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Clinical practice of sepsis-induced immunosuppression:Current immunotherapy and future options

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Chinese Journal of Traumatology 2024年第2期27卷 63-70页

作者： Fei Pei Bin gu Shu-Min Miao Xiang-dong guan Jian-Feng Wu Department of Critical Care Medicine The First Affiliated HospitalSun Yat-sen UniversityGuangzhou510080China guangdong Clinical Research Center for Critical Care Medicine Guangzhou510080China

Sepsis is a potentially fatal condition characterized by the failure of one or more organs due to a disordered host response to infection.The development of sepsis is closely linked to immune dysfunction.As a result,immunotherapy has gained traction as a promising approach to sepsis treatment,as it holds the potential to reverse immunosuppression and restore immune balance,thereby improving the prognosis of septic patients.However,due to the highly heterogeneous nature of sepsis,it is crucial to carefully select the appropriate patient population for immunotherapy.This review summarizes the current and evolved treatments for sepsis-induced immunosuppression to enhance clinicians'understanding and practical application of immunotherapy in the management of sepsis.

关键词： Sepsis Sepsis-induced immunosuppression Immunotherapy Enrichment Classifier

Anti-N-methyl-D-aspartate receptor type autoimmune encephalitis with severe pneumonia:a case report

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World Journal of Emergency Medicine 2024年第2期15卷 142-146页

作者： Yi gu Xiandong Liu Tiancao dong Qian Yang Xiaowei Bao dongyang Zhao Lunxian Tang Department of Internal Emergency Medicine Shanghai East HospitalSchool of MedicineTongji UniversityShanghai 200120China School of Medicine Tongji UniversityShanghai 200120China

Autoimmune encephalitis(AE)is a type of encephalitis caused by autoimmune disease.AE was included on a list of the first batch of 121 rare diseases published by the Chinese National Health Commission on 11^(th)May 2018.Currently,patients with AE account for 10%-20% of encephalitis cases,with 54%-80% of those cases classified as the anti-N-methyl-D-aspartate receptor(NMDAR)type,which is the most common type.[1]In 2010,China reported the first case of a patient withanti-NMDARtype AE.

关键词： encephalitis autoimmune aspartate

Novel variants in DNAH6 cause male infertility associated with multiple morphological abnormalities of the sperm flagella(MMAF)and ICSI outcomes

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Asian Journal of Andrology 2024年第1期26卷 91-98页

作者： Zhong-Mei Shao Yu-Tong Zhu Meng gu Sen-Chao guo Hui Yu Kuo-Kuo Li dong-dong Tang Yu-Ping Xu Ming-Rong Lv Reproductive Medicine Center Department of Obstetrics and Gynecologythe First Affiliated Hospital of Anhui Medical UniversityHefei 230022China Department of Obstetrics and Gynecology Fuyang Hospital of Anhui Medical UniversityFuyang 236112China NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract(Anhui Medical University) Hefei 230032China Key Laboratory of Population Health Across Life Cycle(Anhui Medical University) Ministry of Education of the People'sRepublicof ChinaHefei 230032China

Variations in the dynein axonemal heavy chain gene,dynein axonemal heavy chain 6(DNAH6),lead to multiple morphological abnormalities of the flagella.Recent studies have reported that these deficiencies may result in sperm head deformation.However,whether DNAH6 is also involved in human acrosome biogenesis remains unknown.The purpose of this study was to investigate DNAH6 gene variants and their potential functions in the formation of defective sperm heads and flagella.Whole-exome sequencing was performed on a cohort of 375 patients with asthenoteratozoospermia from the First Affiliated Hospital of Anhui Medical University(Hefei,China).Hematoxylin and eosin staining,scanning electron microscopy,and transmission electron microscopy were performed to analyze the sperm morphology and ultrastructure.Immunofluorescence staining and Western blot analysis were conducted to examine the effects of genetic variants.We identified three novel deleterious variants in DNAH6 among three unrelated families.The absence of inner dynein arms and radial spokes was observed in the sperm of patients with DNAH6 variants.Additionally,deficiencies in the acrosome,abnormal chromatin compaction,and vacuole-containing sperm heads were observed in these patients with DNAH6 variants.The decreased levels of the component proteins in these defective structures were further confirmed in sperm from patients with DNAH6 variants using Western blot.After intracytoplasmic sperm injection(ICSl)treatment,the partner of one patient with a DNAH6 variant achieved successful pregnancy.Overall,novel variants in DNAH6 genes that contribute to defects in the sperm head and flagella were identified,and the findings indicated Icsl as an effective clinical treatment for such patients.

