In the field of intelligent education,the integration of artificial intelligence,especially deep learning technologies,has garnered significant attention.Knowledge tracing(KT)plays a pivotal role in this field by pred...In the field of intelligent education,the integration of artificial intelligence,especially deep learning technologies,has garnered significant attention.Knowledge tracing(KT)plays a pivotal role in this field by predicting students’future performance through the analysis of historical interaction data,thereby assisting educators in evaluating knowledgemastery and tailoring instructional strategies.Traditional knowledge tracingmethods,largely based on Recurrent Neural Networks(RNNs)and Transformer models,primarily focus on capturing long-term interaction patterns in sequential data.However,these models may neglect crucial short-term dynamics and other relevant features.This paper introduces a novel approach to knowledge tracing by leveraging a pure Multilayer Perceptron(MLP)architecture.We proposeMixerKT,a knowledge tracing model based on theHyperMixer framework,which uniquely integrates global and localMixer feature extractors.This architecture enables more effective extraction of both long-terminteraction trends and recent learning behaviors,addressing limitations in currentmodels thatmay overlook these key aspects.Empirical evaluations on twowidely-used datasets,ASSIS Tments2009 and Algebra2005,demonstrate that MixerKT consistently outperforms several state-of-the-art models,including DKT,SAKT,and Separated Self-Attentive Neural Knowledge Tracing(SAINT).Specifically,MixerKT achieves higher prediction accuracy,highlighting its effectiveness in capturing the nuances of learners’knowledge states.These results indicate that our model provides a more comprehensive representation of student learning patterns,enhancing the ability to predict future performance with greater precision.展开更多
BACKGROUND Hypernatremia represents a significant electrolyte imbalance associated with numerous adverse outcomes,particularly in cases of intensive care unit(ICU)-acquired hypernatremia(IAH).Nevertheless,its relevanc...BACKGROUND Hypernatremia represents a significant electrolyte imbalance associated with numerous adverse outcomes,particularly in cases of intensive care unit(ICU)-acquired hypernatremia(IAH).Nevertheless,its relevance in patients with septic shock remains uncertain.AIM To identify independent risk factors and their predictive efficacy for IAH to improve outcomes in patients with septic shock.METHODS In the present retrospective single-center study,a cohort of 157 septic shock patients with concurrent hypernatremia in the ICU at The First Affiliated Hospital of Soochow University,between August 1,2018,and May 31,2023,were analyzed.Patients were categorized based on the timing of hypernatremia occurrence into the IAH group(n=62),the non-IAH group(n=41),and the normonatremia group(n=54).RESULTS In the present study,there was a significant association between the high serum sodium concentrations,excessive persistent inflammation,immunosuppression and catabolism syndrome and chronic critical illness,while rapid recovery had an apparent association with normonatremia.Moreover,multivariable analyses revealed the following independent risk factors for IAH:Total urinary output over the preceding three days[odds ratio(OR)=1.09;95%CI:1.02–1.17;P=0.014],enteral nutrition(EN)sodium content of 500 mg(OR=2.93;95%CI:1.13–7.60;P=0.027),and EN sodium content of 670 mg(OR=6.19;95%CI:1.75–21.98;P=0.005)were positively correlated with the development of IAH.Notably,the area under the curve for total urinary output over the preceding three days was 0.800(95%CI:0.678–0.922,P=0.001).Furthermore,maximum serum sodium levels,the duration of hypernatremia,and varying sodium correction rates were significantly associated with 28-day in-hospital mortality in septic shock patients(P<0.05).CONCLUSION The present findings illustrate that elevated serum sodium level was significantly associated with a poor prognosis in septic shock patients in the ICU.It is highly recommended that hypernatremia be considered a potentially important prognostic indicator for the outcome of septic shock.展开更多
Penaeus vannamei, known as the whiteleg shrimp, holds significant economic importance in aquaculture. The intensive culture of P. vannamei poses substantial environmental risks, particularly in fragile ecosystems like...Penaeus vannamei, known as the whiteleg shrimp, holds significant economic importance in aquaculture. The intensive culture of P. vannamei poses substantial environmental risks, particularly in fragile ecosystems like estuarine mangroves. Although there is a consensus on the pollution and harmful effects of microplastics(MPs), study on the pollution and potential risks posed by P. vannamei in estuary mangroves remains scarce. Therefore, the extent of microplastic pollution was evaluated and the correlation between the properties of MPs and the potential risks they pose to P. vannamei was examined.The average MP abundance in P. vannamei from Jiulong River estuary was determined to be 0.46±0.03 n/g in five different polymers, i.e., polypropylene(PP), polyethylene(PE), polystyrene(PS), polyethylene terephthalate(PET), and polyvinyl chloride resin(PVC). The total percentage of PS, PE, and PET polymers was the greatest(73.85%), where PET and PP(26.16%) were highly correlated in size and shape. Small MPs(1-200 μm) come in irregular particles, fragments, films, and large-sized MPs(200-1 000 μm) were mainly foam-shaped. The hazard risk level of MPs in P. vannamei from Jiulong River estuary reached grade Ⅲ, and the overall hazard risk index(H) value was 593.66. Among all samples,PVC polymer accounted for the lowest proportion(5.52%), but the H value was as high as 582.42, which contributed 98.11% to the overall hazard risk index. Regardless of global or Chinese, the microplastic pollution of P. vannamei in the estuary is at a moderate level. The protocol for MPs characteristics and correlation in seafood should be the basis for the risk assessment framework. Further studies are needed to evaluate how the exposure to MPs poses a risk for human health.展开更多
