Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual...Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual disabilities (YLID) in an African context. Methodology: This study investigated six young individuals with intellectual disabilities who had undergone three years of music therapy. They were participants in the inclusive non-academic training program at the National School of Arts in Dakar from 2017 to 2019. Data collection utilized individual interviews with the youths, evaluation grids from teachers and psychiatrists. Guardians provided informed consent along with the assent of the young participants. Results: The six young were aged between 18 and 30 years old, with an average age of 24.6 years. Four of the YLID were male. Three young people with intellectual disabilities had delayed psychomotor development. Observations revealed the beneficial influence of music therapy on the health and well-being of young individuals. Music played a role in alleviating stress and anxiety among youth with intellectual disabilities (YLID), enhancing their mood and mental health. It assisted in navigating challenging situations and heightened alertness among YLID. Additionally, music therapy contributed to improvements in dyslexia, fine and gross motor skills, and memory development among intellectually disabled youth, ultimately facilitating their integration into society. Conclusion: In light of our results, music therapy makes a major contribution to the empowerment of YLID. Engaging in musical activities helps young people connect with others through instrumental expression and a sense of accomplishment. By facilitating music therapy, it becomes possible to combat discrimination and stigmatization, thus promoting the social inclusion of intellectually disabled youth. Therefore, it is important to promote music therapy in Senegal to meet the needs of YLID.展开更多
BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generaliz...BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generalized skin rashes accompanied by pruritus and purulent discharge.First-line treatment with rituximab combined with zanubrutinib had poor effects.However,after switching to obinutuzumab combined with zanubrutinib,the case was alleviated,and the rashes disappeared.CONCLUSION For patients with advanced stage MZL not benefiting from type I anti-CD20 monoclonal antibody(mAb)combination therapy,switching to a type II anti-CD20 mAb combination regimen may be considered.This approach may provide a new perspective in the treatment of MZL.展开更多
The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,t...The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,tropical cyclones,the Kuroshio intrusion,and water exchange through the Luzon Strait(LS).展开更多
Introduction: Several studies have reported a high prevalence of dental caries among the people with intellectual disabilities. In order to identify the sociodemographic, clinical and behavioral factors associated wit...Introduction: Several studies have reported a high prevalence of dental caries among the people with intellectual disabilities. In order to identify the sociodemographic, clinical and behavioral factors associated with it, we conducted a study in specialized centers welcoming subjects with intellectual disabilities in Ouagadougou (Burkina Faso). Objectives: The objective of this study was to identify the factors associated with it among intellectually disabled in the specialized centers of Ouagadougou. Methods: The study was cross-sectional analytical. The survey took place between November 2020 and January 2021 among people with intellectual disabilities in reception centers receiving a grant from the Ministry of Women, National Solidarity, Family and Humanitarian Action. Data collection was done with a questionnaire adapted from the World Health Organization (WHO) and dental caries was recorded according to WHO criteria in decayed, missing or filled teeth generating a DMF index. Logistic regression was used to identify factors associated with the presence of dental caries. Results: A total of 193 participants were included in the study with an average age of 12.4 years ± 7.9. The overall prevalence of caries measured with the DMF index was 58.6% 95% CI [51.2 - 65.8]. It was significantly associated with female gender (OR = 4.2;95% CI [1.4 - 12.5], p = 0,01), the clinical form of mental illness (epilepsy OR = 3.8 95%;CI [1.2 - 12.7], p = 0,02, trisomy OR = 5.0;95% CI [1.1 - 22.9], p = 0,03, motor autonomy OR = 0.2 95%;CI [0.1 - 0.7], p = 0,01) and at use of toothpaste OR = 9.33;95% CI [1.05 - 82.7], p = 0,04. Conclusion: Dental caries remains a very present pathology in most people living with an intellectual disability. Also, it is necessary to put in place prevention strategies to reduce its prevalence and improve access to oral care for these people.展开更多
Extranodal marginal zone lymphoma(EMZL)encompasses 70%of cases of marginal zone lymphoma.Frontline bendamustine and rituximab(BR)were derived from trials involving other indolent non-Hodgkin’s lymphomas.Only one tria...Extranodal marginal zone lymphoma(EMZL)encompasses 70%of cases of marginal zone lymphoma.Frontline bendamustine and rituximab(BR)were derived from trials involving other indolent non-Hodgkin’s lymphomas.Only one trial has evaluated frontline BR prospectively in EMZL.This retrospective study reports outcomes among EMZL patients receiving frontline BR.Twenty-five patients were included with a median age of 69 years(40–81).Five(20.0%)patients had stage Ⅰ/Ⅱ disease,and 20(80.0%)had stage Ⅲ/Ⅳ disease.The median number of cycles was 6.0(3.0–6.0).Maintenance rituximab was administered to 10(41.7%)individuals.Overall response rate(ORR)was 100.0%(60.0%complete response,40.0%partial response).Medians of overall survival and progression-free survival were not reached.The estimated 2-year progression-free survival was 85.2%and overall survival was 100.0%.Four(16.6%)patients had infections related to treatment;3(12.0%)transformed to diffuse large B-cell lymphoma;5(20.8%)had a relapse or progression of EMZL;and 3(12.0%)died unrelated to BR.BR is an efficacious and well-tolerated front-line regimen for EMZL with response data consistent with existing literature.展开更多
