Search

The ambient air quality standard (AAQS) is a vital policy instrument for protecting the environment and human health. Hainan Province is at the forefront of China's efforts to protect its ecological environment, with an official goal to achieve world-leading air quality by 2035. However, neither the national AAQS nor the World Health Organization guideline offers sufficient guidance for improving air quality in Hainan because Hainan has well met the former while the latter is excessively stringent. Consequently, the establishment of Hainan's local AAQS becomes imperative. Nonetheless, research regarding the development of local AAQS is scarce, especially in comparatively more polluted countries such as China. The relatively high background values and significant interannual fluctuations in air pollutant concentrations in Hainan present challenges in the development of local AAQS. Our research proposes a world-class local AAQS of Hainan Province by reviewing the AAQS in major countries or regions worldwide, analyzing the influence of different statistical forms, and carefully evaluating the attainability of the standard. In the proposed AAQS, the annual mean concentration limit for PM2.5, the annual 95th percentile of daily maximum 8-h mean (MDA8) concentration limit for O3, and the peak season concentration limit for O3 are set at 10, 120, and 85 μg/m3, respectively. Our study indicates that, with effective control policies, Hainan is projected to achieve compliance with the new standard by 2035. The implementation of the local AAQS is estimated to avoid 1,526 (1,253–1,789) and 259 (132–501) premature deaths attributable to long-term exposure to PM2.5 and O3 in Hainan in 2035, respectively.

Background: Neonatal lupus erythematosus (NLE) is an acquired autoimmune disease. NLE with liver function damage and cytomegalovirus colonization is rarely reported. Methods: This case describes a newborn male's laboratory testing found sustained liver function damage when he came to see the doctor due to oral candidiasis. The cause was identified through clinical symptoms, laboratory tests, auxiliary examinations, and family history of the patient. Results: The final diagnosis of the child was NLE with liver function damage and cytomegalovirus colonization according to comprehensive analysis and follow-up observation. Conclusions: NLE and cytomegalovirus colonization can both lead to liver function damage. When the organ function of newborns is abnormal, it is necessary to promptly investigate the cause and determine whether it is NLE. [ABSTRACT FROM AUTHOR]

Abstract Background Thrombotic thrombocytopenic purpura (TTP) is a rare hematological disorder. The occurrence of TTP subsequent to an emergent aortic valve replacement after a TAVR procedure is exceedingly uncommon with only a few reported cases worldwide. Case Presentation We report the case of a 70-year-old female patient diagnosed with aortic insufficiency. Following a transcatheter aortic valve replacement, she underwent emergency aortic valve replacement under cardiopulmonary bypass on the subsequent day due to heart valve displacement. The postoperative diagnosis revealed TTP and symptomatic treatment involving plasma exchange was administered. After demonstrating steady improvement, the patient was eventually discharged. Conclusion Aortic valve replacement after TAVR is a high-risk procedure and increases susceptibility for developing secondary TTP. The diagnosis and treatment of secondary TPP is considerably challenging, and early diagnosis with symptomatic treatment including plasma exchange can increase patient survival.

Abstract Right heart failure is a common complication after cardiac surgery, and its mortality remains high. The medical management and veno-arterial extracorporeal membrane oxygenation has shown significant improvement in the majority of cases. However, a minority of patients may still require long-term mechanical circulatory support or heart transplantation. Balloon atrial septostomy is a new method for the prevention and treatment of right heart failure, which may avoid the patient’s dependence on mechanical circulatory support. We used this method to try to treat patients with right heart failure after cardiac surgery, and all received good benefits. Therefore, we selected several representative cases to report, in order to guide other qualified cardiac surgeons to carry out relevant clinical practice.

In the present study, a field establishment was initiated in 2018 with eight treatment conditions using biochar application rates of 0, 10, 20, or 30 t/ha and nitrogen application rates of 0 or 150 kg/ha. After two years, the impact of biochar on carbon-nitrogen distributions, soil aggregate stability, and wheat yields was then assessed. The predominant mechanical aggregates after two years were > 5 mm and 2-5 mm granular aggregates, with notable increases in the amounts of these aggregates following the application of biochar with or without nitrogen that coincided with an increase in soil aggregate mechanical stability. Relative to control conditions, aggregate mean weight diameter (MWD) and geometric weight diameter (GMD) values rose by 17.6% and 24.3% for biochar with nitrogen treatment (N: 150 kg/ha; biochar: 20 t/ha), respectively. Biochar application alone and the application of both biochar and nitrogen fertiliser were associated with 6.4-20.2% and 20.7-42.7% increases in spring wheat yields, respectively. Overall, the results of these analyses highlight the value of applying biochar to improve soil quality and boost crop yields proximal to the study site. This study provided the scientific basis for the rational fertilisation and scientific management of biochar combined with nitrogen fertiliser in the irrigation area of Northern Xinjiang, China.

