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IDC中Web Hosting业务综合管理模型的设计与实现
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作者 金皓 杨勇勤 +1 位作者 邬文华 何志均 《计算机工程》 CAS CSCD 北大核心 2001年第6期153-155,共3页
简要分析了在Internet数据中心(IDC)中主机租赁与虚拟主机(Web Hosting)业务的应用前景,在当前应用以及一些通用管理软件功能上的不足,提出了一个专门面向IDC Web Hosting业务的综合管理模型。该模型将管理任务划分为3大层次模块,并... 简要分析了在Internet数据中心(IDC)中主机租赁与虚拟主机(Web Hosting)业务的应用前景,在当前应用以及一些通用管理软件功能上的不足,提出了一个专门面向IDC Web Hosting业务的综合管理模型。该模型将管理任务划分为3大层次模块,并逐层讨论了各个模块的结构、功能与技术特点,最后用Java技术实现了系统功能。 展开更多
关键词 INTERNET 电子商务 综合管理模型
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从Web Hosting到IDC
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作者 常卫国 《通讯世界》 2000年第10期43-43,共1页
关键词 WEB hosting IDC INTERNET 无线通信
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Evaluation of intermittent-distributed-generation hosting capability of a distribution system with integrated energy-storage systems 被引量:2
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作者 Weimin Zheng Bo Zou 《Global Energy Interconnection》 CSCD 2021年第4期415-424,共10页
The penetration rate of distributed generation is gradually increasing in the distribution system concerned.This is creating new problems and challenges in the planning and operation of the system.The intermittency an... The penetration rate of distributed generation is gradually increasing in the distribution system concerned.This is creating new problems and challenges in the planning and operation of the system.The intermittency and variability of power outputs from numerous distributed renewable generators could significantly jeopardize the secure operation of the distribution system.Therefore,it is necessary to assess the hosting capability for intermittent distributed generation by a distribution system considering operational constraints.This is the subject of this study.An assessment model considering the uncertainty of generation outputs from distributed generators is presented for this purpose.It involves different types of regulation or control functions using on-load tap-changers(OLTCs),reactive power compensation devices,energy storage systems,and the reactive power support of the distributed generators employed.A robust optimization model is then attained It is solved by Bertsimas robust counterpart through GUROBI solver.Finally,the feasibility and efficiency of the proposed method are demonstrated by a modified IEEE 33-bus distribution system.In addition,the effects of the aforementioned regulation or control functions on the enhancement of the hosting capability for intermittent distributed generation are examined. 展开更多
关键词 Distributed generation Robust optimization hosting capability Reactive power regulation Energy storage system
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Stable immobilization of lithium polysulfides using three-dimensional ordered mesoporous Mn_(2)O_(3) as the host material in lithium-sulfur batteries 被引量:1
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作者 Sung Joon Park Yun Jeong Choi +6 位作者 Hyun-seung Kim Min Joo Hong Hongjun Chang Janghyuk Moon Young-Jun Kim Junyoung Mun Ki Jae Kim 《Carbon Energy》 SCIE EI CAS CSCD 2024年第6期99-112,共14页
Lithium-sulfur batteries(LSBs)have drawn significant attention owing to their high theoretical discharge capacity and energy density.However,the dissolution of long-chain polysulfides into the electrolyte during the c... Lithium-sulfur batteries(LSBs)have drawn significant attention owing to their high theoretical discharge capacity and energy density.However,the dissolution of long-chain polysulfides into the electrolyte during the charge and discharge process(“shuttle effect”)results in fast capacity fading and inferior electrochemical performance.In this study,Mn_(2)O_(3)with an ordered mesoporous structure(OM-Mn_(2)O_(3))was designed as a cathode host for LSBs via KIT-6 hard templating,to effectively inhibit the polysulfide shuttle effect.OM-Mn_(2)O_(3)offers numerous pores to confine