AIM:To investigate the predictors of success in stepdown of proton pump inhibitor and to assess the quality of life(QOL).METHODS:Patients who had heartburn twice a week or more were treated with 20 mg omeprazole(OPZ) ...AIM:To investigate the predictors of success in stepdown of proton pump inhibitor and to assess the quality of life(QOL).METHODS:Patients who had heartburn twice a week or more were treated with 20 mg omeprazole(OPZ) once daily for 8 wk as an initial therapy(study 1).Patients whose heartburn decreased to once a week or less at the end of the initial therapy were enrolled in study 2 and treated with 10 mg OPZ as maintenance therapy for an additional 6 mo(study 2).QOL was in-vestigated using the gastrointestinal symptom rating scale(GSRS)before initial therapy,after both 4 and 8 wk of initial therapy,and at 1,2,3,and 6 mo after starting maintenance therapy.RESULTS:In study 1,108 patients were analyzed.Their characteristics were as follows;median age:63(range: 20-88)years,sex:46 women and 62 men.The success rate of the initial therapy was 76%.In the patients with successful initial therapy,abdominal pain,indigestion and reflux GSRS scores were improved.In study 2,83 patients were analyzed.Seventy of 83 patients completed the study 2 protocol.In the per-protocol analysis,80%of 70 patients were successful for stepdown.On multivariate analysis of baseline demographic data and clinical information,no previous treatment for gastroesophageal reflux disease(GERD)[odds ratio (OR)0.255,95%CI:0.06-0.98]and a lower indigestion score in GSRS at the beginning of step-down therapy(OR 0.214,95%CI:0.06-0.73)were found to be the predictors of successful step-down therapy.The improved GSRS scores by initial therapy were maintained through the step-down therapy.CONCLUSION:OPZ was effective for most GERD patients.However,those who have had previous treatment for GERD and experience dyspepsia before stepdown require particular monitoring for relapse.展开更多
The response to single heat treatment and Step-down heat (SDH) treatment in vitro of V79 and L cells was studied. Colony-forming ability was assayed in medium after treatment in vitro. Time-response curves were establ...The response to single heat treatment and Step-down heat (SDH) treatment in vitro of V79 and L cells was studied. Colony-forming ability was assayed in medium after treatment in vitro. Time-response curves were established and subjected to Arrhenius analysis. The Arrhenius curves showed inflection points at 43℃ for V79 cells and at 42℃ for L cells. The activation energies were 145 kcal/mole and 400 kcal/mole above and below 43℃ (P<0.05), respectively, for V79 cells, while 160 kcal/mole and 300 kcal/mole above and below 42℃ (P<0.05), respectively, for L cells. Thermosensitivity of L cells are markedly higher than V79 cells. Both V79 and L cells were sensitized by SDH. The SDH effect was characterized by a reduction in shoulder (an addition effect to sublethal damage), an increase in slope (thermosensitization), and the delay and disappearance of thermotolerant 'tail' for V79 and L cells at 45℃ to 40℃ and 44℃ to 42℃ SDH treatment respectively. Particularly, 42℃ to 39℃ or 42℃ to 40℃ SDH for L cells resulted in thermosensitization effect up to a factor of 7.1 or 2.7, respectively. The effect was quantified by thermorsensitization ratio (TSR), defined as T0 single heated/T0SDH-heated. The relative ratio was much higher for V79 than for L cells. Heat killing with SDH characterized by Arrhenius analysis showed that Step-down heating reduced the activation energy for heat killing more than single heating. The decrease of activation energy for L cells was markedly greater than for V79. These data suggest that greater cellular sensitivity under step-down heating conditions may reflect a different mechanism for cell killing.展开更多
A novel high step-down non-isolated DC-DC converter has been proposed. The proposed converter consists of highly efficient non-isolated cell converters using bidirectional semiconductor power devices, and these cell c...A novel high step-down non-isolated DC-DC converter has been proposed. The proposed converter consists of highly efficient non-isolated cell converters using bidirectional semiconductor power devices, and these cell converters are connected in ISOP （input series and output parallel）. The non-isolated ISOP converter achieves high step-down ratio of D/N, operating N cell converters under the duty ratio olD. Availability of the proposed converter has been shown by developing the 48 V-12 V laboratory prototype using two 24 V-12 V cell converters. Design consideration for the 48 V-3 V multicellular converter using four 12 V-3 V cell converters has been also conducted, and the potential to approach the efficiency of 97% has been discussed. The proposed topology is suitable for the POL （point of load） converters in the highly efficient next generation DC distribution system for data centers.展开更多
