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Impact of payment source, referral site, and place of residence on outcomes after allogeneic transplantation in Mexico

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World Journal of Transplantation 2024年第2期14卷 76-87页

作者： Andrés Gómez-De León Yesica A López-Mora Valeria García-zárate Ana Varela-Constantino Sergio U Villegas-De Leon Xitlaly J González-Leal Raúl del Toro-Mijares Anna C Rodríguez-zúñiga Juan F Barrios-Ruiz Victor Mingura-Ledezma Perla R Colunga-Pedraza Olga G Cantú-Rodríguez César h Gutiérrez-Aguirre Luz Tarín-Arzaga Elías E González-López David Gómez-Almaguer hematology Service Universidad Autónoma de Nuevo LeónFacultad de Medicina y Hospital Universitario Dr.JoséEleuterio GonzálezMonterrey 64460Nuevo LeónMexico hemato-logy Service Clínica Gómez AlmaguerMonterrey 64710Nuevo LeónMexico hematology Service Instituto Tecnológico de Estudios Superiores de MonterreyTec SaludEscuela de Medicina Ignacio SantosMonterrey 64710Nuevo LeónMexico

BACKGROUND The impact of social determinants of health in allogeneic transplant recipients in low-and middle-income countries is poorly *** observational study analyzes the impact of place of residence,referring institution,and transplant cost coverage(out-of-pocket vs government-funded vs private insurance)on outcomes after allogeneic hematopoietic stem cell transplantation(allohSCT)in two of Mexico's largest public and private *** To evaluate the impact of social determinants of health and their relationship with outcomes among allogeneic transplant recipients in *** In this retrospective cohort study,we included adolescents and adults≥16 years who received a matched sibling or haploidentical transplant from *** were selected without regard to their diagnosis and were sourced from both a private clinic and a public University hospital in *** payment groups were compared:Out-of-pocket(OOP),private insurance,and a federal Universal healthcare program“Seguro Popular”.Outcomes were compared between referred and institution-diagnosed patients,and between residents of Nuevo Leon and *** outcomes included overall survival(OS),categorized by residence,referral,and payment *** outcomes encompassed early mortality,event-free-survival,graft-versus-host-relapse-free survival,and non-relapse-mortality(NRM).Statistical analyses employed appropriate tests,Kaplan-Meier method,and Cox proportional hazard regression *** software included SPSS and R with tidycmprsk *** Our primary outcome was overall *** included 287 patients,n=164 who lived out of state(57.1%),and n=129 referred from another institution(44.9%).The most frequent payment source was OOP(n=139,48.4%),followed by private insurance(n=75,26.1%)and universal coverage(n=73,25.4%).No differences in OS,event-free-survival,NRM,or graft-versus-host-relapse-free survival were observed for patients dia

关键词： hematopoietic cell transplant Social determinants of health Geography haploidentical Out-of-pocket Financial toxicity Survival health services and outcomes hematopoietic malignancy Aplastic anemia

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Search for production of dark fermion candidates in association with heavy neutral gauge boson decaying to dimuon in proton-proton collisions at√s=8 TeV using CMS open data

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Chinese Physics C 2024年第4期48卷 6-13页

作者： Y.Mahmoud h.Abdallah M.T.hussein S.Elgammal Centre for theoretical physics The British University in EgyptEgypt Physics Department Faculty of ScienceCairo UniversityEgypt

In this study,we conducted a search for dark matter using a part of the data recorded by the CMS experiment during run-I of the LhC in 2012 with a center of mass energy of 8 TeV and an integrated luminosity of 11.6 fb−*** data were gathered from the CMS open *** matter,in the framework of the simplified model(mono-z′),can be produced from proton-proton collisions in association with a new hypothetical gauge boson,z′.Thus,the search was conducted in the dimuon plus large missing transverse momentum *** benchmark scenario of mono-z′,which is known as light vector,was used for interpreting the CMS open *** evidence of dark matter was observed,and exclusion limits were set on the masses of dark matter and z′at 95%confidence level.

