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Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis

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World Journal of Psychiatry 2024年第6期14卷 913-919页

作者： chun-Xia Huang Xiao-Yan Xu dong-Mei gu Hui-Ping Xue Department of Outpatient The Affiliated Hospital of Nantong UniversityNantong 226001Jiangsu ProvinceChina Emergency Intensive Care Unit The Affiliated Hospital of Nantong UniversityNantong 226001Jiangsu ProvinceChina Department of Nursing The Affiliated Hospital of Nantong UniversityNantong 226001Jiangsu ProvinceChina

BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)*** staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological *** To investigate the effects of psychological intervention in ICU patients with *** One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization *** control and observation groups received routine nursing and psychological interventions,*** groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of *** After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

关键词： Severe acute pancreatitis Intensive care unit nursing Psychological intervention Changes of psychological status Short Form Health Survey

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Context Processing in Contextual and Cued Fear Extinction

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Neuroscience Bulletin 2024年第6期40卷 835-839页

作者： Yimu Zhang chun Xu Yu gu State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science Institutes of Brain ScienceFudan UniversityShanghai200032China Institute of Neuroscience State Key Laboratory of NeuroscienceCenter for Excellence in Brain Science and Intelligence TechnologyChinese Academy of SciencesShanghai200031China

Anxiety disorders such as post-traumatic stress disorder(PTSD)are prevalent mental disorders that disturb millions *** disorders often manifest as excessive fear,anxiety,and distress,significantly impacting daily *** fear extinction paradigms in animals were established decades ago and have been widely used in research,providing a scientific basis for exposure therapies for anxiety disorders in humans.

关键词： distress disorders traumatic

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Preparation of water-soluble tantalum nanoparticles and their radiosensitization application

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Tungsten 2024年第4期6卷 748-758页

作者： Wang Zhang Shuang-Long Du Zhi-guo Zhang Tao Wang chun-Jian Su Xing-Hua dong Shuang Zhu Zhan-Jun gu College of Mechanical and Electronic Engineering Shandong University of Science and Technology CAS Key Laboratory for Biomedical Eff ects of Nanomaterials and Nanosafety Institute of High Energy Physics Chinese Academy of Science GBA Research Innovation Institute for Nanotechnology CAS Center for Excellence in Nanoscience National Center for Nanoscience and Technology of China Chinese Academy of Sciences

Radiation therapy(RT) that utilizes high dose of ionizing radiation to kill tumor cells is a common cancer treatment ***,the effectiveness of RT is limited by the tolerance of normal tissue surrounding the *** high atom number(Z) element-based radio sensitizers to increase energy deposit inside tumor cells can achieve better carcinoma *** nanoparticles(Ta NPs) exhibit good radiotherapy sensitization ***,achieving the water solubility of Ta NPs is *** study reported a mechanochemical method for obtaining Ta NPs modified with sodium hexametaphosphate(SHMP) for radiotherapy sensitization *** results showed that the water solubility of Ta NPs modified with SHMP was significantly *** biocompatibility and radio sensitizing ability are also verified at both cellular and animal levels.

关键词： Mechanochemical method Radiotherapy sensitization Sodium hexametaphosphate Tantalum nanoparticles

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Boosted Lithium-Ion Transport Kinetics in n-Type Siloxene Anodes Enabled by Selective Nucleophilic Substitution of Phosphorus

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Nano-Micro Letters 2024年第10期16卷 618-637页

作者： Se In Kim Woong-Ju Kim Jin gu Kang dong-Wan Kim School of Civil Environmental and Architectural EngineeringKorea University02841 SeoulSouth Korea Nanophotonics Research Center Korea Institute of Science and Technology02792 SeoulSouth Korea