sulfur and tightly anchor the dissolved polysulfides through the combined effects of strong polar-polar interactions,polysulfides,and sulfur chain catenation.The OM-Mn_(2)O_(3)/S composite electrode delivered a discharge capacity of 561 mAh g^(-1) after 250 cycles at 0.5 C owing to the excellent performance of OM-Mn_(2)O_(3).Furthermore,it retained a discharge capacity of 628mA h g^(-1) even at a rate of 2 C,which was significantly higher than that of a pristine sulfur electrode(206mA h g^(-1)).These findings provide a prospective strategy for designing cathode materials for high-performance LSBs. 展开更多
关键词 host material lithium-sulfur battery ordered mesoporous structure shuttle effect transition-metal oxides
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Reflection on Education of Broadcasting and Hosting Major in Today's Universities
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作者 Shimin Yang Qiaoling Dai 《International Journal of Technology Management》 2015年第7期83-85,共3页
According to the development trend in China' s radio and television industry, the requirements of the media for broadcasters and hosts are totally different from before, and they differ from each other. Good appearan... According to the development trend in China' s radio and television industry, the requirements of the media for broadcasters and hosts are totally different from before, and they differ from each other. Good appearance, elegant temperament and pleasant voice are no longer the sole criteria for being employed. This paper analyzes the problems with the education of broadcasting and hosting majors in China' s universities and proposes strategies and suggestions on this, so as to offer a guideline for its future development. 展开更多
关键词 Broadcasting and hosting major PROBLEMS strategies
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Research on the Teaching Strategy of Broadcasting and Hosting Specialty in Colleges and Universities from the Perspective of New Media
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作者 Yuanyuan Wang 《Review of Educational Theory》 2019年第3期25-28,共4页
With the continuous development of science and technology and the comprehensive arrival of the information era, new media has gradually emerged and developed, which has had a serious impact on the original media form.... With the continuous development of science and technology and the comprehensive arrival of the information era, new media has gradually emerged and developed, which has had a serious impact on the original media form. Under the background of new media, higher requirements are put forward for the education and teaching activities of broadcasting and hosting specialty in colleges and universities, and the combination of new media technology and Chinese educational practice is the general trend in the current education field, which can effectively improve students’ learning quality and learning effects, and provide a broader space for the development of new media professions. This paper mainly explores the teaching strategies of broadcasting and hosting specialty in colleges and universities from the perspective of new media. 展开更多
关键词 The PERSPECTIVE of new media BROADCASTING and hosting SPECIALTY in COLLEGES and UNIVERSITIES Teaching strategy
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Promoting Understanding and Friendship by Hosting Media Personnel
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《International Understanding》 1999年第4期14-15,共2页
关键词 MEDIA Promoting Understanding and Friendship by hosting Media Personnel
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Web Hosting并购才刚刚开始
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作者 马志彦 《互联网周刊》 2000年第44期16-16,共1页
所有的幄幕已经拉下,迈至科的技术优势是否能够在万网的格局中继续发扬光大,管理上更胜一筹的万网能否规范迈至科在管理上存在的种种问题,还需要时间的考验。但愿正如迈至科公司总裁周更生所说的那样:我希望通过我们的并购给Web Hostin... 所有的幄幕已经拉下,迈至科的技术优势是否能够在万网的格局中继续发扬光大,管理上更胜一筹的万网能否规范迈至科在管理上存在的种种问题,还需要时间的考验。但愿正如迈至科公司总裁周更生所说的那样:我希望通过我们的并购给Web Hosting行业一个启示,相时而动,相机而动一定更有利于将来的发展。 展开更多
