We proposed an enhanced Reach Extender (RE) called Active Co-existence (ACEX) and investigate its performance with respect to XGS-PON system that co-exist with GPON and TWDM-PON system. The RE is consists of hybrid op...We proposed an enhanced Reach Extender (RE) called Active Co-existence (ACEX) and investigate its performance with respect to XGS-PON system that co-exist with GPON and TWDM-PON system. The RE is consists of hybrid optical amplifier integrated (EDFA and SOA) with Co-existence Element (CEX) module which is installed at the Central Office (CO) together with the OLT system and act as a booster and pre-amplifier for the downstream and upstream optical signal respectively. The results show that the proposed ACEX is capable to support XGS-PON operation for a maximum distance of 35 km with 128 splitting ratio and up to 44 dB link loss.展开更多
The synthesis of evolutionary biology and community ecology aims to understand how genetic variation within one species can shape community properties and how the ecological properties of a community can drive the evo...The synthesis of evolutionary biology and community ecology aims to understand how genetic variation within one species can shape community properties and how the ecological properties of a community can drive the evolution of a species.A rarely explored aspect is whether the interaction of genetic variation and community properties depends on the species'ecological role.Here we investigated the interactions among environmental factors,species diversity,and the within-species genetic diversity of species with different ecological roles.Using high-throughput DNA sequencing,we genotyped a canopydominant tree species,Parashorea chinensis,and an understory-abundant species,Pittosporopsis kerrii,from fifteen plots in Xishuangbanna tropical seasonal rainforest and estimated their adaptive,neutral and total genetic diversity;we also surveyed species diversity and assayed key soil nutrients.Structural equation modelling revealed that soil nitrogen availability created an opposing effect in species diversity and adaptive genetic diversity of the canopy-dominant Pa.chinensis.The increased adaptive genetic diversity of Pa.chinensis led to greater species diversity by promoting co-existence.Increased species diversity reduced the adaptive genetic diversity of the dominant understory species,Pi.kerrii,which was promoted by the adaptive genetic diversity of the canopy-dominant Pa.chinensis.However,such relationships were absent when neutral genetic diversity or total genetic diversity were used in the model.Our results demonstrated the important ecological interaction between adaptive genetic diversity and species diversity,but the pattern of the interaction depends on the identity of the species.Our results highlight the significant ecological role of dominant species in competitive interactions and regulation of community structure.展开更多
The prey-seeking behavior of three spiders (X1-Pirata subpiraticus, X2-Clubiona japonicola and X3-Tetragnatha japonica) for brown plant hopper (X4-Nilaparvata lugens) and rice spittle bug (X5-Cal-litettix versicolor) ...The prey-seeking behavior of three spiders (X1-Pirata subpiraticus, X2-Clubiona japonicola and X3-Tetragnatha japonica) for brown plant hopper (X4-Nilaparvata lugens) and rice spittle bug (X5-Cal-litettix versicolor) was investigated, as well as how interference between and within species occurred, by using a quadratic regression rotational composite design. Six predation models derived from the analysis of interactions among and within predators and preys were developed. The total predatory capacity of spiders on rice insect pests after coexistence for one day can be expressed as follows: Y3 = 32.795 + 2.25X1 + 1.083X2 + 0.5X3 + 10.167X4 + 3.167X5 - 1.67X12 - 2.42X22 - 3.295X32 - 0.045X42 + 0.455X52 - 3.125X1X2 + 0.375X1X3 -0.625X1X4 - 0.375X1X5 + 0.375X2X3 - 0.875X2X4 + 0.125X2X5 + 0.375X3X4 - 0.375X3X5 + 0.125X4X5. The principal efficiency analysis using this model indicated that increases in insect pest density significantly increased predation by predators; this was much greater than the effect of any single predator. X4 had a greater effect than X5; however, X4 and X5 demonstrated little interspecific interference and even promoted each other and increased predation rates as the densities of the two pests increased. Among the three predators, an increase in the density of X, had the greatest effect on the increase in predation, X3 had the second, X2 the third greatest effect. As predator density increased inter- and intra-species interference occurred, which were largely related to the size, activity, niche breadth, niche overlap and searching efficiency of the predators. X2 produced the greatest interference between different individuals and between any other predator species. X3 had the second greatest, which reduced predation levels at high predator densities. Because of these factors, the highest predation rate was obtained at a prey density of 120 per 4 rice-hills. The optimal proportion of the three predators in the multi-predator prey system was X1: X2: X3 = 5.6:1.3:4.1.展开更多
Afrikan narratives such as folktales,proverbs and taboos were clear systems and structures on which societies operated.These were used to guide society’s values that promoted trust,accountability,self respect and man...Afrikan narratives such as folktales,proverbs and taboos were clear systems and structures on which societies operated.These were used to guide society’s values that promoted trust,accountability,self respect and many more for the wellbeing of the entire community.This paper discussesone of the Banyankole folktale Kanzanise empimba za Nzima atarikimanya akangaya(Let me stand in the gap of my sister(Nzima)while she is away or else,I will be shamed in case she knows I did not).The purpose of the paper is to demonstrate how Afrikan indigenous knowledge and specifically this folktale Kanzanise empimba za Nzima atarikimanya akangaya inculcated in the community a spirit of care,commitment to one another and transparency which are fundamental values that create peaceful societies.The paper argues that there is a wealth of wisdom residing in the African cultures to be exploited to guide African policy development.This will raise African indigenous knowledge to a platform worth recognition for its contribution towards positive transformation.Furthermore,that the Western systems and structures currently guiding Afrikan policy development are oblivious of the richness of Afrikan indigenous knowledge that united the people.The paper concludes that for Afrikans to contribute to the global agenda,they need to bring to the table of globalization a unique product such as the Afrikan indigenous narratives that contribues to world peace.The paper recommends moving back into our past,identify and promote those unique Afrikan values that sustained Africa before the Western influence.展开更多
A brain tumor associated with an arteriovenous malformation (AVM) is very rare. A 42-year-old female presented with two separate lesions in her right frontal lobe on MRI. An angiogram diagnosed one of the lesions as a...A brain tumor associated with an arteriovenous malformation (AVM) is very rare. A 42-year-old female presented with two separate lesions in her right frontal lobe on MRI. An angiogram diagnosed one of the lesions as an AVM. The second lesion appeared to be a tumor. Tumor removal was difficult due to bleeding from the nearby AVM, necessitating removal of the AVM and allowing complete excision of the tumor. Histopathological analysis revealed the tumor was an anaplastic oligodendroglioma. There was no recurrence of the tumor 5 year after completion of therapy. We discuss the operative strategy in case of synchronous diseases and provide a review of the literature.展开更多
