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面向Critical MTC的无连接传输
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作者 李志岗 袁志锋 +2 位作者 董展谊 李文斌 梁楚龙 《中兴通讯技术》 北大核心 2024年第1期60-67,共8页
关键机器类通信(Critical MTC)对时延和可靠性都有极高的要求。支持海量Critical MTC的终端是一个巨大挑战。提出了一种面向海量Critical MTC终端的无连接传输方案。为了降低时延,提出了基于竞争的无连接单次传输方案;为了实现高可靠性... 关键机器类通信(Critical MTC)对时延和可靠性都有极高的要求。支持海量Critical MTC的终端是一个巨大挑战。提出了一种面向海量Critical MTC终端的无连接传输方案。为了降低时延,提出了基于竞争的无连接单次传输方案;为了实现高可靠性,设计了具有极低导频碰撞概率的稀疏正交多导频。进一步利用大规模多输入多输出(MIMO)的增益来提高可靠性以及在空域复用大量用户。仿真结果表明,提出的方案可以支持海量Critical MTC终端,同时满足低时延和高可靠的严格要求。 展开更多
关键词 无连接传输 critical MTC 低时延高可靠 导频碰撞 稀疏正交导频
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Semi-analytical solution for drained expansion analysis of a hollow cylinder of critical state soils 被引量:1
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作者 He Yang Jialiang Zhang +1 位作者 Haisui Yu Peizhi Zhuang 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第6期2326-2340,共15页
The expansion of a thick-walled hollow cylinder in soil is of non-self-similar nature that the stress/deformation paths are not the same for different soil material points.As a result,this problem cannot be solved by ... The expansion of a thick-walled hollow cylinder in soil is of non-self-similar nature that the stress/deformation paths are not the same for different soil material points.As a result,this problem cannot be solved by the common self-similar-based similarity techniques.This paper proposes a novel,exact solution for rigorous drained expansion analysis of a hollow cylinder of critical state soils.Considering stress-dependent elastic moduli of soils,new analytical stress and displacement solutions for the nonself-similar problem are developed taking the small strain assumption in the elastic zone.In the plastic zone,the cavity expansion response is formulated into a set of first-order partial differential equations(PDEs)with the combination use of Eulerian and Lagrangian descriptions,and a novel solution algorithm is developed to efficiently solve this complex boundary value problem.The solution is presented in a general form and thus can be useful for a wide range of soils.With the new solution,the non-self-similar nature induced by the finite outer boundary is clearly demonstrated and highlighted,which is found to be greatly different to the behaviour of cavity expansion in infinite soil mass.The present solution may serve as a benchmark for verifying the performance of advanced numerical techniques with critical state soil models and be used to capture the finite boundary effect for pressuremeter tests in small-sized calibration chambers. 展开更多
关键词 Cavity expansion Drained analysis Boundary effect critical state soil Non-self-similar Eulerian-Lagrangian approach
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Enhancing Critical Path Problem in Neutrosophic Environment Using Python
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作者 M.Navya Pratyusha Ranjan Kumar 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第9期2957-2976,共20页
In the real world,one of the most common problems in project management is the unpredictability of resources and timelines.An efficient way to resolve uncertainty problems and overcome such obstacles is through an ext... In the real world,one of the most common problems in project management is the unpredictability of resources and timelines.An efficient way to resolve uncertainty problems and overcome such obstacles is through an extended fuzzy approach,often known as neutrosophic logic.Our rigorous proposed model has led to the creation of an advanced technique for computing the triangular single-valued neutrosophic number.This innovative approach evaluates the inherent uncertainty in project durations of the planning phase,which enhances the potential significance of the decision-making process in the project.Our proposed method,for the first time in the neutrosophic set literature,not only solves existing problems but also introduces a new set of problems not yet explored in previous research.A comparative study using Python programming was conducted to examine the effectiveness of responsive and adaptive planning,as well as their differences from other existing models such as the classical critical path problem and the fuzzy critical path problem.The study highlights the use of neutrosophic logic in handling complex projects by illustrating an innovative dynamic programming framework that is robust and flexible,according to the derived results,and sets the stage for future discussions on its scalability and application across different industries. 展开更多