关键词 并购 总裁 Web hosting
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基于HOST标准的硬件管理平台设计与实现
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作者 文敏华 沈梦雨 赵洋洋 《航空计算技术》 2024年第3期117-120,共4页
基于HOST标准的硬件管理平台设计,从硬件管理平台的硬件架构设计、管理总线的选型分析、模块管理器设计、软件设计策略等方面介绍了设计方案。此外,对管理总线的选型进行对比分析和测试,针对目前嵌入式计算机环境,CAN总线优于其他总线... 基于HOST标准的硬件管理平台设计,从硬件管理平台的硬件架构设计、管理总线的选型分析、模块管理器设计、软件设计策略等方面介绍了设计方案。此外,对管理总线的选型进行对比分析和测试,针对目前嵌入式计算机环境,CAN总线优于其他总线来实现硬件管理。设计方案可有效解决嵌入式计算机的复杂性不断增加带来的可靠性、稳定性、维护性等问题,利用机箱管理器、模块管理器、系统管理总线等机制,可有效实现嵌入式计算机的健康信息监控、硬件状态管理、故障管理等功能。 展开更多
关键词 host标准 硬件系统管理 嵌入式计算机 整机级管理器
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Role of short-chain fatty acids in host physiology
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作者 Mingyue Liu Yubo Lu +7 位作者 Guoyu Xue Le Han Hanbing Jia Zi Wang Jia Zhang Peng Liu Chaojuan Yang Yingjie Zhou 《Animal Models and Experimental Medicine》 CAS CSCD 2024年第5期641-652,共12页
Short-chain fatty acids(SCFAs)are major metabolites produced by the gut microbiota through the fermentation of dietary fiber,and they have garnered significant attention due to their close association with host health... Short-chain fatty acids(SCFAs)are major metabolites produced by the gut microbiota through the fermentation of dietary fiber,and they have garnered significant attention due to their close association with host health.As important mediators between the gut microbiota and the host,SCFAs serve as energy substrates for intestinal epithelial cells and maintain homeostasis in host immune and energy metabolism by influencing host epigenetics,activating G protein-coupled receptors,and inhibiting pathogenic microbial infections.This review provides a comprehensive summary of SCFAs synthesis and metabolism and offering an overview of the latest research progress on their roles in protecting gut health,enhancing energy metabolism,mitigating diseases such as cancer,obesity,and diabetes,modulating the gut-brain axis and gut-l ung axis,and promoting bone health. 展开更多
关键词 gut microbiota host i nteraction relationship short-chain fatty acids
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.NET CLR Hosting简介
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作者 蔡学镛 《程序员》 2005年第5期98-100,共3页
如果你的程序需要支持.NET怎么办?如何能够使得开发人员可以使用各种语言扩展你的应用程序?既然java提供了可以将JVM依附在其宿主程序上的方法,.NET自然不会落后,本文就向读者介绍了如何把.NET依附到某个应用程序上的技术,从原理到实现... 如果你的程序需要支持.NET怎么办?如何能够使得开发人员可以使用各种语言扩展你的应用程序?既然java提供了可以将JVM依附在其宿主程序上的方法,.NET自然不会落后,本文就向读者介绍了如何把.NET依附到某个应用程序上的技术,从原理到实现,尽收眼底。 展开更多
关键词 hosting CLR 简介 应用程序 .NET .NET 宿主程序 JAVA JVM
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Driving inward growth of lithium metal in hollow microcapsule hosts by heteroatom‐controlled nucleation
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作者 Siwon Kim Hong Rim Shin +2 位作者 Ki Jae Kim Min‐Sik Park Jong‐Won Lee 《Carbon Energy》 SCIE EI CAS CSCD 2024年第8期262-272,共11页
The application of Li metal anodes in rechargeable batteries is impeded by safety issues arising from the severe volume changes and formation of dendritic Li deposits.Three‐dimensional hollow carbon is receiving incr... The application of Li metal anodes in rechargeable batteries is impeded by safety issues arising from the severe volume changes and formation of dendritic Li deposits.Three‐dimensional hollow carbon is receiving increasing attention as a host material capable of accommodating Li metal inside its cavity;however,uncontrollable and nonuniform deposition of Li remains a challenge.In this study,we synthesize metal–organic framework‐derived carbon microcapsules with heteroatom clusters(Zn and Ag)on the capsule walls and it is demonstrated that Ag‐assisted nucleation of Li metal alters the outward‐to‐inward growth in the microcapsule host.Zn‐incorporated microcapsules are prepared via chemical etching of zeolitic imidazole framework‐8 polyhedra and are subsequently decorated with Ag by a galvanic displacement reaction between Ag^(+) and metallic Zn.Galvanically introduced Ag significantly reduces the energy barrier and increases the reaction rate for Li nucleation in the microcapsule host upon Li plating.Through combined electrochemical,microstructural,and computational studies,we verify the beneficial role of Ag‐assisted Li nucleation in facilitating inward growth inside the cavity of the microcapsule host and,in turn,enhancing electrochemical performance.This study provides new insights into the design of reversible host materials for practical Li metal batteries. 展开更多
