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Preoperative nutritional status plays an important role in predicting postoperative outcomes. Prognostic Nutritional Index (PNI) and Controlling Nutritional Status (CONUT) are good tools to assess patients’ nutritional status. They have been used in predicting outcomes in various malignancies, but few studies have focused on pancreatic adenocarcinoma (PDAC) patients. Totally, 306 PDAC patients were enrolled. The propensity score matching (PSM) method was introduced to eliminate the baseline inequivalence. Patients with different PNI (or CONUT) scores showed inequivalence baseline characteristics, and patients with compromised nutritional status were related with a more advanced tumour stage. After PSM, the baseline characteristics were well balanced. Both low PNI (≤45) and high CONUT (≥3) were independent risk factors for poor overall survival (P < 0·05), and the result remained the same after PSM. Survival analysis demonstrated both patients with low PNI and high CONUT score were associated with poorer survival, and the result remained the same after PSM. The results of AUC indicated that CONUT might have a higher sensitivity and specificity in predicting complications and survival. Preoperative low PNI (≤45) and high CONUT (≥3) scores might be reliable predictors of prognosis and surgical complications in PDAC patients. Compared with PNI, CONUT might be more effective.
Boron carbide (B4C) powder was consolidated at 45 MPa by Spark Plasma Sintering (SPS) for 20 min from 1450 to 2000 °C. The density of the B4C reached 99.6% at 2000 °C. A continuum model was applied to describe the densification mechanism of B4C powder under SPS conditions. The shrinkage rate was sensitive to particle size and temperature. The effect of porosity on thermal diffusion was significant, especially for small particle sizes. It appears that there is Joule heating, discharge, and electromagnetic field involved during the SPS of B4C. The current can enhance the sintering process, and it can obviously reduce the creep activation energy.
In this present study, the influence of different casting processes on high cycle fatigue behavior of Mg–10Gd–3Y–0.5Zr magnesium alloy was investigated by using porosity-free low-pressure sand-casting (LPS) bars and gravity permanent mold casting (GPM) ingots. The results show that the fatigue properties of both LPS and GPM Mg–10Gd–3Y–0.5Zr alloy in as-cast condition are determined by Mg matrix and eutectic phase. However, the fatigue property improvement for LPS alloy by T6 heat treatment is significantly superior to that of GPM alloy. The different degree of enhancement of fatigue properties for two conditions of the alloy is related to different crack initiation mechanism. The fatigue crack of the LPS alloy initiates from the free surface of the sample, while the crack of the GPM alloy initiates from porosities or inclusions near the surface of the sample. Meanwhile, the crack of slip band has a crucial effect on the fatigue crack initiation of both as-cast and T6 conditions for LPS alloy.
In this paper, the recent studies of laboratory astrophysics with strong magnetic fields in China have been reviewed. On the Shenguang-II laser facility of the National Laboratory on High-Power Lasers and Physics, a laser-driven strong magnetic field up to 200 T has been achieved. The experiment was performed to model the interaction of solar wind with dayside magnetosphere. Also the low beta plasma magnetic reconnection (MR) has been studied. Theoretically, the model has been developed to deal with the atomic structures and processes in strong magnetic field. Also the study of shock wave generation in the magnetized counter-streaming plasmas is introduced.
Radio-glaciological parameters from the Moore’s Bay region of the Ross Ice Shelf, Antarctica, have been measured. The thickness of the ice shelf in Moore’s Bay was measured from reflection times of radio-frequency pulses propagating vertically through the shelf and reflecting from the ocean, and is found to be 576 ± 8 m. Introducing a baseline of 543 ± 7m between radio transmitter and receiver allowed the computation of the basal reflection coefficient, R, separately from englacial loss. The depth-averaged attenuation length of the ice column, 〈L〉 is shown to depend linearly on frequency. The best fit (95% confidence level) is 〈L(ν)〉= (460±20) − (180±40)ν m (20 dB km−1), for the frequencies ν = [0.100–0.850] GHz, assuming no reflection loss. The mean electric-field reflection coefficient is (1.7 dB reflection loss) across [0.100–0.850] GHz, and is used to correct the attenuation length. Finally, the reflected power rotated into the orthogonal antenna polarization is <5% below 0.400 GHz, compatible with air propagation. The results imply that Moore’s Bay serves as an appropriate medium for the ARIANNA high-energy neutrino detector.
