Search

Dry Dock No. 1 of Shanghai Shipyard has been in disrepair after the relocation of the shipyard. The composite-steel-sheet-pile dock walls have been corroded to a certain extent, and the under-drained system behind the wall failed. In order to explore the bearing performance of the corroded composite steel sheet pile dock wall during the recent docking of ancient ships and the subsequent construction of the museum, numerical models of the dock and steel sheet pile dock wall were established, and their displacements, internal forces, and local stresses in the corroded area were obtained. It is concluded that the composite steel sheet pile is temporarily in the strength safety state, and can withstand the load generated by the ancient ship docking in the short term. When the depth of rust pits reaches 4.6 mm, it will be difficult for steel sheet piles to meet the bearing capacity requirements. It is suggested that steel sheet piles should be reinforced and repaired within 7 years after rust detection, and the rust prevention system should be re-established to ensure the safety of the dock structure during subsequent engineering construction.

The traditional combination model based on multinomial logit is incapable of reflecting the nested structure of urban tourism destinations. Therefore, this paper established a variational inequality model of the combination of tourism demand distribution and transportation assignment based on nested logit. Through the first-order optimization conditions, it proved that the volume of travel distribution and transport assignment could meet the combination equilibrium conditions. Based on the MSA algorithm, it designed the solution algorithm of the model and verified the feasibility of the model and algorithm in a simplified tourism passenger transport network in Huangshan City. The calculation results show that the variational inequality model proposed in this paper can obtain the volume of travel distribution and transportation assignment at the same time, meanwhile compared with the multinomial logit, the nested logit structure fully considers the attraction measure of hotel and scenic spots, which is more in line with the choice behavior of tourists when choosing transportation route. In addition, the time value type of tourists has a great impact on the comprehensive tourism impedance which means that in the practical application, it is necessary to determine the time value type of tourists in each transportation routinereasonably.

Doxorubicin (DOX)‐induced cardiotoxicity limits its broad use as a chemotherapy agent. The development of effective and non‐invasive strategies to prevent DOX‐associated adverse cardiac events is urgently needed. We aimed to examine whether and how low‐intensity pulsed ultrasound (LIPUS) plays a protective role in DOX‐induced cardiotoxicity. Male C57BL/6J mice were used to establish models of both acute and chronic DOX‐induced cardiomyopathy. Non‐invasive LIPUS therapy was conducted for four consecutive days after DOX administration. Cardiac contractile function was evaluated by echocardiography. Myocardial apoptosis, oxidative stress, and fibrosis were analyzed using terminal deoxynucleotidyl transferase‐mediated dUTP nick end labelling (TUNEL) staining, dihydroethidium (DHE) staining, and picrosirius red staining assays. RNA‐seq analysis was performed to unbiasedly explore the possible downstream regulatory mechanisms. Neutrophil recruitment and infiltration in the heart were analyzed by flow cytometry. The S100a8/a9 inhibitor ABR‐238901 was utilized to identify the effect of S100a8/a9 signaling. We found that LIPUS therapy elicited a great benefit on DOX‐induced heart contractile dysfunction in both acute and chronic DOX models. Chronic DOX administration increased serum creatine kinase and lactate dehydrogenase levels, as well as myocardial apoptosis, all of which were significantly mitigated by LIPUS. In addition, LIPUS treatment prevented chronic DOX‐induced cardiac oxidative stress and fibrosis. RNA‐seq analysis revealed that LIPUS treatment partially reversed alterations of gene expression induced by DOX. Gene ontology (GO) analysis of the downregulated genes between DOX‐LIPUS and DOX‐Sham groups indicated that inhibition of neutrophil chemotaxis might be involved in the protective effects of LIPUS therapy. Flow cytometry analysis illustrated the inhibitory effects of LIPUS on DOX‐induced neutrophil recruitment and infiltration in the heart. Moreover, S100 calcium binding protein A8/A9 (S100a8/a9) was identified as a potential key target of LIPUS therapy. S100a8/a9 inhibition by ABR‐238901 showed a similar heart protective effect against DOX‐induced cardiomyopathy to LIPUS treatment. LIPUS therapy prevents DOX‐induced cardiotoxicity through inhibition of S100a8/a9‐mediated neutrophil recruitment to the heart, suggesting its potential application in cancer patients undergoing chemotherapy with DOX. [ABSTRACT FROM AUTHOR]