关键词： dark matter large hadron collider CMS open data search for new physics dark fermion

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Role of marine natural products in the development of antiviral agents against SARS‑CoV‑2:potential and prospects

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Marine Life Science & Technology 2024年第2期6卷 280-297页

作者： D.P.Nagahawatta N.M.Liyanage Thilina U.Jayawardena h.h.A.C.K.Jayawardhana Seong‑hun Jeong hyung‑Jun Kwon You‑Jin Jeon Department of Marine Life Sciences Jeju National UniversityJeju 690-756Republic of Korea Department of Chemistry Biochemistry and PhysicsUniversitédu QuébecàTrois-RivièresTrois-RivièresQC G8Z 4M3Canada Marine Science Institute Jeju National UniversityJeju 63333Republic of Korea Functional Biomaterial Research Center Korea Research Institute of Bioscience and BiotechnologyJeongeup-siRepublic of Korea

A novel coronavirus,known as severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),has surfaced and caused global concern owing to its ***-CoV-2 is the causative agent of coronavirus disease 2019;however,it was only discovered at the end of the year and was considered a pandemic by the World health ***,the develop-ment of novel potent inhibitors against SARS-CoV-2 and future outbreaks is urgently *** naturally occurring bioactive substances have been studied in the clinical setting for diverse *** intricate infection and replication mechanism of SARS-CoV-2 offers diverse therapeutic drug targets for developing antiviral medicines by employing natural products that are safer than synthetic *** natural products(MNPs)have received increased attention in the development of novel drugs owing to their high diversity and ***,this review article investigates the infection and replication mechanisms,including the function of the SARS-CoV-2 genome and ***,we highlighted anti-SARS-CoV-2 therapeutic intervention efforts utilizing MNPs and predicted SARS-CoV-2 inhibitor design.

关键词： SARS-CoV-2 Marine natural products Drug targets Inhibitors

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Evidence for particle acceleration approaching PeV energies in the W51 complex

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Science Bulletin 2024年第18期69卷 2833-2841页