Microplastics(MPs)have recently emerged as a significant environmental problem with devastating consequences for organisms.Understanding MPs pollution in the Bay of Bengal is crucial for assessing its ecological impac...Microplastics(MPs)have recently emerged as a significant environmental problem with devastating consequences for organisms.Understanding MPs pollution in the Bay of Bengal is crucial for assessing its ecological impact on marine biodiversity and human health.This study examined the occurrence,spatial distribution,physical and chemical properties,ecological risks,and probable sources of MPs in estuarine and coastal marine environments in the northeastern Bay of Bengal.The average concentration of MPs in surface water of the Karnaphuli estuary,the Meghna estuary,and the southeastern coastal region were 916.7±462.6 items/m^(3),462.9±324.5 items/m^(3),and 350.0±190.5 items/m^(3),respectively,varying from 105.0±324.5 items/m^(3)to 1640.0±462.6 items/m^(3).In the sediments of the Karnaphuli estuary,the Meghna estuary,and the southeast coast of Bangladesh,the average amount of MPs were 94.3±33.1 items/kg,157.6±89.0 items/kg,and 134.3±38.7 items/kg,with a range of 60±33.1 items/kg to 334.3±89.0 items/kg.Most observed MPs were fibers(60.0%in the water;56.0%in the sediments),followed by fragments and lines.Detected MPs were dominated by polypropylene(20.7%)in the water,and acrylic(15.4%)in the sediment,black colored(76.2%in the water,72.7%in the sediments),and 200-500μm sized(48%in the water,37%in the sediments).Pollution Risk Index(PRI)indicated significant pollution levels(from medium to very high)in estuarine and coastal areas.Multi-statistical analysis indicated land-based inputs(tourists,local waste,agriculture,and industry)dominated the studied regions.The study emphasized the potential impact of MPs pollution on aquatic ecosystems,emphasizing the need for effective management,mitigation methods,continuous surveillance,and thorough evaluation.展开更多
The synergy of single atoms(SAs)and nanoparticles(NPs)has demonstrated great potential in promoting the electrocatalytic carbon dioxide reduction reaction(CO_(2)RR);however,the rationalization of the SAs/NPs proportio...The synergy of single atoms(SAs)and nanoparticles(NPs)has demonstrated great potential in promoting the electrocatalytic carbon dioxide reduction reaction(CO_(2)RR);however,the rationalization of the SAs/NPs proportion remains one challenge for the catalyst design.Herein,a Ni2+-loaded porous poly(ionic liquids)(PIL)precursor synthesized through the free radical self-polymerization of the ionic liquid monomer,1-allyl-3-vinylimidazolium chloride,was pyrolyzed to prepare the Ni,N co-doped carbon materials,in which the proportion of Ni SAs and NPs could be facilely modulated by controlling the annealing temperature.The catalyst Ni-NC-1000 with a moderate proportion of Ni SAs and NPs exhibited high efficiency in the electrocatalytic conversion of CO_(2)into CO.Operando Ni K-edge X-ray absorption near-edge structure(XANES)spectra and theoretical calculations were conducted to gain insight into the synergy of Ni SAs and NPs.The charge transfer from Ni NPs to the surrounding carbon layer and then to the Ni SAs resulted in the electron-enriched Ni SAs active sites.In the electroreduction of CO_(2),the coexistence of Ni SAs and NPs strengthened the CO_(2)activation and the affinity towards the key intermediate of*COOH,lowering the free energy for the potential-determining*CO_(2)→*COOH step,and therefore promoted the catalysis efficiency.展开更多
Elevated atmospheric carbon dioxide(CO_(2)) concentrations have caused global climate change such as global warming and more frequent climate extremes. Countries worldwide have proposed carbon neutrality strategies to...Elevated atmospheric carbon dioxide(CO_(2)) concentrations have caused global climate change such as global warming and more frequent climate extremes. Countries worldwide have proposed carbon neutrality strategies to curb the rising CO_(2) concentrations. To investigate the impact of China's carbon neutrality goal on atmospheric CO_(2) concentrations, we conducted a series of ideal simulations from 2015 to 2019 using a global 3D chemistry transport model, Goddard Earth Observing System Chemistry(GEOS-Chem). Compared with the column-averaged dry-air mole fraction of atmospheric CO_(2) (XCO_(2) ) from Orbiting Carbon Observatory-2(OCO-2) and surface CO_(2) measurements in Obs Pack, we find that GEOS-Chem effectively reproduces the spatiotemporal variability of CO_(2) . The model exhibits a root mean square error(RMSE) of 1.51 ppm(R^(2)=0.89) for OCO-2 XCO_(2) in China and 2.65 ppm(R^(2)=0.75) for surface CO_(2) concentrations at the WLG station. Further, compared to 2.83 ppm yr^(-1)in the control experiment, we suggest that net-zero CO_(2) emissions in China decelerate the increasing trends of XCO_(2) to 1.81 ppm yr^(-1),making a decrease of approximately 35.89%. Meanwhile, the seasonal cycle amplitude(SCA) of XCO_(2) is moderately reduced from 7.39±0.81 to 6.75±0.70 ppm, representing a relative reduction of 9.91%. Spatially, net-zero CO_(2) emissions induce a more significant decrease in XCO_(2) trends over northern and southern China, while their impact on SCA is more evident in northern and northeastern China. Moreover, ideal experiments demonstrate that zero fossil CO_(2) emissions lead to a greater attenuation of the linear trends of XCO_(2) by 40.81%, while the absence of terrestrial CO_(2) sinks largely diminishes the SCA by 16.61%. Additionally,trends and SCA in surface CO_(2) concentrations exhibit almost identical decreasing responses to net-zero CO_(2) emissions but display greater sensitivities compared to XCO_(2) . Overall, our study underscores the potential of China's carbon neutrality goal in mitigating global warming, underscoring the need for concerted and collaborative efforts from nations worldwide.展开更多
Microplastic(MP)contamination is becoming a major worldwide concern,affecting terrestrial and aquatic ecosystems.This study investigated the source,distribution,and abundance of MPs in sediments from Dongshan Bay,Fuji...Microplastic(MP)contamination is becoming a major worldwide concern,affecting terrestrial and aquatic ecosystems.This study investigated the source,distribution,and abundance of MPs in sediments from Dongshan Bay,Fujian,South China,emphasizing particularly the coastline region's susceptibility to tidal impacts in four study sites.The concentrations of MPs in the sediments in the four sites were high from 7.4 to 283.1 items/kg(dry weight).There were notable differences in abundance between the locations and tide levels.Tides influenced the distribution of MPs greatly;however,the estuary areas showed greater MPs abundance during high tide,due possibly to enhanced water turbulence and riverine inputs.Low tide indicated higher concentrations in coastal locations owing to accumulation.Popular varieties,including nylon,polypropylene,and polyethylene,were identified by polymer research,pointing to the origins from fishing,packaging,and mariculture industries.Potential sources were determined using the PCA-K-means statistical analysis,by linking the origins of MPs to domestic activities,fishing,mariculturing,shipping,and packing.Fishing and packing were shown in the Sankey diagram as the two main sources,but their effects varied with research locations and tidal regimes.This study clarified the intricate dynamics of MPs pollution,highlighting the impact of tides on its dispersal and the variety of sources that contribute to this widespread environmental problem in coastal areas.展开更多