Situated within the Cross River State of Nigeria, the Upper Cross River area covers the northern half of Cross River State comprising Ugep, Obubra, Ikom, Ogoja, and Obudu divisions. Bounded on the north by the Benue r...Situated within the Cross River State of Nigeria, the Upper Cross River area covers the northern half of Cross River State comprising Ugep, Obubra, Ikom, Ogoja, and Obudu divisions. Bounded on the north by the Benue region, west by Ebonyi and Enugu states and east by the Republic of Cameroon, this unique area experienced colonial rule. Christianity established its dominance in this area during colonial times, leaving no room for Islam. However, following the 1967 to 1970 civil war, groups of Islamic traders, clerics, and businessmen started trickling into the area, and settling there. They began to spread their faith in the region hut could not establish their political presence there. Some familiarised themselves with the culture of the indigenous people, and won converts not by force, but via the proselytisation of their faith. Community leaders did not abandon the old verities which bound traditional society in the region together. The pattern was often a pragmatic choice--accepting the best of the faiths resulting in peaceful co-existence and assured social harmony in the region. Pockets of Islamic converts could be found in Ogoja, Obudu, and some strategic commercial locations in the region. Against this backdrop, the paper examines the co-existence of Islam in the Upper Cross River Region (UCRR) and the impact made economically, culturally and religiously on the peoples of the region. The research adopted secondary and primary sources of information in its methodology. It therefore established that the UCRR of Nigeria serves as an excellent example, or a convenient model for the study of mutual religious co-existence between adherents of the Islamic and other faiths in the region.展开更多
An analytic hierarchy process(AHP)was employed to assess the applicability of 18 new and superior varieties of flowers in Hefei City flower border applications.A total of 12 indicators were selected from three distinc...An analytic hierarchy process(AHP)was employed to assess the applicability of 18 new and superior varieties of flowers in Hefei City flower border applications.A total of 12 indicators were selected from three distinct aspects of adaptability,ornamental characteristics and use traits,in order to establish a comprehensive evaluation model.The results demonstrate that grade I(J≥2.685)exhibits excellent application value,encompassing six species of plants,such asHydrangeamacrophylla‘Endless Summer’;grade II(2.684≤J≤2.420)is also of notable application value,encompassing five species of plants,such asCallistemonrigidus;grade III(2.419≤J≤2.615)is of average application value,including five species of plants,such asCrocosmiacrocosmiflora;grade IV(J≤2.16)is of relatively poor application value.The evaluation results may be utilized as a theoretical reference for the promotion of new and superior varieties in the flower border of Hefei.展开更多
THE premiere of popular Chinese TV soapie Beijing Love Storywas widely hailed as a major cultural breakthrough in the Nigerian capital of Abuja on September 18. Dubbed into Hausa. one of Nigeria's major languages, th...THE premiere of popular Chinese TV soapie Beijing Love Storywas widely hailed as a major cultural breakthrough in the Nigerian capital of Abuja on September 18. Dubbed into Hausa. one of Nigeria's major languages, the drama formed part of the Experience China program held by China's State Council Information Office (SCIO) in Abuja from September 10 to 19.展开更多
Developing advanced battery-type materials with abundant active sites,high conductivity,versatile morphologies,and hierarchically porous structures is crucial for realizing high-quality hybrid supercapacitors.Herein,h...Developing advanced battery-type materials with abundant active sites,high conductivity,versatile morphologies,and hierarchically porous structures is crucial for realizing high-quality hybrid supercapacitors.Herein,heterogeneous FeS@NiS is synthesized by cationic Co doping via surface-structure engineering.The density functional theory(DFT)theoretical calculations are firstly performed to predict the advantages of Co dopant by improving the OH^(−)adsorption properties and adjusting electronic structure,benefiting ions/electron transfer.The dynamic surface evolution is further explored which demonstrates that CoFeS@CoNiS could be quickly reconstructed to Ni(Co)Fe_(2)O_(4)during the charging process,while the unstable structure of the amorphous Ni(Co)Fe_(2)O_(4)results in partial conversion to Ni/Co/FeOOH at high potentials,which contributes to the more reactive active site and good structural stability.Thus,the free-standing electrode reveals excellent electrochemical performance with a superior capacity(335.6 mA h g^(−1),2684 F g^(−1))at 3 A g^(−1).Furthermore,the as-fabricated device shows a quality energy density of 78.1 W h kg^(−1)at a power density of 750 W kg^(−1)and excellent cycle life of 92.1%capacitance retention after 5000 cycles.This work offers a facile strategy to construct versatile morphological structures using electrochemical activation and holds promising applications in energy-related fields.展开更多
Geological maps encode vast amounts of data about rock types,ages,chemistry,orogenic architecture and deep-time history or different tectonic units,yet these are often difficult to extract because of the way different...Geological maps encode vast amounts of data about rock types,ages,chemistry,orogenic architecture and deep-time history or different tectonic units,yet these are often difficult to extract because of the way different geologists portray their results at various scales.To understand orogenesis in 4D,it is essential to uniformly integrate map data,together with geophysical data and deep geochemical mapping(Wang et al.,2023).展开更多
Introduction: Superior mesenteric artery syndrome (SMAS), a rare diagnosis due to compression of the third duodenum between the superior mesenteric artery (SMA) and the aorta resulting in bowel obstruction, may lead t...Introduction: Superior mesenteric artery syndrome (SMAS), a rare diagnosis due to compression of the third duodenum between the superior mesenteric artery (SMA) and the aorta resulting in bowel obstruction, may lead to severe malnutrition. We report two cases of patients hospitalised in the Internal Medicine, Endocrinology, Diabetology, and Nutrition Department of the National Hospital Center (NHC) of Pikine. Observations: Patient 1: A 35-year-old female was referred for an aetiological diagnosis due to a rapid weight loss of 15 kilograms in one month, accompanied by persistent vomiting, following an appendectomy performed a month before admission. Upon clinical examination, she presented severe malnutrition (Buzby index of 76%), early post-prandial chronic vomiting, and a poor general condition. An abdominal CT scan revealed aortomesenteric clamp syndrome (AMCS) with an angulation between the aorta and the SMA of 13˚. The underlying cause in this patient was severe malnutrition. Fortunately, her condition improved with medical treatment. Patient 2: We report the case of a 30-year-old female hospitalized due to unusual weight-bearing post-prandial epigastric pain and intermittent vomiting over the past six months. Upon physical examination at admission, she exhibited severe malnutrition with a body mass index (BMI) of 14 kg/m<sup>2</sup>, a Buzby index of 71%, trophic disorders, and a stage IV general condition assessment according to the World Health Organization (WHO). An abdominal CT scan revealed AMCS with an angle between the aorta and the SMA of 22˚ and an aortomesenteric space of 4 mm. The outcome was poor with medical treatment failure and, unfortunately, the patient died before surgery. Conclusion: SMAS is rarely evoked in clinical practice despite the presence of contributing factors and suggestive clinical signs. The prognosis depends on management time.展开更多
