Although the World Health Organization has declared that the COVID-19 pandemic no longer qualifies as a global public health emergency, it still needs to explore the response of society to the COVID-19 pandemic. Socio-economic status (SES) was proven to be linearly associated with the COVID-19 pandemic, although this relationship may be more complex due to regional differences. In the study, we analyzed and revealed the effects and mechanisms of SES on infections among low, lower-middle, upper-middle and high SES group (LSG, LMSG, UMSG, and HSG, respectively). The results showed that the relationship between SES and infections was inverted U-shaped, especially in the first three phases. In Phase I, UMSG had the highest number of infections, with an average of 238.31/1M people (95%CI: 135.47-341.15/1M people). In Phases II and III, infections decreased insignificantly with increasing SES (r = -0.01, p = 0.92; r = -0.11, p = 0.22) and the highest number of infections were found in the LMSG. In Phase IV, SES was positively related to the number of infections (r = 0.54, p < 0.001). Furthermore, the nonlinear impact of multiple factors related to SES on the infections explains the complex relationships between SES and infections. SES affected infections mainly through medical resources, demographics and vaccination, and differed across the SES groups. Particularly, demographics could exert an impact on population mobility, subsequently influencing infections in LMSG, with an indirect effect of 0.01 (p < 0.05) in Phase II. This study argues for greater attention to countries with middle SES and the need for future targeted measures to cope with infectious diseases.
A compact circularly polarized non-resonant slotted waveguide antenna array is proposed with the aim of achieving wide-angle scanning, circular polarization, and low side-lobe levels. The designed antenna demonstrates a scanning range of +11° to +13° in the frequency domain and a beam scanning range of -45° to +45° in the phase domain. This design exhibits significant advantages for low-cost two-dimensional electronic scanning circularly polarized arrays. It employs a compact element that reduces the aperture area by 50% compared to traditional circular polarization cavities. Additionally, the staggered array method is employed to achieve an element spacing of 0.57λ within the azimuth plane. Isolation gaps were introduced into the array to enhance the circular polarization performance of non-resonant arrays. The Taylor synthesis method was employed to reduce the side-lobe levels. A prototype was designed, fabricated, and measured. The results indicate superior radiation efficiency, favorable VSWR levels, and an axis ratio maintenance below 3 dB across the scanning range. The proposed antenna and methodology effectively broaden the beam scanning angle of circularly polarized slotted waveguide array antennas.
BACKGROUND: This case report presents the rare occurrence of hematochezia due to an internal iliac artery aneurysm leading to an arterioenteric fistula, expanding the differential diagnosis for gastrointestinal bleeding. It emphasizes the importance of considering vascular origins in cases of atypical hematochezia, particularly in the absence of common gastrointestinal causes, and highlights the role of imaging and multidisciplinary management in diagnosing and treating such unusual presentations. CASE SUMMARY: A 75-year-old man with a history of hypertension presented with 12 d of hematochezia, experiencing bloody stools 7-8 times per day. Initial computed tomography (CT) scans revealed an aneurysmal rupture near the right internal iliac artery with suspected hematoma development. Hemoglobin levels progressively decreased to 7 g/dL. Emergency arterial angiography and iliac artery-covered stent placement were performed, followed by balloon angioplasty. Despite initial stabilization, minor rectal bleeding and abdominal pain persisted, leading to further diagnostic colonoscopy. This identified a neoplasm and potential perforation at the proximal rectum. An exploratory laparotomy confirmed the presence of a hematoma and an aneurysm invading the rectal wall, necessitating partial rectal resection, intestinal anastomosis, and ileostomy. Postoperative recovery was successful, with no further bleeding incidents and normal follow-up CT and colonoscopy results after six months. CONCLUSION: In cases of unusual gastrointestinal bleeding, it is necessary to consider vascular causes for effective diagnosis and intervention.
