Search

Nasotracheal intubation benefits dysphonia recovery after anterior cervical spine surgery (ACSS). The aim of the present study was to investigate the effect of tracheal intubation modes on post-ACSS swallowing function and identify factors associated with deglutition on postoperative day 30 (POD 30). Adult patients were randomized to receive either nasotracheal or orotracheal intubation during surgery. A numerical rating scale (NRS) was used to assess postoperative sore throat, and the Bazaz grading system was used to assess the severity of swallowing disturbance. The primary endpoints were the effect of tracheal intubation modes on postoperative sore throat and deglutition. Thereafter, we further elucidated the predictors of swallowing disturbance on POD 30. Postoperative sore throat and swallowing disturbance did not differ between the nasotracheal and orotracheal intubation groups. A secondary dataset analysis revealed that among 108 patients with complete follow-up until POD 30, 71 (65.7%) presented complete recovery without swallowing disturbance, whereas 37 (34.3%) presented varying degrees of swallowing disturbance. Receiver operating characteristic curve analysis indicated that the NRS score for sore throat predicted a swallowing disturbance-free status on POD 30. The optimal cutoff values were ≤ 4 and ≤ 2 on PODs 1 and 2, respectively. The adjusted odds ratio (OR) for independent predictors was a sore throat NRS score of ≤ 4 on POD 1 (OR 3.2; 95% CI 1.29–7.89; P = 0.012) and score of ≤ 2 on POD 2 (OR 6.67; 95% CI 2.41–18.47; P

Several lines of evidence show that a conditioned medium of bone marrow mesenchymal stem cells (BM-MSCcm) improve functional recovery after ischemic stroke but do not reduce ischemic lesions. It is important to develop a treatment strategy that can exhibit a synergistic effect with BM-MSCcm against ischemic stroke. In this study, the effect of BM-MSCcm and/or minocycline was examined in culture and in a middle cerebral artery occlusion (MCAo) animal model. In neuron-glial cultures, BM-MSCcm and combined treatment, but not minocycline, effectively increased neuronal connection and oligodendroglial survival. In contrast, minocycline and combined treatment, but not BM-MSCcm, reduced toxin-induced free radical production in cultures. Either minocycline or BM-MSCcm, or in combination, conferred protective effects against oxygen glucose deprivation-induced cell damage. In an in vivo study, BM-MSCcm and minocycline were administered to rats 2 h after MCAo. Monotherapy with BM-MSCcm or minocycline after ischemic stroke resulted in 9.4% or 17.5% reduction in infarction volume, respectively, but there was no significant difference. Interestingly, there was a 33.9% significant reduction in infarction volume by combined treatment with BM-MSCcm and minocycline in an in vivo study. The combined therapy also significantly improved grasping power, which was not altered by monotherapy. Furthermore, combined therapy increased the expression of neuronal nuclei in the peri-infarct area and hippocampus, and concurrently decreased the expression of ED1 in rat brain and the peri-infarct zone. Our data suggest that minocycline exhibits a synergistic effect with BM-MSCcm against ischemic stroke not only to improve neurological functional outcome but also to reduce cerebral infarction.

This research intends to examine whether frequent travelers are more satisfied with their life as well as why these individuals travel more frequently than others. Derived from a sample of 500 Taiwanese respondents, the study results show that respondents attaching personal importance to tourism are more likely to gather travel-relevant information, resulting in more frequent travels. It is also found that frequent travelers are more satisfied with their life. These findings suggest that travel and tourism can be an important life domain affecting how people evaluate their overall quality of life.

The formation of polycyclic aromatic hydrocarbons (PAHs) during combustion has a substantial impact on environmental pollution and public health. The hydrogen-abstraction-acetylene-addition (HACA) mechanism is expected to be a significant source of larger PAHs containing more than two rings. In this study, the reactions of 1-naphthalenyl and 2-naphthalenyl radicals with acetylene (C2H2) are investigated using VUV photoionization time-of-flight mass spectrometry at 500 to 800 K, 15 to 50 torr, and reaction times up to 10 ms. Our experimental conditions allow us to probe the Bittner-Howard and modified Frenklach HACA routes, but not routes that require multiple radicals to drive the chemistry. The kinetic measurements are compared to a temperature-dependent kinetic model constructed using quantum chemistry calculations and accounting for chemical-activation and fall-off effects. We measure significant quantities of C14H10 (likely phenanthrene and anthracene), as well as 2-ethynylnaphthalene (C12H8), from the reaction of the 2-naphthalenyl radical with C2H2; these results are consistent with the predictions of the kinetic model and the HACA mechanism, but contradict a previous experimental study that indicated no C14H10 formation in the 2-naphthalenyl + C2H2 reaction. In the 1-naphthalenyl radical + C2H2 reaction system, the primary product measured is C12H8, consistent with the predicted formation of acenaphthylene via HACA. The present work provides direct experimental evidence that single-radical HACA can be an important mechanism for the formation of PAHs larger than naphthalene, validating a common assumption in combustion models.

