On July 4,2024,Chinese President Xi Jinping attends the“Shanghai Cooperation Organization Plus”meeting in Astana,Kazakhstan,and delivers a speech titled“Joining Hands to Build a More Beautiful Home of the Shanghai ...On July 4,2024,Chinese President Xi Jinping attends the“Shanghai Cooperation Organization Plus”meeting in Astana,Kazakhstan,and delivers a speech titled“Joining Hands to Build a More Beautiful Home of the Shanghai Cooperation Organization”.展开更多
FOCAC sends the powerful message that China and Africa are pursuing joint development,modernisation and growth.The recently held 2024 Summit of the Forum on China-Africa Cooperation(FOCAC)in Beijing under the theme Jo...FOCAC sends the powerful message that China and Africa are pursuing joint development,modernisation and growth.The recently held 2024 Summit of the Forum on China-Africa Cooperation(FOCAC)in Beijing under the theme Joining Hands to Advance Modernisation and Build a High-Level China-Africa Community with a Shared Future unequivocally demonstrated that FOCAC remains the most important flagship collaborative platform between China and Africa and continues to deliver wide-ranging.展开更多
China’s achievements in high-quality development,including poverty alleviation,decarbonisation,clean energy,and digitalisation,together with progress in other areas,have significantly contributed to the global sustai...China’s achievements in high-quality development,including poverty alleviation,decarbonisation,clean energy,and digitalisation,together with progress in other areas,have significantly contributed to the global sustainable development agenda.The concept of“high-quality development”was first introduced in the report delivered by Chinese President Xi Jinping at the 19th National Congress of the Communist Party of China in 2017.He emphasised that“China’s economy has been transitioning from a phase of rapid growth to a stage of high-quality development.”展开更多
The wavelength-tunable and switchable narrow bandwidth mode-locking operation is demonstrated in an all fiber laser based on semiconductor-saturable absorber mirror (SESAM). Two narrow-band fiber Bragg gratings cent...The wavelength-tunable and switchable narrow bandwidth mode-locking operation is demonstrated in an all fiber laser based on semiconductor-saturable absorber mirror (SESAM). Two narrow-band fiber Bragg gratings centered at 1029.9nm and 1032nm respectively with a polarization controller inserted between them are used to realize the wavelength switchable between 1029.9nm and 1032nm. The laser delivers different pulse widths of 7.5ps for 1030nm and 20ps for 1032nm. The maximum output power for both could reach -6.5mW at single pulse operation. The output wavelength couM be tuned to about 0.gnm intervals ranging from 1030.2nm to 1031.1 nm and from 1032.15nm to 1033.7nm with the temperature change of the fiber Bragg grating, respectively.展开更多
Delivering bad news regarding patient's health is an unavoidable task for physicians and medical students in their careers.This is especially difficult for beginners.Disclosing undesired medical information to pat...Delivering bad news regarding patient's health is an unavoidable task for physicians and medical students in their careers.This is especially difficult for beginners.Disclosing undesired medical information to patients is technically and mentally demanding.Only with proper communication skills and sufficient patient-contact practice can medical practitioners smoothly cope with this stressful mission.There are a number of common mistakes we fall into when delivering bad news,which might induce or exacerbate patients' anxiety.Sometimes we are prone to disclose medical information in a "straight-to-the-point" manner.This is often a futile attempt made on the physician's part to ease his or her own uncomfortableness when delivering bad news,but unfortunately it does no good to facilitate patients' acceptance of the actual condition.Instead of using medical jargons,physicians are obliged to use "layman's terms" that make better sense to their patients.Declaring a clinical diagnosis without corresponding explanation on the prognosis and the discussion of treatment can also bring much confusion and anxiety to patients.Another even worse situation might be that we finish the "lecture" in our own words without confirming the patient's comprehension and addressing their questions.Professionals have recommended a six-step protocol on delivering bad news to patients:"SPIKES":S-Setting up the interview;P-assessing the patient's Perception;I-obtaining the patient's Invitation;K-giving Knowledge and information to the patient;E-addressing the patient's Emotions with Empathic responses;S-Strategy and Summary.展开更多
