Total Rate Research Articles

The characteristics and clinical outcomes of a pluripotent high-risk group with the potential to develop a diverse range of psychiatric disorders

BackgroundRecent studies have indicated that clinical high risk for psychosis (CHR-P) is highly specific for psychotic disorders other than pluripotential to various serious mental illnesses. However, not all CHR-P develop psychotic disorder only, and psychosis can occur in non-psychotic disorders as well. Our prospective cohort study aims to investigate the characteristics and clinical outcomes of a pluripotent high-risk group with the potential to develop a diverse range of psychiatric disorders. MethodsThe SPRIM study is a prospective naturalistic cohort program that focuses on the early detection of those at risk of developing serious mental illness, including psychosis (CHR-P), bipolar (CHR-B), and depressive disorder (CHR-D), as well as undifferentiated risk participants (UCHR). Our study has a longitudinal design with a baseline assessment and eight follow-up evaluations at 6, 12, 18, 24, 30, 36, 42, and 48 months to determine whether participants have transitioned to psychosis or mood disorders. ResultsThe SPRIM sample consisted of 90 CHR participants. The total cumulative incidence rate of transition was 53.3% (95% CI 32.5–77.2). CHR-P, CHR-B, CHR-D, and UCHR had cumulative incidence rates of 13.7% (95% CI 3.4–46.4), 52.4% (95% CI 28.1–81.1), 66.7% (95% CI 24.6–98.6) and 54.3% (95% CI 20.5–93.1), respectively. The cumulative incidence of psychosis, bipolar, and depressive disorder among all participants was 3.3% (95% CI 0.8–11.5), 45.7% (95% CI 24.4–73.6), and 11.2% (95% CI 3.1–36.2), respectively. ConclusionsOur study suggests that the concept of pluripotent high-risk for a diverse range of psychiatric disorders is an integrative approach to examining transdiagnostic interactions between illnesses with a high transition rate and minimizing stigma.

Comparative studies on microstructural characteristics and wear behavior of high-speed and low-speed laser cladding graphene/CoCrFeMo0.5NiTi0.5 high-entropy alloy composite layers

To prevent the failure of curved parts due to wear under actual working conditions, a graphene/CoCrFeMo0.5NiTi0.5 high-entropy alloy composite coating was prepared on the surface of a curved part using both high-speed and low-speed laser cladding (LLC). The surface morphology, physical phases, elemental distribution, microstructure, microhardness, and wear behavior of this coating applied via high-speed and LLC were comparatively studied. The results showed that the maximum height difference on the surface of the high-speed laser cladding (HLC) layer was only 44.7% of that of the LLC layer, and the surface powder was more completely melted. The average microhardness of the HLC layer was about 1.49 times higher than that of the LLC layer and showed a maximum hardness of 666.38 HV0.5, which was about 2.95 times higher than that of the substrate. The internal microstructure of the HLC layer was finer and the diffusion of Fe atoms from the substrate into the coating was significantly reduced. In all three wear environments, abrasive wear occurred in both the low-speed and HLC layers. The total wear rate of the LLC layer was 230.588 μm3·N-1·mm-1, which was about 3.06 times higher than that of the HLC layer (75.395 μm3·N-1·mm-1). The wear surfaces of both cladding layers were oxidized, and the wear rate increased with the oxygen content on the wear surfaces under the same wear conditions. Meanwhile, the oxygen content of the wear surfaces of both cladding layers in sodium chloride solution was significantly higher than that during dry wear.

Chaotic mixing induced by chevron pattern surfaces: Application to reverse osmosis filtration

This study numerically investigates the chaotic mixing induced by chevron patterns and examines its influence on enhanced reverse osmosis (RO) filtration. The primary design variables include the dimensionless groove depth (dp*) and the dimensionless overlapped span (S*) of the patterns. The Reynolds number (Re) varies from 100 to 1,000, within laminar flow conditions. We analyze the mixing characteristics using Poincaré sections and quantify mixing progress through the intensity of segregation (Id). For each Re value, a specific combination of dp* and S* induces chaotic mixing. Filtration performance is evaluated based on the permeate flux, total flow rate through the membrane, and Sherwood number. Our study reveals that both chaotic advection and intensified lateral flows near the patterns are essential for enhanced RO filtration. Patterns that induce globally chaotic mixing do not always correlate with optimal filtration performance, highlighting that the degree of chaotic mixing is not directly related to concentration polarization (CP) mitigation or filtration enhancement. Rather, it is the intense lateral flow near the patterns that acts as the decisive factor in achieving superior filtration performance, particularly at higher S* values (S*≥0.75) and with deeper grooves (dp*≥0.2). In terms of energy efficiency, patterned membranes demonstrate superior performance compared to their flat counterparts.

