Collisions between a moving mass and an anti-collision device increase structural responses and threaten structural safety.An active mass damper(AMD)with stroke limitations is often used to avoid collisions.However,a ...Collisions between a moving mass and an anti-collision device increase structural responses and threaten structural safety.An active mass damper(AMD)with stroke limitations is often used to avoid collisions.However,a strokelimited AMD control system with a fixed limited area shortens the available AMD stroke and leads to significant control power.To solve this problem,the design approach with variable gain and limited area(VGLA)is proposed in this study.First,the boundary of variable-limited areas is calculated based on the real-time status of the moving mass.The variable gain(VG)expression at the variable limited area is deduced by considering the saturation of AMD stroke.Then,numerical simulations of a stroke-limited AMD control system with VGLA are conducted on a high-rise building structure.These numerical simulations show that the proposed approach has superior strokelimitation performance compared with a stroke-limited AMD control system with a fixed limited area.Finally,the proposed approach is validated through experiments on a four-story steel frame.展开更多
Familial hypercholesterolemia(FH)is characterized by elevated low-density lipoprotein cholesterol levels due to genetic mutations,presenting with xanthomas,corneal arch,and severe cardiovascular diseases.Early identif...Familial hypercholesterolemia(FH)is characterized by elevated low-density lipoprotein cholesterol levels due to genetic mutations,presenting with xanthomas,corneal arch,and severe cardiovascular diseases.Early identification,diagnosis,and treatment are crucial to prevent severe complications like acute myocardial infarction.Statins are the primary treatment,supplemented by Ezetimibe and proprotein convertase subtilisin/kexin type 9 inhibitors,though their effectiveness can be limited in severe cases.Over 90%of FH cases remain undiagnosed,and current treatments are often inadequate,underscoring the need for improved diagnostic and management systems.Future strategies include advancements in gene testing,precision medicine,and novel drugs,along with gene therapy approaches like AAV-mediated gene therapy and clustered regularly interspaced short palindromic repeats.Lifestyle modifications,including health education,dietary control,and regular exercise,are essential for managing FH and preventing related diseases.Research into FH-related gene mutations,especially LDLR,is critical for accurate diagnosis and effective treatment.展开更多
BACKGROUND Pulse oximetry has become a cornerstone technology in healthcare,providing non-invasive monitoring of oxygen saturation levels and pulse rate.Despite its widespread use,the technology has inherent limitatio...BACKGROUND Pulse oximetry has become a cornerstone technology in healthcare,providing non-invasive monitoring of oxygen saturation levels and pulse rate.Despite its widespread use,the technology has inherent limitations and challenges that must be addressed to ensure accurate and reliable patient care.AIM To comprehensively evaluate the advantages,limitations,and challenges of pulse oximetry in clinical practice,as well as to propose recommendations for optimizing its use.METHODS A systematic literature review was conducted to identify studies related to pulse oximetry and its applications in various clinical settings.Relevant articles were selected based on predefined inclusion and exclusion criteria,and data were synthesized to provide a comprehensive overview of the topic.RESULTS Pulse oximetry offers numerous advantages,including non-invasiveness,real-time feedback,portability,and costeffectiveness.However,several limitations and challenges were identified,including motion artifacts,poor peripheral perfusion,ambient light interference,and patient-specific factors such as skin pigmentation and hemoglobin variants.Recommendations for optimizing pulse oximetry use include technological advancements,education and training initiatives,quality assurance protocols,and interdisciplinary collaboration.CONCLUSION Pulse oximetry is crucial in modern healthcare,offering invaluable insights into patients’oxygenation status.Despite its limitations,pulse oximetry remains an indispensable tool for monitoring patients in diverse clinical settings.By implementing the recommendations outlined in this review,healthcare providers can enhance the effectiveness,accessibility,and safety of pulse oximetry monitoring,ultimately improving patient outcomes and quality of care.展开更多
To evaluate the apoptosis positivity, the expression of Bcl-2, bax proteinsin 30 patients with squamous cell cervix carcinoma before and after radiotherapy. Methods: By usingimmuno-histochemical and TDT-dUTP nick end ...To evaluate the apoptosis positivity, the expression of Bcl-2, bax proteinsin 30 patients with squamous cell cervix carcinoma before and after radiotherapy. Methods: By usingimmuno-histochemical and TDT-dUTP nick end labelling techniques, 30 cases of squamous cell cervicalcarcinoma were analyzed. Results: The apoptosis positivity before and after irradiation was 76.7%and 100% respectively, with the difference being significant (P 【 0.05); The positive rates of Bcl-2protein before and after irradiation were 73.3% and 46.7% respectively, with the difference beingsignificant (P 【 0.05); The positive rates of bax protein before and after irradiation were 86% and100% respectively, with the difference being significant (P 【 0.05). Conclusion: bax and Bcl-2protein play an important role in apoptosis induced by fractionated radiation therapy. Apoptosisinduced by irradiation is contributed to upregulation of bax protein or downregulation of Bcl-2protein.展开更多
Thought patterns and language are closely related,they are two aspect of the culture.Translation,a tool of intercultural communication,connects the different thought patterns.In this paper,a specific analysis of the l...Thought patterns and language are closely related,they are two aspect of the culture.Translation,a tool of intercultural communication,connects the different thought patterns.In this paper,a specific analysis of the limitation in translation caused by the difference is illustrated.Thus,translation is influenced deeply by the different thought patterns.The only way to get the reappearance to the culture in translation is to find out the principles of translation from the different thought patterns.展开更多
Lactic acid bacteria (LAB) play a critical role in food, agricultural, and clinical applications. The fast growing characteristics of LAB and their metabolic activity have been the key in most applications including f...Lactic acid bacteria (LAB) play a critical role in food, agricultural, and clinical applications. The fast growing characteristics of LAB and their metabolic activity have been the key in most applications including food production, agricultural industry, and probiotics. However, the biochemical and biophysical environments have significant effect on the growth and metabolic activity of LAB. While the biochemical conditions are most likely established, controlling and optimizing of biochemical conditions have many limitations and challenges. In addition to selecting the right strain, desirable metabolic processes required optimizing and controlling the available nutrients including sugars, peptides, free amino acids, minerals, and vitamins in addition to buffering agents. Thus, much of research was conducted to understand the impact of available nutrients on the growth and metabolic activities of LAB. However, only a few nutritional parameters could be controlled at a time while holding other parameters constant. The nutritional parameters may also interact with each other resulting in faulty results. Characteristics of LAB such as fastidiousness in their nutritional requirements, ability to produce acid and antimicrobial compounds, and variations in the nutritional requirements among strains have added additional limitations and challenges in this regard. Thus, chemically defined media (CDM) were suggested to deal with different limitations and challenges. However, due to differences in growth conditions, results obtained in CDM may face some obstacles when it comes to industrial applications. Thus, this paper aimed to review the recent data in regard to the role of the nutritional requirements of LAB in optimizing and controlling metabolic activities and to discuss the associated limitations and challenges.展开更多
