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This study explored the effects of condition notification based on virtual reality technology on the anxiety levels of parents of children with simple CHD.
Methods:
The subjects of the study were the parents of 60 children with simple CHD who were treated in our centre. The state anxiety scale was used to assess the anxiety status of the parents of the children before and after the condition notification in different ways (based on virtual reality explanations and written explanations).
Results:
In this study, a total of 55 parents of children with CHD successfully completed the survey. At the time of admission, there was no significant difference in the state anxiety scale scores of the parents between the two groups. The anxiety status of the virtual reality group was relieved after the condition notification assisted by virtual reality technology, and there was a significant difference compared with the control group.
Conclusion:
Condition notification based on virtual reality technology can effectively alleviate the anxiety of parents of children with simple CHD, which is worthy of clinical application.
This study aimed to explore the effects of eye masks on the sleep quality and pain of school-age children with CHD after surgery.
Methods:
Forty school-age children with CHD who underwent open-heart surgery in the Cardiac Surgery Department of a provincial hospital in China from January 2020 to December 2020 were selected. The children were randomly divided into the experimental group (n = 20) and the control group (n = 20). Children in the control group were given routine sleep care, and the children in the experimental group were given a sleep intervention with eye masks for three nights following the removal of tracheal intubation. The Pittsburgh Sleep Quality Index was used to evaluate the sleep quality of the children. The Children’s Pain Behaviour Scale was used to evaluate the pain of the children.
Results:
After three nights of receiving the eye masks intervention, the sleep quality scores of the children in the experimental group were significantly lower than those of the control group, the difference was statistically significant (p < 0.05) and the sleep quality of the children in the experimental group was higher. The pain scores of the children in the experimental group were significantly lower than those of the children in the control group, the difference was statistically significant (p < 0.05), and the children in the experimental group suffered less post-operative pain.
Conclusion:
Eye masks are a simple, safe and economical intervention, that is beneficial for improving the post-operative sleep quality and relieving post-operative pain in school-age children with congenital heart disease.
Bloodstream fungal infections have a high mortality rate. There is little data about the long-term mortality rate of fungaemia.This study aimed to explore the mortality of fungaemia and the influencing factors associated with death. In total, 204 intensive care unit (ICU) patients with fungaemia from Multi-parameter Intelligent Monitoring in Intensive Care-III (MIMIC-III) Database were studied. Age, gender, major underlying diseases, data about vital signs and blood test results were analysed to identify the predictors of the mortality and prognosis of fungaemia in ICU patients. Cox regression models were constructed, together with Kaplan−Meier survival curves. The 30-day, 1-year, 2-year, 3-year and 4-year mortality rates were 41.2%, 62.3%, 68.1%, 72.5% and 75%, respectively. Age (P < 0.001, OR = 1.530; P < 0.001, OR = 1.485),serum bilirubin (P = 0.016, OR = 2.125;P = 0.001, OR = 1.748) and international normalised ratio (INR) (P = 0.001, OR = 2.642; P < 0.001 OR = 2.065) were predictors of both the 30-day and 4-year mortality rates. Renal failure (P = 0.009, OR = 1.643) performed good in prediction of the 4-year mortality. The mortality of fungaemia is high. Age,the serum bilirubin and INR are good predictors of the 30-day and 4-year mortality rates of fungaemia. Renal failure has good performance in predicting the long-term mortality.
To evaluate the relationship between religious beliefs and mental state, care burden, and quality of life in parents of infantile patients with CHD.
Methods:
A cross-sectional study was conducted at a provincial hospital in Fujian, China. In this study, 114 parents of infant patients with CHD were successfully enrolled. Data were collected using the Duke University Religion Index, Hospital Anxiety and Depression Scale, Zarit Caregiver Burden Interview, and 36-Item Short-Form Health Survey.
Results:
The organisational religious activity, non-organisational religious activity, and intrinsic religiosity of parents were significantly related to the care burden and quality of life, and the two dimensions of non-organisational religious activity and intrinsic religiosity of parents were significantly related to their anxiety symptoms. No association was found between parents’ religious beliefs and their depressive symptoms. Among Buddhist parents, non-organisational religious activity and intrinsic religiosity reduced the care burden and improved quality of life. Among Christian parents, organisational religious activity and non-organisational religious activity were found to reduce the care burden, while organisational religious activity and intrinsic religiosity were found to improve quality of life. There was no correlation between the sub-dimensions of religious beliefs and a negative impact on the care process in Muslim parents.
Conclusion:
Religious beliefs have a protective effect on the parents of infant patients with CHD. They help relieve parents’ anxiety, reduce their care burden, and improve their quality of life. In addition, different religious beliefs have different dimensions of influence on caregivers.