The influence of heterogeneous catalytic processes on the heat flux to the surface and the chemical composition of the shock layer at high-speed flow around blunt bodies

Numerical modeling of the high-speed flow of a multicomponent dissociated gas around a blunt body was carried out for the flow regime corresponding to the thermally stressed point of the gliding trajectory of entry into the Earth's atmosphere in the surface temperature range of 800–2000 K. As boundary conditions, a stage-by-stage model of heterogeneous catalysis of the interaction of dissociated air with the thermal protection material SiO2 was used, previously developed by the authors on the basis of transition state theory and quantum mechanical calculations. The dependence of the modes of heterogeneous chemical reactions on the surface temperature and the density of surface adsorption centers and their influence on the chemical composition of the shock layer and the convective heat flux to the streamlined surface are analyzed. The contributions of individual mechanisms of heterogeneous recombination to the total rate of formation of molecules on the surface are estimated. The possibility of using the density of adsorption sites as an effective parameter when setting boundary conditions on a real thermal protection surface in flow problems is shown.

A novel flame retardant epoxy thermoset based on renewable honokiol and furfuryl alcohol

In this study, honokiol epoxy resin was directly functionalized by bio-based material honokiol, which was combined with furfuryl alcohol-derived flame retardant by Diels-Alder reaction to prepare bio-based epoxy cross-linking system. After curing with 4,4′-diaminodiphenyl methane, HE1/FP0.5/DDM (121.37 °C) offered higher glass transition temperature than EP/DDM (91.75 °C). Meanwhile, the HE1/FP0.5/DDM exhibited excellent thermal stability and flame retardancy compared to EP/DDM. The char residue of HE1/FP0.5/DDM was obviously increased from 12.8% (EP/DDM) to 35.6% at 700 °C. Notably, the HE1/FP0.5/DDM achieved a limiting oxygen index value of 37.4% and UL-94 V-0 rating. Cone calorimeter demonstrated that the peak heat release rate, total heat release and fire growth rate of HE1/FP0.5/DDM were 400.29 kW/m2, 33.45 MJ/m2 and 4.40 kW/m2·s, reduced by 57.47%, 63.39% and 41.1% compared with EP/DDM, respectively. The satisfactory flame retardancy and smoke suppression were attributed to the flame-retardant function of FP in the condensed and gas phases. Thus, this work not only provided a simple but also eco-friendly approach to achieve flame retardant thermosets from honokiol to replace bisphenol A epoxy.

Multi-channel broadband optical chaos generation assisted by phase modulation and CFBG feedback

In this paper, we propose a novel and simple multi-channel broadband optical chaos generation scheme based on phase modulation and chirped fiber Bragg grating (CFBG). Firstly, phase modulation is introduced to generate more new frequency components to broaden the spectrum of the phase chaos. Meanwhile, the accumulated dispersion from CFBG distorts the intensity chaos, converts phase chaos to intensity chaos, and weakens the laser relaxation oscillation. This process would lead to energy redistribution in the power spectrum, effectively increasing the chaotic bandwidth. Then, the wavelength detuning between CFBG and the semiconductor laser is introduced to enhance the chaotic bandwidth further. The experiment results show that the 10 dB bandwidths of the five channels are up to 31.0 GHz, 34.3 GHz, 36.3 GHz, 40 GHz, and 40 GHz, respectively. Note that the maximum bandwidth of the PD in our experiment is limited to 40 GHz. In addition, the multi-channel chaotic signals obtained from the experiment system are used to generate multi-channel physical random numbers. After the post-processing operations, the total rate of five parallel high-speed physical random number generation channels is 4.64 Tbit/s (160 GSa/s × 5bit × 1 channel + 160 GSa/s × 6bit × 4 channels). As far as we know, this is the highest record of using external cavity feedback semiconductor lasers to generate random numbers, which has great potential to meet the security requirements of next-generation Tbit/s optical communication systems.

