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To summarize the practice of Traditional Chinese medicine nursing rounds based on integration of medical care model for a patient with severe acute biliary pancreatitis. Doctors and nurses in charge developed the nursing plan cooperatively, and nurses carried out targeted nursing interventions based on the analysis of disease prognosis, clinical lab examination and clinical symptoms. The nursing rounds based on integration of medical care model was conducive to the recovery of the patient. (本文总结1例重症急性胆源性胰腺炎患者的医护一体化中医护理查房经验。由主管医护共同参与制定护理计划, 实施护理干预措施, 分析患者疾病转归、化验指标以及临床症状改善情况等, 以加快患者排气排便, 促进病情恢复。)

Fully understand the development of suppliers in order to make better supplier selection. This paper is based on the knowledge graph, through the knowledge updating of the knowledge graph combined with the Transformer model for knowledge extraction of supplier entity relationship, forming the ternary semantic information of supplier entity relationship. Then, based on the big data platform for the construction of supplier holographic portrait and knowledge storage, through information integration, analysis and other links to identify the supplier attributes for label definition. Taking cell phone product suppliers as an example, we use Python technology to obtain relevant data and validate the specific role of supplier holographic portrait in terms of the supplier’s comprehensive strength, behavioral prediction, transaction closeness, and comprehensive evaluation. The results show that: the correlation between the comprehensive strength of suppliers and the amount of winning bids is strong, and its R2 test result is 0.5924, and it can realize the behavioral prediction of suppliers in the supply chain. Supplier H offers a range of cell phone products in 2022, which is 17.62%21.17% higher than the benchmark market price. The holographic portrait of suppliers based on a knowledge graph combined with a big data platform can meet the need to carry out an all-around analysis of suppliers and provide more accurate support for diversified decision-making on the demand side.

Purpose: Pain management for spinal facet joint (SFJ) and sacroiliac joint (SIJ) pain is challenging, often requiring interventions like radiofrequency ablation (RFA) or corticosteroid injections (CI). This study aims to assess and compare the effectiveness of CI and RFA in treating SFJ and SIJ pain. We combine these treatments due to their shared pathophysiology, similar therapeutic interventions, and the necessity for an integrated approach to spinal pain management. Patients and methods: Literature search from PubMed, Scopus, CENTRAL and Google Scholar for published studies upto 31st December 2023, and reporting data of patients who were treated using CI of RFA for SFJ and SIJ pain. Pooled standardized mean difference (SMD) with a 95% Confidence Interval (CI) was calculated. Results: Our meta-analysis incorporated thirteen studies. Overall, patients, treated with CI had a higher pain intensity score compared to patients treated with RFA (SMD=0.92; 95% CI: 0.19 to 1.65) at 3 months, and at 6 months (SMD=1.53; 95% CI: 0.66 to 2.40) after the treatment. No significant association was reported at 12 months (SMD=1.47; 95% CI: − 0.03 to 2.97). Subgroup analysis based on joint types revealed increased pain intensity scores in patients who were treated with CI for SIJ (SMD=1.25; 95% CI: 0.39 to 2.11) and SFJ (SMD=1.33; 95% CI: 0.09 to 2.57) pain. A negative but not significant effect was detected in patients, treated with CI for cervical joint pain (SMD=− 0.40; 95% CI: − 0.90 to 0.10). Patients treated with CI exhibited higher functional disability score compared to patients treated with RFA at 3 months (SMD=1.28; 95% CI: 0.20 to 2.35) post-treatment. Conclusion: This study suggests that RFA may offer superior pain relief with longer duration compared to steroid injections for spinal facet and sacroiliac joint pain. Decision regarding specific interventions should be individualized and consider patient preferences, clinical context, and potential risks. [ABSTRACT FROM AUTHOR]

In this work, stacked SiC fibers paper‐reinforced SiC ceramic matrix composites (SiCnf/SiC CMCs) were prepared by nanoimpregnation and transient eutectic (NITE) process using ultra‐long single‐crystal SiC nanofibers. The effect of the SiCnf surface modification via boron nitride (BN) interphase deposition as well as the sintering additive (Al2O3–Y2O3) content on the density, microstructure, and mechanical properties of SiCnf/SiC CMCs has been investigated systematically. The results revealed that the laminated SiCnf/SiC CMCs feature a significant saw‐tooth‐like curve on the load–displacement test, which indicates that the obtained laminated structure with the weak interlayer binding owning to the BN coating treatment possesses significant toughening to the SiC ceramics. Specifically, the SiCnf/SiC CMCs with the sintering additive content of 12 wt% revealed a fracture toughness of over 10 MPa m1/2 after 60 min of BN interface deposition, which is 104.31% higher than that of the composites prepared without BN coating. [ABSTRACT FROM AUTHOR]

Let $\mathcal {M}$ be an Ahlfors $n$ -regular Riemannian manifold such that either the Ricci curvature is non-negative or the Ricci curvature is bounded from below together with a bound on the gradient of the heat kernel. In the paper [IMRN, 2022, no. 2, 1245-1269] of Brazke–Schikorra–Sire, the authors characterised the BMO function $u : \mathcal {M} \to \mathbb {R}$ by a Carleson measure condition of its $\sigma$ -harmonic extension $U:\mathcal {M}\times \mathbb {R}_+ \to \mathbb {R}$. This paper is concerned with the similar problem under a more general Dirichlet metric measure space setting, and the limiting behaviours of BMO & Carleson measure, where the heat kernel admits only the so-called diagonal upper estimate. More significantly, without the Ricci curvature condition, we relax the Ahlfors regularity to a doubling property, and remove the pointwise bound on the gradient of the heat kernel. Some similar results for the Lipschitz function are also given, and two open problems related to our main result are considered. [ABSTRACT FROM AUTHOR]

Here, we report a strategy enabling triple switchable chemo‐, regio‐, and stereodivergence in newly developed palladium‐catalyzed cycloadditions of allenes. An asymmetric pseudo‐stereodivergent cycloaddition of allenes bearing a primary leaving group at the α‐position, where a dynamic kinetic asymmetric hydroalkoxylation of racemic unactivated allenes was the enantio‐determining step, is realized, providing four stereoisomers [(Z,R), (Z,S), (E,S), and (E,R)] containing a di‐substituted alkene scaffold and a stereogenic center. By tuning reaction conditions, a mechanistically distinctive cycloaddition is uncovered selectively with the same set of substrates. By switching the position of the leaving group of allenes, a cycloaddition involving an intermolecular O‐attack is disclosed. Diverse mechanisms of the cycloaddition reactions of allenes enable rapid access to structurally and stereochemically diverse 3,4‐dihydro‐2H‐1,4‐benzoxazines in high efficiency and selectivity. [ABSTRACT FROM AUTHOR]

Let |$({\mathcal{M}},d,\mu)$| be the metric measure space with a Dirichlet form |$\mathscr{E}$|⁠. In this paper, we obtain that the Campanato function and the Lipschitz function do always coincide. Our approach is based on the harmonic extension technology, which extends a function u on |${\mathcal{M}}$| to its Poisson integral P t u on |${\mathcal{M}}\times\mathbb{R}_+$|⁠. With this tool in hand, we can utilize the same Carleson measure condition of the Poisson integral to characterize its Campanato/Lipschitz trace, and hence, they are equivalent to each other. This equivalence was previously obtained by Macías–Segovia [Adv. Math. 1979]. However, we provide a new proof, via the boundary value problem for the elliptic equation. This result indicates the famous saying of Stein–Weiss at the beginning of Chapter II in their book [Princeton Mathematical Series, No. 32, 1971]. [ABSTRACT FROM AUTHOR]