Helicobacter pylori infection may result in poor gastric cleanliness in magnetically controlled capsule gastroscopy examination: A singlecenter retrospective study

Objective:Magnetically controlled capsule gastroscopy(MCCG)is an effective method for screening gastric diseases;however,its performance may be affected by gastric cleanliness.We aimed to explore the correlation between Helicobacter pylori infection and the degree of gastric cleanliness in the MCCG.Methods:This retrospective study enrolled 297 participants from October 2020 to April 2024 at Sir Run Run Shaw Hospital,Zhejiang University School of Medicine.Participant characteristics,MCCG examination results,and(13)C-urea breath test(C13-UBT)results were collected.The gastric cleanliness in MCCG examinations was assessed using a gastric cleanliness score.Binary logistic regression was used to analyze the relationships among participant characteristics,H.pylori infection,and gastric cleanliness.Chi-square tests and Fisher's exact tests were used to analyze the relationships among gastric lesions,H.pylori infection,and gastric cleanliness.Results:Among the participants,24.2%had H.pylori infection,and 17.5%had poor gastric cleanliness.Hypertension(odds ratio[OR]:2.63;95%confidence interval[CI]:1.36e5.09;p?0.004)was associated with a greater likelihood of H.pylori infection.H.pylori infection(OR:3.76;95%CI:1.99e7.09;p<0.001)was an independent risk factor for poor gastric cleanliness in the MCCG.A significant disparity was noted in the prevalence of focal erosions(p<0.001),gastric ulcers(p?0.001),and positive gastric lesions(p?0.027)between the 2 groups with and without H.pylori infection.The proportion of positive gastric lesions was not significantly different between the good gastric cleanliness group and the poor gastric cleanliness group(25.7%vs.21.2%;p?0.490).Conclusion:The findings of this study revealed that H.pylori infection was associated with hypertension.H.pylori infection may lead to poor gastric cleanliness.Institutions are advised to perform C13-UBT before MCCG,and participants should be informed of the risk of poor gastric cleanliness if the results are positive.The decision to perform H.pylori eradication before MCCG should take into account patient willingness and the benefit-to-risk ratio.

Application of nanotechnology to dentistry:Impact of graphene nanocomposites on clinical air quality

Concerns about air quality in dental clinics where aerosol generation during procedures poses significant health risks,have prompted investigations on advanced disinfection technologies.This editorial describes the strengths and limitations of ventilation and aerosol control measures in dental offices,especially with respect to the use of graphene nanocomposites.The potential of graphene nanocomposites as an innovative solution to aerosol-associated health risks is examined in this review due to the unique properties of graphene(e.g.,high con-ductivity,mechanical strength,and antimicrobial activity).These properties have produced promising results in various fields,but the application of graphene in dentistry remains unexplored.The recent study by Ju et al which was published in World Journal of Clinical Cases evaluated the effectiveness of graphene-based air disinfection systems in dental clinics.The study demonstrated that graphene-based disinfection techniques produced significant reductions in suspended particulate matter and bacterial colony counts,when co-mpared with traditional methods.Despite these positive results,challenges such as material saturation,frequency of filter replacement,and associated costs must be addressed before widespread adoption of graphene-based disinfection techniques in clinical practice.Therefore,there is need for further research on material structure optimization,long-term safety evaluations,and broader clinical applications,in order to maximize their positive impact on public health.

Use of graphene nanocomposites for air disinfection in dental clinics:A game-changer in infection control

This manuscript features the promising findings of a study conducted by Ju et al,who used graphene nanocomposites for air disinfection in dental clinics.Their study demonstrated that,compared with conventional filters,graphene nanocom-posites substantially improved air quality and reduced microbial contamination.This manuscript highlights the innovative application of graphene materials,emphasizing their potential to enhance dental clinic environments by minimizing secondary pollution.On the basis of the unique antimicrobial properties of gra-phene and the original study’s rigorous methodology,we recommend using gra-phene nanocomposites in clinical settings to control airborne infections.

