BACKGROUND: Early identification of patients requiring ventilator support will be beneficial for the outcomes of botulism. The present study aimed to establish a new scoring system to predict mechanical ventilation(MV...BACKGROUND: Early identification of patients requiring ventilator support will be beneficial for the outcomes of botulism. The present study aimed to establish a new scoring system to predict mechanical ventilation(MV) for botulism patients.METHODS: A single-center retrospective study was conducted to identify risk factors associated with MV in botulism patients from 2007 to 2022. Univariate analysis and multivariate logistic regression analysis were used to screen out risk factors for constructing a prognostic scoring system. The area under the receiver operating characteristic(ROC) curve was calculated.RESULTS: A total of 153 patients with botulism(66 males and 87 females, with an average age of 43 years) were included. Of these, 49 patients(32.0%) required MV, including 21(13.7%) with invasive ventilation and 28(18.3%) with non-invasive ventilation. Multivariate analysis revealed that botulinum toxin type, pneumonia, incubation period, degree of hypoxia, and severity of muscle involvement were independent risk factors for MV. These risk factors were incorporated into a multivariate logistic regression analysis to establish a prognostic scoring system. Each risk factor was scored by allocating a weight based on its regression coefficient and rounded to whole numbers for practical utilization([botulinum toxin type A: 1], [pneumonia: 2], [incubation period ≤1 day: 2], [hypoxia <90%: 2], [severity of muscle involvement: grade Ⅱ, 3;gradeⅢ, 7;grade IV, 11]). The scoring system achieved an area under the ROC curve of 0.82(95% CI 0.75–0.89, P<0.001). At the optimal threshold of 9, the scoring system achieved a sensitivity of 83.7% and a specificity of 70.2%.CONCLUSION: Our study identified botulinum toxin type, pneumonia, incubation period, degree of hypoxia, and severity of muscle involvement as independent risk factors for MV in botulism patients. A score ≥9 in our scoring system is associated with a higher likelihood of requiring MV in botulism patients. This scoring system needs to be validated externally before it can be applied in clinical settings.展开更多
The structural phase transitions of bismuth under rapid compression has been investigated in a dynamic diamond anvil cell using time-resolved synchrotron x-ray diffraction. As the pressure increases, the transformatio...The structural phase transitions of bismuth under rapid compression has been investigated in a dynamic diamond anvil cell using time-resolved synchrotron x-ray diffraction. As the pressure increases, the transformations from phase I,to phase II, to phase III, and then to phase V have been observed under different compression rates at 300 K. Compared with static compression results, no new phase transition sequence appears under rapid compression at compression rate from 0.20 GPa/s to 183.8 GPa/s. However, during the process across the transition from phase III to phase V, the volume fraction of product phase as a function of pressure can be well fitted by a compression-rate-dependent sigmoidal curve.The resulting parameters indicate that the activation energy related to this phase transition, as well as the onset transition pressure, shows a compression-rate-dependent performance. A strong dependence of over-pressurization on compression rate occurs under rapid compression. A formula for over-pressure has been proposed, which can be used to quantify the over-pressurization.展开更多
LiCoO_2 is one of the most important cathode materials for high energy density lithium ion batteries. The compressed behavior of LiCoO_2 under high pressure has been investigated using synchrotron radiation x-ray diff...LiCoO_2 is one of the most important cathode materials for high energy density lithium ion batteries. The compressed behavior of LiCoO_2 under high pressure has been investigated using synchrotron radiation x-ray diffraction. It is found that LiCoO_2 maintains hexagonal symmetry up to the maximum pressure of 30.1 GPa without phase transition. The elastic modulus at ambient pressure is 159.5(2.2) GPa and its first derivative is 3.92(0.23). In addition, the high-pressure compression behavior of LiCoO_2 has been studied by first principles calculations. The derived bulk modulus of LiCoO_2 is 141.6 GPa.展开更多