关键词 hollow carbon hosts lithium metal batteries lithium plating metal-organic frameworks NUCLEATION
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Turnip mosaic virus pathogenesis and host resistance mechanisms in Brassica
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作者 Guanwei Wu Xinxin Fang +2 位作者 Tianqi Yu Jianping Chen Fei Yan 《Horticultural Plant Journal》 SCIE CAS CSCD 2024年第4期947-960,共14页
Turnip mosaic virus(TuMV)is a devastating potyvirus pathogen that infects a wide variety of both cultivated and wild Brassicaceae plants.We urgently need more information and understanding of TuMV pathogenesis and the... Turnip mosaic virus(TuMV)is a devastating potyvirus pathogen that infects a wide variety of both cultivated and wild Brassicaceae plants.We urgently need more information and understanding of TuMV pathogenesis and the host responses involved in disease development in cruciferous crops.TuMV displays great versatility in viral pathogenesis,especially in its replication and intercellular movement.Moreover,in the coevolutionary arms races between TuMV and its hosts,the virus has evolved to co-opt host factors to facilitate its infection and counter host defense responses.This review mainly focuses on recent advances in understanding the viral factors that contribute to the TuMV infection cycle and the host resistance mechanism in Brassica.Finally,we propose some future research directions on TuMV pathogenesis and control strategies to design durable TuMV-resistant Brassica crops. 展开更多
关键词 Turnip mosaic virus BRASSICA Resistance genes host factors Infection biology
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BRECCIATION AND GOLD MINERALIZATION OF ORE-HOSTING ROCKS IN LAOYACHAO GOLD DEPOSIT
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作者 Yu, Xingzhen Li, Peilan 《中国有色金属学会会刊:英文版》 EI CSCD 1995年第2期7-12,共6页
BRECCIATIONANDGOLDMINERALIZATIONOFORE-HOSTINGROCKSINLAOYACHAOGOLDDEPOSIT¥YuXingzhen;LiPeilan(DepartmentofGeo... BRECCIATIONANDGOLDMINERALIZATIONOFORE-HOSTINGROCKSINLAOYACHAOGOLDDEPOSIT¥YuXingzhen;LiPeilan(DepartmentofGeology,CentralSouth... 展开更多
关键词 GOLD DEPOSIT ore-hosting BRECCIA GAS-LIQUID concealed explosion
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Two intestinal microbiota-derived metabolites, deoxycholic acid and butyrate, synergize to enhance host defense peptide synthesis and alleviate necrotic enteritis
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作者 Dohyung M.Kim Jing Liu +3 位作者 Melanie A.Whitmore Isabel Tobin Zijun Zhao Guolong Zhang 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2024年第3期1158-1172,共15页
Background Necrotic enteritis(NE)is a major enteric disease in poultry,yet effective mitigation strategies remain elusive.Deoxycholic acid(DCA)and butyrate,two major metabolites derived from the intestinal microbiota,... Background Necrotic enteritis(NE)is a major enteric disease in poultry,yet effective mitigation strategies remain elusive.Deoxycholic acid(DCA)and butyrate,two major metabolites derived from the intestinal microbiota,have independently been shown to induce host defense peptide(HDP)synthesis.However,the potential synergy between these two compounds remains unexplored.Methods To investigate the possible synergistic effect between DCA and butyrate in regulating HDP synthesis and barrier function,we treated chicken HD11 macrophage cells and jejunal explants with DCA and sodium butyrate(NaB),either