To explore the feasibility and superiority of applying the WeChat platform in a midterm follow-up of surgical repair for ventricular septal defects in infants.
Methods:
Eighty-six infants with VSD who underwent surgical repair were divided into an outpatient follow-up group and a WeChat follow-up group. The clinical data, including complications, economic cost, time spent, loss to follow-up rate, and parents’ satisfaction at the 3-month and 1-year follow-ups, were recorded and analysed.
Results:
There was no significant difference in the incidence of post-operative complications between the two groups. Although the loss to follow-up rate in the WFU group was lower than that of the OFU group, the difference was not statistically significant. The economic cost and time spent in the 3 months and 1 year after discharge in the WFU group were significantly lower than those in the OFU group. One year after discharge, the PSQ-18 score of the WFU group was significantly higher than that of the OFU group.
Conclusion:
Compared with outpatient follow-up, the WeChat platform at the midterm follow-up after surgical repair of VSDs in infants has the advantages of saving time and economic costs and improves parents’ satisfaction.
Stochastic models are essential for precise navigation and positioning of the global navigation satellite system (GNSS). A stochastic model can influence the resolution of ambiguity, which is a key step in GNSS positioning. Most of the existing multi-GNSS stochastic models are based on the GPS empirical model, while differences in the precision of observations among different systems are not considered. In this paper, three refined stochastic models, namely the variance components between systems (RSM1), the variances of different types of observations (RSM2) and the variances of observations for each satellite (RSM3) are proposed based on the least-squares variance component estimation (LS-VCE). Zero-baseline and short-baseline GNSS experimental data were used to verify the proposed three refined stochastic models. The results show that, compared with the traditional elevation-dependent model (EDM), though the proposed models do not significantly improve the ambiguity resolution success rate, the positioning precision of the three proposed models has been improved. RSM3, which is more realistic for the data itself, performs the best, and the precision at elevation mask angles 20°, 30°, 40°, 50° can be improved by 4⋅6%, 7⋅6%, 13⋅2%, 73⋅0% for L1-B1-E1 and 1⋅1%, 4⋅8%, 16⋅3%, 64⋅5% for L2-B2-E5a, respectively.
A new developed spatially targeted mollusciciding technology for snail control was utilised in a research site. This study aims to analyse whether this technology can achieve rational effectiveness compared with the routine method. Snail density was monitored every spring and autumn from 2010 to 2017 at the research site and routine mollusciciding for snail control was then performed. After snail density monitoring in spring 2018, spatially targeted mollusciciding technology was adopted. Log-linear regression and nonlinear regression models were used for snail density prediction in autumn 2018 and the predicted value was compared with the actual snail density in autumn 2018 to verify the effectiveness of the spatially targeted mollusciciding. Monitoring results showed that overall snail density in the research site decreased from 2010 to 2018. The monitored snail density in autumn 2018 was 0.014/0.1 m2. Predicted by the log-linear regression model, the snail density in autumn 2018 would be 0.028 (95% CI 0.11–0.072)/0.1 m2. Predicted by the nonlinear regression model, the snail density growth in autumn 2018 in contrast to spring 2018 would be 79.79% (95% CI 54.81%–104.77%) and the actual value was 55.56%. Therefore, the effectiveness of the first application of spatially targeted mollusciciding was acceptable. However, the validation of its sustainable effectiveness still needs a replicated study comparing areas where targeted and untargeted methods are applied simultaneously and both snail abundance and human infection are monitored.
Parakmeria omeiensis is a Critically Endangered tree species in the family Magnoliaceae, endemic to south-west China. The tree is functionally dioecious, but little is known about the species’ status in the wild. We investigated the range, population size, age structure, habitat characteristics and threats to P. omeiensis. We located a total of 74 individuals in two populations on the steep slopes of Mount Emei, Sichuan province, growing under the canopy of evergreen broadleaved forest in well-drained gravel soil. A male-biased sex ratio, lack of effective pollinating insects, and habitat destruction result in low seed set and poor seedling survival in the wild. We have adopted an integrated conservation approach, including strengthening in situ conservation, cultivation of saplings, ex situ conservation and reintroduction, to protect this species. The successful conservation of P. omeiensis has important implications for the conservation of the genus Parakmeria and the family Magnoliaceae.