All-inorganic halide perovskite nanocrystals (NCs) offer impressive optoelectronic properties for light harvesting, energy conversion, and photoredox applications, with two-dimensional (2D) perovskite NCs further increasing these prospects due to their improved photoluminescence (PL) tuneability, impressive color purity, high in-plane charge transport, and large lateral dimensions which is advantageous for device integration. However, the synthesis of 2D perovskites is still challenging, especially toward large-scale applications. In this study, through the control of surface ligand composition and concentration of a mixture of short (octanoic acid and octylamine, 8-carbon chain) and long (oleic acid and oleylamine, 18-carbon chain) ligands, we have developed an extremely facile ligand-mediated synthesis of 2D CsPbX3 (X = Cl, Br, or mixture thereof) nanoplatelets (NPLs) at room temperature in an open vessel. In addition, the developed method is highly versatile and can be applied to synthesize Mn-doped CsPbX3 NPLs, showing a systematic increase in the total PL quantum yield (QY) and the Mn-dopant emission around 600 nm with increasing Mn and Cl concentrations. The reaction occurs in toluene by the introduction of CsX, PbX2, and MnX2 precursors under ambient conditions, which requires no harsh acids, avoids excessive lead waste, little thermal energy input, and is potentially scalable toward industrial applications.

To compare the frequency, severity of presentation and initial presentations of new onset diabetes mellitus (DM) in youth in Rhode Island during the early phase of the COVID-19 pandemic compared to the same time frame in 2018 and 2019.A retrospective cohort study of youth treated for new onset DM at Hasbro Children's Hospital between March 1 and May 15, 2020, compared to those diagnosed in the same period in 2018 and 2019.Fewer youth were diagnosed with new onset DM in Spring 2020 and the percentage of youth with DKA at time of DM diagnosis was higher in Spring 2020 compared to prior years (p=0.048). Age, gender, and DKA complications did not differ by year.Nearly 50% fewer youth were diagnosed with DM at the start of the COVID-19 pandemic compared to years prior, and those diagnosed with new onset DM in Spring 2020 were more likely to present with DKA. Delays in both initial health care evaluation and the recognition of DM symptoms may have contributed to the decline in overall DM diagnoses and the more severe presentations. Identification of DM symptoms is essential, especially during future surges of COVID-19 or other events that impact the healthcare system, to reduce the risk of DM complications including DKA.

In the current environment where the network and the real society are intertwined, the network public view of public emergencies has involved in reality and altered the ecology of communal public views in China. A new online court of influence has been created, and it affected the trend of events. As the main type of public emergencies, public health emergencies are directly related to people’s health and life insurance. Therefore, the public often pays special attention. At present, correct media guidance plays an irreplaceable and important role in calming people’s hearts and stabilizing social order. If news and public view are left unchecked, it is likely to cause panic among the people. However, in reality, public view research has always been a research object that is difficult to intelligentize and quantify. Based on such a realistic background, the article conducts a research on public view of public health emergencies based on artificial intelligence data analysis. This study designs an expert system for network public view and optimizes the algorithm for the key problem: SFC deployment. Finally, the system was put into real news and public opinion research on new coronavirus epidemic prevention, and experimental tests were carried out. The experimental results have shown that in the new coronavirus incident, the nuclear leakage incident, and the epidemic prevention policy, the data obtained by the public through the Internet are 50%, 68.06%, and 64.35%, respectively. For the system function in this study, both ICSO and IPSO are far better than the optimization results of CSO and PSO. For most of the test functions, IPSO is better than ICSO’s optimization results, which better fulfills the needs of the research content. This study will make an in-depth analysis of the evolution process of online public opinion on public emergencies from the macro-, meso-, and micro-perspectives, in order to analyze the dissemination methods and internal evolution mechanism of various public emergencies of online public opinion, which provides countermeasures and suggestions for the government to guide and manage network public opinion.