individually or in combination,for 24 h.Subsequently,we performed RNA isolation and reverse transcrip-tion-quantitative PCR to analyze HDP genes as well as the major genes associated with barrier function.To further determine the synergy between DCA and NaB in enhancing NE resistance,we conducted two independent trials with Cobb broiler chicks.In each trial,the diet was supplemented with DCA or NaB on the day-of-hatch,followed by NE induction through sequential challenges with Eimeria maxima and Clostridium perfringens on d 10 and 14,respectively.We recorded animal mortality after infection and assessed intestinal lesions on d 17.The impact of DCA and NaB on the microbiota in the ileum and cecum was evaluated through bacterial 16S rRNA gene sequencing.Results We found that the combination of DCA and NaB synergistically induced multiple HDP genes in both chicken HD11 cells and jejunal explants.Additionally,the gene for claudin-1,a major tight junction protein,also exhibited synergistic induction in response to DCA and NaB.Furthermore,dietary supplementation with a combination of 0.75 g/kg DCA and 1 g/kg NaB led to a significant improvement in animal survival and a reduction in intestinal lesions compared to either compound alone in a chicken model of NE.Notably,the cecal microbiota of NE-infected chickens showed a marked decrease in SCFA-producing bacteria such as Bacteroides,Faecalibacterium,and Cuneatibacter,with lactobacilli becoming the most dominant species.However,supplementation with DCA and NaB largely restored the intestinal microbiota to healthy levels.Conclusions DCA synergizes with NaB to induce HDP and claudin-1 expression and enhance NE resistance,with potential for further development as cost-effective antibiotic alternatives. 展开更多
关键词 Bile acids host defense peptides METABOLITES MICROBIOME Necrotic enteritis Short-chain fatty acids
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Hatching and development of maize cyst nematode Heterodera zeae infecting different plant hosts
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作者 Jiangkuan Cui Haohao Ren +5 位作者 BoWang Fujie Chang Xuehai Zhang Haoguang Meng Shijun Jiang Jihua Tang 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第5期1593-1603,共11页
The occurrence, distribution, and rapid molecular detection technology of Heterodera zeae Koshy et al. 1971, have been reported in China. We explored the biological characteristics of H. zeae sampled in Henan Province... The occurrence, distribution, and rapid molecular detection technology of Heterodera zeae Koshy et al. 1971, have been reported in China. We explored the biological characteristics of H. zeae sampled in Henan Province, China to understand its interaction with plants. Cysts and second-stage juveniles(J2s) were identified under an optical and scanning electron microscope, internal transcribed spacer(ITS) phylogenetic tree, and sequence characterized amplified region(SCAR)-PCR analyses. The optimum hatching temperatures of H. zeae were 30°C and 28°C, with cumulative hatching rates of 16.5 and 16.1%, respectively, at 30 days post-hatching(dph). The hatching rate of H. zeae eggs was improved by 20-and 50-time maize soil leachate and root juice, and 10-time root exudates. The hatching rate in 10-time root exudates was the highest(25.9%). The 10-time root exudates of maize and millet produced the highest hatching rate at 30 dph(25.9 and 22.9%, respectively), followed by wheat(19.9%), barley(18.3%), and rice(17.6%). Heterodera zeae developed faster in maize than in other crops. Fourth-stage juveniles(J4s) were detected in maize roots 8 days post-inoculation(dpi) at 28°C but not in other crops. Combined with hatching tests, the Huang–Huai–Hai summer maize region and the south and central-southwest mountainous maize areas are highly suitable for H. zeae in China. This is the first systematically study of the hatching and infection characteristics on different plant hosts of corn cyst nematode H. zeae in temperate regions. This study laid a theoretical foundation for the rapid spread and high environmental adaptability of corn cyst nematode. 展开更多
