This study investigates the long-term performance of laboratory dam concrete in different curing environments over ten years and the microstructure of 17-year-old laboratory concrete and actual concrete cores drilled ...This study investigates the long-term performance of laboratory dam concrete in different curing environments over ten years and the microstructure of 17-year-old laboratory concrete and actual concrete cores drilled from the Three Gorges Dam.The mechanical properties of the laboratory dam concrete,whether cured in natural or standard environments,continued to improve over time.Furthermore,the laboratory dam concrete exhibited good resistance to diffusion and a refined microstructure after 17 years.However,curing and long-term exposure to the local natural environment reduced the frost resistance.Microstructural analyses of the laboratory concrete samples demonstrated that moderate-heat cement and fine fly ash(FA)particles were almost fully hydrated to form compact micro structures consisting of large quantities of homogeneous calcium(alumino)silicate hydrate(C-(A)-S-H)gels and a few crystals.No obvious interfacial transition zones were observed in the microstructure owing to the longterm pozzolanic reaction.This dense and homogenous microstructure was the crucial reason for the excellent long-term performance of the dam concrete.A high FA volume also played a significant role in the microstructural densification and performance growth of dam concrete at a later age.The concrete drilled from the dam surface exhibited a loose microstructure with higher microporosity,indicating that concrete directly exposed to the actual service environment suffered degradation caused by water and wind attacks.In this study,both macro-performance and microstructural analyses revealed that the application of moderate-heat cement and FA resulted in a dense and homogenous microstructure,which ensured the excellent long-term performance of concrete from the Three Gorges Dam after 17 years.Long-term exposure to an actual service environment may lead to microstructural degradation of the concrete surface.Therefore,the retained long-term dam concrete samples need to be further researched to better understand its microstructural evolution and development of its properties.展开更多
The application of reclaimed asphalt pavement(RAP)and reclaimed asphalt shingles(RAS)on asphalt pavement can reduce the asphalt paving cost,conserve energy and protect the environment.However,the use of high contents ...The application of reclaimed asphalt pavement(RAP)and reclaimed asphalt shingles(RAS)on asphalt pavement can reduce the asphalt paving cost,conserve energy and protect the environment.However,the use of high contents of RAP and RAS in asphalt pavement may lead to durability issues,especially the fatigue cracking and thermal cracking.It is necessary to conduct a series of analyses on asphalt mixtures containing high RAP and RAS,and seek methods to enhance their long-term performance.This paper provides a comprehensive over-view of the long-term performance of recycled asphalt mixtures containing high contents of RAP and RAS.The findings in this research show that rutting resistance of high recycled asphalt mixtures is not a concern,whereas their resistance to fatigue and thermal cracking is not conclusive.Recycling agents can be used to improve the thermal cracking resistance of high recycled asphalt mixtures.An optimum decision on recycling agents will improve the durability properties of high recycled asphalt mixtures.It is recommended that to use a balanced mixture design approach with testing of the blended asphalt binders will provide better understanding of long-term performance of recycled asphalt mixtures containing high RAP and RAS.展开更多
Dynamic environmental testing is an effective means to study the energy and long-term hygrothermal performance of building enclosures. Southeast University is designing and building a large-scale dynamic environment s...Dynamic environmental testing is an effective means to study the energy and long-term hygrothermal performance of building enclosures. Southeast University is designing and building a large-scale dynamic environment simulation testing facility. It can simuhaneously and dynamically simulate temperature, relative humidity, infrared solar radiation, UV radiation, and precipitation. A transformation is needed to predict the energy and long-term hygrothermal performance of building enclosures under real service conditions using data obtained from accelerated tests.展开更多
Based on the investigation of long-life asphalt pavement at home and abroad,the development of long-life asphalt pavement technology in Shandong Province,China is reviewed in this paper.The structural combination char...Based on the investigation of long-life asphalt pavement at home and abroad,the development of long-life asphalt pavement technology in Shandong Province,China is reviewed in this paper.The structural combination char-acteristics of typical long-life asphalt pavement in Shandong Province and their popularization and application are introduced.The application effect of combined base long-life asphalt pavement,which has been widely promoted,is evaluated.At the same time,taking the Binda perpetual pavement test road in Shandong Province as an example,the dynamic response and long-term performance evolution of long-life asphalt pavement are analyzed over a period of more than 17 years.Sections S1,S2,and S3 present information about full-depth asphalt pavement.Section S4 describes combined base asphalt pavement.The results show that the maximum strain of S1–S4 is within the endurance strain limit.S1,S2,S3 and S4 are all expected to be long-life asphalt pavements.In the current study,Sections S1–S4 were maintained in good condition during a service period of more than 17 years with no structural cracks and good deflection,rutting,and IRI indexes.The deflection index was stable without growth,and the IRI was also relatively stable following the opening to traffic.The rutting depth un-derwent a slight cumulative increase within 8 years of opening,and then stabilized.The average rutting depth over the 17-year period was less than 15 mm.Therefore,S1–S4 meet the design standards required for use as long-life pavements.From the perspectives of resource saving,energy saving,and emission reduction and service performance,full-depth asphalt pavement can be considered to represent a new generation of green and durable pavement structures with great future promotion potential.展开更多
The long-term performance of moderate heat Portland cement with double-expansive sources (DE cement) in the system of high MgO clinker and gypsum was studied by XRD, SEM/EDAX and test methods for strength and expans...The long-term performance of moderate heat Portland cement with double-expansive sources (DE cement) in the system of high MgO clinker and gypsum was studied by XRD, SEM/EDAX and test methods for strength and expansion of cement. Results indicate that the periclase particle, whose size was 5-7.5μm in DE cement clinker containing 4.8 % MgO, existed individually. The periclase hydration in hardened DE cement paste started at about 60 days and completed up to 2 000 days, and ettringite in the paste was stable from 3 days to 2 000 days. Under the conditions of 4.5%-5.0 % MgO in clinker and 2.8%-3.4 %SO3 in cement, ettringite expansion and brucite expansion in DE cement paste had a continuity, entirety and stability. At the ages of 90, 365,730 and 2 000 days the expansion of the paste reached 0.07%-0.11%, 0.16%-0.21%, 0.21%-0.27 %, and 0.29%-0.38%, respectively. The results suggest that by using this cement in mass concrete it may compensate its temperature shrinkage and autogenous shrinkage to some extent.展开更多
