Overview of the immunological mechanisms in hepatitis B virus reactivation:Implications for disease progression and management strategies

Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and management.It delves into host immune responses and reactivation’s delicate balance,spanning innate and adaptive immunity.Viral factors’disruption of this balance,as are interac-tions between viral antigens,immune cells,cytokine networks,and immune checkpoint pathways,are examined.Notably,the roles of T cells,natural killer cells,and antigen-presenting cells are discussed,highlighting their influence on disease progression.HBV reactivation’s impact on disease severity,hepatic flares,liver fibrosis progression,and hepatocellular carcinoma is detailed.Management strategies,including anti-viral and immunomodulatory approaches,are critically analyzed.The role of prophylactic anti-viral therapy during immunosuppressive treatments is explored alongside novel immunotherapeutic interventions to restore immune control and prevent reactivation.In conclusion,this compre-hensive review furnishes a holistic view of the immunological mechanisms that propel HBV reactivation.With a dedicated focus on understanding its implic-ations for disease progression and the prospects of efficient management stra-tegies,this article contributes significantly to the knowledge base.The more profound insights into the intricate interactions between viral elements and the immune system will inform evidence-based approaches,ultimately enhancing disease management and elevating patient outcomes.The dynamic landscape of management strategies is critically scrutinized,spanning anti-viral and immunomodulatory approaches.The role of prophylactic anti-viral therapy in preventing reactivation during immunosuppressive treatments and the potential of innovative immunotherapeutic interventions to restore immune control and proactively deter reactivation.

Assessing Financial Management Practices and Accounting Mechanisms in Agricultural Cooperatives:A Case Study From Nepal

The study focuses on assessing the financial management practices and accounting mechanisms in agricultural cooperatives in Tulsipur Sub-Metropolitan,Dang District,Nepal with a focus on understanding their implications for financial performance and organizational effectiveness.The sample size of total cooperatives(n=46)was divided into Savings and Credit Cooperatives(n=18)and Multipurpose Cooperatives(n=28),respectively,with a total number of respondents(n=138)categorized into managing directors,employees,and general members.Using a mixed-methods approach that combines quantitative analysis of financial data with qualitative insights gathered through interviews and surveys,the study emphasizes the importance of modern financial practices,improved reporting mechanisms,and relevant staff training for long-term sustainability.Recommendations include the integration of criteria and evaluation tools to assess cooperative performance,with Hamro Pahunch Multipurpose Cooperative identified as a high performer.Emphasizing the need for robust financial management strategies to navigate the complexity of the agricultural sector,manage risks,and achieve sustainable development,the study notes frequent preparation of financial management reports on a monthly and annual basis,and predominantly annual accounting management.Most cooperatives are using computerized models to present financial positions,but face challenges such as lack of marketing infrastructure,cooperative skills,and technical support.Ultimately,the study advocates for educating policy makers,cooperative leaders,practitioners and stakeholders on the role of effective financial management and accounting in enhancing the resilience,expansion and socio-economic impact of agricultural cooperatives,thereby fostering their long-term prosperity and viability as drivers of rural development and empowerment.

Construction of a Multi-Level Strategic System for Cultivating Cultural Industry Management Talents in Colleges and Universities

Through SWOT(strengths,weaknesses,opportunities,and threats)and PEST(political,economic,social,and technological)analysis,this study discusses the construction of a multi-level strategic system for the cultivation of cultural industry management talents in colleges and universities.First of all,based on SWOT analysis,it is found that colleges and universities have rich educational resources and policy support,but they face challenges such as insufficient practical teaching and intensified international competition.External opportunities come from the rapid development of the cultivation of cultural industry management talents and policy promotion,while threats come from global market competition and talent flow.Secondly,PEST analysis reveals the key factors in the macro-environment:at the political level,the state vigorously supports the cultivation of cultural industry management talents;at the economic level,the market demand for cultural industries is strong;at the social level,the public cultural consumption is upgraded;at the technological level,digital transformation promotes industry innovation.On this basis,this paper puts forward a multi-level strategic system covering theoretical education,practical skill improvement,interdisciplinary integration,and international vision training.The system aims to solve the problems existing in talent training in colleges and universities and cultivate high-quality cultural industry management talents with theoretical knowledge,practical skills,and global vision,so as to adapt to the increasingly complex and diversified cultural industry management talents market demand and promote the long-term development of the industry.

