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High-energy gamma-ray radiography has exceptional penetration ability and has become an indispensable nondestructive testing (NDT) tool in various fields. For high-energy photons, point projection radiography is almost the only feasible imaging method, and its spatial resolution is primarily constrained by the size of the gamma-ray source. In conventional industrial applications, gamma-ray sources are commonly based on electron beams driven by accelerators, utilizing the process of bremsstrahlung radiation. The size of the gamma-ray source is dependent on the dimensional characteristics of the electron beam. Extensive research has been conducted on various advanced accelerator technologies that have the potential to greatly improve spatial resolution in NDT. In our investigation of laser-driven gamma-ray sources, a spatial resolution of about 90 µm is achieved when the areal density of the penetrated object is 120 g/cm2. A virtual source approach is proposed to optimize the size of the gamma-ray source used for imaging, with the aim of maximizing spatial resolution. In this virtual source approach, the gamma ray can be considered as being emitted from a virtual source within the convertor, where the equivalent gamma-ray source size in imaging is much smaller than the actual emission area. On the basis of Monte Carlo simulations, we derive a set of evaluation formulas for virtual source scale and gamma-ray emission angle. Under optimal conditions, the virtual source size can be as small as 15 µm, which can significantly improve the spatial resolution of high-penetration imaging to less than 50 µm. [ABSTRACT FROM AUTHOR]

We propose a positron acceleration scheme in which a laser-driven positron beam is injected into a solid target hit by a laser beam and accelerated in the sheath field on the target back side. The positron beam injection and acceleration in the target have been investigated with numerical simulation. The feasibility of such an acceleration scheme was proved according to the simulation results, which show that a 10 MeV positron beam can be accelerated up to 30 MeV. The dependency of the positron beam properties on the positron injection location, injection time, and target thickness was studied. Related acceleration details were obtained and analyzed. The acceleration scheme provides a method in positron energy controlling and its related applications. [ABSTRACT FROM AUTHOR]

We present an application of short-pulse laser-generated hard x rays for the diagnosis of indirectly driven double shell targets. Cone-inserted double shell targets were imploded through an indirect drive approach on the upgraded SG-II laser facility. Then, based on the point-projection hard x-ray radiography technique, time-resolved radiography of the double shell targets, including that of their near-peak compression, were obtained. The backlighter source was created by the interactions of a high-intensity short pulsed laser with a metal microwire target. Images of the target near peak compression were obtained with an Au microwire. In addition, radiation hydrodynamic simulations were performed, and the target evolution obtained agrees well with the experimental results. Using the radiographic images, areal densities of the targets were evaluated. [ABSTRACT FROM AUTHOR]

The physics of shock-induced ejection is a crucial phenomenon in the field of shock compression science and technology. Limited by loading methods, the previous research primarily focused on the physics of ejecta induced by single shockwave, with few data available on multiple shockwave loading conditions. To solve this problem, we proposed a double shockwave production method based on the high-intensity laser facility, which allows the interval time between the shock waves to be adjusted in the nanosecond to microsecond timescale. Meanwhile, we applied loading techniques to study the ejection behavior of metal tin and integrated photonic doppler velocimetry and high-energy x-ray radiography technology to observe the ejection process. By comparing the experimental results for single and double shockwave, the multiple shock-induced ejection features have been clearly confirmed. Our experimental results provide valuable insight into the behavior of ejecta under multiple shockwave loading conditions, which is of great significance for deepening our understanding of the ejection mechanism. [ABSTRACT FROM AUTHOR]