Background: There is limited knowledge about obsessive-compulsive disorder (OCD) in people with intellectual disabilities (IDs). This paper describes the manifestation of compulsive behaviors associated with OCD at th...Background: There is limited knowledge about obsessive-compulsive disorder (OCD) in people with intellectual disabilities (IDs). This paper describes the manifestation of compulsive behaviors associated with OCD at the behavioral level in people with ID in institutionalized settings. The aim was to gain nuanced insight into appropriate understanding and classification in this specific context, and derive implications for research and practice. Methods: Individual cases of people with ID (n = 7) were studied to assess compulsive symptoms through two days of on-site observation of the person with ID within the institution, guided group discussions (n = 28), and semi-structured interviews with key informants and caregivers of the person with ID (n = 20). Caregiver ratings of the compulsive behavior checklist were compiled. Data were analyzed using qualitative content analysis. Results: All forms of OCD were present. Characteristics of compulsive behaviors in people with ID at the behavioral level included less complex and more obvious compulsive acts, immediate responses, signs of tension, motor restlessness, facial expression changes, repetition, need for predictability, time-consuming behaviors, and aggressive reactions when these acts were interrupted. Some of the compulsive behaviors corresponded to the ICD-11 OCD code 6B20, and others to compulsions as a psychological symptom (MB23.4). Conclusions: OCD may manifest atypically at the behavioral level in people with ID, posing significant challenges for accurate classification due to symptom ambiguity. Follow-up differential diagnostic studies are needed to more accurately identify and differentiate OCD symptoms in people with ID. Further, disorder-specific guidelines for recognizing OCD in people with ID are needed for institutionalized settings without psychiatric-psychotherapeutic expertise.展开更多
Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional p...Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional process is regarded confusing. The microfacies, construction types, and depositional model of the Member Deng-2 marginal microbial mound-bank complex have been investigated using unmanned aerial vehicle photography, outcrop section investigation, thin section identification,and seismic reflections in the southwestern Sichuan Basin. The microbialite lithologic textures in this region include thrombolite, dendrolite, stromatolite, fenestral stromatolite, spongiostromata stone,oncolite, aggregated grainstone, and botryoidal grapestone. Based on the comprehensive analysis of“depositional fabrics-lithology-microfacies”, an association between a fore mound, mound framework,and back mound subfacies has been proposed based on water depth, current direction, energy level and lithologic assemblages. The microfacies of the mound base, mound core, mound flank, mound cap, and mound flat could be recognized among the mound framework subfacies. Two construction types of marginal microbial mound-bank complex have been determined based on deposition location, mound scale, migration direction, and sedimentary facies association. Type Jinkouhe microbial mound constructions(TJMMCs) develop along the windward margin owing to their proximity to the seaward subfacies fore mound, with a northeastwardly migrated microbial mound on top of the mud mound,exhibiting the characteristics of large-sized mounds and small-sized banks in the surrounding area. Type E'bian microbial mound constructions(TEMMCs) primarily occur on the leeward margin, resulting from the presence of onshore back mound subfacies, with the smaller southwestward migrated microbial mounds existing on a thicker microbial flat. The platform margin microbial mound depositional model can be correlated with certain lateral comparison profile and seismic reflection structures in the 2D seismic section, which can provide references for future worldwide exploration. Microbial mounds with larger buildups and thicker vertical reservoirs are typically targeted on the windward margin, while small-sized microbial mounds and flats with better lateral connections are typically focused on the leeward margin.展开更多
The main obstacle to the open sharing of scientific data is the lack of a legal protection system for intellectual property.This article analyzes the progress of research papers on intellectual property in scientific ...The main obstacle to the open sharing of scientific data is the lack of a legal protection system for intellectual property.This article analyzes the progress of research papers on intellectual property in scientific data in China through literature search and statistics.Currently,research subjects are unbalanced,research content is uneven,research methods are intellectual single,and research depth is insufficient.It is recommended that different stakeholders engage in deep cross disciplinary cooperation,further improve China’s legal and policy protection system for scientific data intellectual property,and promote the open sharing of scientific data.展开更多
BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and...BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and HGBL-not otherwise specific(HGBL-NOS),which are morphologically characteristic of HGBL but lack MYC,BCL-2,or BCL-6 rearrangements.HGBL is partially transformed by follicular lymphoma and other indolent lymphoma,with few cases of marginal zone lymphoma(MZL)transformation.HGBL often has a poor prognosis and intensive therapy is currently mainly advocated,but there is no good treatment for these patients who cannot tolerate chemotherapy.CASE SUMMARY We reported a case of MZL transformed into HGBL-NOS with TP53 mutation and terminal deoxynucleotidyl transferase expression.Gene analysis revealed the gene expression profile was identical in the pre-and post-transformed tissues,suggesting that the two diseases are homologous,not secondary tumors.The chemotherapy was ineffective and the side effect was severe,so we tried combination therapy including venetoclax and obinutuzumab.The patient tolerated treatment well,and reached partial response.The patient had recurrence of hepatocellular carcinoma and died of multifunctional organ failure.He survived for 12 months after diagnosis.CONCLUSION Venetoclax combined with obinutuzumab might improve the survival in some HGBL patients,who are unsuitable for chemotherapy.展开更多
Steelmaking plant of Fujian San Gang min Guang Co.,Ltd.is keeping pace with the trend of the times.Under the new situation that the labor cost is rising day by day.Constantly introducing intelligent technology to impr...Steelmaking plant of Fujian San Gang min Guang Co.,Ltd.is keeping pace with the trend of the times.Under the new situation that the labor cost is rising day by day.Constantly introducing intelligent technology to improve the level of automation operation and reducing labor intensity of staff and workers.Especially under the support of MES information system.Advanced and practical technology is adopted in converter,refining and continuous casting process.In recent years,production management and control,energy management and control,material tracking,cost control and equipment operation and maintenance and reducing personnel to new achieve-ments in reducing personnel.展开更多
The woodland-steppe ecotone in the. southern Nei Mongol Plateau is located at the northern edge of the east Asian monsoon influences. A marked southeastern - northwestern (SE - NW) precipitation gradient exists in thi...The woodland-steppe ecotone in the. southern Nei Mongol Plateau is located at the northern edge of the east Asian monsoon influences. A marked southeastern - northwestern (SE - NW) precipitation gradient exists in this region. Quantitative reconstruction of palaeo-precipitation of this region is helpful to reveal the development of monsoon climate and to predict die future desertification. Based on modern vegetation and surface pollen studies, a pollen-precipitation transfer function in the study region was established. Pollen data from three sediment sequences within the ecotone were used to reconstruct palaeo-precipitation during the Holocene. The processes of precipitation changes in the three sequences were quite different. There was a tendency of precipitation declined from the onset of the Holocene to 1 100 a BP in Haoluku. But, in Liuzhouwan and Xiaoniuchang, both located south of Haoluku, the annual precipitation reached highest values during 7 800 - 6 200 a BP and 7 200 - 5 000 a BP, respectively. The influences of southwestern (SW) monsoon and the variances of topographical conditions have possibly caused these temporal-spatial variances.展开更多
In the base of utility and marginal utility,the article put forwardthe concept of utility and marginal utilityof educational outlay and the theory of them,and analyzed the actuality of educational resource deployment ...In the base of utility and marginal utility,the article put forwardthe concept of utility and marginal utilityof educational outlay and the theory of them,and analyzed the actuality of educational resource deployment in ourcountry,gave some advice about howtoi mprove our educational resource deployment of compulsory education.展开更多
In the wheat-cotton intercropping system, total 6 sowing rates (187.5, 225.0, 262.5, 300.0, 337.5 and 375.0 kg/hm2) were arranged, and the effects of sowing rate on marginal superiority and yield of wheat were inves...In the wheat-cotton intercropping system, total 6 sowing rates (187.5, 225.0, 262.5, 300.0, 337.5 and 375.0 kg/hm2) were arranged, and the effects of sowing rate on marginal superiority and yield of wheat were investigated. The re- sults showed that the effect of sowing rate on inner-line wheat was greater than that on side-line wheat; with the increased sowing rate, the marginal superiority of panicle number was reduced in overall, and the difference in panicle number be- tween inner and side lines was decreased from 9.0×10^5/hm2 (sowing rate of 187.5 kg/hm2) to 7.8×10^5/hm2 (sowing rate of 375.0 kg/hm2); the marginal superiority of grains per spike was increased first and then reduced, and the largest difference in grains per spike between the inner and side lines reached 4.6 under the sowing rate of 300.0 kg/hm2; the marginal superiority of 1 000-grain weight and yield was gradually increased, and the largest difference in 1 000-grain weight between the inner and side lines reached 3.9 g under the sowing rate of 337.5 kg/hm2, and in yield reached 3 136.5 kg/hm2under the sowing rate of 375.0 kg/hm2. The effects of sowing rate on the three yield factors of intercropped wheat ranked as panicle number 〉 grains per spike 〉 1 000-grain weight. The appropriate sowing rate of wheat was 225.0-262.0 kg/hm2 in the wheat-cotton intercropping system.展开更多