关键词 Classical critical path problem fuzzy critical path problem uncertainty neutrosophic triangular single-valued neutrosophic number neutrosophic critical path problem python programming languag
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Critical Solvation Structures Arrested Active Molecules for Reversible Zn Electrochemistry
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作者 Junjie Zheng Bao Zhang +14 位作者 Xin Chen Wenyu Hao Jia Yao Jingying Li Yi Gan Xiaofang Wang Xingtai Liu Ziang Wu Youwei Liu Lin Lv Li Tao Pei Liang Xiao Ji Hao Wang Houzhao Wan 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第8期64-78,共15页
Aqueous Zn-ion batteries(AZIBs)have attracted increasing attention in next-generation energy storage systems due to their high safety and economic.Unfortunately,the side reactions,dendrites and hydrogen evolution effe... Aqueous Zn-ion batteries(AZIBs)have attracted increasing attention in next-generation energy storage systems due to their high safety and economic.Unfortunately,the side reactions,dendrites and hydrogen evolution effects at the zinc anode interface in aqueous electrolytes seriously hinder the application of aqueous zinc-ion batteries.Here,we report a critical solvation strategy to achieve reversible zinc electrochemistry by introducing a small polar molecule acetonitrile to form a“catcher”to arrest active molecules(bound water molecules).The stable solvation structure of[Zn(H_(2)O)_(6)]^(2+)is capable of maintaining and completely inhibiting free water molecules.When[Zn(H_(2)O)_(6)]^(2+)is partially desolvated in the Helmholtz outer layer,the separated active molecules will be arrested by the“catcher”formed by the strong hydrogen bond N-H bond,ensuring the stable desolvation of Zn^(2+).The Zn||Zn symmetric battery can stably cycle for 2250 h at 1 mAh cm^(-2),Zn||V_(6)O_(13) full battery achieved a capacity retention rate of 99.2%after 10,000 cycles at 10 A g^(-1).This paper proposes a novel critical solvation strategy that paves the route for the construction of high-performance AZIBs. 展开更多
关键词 Zinc-ion battery critical solvation Helmholtz layer Arrest active molecule Reversible zinc anode
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Predictive modeling of critical temperatures in magnesium compounds using transfer learning
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作者 Surjeet Kumar Russlan Jaafreh +4 位作者 Subhajit Dutta Jung Hyeon Yoo Santiago Pereznieto Kotiba Hamad Dae Ho Yoon 《Journal of Magnesium and Alloys》 SCIE EI CAS CSCD 2024年第4期1540-1553,共14页
This study presents a transfer learning approach for discovering potential Mg-based superconductors utilizing a comprehensive target dataset.Initially,a large source dataset(Bandgap dataset)comprising approximately∼7... This study presents a transfer learning approach for discovering potential Mg-based superconductors utilizing a comprehensive target dataset.Initially,a large source dataset(Bandgap dataset)comprising approximately∼75k compounds is utilized for pretraining,followed by fine-tuning with a smaller Critical Temperature(T_(c))dataset containing∼300 compounds.Comparatively,there is a significant improvement in the performance of the transfer learning model over the traditional deep learning(DL)model in predicting Tc.Subsequently,the transfer learning model is applied to predict the properties of approximately 150k compounds.Predictions are validated computationally using density functional theory(DFT)calculations based on lattice dynamics-related theory.Moreover,to demonstrate the extended predictive capability of the transfer learning model for new materials,a pool of virtual compounds derived from prototype crystal structures from the Materials Project(MP)database is generated.T_(c) predictions are obtained for∼3600 virtual compounds,which underwent screening for electroneutrality and thermodynamic stability.An Extra Trees-based model is trained to utilize E_(hull)values to obtain thermodynamically stable materials,employing a dataset containing Ehull values for approximately 150k materials for training.Materials with Ehull values exceeding 5 meV/atom were filtered out,resulting in a refined list of potential Mg-based superconductors.This study showcases the effectiveness of transfer learning in predicting superconducting properties and highlights its potential for accelerating the discovery of Mg-based materials in the field of superconductivity. 展开更多