关键词 crop host resistance Heterodera zeae incubation fluid maize cyst nematode nematode development nematodehatching
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Understanding host-graft crosstalk for predicting the outcome of stem cell transplantation
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作者 Luminita Labusca Florin Zugun-Eloae 《World Journal of Stem Cells》 SCIE 2024年第3期232-236,共5页
Mesenchymal stromal cells(MSCs)hold great promise for tissue regeneration in debilitating disorders.Despite reported improvements,the short-term outcomes of MSC transplantation,which is possibly linked to poor cell su... Mesenchymal stromal cells(MSCs)hold great promise for tissue regeneration in debilitating disorders.Despite reported improvements,the short-term outcomes of MSC transplantation,which is possibly linked to poor cell survival,demand extensive investigation.Disease-associated stress microenvironments further complicate outcomes.This debate underscores the need for a deeper understanding of the phenotypes of transplanted MSCs and their environment-induced fluctuations.Additionally,questions arise about how to predict,track,and comprehend cell fate post-transplantation.In vivo cellular imaging has emerged as a critical requirement for both short-and long-term safety and efficacy studies.However,translating preclinical imaging methods to clinical settings remains challenging.The fate and function of transplanted cells within the host environment present intricate challenges,including MSC engraftment,variability,and inconsistencies between preclinical and clinical data.The study explored the impact of high glucose concentrations on MSC survival in diabetic environments,emphasizing mitochondrial factors.Preserving these factors may enhance MSC survival,suggesting potential strategies involving genetic modification,biomaterials,and nanoparticles.Understanding stressors in diabetic patients is crucial for predicting the effects of MSC-based therapies.These multifaceted challenges call for a holistic approach involving the incorporation of large-scale data,computational disease modeling,and possibly artificial intelligence to enable deterministic insights. 展开更多
关键词 Mesenchymal stem cells PHENOTYPE Transplantation host MICROENVIRONMENT Cellular imaging Diabetes mellitus
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Roles of host proteases in the entry of SARS-CoV-2
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作者 Alexandria Zabiegalal Yunjeong Kim Kyeong-Ok Chang 《Animal Diseases》 CAS 2024年第1期27-39,共13页
The spike protein(S)of SARS-CoV-2 is responsible for viral attachment and entry,thus a major factor for host suscep-tibility,tissue tropism,virulence and pathogenicity.The S is divided with S1 and S2 region,and the S1... The spike protein(S)of SARS-CoV-2 is responsible for viral attachment and entry,thus a major factor for host suscep-tibility,tissue tropism,virulence and pathogenicity.The S is divided with S1 and S2 region,and the S1 contains the receptor-binding domain(RBD),while the S2 contains the hydrophobic fusion domain for the entry into the host cell.Numerous host proteases have been implicated in the activation of SARS-CoV-2 S through various c leavage sites.In this article,we review host proteases including furin,trypsin,transmembrane protease serine 2(TMPRSS2)and cathepsins in the activation of SARS-CoV-2 S.Many betacoronaviruses including SARS-CoV-2 have polybasic residues at the S1/S2 site which is subjected to the cleavage by furin.The S1/S2 cleavage facilitates more assessable RBD to the receptor ACE2,and the binding triggers further conformational changes and exposure of the S2'site to proteases such as type Il transmembrane serine proteases(TTPRs)including TMPRSS2.In the presence of TMPRSS2 on the target cells,SARS-CoV-2 can utilize a direct entry route by fusion of the viral envelope to the cellular membrane.In the absence of TMPRSS2,SARS-CoV-2 enter target cells via endosomes where multiple cathepsins cleave the S for the successful entry.Additional host proteases involved in the cleavage of the S were discussed.This article also includes roles of 3C-like protease inhibitors which have inhibitory activity against cathepsin L in the entry of SARS-CoV-2,and discussed the dual roles of such inhibitors in virus replication. 展开更多