In wheat-cotton intercropping system,the spike number per unit area,grains per spike,thousand-grain weight and yield of side line and inner line were investigated in six wheat varieties to study the marginal superiori...In wheat-cotton intercropping system,the spike number per unit area,grains per spike,thousand-grain weight and yield of side line and inner line were investigated in six wheat varieties to study the marginal superiority and select suitable wheat varieties intercropped with cotton.The results showed that Xingmai No.4had obvious marginal superiority with the yield of 6 919.0 kg/hm2,so it was the suitable variety for wheat-cotton intercropping system.展开更多
The composition and stability of soil aggregate are closely related to soil quality, soil erosion, and agricultural sustainability. In this study, 49 soil samples at the 0-10 cm surface layer were collected from four ...The composition and stability of soil aggregate are closely related to soil quality, soil erosion, and agricultural sustainability. In this study, 49 soil samples at the 0-10 cm surface layer were collected from four soil types (i.e., Ari-Sandic Primosols, Calci-Orthic Aridosols, Siltigi-Otrthic Anthrosols, and Ustic Cambosols) in the marginal farmland in the oasis of the middle Hexi Corridor region and was used to determine the characteristics of soil aggregates. The composition of dry- and wet- sieved aggregates and the physical and chemical properties (including soil particle distribution, soil organic carbon (SOC), calcium carbonate (CaCO3), and oxides of Fe^3+ and Al^3+) of the selected soils were analyzed. The results show that soil particle size distribution is dominated by fine sand fraction in most of soils except Ustic Cambosols. Soil organic carbon concentration is 5.88 ± 2.52 g kg^-1 on average, ranging from 4.75 g kg^-1 in Ari-Sandic Primosols to 10.51 g kg^-1 in Ustic Cambosols. The soils have high calcium carbonate (CaCO3) concentration, ranging from 84.7 to 164.8 g kg^-1, which is increased with soil fine particle and organic carbon content. The percentage of 〉0.25 mm dry aggregates ranges from 65.2% in Ari-Sandic Primosols to 94.6% in Ustic Cambosols, and large dry blocky aggregates (〉5 mm) is dominant in all soils. The mean weight diameter of dry aggregates (DMWD) ranges from 3.2 mm to 5.5 mm. The percentage of 〉0.25 mm water-stable aggregate is from 23.8% to 45.4%. The percentage of aggregate destruction (PAD) is from 52.4% to 66.8%, which shows a weak aggregate stability. Ari-Sandic Primosols has the highest PAD. The distribution and characteristics of soil aggregates are in favor of controlling soil wind erosion. However, the stability of aggregate of all soils is weak and soils are prone to disperse and harden after irrigation. The mass of macro-aggregates and DMWD are positively significantly correlated with the contents of soil clay and silt, soil organic carbon (SOC), CaCO3, and oxides of Fe^3+ and Al^3+. Soil fine silt and clay, SOC and CaCO3 are important agents of aggregation in this region, and the effect of SOC and CaCO3 on aggregate stability is more significant than that of soil silt and clay. Converting cropland to alfalfa forage land can increase SOC concentration, and in turn, enhance the formation of aggregates and stability. For the marginal farmlands in this fragile ecological area, converting cropland to alfalfa grassland or performing crop-grass rotation is an effective and basic strategy to improve soil structure and quality, to mitigate soil wind erosion, and to enhance oasis agricultural sustainability.展开更多
To improve the inconsistency in the analytic hierarchy process(AHP), a new method based on marginal optimization theory is proposed. During the improving process, this paper regards the reduction of consistency ratio(...To improve the inconsistency in the analytic hierarchy process(AHP), a new method based on marginal optimization theory is proposed. During the improving process, this paper regards the reduction of consistency ratio(CR) as benefit, and the maximum modification compared to the original pairwise comparison matrix(PCM) as cost, then the improvement of consistency is transformed to a benefit/cost analysis problem. According to the maximal marginal effect principle, the elements of PCM are modified by a fixed increment(or decrement) step by step till the consistency ratio becomes acceptable, which can ensure minimum adjustment to the original PCM so that the decision makers’ judgment is preserved as much as possible. The correctness of the proposed method is proved mathematically by theorem. Firstly, the marginal benefit/cost ratio is calculated for each single element of the PCM when it has been modified by a fixed increment(or decrement).Then, modification to the element with the maximum marginal benefit/cost ratio is accepted. Next, the marginal benefit/cost ratio is calculated again upon the revised matrix, and followed by choosing the modification to the element with the maximum marginal benefit/cost ratio. The process of calculating marginal effect and choosing the best modified element is repeated for each revised matrix till acceptable consistency is reached, i.e., CR<0.1. Finally,illustrative examples show the proposed method is more effective and better in preserving the original comparison information than existing methods.展开更多