Cleanliness of Ti-bearing Al-killed ultra-low-carbon steel during different heating processes

During the production of Ti-bearing Al-killed ultra-low-carbon(ULC) steel, two different heating processes were used when the converter tapping temperature or the molten steel temperature in the Ruhrstahl–Heraeus(RH) process was low: heating by Al addition during the RH decarburization process and final deoxidation at the end of the RH decarburization process(process-Ⅰ), and increasing the oxygen content at the end of RH decarburization, heating and final deoxidation by one-time Al addition(process-Ⅱ). Temperature increases of 10°C by different processes were studied; the results showed that the two heating processes could achieve the same heating effect. The T.[O] content in the slab and the refining process was better controlled by process-Ⅰ than by process-Ⅱ. Statistical analysis of inclusions showed that the numbers of inclusions in the slab obtained by process-Ⅰ were substantially less than those in the slab obtained by process-Ⅱ. For process-Ⅰ, the Al_2O_3 inclusions produced by Al added to induce heating were substantially removed at the end of decarburization. The amounts of inclusions were substantially greater for process-Ⅱ than for process-Ⅰ at different refining stages because of the higher dissolved oxygen concentration in process-Ⅱ. Industrial test results showed that process-Ⅰ was more beneficial for improving the cleanliness of molten steel.

Relationship between Oxygen Chemical Potential and Steel Cleanliness

To investigate inclusion formation in each step during steel making process, several samples were taken in different steps of the production of steel at Mobarakeh Steel Co of Esfahan to measure the oxygen chemical potential of the molten steel in each stage. The chemical compositions of the inclusions in samples were investigated by scanning electron microscope. The chemical composition of the slag was analyzed. With the use of thermodnamic calculations and chemical analysis of the melt, at the working temperature, the relationship between dissolved oxygen and other elements were determined. Finally, it was found that there is a close relationship between inclusions formed in each step with the oxygen partial pressure.

Effect of slag composition on the cleanliness of 28MnCr5 gear steel in the refining processes

The equilibrium reaction between CaO-Al2O3-SiO2-MgO slag and 28MnCr5 molten steel was calculated to obtain the suitable slag composition which is effective for decreasing the oxygen content in molten steel. The dissolved oxygen content [O] in molten steel un- der different top slag conditions was calculated using a thermodynamic model and was measured using an electromotive force method in slag-steel equilibrium experiments at 1873 K. The relations among [O], the total oxygen content （T.O）, and the composition of the slag were investigated. The experimental results show that both [O] and T.O decrease with decreasing SiO2 content of the slag and exhibit different trends with the changes in the CaO/Al2O3 mass ratio of the slag. Increasing the CaO/Al2O3 mass ratio results in a decrease in [O] and an in- crease in T.O. To ensure that T.O ≤ 20 ppm and [O] ≤ 10 ppm, the SiO2 content should be controlled to 〈5wt%, and the CaO/AI203 mass ratio should be in the range from 1.2 to 1.6.

Best practices for making high integrity lightweight metal castings-molten metal composition and cleanliness control

To make high integrity lightweight metal castings,best practices are required in various stages of casting and heat treatment processes,including liquid metal composition and quality control,casting and gating/riser system design,and process optimization.This paper presents best practices for liquid metal processing and quality assurance of molten metal in both melting and mold filling.Best practices for other aspects of lightweight metal casting will be published separately.

Method for evaluation of the cleanliness grade of coal resources in the Huainan Coalfield,Anhui,China:a case study

Based on analysis of a large data set and supplementary sampling and analysis for hazardous trace elements in coal samples from the Huainan Coalfield,a generalized contrast-weighted scale index method was used to establish a model to evaluate the grade of coal cleanliness and its regional distribution in the main coal seam(No.13-1)The results showed that:(1)The contents of Cr,Mn and Ni in the coal seam are relatively high and the average values are greater than 20μg/g.The contents of Se and Hg are at a high level while most other trace elements are at normal levels.(2)The cleanliness grade of the coal seam is mainly grade III-IV,which corresponds to a relatively good-medium coal cleanliness grade.However,some parts of the seam are at grade V(relatively poor coal cleanliness).(3)Coal of relatively good cleanliness grade(grade III)is distributed mainly in the regions corresponding to the Zhuji-Dingji-Gubei coal mines and in the eastern periphery of the Panji coal mine.Coal of medium cleanliness(grade IV)is distributed mainly in the regions of the Panji-Xiejiaji and Kouzidong coalmines.Relatively poor grade coal(grade V)is distributed in the southwest regions of the coalfield and the contents of Cr,As and Hg in coal collected from the relatively poor coal cleanliness regions often exceed the regulatory standards for the maximum concentration limits.