关键词 SUPERCONDUCTIVITY critical temperature Transfer learning Crystal structure features Thermodynamic stability
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Critical behavior of quasi-two-dimensional ferromagnet Cr_(1.04)Te_(2)
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作者 钮伟 宋沁心 +10 位作者 常世琦 王敏 袁奎 高嘉程 王硕 王振东 刘凯斐 刘萍 徐永兵 张晓倩 普勇 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第7期87-94,共8页
The self-intercalation of Cr into pristine two-dimensional(2D) van der Waals ferromagnetic CrTe_(2),which forms chromium tellurides(Cr_(x)Te_(2)),has garnered interest due to their remarkable magnetic characteristics ... The self-intercalation of Cr into pristine two-dimensional(2D) van der Waals ferromagnetic CrTe_(2),which forms chromium tellurides(Cr_(x)Te_(2)),has garnered interest due to their remarkable magnetic characteristics and the wide variety of chemical compositions available.Here,comprehensive basic characterization and magnetic studies are conducted on quasi-2D ferromagnetic Cr_(1.04)Te_(2) crystals.Measurements of the isothermal magnetization curves are conducted around the critical temperature to systematically investigate the critical behavior.Specifically,the critical exponents β=0.2399,γ=0.859,and δ=4.3498,as well as the Curie temperature T_(C)=249.56 K,are determined using various methods,including the modified Arrott plots,the Kouvel-Fisher method,the Widom scaling method,and the critical isotherm analysis.These results indicate that the tricritical mean-field model accurately represents the critical behavior of Cr_(1.04)Te_(2.A magnetic phase diagram with tricritical phenomenon is thus constructed.Further investigations confirm that the critical exponents obtained conform to the scalar equation near T_(C),indicating their self-consistency and reliability.Our work sheds light on the magnetic properties of quasi-2D Cr_(1.04)Te_(2),broadening the scope of the van der Waals crystals for developments of future spintronic devices operable at room temperature. 展开更多
关键词 critical behavior van der Waals magnets self-intercalation magnetic measurement
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Determination of critical state line(CSL)for silty-sandy iron ore tailings subjected to low-high confining pressures
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作者 Nilo Cesar Consoli João Vítor de Azambuja Carvalho +4 位作者 Alexia Cindy Wagner Hugo Carlos Scheuermann Filho Inácio Carvalho Pedro Pazzoto Cacciari João Paulo de Sousa Silva 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第5期1684-1695,共12页
The disposal of filtered tailings in high dry stacks can induce particle breakage,changing the material's behaviour during the structure's lifetime.The grading changes influence material properties at the crit... The disposal of filtered tailings in high dry stacks can induce particle breakage,changing the material's behaviour during the structure's lifetime.The grading changes influence material properties at the critical state,and this is not mature for intermediate artificial soils(tailings)in a broad range of confining pressures.In this paper,it aims to describe the behaviour of iron ore tailings in a spectrum of confining pressures broader than the reported in previous studies.A series of consolidated drained(CD)triaxial tests was carried out with confining pressures ranging from 0.075 MPa to 120 MPa.These results show that the amount of breakage plays an essential role in the response of iron ore tailings.The existence of curved critical state line(CSL)in both specific volume(ν)-logarithm of mean effective stress(p′)and deviatoric stress(q)-mean effective stress(p′)planes,and different responses in the deviatoric stress-axial strain-volumetric strain curves were verified.An inverse S-shaped equation was proposed to represent the silty-sandy tailings'behaviour up to high pressures onν-lnp′plane.The proposed equation provides a basis for enhancing constitutive models and considers the evolution of the grading up to severe loading conditions.The adjustment considered three regions with different responses associated with particle breakage at different pressure levels. 展开更多
关键词 TAILINGS Iron ore tailings dry stacking Silty-sandy material critical state soil mechanics High confining pressures Particle breakage
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Quantitative determination of the critical points of Mott metal–insulator transition in strongly correlated systems