Curling results from the temperature differential across the concrete slab thickness and may induce undue stresses in newly placed slab. This study deals with the finite element (FE) analysis of curling, curling str...Curling results from the temperature differential across the concrete slab thickness and may induce undue stresses in newly placed slab. This study deals with the finite element (FE) analysis of curling, curling stresses, field measurement of curling on a newly built jointed plain concrete pavement, and comparison of its long-term performance using both Mechanistic-Empirical Pavement Design Guide (MEPDG) and HIPERPAVII software. The FE analysis was performed with a software program, ANSYS. The test section was modeled as a three-layer system with 300 mm concrete slab, 100 mm treated drainable base, and 150 mm lime-treated subgrade. All layers were assumed to be linear elastic. Temperature data was collected at five different depth locations across the concrete slab with digital data loggers. Curling was measured on five different days with a simple setup. The effect of temperature nonlinearities across the slab thickness was also examined. The results show that both upward and downward curling increase as the temperature differential increases. The maximum stress resulting from the combined effect of curling and traffic loading due to positive temperature differential is higher than that due to the negative temperature differential of the same magnitude. Since temperature differential has a significant influence on curling, both curling and curling stresses can be mitigated at an early age with temperature control, namely via enhanced curing. Both MEPDG and HIPERPAVII showed approximately the same performance for the PCC thickness ranging from 215 mm to 300 mm for this project. Performance prediction from HIPERPAVII is very sensitive to the change in PCC thickness less than 230 mm whereas MEPDG prediction is not as sensitive to the thickness change as with HIPERPAV 1I.展开更多
Motivated by the huge practical engineering demand for the fundamental understanding of mechanical characteristics of high-speed railway infrastructure,a fullscale multi-functional test platform for high-speed railway...Motivated by the huge practical engineering demand for the fundamental understanding of mechanical characteristics of high-speed railway infrastructure,a fullscale multi-functional test platform for high-speed railway track–subgrade system is developed in this paper,and its main functions for investigating the mechanical performance of track–subgrade systems are elaborated with three typical experimental examples.Comprising the full-scale subgrade structure and all the five types of track structures adopted in Chinese high-speed railways,namely the CRTS I,the CRTS II and the CRTS III ballastless tracks,the double-block ballastless track and the ballasted track,the test platform is established strictly according to the construction standard of Chinese high-speed railways.Three kinds of effective loading methods are employed,including the real bogie loading,multi-point loading and the impact loading.Various types of sensors are adopted in different components of the five types of track–subgrade systems to measure the displacement,acceleration,pressure,structural strain and deformation,etc.Utilizing this test platform,both dynamic characteristics and long-term performance evolution of high-speed railway track–subgrade systems can be investigated,being able to satisfy the actual demand for large-scale operation of Chinese high-speed railways.As examples,three typical experimental studies are presented to elucidate the comprehensive functionalities of the full-scale multi-functional test platform for exploring the dynamic performance and its long-term evolution of ballastless track systems and for studying the long-term accumulative settlement of the ballasted track–subgrade system in high-speed railways.Some interesting phenomena and meaningful results are captured by the developed test platform,which provide a useful guidance for the scientific operation and maintenance of high-speed railway infrastructure.展开更多
Genome-wide studies have reported that Parkinson’s disease is associated with abnormal expression of various growth factors. In this study, male C57 BL/6 mice aged 10 weeks were used to establish Parkinson’s disease...Genome-wide studies have reported that Parkinson’s disease is associated with abnormal expression of various growth factors. In this study, male C57 BL/6 mice aged 10 weeks were used to establish Parkinson’s disease models using an intraperitoneal injection of 60 mg/kg 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine. 28 days later, 10 or 100 ng fibroblast growth factor 20 was injected intracerebroventricularly. The electrophysiological changes in the mouse hippocampus were recorded using a full-cell patch clamp. Expression of Kv4.2 in the substantia nigra was analyzed using a western blot assay. Serum malondialdehyde levels were analyzed by enzyme-linked immunosorbent assay. The motor coordination of mice was evaluated using the rotarod test. The results showed that fibroblast growth factor 20 decreased A-type potassium current in neurons of the substantia nigra, increased long-term potentiation amplitude in the hippocampus, and downregulated Kv4.2 expression. A high dose of fibroblast growth factor 20 reduced serum malondialdehyde levels and enhanced the motor coordination of mice. These findings confirm that fibroblast growth factor 20 has a therapeutic effect on the toxicity induced by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, and its mechanism of action is associated with the inhibition of A-type K+ currents and Kv4.2 expression. All animal procedures were approved by the Animal Care and Use Committee of Qilu Hospital of Shandong University, China in 2017(approval No. KYLL-2017-0012).展开更多
Tin halide perovskites(THPs)have received extensive attention due to their low toxicity and excellent optoelectronic properties,and are considered to be the most promising alternatives to develop efficient lead-free p...Tin halide perovskites(THPs)have received extensive attention due to their low toxicity and excellent optoelectronic properties,and are considered to be the most promising alternatives to develop efficient lead-free perovskite solar cells.However,due to the unique and inherent characteristics of Sn^(2+)being easily oxidized to Sn^(4+)and fast crystallization,tin perovskite solar cells(TPSCs)show relatively poor performance and stability,compared to the lead counterparts.Recently,the introduction of bulky organic spacers into three-dimensional(3D)THPs for dimensional regulation can not only prevent the intrusion of water and oxygen,but also inhibit the self-doping effect and ion migration.In this review,we will detail how dimensional regulation enables TPSCs with high performance and superior stability.First,we summarize the intrinsic properties of THPs and analyze the root causes of their poor performance and instability.Next,we discuss the specific structure and types of the dimensional regulation strategy.Then,the mechanism of dimensional regulation is discussed in detail,mainly from inhibiting the Sn^(2+)oxidation,optimizing crystallization,passivating defects,and improving energy level alignment.Finally,future challenges and prospects for dimensional regulation are elaborated to help researchers develop more efficient and stable TPSCs.展开更多
Changing contexts in a long-term and short-term perspective should be managed within an integrated risk management framework that accounts for both temporary management strategies and permanent preventive measures to ...Changing contexts in a long-term and short-term perspective should be managed within an integrated risk management framework that accounts for both temporary management strategies and permanent preventive measures to reduce the impact of natural hazard processes. In this study, statistical transformation indicators of short-term (20 year) to long-term (30 year) used flood regional coefficients. After the tests of data validation and the reconstruction of missing and outlier data, the data of 18 hydrometric stations were completed for 30 years (1985 to 2014). In the next phase, the return period values were prepared for 20-year and 30-year statistical periods (1985 to 2004 and 1985 to 2014) using the HYFA software. Thus the 20-year to 30-year ratio for various return period discharges obtained and these dimensionless values were plotted for the return periods of 2, 5, 10, 20, 50 and 100 years, also fitted the logarithmic trend line and the values of coefficients of the relationship were obtained. The statistics including average, standard deviation, coefficient of variation (CV), skewness coefficient (CS) and Kurtosis coefficient (CK) were calculated for 20-year data period for each station and we identified the statistics as independent parameters and the coefficients of A and B as dependent parameter, thus analyzed using linear multivariate regression, and regional factors were obtained. In the hydrometric station with 17-027 code, the discharge using the regional factors was calculated and compared with the discharge values of 30 years data. The results showed that there is little difference between the observed and estimated values from regional factors thus this method can be used in projects that require at least 30 years of data.展开更多
