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Development and validation of a nomogram model for predicting the risk of pre-hospital delay in patients with acute myocardial infarction

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World Journal of Cardiology 2024年第2期16卷 80-91页

作者： Jiao-Yu Cao Li-Xiang Zhang xiao-juan zhou Department of Cardiology The First Affiliated Hospital of USTCDivision of Life Science and MedicineUniversity of Science and Technology of ChinaHefei 230001Anhui ProvinceChina

BACKGROUND Acute myocardial infarction(AMI)is a severe cardiovascular disease caused by the blockage of coronary arteries that leads to ischemic necrosis of the *** medical contact is critical for successful AMI treatment,and delays increase the risk of death for ***-hospital delay time(PDT)is a significant challenge for reducing treatment times,as identifying high-risk patients with AMI remains *** study aims to construct a risk prediction model to identify high-risk patients and develop targeted strategies for effective and prompt care,ultimately reducing PDT and improving treatment *** To construct a nomogram model for forecasting pre-hospital delay(PHD)likelihood in patients with AMI and to assess the precision of the nomogram model in predicting PHD *** A retrospective cohort design was employed to investigate predictive factors for PHD in patients with AMI diagnosed between January 2022 and September *** study included 252 patients,with 180 randomly assigned to the development group and the remaining 72 to the validation group in a 7:3 *** risk factors influencing PHD were identified in the development group,leading to the establishment of a nomogram model for predicting PHD in patients with *** model's predictive performance was evaluated using the receiver operating characteristic curve in both the development and validation *** Independent risk factors for PHD in patients with AMI included living alone,hyperlipidemia,age,diabetes mellitus,and digestive system diseases(P<0.05).A characteristic curve analysis indicated area under the receiver operating characteristic curve values of 0.787(95%confidence interval:0.716–0.858)and 0.770(95%confidence interval:0.660-0.879)in the development and validation groups,respectively,demonstrating the model's good discriminatory *** Hosmer–Lemeshow goodness-of-fit test revealed no statistically significant disparity between the an

关键词： Pre-hospital delay Acute myocardial infarction Risk prediction Nomogram

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A large area ^(3)He tube array detector with vacuum operation capacity for the SANS instrument at the CSNS

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Nuclear Science and Techniques 2022年第7期33卷 83-92页

作者： Xing-Fen Jiang Jian-Rong zhou Hong Luo Liang xiao xiao-juan zhou Hong Xu Yuan-Guang Xia xiao-Guang Wu Lin Zhu Wen-Qing Yang Gui-An Yang Bei-Ju Guan Hong-Yu Zhang Yu-Bin Zhao Zhi-Jia Sun Yuan-Bo Chen State Key Laboratory of Particle Detection and Electronics Institute of High Energy PhysicsChinese Academy of SciencesBeijing100049China Spallation Neutron Source Science Center Dongguan523803China University of Chinese Academy of Sciences Beijing100049China

The small-angle neutron scattering(SANS)instrument,one of the first three instruments of the China Spallation Neutron Source(CSNS),is designed to probe the microscopic and mesoscopic structures of materials in the scale range 1–100 nm.A large-area ^(3)He tube array detector has been constructed and operates at the CSNS SANS instrument since August *** consists of 120 linear position-sensitive detector tubes,each 1 m in length and 8 mm in diameter,and filled with ^(3)He gas at 20 bar to obtain a high detection *** ^(3)He tubes were divided into ten modules,providing an overall area of 1000 mm×1020 mm with a high count rate *** each tube is installed independently,the detector can be quickly repaired in situ by replacing damaged *** reduce air scattering,the SANS detector must operate in a vacuum environment(0.1 mbar).An all-metal sealing technique was adopted to avoid high-voltage breakdown by ensuring a high-voltage connection and an electronic system working in an atmospheric environment.A position resolution of 7.8±0.1 mm(full width at maximum)is measured along the length of the tubes,with a high detection efficiency of 81±2% at *** over the past four years,the detector appears to perform well and with a high stability,which supports the SANS instrument to finish approximately 200 user scientific programs.