In today’s digital age, innovative artificial intelligence (AI) methodologies, notably machine learning (ML) approaches, are increasingly favored for their superior accuracy in anticipating the characteristics of cementitious composites compared to typical regression models. The main focus of current research work is to improve knowledge regarding application of one of the new ML techniques, i.e., gene expression programming (GEP), to anticipate the ultra-high-performance concrete (UHPC) properties, such as flowability, flexural strength (FS), compressive strength (CS), and porosity. In addition, the process of training a model that predicts the intended outcome values when the associated inputs are provided generates the graphical user interface (GUI). Moreover, the reported ML models that have been created for the aforementioned UHPC characteristics are simple and have limited input parameters. Therefore, the purpose of this study is to predict the UHPC characteristics while taking into account a wide range of input factors (i.e., 21) and use a GUI to assess how these parameters affect the UHPC properties. This input parameters includes the diameter of steel and polystyrene fibers (µm and mm), the length of the fibers (mm), the maximum size of the aggregate particles (mm), the type of cement, its strength class, and its compressive strength (MPa) type, the contents of steel and polystyrene fibers (%), and the amount of water (kg/m3). In addition, it includes fly ash, silica fume, slag, nano-silica, quartz powder, limestone powder, sand, coarse aggregates, and super-plasticizers, with all measurements in kg/m3. The outcomes of the current research reveal that the GEP technique is successful in accurately predicting UHPC characteristics. The obtained R2, i.e., determination coefficients, from the GEP model are 0.94, 0.95, 0.93, and 0.94 for UHPC flowability, CS, FS, and porosity, respectively. Thus, this research utilizes GEP and GUI to accurately forecast the characteristics of UHPC and to comprehend the influence of its input factors, simplifying the procedure and offering valuable instruments for the practical application of the model’s capabilities within the domain of civil engineering.

Shotcrete is widely used in mine and civil engineering as supporting structure. A new type of ultra-high-strength shotcrete (UHSSC) with viscosity-enhancing agent was taken as the research object in this paper. A microstructure model of UHSSC under different curing conditions (standard curing, natural curing and film curing) was reconstructed using X-ray computed tomography (X-CT). The grey theory was used to analyze the correlation between pore characteristics and strength of UHSSC. The results showed that the porosity and the pore size of UHSSC were significantly reduced, the compressive strength was obviously improved by the new spraying process. The effects of curing conditions on the pore characteristics and compressive strength of UHSSC were obvious. Under natural curing, the hydration degree was the highest, the maximum pore size was the smallest, and the compressive strength was the highest, reaching 95.8 MPa, but the porosity was the highest. The curing condition had a certain influence on the sphericity distribution of UHSSC pores. Under film curing, the proportion of special-shaped pores (S < 0.4) was the largest and compressive strength was the smallest. There was a good correlation between pore characteristic parameters and the compressive strength of UHSSC under different curing conditions. In particular, the large pore size (D ≥ 5000 µm) and special-shaped pores (S < 0.4) had obvious effects on the strength of UHSSC, and the grey correlation coefficients were 0.8539 and 0.8080, respectively. Additionally, the pore direction of UHSSC had obvious directionality, and the anisotropy of UHSSC may be more prominent than poured specimen. The results will lay a foundation for the study of its mechanical properties and durability.

A novel cascade visual control scheme is proposed to tailor for electrically driven robotic manipulators that operate under kinematic and dynamic uncertainties, utilizing an uncalibrated stationary camera. The proposed control approach incorporates adaptive weight radial basis function neural networks (RBFNNs) to learn the behaviors of the uncertain dynamics of the robot and the joint actuators. The controllers are designed to nullify the approximation error and mitigate unknown disturbances through an integrated robust adaptive mechanism. A major advantage of the proposed approach is that prior knowledge of the dynamics of the robotic manipulator and its actuator is no longer required. The controller autonomously assimilates the robot and actuator dynamics online, thereby obviating the need for fussy regression matrix derivation and advance dynamic measurement to establish the adaptive dynamic parameter update algorithm. The proposed scheme ensures closed-loop system stability, bounded system states, and the convergence of tracking errors to zero. Simulation results, employing a PUMA manipulator as a testbed, substantiate the viability of the proposed control policy.