Influence of group B streptococcus and vaginal cleanliness on the vaginal microbiome of pregnant women

BACKGROUND The vaginal microbiome plays a critical role in the health of pregnant women and their newborns.Group B Streptococcus(GBS)and vaginal cleanliness significantly affect the vaginal microecosystem and are closely associated with vaginal diseases.AIM To explore the effects of GBS status and vaginal cleanliness on vaginal microecosystems.METHODS We collected 160 vaginal swabs from pregnant women and divided them into the following four groups based on GBS status and vaginal cleanliness:GBS-positive+vaginal cleanliness I–II degree,GBS-negative+vaginal cleanliness I–II degree,GBS-positive+vaginal cleanliness III–IV degree,and GBS-negative+vaginal cleanliness III–IV degree.Samples were subjected to 16S rRNA gene amplicon sequencing.RESULTS Alpha diversity analysis showed that the Shannon index did not significantly differ between the four groups.We identified significant variation in taxa abundance between the GBS-positive and GBS-negative groups and between the vaginal cleanliness I–II degree and III–IV degree groups.Principal coordinate analysis and non-metric multidimensional scaling analysis further confirmed the microbial diversity of the four groups.Moreover,the linear discriminant analysis demonstrated that Lactobacillus jensenii and Actinobacteria were strongly associated with GBS-positive status,and Lactobacillus iners,Lactobacillaceae,Lactobacillus,Lactobacillales,Bacilli and Firmicutes were closely correlated with GBS-negative status.CONCLUSION GBS status and vaginal cleanliness significantly affect vaginal microbiome differences in pregnant women.Our findings provide instructional information for clinical antibiotic treatment in pregnant women with different GBS statuses and vaginal cleanliness degrees.

Methods of evaluating cleanliness of ventilation ducts

A testing system for evaluating cleanliness of ventilation ducts was constructed. Comparisons of four evaluation methods for quantifying the amount of dust on the inner surface of ventilation ducts are presented. The experimental results show that the wiping by solvent method is more efficient than that by the wiping method,especially used on low cleanliness duct surface. The gravimetric tape method is an efficient method of collecting dust samples on the duct surface with low amounts of dust,particularly used to check the cleanliness level after the cleaning work. The optical method can be set up rapidly and is useful for fieldwork measurements.

Effect of Tundish Lining on Steel Cleanliness

To clarify the effect of the tundish lining on the steel cleanliness,the MgO based and Al2 O3 based gunning materials（ GM） were used as the lining of the alumina crucibles,respectively,in which about 200 g of ultra-low carbon steel was charged at 1 823 K for 2 h in pure argon atmosphere. The chemical analysis was carried out to investigate the change of chemical composition of steel in contact with GM after high temperatures holding experiments. The steel cleanliness in terms of inclusion number density,inclusion size and inclusion size distribution was evaluated by SEM and EDS. It was found that the MgO GM provided more oxygen and showed a stronger oxidizing capacity due to its higher content of reducible oxides（ 10. 5 mass% SiO2＋ 2 mass%Fe2 O3）. The use of Al2 O3 GM resulted in an improved steel cleanliness and consequently Al2 O3 GM could be a promising refractory material in the tundish lining.

具有时滞效应的air2stream河流水温模型及应用研究

高精度河流水温模型对于深入了解水温的时空变化特征和河流生态修复具有重要意义。基于数据驱动的air2stream模型在保证预测精度的同时,避免了计算的复杂性,已成为河流水温模拟常用的模型。由于水的热惯性及水文条件等的影响,河流水温变化往往显著滞后于气温变化,而air2stream原模型并未考虑滞后效应,导致该模型在流量未知情况下实际精度偏低。为解决该问题,采用气温-水温皮尔逊相关系数计算时滞天数,构建具有时滞的air2stream新模型,进一步根据长江中下游地区两个监测站的多年实测数据验证新模型的有效性和稳定性。结果表明:新模型在不引进额外观测数据的条件下具有更高精度且性能更稳定。相比原模型,在两个监测站新模型的均方根误差分别降低约4.29%和5.85%。新模型具有精度高、水文要素需求少的特点,可为长江中下游的水环境影响评价和生态保护提供依据。

基于Aqua卫星AIRS数据的南大洋大气逆温和逆湿特性研究

南大洋大气普遍存在着逆温和逆湿现象,其分布和变化对海-冰-气之间的物质和通量交换具有重要影响。利用Aqua卫星上搭载的大气红外探测器(AIRS)观测数据,提取了南大洋大气的逆温和逆湿特性,并研究了其时空分布与变化特征。此外,以全球无线电探空数据集的探测结果为参考值,分析了AIRS在进行大气逆温和逆湿探测过程中受到云量影响的特征。结果表明,AIRS估计的逆温特性受云量的影响较小,在多云条件下AIRS也可精确地估计逆温特性。利用AIRS最新的第7版(V7)数据产品对2004-2020年南大洋大气逆温和逆湿的频率(强度)进行研究,发现秋冬季比春夏季高(强),在龙尼冰架、罗斯冰架和南极半岛附近的海域的大气出现逆温和逆湿现象较其他区域更频繁,且强度更强。

