In this editorial,we comment on the article by Nagamine et al,published in the World Journal of Clinical Cases.The authors suggest that virtual reality technology has potential in alleviating pain by enhancing brain n...In this editorial,we comment on the article by Nagamine et al,published in the World Journal of Clinical Cases.The authors suggest that virtual reality technology has potential in alleviating pain by enhancing brain network functionality.Alongside virtual reality,various treatment methods are used to effectively manage musculoskeletal pain.One such method is the use of orthoses,which are applied in clinical settings.We emphasize the need for collaboration between pain physicians and orthotists when applying orthoses for pain management.The efficacy of orthoses is maximized when customized to the physical characteristics of each patient,type of disease,and location of pain.Orthoses are designed to restore anatomical alignment and biomechanical function;however,their success depends on the expertise of trained orthotists,who should effectively communicate with physicians and understand the mechanical principles of musculoskeletal alignment.The professional knowledge of orthotists is critical in ensuring that orthoses are appropriately designed and applied to achieve therapeutic efficacy.Since no single treatment modality typically offers sufficient relief for musculoskeletal pain,effective collaboration between pain physicians and orthotists is crucial to optimize the use of orthoses in the management of pain.展开更多
With the rapid development of emergency medicine,emergency physicians are working around the clock,[1]including additional workloads due to sudden public health emergencies and disasters.Occupational risks for emergen...With the rapid development of emergency medicine,emergency physicians are working around the clock,[1]including additional workloads due to sudden public health emergencies and disasters.Occupational risks for emergency physicians are significantly high due to an increasing number of patients with acute and severe diseases,an increased workload.展开更多
Objectives: To assess the socio-professional determinants of burnout among the medical staff of Dakar University Hospitals. The aim was to propose effective means of prevention. Material and Methods: This was a cross-...Objectives: To assess the socio-professional determinants of burnout among the medical staff of Dakar University Hospitals. The aim was to propose effective means of prevention. Material and Methods: This was a cross-sectional, descriptive, and analytical study of physicians in permanent contact with patients at the Fann and Aristide Le Dantec teaching hospitals in Dakar, Senegal. Results: A total of 159 doctors were included in the study, with a sex ratio (M/F) of 1.3 in favor of men. The prevalence of burnout was 91.8%. Burnout was significantly associated (p Conclusion: Burnout is a threat to doctors at university hospitals in Senegal. It has several determinants linked above all to work organization. It is essential to set up psychological support units in hospitals and integrate occupational medicine into various organizational processes.展开更多
Since the pioneering work by Broca and Wernicke in the 19th century,who examined individuals with brain lesions to associate them with specific behaviors,it was evident that behaviors are complex and cannot be fully a...Since the pioneering work by Broca and Wernicke in the 19th century,who examined individuals with brain lesions to associate them with specific behaviors,it was evident that behaviors are complex and cannot be fully attributable to specific brain areas alone.Instead,they involve connectivity among brain areas,whether close or distant.At that time,this approach was considered the optimal way to dissect brain circuitry and function.These pioneering efforts opened the field to explore the necessity or sufficiency of brain areas in controlling behavior and hence dissecting brain function.However,the connectivity of the brain and the mechanisms through which various brain regions regulate specific behaviors,either individually or collaboratively,remain largely elusive.Utilizing animal models,researchers have endeavored to unravel the necessity or sufficiency of specific brain areas in influencing behavior;however,no clear associations have been firmly established.展开更多
The influence of Nb-V microalloying on the hot deformation behavior and microstructures of medium Mn steel(MMS)was investigated by uniaxial hot compression tests.By establishing the constitutive equations for simulati...The influence of Nb-V microalloying on the hot deformation behavior and microstructures of medium Mn steel(MMS)was investigated by uniaxial hot compression tests.By establishing the constitutive equations for simulating the measured flow curves,we successfully constructed deformation activation energy(Q)maps and processing maps for identifying the region of flow instability.We concluded the following consequences of Nb-V alloying for MMS.(i)The critical strain increases and the increment diminishes with the increasing deformation temperature,suggesting that NbC precipitates more efficiently retard dynamic recrystallization(DRX)in MMS compared with solute Nb.(ii)The deformation activation energy of MMS is significantly increased and even higher than that of some reported high Mn steels,suggesting that its ability to retard DRX is greater than that of the high Mn content.(iii)The hot workability of MMS is improved by narrowing the hot processing window for the unstable flow stress,in which fine recrystallized and coarse unrecrystallized grains are present.展开更多
Background: The interaction between physicians and medical representatives (MRs) through gift offering is a common cause for conflicts of interest for physicians that negatively influence prescribing behaviors of phys...Background: The interaction between physicians and medical representatives (MRs) through gift offering is a common cause for conflicts of interest for physicians that negatively influence prescribing behaviors of physicians throughout the world. This study aimed to evaluate the interaction between MRs and Iraqi specialist physicians through the acceptance of MRs gifts and the effect of such acceptance on physician’s prescribing patterns. Methods: A survey in a questionnaire format for specialist physicians was done during March-October 2013 in Iraq, Baghdad. The questionnaire involves four major parts regarding the approximate number of patients and medical representatives, gift acceptance, medical conferences, and prescribing pattern. Results: In Iraq specialist physicians were visited by 1 - 3 MRs/day. 50% of the Iraqi physicians like to get the educational information by attending conferences outside Iraq. Regarding Gift acceptance, 41% of participated physicians showed a general acceptance to promotional gifts, and 91% of physicians accept low cost gifts but only 41% of them accept high cost recreational gifts. Free samples were used by 59% of Iraqi physicians to treat some people. 77% of physicians prefer prescribing new medications, while more than 95% of participated physicians stated that they stop prescribing these new drugs either due to their ineffectiveness or due to their side effects. On the other hand physicians significantly change their prescribing behavior through shifting not only among generic drugs, but also from brand to generic drugs in their prescriptions. Gift acceptance is directly correlated with such shift and change in prescribing behavior. Conclusion: Iraqi physicians accept various types of gifts from pharmaceutical companies;this can influence physician prescribing pattern and result in early adoption to prescribe newly medications depending on promotional information even in absence of clinical evidence about the drug effectiveness or side effects, which may result in undesirable outcomes to the patient.展开更多
