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Classification and a decade-long follow-up of rat bite injuries in the nasal region

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Chinese Journal of Plastic and Reconstructive Surgery 2024年第1期6卷 28-33页

作者： Chu-Hsin Chen Yahong Chen Peng Xu Kai Liu department of Plastic and Reconstructive Surgery Shanghai Ninth People’s HospitalShanghai Jiao Tong University School of MedicineShanghai 200011China department of Plastic Surgery Shanghai Industrial Investment(Holding)Company Limited Medical CosmetologyShanghai 200011China

Background:Nasal defects due to rat bites are frequently encountered in rural regions of *** addition to serving as disease vectors,rats can also inflict bite *** this study,we delineated the characteristics of rat bite injuries in the nasal region and discussed the clinical features observed during a 10-year follow-up ***:We retrospectively reviewed hospital records for patients admitted due to rat *** study outlines the demographics,clinical features,and follow-up outcomes supported by comprehensive photo documentation of the patients’***:Twenty-five patients,with a mean age of 29 years,were admitted due to rat *** was provided for three distinct types of injuries:nasal tip defect(type Ⅰ),nasal defect(type Ⅱ),and full-thickness nasal defect with loss of surrounding tissues(type Ⅲ).All patients recovered ***:The treatment for rat bites should be based on the wound *** long-term follow-up outcomes are more favorable when fewer subunits of the nose *** recommend early surgical intervention,along with psychological therapy,to prevent interference with growth and development.

关键词： Rat bite Wound classification Nasal reconstruction

维普期刊数据库

Anthropogenic Influence on Decadal Changes in Concurrent Hot and Dry Events over China around the Mid-1990s

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Advances in Atmospheric Sciences 2024年第2期41卷 233-246页

作者： Qin SU Buwen DONG Fangxing TIAN Nicholas P.KLINGAMAN Yunnan Key Laboratory of Meteorological Disasters and Climate Resources in the Great Mekong Subregion Yunnan UniversityKunming 650500China department of Atmospheric Sciences Yunnan UniversityKunming 650500China National Centre for Atmospheric Science Department of MeteorologyUniversity of ReadingReadingRG66BBUK Geofysisk Institut University of BergenBergen 5007Norway Citadel investment Group Moor House120 London WallLondonRG66BBUK

The frequency and duration of observed concurrent hot and dry events(HDEs) over China during the growing season(April–September) exhibit significant decadal changes across the mid-1990s. These changes are characterized by increases in HDE frequency and duration over most of China, with relatively large increases over southeastern China(SEC), northern China(NC), and northeastern China(NEC). The frequency of HDEs averaged over China in the present day(PD,1994–2011) is double that in the early period(EP, 1964–81);the duration of HDEs increases by 60%. Climate experiments with the Met Office Unified Model(MetUM-GOML2) are used to estimate the contributions of anthropogenic forcing to HDE decadal changes over China. Anthropogenic forcing changes can explain 60%–70% of the observed decadal changes,suggesting an important anthropogenic influence on HDE changes over China across the mid-1990s. Single-forcing experiments indicate that the increase in greenhouse gas(GHG) concentrations dominates the simulated decadal changes,increasing the frequency and duration of HDEs throughout China. The change in anthropogenic aerosol(AA) emissions significantly decreases the frequency and duration of HDEs over SEC and NC, but the magnitude of the decrease is much smaller than the increase induced by GHGs. The changes in HDEs in response to anthropogenic forcing are mainly due to the response of climatological mean surface air temperatures. The contributions from changes in variability and changes in climatological mean soil moisture and evapotranspiration are relatively small. The physical processes associated with the response of HDEs to GHG and AA changes are also revealed.

关键词： concurrent hot and dry events decadal variation greenhouse gases aerosol emissions

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Automated deformation monitoring for urban subway tunnelling risk assessment: a case study from the Wuhan Metro line 12

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Journal of Earth Science 2024年

作者： Yuyong Jiao Jianfeng Qi Hongbin An Luyi Shen Fei Zheng Zhi Li You Zhang Lingling He Faculty of Engineering， China University of Geosciences (Wuhan) Wuhan Metro Inc. School of Civil and Hydraulic Engineering， Huazhong University of Science and Technology China Railway Construction investment Group Corporation Ltd. department of Civil Engineering， Monash University

