AN ANALYSIS ON LARGE-SCALE AIR-SEA INTERACTIVE LINKAGES BETWEEN THE TROPICAL INDIAN OCEAN AND THE PACIFIC OCEAN DURING ENSO EVENTS

By utilizing a 3-D atmospheric circulation resolving method, the authors studied the air-sea interactive linkages between the tropical Indian Ocean and the Pacific Ocean in 1979-2008 E1 Nifio-Southern Oscillation （ENSO） events. Their findings showed that evident 3-D gear-coupling characteristics existed in the 1979-2008 ENSO events. Their resolving analyses also suggested that the general circulation showed stronger and wider sinking motions over the eastern Indian Ocean-western Pacific during the mature phase of 1979-2008 ENSO events, compared with the vertical velocities from the U.S. National Centers for Enviornmental Prediction （NCEP） reanalysis data. With their 3-D analysis method, the vertical velocity was resolved by two components, i.e. zonal and meridional components. It was found that the zonal component of the vertical velocities showed a strong sinking motion while the meridional components showed an upward motion during the prevailing phases of the ENSO events. In the tropics, the zonal component of the vertical velocities was found greater than the meridional component, reflecting the dominant characteristics of the vertical velocity, and the overall outcomes showed a strong sinking motion, although the two components also partially offset each other in the processes. Compared with the vertical velocities from NCEP reanalysis, the vertical motions calculated with the 3-D resolving analysis method demonstrate some advantages.

Supplementing Qi and activating blood circulation method to treat vertebrobasilar dolichoectasia with posterior circulatory watershed infarction:a case report of two patients

Vertebrobasilar dolichoectasia(VBD),a rare posterior circulation vascular variant disease,is an important risk factor for many acute cerebrovascular diseases.An insufficient understanding of VBD often leads to misdiagnose.Two cases of VBD that were initially diagnosed as posterior circulation watershed infarction are reported here.Absence of common causes of stroke including hypoperfusion,blood system diseases,carotid and aortic dissection,and eosinophil elevation,the symptoms of the 2 patients met the diagnostic criteria of VBD.Both patients displayed symptoms that were in line with the Traditional Chinese Medicine(TCM)syndrome pattern of"Qi deficiency and blood stasis".Accordingly,they were comprehensively treated with Supplementing Qi and activating blood circulation method.The clinical manifestations of the 2 patients were remarkably improved and no recurrence of watershed infarction was found in a 1-year follow-up.A detailed medical history and laboratory examination are capable of improving diagnostic accuracy of VBD.TCM treatment based on syndrome identification might be a promising candidate for VBD management.

Progress in satellite gravity recovery from implemented CHAMP,GRACE and GOCE and future GRACE Follow-On missions

Firstly, the Earth＇s gravitational field from the past Challenging Minisatellite Payload （CHAMP） mission is determined using the energy conservation principle, the combined error model of the cumulative geoid height influenced by three instrument errors from the current Gravity Recovery and Climate Experiment （GRACE） and future GRACE Follow-On missions is established based on the semi-analytical method, and the Earth＇s gravitational field from the executed Gravity Field and Steady-State Ocean Circulation Explorer （GOCE） mission is recovered by the space-time-wise approach. Secondly, the cumulative geoid height errors are 1.727 × 10^-1 m, 1.839 × 10^-1 m and 9.025 × 10^ -2 m at degrees 70,120 and 250 from the implemented three-stage satellite gravity missions consisting of CHAMP, GRACE and GOCE, which preferably accord with those from the existing earth gravity field models involving EIGEN-CHAMP03S, EICEN-GRACE02S and GO_CONS GCF 2 DIR R1. The cumulative geoid height error is 6.847 × 10 ^-2 m at degree 250 from the future GRACE Follow-On mission. Finally, the complementarity among the four-stage satellite gravity missions including CHAMP, GRACE, GOCE and GRACE Follow-On is demonstrated contrastively.

An iterative Wiener filtering method based on the gravity gradient invariants

How to deal with colored noises of GOCE （Gravity field and steady - state Ocean Circulation Explorer） satellite has been the key to data processing. This paper focused on colored noises of GOCE gradient data and the frequency spectrum analysis. According to the analysis results, gravity field model of the optima] degrees 90-240 is given, which is recovered by COCE gradient data. This paper presents an iterative Wiener filtering method based on the gravity gradient invariants. By this method a degree-220 model was calculated from GOCE SGG （Satellite Gravity Gradient） data. The degrees above 90 of ITG2010 were taken as the prior gravity field model, replacing the low degree gravity field model calculated by GOCE orbit data. GOCE gradient colored noises was processed by Wiener filtering. Finally by Wiener filtering iterative calculation, the gravity field model was restored by space-wise harmonic analysis method. The results show that the model＇s accuracy matched well with the ESA＇s （European Space Agency） results by using the same data,

Summary of 32 Patients with Cardiac Syndrome X Treated by TCM Therapy of Regulating Qi Relieving Chest Stuffiness and Promoting Blood Circulation