The local structure and thermophysical behavior of Mg-La liquid alloys were in-depth understood using deep potential molecular dynamic(DPMD) simulation driven via machine learning to promote the development of Mg-La a...The local structure and thermophysical behavior of Mg-La liquid alloys were in-depth understood using deep potential molecular dynamic(DPMD) simulation driven via machine learning to promote the development of Mg-La alloys. The robustness of the trained deep potential(DP) model was thoroughly evaluated through several aspects, including root-mean-square errors(RMSEs), energy and force data, and structural information comparison results;the results indicate the carefully trained DP model is reliable. The component and temperature dependence of the local structure in the Mg-La liquid alloy was analyzed. The effect of Mg content in the system on the first coordination shell of the atomic pairs is the same as that of temperature. The pre-peak demonstrated in the structure factor indicates the presence of a medium-range ordered structure in the Mg-La liquid alloy, which is particularly pronounced in the 80at% Mg system and disappears at elevated temperatures. The density, self-diffusion coefficient, and shear viscosity for the Mg-La liquid alloy were predicted via DPMD simulation, the evolution patterns with Mg content and temperature were subsequently discussed, and a database was established accordingly. Finally, the mixing enthalpy and elemental activity of the Mg-La liquid alloy at 1200 K were reliably evaluated,which provides new guidance for related studies.展开更多
In engineering practice,it is often necessary to determine functional relationships between dependent and independent variables.These relationships can be highly nonlinear,and classical regression approaches cannot al...In engineering practice,it is often necessary to determine functional relationships between dependent and independent variables.These relationships can be highly nonlinear,and classical regression approaches cannot always provide sufficiently reliable solutions.Nevertheless,Machine Learning(ML)techniques,which offer advanced regression tools to address complicated engineering issues,have been developed and widely explored.This study investigates the selected ML techniques to evaluate their suitability for application in the hot deformation behavior of metallic materials.The ML-based regression methods of Artificial Neural Networks(ANNs),Support Vector Machine(SVM),Decision Tree Regression(DTR),and Gaussian Process Regression(GPR)are applied to mathematically describe hot flow stress curve datasets acquired experimentally for a medium-carbon steel.Although the GPR method has not been used for such a regression task before,the results showed that its performance is the most favorable and practically unrivaled;neither the ANN method nor the other studied ML techniques provide such precise results of the solved regression analysis.展开更多
The conventional perception of astrocytes as mere supportive cells within the brain has recently been called into question by empirical evidence, which has revealed their active involvement in regulating brain functio...The conventional perception of astrocytes as mere supportive cells within the brain has recently been called into question by empirical evidence, which has revealed their active involvement in regulating brain function and encoding behaviors associated with emotions.Specifically, astrocytes in the basolateral amygdala have been found to play a role in the modulation of anxiety-like behaviors triggered by chronic stress. Nevertheless, the precise molecular mechanisms by which basolateral amygdala astrocytes regulate chronic stress–induced anxiety-like behaviors remain to be fully elucidated. In this study, we found that in a mouse model of anxiety triggered by unpredictable chronic mild stress, the expression of excitatory amino acid transporter 2 was upregulated in the basolateral amygdala. Interestingly, our findings indicate that the targeted knockdown of excitatory amino acid transporter 2 specifically within the basolateral amygdala astrocytes was able to rescue the anxiety-like behavior in mice subjected to stress. Furthermore, we found that the overexpression of excitatory amino acid transporter 2 in the basolateral amygdala, whether achieved through intracranial administration of excitatory amino acid transporter 2agonists or through injection of excitatory amino acid transporter 2-overexpressing viruses with GfaABC1D promoters, evoked anxiety-like behavior in mice. Our single-nucleus RNA sequencing analysis further confirmed that chronic stress induced an upregulation of excitatory amino acid transporter 2 specifically in astrocytes in the basolateral amygdala. Moreover, through in vivo calcium signal recordings, we found that the frequency of calcium activity in the basolateral amygdala of mice subjected to chronic stress was higher compared with normal mice.After knocking down the expression of excitatory amino acid transporter 2 in the basolateral amygdala, the frequency of calcium activity was not significantly increased, and anxiety-like behavior was obviously mitigated. Additionally, administration of an excitatory amino acid transporter 2 inhibitor in the basolateral amygdala yielded a notable reduction in anxiety level among mice subjected to stress. These results suggest that basolateral amygdala astrocytic excitatory amino acid transporter 2 plays a role in in the regulation of unpredictable chronic mild stress-induced anxiety-like behavior by impacting the activity of local glutamatergic neurons, and targeting excitatory amino acid transporter 2 in the basolateral amygdala holds therapeutic promise for addressing anxiety disorders.展开更多
BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current statu...BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current status of family rearing,parental stress,and behavioral and emotional problems of preschool children and to analyze the mediating effect of the current status of family rearing on parental stress and behavioral/emo-tional problems.METHODS We use convenience sampling to select 258 preschool children in the physical examination center of our hospital from October 2021 to September 2023.The children and their parents were evaluated using a questionnaire survey.Pearson's correlation was used to analyze the correlation between child behavioral and emotional problems and parental stress and family rearing,and the structural equation model was constructed to test the mediating effect.RESULTS The score for behavioral/emotional problems of 258 preschool children was(27.54±3.63),the score for parental stress was(87.64±11.34),and the score for parental family rearing was(31.54±5.24).There was a positive correlation between the behavioral and emotional problems of the children and the“hostile/mandatory”parenting style;meanwhile,showed a negative correlation with the“support/participation”parenting style(all P<0.05).The intermediary effect value between the family upbringing of parents in parental stress and children's behavior problems was 29.89%.CONCLUSION Parental family upbringing has a mediating effect between parental stress and behavioral and emotional problems of children.Despite paying attention to the behavioral and emotional problems of preschool-age children,clinical medical staff should provide correct and reasonable parenting advice to their parents to promote the mental health of preschool-age children.展开更多
To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examin...To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examined changes in the number of antenatal checkups due to behavioral restrictions, visit restrictions at medical institutions, and the acceptance of COVID-19-infected pregnant and nursing mothers. An increased burden was observed at delivery hospitals, irrespective of whether they accepted infected pregnant and nursing mothers. Some medical institutions were unable to manage infected pregnant women and transferred them to other facilities, highlighting the need for role-sharing among institutions. The number of antenatal checkups showed a decreasing trend, indicating that the pandemic negatively affected checkup attendance. However, no clear increase in perinatal deaths was observed during the observation period, despite the reduction in the number of checkups.展开更多
Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to m...Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to manage symptoms and control disease progression. In a previous study, the researchers conducted a conceptual analysis of 43 foreign studies on self-management during conservative therapy for patients with HOA. The results revealed a definition of self-management during conservative therapy for patients with HOA. However, because that study analyzed only the foreign literature, it remains unclear whether the findings reflect the characteristics of the Japanese health-care delivery system, health-care insurance system, or the lifestyles and cultural characteristics of Japanese patients with HOA. Objective: We aimed to clarify the self-management behaviors of patients with HOA. Methods: Semi-structured interviews were conducted with five patients diagnosed with HOA, and the results were subjected to inductive qualitative analysis. Results: Six categories of self-management behaviors were extracted for patients with HOA: [active information gathering about HOA], [personalized pain and weight management, and strategies for reducing hip joint load], [reflection on living conditions with individuals and professionals, and determination for future efforts], [continuation of exercise and weight management based on personal strengths and achievements, and mutual support with others], [coexistence with HOA while managing negative feelings], and [choosing treatment methods by trusting doctors while struggling with personal needs]. Conclusion: These findings suggest the need to develop health guidance and educational programs for patients with HOA that focus on how to prevent disease progression and cope with symptoms.展开更多
In the paper, we study a compressible two-fluid model in ℝ3, where γ±>1. The pressure of the two fluids is equal. Different from previous research, we consider that viscosity coefficient both μand λare func...In the paper, we study a compressible two-fluid model in ℝ3, where γ±>1. The pressure of the two fluids is equal. Different from previous research, we consider that viscosity coefficient both μand λare functions of density. The global well-posedness of the three-dimensional compressible two-phase flow model is an open problem due to its dissipative, nonlinear structure. In the paper, setting m±=M±and Z=P−P¯, by exploiting the dissipation structure, we obtain energy estimates for (Z,w,n)and its derivatives, then we obtain the time decay rates for (Z,w,n). So we derive global well-posedness and large time behavior to the three dimensional compressible two-fluid model.展开更多
Four powder metallurgy(PM)Ni-based superalloys with different Hf and Ta contents were creep-tested at 650℃ and 970 MPa,700℃ and 770 MPa,and 750℃ and 580 MPa,respectively.The effect of Hf and Ta on creep deformation...Four powder metallurgy(PM)Ni-based superalloys with different Hf and Ta contents were creep-tested at 650℃ and 970 MPa,700℃ and 770 MPa,and 750℃ and 580 MPa,respectively.The effect of Hf and Ta on creep deformation behaviors of the superalloys was studied from multiple scales by SEM,electron backscatter diffraction(EBSD),and aberration-corrected scanning transmission electron microscope(AC-STEM).The results showed that Hf and Ta suppressed the intergranular fracture and initiation of cracks during the acceleration creep stage,which prolonged the creep rupture time.Hf and Ta inhibited the stacking faults extending and the dislocation climbing and promoted the Suzuki segregation of W during the steady-state creep stage,which reduced the minimum creep rate and delayed the start time of the acceleration creep stage.The Suzuki segregation of Co,Cr,Mo,Ti,Nb,W,and Ta along stacking faults was observed after Hf and Ta addition,leading to the localized phase transformation in the γ′phase,and the stacking fault phase was chemically disordered.This study provided ideas for the composition design of novel PM Ni-based superalloys and theoretical foundations for the combined addition of Hf and Ta.展开更多
This study investigates the prevalence of HIV high-risk behaviors among university students in S City, Sichuan Province. Using a sampling survey method, a total of 3262 valid questionnaires were collected. Data analys...This study investigates the prevalence of HIV high-risk behaviors among university students in S City, Sichuan Province. Using a sampling survey method, a total of 3262 valid questionnaires were collected. Data analysis revealed ten significant issues related to HIV risk behaviors among university students, leading to suggested intervention strategies to address these behaviors.展开更多