Diaminodiphenylmethane modified zirconium phosphate: A new strategy for trace addition to improve flame retardancy, smoke inhibition, and compatibility of epoxy resins

AbstractHigh‐efficient flame retardants (ZrP‐DDM) were synthesized successfully via ion‐exchange method, using diaminodiphenylmethane (DDM) modified layered zirconium phosphate (α‐ZrP). Trace addition of ZrP‐DDM in epoxy resins (EP) can enhance the flame‐retardant, smoke‐inhibition, mechanical, and thermal stability properties of EP composites. As shown in the results, ZrP‐DDM exhibits a better synergistic effect than α‐ZrP, and the EP composites containing 0.5 wt% ZrP‐DDM (EP/0.5ZrP‐DDM) show excellent flame‐retardant and smoke‐inhibition properties. Especially, EP/0.5ZrP‐DDM possesses a limiting oxygen index (LOI) of 33.7% with UL94 V‐1 rating, while the EP composites containing 0.5 wt% ZrP (EP/0.5ZrP) has a LOI of 30.1% and fails to achieve the UL94 rating. Furthermore, the peak heat release rate (PHRR), total heat release rate (THR), and smoke density rating of EP/0.5ZrP‐DDM decrease by 10.2%, 3.7%, and 8.2% compared with EP/0.5ZrP. Based on condensed‐phase product analysis, EP/ZrP‐DDM sample provides a gas source for intumescent char layer, and produces a stable phosphorus‐rich crosslinking structures during combustion, thus decreasing the fire hazard of the composite material. Meanwhile, the introduction of ZrP‐DDM has a less impact on tensile strength of EP composites compared with α‐ZrP, suggesting the addition of ZrP‐DDM effectively enhances the compatibility with the EP matrix, thereby maintaining excellent mechanical properties of the EP matrix.

Parkinson’s Critical Heart Rate Test: Applying the Critical Power Model for People with Parkinson’s Disease

Aerobic exercise with the correct intensity can attenuate motor and non-motor symptoms of Parkinson's disease (PD) and improve the quality of life. However, a specific, validated, non-invasive, and outside the laboratory protocol that assesses physiological variables to prescribe optimal aerobic exercise intensity for people with PD is nonexistent. Therefore, this study aimed to propose a protocol, the Parkinson's critical heart rate test (Parkinson-CHR test), to determine the critical heart rate (CHR) in individuals with PD and verify its validity, reliability, and sensitivity. Fifteen people with idiopathic PD, who were able to practice exercises, were recruited to participate in the study (71.1 ± 6.6 years). The study consisted of two experiments: i) the first one aimed to assess the validity and reliability of the protocol, with participants performing the test twice at a one-week interval; ii) the second experiment aimed to investigate the protocol sensitivity, with individuals being evaluated before and after an 8-week training program according to Parkinson-CHR intensity. In experiment 1, no differences between test and retest were observed in the time to cover the distances (400, 800 and 1200 m), the total heart rate, the critical heart rate, and critical speed (p > 0.05). In experiment 2, there was a reduction in time to cover 400 and 800 m as well as in the total heart rate for all distances after the 8-week training program. The Parkinson-CHR test is a reliable, reproducible, inexpensive, and non-invasive protocol to assess, prescribe, and monitor aerobic exercise intensity in people with PD.

A quasi-realistic computational model development and flow field study of the human upper and central airways.

The impact of drug delivery and particulate matter exposure on the human respiratory tract is influenced by various anatomical and physiological factors, particularly the structure of the respiratory tract and its fluid dynamics. This study employs computational fluid dynamics (CFD) to investigate airflow in two 3D models of the human air conducting zone. The first model uses a combination of CT-scan images and geometrical data from human cadaver to extract the upper and central airways down to the ninth generation, while the second model develops the lung airways from the first Carina to the end of the ninth generation using Kitaoka's deterministic algorithm. The study examines the differences in geometrical characteristics, airflow rates, velocity, Reynolds number, and pressure drops of both models in the inhalation and exhalation phases for different lobes and generations of the airways. From trachea to the ninth generation, the average air flowrates and Reynolds numbers exponentially decay in both models during inhalation and exhalation. The steady drop is the case for the average air velocity in Kitaoka's model, while that experiences a maximum in the 3rd or 4th generation in the quasi-realistic model. Besides, it is shown that the flow field remains laminar in the upper and central airways up to the total flow rate of 15l/min. The results of this work can contribute to the understanding of flow behavior in upper respiratory tract.