In the present study,Fmr1 knockout mice （KO mice） were used as the model for fragile X syndrome.The results of step-through and step-down tests demonstrated that Fmr1 KO mice had shorter latencies and more error cou...In the present study,Fmr1 knockout mice （KO mice） were used as the model for fragile X syndrome.The results of step-through and step-down tests demonstrated that Fmr1 KO mice had shorter latencies and more error counts,indicating a learning and memory disorder.After treatment with 30,60,90,120,or 200 mg/kg lithium chloride,the learning and memory abilities of the Fmr1 KO mice were significantly ameliorated,in particular,the 200 mg/kg lithium chloride treatment had the most significant effect.Western blot analysis showed that lithium chloride significantly enhanced the expression of phosphorylated glycogen synthase kinase 3 beta,an inactive form of glycogen synthase kinase 3 beta,in the cerebral cortex and hippocampus of the Fmr1 KO mice.These results indicated that lithium chloride improved learning and memory in the Fmr1 KO mice,possibly by inhibiting glycogen synthase kinase 3 beta activity.展开更多
The validity of electric power system simulation or prediction models depends on static load model. Measurement- based approach is the unique method to identify them adequately. The measured power depends on both load...The validity of electric power system simulation or prediction models depends on static load model. Measurement- based approach is the unique method to identify them adequately. The measured power depends on both load reaction to supply voltage alteration and random process of load alteration Basically, there is no any universal method that can single out the inherent static load model from experimental data. The paper offers a proprietary technique which is the particular solution of the task. The technique considers the selection of neighboring measurement pairs with the supply voltage altering significantly be-tween them, the exclusion of selected pairs by load power factor and subsequent selection of the inherent static load model presented as the polynomial load model. The usage of the technique to identify static load model at “Fenster” industrial enterprise （in Borisov city） is presented. The ideas considered in the paper can be used for future development of static load model identification methods with the data obtained during both active experiment and in other operating models of electric power systems.展开更多
Previous studies have shown that chrysophanol protects against learning and memory impairments in lead-exposed adult mice. In the present study, we investigated whether chrysophanol can alleviate learning and memory d...Previous studies have shown that chrysophanol protects against learning and memory impairments in lead-exposed adult mice. In the present study, we investigated whether chrysophanol can alleviate learning and memory dysfunction and hippocampal neuronal injury in lead-exposed neonatal mice. At the end of lactation, chrysophanol（0.1, 1.0, 10.0 mg/kg） was administered to the neonatal mice by intraperitoneal injection for 15 days. Chrysophanol significantly alleviated injury to hippocampal neurons and improved learning and memory abilities in the lead-poisoned neonatal mice. Chrysophanol also significantly decreased lead content in blood, brain, heart, spleen, liver and kidney in the lead-exposed neonatal mice. The levels of malondialdehyde in the brain, liver and kidney were significantly reduced, and superoxide dismutase and glutathione peroxidase activities were significantly increased after chrysophanol treatment. Collectively, these findings indicate that chrysophanol can significantly reduce damage to hippocampal neurons in lead-exposed neonatal mice.展开更多