Doped two-dimensional(2D)materials hold significant promise for advancing many technologies,such as microelectronics,optoelectronics,and energy ***,n-type 2D oxidized Si nanosheets,namely n-type siloxene(n-SX),are employed as Li-ion battery *** thermal evaporation of sodium hypophosphite at 275℃,P atoms are effectively incorporated into siloxene(SX)without compromising its 2D layered morphology and unique Kautsky-type crystal ***,selective nucleophilic substitution occurs,with only Si atoms being replaced by P atoms in the O_(3)≡Si-H *** resulting n-SX possesses two delocalized electrons arising from the presence of two electron donor types:(i)P atoms residing in Si sites and(ii)H *** doping concentrations are varied by controlling the amount of precursors or their mean free *** at 2000 mA g^(-1),the n-SX electrode with the optimized doping concentration(6.7×10^(19) atoms cm^(-3))delivers a capacity of 594 mAh g^(-1) with a 73%capacity retention after 500 *** improvements originate from the enhanced kinetics of charge transport processes,including electronic conduction,charge transfer,and solid-state *** approach proposed herein offers an unprecedented route for engineering SX anodes to boost Li-ion storage.

关键词： Li-ion battery Two-dimensional N-type siloxene Doping mechanism Kinetics

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Multimorbidity and mortality among older patients with coronary heart disease in Shenzhen,China

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Journal of Geriatric Cardiology 2024年第1期21卷 81-89页

作者： Fu-Rong LI Shuang WANG Xia LI Zhi-Yuan CHENG Cheng JIN chun-Bao MO Jing ZHENG Feng-Chao LIANG dong-Feng gu Shenzhen Key Laboratory of Cardiovascular Health and Precision Medicine Southern University of Science and TechnologyShenzhenGuangdongChina School of Public Health and Emergency Management Southern University of Science and TechnologyShenzhenGuangdongChina Shenzhen Health Development Research and Data Management Center ShenzhenChina School of Medicine Southern University of Science and TechnologyShenzhenGuangdongChina

BACKGROUND The current understanding of the magnitude and consequences of multimorbidity in Chinese older adults with coronary heart disease(CHD)is *** aimed to assess the association and population-attributable fractions(PAFs)between multimorbidity and mortality among hospitalized older patients who were diagnosed with CHD in Shenzhen,*** We conducted a retrospective cohort study of older Chinese patients(aged≥65 years)who were diagnosed with *** proportional hazards models were used to estimate the associations between multimorbidity and all-cause and cardiovascular disease(CVD)*** also calculated the *** The study comprised 76,455 older hospitalized patients who were diagnosed with CHD between January 1,2016,and August 31,*** them,70,217(91.9%)had multimorbidity,defined as the presence of at least one of the predefined 14 chronic *** with cancer,hemorrhagic stroke and chronic liver disease had the worst overall death risk,with adjusted HRs(95%CIs)of 4.05(3.77,4.38),2.22(1.94,2.53),and 1.85(1.63,2.11),*** CVD mortality,the highest risk was observed for hemorrhagic stroke,ischemic stroke,and chronic kidney disease;the corresponding adjusted HRs(95%CIs)were 3.24(2.77,3.79),1.91(1.79,2.04),and 1.81(1.64,1.99),***-cause mortality was mostly attributable to cancer,heart failure and ischemic stroke,with PAFs of 11.8,10.2,and 9.1,*** for CVD mortality,the leading PAFs were heart failure,ischemic stroke and diabetes;the corresponding PAFs were 18.0,15.7,and 6.1,*** Multimorbidity was common and had a significant impact on mortality among older patients with CHD in Shenzhen,***,heart failure,ischemic stroke and diabetes are the primary contributors to ***,prioritizing improved treatment and management of these comorbidities is essential for the survival prognosis of CHD patients from a holistic public health perspective.

关键词： patients morbidity mortality

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A Methodology for Assessing Axial Compressor Stability with Inlet Temperature Ramp Distortion

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Journal of Thermal Science 2024年第3期33卷 856-871页

作者： SUN Dakun gu Benhao NING Fangfei FANG Yibo dong Xu XU Dengke SUN Xiaofeng School of Energy and Power Engineering Beihang UniversityBeijing102206China Research Institute of Aero-engine Beihang UniversityBeijing102206China