Injectable polyamide-amine dendrimer-crosslinked meloxicam-containing poly-γ-glutamic acid hydrogel for prevention of postoperative tissue adhesion through inhibiting inflammatory responses and balancing the fibrinolytic system

Establishing a physical barrier between the peritoneum and the cecum is an effective method to reduce the risk of postoperative abdominal adhesions. Meloxicam (MX), a nonsteroidal anti-inflammatory drug has also been applied to prevent postoperative adhesions. However, its poor water solubility has led to low bioavailability. Herein, we developed an injectable hydrogel as a barrier and drug carrier for simultaneous postoperative adhesion prevention and treatment. A third-generation polyamide-amine dendrimer (G3) was exploited to dynamically combine with MX to increase the solubility and the bioavailability. The formed G3@MX was further used to crosslink with poly-γ-glutamic acid (γ-PGA) to prepare a hydrogel (GP@MX hydrogel) through the amide bonding. In vitro and in vivo experiments evidenced that the hydrogel had good biosafety and biodegradability. More importantly, the prepared hydrogel could control the release of MX, and the released MX is able to inhibit inflammatory responses and balance the fibrinolytic system in the injury tissues in vivo. The tunable rheological and mechanical properties (compressive moduli: from ∼ 57.31 kPa to ∼ 98.68 kPa;) and high anti-oxidant capacity (total free radical scavenging rate of ∼ 94.56 %), in conjunction with their syringeability and biocompatibility, indicate possible opportunities for the development of advanced hydrogels for postoperative tissue adhesions management.

Treatment of portal hypertension complicated by variceal bleeding

Background. Mortality in variceal bleeding (VB) on the background of portal hypertension (PH) is highest among patients with gastrointestinal bleeding. The treatment of PH complicated by VB is a complex problem that is far from being solved, especially in case of Child-Pugh class B and C decompensation. The aim of the study was to determine the causes of PH complicated by VB, features of conservative and interventional therapy, indications and nature of surgical procedures, treatment efficacy, as well as causes of complications and mortality. Materials and methods. We analyzed treatment outcomes of 923 inpatients with PH complicated by VB who were treated in the clinic of the Department of Surgery of the Faculty of Dentistry of Bogomolets National Medical University on the basis of the Kyiv City Clinical Emergency Hospital from 2012 to 2023. It was possible to talk about the cause of PH based on anamnestic data in 61 % of cases. In 711 (77 %) patients, the source of bleeding was detected endoscopically within 30–60 minutes from the moment of admission to the clinic. Conservative therapy included the administration of hemostatic and agents lowering pressure in the portal system, as well as vasoconstrictors that reduce portal blood flow. For the failure of conservative therapy, unstable hemostasis, and repeated previous bleedings, 59 (6.4 %) patients were operated. The methodology of the research analysis consisted in the fact that the arithmetic mean and standard error (M ± m) were determined as the characteristics of the groups for features with a distribution corresponding to the Gaussian law. This reference method of descriptive statistics was applied to evaluate surgical treatment in comparison with conservative therapy and interventional measures. Results. Endoscopic hemostasis by the ligature method was achieved in 97 (10.5 %) patients. Repeated endoscopy due to VB recurrence was done in 276 (29.9 %) participants. In cases of unsatisfactory endoscopic hemostasis, as well as recurrent VB, a Sengstaken-Blakemore probe was installed. In case of right-sided PH, the formation of varices in the esophagus is caused by the discharge of blood mainly through the coronary vein, which required its transection during еsophagogastric devascularization. In compliance with this rule, the patients underwent esophagogastric devascularization, circular transection of the esophagus, which provided portoazygous disconnection. The total mortality rate was 43.1 %, among operated people — 8.5 %, and among non-operated ones — 42.1 %. Conclusions. PH complicated by VB is evidence of decompensated processes in the liver parenchyma or obstruction in the portal system. Conservative therapy and interventional measures make it possible to stop bleeding and prepare the patient for elective surgery, if necessary. An operation that stops blood flow through dilated veins of the esophagus or stomach is an effective method of treating bleeding in portal hypertension.