We present a new splitting method for time-dependent convention-dominated diffusion problems. The original convention diffusion system is split into two sub-systems: a pure convection system and a diffusion system. At each time step, a convection problem and a diffusion problem are solved successively. A few important features of the scheme lie in the facts that the convection subproblem is solved explicitly and multistep techniques can be used to essentially enlarge the stability region so that the resulting scheme behaves like an unconditionally stable scheme; while the diffusion subproblem is always self-adjoint and coercive so that they can be solved efficiently using many existing optimal preconditioned iterative solvers. The scheme can be extended for solving the Navier-Stokes equations, where the nonlinearity is resolved by a linear explicit multistep scheme at the convection step, while only a generalized Stokes problem is needed to solve at the diffusion step and the major stiffness matrix stays invariant in the time marching process. Numerical simulations are presented to demonstrate the stability, convergence and performance of the single-step and multistep variants of the new scheme.
P-type Cu1.8+xSe (x = 0, 0.16, 0.20) compounds were synthesized by mechanical alloying and spark plasma sintering technique. A 100% enhancement of the Seebeck coefficient was achieved in the whole temperature interval for x = 0.16 and x = 0.20 bulks compared with that of the x = 0 bulk. The thermal conductivity was all below 1.6 W m−1 K−1 in the whole temperature interval for x = 0.16 and x = 0.20 bulks, showing a pronounced reduction compared with that of the x = 0 bulk. The lowest thermal conductivity 0.69 W m−1 K−1 was achieved in the x = 0.16 sample at 773 K, whereby a maximum ZT value of 1.23 was obtained, revealing that optimizing Cu content in Cu1.8+xSe system is an effective method to improve the thermoelectric (TE) merit and indicating a great potential for TE application along with their nontoxicity and low cost.
Gold–silver (Au–Ag) bimetal dispersed SiO2 composite films were fabricated via a chemical solution approach combining sol–gel with a spin-coating process, and they were investigated by transmission electron microscopy (TEM), x-ray photoelectron spectroscopy (XPS), and ultraviolet-visible absorption spectra. TEM image indicated that Ag and/or Au nanoparticles (NPs) had a spherical structure with large size distributions. The XPS results demonstrated that the presence of both Ag and Au NPs in the composite film is in each metal state. The optical absorption spectra of the composite film further confirmed the formation of nanosized Au and Ag particles, given by the two surface plasmon resonance (SPR) peaks. Unlike other Au–Ag composite films, these two SPR peaks had almost the same intensity, which is rarely obtained by a chemical approach. Compared to optical absorption spectra calculated by the modified Mie theory, the location and intensity of SPR peaks had a little difference, which could be attributed to large size distributions of Ag and Au bimetal NPs in the composite film along with the experimental process. In addition, the intensity of both SPR peaks was content-related.
Contaminated water is one of the main sources of norovirus (NoV) gastroenteritis outbreaks globally. Waterborne NoV outbreaks are infrequently attributed to GII.4 NoV. In September 2009, a NoV outbreak affected a small school in Guangdong Province, China. Epidemiological investigations indicated that household use water, supplied by a well, was the probable source (relative risk 1·9). NoV nucleic acid material in concentrated well-water samples was detected using real-time RT–PCR. Nucleotide sequences of NoV extracted from diarrhoea and well-water specimens were identical and had the greatest sequence identity to corresponding sequences from the epidemic strain GII.4-2006b. Our report documents the first laboratory-confirmed waterborne outbreak caused by GII.4 NoV genotype in China. Our investigations indicate that well water, intended exclusively for household use but not for consumption, caused this outbreak. The results of this report serve as a reminder that private well water intended for household use should be tested for NoV.
Lutein and zeaxanthin are thought to decrease the incidence of age-related macular degeneration (AMD); however, findings have been inconsistent. We conducted a systematic literature review and meta-analysis to evaluate the relationship between dietary intake of lutein and zeaxanthin and AMD risk. Relevant studies were identified by searching five databases up to April 2010. Reference lists of articles were retrieved, and experts were contacted. Literature search, data extraction and study quality assessment were performed independently by two reviewers and results were pooled quantitatively using meta-analysis methods. The potential sources of heterogeneity and publication bias were also estimated. The search yielded six longitudinal cohort studies. The pooled relative risk (RR) for early AMD, comparing the highest with the lowest category of lutein and zeaxanthin intake, was 0·96 (95 % CI 0·78, 1·17). Dietary intake of these carotenoids was significantly related with a reduction in risk of late AMD (RR 0·74; 95 % CI 0·57, 0·97); and a statistically significant inverse association was observed between lutein and zeaxanthin intake and neovascular AMD risk (RR 0·68; 95 % CI 0·51, 0·92). The results were essentially consistent among subgroups stratified by participant characteristics. The findings of the present meta-analysis indicate that dietary lutein and zeaxanthin is not significantly associated with a reduced risk of early AMD, whereas an increase in the intake of these carotenoids may be protective against late AMD. However, additional studies are needed to confirm these relationships.