In this study, the GMAW welding torch was controlled by a stepping motor to achieve a periodic swing. By controlling the swing speed, a micro-variable deposition path was obtained, which was called the micro-control deposition trajectory. The influence of the micro-control deposition trajectory on the arc characteristics, microstructure, and mechanical properties of 304 steel wire arc additive manufacturing was studied. The results showed that the micro-control deposition process was affected by the swing arc and the deposition trajectory and that the arc force was dispersed over the whole deposition layer, which effectively reduced the welding heat input. However, the arc centrifugal force increased with the increase in the swing speed, which easily caused instability of the arc and large spatter. Compared with common thin-walled deposition, the deposition width of micro-control thin-walled deposition components was increased. In addition, the swinging arc had a certain stirring effect on the molten pool, which was conducive to the escape of the molten pool gas and refinement of the microstructure. Below, the interface of the deposition layer, the microstructure of the common thin-walled deposition components, and the micro-control thin-walled deposition components were composed of lathy ferrite and austenite. Compared with the common deposition, when the swing speed increased to 800 °/s, the microstructure consisted of vermicular ferrite and austenite. The tensile strength and elongation of the micro-control thin-walled deposition components are higher than those of the common thin-walled deposition components. The tensile fracture mechanism of the common thin-walled deposition components and the micro-control thin-walled deposition components was the ductile fracture mechanism.
A numerical study was conducted on an axial compressor, the NASA Stage 35, with three nonuniform tip clearances to understand the effect of a different shape tip clearances rotor on the compressor's performance. The results demonstrated that by modifying the traditional parallel tip clearance to sine-type tip clearance (STC), hump-type tip clearance (HTC), and concave-type tip clearance (CTC), the compressor's peak efficiency showed remarkable improvement and the SMI was significantly improved. In comparison to the design rotor, the SMI of STC, HTC, and CTC increased by 3.102 %, 2.672 %, and 0.645 %, respectively. The leakage distribution at the tip-clearance region from LE to TE exhibited an inverse pattern to that of the tip curve. The leakage's magnitude could not reflect the TLF's intensity, and the leakage in the middle of the blade tip had a role in the size of the TLV. Leakage at the tip's TE influenced the corner separation's scale in the casing. The STC and HTC schemes' total pressure ratio improved, the low-velocity zone's area, high-entropy area, and high absolute vorticity area at the LE of rotor's PS decreased, the detached shock moved backward, the leading-edge spillage flow decreased, the shock action position of the rotor suction surface moved forward, the BLS increased, the TPL in the stator channel decreased, and the CTC exhibited the opposite trend. A nonuniform tip clearance was achieved by reducing the leakage and TLV intensity, thereby reducing the size of the TLV, induced vortex, or CSV in rotor passage and increasing the compressor's SMI.
To steer and track electron motion in atoms, molecules, and nanostructures, light pulses with attosecond duration and high repetition rate are required. In this paper, we use the angular dispersion-induced microbunching scheme and a few-cycle laser within a straight section (a few meters) of a diffraction-limited storage ring to generate a coherent high-flux attosecond pulse in the water window region. Simulation results based on the Southern Advanced Photon Source indicate that the proposed method can generate a chirp-free Fourier transform limited pulse with a minimum duration of 50 as, a maximum repetition rate of a few MHz, and a maximum average flux of about [Formula: see text] photons/s/1%Bw.
Incorporating seasonality into livestock spatial distribution is of great significance for studying the complex system interaction between climate, vegetation, water, and herder activities, associated with livestock. The Qinghai-Tibet Plateau (QTP) has the world's most elevated pastoral area and is a hot spot for global environmental change. This study provides the spatial distribution of cattle, sheep, and livestock grazing on the warm-season and cold-season pastures at a 15 arc-second spatial resolution on the QTP. Warm/cold-season pastures were delineated by identifying the key elements that affect the seasonal distribution of grazing and combining the random forest classification model, and the average area under the receiver operating characteristic curve of the model is 0.98. Spatial disaggregation weights were derived using the prediction from a random forest model that linked county-level census livestock numbers to topography, climate, vegetation, and socioeconomic predictors. The coefficients of determination of external cross-scale validations between dasymetric mapping results and township census data range from 0.52 to 0.70. The data could provide important information for further modeling of human-environment interaction under climate change for this region.