In this paper, the marginal Rao-Blackwellized particle filter (MRBPF), which fuses the Rao-Blackwellized particle filter (RBPF) algorithm and the marginal particle filter (MPF) algorithm, is presented. The state...In this paper, the marginal Rao-Blackwellized particle filter (MRBPF), which fuses the Rao-Blackwellized particle filter (RBPF) algorithm and the marginal particle filter (MPF) algorithm, is presented. The state space is divided into linear and non-linear parts, which can be estimated separately by the MPF and the optional Kalman filter. Through simulation in the terrain aided navigation (TAN) domain, it is demonstrated that, compared with the RBPF, the root mean square errors (RMSE) and the error variance of the nonlinear state estimations by the proposed MRBPF are respectively reduced by 29% and 96%, while the unique particle count is increased by 80%. It is also found that the MRBPF has better convergence properties, and analysis has shown that the existing RBPF is nothing more than a special case of the MRBPF.展开更多
文摘Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual disabilities (YLID) in an African context. Methodology: This study investigated six young individuals with intellectual disabilities who had undergone three years of music therapy. They were participants in the inclusive non-academic training program at the National School of Arts in Dakar from 2017 to 2019. Data collection utilized individual interviews with the youths, evaluation grids from teachers and psychiatrists. Guardians provided informed consent along with the assent of the young participants. Results: The six young were aged between 18 and 30 years old, with an average age of 24.6 years. Four of the YLID were male. Three young people with intellectual disabilities had delayed psychomotor development. Observations revealed the beneficial influence of music therapy on the health and well-being of young individuals. Music played a role in alleviating stress and anxiety among youth with intellectual disabilities (YLID), enhancing their mood and mental health. It assisted in navigating challenging situations and heightened alertness among YLID. Additionally, music therapy contributed to improvements in dyslexia, fine and gross motor skills, and memory development among intellectually disabled youth, ultimately facilitating their integration into society. Conclusion: In light of our results, music therapy makes a major contribution to the empowerment of YLID. Engaging in musical activities helps young people connect with others through instrumental expression and a sense of accomplishment. By facilitating music therapy, it becomes possible to combat discrimination and stigmatization, thus promoting the social inclusion of intellectually disabled youth. Therefore, it is important to promote music therapy in Senegal to meet the needs of YLID.
文摘BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generalized skin rashes accompanied by pruritus and purulent discharge.First-line treatment with rituximab combined with zanubrutinib had poor effects.However,after switching to obinutuzumab combined with zanubrutinib,the case was alleviated,and the rashes disappeared.CONCLUSION For patients with advanced stage MZL not benefiting from type I anti-CD20 monoclonal antibody(mAb)combination therapy,switching to a type II anti-CD20 mAb combination regimen may be considered.This approach may provide a new perspective in the treatment of MZL.
基金The National Natural Science Foundation of China under contract Nos 41920104006the Scientific Research Fund of Second Institute of Oceanography+3 种基金Ministry of Natural Resources under contract Nos JZ2001,XRJH2410,and QNYC2102the Oceanic Interdisciplinary Program of Shanghai Jiao Tong University under contract No.SL2021MS021the Global Climate Changes and Air-sea Interaction Program under contract No.GASI-02-PAC-ST-Wwinthe Taishan Scholars Program under contract No.tsqn202306282。
文摘The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,tropical cyclones,the Kuroshio intrusion,and water exchange through the Luzon Strait(LS).
文摘Introduction: Several studies have reported a high prevalence of dental caries among the people with intellectual disabilities. In order to identify the sociodemographic, clinical and behavioral factors associated with it, we conducted a study in specialized centers welcoming subjects with intellectual disabilities in Ouagadougou (Burkina Faso). Objectives: The objective of this study was to identify the factors associated with it among intellectually disabled in the specialized centers of Ouagadougou. Methods: The study was cross-sectional analytical. The survey took place between November 2020 and January 2021 among people with intellectual disabilities in reception centers receiving a grant from the Ministry of Women, National Solidarity, Family and Humanitarian Action. Data collection was done with a questionnaire adapted from the World Health Organization (WHO) and dental caries was recorded according to WHO criteria in decayed, missing or filled teeth generating a DMF index. Logistic regression was used to identify factors associated with the presence of dental caries. Results: A total of 193 participants were included in the study with an average age of 12.4 years ± 7.9. The overall prevalence of caries measured with the DMF index was 58.6% 95% CI [51.2 - 65.8]. It was significantly associated with female gender (OR = 4.2;95% CI [1.4 - 12.5], p = 0,01), the clinical form of mental illness (epilepsy OR = 3.8 95%;CI [1.2 - 12.7], p = 0,02, trisomy OR = 5.0;95% CI [1.1 - 22.9], p = 0,03, motor autonomy OR = 0.2 95%;CI [0.1 - 0.7], p = 0,01) and at use of toothpaste OR = 9.33;95% CI [1.05 - 82.7], p = 0,04. Conclusion: Dental caries remains a very present pathology in most people living with an intellectual disability. Also, it is necessary to put in place prevention strategies to reduce its prevalence and improve access to oral care for these people.