While in chronic diseases, such as diabetes, mortalityrates slowly increases with age, in oncological seriesmortality usually changes dramatically during thefollow-up, often in an unpredictable pattern. Forinstance, i...While in chronic diseases, such as diabetes, mortalityrates slowly increases with age, in oncological seriesmortality usually changes dramatically during thefollow-up, often in an unpredictable pattern. Forinstance, in gastric cancer mortality peaks in thefirst two years of follow-up and declines thereafter.Also several risk factors, such as TNM stage, largelyaffect mortality in the first years after surgery, whileafterward their effect tends to fade. Temporal trendsin mortality were compared between a gastric cancerseries and a cohort of type 2 diabetic patients. Forthis purpose, 937 patients, undergoing curativegastrectomy with D1/D2/D3 lymphadenectomy forgastric cancer in three GIRCG (Gruppo Italiano RicercaCancro Gastrico = Italian Research Group for GastricCancer) centers, were compared with 7148 type 2diabetic patients from the Verona Diabetes Study. Inthe early/advanced gastric cancer series, mortality fromrecurrence peaked to 200 deaths per 1000 personyears1 year after gastrectomy and then declined,becoming lower than 40 deaths per 1000 person-yearsafter 5 years and lower than 20 deaths after 8 years.Mortality peak occurred earlier in more advanced Tand N tiers. At variance, in the Verona diabetic cohort overall mortality slowly increased during a 10-yearfollow-up, with ageing of the type 2 diabetic patients.Seasonal oscillations were also recorded, mortalitybeing higher during winter than during summer. Alsothe most important prognostic factors presented adifferent temporal pattern in the two diseases: whilethe prognostic significance of T and N stage markedlydecrease over time, differences in survival amongpatients treated with diet, oral hypoglycemic drugsor insulin were consistent throughout the follow-up.Time variations in prognostic significance of main riskfactors, their impact on survival analysis and possiblesolutions were evaluated in another GIRCG series of568 patients with advanced gastric cancer, undergoingcurative gastrectomy with D2/D3 lymphadenectomy.Survival curves in the two different histotypes (intestinaland mixed/diffuse) were superimposed in the first threeyears of follow-up and diverged thereafter. Likewise,survival curves as a function of site (fundus vs body/antrum) started to diverge after the first year. On thecontrary, survival curves differed among age classesfrom the very beginning, due to different post-operativemortality, which increased from 0.5% in patients aged65-74 years to 9.9% in patients aged 75-91 years;this discrepancy later disappeared. Accordingly, theproportional hazards assumption of the Cox modelwas violated, as regards age, site and histology. Tocope with this problem, multivariable survival analysiswas performed by separately considering either thefirst two years of follow-up or subsequent years.Histology and site were significant predictors only aftertwo years, while T and N, although significant bothin the short-term and in the long-term, became lessimportant in the second part of follow-up. Increasingage was associated with higher mortality in the firsttwo years, but not thereafter. Splitting survival timewhen performing survival analysis allows to distinguishbetween short-term and long-term risk factors.Alternative statistical solutions could be to excludepost-operative mortality, to introduce in the modeltime-dependent covariates or to stratify on variablesviolating proportionality assumption.展开更多
Sea buckthorn market floated uncertainly within a narrow range. The market situation provided upward pressure on prices, and producer and consumer interest were poor, coupled with weak prices in the regional markets. ...Sea buckthorn market floated uncertainly within a narrow range. The market situation provided upward pressure on prices, and producer and consumer interest were poor, coupled with weak prices in the regional markets. The objectives of the study are: 1) to estimate the relationship between wild Sea buckthorn (SB) price and Supply, Demand, while some other factors of crude oil price and exchange rate by using simultaneous Supply-Demand and Price system equation and Vector Error Correction Method (VECM);2) to forecast the short-term and long-term SB price;3) to compare and evaluate the price forecasting models. Firstly, the data was analyzed by Ferris and Engle-Granger’s procedure;secondly, both price forecasting methodologies were tested by Pindyck-Rubinfeld and Makridakis’s procedure. The result shows that the VECM model is more efficient using yearly data;a short-term price forecast decreases, and a long-term price forecast is predicted to increase the Mongolian Sea buckthorn market.展开更多
The efficient exploitation of geothermal energy through enhanced geothermal systems(EGS)has been a relevant topic for hot dry rock(HDR)geothermal resources.When cryogenic fluid is injected into a thermal reservoir,imp...The efficient exploitation of geothermal energy through enhanced geothermal systems(EGS)has been a relevant topic for hot dry rock(HDR)geothermal resources.When cryogenic fluid is injected into a thermal reservoir,improving heat exchange efficiency is key to achieving the optimal exploitation of HDR.In this paper,granite outcrops from Gonghe Basin were used as the testing sample.The natural fractures in the granite samples were relatively well developed.To simulate long-term injection and production from multi-wells in situ,physical ex-periments were performed in a newly-developed,in-house large-scale true triaxial experimental system.Geothermal extraction performance of an HDR was simulated for long-term injection and production operations.Simultaneously,the mode of one-injection and multiple-production wells was represented.In the paper,the ef-fects of the production-injection well spacing,the number of production wells and the injection rate on the production temperature and flow rate are discussed.The results show that,during long-term injection and pro-duction,there are two stages of production temperature variation,namely stabilization and attenuation.When the number of the production wells is increased,the heat extraction efficiency is accelerated.Moreover,competitive diversion of fluid among fractures occurred due to different conductivities.Furthermore,under different pro-duction modes,the production flow rate contributed differently to the heat extraction.Finally,the effect of the production-injection wells spacing on the heat exchange performance was analyzed;this is mainly reflected in the change of the effective heat exchange area between the rock and the injected fluid.The results emphasize the importance of designing an appropriate production mode and optimizing the injection-production parameters to ensure efficient HDR exploitation.展开更多
The paper investigates the long-term seismic behaviour of an underground reinforced concrete(RC)metro tunnel in Santiago,Chile,considering the combined effects of chloride-induced corrosion and cumulative,low-amplitud...The paper investigates the long-term seismic behaviour of an underground reinforced concrete(RC)metro tunnel in Santiago,Chile,considering the combined effects of chloride-induced corrosion and cumulative,low-amplitude seismic shaking on the structure’s performance.The soil-tunnel response is evaluated with the aid of transient,nonlinear finite element analysis using a two-dimensional(2D)plane strain numerical model that adopts advanced nonlinear models for the simulation of soil and concrete plasticity and the dynamic stiffness behaviour.The effects of corrosion deterioration are demonstrated in terms of time-dependent loss of rebar area and cover concrete stiffness and strength.The study illustrates the influence of ageing and repeated seismic shaking on lining deformation,crack development,and the modal characteristics of the intact and degrading systems.The results indicate that multiple lowamplitude events drive the non-degrading RC tunnel beyond its elastic regime without significant structural response consequences.A noticeable impact of corrosion deterioration on the structure’s seismic performance is revealed,increasing with the number and intensity of earthquake events.Two different tunnel embedment depths are comparatively assessed.The analyses demonstrate larger coseismic section convergence in the case of the deeper tunnel,yet a less pronounced effect of ageing and successive seismic loading compared to the shallow section,which is evident in the RC lining cracks at the end of shaking.展开更多