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作者 牛月坤 倪煜 +4 位作者 王建利 陈雷鸣 邢晔 宋筠 冯世平 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第1期647-652,共6页
Mottness is at the heart of the essential physics in a strongly correlated system as many novel quantum phenomena occur in the metallic phase near the Mott metal–insulator transition. We investigate the Mott transiti... Mottness is at the heart of the essential physics in a strongly correlated system as many novel quantum phenomena occur in the metallic phase near the Mott metal–insulator transition. We investigate the Mott transition in a Hubbard model by using the dynamical mean-field theory and introduce the local quantum state fidelity to depict the Mott metal–insulator transition. The local quantum state fidelity provides a convenient approach to determining the critical point of the Mott transition. Additionally, it presents a consistent description of the two distinct forms of the Mott transition points. 展开更多
关键词 critical point metal–insulator transition local quantum state fidelity strongly correlated system quasiparticle coherent weight
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Predicted Critical State Based on Invariance of the Lyapunov Exponent in Dual Spaces
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作者 刘通 夏旭 《Chinese Physics Letters》 SCIE EI CAS CSCD 2024年第1期68-76,共9页
Critical states in disordered systems,fascinating and subtle eigenstates,have attracted a lot of research interests.However,the nature of critical states is difficult to describe quantitatively,and in general,it canno... Critical states in disordered systems,fascinating and subtle eigenstates,have attracted a lot of research interests.However,the nature of critical states is difficult to describe quantitatively,and in general,it cannot predict a system that hosts the critical state.We propose an explicit criterion whereby the Lyapunov exponent of the critical state should be 0 simultaneously in dual spaces,namely the Lyapunov exponent remains invariant under the Fourier transform.With this criterion,we can exactly predict a one-dimensional quasiperiodic model which is not of self-duality,but hosts a large number of critical states.Then,we perform numerical verification of the theoretical prediction and display the self-similarity of the critical state.Due to computational complexity,calculations are not performed for higher dimensional models.However,since the description of extended and localized states by the Lyapunov exponent is universal and dimensionless,utilizing the Lyapunov exponent of dual spaces to describe critical states should also be universal.Finally,we conjecture that some kind of connection exists between the invariance of the Lyapunov exponent and conformal invariance,which can promote the research of critical phenomena. 展开更多
关键词 STATE EXPONENT critical
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Engineering Quantum Criticality for Quantum Dot Power Harvesting
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作者 王金义 年磊磊 吕京涛 《Chinese Physics Letters》 SCIE EI CAS CSCD 2024年第2期14-25,共12页
Coupling of quantum-dot circuits to microwave photons enables us to investigate photon-assisted quantum transport.Here,we revisit this typical circuit quantum electrodynamical setup by introducing the Kerr nonlinearit... Coupling of quantum-dot circuits to microwave photons enables us to investigate photon-assisted quantum transport.Here,we revisit this typical circuit quantum electrodynamical setup by introducing the Kerr nonlinearity of photons.By exploiting quantum critical behavior,we propose a powerful scheme to control the power-harvesting efficiency in the microwave regime,where the driven-dissipative optical system acts as an energy pump.It drives electron transport against a load in the quantum-dot circuit.The energy transfer and,consequently,the harvesting efficiency are enhanced near the critical point.As the critical point moves towards to low input power,high efficiency within experimental parameters is achieved.Our results complement fundamental studies of photon-to-electron conversion at the nanoscale and provide practical guidance for designs of integrated photoelectric devices through quantum criticality. 展开更多
关键词 QUANTUM critical MICROWAVE
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Anisotropic s-Wave Gap in the Vicinity of a Quantum Critical Point in Superconducting BaFe_(2)(As_(1-x)P_(x))_(2) Single Crystals:A Study of Point-Contact Spectroscopy