作者： LhAASO Collaboration zhen Cao F.Aharonian Axikegu Y.X.Bai Y.W.Bao D.Bastieri X.J.Bi Y.J.Bi W.Bian A.V.Bukevich Q.Cao W.Y.Cao zhe Cao J.Chang J.F.Chang A.M.Chen E.S.Chen h.X.Chen Liang Chen Lin Chen Long Chen M.J.Chen M.L.Chen Q.h.Chen S.Chen S.h.Chen S.z.Chen T.L.Chen Y.Chen N.Cheng Y.D.Cheng M.Y.Cui S.W.Cui X.h.Cui Y.D.Cui B.z.Dai h.L.Dai z.G.Dai Danzengluobu X.Q.Dong K.K.Duan J.h.Fan Y.z.Fan J.Fang J.h.Fang K.Fang C.F.Feng h.Feng L.Feng S.h.Feng X.T.Feng Y.Feng Y.L.Feng S.Gabici B.Gao C.D.Gao Q.Gao W.Gao W.K.Gao M.M.Ge L.S.Geng G.Giacinti G.h.Gong Q.B.Gou M.h.Gu F.L.Guo X.L.Guo Y.Q.Guo Y.Y.Guo Y.A.han M.hasan h.h.he h.N.he J.Y.he Y.he Y.K.hor B.W.hou C.hou X.hou h.B.hu Q.hu S.C.hu D.h.huang T.Q.huang W.J.huang X.T.huang X.Y.huang Y.huang X.L.Ji h.Y.Jia K.Jia K.Jiang X.W.Jiang z.J.Jiang M.Jin M.M.Kang I.Karpikov D.Kuleshov K.Kurinov B.B.Li C.M.Li Cheng Li Cong Li D.Li F.Li h.B.Li h.C.Li Jian Li Jie Li K.Li S.D.Li W.L.Li W.L.Li X.R.Li Xin Li Y.z.Li zhe Li zhuo Li E.W.Liang Y.F.Liang S.J.Lin B.Liu C.Liu D.Liu D.B.Liu h.Liu h.D.Liu J.Liu J.L.Liu M.Y.Liu R.Y.Liu S.M.Liu W.Liu Y.Liu Y.N.Liu Q.Luo Y.Luo h.K.Lv B.Q.Ma L.L.Ma X.h.Ma J.R.Mao z.Min W.Mitthumsiri h.J.Mu Y.C.Nan A.Neronov L.J.Ou P.Pattarakijwanich z.Y.Pei J.C.Qi M.Y.Qi B.Q.Qiao J.J.Qin A.Raza D.Ruffolo A.Sáiz M.Saeed D.Semikoz L.Shao O.Shchegolev X.D.Sheng F.W.Shu h.C.Song Yu.V.Stenkin V.Stepanov Y.Su D.X.Sun Q.N.Sun X.N.Sun z.B.Sun J.Takata P.h.T.Tam Q.W.Tang R.Tang z.B.Tang W.W.Tian C.Wang C.B.Wang G.W.Wang h.G.Wang h.h.Wang J.C.Wang Kai Wang Kai Wang L.P.Wang L.Y.Wang P.h.Wang R.Wang W.Wang X.G.Wang X.Y.Wang Y.Wang Y.D.Wang Y.J.Wang z.h.Wang z.X.Wang zhen Wang zheng Wang D.M.Wei J.J.Wei Y.J.Wei T.Wen C.Y.Wu h.R.Wu Q.W.Wu S.Wu X.F.Wu Y.S.Wu S.Q.Xi J.Xia G.M.Xiang D.X.Xiao G.Xiao Y.L.Xin Y.Xing D.R.Xiong z.Xiong D.L.Xu R.F.Xu R.X.Xu W.L.Xu L.Xue D.h.Yan J.z.Yan T.Yan C.W.Yang C.Y.Yang F.Yang F.F.Yang L.L.Yang M.J.Yang R.z.Yang W.X.Yang Y.h.Yao z.G.Yao L.Q.Yin N.Yin X.h.You z.Y.You Y.h.Yu Q.Yuan h.Yue h.D.zeng T.X.zeng W.zeng M.zha B.B.zhang F.zhang h.zhang 不详 Key Laboratory of Particle Astrophysics&Experimental Physics Division&Computing Center Institute of High Energy PhysicsChinese Academy of SciencesBeijing 100049China University of Chinese Academy of Sciences Beijing 100049China TIANFU Cosmic Ray Research Center ChengduChina Dublin Institute for Advanced Studies 31 Fitzwilliam Place2 DublinIreland Max-Planck-Institut for Nuclear Physics P.O.Box 103980Heidelberg 69029Germany School of Physical Science and Technology&School of Information Science and Technology Southwest Jiaotong UniversityChengdu 610031China School of Astronomy and Space Science Nanjing UniversityNanjing 210023China Center for Astrophysics Guangzhou UniversityGuangzhou 510006China Tsung-Dao Lee Institute&School of Physics and Astronomy Shanghai Jiao Tong UniversityShanghai 200240China Institute for Nuclear Research of Russian Academy of Sciences Moscow 117312Russia hebei Normal University Shijiazhuang 050024China University of Science and Technology of China Hefei 230026China State Key Laboratory of Particle Detection and Electronics China Key Laboratory of Dark Matter and Space Astronomy&Key Laboratory of Radio Astronomy Purple Mountain ObservatoryChinese Academy of SciencesNanjing 210023China Research Center for Astronomical Computing Zhejiang LaboratoryHangzhou 311121China Key Laboratory for Research in Galaxies and Cosmology Shanghai Astronomical ObservatoryChinese Academy of SciencesShanghai 200030China School of Physics and Astronomy Yunnan UniversityKunming 650091China Key Laboratory of Cosmic Rays(Tibet University) Ministry of EducationLhasa 850000China National Astronomical Observatories Chinese Academy of SciencesBeijing 100101China School of Physics and Astronomy(zhuhai)&School of Physics(Guangzhou)&Sino-French Institute of Nuclear Engineering and Technology(zhuhai) Sun Yat-sen UniversityZhuhai 519000&Guangzhou 510275GuangdongChina Institute of Frontier and Interdisciplinary Science Shandong UniversityQingdao 266237China APC UniversitéParis Cité