The initial motivation of the lifting technique is to solve the H∞control problems. However, the conventional weighted H∞design does not meet the conditions required by lifting, so the result often leads to a misjud...The initial motivation of the lifting technique is to solve the H∞control problems. However, the conventional weighted H∞design does not meet the conditions required by lifting, so the result often leads to a misjudgement of the design. Two conditions required by using the lifting technique are presented based on the basic formulae of the lifting. It is pointed out that only the H∞disturbance attenuation problem with no weighting functions can meet these conditions, hence, the application of the lifting technique is quite limited.展开更多
Analysis and comparison of Jiaozhou Bay data collected from May 1991 to February 1994(12 seasonal investigations) provided by the Ecological Station of Jiaozhou Bay revealed the characteristic spatiotemporal variation...Analysis and comparison of Jiaozhou Bay data collected from May 1991 to February 1994(12 seasonal investigations) provided by the Ecological Station of Jiaozhou Bay revealed the characteristic spatiotemporal variation of the ambient concentration Si:DIN and Si:16P ratios and the seasonal variation of Jiaozhou Bay Si:DIN and Si:16P ratios showing that the Si:DIN ratios were < 1 throughout the year in Jiaozhou Bay; and that the Si:16P ratios were < 1 throughout Jiaozhou Bay in spring, autumn and winter. The results proved that silicate limited phytoplankton growth in spring, autumn and winter in Jiaozhou Bay. Analysis of the Si:DIN and Si:P ratios showed that the nutrient Si has been limiting the growth of phytoplankton throughout the year in some Jiaozhou Bay waters; and that the silicate deficiency changed the phytoplankton assemblage structure. Analysis of discontinuous 1962 to 1998 nutrient data showed that there was no N or P limitation of phytoplankton growth in that period. The authors consider that the annual cyclic change of silicate limits phytoplankton growth in spring, autumn and winter every year in Jiaozhou Bay; and that in many Jiaozhou Bay waters where the phytoplankton as the predominant species need a great amount of silicate, analysis of the nutrients N or P limitation of phytoplankton growth relying only on the N and P nutrients and DIN:P ratio could yield inaccurate conclusions. The results obtained by applying the rules of absolute and relative limitation fully support this view. The authors consider that the main function of nutrient silicon is to regulate and control the mechanism of the phytoplankton growth process in the ecological system in estuaries, bays and the sea. The authors consider that according to the evolution theory of Darwin, continuous environmental pressure gradually changes the phytoplankton assemblage's structure and the physiology of diatoms. Diatoms requiring a great deal of silicon either constantly decrease or reduce their requirement for silicon. This will cause a series of huge changes in the ecosystem so that the whole ecosystem requires continuous renewal, change and balancing. Human beings have to reduce marine pollution and enhance the capacity of continental sources to transport silicon to sustain the continuity and stability in the marine ecosystem.nt展开更多
Based on previous studies on the internal structures of fault belts, the fault belts in the Laoyemiao Oilfield of the Nanpu Sag can be divided into three units, a crushed zone, an upper induced fracture zone and a low...Based on previous studies on the internal structures of fault belts, the fault belts in the Laoyemiao Oilfield of the Nanpu Sag can be divided into three units, a crushed zone, an upper induced fracture zone and a lower induced fracture zone according to the log response characteristics. The upper induced fracture zone is characterized by the development of pervasive fractures and has a poor sealing or non-sealing capability. It therefore can act as pathways for hydrocarbon migration. The lower induced fracture zone consists of fewer fractures and has limited sealing capability. The crushed zone has a good sealing capability comparable to mudstone and can thus prevent lateral migration of fluid. Through physical modeling and comparing laboratory data with calculated data of oil column heights of traps sealed by faults, it is concluded that the fault-sealing capability for oil and gas is limited. When the oil column height reaches a threshold, oil will spill over from the top of reservoir along the lower induced fracture zone under the action of buoyancy, and the size of reservoir will remain unchanged. Analysis of the formation mechanisms of the fault-sealed reservoirs in the Nanpu Sag indicated that the charging sequence of oil and gas in the reservoir was from lower formation to upper formation, with the fault playing an important role in oil and gas accumulation. The hydrocarbon potential in reverse fault-sealed traps is much better than that in the consequent fault-sealed traps. The reverse fault-sealed traps are favorable and preferred exploration targets.展开更多
The method of determining coal pillar strength equations from databases of stable and failed case histories is more than 50 years old and has been applied in different countries by different researchers in a range of ...The method of determining coal pillar strength equations from databases of stable and failed case histories is more than 50 years old and has been applied in different countries by different researchers in a range of mining situations. While common wisdom sensibly limits the use of the resultant pillar strength equations and methods to design scenarios that are consistent with the founding database, there are a number of examples where failures have occurred as a direct result of applying empirical design methods to coal pillar design problems that are inconsistent with the founding database. This paper explores the reasons why empirically derived coal pillar strength equations tend to be problem-specific and should be considered as providing no more than a pillar strength ‘‘index." These include the non-consideration of overburden horizontal stress within the mine stability problem, an inadequate definition of supercritical overburden behavior as it applies to standing coal pillars, and the non-consideration of overburden displacement and coal pillar strain limits. All of which combine to potentially complicate and confuse the back-analysis of coal pillar strength from failed cases. A modified coal pillar design representation and model are presented based on coal pillars acting to reinforce a horizontally stressed overburden, rather than suspend an otherwise unstable self-loaded overburden or section, the latter having been at the core of historical empirical studies into coal pillar strength and stability.展开更多