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作者 詹红星 林玉尺 +8 位作者 赵宇清 左海艳 王兴玉 马肖燕 李春红 罗会仟 陈根富 李世亮 任聪 《Chinese Physics Letters》 SCIE EI CAS CSCD 2024年第4期118-123,共6页
We report on soft c-axis point-contact Andreev reflection(PCAR)spectroscopy combining with resistivity measurements on BaFe_(2)(As_(0.7)P_(0.3))_(2),to elucidate the superconducting gap structure in the vicinity of th... We report on soft c-axis point-contact Andreev reflection(PCAR)spectroscopy combining with resistivity measurements on BaFe_(2)(As_(0.7)P_(0.3))_(2),to elucidate the superconducting gap structure in the vicinity of the quantum critical point.A double peak at the gap edge plus a dip feature at zero-bias has been observed on the PCAR spectra,indicative of the presence of a nodeless gap in BaFe_(2)(As_(0.7)P_(0.3))_(2).Detailed analysis within a sophisticated theoretical model reveals an anisotropic gap with deep gap minima.The PCARs also feature additional structures related to the electron-bosonic coupling mode.Using the extracted superconducting energy gap value,a characteristic bosonic energy Ω_(b) and its temperature dependence are obtained,comparable with the spin-resonance energy observed in neutron scattering experiment.These results indicate a magnetism-driven quantum critical point in the BaFe_(2)(As_(1-x)P_(x))_(2) system. 展开更多
关键词 quantum critical RESISTIVITY
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Unlocking hypoglycemia–associated brain microvascular dysfunction:critical insights from proteomic analysis
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作者 Siva S.V.P.Sakamuri Anil Sakamuri 《Neural Regeneration Research》 SCIE CAS 2025年第6期1707-1708,共2页
Hypoglycemia-a critical complication linked to worsened brain function in diabetic subjects:Hypoglycemia is characterized by a decline in circulatory glucose levels below sta nda rd physiological thresholds.Mild hypog... Hypoglycemia-a critical complication linked to worsened brain function in diabetic subjects:Hypoglycemia is characterized by a decline in circulatory glucose levels below sta nda rd physiological thresholds.Mild hypoglycemia,classified as level 1 hypoglycemia,is defined by blood glucose levels below 70 mg/dL and can be effectively addressed through carbohydrate intake.Severe hypoglycemia,denoted by blood glucose levels less than 54 mg/dL,poses a life-threatening risk if left untreated.Individuals with type 1 and type 2 diabetes undergoing insulin treatment are particularly susceptible to hypoglycemia due to impaired counterregulatory mechanisms. 展开更多
关键词 IMPAIRED INTAKE critical
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Characterization of bright betatron radiation generated by direct laser acceleration of electrons in plasma of near critical density
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作者 J.Cikhardt M.Gyrdymov +9 位作者 S.Zähter P.Tavana M.M.Günther N.Bukharskii N.Borisenko J.Jacoby X.F.Shen A.Pukhov N.E.Andreev O.N.Rosmej 《Matter and Radiation at Extremes》 SCIE EI CSCD 2024年第2期26-35,共10页
Directed x-rays produced in the interaction of sub-picosecond laser pulses of moderate relativistic intensity with plasma of near-critical density are investigated. Synchrotron-like (betatron) radiation occurs in the ... Directed x-rays produced in the interaction of sub-picosecond laser pulses of moderate relativistic intensity with plasma of near-critical density are investigated. Synchrotron-like (betatron) radiation occurs in the process of direct laser acceleration (DLA) of electrons in a relativisticlaser channel when the electrons undergo transverse betatron oscillations in self-generated quasi-static electric and magnetic fields. In anexperiment at the PHELIX laser system, high-current directed beams of DLA electrons with a mean energy ten times higher than the ponderomotive potential and maximum energy up to 100 MeV were measured at 10^(19) W/cm^(2)laser intensity. The spectrum of directed x-raysin the range of 5–60 keV was evaluated using two sets of Ross filters placed at 0°and 10°to the laser pulse propagation axis. The differential x-ray absorption method allowed for absolute measurements of the angular-dependent photon fluence. We report 10^(13) photons/sr withenergies >5 keV measured at 0°to the laser axis and a brilliance of 10^(21) photons s^(−1) mm^(−2) mrad−2(0.1%BW)−1. The angular distributionof the emission has an FWHM of 14°–16°. Thanks to the ultra-high photon fluence, point-like radiation source, and ultra-short emissiontime, DLA-based keV backlighters are promising for various applications in high-energy-density research with kilojoule petawatt-class laserfacilities. 展开更多