Four weeks of uncertain stress was used to establish an animal model of chronic stress. Basic fibroblast growth factor was injected daily for 15 days following stress induction. Cell morphology in the hippocampal CA3 ...Four weeks of uncertain stress was used to establish an animal model of chronic stress. Basic fibroblast growth factor was injected daily for 15 days following stress induction. Cell morphology in the hippocampal CA3 region of chronic stress mice revealed cell damage. Nitric oxide content and calcium concentration were significantly increased in the hippocampus, and learning and memory functions were significantly decreased. After basic fibroblast growth factor intervention, Ca2~ overload was decreased and neuronal damage was relieved in hippocampal neurons, which improved learning and memory functions in chronic stress mice. Latency was prolonged and the number of errors was decreased in a passive avoidance test.展开更多
Clinical thinking have the uncertainty, by which there are not a few mistakes caused. So it is necessary to discuss how to deal with the uncertainty of clinical thinking, which originates from the uncertainty of the o...Clinical thinking have the uncertainty, by which there are not a few mistakes caused. So it is necessary to discuss how to deal with the uncertainty of clinical thinking, which originates from the uncertainty of the objective world, social world and medicine knowledge, and can be seen all over clinical activities;Critical thinking which cautious about the interpretation and prediction of scientific theory is the best practice to explore the uncertainty. The essential purpose of medicine is rescuing people, So it is necessary and scientific to take “excluding life-threatening symptoms first” as the first principle of clinical thinking, which is also the primary method to deal with the uncertainty of clinical thinking;By the limited certainty of clinical thinking, procedural thinking is conducive to building a safer health system that is “easy to do right and difficult to do wrong”.展开更多
The performance degradation rates of the missile tank are generally time-varying functions uneasily evaluated by general classical evaluation methods. This paper develops a segmented nonlinear accelerated degradation ...The performance degradation rates of the missile tank are generally time-varying functions uneasily evaluated by general classical evaluation methods. This paper develops a segmented nonlinear accelerated degradation model （SNADM） based on the equivalent method of accumulative damage theory, which tackles the problem that product life is difficult to be determined with degradation rate being a function of the variable of time. A segmented expression of the function of population accumulative degradation is derived. And combined with nonlinear function, an accelerated degradation function, i.e., SNADM is obtained. The parameters of the SNADM are identified by numerical iteration, and the statistical function of degradation track is extrapolated. The reliability function is determined through the type of random process of the degradation distribution. Then an evaluation of product storage life is undertaken by combining the statistical function of degradation track, reliability function and threshold. An example of a missile tank undergoes a step-down stress accelerated degradation test （SDSADT）, in which the results with the SNADM and the classical method are evaluated and compared. The technology introduced is validated with the resultant coincidence of both evaluated and field storage lives.展开更多
The effects of temperature and step-down relative humidity controlled hot-air drying(THC-HAD)on the drying kinetics,energy efficiency and quality,i.e.,rehydration ratio(RR),color parameters(L*,a*,b*),total color diffe...The effects of temperature and step-down relative humidity controlled hot-air drying(THC-HAD)on the drying kinetics,energy efficiency and quality,i.e.,rehydration ratio(RR),color parameters(L*,a*,b*),total color difference(ΔE*),Panax notoginseng saponins(PNS)content,and ginsenosides content(R1,Rg1,Re,Rd,Rb1)of Panax notoginseng roots were evaluated.The drying time was significantly affected by the drying temperature followed by the relative humidity(RH)of the drying air.Special combination of drying conditions,i.e.,drying temperature of 50°C,relative humidity of 40%for 3 h and then continuous dehumidification from 40%to 8%allowed to shorten the drying time by 25%compared to drying at the same temperature and continuous dehumidification.The longer was the drying time under constant high RH of drying air,the lower was the RR of dried samples.The step-down RH strategy contributed to the formation of a porous structure,enhancement of drying efficiency and quality improvement.Generally,the ginsenosides content increased with the increase in temperature,while no obvious trend was recorded for ginsenoside R1.The contents of the ginsenoside R1,Rg1,Rb1 and PNS decreased with the increase in the drying time under constant high RH.Taking into account the drying time,energy consumption and quality attributes,drying at the temperature of 50°C,constant RH of 40%for 3 h and then step-down RH from 40%to 8%was proposed as the most favorable combination of drying conditions for dehydration of whole Panax notoginseng roots.展开更多