Textiles and apparel might be a global industry,but the latest statistics show trade patterns remain largely regional.However,changes are happening,and align closely with the shifting sourcing strategies of fashion br...Textiles and apparel might be a global industry,but the latest statistics show trade patterns remain largely regional.However,changes are happening,and align closely with the shifting sourcing strategies of fashion brands and retailers and related free trade agreements-as shown in this new analysis by Dr Sheng Lu,associate professor in Fashion and Apparel Studies at the University of Delaware.展开更多
With the rise of various new reading media and the rapid development of the digitization of paper resources,the traditional function positioning of university libraries based on information query is facing unprecedent...With the rise of various new reading media and the rapid development of the digitization of paper resources,the traditional function positioning of university libraries based on information query is facing unprecedented challenges.How to deal with the change of social information?The library should be demand-oriented,re-examine its own value and find a new starting point.With the help of the concept of customer delivered value and based on 4P theory,this paper constructs the value chain of university library from the dimensions of product,image,personnel and service,and forms a multi-dimensional development positioning system.展开更多
On April 27,2023,US National Security Advisor Jake Sullivan delivered a speech at the Brookings Institution titled“Reinvigorating US Economic Leadership,”1 giving a comprehensive account of the Biden administration...On April 27,2023,US National Security Advisor Jake Sullivan delivered a speech at the Brookings Institution titled“Reinvigorating US Economic Leadership,”1 giving a comprehensive account of the Biden administration’s international economic agenda and presenting for the first time the“new Washington consensus”which lay down the ideological foundations for future economic strategic planning in the United States.The fact that a senior official in charge of national security announced US international economic policy sends an unusual signal.Moreover,US Secretary of Commerce Gina Raimondo,Secretary of the Treasury Janet L.Yellen,and President Biden have delivered several vital speeches on American economic strategy.Some basic ideas demonstrated in these speeches represent the major consensus the US strategic elite have formed based on the shifts in the US domestic interest groups’structure and social ideology.They outline the primary direction of the future economic strategy of the United States and show that it is undergoing the most significant transformation of economic thoughts and strategic posturing since the 1970s.This transformation will profoundly affect the evolution of the future international economic order and significantly impact China’s economic development and security.展开更多
From November 7 to 10,the China Institute of International Studies(CIIS)held the 20th China-US Yong Scholars’Dialogue,with the theme of“Finding the Right Way for China and the US to Get Along in the New Era:Opportun...From November 7 to 10,the China Institute of International Studies(CIIS)held the 20th China-US Yong Scholars’Dialogue,with the theme of“Finding the Right Way for China and the US to Get Along in the New Era:Opportunities and Challenges.”CIIS President Chen Bo delivered the opening remarks,and Vice President Liu Qing delivered the closing speech.展开更多
Since it was first proposed 10 years ago,the Belt and Road Initiative(BRI)has delivered tangible results and become the world’s largest platform for international cooperation.Now,the initiative envisions an even brig...Since it was first proposed 10 years ago,the Belt and Road Initiative(BRI)has delivered tangible results and become the world’s largest platform for international cooperation.Now,the initiative envisions an even brighter future.展开更多
On December 6th,2023,the Chinese Association for International Understanding(CAFIU)held Lecture II of the Civilisation Lecture Series in Paramaribo,the capital of Suriname.Ai Ping,Vice-President of CAFIU,delivered a k...On December 6th,2023,the Chinese Association for International Understanding(CAFIU)held Lecture II of the Civilisation Lecture Series in Paramaribo,the capital of Suriname.Ai Ping,Vice-President of CAFIU,delivered a keynote speech.Han Jing,the Chinese Ambassador to Suriname,delivered a speech.展开更多