Theγ-ray emission from the W51 complex is widely acknowledged to be attributed to the interaction between the cosmic rays(CRs)accelerated by the shock of supernova remnant(SNR)W51C and the dense molecular clouds in the adjacent star-forming region,***,the maximum acceleration capability of W51C for CRs remains *** on observations conducted with the Large high Altitude Air Shower Observatory(LhAASO),we report a significant detection ofγrays emanating from the W51 complex,with energies from 2 to 200 *** LhAASO measurements,for the first time,extend theγ-ray emission from the W51 complex beyond 100 TeV and reveal a significant spectrum bending at tens of *** combining the"π^(0)-decay bump"featured data from Fermi-LAT,the broadbandγ-ray spectrum of the W51 region can be well-characterized by a simple pp-collision *** observed spectral bending feature suggests an exponential cutoff at~400 TeV or a power-law break at~200 TeV in the CR proton spectrum,most likely providing the first evidence of SNRs serving as CR accelerators approaching the PeV ***,two young star clusters within W51B could also be theoretically viable to produce the most energeticγrays observed by *** findings strongly support the presence of extreme CR accelerators within the W51 complex and provide new insights into the origin of Galactic CRs.

关键词： UhE c-ray Cosmic rays SNR W51C Star clusters

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Integrated Approaches of Mechanical Barrier, Insecticide and Botanicals against Mango Mealybug (Drosicha mangiferae)

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Advances in Entomology 2024年第3期12卷 195-202页

作者： N. Akhter M. z. Alam M. A. Rahaman M. R. U. Miah I. h. Mian M. A. Latif Department of Entomology Faculty of Agriculture Sher-e-Bangla Agricultural University Dhaka Bangladesh Department of Entomology Faculty of Agriculture Bangabandhu Sheikh Mujibur Rahman Agricultural University Gazipur Bangladesh Department of Plant Pathology Faculty of Agriculture Sher-e-Bangla Agricultural University Dhaka Bangladesh Department of Plant Pathology Bangabandhu Sheikh Mujibur Rahman Agricultural University Gazipur Bangladesh

An experiment was conducted to test the efficacy of a mechanical barrier around the tree trunk with one spray of Cypermethrin @ 1 ml/l and turmeric powder extract @ 15 g/500ml of water applied in integrated approaches against mango mealybug on mango tree. There were 7 treatments including a control. The treatments were Mechanical barrier, Cypermethrin spray @ 1 ml/l, Turmeric powder spray @ 15 g/500ml of water, Cypermethrin spray + Turmeric spray, Cypermethrin spray + Mechanical barrier, Turmeric + Mechanical barrier and untreated control. Three-year-old mango plants grafted from a 5-year-old mango tree (Variety Amropali) and planted in pots were used in the experiment. The treatment, Cypermethrin spray + Mechanical barrier gave the highest reduction of mango mealybug population 87.06% to 93.90% followed by Turmeric spray + Mechanical barrier and showed 81.13% to 86.04% and Mechanical barrier alone showed 81.13% to 84.59% population reduction. Turmeric powder extract showed only (8.42% to 23.77%) population reduction of mango mealybug which was lowest compared to other treatments.