For the guarantee of the long-distance transport of the bunches of China Initiative Accelerator Driven System (CIADS), a new scheme is proposed that extra magnetic field is used in the accelerator-target coupling section before the windowless target to minimize the self-modulation (SM) mechanism. Particle-in-cell simulations are carried out to study the influence of the solenoidal magnetic field on the self-modulation mechanism when long proton bunches move in the background plasmas. The long proton bunches used in the simulations are similar to these in the linear accelerator of CIADS. It is found that the presence of the solenoidal magnetic field will significantly inhibit the self-modulation process. For the strong magnetic field, the longitudinal separation and transverse focusing of the long bunches disappear. We attribute these phenomena to the reason that the strong solenoidal magnetic field restricts the transverse movement of plasma electrons. Thus, there are not enough electrons around the bunch to compensate the space charge effect. Moreover, without transverse current, the longitudinal pinched effect disappears, and the long bunch can not be separated into small pulses anymore.
The quality of the polymer raw material used in plastic processing methods is an important characteristic because it is one of the main factors in producing quality products. Therefore, the characterization of polymeric pellets in the polymer processing industry is very important to avoid using inferior materials. In general, differences in the interiors of polymeric pellets reflect differences in their densities. In this study, a high-sensitivity magnetic levitation method was used to characterize the polymeric pellets in four different occasions. The device used has a high sensitivity that can distinguish minute differences as small as of 0.0041 g/cm3 in density between different samples. In addition, the method can obtain a sample's density without knowing the weight and volume of the sample. This method can be used to characterize materials by testing only a single pellet, which is very useful for polymeric pellet characterization.
In recent years, outbreaks of hand–foot–mouth disease (HFMD) in China, Singapore and other Western Pacific Region, involving millions of children, have become a big threat to public health. This study aimed to quantitatively assess all qualified studies and identify the risk factors for HFMD death. A systematic search of the databases PubMed, Medline, Embase and the Cochrane Library was performed. Study heterogeneity and publication bias were estimated. Seven case–control studies involving 1641 participants (634 died and 1007 survived) were included in the meta-analysis. Human enterovirus 71 infection, male, age ⩽3 years, vomiting, cyanosis, convulsion, duration of fever ⩾3 days, atypical rashes and abdominal distention were not significantly related to HFMD death (P ⩽ 0.05). Lethargy (odds ratio (OR) = 6.62; 95% CI 3.61–12.14; I2 = 0%; P < 0.0001), pneumonoedema/pneumorrhagia (OR = 4.09; 95% CI 2.44–6.87; I2 = 0%; P < 0.0001), seizures (OR = 6.85; 95% CI 2.37–19.74; I2 = 0%; P = 0.0004), dyspnoea (OR = 8.24; 95% CI 2.05–33.19; I2 = 83%; P = 0.003) and coma (OR = 3.76; 95% CI 1.85–7.67; I2 = 0%; P = 0.0003) were significantly associated with HFMD death, which were risk factors for HFMD death.
Establishment of cellular polarity is one of the key events during oocyte maturation. Inscuteable (Insc) has been identified as a key regulator of cell polarity during asymmetric division in Drosophila. However, the function of its evolutionarily conserved mammalian homologue, mInscuteable (mInsc), in mouse meiotic maturation is not clear. In this study, we investigated the roles of mInsc in mouse oocyte maturation. mInsc was detected at all stages of oocyte maturation. The protein level of mInsc was slightly higher at the germinal vesicle breakdown (GVBD) stage and remained constant during mouse oocyte maturation. The subcellular localization of mInsc overlapped with spindle microtubules. Disruption of microtubules and microfilaments caused changes in the localization of mInsc. Depletion or overexpression of mInsc significantly decreased the maturation rates of mouse oocytes. Depletion of mInsc significantly affected asymmetric division, spindle assembly, alignments of chromosomes and actin cap formation. Taken together, our results demonstrated that mInsc regulates meiotic spindle organization during mouse meiotic maturation.