GlideScope-assisted nasotracheal intubation (NTI) has been proposed as an alternative to difficult orotracheal intubation for critical patients or those under cervical immobilization. We evaluated the difficulty of performing NTI using GlideScope under cervical orthosis. A total of 170 patients scheduled for elective cervical spinal surgery that required NTI were randomized to receive cervical immobilization using a cervical collar (collar group) or no cervical immobilization at all (control group) before anesthetic induction (group assignment at 1:1 ratio). All NTI during anesthetic induction were performed using the GlideScope. The primary outcome was time to intubation. The secondary outcomes were ease of intubation, including the necessity of auxiliary manipulations to assist intubation, and the nasotracheal intubation difficulty scale (nasoIDS). An exploratory analysis identified morphometric parameters as predictors of time to intubation, the necessity of auxiliary manipulations, and a nasoIDS score ≥ 4. For time to intubation, the mean difference (collar group—control) was − 4.19 s, with a 95% confidence interval (CI) of − 13.9 to 5.52 that lay within our defined equivalence margin of 16 s. Multivariate regressions precluded the association of cervical immobilization with a necessity for auxiliary manipulations (adjusted odds ratio [aOR] 0.53, 95% CI [0.26–1.09], P = 0.083) and a nasoIDS ≥ 4 (aOR 0.94 [0.84–1.05], P = 0.280). Among all morphometric parameters, the upper lip bite test class was predictive of a longer time to intubation (all analyses relative to class 1, 14 s longer for class 2, P = 0.032; 24 s longer for class 3, P = 0.070), increased necessity for auxiliary manipulation (aOR 2.29 [1.06–4.94], P = 0.036 for class 2; aOR 6.12 [1.04–39.94], P = 0.045 for class 3), and nasoIDS ≥ 4 (aOR 1.46 [1.14–1.89], P = 0.003 for class 3).The present study demonstrated that GlideScope achieved NTI in patients with or without cervical immobilization equivalently with respect to intubation time and ease.

In this study, vanadium (V) was used as a top electrode in a vanadium oxide (VOx)-based selector device. Electroforming was performed to form a threshold region with metal–insulator transition (MIT) at both V electrode and VOx switching layers without annealing during fabrication. The simple V/VOx/TiN structure obtained was scalable and compatible with complementary metal–oxide–semiconductors. All electrical measurement results indicated that V/VOx/TiN selectors exhibited excellent characteristics such as high uniformity, a short switching time of 60 ns, a robust endurance of >109 cycles, and high reliability and stability. Both the simulation analysis and current fitting method were applied to further validate experimental results. Consequently, we developed a nanoscale V/VOx/TiN selector with excellent characteristics, which can be potentially applied to future highdensity crossbar memory devices to overcome sneak-path problems.

During acute myocardial infarction, endoplasmic reticulum (ER) stress-induced autophagy and apoptosis have been shown as important pathogeneses of myocardial reconstruction. Importantly, hydrogen sulfide (H2S), as a third endogenous gas signaling molecule, exerts strong cytoprotective effect on anti-ER stress, autophagy regulation and antiapoptosis. Here, we showed that H2S treatment inhibits apoptosis by regulating ER stress-autophagy axis and improves myocardial reconstruction after acute myocardial infarction. We found that H2S intervention improved left ventricle function, reduced glycogen deposition in myocardial tissue mesenchyme, and inhibited apoptosis. Moreover, the expressions of fibrosis indicators (Col3a1 and Col1a2), ER stress-related proteins (CHOP and BIP/ERP78), autophagy-related proteins (Beclin and ATG5), apoptosis protein (Bax), as well as fibrosis protein Col4a3bp were all decreased after treatment with H2S. H2S administration also maintained MMP/TIMP balance. Mechanistically, H2S activated the PI3K/AKT signaling pathway. In addition, H2S treatment also reduced the expressions of ER stress-related proteins, autophagy-related proteins, and apoptins in in vitro experiments. Interestingly, activation of ER stress-autophagy axis could reverse the inhibitory effect of H2S on myocardial apoptosis. Altogether, these results suggested that exogenous H2S suppresses myocardial apoptosis by blocking ER stress-autophagy axis, which in turn reverses cardiac remodeling after myocardial infarction.