Analysis and comparison of Jiaozhou Bay data collected from May 1991 to February 1994 revealed the spatiotemporal variations of the ambient Si(OH) 4∶NO 3 (Si∶N) concentration ratios and the seasonal variations of (S...Analysis and comparison of Jiaozhou Bay data collected from May 1991 to February 1994 revealed the spatiotemporal variations of the ambient Si(OH) 4∶NO 3 (Si∶N) concentration ratios and the seasonal variations of (Si∶N) ratios in Jiaozhou Bay and showed that the Si∶N ratios were < 1 throughout Jiaozhou Bay in spring, autumn, and winter. These results provide further evidence that silicate limits the growth of phytoplankton (i.e. diatoms) in spring, autumn and winter. Moreover, comparison of the spatiotemporal variations of the Si∶N ratio and primary production in Jiaozhou Bay suggested their close relationship. The spatiotemporal pattern of dissolved silicate matched well that of primary production in Jiaozhou Bay. Along with the environmental change of Jiaozhou Bay in the last thirty years, the N and P concentrations tended to rise, whereas Si concentration showed cyclic seasonal variations. With the variation of nutrient Si limiting the primary production in mind, the authors found that the range of values of primary production is divided into three parts: the basic value of Si limited primary production, the extent of Si limited primary production and the critical value of Si limited primary production, which can be calculated for Jiaozhou Bay by Equations (1), (2) and (3), showing that the time of the critical value of Si limitation of phytoplankton growth in Jiaozhou Bay is around November 3 to November 13 in autumn; and that the time of the critical value of Si satisfaction of phytoplankton growth in Jiaozhou Bay is around May 22 to June 7 in spring. Moreover, the calculated critical value of Si satisfactory for phytoplankton growth is 2.15-0.76 μmol/L and the critical value of Si limitation of phytoplankton growth is 1.42-0.36 μmol/L; so that the time period of Si limitation of phytoplankton growth is around November 13 to May 22 in the next year; the time period of Si satisfactory for phytoplankton growth is around June 7 to November 3. This result also explains why critical values of nutrient silicon affect phytoplankton growth in spring and autumn are different in different waters of Jiaozhou Bay and also indicates how the silicate concentration affects the phytoplankton assemblage structure. The dilution of silicate concentration by seawater exchange affects the growth of phytoplankton so that the primary production of phytoplankton declines outside Jiaozhou Bay earlier than inside Jiaozhou Bay by one and half months. This study showed that Jiaozhou Bay phytoplankton badly need silicon and respond very sensitively and rapidly to the variation of silicon.展开更多
Optimal partitioning theory (OPT) suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomas...Optimal partitioning theory (OPT) suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomass allocation between leaves, stems and roots. However, variations in biomass allocation among plant parts can also occur as a plant grows in size. As an alternative approach, allometric biomass partitioning theory (APT) asserts that plants should trade off their biomass between roots, stems and leaves. This approach can minimize bias when comparing biomass allocation patterns by accounting for plant size in the analysis. We analyzed the biomass allo- cation strategy of perennial Pennisetum centrasiaticum Tzvel in the Horqin Sand Land of northern China by treating samples with different availabilities of soil nutrients and water, adding snow in winter and water in summer. We hypothesized that P. centrasiaticum alters its pattern of biomass allocation strategy in response to different levels of soil water content and soil nitrogen content. We used standardized major axis (SMA) to analyze the allometric rela- tionship (slope) and intercept between biomass traits (root, stem, leaf and total biomass) of nitrogen/water treat- ments. Taking plant size into consideration, no allometric relationships between different organs were significantly affected by differing soil water and soil nitrogen levels, while the biomass allocation strategy of P. centrasiaticum was affected by soil water levels, but not by soil nitrogen levels. The plasticity of roots, leaves and root/shoot ratios was 'true' in response to fluctuations in soil water content, but the plasticity of stems was consistent for trade-offs between the effects of water and plant size. Plants allocated relatively more biomass to roots and less to leaves when snow was added in winter. A similar trend was observed when water was added in summer. The plasticity of roots, stems and leaves was a function of plant size, and remained unchanged in response to different soil nitrogen levels.展开更多
Worldwide, more than one million people die each year from hepatitis C virus(HCV) related diseases, and over 300 million people are chronically infected with hepatitis B or C. Egypt used to be on the top of the countr...Worldwide, more than one million people die each year from hepatitis C virus(HCV) related diseases, and over 300 million people are chronically infected with hepatitis B or C. Egypt used to be on the top of the countries with heavy HCV burden. Some countries are making advances in elimination of HCV, yet multiple factors preventing progress; remain for the majority. These factors include lack of global funding sources for treatment, late diagnosis, poor data, and inadequate screening. Treatment of HCV in Egypt has become one of the top national priorities since 2007. Egypt started a national treatment program intending to provide cure for Egyptian HCV-infected patients. Mass HCV treatment program had started using Pegylated interferon and ribavirin between 2007 and 2014. Yet, with the development of highly-effective direct acting antivirals(DAAs) for HCV, elimination of viral hepatitis has become a real possibility. The Egyptian National Committee for the Control of Viral Hepatitis did its best to provide Egyptian HCV patients with DAAs. Egypt adopted a strategy that represents a model of care that could help other countries with high HCV prevalence rate in their battle against HCV. This review covers the effects of HCV management in Egyptian real life settings and the outcome of different treatment protocols. Also, it deals with the current and future strategies for HCV prevention and screening as well as the challenges facing HCV elimination and the prospect of future eradication of HCV.展开更多
Existence of intraparticle mass transfer limitations under typical Fischer-Tropsch synthesis has been reported previously,but there is no suitable study on the existence of intraparticle diffusion limitations under pr...Existence of intraparticle mass transfer limitations under typical Fischer-Tropsch synthesis has been reported previously,but there is no suitable study on the existence of intraparticle diffusion limitations under pretreatment steps (reduction and activation) and their effect on catalytic performance for iron based catalysts.In this study,Fe-Cu-La-SiO2 catalysts were prepared by co-precipitation method.To investigate the intraparticle mass transfer limitation under reduction,activation and reaction steps,and its effect on catalytic performance,catalyst pellets with different sizes of 6,3,1 and 0.5 mm have been prepared.All catalysts were calcined,pretreated and tested under similar conditions.The catalysts were activated in hydrogen (5%H2in N2) at 450℃ for 3 h and exposed to syngas (H2/CO=1) at 270℃ and atmospheric pressure for 40 h.Afterwards,FTS reaction tests were performed for approximately 120 h to reach steady state conditions at 290℃,17 bar and a feed flow (syngas H2/CO=1) rate of 3 L/h (STP).Using small pellets resulted in higher CO conversion,FT reaction rate and C5+ productivity as compared with larger pellets.The small pellets reached steady state conditions just 20 h after starting the reaction.Whereas for larger pellets,CO conversion,FT reaction rate and C5+ productivity increased gradually,and reached steady state and maximum values after 120 h of operation.The results illustrate that mass transfer limitations exist not only for FTS reaction but also for the reduction and carburization steps which lead to various phase formation through catalyst activation.Also the results indicate that some effects of mass transfer limitations in activation step,can be compensated in the reaction step.The results can be used for better design of iron based catalyst to improve the process economy.展开更多