关键词： Neutron detectors ^(3)He tubes Gaseous detectors Small-angle neutron scattering

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Constructing oxygen deficiency-rich V_(2)O_(3)@PEDOT cathode for high-performance aqueous zinc-ion batteries

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Rare Metals 2024年第2期43卷 635-646页

作者： Dong-Fei Sun Zi-juan Wang Tian Tian Xin Yu Dan-Dan Yu xiao-Zhong zhou Guo-Fu Ma Zi-Qiang Lei Key Laboratory of Eco-functional Polymer Materials of the Ministry of Education Key Laboratory of Eco-environmental Polymer Materials of Gansu ProvinceSchool of College of Chemistry and Chemical EngineeringNorthwest Normal UniversityLanzhou730070China

Aqueous zinc-ion batteries(AZIBs)have attracted widespread attention due to the advantages of high safety and environmental *** V_(2)O_(3) is a promising cathode,the strong electrostatic interaction between Zn^(2+) and V_(2)O_(3) crystal,and the sluggish reaction kinetics still limit their application in ***,the oxygen defects rich V_(2)O_(3) with conducive poly(3,4-ethylenedioxythiophene)(PEDOT)shell(V_(2)O_(3)-Od@PEDOT)was fabricated for AZIBs by combining the sulfur-assisted thermal reduction and in-situ polymerization *** introduced oxygen vacancies of V_(2)O_(3)–Od@PEDOT weaken the electrostatic interaction between Zn^(2+) and the host material,improving the interfacial electron transport,while the PEDOT coating enhances the structural stability and conductivity of V_(2)O_(3),thus accelerating the reaction *** on the advantages,V_(2)O_(3)–Od@PEDOT electrode delivers a reversible capacity of 495 mAh·g^(−1) at 0.1 A·g^(−1),good rate capability(189 mAh·g^(−1)at 8.0 A·g^(−1)),and an impressive cycling stability with 90.1%capacity retention over 1000 cycles at 8.0 A·g^(−1).The strategy may provide a path for exploiting the other materials for high performance AZIBs.

关键词： Oxygen defects V_(2)O_(3) PEDOT Electrochemical self-optimization Aqueous zinc-ion batteries

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Practical effect of different teaching modes in teaching gastrointestinal surgery nursing

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World Journal of Gastrointestinal Surgery 2024年第1期16卷 166-172页

作者： xiao-juan Rong Zhen Ning Department of Nursing Medical College in Jiangxi University of TechnologyNanchang 330098Jiangxi ProvinceChina

BACKGROUND With the continuous development and progress of medical technology,the position of surgical nursing in the field of clinical medicine is becoming in-creasingly *** an important branch of the surgical field,the nursing requirements and difficulty of gastrointestinal surgery are also *** order to improve the teaching quality of nursing care in gastrointestinal surgery,many educators and researchers are actively exploring new teaching *** them,the teaching method case-based learning(CBL),scene-simulated learning(SSL),task-based learning(TBL),combining self-evaluation and training mode is considered as an effective *** method aims to help students to better master knowledge and skills and improve their comprehensive quality by cultivating their self-evaluation *** To explore the practical effect of CBL-SSL-TBL combined with training mode and student self-assessment in nursing teaching of gastrointestinal *** Seventy-one nursing interns in our hospital from December 2020 to December 2021 were *** to different teaching modes,they were divided into observation group CBL-SSL-TBL combined with training mode combined with student self-assessment and control group(conventional teaching mode),of which 36 were in observation group and 35 were in control *** results of operational skills,theoretical knowledge,nursing students'satisfaction,learning effectiveness questionnaire and teaching effect were compared between the two *** Compared between the two groups,the operational skills and theoretical knowledge scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Compared between the two groups,the total satisfaction ratio of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Compared between the two groups,the observation group was lower tha

关键词： Gastrointestinal surgery Nursing teaching Teaching model Practical effect Learning ability

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Large area^(3)He tube array detector with modular design for multi‑physics instrument at CSNS

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Nuclear Science and Techniques 2023年第1期34卷 1-12页

作者： Lin Zhu Jian‑Rong zhou Yuan‑Guang Xia Liang xiao Hong Luo xiao‑juan zhou Wen‑Qin Yang Bei‑Ju Guan Xing‑Fen Jiang Yan‑Feng Wang Hong Xu Hai‑Yun Teng Li‑Xin Zeng Jia‑Jie Li Lei Hu Ke zhou Yong‑Xiang Qiu Pei‑Xun Shen Jun Xu Li‑Jiang Liao xiao‑Zhuang Wang Gui‑An Yang Huai‑Chan Chen Ju‑Ping Xu Zhi‑Duo Li Song‑Lin Wang Jian Zhuang Yu‑Bin Zhao Jun‑Rong Zhang Wen Yin Zhi‑Jia Sun Yuan‑Bo Chen Institute of High Energy Physics Chinese Academy of SciencesBeijing 100049China Spallation Neutron Source Science Center Dongguan 523803China University of Chinese Academy of Sciences Beijing 100049China