Following high summer temperatures in Taiwan, erratic fruit production and yellowed cladode have been observed in red-fleshed ‘Da Hong’ pitaya (Hylocereus polyrhizus). However, the specific environmental influences that result in the yield loss and cladode damage are unknown. The aim of this study was to evaluate how high temperature affects fruit production and cladode yellowing of ‘Da Hong’ pitaya under controlled conditions. One-year-old field-grown potted plants with moderately yellow-colored cladodes were placed in the phytotron at either 40/30 °C ± 1 °C [day/night, high-temperature treatment (HT)] or 30/20 °C ± 1 °C [day/night, control (CK)] during the natural long-day reproductive period. Floral bud development duration, flower opening behavior, fruit set and development, as well as fruit characteristics and seed setting (which was expressed as the estimated number of seeds), and the weight per fruit at harvest were investigated. In addition, the percentage of dry matter and color change (regreening) of cladodes were examined. We found that floral bud development was completed 8 days earlier than the control, but the time of blooming was 2 to 3 hours later within a day; and fruit set, fruit size, seed weight, and peel color were strongly suppressed in HT-treated plants compared with the control. Furthermore, both the estimated seed number and seed weight were positively correlated with fruit weight, suggesting that reduced seed setting and weight arising from incomplete fertilization in the HT plants may have resulted in fruit drop and smaller fruit. Although the color on the sunny (sun-exposed) side of the cladode remained yellow, the percentage of dry matter in the HT cladodes was not significantly different from the control, indicating that the yellow-colored cladodes did not reduce their carbon supply potential. The results indicate that HT during bloom led to poorer fruit set and lower fruit weight, presumably due to lower seed setting/weight per fruit arising from incomplete fertilization. The HT treatment also caused less regreening of cladodes, but this did not seem to impact fruit production. Further study is required to ascertain whether disrupted stamens or pistils resulting from HT treatment lead to incomplete fertilization.

The niobium oxide insulator–metal transition selector device is considered to be a rectifying device with great potential. However, the lack of research on the experimental parameters and the complex physical mechanism of the NbO2 device seriously affected its development. In this article, a controllable intermediate functional layer of NbO x was reported in the Pt/NbO x /TiN device subjected to different forming compliance currents (FCCs) and compliance currents (CCs). The different FCCs and CCs changed the size of the Nb2O5 and NbO2 layers within the NbO x layer, which further affected the threshold voltage. The result helped to realize the control of the NbO x functional layer, which was also of great significance for the adjustment of the experimental parameters in the preparation experiment according to the required performance. Furthermore, the ${I}-{V}$ characteristics and switching times at different ambient temperatures were carried out, showing the specific dependency of the device on temperature. Between them, the simulated switching time of 2 ns at room temperature proved that the selector had a great application prospect in high speed and high-density storage or logic switch. Generally, the whole research helped to improve the control of the interlayer structure and the performance of the device for application in 3-D crossbar arrays, and provided a valid model to study the device.

Smart city user communications have emerged in millions with the increase in application demands and technologies. Application and quality based information exchange are autonomous with hand-held devices participating in communication or requesting services. Controlling resource management in such environment is tedious due to their distributed, asynchronous, and mobility features. An agent-based middleware framework (AMF) using distributed Cyber Physical System (CPS) is proposed in this manuscript for improving communication reliability in smart city environment. Agent-technology with linear computation model evades the data source downtime issues. The agents are autonomous and are independent of each other in providing seamless resource sharing and response scheduling irrespective of the request queries and communication time. This framework jointly addresses the request failure and response time problem by balancing the storage and resource utilization in an optimal manner. The linear computation model classifies the overloaded agents to assign non-overlapping resources and thereby improving the response for the processed query. The performance of the proposed framework is analyzed using resource and storage utilization, response and downtime for varying query requests and time.

Leisure and tourism constitute important means for migrants to keep in touch with their homeland. This study is the first to investigate the relationship between the leisure and tourism activities of contemporary migrants in a transnational social field. Overseas Chinese residing in North America were surveyed to compare transnational leisure participation and travel behavior across five migrant generations, and examine the effects of transnational leisure on travel behavior and intention. A U-shaped pattern was found in respondents’ media-based and event-based transnational leisure, frequency of travel, and intention to visit China, with the second generation being the lowest. Media-based leisure influenced the first and 1.5-generations’ number of homeland trips whereas event-based leisure influenced that of the second, third, and fourth-plus generations. Overall, there is a positive relationship between transnational leisure and diaspora tourism, and different types of transnational leisure have varying effects on the travel behavior and intention of different generations.