Environmental Monitoring , Livestock , Animals , Cattle , Humans , Climate Change , Seasons , Sheep , Tibet
The discrepancies among the variations in global ice volume, cave stalagmite δ18O and rainfall reconstructed by cosmogenic 10Be tremendously restrain our understanding of the evolution of the East Asian summer monsoon (EASM). Here, we present a 430-ka EASM mean annual precipitation record on the Chinese Loess Plateau obtained using branched glycerol dialkyl glycerol tetraethers based on a deep learning neural network; this rainfall record corresponds well with cave-derived δ18O data from southern China but differs from precipitation reconstructed by 10Be. Both branched tetraether membrane lipids and cave δ18O may be affected by soil moisture and atmospheric temperature when glacial and interglacial conditions alternated and were thus decoupled from atmospheric precipitation; instead, they represent variations in the intensity of the EASM. Furthermore, we demonstrate that the brGDGT-DLNN method can significantly extend the temporal scale record of the EASM and is not restricted by geographic location compared with stalagmite records.
Cyclonic Storms , Glycerol , Seasons , Soil , Temperature
Nutrient removal in carbon limited wastewater with high efficiency and energy saving remains a bottleneck for wastewater treatment plants (WWTPs). This study established a pilot-scale anaerobic/aerobic/anoxic (AOA) system with processing capacity of 100 m3/d for the first time. During almost 300 days of stable operation, enhanced nitrogen and phosphorus removal at a C/N of 5 was achieved, and the concentrations of total nitrogen (TN) and total phosphorus (TP) in effluent were 3.60 ± 1.55 and 0.24 ± 0.13 mg/L. Tetrasphaera and Candidatus Competibacter were the dominant phosphorus accumulating organisms (PAOs) and glycogen accumulating organisms (GAOs) in the AOA system. Moreover, the low phosphorus release ensured sufficient intracellular carbon storage by endogenous denitrification, which was the critical factor for nitrogen and phosphorus removal in carbon limited wastewater. The denitrification phosphorus removal (DPR) ability further removed phosphorus and prevented secondary phosphorus release to maintain a low phosphorus concentration in effluent. Finally, rapid start-up, high nutrient removal efficiency and low energy consumption make the proposed AOA process suitable for application in newly constructed and renovated WWTPs.
Nitrogen , Phosphorus , Anaerobiosis , Bioreactors , Carbon , Denitrification , Glycogen , Nitrification , Sewage , Waste Disposal, Fluid , Wastewater
Chemical protection is one of the most important methods to control forest pests. Since pesticides used in chemical protection might have significant adverse effects on aquatic organisms, it is essential to monitor and detect trace pesticides in environmental water. In this study, an on-site natural deep eutectic solvent-based multiple air-assisted liquid-liquid microextraction coupled with gas chromatography-electron capture detection was developed for determining triadimefon, bifenthrin, bromopropylate, and permethrin in water samples in the forest. A series of menthol-based deep eutectic solvents were synthesized for the first time to find green and efficient extractants. Moreover, a deep eutectic solvent with a 1:2 molar ratio of DL-menthol to citric acid was selected as the extractant due to its high stability and extraction performance. A portable modular array device based on air-assisted liquid-liquid microextraction was designed and manufactured to enable the simultaneous pretreatment of several samples. Although no electric equipment is required throughout the process, up to six samples were pretreated on-site within 20 min. Moreover, the average sample pretreatment time was less than 3.5 min, and the process was substantially simplified and enhanced. In addition, the parameters affecting the extraction performance were optimized. The extraction recoveries were in the range of 92-95% by using the optimized conditions, and the relative standard deviations of the intra-device, inter-device, intra-day, and inter-day factors were all less than 4.9%. The detection limits of the method ranged from 0.34 to 3.3 µg L-1. Good linearities (R2>0.999) were shown in the linear range of 1.13 to 2500 µg L-1 for the studied pesticides. Moreover, the proposed method was proved to be highly environmentally friendly by the Analytical Eco-Scale and Green Analytical Procedure Index. In summary, the proposed method is green, efficient, and flexible for on-site water sample pretreatment. The fact that tedious operations can be converted into standard operations provides a new perspective for on-site sample processing.