Purpose: To investigate the dosimetric characteristics of a low energy photon intra-operative radiotherapy (IORT) system and explore its potential limitation in clinical application. Methods: A special water phantom, ...Purpose: To investigate the dosimetric characteristics of a low energy photon intra-operative radiotherapy (IORT) system and explore its potential limitation in clinical application. Methods: A special water phantom, a parallel-plate ionization chamber and an electrometer were used to measure the depth dose rate, isotropy of dose distribution in X/Y plane, dosimetry reproducibility of bare probe and spherical applicators of different size which were used in comparison with the system data. Results: The difference in depth dose rate between the measurement and system data for bare probe is -2.16% ± 1.36%, the range of the relative deviation for isotropy in the X/Y plane is between -1.9% and 2.1%. The difference in depth dose rate, transfer coefficient, isotropy in X/Y plane between the measurement and system data for the whole set of spherical applicators is -10.0% - 2.3%, -8.9% - 4.2% and -1.6% - 2.6%, respectively. Higher surface dose rate and steeper gradient depth dose are observed in smaller spherical applicators. The depth dose rate and isotropy for bare probe and spherical applicators have been shown good reproducibility. The uncertainty of measurement is associated with the positioning accuracy, energy response, noise current and correction function f’(R). Conclusions: Thorough commissioning of the low energy photon IORT system helps us better understand the dosimetry characteristics, verify the system data, obtain adequate data for clinical application and routine quality assurance. The steep gradient depth dose and limited treatment range may restrain its potential in clinical application.展开更多
In recent years, immunotherapy has been gradually established as the fourth frequently adopted antitumor therapy, following surgery, chemotherapy and radiotherapy, for advanced urologic malignancies with an improved u...In recent years, immunotherapy has been gradually established as the fourth frequently adopted antitumor therapy, following surgery, chemotherapy and radiotherapy, for advanced urologic malignancies with an improved understanding of theoretical basis, such as molecular biology and immunology. Thereinto, adoptive cellular immunotherapy (ACI) has become one of the hotspots, which comprises a variety of treatment approaches, such as TIL, CIK cell, ~'~ T cell, CAR-engineered T cell and Allogeneie stem cell transplantation (alloSCT). Although preclinical efficacy has been demonstrated remarkably, clinical trials could not consistently show the benefit due to multi-factors in complex immnnosuppressive microenvironment in vivo compared to that of in vitro. Here we review some timely aspects of ACI for advanced urologic malignancies, and describe the current status and limitation of immunotherapy from the cellular level. It's our expectation to provide prompting consideration of novel combinatorial ACI strategies and a resurgence of interest in ACI for advanced urologic malignancies.展开更多
Coronary artery calcium data and reporting system(CAC-DRS)is a recently introduced standardized reporting system for calcium scoring on computed tomography.CAC-DRS provides four risk categories(0,1,2 and 3)along with ...Coronary artery calcium data and reporting system(CAC-DRS)is a recently introduced standardized reporting system for calcium scoring on computed tomography.CAC-DRS provides four risk categories(0,1,2 and 3)along with treatment recommendations for each category.As with any other new reporting platform,CAC-DRS has both advantages and disadvantages.Improved communication,better clarity of details,organized management recommendations and utility in future research and education are the major strengths of CAC-DRS.It has many limitations such as questionable need for a new system,few missing components,use of a less accurate visual method and treatment suggestions based on expert opinion instead of clinical trials.In this contemporary review,we discuss the new reporting system CAC-DRS,its application,strengths and limitations and conclude with some remarks for the future.展开更多
Pancreatic neuroendocrine tumors(PNETs)are known to be the second most common epithelial malignancy of the pancreas.PNETs can be listed among the slowest growing as well as the fastest growing human cancers.The preval...Pancreatic neuroendocrine tumors(PNETs)are known to be the second most common epithelial malignancy of the pancreas.PNETs can be listed among the slowest growing as well as the fastest growing human cancers.The prevalence of PNETs is deceptively low;however,its incidence has significantly increased over the past decades.According to the American Cancer Society’s estimate,about 4032(>7%of all pancreatic malignancies)individuals will be diagnosed with PNETs in 2020.PNETs often cause severe morbidity due to excessive secretion of hormones(such as serotonin)and/or overall tumor mass.Patients can live for many years(except for those patients with poorly differentiated G3 neuroendocrine tumors);thus,the prevalence of the tumors that is the number of patients actually dealing with the disease at any given time is fairly high because the survival is much longer than pancreatic ductal adenocarcinoma.Due to significant heterogeneity,the management of PNETs is very complex and remains an unmet clinical challenge.In terms of research studies,modest improvements have been made over the past decades in the identification of potential oncogenic drivers in order to enhance the quality of life and increase survival for this growing population of patients.Unfortunately,the majority of systematic therapies approved for the management of advanced stage PNETs lack objective response or at most result in modest benefits in survival.In this review,we aim to discuss the broad challenges associated with the management and the study of PNETs.展开更多
Olfactory ensheathing cells(OECs)are crucial players in the continuous regeneration of the olfactory nervous system that occurs through out life and are thought to have unique growth-promoting properties.For this reas...Olfactory ensheathing cells(OECs)are crucial players in the continuous regeneration of the olfactory nervous system that occurs through out life and are thought to have unique growth-promoting properties.For this reason,OEC transplantation has been thoroughly explored for the potential to promote neural repair after both central and peripheral nervous system injuries.Numerous studies have shown that OEC transplantation is safe and can promote recovery after spinal cord injury(SCI),both in animal models and in human clinical trials.To date,a variety of injury types and time-points after injury,as well as different delivery methods,have been tested.Outcomes have been encouraging(in rodent models including,for example,restoration of locomotion,breathing and climbing ability along with induction of axonal sprouting and some axonal regeneration)but highly variable(Barnett and Riddell,2007;Gomez et al.,2018).展开更多
基金This research was founded by the Funds for Creative Research Groups of National Natural Science Foundation of China(Grant No.51921006)the National Natural Science Foundations of China(Grant No.51978224)+2 种基金the National Major Scientific Research Instrument Development Program of China(Grant No.51827811)the National Natural Science Foundation of China,(Grant No.52008141)the Shenzhen Technology Innovation Program(Grant Nos.JCYJ20170811160003571,JCYJ20180508152238111 and JCYJ20200109112803851).