This study focuses on the hardware architecture of a Raman scattering distributed optical fiber transducer platform, the principles of Raman scattering are analyzed, and the output 2 analog electrical signals are converted to digital signals at a 16-bit sampling rate by an Analog-to-Digital Converter (ADC). The system is implemented based on the FPGA. The integrated circuit is responsible for controlling the data acquisition process. The differential amplifier circuit, FPGA peripheral circuit, and CPU subsystem circuit, which takes ARM as the core, are separately designed. The composition of software includes a DDR2 (Double Data Rate 2) driver and central control logic. In this study, the optical fiber transducer platform has been tested. The CPU DDR2 is read/written by the test program respectively. According to the results, the program passes the read/write test. The NAND FLASH is tested. The results show that this program returns all operations successfully. The timing tests of the DDR2 interface and data latching are conducted. The results show that the read/write operations ensure that the clock and data curves are aligned. Therefore, the optical fiber transducer integrated platform designed in this study is effective.

MINI: This randomized clinical trial showed different intubation mode in anesthesia did not affect the increase of endotracheal cuff pressure caused by the retractor splay in anterior cervical spine surgery. However, nasotracheal intubation improved postoperative dysphonia recovery after anterior cervical spine surgery. STUDY DESIGN Prospective, randomized, double-blinded trial. OBJECTIVE The aim of this study was to investigate whether the mode of tracheal intubation affects intraoperative endotracheal tube cuff pressure on retractor splay and post-anterior cervical spine surgery (ACSS) voice outcome. SUMMARY OF BACKGROUND DATA The combination of endotracheal tube (ETT) and cervical retractors has been implicated in recurrent laryngeal nerve compression and neuropraxia after ACSS. The asymmetric position of the oroETT within the larynx, as being fixed distally by the cuff and proximally by taping on one side of the mouth, may contribute to unilateral vocal palsy. METHODS Adult patients undergoing ACSS were randomized to receive either nasotracheal or orotracheal intubation under anesthesia. The primary endpoint was the maximal endotracheal tube cuff pressure (ETCP) when the retractors were set up. After the maximal ETCPs were recorded, then ETCPs were controlled to less than 25 mmHg. Secondary endpoints were self-assessed hoarseness, pitch, and loudness of voice on postoperative days (PODs) 1, 2, 7, and 30. RESULTS We equally allocated 110 patients to nasotracheal and orotracheal intubation. The maximal ETCP during retractor splay did not differ for both the means and distributions of pressure range. After the surgery, more patients in the nasotracheal intubation group reported none or mild change of voice than did the orotracheal intubation group on PODs 1 and 2, in terms of hoarseness, pitch, and loudness (P = 0.001, 0.001, and 0.005, respectively, on POD 1; P = 0.002, 0.003, and 0.011, respectively, on POD 2). Mixed model analysis demonstrated that patients with nasotracheal intubation had significantly lower dysphonia scores after surgery (estimate treatment effect: -1.62, P

The addition of vinylic radicals to acetylene is an important step contributing to the formation of polycyclic aromatic hydrocarbons in combustion. The overall reaction 3C2H2 → C6H6 could result in...

BACKGROUND Microelectrode recording (MER) for target refinement is widely used in deep brain stimulator insertion for Parkinson disease. Signals may be influenced by anesthetics when patients receive general anesthesia (GA). This study determined the inhibitory concentration (IC) of propofol on MER signals when it was coadministered with dexmedetomidine. METHODS Patients were anesthetized with dexmedetomidine (0.5 μg·kg loading, followed by infusion at 0.4 μg·kgh) and propofol through target-controlled infusion for GA with tracheal intubation. The surgeon conducted the online scoring of the background signals, spiking frequency, amplitude, and pattern of single-unit activities by using a 0-10 verbal numerical rating scale (NRS; 0, maximal suppression; 10, minimal suppression), and responses were grouped into suppression (NRS ≤ 6) and nonsuppression (NRS > 6). The median inhibitory concentration (IC50) of propofol (as target effect-site concentrations: Ceprop) was determined using modified Dixon's up-and-down method. Probit regression analysis was further used to obtain the dose-response relationship, and IC05 and IC95 were calculated. RESULTS Twenty-three adult patients participated in this study. Under the concomitant infusion of dexmedetomidine, the predicted IC50 value (95% CI) of Ceprop for neuronal suppression during MER was 1.29 (1.24-1.34) μg·mL as calculated using modified Dixon's up-and-down method. Using probit analysis, the estimated IC05, IC50, and IC95 values (95% CIs) were 1.17 (0.87-1.23), 1.28 (1.21-1.34), and 1.40 (1.33-1.85) μg·mL, respectively. CONCLUSION Our data provided reference values of propofol for dosage adjustment to avoid interference on MER under GA when anesthetics have to be continuously infused during recording.