文摘Extranodal marginal zone lymphoma(EMZL)encompasses 70%of cases of marginal zone lymphoma.Frontline bendamustine and rituximab(BR)were derived from trials involving other indolent non-Hodgkin’s lymphomas.Only one trial has evaluated frontline BR prospectively in EMZL.This retrospective study reports outcomes among EMZL patients receiving frontline BR.Twenty-five patients were included with a median age of 69 years(40–81).Five(20.0%)patients had stage Ⅰ/Ⅱ disease,and 20(80.0%)had stage Ⅲ/Ⅳ disease.The median number of cycles was 6.0(3.0–6.0).Maintenance rituximab was administered to 10(41.7%)individuals.Overall response rate(ORR)was 100.0%(60.0%complete response,40.0%partial response).Medians of overall survival and progression-free survival were not reached.The estimated 2-year progression-free survival was 85.2%and overall survival was 100.0%.Four(16.6%)patients had infections related to treatment;3(12.0%)transformed to diffuse large B-cell lymphoma;5(20.8%)had a relapse or progression of EMZL;and 3(12.0%)died unrelated to BR.BR is an efficacious and well-tolerated front-line regimen for EMZL with response data consistent with existing literature.
文摘Background: There is limited knowledge about obsessive-compulsive disorder (OCD) in people with intellectual disabilities (IDs). This paper describes the manifestation of compulsive behaviors associated with OCD at the behavioral level in people with ID in institutionalized settings. The aim was to gain nuanced insight into appropriate understanding and classification in this specific context, and derive implications for research and practice. Methods: Individual cases of people with ID (n = 7) were studied to assess compulsive symptoms through two days of on-site observation of the person with ID within the institution, guided group discussions (n = 28), and semi-structured interviews with key informants and caregivers of the person with ID (n = 20). Caregiver ratings of the compulsive behavior checklist were compiled. Data were analyzed using qualitative content analysis. Results: All forms of OCD were present. Characteristics of compulsive behaviors in people with ID at the behavioral level included less complex and more obvious compulsive acts, immediate responses, signs of tension, motor restlessness, facial expression changes, repetition, need for predictability, time-consuming behaviors, and aggressive reactions when these acts were interrupted. Some of the compulsive behaviors corresponded to the ICD-11 OCD code 6B20, and others to compulsions as a psychological symptom (MB23.4). Conclusions: OCD may manifest atypically at the behavioral level in people with ID, posing significant challenges for accurate classification due to symptom ambiguity. Follow-up differential diagnostic studies are needed to more accurately identify and differentiate OCD symptoms in people with ID. Further, disorder-specific guidelines for recognizing OCD in people with ID are needed for institutionalized settings without psychiatric-psychotherapeutic expertise.
基金jointly funded by projects supported by the National Natural Science Foundation of China(Grant No.41872150)the Joint Funds of the National Natural Science Foundation of China(Grant No.U19B6003)Major Scientific and Technological Projects of CNPC during the 13th five-year plan(No.2019A-02-10)。
文摘Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional process is regarded confusing. The microfacies, construction types, and depositional model of the Member Deng-2 marginal microbial mound-bank complex have been investigated using unmanned aerial vehicle photography, outcrop section investigation, thin section identification,and seismic reflections in the southwestern Sichuan Basin. The microbialite lithologic textures in this region include thrombolite, dendrolite, stromatolite, fenestral stromatolite, spongiostromata stone,oncolite, aggregated grainstone, and botryoidal grapestone. Based on the comprehensive analysis of“depositional fabrics-lithology-microfacies”, an association between a fore mound, mound framework,and back mound subfacies has been proposed based on water depth, current direction, energy level and lithologic assemblages. The microfacies of the mound base, mound core, mound flank, mound cap, and mound flat could be recognized among the mound framework subfacies. Two construction types of marginal microbial mound-bank complex have been determined based on deposition location, mound scale, migration direction, and sedimentary facies association. Type Jinkouhe microbial mound constructions(TJMMCs) develop along the windward margin owing to their proximity to the seaward subfacies fore mound, with a northeastwardly migrated microbial mound on top of the mud mound,exhibiting the characteristics of large-sized mounds and small-sized banks in the surrounding area. Type E'bian microbial mound constructions(TEMMCs) primarily occur on the leeward margin, resulting from the presence of onshore back mound subfacies, with the smaller southwestward migrated microbial mounds existing on a thicker microbial flat. The platform margin microbial mound depositional model can be correlated with certain lateral comparison profile and seismic reflection structures in the 2D seismic section, which can provide references for future worldwide exploration. Microbial mounds with larger buildups and thicker vertical reservoirs are typically targeted on the windward margin, while small-sized microbial mounds and flats with better lateral connections are typically focused on the leeward margin.
