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Objective: In adult anti‐N‐methyl‐d‐aspartate receptor (NMDAR) encephalitis, corticosteroids are commonly used as first‐line treatment. However, the optimal oral prednisone tapering (OPT) following intravenous methylprednisolone pulse therapy remains unclear. We aim to compare the efficacy and safety of different OPT courses in anti‐NMDAR encephalitis. Methods: The CHASE study, a multicenter prospective observational cohort study, enrolled patients with autoimmune encephalitis from October 2011 to March 2023. Patients were grouped based on oral prednisone tapering course: ≤3 months (Group ≤3 month), 3–6 months (Group 3–6 months, including 3 months), and >6 months (Group > 6 months). Kaplan–Meier plots were used to analyze time to relapse and time to total recovery within 2 years. Results: Among 666 screened patients, 171 (median [IQR] age 27 [21.0–36.5] years, 55.0% female) met selection criteria. Responders at 3 months were prevalent in Group ≤3 months (OR 7.251 [95% CI 2.252 to 23.344] and Group 3–6 months (OR, 3.857 [95% CI 1.107 to 13.440] than in Group >6 months. Clinical Assessment Scale for Autoimmune Encephalitis (CASE) scores at 12 months were higher in Group >6 months than in Group ≤3 months and Group 3–6 months (β, −2.329 [95% CI −3.784 to −.875]; β, −2.871 [95% CI −4.490, −1.253]). CASE seizures subscore was higher in Group >6 months than in Group 3–6 months (β, −.452 [95% CI −.788 to −.116]). No significant difference in seizure freedom rates among the groups. Adverse events were higher in Group 3–6 months and Group >6 months than in Group ≤3 months (OR 6.045 [95% CI 2.352 to 15.538]; OR 6.782 [95% CI 1.911 to 24.073]). Significance: Longer oral prednisone courses for adult patients with anti‐NMDAR encephalitis did not show superior effects compared to shorter courses in improving modified Rankin Scale (mRS) scores and CASE scores, reducing the risk of relapse within 2 years, or achieving seizure freedom. Instead, extended prednisone courses may lead to more side effects— particularly weight gain. This outcome recommends evaluating the possibility of shortening the duration of oral prednisone after a thorough patient assessment. [ABSTRACT FROM AUTHOR]

The concept of cultural community has been firstly or more obviously embodied in the works of the minority/minoritized literature or writers from marginalized countries and approached from different perspectives, such as small and enduring spiritual bonds, aspiration and an ideal, or self-deconstruction due to heterogeneity, conflict, and difference. However, most researchers explore the cultural community in the works of merely one racial group, such as American Indian, Chinese, Korean, or African. There has been comparatively little research on the construction of a cultural community across races. Focusing on Molefi Kete Asante's Afrocentricity and Tu Wei-ming's embodied Confucianism, two cultural movements that fully embody a "new cosmopolitanism" and have the potential to dialog and complement each other, this study compares the views of transcendence of these two philosophies in terms of sense, the ultimate goal, orientation of time, vehicle for realization, and thinking pattern in the hope of the construction of a Sino-African cultural community, which reflects mutual understanding, coexistence, harmony without uniformity, and the contact, conflict, and intermingling of heterogeneous cultures. [ABSTRACT FROM AUTHOR]

High‐damping acoustic composites with unique sound insulation feature is reported, demonstrating surprisingly stable soundproof properties over a wide bandwidth of frequency (63–6300 Hz) with good mechanical properties. The extraordinary acoustic properties are attributed to the multiscale synergy of lamellar and hollow structures by multifillers adding. The acoustic composites are designed and fabricated through a low‐temperature one‐time rubber mixing process using nitrile butadiene rubber(NBR), chloroprene rubber (CR) as matrix and mica powder (MP), hollow glass beads (HGB), and montmorillonite (MMT) as multifillers. The soundproof mechanism is discussed in detail. Results indicate that the synergism of damping and sound absorption behaviors in the composition has a considerable impact on the acoustic characteristics, which can be controlled by the blending ratio of NBR/CR matrixes and the multiscale structures of MP/HGB/MMT multifillers. The designed multifillers acoustic composites can adapt to broadband engineering noise control including walls in express train constructions, panels of vessel or aircraft cabins, and large transportation pipelines. [ABSTRACT FROM AUTHOR]