BACKGROUND Unroofed coronary sinus(UCS)is a rare subtype of atrial septal defect.It is frequently associated with a persistent left superior vena cava and is often part of a more intricate cardiac malformation.CASE SU...BACKGROUND Unroofed coronary sinus(UCS)is a rare subtype of atrial septal defect.It is frequently associated with a persistent left superior vena cava and is often part of a more intricate cardiac malformation.CASE SUMMARY This report describes a rare case of an adolescent patient with UCS featuring atrial situs solitus,absence of the right superior vena cava and a persistent left superior vena cava draining into the left atrium consistent with total unroofing of the coronary sinus.This was associated with concurrent severe mitral insufficiency secondary to redundant and prolapsing leaflets,and a substantial left-to-right shunt across the coronary sinus orifice.A comprehensive examination of the existing literature is included,shedding light on the diagnostic challenges of UCS and describing the available surgical options within the context of mitral valve surgery.CONCLUSION UCS is a complex condition requiring careful consideration of associated anomalies and a tailored surgical approach.展开更多
AIM:To determine whether the levator palpebrae superioris(LPS)/superior rectus(SR)muscle complex,can influence the position of the upper lid and fornix in acquired anophthalmic sockets.METHODS:This comparative non-ran...AIM:To determine whether the levator palpebrae superioris(LPS)/superior rectus(SR)muscle complex,can influence the position of the upper lid and fornix in acquired anophthalmic sockets.METHODS:This comparative non-randomized and non-interventional study included retrospective data of 21 patients with unilateral acquired anophthalmic sockets repaired with spheric implants.High-resolution computed tomography(CT)measurements of the LPM/SR muscle complex and clinical topographic position of the upper lid,superior and inferior fornix depth in primary gaze position were evaluated.Demographic data were presented as frequency and percentage proportions and quantitative variables comparing the socket measurements with the normal contralateral orbit was statistically analyzed using non-parametric tests considering P<0.05.RESULTS:The anophthalmic orbits had a significantly shorter LPS length(P=0.01)and significantly thicker SR(P=0.02)than the normal orbit.Lagophthalmos was present in anophthalmic sockets but not in normal orbits(P=0.002),while levator function was normal in both(P>0.05,all comparisons).The superior fornix depth was similar in the anophthalmic socket and the contralateral normal orbit(P=0.192)as well the inferior fornix depth(P=0.351).CONCLUSION:Acquired anophthalmic sockets repaired with spheric implants have shorter LPS,thicker SR,and more lagophthalmos than normal orbits.The relationship of the LPS and SR with other orbital structures,associated with passive or active forces acting in the final position of the lids and external ocular prosthesis should be further investigated.展开更多
Objective: Superior Capsular Reconstruction (SCR) using a Tensor Fascia Lata (TFL) autograft is an evolving technique for treating irreparable rotator cuff tears. The Mihata technique, initially developed in Japan, ha...Objective: Superior Capsular Reconstruction (SCR) using a Tensor Fascia Lata (TFL) autograft is an evolving technique for treating irreparable rotator cuff tears. The Mihata technique, initially developed in Japan, has shown promising long-term results. However, a standardized post-operative rehabilitation protocol for this procedure in the USA is lacking. Purpose: This study aims to evaluate the outcomes of a comprehensive rehabilitation protocol following SCR with TFL autograft in a cohort of nine patients. Participants and Methods: A prospective observational study was conducted at Concentra Urgent Care, San Francisco. Nine patients, aged 55 - 65 years, underwent SCR with TFL autograft performed by a specialized orthopedic surgeon. Post-operative rehabilitation was managed using a structured protocol, divided into three phases focusing on passive exercises, progressive range of motion, and strengthening. Outcomes were measured using the Visual Analogue Scale (VAS) for pain, forward flexion range of motion (FF-ROM), and Single Assessment Numeric Evaluation (SANE) scores over a six-month period. Results: Significant improvements were observed in pain reduction (mean VAS decrease of −3.67 points, p = 0.01), ROM (mean FF increase of 41.11 degrees, p = 0.014), and SANE scores (mean improvement of 42.11%, p = 0.009), indicating the efficacy of the rehabilitation protocol. Conclusion: The comprehensive rehabilitation protocol following SCR with TFL autograft significantly improved pain, range of motion, and shoulder function in patients, suggesting its potential utility in clinical practice.展开更多
BACKGROUND Superior mesenteric artery(SMA)syndrome is a rare cause of duodenal obstruction by extrinsic compression between the SMA and the aorta(SMA-Ao).Although the left lateral recumbent position is considered effe...BACKGROUND Superior mesenteric artery(SMA)syndrome is a rare cause of duodenal obstruction by extrinsic compression between the SMA and the aorta(SMA-Ao).Although the left lateral recumbent position is considered effective in the treatment of SMA syndrome,individual variations in the optimal patient position have been noted.In this report,we present two elderly cases of SMA syndrome that exhibited rapid recovery due to ultrasonographic dynamic evaluation of the optimal position for each patient.CASE SUMMARY Case 1:A 90-year-old man with nausea and vomiting.Following diagnosis of SMA syndrome by computed tomography(CT),ultrasonography(US)revealed the SMA-Ao distance in the supine position(4 mm),which slightly improved in the lateral position(5.7–7.0 mm)without the passage of duodenal contents.However,in the sitting position,the SMA-Ao distance was increased to 15 mm accompanied by improved content passage.Additionally,US indicated enhanced passage upon abdominal massage on the right side.By day 2,the patient could eat comfortably with the optimal position and massage.Case 2:An 87-year-old woman with vomiting.After the diagnosis of SMA syndrome and aspiration pneumonia by CT,dynamic US confirmed the optimal position(SMA-Ao distance was improved to 7 mm in forward-bent position,whereas it remained at 5 mm in the supine position).By day 7 when her pneumonia recovered,she could eat with the optimal position.CONCLUSION The optimal position for SMA syndrome varies among individuals.Dynamic US appears to be a valuable tool in improving patient outcomes.展开更多