文摘AIM:To investigate the predictors of success in stepdown of proton pump inhibitor and to assess the quality of life(QOL).METHODS:Patients who had heartburn twice a week or more were treated with 20 mg omeprazole(OPZ) once daily for 8 wk as an initial therapy(study 1).Patients whose heartburn decreased to once a week or less at the end of the initial therapy were enrolled in study 2 and treated with 10 mg OPZ as maintenance therapy for an additional 6 mo(study 2).QOL was in-vestigated using the gastrointestinal symptom rating scale(GSRS)before initial therapy,after both 4 and 8 wk of initial therapy,and at 1,2,3,and 6 mo after starting maintenance therapy.RESULTS:In study 1,108 patients were analyzed.Their characteristics were as follows;median age:63(range: 20-88)years,sex:46 women and 62 men.The success rate of the initial therapy was 76%.In the patients with successful initial therapy,abdominal pain,indigestion and reflux GSRS scores were improved.In study 2,83 patients were analyzed.Seventy of 83 patients completed the study 2 protocol.In the per-protocol analysis,80%of 70 patients were successful for stepdown.On multivariate analysis of baseline demographic data and clinical information,no previous treatment for gastroesophageal reflux disease(GERD)[odds ratio (OR)0.255,95%CI:0.06-0.98]and a lower indigestion score in GSRS at the beginning of step-down therapy(OR 0.214,95%CI:0.06-0.73)were found to be the predictors of successful step-down therapy.The improved GSRS scores by initial therapy were maintained through the step-down therapy.CONCLUSION:OPZ was effective for most GERD patients.However,those who have had previous treatment for GERD and experience dyspepsia before stepdown require particular monitoring for relapse.
文摘The response to single heat treatment and Step-down heat (SDH) treatment in vitro of V79 and L cells was studied. Colony-forming ability was assayed in medium after treatment in vitro. Time-response curves were established and subjected to Arrhenius analysis. The Arrhenius curves showed inflection points at 43℃ for V79 cells and at 42℃ for L cells. The activation energies were 145 kcal/mole and 400 kcal/mole above and below 43℃ (P<0.05), respectively, for V79 cells, while 160 kcal/mole and 300 kcal/mole above and below 42℃ (P<0.05), respectively, for L cells. Thermosensitivity of L cells are markedly higher than V79 cells. Both V79 and L cells were sensitized by SDH. The SDH effect was characterized by a reduction in shoulder (an addition effect to sublethal damage), an increase in slope (thermosensitization), and the delay and disappearance of thermotolerant 'tail' for V79 and L cells at 45℃ to 40℃ and 44℃ to 42℃ SDH treatment respectively. Particularly, 42℃ to 39℃ or 42℃ to 40℃ SDH for L cells resulted in thermosensitization effect up to a factor of 7.1 or 2.7, respectively. The effect was quantified by thermorsensitization ratio (TSR), defined as T0 single heated/T0SDH-heated. The relative ratio was much higher for V79 than for L cells. Heat killing with SDH characterized by Arrhenius analysis showed that Step-down heating reduced the activation energy for heat killing more than single heating. The decrease of activation energy for L cells was markedly greater than for V79. These data suggest that greater cellular sensitivity under step-down heating conditions may reflect a different mechanism for cell killing.
文摘A novel high step-down non-isolated DC-DC converter has been proposed. The proposed converter consists of highly efficient non-isolated cell converters using bidirectional semiconductor power devices, and these cell converters are connected in ISOP （input series and output parallel）. The non-isolated ISOP converter achieves high step-down ratio of D/N, operating N cell converters under the duty ratio olD. Availability of the proposed converter has been shown by developing the 48 V-12 V laboratory prototype using two 24 V-12 V cell converters. Design consideration for the 48 V-3 V multicellular converter using four 12 V-3 V cell converters has been also conducted, and the potential to approach the efficiency of 97% has been discussed. The proposed topology is suitable for the POL （point of load） converters in the highly efficient next generation DC distribution system for data centers.
