Proton pump inhibitors and all-cause mortality risk among cancer patients

BACKGROUND Proton pump inhibitors(PPIs)are widely used,including among cancer patients,to manage gastroesophageal reflux and other gastric acid-related disorders.Recent evidence suggests associations between long-term PPI use and higher risks for various adverse health outcomes,including greater mortality.AIM To investigate the association between PPI use and all-cause mortality among cancer patients by a comprehensive analysis after adjustment for various confounders and a robust methodological approach to minimize bias.METHODS This retrospective cohort study used data from the TriNetX research network,with electronic health records from multiple healthcare organizations.The study employed a new-user,active comparator design,which compared newly treated PPI users with non-users and newly treated histamine2 receptor antagonists(H2RA)users among adult cancer patients.Newly prescribed PPIs(esomeprazole,lansoprazole,omeprazole,pantoprazole,or rabeprazole)users were compared to non-users or newly prescribed H2RAs(cimetidine,famotidine,nizatidine,or ranitidine)users.The primary outcome was all-cause mortality.Each patient in the main group was matched to a patient in the control group using 1:1 propensity score matching to reduce confounding effects.Multivariable Cox regression models were used to estimate hazard ratios(HRs)and 95% confidence interval(CI).RESULTS During the follow-up period(median 5.4±1.8 years for PPI users and 6.5±1.0 years for non-users),PPI users demonstrated a higher all-cause mortality rate than non-users after 1 year,2 years,and at the end of follow up(HRs:2.34-2.72).Compared with H2RA users,PPI users demonstrated a higher rate of all-cause mortality HR:1.51(95%CI:1.41-1.69).Similar results were observed across sensitivity analyses by excluding deaths from the first 9 months and 1-year post-exposure,confirming the robustness of these findings.In a sensitivity analysis,we analyzed all-cause mortality outcomes between former PPI users and individuals who have never used PPIs,providing insights into the long-term effects of past PPI use.In addition,at 1-year follow-up,the analysis revealed a significant difference in mortality rates between former PPI users and non-users(HR:1.84;95%CI:1.82-1.96).CONCLUSION PPI use among cancer patients was associated with a higher risk of all-cause mortality compared to non-users or H2RA users.These findings emphasize the need for cautious use of PPIs in cancer patients and suggest that alternative treatments should be considered when clinically feasible.However,further studies are needed to corroborate our findings,given the significant adverse outcomes in cancer patients.

Estimating regional coal resource efficiency in China using three-stage DEA and bootstrap DEA models

Based on three-stage data envelopment analysis(DEA) model estimates of resource utilization efficiency of coal,we selected 29 provinces from China's 2012 input-output data and used the bootstrap DEA model to correct the bias.The results show that the mean overall technical efficiency,pure technical efficiency,and scale efficiency was 0.833,0.998,and 0.711 in 2012,respectively.Moreover,the comprehensive technical efficiency score indicates that the scale is invalid.Area utilization efficiencies for the eastern,central,and western regions were 0.917,0.731,and 0.629,respectively.The results prove that there are significant differences in the distribution of coal resources utilization efficiency across regions.

Investigation on seismic response of a three-stage soil slope supported by anchor frame structure

Based on a typical prototype of a soil slope in engineering practice, a numerical model of a three-stage soil slope supported by the anchor frame structure was established by means of FLAC3D code. The dynamic responses of three-stage soil slope and frame structure were studied by performing a series of bidirectional Wenchuan motions in terms of the failure mode of three-stage structure, the acceleration of soil slope, the displacement of frame structure, and the anchor stress of frame structure. The response accelerations in both horizontal and vertical directions are the most largely amplified at the slope top of each stage subjected to different shaking cases. The platforms among the stages reduce the amplification effect of response acceleration. The residual displacement of frame structure increases significantly as the intensity of shaking case increases. The frame structure at each stage presents a combined displacement mode consisting of a translation and a rotation around the vertex. The anchor stress of frame structure is mainly increased by the first intense pulse of Wenchuan seismic wave, and it is sensitive to the intensity of shaking case. The anchor stress of frame structure at the first stage is the most considerably enlarged by earthquake loading.