Dexamethasone (Dex) is a widely used glucocorticoid in medical practice, with applications ranging from allergies and inflammation to cerebral edema and shock. Despite its therapeutic benefits, Dex is classified as a prohibited substance for athletes due to its potential performance-enhancing effects. Consequently, there is a critical need for a convenient and rapid detection platform to enable prompt and accurate testing of this drug. In this study, we propose a label-free Förster Resonance Energy Transfer (FRET) aptasensor platform for Dex detection utilizing conjugated polymers (CPs), cationic conjugated polymers (CCPs), and gene finder probes (GFs). The system operates by exploiting the electrostatic interactions between positively charged CCPs and negatively charged DNA, facilitating sensitive and specific Dex detection. The label-free FRET aptasensor platform demonstrated robust performance in detecting Dex, exhibiting high selectivity and sensitivity. The system effectively distinguished Dex from interfering molecules and achieved stable detection across a range of concentrations in a commonly used sports drink matrix. Overall, the label-free FRET Dex detection system offers a simple, cost-effective, and highly sensitive approach for detecting Dex in diverse sample matrices. Its simplicity and effectiveness make it a promising tool for anti-doping efforts and other applications requiring rapid and accurate Dex detection.

Shotcrete is widely used in civil engineering as a supporting structure. In this paper, the compressive behavior of ultra-high-performance shotcrete (UHPSC) with different steel fiber content by volume (0, 0.5%, 0.75%, 1%, 1.25%, 1.5%) was investigated. The results showed that the failure pattern of UHPSC was changed from brittle failure to ductile failure with the increase in steel fiber content. The compressive strength, peak strain and compressive toughness of UHPSC increased with the increase in steel fiber content, but the elastic modulus and Poisson’s ratio did not change significantly. With content of 1.5% steel fibers, its axial compressive strength, peak strain and compressive strain energy were 122.7 MPa, 3749 με and 0.269 MPa, respectively, increased by 14%, 23.5% and 55.5% compared with those without steel fiber. The peak strain and compressive toughness were higher than that of ultra-high-performance concrete (UHPC), while the elastic modulus of UHPSC was lower than that of UHPC. Based on the experimental data, the relationship between compressive strength, peak strain, compressive toughness and the change in the characteristic value of steel fiber content (λf) were revealed. The uniaxial compressive constitutive model of UHPSC with different steel fiber content was established and reflected the change rule of the shape parameter of α (constitutive model ascending section) and β (constitutive model descending section) with λf. The experimental results were in good agreement with the model calculation results, which can provide theoretical support for the structural design of UHPSC.

Caffeine has attracted significant attention from researchers in the sports field due to its well-documented ergogenic effects across various athletic disciplines. As research on caffeine continues to progress, there has been a growing emphasis on evaluating caffeine dosage and administration methods. However, investigations into the optimal timing of caffeine intake remain limited. Therefore, this narrative review aimed to assess the ergogenic effects of caffeine administration at different times during the morning (06:00 to 10:00) and evening (16:00 to 21:00). The review findings suggest that circadian rhythms play a substantial role in influencing sports performance, potentially contributing to a decline in morning performance. Caffeine administration has demonstrated effectiveness in mitigating this phenomenon, resulting in ergogenic effects and performance enhancement, even comparable to nighttime levels. While the specific mechanisms by which caffeine regulates circadian rhythms and influences sports performance remain unclear, this review also explores the mechanisms underlying caffeine’s ergogenic effects, including the adenosine receptor blockade, increased muscle calcium release, and modulation of catecholamines. Additionally, the narrative review underscores caffeine’s indirect impact on circadian rhythms by enhancing responsiveness to light-induced phase shifts. Although the precise mechanisms through which caffeine improves morning performance declines via circadian rhythm regulation necessitate further investigations, it is noteworthy that the timing of caffeine administration significantly affects its ergogenic effects during exercise. This emphasizes the importance of considering caffeine intake timing in future research endeavors to optimize its ergogenic potential and elucidate its mechanisms.