Background: Limited literature has addressed the impact of nut consumption in mitigating frailty. This study aimed to investigate the association between nut consumption and frailty among Americans aged above 60 years, employing two 24‐h dietary recalls for analysis. Methods: The data sets of the National Health and Nutrition Examination Survey (NHANES) (2003–2018) and the Food Patterns Equivalents Database were utilised for a weighted multiple logistic regression model to evaluate the association between nut consumption and frailty in elderly adults. Furthermore, a restricted cubic spline model was employed to investigate the nonlinear relationship between nut intake and frailty. Besides, stratified and interaction analyses were conducted to explore the sensitivity of nut consumption in reducing the risk of frailty in diverse subgroups. Results: The research study comprised 10,033 individuals aged 60 years or above, of whom 3591 were classified as frailty and 5302 consumed nuts. In the multivariate logistic regression analysis that adjusted for covariates, the weighted multivariate adjusted odds ratios demonstrated that the prevalence of frailty was lower in the nut intake group than in nonconsumers. The stratified analysis indicated that nearly all subgroups who consumed nuts had a significantly lower risk of frailty compared to nonconsumers, and an interaction was observed between nut intake and nonhypertensive populations. The optimal threshold for nut intake to decrease the risk of frailty was identified as 1.02 ounces. Conclusions: The study concluded that nut consumption has a constructive impact on averting frailty in elderly adults, particularly in nonhypertensive individuals. Nut intake of ~1.02 ounces per day is advantageous in improving the quality of life in elderly adults. Key points: This study investigated the impact of nut consumption on frailty among American seniors aged over 60.A lower prevalence of frailty was observed in nut consumers in the National Health and Nutrition Examination Survey database.Almost all subgroups consuming nuts reaped advantages, with nonhypertensive individuals markedly standing out.Optimal nut intake to reduce frailty risk was found to be ~1.02 ounces daily. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to develop two predictive nomograms for the assessment of long-term survival status in hemodialysis (HD) patients by examining the prognostic factors for all-cause mortality and cardiovascular (CVD) event mortality.Patients and methods: A total of 551 HD patients with an average age of over 60 were included in this study. The patients' medical records were collected from our hospital and randomly allocated to two cohorts: the training cohort (n=385) and the validation cohort (n=166). We employed multivariate Cox assessments and fine-gray proportional hazards models to explore the predictive factors for both all-cause mortality and cardiovascular event mortality risk in HD patients. Two nomograms were established based on predictive factors to forecast patients' likelihood of survival for 3, 5, and 8 years. The performance of both models was evaluated using the area under the curve (AUC), calibration plots, and decision curve analysis.Results: The nomogram for all-cause mortality prediction included seven factors: age ≥ 60, sex (male), history of diabetes and coronary artery disease, diastolic blood pressure, total triglycerides (TG), and total cholesterol (TC). The nomogram for cardiovascular event mortality prediction included three factors: history of diabetes and coronary artery disease, and total cholesterol (TC). Both models demonstrated good discrimination, with AUC values of 0.716, 0.722 and 0.725 for all-cause mortality at 3, 5, and 8 years, respectively, and 0.702, 0.695, and 0.677 for cardiovascular event mortality, respectively. The calibration plots indicated a good agreement between the predictions and the decision curve analysis demonstrated a favorable clinical utility of the nomograms.Conclusion: Our nomograms were well-calibrated and exhibited significant estimation efficiency, providing a valuable predictive tool to forecast prognosis in HD patients. [ABSTRACT FROM AUTHOR]

The prevalence of chronic kidney disease (CKD) is gradually increasing in the elderly population. At the same time, frailty has become one of the research hotspots in the field of geriatrics. Bibliometric analyses help to understand the direction of a field. Therefore, this study aimed to analyze the status and emerging trends of frailty in CKD patients. The Web of Science Core Collection (WoSCC) database was screened for relevant literature published between 1 January 2000 and 31 December 2021. Next, publications were analyzed for information including authors, journals, cited references, citing journals, institutions, countries and regions, high-frequency keywords and co-citations using VOSviewer, Microsoft Excel, and R software. A total of 2223 articles were obtained, from which 613 relevant articles were selected based on title and abstract screening. There was an upward trend in the number of annual publications and Johansen KL was considered the most contributing author in the field. The Clinical Journal of the American Society of Nephrology was the most productive research journal. Johns Hopkins University is the most published organization. The United States is the global leader in the field and contributes the most to research. Research hotspots focus on epidemiological studies of frailty and frailty intervention. This study presents a comprehensive bibliometric analysis of CKD and frailty research. Key findings highlight the current focus on early screening and assessment of frailty in CKD patients, as well as physical function interventions in frail patients. [ABSTRACT FROM AUTHOR]

X-ray source based on the Thomson scattering of laser interacting with energetic electron beams features high photon energy, small spot size, and good collimation. However, the photon number is insufficient for practical application because of the small cross section of the Thomson scattering. To solve this problem, here, we replace a traditional Gaussian laser pulse with a flying focus laser pulse to extend interaction length and restrain nonlinear effects. Simulation results show that the scattered photon number can be increased by about 25 and 2 times for high and low energy lasers, respectively. In particular, a 1010 photon number can be generated with a 10 J flying focus laser pulse, and the energy spread can also be greatly reduced for high energy laser, from a broad spectrum to a monoenergetic peak. Combining these two advantages, the peak spectrum brightness of x ray is 3 × 108 photons/keV at 240 keV, which is about three orders of magnitude more than the traditional case. [ABSTRACT FROM AUTHOR]