The multi-physics instrument(MPI)is the first user cooperative instrument at the China Spallation Neutron Source(CSNS).It was designed to explore the structures of complex materials at multiple scales based on the neutron total scattering *** imposes the requirements for the detector,including a high detection efficiency to reduce the measurement time and a large solid angle coverage to cover a wide range of momentum *** satisfy these demands,a large-area array of 3He-filled linear position-sensitive detectors(LPSDs)was constructed,each with a diameter of 1 inch and pressure of 20 *** uses an orbicular layout of the detector and an eight-pack module design for the arrangement of 3He LPSDs,covering a range of scattering angles from 3°to 170°with a total detector area of approximately 7 *** detector works in air,which is separated from the vacuum environment to facilitate installation and *** characteristics of the MPI detector were investigated through Monte Carlo(MC)simulations using Geant4 and experimental *** results suggest that the detectors are highly efficient in the wavelength range of the MPI,and an efficiency over 25%is achievable for above 0.1 A neutrons.A minimal position resolution of 6.4 mm full width at half maximum(FWHM)along the tube length was achieved at a working voltage of 2200 V,and a deviation below 2 mm between the real and measured positions was attained in the beam *** detector module exhibited good consistency and an excellent counting rate capacity of up to 80 kHz,which satisfied the requirements of experiments with a high event *** of its operation over the past year have shown that the detector works steadily in sample experiments,which allows the MPI to serve the user program successfully.

关键词： Neutron detector LPSD Position resolution Counting rate capacity

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From Perspective of Hippocampal Plasticity:Function of Antidepressant Chinese Medicine xiaoyaosan

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Chinese Journal of Integrative Medicine 2024年第8期30卷 747-758页

作者： ZHANG Wu-jing GUO Ze-xuan WANG Yi-di FANG Shao-yi WAN Chun-miao YU xiao-long GUO xiao-fang CHEN Yue-yue zhou Xuan HUANG Jun-qing LI xiao-juan CHEN Jia-xu FAN Li-li Guangzhou Key Laboratory of Formula-Pattern of Traditional Chinese Medicine School of Traditional Chinese MedicineJinan UniversityGuangzhou510632China

The hippocampus is one of the most commonly studied brain regions in the context of *** volume of the hippocampus is significantly reduced in patients with depression,which severely disrupts hippocampal ***,antidepressant therapies that target hippocampal neuroplasticity have not been identified as *** medicine(CM)can slow the progression of depression,potentially by modulating hippocampal ***(XYS)is a CM formula that has been clinically used for the treatment of *** is known to protect Gan(Liver)and Pi(Spleen)function,and may exert its antidepressant effects by regulating hippocampal *** this review,we have summarized the association between depression and aberrant hippocampal ***,we have discussed the researches published in the last 30 years on the effects of XYS on hippocampal neuroplasticity in order to elucidate the possible mechanisms underlying its therapeutic action against *** results of this review can aid future research on XYS for the treatment of depression.

关键词： depression hippocampal neuroplasticity xiaoyaosan Chinese medicine

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Efficient and selective upcycling of waste polylactic acid into acetate using nickel selenide

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Journal of Energy Chemistry 2024年第10期97卷 575-584页

作者： Bing Lan Yinfang Chen Nantian xiao Na Liu Chao juan Chuan Xia Fan Zhang National Engineering Laboratory of Eco-Friendly Polymeric Materials College of Chemistry Sichuan University School of Materials and Energy University of Electronic Science and Technology of China

The conversion of waste polylactic acid（PLA） plastics into high-value-added chemicals through electrochemical methods is a promising and sustainable ***,developing efficient and highly selective catalysts for lactic acid oxidation reaction（LAOR） and understanding the reaction process are ***,we report the electrooxidation of waste PLA to acetate at a high current density of 100 mA cm-2 with high Faraday efficiency（～95%） and excellent stability（>100 h） over a nickel selenide nanosheet *** addition,a total Faraday efficiency of up to 190% was achieved for carboxylic acids,including acetic acid and formic acid,by coupling with the cathodic CO2reduction *** situ experimental results and theoretical simulations revealed that the catalytic activity center of LAOR was dynamically formed NiOOH species,and the surface-adsorbed SeOxspecies accelerated the formation of Ni3+species,thus promoting catalytic *** mechanism of lactic acid electrooxidation was further *** acid was dehydrogenated to produce pyruvate first and then formed CH3CO due to preferential C-C bond cleavage,resulting in the presence of *** work demonstrated a sustainable method for recycling waste PLA and CO2into high-value-added products.