Hollow structures reduce weight without compromising load-bearing capacity and are widely used. The new Glass-Fiber-Reinforced Polymer high-strength thin-walled inner mold simplifies internal cavity construction and boosts structural performance. This study first investigates the influence of a GFRP high-strength thin-walled circular tube on the cross-sectional load-carrying capacity of hollow slabs. Then, a formula for the bending load-carrying capacity of the section under the action of the tube is derived. The results indicate that when the height of the concrete compression zone meets certain conditions, GFRP high-strength thin-walled circular tubes can improve the ultimate load-carrying capacity of the hollow floor slabs. In order to achieve a more economical design, the bending moment modification of a GFRP high-strength thin-walled circular tube of a continuous slab was studied. Research has found that the bending moment modulation limit for a continuous slab is 35.65% when it is subjected to a load of Pu=24 kN. Experimental analysis has shown that the results are generally consistent with the calculations. In practical engineering, the application of a GFRP high-strength thin-walled circular tube of continuous slabs has limitations. Therefore, this study investigated a GFRP high-strength thin-walled honeycomb core slab and found that its ultimate load-bearing capacity is greater compared to waffle slabs. In addition, the stress performance of the GFRP high-strength thin-walled honeycomb core internal mold is superior, making it more promising for practical applications.

To repair reinforced concrete beams efficiently in a limited building space, the four-sided application of a reinforcing thin layer of reactive powder concrete (“RPCTL”) was proposed to improve the bending capacity of the members. Static flexural tests of one comparison beam and five reinforced beams were completed on a four-point centralized loading device. Changes in deflection, cracks, stresses, and damage characteristics of the specimens were measured under various levels of loading. The test results showed that the damage patterns of the reinforced specimens were dominated by the yielding of longitudinal tensile reinforcement at the bottoms of the beams and the crushing of the cementitious material in the top compression zones of the beams. The cracking load greatly increased by 1.42 to 7.12 times, and the ultimate bearing capacity increased by 0.29 to 1.41 times. The distribution characteristics and dynamic changes in the displacement, stress, and damage of the specimens were dynamically simulated by finite element software. The effects of reinforcement and initial load-holding level on the reinforcement effect were investigated. A bending capacity calculation formula for RPCTL reinforcement technology is proposed that aligns with the test results and can provide a reference for the design of RPCTL reinforcement.

The huge demand for sand and gravel resources in road engineering construction leads to excessive consumption of resources and environmental damage. Recycling waste concrete and industrial solid waste as a road material is a promising alternative. In order to explore the application of these solid wastes in the road base, this paper studies the effect of adding lithium slag activated by an alkaline activator, fly ash (FA) and a combination of the two on the compressive strength, splitting strength and shrinkage performance of recycled cement-stabilized macadam mixture (RCSM). The optimum content of recycled aggregate (RA), alkali-activated lithium slag (AALS) and FA in composite-improved RCSM was optimized using a response surface method (Box–Behnken), and the microscopic characteristics of the mixture were analyzed using X-ray diffraction (XRD) and scanning electron microscopy (SEM). The results show that the optimum dosage of AALS, FA and RA determined by the response surface method is 15%, 10% and 40%, respectively. Compared with the cement-stabilized macadam mixture (CSM) with 40% RA, the 28 d compressive strength and 28 d splitting strength of the composite-improved RCSM are increased by 26.8% and 22.9%, respectively, and the dry shrinkage coefficient and average temperature shrinkage coefficient are decreased by 25.8% and 14.8%, respectively. Microscopic tests show that AALS and FA participate in the hydration reaction, generate more hydrated silicate (C-S-H) and ettringite (AFt), refine pores, effectively improve the performance of the internal interface transition zone of the mixture, make the microstructure of the mixture denser, and improve the strength and shrinkage performance of RCSM. This study provides technical support for the reuse of resources and the sustainable development of road construction.

In this paper, we investigate the orbit-adjustment problem of satellite systems in the presence of nonlinear uncertainties in kinematics and dynamics. We propose a novel direct adaptive fuzzy control scheme with prescribed tracking accuracy to address uncertain nonlinear dynamics by employing advanced fuzzy logic systems and integrating a class of sophisticated smooth functions, thereby ensuring convergence of the tracking error within a precisely defined interval. The ingeniously designed control scheme guarantees negative semi-definiteness of the Lyapunov function, ensuring boundedness for all variables. Moreover, our groundbreaking control approach requires only one adaptive law, completely eliminating any direct correlation with the number of nonlinear functions. Simulation results unequivocally validate the remarkable effectiveness and superiority of our innovative control approach.