Production Efficiency of Two-Oriented Agriculture Based on Three-Stage DEA Model

Two-oriented agriculture was a complex organism coupling production,economics,society and ecology.Its development process was affected by various factors such as producers,nature,society,etc.In order to overcome measurement error of traditional data envelopment analysis caused by ignoring random,three-stage DEA model was studied to remove environmental factors and random effects.On the foundation of this model was two-oriented agriculture comprehensive production efficiency of 14 cities were estimated in Hunan Province in 2008,and brown forth corresponding policy proposals to promote agricultural development.

An Analysis of Operational Efficiency of Agricultural Insurance Agency:Based on Three-Stage DEA Model

From the perspective of agricultural insurance agency,this paper focuses on the study of operational efficiency of agricultural insurance agency,and analyzes the operational efficiency of agricultural insurance agency and its influencing factors,in order to improve the operational efficiency of agricultural insurance agency,better supply agricultural insurance and achieve the policy effect of agricultural insurance.The results of this paper are as follows:( i) Either comprehensive operational efficiency or scale efficiency of Chinese-funded agency is higher than that of foreign-funded agency,but its pure technical efficiency is lower than that of foreign-funded agency,indicating that the managerial decision ability of Chinese-funded agency is weaker than that of foreign-funded agency,and needs to be improved;( ii) The operational efficiency of professional agricultural insurance agency is higher than that of comprehensive agricultural insurance agency,and the agricultural insurance agency is greatly affected by environmental factors;( iii) The operating time of agricultural insurance agency is proportional to its operational efficiency;( iv) The quality of employees is positively correlated with the capital and cost input difference,but negatively correlated with the difference in the number of employees. Therefore,it is necessary to pay attention to the improvement of employees' working efficiency while laying emphasis on employees' quality.

Contribution to the Optimization of the Transient Stability of an Electric Power Transmission Network Using a Universal Power Flow Compensator Controlled by a Three-Stage Inverter

The use of an electrical network as close as possible to its limits can lead to its instability in the event of a high amplitude disturbance. The damping of system oscillations can be achieved by conventional means of voltage and speed regulation but also by FACTS (Flexible AC Transmission Systems) devices, which are increasingly used in power networks. In this work, optimal control coordination between a hybrid power flow controller and a three-level inverter was used to improve the transient stability of a transmission line. The UPFC is a combination of a serial compensator (SSSC) and a parallel compensator (STATCOM) both connected to a DC-LINK DC bus. The SSSC acts as a voltage source for the network and injects a voltage that can be adjusted in phase and amplitude in addition to the network voltage;the STATCOM acts as a current source. The approach used is tested in the Matlab Simulink environment on a single machine network. Optimal controller tuning gives a better transient stability improvement by reducing the transport angle oscillations from 248.17% to 9.85%.

Improving Bandwidth of Three-Stage Electro-Hydraulic Servo Valve Based on Speed-Feedback

In order to improve the dynamic response bandwidth of three-stage electro-hydraulic servo valve,a new method,speed-feedback control is presented in this paper.The construction and principle of three-stage electro-hydraulic servo valve are explained,and the mathematical model of three-stage electro-hydraulic servo valve is built in frequency domain.Experimental and simulation results show that the bandwidth compared with proportional control is improved under speed-feedback control.Moreover,the research results play an important role in developing high performance three-stage electro-hydraulic servo valve.

