patient undergoing digital breast tomosynthesis(DBT).The first set of detailed Chinese female breast models and representative breast parameters was constructed.Considering backscatter radiation and computational efficiency,we improved the combination of these models and the Chinese reference adult female whole-body voxel phantom.Image acquisition for four commercial DBT systems that are widely employed in China was simulated using the Monte Carlo method to obtain the normalized glandular dose coefficients of DBT(D_(gN)^(DBT))and the glandular depth dose(D_(g)^(dep)(z))for different breast characteristics and X-ray spectra.We calculated a series of D_(gN)^(DBT) values for breasts with different percentage mass glandularities(5%,25%,50%,75%,and 100%)and compressed breast thicknesses(2,3,4,5,6,and 7 cm)at various tube potentials(25,28,30,32,35,and 49 kV)and target/filter combinations(W/Rh,W/Al,Mo/Mo,Rh/Rh,and Rh/Ag).The parameter dependence of the breast characteristics and beam conditions on D_(gN)^(DBT) in detailed breast models was investigated.The D_(gN)^(DBT) results were 14.6-51.0%lower than those of the traditional dosimetry standard in China.The difference in D_(gN)^(DBT) was mainly due to a decrease in the depth of the main energy deposition area caused by the glandular distribution along the depth direction.The results obtained in this study may be used to improve breast dosimetry in China and provide more detailed information on risk assessment during DBT.
基金financially supported by the National Natural Science Foundation of China(Grant Nos.U22A20602,U2040221).
文摘A cascading failure of landslide dams caused by strong earthquakes or torrential rains in mountainous river valleys can pose great threats to people’s lives,properties,and infrastructures.In this study,based on the three-dimensional Reynoldsaveraged Navier-Stokes equations(RANS),the renormalization group(RNG)k-εturbulence model,suspended and bed load transport equations,and the instability discriminant formula of dam breach side slope,and the explicit finite volume method(FVM),a detailed numerical simulation model for calculating the hydro-morphodynamic characteristics of cascading dam breach process has been developed.The developed numerical model can simulate the breach hydrograph and the dam breach morphology evolution during the cascading failure process of landslide dams.A model test of the breaches of two cascading landslide dams has been used as the validation case.The comparison of the calculated and measured results indicates that the breach hydrograph and the breach morphology evolution process of the upstream and downstream dams are generally consistent with each other,and the relative errors of the key breaching parameters,i.e.,the peak breach flow and the time to peak of each dam,are less than±5%.Further,the comparison of the breach hydrographs of the upstream and downstream dams shows that there is an amplification effect of the breach flood on the cascading landslide dam failures.Three key parameters,i.e.,the distance between the upstream and the downstream dams,the river channel slope,and the downstream dam height,have been used to study the flood amplification effect.The parameter sensitivity analyses show that the peak breach flow at the downstream dam decreases with increasing distance between the upstream and the downstream dams,and the downstream dam height.Further,the peak breach flow at the downstream dam first increases and then decreases with steepening of the river channel slope.When the flood caused by the upstream dam failure flows to the downstream dam,it can produce a surge wave that overtops and erodes the dam crest,resulting in a lowering of the dam crest elevation.This has an impact on the failure occurrence time and the peak breach flow of the downstream dam.The influence of the surge wave on the downstream dam failure process is related to the volume of water that overtops the dam crest and the erosion characteristics of dam material.Moreover,the cascading failure case of the Xiaogangjian and Lower Xiaogangjian landslide dams has also been used as the representative case for validating the model.In comparisons of the calculated and measured breach hydrographs and final breach morphologies,the relative errors of the key dam breaching parameters are all within±10%,which verify the rationality of the model is applicable to real-world cases.Overall,the numerical model developed in this study can provide important technical support for the risk assessment and emergency treatment of failures of cascading landslide dams.
文摘BACKGROUND Tuberculosis(TB)is a chronic respiratory infectious disease that considerably jeopardizes human health,and there is no effective vaccine suitable for its prevention in the entire population.AIM To investigate the promotion of medication adherence and disease cognition in patients with drug-resistant(DR-)TB using detailed nursing management.METHODS In total,114 patients with DR-TB who were diagnosed and treated at our hospital between January 2019 and January 2023 were included in this study.Patients in the control group(n=57)were managed with conventional nursing care,while those in the observation group(n=57)were managed with detailed nursing care.Medication adherence,disease awareness scores,medication safety,and nursing satisfaction were compared between the two groups after the intervention.RESULTS The post-intervention medication compliance rate was 91.23%in the observation group and 75.44%in the control group,with the former being 15.79%higher than the latter(P<0.05).There was no statistically significant difference in the disease awareness scores between the two groups before the intervention;the disease awareness scores of the observation group were significantly higher than those of the control group after the intervention(P<0.05).The incidence of gastrointestinal reactions,joint swelling and pain,hearing loss,electrolyte disorders,and liver and kidney function abnormalities were lower in the observation group than those in the control group.The total nursing satisfaction of the observation group was higher than that of the control group(P<0.05).CONCLUSION Implementation of detailed nursing management for patients with DR-TB can effectively improve medication adherence,enhance awareness of the disease,ensure safety of medication,and improve satisfaction with nursing care.