磁共振AIR-魔毯线圈在胸椎结核扫描中的应用价值

目的探讨联合应用AIR-魔毯线圈磁共振成像(MRI)对胸椎结核扫描图像信噪比(signal to noise ratio,SNR)、对比噪声比(contrast to noise ratio,CNR)和脂肪抑制成像效果的价值。方法选取我院80例经手术病理证实为胸椎结核患者,按1:1随机分为两组,应用常规线圈(脊柱相控阵线圈,头颈联合线圈)、常规线圈联合AIR魔毯线圈对两组患者分别进行扫描。扫描序列包括胸椎矢状位T_(2)WI,T_(1)WI,T_(2)FLEX,进一步测量、比较SNR,CNR及脂肪抑制效果,分析MRI多序列诊断胸腰椎结核的准确率、特异度和灵敏度。结果常规线圈联合AIR-魔毯线圈扫描组,胸椎矢状位图像的SNR、CNR及压脂效果优于常规线圈组。结论联合应用AIR-魔毯线圈的图像SNR、CNR得到提高,脂肪抑制效果稳定良好。

Efficacy of graphene nanocomposites for air disinfection in dental clinics: A randomized controlled study

BACKGROUND Aerosols containing disease-causing microorganisms are produced during oral diagnosis and treatment can cause secondary contamination.AIM To investigate the use of graphene material for air disinfection in dental clinics by leveraging its adsorption and antibacterial properties.METHODS Patients who received ultrasonic cleaning at our hospital from April 2023 to April 2024.They were randomly assigned to three groups(n=20 each):Graphene nanocomposite material suction group(Group A),ordinary filter suction group(Group B),and no air suction device group(Group C).The air quality and air colony count in the clinic rooms were assessed before,during,and after the procedure.Additionally,bacterial colony counts were obtained from the air outlets of the suction devices and the filter screens in Groups A and B.RESULTS Before ultrasonic cleaning,no significant differences in air quality PM2.5 and colony counts were observed among the three groups.However,significant differences in air quality PM2.5 and colony counts were noted among the three groups during ultrasonic cleaning and after ultrasonic treatment.Additionally,the number of colonies on the exhaust port of the suction device and the surface of the filter were significantly lower in Group A than in Group B(P=0.000 and P=0.000,respectively).CONCLUSION Graphene nanocomposites can effectively sterilize the air in dental clinics by exerting their antimicrobial effects and may be used to reduce secondary pollution.

Mastering air combat game with deep reinforcement learning

Reinforcement learning has been applied to air combat problems in recent years,and the idea of curriculum learning is often used for reinforcement learning,but traditional curriculum learning suffers from the problem of plasticity loss in neural networks.Plasticity loss is the difficulty of learning new knowledge after the network has converged.To this end,we propose a motivational curriculum learning distributed proximal policy optimization(MCLDPPO)algorithm,through which trained agents can significantly outperform the predictive game tree and mainstream reinforcement learning methods.The motivational curriculum learning is designed to help the agent gradually improve its combat ability by observing the agent's unsatisfactory performance and providing appropriate rewards as a guide.Furthermore,a complete tactical maneuver is encapsulated based on the existing air combat knowledge,and through the flexible use of these maneuvers,some tactics beyond human knowledge can be realized.In addition,we designed an interruption mechanism for the agent to increase the frequency of decisionmaking when the agent faces an emergency.When the number of threats received by the agent changes,the current action is interrupted in order to reacquire observations and make decisions again.Using the interruption mechanism can significantly improve the performance of the agent.To simulate actual air combat better,we use digital twin technology to simulate real air battles and propose a parallel battlefield mechanism that can run multiple simulation environments simultaneously,effectively improving data throughput.The experimental results demonstrate that the agent can fully utilize the situational information to make reasonable decisions and provide tactical adaptation in the air combat,verifying the effectiveness of the algorithmic framework proposed in this paper.

