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Aggressive fluid management may be associated with disease progression in suspected sepsis patients admitted to the intensive care unit: a retrospective cohort study

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World Journal of Emergency Medicine 2024年第1期15卷 52-55页

作者： Miao Bian Zhihao Wang Yanling chen Yue Sun Hongsen Ji Yutao Wang Li Pang Department of Respiratory Qianwei Hospital of Jilin ProvinceChangchun 130012China Department of Geriatrics Jilin Provincial Geriatric Medicine Clinical Research Centerthe First Hospital of Jilin UniversityChangchun 130021China Department of Emergency the First Hospital of Jilin UniversityChangchun 130021China The First Operating Room the First Hospital of Jilin UniversityChangchun 130021China

Sepsis is a lethal condition characterized by multiple organ dysfunction due to disrupted host responses to severe infections.[1]Aff ected patients often have a Sequential Organ Failure Assessment(SOFA)score≥2.[2]Patients with a SOFA score<2 and at least one of the following were considered as“suspected sepsis”:(1)quick SOFA(qSOFA)score≥2;(2)SOFA score=1;or(3)National Early Warning Score(NEWS)4-6.[3]Compared with studies on fluid resuscitation in sepsis patients,there are few studies on fluid management in patients with suspected ***,we conducted a retrospective cohort study to evaluate the relationship between fluid management and disease progression in suspected sepsis patients.

关键词： patients sepsis admitted

Beam based alignment using a neural network

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Nuclear Science and Techniques 2024年第4期35卷 108-118页

作者： Guan-Liang Wang Ke-Min chen Si-Wei Wang Zhe Wang Tao He Masahito Hosaka Guang-Yao Feng Wei Xu National Synchrotron Radiation Laboratory University of Science and Technology of ChinaHefei 230029China Diamond Light Source Oxfordshire OX110DEUK

Beams typically do not travel through the magnet centers because of errors in storage *** beam deviating from the quadrupole centers is affected by additional dipole fields due to magnetic field ***-based alignment(BBA)is often performed to determine a golden orbit where the beam circulates around the quadrupole center *** storage rings with many quadrupoles,the conventional BBA procedure is time-consuming,particularly in the commissioning phase,because of the necessary iterative *** addition,the conventional BBA method can be affected by strong coupling and the nonlinearity of the storage ring *** this study,a novel method based on a neural network was proposed to determine the golden orbit in a much shorter time with reasonable *** golden orbit can be used directly for operation or adopted as a starting point for conventional *** method was demonstrated in the HLS-II storage ring for the first time through simulations and online *** results of the experiments showed that the golden orbit obtained using this new method was consistent with that obtained using the conventional *** development of this new method and the corresponding experiments are reported in this paper.

关键词： Golden orbit Beam-based alignment Neural network Storage ring

Moderate Fields, Maximum Potential: Achieving High Records with Temperature‑Stable Energy Storage in Lead‑Free BNT‑Based Ceramics

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Nano-Micro Letters 2024年第5期16卷 184-200页

作者： Wenjing Shi Leiyang Zhang Ruiyi Jing Yunyao Huang Fukang chen Vladimir Shur Xiaoyong Wei Gang Liu Hongliang Du Li Jin Electronic Materials Research Laboratory Key Laboratory of the Ministry of EducationSchool of Electronic Science and EngineeringXi’an Jiaotong UniversityXi’an 710049People’s Republic of China School of Materials and Energy Southwest UniversityChongqing 400715People’s Republic of China School of Natural Sciences and Mathematics Ural Federal UniversityEkaterinburg 620000Russia Multifunctional Electronic Ceramics Laboratory College of EngineeringXi’an International UniversityXi’an 710077People’s Republic of China