文摘BACKGROUND Development of distant metastasis(DM)is a major concern during treatment of nasopharyngeal carcinoma(NPC).However,studies have demonstrated im-proved distant control and survival in patients with advanced NPC with the addition of chemotherapy to concomitant chemoradiotherapy.Therefore,precise prediction of metastasis in patients with NPC is crucial.AIM To develop a predictive model for metastasis in NPC using detailed magnetic resonance imaging(MRI)reports.METHODS This retrospective study included 792 patients with non-distant metastatic NPC.A total of 469 imaging variables were obtained from detailed MRI reports.Data were stratified and randomly split into training(50%)and testing sets.Gradient boosting tree(GBT)models were built and used to select variables for predicting DM.A full model comprising all variables and a reduced model with the top-five variables were built.Model performance was assessed by area under the curve(AUC).RESULTS Among the 792 patients,94 developed DM during follow-up.The number of metastatic cervical nodes(30.9%),tumor invasion in the posterior half of the nasal cavity(9.7%),two sides of the pharyngeal recess(6.2%),tubal torus(3.3%),and single side of the parapharyngeal space(2.7%)were the top-five contributors for predicting DM,based on their relative importance in GBT models.The testing AUC of the full model was 0.75(95%confidence interval[CI]:0.69-0.82).The testing AUC of the reduced model was 0.75(95%CI:0.68-0.82).For the whole dataset,the full(AUC=0.76,95%CI:0.72-0.82)and reduced models(AUC=0.76,95%CI:0.71-0.81)outperformed the tumor node-staging system(AUC=0.67,95%CI:0.61-0.73).CONCLUSION The GBT model outperformed the tumor node-staging system in predicting metastasis in NPC.The number of metastatic cervical nodes was identified as the principal contributing variable.
文摘With the“metaverse”concept gaining traction,virtual idols have surged into popular culture.These 2D digital avatars,crafted with virtual technology,have won over many young people.Icons such as Luo Tianyi,A-SOUL,and Liu Yexi have debuted to great fanfare,significantly boosting the commercial value of virtual idols.In the rapidly evolving landscape of virtual technology,how is China’s virtual idol industry faring?Let’s delve into the details.
文摘To my knowledge,there have been 3 books[1–3]and 2 book chapters written about me.[4–5]For those who are interested in the details of my life,please refer to these books/book chapters.The title of this article is an English translation of the title of the book I refer to as reference 1,which I find appropriate to describe the role that I play in China.
文摘Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.
文摘This article is the first to translate and introduce more than ten Manchu documents related to Lobzangdanjin,and to explore in details into the historical truths reflected in the sources:escape of him in the second year of Yongzheng from Gasin Am,following north side of Kunlun Mountains heading to the west,and then entered into Jungaria via Keriye Corridor;during the reign of Emperor Yongzheng,there were several negotiations between Qing court and Jungarian Khanate regarding the deportation of Lobzangdanjin;in the 2Oth year of Qianlong reign,after Qing army conquered Dawachi and arrived in Ili,Lobzangdanjin with his son voluntarily surrendered;after being deported to Beijing,Emperor Qianlong pardoned the his sins and reused his two sons;as well as his circumstances during his stay in Jungaria.Author also corrected certain errors in Qing official records,such as the Qing Veritable Records and"Tables and Biographies of Mongolian Nobilities",as well as erroneous views in previous researches.
文摘The annual sessions of China’s National People’s Congress and the National Committee of the Chinese People’s Political Consultative Conference,commonly known as Two Sessions,held in March in Beijing,not only provided details about China’s development in the past year,but also outlined the development trajectory for the future.
基金supported by the National Natural Science Foundation of China (Grant No. 11075016)the Foundation for Doctoral Training from the Ministry of Education of China (Grant No. 20100003110007)
文摘In this review, we give a retrospect of the recent progress in nonequilibrium statistical mechanics and thermodynamics in small dynamical systems. For systems with only a few number of particles, fluctuations and nonlinearity become sig- nificant and contribute to the nonequilibrium behaviors of the systems, hence the statistical properties and thermodynamics should be carefully studied. We review recent developments of this topic by starting from the Gallavotti-Cohen fluctuation theorem, and then to the Evans-Searles transient fluctuation theorem, Jarzynski free-energy equality, and the Crooks fluc- tuation relation. We also investigate the nonequilibrium free energy theorem for trajectories involving changes of the heat bath temperature and propose a generalized free-energy relation. It should be noticed that the non-Markovian property of the heat bath may lead to the violation of the free-energy relation.