Construction Safety Management of Mechanical and Electrical Installation Projects

Various industries today rely on the support of electromechanical equipment,expanding its scope of application and leading to an increase in electromechanical installation projects.However,due to the high level of expertise required and the potential risks involved,it is crucial to emphasize safety management during construction.This paper delves into the significance of construction safety management for electromechanical installation projects,identifies common problems encountered during construction,and proposes solutions.This analysis aims to provide relevant personnel with essential guidance and references for managing electromechanical installation projects safely.

Study on the Coordination Mechanism Between Higher Vocational Students’Career Development Planning and School Management

The coordination mechanism between the career development planning of vocational students and the management of vocational colleges is an important means to improve the quality of education and students’vocational competitiveness.The application of synergy theory in the field of education emphasizes the interaction and coordination of various elements in the system and pursues the optimization of overall efficiency.Based on the theory of coordination and its relevance to the management of higher vocational colleges,this paper analyzes the current development status and problems of the coordination mechanism and puts forward the strategy of building an efficient coordination mechanism designed to enhance the students’employment competitiveness,promote the all-round development,and provide theoretical and practical support for the reform and development of higher vocational education.

Update and latest advances in mechanisms and management of colitis-associated colorectal cancer

Colitis-associated colorectal cancer(CAC)is defined as a specific cluster of colorectal cancers that develop as a result of prolonged colitis in patients with inflammatory bowel disease(IBD).Patients with IBD,including ulcerative colitis and Crohn’s disease,are known to have an increased risk of developing CAC.Although the incidence of CAC has significantly decreased over the past few decades,individuals with CAC have increased mortality compared to individuals with sporadic colorectal cancer,and the incidence of CAC increases with duration.Chronic inflammation is generally recognized as a major contributor to the pathogenesis of CAC.CAC has been shown to progress from colitis to dysplasia and finally to carcinoma.Accumulating evidence suggests that multiple immune-mediated pathways,DNA damage pathways,and pathogens are involved in the pathogenesis of CAC.Over the past decade,there has been an increasing effort to develop clinical approaches that could help improve outcomes for CAC patients.Colonoscopic surveillance plays an important role in reducing the risk of advanced and interval cancers.It is generally recommended that CAC patients undergo endoscopic removal or colectomy.This review summarizes the current understanding of CAC,particularly its epidemiology,mechanisms,and management.It focuses on the mechanisms that contribute to the development of CAC,covering advances in genomics,immunology,and the microbiome;presents evidence for management strategies,including endoscopy and colectomy;and discusses new strategies to interfere with the process and development of CAC.These scientific findings will pave the way for the management of CAC in the near future.

Advanced Authentication Mechanisms for Identity and Access Management inCloud Computing

Identity management is based on the creation and management of useridentities for granting access to the cloud resources based on the user attributes.The cloud identity and access management (IAM) grants the authorization tothe end-users to perform different actions on the specified cloud resources. Theauthorizations in the IAM are grouped into roles instead of granting them directlyto the end-users. Due to the multiplicity of cloud locations where data resides anddue to the lack of a centralized user authority for granting or denying cloud userrequests, there must be several security strategies and models to overcome theseissues. Another major concern in IAM services is the excessive or the lack ofaccess level to different users with previously granted authorizations. This paperproposes a comprehensive review of security services and threats. Based on thepresented services and threats, advanced frameworks for IAM that provideauthentication mechanisms in public and private cloud platforms. A threat modelhas been applied to validate the proposed authentication frameworks with different security threats. The proposed models proved high efficiency in protectingcloud platforms from insider attacks, single sign-on failure, brute force attacks,denial of service, user privacy threats, and data privacy threats.