The Longmu Co–Shuanghu suture zone, which divides the Qiangtang terrane into the northern and southern Qiangtang blocks, is regarded as a key locality in reconstructing the evolutionary history of the Palaeo-Tethys Ocean and the break-up of Gondwana. However, although low-temperature – high-pressure metamorphic rocks and ophiolites have been documented within the Longmu Co–Shuanghu suture zone, it remains unclear whether it is an in situ suture zone and represents the relic of the main Palaeo-Tethys Ocean. The uncertainty stems mainly from the limited systematic studies of the provenance, palaeontological evidence and depositional settings of strata on either side of the Longmu Co–Shuanghu suture zone (i.e. northern and southern Qiangtang blocks). Here we report new detrital zircon U–Pb ages and palaeontological data from Lower Carboniferous strata (Riwanchaka Formation) of the northern Qiangtang block, central Tibet. The Riwanchaka Formation contains warm-climate biota with Cathaysian affinities. Provenance analysis reveals that the formation has detrital zircon spectra similar to those from strata of the Yangtze Plate, and it contains a large proportion of zircons with ages (~360 Ma) similar to the timing of synsedimentary magmatic arc activity, implying an active continental margin setting associated with northward subduction of the Palaeo-Tethyan oceanic lithosphere. Conversely, the Carboniferous–Permian strata from the southern Qiangtang block contain cool-water faunas of Gondwanan affinity and exhibit minimum zircon crystallization ages that are markedly older than their depositional ages, suggesting a passive continental margin setting. The differences in provenance, palaeontological assemblages and depositional settings of the Carboniferous to Permian strata either side of the Longmu Co–Shuanghu suture zone indicate the existence of an ancient ocean between the northern and southern Qiangtang blocks. Combining the new findings with previous studies on high-pressure metamorphic rocks, arc magmatism and ophiolites, we support the interpretation that the Longmu Co–Shuanghu suture zone is an in situ suture zone that represents the main suture of the Palaeo-Tethys Ocean.
Alzheimer’s Disease (AD), characterized by deficits in memory and cognition and by behavioral impairment, is a progressive neurodegenerative disorder that influences more than 47 million people worldwide. Currently, no available drug is able to stop AD progression. Therefore, novel therapeutic strategies need to be investigated.
Measurements:
We analyzed the RNA sequencing data (RNA-seq) derived from the Gene Expression Omnibus (GEO) database to identify the differentially expressed mRNAs in AD. The AD mouse model Tg2576 was used to verify the effects of IGF-2. The Morris Water Maze was administered to test the role of IGF-2 in memory consolidation. In addition, we quantified cell apoptosis by the TUNEL assay. The levels of amyloid plaques and the levels of Aβ40 and Aβ42 in the hippocampus were also determined by immunohistochemistry and ELISA, respectively.
Results:
RNA-seq analysis revealed that IGF-2 was remarkably reduced in AD. The expression of the upstream genes PI3K and AKT and the downstream gene CREB in the PI3K signaling pathway was significantly increased in the hippocampus of Tg2576 mice cells treated with IGF-2. The Morris water maze test showed that IGF-2 improved memory consolidation in Tg2576 mice. The activity of caspase-3 was decreased in Tg2576 mice treated with IGF-2. Amyloid plaques in the hippocampus were reduced, and the levels of Aβ40 and Aβ42 were decreased. The above effects of IGF-2 on AD were blocked when the PI3K signaling pathway inhibitor wortmannin was added.
Conclusions:
IGF-2 attenuates memory decline, oxidative stress, cell apoptosis and amyloid plaques in the AD mouse model Tg2576 by activating the PI3K/AKT/CREB signaling pathway.
While assessing the environmental impact of nuclear power plants, researchers have focused their attention on radiocarbon (14C) owing to its high mobility in the environment and important radiological impact on human beings. The 10 MW high-temperature gas-cooled reactor (HTR-10) is the first pebble-bed gas-cooled test reactor in China that adopted helium as primary coolant and graphite spheres containing tristructural-isotropic (TRISO) coated particles as fuel elements. A series of experiments on the 14C source terms in HTR-10 was conducted: (1) measurement of the specific activity and distribution of typical nuclides in the irradiated graphite spheres from the core, (2) measurement of the activity concentration of 14C in the primary coolant, and (3) measurement of the amount of 14C discharged in the effluent from the stack. All experimental data on 14C available for HTR-10 were summarized and analyzed using theoretical calculations. A sensitivity study on the total porosity, open porosity, and percentage of closed pores that became open after irradiating the matrix graphite was performed to illustrate their effects on the activity concentration of 14C in the primary coolant and activity amount of 14C in various deduction routes.
The very high temperature reactor (VHTR) is a development of the high-temperature gas-cooled reactors (HTGRs) and one of the six proposed Generation IV reactor concept candidates. The 10 MW high temperature gas-cooled reactor (HTR-10) is the first pebble-bed gas-cooled test reactor in China. A sampling system for the measurement of carbon-14 (14C) was established in the helium purification system of the HTR-10 primary loop, which could sample 14C from the coolant at three locations. The results showed that activity concentration of 14C in the HTR-10 primary coolant was 1.2(1) × 102 Bq/m3 (STP). The production mechanisms, distribution characteristics, reduction routes, and release types of 14C in HTR-10 were analyzed and discussed. A theoretical model was built to calculate the amount of 14C in the core of HTR-10 and its concentration in the primary coolant. The activation reaction of 13C has been identified to be the dominant 14C source in the core, whereas in the primary coolant, it is the activation of 14N. These results can supplement important information for the source term analysis of 14C in HTR-10 and promote the study of 14C in HTGRs.