关键词 laser ACCELERATION critical
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Advancing critical care recovery:The pivotal role of machine learning in early detection of intensive care unit-acquired weakness
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作者 Georges Khattar Elie Bou Sanayeh 《World Journal of Clinical Cases》 SCIE 2024年第21期4455-4459,共5页
This editorial explores the significant challenge of intensive care unit-acquiredweakness(ICU-AW),a prevalent condition affecting critically ill patients,characterizedby profound muscle weakness and complicating patie... This editorial explores the significant challenge of intensive care unit-acquiredweakness(ICU-AW),a prevalent condition affecting critically ill patients,characterizedby profound muscle weakness and complicating patient recovery.Highlightingthe paradox of modern medical advances,it emphasizes the urgent needfor early identification and intervention to mitigate ICU-AW's impact.Innovatively,the study by Wang et al is showcased for employing a multilayer perceptronneural network model,achieving high accuracy in predicting ICU-AWrisk.This advancement underscores the potential of neural network models inenhancing patient care but also calls for continued research to address limitationsand improve model applicability.The editorial advocates for the developmentand validation of sophisticated predictive tools,aiming for personalized carestrategies to reduce ICU-AW incidence and severity,ultimately improving patientoutcomes in critical care settings. 展开更多
关键词 critical illness myopathy critical illness polyneuropathy Early detection Intensive care unit-acquired weakness Neural network models Patient outcomes Personalized intervention strategies Predictive modeling
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MULTIPLE SOLUTIONS TO CRITICAL MAGNETIC SCHR?DINGER EQUATIONS
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作者 Ruijiang WEN Jianfu YANG 《Acta Mathematica Scientia》 SCIE CSCD 2024年第4期1373-1393,共21页
In this paper,we are concerned with the existence of multiple solutions to the critical magnetic Schr?dinger equation(-i▽-a(x))^(2)u+⒂λV(x)u=p|u|^(p-2)u+(∫R(n)|u(y)|^(2)_(a)^(*)/|x-y|^(a)dy)|u|2_(a)^(*)-2_(u)in R^... In this paper,we are concerned with the existence of multiple solutions to the critical magnetic Schr?dinger equation(-i▽-a(x))^(2)u+⒂λV(x)u=p|u|^(p-2)u+(∫R(n)|u(y)|^(2)_(a)^(*)/|x-y|^(a)dy)|u|2_(a)^(*)-2_(u)in R^(N),(0.1)where N≥4,2≤p<2^(*),2_α^(*)=(2N-α)/(N-2)with 0<α<4,λ>0,μ∈R,A(x)=(A_(1)(x),A_(2)(x),…,A_(N)(x))is a real local Hölder continuous vector function,i is the imaginary unit,and V(x)is a real valued potential function on R^(N).Supposing thatΩ=int V^(-1)(0)■R^(N)is bounded,we show that problem(0.1)possesses at least cat_(Ω)(Ω)nontrivial solutions ifλis large. 展开更多
关键词 critical magnetic Schr?dinger equation multiple solutions Ljusternik-Schnirelman theory
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Deciphering the iron enigma: Navigating the complexities of iron metabolism in critical illness
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作者 Anjali Mishra Deven Juneja 《World Journal of Clinical Cases》 SCIE 2024年第27期6027-6031,共5页
Iron is a double-edged sword!Despite being essential for numerous physiological processes of the body,a dysregulated iron metabolism can result in tissue da-mage,exaggerated inflammatory response,and increased suscept... Iron is a double-edged sword!Despite being essential for numerous physiological processes of the body,a dysregulated iron metabolism can result in tissue da-mage,exaggerated inflammatory response,and increased susceptibility to infection with certain pathogens that thrive in iron-rich environment.During sepsis,there is an alteration of iron metabolism,leading to increased transport and uptake into cells.This increase in labile iron may cause oxidative damage and cellular injury(ferroptosis)which progresses as the disease worsens.Critically ill patients are often complicated with systemic inflammation which may contribute to multiple organ dysfunction syndrome or sepsis,a common cause of mortality in intensive care unit.Originally,ferritin was known to play an important role in the hematopoietic system for its iron storage capacity.Recently,its role has emerged as a predictor of poor prognosis in chronic inflammation and critical illnesses.Apart from predicting the disease outcome,serum ferritin can poten-tially reflect disease activity as well. 展开更多
