We analyzed the seasonal variations of energy balance components over three different surfaces: irrigated cropland (Yingke, YK), alpine meadow (A'rou, AR), and spruce forest (Guantan, GT). The energy ...balance components were measured using eddy covariance (EC) systems and a large aperture scintillometer (LAS) in the Heihe River Basin, China, in 2008 and 2009. We also determined the source areas of the EC and LAS measurements with a footprint model for each site and discussed the differences between the sensible heat fluxes measured with EC and LAS at AR. The results show that the main EC source areas were within a radius of 250 m at all of the sites. The main source area for the LAS (with a path length of 2390 m) stretched along a path line approximately 2000 m long and 700 m wide. The surface characteristics in the source areas changed with the season at each site, and there were characteristic seasonal variations in the energy balance components at all of the sites. The sensible heat flux was the main term of the energy budget during the dormant season. During the growing season, however, the latent heat flux dominated the energy budget, and an obvious "oasis effect" was observed at YK. The sensible heat fluxes measured by LAS at AR were larger than those measured by EC at the same site. This difference seems to be caused by the so-called energy imbalance phenomenon, the heterogeneity of the underlying surfaces, and the difference between the source areas of the LAS and EC measurements.
A new alpha-emitting isotope U-214, produced by the fusion-evaporation reaction W-182(Ar-36,4n) U-214, was identified by employing the gas-filled recoil separator SHANS and the recoil-a correlation ...technique. More precise a-decay properties of even-even nuclei U-216,U-218 were also measured in the reactions of Ar-40, Ca-40 beams with W-180,W-182,W- 184 targets. By combining the experimental data, improved alpha-decay reduced widths delta(2) for the even-even Po-Pu nuclei in the vicinity of the magic neutron number N = 126 are deduced. Their systematic trends are discussed in terms of the N-p N-n scheme in order to study the influence of protonneutron interaction on a decay in this region of nuclei. It is strikingly found that the reduced widths of( 214,216)U are significantly enhanced by a factor of two as compared with the NpNn systematics for the 84 <= Z <= 90 and N < 126 even-even nuclei. The abnormal enhancement is interpreted by the strong monopole interaction between the valence protons and neutrons occupying the pi 1f (7/2) and nu 1f(5/2) spin-orbit partner orbits, which is supported by the large-scale shell model calculation.
Background
Acupuncture is used to treat chronic functional constipation (CFC) in China, despite limited evidence. We aim to assess the effectiveness and safety of acupuncture in managing CFC.
Methods
...A multicenter randomized controlled trial was performed involving 684 patients with CFC; the patients were randomly allocated to receive He acupuncture (n = 172), Shu‐mu acupuncture (n = 171), He‐shu‐mu acupuncture (n = 171), or oral administration of mosapride (n = 170). Sixteen sessions of acupuncture were given in the treatment duration of 4 weeks. The primary outcome was the change in spontaneous bowel movements (SBMs) at week 4 (at the end of treatment) compared to baseline. The secondary outcomes included stool consistency (Bristol scale), the degree of straining during defecation, and adverse events.
Key Results
The SBMs increased in all the four groups at week 4, and the magnitude of increase was equivalent in the four groups (He acupuncture, 2.7 95% CI, 2.3‐3.1; Shu‐mu acupuncture, 2.7 95% CI, 2.3‐3.0; He‐shu‐mu acupuncture, 2.2 95% CI, 1.9‐2.5; and mosapride, 2.4 95% CI, 2.0‐2.9; P = .226). However, the change in SBMs at week 8 was significantly smaller in mosapride group (1.4 95% CI, 1.0‐1.8) than the three acupuncture groups (2.4 95% CI, 2.1‐2.7, 2.3 95% CI, 1.9‐2.7, 2.1 95% CI, 1.7‐2.5 in He, Shu‐mu, and He‐shu‐mu group, respectively, P = .005).
Conclusions & Interferences
The three acupuncture treatments were as effective as mosapride in improving stool frequency and stool consistency in CFC, but the magnitude of the treatment effect is unknown due to the lack of sham acupuncture control.
The effectiveness of acupuncture in the treatment of chronic functional constipation is unknown. Our study result showed that acupuncture treatments are as effective as mosapride in improving stool frequency and stool consistency.
We show that it is possible to use gravitational wave detectors to observe the occurrence of a first order phase transition in Pati-Salam extensions of the Standard Model. We show that the peak ...frequency of the expected gravitational wave signals ranges within 0.1–10 Hz. We find amusing that the next generation of gravity waves detectors are able to explore time-honored extensions of the Standard Model occurring at energy scales inaccessible by present and future particle physics accelerators.