The autoclave curing process of an aircraft manufacturing industry usually relies on the manual parameter setting by experienced engineers but the reliability and validity are usually hard to control. This paper presents a curing parameter recommendation system framework to efficiently recommend parameters. Seven machine learning algorithms such as k nearest neighbors (KNN), support vector machine (SVM), random forest (RF), light GBM (LGBM), xgboost, decision tree (DT), and meta-model stacking are trained by the three years curing data to be the classifiers. Each machine learning model recommends a candidate representative recipe based on the features of the autoclave curves. A voting method is developed to recommend representative recipes by ensembling the recommend results of these classifiers. Finally, the prediction of the heating curve by long short-term memory (LSTM) networks helps engineers pre-adjusting the related parameters. The empirical study of the recipe parameter recommendation system is illustrated and verified in a leading aerospace manufacturing company in Taiwan.

Pathogenic spore-forming bacteria pose high risks to healthcare settings, as well as in the food and beverage industries. We reported recently that novel alcohol-based formulations containing plant-derived compounds, including epigallocatechin-3-gallate-palmitate (EGCG-P), a green tea polyphenol ester, provide > 99.99% inactivation of bacterial spores within 60 sec. Based on recently published data from our group and others, we hypothesize that a combination of EGCG-P and alcohol formulated with other plant-derived ingredients would achieve high sporicidal efficacy against a wide spectrum of bacterial spores and can provide novel hand hygiene methods against bacterial spores without toxicity. The objectives of the current study were to optimize two novel formulations with combinations of glycerol, citric acid, and EGCG-P to increase sporicidal activity and explore the rapid inactivation mechanisms and suitability for sporicidal products with broad-spectrum activities against aerobic and anaerobic bacterial spores. Methods included suspension testing of two formulations against spores from Bacillus cereus and Clostridium sporogenes, quantification of spore germination, and scanning electron microscopy. The results demonstrated that these novel formulations were able to reduce spore germination by >99.999% after 30 sec exposure in suspension tests, and rapidly caused physical damage to the spores. Additional studies are warranted to determine the suitability of the novel formulations for future hand hygiene use.

Background: Pituitary apoplexy (PA) is a rare but potentially life-threatening condition that may require urgent surgical intervention.Case Presentation: We report a case of a patient who was initially diagnosed with meningoencephalitis (ME) based on clinical presentation and cerebrospinal fluid (CSF) analysis, but was eventually diagnosed with PA. We present a summary of other cases reported in the literature of PA mimicking ME and analyze their clinical features and CSF findings.Results: Among all 22 PA cases reviewed, headache was the most commonly reported symptom. Hypopituitarism was seen in 94.4% of the cases; of these, panhypopituitarism was noted in 38.9%. The sensitivity of magnetic resonance image (MRI) for detecting PA was 94.7%, much higher than that of computed tomography (CT), which was only 31.6%. Neutrophil predominant pleocytosis was present in all cases with a neutrophil percentage ranging from 73% to 98%. CSF leukocyte count was less than 1000/ul in 86% of the cases. CSF erythrocytosis was seen in 92.9% of the cases with a count ranging from 15 to 2030/ul. Elevated CSF protein was present in all cases with a range of 69.8 to 239 mg/dl. CSF glucose level varied with a range between 12 and 136 mg/dl; the level was greater than 40 mg/dl in 73% of the cases.Conclusion: PA tends to be misdiagnosed as ME due to the similarities of semiology and CSF findings. PA should be considered in refractory acute headache cases, especially those with visual and endocrine abnormalities. Early recognition and treatment may lead to significant reduction in morbidity and mortality.Abbreviations: ACTH: adrenocorticotropic hormone; CSF: cerebrospinal fluid; CT: computed tomography; GRE: gradient echo; HRT: hormone replacement therapy;HSV: Herpes Simplex Virus; IV: intravenous; ME: meningoencephalitis; MRI: magnetic resonance image; PA: pituitary apoplexy; RBC: red blood cell; WBC: white blood cell.