Recombinant bacteria secreting the transmembrane-truncated region of white spot syndrome virus (WSSV) envelope protein VP28 named DhpVB were constructed, using live Escherichia coli as a deliverer and a con- stituti...Recombinant bacteria secreting the transmembrane-truncated region of white spot syndrome virus (WSSV) envelope protein VP28 named DhpVB were constructed, using live Escherichia coli as a deliverer and a con- stitutive secretory expression plasmid as the expression vector. With the ability to deliver recombinant pro- tein products outside, DhpVB could make VP28 directly interact with the shrimp when injected into shrim- p. In order to test the protection potential, live DhpVB were injected into the marine shrimp Exopalamon carincauda Holthuis for three times and WSSV challenge was performed twice simultaneously at the last two injections of the bacteria. The results showed that DhpVB displayed statistically significant advantage over bacteria without VP28 after the second challenge with an average RI (Resistance index) of 0.67±0.08, compared with 0.41±0.09 of bacteria without VP28 (P 〈0.05). The data suggested that a quasi-immune response may exist in E. carincauda and live bacteria carrying VP28 could enhance the shrimp resistance against WSSV.展开更多
BACKGROUND: The development of a harmless and effi- cient nonviral gene delivery system that can facilitate the penetration of nucleic acids through the plasma membrane is a key to successful gene therapy. The aim of ...BACKGROUND: The development of a harmless and effi- cient nonviral gene delivery system that can facilitate the penetration of nucleic acids through the plasma membrane is a key to successful gene therapy. The aim of this study was to test a nonviral gene transferring vector's function of delivering DNA into liver cells to provide an important clue for gene transfer in liver gene therapy. METHODS: The complex of DNA and DNA delivering protein was injected into mice through their tail veins. Then the mice were killed and their liver tissue was sec- tioned. The gene transferring results were detected using a confocal laser scanning microscope. RESULTS: Fluorescence analysis indicated that both DNA- membrane penetrating peptide (MPP) complex and DNA- hepatocyte specific receptor binding domain ( HSRBD) - MPP complex could go into liver cells. The fluorescence value of liver cells in the DNA-HSRBD-MPP group was higher than that in the DNA-MPP group. CONCLUSIONS; MPP can successfully deliver DNA and protein into cells, and MPP with a HSRBD can specifically deliver DNA into liver cells. These have laid a foundation for further study on the nonviral liver cell gene delivering system.展开更多
Mr.Chairman,Ladies and Gentlemen,It is a great honour and pleasure for me tohave the opportunity to deliver this lecture on“How Acupuncture-Moxibustion Should Go For-ward into the 21st Century”.In 1978,the Internati...Mr.Chairman,Ladies and Gentlemen,It is a great honour and pleasure for me tohave the opportunity to deliver this lecture on“How Acupuncture-Moxibustion Should Go For-ward into the 21st Century”.In 1978,the International Conference onPrimary Health Care held in Alma-Ata recog-nized the potential of traditional medicine in ex-tending primary health care to underserved pop-ulations.In many developing countries,in fact,people have always used both traditional展开更多
Opportunistic networks are random networks and do not communicate with each other among respective communication areas.This situation leads to great difficulty in message transfer.This paper proposes a reducing energy...Opportunistic networks are random networks and do not communicate with each other among respective communication areas.This situation leads to great difficulty in message transfer.This paper proposes a reducing energy consumption optimal selection of path transmission(OSPT) routing algorithm in opportunistic networks.This algorithm designs a dynamic random network topology,creates a dynamic link,and realizes an optimized selected path.This algorithm solves a problem that nodes are unable to deliver messages for a long time in opportunistic networks.According to the simulation experiment,OSPT improves deliver ratio,and reduces energy consumption,cache time and transmission delay compared with the Epidemic Algorithm and Spray and Wait Algorithm in opportunistic networks.展开更多