Abstract Radio observations of pulsars offer a potential method to probe the intricate microstructure in the turbulent interstellar medium. Here we report on a high-resolution dynamic spectral ...analysis of the “swooshing pulsar” B0919+06 observed with the Five-hundred-meter Aperture Spherical radio Telescope over multiple epochs and with the ultrawideband receiver on the Parkes radio telescope. For all observations, the dynamic scintillation spectra, two-dimensional autocovariance functions, and secondary spectra are presented. At 1250 MHz, the decorrelation bandwidth, diffraction timescale, and the drift rate are determined to be Δ ν d = 25.89 ± 7.55 MHz, Δ τ d = 14.42 ± 3.98 minutes, and dt / d ν = 0.07 ± 0.14 minutes MHz −1 , respectively. The frequency dependencies of the scintillation parameters exhibit single power-law spectral behaviors, indicating that the electron density fluctuations in the interstellar medium approximately follow the Kolmogorov spectrum. The secondary spectra exhibit two distinct parabolic arcs with well-determined curvatures of 0.002 and 0.02 s 3 for the outer and inner arcs, respectively. The locations of the scattering screens are approximately determined to be 157.3 and 726.0 pc, respectively, from the pulsar for isotropic scattering. The inner scintillation arc is present contemporaneously over a wide frequency range, indicating that the scintillation arc is a broadband phenomenon. The arc curvature scales with observing frequency as a power law with an index of −2.05 ± 0.05, which implies that the scattering screen spans a physical distance from 689.7 to 883.3 pc from the pulsar.
Mesenchymal stem cells (MSCs) are multi-potent progenitor cells that are isolated from the bone marrow and several adult organs and tissues. These cells possess remarkable immunosuppressive ...properties and can inhibit the proliferation and function of the major immune cell populations, including T cells, B cells and natural killer (NK) cells; modulate the activities of dendritic cells (DCs); and induce regulatory T cells both in vivo and in vitro. These unique properties make MSCs ideal candidates for clinical application as immunosuppressants. The immunomodulatory effect of MSCs is mediated by a non-specific anti-proliferative action of these cells, which is dependent on cell-cell contact or secreted soluble factors such as indoleamine 2,3-dioxygenase (IDO), prostaglandin E₂ (PGE₂), nitric oxide (NO), histocompatibility leucocyte antigen-G (HLA-G), transforming growth factor (TGF)-β, interferon (IFN)-γ and interleukin (IL)-1β. Considerable progress has been obtained in preclinical studies on MSCs, including those on their ability to activate allogeneic cells. This review examines the current understanding of the immunomodulatory properties of MSCs and its therapeutic implication for immune-mediated diseases and transplant rejection.
Background
Various minimally invasive approaches have been described for infected necrotizing pancreatitis. This article describes a modified minimal‐access retroperitoneal pancreatic necrosectomy ...(MARPN) procedure assisted by gas insufflation.
Methods
This retrospective, observational study documented patients who had undergone a step‐up MARPN between 1 January 2010 and 31 December 2016. A minimum follow‐up of 1 year was required for inclusion. The step‐up approach involved percutaneous catheter drainage followed by the modified MARPN and necrosectomy. If more than one access site was needed it was categorized as complex MARPN.
Results
Of 212 patients with infected necrotizing pancreatitis, 164 (77·4 per cent) underwent a step‐up approach. The median number of percutaneous catheter drains and MARPN procedures was 3 (range 1–7) and 1 (1–6) respectively. Ninety patients (54·9 per cent) underwent complex MARPN. For residual necrosis after MARPN, three patients (1·8 per cent) underwent sinus tract gastroscopy, and 11 (6·7 per cent) had sinography combined with a tube change. However, operations in 13 patients (7·9 per cent) required conversion to open surgery. Postoperative complications developed in 103 patients (62·8 per cent). The mortality rate was 6·1 per cent (10 deaths).
Conclusion
A step‐up approach using a modified MARPN for infected necrotizing pancreatitis is a reasonable option.
Antecedentes
Los procedimientos mínimamente invasivos se han convertido en los más frecuentes para el tratamiento de necrosis pancreáticas infectadas. El objetivo de este estudio fue presentar un procedimiento de necrosectomía pancreática retroperitoneal de acceso mínimo (minimal‐access retroperitoneal pancreatic necrosectomy, MARPN) modificado y asistido mediante insuflación de gases, así como evaluar su seguridad y eficacia.
Métodos
Se realizó un análisis retrospectivo y observacional de los datos de un hospital desde el 1 de enero de 2010 hasta el 31 de diciembre de 2016. Se incluyeron en el análisis todos los pacientes en los que realizó un abordaje por etapas, que consistía en el drenaje percutáneo mediante la colocación de un catéter seguido de un procedimiento MARPN modificado, en los que se dispusiese de un seguimiento postoperatorio mínimo de 1 año. El MARPN en el lado derecho y la necrosectomía realizada a través de más de un acceso se clasificaron como MARPN complejo. Se evaluaron los resultados radiológicos y quirúrgicos.