Monitoring deformation is of critical importance for tunnel boring projects. This importance is further amplified for the metro construction project that involves boring beneath or near susceptible civil infrastructures. Here， we present a case study that uses robotic total station to preform automated deformation monitoring inside a tunnel during the excavation. Further， enabled with the Internet of Things technology， the monitoring data are streamlined through wireless internet access points and processed by a remote control center. A complete suite of software is deployed that can 1. process the monitoring data automatically. 2. set different triggering threshold reflecting various levels of hazardous incidents. 3. storing the data for further analysis that visualize the data， quantify overall risk levels and conduct predictive modelling. Built upon this automated system， a triage of risk response protocol is established that preforms reactive treatment according to the levels of reported hazards. A de-risk process， involving third party review， is also established. Overall， this report demonstrates our effort in monitoring the tunnel’s deformation with an automated system to save cost and reduce human induced errors. This report can be a useful reference for other engineers preforming metro tunneling tasks.

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Distribution characteristics and removal rate of antibiotics and antibiotic resistance genes in different treatment processes of two drinking water plants

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Frontiers of Environmental Science & Engineering 2024年第9期18卷 143-152页

作者： Jun Wang Mingtao Huang Bolin Li Hassan Ibrahim Mohamed Huanjie Song Gezi Li Ying Yu Han Zhang Weimin Xie School of Resource and Environmental Engineering Wuhan University of TechnologyWuhan 430070China Wuhan Lingang Economic and Technological Development Zone Service Industry Development investment Group Co.Ltd. Wuhan 430040China Civil Engineering department Faculty of EngineeringAssiut UniversityAssiut 71516Egypt Changjiang Basin Ecology Environment and Monitoring and Scientific Research Center Changjiang Basin Ecology and Environment AdministrationMinistry of Ecological EnvironmentWuhan 430010China

Emerging pollutants,such as antibiotics and antibiotic-resistance genes,are becoming increasingly important sources of safety and health *** water safety,which is closely related to human health,should receive more attention than natural water body ***,minimal research has been performed on the efficacy of existing treatment processes in water treatment plants for the removal of antibiotics and antibiotic resistance *** address this research gap,this study detected and analyzed six main antibiotics and nine antibiotic resistance genes in the treatment processes of two drinking water plants in *** were collected over three months and then detected and analyzed using ultra-high-performance liquid chromatography-tandem mass spectrometry and fluorescence *** total concentrations of antibiotics and antibiotic resistance genes in the influent water of the two water plants were characterized as December>March>*** precipitation and filtration processes of the Zou Maling Water Plant and Yu Shidun Water Plant successfully removed the *** ozone-activated carbon process increased the removal rate of most antibiotics to 100%.However,a large amount of antibiotic resistance gene residues remained in the effluents of the two water *** experiments demonstrated that the existing ozone-activated carbon processes could not effectively remove antibiotic resistance *** study provides a reference for the optimization of drinking water treatment processes for antibiotics and antibiotic resistance gene removal.

关键词： Antibiotics Antibiotics resistance genes Water treatment process unit Spatiotemporal distribution Removal efficacy

Human immunodeficiency virus-associated dementia complex with positive 14-3-3 protein in cerebrospinal fluid:A case report

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World Journal of Clinical Cases 2024年第12期12卷 2065-2073页

作者： Yun-Sen He Xiao-Hong Qin Min Feng Qin-Jiang Huang Meng-Jun Zhang Li-Li Guo Ming-Bin Bao Ye Tao Hong-Yuan Dai Bo Wu department of Neurosurgery Sichuan Lansheng Brain Hospital&Shanghai Lansheng Brain Hospital Investment Co.Ltd.Chengdu 610036Sichuan ProvinceChina department of Psychiatry Sichuan Provincial Center for Mental HealthChengdu 610072Sichuan ProvinceChina department of Geriatrics Municipal People’s Hospital in LuzhouLuzhou 646000Sichuan ProvinceChina department of Neurosurgery Wenjiang District People’s Hospital of ChengduChengdu 611100Sichuan ProvinceChina department of Neurosurgery Sichuan Provincial People's HospitalUniversity of Electronic Science and Technology of China ChengduChengdu 610072Sichuan ProvinceChina department of Neurology Sichuan Provincial People’s HospitalUniversity of Electronic Science and Technology of ChinaChengdu 610072Sichuan ProvinceChina