Let x_1, x_2, ..., x_n be n points on the sphere S^2. Determining the value \inf \sum _{1\leq k

The outbreak of COVID-19 has spread worldwide, causing great damage to the global economy. Raman spectroscopy is expected to become a rapid and accurate method for the detection of coronavirus. A classification method of coronavirus spike proteins by Raman spectroscopy based on deep learning was implemented. A Raman spectra dataset of the spike proteins of five coronaviruses (including MERS-CoV, SARS-CoV, SARS-CoV-2, HCoVHKU1, and HCoV-OC43) was generated to establish the neural network model for classification. Even for rapidly acquired spectra with a low signal-to-noise ratio, the average accuracy exceeded 97%. An interpretive analysis of the classification results of the neural network was performed, which indicated that the differences in spectral characteristics captured by the neural network were consistent with the experimental analysis. The interpretative analysis method provided a valuable reference for identifying complex Raman spectra using deep-learning techniques. Our approach exhibited the potential to be applied in clinical practice to identify COVID-19 and other coronaviruses, and it can also be applied to other identification problems such as the identification of viruses or chemical agents, as well as in industrial areas such as oil and gas exploration. [ABSTRACT FROM AUTHOR]

The origin of He + ions in picosecond intense laser–gas interaction was experimentally and numerically investigated. A nanosecond laser pulse was used to modulate the plasma condition, which helps to distinguish the origin of the helium ions with different charge states. By comparing the energy spectra of He 2 + and He + ions in the experiments with/without plasma shaping, we found neither ion–atom nor electron–ion recombination is responsible for the He + generation, which is supported by two-dimensional hydrodynamic simulations and theoretical calculations. [ABSTRACT FROM AUTHOR]

Fusion reactions in a plasma environment are fundamental issues with general interest in high energy density sciences. The reaction rate in an astro-system, which may differ from cold matter, is an important subject in the ambiguous problems of elemental abundance. In addition, the stopping of charged particle in plasma has a considerable impact on the design of nuclear fusion reactors as it is related to the α-particle heating process and ion-driven fast ignition, but still needs better understanding. In this research, an experiment on laser-driven D–D fusion reactions (D + D → 3He + n) has been carried out to investigate the effects of ion stopping power in plasma on fusion reactivities. The neutron yields, plasma density, and deuteron energy loss in the plasma have been measured simultaneously, and the plasma temperature has been analyzed from simulations. It is experimentally demonstrated that the fusion reaction yield is closely correlated with ion beam transportation in the plasma. As a cold target heated to plasma, the reaction probabilities from a deuteron beam and deuterated target interactions can be enhanced or suppressed, which is ascribed to the deuteron stopping power variation in the plasma. The results show the importance of considering the temperature adjusted ion stopping power to correctly model the fusion reaction yields. This work has an impact on understanding the fusion reactions in plasma environment, which is also likely to help achieve higher neutron yields. [ABSTRACT FROM AUTHOR]

The radiography of gamma-ray is one of the most important non-destructive testing in many fields. However, the spot size is always in millimeter scale for the generation of gamma-ray by conventional way. As the development of laser wakefield acceleration, the electron beam with small divergence and spot size can be generated easily in the experiment by tens of terawatt ultra-short laser pulse. Based on this electron beam, gamma-ray with micro spot size is generated and the properties are measured and tested in detail experimentally. The experiment demonstrates that the spot size of this gamma-ray is always smaller than 200 μm, no matter the conversion target thickness, and can be as small as about 40 μm when the conversion target thickness of 0.2 mm is used. The spatial resolution of this gamma-ray is much better than 2.5 LP/mm, the fitting temperature (which is relative to the average energy of gamma-ray) is between 5 MeV and 8 MeV, and the maximum yield per shot of the gamma-ray can be up to 9.1 × 109 photons (energy higher than 1 MeV). High-resolution radiography shows that the areal density of the gamma-ray radiography can be up to 51.3 g/cm2 (stainless steel thickness equivalent is about 6.5 cm). Such micro-spot gamma-ray can play an important role in the high-resolution radiography of high areal density objects. [ABSTRACT FROM AUTHOR]