For time and space constraints, 5G base stations will have more serious energy consumption problems in some time periods, so it needs corresponding sleep strategies to reduce energy consumption. Based on the analysis of 5G super dense base station network structure, through the analysis of current situation and user demand, a cluster sleep method based on genetic algorithm is constructed under the support of genetic algorithm, which can realize the dynamic matching of energy consumption in time domain and space, and the low load base station enters the sleep state. In order to verify the performance of the algorithm, the simulation network structure is built on the MATLAB platform, and the advantages of the algorithm in this study are obtained through comparative analysis, and the relevant test parameters are set for the technical performance analysis of this study. The research shows that the method proposed in this paper has a certain energy-saving effect, can meet the energy efficiency requirements of 5G ultra dense base station, and in the ultra dense base station group, the complexity can also meet the system operation requirements, which has a certain degree of practicality, and can provide reference for the follow-up related research.

In this paper, the instability mechanism of resistive random access memory (RRAM) was investigated, and a technique was developed to stabilize the distribution of high resistance states (HRS) and better concentrate the set voltage. Due to the accumulation of oxygen, an interface-type switching characteristic was observed on the I-V curves beneath the filament-type switching behavior. In this work, the interface-type switching characteristic is used to fit the natural distribution of HRS as an analysis of the instability mechanism. According to the results, the HRS distribution is attributed to the accumulation of excess oxygen ions left from the lower oxygen content and oxygen vacancy recombination during the reset process. The proposed solution with simple plasma treatment, can create an excess oxygen reservoir by changing the surface topography of the electrode to store the surplus oxygen ions from the reset process, eliminating the oxygen accumulation effect and further improving the device stability.

Alzheimer’s disease (AD) is a neurodegenerative disease characterized by the progressive loss of cognitive functions in affected individuals. Brain tissue pathology is associated with the formation of senile plaques which result from the over-production of amyloid β (Aβ), due to the cleavage of a membrane bound glycoprotein. It is unclear what causes AD and its associated pathologies, but age and genetic predisposition play an import role in the likelihood of disease development. Studies have shown that the reactivation of latent herpes simplex virus 1 (HSV-1) infection can lead to the neuropathy of acute herpes simplex encephalitis (HSE), which causes similar symptoms to AD. HSV-1 infection is a known risk factor for the development of AD, but no study has determined a definitive causal relationship. Using the Qiagen Ingenuity Pathway Analysis (IPA) tool, the inhibitory relationship between therapeutics for AD and HSV-1 were explored. Thirteen drugs developed to decrease Aβ buildup in AD and 32 drugs that act as HSV antivirals were retrieved from the data in the Qiagen Knowledge Base. These drugs were analyzed displayed as two separate networks. While many promising Aβ aggregation-targeting drugs have been discontinued due to lack of efficacy, HSV drugs could serve as potential therapeutics for those with AD. This review aims to describe new insights on how HSV-1 relates to the development of AD and highlight the mechanism of action of Aβ-related drugs and HSV drugs in the context of AD. With HSV-1 being a likely candidate for the causation of AD, there is a need to study the effects of HSV antiviral drugs on those who have AD.

This study provided an intra-cavity method for the selective generation of all kinds of quasi-Mathieu beams. The method employed L-type digital lasers to selectively generate the Fourier spectrum of the gaussian-modulated angular Mathieu function. The lasing field then underwent a Fourier-transform with an extra-cavity lens, and was converted into quasi-Mathieu beams after passing through an axicon. The selection of the lasing quasi-Mathieu beams was controlled by the projection phase of the intra-cavity spatial light modulator (SLM) of digital lasers, which provided flexibility in dynamically generating on-demand quasi-Mathieu beams. The formalism of the resulting quasi-Mathieu beams is detailed in this paper. The nondiffracting characteristics of the resulting quasi-Mathieu beams were verified both numerically and experimentally. The capability of dynamically controlled generation and manipulation of lasing quasi-Mathieu beams by the proposed method is beneficial to practical applications of Mathieu beams.