BACKGROUND Meningioma in the cerebellopontine angle(CPA)without dural attachment is extremely rare.We report a unique case of meningioma derived from the superior petrosal vein without dural attachment.CASE SUMMARY A ...BACKGROUND Meningioma in the cerebellopontine angle(CPA)without dural attachment is extremely rare.We report a unique case of meningioma derived from the superior petrosal vein without dural attachment.CASE SUMMARY A 44-year-old right-handed woman presented with a two-month history of headache and tinnitus.Brain magnetic resonance imaging showed a well-defined contrast-enhancing lesion in the right CPA without a dural tail sign.Tumor resection was performed using a right retro sigmoid approach.A dural attachment was not seen at the tentorium or posterior surface of the petrous pyramid.The tumor was firmly adherent to the superior petrosal vein.The origin site was cauterized and resected with the preservation of the superior petrosal vein.A diagnosis of meningothelial meningioma was made.The patient’s headache and tinnitus gradually disappeared,and a recurrence was not observed five years after the surgery.CONCLUSION The rare occurrence of meningioma without dural attachment makes it difficult to determine dural attachment before surgery.The absence of dural attachment makes it easy to completely resect such tumors.Vessels related to tumors should be removed carefully,considering the possible presence of tumor stem cells in the microvessels.展开更多
BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with sev...BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with severe pneumonia success-fully treated by V-V ECMO,but during treatment,the retrovenous catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.The ECMO was safely withdrawn after multidiscip-linary consultation.Our experience with this case is expected to provide a reference for colleagues who will encounter similar situations.CASE SUMMARY A 64-year-old man had severe pulmonary infection and respiratory failure.He was admitted to our hospital and was given ventilation support(fraction of inspired oxygen 100%).The respiratory failure was not improved and he was treated by V-V ECMO,during which the venous return catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.There was a risk of massive mediastinal bleeding if the catheter was removed directly when the ECMO was withdrawn.Finally,the patient underwent vena cava angiography+balloon attachment+ECMO with-drawal in the operating room(prepared for conversion to thoracotomy for vascular exploration and repair at any time during surgery)after multidiscip-linary consultation.ECMO was safely withdrawn,and the patient recovered and was discharged.CONCLUSION Patients may have different vascular conditions.Multidisciplinary cooperation can ensure patient safety.Our experience will provide a reference for similar cases.展开更多
BACKGROUND Superior mesenteric artery(SMA)injuries rarely occur during blunt abdominal injuries,with an incidence of<1%.The clinical manifestations mainly include abdominal hemorrhage and peritoneal irritation,whic...BACKGROUND Superior mesenteric artery(SMA)injuries rarely occur during blunt abdominal injuries,with an incidence of<1%.The clinical manifestations mainly include abdominal hemorrhage and peritoneal irritation,which progress rapidly and are easily misdiagnosed.Quick and accurate diagnosis and timely effective treatment are greatly significant in managing emergent cases.This report describes emergency rescue by a multidisciplinary team of a patient with hemorrhagic shock caused by SMA rupture.CASE SUMMARY A 55-year-old man with hemorrhagic shock presented with SMA rupture.On admission,he showed extremely unstable vital signs and was unconscious with a laceration on his head,heart rate of 143 beats/min,shallow and fast breathing(frequency>35 beats/min),and blood pressure as low as 20/10 mmHg(1 mmHg=0.133 kPa).Computed tomography revealed abdominal and pelvic hematocele effusion,suggesting active bleeding.The patient was suspected of partial rupture of the distal SMA branch.The patient underwent emergency mesenteric artery ligation,scalp suture,and liver laceration closure.In view of conditions with acute onset,rapid progression,and high bleeding volume,key points of nursing were conducted,including activating emergency protocol,opening of the green channel,and arranging relevant examinations with various medical staff for quick diagnosis.The seamless collaboration of the multidisciplinary team helped shorten the preoperative preparation time.Emergency laparotomy exploration and mesenteric artery ligation were performed to mitigate hemorrhagic shock while establishing efficient venous accesses and closely monitoring the patient’s condition to ensure hemodynamic stability.Strict measures were taken to avoid intraoperative hypothermia and infection.CONCLUSION After 3.5 h of emergency rescue and medical care,bleeding was successfully controlled,and the patient’s condition was stabilized.Subsequently,the patient was transferred to the intensive care unit for continuous monitoring and treatment.On the sixth day,the patient was weaned off the ventilator,extubated,and relocated to a specialized ward.Through diligent medical intervention and attentive nursing,the patient made a full recovery and was discharged on day 22.The follow-up visit confirmed the patient’s successful recovery.展开更多
Laparoscopic colectomy with ileorectal anastomosis may be beneficial for patients with slow transit constipation who do not respond to conservative treatment,particularly if the superior rectal artery(SRA)is preserved...Laparoscopic colectomy with ileorectal anastomosis may be beneficial for patients with slow transit constipation who do not respond to conservative treatment,particularly if the superior rectal artery(SRA)is preserved.Several important concerns have been addressed in this commentary.It is important to first go over the definition of surgical procedure as it is used in this text.Second,the current study lacked a control group that had SRA preservation.Thirdly,it would be best to use a prospective,randomized controlled study.Lastly,a description of the mesenteric defect’s state following a laparoscopic colectomy is necessary.展开更多
BACKGROUND This study aimed to describe the findings of double superior mesenteric veins(SMVs),a rare anatomical variation,on multidetector computer tomography(MDCT)and magnetic resonance imaging(MRI)images.CASE SUMMA...BACKGROUND This study aimed to describe the findings of double superior mesenteric veins(SMVs),a rare anatomical variation,on multidetector computer tomography(MDCT)and magnetic resonance imaging(MRI)images.CASE SUMMARY We describe the case of a 34-year-old male,who underwent both MDC and MRI examinations of the upper abdomen because of liver cirrhosis.MDCT and MRI angiography images of the upper abdomen revealed an anatomic variation of the superior mesenteric vein(SMV),the double SMVs.CONCLUSION The double SMVs are a congenital abnormality without potential clinical manifestation.Physicians need to be aware of this anatomical variation during abdominal surgery to avoid iatrogenic injury.展开更多
文摘We proposed an enhanced Reach Extender (RE) called Active Co-existence (ACEX) and investigate its performance with respect to XGS-PON system that co-exist with GPON and TWDM-PON system. The RE is consists of hybrid optical amplifier integrated (EDFA and SOA) with Co-existence Element (CEX) module which is installed at the Central Office (CO) together with the OLT system and act as a booster and pre-amplifier for the downstream and upstream optical signal respectively. The results show that the proposed ACEX is capable to support XGS-PON operation for a maximum distance of 35 km with 128 splitting ratio and up to 44 dB link loss.
