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- Jin, Ying-Hui, et al.
(författare)
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Chemoprophylaxis, diagnosis, treatments, and discharge management of COVID-19 : An evidence-based clinical practice guideline (updated version)
- 2020
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Ingår i: Military Medical Research. - : Springer Science and Business Media LLC. - 2054-9369. ; 7:1
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Tidskriftsartikel (refereegranskat)abstract
- The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a rapidly spreading illness, coronavirus disease 2019 (COVID-19), affecting more than seventeen million people around the world. Diagnosis and treatment guidelines for clinicians caring for patients are needed. In the early stage, we have issued "A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version)"; now there are many direct evidences emerged and may change some of previous recommendations and it is ripe for develop an evidence-based guideline. We formed a working group of clinical experts and methodologists. The steering group members proposed 29 questions that are relevant to the management of COVID-19 covering the following areas: chemoprophylaxis, diagnosis, treatments, and discharge management. We searched the literature for direct evidence on the management of COVID-19, and assessed its certainty generated recommendations using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Recommendations were either strong or weak, or in the form of ungraded consensus-based statement. Finally, we issued 34 statements. Among them, 6 were strong recommendations for, 14 were weak recommendations for, 3 were weak recommendations against and 11 were ungraded consensus-based statement. They covered topics of chemoprophylaxis (including agents and Traditional Chinese Medicine (TCM) agents), diagnosis (including clinical manifestations, reverse transcription-polymerase chain reaction (RT-PCR), respiratory tract specimens, IgM and IgG antibody tests, chest computed tomography, chest x-ray, and CT features of asymptomatic infections), treatments (including lopinavir-ritonavir, umifenovir, favipiravir, interferon, remdesivir, combination of antiviral drugs, hydroxychloroquine/chloroquine, interleukin-6 inhibitors, interleukin-1 inhibitors, glucocorticoid, qingfei paidu decoction, lianhua qingwen granules/capsules, convalescent plasma, lung transplantation, invasive or noninvasive ventilation, and extracorporeal membrane oxygenation (ECMO)), and discharge management (including discharge criteria and management plan in patients whose RT-PCR retesting shows SARS-CoV-2 positive after discharge). We also created two figures of these recommendations for the implementation purpose. We hope these recommendations can help support healthcare workers caring for COVID-19 patients.
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- Gong, Ze, et al.
(författare)
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The Association Between Quadriceps Strength and Synovitis in Knee Osteoarthritis : An Exploratory Study From the Osteoarthritis Initiative
- 2023
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Ingår i: The Journal of rheumatology. - : The Journal of Rheumatology. - 0315-162X .- 1499-2752. ; 50:4, s. 548-555
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The aim of this study was to explore the association between quadriceps strength and synovitis in knee osteoarthritis (KOA). METHODS: This study was derived from the Osteoarthritis Initiative (OAI), which recruited adults from the OAI cohort with or at risk of KOA. Knees with complete records of isometric quadriceps strength and effusion-synovitis and Hoffa-synovitis assessments were included. Quadriceps strength was measured isometrically at baseline. Effusion-synovitis and Hoffa-synovitis were measured using the Magnetic Resonance Imaging Osteoarthritis Knee Score at baseline and at 1-year and 2-year follow-ups. Generalized estimating equations were used to analyze the associations of baseline quadriceps strength with changes in effusion-synovitis and Hoffa-synovitis in multivariable analyses. Additionally, analyses were stratified by synovitis-driven inflammatory phenotypes. RESULTS: A total of 1513 knees were included in this study. In total, 61% of the subjects were female; subjects had an average age of 61.9 (SD 8.8) years and a mean BMI of 29.4 (SD 4.7). Regarding the whole population, baseline quadriceps strength was negatively associated with baseline effusion-synovitis and follow-up changes in effusion-synovitis (odds ratio [OR] 0.77-0.86), but no significant association was observed in terms of Hoffa-synovitis. Stratified by synovitis-driven inflammatory phenotype, baseline quadriceps strength was significantly associated with follow-up changes in effusion-synovitis-but not in Hoffa-synovitis-in the population with existing effusion-synovitis (OR 0.75-0.79). CONCLUSION: Higher baseline quadriceps strength was negatively associated with changes in effusion-synovitis-but not in Hoffa-synovitis-especially in the population with existing effusion-synovitis. Our findings suggested a potential protective role of the quadriceps in effusion-synovitis.