Background: Since the outbreak of the COVID-19 pandemic caused massive case fatalities across the world, people have been left with significant physical and mental disabilities, which has had an adverse impact on thei...Background: Since the outbreak of the COVID-19 pandemic caused massive case fatalities across the world, people have been left with significant physical and mental disabilities, which has had an adverse impact on their quality of life. The objective of this study is to measure the short-term and long-term outcomes among COVID-19 survivors. Methods: This is a six-month-long multicentre prospective observational study, carried out in four specialized hospitals in the capital city Dhaka, where six hundred participants were enrolled by non-probability convenience sampling. Data were collected through three structured interviews, and follow-ups were done during discharge, at 1st month, and 6th month. An analytical study was done on demographic variables, socio-economic conditions, physical findings and outcomes. Data were analysed using Statistical Package for Social Sciences (SPSS). Results: A total of 600 participants were enrolled. The mean age was 49.83. Many participants belong to the age range of 31 to 40 years. More than two-thirds (72.7%) of participants were male, whereas 27.30% were female. Most patients admitted had mild and moderate COVID-19 symptoms (40% and 58%, respectively). Among short-term COVID complications, it was found that 43.3% of the participants complained of fatigue, 32.6% of depression, 24.7% of sleep disturbance, 19% of anxiety and, 5% memory loss. In long-term COVID complications the number reduced significantly: 5% of the participants complained of fatigue, 10% of depression, 2.7% of sleep disturbance, 7.3% of anxiety and, 2.7% memory loss. The severity of lung parenchymal disease also reduced in long term COVID symptoms. The study found a statistically significant relationship between age groups and CT severity index (χ2 = 9.458, p = 0.032). Most patients (29.2%) in the under-30 age group had a CT Severity Index score of 2 & 3 (29.2%). The important CT Severity Index scores for individuals aged 30 to 60 years were 3 and 4, accounting for 37.7% and 33.3%, respectively. In the over-60 age group, 40.8% of patients showed a CT Severity Index score of 4, showing a range of 51% - 75%. Conclusion: This study found that fatigue, depression, and sleep disturbances are prevalent among COVID-19 survivors;however, these symptoms generally reduce over time. Lung problems improved;however, some patients suffered from persistent effects. Older patients, especially those with pre-existing conditions, suffer from more severe outcomes. These findings underscore the need for ongoing care for COVID-19 survivors.展开更多
Background: Efforts have been made in Burkina Faso, a French-speaking country, since 2010 to improve healthcare access and provide affordable contraceptive methods to women. With the increasing prevalence of modern co...Background: Efforts have been made in Burkina Faso, a French-speaking country, since 2010 to improve healthcare access and provide affordable contraceptive methods to women. With the increasing prevalence of modern contraceptives in Burkina Faso, it is important to examine the socio-demographic factors that contribute to this new pattern of contraceptive use. This study aims to analyze the changes in socio-demographic factors associated with long-term contraceptive use and provide scientific evidence to guide policy development and action planning in family planning. Data and Methods: We utilized data from the 2010 Demographic and Health Survey, which included 17,087 women aged 15 - 49 years, and the 2015 Demographic and Health Module, which included 11,504 women in the same age group. For the analysis of contraceptive use, we focused on women who were in need of contraception (either met or unmet), of reproductive age, non-pregnant, and either married or sexually active but not married. We included users of modern reversible methods and excluded non-users, as well as users of traditional or permanent methods. Results: Our findings revealed a high prevalence of long-term contraceptive use across all categories;however, certain challenges were identified, such as lower levels of information about contraceptive methods among users and the persistence of inequalities. Family planning discussions and partner approval did not influence long-term contraceptive choice. Additionally, some providers selectively offered specific methods based on women’s life course characteristics, such as parity and marital status, despite evidence suggesting that young and nulliparous women can effectively use long-term methods. Conclusion: Given the high effectiveness of long-term contraceptive methods, it is crucial to address barriers that hinder their utilization among young and nulliparous women, as well as those who desire to delay pregnancy. Efforts should focus on improving knowledge and dispelling misconceptions surrounding long-term methods. Providers play a pivotal role in this process by adopting counseling strategies that enhance users’ understanding and facilitate informed decision-making regarding contraceptive options.展开更多
AIM: To evaluate the prognostic factors of long-term survival of more than 3 years in patients with advanced non-small cell lung cancer(NSCLC). METHODS: We retrospectively analyzed the records of 474 patients with adv...AIM: To evaluate the prognostic factors of long-term survival of more than 3 years in patients with advanced non-small cell lung cancer(NSCLC). METHODS: We retrospectively analyzed the records of 474 patients with advanced ⅢB/Ⅳ NSCLC who received chemotherapy as initial treatment between September 2002 and March 2007.RESULTS: The median survival time(MST) was 12.5 mo and the 3 year and 5 year survival rates were 14.6% and 5.3%, respectively. Long-term survival of more than 3 and 5 years was observed in 65 and 16 patients, respectively. The MST for the 65 patients was61.5 mo(range, 60.1-81.0 mo). In the 474 patients, a good performance status(PS), female sex, non-smoking status and adenocarcinoma histology were significantly associated with a favorable outcome. Furthermore, female sex, a good PS, non-smoking status and adenocarcinoma histology were significantly correlated with longterm survival of more than 3 years and most of these patients(89.2%, 58/65) received epidermal growth factor receptor-tyrosine kinase inhibitors as any line treatment. Survival analysis of long-term survivors showed that a PS of 0 was an independent prognostic factor for predicting favorable outcomes. CONCLUSION: Our results suggest that a good PS and adenocarcinoma histology play an important role in long-term survival of more than 3 years. A PS of 0 was an independent prognostic factor for predicting favorable outcomes in patients with advanced NSCLC who survived for more than 3 years.展开更多
Muscle-in-vein conduits are used alternatively to nerve grafts for bridging nerve defects. The purpose of this study was to examine short- and long-term regeneration results after digital nerve reconstruction with mus...Muscle-in-vein conduits are used alternatively to nerve grafts for bridging nerve defects. The purpose of this study was to examine short- and long-term regeneration results after digital nerve reconstruction with muscle-in-vein conduits. Static and moving two-point discriminations and Semmes-Weinstein Monofilaments were used to evaluate sensory recovery 6–12 months and 14–35 months after repair of digital nerves with muscle-in-vein in 7 cases. Both follow-ups were performed after clinical signs of progressing regeneration disappeared. In 4 of 7 cases, a further recovery of both two-point discriminations and in another case of only the static two-point discrimination of 1–3 mm could be found between the short-term and long-term follow-up examination. Moreover, a late recovery of both two-point discriminations was demonstrated in another case. Four of 7 cases showed a sensory improvement by one Semmes-Weinstein Monofilaments. This pilot study suggests that sensory recovery still takes place even when clinical signs of progressing regeneration disappear.展开更多
In this paper,we explore a distributed collaborative caching and computing model to support the distribution of adaptive bit rate video streaming.The aim is to reduce the average initial buffer delay and improve the q...In this paper,we explore a distributed collaborative caching and computing model to support the distribution of adaptive bit rate video streaming.The aim is to reduce the average initial buffer delay and improve the quality of user experience.Considering the difference between global and local video popularities and the time-varying characteristics of video popularity,a two-stage caching scheme is proposed to push popular videos closer to users and minimize the average initial buffer delay.Based on both long-term content popularity and short-term content popularity,the proposed caching solution is decouple into the proactive cache stage and the cache update stage.In the proactive cache stage,we develop a proactive cache placement algorithm that can be executed in an off-peak period.In the cache update stage,we propose a reactive cache update algorithm to update the existing cache policy to minimize the buffer delay.Simulation results verify that the proposed caching algorithms can reduce the initial buffer delay efficiently.展开更多