Liquid Phase Microextraction , Pesticides , Deep Eutectic Solvents , Limit of Detection , Liquid Phase Microextraction/methods , Menthol , Solvents/chemistry , Water/chemistry
Global warming can have positive or negative impacts on society depending on sectors and changes in climate impact drivers, resulting in opportunities or risks. The same holds true for social-economic changes. However, past research has mostly focused on assessing risks, leaving potential opportunities under-addressed. Here, we simulated the impact of climate change and socioeconomic development on livestock snow disasters over the Qinghai-Tibetan Plateau during 1986-2100, by integrating the drivers of climate and socioeconomic changes via an event-based disaster risk assessment model. Model results show climate change and socioeconomic development contributes about equally to reducing livestock loss in snow disasters by 4% yr-1 up to 2100 under representative concentration pathway 8.5 and shared-socioeconomic pathway 5. The marginal benefit from climate change was projected to be a 43.2% reduction in annual average loss per degree kelvin warming, and that from socioeconomic development was a 12.4% reduction per 100% increase in gross domestic production. In a 2 °C warmer world, the annual average loss could be 91% smaller compared with the baseline period (1986-2005). Limiting global warming to 1.5 °C instead of 2 °C would reduce the benefit by 5%, requiring a 135% increase in the marginal benefits of prevention capacity to offset the reduction.
Disasters , Snow , Animals , Climate Change , Livestock , Socioeconomic Factors , Tibet
The electron beam generated in laser plasma accelerators (LPAs) has two main initial weaknesses - a large beam divergence (up to a few milliradians) and a few percent level energy spread. They reduce the beam brightness and worsen the coherence of the LPA-based light source. To achieve fully coherent radiation, several methods have been proposed for generating strong microbunching on LPA beams. In these methods, a seed laser is used to induce an angular modulation into the electron beam, and the angular modulation is converted into a strong density modulation through a beamline with nonzero longitudinal position and transverse angle coupling. In this paper, an alternative method to generate microbunching into the LPA beam by using a seed laser that induces an energy modulation and transverse-longitudinal coupling beamlines that convert the energy modulation into strong density modulation is proposed. Compared with the angular modulation methods, the proposed method can use more than one order of magnitude lower seed laser power to achieve similar radiation performance. Simulations show that with the proposed method a coherent pulse of a few microjoules pulse energy and femtosecond duration can be generated with a typical LPA beam.
Gastric cancer is one of the most common malignancies worldwide, with high morbidity and poor survival rate. Its prognosis remains unsatisfactory, with a 5-year survival rate of <30%. Studies have indicated that Huaier granules have good antitumor efficacy and safety in several solid malignant tumors. Recent studies have also found that Huaier polysaccharides can promote apoptosis in numerous tumor cells, although only few studies have focused on the effects of Huaier granules on gastric cancers and the mechanisms underlying their antitumor role. We retrospectively evaluated stage IIb gastric cancer patients at Xiangya Hospital, Central South University, through our outpatient system from January 2013 to December 2015. Fifty-four patients were in the Huaier+Tegafur Gimeracil Oteracil Potassium (TGOP) group and 72 in the TGOP group. Further, we conducted CCK8, colony formation, Annexin V-FITC/PI, Western blot, RT-PCR, and plasmid transfection assays to analyze the mechanism by which Huaier polysaccharides play an antitumor role. We confirmed that Huaier granules combined with Tegafur Gimeracil Oteracil Potassium could promote patient prognosis, with a better disease-free survival rate (51.32 ± 2.23 vs. 44.19 ± 2.26, p = 0.034) and overall survival rate (56.81 ± 1.32 vs. 51.32 ± 1.69, p = 0.020). Moreover, through cell proliferation assays, Western blot, RT-PCR, and detection of Livin expression at the mRNA and protein levels, we found that Huaier polysaccharides could promote gastric cancer cell apoptosis and inhibit gastric cancer cell proliferation in a time- and dose-dependent manner. Finally, we demonstrated that Huaier polysaccharides promote gastric cancer cell apoptosis through the regulation of Livin expression. Overexpression of Livin reversed the gastric cell apoptosis induced by Huaier polysaccharides. Huaier granules combined with Tegafur Gimeracil Oteracil Potassium ameliorated stage IIb gastric cancer prognosis and induced gastric cancer cell apoptosis by regulating Livin.