A common but flawed design in existing CNN architectures is using strided convolutions and/or pooling layer,which will result in the loss of fine-grained feature information,especially for low-resolution images and sm...A common but flawed design in existing CNN architectures is using strided convolutions and/or pooling layer,which will result in the loss of fine-grained feature information,especially for low-resolution images and small objects.In this paper,a new CNN building block named SPD-Conv was used,which completely eliminated stride and pooling operations and replaced them with a space-to-depth convolution and a non-strided convolution.Such new design has the advantage of downsampling feature maps while retaining discriminant feature information.It also represents a general unified method,which can be easily applied to any CNN architectures,and can also be applied to strided conversion and pooling in the same way.展开更多
Objective: To study the relationship between cortical auditory evoked potential (CAEP) thresholds and behavioral thresholds in pediatric populations with sensorineural hearing loss (SNHL). Methods: Fifteen children (m...Objective: To study the relationship between cortical auditory evoked potential (CAEP) thresholds and behavioral thresholds in pediatric populations with sensorineural hearing loss (SNHL). Methods: Fifteen children (mean age 6.8 years) with bilateral SNHL underwent behavioral pure-tone audiometry and CAEP testing at 0.5, 1, 2, and 4 kHz. CAEP thresholds were determined using tone bursts, and correlations between CAEP and pure-tone thresholds were analyzed using Pearson correlation and t-tests. Results: A strong positive correlation was observed between P1 thresholds and behavioral thresholds across all test frequencies: 0.5 kHz (r = 0.765, p Conclusion: The strong correlation between P1 and behavioral thresholds demonstrates the reliability of CAEP testing for estimating auditory thresholds in children. These findings support the use of CAEP testing as a reliable objective tool for threshold estimation, particularly in cases where behavioral responses cannot be reliably obtained. When adjusted with frequency-specific correction values, CAEP testing provides a reliable method for assessing hearing thresholds in pediatric populations.展开更多
One of the main objectives of artificial intelligence lies in the simulation of the behavior of living organisms;emotions are a fundamental part of life, and they cannot be left aside when simulating behavior. In this...One of the main objectives of artificial intelligence lies in the simulation of the behavior of living organisms;emotions are a fundamental part of life, and they cannot be left aside when simulating behavior. In this research, software is developed that simulates the behavior of birds with different characteristics. The latter interacts by considering different stimuli from the environment (external), and the internal state of the subject (objectives). To achieve this, a model of birds in the role of prey and predators is developed that focuses on the study of the interaction between these organisms that exhibit specific behaviors in their environment. This project is a seminal work that aims to represent the emotions of birds, and the latter caused by stimuli from a dynamic environment.展开更多
In the evolving landscape of Tourette’s syndrome(TS)treatment,behavioral therapies have emerged as essential to address the comorbid psychological issues,as well as motor and vocal tics.This editorial comments on the...In the evolving landscape of Tourette’s syndrome(TS)treatment,behavioral therapies have emerged as essential to address the comorbid psychological issues,as well as motor and vocal tics.This editorial comments on the study by Wang et al,which showed that cognitive-behavioral therapy(CBT)combined with habit reversal training significantly improved anxiety and tic severity in children with TS.We highlight the current status and future perspectives of behavioral interventions such as CBT,and comprehensive behavioral intervention for tics,demonstrating their efficacy in alleviating TS symptoms and improving patients'quality of life.Recognizing the multifaceted nature of TS,our discussion integrates empirical evidence from various studies to provide a comprehensive perspective on the role of behavioral therapy in the management of this complex condition.This editorial concludes by emphasizing the need for innovative strategies that may address the limitations of existing treatments and advocates a multidisciplinary approach that combines behavioral,pharmacological,and neurobiological interventions to improve outcomes for patients with TS.展开更多
Comprehensive understanding of the direct transformation pathway from graphite to diamond under high temperature and high pressure has long been one of the fundamental goals in materials science.Despite considerable e...Comprehensive understanding of the direct transformation pathway from graphite to diamond under high temperature and high pressure has long been one of the fundamental goals in materials science.Despite considerable experimental and theoretical progress,current experimental studies have mainly focused on the local microstructural characterizations of recovered samples,which has certain limitations for hightemperature and high-pressure products,which often exhibit diversity.Here,we report on the pressure-induced phase transition behavior of natural single-crystal graphite under three distinct pressure-transmitting media from a macroscopic perspective using in situ two-dimensional Raman spectroscopy,scanning electron microscopy,and atomic force microscopy.The surface evolution process of graphite before and after the phase transition is captured,revealing that pressure-induced surface textures can impede the continuity of the phase transition process across the entire single crystal.Our results provide a fresh perspective for studying the phase transition behavior of graphite and greatly deepen our understanding of this behavior,which will be helpful in guiding further high-temperature and high-pressure syntheses of carbon allotropes.展开更多
文摘In this editorial,we comment on the article by Nagamine et al,published in the World Journal of Clinical Cases.The authors suggest that virtual reality technology has potential in alleviating pain by enhancing brain network functionality.Alongside virtual reality,various treatment methods are used to effectively manage musculoskeletal pain.One such method is the use of orthoses,which are applied in clinical settings.We emphasize the need for collaboration between pain physicians and orthotists when applying orthoses for pain management.The efficacy of orthoses is maximized when customized to the physical characteristics of each patient,type of disease,and location of pain.Orthoses are designed to restore anatomical alignment and biomechanical function;however,their success depends on the expertise of trained orthotists,who should effectively communicate with physicians and understand the mechanical principles of musculoskeletal alignment.The professional knowledge of orthotists is critical in ensuring that orthoses are appropriately designed and applied to achieve therapeutic efficacy.Since no single treatment modality typically offers sufficient relief for musculoskeletal pain,effective collaboration between pain physicians and orthotists is crucial to optimize the use of orthoses in the management of pain.