The increasing awareness of environmental concerns has prompted a surge in the exploration of leadfree,high-power ceramic *** efforts to develop leadfree dielectric ceramics with exceptional energystorage performance(ESP)have predominantly relied on multicomponent composite strategies,often accomplished under ultrahigh electric ***,this approach poses challenges in insulation and system downsizing due to the necessary working voltage under such *** extensive study,bulk ceramics of(Bi_(0.5)Na_(0.5))TiO_(3)(BNT),a prominent lead-free dielectric ceramic family,have seldom achieved a recoverable energy-storage(ES)density(Wrec)exceeding 7 J cm^(−3).This study introduces a novel approach to attain ceramic capacitors with high ESP under moderate electric fields by regulating permittivity based on a linear dielectric model,enhancing insulation quality,and engineering domain structures through chemical formula *** incorporation of SrTiO_(3)(ST)into the BNT matrix is revealed to reduce the dielectric constant,while the addition of Bi(Mg_(2/3)Nb_(1/3))O_(3)(BMN)aids in maintaining ***,the study elucidates the methodology to achieve high ESP at moderate electric fields ranging from 300 to 500 kV cm^(−1).In our optimized composition,0.5(Bi_(0.5)Na_(0.4)K_(0.1))TiO_(3)–0.5(2/3ST-1/3BMN)(B-0.5SB)ceramics,we achieved a Wrec of 7.19 J cm^(−3) with an efficiency of 93.8%at 460 kV cm^(−1).Impressively,the B-0.5SB ceramics exhibit remarkable thermal stability between 30 and 140℃ under 365 kV cm^(−1),maintaining a Wrec exceeding 5 J cm^(−3).This study not only establishes the B-0.5SB ceramics as promising candidates for ES materials but also demonstrates the feasibility of optimizing ESP by modifying the dielectric constant under specific electric field ***,it provides valuable insights for the future design of ceramic capacitors with high ESP under constraints of limited electric field.

关键词： BNT Energy storage Lead-free Relaxor ferroelectrics Capacitors

Importance of the creation of a short musculofascial tunnel in peritoneal dialysis catheter placement

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World Journal of Clinical Cases 2022年第4期10卷 1182-1189页

作者： Chih-Yuan Lee Meng-Kun Tsai yi-Ting chen Yu-Jun Zhan Min-Ling Wang Chien-chia chen Department of Surgery National Taiwan University HospitalTaipei 100Taiwan Division of General Surgery Department of SurgeryNational Taiwan University Biomedical Park HospitalNational Taiwan University Hospital Hsinchu BranchHsinchu 302Taiwan Renal Division Department of Internal MedicineNational Taiwan University HospitalTaipei 100Taiwan Department of Integrated Diagnostics&Therapeutics National Taiwan University HosptialTaipei 100Taiwan Department of Nursing National Taiwan University HospitalTaipei 100Taiwan Division of General Surgery Department of SurgeryNational Taiwan University HospitalTaipei 100Taiwan

BACKGROUND Peritoneal dialysis(PD)catheter migration impedes the efficacy of ***,several techniques involving additional sutures or incisions have been proposed to maintain catheter position in the *** To evaluate the efficacy of creating a short musculofascial tunnel beneath the anterior sheath of the rectus abdominis during PD catheter *** Patients who underwent PD catheter implantation between 2015 and 2019 were included in this retrospective *** patients were divided into two groups based on the procedure performed:Patients who underwent catheter implantation without a musculofascial tunnel before 2017 and those who underwent the procedure with a tunnel after *** recorded patient character istics and catheter complications over a two-year follow-up *** addition,postoperative plain abdominal radiographs were reviewed to determine the catheter angle in the event of *** The no-tunnel and tunnel groups included 115 and 107 patients,*** to the no-tunnel group,the tunnel group showed lesser catheter angle deviation toward the pelvis(15.51±11.30 vs 25.00±23.08,P=0.0002)immediately after the operation,and a smaller range of migration within 2 years postoperatively(13.48±10.71 vs 44.34±41.29,P<0.0001).Four events of catheter dysfunction due to migration were observed in the no-tunnel group,and none occurred in the tunnel *** was no difference in the two-year catheter function survival rate between the two groups(88.90%vs 84.79%,P=0.3799).CONCLUSION The musculofascial tunnel helps maintain catheter position in the pelvis and reduces migration,thus preventing catheter dysfunction.

