ANALYSIS ON 113 CASES OF ADVERSE REACTIONS CAUSED BY Β-LACTAM ANTIBIOTICS

The objectives of this study were to learn about the characteristics and rules of the occurrence of adverse reactions caused by lactam antibiotics and provide a reference for clinical drug use. Methods: A retrospective study was made to analyse the 113 case reports of adverse reactions caused by β-lactam antibiotics collected in our hospital between 2007 and 2009. Results: 113 cases of ADR involved 17 kinds of β-lactam antibiotics, headed by ceftriaxone sodium. The most common manifestation was skin and accessory damage; nervous system and gastrointestinal system damage were also easier to find, and the administration route was mainly intravenous infusion. Conclusion: The clinical application of β-lactam antibiotics should pay attention to adverse reaction monitoring and rational drug use to reduce the incidence of adverse reactions

Prognostic value of inflammatory nutritional scores in locally advanced esophageal squamous cell carcinoma patients undergoing neoadjuvant chemoimmunotherapy: a multicenter study in China

ObjectiveThis study investigates the prognostic significance of inflammatory nutritional scores in patients with locally advanced esophageal squamous cell carcinoma (LA-ESCC) undergoing neoadjuvant chemoimmunotherapy.MethodsA total of 190 LA-ESCC patients were recruited from three medical centers across China. Pre-treatment laboratory tests were utilized to calculate inflammatory nutritional scores. LASSO regression and multivariate logistic regression analyses were conducted to pinpoint predictors of pathological response. Kaplan-Meier and Cox regression analyses were employed to assess disease-free survival (DFS) prognostic factors.ResultsThe cohort comprised 154 males (81.05%) and 36 females (18.95%), with a median age of 61.4 years. Pathological complete response (pCR) was achieved in 17.38% of patients, while 44.78% attained major pathological response (MPR). LASSO and multivariate logistic regression analyses identified that hemoglobin, albumin, lymphocyte, and platelet (HALP) (P=0.02) as an independent predictors of MPR in LA-ESCC patients receiving neoadjuvant chemoimmunotherapy. Kaplan-Meier and log-rank tests indicated that patients with low HALP, MPR, ypT1-2, ypN0 and, ypTNM I stages had prolonged DFS (P < 0.05). Furthermore, univariate and multivariate Cox regression analyses underscored HALP (P = 0.019) and ypT (P = 0.029) as independent predictive factors for DFS in ESCC.ConclusionOur study suggests that LA-ESCC patients with lower pre-treatment HALP scores exhibit improved pathological response and reduced recurrence rate. As a comprehensive index of inflammatory nutritional status, pre-treatment HALP may be a reliable prognostic marker in ESCC patients undergoing neoadjuvant chemoimmunotherapy

2-[Difluoro(phenylselenyl)methyl]benzo-1,3-thiazole

This short note elaborates a concise protocol for the synthesis of 2-[difluoro(phenylselenyl)methyl]benzo-1,3-thiazole in two steps from the commercially available reagent 2-aminobenzenethiol. The structures of the synthesized compounds are confirmed by 1H-NMR, 13C-NMR and 19F-NMR spectroscopy, infrared (IR) spectra, and high-resolution mass spectrometry

Analytical Determination of Static Deflection Shape of an Asymmetric Extradosed Cable-Stayed Bridge Using Ritz Method

A practical method to analyze the mechanical behavior of the asymmetric extradosed cable-stayed (AECS) bridge is provided in this paper. The work includes the analysis of the equivalent membrane tension of the cables, the ratio of side-span cable force to middle-span cable force, and the deflection of the main girder subject to uniformly distributed load. The Ritz method is a simple and efficient way to solve composite structures, such as the AECS bridge, compared with the traditional force method, displacement method, or finite element method. The theoretical results obtained from the Ritz method are in good agreement with that from the finite element analysis, which shows the accuracy of this approach. Then, a parametric study of AECS bridges is carried out by using the proposed equations directly, instead of using the traditional finite element modeling process, which requires a lot of modeling work. As a result, reasonable values of very important parameters are suggested, which helps the readers reach a better understanding of the mechanical behavior of AECS bridges. More importantly, it helps the designers to enhance the efficiency in the stage of conceptual design

Constrained structure of ancient Chinese poetry facilitates speech content grouping