Experimental study on secondary air mixing along the bed height in a circulating fluidized bed with a multitracer-gas method

A multitracer-gas method was proposed to study the secondary air(SA)mixing along the bed height in a circulating fluidized bed(CFB)using carbon monoxide(CO),oxygen(O_(2)),and carbon dioxide(CO_(2))as tracer gases.Experiments were carried out on a cold CFB test rig with a cross-section of 0.42 m×0.73 m and a height of 5.50 m.The effects of superficial velocity,SA ratio,bed inventory,and particle diameter on the SA mixing were investigated.The results indicate that there are some differences in the measurement results obtained using different tracer gases,wherein the deviation between CO and CO_(2) ranges from 42%to 66%and that between O_(2) and CO_(2) ranges from 45%to 71%in the lower part of the fluidized bed.However,these differences became less pronounced as the bed height increased.Besides,the high solid concentration and fine particle diameter in the CFB may weaken the difference.The measurement results of different tracer gases show the same trends under the variation of operating parameters.Increasing superficial velocity and SA ratio and decreasing particle diameter result in better mixing of the SA.The effect of bed inventory on SA mixing is not monotonic.

Advanced manufacturing technologies of large martensitic stainless steel castings with ultra low carbon and high cleanliness

The key manufacturing technologies associated with composition, microstructure, mechanical properties, casting quality and key process control for large martensitic stainless steel castings are involved in this paper. The achievements fully satisfeid the technical requirements of the large 700 MW stainless steel hydraulic turbine runner for the Three Gorges Hydropower Station, and become the major technical support for the design and manufacture of the largest 700 MW hydraulic turbine generator unit in the world developed through our own efforts. The characteristics of a new high yield to tensile strength (R p0.2/R m ) ratio and high obdurability martensitic stainless steel with ultra low carbon and high cleanliness are also described. Over the next ten years, the large martensitic stainless steel castings and advanced manufacturing technologies will see a huge demand in clean energy industry such as nuclear power, hydraulic power at home and abroad. Therefore, the new high yield o tensile strength (R p0.2/R m ) ratio and high obdurability martensitic stainless steel materials, the fast and flexible manufacturing technologies of large size castings, and new environment friendly sustainable process will face new challenges and opportunities.

Rational Design of Ruddlesden-Popper Perovskite Ferrites as Air Electrode for Highly Active and Durable Reversible Protonic Ceramic Cells

Reversible protonic ceramic cells(RePCCs)hold promise for efficient energy storage,but their practicality is hindered by a lack of high-performance air electrode materials.Ruddlesden-Popper perovskite Sr_(3)Fe_(2)O_(7−δ)(SF)exhibits superior proton uptake and rapid ionic conduction,boosting activity.However,excessive proton uptake during RePCC operation degrades SF’s crystal structure,impacting durability.This study introduces a novel A/B-sites co-substitution strategy for modifying air electrodes,incorporating Sr-deficiency and Nb-substitution to create Sr_(2.8)Fe_(1.8)Nb_(0.2)O_(7−δ)(D-SFN).Nb stabilizes SF’s crystal,curbing excessive phase formation,and Sr-deficiency boosts oxygen vacancy concentration,optimizing oxygen transport.The D-SFN electrode demonstrates outstanding activity and durability,achieving a peak power density of 596 mW cm^(−2)in fuel cell mode and a current density of−1.19 A cm^(−2)in electrolysis mode at 1.3 V,650℃,with excellent cycling durability.This approach holds the potential for advancing robust and efficient air electrodes in RePCCs for renewable energy storage.

Recent progress of self-supported air electrodes for flexible Zn-air batteries

Smart wearable devices are regarded to be the next prevailing technology product after smartphones and smart homes,and thus there has recently been rapid development in flexible electronic energy storage devices.Among them,flexible solid-state zinc-air batteries have received widespread attention because of their high energy density,good safety,and stability.Efficient bifunctional oxygen electrocatalysts are the primary consideration in the development of flexible solid-state zinc-air batteries,and self-supported air cathodes are strong candidates because of their advantages including simplified fabrication process,reduced interfacial resistance,accelerated electron transfer,and good flexibility.This review outlines the research progress in the design and construction of nanoarray bifunctional oxygen electrocatalysts.Starting from the configuration and basic principles of zinc-air batteries and the strategies for the design of bifunctional oxygen electrocatalysts,a detailed discussion of self-supported air cathodes on carbon and metal substrates and their uses in flexible zinc-air batteries will follow.Finally,the challenges and opportunities in the development of flexible zinc-air batteries will be discussed.