关键词： asthenoteratospermia DNAH6 intracytoplasmic sperm injection male infertility

Semiannual oscillation,annual oscillation,quasibiennial oscillation,and solar cycle variation of the OH airglow emission in the mesopause region

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Earth and Planetary Physics 2024年第3期8卷 479-496页

作者： Sheng-Yang gu dong Wang YuSong Qin Liang Tang YaFei Wei XianKang Dou Electronic Information School Wuhan UniversityWuhan 430072China School of Optoelectronic Engineering Chongqing University of Posts and TelecommunicationsChongqing 400065China

The vertically integrated emission rate,centroid altitude,peak emission rate,and peak height of the hydroxyl(OH)airglow were calculated from Thermosphere Ionosphere Mesosphere Energetics and Dynamics(TIMED)/Sounding of the Atmosphere using Broadband Emission Radiometry(SABER)observations to study the seasonal and interannual variations in the intensity and location of the OH emission.The emission rate is inversely proportional to the height of the emission,with the semiannual oscillation dominating at low latitudes and the annual oscillation dominating at higher latitudes.The OH emission is modulated by the quasibiennial oscillation at the equator,and the quasibiennial oscillation signal is weak at other latitudes.We represented the vertical transport of atomic oxygen by using atomic oxygen concentrations obtained from a global atmospheric model,the Specified Dynamics Whole Atmosphere Community Climate Model with thermosphere and ionosphere eXtension simulations.Compared with the amplitudes of the migrating diurnal tide(DW1)calculated from temperature data observed by TIMED/SABER,we found that both the vertical transport of atomic oxygen and DW1 amplitudes in the equatorial region exhibit semiannual oscillation and quasibiennial oscillation,which have a strong correlation with the variations in the amplitude and phase of semiannual oscillation and quasibiennial oscillation in OH emission.It is likely that the DW1 affects the vertical transport of atomic oxygen that is involved in the reaction to produce O3,thus affecting the OH emission.We analyzed the relationship between OH emission and solar activity by using the solar radio flux at 10.7 cm as a proxy for solar activity.The results showed that the OH emission is well correlated with solar activity,and the modulation of OH emission by solar activity has a significant latitudinal variation.The small correlation between emission height and solar activity indicates that solar activity modulates OH emission mainly through chemical rather than dynamic processes.

关键词： OH airglow semiannual oscillation quasibiennial oscillation solar activity diurnal tide

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 Exploration China University of Petroleum (Beijing) Dagang Branch Research InstituteBGP

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 networks. These intelligent and automated methods significantly reduce manual labor, particularly in the laborious task of manually labeling seismic facies. However, the extensive demand for training data imposes limitations on their wider application. To 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 data. Additionally, we integrate spatial pyramid pooling and dilated convolution modules into the network architecture to enhance the perception of spatial information across a broader range. The 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 boundaries. Comparative analysis against the traditional UNet model reveals that our method achieves more accurate predictive classification results, as evidenced by various evaluation metrics for image segmentation. Obviously, 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 facies. This 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

Dynamic Response of A Group of Cylindrical Storage Tanks with Baffles Considering the Effect of Soil Foundation