Optimal activation of T cells requires at least 2signals. Signal one is generated by interactionsbetween T cell receptor and antigenic peptide-majorhistocompatibility complex on antigen-presentingcells. Signal two is ...Optimal activation of T cells requires at least 2signals. Signal one is generated by interactionsbetween T cell receptor and antigenic peptide-majorhistocompatibility complex on antigen-presentingcells. Signal two is delivered by co-stimulatory ligandson antigen-presenting cells to their receptors on展开更多
Legislation sometimes leads to social change,but more often it formalises evolutions in existing community views.China’s draft Mental Health Act appears to have both elements.While the draft Act (the Act) has a signi...Legislation sometimes leads to social change,but more often it formalises evolutions in existing community views.China’s draft Mental Health Act appears to have both elements.While the draft Act (the Act) has a significant emphasis on patients’ rights,it also aims to improve and increase services for people who are mentally unwell in China.Overall,the Act stresses the importance展开更多
BACKGROUND:The study aims to investigate an optimal indicator for changing the filter during the continuous renal replacement therapy(CRRT)in intensive care unit(ICU)patients with acute kidney injury(AKI).METHODS:Pati...BACKGROUND:The study aims to investigate an optimal indicator for changing the filter during the continuous renal replacement therapy(CRRT)in intensive care unit(ICU)patients with acute kidney injury(AKI).METHODS:Patients with AKI requiring CRRT in an ICU were randomly divided into two groups for crossover trial,i.e.,groups A and B.Patients in the group A were firstly treated with continuous veno-venous hemofiltration(CVVH),followed by continuous veno-venous hemodiafiltration(CVVHDF).Patients in the group B were firstly treated with CVVHDF followed by CVVH.Delivered doses of solutes with different molecular weights at the indicated time points between groups were compared.A correlation analysis between the delivered dose and pre-filter pressure(P_(PRE))and transmembrane pressure(P_(TM))was performed.Receiver operating characteristic(ROC)curves were constructed to evaluate the accuracy of P_(TM) as an indicator for filter replacement.RESULTS:A total of 50 cases were analyzed,27 in the group A and 23 in the group B.Delivered doses of different molecular-weight solutes significantly decreased before changing the filter in both modalities,compared with those at the initiation of treatment(all P<0.05).In the late stage of CRRT,the possible rebound of serum medium-molecular-weight solute concentration was observed.P_(TM) was negatively correlated with the delivered dose of medium-molecular-weight solute in both modalities.The threshold for predicting the rebound of serum concentration of medium-molecularweight solute by P_(TM) was 146.5 mm Hg(1 mm Hg=0.133 k Pa).CONCLUSIONS:The filter can be used as long as possible within the manufacturer’s safe use time limits to remove small-molecular-weight solutes.P_(TM) of 146.5 mm Hg may be an optimal indicator for changing the filter in CRRT therapies to remove medium-molecular-weight solutes.展开更多
In a speech delivered at the Indonesian Parliament in October 2013,Chinese President Xi Jinping said:"we should further strengthen our maritime partnerships and jointly build the 21st century Maritime Silk Road&q...In a speech delivered at the Indonesian Parliament in October 2013,Chinese President Xi Jinping said:"we should further strengthen our maritime partnerships and jointly build the 21st century Maritime Silk Road",articulating China’s willingness to beef up maritime cooperation with ASEAN countries.The Decision of the Central Committee of the Communist Party of China展开更多
文摘On July 4,2024,Chinese President Xi Jinping attends the“Shanghai Cooperation Organization Plus”meeting in Astana,Kazakhstan,and delivers a speech titled“Joining Hands to Build a More Beautiful Home of the Shanghai Cooperation Organization”.
文摘FOCAC sends the powerful message that China and Africa are pursuing joint development,modernisation and growth.The recently held 2024 Summit of the Forum on China-Africa Cooperation(FOCAC)in Beijing under the theme Joining Hands to Advance Modernisation and Build a High-Level China-Africa Community with a Shared Future unequivocally demonstrated that FOCAC remains the most important flagship collaborative platform between China and Africa and continues to deliver wide-ranging.