Infrared metamaterial absorber(MMA) based on metal-insulator-metal(MIM) configuration with flexible design,perfect and selective absorption,has attracted much attention recently for passive radiative cooling applicati...Infrared metamaterial absorber(MMA) based on metal-insulator-metal(MIM) configuration with flexible design,perfect and selective absorption,has attracted much attention recently for passive radiative cooling applications.To cool objects passively,broadband infrared absorption(i.e.8-14 μm) is desirable to emit thermal energy through atmosphere window.We present a novel MMA composed of multilayer MIM resonators periodically arranged on a PbTe/MgF_(2) bilayer substrate.Verified by the rigorous coup led-wave analysis method,the proposed MMA shows a relative bandwidth of about 45%(from 8.3 to 13.1 μm with the absorption intensity over 0.8).The broadband absorption performs stably over a wide incident angle range(below 50°) and predicts 12 K cooling below ambient temperature at nighttime.Compared with the previous passive radiative coolers,our design gets rid of the continuous metal substrate and provides an almost ideal transparency window(close to 100%)for millimeter waves over 1 mm.The structure is expected to have potential applications in thermal control of integrated devices,where millimeter wave signal compatibility is also required.展开更多
In recent years, spiking neural networks(SNNs) have received increasing attention of research in the field of artificial intelligence due to their high biological plausibility, low energy consumption, and abundant spa...In recent years, spiking neural networks(SNNs) have received increasing attention of research in the field of artificial intelligence due to their high biological plausibility, low energy consumption, and abundant spatio-temporal information.However, the non-differential spike activity makes SNNs more difficult to train in supervised training. Most existing methods focusing on introducing an approximated derivative to replace it, while they are often based on static surrogate functions. In this paper, we propose a progressive surrogate gradient learning for backpropagation of SNNs, which is able to approximate the step function gradually and to reduce information loss. Furthermore, memristor cross arrays are used for speeding up calculation and reducing system energy consumption for their hardware advantage. The proposed algorithm is evaluated on both static and neuromorphic datasets using fully connected and convolutional network architecture, and the experimental results indicate that our approach has a high performance compared with previous research.展开更多
Ritodrine hydrochloride(ritodrine)is a β2-adrenoceptor stimulant that has been effectively prescribed for the prevention of premature labor.[1]In clinical practice,one of the biggest drawbacks ofβ-mimetics is their ...Ritodrine hydrochloride(ritodrine)is a β2-adrenoceptor stimulant that has been effectively prescribed for the prevention of premature labor.[1]In clinical practice,one of the biggest drawbacks ofβ-mimetics is their adverse eff ects,including arrhythmias,myocardial ischemia,and pulmonary edema,due to theirβ-sympathomimetic effects.[2]Here,we report a rare pregnant case of spontaneous coronary artery dissection(SCAD)after intravenous infusion of ritodrine.展开更多
基金funded by the Medical Science Research Project of Hebei Provincial Health and Health Commission(20221073).
文摘BACKGROUND: Early identification of patients requiring ventilator support will be beneficial for the outcomes of botulism. The present study aimed to establish a new scoring system to predict mechanical ventilation(MV) for botulism patients.METHODS: A single-center retrospective study was conducted to identify risk factors associated with MV in botulism patients from 2007 to 2022. Univariate analysis and multivariate logistic regression analysis were used to screen out risk factors for constructing a prognostic scoring system. The area under the receiver operating characteristic(ROC) curve was calculated.RESULTS: A total of 153 patients with botulism(66 males and 87 females, with an average age of 43 years) were included. Of these, 49 patients(32.0%) required MV, including 21(13.7%) with invasive ventilation and 28(18.3%) with non-invasive ventilation. Multivariate analysis revealed that botulinum toxin type, pneumonia, incubation period, degree of hypoxia, and severity of muscle involvement were independent risk factors for MV. These risk factors were incorporated into a multivariate logistic regression analysis to establish a prognostic scoring system. Each risk factor was scored by allocating a weight based on its regression coefficient and rounded to whole numbers for practical utilization([botulinum toxin type A: 1], [pneumonia: 2], [incubation period ≤1 day: 2], [hypoxia <90%: 2], [severity of muscle involvement: grade Ⅱ, 3;gradeⅢ, 7;grade IV, 11]). The scoring system achieved an area under the ROC curve of 0.82(95% CI 0.75–0.89, P<0.001). At the optimal threshold of 9, the scoring system achieved a sensitivity of 83.7% and a specificity of 70.2%.CONCLUSION: Our study identified botulinum toxin type, pneumonia, incubation period, degree of hypoxia, and severity of muscle involvement as independent risk factors for MV in botulism patients. A score ≥9 in our scoring system is associated with a higher likelihood of requiring MV in botulism patients. This scoring system needs to be validated externally before it can be applied in clinical settings.