关键词： Acetic acid Lactic acid electro-oxidation Poly (lactic acid) Waste plastic upcycling

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Metabotropic glutamate receptors(mGluRs)in epileptogenesis:an update on abnormal mGluRs signaling and its therapeutic implications

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Neural Regeneration Research 2024年第2期19卷 360-368页

作者： Leyi Huang Wenjie xiao Yan Wang juan Li Jiaoe Gong Ewen Tu Lili Long Bo xiao xiaoxin Yan Lily Wan Department of Anatomy and Neurobiology Central South University Xiangya Medical SchoolChangshaHunan ProvinceChina Department of Neurology Xiangya HospitalCentral South UniversityChangshaHunan ProvinceChina Department of Neurology Hunan Children’s HospitalChangshaHunan ProvinceChina Department of Neurology Brain Hospital of Hunan ProvinceChangshaHunan ProvinceChina

Epilepsy is a neurological disorder characterized by high morbidity,high recurrence,and drug *** signaling through the excitatory neurotransmitter glutamate is intricately associated with *** glutamate receptors(mGluRs)are G protein-coupled receptors activated by glutamate and are key regulators of neuronal and synaptic *** mGluR signaling has been associated with various neurological disorders,and numerous studies have shown a close relationship between mGluRs expression/activity and the development of *** this review,we first introduce the three groups of mGluRs and their associated signaling ***,we detail how these receptors influence epilepsy by describing the signaling cascades triggered by their activation and their neuroprotective or detrimental roles in *** addition,strategies for pharmacological manipulation of these receptors during the treatment of epilepsy in experimental studies is also *** hope that this review will provide a foundation for future studies on the development of mGluR-targeted antiepileptic drugs.

关键词： antiepileptic drugs epileptogenesis metabotropic glutamate receptors(mGluRs) signal pathways therapeutic potentials

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Compact lithium-glass neutron beam monitor for SANS at CSNS

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Nuclear Science and Techniques 2018年第9期29卷 165-170页

作者： Ke zhou Jian-Rong zhou Yu-Shou Song xiao-juan zhou Zhao-Yang Xie Gui-An Yang Yan-Feng Wang Yuan-Bo Chen Zhi-Jia Sun Fundamental Science on Nuclear Safety and Simulation Technology Laboratory Harbin Engineering UniversityHarbin 150001China Dongguan Neutron Science Center Dongguan 523803China Institute of High Energy Physics Chinese Academy of SciencesBeijing 100049China State Key Laboratory of Particle Detection and Electronics Beijing 100049China

A small-angle scattering neutron spectrometer for material research is under construction at the China Spallation Neutron Source. An intervening neutron beam monitor behind the sample is needed to measure the beam intensity in order to reduce the measurement uncertainty caused by beam fluctuation. Considering the mobility requirement and limited space, we proposed a compact monitor using a type of lithium-glass scintillator provided by China Building Materials Academy. Its performance was studied experimentally using ^(252)Cf and ^(60)Co *** neutron light yield of the selected scintillator was measured to be 5:3 × 10~3 photons/neutron. The feasibility of n-gamma discrimination using the charge comparison method was verified. By using the Geant4 toolkit, themonitor was modeled with precise physical processes including neutron tracking, scintillation, and optical photon transmission. The gamma sensitivity and detection efficiency were investigated in the simulation. It was concluded that a 0.5-mm-thick lithium-glass scintillator with natural lithium is an appropriate choice to satisfy both the neutron detection efficiency and gamma elimination requirements.

关键词： Neutron beam monitor Lithium glass ngamma discrimination Detection efficiency

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A Study on Idea Adoption Prediction Model Based on SMOTE-AdaBoost: Taking Salesforce Platform as an Example

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Journal of Systems Science and Information 2024年第4期12卷 476-490页

作者： Yunjiang XI Futao HUANG Lu HUANG xiao LIAO juan YU School of Business Administration South China University of Technology School of Internet Finance and Information Engineering Guangdong University of Finance School of Economics and Management Fuzhou University

In the context of information overload, companies often struggle to effectively identify valuable ideas on their open innovation platforms. In this article, we propose an idea adoption strategy based on machine learning. We used data from a well-known open innovation platform, Salesforce, and extracted characteristic variables using the Information Adoption Model. Four classification models were then constructed based on AdaBoost, Random Forest, SVM and Logistic Regression models. Due to significant differences in the number of positive and negative samples in the OIP, we used the SMOTE method to address the problem of data imbalance. The results of the study showed that the ensemble learning models were more accurate in identifying valuable ideas than the individual machine learning models. When comparing the two ensemble learning models, AdaBoost outperformed Random Forest in predicting both positive and negative class samples. The SMOTE-AdaBoost model achieved a recall of 0.93, a precision of 0.92 and an impressive AUC of 0.98 in identifying adopted ideas, which could well identify valuable ideas and has implications for improving the efficiency and quality of idea adoption in OIP. The shortcoming of this work is that it only investigated a single platform. In the future, we will consider extending this method to different platforms and multiple classification problems.

关键词： open innovation platform AdaBoost information adoption ensemble learning

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