基金supported by National Key Research and Development Program of China-High performance analysis and situational awareness technology for interconnected power grids
文摘In recent years, a large number of high voltage direct current(HVDC) transmission projects have been connected to AC systems. This has started to have an impact on AC/DC hybrid power grids, particularly receiving terminal power grids. An HVDC system is a large-scale power electronic integrated nonlinear system, and it includes a primary system and a control and protection system. Hence, the precision and degree of detail of HVDC systems directly affect the actual effect of simulation. In recent years, in the case of the normal operation and failure of AC power grids, the abnormal fluctuation and even locking of HVDC systems caused by the inappropriate strategies of the control and protection system component have strongly affected power grids. This has significantly affected the safety and stability of receiving power grids and normal operation. In this study, the actual engineering HVDC control logic provided by a manufacturer is analyzed and simulated based on the user defined component library of the ADPSS electromagnetic transient calculation program, and an HVDC control model based on an actual system is established. The accuracy of the DC control custom model based on ADPSS is verified through the simulation of an actual power grid.
文摘Dear Editor,We read with interest the recently published study by Trigueros et al([1]),highlighting the financial and management conditions of femtosecond laser-assisted cataract surgery(FLACS).The authors derived a simulation to estimate.
基金Supported by the National Natural Science Foundation of China under Grant No.19774049the Science Foundation of China Academy of Engineering Physics under Grant Nos.970116 and 980112.
文摘The reconstruction of the dimerized overlayer system with vacancies is studied via a diatomic chain Frenkel Kontorova model.We present the details of the exactly solvable model and the analytical solution of the atomic displacements in the ground state.Our calculations explain the 2×N reconstruction observed in Ge/Si(100)and Ga/Si(112).
文摘For a co_dimension two bifurcation system on a three_dimensional central manifold, which is parametrically excited by a real noise, a rather general model is obtained by assuming that the real noise is an output of a linear filter system_a zeromean stationary Gaussian diffusion process which satisfies detailed balance condition. By means of the asymptotic analysis approach given by L. Arnold and the expression of the eigenvalue spectrum of Fokker_Planck operator, the asymptotic expansions of invariant measure and maximal Lyapunov exponent for the relevant system are obtained.
基金the National Natural Science Foundation of China
文摘For a real noise parametrically excited co_dimension two bifurcation system on a three_dimensional central manifold, a model of enhanced generality is developed in the present paper by assuming the real noise to be an output of a linear filter system, namely,a zero_mean stationary Gaussian diffusion process that satisfies the detailed balance condition. On such basis, asymptotic expansions of invariant measure and maximal Lyapunov exponent for the relevant system are established by use of Arnold asymptotic analysis approach in parallel with the eigenvalue spectrum of Fokker_Planck operator.
基金supported by National Natural Science Foundation of China(Nos.11275047 and 11105028)the National Magnetic Confinement Fusion Science Program of China(No.2009GB10706)
文摘A tangentially visible imaging system has been developed on the Experimental Advanced Superconducting Tokamak(EAST) to record the full cross-section plasma visible radiation with speed up to 7500 frames per second at full resolution or much faster for a limited number of pixels.The edge localized mode(ELM) filaments during ELM eruptions in H-modes are captured.Using these pictures,the current in the filament is estimated.
文摘This paper gives a brief introduction to the FM-80 low and very low altitude air defense missile system.The paper also describes in details its main components characteristics functions tactical specifications,operation and its future improvements.
文摘Cupping therapy is one of the most ancient traditional and complementary medicine practices that using globally by many civilizations. This protocol is setting the methods for conducting a new comprehensive systematic review to evaluate and set recommendations regarding safety of cupping therapy practice. Randomized clinical trials, case series, and case studies will be selected to be included in this study. PubMed, Trip medical database, and Cochrane Library be searched Since inception to 1 December 2021. The main outcomes of the systematic review will be: details of adverse events, casualty of identified adverse events (WHO-UMC causality scale) and severity of adverse events (Common Terminology Criteria (CTCAE) scale). Assessment of quality of reporting of safety in randomized clinical trials will be done. Classification of adverse events related to cupping therapy, recommendations regarding safety and suggestions regarding future cupping therapy research will be provided in the full-text of the systematic review. Highlights-The first comprehensive systematic review protocol of adverse events related to cupping therapy. There is no time or geographic location limits for selection of studies. The systematic review will give full evaluation of safety of cupping therapy.