Numerical Simulation of Enhanced Oil-Water Separation in a Three-Stage Double-Stirring Extraction Tank

Numerical simulation of enhanced fluid flow characteristics in a three-stage double-stirring extraction tank was conducted with the coupling of an Eulerian multiphase flow model and a Morsi-Alexander interphase drag force model. Results show that the addition of a stirring device into the settler can efficiently reduce the volume fraction of out-of-phase impurity in the outlet, and accelerate the settling separation of oil-water mixture. Such addition can also effectively break down the oil-water-wrapped liquid droplets coming from the mixer, inhibit reflux from the outlet, and improve the oil-water separation. The addition of a stirring device induces ignorable power consumption compared with that by the mixer, and can thus facilitate the commercialized promotion of this novel equipment.

A Unique Orogenic System with Three-Stage Rapakivi Granites in the World：Proterozoic,Palaeozoic and Mesozoic Rapakivi Granites in the China Central Orogenic System

Objective Rapakivi granites,characterized by rapakivi texture,Atype granite feature and an anorogenic setting,commonly occur in the Proterozoic of the Northern Hemisphere（Fig.la）.Recently,more and more Phanerozoic rapakivi granite suites have been identified and some even occur in orogenic belts.Significantly,three-stage,Proterozoic.

A Comparative Study on the Land Use Efficiency of Three Urban Agglomerations-Based on the Three-Stage DEA Model

This paper uses a three-stage DEA model to measure the land use efficiency of the three major urban agglomerations in the Yangtze River Delta,Beijing-Tianjin-Hebei,and the Pearl River Delta from 2007 to 2018.The following conclusions are drawn through research:first,the urban land use efficiency of the three major urban agglomerations in the Yangtze River Delta,Beijing-Tianjin-Hebei,and the Pearl River Delta all showed a downward trend,with the rates of decline being 6.06%,2.86%,and 24.34%respectively.In particular,the Pearl River Delta urban agglomeration had the largest decline.Second,the overall urban land use efficiency of the Beijing-Tianjin-Hebei urban agglomeration is relatively high,and the amount of redundancy is relatively small.The rate of decline is significantly lower than the urban land use efficiency of the two major urban agglomerations in the Yangtze River Delta and the Pearl River Delta.The land use efficiency of the Yangtze River Delta and Pearl River Delta urban agglomerations is in a state of continuous decline.Third,the proportion of cities with the effectiveness of returns to scale of urban land use efficiency in the three major urban agglomerations has decreased by 10.53%,10%,and 33.34%,respectively.The Pearl River Delta has the largest decline.Fourth,the land use efficiency of the Yangtze River Delta urban agglomeration is quite different.The central-peripheral phenomenon is evident for the Beijing-Tianjin-Hebei urban agglomerations and the Pearl River Delta urban agglomerations.

Effects of standardized three-stage rehabilitation combined with edaravone therapy on the neurotrophic state and oxidative stress injury in patients with cerebral infarction

Objective: To investigate the effects of standardized three-stage rehabilitation combined with edaravone therapy on the neurotrophic state and oxidative stress injury in patients with cerebral infarction. Methods: A total of 90 patients with acute cerebral infarction who were treated in the hospital between May 2015 and April 2017 were divided into control group (n=45) and observation group (n=45) by random number table. Control group received edaravone therapy, and observation group received standardized three-stage rehabilitation combined with edaravone therapy. The differences in neurotrophic state and oxidative stress injury were compared between the two groups before and after treatment. Results: There was no statistically significant difference in serum levels of neurotrophic indexes and oxidative stress indexes between the two groups before treatment. After treatment, serum neurotrophic indexes BDNF and NGF levels of observation group were higher than those of control group;serum oxidation indexes AOPPs, LHP and MDA levels were lower than those of control group whereas SOD, CAT and T-AOC levels were higher than those of control group. Conclusion:Standardized three-stage rehabilitation combined with edaravone therapy can effectively optimize the neurotrophic state and inhibit the oxidative stress in patients with cerebral infarction.