基金Beijing Key Specialized Department for Major Epidemic Prevention and Control (Construction Project)National Major Science and Technology Projects (2017ZX10305501)Beijing Social Science Foundation Planning Project (17SRC019)。
文摘With the rapid development of emergency medicine,emergency physicians are working around the clock,[1]including additional workloads due to sudden public health emergencies and disasters.Occupational risks for emergency physicians are significantly high due to an increasing number of patients with acute and severe diseases,an increased workload.
文摘Objectives: To assess the socio-professional determinants of burnout among the medical staff of Dakar University Hospitals. The aim was to propose effective means of prevention. Material and Methods: This was a cross-sectional, descriptive, and analytical study of physicians in permanent contact with patients at the Fann and Aristide Le Dantec teaching hospitals in Dakar, Senegal. Results: A total of 159 doctors were included in the study, with a sex ratio (M/F) of 1.3 in favor of men. The prevalence of burnout was 91.8%. Burnout was significantly associated (p Conclusion: Burnout is a threat to doctors at university hospitals in Senegal. It has several determinants linked above all to work organization. It is essential to set up psychological support units in hospitals and integrate occupational medicine into various organizational processes.
基金supported by ANID Fondecyt Iniciacion 11180540(to FJB)ANID PAI 77180077(to FJB)+2 种基金UNAB DI-02-22/REG(to FJB)Exploración-ANID 13220203(to FJB)ANID-MILENIO(NCN2023_23,to FJB)。
文摘Since the pioneering work by Broca and Wernicke in the 19th century,who examined individuals with brain lesions to associate them with specific behaviors,it was evident that behaviors are complex and cannot be fully attributable to specific brain areas alone.Instead,they involve connectivity among brain areas,whether close or distant.At that time,this approach was considered the optimal way to dissect brain circuitry and function.These pioneering efforts opened the field to explore the necessity or sufficiency of brain areas in controlling behavior and hence dissecting brain function.However,the connectivity of the brain and the mechanisms through which various brain regions regulate specific behaviors,either individually or collaboratively,remain largely elusive.Utilizing animal models,researchers have endeavored to unravel the necessity or sufficiency of specific brain areas in influencing behavior;however,no clear associations have been firmly established.
基金financial support from the National Natural Science Foundation of China(Nos.52233018 and 51831002)the China Baowu Low Carbon Metallurgy Innovation Foudation(No.BWLCF202213)。
文摘The influence of Nb-V microalloying on the hot deformation behavior and microstructures of medium Mn steel(MMS)was investigated by uniaxial hot compression tests.By establishing the constitutive equations for simulating the measured flow curves,we successfully constructed deformation activation energy(Q)maps and processing maps for identifying the region of flow instability.We concluded the following consequences of Nb-V alloying for MMS.(i)The critical strain increases and the increment diminishes with the increasing deformation temperature,suggesting that NbC precipitates more efficiently retard dynamic recrystallization(DRX)in MMS compared with solute Nb.(ii)The deformation activation energy of MMS is significantly increased and even higher than that of some reported high Mn steels,suggesting that its ability to retard DRX is greater than that of the high Mn content.(iii)The hot workability of MMS is improved by narrowing the hot processing window for the unstable flow stress,in which fine recrystallized and coarse unrecrystallized grains are present.
文摘Background: The interaction between physicians and medical representatives (MRs) through gift offering is a common cause for conflicts of interest for physicians that negatively influence prescribing behaviors of physicians throughout the world. This study aimed to evaluate the interaction between MRs and Iraqi specialist physicians through the acceptance of MRs gifts and the effect of such acceptance on physician’s prescribing patterns. Methods: A survey in a questionnaire format for specialist physicians was done during March-October 2013 in Iraq, Baghdad. The questionnaire involves four major parts regarding the approximate number of patients and medical representatives, gift acceptance, medical conferences, and prescribing pattern. Results: In Iraq specialist physicians were visited by 1 - 3 MRs/day. 50% of the Iraqi physicians like to get the educational information by attending conferences outside Iraq. Regarding Gift acceptance, 41% of participated physicians showed a general acceptance to promotional gifts, and 91% of physicians accept low cost gifts but only 41% of them accept high cost recreational gifts. Free samples were used by 59% of Iraqi physicians to treat some people. 77% of physicians prefer prescribing new medications, while more than 95% of participated physicians stated that they stop prescribing these new drugs either due to their ineffectiveness or due to their side effects. On the other hand physicians significantly change their prescribing behavior through shifting not only among generic drugs, but also from brand to generic drugs in their prescriptions. Gift acceptance is directly correlated with such shift and change in prescribing behavior. Conclusion: Iraqi physicians accept various types of gifts from pharmaceutical companies;this can influence physician prescribing pattern and result in early adoption to prescribe newly medications depending on promotional information even in absence of clinical evidence about the drug effectiveness or side effects, which may result in undesirable outcomes to the patient.