文摘The main obstacle to the open sharing of scientific data is the lack of a legal protection system for intellectual property.This article analyzes the progress of research papers on intellectual property in scientific data in China through literature search and statistics.Currently,research subjects are unbalanced,research content is uneven,research methods are intellectual single,and research depth is insufficient.It is recommended that different stakeholders engage in deep cross disciplinary cooperation,further improve China’s legal and policy protection system for scientific data intellectual property,and promote the open sharing of scientific data.
基金Supported by The Lishui Science and Technology Planing Projects,No.2020SJZC048.
文摘BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and HGBL-not otherwise specific(HGBL-NOS),which are morphologically characteristic of HGBL but lack MYC,BCL-2,or BCL-6 rearrangements.HGBL is partially transformed by follicular lymphoma and other indolent lymphoma,with few cases of marginal zone lymphoma(MZL)transformation.HGBL often has a poor prognosis and intensive therapy is currently mainly advocated,but there is no good treatment for these patients who cannot tolerate chemotherapy.CASE SUMMARY We reported a case of MZL transformed into HGBL-NOS with TP53 mutation and terminal deoxynucleotidyl transferase expression.Gene analysis revealed the gene expression profile was identical in the pre-and post-transformed tissues,suggesting that the two diseases are homologous,not secondary tumors.The chemotherapy was ineffective and the side effect was severe,so we tried combination therapy including venetoclax and obinutuzumab.The patient tolerated treatment well,and reached partial response.The patient had recurrence of hepatocellular carcinoma and died of multifunctional organ failure.He survived for 12 months after diagnosis.CONCLUSION Venetoclax combined with obinutuzumab might improve the survival in some HGBL patients,who are unsuitable for chemotherapy.
文摘Steelmaking plant of Fujian San Gang min Guang Co.,Ltd.is keeping pace with the trend of the times.Under the new situation that the labor cost is rising day by day.Constantly introducing intelligent technology to improve the level of automation operation and reducing labor intensity of staff and workers.Especially under the support of MES information system.Advanced and practical technology is adopted in converter,refining and continuous casting process.In recent years,production management and control,energy management and control,material tracking,cost control and equipment operation and maintenance and reducing personnel to new achieve-ments in reducing personnel.
文摘The woodland-steppe ecotone in the. southern Nei Mongol Plateau is located at the northern edge of the east Asian monsoon influences. A marked southeastern - northwestern (SE - NW) precipitation gradient exists in this region. Quantitative reconstruction of palaeo-precipitation of this region is helpful to reveal the development of monsoon climate and to predict die future desertification. Based on modern vegetation and surface pollen studies, a pollen-precipitation transfer function in the study region was established. Pollen data from three sediment sequences within the ecotone were used to reconstruct palaeo-precipitation during the Holocene. The processes of precipitation changes in the three sequences were quite different. There was a tendency of precipitation declined from the onset of the Holocene to 1 100 a BP in Haoluku. But, in Liuzhouwan and Xiaoniuchang, both located south of Haoluku, the annual precipitation reached highest values during 7 800 - 6 200 a BP and 7 200 - 5 000 a BP, respectively. The influences of southwestern (SW) monsoon and the variances of topographical conditions have possibly caused these temporal-spatial variances.
文摘In the base of utility and marginal utility,the article put forwardthe concept of utility and marginal utilityof educational outlay and the theory of them,and analyzed the actuality of educational resource deployment in ourcountry,gave some advice about howtoi mprove our educational resource deployment of compulsory education.
基金Supported by National Key Technology Research and Development Program(2013BAD05B00)~~
文摘In the wheat-cotton intercropping system, total 6 sowing rates (187.5, 225.0, 262.5, 300.0, 337.5 and 375.0 kg/hm2) were arranged, and the effects of sowing rate on marginal superiority and yield of wheat were investigated. The re- sults showed that the effect of sowing rate on inner-line wheat was greater than that on side-line wheat; with the increased sowing rate, the marginal superiority of panicle number was reduced in overall, and the difference in panicle number be- tween inner and side lines was decreased from 9.0×10^5/hm2 (sowing rate of 187.5 kg/hm2) to 7.8×10^5/hm2 (sowing rate of 375.0 kg/hm2); the marginal superiority of grains per spike was increased first and then reduced, and the largest difference in grains per spike between the inner and side lines reached 4.6 under the sowing rate of 300.0 kg/hm2; the marginal superiority of 1 000-grain weight and yield was gradually increased, and the largest difference in 1 000-grain weight between the inner and side lines reached 3.9 g under the sowing rate of 337.5 kg/hm2, and in yield reached 3 136.5 kg/hm2under the sowing rate of 375.0 kg/hm2. The effects of sowing rate on the three yield factors of intercropped wheat ranked as panicle number 〉 grains per spike 〉 1 000-grain weight. The appropriate sowing rate of wheat was 225.0-262.0 kg/hm2 in the wheat-cotton intercropping system.