A Three-section Algorithm of Dynamic Programming Based on Three-stage Decomposition System Model for Grade Transition Trajectory Optimization Problems

This paper introduces a practical solving scheme of gradetransition trajectory optimization(GTTO) problems under typical certificate-checking–updating framework. Due to complicated kinetics of polymerization,differential/algebraic equations(DAEs) always cause great computational burden and system non-linearity usually makes GTTO non-convex bearing multiple optima. Therefore, coupled with the three-stage decomposition model, a three-section algorithm of dynamic programming(TSDP) is proposed based on the general iteration mechanism of iterative programming(IDP) and incorporated with adaptivegrid allocation scheme and heuristic modifications. The algorithm iteratively performs dynamic programming with heuristic modifications under constant calculation loads and adaptively allocates the valued computational resources to the regions that can further improve the optimality under the guidance of local error estimates. TSDP is finally compared with IDP and interior point method(IP) to verify its efficiency of computation.

A CENTRAL-STAGE BUFFERED THREE-STAGE CLOS SWITCHING FABRIC AND THE SCHEDULING ALGORITHM

Current MSM switching fabric has poor performance under unbalanced traffic. This paper presents an alternative, novel Central-stage Buffered Three-stage Clos switching (CB-3Clos) fabric and proves that this fabric can emulate output queuing switch without any speedup. By analyzing the condition to satisfy the central-stage load-balance, this paper also proposes a Central-stage Load-balanced-based Distributed Scheduling algorithm (CLDS) for CB-3Clos. The results show that, compared with Concurrent Round-Robin based Dispatching (CRRD) algorithm based on MSM, CLDS algorithm has high throughput irrespective with the traffic model and better performance in mean packet delay.

Two-Stage Inspection Model Based on a Three-Stage Failure Process

As the non-periodic inspections are common in practice,a two-stage inspection model based on a three-stage failure process is proposed. The two-stage inspection means that the system is inspected with the first inspection interval T_1 and the second inspection interval T_2. Because of the three color schemes commonly used in industry,three stages are divided by the system lifetime:normal, minor defective and severe defective stages. Upon the failure of the system,replacement is carried out. Maintenance is done once identifying the severe defective stage. However,when the minor defective stage is identified by the second inspection interval T_2,action of halving the subsequent inspection interval is adopted.Otherwise,no action is required. Our objective function is to optimize the inspection intervals so as to minimize the expected cost per unit time. Finally,a numerical example is presented to illustrate the effectiveness of the proposed model.

Effects of proton pump inhibitors on inflammatory bowel disease:An updated review

Inflammatory bowel disease(IBD)is believed to be caused by various factors,including abnormalities in disease susceptibility genes,environmental factors,immune factors,and intestinal bacteria.Proton pump inhibitors(PPIs)are the primary drugs used to treat acid-related diseases.They are also commonly prescribed to patients with IBD.Recent studies have suggested a potential association between the use of certain medications,such as PPIs,and the occurrence and progression of IBD.In this review,we summarize the potential impact of PPIs on IBD and analyze the underlying mechanisms.Our findings may provide insights for conducting further investigations into the effects of PPIs on IBD and serve as an important reminder for physicians to exercise caution when prescribing PPIs to patients with IBD.

Ultra-Robust and High-Performance Rotational Triboelectric Nanogenerator by Bearing Charge Pumping

As an emerging technology to convert environmental high-entropy energy into electrical energy,triboelectric nanogenerator(TENG)has great demands for further enhancing the service lifetime and output performance in practical applications.Here,an ultra-robust and high-performance rotational triboelectric nanogenerator(R-TENG)by bearing charge pumping is proposed.The R-TENG composes of a pumping TENG(P-TENG),an output TENG(O-TENG),a voltage-multiplying circuit(VMC),and a buffer capacitor.The P-TENG is designed with freestanding mode based on a rolling ball bearing,which can also act as the rotating mechanical energy harvester.The output low charge from the P-TENG is accumulated and pumped to the non-contact O-TENG,which can simultaneously realize ultralow mechanical wear and high output performance.The matched instantaneous power of R-TENG is increased by 32 times under 300 r/min.Furthermore,the transferring charge of R-TENG can remain 95%during 15 days(6.4×10^(6)cycles)continuous operation.This work presents a realizable method to further enhance the durability of TENG,which would facilitate the practical applications of high-performance TENG in harvesting distributed ambient micro mechanical energy.