BACKGROUND Heart rate variability(HRV)represents efferent vagus nerve activity,which is suggested to be related to fundamental mechanisms of tumorigenesis and to be a predictor of prognosis in various cancers.Therefor...BACKGROUND Heart rate variability(HRV)represents efferent vagus nerve activity,which is suggested to be related to fundamental mechanisms of tumorigenesis and to be a predictor of prognosis in various cancers.Therefore,this study hypothesized that HRV monitoring could predict perioperative complication(PC)in colorectal cancer(CRC)patients.AIM To investigate the prognostic value of HRV in hospitalized CRC patients.METHODS The observational studies included 87 patients who underwent CRC surgical procedures under enhanced recovery after surgery programs in a first-class hospital.The HRV parameters were compared between the PC group and the non PC(NPC)group from preoperative day 1 to postoperative day(Pod)3.In addition,inflammatory biomarkers and nutritional indicators were also analyzed.RESULTS The complication rate was 14.9%.HRV was markedly abnormal after surgery,especially in the PC group.The frequency-domain parameters(including pNN50)and time-domain parameters[including high-frequency(HF)]of HRV were significantly different between the two groups postoperatively.The pNN50 was significantly greater at Pod1 in the PC group than that in the NPC group and returned to baseline at Pod2,suggesting that patients with complications exhibited autonomic nerve dysfunction in the early postoperative period.In the PC group,HFs were also enhanced from Pod1 and were significantly higher than in the NPC group;inflammatory biomarkers were significantly elevated at Pod2 and Pod3;the levels of nutritional indicators were significantly lower at Pod1 and Pod2;and the white blood cell count was slightly elevated at Pod3.CONCLUSION HRV is independently associated with postoperative complications in patients with CRC.Abnormal HRV could predicted an increased risk of postoperative complications in CRC patients.Continuous HRV could be used to monitor complications in patients with CRC during the perioperative period.展开更多
This paper focuses on the use of rotary-percussive drilling for hard rocks.In order to improve efficiency and reduce costs,it is essential to understand how operational parameters,bit wear,and drilling performance are...This paper focuses on the use of rotary-percussive drilling for hard rocks.In order to improve efficiency and reduce costs,it is essential to understand how operational parameters,bit wear,and drilling performance are related.A model is presented therein that combines multibody dynamics and discrete element method(DEM)to investigate the influences of operational parameters and bit wear on the rate of penetration and wear characteristics.The model accurately captures the motion of the bit and recreates rock using the cutting sieving result.Field experimental results validate the rod dynamic behavior,rock recreating model,and coupling model in the simulation.The findings indicate that hammer pressure significantly influences the rate of penetration and wear depth of the bit,and there is an optimal range for economical hammer pressure.The wear coefficient has a major effect on the rate of penetration,when wear coefficient is between 1/3 and 2/3.Increasing the wear coefficient can reduce drill bit button pressure and wear depth at the same drill distance.Gauge button loss increases the rate of penetration due to higher pressure on the remaining buttons,which also accelerates destruction of the bit.Furthermore,a more evenly distributed button on the bit enhances the rate of penetration(ROP)when the same number of buttons is lost.展开更多
The ambiguity of etiology makes temporomandibular joint osteoarthritis(TMJOA)“difficult-to-treat”.Emerging evidence underscores the therapeutic promise of exosomes in osteoarthritis management.Nonetheless,challenges...The ambiguity of etiology makes temporomandibular joint osteoarthritis(TMJOA)“difficult-to-treat”.Emerging evidence underscores the therapeutic promise of exosomes in osteoarthritis management.Nonetheless,challenges such as low yields and insignificant efficacy of current exosome therapies necessitate significant advances.Addressing lower strontium(Sr)levels in arthritic synovial microenvironment,we studied the effect of Sr element on exosomes and miRNA selectively loading in synovial mesenchymal stem cells(SMSCs).Here,we developed an optimized system that boosts the yield of SMSC-derived exosomes(SMSCEXOs)and improves their miRNA profiles with an elevated proportion of beneficial miRNAs,while reducing harmful ones by pretreating SMSCs with Sr.Compared to untreated SMSC-EXOs,Sr-pretreated SMSC-derived exosomes(Sr-SMSC-EXOs)demonstrated superior therapeutic efficacy by mitigating chondrocyte ferroptosis and reducing osteoclast-mediated joint pain in TMJOA.Our results illustrate Alix’s crucial role in Sr-triggered miRNA loading,identifying miR-143-3p as a key anti-TMJOA exosomal component.Interestingly,this system is specifically oriented towards synovium-derived stem cells.The insight into trace elementdriven,site-specific miRNA selectively loading in SMSC-EXOs proposes a promising therapeutic enhancement strategy for TMJOA.展开更多
Retraction to:Journal of Clinical and Nursing Research https://doi.org/10.26689/jcnr.v8i10.8260 published online October 28,2024 The authors wish to retract this article.Concerns have been raised regarding potential c...Retraction to:Journal of Clinical and Nursing Research https://doi.org/10.26689/jcnr.v8i10.8260 published online October 28,2024 The authors wish to retract this article.Concerns have been raised regarding potential conflict of interest and possibility of duplicate publication.展开更多