Galvanic Corrosion of Tinned Copper Coupled with Aluminium Alloy in Electric Vehicle

ABSTRACT In this study, the galvanic corrosion behavior of a tinned Cu terminal coupled with an Al–Mg–Si alloy was analyzed. When the Al alloy and tinned Cu were electrically connected and exposed to an electrolyte, tri–metallic galvanic corrosion occurred between the Al alloy, the Sn plating, and the Cu base metal. Results from Potentiodynamic and zero resistance ammeter tests indicate that the total galvanic corrosion rate increases as the area ratio of Sn plating to the Cu base metal decreases. Furthermore, the Sn, which has an intermediate potential, may function as either an anode or a cathode. While most of the Sn plating was protected by the Al alloy, corrosion of the Sn plating was observed at the boundary between the Sn plating and the Cu base metal. Thus, the exposed Cu area and galvanic corrosion of the Al-tinned Cu couple increase over time. Consequently, to prevent failure due to corrosion at the connection of the Al body and the tinned Cu terminal, exposed Cu area and damage of the Sn plating of tinned Cu terminal should be minimized.

Reliability-Based Design Optimization of Additive Manufacturing for Lithium Battery Silicon Anode

Abstract With the blooming of the electric vehicle market and the advancement in the lithium-ion battery industry, silicon anode has shown great potential for the next-generation battery. Using the state-of-the-art additive manufacturing technique (three-dimensional holographic lithography), researchers have demonstrated that silicon anode can be fabricated as a three-dimensional bicontinuous porous microstructure. However, the volume fluctuation of the silicon anode caused by lithiation during the discharging process causes continuous capacity decay and poor cycling life. Besides, uncertainties are inherent in the manufacturing and usage processes, making it crucial to systematically consider them in the silicon anode design to improve its performance and reliability. To fill the gap between current silicon anode research and future industrial need, this study established a digital twin to investigate the optimal design for silicon anode under the uncertainties of additive manufacturing and battery usage. This study started with developing multiphysics finite element models of the silicon anode lithiation process to investigate the volume fluctuation of silicon. Then, surrogate models were built based on the results from the finite element models to reduce computational cost. The reliability-based design optimization was employed to find the best design point for the silicon anode, in which an outer optimization loop maximized the objective function and an inner loop dedicated to reliability analysis. Finally, the Pareto optimal front of the silicon anode designs was obtained and validated, which shows over 10% improvements in the silicon anode's total capacity and rate capability.

Research on a Neutron Detector with a Boron-Lined Multilayer Converter

3He is a splendid neutron detection material due to its high neutron reaction cross section, gaseous state, and nonelectronegative and nonpoisonous nature. With the worldwide problem of the “3He supply crisis” arising, boron-lined gaseous neutron detectors are being widely used in neutron detection to replace 3He neutron detectors. In this work, to reduce the scattering neutron background coming from the substrate of a boron-lined neutron detector in the application of neutron scattering, a new design of the boron-lined gaseous neutron detector composed of a boron-lined multichip converter and a multiwire proportional chamber was proposed. The electron drift efficiency matrix simulated by Garfield++ (Version 2023.4) and the values and positions of electron energy deposition simulated by Geant4 were obtained. The α, 7Li, and total charged particle energy deposition spectra were acquired via coupling calculations of the electron drift efficiency matrix and the values and positions of electron energy deposition, and the width of the slit was selected as 3 mm. The boron-lined multilayer converter neutron detector (BMCND) was tested using a 241Am–239Pu mixture α source, and the total count rate of α charged particles was measured as 599.5 s−1, which is 89% of the theoretical α particle emission rate of 672.9 s−1. The drift voltage experiments showed that 1200 V is enough to acquire a relatively ideal count, and a 2500 V drift voltage was confirmed, considering the higher count and instrument safety. We also performed the neutron detection experiments using a photo-neutron source, and a characteristic spectrum shape of “two stairs” was measured. When borated polyethylene was used to shield the BMCND, the detected total count decreased while keeping the characteristic spectrum shape, demonstrating that the BMCND was equipped with the ability to detect neurons, indicating that BMCNDs have the potential to be an outstanding 3He alternative neutron detector.

Reconstructing Nasal Defects With Acellular Dermal Matrix After Mohs Micrographic Surgery: A 12-year Experience.