文摘Collisions between a moving mass and an anti-collision device increase structural responses and threaten structural safety.An active mass damper(AMD)with stroke limitations is often used to avoid collisions.However,a strokelimited AMD control system with a fixed limited area shortens the available AMD stroke and leads to significant control power.To solve this problem,the design approach with variable gain and limited area(VGLA)is proposed in this study.First,the boundary of variable-limited areas is calculated based on the real-time status of the moving mass.The variable gain(VG)expression at the variable limited area is deduced by considering the saturation of AMD stroke.Then,numerical simulations of a stroke-limited AMD control system with VGLA are conducted on a high-rise building structure.These numerical simulations show that the proposed approach has superior strokelimitation performance compared with a stroke-limited AMD control system with a fixed limited area.Finally,the proposed approach is validated through experiments on a four-story steel frame.
基金Supported by National Key Research and Development Program of China,No.2022YFE0209900.
文摘Familial hypercholesterolemia(FH)is characterized by elevated low-density lipoprotein cholesterol levels due to genetic mutations,presenting with xanthomas,corneal arch,and severe cardiovascular diseases.Early identification,diagnosis,and treatment are crucial to prevent severe complications like acute myocardial infarction.Statins are the primary treatment,supplemented by Ezetimibe and proprotein convertase subtilisin/kexin type 9 inhibitors,though their effectiveness can be limited in severe cases.Over 90%of FH cases remain undiagnosed,and current treatments are often inadequate,underscoring the need for improved diagnostic and management systems.Future strategies include advancements in gene testing,precision medicine,and novel drugs,along with gene therapy approaches like AAV-mediated gene therapy and clustered regularly interspaced short palindromic repeats.Lifestyle modifications,including health education,dietary control,and regular exercise,are essential for managing FH and preventing related diseases.Research into FH-related gene mutations,especially LDLR,is critical for accurate diagnosis and effective treatment.
文摘BACKGROUND Pulse oximetry has become a cornerstone technology in healthcare,providing non-invasive monitoring of oxygen saturation levels and pulse rate.Despite its widespread use,the technology has inherent limitations and challenges that must be addressed to ensure accurate and reliable patient care.AIM To comprehensively evaluate the advantages,limitations,and challenges of pulse oximetry in clinical practice,as well as to propose recommendations for optimizing its use.METHODS A systematic literature review was conducted to identify studies related to pulse oximetry and its applications in various clinical settings.Relevant articles were selected based on predefined inclusion and exclusion criteria,and data were synthesized to provide a comprehensive overview of the topic.RESULTS Pulse oximetry offers numerous advantages,including non-invasiveness,real-time feedback,portability,and costeffectiveness.However,several limitations and challenges were identified,including motion artifacts,poor peripheral perfusion,ambient light interference,and patient-specific factors such as skin pigmentation and hemoglobin variants.Recommendations for optimizing pulse oximetry use include technological advancements,education and training initiatives,quality assurance protocols,and interdisciplinary collaboration.CONCLUSION Pulse oximetry is crucial in modern healthcare,offering invaluable insights into patients’oxygenation status.Despite its limitations,pulse oximetry remains an indispensable tool for monitoring patients in diverse clinical settings.By implementing the recommendations outlined in this review,healthcare providers can enhance the effectiveness,accessibility,and safety of pulse oximetry monitoring,ultimately improving patient outcomes and quality of care.
文摘To evaluate the apoptosis positivity, the expression of Bcl-2, bax proteinsin 30 patients with squamous cell cervix carcinoma before and after radiotherapy. Methods: By usingimmuno-histochemical and TDT-dUTP nick end labelling techniques, 30 cases of squamous cell cervicalcarcinoma were analyzed. Results: The apoptosis positivity before and after irradiation was 76.7%and 100% respectively, with the difference being significant (P 【 0.05); The positive rates of Bcl-2protein before and after irradiation were 73.3% and 46.7% respectively, with the difference beingsignificant (P 【 0.05); The positive rates of bax protein before and after irradiation were 86% and100% respectively, with the difference being significant (P 【 0.05). Conclusion: bax and Bcl-2protein play an important role in apoptosis induced by fractionated radiation therapy. Apoptosisinduced by irradiation is contributed to upregulation of bax protein or downregulation of Bcl-2protein.
文摘Thought patterns and language are closely related,they are two aspect of the culture.Translation,a tool of intercultural communication,connects the different thought patterns.In this paper,a specific analysis of the limitation in translation caused by the difference is illustrated.Thus,translation is influenced deeply by the different thought patterns.The only way to get the reappearance to the culture in translation is to find out the principles of translation from the different thought patterns.