High-performance photodetectors are expected to open up revolutionary opportunities in many application fields, such as environment monitoring, military, optical communication and biomedical science. Combining two-dim...High-performance photodetectors are expected to open up revolutionary opportunities in many application fields, such as environment monitoring, military, optical communication and biomedical science. Combining two-dimensional materials(which have tunable optical absorption and high carrier mobility) with organic materials(which are abundant with low cost, high flexibility and large-area scalability) to form thin-film heterojunctions, high-responsivity photodetectors could be predicted with fast response speed in a wide spectra region.In this review, we give a comprehensive summary of photodetectors based on two-dimensional materials and organic thin-film heterojunctions, which includes hybrid assisted enhanced devices, single-layer enhanced devices, vertical heterojunction devices and tunable vertical heterojunction devices. We also give a systematic classification and perspectives on the future development of these types of photodetectors.展开更多
[ Objective] This study aimed to investigate the effects of crude extract of Poria cocos on intestinal smooth muscle contraction of rabbits in vitro and re- veal the related mechanism. [Method] With in vitro experimen...[ Objective] This study aimed to investigate the effects of crude extract of Poria cocos on intestinal smooth muscle contraction of rabbits in vitro and re- veal the related mechanism. [Method] With in vitro experimental method, using the tension of jejunal and cecal smooth muscle as an indicator, 3.75, 7.50, 15.00, and 22.5 g/L crude extract of P. cocos were added into Tyrede＇s solution of jejunum and cecum tissues of rabbits to observe the effects of crude extract of P. cocos on motion dynamics of jejunum and cecum of rabbits. [ Result] The addition of crude extract of P. cocos could inhibit the contraction of jejunal and cecal smooth muscle of rabbits in vitro, enhance contraction tension and relaxation tension, and reduce contraction amplitude. The effects were improved as the dose of crude extract of P. cocos increased, displaying a dose-effect relationship. [Condusion] This study provided theoretical basis for the clinical use of P. cocos.展开更多
老年人痴呆或认知障碍多由一种以上年龄相关的常见脑部疾病所致。阿尔茨海默病(Alzheimer's disease,AD)是其中最常见的神经变性疾病,且是全球前10位死因中唯一无法治愈或缺乏长期对症疗效的疾病,给个人、家庭和全球经济都带来了巨...老年人痴呆或认知障碍多由一种以上年龄相关的常见脑部疾病所致。阿尔茨海默病(Alzheimer's disease,AD)是其中最常见的神经变性疾病,且是全球前10位死因中唯一无法治愈或缺乏长期对症疗效的疾病,给个人、家庭和全球经济都带来了巨大的负担。早期及时发现和干预是对抗AD的最佳策略。在过去的30年中,许多研究都提出了降低痴呆风险的方法,2020年《柳叶刀》杂志的痴呆预防报告已阐明通过应对风险因素可以预防或延缓超过40%的痴呆。然而,目前全球医疗体系尚未具备早期或及时发现AD的足够能力。最近的一项研究发现,只有不到10%的轻度认知障碍(mild cognitive impairment,MCI)是在初级医疗机构中诊断出来的。近来,抗淀粉样蛋白β(Amyloid beta,Aβ)抗体药物lecanemab和donanemab被批准上市用于早期AD治疗,以及30年的随访研究证明改善风险因素显著减少AD痴呆的发病率并延长了寿命,使得人们对AD早期识别的关注迅速增加。阿尔茨海默病防治协会(China Association for Alzheimer's Disease,CAAD)认识到居家早期和及时发现AD的重要性,并成立了一个由协会成员、临床医生和研究人员组成的全球AD多领域专家团队,就以下目标达成共识:①为个人、家庭、社区、协会和组织提供专家指导意见;②介绍用于认知障碍和痴呆居家筛查的数字工具和可用资源,并为AD高危人群或疑似患者制定下一步应对策略;③讨论现有可用或将来可能的居家筛查适宜AD生物标志物;④为未来的改进和全球应用建立可行性框架。专家组对于当前可用的证据、工具和资源进行综述,并进一步考量其在AD居家筛查中的价值。展开更多
A database system,known as the large PMT characterization and instrumentation database system(LPMT-CIDS),was designed and implemented for the Jiangmen Underground Neutrino Observatory(JUNO).The system is based on a Li...A database system,known as the large PMT characterization and instrumentation database system(LPMT-CIDS),was designed and implemented for the Jiangmen Underground Neutrino Observatory(JUNO).The system is based on a Linux+Apache+MySQL+PHP(LAMP)server and focuses on modularization and architecture separation.It covers all the testing stages for the 20-inch photomultiplier tubes(PMTs)at JUNO and provides its users with data storage,analysis,and visualization services.Based on the successful use of the system in the 20-inch PMT testing program,its design approach and construction elements can be extended to other projects.展开更多
An 82-year-old female patient undergoing cardiogenic shock caused by atrioventficular junctional rhythm immediately after percutaneous coronary intervention （PCI） is described. Pharmacotherapy was invalid, and subse...An 82-year-old female patient undergoing cardiogenic shock caused by atrioventficular junctional rhythm immediately after percutaneous coronary intervention （PCI） is described. Pharmacotherapy was invalid, and subsequent application of atrial pacing reversed the cardiogenic shock. PCI-related injury of sinuatrial nodal artery leading to acute atrial contractility loss, accompanied by atrioventricular junctional arrhythmia, was diagnosed. We recommend that preoperative risk evaluation be required for multi-risk patients. Likewise, emergent measures should to be established in advance. This case reminds us that atrial pacing can be an optimal management technique once cardiogenic shock has occurred.展开更多
In this study,we present the large photomultiplier tube(PMT)afterpulse measurement results obtained from the Jiangmen underground neutrino observatory(JUNO)experiment.A total of 11 dynode-PMTs(R12860)from the Hamamats...In this study,we present the large photomultiplier tube(PMT)afterpulse measurement results obtained from the Jiangmen underground neutrino observatory(JUNO)experiment.A total of 11 dynode-PMTs(R12860)from the Hamamatsu company(Hamamatsu Photonics K.K.(HPK))and 150 micro-channel plate PMTs(MCP-PMTs,GDB-6201)from the NNVT company(North Night Vision Technology Co.,Ltd.(NNVT))were tested.Subsequently,an afterpulse model was built according to the afterpulse time distribution and the probability of occurrence for these two types of PMTs.The average ratio of the total afterpulse charge with a delay between 0.5μs and 20μs to the primary pulse charge is∼5.7%(13.2%)for the tested MCPPMTs(dynode-PMTs).The JUNO experiment will deploy 20,01220-inch PMTs;this study will benefit detector simulation,event reconstruction,and data analysis regarding the JUNO experiment.展开更多
基金supported by National Natural Science Foundation of China(Nos.62266054 and 62166050)Key Program of Fundamental Research Project of Yunnan Science and Technology Plan(No.202201AS070021)+2 种基金Yunnan Fundamental Research Projects(No.202401AT070122)Yunnan International Joint Research and Development Center of China-Laos-Thailand Educational Digitalization(No.202203AP140006)Scientific Research Foundation of Yunnan Provincial Department of Education(No.2024Y159).