A prototype array for the LHAASO-KM2A, which consists of 42 detector units and fully overlaps the ARGO-YBJ experiment, was set up at the Yangbajing cosmic ray observatory and has been in stable operation since Octoter...A prototype array for the LHAASO-KM2A, which consists of 42 detector units and fully overlaps the ARGO-YBJ experiment, was set up at the Yangbajing cosmic ray observatory and has been in stable operation since Octoter 2010. The resulting performances of the KM2A electromagnetic particle detector prototypes fully meet the design requirements. Through hybrid observation of cosmic ray showers with the ARGO-YBJ experiment, the performances and long-term stability of the prototype array are tested and the results are consistent with expectation. The cosmic ray moon shadow observed by the prototype array is also presented.展开更多
基金the financial supports provided by the National Natural Science Foundation of China(U2040222,52293431,and 52278259)。
文摘This study investigates the long-term performance of laboratory dam concrete in different curing environments over ten years and the microstructure of 17-year-old laboratory concrete and actual concrete cores drilled from the Three Gorges Dam.The mechanical properties of the laboratory dam concrete,whether cured in natural or standard environments,continued to improve over time.Furthermore,the laboratory dam concrete exhibited good resistance to diffusion and a refined microstructure after 17 years.However,curing and long-term exposure to the local natural environment reduced the frost resistance.Microstructural analyses of the laboratory concrete samples demonstrated that moderate-heat cement and fine fly ash(FA)particles were almost fully hydrated to form compact micro structures consisting of large quantities of homogeneous calcium(alumino)silicate hydrate(C-(A)-S-H)gels and a few crystals.No obvious interfacial transition zones were observed in the microstructure owing to the longterm pozzolanic reaction.This dense and homogenous microstructure was the crucial reason for the excellent long-term performance of the dam concrete.A high FA volume also played a significant role in the microstructural densification and performance growth of dam concrete at a later age.The concrete drilled from the dam surface exhibited a loose microstructure with higher microporosity,indicating that concrete directly exposed to the actual service environment suffered degradation caused by water and wind attacks.In this study,both macro-performance and microstructural analyses revealed that the application of moderate-heat cement and FA resulted in a dense and homogenous microstructure,which ensured the excellent long-term performance of concrete from the Three Gorges Dam after 17 years.Long-term exposure to an actual service environment may lead to microstructural degradation of the concrete surface.Therefore,the retained long-term dam concrete samples need to be further researched to better understand its microstructural evolution and development of its properties.
基金supported by National Natural Science Fund for Excellent Young Scientists Fund Program (Overseas) (Grant No.22FAA02811)Pearl River Talent Plan for the Introduction of High-level Talents (Young Top-notch Talents) (Grant No.2021QN02G744)+1 种基金National Natural Science Foundation of China (Grant No.52178426)the Fundamental Research Funds for the Central Universities (Grant No.SCUT 2022ZYGXZR066 and 2023ZYGXZR001).
文摘The application of reclaimed asphalt pavement(RAP)and reclaimed asphalt shingles(RAS)on asphalt pavement can reduce the asphalt paving cost,conserve energy and protect the environment.However,the use of high contents of RAP and RAS in asphalt pavement may lead to durability issues,especially the fatigue cracking and thermal cracking.It is necessary to conduct a series of analyses on asphalt mixtures containing high RAP and RAS,and seek methods to enhance their long-term performance.This paper provides a comprehensive over-view of the long-term performance of recycled asphalt mixtures containing high contents of RAP and RAS.The findings in this research show that rutting resistance of high recycled asphalt mixtures is not a concern,whereas their resistance to fatigue and thermal cracking is not conclusive.Recycling agents can be used to improve the thermal cracking resistance of high recycled asphalt mixtures.An optimum decision on recycling agents will improve the durability properties of high recycled asphalt mixtures.It is recommended that to use a balanced mixture design approach with testing of the blended asphalt binders will provide better understanding of long-term performance of recycled asphalt mixtures containing high RAP and RAS.
基金supported by the Ministry of Science and Technology of China(2006BAJ04A01 and 2006BAJ03A04-01)
文摘Dynamic environmental testing is an effective means to study the energy and long-term hygrothermal performance of building enclosures. Southeast University is designing and building a large-scale dynamic environment simulation testing facility. It can simuhaneously and dynamically simulate temperature, relative humidity, infrared solar radiation, UV radiation, and precipitation. A transformation is needed to predict the energy and long-term hygrothermal performance of building enclosures under real service conditions using data obtained from accelerated tests.
文摘Based on the investigation of long-life asphalt pavement at home and abroad,the development of long-life asphalt pavement technology in Shandong Province,China is reviewed in this paper.The structural combination char-acteristics of typical long-life asphalt pavement in Shandong Province and their popularization and application are introduced.The application effect of combined base long-life asphalt pavement,which has been widely promoted,is evaluated.At the same time,taking the Binda perpetual pavement test road in Shandong Province as an example,the dynamic response and long-term performance evolution of long-life asphalt pavement are analyzed over a period of more than 17 years.Sections S1,S2,and S3 present information about full-depth asphalt pavement.Section S4 describes combined base asphalt pavement.The results show that the maximum strain of S1–S4 is within the endurance strain limit.S1,S2,S3 and S4 are all expected to be long-life asphalt pavements.In the current study,Sections S1–S4 were maintained in good condition during a service period of more than 17 years with no structural cracks and good deflection,rutting,and IRI indexes.The deflection index was stable without growth,and the IRI was also relatively stable following the opening to traffic.The rutting depth un-derwent a slight cumulative increase within 8 years of opening,and then stabilized.The average rutting depth over the 17-year period was less than 15 mm.Therefore,S1–S4 meet the design standards required for use as long-life pavements.From the perspectives of resource saving,energy saving,and emission reduction and service performance,full-depth asphalt pavement can be considered to represent a new generation of green and durable pavement structures with great future promotion potential.
基金Funded by National Natural Science Foundation of China (No.59493604)Zhejiang Provincial Natural Science Foundation of China (No.597082)China Yangtze River Three Gorges General
文摘The long-term performance of moderate heat Portland cement with double-expansive sources (DE cement) in the system of high MgO clinker and gypsum was studied by XRD, SEM/EDAX and test methods for strength and expansion of cement. Results indicate that the periclase particle, whose size was 5-7.5μm in DE cement clinker containing 4.8 % MgO, existed individually. The periclase hydration in hardened DE cement paste started at about 60 days and completed up to 2 000 days, and ettringite in the paste was stable from 3 days to 2 000 days. Under the conditions of 4.5%-5.0 % MgO in clinker and 2.8%-3.4 %SO3 in cement, ettringite expansion and brucite expansion in DE cement paste had a continuity, entirety and stability. At the ages of 90, 365,730 and 2 000 days the expansion of the paste reached 0.07%-0.11%, 0.16%-0.21%, 0.21%-0.27 %, and 0.29%-0.38%, respectively. The results suggest that by using this cement in mass concrete it may compensate its temperature shrinkage and autogenous shrinkage to some extent.