BACKGROUND Human immunodeficiency virus(HIV)-associated dementia(HAD)is a subcortical form of dementia characterized by memory deficits and psychomotor ***,HAD often presents with symptoms similar to those of Creutzfeldt-Jakob disease(CJD),particularly in patients with acquired immune deficiency syndrome(AIDS).CASE SUMMARY We report the case of a 54-year-old male who exhibited cognitive dysfunction and secondary behavioral changes following HIV infection and suspected prion *** patient was diagnosed with HIV during hospitalization and his cerebrospinal fluid tested positive for 14-3-3 *** electroencephalogram showed a borderline-abnormal periodic triphasic wave ***-enhanced magnetic resonance imaging revealed moderate encephalatrophy and ***,symptomatic treatment and administration of amantadine were pursued for presumed CJD,but the patient’s condition continued to *** contrast,the patient’s condition improved following anti-HIV *** individual is also the only patient with this prognosis to have survived over 4 ***,the diagnosis was revised to *** In the diagnostic process of rapidly progressive dementia,it is crucial to rule out as many potential causes as possible and to consider an autopsy to diminish diagnostic *** 14-3-3 protein should not be regarded as the definitive marker for *** laboratory screening for infectious diseases is essential to enhance diagnostic precision,especially in AIDS patients with potential ***,a trial of diagnostic treatment may be considered when additional testing is not feasible.

关键词： HIV-associated dementia Cognitive dysfunction Creutzfeld-Jakob disease Rapidly progressive dementia Case report

Efficacy and safety of abrocitinib in Chinese patients with moderate-to-severe atopic dermatitis: A post hoc analysis of the JADE REGIMEN phase 3 trial

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中华医学杂志(英文版) 2024年第16期137卷 1991-1992页

作者： Li Hang Cheng Hao Lu Qianjin Lai Wei Tao Xiaohua Encinas Gerardo A. Vyas Shefali Wang Bo Luo Xin Li Shiqi department of Dermatology Peking University First Hospital National Clinical Research Center for Skin and Immune Diseases Beijing China department of Dermatology Sir Run Run Shaw Hospital Zhejiang University School of Medicine Hangzhou Zhejiang China department of Dermatology The Second Xiangya Hospital of Central South University Changsha Hunan China department of Dermatology The Third Affiliated Hospital of Sun Yat-sen University Guangzhou Guangdong China department of Dermatology Zhejiang Provincial People’s Hospital Hangzhou Medical College Hangzhou Zhejiang China Pfizer S.A. de C.V. Mexico City Mexico Pfizer Inc. New York NY USA Pfizer investment Co. Ltd Beijing China Pfizer (China) R& D Co. Ltd Shanghai China Pfizer PBG Shanghai China

Doping engineering of lithium-aluminum layered double hydroxides for high-efficiency lithium extraction from salt lake brines

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Nano Research 2024年第3期17卷 1646-1654页

作者： Lingjie Zhang Tingting Zhang Yunliang Zhao Guangfeng Dong Shuaike Lv Songliang Ma Shaoxian Song Mildred Quintana School of Chemical and Environmental Engineering Wuhan Polytechnic UniversityWuhan 430023China School of Resources and Environmental Engineering Wuhan University of TechnologyWuhan 430070China Facultad de Ciencias Universidad Autonoma de San Luis PotosiAv.Parque Chapultepec 1570San Luis Potosi 78210Mexico Wuhan Clayene Technology Co. Ltd.Wuhan 430223China State Development investment Xinjiang Lop Nur Potash Corporation Hami 839000China

Lithium-aluminum layered double hydroxides(LiAl-LDH)have been be successfully applied in commercial-scale for lithium extraction from salt lake brine,however,further advancement of their applications is hampered by suboptimal Li^(+)adsorption performance and ambiguous extraction ***,a doping engineering strategy was developed to fabricate novel Zn^(2+)-doped LiAl-LDH(LiZnAl-LDH)with remarkable higher Li^(+)adsorption capacity(13.4 mg/g)and selectivity(separation factors of 213,834,171 for Li^(+)/K^(+),Li^(+)/Na^(+),Li^(+)/Mg^(2+),respectively),as well as lossless reusability in Luobupo brine compared to the pristine ***,combining experiments and simulation calculations,it was revealed that the specific surface area,hydrophilic,and surface attraction for Li^(+)of LiZnAl-LDH were significantly improved,reducing the adsorption energy(Ead)and Gibbs free energy(ΔG),thus facilitating the transfer of Li^(+)from brine into interface followed by insertion into ***,the intrinsic oxygen vacancies derived from Zn-doping depressed the diffusion energy barrier of Li^(+),which accelerated the diffusion process of Li^(+)in the internal bulk of *** work provides a general strategy to overcome the existing limitations of Li^(+)recovery and deepens the understanding of Li^(+)extraction on LiAl-LDH.