基金financially supported by the National Key R &D Program of China (No.2022YFB3709300)。
文摘The local structure and thermophysical behavior of Mg-La liquid alloys were in-depth understood using deep potential molecular dynamic(DPMD) simulation driven via machine learning to promote the development of Mg-La alloys. The robustness of the trained deep potential(DP) model was thoroughly evaluated through several aspects, including root-mean-square errors(RMSEs), energy and force data, and structural information comparison results;the results indicate the carefully trained DP model is reliable. The component and temperature dependence of the local structure in the Mg-La liquid alloy was analyzed. The effect of Mg content in the system on the first coordination shell of the atomic pairs is the same as that of temperature. The pre-peak demonstrated in the structure factor indicates the presence of a medium-range ordered structure in the Mg-La liquid alloy, which is particularly pronounced in the 80at% Mg system and disappears at elevated temperatures. The density, self-diffusion coefficient, and shear viscosity for the Mg-La liquid alloy were predicted via DPMD simulation, the evolution patterns with Mg content and temperature were subsequently discussed, and a database was established accordingly. Finally, the mixing enthalpy and elemental activity of the Mg-La liquid alloy at 1200 K were reliably evaluated,which provides new guidance for related studies.
基金supported by the SP2024/089 Project by the Faculty of Materials Science and Technology,VˇSB-Technical University of Ostrava.
文摘In engineering practice,it is often necessary to determine functional relationships between dependent and independent variables.These relationships can be highly nonlinear,and classical regression approaches cannot always provide sufficiently reliable solutions.Nevertheless,Machine Learning(ML)techniques,which offer advanced regression tools to address complicated engineering issues,have been developed and widely explored.This study investigates the selected ML techniques to evaluate their suitability for application in the hot deformation behavior of metallic materials.The ML-based regression methods of Artificial Neural Networks(ANNs),Support Vector Machine(SVM),Decision Tree Regression(DTR),and Gaussian Process Regression(GPR)are applied to mathematically describe hot flow stress curve datasets acquired experimentally for a medium-carbon steel.Although the GPR method has not been used for such a regression task before,the results showed that its performance is the most favorable and practically unrivaled;neither the ANN method nor the other studied ML techniques provide such precise results of the solved regression analysis.
基金supported by the National Natural Science Foundation of China,Nos.32371070 (to JT),31761163005 (to JT),32100824 (to QX)the Shenzhen Science and Technology Program,Nos.RCBS20210609104606024 (to QX),JCY20210324101813035 (to DL)+4 种基金the Guangdong Provincial Key S&T Program,No.2018B030336001 (to JT)the Key Basic Research Program of Shenzhen Science and Technology Innovation Commission,Nos.JCYJ20200109115405930 (to JT),JCYJ20220818101615033 (to DL),JCYJ20210324115811031 (to QX),JCYJ20200109150717745 (to QX)Shenzhen Key Laboratory of Neuroimmunomodulation for Neurological Diseases,No.ZDSYS20220304163558001 (to JT)Guangdong Provincial Key Laboratory of Brain Connectome and Behavior,No.2023B1212060055 (to JT)the China Postdoctoral Science Foundation,No.2021M693298 (to QX)。
文摘The conventional perception of astrocytes as mere supportive cells within the brain has recently been called into question by empirical evidence, which has revealed their active involvement in regulating brain function and encoding behaviors associated with emotions.Specifically, astrocytes in the basolateral amygdala have been found to play a role in the modulation of anxiety-like behaviors triggered by chronic stress. Nevertheless, the precise molecular mechanisms by which basolateral amygdala astrocytes regulate chronic stress–induced anxiety-like behaviors remain to be fully elucidated. In this study, we found that in a mouse model of anxiety triggered by unpredictable chronic mild stress, the expression of excitatory amino acid transporter 2 was upregulated in the basolateral amygdala. Interestingly, our findings indicate that the targeted knockdown of excitatory amino acid transporter 2 specifically within the basolateral amygdala astrocytes was able to rescue the anxiety-like behavior in mice subjected to stress. Furthermore, we found that the overexpression of excitatory amino acid transporter 2 in the basolateral amygdala, whether achieved through intracranial administration of excitatory amino acid transporter 2agonists or through injection of excitatory amino acid transporter 2-overexpressing viruses with GfaABC1D promoters, evoked anxiety-like behavior in mice. Our single-nucleus RNA sequencing analysis further confirmed that chronic stress induced an upregulation of excitatory amino acid transporter 2 specifically in astrocytes in the basolateral amygdala. Moreover, through in vivo calcium signal recordings, we found that the frequency of calcium activity in the basolateral amygdala of mice subjected to chronic stress was higher compared with normal mice.After knocking down the expression of excitatory amino acid transporter 2 in the basolateral amygdala, the frequency of calcium activity was not significantly increased, and anxiety-like behavior was obviously mitigated. Additionally, administration of an excitatory amino acid transporter 2 inhibitor in the basolateral amygdala yielded a notable reduction in anxiety level among mice subjected to stress. These results suggest that basolateral amygdala astrocytic excitatory amino acid transporter 2 plays a role in in the regulation of unpredictable chronic mild stress-induced anxiety-like behavior by impacting the activity of local glutamatergic neurons, and targeting excitatory amino acid transporter 2 in the basolateral amygdala holds therapeutic promise for addressing anxiety disorders.