Adaptor Proteins, Signal Transducing/metabolism , Antineoplastic Agents/therapeutic use , Apoptosis/drug effects , Complex Mixtures/therapeutic use , Inhibitor of Apoptosis Proteins/metabolism , Neoplasm Proteins/metabolism , Pyridines/therapeutic use , Stomach Neoplasms/drug therapy , Tegafur/therapeutic use , Cell Line, Tumor , Cell Proliferation/drug effects , Disease-Free Survival , Female , Humans , Male , Middle Aged , Potassium/therapeutic use , Prognosis , Retrospective Studies , Stomach/drug effects , Stomach/pathology , Stomach Neoplasms/metabolism , Stomach Neoplasms/pathology , Survival Rate , Trametes
A bias-corrected dataset containing daily meteorological data over the Qinghai-Tibet Plateau has been generated using a trend-preserving bias correction, the Inter-Sectoral Impact Model Intercomparison Project (ISI-MIP) approach, with a high-quality gridded meteorological dataset based on ground observations (CN05.1). The dataset contains daily bias-corrected values of maximum/minimum near-surface air temperature, precipitation and mean near-surface wind speed from 15 models from the Fifth Phase of the Coupled Model Intercomparison Project (CMIP5) and a downscaled high-resolution dataset (NEX-GDDP), based on CMIP5 models, over the Qinghai-Tibet Plateau (QTP) during 1986-2095. This dataset provides an important reference for the study of future climate change and its impacts in the Qinghai-Tibet Plateau region.
Gastric cancer (GC) is one of the most commonly diagnosed malignancies in digestive tract and its underlying molecular mechanism is still not clear, so we aimed to reveal the relationship between GC and UDP-GlcNAc pyrophosphorylase-1 like 1 (UAP1L1). The detection of UAP1L1 expression in GC tumor and normal tissues was accomplished by immunohistochemistry and demonstrated the upregulation of UAP1L1 in GC, which was statistically associated with tumor grade. GC cell models constructed via transfection of UAP1L1-silencing/overexpressing lentiviruses were employed for evaluating the effects of UAP1L1 knockdown/overexpression on GC in vitro and in vivo. The results indicated that UAP1L1 played important role in development of GC through regulating cell proliferation, colony formation, cell apoptosis and cell migration. Subsequently, CDK6 was identified as a potential target in UAP1L1 induced regulation of GC, downregulation of which exhibited similar inhibition effects on GC with UAP1L1. Moreover, it was demonstrated that the promotion of GC by UAP1L1 overexpression could be significantly attenuated or even reversed by simultaneously silencing CDK6. In conclusion, UAP1L1 was reported to be a tumor promotor in the development and progression of GC which may exert its role through regulating CDK6 and may act as a candidate of therapeutic target in treatment.