关键词： Catheter migration Peritoneal dialysis Tenckhoff catheter implantation Renal replacement

Design and fabrication of self-suspending aluminum-plastic/semiconductor photocatalyst devices for solar energy conversion

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Journal of Environmental Sciences 2024年第2期136卷 615-625页

作者： Zhi-Ang Zhao Jingyun Mao chengjing Lu Shuangqiao Yang Qingrong Qian Qinghua chen Hun Xue Xiaoli Sun Min-Quan Yang College of Environmental and Resource Sciences College of Carbon Neutral Modern IndustryFujian Key Laboratory of Pollution Control and Resource ReuseFujian Normal UniversityFuzhou 350007China State Key Laboratory of Polymer Materials Engineering Polymer Research Institute of Sichuan UniversityChengdu 610065China

The design and synthesis of self-suspending photocatalyst device with easy recyclability is important for practical ***,this work utilizes aluminum-plastic package waste as raw material to prepare an aluminum-plastic supported TiO_(2)(AP-TiO_(2))photocatalyst device through 3D printing design and surface deposition method.A series of characterizations were carried out to explore the structure,morphology and performance of the AP-TiO_(2)*** UV light illumination,the AP-TiO_(2)-50 efficiently degrade 93.6%tetracycline hydrochloride(THC)after 4 hr,which increases by 8.3%compared with that of TiO_(2)powder suspension system with the same catalyst *** on it,AP-ZnO,AP-CdS,AP-g-C_3N_4and AP-Pt-TiO_(2)are also fabricated,and applied in photocatalytic degradation and hydrogen evolution,which all exhibit higher photoactivities than powder suspension *** work provides a new avenue for the fabrication of advanced recyclable photocatalyst ***,the work offers a novel sight for the high-value utilization of aluminum-plastic package waste,which has positive implications for environmental protection.

关键词： TiO_(2) Self-suspending Photocatalyst device Aluminum plastic

Tuning Second Chern Number in a Four-Dimensional Topological Insulator by High-Frequency Time-Periodic Driving

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Chinese Physics Letters 2024年第4期41卷 77-89页

作者：刘峥嵘陈锐周斌 Department of Physics Hubei UniversityWuhan 430062China Key Laboratory of Intelligent Sensing System and Security of Ministry of Education Hubei UniversityWuhan 430062China

Floquet engineering has attracted considerable attention as a promising approach for tuning topological phase *** investigate the effects of high-frequency time-periodic driving in a four-dimensional(4D)topological insulator,focusing on topological phase transitions at the off-resonant quasienergy *** 4D topological insulator hosts gapless three-dimensional boundary states,characterized by the second Chern number C_(2).We demonstrate that the second Chern number of 4D topological insulators can be modulated by tuning the amplitude of time-periodic *** includes transitions from a topological phase with C_(2)=±3 to another topological phase with C_(2)=±1,or to a topological phase with an even second Chern number C_(2)=±2,which is absent in the 4D static ***,the approximation theory in the high-frequency limit further confirms the numerical conclusions.

关键词： topological transitions Periodic

Self-templating synthesis of biomass-based porous carbon nanotubes for energy storage and catalytic degradation applications

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Green Energy & Environment 2024年第3期9卷 584-595页

作者： Manman Xu Shiqi Fu Yukai Wen Wei Li Qiongfang Zhuo Haida Zhu Zhikeng Zheng Yuwen chen Anqi Wang Kai Yan Research Centre for Eco-Environmental Engineering School of Environment and Civil EngineeringDongguan University of TechnologyDongguan523808China School of Environmental Science and Engineering Sun Yat-sen UniversityGuangzhou510275China

Dwindling energy sources and a worsening environment are huge global problems,and biomass wastes are an under-exploited source of material for both energy and material ***,self-template decoction dregs of Ganoderma lucidum-derived porous carbon nanotubes(ST-DDLGCs)were synthesized via a facile and scalable strategy in response to these ***-DDLGCs exhibited a large surface area(1731.51 m^(2)g^(-1))and high pore volume(0.76 cm^(3)g^(-1)),due to the interlacing tubular structures of precursors and extra-hierarchical porous structures on tube *** the ST-DDLGC/PMS system,the degradation efficiency of capecitabine(CAP)reached~97.3%within 120 ***,ST-DDLGCs displayed high catalytic activity over a wide pH range of 3–9,and strong anti-interference to these typical and ubiquitous anions in wastewater and natural water bodies(i.e.,H_(2)PO_(4)^(-),NO_(3)^(-),Cl^(-) and HCO_(3)^(-)),in which a ^(1)O_(2)-dominated oxidation was identified and non-radical mechanisms were ***,ST-DDLGC-based coin-type symmetrical supercapacitors exhibited outstanding electrochemical performance,with specific capacitances of up to 328.1 F g^(-1)at 0.5 A g^(-1),and cycling stability of up to 98.6%after 10,000 cycles at a current density of 2 A g^(-1).The superior properties of ST-DDLGCs could be attributed to the unique porous tubular structure,which facilitated mass transfer and presented numerous active *** results highlight ST-DDLGCs as a potential candidate for constructing inexpensive and advanced environmentally functional materials and energy storage devices.

