Chlorfenapyr poisoning:mechanisms,clinical presentations,and treatment strategies

BACKGROUND:Chlorfenapyr is used to kill insects that are resistant to organophosphorus insecticides.Chlorfenapyr poisoning has a high mortality rate and is difficult to treat.This article aims to review the mechanisms,clinical presentations,and treatment strategies for chlorfenapyr poisoning.DATA RESOURCES:We conducted a review of the literature using PubMed,Web of Science,and SpringerLink from their beginnings to the end of October 2023.The inclusion criteria were systematic reviews,clinical guidelines,retrospective studies,and case reports on chlorfenapyr poisoning that focused on its mechanisms,clinical presentations,and treatment strategies.The references in the included studies were also examined to identify additional sources.RESULTS:We included 57 studies in this review.Chlorfenapyr can be degraded into tralopyril,which is more toxic and reduces energy production by inhibiting the conversion of adenosine diphosphate to adenosine triphosphate.High fever and altered mental status are characteristic clinical presentations of chlorfenapyr poisoning.Once it occurs,respiratory failure occurs immediately,ultimately leading to cardiac arrest and death.Chlorfenapyr poisoning is diflcult to treat,and there is no specific antidote.CONCLUSION:Chlorfenapyr is a new pyrrole pesticide.Although it has been identified as a moderately toxic pesticide by the World Health Organization(WHO),the mortality rate of poisoned patients is extremely high.There is no specific antidote for chlorfenapyr poisoning.Therefore,based on the literature review,future efforts to explore rapid and effective detoxification methods,reconstitute intracellular oxidative phosphorylation couplings,identify early biomarkers of chlorfenapyr poisoning,and block the conversion of chlorfenapyr to tralopyril may be helpful for emergency physicians in the diagnosis and treatment of this disease.

Recent Advances for Global Perspectives on Etiology, Pathophysiology, Clinical Presentations, and Management of Moyamoya Disease

Moyamoya disease (MMD) is a condition characterized by the gradual narrowing and blockage of blood vessels in the brain, specifically those in the circle of Willis and the arteries that supply it. This results in reduced blood flow and oxygen to the brain, leading to progressive symptoms and potential complications. The underlying pathophysiological mechanism remains elucidated. However, recent studies have highlighted numerous etiologic factors: abnormal immune complex responses, susceptibility genes, branched-chain amino acids, antibodies, heritable diseases, and acquired diseases, which may be the great potential triggers for the development of moyamoya disease. Its clinical presentation has varying degrees from transient asymptomatic events to significant neurological deficits. Moyamoya disease (MMD) shows different patterns in children and adults. Children with MMD are more susceptible to ischemic events due to decreased blood flow to the brain. Conversely, adults with MMD are more prone to hemorrhagic events involving brain bleeding. Children with MMD may experience a range of symptoms including motor impairments, sensory issues, seizures, headaches, dizziness, cognitive delays, or ongoing neurological problems. Although adults may present with similar clinical symptoms as children, they are more prone to experiencing sudden onset intraventricular, subarachnoid, or intracerebral hemorrhages. One of the challenges in moyamoya disease is the potential for misdiagnosis or delayed diagnosis, particularly when physicians fail to consider MMD as a possible cause in stroke patients. This review aims to provide a comprehensive overview of recent global studies on the pathophysiology of MMD, along with advancements in its management. Additionally, the review will delve into various surgical treatment options for MMD, as well as its rare occurrence alongside atrioventricular malformations. Exciting prospects include the use of autologous bone marrow transplant and the potential role of Connexin 43 protein treatment in the development of moyamoya disease.

真学习还是假参与?——Presentation在高校课堂教学应用中的问题与改进

Presentation是目前国内高校教学改革中常用的教学形式之一,在各类学科教学中均有不同程度的应用。这种以增强教学双主体互动为主要特征的教学形式,在实际教学中呈现出学生课堂参与深度不足、学习收获不系统、课堂汇报“一言堂”等问题。学生学习是为了完成任务而非获得知识、学生习惯于服从教师权威而非批判性思考、教师教学准备不足与指导环节缺失,以及教学评价的评价主体与形式单一是造成Presenta-tion应用效果不佳的重要因素。提高Presentation的应用效果,需要强化对教学过程的管理,保障Presentation规范实施;改革学业评价方式,促进学生主动思考与合作学习;拓展教学资源供给,为学生自主与合作学习提供更多支持;鼓励教师开展教学行动研究,不断提高教学专业化水平。

Clinical Presentation and Treatment Outcomes of Pregnancy-Related Acute Kidney Injury among Pregnant Women Admitted at the Benjamin Mkapa Hospital in Tanzania