文摘Lactic acid bacteria (LAB) play a critical role in food, agricultural, and clinical applications. The fast growing characteristics of LAB and their metabolic activity have been the key in most applications including food production, agricultural industry, and probiotics. However, the biochemical and biophysical environments have significant effect on the growth and metabolic activity of LAB. While the biochemical conditions are most likely established, controlling and optimizing of biochemical conditions have many limitations and challenges. In addition to selecting the right strain, desirable metabolic processes required optimizing and controlling the available nutrients including sugars, peptides, free amino acids, minerals, and vitamins in addition to buffering agents. Thus, much of research was conducted to understand the impact of available nutrients on the growth and metabolic activities of LAB. However, only a few nutritional parameters could be controlled at a time while holding other parameters constant. The nutritional parameters may also interact with each other resulting in faulty results. Characteristics of LAB such as fastidiousness in their nutritional requirements, ability to produce acid and antimicrobial compounds, and variations in the nutritional requirements among strains have added additional limitations and challenges in this regard. Thus, chemically defined media (CDM) were suggested to deal with different limitations and challenges. However, due to differences in growth conditions, results obtained in CDM may face some obstacles when it comes to industrial applications. Thus, this paper aimed to review the recent data in regard to the role of the nutritional requirements of LAB in optimizing and controlling metabolic activities and to discuss the associated limitations and challenges.
基金Supported by the Harbin Engineering University Fund for Basic Projects (heuft06041)
文摘The initial motivation of the lifting technique is to solve the H∞control problems. However, the conventional weighted H∞design does not meet the conditions required by lifting, so the result often leads to a misjudgement of the design. Two conditions required by using the lifting technique are presented based on the basic formulae of the lifting. It is pointed out that only the H∞disturbance attenuation problem with no weighting functions can meet these conditions, hence, the application of the lifting technique is quite limited.
基金funded by the NSFC(No.40036010)subsidized by Special Funds from the National Key BaBic Research Program of P.R.China(G19990437)+2 种基金the Postdoctoral Foundation of Ocean University of Qingdaothe Director’s Foundation of the Beihai Monitoring Center of the State Oceanic Administrationthe Foundation of Shanghai Fisheries University
文摘Analysis and comparison of Jiaozhou Bay data collected from May 1991 to February 1994(12 seasonal investigations) provided by the Ecological Station of Jiaozhou Bay revealed the characteristic spatiotemporal variation of the ambient concentration Si:DIN and Si:16P ratios and the seasonal variation of Jiaozhou Bay Si:DIN and Si:16P ratios showing that the Si:DIN ratios were < 1 throughout the year in Jiaozhou Bay; and that the Si:16P ratios were < 1 throughout Jiaozhou Bay in spring, autumn and winter. The results proved that silicate limited phytoplankton growth in spring, autumn and winter in Jiaozhou Bay. Analysis of the Si:DIN and Si:P ratios showed that the nutrient Si has been limiting the growth of phytoplankton throughout the year in some Jiaozhou Bay waters; and that the silicate deficiency changed the phytoplankton assemblage structure. Analysis of discontinuous 1962 to 1998 nutrient data showed that there was no N or P limitation of phytoplankton growth in that period. The authors consider that the annual cyclic change of silicate limits phytoplankton growth in spring, autumn and winter every year in Jiaozhou Bay; and that in many Jiaozhou Bay waters where the phytoplankton as the predominant species need a great amount of silicate, analysis of the nutrients N or P limitation of phytoplankton growth relying only on the N and P nutrients and DIN:P ratio could yield inaccurate conclusions. The results obtained by applying the rules of absolute and relative limitation fully support this view. The authors consider that the main function of nutrient silicon is to regulate and control the mechanism of the phytoplankton growth process in the ecological system in estuaries, bays and the sea. The authors consider that according to the evolution theory of Darwin, continuous environmental pressure gradually changes the phytoplankton assemblage's structure and the physiology of diatoms. Diatoms requiring a great deal of silicon either constantly decrease or reduce their requirement for silicon. This will cause a series of huge changes in the ecosystem so that the whole ecosystem requires continuous renewal, change and balancing. Human beings have to reduce marine pollution and enhance the capacity of continental sources to transport silicon to sustain the continuity and stability in the marine ecosystem.nt
基金the Key Project of Chinese National Programs for Fundamental Research and Development (973 Program, No. 2006CB202308)the National Natural Science Foundation of China (Grant No. 40472078)
文摘Based on previous studies on the internal structures of fault belts, the fault belts in the Laoyemiao Oilfield of the Nanpu Sag can be divided into three units, a crushed zone, an upper induced fracture zone and a lower induced fracture zone according to the log response characteristics. The upper induced fracture zone is characterized by the development of pervasive fractures and has a poor sealing or non-sealing capability. It therefore can act as pathways for hydrocarbon migration. The lower induced fracture zone consists of fewer fractures and has limited sealing capability. The crushed zone has a good sealing capability comparable to mudstone and can thus prevent lateral migration of fluid. Through physical modeling and comparing laboratory data with calculated data of oil column heights of traps sealed by faults, it is concluded that the fault-sealing capability for oil and gas is limited. When the oil column height reaches a threshold, oil will spill over from the top of reservoir along the lower induced fracture zone under the action of buoyancy, and the size of reservoir will remain unchanged. Analysis of the formation mechanisms of the fault-sealed reservoirs in the Nanpu Sag indicated that the charging sequence of oil and gas in the reservoir was from lower formation to upper formation, with the fault playing an important role in oil and gas accumulation. The hydrocarbon potential in reverse fault-sealed traps is much better than that in the consequent fault-sealed traps. The reverse fault-sealed traps are favorable and preferred exploration targets.
文摘The method of determining coal pillar strength equations from databases of stable and failed case histories is more than 50 years old and has been applied in different countries by different researchers in a range of mining situations. While common wisdom sensibly limits the use of the resultant pillar strength equations and methods to design scenarios that are consistent with the founding database, there are a number of examples where failures have occurred as a direct result of applying empirical design methods to coal pillar design problems that are inconsistent with the founding database. This paper explores the reasons why empirically derived coal pillar strength equations tend to be problem-specific and should be considered as providing no more than a pillar strength ‘‘index." These include the non-consideration of overburden horizontal stress within the mine stability problem, an inadequate definition of supercritical overburden behavior as it applies to standing coal pillars, and the non-consideration of overburden displacement and coal pillar strain limits. All of which combine to potentially complicate and confuse the back-analysis of coal pillar strength from failed cases. A modified coal pillar design representation and model are presented based on coal pillars acting to reinforce a horizontally stressed overburden, rather than suspend an otherwise unstable self-loaded overburden or section, the latter having been at the core of historical empirical studies into coal pillar strength and stability.