Large defects of the nose after Mohs surgery pose a significant reconstructive challenge to both dermatologic and reconstructive surgeons. The authors present their 12-year experience utilizing acellular dermal matrices for nasal reconstruction. A retrospective review of patients undergoing Mohs surgery and alloplastic nasal reconstruction with acellular dermal matrices between 2010 and 2022 was performed. Patients who underwent single-stage reconstruction and dual-stage reconstruction with skin graft with at least 90 days of follow-up were included. Fifty-one patients met criteria with a median age of 77 years. Fifty-three lesions were reconstructed with acellular dermal matrices. The most common lesion location was nasal sidewall (50%) with a mean defect size of 10.8 cm 2 . 30.8% underwent same-day acellular dermal matrix reconstruction, with 69.2% undergoing two-stage reconstruction. Acellular dermal matrices successfully reconstructed acquired defects in 94.2% of lesions. Average time to re-epithelialization was 27.6 + 6.2 days. Average time to repigmentation was 145.35 + 86 days. No recurrences were recorded. Total complication rate was 9.62%. Average size for successful healing was 10.8 cm 2 . Average defect size for complication or failure was 14.7 cm 2 . Seven sites (13.46%) underwent aesthetic improvement procedures. Acellular bilayer wound matrix is an adequate reconstructive option for single or dual-stage reconstruction of the nose with low complication and revision rates.

Technical feasibility and oncological outcomes of robotic esophagectomy compared with conventional thoracoscopic esophagectomy for clinical T3 or T4 locally advanced esophageal cancer: a propensity-matched analysis.

Minimally invasive esophagectomy is the first-line approach for esophageal cancer; however, there has recently been a paradigm shift toward robotic esophagectomy (RE). We investigated the clinical outcomes of patients who underwent RE compared with those of patients who underwent conventional minimally invasive thoracoscopic esophagectomy (TE) for locally advanced cT3 or cT4 esophageal cancer using a propensity-matched analysis. Overall, 342 patients with locally advanced cT3 or cT4 esophageal cancer underwent transthoracic esophagectomy with total mediastinal lymph node dissection between 2018 and 2022. The propensity-matched analysis was performed to assign the patients to either RE or TE by covariates of histological type, tumor location, and clinical N factor. Overall, 87 patients were recruited in each of the RE and TE groups according to the propensity-matched analysis. The total complication rate and the rates of the three major complications (recurrent laryngeal nerve paralysis, anastomotic leakage, and pneumonia) were not significantly different between the RE and TE groups. However, the peak C-reactive protein concentration on postoperative day 3, rate of surgical site infection, and intensive care unit length of stay after surgery were significantly shorter in the RE group than in the TE group. No significant differences were observed in the harvested total and mediastinal lymph nodes. The total operation time was significantly longer in the RE group, while the thoracic operation time was shorter in the RE group than in the TE group. There was no significant difference between the two groups in the recurrence rate of oncological outcomes after surgery. RE may facilitate early recovery after esophagectomy with total mediastinal lymph node dissection and has the same technical feasibility and oncological outcomes as TE.

Investigating the Black Birth Experience: A Race-Stratified Analysis of Preterm Birth Risk and Exposure to Metropolitan Statistical Area-Level Police-Related Deaths, US 2018-2019.

Police-related violence may be a source of chronic stress underlying entrenched racial inequities in reproductive health in the USA. Using publicly available data on police-related fatalities, we estimated total and victim race-specific rates of police-related fatalities (deaths per 100,000 population) in 2018-2019 for Metropolitan Statistical Areas (MSA) and counties within MSAs in the USA. Rates were linked to data on live births by maternal MSA and county of residence. We fit adjusted log-Poisson models with generalized estimating equations and cluster-robust standard errors to estimate the relative risk of preterm birth associated with the middle and highest tertiles of police-related fatalities compared to the lowest tertile. We included a test for heterogeneity by maternal race/ethnicity and additionally fit race/ethnicity-stratified models for associations with victim race/ethnicity-specific police-related fatality rates. Fully adjusted models indicated significant adverse associations between police-related fatality rates and relative risk of preterm birth for the total population, non-Hispanic Black, and non-Hispanic White groups separately. Results confirm the role of fatal police violence as a social determinant of population health outcomes and inequities, including preterm birth.

