Prevalence of Congenital Heart Disease at Extremely High Altitudes in Tibet and the Establishment of a New Free Treatment Model

Background: This study aimed to illustrate the prevalence of CHD by screening children in extremely high-altitudeareas (over 4000 m to even 5000 m above sea level) and explore an aid model for early diagnosis and treatmentfor the Tibetan population. Methods: A total of 2242 students from different schools in Ngamring County,Xigaze City, Tibet from September 2019 to September 2020 were selected for screening. The students were examinedthrough the inquiry of their current medical history and family history, cardiac auscultation and a physicalexamination, in order to screen out the suspected cases of CHD, and then the suspected cases were confirmed bycardiac color ultrasound examinations. After that, positive patients were be transferred to Shandong Province forfree treatment. Results: The prevalence of CHD among children in Ngamring County was 3.70% (83 cases),which is the highest incidence rate ever reported. The most common type of CHD was patent ductus arteriosus(PDA), accounting for 55.42% of the total number of cases screened, followed by atrial septal defect (ASD) andventricular septal defect (VSD), accounting for 28.92% and 12.05%, respectively. The prevalence of CHD in childrenat high altitude was significantly higher than that in children at low altitude. The children with CHD weretransferred to Shandong Province for surgery, the operations were successful and their recoveries went well.Conclusions: The results show that high altitude is closely related to the prevalence of CHD, and the incidencein Ngamring County is much higher than that in previous reports.

Treatment Free Intervals after Subsequent Chemotherapy Lines in Recurrent Ovarian Cancer

Aim: Despite recent advances in the treatment of ovarian cancer, recurrence of the disease is still frequent. This study evaluated whether multiple lines of chemotherapy have impact on overall survival (OS), progression free survival (PFS) or on treatment free intervals (TFIs) after serial chemotherapy lines in recurrent settings. Methods: A total of 189 patients with ovarian cancer (including fallopian tube and primary peritoneal cancer), who were treated in Kuopio University Hospital in Finland during 2009-2014, were enrolled. The medical files of these patients were retrospectively reviewed. Results: Median OS and PFS were significantly higher at the time of the first relapse compared to subsequent relapses (p < 0.001). TFIs shortened significantly after the first relapse (p < 0.001). The differences in TFIs were also seen when comparing platinum sensitive, semi-sensitive and platinum resistant patients. The total amount of TFI times during the whole follow-up time was significantly reduced in those patients that received at least one form of aggressive care at the end of life (p = 0.004). Conclusions: Ovarian cancer patients received often multiple lines of chemotherapy. TFIs after subsequent chemotherapy lines decreased during the disease course. More efforts should be taken to avoid unnecessary and ineffective treatments especially in recurrent phase of the disease.

Computer Aided Alloy Design of High Performance Prehardened Mold Steel for Plastic

prehardened mold steel for plastic, Thermo-Calc ＆ DICTRA software package, machinability, heat treatment technology, free cutting phase.

Overview of antiretroviral treatment in China： advancement and challenges

As the severity of the HIV epidemic in China grew, National Free Antiretroviral Treatment （ART） Program was announced since 2003. Even though there still were many difficulties, China had obtained great achievements in fighting against HIV.Over 52 000 adult patients had received first-line HAART thus far and the mortality of AIDS in China decreased significantly. This paper presents an overview of the HIV/AIDS epidemic in China; the status of national free ART program,the difficulties suffered and the achievements made since the initiation of program and the challenges ahead for continued progress for China. This paper also provides suggestions to overcome these challenges.

Precipitation Softening and Precipitate Free Zones of V_(55)Ti_(30)Ni_(15) Alloys During Heat Treatment

The microstructure, hardness, and precipitate free zones（PFZ） of V55Ti30Ni15 alloys during heat treatment have been investigated in this study. The microstructure resulting from different heat treatment conditions has a great influence on hardness. The microstructure resulting from different heat treatment conditions has a great influence on hardness. Fine Ni Ti particles precipitate from the supersaturated V-matrix solid solution at 750 °C, increase in quantity until 800 °C, and then dissolve back into the V-matrix at 850 °C. The resultant hardness decreases with temperature until 800 °C, and then increases from 800 to 850 °C. The microstructure containing small Ni Ti precipitates resulting from the treatment of 18 h at800 °C has a good soft condition for workability. PFZ formed at the grain boundary of V-matrix during heat treatment was observed. Vacancies depletion in V-matrix maybe led to the formation of PFZ.

Study on the Problem of Multistage Vaccine Production and Allocation with Capacity Constraints

Vaccination is the best way to build an immune barrier to control a new infectious disease.Considering the limited production capacity at the initial stage of vaccine production,the problem of multistage vaccine production and allocation is studied under the policy of free treatment for infected patients by the government.Given the population and infection rates of different regions and the vaccine production capacity of each stage,an integer programming model is established to minimize the sum of production-and-vaccination cost and treatment cost of infected patients,which is solved by the GUROBI solver.The correctness of the model is verified by simulation,and the necessity of considering the treatment cost of infected patients in the objective function is further analyzed,which confirmed the correctness of the free treatment policy for patients in China.A heuristic algorithm is designed to solve the large-scale problem and numerical experiments are conducted to verify the efficiency of this algorithm.Furthermore,based on the sensitivity analysis results of parameters,the optimal vaccine production and allocation strategy are proposed,which provide the decision basis for the government departments to make reasonable vaccine production and vaccination plan.