关键词： Mango Mealybug Integrated Management

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青藏高原及其周边二叠纪综合地层、生物群以及古地理和古气候演化

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中国科学：地球科学 2024年第4期54卷 1125-1170页

作者：沈树忠张以春袁东勋徐海鹏琚琦张华郑全锋罗茂侯章帅南京大学地球科学与工程学院内生金属矿床成矿机制研究国家重点实验室关键地球物质循环前沿科学中心南京210023 中国科学院南京地质古生物研究所现代古生物学和地层学国家重点实验室南京210008 中国科学院大学南京学院南京210049 中国矿业大学资源与地球科学学院徐州221116

二叠纪是青藏高原各块体演化的关键时段,发生了一系列重大地质和生物事件,当时横跨南北半球统一的泛大陆演化到了鼎盛阶段,阻断了全球东西向的赤道暖流的同时,在泛大陆的东侧形成了一个半封闭的、具有重要历史意义的特提斯洋暖池,是古-... 详细信息

二叠纪是青藏高原各块体演化的关键时段,发生了一系列重大地质和生物事件,当时横跨南北半球统一的泛大陆演化到了鼎盛阶段,阻断了全球东西向的赤道暖流的同时,在泛大陆的东侧形成了一个半封闭的、具有重要历史意义的特提斯洋暖池,是古-中生代之交生物与环境演变的引擎.青藏高原二叠纪地层分布广泛、化石丰富,从南到北由于跨越不同的纬度带体现出不同的特点.雅鲁藏布江以南的喜马拉雅特提斯带当时位于冈瓦纳大陆印度板块北缘,整个二叠纪沉积含有典型的冈瓦纳冷水型生物群;雅鲁藏布江缝合带内的灰岩外来体时代集中在瓜德鲁普世(Guadalupian,中二叠世)中、晚期至早三叠世,古生物地理与喜马拉雅特提斯带有显著差异,最有可能为新特提斯洋中的海山型沉积.基墨里(Cimmerian)微地块群在乌拉尔世(Cisuralian,早二叠世)早期阿瑟尔期-萨克马尔期(Asselian-Sakmarian)全部位于冈瓦纳大陆北缘,均发育冰海相沉积及冈瓦纳型冷水生物群.乌拉尔世中期(约290~280Ma)基墨里微地块群由于印度板块北缘Panjal Traps等大火成岩省岩浆活动与冈瓦纳大陆裂解,并以不同的速度向北漂移.可以分为两个条带,由南羌塘、保山和Sibuma地块组成的北基墨里微地块群漂移速度较快,在亚丁斯克期(Artinskian)就已经出现大量碳酸盐岩沉积和暖水生物群,因此,它们最先从冈瓦纳大陆裂解并进入低纬度暖水区域;而由拉萨、腾冲和Irrawaddy地块组成的南基墨里微地块群,漂移速度相对较慢,在空谷(Kungurian)晚期才开始出现大规模碳酸盐岩沉积,并延续至乐平世(Lopingian,晚二叠世),瓜德鲁普世和乐平世地层中含暖水生物为主的动物群,因此,这些地块至少在空谷晚期已经从冈瓦纳大陆北缘分离,裂解时间稍晚于北基墨里微地块群;这种沉积和古生物地理的时空演变差异性表明乌拉尔世的裂解事件造成了中特提斯洋和新特提斯洋的开启和形成.更北的北羌塘地块由于整个二叠纪地层中均含有典型的暖水生物群,与华南地区、思茅地块和印支地块等可以比较,属于古特提斯洋北部的块体.因此,二叠纪中、晚期特提斯域形成了古、中、新特提斯多岛洋共存的局面,是当时构造活动最活跃的地区和全球生物多样性的中心.此外,青藏高原多个块体在二叠纪位于南半球中高纬度地区,完整记录了晚古生代大冰期、亚丁斯克期全球变暖和二叠纪末快速变暖等重大古气候事件,对于阐明板块运动和全球气候演变对生物群时空分布的影响具有举足轻重的作用.