文摘Curling results from the temperature differential across the concrete slab thickness and may induce undue stresses in newly placed slab. This study deals with the finite element (FE) analysis of curling, curling stresses, field measurement of curling on a newly built jointed plain concrete pavement, and comparison of its long-term performance using both Mechanistic-Empirical Pavement Design Guide (MEPDG) and HIPERPAVII software. The FE analysis was performed with a software program, ANSYS. The test section was modeled as a three-layer system with 300 mm concrete slab, 100 mm treated drainable base, and 150 mm lime-treated subgrade. All layers were assumed to be linear elastic. Temperature data was collected at five different depth locations across the concrete slab with digital data loggers. Curling was measured on five different days with a simple setup. The effect of temperature nonlinearities across the slab thickness was also examined. The results show that both upward and downward curling increase as the temperature differential increases. The maximum stress resulting from the combined effect of curling and traffic loading due to positive temperature differential is higher than that due to the negative temperature differential of the same magnitude. Since temperature differential has a significant influence on curling, both curling and curling stresses can be mitigated at an early age with temperature control, namely via enhanced curing. Both MEPDG and HIPERPAVII showed approximately the same performance for the PCC thickness ranging from 215 mm to 300 mm for this project. Performance prediction from HIPERPAVII is very sensitive to the change in PCC thickness less than 230 mm whereas MEPDG prediction is not as sensitive to the thickness change as with HIPERPAV 1I.
基金This work was supported by the National Natural Science Foundation of China[Grant Nos.11790283,51978587,51708457]the Program of Introducing Talents of Discipline to Universities(111 Project)[Grant No.B16041].
文摘Motivated by the huge practical engineering demand for the fundamental understanding of mechanical characteristics of high-speed railway infrastructure,a fullscale multi-functional test platform for high-speed railway track–subgrade system is developed in this paper,and its main functions for investigating the mechanical performance of track–subgrade systems are elaborated with three typical experimental examples.Comprising the full-scale subgrade structure and all the five types of track structures adopted in Chinese high-speed railways,namely the CRTS I,the CRTS II and the CRTS III ballastless tracks,the double-block ballastless track and the ballasted track,the test platform is established strictly according to the construction standard of Chinese high-speed railways.Three kinds of effective loading methods are employed,including the real bogie loading,multi-point loading and the impact loading.Various types of sensors are adopted in different components of the five types of track–subgrade systems to measure the displacement,acceleration,pressure,structural strain and deformation,etc.Utilizing this test platform,both dynamic characteristics and long-term performance evolution of high-speed railway track–subgrade systems can be investigated,being able to satisfy the actual demand for large-scale operation of Chinese high-speed railways.As examples,three typical experimental studies are presented to elucidate the comprehensive functionalities of the full-scale multi-functional test platform for exploring the dynamic performance and its long-term evolution of ballastless track systems and for studying the long-term accumulative settlement of the ballasted track–subgrade system in high-speed railways.Some interesting phenomena and meaningful results are captured by the developed test platform,which provide a useful guidance for the scientific operation and maintenance of high-speed railway infrastructure.
文摘Genome-wide studies have reported that Parkinson’s disease is associated with abnormal expression of various growth factors. In this study, male C57 BL/6 mice aged 10 weeks were used to establish Parkinson’s disease models using an intraperitoneal injection of 60 mg/kg 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine. 28 days later, 10 or 100 ng fibroblast growth factor 20 was injected intracerebroventricularly. The electrophysiological changes in the mouse hippocampus were recorded using a full-cell patch clamp. Expression of Kv4.2 in the substantia nigra was analyzed using a western blot assay. Serum malondialdehyde levels were analyzed by enzyme-linked immunosorbent assay. The motor coordination of mice was evaluated using the rotarod test. The results showed that fibroblast growth factor 20 decreased A-type potassium current in neurons of the substantia nigra, increased long-term potentiation amplitude in the hippocampus, and downregulated Kv4.2 expression. A high dose of fibroblast growth factor 20 reduced serum malondialdehyde levels and enhanced the motor coordination of mice. These findings confirm that fibroblast growth factor 20 has a therapeutic effect on the toxicity induced by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, and its mechanism of action is associated with the inhibition of A-type K+ currents and Kv4.2 expression. All animal procedures were approved by the Animal Care and Use Committee of Qilu Hospital of Shandong University, China in 2017(approval No. KYLL-2017-0012).
基金financially supported by the National Natural Science Foundation of China(51702038)the Science&Technology Department of Sichuan Province(2020YFG0061)+2 种基金the Recruitment Program for Young Professionalsthe National Key Research and Development Program of China(2017YFA0206600)the National Natural Science Foundation of China(51773045,21772030,51922032,21961160720)for financial support。
文摘Tin halide perovskites(THPs)have received extensive attention due to their low toxicity and excellent optoelectronic properties,and are considered to be the most promising alternatives to develop efficient lead-free perovskite solar cells.However,due to the unique and inherent characteristics of Sn^(2+)being easily oxidized to Sn^(4+)and fast crystallization,tin perovskite solar cells(TPSCs)show relatively poor performance and stability,compared to the lead counterparts.Recently,the introduction of bulky organic spacers into three-dimensional(3D)THPs for dimensional regulation can not only prevent the intrusion of water and oxygen,but also inhibit the self-doping effect and ion migration.In this review,we will detail how dimensional regulation enables TPSCs with high performance and superior stability.First,we summarize the intrinsic properties of THPs and analyze the root causes of their poor performance and instability.Next,we discuss the specific structure and types of the dimensional regulation strategy.Then,the mechanism of dimensional regulation is discussed in detail,mainly from inhibiting the Sn^(2+)oxidation,optimizing crystallization,passivating defects,and improving energy level alignment.Finally,future challenges and prospects for dimensional regulation are elaborated to help researchers develop more efficient and stable TPSCs.
文摘Changing contexts in a long-term and short-term perspective should be managed within an integrated risk management framework that accounts for both temporary management strategies and permanent preventive measures to reduce the impact of natural hazard processes. In this study, statistical transformation indicators of short-term (20 year) to long-term (30 year) used flood regional coefficients. After the tests of data validation and the reconstruction of missing and outlier data, the data of 18 hydrometric stations were completed for 30 years (1985 to 2014). In the next phase, the return period values were prepared for 20-year and 30-year statistical periods (1985 to 2004 and 1985 to 2014) using the HYFA software. Thus the 20-year to 30-year ratio for various return period discharges obtained and these dimensionless values were plotted for the return periods of 2, 5, 10, 20, 50 and 100 years, also fitted the logarithmic trend line and the values of coefficients of the relationship were obtained. The statistics including average, standard deviation, coefficient of variation (CV), skewness coefficient (CS) and Kurtosis coefficient (CK) were calculated for 20-year data period for each station and we identified the statistics as independent parameters and the coefficients of A and B as dependent parameter, thus analyzed using linear multivariate regression, and regional factors were obtained. In the hydrometric station with 17-027 code, the discharge using the regional factors was calculated and compared with the discharge values of 30 years data. The results showed that there is little difference between the observed and estimated values from regional factors thus this method can be used in projects that require at least 30 years of data.