Based on a small perturbation stability model for periodic flow,the effects of inlet total temperature ramp distortion on the axial compressor are investigated and the compressor stability is quantitatively *** the beginning,a small perturbation stability model for the periodic flow in compressors is proposed,referring to the governing equations of the Harmonic Balance *** stability model is validated on a single-stage low-speed compressor TA36 with uniform inlet ***,the unsteady flow of TA36 with different inlet total temperature ramps and constant back pressure is simulated based on the Harmonic Balance *** on these simulations,the compressor stability is analyzed using the proposed small perturbation ***,the Dynamic Mode Decomposition method is employed to accurately extract pressure *** two parameters of the temperature ramp,ramp rate and Strouhal number,are discussed in this *** results indicate the occurrence and extension of hysteresis loops in the rows,and a decrease in compressor stability with increasing ramp *** performance is divided into two phases,stable and limit,based on the ramp ***,the model predictions suggest that a decrease in period length and an increase in Strouhal number lead to improved compressor *** DMD results imply that for compressors with inlet temperature ramp distortion,the increase of high-order modes and oscillations at the rotor tip is always the signal of decreasing stability.

关键词： axial compressor stability small perturbation model inlet temperature ramp distortion harmonic balance method dynamic mode decomposition method

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Meta Shack–Hartmannwavefront sensor with large sampling density and large angular field of view:phase imaging of complex objects

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Light(Science & Applications) 2024年第9期13卷 1908-1918页

作者： Gi-Hyun Go dong-gu Lee Jaeyeon Oh Gookho Song Doeon Lee Mooseok Jang Department of Bio and Brain Engineering Korea Advanced Institute of Science and Technology(KAIST)DaejeonRepublic of Korea

Shack–Hartmann wavefront sensors measure the local slopes of an incoming wavefront based on the displacement of focal spots created by a lenslet array,serving as key components for adaptive optics for astronomical and biomedical ***,the challenges in increasing the density and the curvature of the lenslet have limited the use of such wavefront sensors in characterizing slowly varying wavefront ***,we develop a metasurfaceenhanced Shack–Hartmann wavefront sensor(meta SHWFS)to break this limit,considering the interplay between the lenslet parameters and the performance of *** experimentally validate the meta SHWFS with a sampling density of 5963 permm2 and a maximum acceptance angle of 8°which outperforms the traditional SFWFS by an order of ***,to the best of our knowledge,we demonstrate the first use of a wavefront sensing scheme in single-shot phase imaging of highly complex patterns,including biological tissue *** proposed approach opens up new opportunities in incorporating exceptional light manipulation capabilities of the metasurface platform in complex wavefront characterization.

关键词： angular curvature exceptional

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An improved deep dilated convolutional neural network for seismic facies interpretation

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Petroleum Science 2024年第3期21卷 1569-1583页

作者： Na-Xia Yang guo-Fa Li Ting-Hui Li dong-Feng Zhao Wei-Wei gu State Key Laboratory of Petroleum Resources and Engineering CNPC Key Lab of Geophysical ExplorationChina University of Petroleum(Beijing)Beijing 102249China Dagang Branch Research InstituteBGPTianjin300280China

With the successful application and breakthrough of deep learning technology in image segmentation,there has been continuous development in the field of seismic facies interpretation using convolutional neural *** intelligent and automated methods significantly reduce manual labor,particularly in the laborious task of manually labeling seismic ***,the extensive demand for training data imposes limitations on their wider *** overcome this challenge,we adopt the UNet architecture as the foundational network structure for seismic facies classification,which has demonstrated effective segmentation results even with small-sample training ***,we integrate spatial pyramid pooling and dilated convolution modules into the network architecture to enhance the perception of spatial information across a broader *** seismic facies classification test on the public data from the F3 block verifies the superior performance of our proposed improved network structure in delineating seismic facies *** analysis against the traditional UNet model reveals that our method achieves more accurate predictive classification results,as evidenced by various evaluation metrics for image ***,the classification accuracy reaches an impressive 96%.Furthermore,the results of seismic facies classification in the seismic slice dimension provide further confirmation of the superior performance of our proposed method,which accurately defines the range of different seismic *** approach holds significant potential for analyzing geological patterns and extracting valuable depositional information.