Cyclin-Dependent Kinase 6/physiology , Nucleotidyltransferases/physiology , Stomach Neoplasms/etiology , Adult , Aged , Animals , Female , Humans , Immunohistochemistry , Male , Mice , Mice, Inbred BALB C , Middle Aged , Nucleotidyltransferases/analysis , Nucleotidyltransferases/genetics , Stomach Neoplasms/chemistry , Up-Regulation
BACKGROUND: Preoperative imatinib mesylate therapy for gastrointestinal stromal tumors (GISTs) is controversial. This study aimed to explore the clinical efficacy and optimal duration of preoperative imatinib mesylate (IM) therapy in patients with locally advanced and recurrent/metastatic GISTs. METHODS: We retrospectively examined patients who received preoperative imatinib mesylate therapy from January 2013 to December 2018 at Xiangya Hospital, Central South University and the Second Xiangya Hospital of Central South University, China. Clinical data, including the results of tests for mutations in KIT and PDGFR, findings from regularly conducted re-examinations, abdominal-enhanced computed tomography/magnetic resonance imaging data, responses to imatinib, progression-free survival, and overall cancer-specific survival, were recorded. RESULTS: A total of 25 patients were enrolled in our study, including 18 with a locally advanced GIST and 7 with recurrent or metastatic GISTs. Their ages ranged from 22 to 70 years (M:F = 1.6:0.9), with a mean age of 50.48 ± 12.51 years. The tumor locations included the stomach (56.0%), rectum (16.0%), enterocoelic/retroperitoneal sites (12.0%), and the small intestine (12.0%). Based on testing for mutations in KIT and PDGFR, 22 patients received 400 mg/day KIT, and 3 patients received 600 mg/day PDGFR. The median duration of preoperative IM therapy was 8.96 ± 4.81 months, ranging from 3 to 26 months. According to the Choi criteria, 24 patients achieved a partial response (PR), and 1 patient had stable disease (SD). All patients underwent surgery after preoperative IM therapy, and no postoperative complications appeared. The 2-year PFS and 5-year PFS were 92% and 60%, respectively, and the total 5-year cancer-specific survival (CSS) was 92%. CONCLUSION: Preoperative imatinib therapy is feasible for locally advanced and recurrent/metastatic GISTs and can effectively shrink the tumor size, allow organ sparing, and avoid extensive organ resection. Moreover, the optimal duration of preoperative IM therapy in patients with locally advanced and recurrent/metastatic GISTs was 8.96 ± 4.81 months, ranging from 3 to 26 months, and gastric GISTs had a better response to preoperative IM therapy than did non-gastric GISTs.
Gastrointestinal Neoplasms/surgery , Gastrointestinal Stromal Tumors/surgery , Neoplasm Recurrence, Local/surgery , Adult , Chemotherapy, Adjuvant , Female , Gastrointestinal Neoplasms/drug therapy , Gastrointestinal Neoplasms/mortality , Gastrointestinal Stromal Tumors/drug therapy , Gastrointestinal Stromal Tumors/mortality , Humans , Imatinib Mesylate/therapeutic use , Male , Middle Aged , Neoplasm Recurrence, Local/drug therapy , Neoplasm Recurrence, Local/mortality , Retrospective Studies
This data set contains a small sample data of livestock snow disasters in the Qinghai-Tibetan Plateau, including historical loss, snow hazard measures, during disaster temperature and wind speed, and pre-disaster summer vegetation condition. This data set can be used to test/verify the method used in the method in the corresponding article published in Stoten, entitled "Linking livestock snow disaster mortality and environmental stressors in the Qinghai-Tibetan Plateau: quantification based on generalized additive models" (Y. Li et al. 2018). The data is supplied as a supplementary file attached in the research article.
Livestock snow disaster occurs widely in Central-to-Eastern Asian temperate and alpine grasslands. The effects of snow disaster on livestock involve a complex interaction between precipitation, vegetation, livestock, and herder communities. Quantifying the relationship among livestock mortality, snow hazard intensity, and seasonal environmental stressors is of great importance for snow disaster early warning, risk assessments, and adaptation strategies. Using a wide-spatial extent, long-time series, and event-based livestock snow disaster dataset, this study quantified those relationships and established a quantitative model of livestock mortality for prediction purpose for the Qinghai-Tibet Plateau region. Estimations using generalized additive models (GAMs) were shown to accurately predict livestock mortality and mortality rate due to snow disaster, with adjusted-R2 up to 0.794 and 0.666, respectively. These results showed that a longer snow disaster duration, lower temperatures during the disaster, and a drier summer with less vegetation all contribute significantly and non-linearly to higher mortality (rate), after controlling for elevation and socioeconomic conditions. These results can be readily applied to risk assessment and risk-based adaptation actions.