基金Supported by the Shijiazhuang Science and Technology Research and Development Program,No.221460383.
文摘BACKGROUND Emotional reactions,such as anxiety,irritability,and aggressive behavior,have attracted clinical attention as behavioral and emotional problems in preschool-age children.AIM To investigate the current status of family rearing,parental stress,and behavioral and emotional problems of preschool children and to analyze the mediating effect of the current status of family rearing on parental stress and behavioral/emo-tional problems.METHODS We use convenience sampling to select 258 preschool children in the physical examination center of our hospital from October 2021 to September 2023.The children and their parents were evaluated using a questionnaire survey.Pearson's correlation was used to analyze the correlation between child behavioral and emotional problems and parental stress and family rearing,and the structural equation model was constructed to test the mediating effect.RESULTS The score for behavioral/emotional problems of 258 preschool children was(27.54±3.63),the score for parental stress was(87.64±11.34),and the score for parental family rearing was(31.54±5.24).There was a positive correlation between the behavioral and emotional problems of the children and the“hostile/mandatory”parenting style;meanwhile,showed a negative correlation with the“support/participation”parenting style(all P<0.05).The intermediary effect value between the family upbringing of parents in parental stress and children's behavior problems was 29.89%.CONCLUSION Parental family upbringing has a mediating effect between parental stress and behavioral and emotional problems of children.Despite paying attention to the behavioral and emotional problems of preschool-age children,clinical medical staff should provide correct and reasonable parenting advice to their parents to promote the mental health of preschool-age children.
文摘To evaluate the impact of behavioral restrictions on perinatal care caused by the COVID-19 pandemic, we conducted a questionnaire survey of 1976 medical institutions handling deliveries across Japan. The survey examined changes in the number of antenatal checkups due to behavioral restrictions, visit restrictions at medical institutions, and the acceptance of COVID-19-infected pregnant and nursing mothers. An increased burden was observed at delivery hospitals, irrespective of whether they accepted infected pregnant and nursing mothers. Some medical institutions were unable to manage infected pregnant women and transferred them to other facilities, highlighting the need for role-sharing among institutions. The number of antenatal checkups showed a decreasing trend, indicating that the pandemic negatively affected checkup attendance. However, no clear increase in perinatal deaths was observed during the observation period, despite the reduction in the number of checkups.
文摘Background: Hip osteoarthritis (HOA) causes joint destruction, resulting in hip pain, limited range-of-motion, claudication, and joint deformity. In the conservative treatment of HOA, self-management is important to manage symptoms and control disease progression. In a previous study, the researchers conducted a conceptual analysis of 43 foreign studies on self-management during conservative therapy for patients with HOA. The results revealed a definition of self-management during conservative therapy for patients with HOA. However, because that study analyzed only the foreign literature, it remains unclear whether the findings reflect the characteristics of the Japanese health-care delivery system, health-care insurance system, or the lifestyles and cultural characteristics of Japanese patients with HOA. Objective: We aimed to clarify the self-management behaviors of patients with HOA. Methods: Semi-structured interviews were conducted with five patients diagnosed with HOA, and the results were subjected to inductive qualitative analysis. Results: Six categories of self-management behaviors were extracted for patients with HOA: [active information gathering about HOA], [personalized pain and weight management, and strategies for reducing hip joint load], [reflection on living conditions with individuals and professionals, and determination for future efforts], [continuation of exercise and weight management based on personal strengths and achievements, and mutual support with others], [coexistence with HOA while managing negative feelings], and [choosing treatment methods by trusting doctors while struggling with personal needs]. Conclusion: These findings suggest the need to develop health guidance and educational programs for patients with HOA that focus on how to prevent disease progression and cope with symptoms.
文摘In the paper, we study a compressible two-fluid model in ℝ3, where γ±>1. The pressure of the two fluids is equal. Different from previous research, we consider that viscosity coefficient both μand λare functions of density. The global well-posedness of the three-dimensional compressible two-phase flow model is an open problem due to its dissipative, nonlinear structure. In the paper, setting m±=M±and Z=P−P¯, by exploiting the dissipation structure, we obtain energy estimates for (Z,w,n)and its derivatives, then we obtain the time decay rates for (Z,w,n). So we derive global well-posedness and large time behavior to the three dimensional compressible two-fluid model.