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- Arias, M. C., et al.
(författare)
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Permanent Genetic Resources added to Molecular Ecology Resources Database 1 February 2013-31 March 2013
- 2013
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Ingår i: Molecular Ecology Resources. - : Wiley. - 1755-098X .- 1755-0998. ; 13:4, s. 760-762
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Tidskriftsartikel (refereegranskat)abstract
- This article documents the addition of 142 microsatellite marker loci to the Molecular Ecology Resources database. Loci were developed for the following species: Agriophyllum squarrosum, Amazilia cyanocephala, Batillaria attramentaria, Fungal strain CTeY1 (Ascomycota), Gadopsis marmoratus, Juniperus phoenicea subsp. turbinata, Liriomyza sativae, Lupinus polyphyllus, Metschnikowia reukaufii, Puccinia striiformis and Xylocopa grisescens. These loci were cross-tested on the following species: Amazilia beryllina, Amazilia candida, Amazilia rutila, Amazilia tzacatl, Amazilia violiceps, Amazilia yucatanensis, Campylopterus curvipennis, Cynanthus sordidus, Hylocharis leucotis, Juniperus brevifolia, Juniperus cedrus, Juniperus osteosperma, Juniperus oxycedrus, Juniperus thurifera, Liriomyza bryoniae, Liriomyza chinensis, Liriomyza huidobrensis and Liriomyza trifolii.
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- Chen, Shuang, et al.
(författare)
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Quantitative measurement of hydroxyl radical (OH) concentration in premixed flat flame by combining laser-induced fluorescence and direct absorption spectroscopy
- 2016
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Ingår i: Chinese Physics C. - : IOP Publishing. - 1674-1137 .- 1674-1056. ; 25:10
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Tidskriftsartikel (refereegranskat)abstract
- An accurate and reasonable technique combining direct absorption spectroscopy and laser-induced fluorescence (LIF) methods is developed to quantitatively measure the concentrations of hydroxyl in CH4/air flat laminar flame. In our approach, particular attention is paid to the linear laser-induced fluorescence and absorption processes, and experimental details as well. Through measuring the temperature, LIF signal distribution and integrated absorption, spatially absolute OH concentrations profiles are successfully resolved. These experimental results are then compared with the numerical simulation. It is proved that the good quality of the results implies that this method is suitable for calibrating the OH-PLIF measurement in a practical combustor.
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- Wang, Xin-Ping, et al.
(författare)
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Effects of surface characteristics on infiltration patterns in an arid shrub desert
- 2007
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Ingår i: Hydrological Processes. - : Wiley. - 1099-1085 .- 0885-6087. ; 21:1, s. 72-79
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Tidskriftsartikel (refereegranskat)abstract
- Precipitation is often the sole source of water replenishment in arid and semi-arid areas and, thus, plays a pertinent role in sustaining desert ecosystems. Revegetation over 40 years using mainly Artemisia ordosica and Caragana korshinskii at Shapotou Desert Experimental Research Station near Lanzhou, China, has established a dwarf-shrub and microbiotic soil crust cover on the stabilized sand dunes. The redistribution of infiltrated moisture through percolation, root extraction, and evapotranspiration pathways was investigated. Three sets of time-domain reflectometry (TDR) probes were inserted horizontally at 5, 10, 15, 20, 30 and 40 cm depths below the ground surface in a soil pit. The three sets of TDR probes were installed in dwarf-shrub sites of A. ordosica and C. korshinskii community with and without a microbiotic soil crust cover, and an additional set was placed in a bare sand dune area that had neither vegetation nor a microbiotic soil crust present. Volumetric soil moisture content was recorded at hourly intervals and used in the assessment of infiltration for the different surface covers. Infiltration varied greatly, from 7.5 cm to more than 45 cm, depending upon rainfall quantity and soil surface conditions. In the shrub community area without microbiotic soil crust cover, infiltration increased due to preferential flow associated with root tunnels. The microbiotic soil crust cover had a significant negative influence on the infiltration for small rainfall events (similar10 mm), restricting the infiltration depth to less than 20 cm and increasing soil moisture content just beneath the soil profile of 10 cm, whereas it was not as strong or clear for larger rainfall events (similar60 mm). For small rainfall events, the wetting front depth for the three kinds of surface cover was as follows: shrub community without microbiotic soil crust > bare area > shrub community with microbiotic soil crust. In contrast, for large rainfall events, infiltration was similar in shrub communities with and without microbiotic soil crust cover, but significantly higher than measured in the bare area. Soil water extraction by roots associated with evapotranspiration restricted the wetting front penetration after 1 to 3 h of rainfall. Copyright © 2006 John Wiley & Sons, Ltd.