关键词：二叠纪特提斯洋青藏高原生物群古地理

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Ground-state mass of ^(22)Al and test of state-of-the-art ab initio calculations

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Chinese Physics C 2024年第3期48卷 72-78页

作者：孙铭泽于越王新鹏王猛李健国张玉虎 K.Blaum 陈祖毅陈瑞九邓涵宇付超义葛文文黄文嘉焦红扬李红蕙李宏福罗胤芳廖挺 YuALitvinov 司敏帅鹏史金阳王茜邢元明徐星徐瑚珊许甫荣袁琪 T.Yamaguchi 颜鑫亮杨建成原有进周小红周旭张敏曾奇 CAS Key Laboratory of high Precision Nuclear Spectroscopy Institute of Modern PhysicsChinese Academy of SciencesLanzhou 730000China School of Nuclear Science and Technology University of Chinese Academy of SciencesBeijing 100049China Max-Planck-Institut für Kernphysik Saupfercheckweg 169117 HeidelbergGermany GSI helmholtzzentrum für Schwerionenforschung Planckstraße 164291 DarmstadtGermany Advanced Energy Science and Technology Guangdong Laboratory Huizhou516007China State Key Laboratory of Nuclear Physics and Technology School of PhysicsPeking UniversityBeijing 100871China Department of Physics Saitama UniversitySaitama 338-8570Japan School of Nuclear Science and Engineering East China University of TechnologyNanchang 330013China

The ground-state mass excess of the T_(z)=−2 drip-line nucleus ^(22)Al is measured for the first time as 18103(10)keV using the newly-developed Bρ-defined isochronous mass spectrometry method at the cooler storage ring in *** new mass excess value allowed us to determine the excitation energies of the two low-lying 1+states in ^(22)Al with significantly reduced uncertainties of 51 *** compared to the analogue states in its mirror nucleus ^(22)F,the mirror energy differences of the two 1^(+)states in the ^(22)Al-^(22)F mirror pair are determined to be−625(51)keV and−330(51)*** excitation energies and mirror energy differences are used to test the state-of-the-art ab initio valence-space in-medium similarity renormalization group calculations with four sets of interactions derived from the chiral effective field *** mechanism leading to the large mirror energy differences is investigated and attributed to the occupation of theπs_(1/2) orbital.

关键词： nuclear mass Bρ-defined IMS mirror energy difference ab initio VS-IMSRG calculations chiral interactions

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An improved pulse coupled neural networks model for semantic IoT

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Digital Communications and Networks 2024年第3期10卷 557-567页

作者： Rong Ma zhen zhang Yide Ma Xiping hu Edith C.h.Ngai Victor C.M.Leung School of Information Science and Engineering Lanzhou UniversityLanzhou 730000China School of Medical Technology Beijing Institute of TechnologyBeijing100081China Department of Electrical and Electronic Engineer The University of Hong KongHong Kong 999077China College of Computer Science and Software Engineering Shenzhen UniversityShenzhen 518060China Department of Electrical and Computer Engineering the University of British ColumbiaVancouverBC V6T 1Z4Canada

In recent years,the Internet of Things(IoT)has gradually developed applications such as collecting sensory data and building intelligent services,which has led to an explosion in mobile data ***,with the rapid development of artificial intelligence,semantic communication has attracted great attention as a new communication ***,for IoT devices,however,processing image information efficiently in real time is an essential task for the rapid transmission of semantic *** the increase of model parameters in deep learning methods,the model inference time in sensor devices continues to *** contrast,the Pulse Coupled Neural Network(PCNN)has fewer parameters,making it more suitable for processing real-time scene tasks such as image segmentation,which lays the foundation for real-time,effective,and accurate image ***,the parameters of PCNN are determined by trial and error,which limits its *** overcome this limitation,an Improved Pulse Coupled Neural Networks(IPCNN)model is proposed in this *** IPCNN constructs the connection between the static properties of the input image and the dynamic properties of the neurons,and all its parameters are set adaptively,which avoids the inconvenience of manual setting in traditional methods and improves the adaptability of parameters to different types of *** segmentation results demonstrate the validity and efficiency of the proposed self-adaptive parameter setting method of IPCNN on the gray images and natural images from the Matlab and Berkeley Segmentation *** IPCNN method achieves a better segmentation result without training,providing a new solution for the real-time transmission of image semantic information.