Mechanisms and Management of Postparalysis Facial Synkinesis

Facial synkinesis is one of the most severe sequelae of facial nerve paralysis,and it can result in facial movement disorders,abnormal facial expressions,and even problems of social communication.The underlying mechanism of postparalysis facial synkinesis remains unclear.In recent years,researchers have demonstrated several possible mechanisms of facial synkinesis,including aberrant regeneration,ephaptic transmission,overacting of the facial nucleus in the pons,and changes in the cerebral cortex.Management includes botulinum toxin type A(BTX-A)injection,surgery,and neuromuscular reeducation.

Research on Spatial Influence Mechanism of Chongqing Urban Growth Management

After illustrating the concept of Urban Growth Theory and Urban Growth Management,by taking relevant theoretical research literatures for reference,based on the specific conditions of Chongqing City,the paper had analyzed the spatial growth and evolution of Chongqing City,and the spatial influence mechanism for urban growth management.The spatial influence mechanism of Chongqing urban growth had been divided into four aspects including natural environment,economic development,urban traffic organization and regional policy planning,which were considered as the primary mechanism,driving mechanism,essential condition and driving force of urban spatial growth and development,respectively.From the perspective of analyzing problems,the comprehensive analysis had been conducted on the urban growth management in economy and planning,and corresponding urban growth space management strategies had been formulated.From the perspective of combining theory with practice,it had studied and revealed the spatial influence mechanism for urban growth management,which was of practical guiding significance to the development of Chongqing urban space pattern,and also vital significance to the construction of theoretical system of Chinese urban management and guidance of further development and renovation of specific urban planning.

Study on Driving Technology Innovation Using Patent Management Mechanism

In order to improve the cigarette enterprise technology innovation and patent management status, the macro work should start from the four aspects of patent ideology introduction, patent organization design, perfecting patent system and implementation of specific measures, and attention should be attached to strengthen the cooperation of the cigarette enterprise management departments. On the other hand, Jn the microscopic work level, it should build the culture atmosphere of the entire tobacco industry respect intellectual property rights, actively cultivate the na- tional patent agents and patent engineers, and gradually promote the patent work to develop in the direction of specialization, self-independence, so as to construct a scientific mechanism for patent management, and enhance the core competitiveness of the tobacco industry.

Acute mechanical bowel obstruction: Clinical presentation, etiology, management and outcome

AIM: To identify and analyze the clinical presentation, management and outcome of patients with acute mechanical bowel obstruction along with the etiology of obstruction and the incidence and causes of bowel ischemia, necrosis, and perforation. METHODS: This is a prospective observational study of all adult patients admitted with acute mechanical bowel obstruction between 2001 and 2002. RESULTS: Of the 150 consecutive patients included in the study, 114 (76%) presented with small bowel and 36 (24%) with large bowel obstruction. Absence of passage of flatus (90%) and/or feces (80.6%) and abdominal distension (65.3%) were the most common symptoms and physical finding, respectively. Adhesions (64.8%), incarcerated hernias (14.8%), and large bowel cancer (13.4%) were the most frequent causes of obstruction. Eighty-eight patients (58.7%) were treated conservatively and 62 (41.3%) were operated (29 on the first day). Bowel ischemia was found in 21 cases (14%), necrosis in 14 (9.3%), and perforation in 8 (5.3%). Hernias, large bowel cancer, and adhesions were the most frequent causes of bowel ischemia (57.2%, 19.1%, 14.3%), necrosis (42.8%, 21.4%, 21.4%), and perforation (50%, 25%, 25%). A significantly higher risk of strangulation was noticed in incarcerated hernias than all the other obstruction causes. CONCLUSION: Absence of passage of flatus and/or feces and abdominal distension are the most common symptoms and physical finding of patients with acute mechanical bowel obstruction, respectively. Adhesions, hernias, and large bowel cancer are the most commoncauses of obstruction, as well as of bowel ischemia, necrosis, and perforation. Although an important proportion of these patients can be nonoperatively treated, a substantial portion requires immediate operation. Great caution should be taken for the treatment of these patients since the incidence of bowel ischemia, necrosis, and perforation is significantly high.