An NMOS output-capacitorless low-dropout regulator with dynamic-strength event-driven charge pump

In this paper,an NMOS output-capacitorless low-dropout regulator(OCL-LDO)featuring dual-loop regulation has been proposed,achieving fast transient response with low power consumption.An event-driven charge pump(CP)loop with the dynamic strength control(DSC),is proposed in this paper,which overcomes trade-offs inherent in conventional structures.The presented design addresses and resolves the large signal stability issue,which has been previously overlooked in the event-driven charge pump structure.This breakthrough allows for the full exploitation of the charge-pump structure's poten-tial,particularly in enhancing transient recovery.Moreover,a dynamic error amplifier is utilized to attain precise regulation of the steady-state output voltage,leading to favorable static characteristics.A prototype chip has been fabricated in 65 nm CMOS technology.The measurement results show that the proposed OCL-LDO achieves a 410 nA low quiescent current(IQ)and can recover within 30 ns under 200 mA/10 ns loading change.

Calculation of Agricultural Production Efficiency Based on a Three-stage Data Envelopment Analysis Model and Analysis of the Spatial-temporal Characteristics: A Case Study of the Yangtze River Economic Belt

In response to the strategic call for the " Great Protection" of the Yangtze River Economic Belt and to fulfill the important historical tasks assigned by the state to the provinces and cities of the area,the Yangtze River Economic Belt is adjusting the agricultural industry structure,optimizing the input-output ratio,and ensuring stable and sustainable agricultural production. Based on the combination of the three-stage Data Envelopment Analysis( DEA) model and cluster analysis,this study examined the Yangtze River Economic Belt from 2008 to 2018 to measure its agricultural production efficiency and to analyze its temporal and spatial characteristics. Studies showed that exogenous environmental factors significantly( P < 5%) impacted agricultural production efficiency in the Yangtze River Economic Zone,and there were temporal and spatial differences. These included:(1) after excluding environmental factors,the overall agricultural production efficiency of the Yangtze River Economic Zone had improved. Sichuan Province and Jiangsu Province were at the forefront of efficiency,whereas the agricultural production efficiency of Shanghai had declined obviously.(2) The agricultural production efficiency of the Yangtze River Economic Belt varied year by year,with fluctuating development. The middle reaches of the Yangtze River had advanced agricultural production efficiency more than the upstream and downstream regions,and the agricultural production efficiency of the individual provinces did not match their economic and social development.(3) Increases in labor,land,irrigation,and other input factors increased agriculture production efficiency,and there was no correlation between fiscal investment,per capita gross domestic product( GDP) and agricultural production efficiency,while the disaster-affected area had a significantly negative impact on agricultural production efficiency.

Preface:Development and utilization of pumped storage in closed/abandoned mines

China has embarked on an extensive and sustained endeavor to harness its coal resources for a substantial period.However,the depletion of coal reserves in mining regions has necessitated the closure or abandonment of numerous mines,resulting in a marked increase in the number of such facilities.Parallel to this,China is vigorously advancing the development of a novel energy power system,aimed at transitioning the power sector from a high-carbon,fossil fuel-dependent paradigm to a low-carbon,clean energy footing.

An LED-Side-Pumped Intracavity Frequency-Doubled Nd,Ce:YAG Laser Producing a 2W Q-Switched Red Beam

We report a high-average-power acousto-optic(AO)Q-switched intracavity frequency-doubled red laser based on a high-efficiency light-emitting-diode(LED)pumped two-rod Nd,Ce:YAG laser module.Under quasi-continuous wave operation conditions,a maximum output power of 1319.08 nm wavelength was achieved at 11.26 W at a repetition rate of 100 Hz.