基金supported by the Joint Fund of the National Natural Science Foundation of China and the China Academy of Engineering Physics(NSAF)(Grant No.U1530134)the Foundation of National Key Laboratory of Shock Wave and Detonation Physics,China(Grant No.6142A0306010817)the Chinese Academy of Sciences(Grant Nos.KJCX2-SW-N20 and KJCX2-SW-N03)
文摘The structural phase transitions of bismuth under rapid compression has been investigated in a dynamic diamond anvil cell using time-resolved synchrotron x-ray diffraction. As the pressure increases, the transformations from phase I,to phase II, to phase III, and then to phase V have been observed under different compression rates at 300 K. Compared with static compression results, no new phase transition sequence appears under rapid compression at compression rate from 0.20 GPa/s to 183.8 GPa/s. However, during the process across the transition from phase III to phase V, the volume fraction of product phase as a function of pressure can be well fitted by a compression-rate-dependent sigmoidal curve.The resulting parameters indicate that the activation energy related to this phase transition, as well as the onset transition pressure, shows a compression-rate-dependent performance. A strong dependence of over-pressurization on compression rate occurs under rapid compression. A formula for over-pressure has been proposed, which can be used to quantify the over-pressurization.
基金Project supported by the Program of Education Department of Sichuan Province of China(Grant No.18ZB0506)the Project of Sichuan University o Arts and Science,China(Grant No.2017KZ001Z)+1 种基金Outstanding Talent Introduction Project of Henan Institute of Science and Technology,China(Gran No.203010617011)performed at 4W2 beamline of Beijing Synchrotron Radiation Facility(BSRF),which was supported by Chinese Academy of Sciences(Grant Nos.KJCX2-SWN03 and KJCX2-SW-N20)
文摘LiCoO_2 is one of the most important cathode materials for high energy density lithium ion batteries. The compressed behavior of LiCoO_2 under high pressure has been investigated using synchrotron radiation x-ray diffraction. It is found that LiCoO_2 maintains hexagonal symmetry up to the maximum pressure of 30.1 GPa without phase transition. The elastic modulus at ambient pressure is 159.5(2.2) GPa and its first derivative is 3.92(0.23). In addition, the high-pressure compression behavior of LiCoO_2 has been studied by first principles calculations. The derived bulk modulus of LiCoO_2 is 141.6 GPa.
基金Supported by the National Natural Science Foundation of China(Grant Nos.52022018 and 52021001)the Program for Changjiang Scholars and Innovative Research Team in University。
文摘Infrared metamaterial absorber(MMA) based on metal-insulator-metal(MIM) configuration with flexible design,perfect and selective absorption,has attracted much attention recently for passive radiative cooling applications.To cool objects passively,broadband infrared absorption(i.e.8-14 μm) is desirable to emit thermal energy through atmosphere window.We present a novel MMA composed of multilayer MIM resonators periodically arranged on a PbTe/MgF_(2) bilayer substrate.Verified by the rigorous coup led-wave analysis method,the proposed MMA shows a relative bandwidth of about 45%(from 8.3 to 13.1 μm with the absorption intensity over 0.8).The broadband absorption performs stably over a wide incident angle range(below 50°) and predicts 12 K cooling below ambient temperature at nighttime.Compared with the previous passive radiative coolers,our design gets rid of the continuous metal substrate and provides an almost ideal transparency window(close to 100%)for millimeter waves over 1 mm.The structure is expected to have potential applications in thermal control of integrated devices,where millimeter wave signal compatibility is also required.
基金Project supported by the Natural Science Foundation of Chongqing(Grant No.cstc2021jcyj-msxmX0565)the Fundamental Research Funds for the Central Universities(Grant No.SWU021002)the Graduate Research Innovation Project of Chongqing(Grant No.CYS22242)。
文摘In recent years, spiking neural networks(SNNs) have received increasing attention of research in the field of artificial intelligence due to their high biological plausibility, low energy consumption, and abundant spatio-temporal information.However, the non-differential spike activity makes SNNs more difficult to train in supervised training. Most existing methods focusing on introducing an approximated derivative to replace it, while they are often based on static surrogate functions. In this paper, we propose a progressive surrogate gradient learning for backpropagation of SNNs, which is able to approximate the step function gradually and to reduce information loss. Furthermore, memristor cross arrays are used for speeding up calculation and reducing system energy consumption for their hardware advantage. The proposed algorithm is evaluated on both static and neuromorphic datasets using fully connected and convolutional network architecture, and the experimental results indicate that our approach has a high performance compared with previous research.
文摘Ritodrine hydrochloride(ritodrine)is a β2-adrenoceptor stimulant that has been effectively prescribed for the prevention of premature labor.[1]In clinical practice,one of the biggest drawbacks ofβ-mimetics is their adverse eff ects,including arrhythmias,myocardial ischemia,and pulmonary edema,due to theirβ-sympathomimetic effects.[2]Here,we report a rare pregnant case of spontaneous coronary artery dissection(SCAD)after intravenous infusion of ritodrine.