Detection method for reverse transcription recombinase-aided amplification of avian influenza virus subtypes H5, H7, and H9

BackgroundAvian influenza virus (AIV) not only causes huge economic losses to the poultry industry, but also threatens human health. Reverse transcription recombinase-aided amplification (RT-RAA) is a novel isothermal nucleic acid amplification technology. This study aimed to improve the detection efficiency of H5, H7, and H9 subtypes of AIV and detect the disease in time. This study established RT-RAA-LFD and real-time fluorescence RT-RAA (RF-RT-RAA) detection methods, which combined RT-RAA with lateral flow dipstick (LFD) and exo probe respectively, while primers and probes were designed based on the reaction principle of RT-RAA.ResultsThe results showed that RT-RAA-LFD could specifically amplify H5, H7, and H9 subtypes of AIV at 37 °C, 18 min, 39 °C, 20 min, and 38 °C, 18 min, respectively. The sensitivity of all three subtypes for RT-RAA-LFD was 102 copies/µL, which was 10 ∼100 times higher than that of reverse transcription polymerase chain reaction (RT-PCR) agarose electrophoresis method. RF-RT-RAA could specifically amplify H5, H7, and H9 subtypes of AIV at 40 °C, 20 min, 38 °C, 16 min, and 39 °C, 17 min, respectively. The sensitivity of all three subtypes for RF-RT-RAA was 101 copies/µL, which was consistent with the results of real-time fluorescence quantification RT-PCR, and 100 ∼1000 times higher than that of RT-PCR-agarose electrophoresis method. The total coincidence rate of the two methods and RT-PCR-agarose electrophoresis in the detection of clinical samples was higher than 95%.ConclusionsRT-RAA-LFD and RF-RT-RAA were successfully established in this experiment, with quick response, simple operation, strong specificity, high sensitivity, good repeatability, and stability. They are suitable for the early and rapid diagnosis of Avian influenza and they have positive significance for the prevention, control of the disease, and public health safety.

Characterizing sand transport with various micro‐ridge spacings and heights

AbstractIn arid regions, the use of ridge cover as a traditional agricultural strategy has been effective in mitigating soil wind erosion. However, few studies have focused on the sand transport characteristics of different micro‐ridge spacings and heights. This study aimed to identify the mechanism by which ridges change the near‐surface sand transport. In a controlled wind tunnel environment, the aeolian sand flux structure and sand transport flux (qz) at heights from 0 to 0.7 m were measured. The results showed that, compared with no ridges, ridge covering could significantly modify the structure of aeolian sand flux near the surface, yielding a substantial reduction in the proportion of sand transport to the total sand transport in the 0‐ to 0.1‐m height layer. In the absence of ridges, blown sand was mainly concentrated in the 0‐ to 0.1‐m height layer, and qz decreased exponentially as the height increased. With various micro‐ridge spacings and heights, when H was less than 0.1 m and L was more than 15H, the blown sand also remained concentrated in the 0‐ to 0.1‐m height layer, and qz decreased exponentially as the height increased. When H increased to 0.15 m from 0.1 m and L decreased from 15H to 5H, the height of the blown sand was concentrated in the 0.3‐ to 0.4‐m layer. The blown sand layer of most ridge structures was concentrated at a height of 0.1–0.4 m, and the structure of the aeolian sand flux resembled an ‘elephant nose effect’. The total sand transport rate of all ridge structures was significantly lower than that with no ridges, indicating that a reasonable ridge structure can effectively prevent wind erosion.

Total knee arthroplasty survival rates are lower in younger men,as well as rheumatoid patients and after previous high-tibial osteotomy: A registry study.

The purpose of this study was to investigate if patient's gender significantly affected the long-term outcome of patients undergoing total knee arthroplasty (TKA) and to provide a cross-gender comparison of a large patient sample from a single regional register. The Registry of Prosthetic Orthopedic Implant of Emilia Romagna (RIPO) investigated all primary TKAs performed from July 2000 to December 2020 by collecting data of menand womenseparately. Primary bicompartmental and tricompartmental TKAs were included. The survival rates and the reasons for revision were assessed to check if any other factor could have influenced implantfailure. In total,66,032 TKAs were included and analysed, comprising 46,774 women and 19,258 men. The 15-year Kaplan-Meier survival percentage was 93.6% for womenand 92.5% formen (p = 0.001). Men exhibited a higher revision risk following primary TKA(p = 0.012), particularly when the primary diagnosis was arthritis resulting from rheumatic disorders (p = 0.018) and arthritis following high-tibial osteotomy (p = 0.024). Failure risk was also higher for men below the age of 60 years(p = 0.038). The long-term outcome in TKA showed significant differences between men and women, with a significantly lower survival rate in men at 15 years, especially when they areunder 60 years old or with a diagnosis of rheumatic disorders or arthritis following high-tibial osteotomy. It is necessary to design specific studies to have relevant data concerning gender differences in prosthetic surgery and to customise treatments to improve outcome and patient satisfaction. Level III.