关键词 critical illness FERRITIN INFLAMMATION IRON MORTALITY SEPSIS
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Facilitating and hindering factors of community nurses'emergency and critical care treatment abilities:A qualitative study
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作者 Wen-Lin Cheng Rui Li +3 位作者 Yan Song Fei-Hu Qian Si-Yuan Sha Shuang-Yuan Song 《World Journal of Clinical Cases》 SCIE 2024年第18期3453-3460,共8页
BACKGROUND This study adopts a descriptive phenomenological approach to investigate the facilitators and barriers of community nurses'abilities in managing critical and emergency conditions.With the transition of ... BACKGROUND This study adopts a descriptive phenomenological approach to investigate the facilitators and barriers of community nurses'abilities in managing critical and emergency conditions.With the transition of healthcare systems to the community,the evolution of nursing practices,and the attention from policies and practices,community nurses play a crucial role in the management of critical and emergency conditions.However,there is still a lack of comprehensive understanding regarding the factors that promote or hinder their capabilities in this area.AIM To understand the facilitators and barriers of community nurses in managing critical and emergency conditions,exploring the fundamental reasons and driving forces influencing their treatment capabilities.METHODS This study utilized the destination sampling method between May 2023 and July 2023.It employed a descriptive phenomenological approach within qualitative research methodologies.Through objective sampling,17 community nurses from 7 communities in Changning District,Shanghai,were selected as the study subjects.Semi-structured interviews were conducted to gather data,which were subsequently organized and analyzed using Colaizzi's seven-step analysis method,leading to the extraction of final themes.RESULTS The barrier factors identified from the interviews encompassed three topics:resource allocation,professional factors,and personal literacy.The facilitators comprised three themes:professionalism,management attention,and training and continuing education.We identified that the root causes of the barriers included the lack of practical treatment experience among community nurses,insufficient awareness of self-directed learning,and limited knowledge and technical proficiency.The professional quality of community nurses and management attention serve as motivation for them to enhance their treatment abilities.CONCLUSION To enhance the capability of community nurses in treating acute and critical patients,it is recommended to bolster training specifically tailored to acute and critical care,raise awareness of first aid practices,and elevate knowledge and skill levels. 展开更多
关键词 Community nurse Acute and critical illness Promoting factors Obstacle factors Qualitative study
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Mental health status among COVID-19 patients survivors of critical illness in Saudi Arabia:A 6-month follow-up questionnaire study
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作者 Abdullah M Alhammad Namareq F Aldardeer +10 位作者 Abdulaziz Alqahtani Mohammad H Aljawadi Bushra Alnefaie Raghad Alonazi Mansour Almuqbil Abdulrahman Alsaadon Rakan M Alqahtani Rashid Alballaa Bader Alshehri Mohammed I Alarifi Fahad D Alosaimi 《World Journal of Clinical Cases》 SCIE 2024年第15期2560-2567,共8页
BACKGROUND Psychological assessment after intensive care unit(ICU)discharge is increasingly used to assess patients'cognitive and psychological well-being.However,few studies have examined those who recovered from... BACKGROUND Psychological assessment after intensive care unit(ICU)discharge is increasingly used to assess patients'cognitive and psychological well-being.However,few studies have examined those who recovered from coronavirus disease 2019(COVID-19).There is a paucity of data from the Middle East assessing the post-ICU discharge mental health status of patients who had COVID-19.AIM To evaluate anxiety and depression among patients who had severe COVID-19.METHODS This is a prospective single-center follow-up questionnaire-based study of adults who were admitted to the ICU or under ICU consultation for>24 h for COVID-19.Eligible patients were contacted via telephone.The patient’s anxiety and depression six months after ICU discharge were assessed using the Hospital Anxiety and Depression Scale(HADS).The primary