基金the National Natural Science Foundation of China,No.30870876the Natural Science Foundation of Guangdong Province,No.815101700100005+2 种基金the Science and Technology Program of Guangdong Province,No.2005B60302004,2008B030301371,2009B030801368the Traditional Chinese Medicineand Combination of Traditional Chinese and Western Medicine Program of Guangzhou,No.2008A52the Medical and Health Scientific Research Program of Guangzhou,No.2009-YB-167
文摘In the present study,Fmr1 knockout mice （KO mice） were used as the model for fragile X syndrome.The results of step-through and step-down tests demonstrated that Fmr1 KO mice had shorter latencies and more error counts,indicating a learning and memory disorder.After treatment with 30,60,90,120,or 200 mg/kg lithium chloride,the learning and memory abilities of the Fmr1 KO mice were significantly ameliorated,in particular,the 200 mg/kg lithium chloride treatment had the most significant effect.Western blot analysis showed that lithium chloride significantly enhanced the expression of phosphorylated glycogen synthase kinase 3 beta,an inactive form of glycogen synthase kinase 3 beta,in the cerebral cortex and hippocampus of the Fmr1 KO mice.These results indicated that lithium chloride improved learning and memory in the Fmr1 KO mice,possibly by inhibiting glycogen synthase kinase 3 beta activity.
文摘The validity of electric power system simulation or prediction models depends on static load model. Measurement- based approach is the unique method to identify them adequately. The measured power depends on both load reaction to supply voltage alteration and random process of load alteration Basically, there is no any universal method that can single out the inherent static load model from experimental data. The paper offers a proprietary technique which is the particular solution of the task. The technique considers the selection of neighboring measurement pairs with the supply voltage altering significantly be-tween them, the exclusion of selected pairs by load power factor and subsequent selection of the inherent static load model presented as the polynomial load model. The usage of the technique to identify static load model at “Fenster” industrial enterprise （in Borisov city） is presented. The ideas considered in the paper can be used for future development of static load model identification methods with the data obtained during both active experiment and in other operating models of electric power systems.
基金financially supported by the Science and Technology Commission Foundation of Zhangjiakou City,No.1021098Dthe Medical Scientific Research Project of Health Bureau of Hebei Province,No.20100144+2 种基金the Natural Science Foundation of Hebei Province,No.H2012405016the Innovative Talents Project of Hebei North University,No.CXRC1325the Major Projects of Hebei North University,No.ZD201310
文摘Previous studies have shown that chrysophanol protects against learning and memory impairments in lead-exposed adult mice. In the present study, we investigated whether chrysophanol can alleviate learning and memory dysfunction and hippocampal neuronal injury in lead-exposed neonatal mice. At the end of lactation, chrysophanol（0.1, 1.0, 10.0 mg/kg） was administered to the neonatal mice by intraperitoneal injection for 15 days. Chrysophanol significantly alleviated injury to hippocampal neurons and improved learning and memory abilities in the lead-poisoned neonatal mice. Chrysophanol also significantly decreased lead content in blood, brain, heart, spleen, liver and kidney in the lead-exposed neonatal mice. The levels of malondialdehyde in the brain, liver and kidney were significantly reduced, and superoxide dismutase and glutathione peroxidase activities were significantly increased after chrysophanol treatment. Collectively, these findings indicate that chrysophanol can significantly reduce damage to hippocampal neurons in lead-exposed neonatal mice.