For Mega-Constellations: Edge Computing and Safety Management Based on Blockchain Technology

In mega-constellation Communication Systems, efficient routing algorithms and data transmission technologies are employed to ensure fast and reliable data transfer. However, the limited computational resources of satellites necessitate the use of edge computing to enhance secure communication.While edge computing reduces the burden on cloud computing, it introduces security and reliability challenges in open satellite communication channels. To address these challenges, we propose a blockchain architecture specifically designed for edge computing in mega-constellation communication systems. This architecture narrows down the consensus scope of the blockchain to meet the requirements of edge computing while ensuring comprehensive log storage across the network. Additionally, we introduce a reputation management mechanism for nodes within the blockchain, evaluating their trustworthiness, workload, and efficiency. Nodes with higher reputation scores are selected to participate in tasks and are appropriately incentivized. Simulation results demonstrate that our approach achieves a task result reliability of 95% while improving computational speed.

Adaptive battery thermal management systems in unsteady thermal application contexts

With the increasing attention paid to battery technology,the microscopic reaction mechanism and macroscopic heat transfer process of lithium-ion batteries have been further studied and understood from both academic and industrial perspectives.Temperature,as one of the key parameters in the physical fra mework of batteries,affects the performa nce of the multi-physical fields within the battery,a nd its effective control is crucial.Since the heat generation in the battery is determined by the real-time operating conditions,the battery temperature is essentially controlled by the real-time heat dissipation conditions provided by the battery thermal management system.Conventional battery thermal management systems have basic temperature control capabilities for most conventional application scenarios.However,with the current development of la rge-scale,integrated,and intelligent battery technology,the adva ncement of battery thermal management technology will pay more attention to the effective control of battery temperature under sophisticated situations,such as high power and widely varied operating conditions.In this context,this paper presents the latest advances and representative research related to battery thermal management system.Firstly,starting from battery thermal profile,the mechanism of battery heat generation is discussed in detail.Secondly,the static characteristics of the traditional battery thermal management system are summarized.Then,considering the dynamic requirements of battery heat dissipation under complex operating conditions,the concept of adaptive battery thermal management system is proposed based on specific research cases.Finally,the main challenges for battery thermal management system in practice are identified,and potential future developments to overcome these challenges are presented and discussed.

Multiscale Characteristics and Connection Mechanisms of Attraction Networks:A Trajectory Data Mining Approach Leveraging Geotagged Data

Urban tourism is considered a complex system,and multiscale exploration of the organizational patterns of attraction networks has become a topical issue in urban tourism,so exploring the multiscale characteristics and connection mechanisms of attraction networks is important for understanding the linkages between attractions and even the future destination planning.This paper uses geotagging data to compare the links between attractions in Beijing,China during four different periods:the pre-Olympic period(2004–2007),the Olympic Games and subsequent‘heat period’(2008–2013),the post-Olympic period(2014–2019),and the COVID-19(Corona Virus Disease 2019)pandemic period(2020–2021).The aim is to better understand the evolution and patterns of attraction networks at different scales in Beijing and to provide insights for tourism planning in the destination.The results show that the macro,meso-,and microscales network characteristics of attraction networks have inherent logical relationships that can explain the commonalities and differences in the development process of tourism networks.The macroscale attraction network degree Matthew effect is significant in the four different periods and exhibits a morphological monocentric structure,suggesting that new entrants are more likely to be associated with attractions that already have high value.The mesoscale links attractions according to the common purpose of tourists,and the results of the community segmentation of the attraction networks in the four different periods suggest that the functional polycentric structure describes their clustering effect,and the weak links between clusters result from attractions bound by incomplete information and distance,and the functional polycentric structure with a generally more efficient network of clusters.The pattern structure at the microscale reveals the topological transformation relationship of the regional collaboration pattern,and the attraction network structure in the four different periods has a very similar importance profile structure suggesting that the attraction network has the same construction rules and evolution mechanism,which aids in understanding the attraction network pattern at both macro and micro scales.Important approaches and practical implications for planners and managers are presented.