基金supported by the Strategic Priority Research Program of Chinese Academy of Sciences,Grant No.XDB31000000the National Natural Science Foundation of China(No.31370267).
文摘The synthesis of evolutionary biology and community ecology aims to understand how genetic variation within one species can shape community properties and how the ecological properties of a community can drive the evolution of a species.A rarely explored aspect is whether the interaction of genetic variation and community properties depends on the species'ecological role.Here we investigated the interactions among environmental factors,species diversity,and the within-species genetic diversity of species with different ecological roles.Using high-throughput DNA sequencing,we genotyped a canopydominant tree species,Parashorea chinensis,and an understory-abundant species,Pittosporopsis kerrii,from fifteen plots in Xishuangbanna tropical seasonal rainforest and estimated their adaptive,neutral and total genetic diversity;we also surveyed species diversity and assayed key soil nutrients.Structural equation modelling revealed that soil nitrogen availability created an opposing effect in species diversity and adaptive genetic diversity of the canopy-dominant Pa.chinensis.The increased adaptive genetic diversity of Pa.chinensis led to greater species diversity by promoting co-existence.Increased species diversity reduced the adaptive genetic diversity of the dominant understory species,Pi.kerrii,which was promoted by the adaptive genetic diversity of the canopy-dominant Pa.chinensis.However,such relationships were absent when neutral genetic diversity or total genetic diversity were used in the model.Our results demonstrated the important ecological interaction between adaptive genetic diversity and species diversity,but the pattern of the interaction depends on the identity of the species.Our results highlight the significant ecological role of dominant species in competitive interactions and regulation of community structure.
文摘The prey-seeking behavior of three spiders (X1-Pirata subpiraticus, X2-Clubiona japonicola and X3-Tetragnatha japonica) for brown plant hopper (X4-Nilaparvata lugens) and rice spittle bug (X5-Cal-litettix versicolor) was investigated, as well as how interference between and within species occurred, by using a quadratic regression rotational composite design. Six predation models derived from the analysis of interactions among and within predators and preys were developed. The total predatory capacity of spiders on rice insect pests after coexistence for one day can be expressed as follows: Y3 = 32.795 + 2.25X1 + 1.083X2 + 0.5X3 + 10.167X4 + 3.167X5 - 1.67X12 - 2.42X22 - 3.295X32 - 0.045X42 + 0.455X52 - 3.125X1X2 + 0.375X1X3 -0.625X1X4 - 0.375X1X5 + 0.375X2X3 - 0.875X2X4 + 0.125X2X5 + 0.375X3X4 - 0.375X3X5 + 0.125X4X5. The principal efficiency analysis using this model indicated that increases in insect pest density significantly increased predation by predators; this was much greater than the effect of any single predator. X4 had a greater effect than X5; however, X4 and X5 demonstrated little interspecific interference and even promoted each other and increased predation rates as the densities of the two pests increased. Among the three predators, an increase in the density of X, had the greatest effect on the increase in predation, X3 had the second, X2 the third greatest effect. As predator density increased inter- and intra-species interference occurred, which were largely related to the size, activity, niche breadth, niche overlap and searching efficiency of the predators. X2 produced the greatest interference between different individuals and between any other predator species. X3 had the second greatest, which reduced predation levels at high predator densities. Because of these factors, the highest predation rate was obtained at a prey density of 120 per 4 rice-hills. The optimal proportion of the three predators in the multi-predator prey system was X1: X2: X3 = 5.6:1.3:4.1.
文摘Afrikan narratives such as folktales,proverbs and taboos were clear systems and structures on which societies operated.These were used to guide society’s values that promoted trust,accountability,self respect and many more for the wellbeing of the entire community.This paper discussesone of the Banyankole folktale Kanzanise empimba za Nzima atarikimanya akangaya(Let me stand in the gap of my sister(Nzima)while she is away or else,I will be shamed in case she knows I did not).The purpose of the paper is to demonstrate how Afrikan indigenous knowledge and specifically this folktale Kanzanise empimba za Nzima atarikimanya akangaya inculcated in the community a spirit of care,commitment to one another and transparency which are fundamental values that create peaceful societies.The paper argues that there is a wealth of wisdom residing in the African cultures to be exploited to guide African policy development.This will raise African indigenous knowledge to a platform worth recognition for its contribution towards positive transformation.Furthermore,that the Western systems and structures currently guiding Afrikan policy development are oblivious of the richness of Afrikan indigenous knowledge that united the people.The paper concludes that for Afrikans to contribute to the global agenda,they need to bring to the table of globalization a unique product such as the Afrikan indigenous narratives that contribues to world peace.The paper recommends moving back into our past,identify and promote those unique Afrikan values that sustained Africa before the Western influence.