文摘China’s achievements in high-quality development,including poverty alleviation,decarbonisation,clean energy,and digitalisation,together with progress in other areas,have significantly contributed to the global sustainable development agenda.The concept of“high-quality development”was first introduced in the report delivered by Chinese President Xi Jinping at the 19th National Congress of the Communist Party of China in 2017.He emphasised that“China’s economy has been transitioning from a phase of rapid growth to a stage of high-quality development.”
基金Supported by the National High Technology Research and Development Program of China under Grant No 2014AA041901NSAF Foundation of the National Natural Science Foundation of China under Grant No U1330134+1 种基金the Opening Project of Shanghai Key Laboratory of All Solid-State Laser and Applied Techniques under Grant No 2012ADL02the National Natural Science Foundation of China under Grant Nos 61308024 and 11174305
文摘The wavelength-tunable and switchable narrow bandwidth mode-locking operation is demonstrated in an all fiber laser based on semiconductor-saturable absorber mirror (SESAM). Two narrow-band fiber Bragg gratings centered at 1029.9nm and 1032nm respectively with a polarization controller inserted between them are used to realize the wavelength switchable between 1029.9nm and 1032nm. The laser delivers different pulse widths of 7.5ps for 1030nm and 20ps for 1032nm. The maximum output power for both could reach -6.5mW at single pulse operation. The output wavelength couM be tuned to about 0.gnm intervals ranging from 1030.2nm to 1031.1 nm and from 1032.15nm to 1033.7nm with the temperature change of the fiber Bragg grating, respectively.
文摘Delivering bad news regarding patient's health is an unavoidable task for physicians and medical students in their careers.This is especially difficult for beginners.Disclosing undesired medical information to patients is technically and mentally demanding.Only with proper communication skills and sufficient patient-contact practice can medical practitioners smoothly cope with this stressful mission.There are a number of common mistakes we fall into when delivering bad news,which might induce or exacerbate patients' anxiety.Sometimes we are prone to disclose medical information in a "straight-to-the-point" manner.This is often a futile attempt made on the physician's part to ease his or her own uncomfortableness when delivering bad news,but unfortunately it does no good to facilitate patients' acceptance of the actual condition.Instead of using medical jargons,physicians are obliged to use "layman's terms" that make better sense to their patients.Declaring a clinical diagnosis without corresponding explanation on the prognosis and the discussion of treatment can also bring much confusion and anxiety to patients.Another even worse situation might be that we finish the "lecture" in our own words without confirming the patient's comprehension and addressing their questions.Professionals have recommended a six-step protocol on delivering bad news to patients:"SPIKES":S-Setting up the interview;P-assessing the patient's Perception;I-obtaining the patient's Invitation;K-giving Knowledge and information to the patient;E-addressing the patient's Emotions with Empathic responses;S-Strategy and Summary.
文摘Textiles and apparel might be a global industry,but the latest statistics show trade patterns remain largely regional.However,changes are happening,and align closely with the shifting sourcing strategies of fashion brands and retailers and related free trade agreements-as shown in this new analysis by Dr Sheng Lu,associate professor in Fashion and Apparel Studies at the University of Delaware.
基金Supported by Key Research Project of Education and Teaching Reform in Beijing University of Agriculture from 2021 to 2022.
文摘With the rise of various new reading media and the rapid development of the digitization of paper resources,the traditional function positioning of university libraries based on information query is facing unprecedented challenges.How to deal with the change of social information?The library should be demand-oriented,re-examine its own value and find a new starting point.With the help of the concept of customer delivered value and based on 4P theory,this paper constructs the value chain of university library from the dimensions of product,image,personnel and service,and forms a multi-dimensional development positioning system.