Resultados
De 212 pacientes con necrosis pancreática infectada, en 164 (77,4%) se realizó un abordaje por etapas. La mediana del número de drenajes percutáneos y procedimientos MARPN fue 3 (rango, 1‐7) y 1 (rango, 1‐6), respectivamente. En 90 pacientes (54,9%) se realizó un MARPN complejo. Para la exéresis de necrosis residual después de un MARPN, en 3 pacientes (1,8%) se realizó mediante gastroscopia y en 11 pacientes (6,7%) con un recambio de drenaje bajo control radiológico. En 13 pacientes (7,9%) fue necesaria la reconversión a cirugía abierta. Hubo complicaciones postoperatorias en 103 pacientes (62,8%). La tasa de mortalidad fue del 6,1% (n = 10).
Conclusión
El abordaje por etapas con un MARPN modificado es seguro y efectivo en el tratamiento de la necrosis pancreática infectada.
Minimally invasive approaches have been used increasingly in the management of infected necrotizing pancreatitis. This study presents a modified minimal‐access retroperitoneal pancreatic necrosectomy procedure assisted by carbon dioxide insufflation, instead of saline. A clear field of view without necrotic debris floating in saline makes the technique safe and efficient.
High degree of success
VIDEO
Presented in part to the Joint Congress of the Sixth Biennial Congress of the Asian–Pacific Hepato‐Pancreato‐Biliary Association and the 29th Meeting of the Japanese Society of Hepato‐Biliary‐Pancreatic Surgery, Yokohama, Japan, June 2017
Aim To explore the altered spontaneous cerebral activity patterns and impaired functional regions in patients with diabetic retinopathy (DR) using resting-state functional magnetic resonance imaging ...(rs-fMRI) based on the amplitude of low-frequency fluctuations (ALFF) algorithm. Materials and methods Twenty-one patients with DR (mean age, 54.9±9.9 years; 11 females) and 17 healthy control subjects (54.8±5.7 years; 9 females) were prospectively studied. The DR patients underwent laboratory tests. All individuals underwent a neuropsychological test. The differences in the ALFF values between the two groups were compared. The relationships between ALFF values and clinical measurements were analysed using a multiple-factor analysis. Results Compared to the controls, the DR group showed significantly increased ALFF values in the bilateral occipital gyrus, right lingual gyrus, and precuneus, and decreased values in the right posterior/anterior cerebellar lobe and the parahippocampal, fusiform, superior temporal, inferior parietal, and angular gyrus. Furthermore, the Montreal Cognitive Assessment (MoCA) scores were negatively correlated with decreased ALFF values in the right occipital lobe of the DR group, while increased ALFF values in the right precuneus and lingual gyrus were found to be positively correlated with glycosylated haemoglobin (HbA1c) levels. Conclusions Patients with DR showed spontaneous cerebral activity abnormalities in many cerebral regions that were associated with cognitive impairments. HbA1c levels altered spontaneous cerebral activity in DR patients.
Typical high-efficiency organic light-emitting diodes (OLEDs) require exotic high-refractive-index (n ≥ 1.8) substrates to enhance the outcoupling of trapped light in the device. One of the exciting ...possibilities of OLEDs is the use of lightweight flexible plastic substrates, which unfortunately have a low refractive index (n ≤ 1.6). To unlock the full potential of OLEDs on flexible plastic, we report high-efficiency phosphorescent OLEDs using a thin-film outcoupling enhancement method that does not depend on high-index substrates. In these devices, multifunctional anode stacks, consisting of a high-index Ta2 O5 optical coupling layer, electrically conductive gold layer and hole-injection MoO3 layer, are collectively optimized to achieve high efficiency. The maximum external quantum efficiency reaches 63% for green, which remains as high as 60% at >10,000 cd m-2 .
A low-temperature solar Rankine system utilizing R245fa as the working fluid is proposed and an experimental system is designed, constructed and tested. Both the evacuated solar collectors and the ...flat plate solar collectors are used in the experimental system, meanwhile, a rolling-piston R245fa expander is also mounted in the system. The new designed R245fa expander works stably in the experiment, with an average expansion power output of 1.73
kW and an average isentropic efficiency of 45.2%. The overall power generation efficiency estimated is 4.2%, when the evacuated solar collector is utilized in the system, and with the condition of flat plate solar collector, it is about 3.2%. The experimental results show that using R245fa as working fluid in the low-temperature solar power Rankine cycle system is feasible and the performance is acceptable.
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