Background: Globally, PRAKI is among the leading causes of death in pregnant women. The prevalence, causes and outcome of this condition vary among countries due to differences in environmental, socioeconomic, and health delivery systems. The common causes that have been reported in several studies are PIH, Haemorrhages and Sepsis while the outcomes may be either complete renal recovery, progression to CKD and hence dialysis dependency or death. This study aimed at determining clinical presentation and treatment outcomes of Pregnancy-Related Acute Kidney Injury in Pregnant women admitted at the Benjamin Mkapa Hospital, Dodoma, Tanzania. Results: Out of 4007 pregnant women who were admitted to the maternity ward 51 pregnant women were found to have PRAKI. Of those with PRAKI, 74.5% were between 21 to 25 years. The leading causes of PRAKI were PPH 12 (23.53%), Eclampsia 12 (23.53%), and pre-eclampsia 12 (23.5%). Hemodialysis therapy was provided to 22 (43.1%) patients, 15 (29.4%) individuals recovered spontaneously with medical management and 14 (27.5%) missed haemodialysis therapy due to various reasons. The mortality due to PRAKI was 17 (33.3%). Conclusion and Recommendation: Pre-eclampsia/eclampsia and post-partum haemorrhage were found to be the main causes of PRAKI. The mortality related to PRAKI is high and Hemodialysis therapy is vital help to prevent deaths for pregnant women with PRAKI. Pregnant women who develop acute kidney injury should be followed closely and a nephrologist should be consulted early. Early referral should be done by the lower level facilities for all at-risk pregnant women to a specialized multidisciplinary health facility.

博士后对学术职业环境满意吗?——基于Nature全球博士后调查数据比较分析

本研究基于已有成果,将博士后学术职业环境划分为学术资源、职业保障、组织管理、科研强度四个维度。利用2020年Nature全球博士后教育调查数据,通过比较分析博士后对学术职业环境的感知与评价。研究发现,相比较国外发达国家博士后而言,我国接近四成博士后对学术职业环境感到满意。为了优化博士后学术职业环境,大学需强化对博士后科研资金的支持力度,保障博士后科研参与机会,减少非学术事务对博士后科研时间的挤占,规范导师指导;大学不断调适大学基层学术组织治理模式,优化院系对博士后学术职业发展的组织支持与服务质量;大学与博士后建立稳定性雇佣关系,不断提升工资薪酬水平,疏通博士后学术职业晋升渠道,营造良好的工作环境;高校实行服务型、便捷式的科研管理方式,制定灵活多元的学术评价机制,破除博士后对“学术GDP主义”的崇拜。

Cultivate Critical Thinking Ability via Students’ Presentations in College English Classes

In the new era when demands for flexible intellectual skills are increasing,strengthening the cultivation of critical thinking ability of students has become one of the key purposes of higher education.This paper intends to discuss how to cultivate students’critical thinking ability through English classroom presentations.It points out that during the whole process,teachers’guidance plays an indispensable role.Only when both teachers and students are aware that classroom presentations are a golden opportunity for the cultivation of students’critical thinking ability and carry this awareness into their English classes,can English presentations be brought into full play.

Thinking on Improving Presentation Teaching-Based on the Empirical Analysis of Presentation in College English Classes of Junior Non-English Majors in Universities of Science and Engineering

Based on the empirical investigation of presentation in college English classes for junior non-English majors in science and engineering universities,the author explains her own thinking on how to improve presentation teaching from four aspects:setting teaching objectives,selecting teaching contents,using teaching methods,and evaluating and implementing methods.

The Alienation of Nature in Emily Dickinson’s Poems through the Prism of Taoism

In the poems created by the renowned American poet Emily Dickinson,those related to nature constitute a considerable proportion.However,Dickinson’s attitude toward nature is,in fact,contradictory.On the one hand,Dickinson perceives nature as gentle and kind,akin to a mother.Nature is regarded as“heaven”and embodies harmony.On the other hand,nature possesses its own operational principles and harbors inherent cruelty.According to Dickinson,humans should refrain from excessive interference in the natural order.This article attempts to analyze the similarities in attitude towards nature between Dickinson’s poetry and Taoist philosophy.

Problems and Development Suggestions of Nature Education in Jiangxi Province

The forest coverage rate of Jiangxi Province ranks second in China.It has rich natural resources,a long history of ancient color culture and rich red culture.In the development of nature education,Jiangxi Province has great potential and advantages.This paper introduces the development conditions of nature education in Jiangxi Province,summarizes the problems existing in the development of nature education in Jiangxi Province from the aspects of the types of nature education and the construction of nature education base,such as simple content and single form,imperfect infrastructure and lack of professionals,and puts forward some suggestions on the development of nature education in Jiangxi Province.

