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Objective In the actual metro construction, it is often necessary to lay turnouts on large-slope sections due to planning and construction constraints, land conservation or topographical limitations. However, it is found through practical application that the large-slope turnout structure leads to poor train stability and ride comfort during operation, thus an investigation on the factors influencing vehicle passing performance through large-slope metro turnouts is required. Method Based on multi-body dynamics theory, using simulation analysis software and taking the No.9 turnout installed on a 30‰ slope as research object, a coupled vehicle-turnout multi-body dynamics model is established. The dynamics performance indicators (including wheel-rail interaction, safety indicators, and stability indicators) of single vehicle passing through large-slope turnout at different operating speeds and friction coefficients are compared，aiming to analyze the impact of various factors on the vehicle passing performance through large-slope metro turnouts. Result & Conclusion It is revealed through simulation research that the impact of operating speed on wheel-rail interaction, stability indicators, and safety indicators is independent of the slope direction during vehicle passing turnouts. When a vehicle passes through turnouts on uphill and downhill slopes, the influence trends of operating speed on the dynamics indicators are consistent, with a more significant impact when going downhill; the friction coefficient greatly affects the wheel-rail dynamic interaction and the vehicle lateral acceleration. As the friction coefficient increases, the wheel-rail interaction force decreases, the carbody vertical acceleration shows no significant change, and the lateral acceleration increases significantly, with a more pronounced effect when going downhill. Therefore, certain strengthening and protective measures should be taken when vehicle going downhill.

Objective When turnouts are laid on slope, the longitudinal force increase on the track due to the cyclic braking of trains will cause uneven rail creeping phenomena， resulting in a more complex stress and deformation pattern for the turnout, and even affecting its normal service. Therefore, it is necessary to study the characteristics of stress and deformation of large-slope turnout rails under cyclic braking loads. Method Tests on fastener longitudinal resistance under CLA (cycling loads action) are conducted, and a non-linear finite element model of the No.9 turnout is established to analyze the turnout rail creeping pattern under CLA. Result & Conclusion The fastener system exhibits resistance degradation under CLA. The maximum creep of the turnout rail occurs after the first train braking. Under CLA, the cumulative increase in rail creeping gradually stabilizes with the increasing number of CLA. The presence of slope will significantly increase rail creeping amount under CLA. The train loading form has minimal influence on turnout rail creeping under cycling braking loads action.

[ Objective ] VQ proteins are plant-specific proteins with the conserved VQ motifs ( Fxxh- VQxhTG ), which play an important role in plant growth and development as well as in response to abiotic stresses. The role of the VQ gene family in litchi ( Litchi chinensis ) had not been systematically studied. We identified the LcVQ gene family members as well as their expression patterns in different tissues of ly- chee and their responses to abiotic stresses. This laid a foundation for studying its stress-resistant mecha- nism. [ Methods ] The sequences of LcVQ genes were obtained from the L . chinensis genome using bioin- formatics methods , and their physicochemical properties , subcellular localizations , gene structures , and conserved motifs were analyzed ; a phylogenetic tree was constructed using MEGA 6.0 to analyze the phy- logenetic relationships of the VQ proteins in L . chinensis , Arabidopsis , and Oryza sativa ; the responses to various abiotic stresses were verified by the quantitative real-time PCR ( qRT-PCR ) . [ Results ] A total of 18 LcVQ genes were identified from L . chinensis genome , named as LcVQ1 - 18 , which were clustered into 9 subgroups. They were widely distributed on 11 of 15 chromosomes of lychee. The amino acid num- bers of LcVQ proteins were ranged from 111 to 427 , and molecular weights from 12.48 kD to 45.49 kD. Subcellular localizations showed that except for LcVQ15 and LcVQ17 were localized at the cytoplasm , all other LcVQ proteins were localized at the nucleus. The LcVQ promoters contained a large number of growth and development , plant hormone , and stress-responsiveness related response elements. The LcVQ genes expression was varied at different tissues , which was divided into universal expression and specific expression. Under the treatment of low temperature , high temperature , drought , and salt stress , we found that 4 , 3 , 3 , and 4 LcVQ genes were significantly up-regulated at 3 hours of treatment , respective- ly , indicating that these genes could respond to the abiotic stresses. [ Conclusion ] There are 18 VQ mem- bers in the L . chinensis genome with typical VQ binding domains and participate in different stress re- sponses.