From the perspective of sustainable development and based on literature review, this paper introduces modified Delphi and Decision Making and Trial Evaluation Laboratory (DEMATEL) to explore the critical factors of sustainable development in rural areas and their correlation. Through literature review and modified Delphi analysis, nine key factors of rural sustainable development are first identified, namely industrial activation, working environment, living conditions, infrastructure, public involvement, rural culture, government-related departments, educational resources, and health and welfare. DEMATEL is then adopted to determine the classification of the aforementioned factors, in which four (government-related departments, public involvement, infrastructure, and educational resources) are classified in the cause group and five (health and welfare, living conditions, rural culture, working environment, and industrial activation) are classified in the effect group. According to the centrality and relation of these factors, the causal network diagram is finally drawn before making practical suggestions based on the overall results, with a view to providing a reference for decision-makers in their follow-up rural sustainable development planning.

High summer temperatures (day/night: 40 °C/30 °C) are known to cause poor fruiting, reduced fruit/seed weight, and delayed fruit development in the “Da Hong” red-fleshed pitaya (Hylocereus polyrhizus); however, the mechanisms of these effects are unknown. This study examined how high temperature (HT, 40 °C/30 °C) affects stamen and pistil fertility through pollination combinations and fruit set in “Da Hong” pitaya and evaluated photosystem II (PSII) efficiency in yellowed shoots (cladodes). The in-vitro pollen germination rate was significantly higher at optimal temperature (OT, 30 °C/20 °C) than at HT, which was also associated with a reduced flower length, poor fruit set, small fruit size, and low number of seeds after self-pollination. Meanwhile, fruit set and fruit development were remarkably improved by using the pollens taken from plants grown at OT and moderate temperature (MH, 35 °C/25 °C) after mutual cross pollination, indicating that the reduction in seed number caused by incomplete fertilization due to inferior pollen viability was the main cause of poor fruiting under HT rather than pistil or photoinhibition, although HT treatment was linked to reductions of PSII efficiency at both the adaxial and abaxial ends of shoots. The results suggested that pollen viability was most affected under HT stress; thus, yielding remarkably reduced fruiting.

Circulating tumor cells (CTC) play important roles in various cancers; however, few studies have assessed their clinical utility in neuroendocrine tumors. This study aimed to prospectively evaluate the prognostic value of CTC counts in Asian patients with neuroendocrine tumors before and during anti-cancer therapy. Patients who were diagnosed with unresectable histological neuroendocrine tumors between September 2011 and September 2017 were enrolled. CTC testing was performed before and during anti-cancer therapy using a negative selection protocol. Chromogranin A levels were also assessed. Univariate and multivariate Cox’s proportional hazard model with forward LR model was performed to investigate the impact of independent factors on overall survival and progression-free survival. Kaplan–Meier method with log-rank tests were used to determine the difference among different clinicopathological signatures and CTC cutoff. The baseline CTC detection rate was 94.3% (33/35). CTC counts were associated with cancer stages (I-III vs. IV, P = 0.015), liver metastasis (P = 0.026), and neuroendocrine tumor grading (P = 0.03). The median progression-free survival and overall survivals were 12.3 and 30.4 months, respectively. In multivariate Cox regression model, neuroendocrine tumors grading and baseline CTC counts were both independent prognostic factors for progression-free survival (PFS, P = 0.005 and 0.015, respectively) and overall survival (OS, P = 0.018 and 0.023, respectively). In Kaplan-Meier analysis, lower baseline chromogranin A levels were associated with longer PFS (P = 0.024). Baseline CTC counts are associated with the clinicopathologic features of neuroendocrine tumors and are an independent prognostic factor for this malignancy.

In this work, a high-density hydrogen (HDH) treatment is proposed to reduce interface traps and enhance the efficiency of the passivated emitter rear contact (PERC) device. The hydrogen gas is compressed at pressure (~ 70 atm) and relatively low temperature (~ 200 °C) to reduce interface traps without changing any other part of the device’s original fabrication process. Fourier-transform infrared spectroscopy (FTIR) confirmed the enhancement of Si–H bonding and secondary-ion mass spectrometry (SIMS) confirmed the SiN/Si interface traps after the HDH treatment. In addition, electrical measurements of conductance-voltage are measured and extracted to verify the interface trap density (Dit). Moreover, short circuit current density (Jsc), series resistance (Rs), and fill factor (F.F.) are analyzed with a simulated light source of 1 kW M−2 global AM1.5 spectrum to confirm the increase in cell efficiency. External quantum efficiency (EQE) is also measured to confirm the enhancement in conversion efficiency between different wavelengths. Finally, a model is proposed to explain the experimental result before and after the treatment.

In this study, we have investigated the improvements in the performance of an all-solid-state complementary electrochromic device (ECD) by using the proposed high pressure treatment (HPT). The Li:Ta