文摘In wheat-cotton intercropping system,the spike number per unit area,grains per spike,thousand-grain weight and yield of side line and inner line were investigated in six wheat varieties to study the marginal superiority and select suitable wheat varieties intercropped with cotton.The results showed that Xingmai No.4had obvious marginal superiority with the yield of 6 919.0 kg/hm2,so it was the suitable variety for wheat-cotton intercropping system.
文摘The composition and stability of soil aggregate are closely related to soil quality, soil erosion, and agricultural sustainability. In this study, 49 soil samples at the 0-10 cm surface layer were collected from four soil types (i.e., Ari-Sandic Primosols, Calci-Orthic Aridosols, Siltigi-Otrthic Anthrosols, and Ustic Cambosols) in the marginal farmland in the oasis of the middle Hexi Corridor region and was used to determine the characteristics of soil aggregates. The composition of dry- and wet- sieved aggregates and the physical and chemical properties (including soil particle distribution, soil organic carbon (SOC), calcium carbonate (CaCO3), and oxides of Fe^3+ and Al^3+) of the selected soils were analyzed. The results show that soil particle size distribution is dominated by fine sand fraction in most of soils except Ustic Cambosols. Soil organic carbon concentration is 5.88 ± 2.52 g kg^-1 on average, ranging from 4.75 g kg^-1 in Ari-Sandic Primosols to 10.51 g kg^-1 in Ustic Cambosols. The soils have high calcium carbonate (CaCO3) concentration, ranging from 84.7 to 164.8 g kg^-1, which is increased with soil fine particle and organic carbon content. The percentage of 〉0.25 mm dry aggregates ranges from 65.2% in Ari-Sandic Primosols to 94.6% in Ustic Cambosols, and large dry blocky aggregates (〉5 mm) is dominant in all soils. The mean weight diameter of dry aggregates (DMWD) ranges from 3.2 mm to 5.5 mm. The percentage of 〉0.25 mm water-stable aggregate is from 23.8% to 45.4%. The percentage of aggregate destruction (PAD) is from 52.4% to 66.8%, which shows a weak aggregate stability. Ari-Sandic Primosols has the highest PAD. The distribution and characteristics of soil aggregates are in favor of controlling soil wind erosion. However, the stability of aggregate of all soils is weak and soils are prone to disperse and harden after irrigation. The mass of macro-aggregates and DMWD are positively significantly correlated with the contents of soil clay and silt, soil organic carbon (SOC), CaCO3, and oxides of Fe^3+ and Al^3+. Soil fine silt and clay, SOC and CaCO3 are important agents of aggregation in this region, and the effect of SOC and CaCO3 on aggregate stability is more significant than that of soil silt and clay. Converting cropland to alfalfa forage land can increase SOC concentration, and in turn, enhance the formation of aggregates and stability. For the marginal farmlands in this fragile ecological area, converting cropland to alfalfa grassland or performing crop-grass rotation is an effective and basic strategy to improve soil structure and quality, to mitigate soil wind erosion, and to enhance oasis agricultural sustainability.
基金supported by the National Natural Science Foundation of China(6160150161502521)
文摘To improve the inconsistency in the analytic hierarchy process(AHP), a new method based on marginal optimization theory is proposed. During the improving process, this paper regards the reduction of consistency ratio(CR) as benefit, and the maximum modification compared to the original pairwise comparison matrix(PCM) as cost, then the improvement of consistency is transformed to a benefit/cost analysis problem. According to the maximal marginal effect principle, the elements of PCM are modified by a fixed increment(or decrement) step by step till the consistency ratio becomes acceptable, which can ensure minimum adjustment to the original PCM so that the decision makers’ judgment is preserved as much as possible. The correctness of the proposed method is proved mathematically by theorem. Firstly, the marginal benefit/cost ratio is calculated for each single element of the PCM when it has been modified by a fixed increment(or decrement).Then, modification to the element with the maximum marginal benefit/cost ratio is accepted. Next, the marginal benefit/cost ratio is calculated again upon the revised matrix, and followed by choosing the modification to the element with the maximum marginal benefit/cost ratio. The process of calculating marginal effect and choosing the best modified element is repeated for each revised matrix till acceptable consistency is reached, i.e., CR<0.1. Finally,illustrative examples show the proposed method is more effective and better in preserving the original comparison information than existing methods.
基金National Natural Science Foundation of China (60572023)
文摘In this paper, the marginal Rao-Blackwellized particle filter (MRBPF), which fuses the Rao-Blackwellized particle filter (RBPF) algorithm and the marginal particle filter (MPF) algorithm, is presented. The state space is divided into linear and non-linear parts, which can be estimated separately by the MPF and the optional Kalman filter. Through simulation in the terrain aided navigation (TAN) domain, it is demonstrated that, compared with the RBPF, the root mean square errors (RMSE) and the error variance of the nonlinear state estimations by the proposed MRBPF are respectively reduced by 29% and 96%, while the unique particle count is increased by 80%. It is also found that the MRBPF has better convergence properties, and analysis has shown that the existing RBPF is nothing more than a special case of the MRBPF.