outcome was the mean HADS score.The secondary outcomes were risk factors of anxiety and/or depression.RESULTS Patients who were admitted to the ICU because of COVID-19 were screened(n=518).Of these,48 completed the questionnaires.The mean age was 56.3±17.2 years.Thirty patients(62.5%)were male.The main comorbidities were endocrine(n=24,50%)and cardiovascular(n=21,43.8%)diseases.The mean overall HADS score for anxiety and depression at 6 months post-ICU discharge was 11.4(SD±8.5).A HADS score of>7 for anxiety and depression was detected in 15 patients(30%)and 18 patients(36%),respectively.Results from the multivariable ordered logistic regression demonstrated that vasopressor use was associated with the development of anxiety and depression[odds ratio(OR)39.06,95% confidence interval:1.309-1165.8;P<0.05].CONCLUSION Six months after ICU discharge,30% of patients who had COVID-19 demonstrated a HADS score that confirmed anxiety and depression.To compare the psychological status of patients following an ICU admission(with vs without COVID-19),further studies are warranted. 展开更多
关键词 COVID-19 critically ill ANXIETY DEPRESSION HADS Saudi Arabia
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Acute pancreatitis in the critical care setting:A review of assessment and intervention strategies
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作者 Ashraf H.Zaki Mohammad F.Katranji 《Journal of Acute Disease》 2024年第3期93-99,共7页
The incidence of acute pancreatitis(AP),a condition characterized by inflammation in the pancreas,has been increasing globally and is associated with several complications.This review elaborated on the etiology,clinic... The incidence of acute pancreatitis(AP),a condition characterized by inflammation in the pancreas,has been increasing globally and is associated with several complications.This review elaborated on the etiology,clinical presentation,severity assessment,and treatment modalities of AP,mainly in the critical care setting.Patients with severe AP,as indicated by organ failure(>48 hours from onset),warrant treatment in the intensive care unit setting.The most common etiologies,biliary disease and alcohol consumption,and the advanced diagnostic tools used for the identification of the cause are highlighted.Different severity assessment tools are utilized for grading the severity of the disease,predicting patient outcomes,determining the associated risk,and guiding treatment decisions.The treatment interventions comprise various approaches,such as anti-infective therapy enteral nutrition,analgesics for pain,or minimally invasive surgical procedures,thereby demonstrating an evolving landscape of AP management.Furthermore,various complications such as necrosis,organ failure,and hemorrhage,necessitate disease monitoring and differential diagnosis and are crucial for optimal management of patients.Novel treatment modalities and advancements in multidisciplinary care emphasize the potential for reducing the burden of AP in critical care settings. 展开更多
关键词 Acute pancreatitis critical care Intensive care unit Necrotizing pancreatitis Organ failure
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Diagnosis and management of severe pulmonary and extrapulmonary tuberculosis in critically ill patients:A mini review for clinicians
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作者 Dominic Ti Ming Tan Kay Choong See 《World Journal of Critical Care Medicine》 2024年第2期106-115,共10页
Among critically ill patients,severe pulmonary and extrapulmonary tuberculosis has high morbidity and mortality.Yet,it is a diagnostic challenge given its nonspecific clinical symptoms and signs in early stages of the... Among critically ill patients,severe pulmonary and extrapulmonary tuberculosis has high morbidity and mortality.Yet,it is a diagnostic challenge given its nonspecific clinical symptoms and signs in early stages of the disease.In addition,management of severe pulmonary and extrapulmonary tuberculosis is complicated given the high risk of drug-drug interactions,drug-disease interactions,and adverse drug reactions.To help clinicians acquire an up-to-date approach to severe tuberculosis,this paper will provide a narrative review of contemporary diagnosis and management of severe pulmonary and extrapulmonary tuberculosis in critically ill patients. 展开更多
关键词 TUBERCULOSIS Severe tuberculosis Mycobaterium tuberculosis critical care Intensive care Diagnosis of tuberculosis Management of tuberculosis
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