Objective： To evaluate the clinical effect of Liqi Kuanxiong Huoxue method （宽胸活血,LKH, traditional Chinese medicine, TCM therapeutic method for regulating qi, relieving chest stuffiness and promoting blood circulation） in treating patients with cardiac syndrome X （CSX）. Methods： The prospective, non-randomized controlled study was conducted on 51 selected patients with CSX, who were non-randomly assigned to 2 groups, the treated group treated with LKH in addition to the conventional treatment （32 patients）, and the control group treated with conventional treatment （19 patients） like nitrate, diltiazem hydrochloride, etc. The treatment course was 14 days. The changes of such symptoms as angina pectoris, TCM syndrome and indexes of treadmill exercise test before and after treatment were observed. Results： After treatment, such symptoms as chest pain and stuffy feeling and palpitation in the treated group were improved more than those in the control group （P〈0.05）; the total effective rate on angina pectoris and TCM syndrome in the treated group was better than that in the control group （P〈0.05）. The treadmill exercise test showed that the maximal metabolic equivalent （Max MET）, the time of angina onset and ST segment depression by 0.1 mV were obviously improved after treatment in both groups, but the improvement in the treated group was better than that in the control group respectively （P〈0.05）. Conclusion： The LKH method could reduce the frequency of angina attacks and improve the clinical condition of patients with CSX.

Circulation intensity and axial dispersion of non-cohesive solid particles in a V-blender via DEM simulation

In this study, discrete element method （DEM） was employed to simulate the movement of non-cohesive mono-dispersed particles in a V-blender along with particle-particle and particle-boundary interactions. To validate the model, DEM results were successfully compared to positron emission particle tracking （PEPT） data reported in literature. The validated model was then utilized to explore the effects of rotational speed and fill level on circulation intensity and axial dispersion coefficient of non-cohesive particles in the V-blender. The results showed that the circulation intensity increased with an increase in the rotational speed from 15 to 60 rpm. As the fill level increased from 20% to 46%, the circulation intensity decreased, reached its minimum value at a fill level of 34% for all rotational speeds, and did not change significantly at fill levels greater than 34%. The DEM results also revealed that the axial dispersion coefficient of particles in the V-blender was a linear function of the rotational speed. These trends were in good agreement with the experimentallv determined values reported bv previous researchers.

The analysis and improvements of pharmacist-led parenteral nutrition prescription review strategies

To improve the efficiency and correctness of the review,we aimed to continuously improve the review strategy of parenteral nutrition(PN)prescriptions.A calculation formula(CF)and an electronic prescription reviewing system(EPRS)were designed to improve efficiency.The improvements were divided into three periods:pre-improvement,improvement period-1(CF was used),and improvement period-2(EPRS-CF was used).A retrospective analysis for inpatients receiving PN support from January to May 2019,June to October 2019,and June to October 2020,was conducted to evaluate the defect and efficiency of the PN prescription review.Compared with the pre-improvement period,the efficiency of the PN prescription review in the CF period was improved.In addition,in the EPRS-CF period,the efficiency and correctness of the PN prescription review were remarkably increased(P<0.01).Moreover,through the verification of PN prescriptions in the EPRS-CF period,pharmacists improved the efficiency and correctness of the PN prescription review.Besides,the PDCA(plan-do-check-act)circulation method could help improve the PN reviewing process in the future.

3D full-loop simulation and experimental verification of gas-solid flow hydrodynamics in a dense circulating fluidized bed

Because of their advantages of high efficiency and low cost, numerical research methods for large-scale circulating fluidized bed （CFB） apparatus are gaining ever more importance. This article presents a numer- ical study of gas-solid flow dynamics using the Eulerian granular multiphase model with a drag coefficient correction based on the energy-minimization multi-scale （EMMS） model. A three-dimensional, full-loop, time-dependent simulation of the hydrodynamics of a dense CFB apparatus is performed. The process parameters （e.g., operating and initial conditions） are provided in accordance with the real experiment to enhance the accuracy of the simulation. The axial profiles of the averaged solid volume fractions and the solids flux at the outlet of the cyclone are in reasonable agreement with experimental data, thereby verifying the applicability of the mathematical and physical models. As a result, the streamline in the riser and standpipe as well as the solids distribution contours at the cross sections is analyzed. Computational fluid dynamics （CFD） serves as a basis for CFB modeling to help resolve certain issues long in dispute but difficult to address experimentally. The results of this study provide the basis of a general approach to describing dynamic simulations of gas-solid flows.

Liquid biopsies:DNA methylation analyses in circulating cell-free DNA

Analysis of patient＇s materials like cells or nucleic acids obtained in a minimally invasive or noninvasive manner through the sampling of blood or other body fluids serves as liquid biopsies, which has huge potential for numerous diagnostic applications. Circulating cell-free DNA（cfDNA） is explored as a prognostic or predictive marker of liquid biopsies with the improvements in genomic and molecular methods. DNA methylation is an important epigenetic marker known to affect gene expression. cfDNA methylation detection is a very promising approach as abnormal distribution of DNA methylation is one of the hallmarks of many cancers and methylation changes occur early during carcinogenesis. This re？view summarizes the various investigational applications of cfDNA methylation and its oxidized de？rivatives as biomarkers for cancer diagnosis, prenatal diagnosis and organ transplantation monitoring.The review also provides a brief overview of the technologies for cfDNA methylation analysis based on next generation sequencing.