The Macrolichens of Barluk Mountain National Nature Reserve, Xinjiang Province, China

A checklist of the macrolichens (foliose, fruticose & squamulose) of Barluk Mountain National Nature Reserve located in northwestern China is presented. It was derived from 47 inventories of preserved and undeveloped areas which yielded more than 670 collections containing 102 taxa (99 species, 1 subspecies, 2 varieties). Eight species were found that were new to Xinjiang, China. Twenty-eight species and 2 varieties were found on rock, 31 species on bark of deciduous and coniferous trees, 26 species on soil and 14 species and 1 subspecies over mosses. Foliose lichens were dominant with 76 species, followed by 16 species of squamulose lichens and 7 species of fruticose lichens.

Adaptive Network Sustainability and Defense Based on Artificial Bees Colony Optimization Algorithm for Nature Inspired Cyber Security

Cyber Defense is becoming a major issue for every organization to keep business continuity intact.The presented paper explores the effectiveness of a meta-heuristic optimization algorithm-Artificial Bees Colony Algorithm(ABC)as an Nature Inspired Cyber Security mechanism to achieve adaptive defense.It experiments on the Denial-Of-Service attack scenarios which involves limiting the traffic flow for each node.Businesses today have adapted their service distribution models to include the use of the Internet,allowing them to effectively manage and interact with their customer data.This shift has created an increased reliance on online services to store vast amounts of confidential customer data,meaning any disruption or outage of these services could be disastrous for the business,leaving them without the knowledge to serve their customers.Adversaries can exploit such an event to gain unauthorized access to the confidential data of the customers.The proposed algorithm utilizes an Adaptive Defense approach to continuously select nodes that could present characteristics of a probable malicious entity.For any changes in network parameters,the cluster of nodes is selected in the prepared solution set as a probable malicious node and the traffic rate with the ratio of packet delivery is managed with respect to the properties of normal nodes to deliver a disaster recovery plan for potential businesses.

Application of Near-nature Management Theories in the Construction of Ecological Scenic Forest——With Shenzhen City as a Study Case

With the present unceasing development of science and society,ecological and social functions of forest have attracted more and more attention.This study with Shenzhen City as an example through elaborating the concepts and principles of ecological scenic forest and near-nature management,and combining with the present construction of ecological scenic forest in Shenzhen City,specifically stated the requirements,principles and implementation measures of different aspects involving in the construction of ecological scenic forest in Shenzhen,such as site classification,tree species selection,logging operation,community construction,tending management and benefit monitoring,and further expounded the application of near-nature management theories in this field.It was also stressed that the nature should be utilized and respected,artificial forest should be reformed into near-nature scenic forest with richer and more stable structure as well as higher protective eco-functions,so as to provide theoretical basis for the construction of ecological scenic forest and enhance its positive role in the urban construction of Shenzhen.

《Nature》揭示:禁食机制下的脂肪依赖性肿瘤会消退

近日,一篇发表在《Nature》上的研究显示,研究发现了一种能让小鼠摆脱胰腺癌的新方法,该疗法通过抑制脂肪代谢,切断肿瘤的能量供应,只要小鼠持续遵循生酮饮食,肿瘤生长便会停滞。研究中,研究团队聚焦于机体在禁食状态下如何转向脂肪作为能源的问题。研究者发现直接关联到胰腺癌的生物学研究,首次揭示了真核生物翻译起始因子(eukaryotic translation initiation factor,eIF4E)在禁食期间如何调控机体代谢,使其从消耗碳水化合物转变为消耗脂肪。

Nature’s Gift

NATURAL WONDERS IN CHINA AND AFRICA Qilian Mountains National Park Located in Northwest China’s Gansu and Qinghai provinces,Qilian Mountains National Park spans 50,200 square km,serving as a vital ecological security barrier and water source conservation area in west China.Established in 2017 to address ecosystem damage,intensive food chain protection and wildlife monitoring in the area began in early 2011.