Infection‐related hospitalization during the peri‐dialysis period (PDP) in patients with end‐stage renal disease (ESRD) has received less attention. Considering the limited data, we explored the risk factors in this population. Retrospective analysis using the data system to examine factors for infection in ESRD during PDP between January 2012 and December 2017. Patients were divided into infected group and non‐infected group according to the history of infection. Binary Logistic Regression Model was used to search for risk factors. A total of 478 patients were hospitalized during their PDP. One hundred and ninety patients developed infection (39.75%). Thirty‐six patients (18.95%) had two or more infection events, all due to recurrent respiratory infections. The respiratory system was the main site of infection (63.68%), followed by the urinary system and digestive system. Compared with the non‐infected group, the infected group had more patients with hypoproteinemia and coronary heart disease. The following factors: C‐reactive protein >15 mg/L, procalcitonin >1 ng/L, neutrophil percentage >75%, age >52.5 years, platelet >300 × 109/L, neutrophil to lymphocyte ratio, and concomitant coronary heart disease were associated with the occurrence of infection in ESRD patients during PDP. Patients with ESRD have a high incidence of infection during the PDP, with respiratory infection most commonly seen. This research identified several factors associated with risk for infection, which should guide the design of infection prevention strategies. [ABSTRACT FROM AUTHOR]

Purpose: This cross-sectional study aimed to explore the association between the inflammation potential of the diet and malnutrition-inflammation status in Chinese maintenance hemodialysis (MHD) patients. Methods: Dietary Inflammatory Index (DII) was computed based on a semi-quantitative food frequency questionnaire. Malnutrition-inflammation status was assessed by six indexes, including C-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), hemoglobin (HB), albumin (ALB) and malnutrition-inflammation score (MIS). Multivariable linear regression and logistic regression were employed adjusting for covariables including age, gender, body mass index and dialysis vintage. Results: A total of 161 Chinese MHD patients with an average age of 60.0 ± 13.6 years were enrolled. The median (IQR) DII score among participants was 0.60 (− 0.80, 2.32), revealing a generally pro-inflammatory diet. DII was positively associated with MIS score (β= 0.61, 95% CI: 0.51, 0.69, p < 0.0001) and CRP (β = 0.54, 95% CI: 0.46, 0.63, p < 0.0001). A negative relationship between DII and NLR (β = − 0.37, 95% CI: − 0.61, − 0.13, p = 0.008) was found in the most anti-inflammatory diet. Multivariable logistic regression showed that each unit increase in DII was linked with 3.06 (95% CI: 1.39, 6.69, p = 0.005) times increased odds of MIS. Conclusion: Diet with a higher DII score may act as a potential trigger contributing to the development of malnutrition-inflammation status. Further studies for verification and for developing strategies to decrease the dietary inflammation burden are warranted. [ABSTRACT FROM AUTHOR]

The incidence of CKD seriously endangers people's health. Researchers have proposed that improving the intestinal barrier damage in CKD may be an effective target for delaying the progression of CKD. Rhubarb can effectively improve the intestinal barrier and renal fibrosis, which may be related to the regulation of gut dysbiosis, but the mechanism needs to be further studied. Short-chain fatty acids (SCFAs) are important metabolites of the gut microbiota and play an important role in maintaining the intestinal barrier. The purpose of this study was to investigate whether rhubarb enema regulates the production of short-chain fatty acid-related gut microbiota and improves the intestinal barrier damage of CKD. 5/6 nephrectomy rats were used as the animal model, sevelamer was used as the positive control group, and the sham operation rats were used as the control group. After 4 weeks of enema treatment, the general clinical indicators, short-chain fatty acid levels, renal pathology, intestinal tissue pathology, intestinal tight junction protein, and changes in gut microbiota were detected. The results showed that rhubarb enema can increase the level of short-chain fatty acids in the 5/6 nephrectomy model rats, improve the intestinal barrier damage, inhibit the decrease of intestinal tight junction proteins, reduce inflammation levels, improve kidney pathology, reduce blood creatinine levels, and regulate the intestinal tract, the abundance, and composition of the flora. Further correlation analysis showed that rhubarb enema increased the level of short-chain fatty acids in 5/6 nephrectomy model rats, which may be related to the 7 strains that may regulate the production of short-chain fatty acids. This study indicated that rhubarb enema can improve the intestinal barrier damage of 5/6 nephrectomy model rats and improve CKD, which may be related to the regulation of short-chain fatty acid-producing gut microbiota. [ABSTRACT FROM AUTHOR]