文摘While in chronic diseases, such as diabetes, mortalityrates slowly increases with age, in oncological seriesmortality usually changes dramatically during thefollow-up, often in an unpredictable pattern. Forinstance, in gastric cancer mortality peaks in thefirst two years of follow-up and declines thereafter.Also several risk factors, such as TNM stage, largelyaffect mortality in the first years after surgery, whileafterward their effect tends to fade. Temporal trendsin mortality were compared between a gastric cancerseries and a cohort of type 2 diabetic patients. Forthis purpose, 937 patients, undergoing curativegastrectomy with D1/D2/D3 lymphadenectomy forgastric cancer in three GIRCG (Gruppo Italiano RicercaCancro Gastrico = Italian Research Group for GastricCancer) centers, were compared with 7148 type 2diabetic patients from the Verona Diabetes Study. Inthe early/advanced gastric cancer series, mortality fromrecurrence peaked to 200 deaths per 1000 personyears1 year after gastrectomy and then declined,becoming lower than 40 deaths per 1000 person-yearsafter 5 years and lower than 20 deaths after 8 years.Mortality peak occurred earlier in more advanced Tand N tiers. At variance, in the Verona diabetic cohort overall mortality slowly increased during a 10-yearfollow-up, with ageing of the type 2 diabetic patients.Seasonal oscillations were also recorded, mortalitybeing higher during winter than during summer. Alsothe most important prognostic factors presented adifferent temporal pattern in the two diseases: whilethe prognostic significance of T and N stage markedlydecrease over time, differences in survival amongpatients treated with diet, oral hypoglycemic drugsor insulin were consistent throughout the follow-up.Time variations in prognostic significance of main riskfactors, their impact on survival analysis and possiblesolutions were evaluated in another GIRCG series of568 patients with advanced gastric cancer, undergoingcurative gastrectomy with D2/D3 lymphadenectomy.Survival curves in the two different histotypes (intestinaland mixed/diffuse) were superimposed in the first threeyears of follow-up and diverged thereafter. Likewise,survival curves as a function of site (fundus vs body/antrum) started to diverge after the first year. On thecontrary, survival curves differed among age classesfrom the very beginning, due to different post-operativemortality, which increased from 0.5% in patients aged65-74 years to 9.9% in patients aged 75-91 years;this discrepancy later disappeared. Accordingly, theproportional hazards assumption of the Cox modelwas violated, as regards age, site and histology. Tocope with this problem, multivariable survival analysiswas performed by separately considering either thefirst two years of follow-up or subsequent years.Histology and site were significant predictors only aftertwo years, while T and N, although significant bothin the short-term and in the long-term, became lessimportant in the second part of follow-up. Increasingage was associated with higher mortality in the firsttwo years, but not thereafter. Splitting survival timewhen performing survival analysis allows to distinguishbetween short-term and long-term risk factors.Alternative statistical solutions could be to excludepost-operative mortality, to introduce in the modeltime-dependent covariates or to stratify on variablesviolating proportionality assumption.
文摘Sea buckthorn market floated uncertainly within a narrow range. The market situation provided upward pressure on prices, and producer and consumer interest were poor, coupled with weak prices in the regional markets. The objectives of the study are: 1) to estimate the relationship between wild Sea buckthorn (SB) price and Supply, Demand, while some other factors of crude oil price and exchange rate by using simultaneous Supply-Demand and Price system equation and Vector Error Correction Method (VECM);2) to forecast the short-term and long-term SB price;3) to compare and evaluate the price forecasting models. Firstly, the data was analyzed by Ferris and Engle-Granger’s procedure;secondly, both price forecasting methodologies were tested by Pindyck-Rubinfeld and Makridakis’s procedure. The result shows that the VECM model is more efficient using yearly data;a short-term price forecast decreases, and a long-term price forecast is predicted to increase the Mongolian Sea buckthorn market.
文摘The efficient exploitation of geothermal energy through enhanced geothermal systems(EGS)has been a relevant topic for hot dry rock(HDR)geothermal resources.When cryogenic fluid is injected into a thermal reservoir,improving heat exchange efficiency is key to achieving the optimal exploitation of HDR.In this paper,granite outcrops from Gonghe Basin were used as the testing sample.The natural fractures in the granite samples were relatively well developed.To simulate long-term injection and production from multi-wells in situ,physical ex-periments were performed in a newly-developed,in-house large-scale true triaxial experimental system.Geothermal extraction performance of an HDR was simulated for long-term injection and production operations.Simultaneously,the mode of one-injection and multiple-production wells was represented.In the paper,the ef-fects of the production-injection well spacing,the number of production wells and the injection rate on the production temperature and flow rate are discussed.The results show that,during long-term injection and pro-duction,there are two stages of production temperature variation,namely stabilization and attenuation.When the number of the production wells is increased,the heat extraction efficiency is accelerated.Moreover,competitive diversion of fluid among fractures occurred due to different conductivities.Furthermore,under different pro-duction modes,the production flow rate contributed differently to the heat extraction.Finally,the effect of the production-injection wells spacing on the heat exchange performance was analyzed;this is mainly reflected in the change of the effective heat exchange area between the rock and the injected fluid.The results emphasize the importance of designing an appropriate production mode and optimizing the injection-production parameters to ensure efficient HDR exploitation.
基金supported by the Newton Fund:EPSRC,UK&CONICYT,Chile(EPSRC Grant No.EP/N03435X/1)the Extending Shaking Tunnel Vision project funded jointly by the Global Challenge Research Fund(GCRF)and the Higher Education Funding Council for England(HEFCE)under account number 95541229,both led by the University of Leeds.
文摘The paper investigates the long-term seismic behaviour of an underground reinforced concrete(RC)metro tunnel in Santiago,Chile,considering the combined effects of chloride-induced corrosion and cumulative,low-amplitude seismic shaking on the structure’s performance.The soil-tunnel response is evaluated with the aid of transient,nonlinear finite element analysis using a two-dimensional(2D)plane strain numerical model that adopts advanced nonlinear models for the simulation of soil and concrete plasticity and the dynamic stiffness behaviour.The effects of corrosion deterioration are demonstrated in terms of time-dependent loss of rebar area and cover concrete stiffness and strength.The study illustrates the influence of ageing and repeated seismic shaking on lining deformation,crack development,and the modal characteristics of the intact and degrading systems.The results indicate that multiple lowamplitude events drive the non-degrading RC tunnel beyond its elastic regime without significant structural response consequences.A noticeable impact of corrosion deterioration on the structure’s seismic performance is revealed,increasing with the number and intensity of earthquake events.Two different tunnel embedment depths are comparatively assessed.The analyses demonstrate larger coseismic section convergence in the case of the deeper tunnel,yet a less pronounced effect of ageing and successive seismic loading compared to the shallow section,which is evident in the RC lining cracks at the end of shaking.