文摘A brain tumor associated with an arteriovenous malformation (AVM) is very rare. A 42-year-old female presented with two separate lesions in her right frontal lobe on MRI. An angiogram diagnosed one of the lesions as an AVM. The second lesion appeared to be a tumor. Tumor removal was difficult due to bleeding from the nearby AVM, necessitating removal of the AVM and allowing complete excision of the tumor. Histopathological analysis revealed the tumor was an anaplastic oligodendroglioma. There was no recurrence of the tumor 5 year after completion of therapy. We discuss the operative strategy in case of synchronous diseases and provide a review of the literature.
文摘Situated within the Cross River State of Nigeria, the Upper Cross River area covers the northern half of Cross River State comprising Ugep, Obubra, Ikom, Ogoja, and Obudu divisions. Bounded on the north by the Benue region, west by Ebonyi and Enugu states and east by the Republic of Cameroon, this unique area experienced colonial rule. Christianity established its dominance in this area during colonial times, leaving no room for Islam. However, following the 1967 to 1970 civil war, groups of Islamic traders, clerics, and businessmen started trickling into the area, and settling there. They began to spread their faith in the region hut could not establish their political presence there. Some familiarised themselves with the culture of the indigenous people, and won converts not by force, but via the proselytisation of their faith. Community leaders did not abandon the old verities which bound traditional society in the region together. The pattern was often a pragmatic choice--accepting the best of the faiths resulting in peaceful co-existence and assured social harmony in the region. Pockets of Islamic converts could be found in Ogoja, Obudu, and some strategic commercial locations in the region. Against this backdrop, the paper examines the co-existence of Islam in the Upper Cross River Region (UCRR) and the impact made economically, culturally and religiously on the peoples of the region. The research adopted secondary and primary sources of information in its methodology. It therefore established that the UCRR of Nigeria serves as an excellent example, or a convenient model for the study of mutual religious co-existence between adherents of the Islamic and other faiths in the region.
基金by Undergraduate Innovation and Entrepreneurship Training Program of Anhui Province(S202312216042)Natural Science Key Research Project of Colleges and Universities in Anhui Province(2023AH051816)General Teaching Research Project of Anhui Province(2022jyxm665).
文摘An analytic hierarchy process(AHP)was employed to assess the applicability of 18 new and superior varieties of flowers in Hefei City flower border applications.A total of 12 indicators were selected from three distinct aspects of adaptability,ornamental characteristics and use traits,in order to establish a comprehensive evaluation model.The results demonstrate that grade I(J≥2.685)exhibits excellent application value,encompassing six species of plants,such asHydrangeamacrophylla‘Endless Summer’;grade II(2.684≤J≤2.420)is also of notable application value,encompassing five species of plants,such asCallistemonrigidus;grade III(2.419≤J≤2.615)is of average application value,including five species of plants,such asCrocosmiacrocosmiflora;grade IV(J≤2.16)is of relatively poor application value.The evaluation results may be utilized as a theoretical reference for the promotion of new and superior varieties in the flower border of Hefei.
文摘THE premiere of popular Chinese TV soapie Beijing Love Storywas widely hailed as a major cultural breakthrough in the Nigerian capital of Abuja on September 18. Dubbed into Hausa. one of Nigeria's major languages, the drama formed part of the Experience China program held by China's State Council Information Office (SCIO) in Abuja from September 10 to 19.
基金financial support from the Chang Jiang Scholars Program (51073047)the National Natural Science Foundation of China (51773049)+5 种基金the China Aerospace Science and Technology Corporation-Harbin Institute of Technology Joint Center for Technology Innovation Fund (HIT15-1A01)the Harbin City Science and Technology Projects (2013DB4BP031 and RC2014QN017035)the Natural Science Foundation of Shandong Province of China (ZR2023QE071)the College Students’ Innovation and Entrepreneurship Training Program Projects of Shandong Province (S202211065048)the Scientific Research Foundation of Qingdao University (DC1900009425)the China Postdoctoral Science Foundation (2022TQ0282)
文摘Developing advanced battery-type materials with abundant active sites,high conductivity,versatile morphologies,and hierarchically porous structures is crucial for realizing high-quality hybrid supercapacitors.Herein,heterogeneous FeS@NiS is synthesized by cationic Co doping via surface-structure engineering.The density functional theory(DFT)theoretical calculations are firstly performed to predict the advantages of Co dopant by improving the OH^(−)adsorption properties and adjusting electronic structure,benefiting ions/electron transfer.The dynamic surface evolution is further explored which demonstrates that CoFeS@CoNiS could be quickly reconstructed to Ni(Co)Fe_(2)O_(4)during the charging process,while the unstable structure of the amorphous Ni(Co)Fe_(2)O_(4)results in partial conversion to Ni/Co/FeOOH at high potentials,which contributes to the more reactive active site and good structural stability.Thus,the free-standing electrode reveals excellent electrochemical performance with a superior capacity(335.6 mA h g^(−1),2684 F g^(−1))at 3 A g^(−1).Furthermore,the as-fabricated device shows a quality energy density of 78.1 W h kg^(−1)at a power density of 750 W kg^(−1)and excellent cycle life of 92.1%capacitance retention after 5000 cycles.This work offers a facile strategy to construct versatile morphological structures using electrochemical activation and holds promising applications in energy-related fields.
基金supported by the National Natural Science Foundation of China(Grant Nos.41888101,41890834,91755213)the Most Special Fund(MSFGPMR02-3)from the State Key Laboratory of Geological Processes and Mineral Resources,China University of Geosciences,Wuhana contribution to the IUGS International Lithosphere Program(2023-TF1)“Formation,Character,History and Behavior of Earth’s Oldest Lithospheres”。
文摘Geological maps encode vast amounts of data about rock types,ages,chemistry,orogenic architecture and deep-time history or different tectonic units,yet these are often difficult to extract because of the way different geologists portray their results at various scales.To understand orogenesis in 4D,it is essential to uniformly integrate map data,together with geophysical data and deep geochemical mapping(Wang et al.,2023).