关键词： Seismic facies interpretation Dilated convolution Spatial pyramid pooling Internal feature maps Compound loss function

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A multi-parameter-induced activation of gas therapeutic platform to remarkably amplify photodynamic therapy efficacy

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Science China Chemistry 2024年第7期67卷 2403-2411页

作者： Jie Sun Ziwen Zhang Hongyu Wu Xuemei dong Chengjun dong Lixin Sun Zhiqian guo Yingchao Liu Xianfeng gu chunchang Zhao Key Laboratory for Advanced Materials and Feringa Nobel Prize Scientist Joint Research Center Institute of Fine ChemicalsSchool of Chemistry and Molecular EngineeringEast China University of Science and TechnologyShanghai 200237China Department of Medicinal Chemistry School of PharmacyFudan UniversityShanghai 201203China Shandong Provincial Hospital Affiliated to Shandong First Medical University Shandong First Medical University&Shandong Academy of Medical ScienceJinan 250021China

Gas therapy(GT)combined with photodynamic therapy(PDT)is an effective strategy to compensate for the PDT limitation caused by the hypoxic tumor microenvironment,which can greatly improve PDT *** uncontrolled leakage of gas molecules during delivery seriously hinders its practical biological ***,we report a multifunction nanomedicine that enables precise gas therapy(including carbon monoxide(CO)release and H_(2)S depletion)using a multi-parameter-induced activation gas release strategy,enlarging the PDT *** nanomedicine uses a disulfide bond to covalently link a photosensitizer with the CO donor 3-hydroxyflavone(3-HF).The disulfide bond can be specifically consumed in H_(2)S-rich tumor areas,releasing the CO donor(3-HF),and also depleting H_(2)*** importantly,the photo-controlled production of^(1)O_(2)can induce 3-HF precise release of CO in the tumor *** H_(2)S,light,and^(1)O_(2)multi-parameter-induced activation of gas release strategy ensures the accuracy of GT to amplify PDT *** expected,in vitro and in vivo investigations show that GT makes up for the PDT limitation,exhibiting the highest tumor therapeutic *** multi-parameter-activated design strategy provides a new way to improve the precision and efficacy of multimodal synergistic therapy of tumors.

关键词： gas therapy precision gas release hydrogen sulfide depletion photodynamic therapy multimodal synergistic therapy

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A deep Q-learning model for sequential task offloading in edge AI systems

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Intelligent and Converged Networks 2024年第3期5卷 207-221页

作者： dong Liu Shiheng gu Xinyu Fan Xu Zheng Department of Computer Science and Engineering University of Electronic Science and Technology of ChinaChengdu 610000China Shenzhen Institute for Advanced Study University of Electronic Science and Technology of ChinaShenzhen 515100China Department of Information and Software Engineering University of Electronic Science and Technology of ChinaChengdu 610000China

Currently,edge Artificial Intelligence(AI)systems have significantly facilitated the functionalities of intelligent devices such as smartphones and smart cars,and supported diverse applications and *** fundamental supports come from continuous data analysis and computation over these *** the resource constraints of terminal devices,multi-layer edge artificial intelligence systems improve the overall computing power of the system by scheduling computing tasks to edge and cloud servers for *** efforts tend to ignore the nature of strong pipelined characteristics of processing tasks in edge AI systems,such as the encryption,decryption and consensus algorithm supporting the implementation of Blockchain ***,this paper proposes a new pipelined task scheduling algorithm(referred to as PTS-RDQN),which utilizes the system representation ability of deep reinforcement learning and integrates multiple dimensional information to achieve global task ***,a co-optimization strategy based on Rainbow Deep Q-Learning(RainbowDQN)is proposed to allocate computation tasks for mobile devices,edge and cloud servers,which is able to comprehensively consider the balance of task turnaround time,link quality,and other factors,thus effectively improving system performance and user *** addition,a task scheduling strategy based on PTS-RDQN is proposed,which is capable of realizing dynamic task allocation according to device *** results based on many simulation experiments show that the proposed method can effectively improve the resource utilization,and provide an effective task scheduling strategy for the edge computing system with cloud-edge-end architecture.

关键词： edge computing task scheduling reinforcement learning Rainbow Deep Q-Learning(RainbowDQN)

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