关键词： Internet of things(IoT) Semantic information Real-time application Improved pulse coupled neural network Image segmentation

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Pulse chirping effect on controlling the transverse cavity oscillations in nonlinear bubble regime

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Chinese Physics B 2017年第2期26卷 313-319页

作者： h Vosoughian z Riazi h Afarideh G Sarri Laser and Optic Institute Nuclear Science and Technology Research Institute Tehran Iran physics and Accelerator School Nuclear Science and Technology Research Institute Tehran Iran Department of Energy Engineering and Physics Amirkabir University of Technology P. O. Box 15875-4413 Tehran Iran School of Mathematics and Physics The Queen's University of Belfast BT7 INN Belfast United Kingdom

The propagation of an intense laser pulse in an under-dense plasma induces a plasma wake that is suitable for the acceleration of electrons to relativistic energies. For an ultra-intense laser pulse which has a longitudinal size shorter than the plasma wavelength, λp, instead of a periodic plasma wave, a cavity free from cold plasma electrons, called a bubble, is formed behind the laser pulse. An intense charge separation electric field inside the moving bubble can capture the electrons at the base of the bubble and accelerate them with a narrow energy spread. In the nonlinear bubble regime, due to localized depletion at the front of the pulse during its propagation through the plasma, the phase shift between carrier waves and pulse envelope plays an important role in plasma response. The carrier–envelope phase（CEP） breaks down the symmetric transverse ponderomotive force of the laser pulse that makes the bubble structure unstable. Our studies using a series of two-dimensional（2D） particle-in-cell（PIC） simulations show that the frequency-chirped laser pulses are more effective in controlling the pulse depletion rate and consequently the effect of the CEP in the bubble regime. The results indicate that the utilization of a positively chirped laser pulse leads to an increase in rate of erosion of the leading edge of the pulse that rapidly results in the formation of a steep intensity gradient at the front of the pulse. A more unstable bubble structure, the self-injections in different positions, and high dark current are the results of using a positively chirped laser pulse. For a negatively chirped laser pulse, the pulse depletion process is compensated during the propagation of the pulse in plasma in such a way that results in a more stable bubble shape and therefore, a localized electron bunch is produced during the acceleration process. As a result, by the proper choice of chirping, one can tune the number of self-injected electrons, the size of accelerated bunch

关键词： bubble regime plasma wake field positively chirped laser pulse

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俯卧位单侧双通道内镜髓核摘除术后右眼失明医疗损害鉴定1例

引用

法医学杂志 2024年第1期40卷 95-97页

作者：贾鹏倪自翔代号易旭夫无锡市公安局刑事科学技术研究所江苏无锡214002 新疆医科大学基础医学院法医教研室新疆乌鲁木齐830054 四川大学华西基础医学与法医学院四川成都610041

1案例1.1简要案情段某,男,55岁,体质量95 kg,某年3月16日因“反复腰痛1年余,加重伴左下肢麻木疼痛功能障碍2月余”就诊于某医院。入院时双眼视力正常,诊断为L4~L5椎间盘突出症,经保守治疗无效,遂取俯卧位行单侧双通道内镜髓核摘除术,手... 详细信息

1案例1.1简要案情段某,男,55岁,体质量95 kg,某年3月16日因“反复腰痛1年余,加重伴左下肢麻木疼痛功能障碍2月余”就诊于某医院。入院时双眼视力正常,诊断为L4~L5椎间盘突出症,经保守治疗无效,遂取俯卧位行单侧双通道内镜髓核摘除术,手术时长6 h余,麻醉苏醒后即诉右眼视物不见,经治疗,目前右眼仍无光感。患方认为其系长时间俯卧位的手术姿势所致,而医方则认为其属难以避免的手术并发症,故双方诉诸医疗损害鉴定。

关键词：法医学髓核摘除术单侧双通道内镜技术术后失明俯卧位视网膜中央动脉阻塞医疗损害

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