《Nature》子刊:苏佳琪等开发基于牛奶的水凝胶,用作酒精中毒的解毒剂

近日,苏黎世联邦理工学院Raffaele Mezzenga、苏佳琪等人在《Nature》子刊《Nature Nanotechnology》上发表的一篇研究显示,该研究开发了一种口服的、基于牛奶蛋白的水凝胶——FeSA@FibBLG,或可作为急性酒精中毒的有效解毒剂,能够稳定耐受胃酸消化且持续显著降低酒精中毒小鼠血液中的酒精水平,同时避免额外积累有毒的乙醛,还可增强肝脏保护,并显著减轻肠道损伤和生态失调,强调了其作为酒精相关疾病的新疗法的潜力。

Research on Heterogeneous Information Network Link Prediction Based on Representation Learning

A heterogeneous information network,which is composed of various types of nodes and edges,has a complex structure and rich information content,and is widely used in social networks,academic networks,e-commerce,and other fields.Link prediction,as a key task to reveal the unobserved relationships in the network,is of great significance in heterogeneous information networks.This paper reviews the application of presentation-based learning methods in link prediction of heterogeneous information networks.This paper introduces the basic concepts of heterogeneous information networks,and the theoretical basis of representation learning,and discusses the specific application of the deep learning model in node embedding learning and link prediction in detail.The effectiveness and superiority of these methods on multiple real data sets are demonstrated by experimental verification.

Spatiotemporal Evolution of Ecological Quality in Alpine Freshwater Lake Nature Reserves in the Past 20 Years

The Caohai Nature Reserve is one of the three major plateau freshwater lakes in China.Since the 1950s,human activities such as land reclamation and population relocation have greatly damaged Caohai.A rapid evaluation of the spatiotemporal evolution trend of the ecological quality of the Caohai Nature Reserve is significant for the maintenance and construction of the ecosystem in this area.The research is based on the Google Earth Engine(GEE)remote sensing cloud computing platform.Landsat TM/OLI images from May to October in five time periods:2000-2002,2004-2006,2009-2011,2014-2016,and 2019-2021 were obtained to reconstruct the optimal cloud image set by averaging the images in each time period.By constructing four ecological indicators:Greenness(NDVI),Wetness(Wet),Hotness(LST),and Dryness(NDBSI),and using Principal Component Analysis(PCA)method to obtain the Remote Sensing Ecological Index(RSEI)for the corresponding years,the spatiotemporal variation of ecological quality in the Caohai Nature Reserve over 20 years was analyzed.The results indicate:①the mean value of RSEI increased from 0.460 in 2000-2002 to 0.772 in 2019-2021,a 67.83%increase,indicating a significant improvement in the ecological quality of the reserve over the 20 years;②from the perspective of functional zoning of the Caohai Nature Reserve,the ecological quality of the core area showed a degrading trend,while the ecological quality of the buffer zone and experimental zone significantly improved;③with the implementation of ecological restoration projects,the ecological quality of the reserve gradually recovered and improved from 2014 to 2021.The trend of RSEI value changes is well correlated with human interventions,indicating that the PCA-based RSEI model can be effectively used for ecological quality assessment in lake areas.

《Nature》:新开发的可穿戴超声贴片可连续、无创监测大脑血流

近日,一篇发表在《Nature》上的研究显示,研究人员开发出一种可穿戴超声贴片(wearable ultrasound patch),其可对大脑血流进行连续、无创的监测。该研究将贴片在36名健康志愿者身上进行了测试,以检验其测量脑部主要动脉血流速度(收缩期峰值、平均流速和舒张末期速度)的能力,发现测量结果与传统超声探头的测量结果非常吻合。

A Study of the People’s Nature in Woodcuts During the Anti-Japanese War in Shanxi

The anti-Japanese woodcuts focus on the red revolutionary culture and describe the connotation of the Anti-Japanese War era,which is self-evident in the commemorative value of China’s revolutionary struggle history.For example,in Shanxi,China,woodcut art activities and social practice promotion activities organized around the theme of the Anti-Japanese War are also everywhere,which all show the people’s nature of the Chinese people during the revolutionary struggle from the two aspects of the red culture of the Anti-Japanese War and traditional art and culture,and its humanistic connotation is quite profound.In this paper,we first introduce the historical origin of woodcut during the Anti-Japanese War,and then show the people’s value connotation of woodcut art activities in Shanxi.This paper mainly discusses the image narration,language and picture narration and construction significance of woodcuts in Shanxi’s War of Resistance,fully reveals the narrative nature of image media,strives to arouse people’s recognition of this period of Shanxi’s War of Resistance culture and history,and reflects the realistic value and significance of Shanxi’s War of Resistance Woodcuts art activities.

《Nature》:科学家发现能驱动患者狼疮发生的两种细胞缺陷

近日,一篇发表在《Nature》上的研究显示,研究发现了一种特殊的分子缺陷或会促进系统性红斑狼疮的病理性免疫反应,同时揭示了逆转这一缺陷或有望逆转疾病。该研究中,研究人员报道了驱动狼疮发生的新通路,研究者表示,患者体内血液中的多种分子都会发生疾病相关的改变,最终,这些变化会导致芳香烃受体(aryl hydrocarbon receptor,AHR)所控制的通路激活不足,AHR能调节细胞对环境污染物、细菌或代谢产物的反应。