Ancient Chinese poetry is constituted by structured language that deviates from ordinary language usage; its poetic genres impose unique combinatory constraints on linguistic elements. How does the constrained poetic structure facilitate speech segmentation when common linguistic and statistical cues are unreliable to listeners in poems? We generated artificial Jueju, which arguably has the most constrained structure in ancient Chinese poetry, and presented each poem twice as an isochronous sequence of syllables to native Mandarin speakers while conducting magnetoencephalography (MEG) recording. We found that listeners deployed their prior knowledge of Jueju to build the line structure and to establish the conceptual flow of Jueju. Unprecedentedly, we found a phase precession phenomenon indicating predictive processes of speech segmentation—the neural phase advanced faster after listeners acquired knowledge of incoming speech. The statistical co-occurrence of monosyllabic words in Jueju negatively correlated with speech segmentation, which provides an alternative perspective on how statistical cues facilitate speech segmentation. Our findings suggest that constrained poetic structures serve as a temporal map for listeners to group speech contents and to predict incoming speech signals. Listeners can parse speech streams by using not only grammatical and statistical cues but also their prior knowledge of the form of language

Analytical Model for Early Design Stage of Cable-Stayed Suspension Bridges Based on Hellinger–Reissner Variational Method

The cable-stayed suspension bridge is one type of bridge that has been increasingly applied to bridge engineering, especially in cross-sea projects. However, the complex combined system of this type of bridge makes it quite difficult for researchers to make a quick decision of the parameter values during the design stage. The Hellinger–Reissner method is applied here to analyze the deformation and force of the structural members in the bridge. The advantage of this method is that the solving of deformation and force is independent of each other, which would enhance the accuracy of the final results. Different load conditions are also considered in the analysis. The results from the present method are compared with test results and finite element analysis, and show good agreements. It implies that the Hellinger–Reissner is a comparatively more efficient method to help designers choose the key parameters for cable-stayed suspension bridges

Influence of alkali metal cation (Li(I), Na(I), K(I)) on the construction of chiral and achiral heterometal-organic frameworks

No description supplie

Analysis of the Spatial–Temporal Distribution Characteristics of NO₂ and Their Influencing Factors in the Yangtze River Delta Based on Sentinel-5P Satellite Data

The recent rapid economic development in the Yangtze River Delta (YRD) has led to atmospheric destruction; therefore, it is imperative to solve the issue of atmospheric environmental pollution to ensure stable long-term development. Based on the NO2 column concentration observed by the TROPOMI (a tropospheric monitoring instrument) on the Sentinel-5P, the spatial–temporal distribution characteristics of the NO2 column concentration in the YRD from 2019 to 2020 were analyzed using the Google Earth Engine (GEE) platform, and the Geographical Detector (Geodetector) model was used to determine the driving factors of the NO2 column concentration. The results show that the correlation between the NO2 column concentration and the ground-monitored NO2 concentrations reached 70%. The annual variation trend of the NO2 column concentration exhibited a ‘U’-shaped curve, with the characteristics of ‘high in winter and low in summer, with a transition between spring and autumn’. It exhibited obvious agglomeration characteristics in terms of the spatial distribution, with a high-value agglomeration in the central region of the YRD, followed by the northern region, and a low-value agglomeration in the southern region, with higher altitudes. The change in the NO2 column concentration in the YRD was affected by both physical geographical factors and socio-economic factors; it is clear that the influence of socio-economic factors has increased

Combined Therapies of Modified Taiyi Miraculous Moxa Roll and Cupping for Patients with Lumbar Intervertebral Disc Herniation

Lumbar intervertebral disc herniation is a kind of syndrome caused by stimulation or pressure of nerve root and cauda equina due to intervertebral disc disorder, fibrous ring rupture, and pulpiform nucleus protrusion. Application of traditional Chinese medicine (TCM) including acupuncture therapy and cupping therapy is unique and effective treatment for lumbar intervertebral disc herniation in China. Hence, we try to investigate the combined clinical efficacy of modified Taiyi miraculous moxa roll and cupping therapy on patients with lumbar intervertebral disc herniation. Seventy patients were randomly assigned into combined treatment group (n=35) and control group (n=35). The treatment group received combined therapy of modified Taiyi miraculous moxa roll and cupping therapy, while control group received acupuncture therapy alone. Diagnostic criteria of TCM syndrome, Japanese Orthopedic Association (JOA) score, and simplified McGill pain questionnaire (MPQ) were used to evaluate the therapy. 11 and 13 out of 35 subjects in the combined treatment group had improvement > 75% and between 50% and 75%, respectively. The corresponding number was 2 and 22 of 35 subjects in the acupuncture group. There was significant difference in the clinical efficacy between the treatment group and control group (P=0.036). The scores of JOA and MPQ detected in the patients of the two groups (P<0.05) also showed statistically significant differences. Moreover, no serious adverse events occurred in the patients, who received cupping therapy or acupuncture. The combined or alone therapies can effectively improve the treatment efficacy in the patients with lumbar intervertebral disc herniation, while the combined therapies show more comparative effectiveness. Furthermore, the combined therapies are potentially safe and cost-effective and also benefit the improvement of short-term pain. Therefore, the combined therapies of the two ancient TCM deserve further clinical applications