Mechanical and thermo-physical properties of rapidly solidified Al-50Si-Cu(Mg) alloys for thermal management application

Al-high Si alloys were designed by the addition of Cu or Mg alloying elements to improve the mechanical properties. It is found that the addition of 1 wt.% Cu or 1 wt.% Mg as strengthening elements significantly improves the tensile strength by 27.2% and 24.5%, respectively. This phenomenon is attributed to the formation of uniformly dispersed fine particles(Al2Cu and Mg2Si secondary phases) in the Al matrix during hot press sintering of the rapidly solidified(gas atomization) powder. The thermal conductivity of the Al-50 Si alloys is reduced with the addition of Cu or Mg, by only 7.3% and 6.8%, respectively. Therefore, the strength of the Al-50 Si alloys is enhanced while maintaining their excellent thermo-physical properties by adding 1% Cu(Mg).

Mechanically strong,flexible,and multi-responsive phase change films with a nacre-mimetic structure for wearable thermal management

Phase change materials(PCMs)are a highly promising candidate for thermal energy storage owing to their large latent heat and chemical stability.However,their intrinsic brittle induces poor flexibility and low mechanical strength,which limits them use for wearable thermal management.And,the electrical insulation and weak solar absorption make them lack multi-responsive capability.Herein,we report a facile strategy to synthesize mechanically strong and flexible multi-responsive phase change films by stirring an aqueous dispersion of cellulose nanofibrils(CNFs),MXene(Ti_(2)C_(3))nanosheets,and polyethylene glycol(PEG),followed by air-drying self-assembly and coating with hydrophobic fluorocarbon.The hydrogen bonds and nacre-mimetic synergistic toughening networks formed by ternary CNFs,Ti_(2)C_(3)nanosheets,and PEG endow films with high mechanical strength(16.7 MPa)and strain(10.4%),which are 18.6 and 8.7 times higher than those of pure PEG film,respectively.The films exhibit outstanding flexibility and do not crack or fracture even when bent,twisted,and folded into a complex small boat.Meanwhile,the laminar structure formed by the self-assembly Ti_(3)C_(2)nanosheets enhances electrical conductivity(3.95 S/m)and solar absorption,affording excellent electro-thermal(68.3%–81.0%)and solarthermal(85.6%–90.6%)conversion efficiency,thus achieving multi-response to external stimuli(electron/solar radiation).In addition,the as-prepared films also deliver large latent heat(136.1 J/g),outstanding cyclic and shape stability,leak-free encapsulation even under compressed at above 5000 times its weight,excellent hydrophobicity(131.4°),and self-cleaning function.This work paves the way for developing flexible,mechanically strong,and self-cleaning phase change film with multi-responsive function for wearable thermal management devices under high humidity condition.