文摘On April 27,2023,US National Security Advisor Jake Sullivan delivered a speech at the Brookings Institution titled“Reinvigorating US Economic Leadership,”1 giving a comprehensive account of the Biden administration’s international economic agenda and presenting for the first time the“new Washington consensus”which lay down the ideological foundations for future economic strategic planning in the United States.The fact that a senior official in charge of national security announced US international economic policy sends an unusual signal.Moreover,US Secretary of Commerce Gina Raimondo,Secretary of the Treasury Janet L.Yellen,and President Biden have delivered several vital speeches on American economic strategy.Some basic ideas demonstrated in these speeches represent the major consensus the US strategic elite have formed based on the shifts in the US domestic interest groups’structure and social ideology.They outline the primary direction of the future economic strategy of the United States and show that it is undergoing the most significant transformation of economic thoughts and strategic posturing since the 1970s.This transformation will profoundly affect the evolution of the future international economic order and significantly impact China’s economic development and security.
文摘From November 7 to 10,the China Institute of International Studies(CIIS)held the 20th China-US Yong Scholars’Dialogue,with the theme of“Finding the Right Way for China and the US to Get Along in the New Era:Opportunities and Challenges.”CIIS President Chen Bo delivered the opening remarks,and Vice President Liu Qing delivered the closing speech.
文摘Since it was first proposed 10 years ago,the Belt and Road Initiative(BRI)has delivered tangible results and become the world’s largest platform for international cooperation.Now,the initiative envisions an even brighter future.
文摘On December 6th,2023,the Chinese Association for International Understanding(CAFIU)held Lecture II of the Civilisation Lecture Series in Paramaribo,the capital of Suriname.Ai Ping,Vice-President of CAFIU,delivered a keynote speech.Han Jing,the Chinese Ambassador to Suriname,delivered a speech.
基金The National Basic Research Program of China (973 Program) under contract No. 2012CB114403General Program of National Natural Science Foundation of China to Dr. Fuhua Li under contract No. 31072203+1 种基金National Hightech Research and Development Program under contract Nos 2012AA10A404 and 2012AA092205China Agriculture Research System under contract No. CARS-47
文摘Recombinant bacteria secreting the transmembrane-truncated region of white spot syndrome virus (WSSV) envelope protein VP28 named DhpVB were constructed, using live Escherichia coli as a deliverer and a con- stitutive secretory expression plasmid as the expression vector. With the ability to deliver recombinant pro- tein products outside, DhpVB could make VP28 directly interact with the shrimp when injected into shrim- p. In order to test the protection potential, live DhpVB were injected into the marine shrimp Exopalamon carincauda Holthuis for three times and WSSV challenge was performed twice simultaneously at the last two injections of the bacteria. The results showed that DhpVB displayed statistically significant advantage over bacteria without VP28 after the second challenge with an average RI (Resistance index) of 0.67±0.08, compared with 0.41±0.09 of bacteria without VP28 (P 〈0.05). The data suggested that a quasi-immune response may exist in E. carincauda and live bacteria carrying VP28 could enhance the shrimp resistance against WSSV.
基金This study was supported by grants from the National Natural Science Foun-dation of China( No:30472251 )and the Shanxi Youth Science Fund ( No.020011028).
文摘BACKGROUND: The development of a harmless and effi- cient nonviral gene delivery system that can facilitate the penetration of nucleic acids through the plasma membrane is a key to successful gene therapy. The aim of this study was to test a nonviral gene transferring vector's function of delivering DNA into liver cells to provide an important clue for gene transfer in liver gene therapy. METHODS: The complex of DNA and DNA delivering protein was injected into mice through their tail veins. Then the mice were killed and their liver tissue was sec- tioned. The gene transferring results were detected using a confocal laser scanning microscope. RESULTS: Fluorescence analysis indicated that both DNA- membrane penetrating peptide (MPP) complex and DNA- hepatocyte specific receptor binding domain ( HSRBD) - MPP complex could go into liver cells. The fluorescence value of liver cells in the DNA-HSRBD-MPP group was higher than that in the DNA-MPP group. CONCLUSIONS; MPP can successfully deliver DNA and protein into cells, and MPP with a HSRBD can specifically deliver DNA into liver cells. These have laid a foundation for further study on the nonviral liver cell gene delivering system.