Imaging studies have shown that the subcallosal region (SCR) volume was decreased in patients with major depressive disorder (MDD). However, whether the volumetric reductions in the SCR are due to thinning of the cortex or a loss of surface area (SA) remains unclear. In addition, the relationship between cortical measurements of the SCR and age through the adult life span in MDD remains unclear.
Methods
We used a cross-sectional design from 114 individuals with MDD and 112 matched healthy control (HC) individuals across the adult life span (range: 18–74 years). The mean cortical volume (CV), SA and cortical thickness (CT) of the SCR were computed using cortical parcellation based on FreeSurfer software. Multivariate analyses of covariance models were performed to compare differences between the MDD and HC groups on cortical measurements of the SCR. Multiple linear regression models were used to test age-by-group interaction effects on these cortical measurements of the SCR.
Results
The MDD had significant reductions in the CV and SA of the left SCR compared with HC individuals after controlling of other variables. The left SCR CV and SA reductions compared with matched controls were observed only in early adulthood patients. We also found a significant age-related CT reduction in the SCR both in the MDD and HC participants.
Conclusions
The SCR volume reduction was mainly driven by SA in MDD. The different trajectories between the CT and SA of the SCR with age may provide valuable information to distinguish pathological processes and normal ageing in MDD.
High-power femtosecond lasers beyond $5~\unicode[STIX]{x03BC}\text{m}$ are attractive for strong-field physics with mid-infrared (IR) fields but are difficult to scale up. In optical parametric chirped-pulse amplification (OPCPA) at mid-IR wavelengths, a nonlinear crystal is vital, and its transmittance, dispersion, nonlinear coefficient and size determine the achievable power and wavelength. OPCPA beyond $5~\unicode[STIX]{x03BC}\text{m}$ routinely relies on semiconductor crystals because common oxide crystals are not transparent in this spectral range. However, the small size and low damage threshold of semiconductor crystals fundamentally limit the peak power to gigawatts. In this paper, we design a terawatt-class OPCPA system at $5.2~\unicode[STIX]{x03BC}\text{m}$ based on a new kind of oxide crystal of $\text{La}_{3}\text{Ga}_{5.5}\text{Nb}_{0.5}\text{O}_{14}$ (LGN). The extended transparent range, high damage threshold, superior phase-matching characteristics and large size of LGN enable the generation of 0.13 TW seven-cycle pulses at $5.2~\unicode[STIX]{x03BC}\text{m}$. This design fully relies on the state-of-the-art OPCPA technology of an octave-spanning ultrafast Ti:sapphire laser and a thin-disk Yb:YAG laser, offering the performance characteristics of high power, a high repetition rate and a stable carrier–envelope phase.
AgBr-modified Bi2WO6 nanosheets were successfully synthesized using a CTAB-assisted hydrothermal method followed by a facile deposition–precipitation procedure. The as-prepared photocatalysts were characterized using X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), transmission electron microscopy (TEM), UV-vis diffuse reflectance spectroscopy (DRS), Brunauer–Emmett–Teller (BET), and photoluminescence emission spectroscopy (PL). AgBr nanoparticles were found evenly distributed on the surface of the Bi2WO6 nanosheets. The AgBr/Bi2WO6 nanocomposite demonstrated enhanced pollutant decolorization efficiency in eliminating Rhodamine B (RhB), methyl orange (MO), and phenol aqueous solutions under simulated solar light irradiation. It has been noticed that the adsorption performance of both Bi2WO6 nanosheets and AgBr-modified Bi2WO6 nanosheets played a more important role in the decolorization of pollutants, such as RhB and MO, than their photocatalytic ability. The high adsorption efficiency of the photocatalysts was mainly attributed to the increased surface area and the exposed reactive facets of the materials.
Pulse contrast is a crucial parameter of high peak-power lasers since the prepulse noise may disturb laser–plasma interactions. Contrast measurement is thus a prerequisite to tackle the contrast challenge in high peak-power lasers. This paper presents the progress review of single-shot cross-correlator (SSCC) for real-time contrast characterization. We begin with the key technologies that enable an SSCC to simultaneously possess high dynamic range ($10^{10}$), large temporal window (50–70 ps) and high fidelity. We also summarize the instrumentation of SSCC prototypes and their applications on five sets of petawatt laser facilities in China. Finally, we discuss how to extend contrast measurements from time domain to spatiotemporal domain. Real-time and high-dynamic-range contrast measurements, provided by SSCC, can not only characterize various complex noises in high peak-power lasers but also guide the system optimization.