文摘In the field of intelligent education,the integration of artificial intelligence,especially deep learning technologies,has garnered significant attention.Knowledge tracing(KT)plays a pivotal role in this field by predicting students’future performance through the analysis of historical interaction data,thereby assisting educators in evaluating knowledgemastery and tailoring instructional strategies.Traditional knowledge tracingmethods,largely based on Recurrent Neural Networks(RNNs)and Transformer models,primarily focus on capturing long-term interaction patterns in sequential data.However,these models may neglect crucial short-term dynamics and other relevant features.This paper introduces a novel approach to knowledge tracing by leveraging a pure Multilayer Perceptron(MLP)architecture.We proposeMixerKT,a knowledge tracing model based on theHyperMixer framework,which uniquely integrates global and localMixer feature extractors.This architecture enables more effective extraction of both long-terminteraction trends and recent learning behaviors,addressing limitations in currentmodels thatmay overlook these key aspects.Empirical evaluations on twowidely-used datasets,ASSIS Tments2009 and Algebra2005,demonstrate that MixerKT consistently outperforms several state-of-the-art models,including DKT,SAKT,and Separated Self-Attentive Neural Knowledge Tracing(SAINT).Specifically,MixerKT achieves higher prediction accuracy,highlighting its effectiveness in capturing the nuances of learners’knowledge states.These results indicate that our model provides a more comprehensive representation of student learning patterns,enhancing the ability to predict future performance with greater precision.
基金Supported by The National Natural Science Foundation of China,No.82072130Key Medical Research Projects in Jiangsu Province,No.ZD2022021Suzhou Clinical Medical Center for Anesthesiology,No.Szlcyxzxj202102。
文摘BACKGROUND Hypernatremia represents a significant electrolyte imbalance associated with numerous adverse outcomes,particularly in cases of intensive care unit(ICU)-acquired hypernatremia(IAH).Nevertheless,its relevance in patients with septic shock remains uncertain.AIM To identify independent risk factors and their predictive efficacy for IAH to improve outcomes in patients with septic shock.METHODS In the present retrospective single-center study,a cohort of 157 septic shock patients with concurrent hypernatremia in the ICU at The First Affiliated Hospital of Soochow University,between August 1,2018,and May 31,2023,were analyzed.Patients were categorized based on the timing of hypernatremia occurrence into the IAH group(n=62),the non-IAH group(n=41),and the normonatremia group(n=54).RESULTS In the present study,there was a significant association between the high serum sodium concentrations,excessive persistent inflammation,immunosuppression and catabolism syndrome and chronic critical illness,while rapid recovery had an apparent association with normonatremia.Moreover,multivariable analyses revealed the following independent risk factors for IAH:Total urinary output over the preceding three days[odds ratio(OR)=1.09;95%CI:1.02–1.17;P=0.014],enteral nutrition(EN)sodium content of 500 mg(OR=2.93;95%CI:1.13–7.60;P=0.027),and EN sodium content of 670 mg(OR=6.19;95%CI:1.75–21.98;P=0.005)were positively correlated with the development of IAH.Notably,the area under the curve for total urinary output over the preceding three days was 0.800(95%CI:0.678–0.922,P=0.001).Furthermore,maximum serum sodium levels,the duration of hypernatremia,and varying sodium correction rates were significantly associated with 28-day in-hospital mortality in septic shock patients(P<0.05).CONCLUSION The present findings illustrate that elevated serum sodium level was significantly associated with a poor prognosis in septic shock patients in the ICU.It is highly recommended that hypernatremia be considered a potentially important prognostic indicator for the outcome of septic shock.
基金Supported by the Natural Science Foundation of Xiamen (No. 3502Z20227322)the Natural Science Key Foundation of Fujian Province (No. 2020J02002)+1 种基金the Social Science Foundation of Fujian Province (No. FJ2024BF047)the Financial Research Projects of Fujian Province (No. 2024-48)。
文摘Penaeus vannamei, known as the whiteleg shrimp, holds significant economic importance in aquaculture. The intensive culture of P. vannamei poses substantial environmental risks, particularly in fragile ecosystems like estuarine mangroves. Although there is a consensus on the pollution and harmful effects of microplastics(MPs), study on the pollution and potential risks posed by P. vannamei in estuary mangroves remains scarce. Therefore, the extent of microplastic pollution was evaluated and the correlation between the properties of MPs and the potential risks they pose to P. vannamei was examined.The average MP abundance in P. vannamei from Jiulong River estuary was determined to be 0.46±0.03 n/g in five different polymers, i.e., polypropylene(PP), polyethylene(PE), polystyrene(PS), polyethylene terephthalate(PET), and polyvinyl chloride resin(PVC). The total percentage of PS, PE, and PET polymers was the greatest(73.85%), where PET and PP(26.16%) were highly correlated in size and shape. Small MPs(1-200 μm) come in irregular particles, fragments, films, and large-sized MPs(200-1 000 μm) were mainly foam-shaped. The hazard risk level of MPs in P. vannamei from Jiulong River estuary reached grade Ⅲ, and the overall hazard risk index(H) value was 593.66. Among all samples,PVC polymer accounted for the lowest proportion(5.52%), but the H value was as high as 582.42, which contributed 98.11% to the overall hazard risk index. Regardless of global or Chinese, the microplastic pollution of P. vannamei in the estuary is at a moderate level. The protocol for MPs characteristics and correlation in seafood should be the basis for the risk assessment framework. Further studies are needed to evaluate how the exposure to MPs poses a risk for human health.