关键词 SARS-CoV-2 Spike protein(S) host proteases Cleavage site Virus entry
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Robust Malicious Executable Detection Using Host-Based Machine Learning Classifier
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作者 Khaled Soliman Mohamed Sobh Ayman M.Bahaa-Eldin 《Computers, Materials & Continua》 SCIE EI 2024年第4期1419-1439,共21页
The continuous development of cyberattacks is threatening digital transformation endeavors worldwide and leadsto wide losses for various organizations. These dangers have proven that signature-based approaches are ins... The continuous development of cyberattacks is threatening digital transformation endeavors worldwide and leadsto wide losses for various organizations. These dangers have proven that signature-based approaches are insufficientto prevent emerging and polymorphic attacks. Therefore, this paper is proposing a Robust Malicious ExecutableDetection (RMED) using Host-based Machine Learning Classifier to discover malicious Portable Executable (PE)files in hosts using Windows operating systems through collecting PE headers and applying machine learningmechanisms to detect unknown infected files. The authors have collected a novel reliable dataset containing 116,031benign files and 179,071 malware samples from diverse sources to ensure the efficiency of RMED approach.The most effective PE headers that can highly differentiate between benign and malware files were selected totrain the model on 15 PE features to speed up the classification process and achieve real-time detection formalicious executables. The evaluation results showed that RMED succeeded in shrinking the classification timeto 91 milliseconds for each file while reaching an accuracy of 98.42% with a false positive rate equal to 1.58. Inconclusion, this paper contributes to the field of cybersecurity by presenting a comprehensive framework thatleverages Artificial Intelligence (AI) methods to proactively detect and prevent cyber-attacks. 展开更多
关键词 Portable executable MALWARE intrusion detection CYBERSECURITY zero-day threats host IntrusionDetection System(HIDS) machine learning Anomaly-based Intrusion Detection System(AIDS) deep learning
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人类白细胞抗原相合同胞新鲜脐血移植治疗儿童β重型地中海贫血
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作者 温建芸 陈丽白 +6 位作者 何岳林 冯晓勤 刘璇 徐肖肖 李秀 刘秋君 吴学东 《中国组织工程研究》 CAS 北大核心 2025年第23期4899-4906,共8页
背景:异基因造血干细胞移植是目前根治重型地中海贫血最有效的方法,然而仅有不到一半的患者能找到相合的骨髓或外周血干细胞。同胞来源脐血干细胞与骨髓和外周血干细胞具有不同的特征,是重型地中海贫血患者移植治疗的一种潜在造血干细... 背景:异基因造血干细胞移植是目前根治重型地中海贫血最有效的方法,然而仅有不到一半的患者能找到相合的骨髓或外周血干细胞。同胞来源脐血干细胞与骨髓和外周血干细胞具有不同的特征,是重型地中海贫血患者移植治疗的一种潜在造血干细胞替代来源。目的:探讨应用人类白细胞抗原相合同胞新鲜脐血移植治疗儿童β重型地中海贫血的疗效。方法:选择2010年6月至2020年6月南方医科大学南方医院收治的β重型地中海贫血患儿48例,男28例,女20例,中位年龄4岁,均接受人类白细胞抗原相合同胞新鲜脐血移植治疗,脐血移植前均采用清髓性不含抗胸腺细胞球蛋白的预处理方案,脐血移植后均采用环孢素A+吗替麦考酚酯+/-短程甲氨蝶呤预防移植物抗宿主病。结果与结论:(1)48例患儿输注的总有核细胞中位数为8.17×10^(7)/kg,输注的CD34^(+)细胞中位数为2.40×10^(5)/kg,脐血移植后中位随访时间98个月,44例植入成功,粒细胞和血小板植入中位时间分别为28 d和31 d,其中37例移植后植入证据检测为供者型完全嵌合,7例移植后早期检测为供受者稳定混合嵌合;(2)44例植入成功患儿中,4例发生急性移植物抗宿主病,分别为Ⅰ级(n=2)和Ⅱ级(n=2),受累器官均为皮肤,均未发生慢性移植物抗宿主病;(3)脐血移植后,48例患儿中5例发生巨细胞病毒感染及激活,12例发生败血症,3例发生侵袭性真菌病,21例发生口腔炎,8例发生出血性膀胱炎,1例发生肝静脉闭塞;(4)48例患儿中,47例存活,1例在移植后28 d因重症肺炎合并急性心力衰竭死亡,43例无病存活,3例发生原发性植入失败,1例发生移植后全血细胞减少,5年总生存率和无病生存率分别为98%和89%,1年时移植相关死亡的累计发病率为2.1%;(5)结果显示,人类白细胞抗原相合同胞新鲜脐血移植治疗儿童β重型地中海贫血的效果良好,移植物抗宿主病的发生风险低。 展开更多
关键词 异基因造血干细胞移植 新鲜脐血移植 β重型地中海贫血 移植物抗宿主病 儿童
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