Objectives: Trimethylamine N-oxide (TMAO), a metabolic product of gut flora, is increased in chronic kidney disease (CKD) subjects and is recognized as one type of uremic toxins which is associated with poor cardiovascular outcomes and kidney function loss. Previous studies have suggested that rhubarb enema could reduce circulating uremic toxins such as urea, creatinine, and indoxyl sulfate and also regulate the intestinal microbiota. However, whether rhubarb enema retards kidney dysfunction by reducing circulating TMAO and its underlying mechanism, are still unclear. The present study aims to investigate the impact of rhubarb enema on TMAO and its precursors, as well as on the intestinal microbiota in 5/6 nephrectomized (5/6Nx) CKD rats. Design : Rats in the treatment groups were given rhubarb enema after modeling. At the end of the study, blood, feces, and kidney tissues were collected and processed for biochemical analyses, histological and western blot analyses, 16S rRNA sequence and untargeted metabolomic analyses. Results: Rhubarb enema reduced serum TMAO and trimethylamine (TMA) levels, inhibited the expression of inflammatory markers (interleukin-6, tumor necrosis factor α and Interferon- γ) and alleviated tubular atrophy, monocyte infiltration and interstitial fibrosis in 5/6Nx CKD rats. Moreover, rhubarb enema significantly increased the abundance of some symbiotic bacteria and probiotics , while reduced the abundance of some potential pathogens at the genus level. In addition, Spearman's correlation analysis revealed that lachnospiraceae and romboutsia were positively correlated with TMAO. Conclusion: Rhubarb enema decreases circulating TMAO level and improves renal fibrosis in 5/6Nx CKD rats, which may be related to the regulation of intestinal microbial community. [ABSTRACT FROM AUTHOR]

Single shot gamma-induced positron annihilation spectroscopy (GiPS) based on a laser wakefield accelerator is proposed. In this spectroscopy, a large number of gamma rays generated by laser-wakefield accelerated electrons are injected into a sample in a very short time (<2 ps), and the positron lifetime is detected by measuring the time profile of the annihilation radiation (511 keV gamma ray) from the sample. The processes including gamma-ray production, shielding, annihilation generation, and annihilation detection were simulated by using the Monte Carlo method. The results show that up to 1010 gamma rays with a duration of 1.4 ps can be produced per shot with a 45 TW laser system. A Cherenkov radiator PbF2 was used to detect the annihilation radiation, and its optimal thickness of 15 mm was obtained. A whole process simulation with optimized parameters was conducted. A low statistical fluctuation lifetime spectrum can be produced, which confirms the feasibility of single shot GiPS with a typical 45 TW laser system. [ABSTRACT FROM AUTHOR]

The results of a commissioning experiment on the SILEX-Ⅱ laser facility (formerly known as CAEP-PW) are reported. SILEX-Ⅱ is a complete optical parametric chirped-pulse amplification laser facility. The peak power reached about 1 PW in a 30 fs pulse duration during the experiment. The laser contrast was better than 1010 at 20 ps ahead of the main pulse. In the basic laser foil target interaction, a set of experimental data were collected, including spatially resolved x-ray emission, the image of the coherent transition radiation, the harmonic spectra in the direction of reflection, the energy spectra and beam profile of accelerated protons, hot-electron spectra, and transmitted laser energy fraction and spatial distribution. The experimental results show that the laser intensity reached 5 × 1020 W/cm2 within a 5.8 µm focus (FWHM). Significant laser transmission did not occur when the thickness of the CH foil was equal to or greater than 50 nm. The maximum energy of the accelerated protons in the target normal direction was roughly unchanged when the target thickness varied between 50 nm and 15 µm. The maximum proton energy via the target normal sheath field acceleration mechanism was about 21 MeV. We expect the on-target laser intensity to reach 1022 W/cm2 in the near future, after optimization of the laser focus and upgrade of the laser power to 3 PW. [ABSTRACT FROM AUTHOR]

The metal–nonmetal transition is of fundamental interest in contemporary physics. We present a combination of the optical reflectivity measurement of an expanded gold fluid produced by gold L-band x-rays from a Hohlraum and the corresponding ab initio calculations to study the metal–nonmetal transition. The averaged density and temperature of the reflective layer are derived from 1D radiation hydrodynamic simulations constrained by matching the expansion velocity obtained from the fringe shift. A sharp change in time-resolved reflectivity occurs at one third of the initial density, near where the metal–nonmetal transition is predicted to occur. The reflectivity calculated based on the Helmholtz equations with the dielectric function from the density functional theory calculations is compared with the experimental measurement. Disagreement of reflectivity between calculation and measurement probably originates from the energy shift of the dielectric function due to the inaccurate Kohn–Sham eigenvalue. More accurate methods on calculating the dielectric function are still needed to improve the calculated reflectivity. [ABSTRACT FROM AUTHOR]