The choice between radiotherapy (RT) and CO2 laser surgery (CO2-LS) for early glottic cancer remains controversial. We systematically examined electronic databases in order to identify prospective trials comparing patients who had undergone CO2-LS or RT to treat early glottic cancer. Eleven studies involving 1053 patients were included. In the selected literature, the parameter setting of CO2 laser equipment can be summarized as wavelength 10.6 µm, superpulsed mode, continuous setting, power tailored on target structures (1–3 W for subtle resections and 4–15 W for cutting a larger tumor), and approximately 2080–3900 W/cm2 of laser energy. Using RevMan 5.3, we estimated pooled odds ratios (ORs) for dichotomous variables and pooled mean differences (MDs) for continuous variables, along with associated 95% confidence intervals (CIs). The heterogeneity in the treatment variables was measured using Higgins' inconsistency test and expressed as I2 values. The continuous variables were then depicted as histograms developed using PlotDigitizer 2.6.8. Compared to patients treated with CO2-LS, those treated with RT had better jitter (MD 1.27%, 95% CI 1.21 ~ 1.32, P < 0.001), and high scores on the "Grade (MD 6.54, 95% CI 5.31 ~ 7.76, P < 0.001), Breathiness (MD 9.08, 95% CI 4.02 ~ 14.13, P < 0.001), Asthenia (MD 2.13, 95% CI 0.29 ~ 3.98, P = 0.02), and Strain (MD 3.32, 95% CI 0.57 ~ 6.07, P = 0.02)" scale. Patients treated with CO2-LS had worse local control rates (OR 3.14, 95% CI 1.52 ~ 6.48, P = 0.002) while lower incidence of second primary tumor (OR 0.30, 95% CI 0.15 ~ 0.61, P < 0.001). It is hoped that retrospective analysis can provide suggestions for early glottis patients to choose personalized treatment. [ABSTRACT FROM AUTHOR]

Objective To study the genetic characteristics, clinical characteristics, and prognosis of children with primary dilated cardiomyopathy (DCM). Methods A retrospective analysis was performed on the medical data of 44 children who were diagnosed with DCM in Hebei Children's Hospital from July 2018 to February 2023. According to the genetic testing results, they were divided into two groups: gene mutation-positive group (n=17) and gene mutation-negative group (n=27). The two groups were compared in terms of clinical data at initial diagnosis and follow-up data. Results Among the 44 children with DCM, there were 21 boys (48%) and 23 girls (52%). Respiratory symptoms including cough and shortness of breath were the most common symptom at initial diagnosis (34%, 15/44). The detection rate of gene mutations was 39% (17/44). There were no significant differences between the two groups in clinical characteristics, proportion of children with cardiac function grade III or IV, brain natriuretic peptide levels, left ventricular ejection fraction, and left ventricular fractional shortening at initial diagnosis (P>0.05). The median follow-up time was 23 months, and 9 children (20%) died, including 8 children from the gene mutation-positive group, among whom 3 had TTN gene mutation, 2 had LMNA gene mutation, 2 had TAZ gene mutation, and 1 had ATAD3A gene mutation. The gene mutation-positive group had a significantly higher mortality rate than the gene mutation-negative group (P<0.05). Conclusions There is no correlation between the severity of DCM at initial diagnosis and gene mutations in children. However, children with gene mutations may have a poorer prognosis. [ABSTRACT FROM AUTHOR]

Vertical cavity surface emitting laser (VCSELs) as the ideal light source for rubidium (Rb) and cesium (Cs) atomic clocks is analyzed for its mode and polarization control. We fabricated three kinds of shapes: triangular, elliptic, and circular oxidation apertures which also have different sizes. We formed three different shape oxide apertures by wet-oxidation with 36 μm–39 μm circular mesa. Our results show that triangular oxidized-VCSEL has the advantages of mode and polarization selection over elliptic and circular oxide apertures. When triangular oxide-confined VCSELs emit in single mode, the measured side mode suppression ratio (SMSR) is larger than 20 dB and orthogonal polarization suppression ratio achieves 10 dB. Resonant blueshift of VCSELs with triangular and elliptic apertures is observed with the decrease of aperture size. [ABSTRACT FROM AUTHOR]