基金Supported by the National Natural Science Foundation of China(NSFC)Shared Voyage Project(Nos.41776088,41976018,42049911,U20A20103,U2005207)the Natural Science Key Foundation of Fujian Province,China(No.2020J01412103)+5 种基金the Hainan Province Science and Technology Special Fund(No.ZDYF2022SHFZ317)the Guangxi Talent and Innovation Base Project(No.2018AD19280)the Guangxi Funding Project(No.04024XM20N0006)the Beihai Science&Technology Project(Nos.201995037,202082031,202082022)the Natural Science Foundation of Xiamen City of China(No.502Z20227322)the China Scholarship Council(CSC Marine Scholarship)。
文摘Microplastics(MPs)have recently emerged as a significant environmental problem with devastating consequences for organisms.Understanding MPs pollution in the Bay of Bengal is crucial for assessing its ecological impact on marine biodiversity and human health.This study examined the occurrence,spatial distribution,physical and chemical properties,ecological risks,and probable sources of MPs in estuarine and coastal marine environments in the northeastern Bay of Bengal.The average concentration of MPs in surface water of the Karnaphuli estuary,the Meghna estuary,and the southeastern coastal region were 916.7±462.6 items/m^(3),462.9±324.5 items/m^(3),and 350.0±190.5 items/m^(3),respectively,varying from 105.0±324.5 items/m^(3)to 1640.0±462.6 items/m^(3).In the sediments of the Karnaphuli estuary,the Meghna estuary,and the southeast coast of Bangladesh,the average amount of MPs were 94.3±33.1 items/kg,157.6±89.0 items/kg,and 134.3±38.7 items/kg,with a range of 60±33.1 items/kg to 334.3±89.0 items/kg.Most observed MPs were fibers(60.0%in the water;56.0%in the sediments),followed by fragments and lines.Detected MPs were dominated by polypropylene(20.7%)in the water,and acrylic(15.4%)in the sediment,black colored(76.2%in the water,72.7%in the sediments),and 200-500μm sized(48%in the water,37%in the sediments).Pollution Risk Index(PRI)indicated significant pollution levels(from medium to very high)in estuarine and coastal areas.Multi-statistical analysis indicated land-based inputs(tourists,local waste,agriculture,and industry)dominated the studied regions.The study emphasized the potential impact of MPs pollution on aquatic ecosystems,emphasizing the need for effective management,mitigation methods,continuous surveillance,and thorough evaluation.
基金National Natural Science Foundation of China(grants 22072065,22178162,and 22222806)Distinguished Youth Foundation of Jiangsu Province(grant BK20220053)Six talent peaks project in Jiangsu Province(grant JNHB-035)。
文摘The synergy of single atoms(SAs)and nanoparticles(NPs)has demonstrated great potential in promoting the electrocatalytic carbon dioxide reduction reaction(CO_(2)RR);however,the rationalization of the SAs/NPs proportion remains one challenge for the catalyst design.Herein,a Ni2+-loaded porous poly(ionic liquids)(PIL)precursor synthesized through the free radical self-polymerization of the ionic liquid monomer,1-allyl-3-vinylimidazolium chloride,was pyrolyzed to prepare the Ni,N co-doped carbon materials,in which the proportion of Ni SAs and NPs could be facilely modulated by controlling the annealing temperature.The catalyst Ni-NC-1000 with a moderate proportion of Ni SAs and NPs exhibited high efficiency in the electrocatalytic conversion of CO_(2)into CO.Operando Ni K-edge X-ray absorption near-edge structure(XANES)spectra and theoretical calculations were conducted to gain insight into the synergy of Ni SAs and NPs.The charge transfer from Ni NPs to the surrounding carbon layer and then to the Ni SAs resulted in the electron-enriched Ni SAs active sites.In the electroreduction of CO_(2),the coexistence of Ni SAs and NPs strengthened the CO_(2)activation and the affinity towards the key intermediate of*COOH,lowering the free energy for the potential-determining*CO_(2)→*COOH step,and therefore promoted the catalysis efficiency.
基金supported by the National Key Research and Development Program of China (Grant No. 2022YFB3904801)the National Natural Science Foundation of China (Grant No. 42475129)+2 种基金the Natural Science Foundation of Jiangsu Province, China (Grant No. BK20221449)the Xizang Science and Technology Innovation Base Construction Project (Grant No. XZ202401YD0008)the National Key Scientific and Technological Infrastructure project “Earth System Numerical Simulation Facility” (Grant No. 2023-EL-ZD-00022)。
文摘Elevated atmospheric carbon dioxide(CO_(2)) concentrations have caused global climate change such as global warming and more frequent climate extremes. Countries worldwide have proposed carbon neutrality strategies to curb the rising CO_(2) concentrations. To investigate the impact of China's carbon neutrality goal on atmospheric CO_(2) concentrations, we conducted a series of ideal simulations from 2015 to 2019 using a global 3D chemistry transport model, Goddard Earth Observing System Chemistry(GEOS-Chem). Compared with the column-averaged dry-air mole fraction of atmospheric CO_(2) (XCO_(2) ) from Orbiting Carbon Observatory-2(OCO-2) and surface CO_(2) measurements in Obs Pack, we find that GEOS-Chem effectively reproduces the spatiotemporal variability of CO_(2) . The model exhibits a root mean square error(RMSE) of 1.51 ppm(R^(2)=0.89) for OCO-2 XCO_(2) in China and 2.65 ppm(R^(2)=0.75) for surface CO_(2) concentrations at the WLG station. Further, compared to 2.83 ppm yr^(-1)in the control experiment, we suggest that net-zero CO_(2) emissions in China decelerate the increasing trends of XCO_(2) to 1.81 ppm yr^(-1),making a decrease of approximately 35.89%. Meanwhile, the seasonal cycle amplitude(SCA) of XCO_(2) is moderately reduced from 7.39±0.81 to 6.75±0.70 ppm, representing a relative reduction of 9.91%. Spatially, net-zero CO_(2) emissions induce a more significant decrease in XCO_(2) trends over northern and southern China, while their impact on SCA is more evident in northern and northeastern China. Moreover, ideal experiments demonstrate that zero fossil CO_(2) emissions lead to a greater attenuation of the linear trends of XCO_(2) by 40.81%, while the absence of terrestrial CO_(2) sinks largely diminishes the SCA by 16.61%. Additionally,trends and SCA in surface CO_(2) concentrations exhibit almost identical decreasing responses to net-zero CO_(2) emissions but display greater sensitivities compared to XCO_(2) . Overall, our study underscores the potential of China's carbon neutrality goal in mitigating global warming, underscoring the need for concerted and collaborative efforts from nations worldwide.