关键词： Ganoderma lucidum residue Porous carbon nanotubes Self-template method Wastewater treatment Supercapacitor electrode

Effect of Room Temperature Ultrasonic Vibration Compression on the Microstructure Evolution and Mechanical Properties of AZ91 Alloy

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Acta Metallurgica Sinica(English Letters) 2024年第7期37卷 1135-1146页

作者： Ziyue Xu Huan Liu Luyao Li Chao Sun Xi Tan Baishan chen Qiangsheng Dong Yuna Wu Jinghua Jiang Jiang Ma College of Materials Science and Engineering Hohai UniversityNanjing210000China Suzhou Research Institute of Hohai University Suzhou215000China Shenzhen Key Laboratory of High Performance Nontraditional Manufacturing College of Mechatronics and Control EngineeringShenzhen UniversityShenzhen518060China Institute of Medical Devices(Suzhou) Southeast UniversitySuzhou215163China Institute for Advanced Study Central South UniversityChangsha410083China Jiangsu Key Laboratory of Advanced Structural Materials and Application Technology Nanjing Institute of TechnologyNanjing211167China

To investigate the potential of direct ultrasonic vibration on improving the performance of magnesium alloys,this study first employed the ultrasonic vibration compression(UVC)on the solid solution treated AZ91 alloy,and explored its microstructure evolution and mechanical properties under *** only two seconds,the UVC alloys showed large deformation strains of 34.8–54.4%,and sudden increase of sample temperature to 243℃.Microstructure characterizations proved that UVC promoted the formation of abundant shear bands,fine grains,and the bimodal distribution of Mg17Al12 precipitates consisting of submicron particles located within the shear bands and nano-sized ones within the *** to the unique microstructure,the micro-hardness(and nano-hardness)value of UVC alloy was increased by 37.7%(35%)when compared with the solution-treated ***,the nano-modulus of the developed AZ91 alloy was also significantly increased to 62 GPa by statistical nanoindentation tests,which could be ascribed to increased Mg_(17)Al_(12) precipitates and decreased c/a value to some *** general,this work provides a new insight into the design and preparation of high-performance magnesium alloys by UVC at room temperature.

关键词： AZ91 alloys Ultrasonic vibration compression Precipitation Shear bands Mechanical properties

Recent progress in functional metal-organic frameworks for bio-medical application

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Regenerative Biomaterials 2024年第2期3卷 37-54页

作者： Wenwen Chai Xiaochen chen Jing Liu Liyan Zhang Chunyu Liu Li Li John Robert Honiball Haobo Pan Xu Cui Deping Wang School of Materials Science and Engineering Tongji UniversityShanghai 201804China Shenzhen Institute of Advanced Technology Chinese Academy of SciencesShenzhen 518055China Department of Orthopaedics&Traumatology School of Clinical MedicineLi Ka Shing Faculty of MedicineThe University of Hong KongHong KongChina

Metal-organic frameworks(MOFs)have a high specific surface area,adjustable pores and can be used to obtain functional porous materials with diverse and well-ordered structures through coordination and self-assembly,which has intrigued wide interest in a broad range of *** the arena of biomedical engineering,the functionalized modification of MOFs has produced drug carriers with excellent dispersion and functionalities such as target delivery and response release,with promising applications in bio-detection,disease therapy,tissue healing,and other *** review summa-rizes the present state of research on the functionalization of MOFs by physical binding or chemical cross-linking of small *** *** hvdrogels and evaluates the role and approach of MOFs functionalization in boosting the reactivity of *** this basis,research on the application of functionalized MOFs composites in biomedical engineering fields such as drug delivery,tissue repair,disease treatment,bio-detection and imaging is surveyed,and the development trend and application prospects of functionalized MOFs as an important new class of biomedical materials in the biomedical field are anticipated,which may provide some inspiration and reference for further development of MOF for bio-medical applications.

关键词： metal-organic frameworks porous functionalization tissue repair disease treatment