基金the "Eleventh Five-Year" Scientific and Technological Research Projects of the Education Department of Jilin Province, No. [2008]137
文摘Four weeks of uncertain stress was used to establish an animal model of chronic stress. Basic fibroblast growth factor was injected daily for 15 days following stress induction. Cell morphology in the hippocampal CA3 region of chronic stress mice revealed cell damage. Nitric oxide content and calcium concentration were significantly increased in the hippocampus, and learning and memory functions were significantly decreased. After basic fibroblast growth factor intervention, Ca2~ overload was decreased and neuronal damage was relieved in hippocampal neurons, which improved learning and memory functions in chronic stress mice. Latency was prolonged and the number of errors was decreased in a passive avoidance test.
文摘Clinical thinking have the uncertainty, by which there are not a few mistakes caused. So it is necessary to discuss how to deal with the uncertainty of clinical thinking, which originates from the uncertainty of the objective world, social world and medicine knowledge, and can be seen all over clinical activities;Critical thinking which cautious about the interpretation and prediction of scientific theory is the best practice to explore the uncertainty. The essential purpose of medicine is rescuing people, So it is necessary and scientific to take “excluding life-threatening symptoms first” as the first principle of clinical thinking, which is also the primary method to deal with the uncertainty of clinical thinking;By the limited certainty of clinical thinking, procedural thinking is conducive to building a safer health system that is “easy to do right and difficult to do wrong”.
文摘The performance degradation rates of the missile tank are generally time-varying functions uneasily evaluated by general classical evaluation methods. This paper develops a segmented nonlinear accelerated degradation model （SNADM） based on the equivalent method of accumulative damage theory, which tackles the problem that product life is difficult to be determined with degradation rate being a function of the variable of time. A segmented expression of the function of population accumulative degradation is derived. And combined with nonlinear function, an accelerated degradation function, i.e., SNADM is obtained. The parameters of the SNADM are identified by numerical iteration, and the statistical function of degradation track is extrapolated. The reliability function is determined through the type of random process of the degradation distribution. Then an evaluation of product storage life is undertaken by combining the statistical function of degradation track, reliability function and threshold. An example of a missile tank undergoes a step-down stress accelerated degradation test （SDSADT）, in which the results with the SNADM and the classical method are evaluated and compared. The technology introduced is validated with the resultant coincidence of both evaluated and field storage lives.
基金supported in part by the Hebei Province Key Research and Development Project(Grant No.203777119D,19227210D)in part by the Scientific Research Projects of Universities in Hebei Province(Grant No.ZD2021056)in part by the Hebei Province College and Middle School Students Science and Technology Innovation Ability Cultivation Project(Grant No.2021H060505)and part by China Agriculture Research System of MOF and MARA(CARS-21).
文摘The effects of temperature and step-down relative humidity controlled hot-air drying(THC-HAD)on the drying kinetics,energy efficiency and quality,i.e.,rehydration ratio(RR),color parameters(L*,a*,b*),total color difference(ΔE*),Panax notoginseng saponins(PNS)content,and ginsenosides content(R1,Rg1,Re,Rd,Rb1)of Panax notoginseng roots were evaluated.The drying time was significantly affected by the drying temperature followed by the relative humidity(RH)of the drying air.Special combination of drying conditions,i.e.,drying temperature of 50°C,relative humidity of 40%for 3 h and then continuous dehumidification from 40%to 8%allowed to shorten the drying time by 25%compared to drying at the same temperature and continuous dehumidification.The longer was the drying time under constant high RH of drying air,the lower was the RR of dried samples.The step-down RH strategy contributed to the formation of a porous structure,enhancement of drying efficiency and quality improvement.Generally,the ginsenosides content increased with the increase in temperature,while no obvious trend was recorded for ginsenoside R1.The contents of the ginsenoside R1,Rg1,Rb1 and PNS decreased with the increase in the drying time under constant high RH.Taking into account the drying time,energy consumption and quality attributes,drying at the temperature of 50°C,constant RH of 40%for 3 h and then step-down RH from 40%to 8%was proposed as the most favorable combination of drying conditions for dehydration of whole Panax notoginseng roots.