文摘Background: Since the outbreak of the COVID-19 pandemic caused massive case fatalities across the world, people have been left with significant physical and mental disabilities, which has had an adverse impact on their quality of life. The objective of this study is to measure the short-term and long-term outcomes among COVID-19 survivors. Methods: This is a six-month-long multicentre prospective observational study, carried out in four specialized hospitals in the capital city Dhaka, where six hundred participants were enrolled by non-probability convenience sampling. Data were collected through three structured interviews, and follow-ups were done during discharge, at 1st month, and 6th month. An analytical study was done on demographic variables, socio-economic conditions, physical findings and outcomes. Data were analysed using Statistical Package for Social Sciences (SPSS). Results: A total of 600 participants were enrolled. The mean age was 49.83. Many participants belong to the age range of 31 to 40 years. More than two-thirds (72.7%) of participants were male, whereas 27.30% were female. Most patients admitted had mild and moderate COVID-19 symptoms (40% and 58%, respectively). Among short-term COVID complications, it was found that 43.3% of the participants complained of fatigue, 32.6% of depression, 24.7% of sleep disturbance, 19% of anxiety and, 5% memory loss. In long-term COVID complications the number reduced significantly: 5% of the participants complained of fatigue, 10% of depression, 2.7% of sleep disturbance, 7.3% of anxiety and, 2.7% memory loss. The severity of lung parenchymal disease also reduced in long term COVID symptoms. The study found a statistically significant relationship between age groups and CT severity index (χ2 = 9.458, p = 0.032). Most patients (29.2%) in the under-30 age group had a CT Severity Index score of 2 & 3 (29.2%). The important CT Severity Index scores for individuals aged 30 to 60 years were 3 and 4, accounting for 37.7% and 33.3%, respectively. In the over-60 age group, 40.8% of patients showed a CT Severity Index score of 4, showing a range of 51% - 75%. Conclusion: This study found that fatigue, depression, and sleep disturbances are prevalent among COVID-19 survivors;however, these symptoms generally reduce over time. Lung problems improved;however, some patients suffered from persistent effects. Older patients, especially those with pre-existing conditions, suffer from more severe outcomes. These findings underscore the need for ongoing care for COVID-19 survivors.
文摘Background: Efforts have been made in Burkina Faso, a French-speaking country, since 2010 to improve healthcare access and provide affordable contraceptive methods to women. With the increasing prevalence of modern contraceptives in Burkina Faso, it is important to examine the socio-demographic factors that contribute to this new pattern of contraceptive use. This study aims to analyze the changes in socio-demographic factors associated with long-term contraceptive use and provide scientific evidence to guide policy development and action planning in family planning. Data and Methods: We utilized data from the 2010 Demographic and Health Survey, which included 17,087 women aged 15 - 49 years, and the 2015 Demographic and Health Module, which included 11,504 women in the same age group. For the analysis of contraceptive use, we focused on women who were in need of contraception (either met or unmet), of reproductive age, non-pregnant, and either married or sexually active but not married. We included users of modern reversible methods and excluded non-users, as well as users of traditional or permanent methods. Results: Our findings revealed a high prevalence of long-term contraceptive use across all categories;however, certain challenges were identified, such as lower levels of information about contraceptive methods among users and the persistence of inequalities. Family planning discussions and partner approval did not influence long-term contraceptive choice. Additionally, some providers selectively offered specific methods based on women’s life course characteristics, such as parity and marital status, despite evidence suggesting that young and nulliparous women can effectively use long-term methods. Conclusion: Given the high effectiveness of long-term contraceptive methods, it is crucial to address barriers that hinder their utilization among young and nulliparous women, as well as those who desire to delay pregnancy. Efforts should focus on improving knowledge and dispelling misconceptions surrounding long-term methods. Providers play a pivotal role in this process by adopting counseling strategies that enhance users’ understanding and facilitate informed decision-making regarding contraceptive options.
文摘AIM: To evaluate the prognostic factors of long-term survival of more than 3 years in patients with advanced non-small cell lung cancer(NSCLC). METHODS: We retrospectively analyzed the records of 474 patients with advanced ⅢB/Ⅳ NSCLC who received chemotherapy as initial treatment between September 2002 and March 2007.RESULTS: The median survival time(MST) was 12.5 mo and the 3 year and 5 year survival rates were 14.6% and 5.3%, respectively. Long-term survival of more than 3 and 5 years was observed in 65 and 16 patients, respectively. The MST for the 65 patients was61.5 mo(range, 60.1-81.0 mo). In the 474 patients, a good performance status(PS), female sex, non-smoking status and adenocarcinoma histology were significantly associated with a favorable outcome. Furthermore, female sex, a good PS, non-smoking status and adenocarcinoma histology were significantly correlated with longterm survival of more than 3 years and most of these patients(89.2%, 58/65) received epidermal growth factor receptor-tyrosine kinase inhibitors as any line treatment. Survival analysis of long-term survivors showed that a PS of 0 was an independent prognostic factor for predicting favorable outcomes. CONCLUSION: Our results suggest that a good PS and adenocarcinoma histology play an important role in long-term survival of more than 3 years. A PS of 0 was an independent prognostic factor for predicting favorable outcomes in patients with advanced NSCLC who survived for more than 3 years.
文摘Muscle-in-vein conduits are used alternatively to nerve grafts for bridging nerve defects. The purpose of this study was to examine short- and long-term regeneration results after digital nerve reconstruction with muscle-in-vein conduits. Static and moving two-point discriminations and Semmes-Weinstein Monofilaments were used to evaluate sensory recovery 6–12 months and 14–35 months after repair of digital nerves with muscle-in-vein in 7 cases. Both follow-ups were performed after clinical signs of progressing regeneration disappeared. In 4 of 7 cases, a further recovery of both two-point discriminations and in another case of only the static two-point discrimination of 1–3 mm could be found between the short-term and long-term follow-up examination. Moreover, a late recovery of both two-point discriminations was demonstrated in another case. Four of 7 cases showed a sensory improvement by one Semmes-Weinstein Monofilaments. This pilot study suggests that sensory recovery still takes place even when clinical signs of progressing regeneration disappear.
基金the National Natural Science Foundation of China under grants 61901078,61871062,and U20A20157in part by the China University Industry-University-Research Collaborative Innovation Fund(Future Network Innovation Research and Application Project)under grant 2021FNA04008+5 种基金in part by the China Postdoctoral Science Foundation under grant 2022MD713692in part by the Chongqing Postdoctoral Science Special Foundation under grant 2021XM2018in part by the Natural Science Foundation of Chongqing under grant cstc2020jcyj-zdxmX0024in part by University Innovation Research Group of Chongqing under grant CXQT20017in part by the Science and Technology Research Program of Chongqing Municipal Education Commission under Grant KJQN202000626in part by the Youth Innovation Group Support Program of ICE Discipline of CQUPT under grant SCIE-QN-2022-04.
文摘In this paper,we explore a distributed collaborative caching and computing model to support the distribution of adaptive bit rate video streaming.The aim is to reduce the average initial buffer delay and improve the quality of user experience.Considering the difference between global and local video popularities and the time-varying characteristics of video popularity,a two-stage caching scheme is proposed to push popular videos closer to users and minimize the average initial buffer delay.Based on both long-term content popularity and short-term content popularity,the proposed caching solution is decouple into the proactive cache stage and the cache update stage.In the proactive cache stage,we develop a proactive cache placement algorithm that can be executed in an off-peak period.In the cache update stage,we propose a reactive cache update algorithm to update the existing cache policy to minimize the buffer delay.Simulation results verify that the proposed caching algorithms can reduce the initial buffer delay efficiently.
基金Supported by NSFC(11175147)Knowledge Innovation Fund of IHEP,Beijing
文摘A prototype array for the LHAASO-KM2A, which consists of 42 detector units and fully overlaps the ARGO-YBJ experiment, was set up at the Yangbajing cosmic ray observatory and has been in stable operation since Octoter 2010. The resulting performances of the KM2A electromagnetic particle detector prototypes fully meet the design requirements. Through hybrid observation of cosmic ray showers with the ARGO-YBJ experiment, the performances and long-term stability of the prototype array are tested and the results are consistent with expectation. The cosmic ray moon shadow observed by the prototype array is also presented.