基金financially supported by the National Science and Technology Major Project of China(No.2017-Ⅵ-0008-0078)。
文摘Four powder metallurgy(PM)Ni-based superalloys with different Hf and Ta contents were creep-tested at 650℃ and 970 MPa,700℃ and 770 MPa,and 750℃ and 580 MPa,respectively.The effect of Hf and Ta on creep deformation behaviors of the superalloys was studied from multiple scales by SEM,electron backscatter diffraction(EBSD),and aberration-corrected scanning transmission electron microscope(AC-STEM).The results showed that Hf and Ta suppressed the intergranular fracture and initiation of cracks during the acceleration creep stage,which prolonged the creep rupture time.Hf and Ta inhibited the stacking faults extending and the dislocation climbing and promoted the Suzuki segregation of W during the steady-state creep stage,which reduced the minimum creep rate and delayed the start time of the acceleration creep stage.The Suzuki segregation of Co,Cr,Mo,Ti,Nb,W,and Ta along stacking faults was observed after Hf and Ta addition,leading to the localized phase transformation in the γ′phase,and the stacking fault phase was chemically disordered.This study provided ideas for the composition design of novel PM Ni-based superalloys and theoretical foundations for the combined addition of Hf and Ta.
文摘This study investigates the prevalence of HIV high-risk behaviors among university students in S City, Sichuan Province. Using a sampling survey method, a total of 3262 valid questionnaires were collected. Data analysis revealed ten significant issues related to HIV risk behaviors among university students, leading to suggested intervention strategies to address these behaviors.
文摘A common but flawed design in existing CNN architectures is using strided convolutions and/or pooling layer,which will result in the loss of fine-grained feature information,especially for low-resolution images and small objects.In this paper,a new CNN building block named SPD-Conv was used,which completely eliminated stride and pooling operations and replaced them with a space-to-depth convolution and a non-strided convolution.Such new design has the advantage of downsampling feature maps while retaining discriminant feature information.It also represents a general unified method,which can be easily applied to any CNN architectures,and can also be applied to strided conversion and pooling in the same way.
文摘Objective: To study the relationship between cortical auditory evoked potential (CAEP) thresholds and behavioral thresholds in pediatric populations with sensorineural hearing loss (SNHL). Methods: Fifteen children (mean age 6.8 years) with bilateral SNHL underwent behavioral pure-tone audiometry and CAEP testing at 0.5, 1, 2, and 4 kHz. CAEP thresholds were determined using tone bursts, and correlations between CAEP and pure-tone thresholds were analyzed using Pearson correlation and t-tests. Results: A strong positive correlation was observed between P1 thresholds and behavioral thresholds across all test frequencies: 0.5 kHz (r = 0.765, p Conclusion: The strong correlation between P1 and behavioral thresholds demonstrates the reliability of CAEP testing for estimating auditory thresholds in children. These findings support the use of CAEP testing as a reliable objective tool for threshold estimation, particularly in cases where behavioral responses cannot be reliably obtained. When adjusted with frequency-specific correction values, CAEP testing provides a reliable method for assessing hearing thresholds in pediatric populations.
文摘One of the main objectives of artificial intelligence lies in the simulation of the behavior of living organisms;emotions are a fundamental part of life, and they cannot be left aside when simulating behavior. In this research, software is developed that simulates the behavior of birds with different characteristics. The latter interacts by considering different stimuli from the environment (external), and the internal state of the subject (objectives). To achieve this, a model of birds in the role of prey and predators is developed that focuses on the study of the interaction between these organisms that exhibit specific behaviors in their environment. This project is a seminal work that aims to represent the emotions of birds, and the latter caused by stimuli from a dynamic environment.
文摘In the evolving landscape of Tourette’s syndrome(TS)treatment,behavioral therapies have emerged as essential to address the comorbid psychological issues,as well as motor and vocal tics.This editorial comments on the study by Wang et al,which showed that cognitive-behavioral therapy(CBT)combined with habit reversal training significantly improved anxiety and tic severity in children with TS.We highlight the current status and future perspectives of behavioral interventions such as CBT,and comprehensive behavioral intervention for tics,demonstrating their efficacy in alleviating TS symptoms and improving patients'quality of life.Recognizing the multifaceted nature of TS,our discussion integrates empirical evidence from various studies to provide a comprehensive perspective on the role of behavioral therapy in the management of this complex condition.This editorial concludes by emphasizing the need for innovative strategies that may address the limitations of existing treatments and advocates a multidisciplinary approach that combines behavioral,pharmacological,and neurobiological interventions to improve outcomes for patients with TS.
基金support from the National Science Fund for Distinguished Young Scholars(Grant No.T2225027)the NSAF(Grant No.U1930401)+1 种基金the National Key R&D Program of China(MOST)(Grant No.2023YFA1406500)the National Natural Science Foundation of China(NSFC)(Grant No.61674045).
文摘Comprehensive understanding of the direct transformation pathway from graphite to diamond under high temperature and high pressure has long been one of the fundamental goals in materials science.Despite considerable experimental and theoretical progress,current experimental studies have mainly focused on the local microstructural characterizations of recovered samples,which has certain limitations for hightemperature and high-pressure products,which often exhibit diversity.Here,we report on the pressure-induced phase transition behavior of natural single-crystal graphite under three distinct pressure-transmitting media from a macroscopic perspective using in situ two-dimensional Raman spectroscopy,scanning electron microscopy,and atomic force microscopy.The surface evolution process of graphite before and after the phase transition is captured,revealing that pressure-induced surface textures can impede the continuity of the phase transition process across the entire single crystal.Our results provide a fresh perspective for studying the phase transition behavior of graphite and greatly deepen our understanding of this behavior,which will be helpful in guiding further high-temperature and high-pressure syntheses of carbon allotropes.