The global rate of Amphotericin B (AmB) resistance in Candida auris has surpassed 12%. However, there is limited data on available clinical treatments and microevolutionary analyses concerning reduced AmB sensitivity. In this study, we collected 18 C. auris isolates from five patients between 2019 and 2022. We employed clinical data mining, genomic, and transcriptomic analyses to identify genetic evolutionary features linked to reduced AmB sensitivity in these isolates during clinical treatment. We identified six isolates with a minimum inhibitory concentration (MIC) of AmB below 0.5 µg/mL (AmB0.5) and 12 isolates with an AmB-MIC of 1 µg/mL (AmB1) or ≥ 2 µg/mL (AmB2). All five patients received 24-hour AmB (5 mg/L) bladder irrigation treatment. Evolutionary analyses revealed an ERG3 (c923t) mutation in AmB1 C. auris. Additionally, AmB2 C. auris was found to contain a t2831c mutation in the RAD2 gene. In the AmB1 group, membrane lipid-related gene expression (ERG1, ERG2, ERG13, and ERG24) was upregulated, while in the AmB2 group, expression of DNA-related genes (e.g., DNA2 and PRI1) was up-regulated. In a series of C.auris strains with reduced susceptibility to AmB, five key genes were identified: two upregulated (IFF9 and PGA6) and three downregulated (HGT7, HGT13,and PRI32). In this study, we demonstrate the microevolution of reduced AmB sensitivity in vivo and further elucidate the relationship between reduced AmB sensitivity and low-concentration AmB bladder irrigation. These findings offer new insights into potential antifungal drug targets and clinical markers for the ‘super fungus’, C. auris.

We report a case of a young female patient with fatigue, hypokalemia, and hyperglycemia. She had past-history of diabetes mellitus, and was admitted to hospital with a history of fatigue and hypokalemia for 5 years. The patient's examination indicated hypokalemia, hypomagnesemia, metabolic alkalosis, hypocalciuria, and SLC12A3 gene pathogenic mutation. The diagnosis was Gitelman syndrome. Potassium and magnesium supplements were given to improve the patient's fatigue. Serum potassium and magnesium were normal. The blood glucose reached standard after treatment with oral hypoglycemic drugs. This article incorporates literature review to sort out the diagnosis and treatment of Gitelman syndrome, in order to provide feasible reference for clinicians.

Objective: Percutaneous nephrolithotomy (PCNL) is the main method for pyonephrosis or lithotripsy in urology. However, it often comes with high risk, as the inaccurate puncture inevitably causes bleeding, intra- and post-operative complications. So, a new inter-disciplinary approach is needed to perform the puncture more accurately. Methods: 3 signs made of lead were marked onto the skin of the posterior side of the waist of a domestic pig or a patient, which was scanned by computed tomography (CT). Based on the CT images, the computer design and the 3D printing, a navigation template made of the transparent resin material is constructed. They were attached onto the surgical area on pig or patient according to the signs. During the PCNL, with this template, the puncture position, angle and depth were optimized in order to precisely enter the targeted renal pelvis or calices. Results: With the 3D navigation templates, 18G puncture needles were used to enter the renal pelvis upon performing the PCNL on a porcine model and a patient. On the porcine model, the urine outflow was observed with minimal complication. Post-operative CT scans revealed that the needle was located in the renal pelvis. For the patient case, the puncture point was designed to target the calix with stone. No obvious bleeding and complication was found in renal puncture with template. Conclusions: The navigation template was made with the combination of 3D printing, CT images and computer design. This template allows for accurate puncture of the renal pelvis or calix. Surgical improvement in kidney stones and pyonephrosis was observed in porcine model and patient case. In the future, prospective, trandomized, controlled clinical trials are needed to further confirm its advantage.

Narcissistic personality disorder is a severance mental health issue, and affect person from both biological and social aspects. The article reviewed the latest international researches about the etiology, subtypes of narcissistic personality disorder, and related treatment strategies of narcissistic personality disorder. Narcissistic personality disorder is defined by an inflated self-importance, eagerness for admiration, and lack of compassion. It encompasses two subtypes, grandiose and vulnerable. Impact of narcissism on individuals' self-esteem, Self Control was examined through reviewing prior research on Chinese population. Moreover, correlation between parenting style, narcissistic personality and parent child relationship was also discussed. The result revealed that the formation of narcissistic personality disorder was influenced by environmental and social factors. Long-term psychological therapy is the main treatment for narcissistic personality disorder. Medication is not a primary treatment option, and certain antidepressants may exacerbate symptoms. The challenge and study directions have been identified in the end, abundant clinical trails on biological study of narcissistic personality disorder are needed, and the further researches on subtypes of narcissistic personality disorder are expected

Aiming at the disconnection between theory and practice in the experimental teaching of electrical and electronic technology courses, students do not have a deep understanding of knowledge and cannot exercise their practical ability. This paper puts forward the application of simulation software to the experimental teaching process of electrical and electronic technology to form an experimental teaching model combining theory, simulation and practice. The results show that the proposed teaching method can deepen the students' understanding of theoretical knowledge, improve their interest in learning, enhance their innovative application ability, and significantly improve the teaching quality.