Background: Several studies have investigated the association of FKBP5 gene polymorphisms with mood disorders, but findings are not always consistent. The aim of our study was to assess the association of FKBP5 gene polymorphisms with mood disorders using a meta-analysis.
Methods: Data were collected from the following electronic databases: PubMed, Elsevier Science Direct, Cochrane Library, Chinese Biomedical Literature Database, China National Knowledge Infrastructure and Wanfang, with the last report up to March 2010. Meta-analysis was performed in a fixed/random effect model.
Results: We identified six studies using search, and one study was excluded because of unavailable data. One study contained data on two different ethnicities and we treated them independently. Thus, six separate studies (2655 cases and 3593 controls) were included in the meta-analysis. Meta-analysis was performed for three FKBP5 gene polymorphisms (rs1360780, rs3800373 and rs4713916) in overall and Caucasian populations. We did not detect any association of FKBP5 gene rs1360780 and rs3800373 polymorphisms with mood disorders (p > 0.05). However, a significant association of FKBP5 gene rs4713916 polymorphism with mood disorders was found, and the heterozygous individual (GA genotype) was more susceptible to mood disorders in comparison to homozygous analogues (GG or AA genotype) [overall: GA vs. GG: OR (odds ratio) = 1.20, 95% CI (confidence interval) = 1.03–1.40, p = 0.02; GA vs. AA: OR = 1.44, 95% CI = 1.09–1.90, p = 0.009; Caucasian: GA vs. GG: OR = 1.22, 95% CI = 1.04–1.44, p = 0.01; GA vs. AA: OR = 1.43, 95% CI = 1.09–1.89, p = 0.01].
Conclusion: This meta-analysis shows that mood disorders are associated with FKBP5 gene rs4713916 polymorphism, but not with rs1360780 and rs3800373.
Geochemical and Sr–Nd–Pb isotopic data are presented for volcanic rocks from Zougouyouchaco (30.5 Ma) and Dogai Coring (39.7 Ma) of the southern and middle Qiangtang block in northern Tibet. The volcanic rocks are high-K calc-alkaline trachyandesites and dacites, with SiO2 contents ranging from 58.5 to 67.1 wt % The rocks are enriched in light REE (LREE) and contain high Sr (649 to 986 ppm) and relatively low Yb (0.8 to 1.2 ppm) and Y (9.5 to 16.6 ppm) contents, resulting in high La/Yb (29–58) and Sr/Y (43–92) ratios, as well as relatively high MgO contents and Mg no., similar to the compositions of adakites formed by slab melting in subduction zones. However, the adakitic rocks in the Qiangtang block are characterized by relatively low εNd(t) values (−3.8 to −5.0) and highly radiogenic Sr ((87Sr/86Sr)i=0.706–0.708), which are inconsistent with an origin by slab melting. The geochemistry and tectonics indicate that the adakitic volcanic rocks were most likely derived from partial melting of delaminated lower continental crust. As the pristine adakitic melts rose, they interacted with the surrounding mantle peridotite, elevating their MgO values and Mg numbers.
Artificial Neural Network (ANN), as a potential powerful classifier, was explored to assist psychiatric diagnosis of the Composite International Diagnostic Interview (CIDI).
Both Back-Propagation (BP) and Kohonen networks were developed to fit psychiatric diagnosis and programmed (using 60 cases) to classify neurosis, schizophrenia and normal people. The programmed networks were cross-tested using another 222 cases. All subjects were randomly selected from two mental hospitals in Beijing.
Compared to ICD-10 diagnosis by psychiatrists, the overall kappa of BP network was 0.94 and that of Kohonen was 0.88 (both P < 0.01). In classifying patients who were difficult to diagnose, the kappa of BP was 0.69 (P < 0.01). ANN-assisted CIDI was compared with expert system assisted CIDI (kappa=0.72–0.76); ANN was more powerful than a traditional expert system.
ANN might be used to improve psychiatric diagnosis.
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