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- Wu, Zi Yi, et al.
(författare)
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Convective transport characteristics of condensing droplets in moist air flow
- 2023
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Ingår i: Physics of Fluids. - : AIP Publishing. - 1070-6631 .- 1089-7666. ; 35:2
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Tidskriftsartikel (refereegranskat)abstract
- Condensation of convective moist air flow is a crucial physical process and is directly related to various industries. It is essential to understand the underlying growth mechanism of condensing droplets, while past studies have commonly considered convective transport with a negligible/simplified approach. In this work, a three-dimensional transient multiphysics coupling model was developed to investigate the transport characteristics of condensing droplets in convective moist air flow. This model typically interconnects heat transfer with vapor-liquid phase change, mass transport, and fluid flow. The results reveal that convective flow significantly dominates heat and mass transport during condensation. On the gas side, the incoming flow thins the diffusion layer at the windward part with a large concentration gradient. However, a low vapor-concentration zone behind the droplet is formed due to the resulting rear-side vortex, which presents an increased influence as the contact angle increases. By forcing molecular diffusion with convection transport, vapor transport from surroundings to the condensing interface is enhanced several times depending on the Reynolds number. Within the droplet, the flow shearing at the interface is principally responsible for the strong internal convection, while the Marangoni effect is negligible. The internal flow greatly affects the droplet temperature profile with a large gradient close to the base. Finally, convective flow contributes to over 3.3 times higher overall heat transfer coefficient than the quiescent environment. In addition, in interaction-governed growth, transport characteristics depend on not only the size and space distributions of droplets but also the interaction between droplets and convective flow.
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- Zheng, Shao Fei, et al.
(författare)
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An inverse optimization of turbulent flow and heat transfer for a cooling passage with hierarchically arranged ribs in turbine blades
- 2024
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Ingår i: International Journal of Heat and Mass Transfer. - 0017-9310. ; 220
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Tidskriftsartikel (refereegranskat)abstract
- Owing to the limited cold-air amount and pressure in supply systems, high-efficient heat transfer with low-level friction loss is highly desired for cooling units of a turbine blade. To exploit the potential improvement of hierarchically arranged ribs in cooling passages proposed previously, multi-parameter optimizations for rib arrangements are implemented by integrating the simplified conjugate-gradient algorithm with the turbulent flow and heat transfer model. Rib heights as design variables are optimized with various performance indices as objective functions at a fixed Re. The optimizations confirm that using the wall temperature difference and Nu as the objective function, respectively, a limited heat transfer improvement is achieved with a greatly increased friction loss. Taking the overall performance factor as the objective function, different optimal designs at different constraint conditions possess hierarchical characteristics. A significant friction loss reduction of 52.1%, 54.7%, and 54.8%, is achieved with a moderate heat transfer loss of 10.9%, 7.0%, and 2.3%. Despite different thermal and friction performances, their overall performances are consistent with a remarkable increase of 13.9%, 21.2%, and 27.3%. Finally, the optimization strategy coupling the multi-parameter optimization and hierarchical scheme is confirmed as effective for enhancing the thermohydraulic performance of convective heat transfer systems with perturbation elements.
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