文摘Analysis and comparison of Jiaozhou Bay data collected from May 1991 to February 1994 revealed the spatiotemporal variations of the ambient Si(OH) 4∶NO 3 (Si∶N) concentration ratios and the seasonal variations of (Si∶N) ratios in Jiaozhou Bay and showed that the Si∶N ratios were < 1 throughout Jiaozhou Bay in spring, autumn, and winter. These results provide further evidence that silicate limits the growth of phytoplankton (i.e. diatoms) in spring, autumn and winter. Moreover, comparison of the spatiotemporal variations of the Si∶N ratio and primary production in Jiaozhou Bay suggested their close relationship. The spatiotemporal pattern of dissolved silicate matched well that of primary production in Jiaozhou Bay. Along with the environmental change of Jiaozhou Bay in the last thirty years, the N and P concentrations tended to rise, whereas Si concentration showed cyclic seasonal variations. With the variation of nutrient Si limiting the primary production in mind, the authors found that the range of values of primary production is divided into three parts: the basic value of Si limited primary production, the extent of Si limited primary production and the critical value of Si limited primary production, which can be calculated for Jiaozhou Bay by Equations (1), (2) and (3), showing that the time of the critical value of Si limitation of phytoplankton growth in Jiaozhou Bay is around November 3 to November 13 in autumn; and that the time of the critical value of Si satisfaction of phytoplankton growth in Jiaozhou Bay is around May 22 to June 7 in spring. Moreover, the calculated critical value of Si satisfactory for phytoplankton growth is 2.15-0.76 μmol/L and the critical value of Si limitation of phytoplankton growth is 1.42-0.36 μmol/L; so that the time period of Si limitation of phytoplankton growth is around November 13 to May 22 in the next year; the time period of Si satisfactory for phytoplankton growth is around June 7 to November 3. This result also explains why critical values of nutrient silicon affect phytoplankton growth in spring and autumn are different in different waters of Jiaozhou Bay and also indicates how the silicate concentration affects the phytoplankton assemblage structure. The dilution of silicate concentration by seawater exchange affects the growth of phytoplankton so that the primary production of phytoplankton declines outside Jiaozhou Bay earlier than inside Jiaozhou Bay by one and half months. This study showed that Jiaozhou Bay phytoplankton badly need silicon and respond very sensitively and rapidly to the variation of silicon.
基金funded by grants from the National Basic Research Program of China(2009CB421303)the National Science&Technology Pillar Program(2011BAC07B02)the National Natural Science Foundation of China(40871004)
文摘Optimal partitioning theory (OPT) suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomass allocation between leaves, stems and roots. However, variations in biomass allocation among plant parts can also occur as a plant grows in size. As an alternative approach, allometric biomass partitioning theory (APT) asserts that plants should trade off their biomass between roots, stems and leaves. This approach can minimize bias when comparing biomass allocation patterns by accounting for plant size in the analysis. We analyzed the biomass allo- cation strategy of perennial Pennisetum centrasiaticum Tzvel in the Horqin Sand Land of northern China by treating samples with different availabilities of soil nutrients and water, adding snow in winter and water in summer. We hypothesized that P. centrasiaticum alters its pattern of biomass allocation strategy in response to different levels of soil water content and soil nitrogen content. We used standardized major axis (SMA) to analyze the allometric rela- tionship (slope) and intercept between biomass traits (root, stem, leaf and total biomass) of nitrogen/water treat- ments. Taking plant size into consideration, no allometric relationships between different organs were significantly affected by differing soil water and soil nitrogen levels, while the biomass allocation strategy of P. centrasiaticum was affected by soil water levels, but not by soil nitrogen levels. The plasticity of roots, leaves and root/shoot ratios was 'true' in response to fluctuations in soil water content, but the plasticity of stems was consistent for trade-offs between the effects of water and plant size. Plants allocated relatively more biomass to roots and less to leaves when snow was added in winter. A similar trend was observed when water was added in summer. The plasticity of roots, stems and leaves was a function of plant size, and remained unchanged in response to different soil nitrogen levels.
文摘Worldwide, more than one million people die each year from hepatitis C virus(HCV) related diseases, and over 300 million people are chronically infected with hepatitis B or C. Egypt used to be on the top of the countries with heavy HCV burden. Some countries are making advances in elimination of HCV, yet multiple factors preventing progress; remain for the majority. These factors include lack of global funding sources for treatment, late diagnosis, poor data, and inadequate screening. Treatment of HCV in Egypt has become one of the top national priorities since 2007. Egypt started a national treatment program intending to provide cure for Egyptian HCV-infected patients. Mass HCV treatment program had started using Pegylated interferon and ribavirin between 2007 and 2014. Yet, with the development of highly-effective direct acting antivirals(DAAs) for HCV, elimination of viral hepatitis has become a real possibility. The Egyptian National Committee for the Control of Viral Hepatitis did its best to provide Egyptian HCV patients with DAAs. Egypt adopted a strategy that represents a model of care that could help other countries with high HCV prevalence rate in their battle against HCV. This review covers the effects of HCV management in Egyptian real life settings and the outcome of different treatment protocols. Also, it deals with the current and future strategies for HCV prevention and screening as well as the challenges facing HCV elimination and the prospect of future eradication of HCV.