Effects of personalized oral hygiene management on oral health status of pregnant women

BACKGROUND The Cariostat caries activity test(CAT)was used to evaluate the effectiveness of personalized oral hygiene management combining oral health education and professional mechanical tooth cleaning on the oral health status of pregnant women.AIM To investigate whether personalized oral hygiene management enhances the oral health status of pregnant women.METHODS A total of 114 pregnant women who were examined at Dalian Women’s and Children’s Medical Center were divided into four groups:High-risk experimental group(n=29;CAT score≥2;received personalized oral hygiene management training),low-risk experimental group(n=29;CAT score≤1;received oral health education),high-risk control group(n=28;CAT score≥2),and low-risk control group(n=28;CAT score≤1).No hygiene intervention was provided to control groups.CAT scores at different times were compared using independent samples t-test and least significant difference t-test.RESULTS No significant difference in baseline CAT scores was observed between the experimental and control groups,either in the high-risk or low-risk groups.CAT scores were reduced significantly after 3(1.74±0.47 vs 2.50±0.38,P<0.0001)and 6 months(0.53±0.50 vs 2.45±0.42,P<0.0001)of personalized oral hygiene management intervention but not after oral health education alone(0.43±0.39 vs 0.46±0.33,P>0.05 and 0.45±0.36 vs 0.57±0.32,P>0.05,respectively).Within groups,the decrease in CAT scores was significant(2.43±0.44 vs 1.74±0.47 vs 0.53±0.50,P<0.0001)for only the high-risk experimental group.CONCLUSION Personalized oral hygiene management is effective in improving the oral health of pregnant women and can improve pregnancy outcomes and the oral health of the general population.

The Design and Management of Intelligent Systems in Mechanical Domestic Water Meters

The design and implementation of mechanical domestic water meters in current industrial organization and intellectual properties have been registered as an invention to solve the problems of current meters. The device operation includes inquiry of printing, subscription connection and disconnection in an emergency. This system includes a software and hardware parts on the users and the control center connecting with two-way mobile phone. Central control software sends the message through the wireless telecommunication lines to the user’s software, requesting the desired information and also provides the commands needed to be sent through the same. The same information can also be submitted to the control center. Through the same way, some of advantages of this method are as follows: installing on existing meters, cheap cost of inquiry call meter, the possibility of declaring illegal manipulation to the control center, the exchange of information using information encoding, and manipulating digital meters applying minor changes.

A Systematic Literature Review on Blockchain Consensus Mechanisms’ Security: Applications and Open Challenges

This study conducts a systematic literature review(SLR)of blockchain consensus mechanisms,an essential protocols that maintain the integrity,reliability,and decentralization of distributed ledger networks.The aim is to comprehensively investigate prominent mechanisms’security features and vulnerabilities,emphasizing their security considerations,applications,challenges,and future directions.The existing literature offers valuable insights into various consensus mechanisms’strengths,limitations,and security vulnerabilities and their real-world applications.However,there remains a gap in synthesizing and analyzing this knowledge systematically.Addressing this gap would facilitate a structured approach to understanding consensus mechanisms’security and vulnerabilities comprehensively.The study adheres to Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines and computer science standards and reviewed 3749 research papers from 2016 to 2024,excluding grey literature,resulting in 290 articles for descriptive analysis.The research highlights an increased focus on blockchain consensus security,energy efficiency,and hybrid mechanisms within 60%of research papers post-2019,identifying gaps in scalability,privacy,and interoperability for future exploration.By synthesizing the existing research and identifying the key trends,this SLR contributes to advancing the understanding of blockchain consensus mechanisms’security and guiding future research and structured innovation in blockchain systems and applications.

Recommendations for Optimizing Internal Management Mechanism of Farmers' Specialized Cooperatives

Based on the survey of 38 farmers' specialized cooperatives in Hubei Province,this paper analyzed existing problems in internal management mechanism of cooperatives,including widespread problem of centralized control,imperfect supervision mechanism,lack of effective incentive mechanism,insufficient specialized personnel,and limited participation of cooperative members in management. It elaborated causes for these problems from the perspective of practice. Finally,it came up with recommendations for optimizing farmers' specialized cooperatives: building democratic decision making mechanism with coordination of cooperative members and able personnel,establishing supervision mechanism suitable for self demands,improving internal incentive mechanism,establishing talent introduction and cultivation mechanism in proper time,and strengthening internal member management of cooperatives.