关键词： lithium extraction salt lake brines doping engineering lithium-aluminum layered double hydroxides density functional theory

Characteristics and demographic factors of traditional Chinese medicine constitution types among elderly individuals in China:A national multistage cluster random study Author links open overlay panel

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Journal of Traditional Chinese Medical Sciences 2024年第3期11卷 257-263页

作者： Jing Xia Minghua Bai Huirong Song Houqin Li Dayan Zhang Mary Y.Jiang Ran Chen Feiyu He Cheng Ni Center for Studies in Constitution and Reproductive Sciences of Traditional Chinese Medicine Beijing University of Chinese MedicineBeijing 100029China National Institute of TCM Constitution and Preventive Medicine Beijing University of Chinese MedicineBeijing 100029China Huangsi Comprehensive Outpatient department Beijing Tongrentang Healthcare Industry Investment Group CompanyBeijing 100032China Zhangjiakou Second Traditional Chinese Medicine Hospital Zhangjiakou 076250China Faculty of Medicine The Chinese University of Hong KongHong Kong 999077China

Objective To reveal the distribution characteristics and demographic factors of traditional Chinese medicine(TCM)constitution among elderly individuals in *** Elderly individuals from seven regions in China were selected as samples in this study using a multistage cluster random sampling *** basic information questionnaire and Constitution in Chinese Medicine Questionnaire(Elderly Edition)were *** statistical analysis,chi-squared tests,and binary logistic regression analysis were *** The single balanced constitution(BC)accounted for 23.9%.The results of the major TCM constitution types showed that BC(43.2%)accounted for the largest proportion and unbalanced constitutions ranged from 0.9%to 15.7%.East China region(odds ratio[OR]=2.097;95%confidence interval[CI],1.912 to 2.301),married status(OR=1.341;95%CI,1.235 to 1.457),and managers(OR=1.254;95%CI,1.044 to 1.505)were significantly associated with ***>70 years was associated with qi-deficiency constitution and blood stasis constitution(BSC).Female sex was significantly associated with yang-deficiency constitution(OR=1.646;95%CI,1.52 to 1.782).Southwest region was significantly associated with phlegm-dampness constitution(OR=1.809;95%CI,1.569 to 2.086).North China region was significantly associated with inherited special constitution(OR=2.521;95%CI,1.569 to 4.05).South China region(OR=2.741;95%CI,1.997 to 1.3.763),Central China region(OR=8.889;95%CI,6.676 to 11.835),senior middle school education(OR=2.442;95%CI,1.932 to 3.088),and managers(OR=1.804;95%CI,1.21 to 2.69)were significantly associated with *** This study defined the distribution characteristics and demographic factors of TCM constitution in the elderly *** and improving unbalanced constitutions,which are correlated with diseases,can help promote healthy aging through the scientific management of these demographic factors.

关键词： Constitution in Chinese Medicine Questionnaire(Elderly Edition) Body constitution Multistage cluster random sampling Demographic factors Elderly individuals

Getting the Most Out of Every Training Day: The Influence of Instructors on Self-Regulated Learning During Firefighter Leadership Courses

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International Journal of Disaster Risk Science 2024年第3期15卷 332-345页

作者： Stefan R?seler Micha Hilbert Guido Hertel Meinald T.Thielsch department of Psychology University of Münster

Leadership courses in the fire services are highly challenging, and they can seriously exhaust trainees and hamper their selfregulated learning efforts(for example, setting goals, focusing attention, seeking feedback). We theorize that experiences of failure or overload can curtail trainees' available energy resources on subsequent training days, which, in turn, should affect trainees' learning efforts. Given instructors' central role in leadership courses, we hypothesize that supportive and humble instructor behaviors decrease experiences of failure and overload and, thus, increase self-regulated learning. Moreover, we argue that supportive instructor behavior may amplify the positive effects of high energy resources, while humble behavior may alleviate the negative impact of low resource levels. We tested preregistered hypotheses with 118 firefighters participating in two-week leadership courses at a German fire academy. The participants completed short web-based questionnaires before and after classes each day. Multilevel analyses confirmed that perceived daily supportive and humble instructor behavior predicted trainees' reports of daily self-regulated learning activity. Notably, this effect was independent from positive effects of trainees' reported energy resources in the morning. Supportive and humble behavior did not moderate the eff ect of energy resources. Our findings suggest that instructors play a crucial role in facilitating effective learning under challenging training conditions. Furthermore, we offer implications for leaders in fire services, who often conduct trainings with their subordinates.

关键词： Diary study Fire services Instructor behavior Leadership training Resource investment