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China Ocean Engineering 2024年第1期38卷 129-143页

作者： SUN Ying WANG Jia-dong HUO Rui-li ZHOU Ding gu Zhen-yuan QIAN Wang-ping School of Transportation and Civil Engineering Nantong UniversityNantong 226019China Faculty of Civil Engineering and Mechanics Jiangsu UniversityZhenjiang 212013China College of Civil Engineering Nanjing Tech UniversityNanjing 211816China

The sloshing in a group of rigid cylindrical tanks with baffles and on soil foundation under horizontal excitation is studied analytically.The solutions for the velocity potential are derived out by the liquid subdomain method.Equivalent models with mass-spring oscillators are established to replace continuous fluid.Combined with the least square technique,Chebyshev polynomials are employed to fit horizontal,rocking and horizontal-rocking coupling impedances of soil,respectively.A lumped parameter model for impedance is presented to describe the effects of soil on tank structures.A mechanical model for the soil-foundation-tank-liquid-baffle system with small amount of calculation and high accuracy is proposed using the substructure technique.The analytical solutions are in comparison with data from reported literature and numerical codes to validate the effectiveness and correctness of the model.Detailed dynamic properties and seismic responses of the soil-tank system are given for the baffle number,size and location as well as soil parameter.

关键词： cylindrical tanks multiple annular baffles equivalent analytical model soil−structure interaction subdomain method dynamic response

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 evaluated.In the beginning,a small perturbation stability model for the periodic flow in compressors is proposed,referring to the governing equations of the Harmonic Balance Method.This stability model is validated on a single-stage low-speed compressor TA36 with uniform inlet flow.Then,the unsteady flow of TA36 with different inlet total temperature ramps and constant back pressure is simulated based on the Harmonic Balance Method.Based on these simulations,the compressor stability is analyzed using the proposed small perturbation model.Further,the Dynamic Mode Decomposition method is employed to accurately extract pressure oscillations.The two parameters of the temperature ramp,ramp rate and Strouhal number,are discussed in this paper.The results indicate the occurrence and extension of hysteresis loops in the rows,and a decrease in compressor stability with increasing ramp rate.Compressor performance is divided into two phases,stable and limit,based on the ramp rate.Furthermore,the model predictions suggest that a decrease in period length and an increase in Strouhal number lead to improved compressor stability.The 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

A Three-Dimensional DEM Method for Trajectory Simulations of Rockfall under Irregular-Shaped Slope Surface and Rock Blocks

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Journal of Earth Science 2024年第1期35卷 306-312页

作者： Liang Chen Weiqian Zeng Xianbiao Wang Yang Ye Yunfeng Ge dongming gu Shan dong Huadong Engineering Corporation Limited Fuzhou 350003China Faculty of Engineering China University of GeosciencesWuhan 430074China Badong National Observation and Research Station of Geohazards China University of GeosciencesWuhan 430074China

0 INTRODUCTION.Rockfall is a common geological hazard that poses a serious threat to residents and infrastructures(Gao et al.,2022;Ye et al.,2022).The precise prediction of rockfall trajectories is essential to the design of protection engineering structures of rockfall(Ma et al.,2021).The discrete element modelling(DEM)is increasingly used to analyse rockfall movement paths.Ma et al.(2022)used Rockyfor3D software to obtain the possible trajectory of falling rock blocks.

关键词： rock prediction hazard

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 efficacy.The uncontrolled leakage of gas molecules during delivery seriously hinders its practical biological application.Herein,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 efficacy.This 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)S.More importantly,the photo-controlled production of^(1)O_(2)can induce 3-HF precise release of CO in the tumor location.Such H_(2)S,light,and^(1)O_(2)multi-parameter-induced activation of gas release strategy ensures the accuracy of GT to amplify PDT efficiency.As expected,in vitro and in vivo investigations show that GT makes up for the PDT limitation,exhibiting the highest tumor therapeutic effect.This 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