基金the Natural Science Key Foundation of Fujian ProvinceChina(No.2020J02002)+4 种基金the Hainan Province Science and Technology Special Fund(No.ZDYF2022SHFZ317)the National Natural Science Foundation of China(Nos.U2005207,41976216,41776088,42106224)the Norwegian Institute of FoodFishery and AquacultureGovernance of Marine Plastic Litter in the Arctic。
文摘Microplastic(MP)contamination is becoming a major worldwide concern,affecting terrestrial and aquatic ecosystems.This study investigated the source,distribution,and abundance of MPs in sediments from Dongshan Bay,Fujian,South China,emphasizing particularly the coastline region's susceptibility to tidal impacts in four study sites.The concentrations of MPs in the sediments in the four sites were high from 7.4 to 283.1 items/kg(dry weight).There were notable differences in abundance between the locations and tide levels.Tides influenced the distribution of MPs greatly;however,the estuary areas showed greater MPs abundance during high tide,due possibly to enhanced water turbulence and riverine inputs.Low tide indicated higher concentrations in coastal locations owing to accumulation.Popular varieties,including nylon,polypropylene,and polyethylene,were identified by polymer research,pointing to the origins from fishing,packaging,and mariculture industries.Potential sources were determined using the PCA-K-means statistical analysis,by linking the origins of MPs to domestic activities,fishing,mariculturing,shipping,and packing.Fishing and packing were shown in the Sankey diagram as the two main sources,but their effects varied with research locations and tidal regimes.This study clarified the intricate dynamics of MPs pollution,highlighting the impact of tides on its dispersal and the variety of sources that contribute to this widespread environmental problem in coastal areas.
基金Supported by The Natural Science Foundation of Nanjing University of Chinese Medicine,No.XZR2021019The Outstanding Young Doctor Program of Jiangsu Province of Chinese Medicine,No.2023QB0140+1 种基金Project of National Clinical Research Base of Traditional Chinese Medicine in Jiangsu Province,No.JD2022SZ18The Natural Science Foundation of Nanjing University of Chinese Medicine,No.KYCX21_1710.
文摘BACKGROUND Heart rate variability(HRV)represents efferent vagus nerve activity,which is suggested to be related to fundamental mechanisms of tumorigenesis and to be a predictor of prognosis in various cancers.Therefore,this study hypothesized that HRV monitoring could predict perioperative complication(PC)in colorectal cancer(CRC)patients.AIM To investigate the prognostic value of HRV in hospitalized CRC patients.METHODS The observational studies included 87 patients who underwent CRC surgical procedures under enhanced recovery after surgery programs in a first-class hospital.The HRV parameters were compared between the PC group and the non PC(NPC)group from preoperative day 1 to postoperative day(Pod)3.In addition,inflammatory biomarkers and nutritional indicators were also analyzed.RESULTS The complication rate was 14.9%.HRV was markedly abnormal after surgery,especially in the PC group.The frequency-domain parameters(including pNN50)and time-domain parameters[including high-frequency(HF)]of HRV were significantly different between the two groups postoperatively.The pNN50 was significantly greater at Pod1 in the PC group than that in the NPC group and returned to baseline at Pod2,suggesting that patients with complications exhibited autonomic nerve dysfunction in the early postoperative period.In the PC group,HFs were also enhanced from Pod1 and were significantly higher than in the NPC group;inflammatory biomarkers were significantly elevated at Pod2 and Pod3;the levels of nutritional indicators were significantly lower at Pod1 and Pod2;and the white blood cell count was slightly elevated at Pod3.CONCLUSION HRV is independently associated with postoperative complications in patients with CRC.Abnormal HRV could predicted an increased risk of postoperative complications in CRC patients.Continuous HRV could be used to monitor complications in patients with CRC during the perioperative period.
基金supported by the National Natural Science Foundation of China Youth Science Foundation of China(Grant No.52308388)the Key Project of High-speed Rail Joint Fund of National Natural Science Foundation of China(Grant No.U1934210).
文摘This paper focuses on the use of rotary-percussive drilling for hard rocks.In order to improve efficiency and reduce costs,it is essential to understand how operational parameters,bit wear,and drilling performance are related.A model is presented therein that combines multibody dynamics and discrete element method(DEM)to investigate the influences of operational parameters and bit wear on the rate of penetration and wear characteristics.The model accurately captures the motion of the bit and recreates rock using the cutting sieving result.Field experimental results validate the rod dynamic behavior,rock recreating model,and coupling model in the simulation.The findings indicate that hammer pressure significantly influences the rate of penetration and wear depth of the bit,and there is an optimal range for economical hammer pressure.The wear coefficient has a major effect on the rate of penetration,when wear coefficient is between 1/3 and 2/3.Increasing the wear coefficient can reduce drill bit button pressure and wear depth at the same drill distance.Gauge button loss increases the rate of penetration due to higher pressure on the remaining buttons,which also accelerates destruction of the bit.Furthermore,a more evenly distributed button on the bit enhances the rate of penetration(ROP)when the same number of buttons is lost.
基金supported by National Natural Science Foundation of China(Nos.82271019,82472149,82471024)Sichuan Science and Technology Program(No.24ZDYF0099)Research and Develop Program,West China Hospital of Stomatology Sichuan University(RD-03-202101)to J.W.
文摘The ambiguity of etiology makes temporomandibular joint osteoarthritis(TMJOA)“difficult-to-treat”.Emerging evidence underscores the therapeutic promise of exosomes in osteoarthritis management.Nonetheless,challenges such as low yields and insignificant efficacy of current exosome therapies necessitate significant advances.Addressing lower strontium(Sr)levels in arthritic synovial microenvironment,we studied the effect of Sr element on exosomes and miRNA selectively loading in synovial mesenchymal stem cells(SMSCs).Here,we developed an optimized system that boosts the yield of SMSC-derived exosomes(SMSCEXOs)and improves their miRNA profiles with an elevated proportion of beneficial miRNAs,while reducing harmful ones by pretreating SMSCs with Sr.Compared to untreated SMSC-EXOs,Sr-pretreated SMSC-derived exosomes(Sr-SMSC-EXOs)demonstrated superior therapeutic efficacy by mitigating chondrocyte ferroptosis and reducing osteoclast-mediated joint pain in TMJOA.Our results illustrate Alix’s crucial role in Sr-triggered miRNA loading,identifying miR-143-3p as a key anti-TMJOA exosomal component.Interestingly,this system is specifically oriented towards synovium-derived stem cells.The insight into trace elementdriven,site-specific miRNA selectively loading in SMSC-EXOs proposes a promising therapeutic enhancement strategy for TMJOA.