文摘Mr.Chairman,Ladies and Gentlemen,It is a great honour and pleasure for me tohave the opportunity to deliver this lecture on“How Acupuncture-Moxibustion Should Go For-ward into the 21st Century”.In 1978,the International Conference onPrimary Health Care held in Alma-Ata recog-nized the potential of traditional medicine in ex-tending primary health care to underserved pop-ulations.In many developing countries,in fact,people have always used both traditional
基金Supported by the National Natural Science Foundation of China(No.61379057,61073186,61309001,61379110,61103202)Doctoral Fund of Ministry of Education of China(No.20120162130008)the National Basic Research Program of China(973 Program)(No.2014CB046305)
文摘Opportunistic networks are random networks and do not communicate with each other among respective communication areas.This situation leads to great difficulty in message transfer.This paper proposes a reducing energy consumption optimal selection of path transmission(OSPT) routing algorithm in opportunistic networks.This algorithm designs a dynamic random network topology,creates a dynamic link,and realizes an optimized selected path.This algorithm solves a problem that nodes are unable to deliver messages for a long time in opportunistic networks.According to the simulation experiment,OSPT improves deliver ratio,and reduces energy consumption,cache time and transmission delay compared with the Epidemic Algorithm and Spray and Wait Algorithm in opportunistic networks.
文摘Optimal activation of T cells requires at least 2signals. Signal one is generated by interactionsbetween T cell receptor and antigenic peptide-majorhistocompatibility complex on antigen-presentingcells. Signal two is delivered by co-stimulatory ligandson antigen-presenting cells to their receptors on
文摘Legislation sometimes leads to social change,but more often it formalises evolutions in existing community views.China’s draft Mental Health Act appears to have both elements.While the draft Act (the Act) has a significant emphasis on patients’ rights,it also aims to improve and increase services for people who are mentally unwell in China.Overall,the Act stresses the importance
基金supported by Kunshan Science and Technology Special Fund(Social Development Category,KS18040)。
文摘BACKGROUND:The study aims to investigate an optimal indicator for changing the filter during the continuous renal replacement therapy(CRRT)in intensive care unit(ICU)patients with acute kidney injury(AKI).METHODS:Patients with AKI requiring CRRT in an ICU were randomly divided into two groups for crossover trial,i.e.,groups A and B.Patients in the group A were firstly treated with continuous veno-venous hemofiltration(CVVH),followed by continuous veno-venous hemodiafiltration(CVVHDF).Patients in the group B were firstly treated with CVVHDF followed by CVVH.Delivered doses of solutes with different molecular weights at the indicated time points between groups were compared.A correlation analysis between the delivered dose and pre-filter pressure(P_(PRE))and transmembrane pressure(P_(TM))was performed.Receiver operating characteristic(ROC)curves were constructed to evaluate the accuracy of P_(TM) as an indicator for filter replacement.RESULTS:A total of 50 cases were analyzed,27 in the group A and 23 in the group B.Delivered doses of different molecular-weight solutes significantly decreased before changing the filter in both modalities,compared with those at the initiation of treatment(all P<0.05).In the late stage of CRRT,the possible rebound of serum medium-molecular-weight solute concentration was observed.P_(TM) was negatively correlated with the delivered dose of medium-molecular-weight solute in both modalities.The threshold for predicting the rebound of serum concentration of medium-molecularweight solute by P_(TM) was 146.5 mm Hg(1 mm Hg=0.133 k Pa).CONCLUSIONS:The filter can be used as long as possible within the manufacturer’s safe use time limits to remove small-molecular-weight solutes.P_(TM) of 146.5 mm Hg may be an optimal indicator for changing the filter in CRRT therapies to remove medium-molecular-weight solutes.
文摘In a speech delivered at the Indonesian Parliament in October 2013,Chinese President Xi Jinping said:"we should further strengthen our maritime partnerships and jointly build the 21st century Maritime Silk Road",articulating China’s willingness to beef up maritime cooperation with ASEAN countries.The Decision of the Central Committee of the Communist Party of China