文摘Existence of intraparticle mass transfer limitations under typical Fischer-Tropsch synthesis has been reported previously,but there is no suitable study on the existence of intraparticle diffusion limitations under pretreatment steps (reduction and activation) and their effect on catalytic performance for iron based catalysts.In this study,Fe-Cu-La-SiO2 catalysts were prepared by co-precipitation method.To investigate the intraparticle mass transfer limitation under reduction,activation and reaction steps,and its effect on catalytic performance,catalyst pellets with different sizes of 6,3,1 and 0.5 mm have been prepared.All catalysts were calcined,pretreated and tested under similar conditions.The catalysts were activated in hydrogen (5%H2in N2) at 450℃ for 3 h and exposed to syngas (H2/CO=1) at 270℃ and atmospheric pressure for 40 h.Afterwards,FTS reaction tests were performed for approximately 120 h to reach steady state conditions at 290℃,17 bar and a feed flow (syngas H2/CO=1) rate of 3 L/h (STP).Using small pellets resulted in higher CO conversion,FT reaction rate and C5+ productivity as compared with larger pellets.The small pellets reached steady state conditions just 20 h after starting the reaction.Whereas for larger pellets,CO conversion,FT reaction rate and C5+ productivity increased gradually,and reached steady state and maximum values after 120 h of operation.The results illustrate that mass transfer limitations exist not only for FTS reaction but also for the reduction and carburization steps which lead to various phase formation through catalyst activation.Also the results indicate that some effects of mass transfer limitations in activation step,can be compensated in the reaction step.The results can be used for better design of iron based catalyst to improve the process economy.
文摘Purpose: To investigate the dosimetric characteristics of a low energy photon intra-operative radiotherapy (IORT) system and explore its potential limitation in clinical application. Methods: A special water phantom, a parallel-plate ionization chamber and an electrometer were used to measure the depth dose rate, isotropy of dose distribution in X/Y plane, dosimetry reproducibility of bare probe and spherical applicators of different size which were used in comparison with the system data. Results: The difference in depth dose rate between the measurement and system data for bare probe is -2.16% ± 1.36%, the range of the relative deviation for isotropy in the X/Y plane is between -1.9% and 2.1%. The difference in depth dose rate, transfer coefficient, isotropy in X/Y plane between the measurement and system data for the whole set of spherical applicators is -10.0% - 2.3%, -8.9% - 4.2% and -1.6% - 2.6%, respectively. Higher surface dose rate and steeper gradient depth dose are observed in smaller spherical applicators. The depth dose rate and isotropy for bare probe and spherical applicators have been shown good reproducibility. The uncertainty of measurement is associated with the positioning accuracy, energy response, noise current and correction function f’(R). Conclusions: Thorough commissioning of the low energy photon IORT system helps us better understand the dosimetry characteristics, verify the system data, obtain adequate data for clinical application and routine quality assurance. The steep gradient depth dose and limited treatment range may restrain its potential in clinical application.
基金supported by a grant from National Natural Science Foundation of China(No.30901481,81372752,81472411)Wu-Jie Ping Medical Foundation(320.6750.13261)
文摘In recent years, immunotherapy has been gradually established as the fourth frequently adopted antitumor therapy, following surgery, chemotherapy and radiotherapy, for advanced urologic malignancies with an improved understanding of theoretical basis, such as molecular biology and immunology. Thereinto, adoptive cellular immunotherapy (ACI) has become one of the hotspots, which comprises a variety of treatment approaches, such as TIL, CIK cell, ~'~ T cell, CAR-engineered T cell and Allogeneie stem cell transplantation (alloSCT). Although preclinical efficacy has been demonstrated remarkably, clinical trials could not consistently show the benefit due to multi-factors in complex immnnosuppressive microenvironment in vivo compared to that of in vitro. Here we review some timely aspects of ACI for advanced urologic malignancies, and describe the current status and limitation of immunotherapy from the cellular level. It's our expectation to provide prompting consideration of novel combinatorial ACI strategies and a resurgence of interest in ACI for advanced urologic malignancies.
文摘Coronary artery calcium data and reporting system(CAC-DRS)is a recently introduced standardized reporting system for calcium scoring on computed tomography.CAC-DRS provides four risk categories(0,1,2 and 3)along with treatment recommendations for each category.As with any other new reporting platform,CAC-DRS has both advantages and disadvantages.Improved communication,better clarity of details,organized management recommendations and utility in future research and education are the major strengths of CAC-DRS.It has many limitations such as questionable need for a new system,few missing components,use of a less accurate visual method and treatment suggestions based on expert opinion instead of clinical trials.In this contemporary review,we discuss the new reporting system CAC-DRS,its application,strengths and limitations and conclude with some remarks for the future.
文摘Pancreatic neuroendocrine tumors(PNETs)are known to be the second most common epithelial malignancy of the pancreas.PNETs can be listed among the slowest growing as well as the fastest growing human cancers.The prevalence of PNETs is deceptively low;however,its incidence has significantly increased over the past decades.According to the American Cancer Society’s estimate,about 4032(>7%of all pancreatic malignancies)individuals will be diagnosed with PNETs in 2020.PNETs often cause severe morbidity due to excessive secretion of hormones(such as serotonin)and/or overall tumor mass.Patients can live for many years(except for those patients with poorly differentiated G3 neuroendocrine tumors);thus,the prevalence of the tumors that is the number of patients actually dealing with the disease at any given time is fairly high because the survival is much longer than pancreatic ductal adenocarcinoma.Due to significant heterogeneity,the management of PNETs is very complex and remains an unmet clinical challenge.In terms of research studies,modest improvements have been made over the past decades in the identification of potential oncogenic drivers in order to enhance the quality of life and increase survival for this growing population of patients.Unfortunately,the majority of systematic therapies approved for the management of advanced stage PNETs lack objective response or at most result in modest benefits in survival.In this review,we aim to discuss the broad challenges associated with the management and the study of PNETs.
基金supported by a Clem Jones Foundation grant to JS and JEa Perry Cross Spinal Research Foundation grant to JE and JS+1 种基金a Motor Accident Insurance Commission grant to JS and JEa Griffith University International Postgraduate Research Scholarship to RR
文摘Olfactory ensheathing cells(OECs)are crucial players in the continuous regeneration of the olfactory nervous system that occurs through out life and are thought to have unique growth-promoting properties.For this reason,OEC transplantation has been thoroughly explored for the potential to promote neural repair after both central and peripheral nervous system injuries.Numerous studies have shown that OEC transplantation is safe and can promote recovery after spinal cord injury(SCI),both in animal models and in human clinical trials.To date,a variety of injury types and time-points after injury,as well as different delivery methods,have been tested.Outcomes have been encouraging(in rodent models including,for example,restoration of locomotion,breathing and climbing ability along with induction of axonal sprouting and some axonal regeneration)but highly variable(Barnett and Riddell,2007;Gomez et al.,2018).