文摘Retraction to:Journal of Clinical and Nursing Research https://doi.org/10.26689/jcnr.v8i10.8260 published online October 28,2024 The authors wish to retract this article.Concerns have been raised regarding potential conflict of interest and possibility of duplicate publication.
基金Project supported by National Science Funds for Creative Research Groups of China(Grant No.61421002)
文摘High-performance photodetectors are expected to open up revolutionary opportunities in many application fields, such as environment monitoring, military, optical communication and biomedical science. Combining two-dimensional materials(which have tunable optical absorption and high carrier mobility) with organic materials(which are abundant with low cost, high flexibility and large-area scalability) to form thin-film heterojunctions, high-responsivity photodetectors could be predicted with fast response speed in a wide spectra region.In this review, we give a comprehensive summary of photodetectors based on two-dimensional materials and organic thin-film heterojunctions, which includes hybrid assisted enhanced devices, single-layer enhanced devices, vertical heterojunction devices and tunable vertical heterojunction devices. We also give a systematic classification and perspectives on the future development of these types of photodetectors.
基金Supported by Key Program for Science and Technology Research from the Education Department of Henan Province(13B230336)
文摘[ Objective] This study aimed to investigate the effects of crude extract of Poria cocos on intestinal smooth muscle contraction of rabbits in vitro and re- veal the related mechanism. [Method] With in vitro experimental method, using the tension of jejunal and cecal smooth muscle as an indicator, 3.75, 7.50, 15.00, and 22.5 g/L crude extract of P. cocos were added into Tyrede＇s solution of jejunum and cecum tissues of rabbits to observe the effects of crude extract of P. cocos on motion dynamics of jejunum and cecum of rabbits. [ Result] The addition of crude extract of P. cocos could inhibit the contraction of jejunal and cecal smooth muscle of rabbits in vitro, enhance contraction tension and relaxation tension, and reduce contraction amplitude. The effects were improved as the dose of crude extract of P. cocos increased, displaying a dose-effect relationship. [Condusion] This study provided theoretical basis for the clinical use of P. cocos.
文摘老年人痴呆或认知障碍多由一种以上年龄相关的常见脑部疾病所致。阿尔茨海默病(Alzheimer's disease,AD)是其中最常见的神经变性疾病,且是全球前10位死因中唯一无法治愈或缺乏长期对症疗效的疾病,给个人、家庭和全球经济都带来了巨大的负担。早期及时发现和干预是对抗AD的最佳策略。在过去的30年中,许多研究都提出了降低痴呆风险的方法,2020年《柳叶刀》杂志的痴呆预防报告已阐明通过应对风险因素可以预防或延缓超过40%的痴呆。然而,目前全球医疗体系尚未具备早期或及时发现AD的足够能力。最近的一项研究发现,只有不到10%的轻度认知障碍(mild cognitive impairment,MCI)是在初级医疗机构中诊断出来的。近来,抗淀粉样蛋白β(Amyloid beta,Aβ)抗体药物lecanemab和donanemab被批准上市用于早期AD治疗,以及30年的随访研究证明改善风险因素显著减少AD痴呆的发病率并延长了寿命,使得人们对AD早期识别的关注迅速增加。阿尔茨海默病防治协会(China Association for Alzheimer's Disease,CAAD)认识到居家早期和及时发现AD的重要性,并成立了一个由协会成员、临床医生和研究人员组成的全球AD多领域专家团队,就以下目标达成共识:①为个人、家庭、社区、协会和组织提供专家指导意见;②介绍用于认知障碍和痴呆居家筛查的数字工具和可用资源,并为AD高危人群或疑似患者制定下一步应对策略;③讨论现有可用或将来可能的居家筛查适宜AD生物标志物;④为未来的改进和全球应用建立可行性框架。专家组对于当前可用的证据、工具和资源进行综述,并进一步考量其在AD居家筛查中的价值。
基金supported by the National Natural Science Foundation of China (No. 11675273)the Strategic Priority Research Program of the Chinese Academy of Sciences (No. XDA10011102)
文摘A database system,known as the large PMT characterization and instrumentation database system(LPMT-CIDS),was designed and implemented for the Jiangmen Underground Neutrino Observatory(JUNO).The system is based on a Linux+Apache+MySQL+PHP(LAMP)server and focuses on modularization and architecture separation.It covers all the testing stages for the 20-inch photomultiplier tubes(PMTs)at JUNO and provides its users with data storage,analysis,and visualization services.Based on the successful use of the system in the 20-inch PMT testing program,its design approach and construction elements can be extended to other projects.
文摘An 82-year-old female patient undergoing cardiogenic shock caused by atrioventficular junctional rhythm immediately after percutaneous coronary intervention （PCI） is described. Pharmacotherapy was invalid, and subsequent application of atrial pacing reversed the cardiogenic shock. PCI-related injury of sinuatrial nodal artery leading to acute atrial contractility loss, accompanied by atrioventricular junctional arrhythmia, was diagnosed. We recommend that preoperative risk evaluation be required for multi-risk patients. Likewise, emergent measures should to be established in advance. This case reminds us that atrial pacing can be an optimal management technique once cardiogenic shock has occurred.
基金supported by Strategic Priority Research Program of the Chinese Academy of Sciences (No. XDA10011100),Joint Institute of Nuclear Research (JINR),Russia and Lomonosov Moscow State University in Russia,joint Russian Science Foundation (RSF),DFG (Deutsche Forschungsgemeinschaft)National Natural Science Foundation of China (Nos. 12090062 and 12075087)
文摘In this study,we present the large photomultiplier tube(PMT)afterpulse measurement results obtained from the Jiangmen underground neutrino observatory(JUNO)experiment.A total of 11 dynode-PMTs(R12860)from the Hamamatsu company(Hamamatsu Photonics K.K.(HPK))and 150 micro-channel plate PMTs(MCP-PMTs,GDB-6201)from the NNVT company(North Night Vision Technology Co.,Ltd.(NNVT))were tested.Subsequently,an afterpulse model was built according to the afterpulse time distribution and the probability of occurrence for these two types of PMTs.The average ratio of the total afterpulse charge with a delay between 0.5μs and 20μs to the primary pulse charge is∼5.7%(13.2%)for the tested MCPPMTs(dynode-PMTs).The JUNO experiment will deploy 20,01220-inch PMTs;this study will benefit detector simulation,event reconstruction,and data analysis regarding the JUNO experiment.