文摘Introduction: Superior mesenteric artery syndrome (SMAS), a rare diagnosis due to compression of the third duodenum between the superior mesenteric artery (SMA) and the aorta resulting in bowel obstruction, may lead to severe malnutrition. We report two cases of patients hospitalised in the Internal Medicine, Endocrinology, Diabetology, and Nutrition Department of the National Hospital Center (NHC) of Pikine. Observations: Patient 1: A 35-year-old female was referred for an aetiological diagnosis due to a rapid weight loss of 15 kilograms in one month, accompanied by persistent vomiting, following an appendectomy performed a month before admission. Upon clinical examination, she presented severe malnutrition (Buzby index of 76%), early post-prandial chronic vomiting, and a poor general condition. An abdominal CT scan revealed aortomesenteric clamp syndrome (AMCS) with an angulation between the aorta and the SMA of 13˚. The underlying cause in this patient was severe malnutrition. Fortunately, her condition improved with medical treatment. Patient 2: We report the case of a 30-year-old female hospitalized due to unusual weight-bearing post-prandial epigastric pain and intermittent vomiting over the past six months. Upon physical examination at admission, she exhibited severe malnutrition with a body mass index (BMI) of 14 kg/m<sup>2</sup>, a Buzby index of 71%, trophic disorders, and a stage IV general condition assessment according to the World Health Organization (WHO). An abdominal CT scan revealed AMCS with an angle between the aorta and the SMA of 22˚ and an aortomesenteric space of 4 mm. The outcome was poor with medical treatment failure and, unfortunately, the patient died before surgery. Conclusion: SMAS is rarely evoked in clinical practice despite the presence of contributing factors and suggestive clinical signs. The prognosis depends on management time.
文摘BACKGROUND Unroofed coronary sinus(UCS)is a rare subtype of atrial septal defect.It is frequently associated with a persistent left superior vena cava and is often part of a more intricate cardiac malformation.CASE SUMMARY This report describes a rare case of an adolescent patient with UCS featuring atrial situs solitus,absence of the right superior vena cava and a persistent left superior vena cava draining into the left atrium consistent with total unroofing of the coronary sinus.This was associated with concurrent severe mitral insufficiency secondary to redundant and prolapsing leaflets,and a substantial left-to-right shunt across the coronary sinus orifice.A comprehensive examination of the existing literature is included,shedding light on the diagnostic challenges of UCS and describing the available surgical options within the context of mitral valve surgery.CONCLUSION UCS is a complex condition requiring careful consideration of associated anomalies and a tailored surgical approach.
文摘AIM:To determine whether the levator palpebrae superioris(LPS)/superior rectus(SR)muscle complex,can influence the position of the upper lid and fornix in acquired anophthalmic sockets.METHODS:This comparative non-randomized and non-interventional study included retrospective data of 21 patients with unilateral acquired anophthalmic sockets repaired with spheric implants.High-resolution computed tomography(CT)measurements of the LPM/SR muscle complex and clinical topographic position of the upper lid,superior and inferior fornix depth in primary gaze position were evaluated.Demographic data were presented as frequency and percentage proportions and quantitative variables comparing the socket measurements with the normal contralateral orbit was statistically analyzed using non-parametric tests considering P<0.05.RESULTS:The anophthalmic orbits had a significantly shorter LPS length(P=0.01)and significantly thicker SR(P=0.02)than the normal orbit.Lagophthalmos was present in anophthalmic sockets but not in normal orbits(P=0.002),while levator function was normal in both(P>0.05,all comparisons).The superior fornix depth was similar in the anophthalmic socket and the contralateral normal orbit(P=0.192)as well the inferior fornix depth(P=0.351).CONCLUSION:Acquired anophthalmic sockets repaired with spheric implants have shorter LPS,thicker SR,and more lagophthalmos than normal orbits.The relationship of the LPS and SR with other orbital structures,associated with passive or active forces acting in the final position of the lids and external ocular prosthesis should be further investigated.
文摘Objective: Superior Capsular Reconstruction (SCR) using a Tensor Fascia Lata (TFL) autograft is an evolving technique for treating irreparable rotator cuff tears. The Mihata technique, initially developed in Japan, has shown promising long-term results. However, a standardized post-operative rehabilitation protocol for this procedure in the USA is lacking. Purpose: This study aims to evaluate the outcomes of a comprehensive rehabilitation protocol following SCR with TFL autograft in a cohort of nine patients. Participants and Methods: A prospective observational study was conducted at Concentra Urgent Care, San Francisco. Nine patients, aged 55 - 65 years, underwent SCR with TFL autograft performed by a specialized orthopedic surgeon. Post-operative rehabilitation was managed using a structured protocol, divided into three phases focusing on passive exercises, progressive range of motion, and strengthening. Outcomes were measured using the Visual Analogue Scale (VAS) for pain, forward flexion range of motion (FF-ROM), and Single Assessment Numeric Evaluation (SANE) scores over a six-month period. Results: Significant improvements were observed in pain reduction (mean VAS decrease of −3.67 points, p = 0.01), ROM (mean FF increase of 41.11 degrees, p = 0.014), and SANE scores (mean improvement of 42.11%, p = 0.009), indicating the efficacy of the rehabilitation protocol. Conclusion: The comprehensive rehabilitation protocol following SCR with TFL autograft significantly improved pain, range of motion, and shoulder function in patients, suggesting its potential utility in clinical practice.
文摘BACKGROUND Superior mesenteric artery(SMA)syndrome is a rare cause of duodenal obstruction by extrinsic compression between the SMA and the aorta(SMA-Ao).Although the left lateral recumbent position is considered effective in the treatment of SMA syndrome,individual variations in the optimal patient position have been noted.In this report,we present two elderly cases of SMA syndrome that exhibited rapid recovery due to ultrasonographic dynamic evaluation of the optimal position for each patient.CASE SUMMARY Case 1:A 90-year-old man with nausea and vomiting.Following diagnosis of SMA syndrome by computed tomography(CT),ultrasonography(US)revealed the SMA-Ao distance in the supine position(4 mm),which slightly improved in the lateral position(5.7–7.0 mm)without the passage of duodenal contents.However,in the sitting position,the SMA-Ao distance was increased to 15 mm accompanied by improved content passage.Additionally,US indicated enhanced passage upon abdominal massage on the right side.By day 2,the patient could eat comfortably with the optimal position and massage.Case 2:An 87-year-old woman with vomiting.After the diagnosis of SMA syndrome and aspiration pneumonia by CT,dynamic US confirmed the optimal position(SMA-Ao distance was improved to 7 mm in forward-bent position,whereas it remained at 5 mm in the supine position).By day 7 when her pneumonia recovered,she could eat with the optimal position.CONCLUSION The optimal position for SMA syndrome varies among individuals.Dynamic US appears to be a valuable tool in improving patient outcomes.
文摘BACKGROUND Meningioma in the cerebellopontine angle(CPA)without dural attachment is extremely rare.We report a unique case of meningioma derived from the superior petrosal vein without dural attachment.CASE SUMMARY A 44-year-old right-handed woman presented with a two-month history of headache and tinnitus.Brain magnetic resonance imaging showed a well-defined contrast-enhancing lesion in the right CPA without a dural tail sign.Tumor resection was performed using a right retro sigmoid approach.A dural attachment was not seen at the tentorium or posterior surface of the petrous pyramid.The tumor was firmly adherent to the superior petrosal vein.The origin site was cauterized and resected with the preservation of the superior petrosal vein.A diagnosis of meningothelial meningioma was made.The patient’s headache and tinnitus gradually disappeared,and a recurrence was not observed five years after the surgery.CONCLUSION The rare occurrence of meningioma without dural attachment makes it difficult to determine dural attachment before surgery.The absence of dural attachment makes it easy to completely resect such tumors.Vessels related to tumors should be removed carefully,considering the possible presence of tumor stem cells in the microvessels.
文摘BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with severe pneumonia success-fully treated by V-V ECMO,but during treatment,the retrovenous catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.The ECMO was safely withdrawn after multidiscip-linary consultation.Our experience with this case is expected to provide a reference for colleagues who will encounter similar situations.CASE SUMMARY A 64-year-old man had severe pulmonary infection and respiratory failure.He was admitted to our hospital and was given ventilation support(fraction of inspired oxygen 100%).The respiratory failure was not improved and he was treated by V-V ECMO,during which the venous return catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.There was a risk of massive mediastinal bleeding if the catheter was removed directly when the ECMO was withdrawn.Finally,the patient underwent vena cava angiography+balloon attachment+ECMO with-drawal in the operating room(prepared for conversion to thoracotomy for vascular exploration and repair at any time during surgery)after multidiscip-linary consultation.ECMO was safely withdrawn,and the patient recovered and was discharged.CONCLUSION Patients may have different vascular conditions.Multidisciplinary cooperation can ensure patient safety.Our experience will provide a reference for similar cases.
基金Supported by The Health Science and Technology Program of Zhejiang Province,No.2022KY836.
文摘BACKGROUND Superior mesenteric artery(SMA)injuries rarely occur during blunt abdominal injuries,with an incidence of<1%.The clinical manifestations mainly include abdominal hemorrhage and peritoneal irritation,which progress rapidly and are easily misdiagnosed.Quick and accurate diagnosis and timely effective treatment are greatly significant in managing emergent cases.This report describes emergency rescue by a multidisciplinary team of a patient with hemorrhagic shock caused by SMA rupture.CASE SUMMARY A 55-year-old man with hemorrhagic shock presented with SMA rupture.On admission,he showed extremely unstable vital signs and was unconscious with a laceration on his head,heart rate of 143 beats/min,shallow and fast breathing(frequency>35 beats/min),and blood pressure as low as 20/10 mmHg(1 mmHg=0.133 kPa).Computed tomography revealed abdominal and pelvic hematocele effusion,suggesting active bleeding.The patient was suspected of partial rupture of the distal SMA branch.The patient underwent emergency mesenteric artery ligation,scalp suture,and liver laceration closure.In view of conditions with acute onset,rapid progression,and high bleeding volume,key points of nursing were conducted,including activating emergency protocol,opening of the green channel,and arranging relevant examinations with various medical staff for quick diagnosis.The seamless collaboration of the multidisciplinary team helped shorten the preoperative preparation time.Emergency laparotomy exploration and mesenteric artery ligation were performed to mitigate hemorrhagic shock while establishing efficient venous accesses and closely monitoring the patient’s condition to ensure hemodynamic stability.Strict measures were taken to avoid intraoperative hypothermia and infection.CONCLUSION After 3.5 h of emergency rescue and medical care,bleeding was successfully controlled,and the patient’s condition was stabilized.Subsequently,the patient was transferred to the intensive care unit for continuous monitoring and treatment.On the sixth day,the patient was weaned off the ventilator,extubated,and relocated to a specialized ward.Through diligent medical intervention and attentive nursing,the patient made a full recovery and was discharged on day 22.The follow-up visit confirmed the patient’s successful recovery.
文摘Laparoscopic colectomy with ileorectal anastomosis may be beneficial for patients with slow transit constipation who do not respond to conservative treatment,particularly if the superior rectal artery(SRA)is preserved.Several important concerns have been addressed in this commentary.It is important to first go over the definition of surgical procedure as it is used in this text.Second,the current study lacked a control group that had SRA preservation.Thirdly,it would be best to use a prospective,randomized controlled study.Lastly,a description of the mesenteric defect’s state following a laparoscopic colectomy is necessary.
文摘BACKGROUND This study aimed to describe the findings of double superior mesenteric veins(SMVs),a rare anatomical variation,on multidetector computer tomography(MDCT)and magnetic resonance imaging(MRI)images.CASE SUMMARY We describe the case of a 34-year-old male,who underwent both MDC and MRI examinations of the upper abdomen because of liver cirrhosis.MDCT and MRI angiography images of the upper abdomen revealed an anatomic variation of the superior mesenteric vein(SMV),the double SMVs.CONCLUSION The double SMVs are a congenital abnormality without potential clinical manifestation.Physicians need to be aware of this anatomical variation during abdominal surgery to avoid iatrogenic injury.