Coexistence of Aedes aegypti and Aedes albopictus in Jinghong City, Yunnan Province: A Survey of Aedes aegypti Invasion

We conducted this study to confirm that Aedes aegypti has invaded and colonized in Xishuangbanna, Yunan province, China. And we conducted a larval survey for dengue mosquito vectors, Ae. aegypti and Ae. albopictus, to assess on possible competition for breeding sites between these both species in urban environment in Jinghong city. The study was carried out at least once a month in February and March, November and December, and three times for each month from April to October in 2014 in five communities in the municipality of Jinghong city. No less than 50 houses were surveyed each time in one place. We collected immature stages of mosquitoes from all types of breeding sites in houses and their premises. Morphological species identification was carried for Ae. aegypti and Ae. albopictus. Both species occurred in all surveyed areas. Aedes aegypti has occupied a considerable composition (67.75%) since the uncertain time of its first invasion to Jinghong city. Aedes aegypti was predominant species indoor (74.19%), but also presented in surrounding environment (25.81%); while Ae. albopictus favored the outdoor environment (54.55%) as well as in houses (45.45%). We gave the preference water containers (tires) for dengue vectors, described different distribution in different investigated places, and showed with monthly variance by indices of BI and CI. We gave our rational explanation for the variance with raining in this area, Aedes keep a high density value during the rainy season. For both dengue vectors, the possibility cannot be excluded that the invasion of Ae. aegypti in the city might lead to a decrease or elimination of Ae. albopictus in houses and dwellings. Furthermore, we also found that both dengue vectors have already occupied the breeding sites in houses and their premises with water container in Jinghong city, and both should be managed during dengue epidemic season. These findings from this study are relevant for dengue vector control programs

How does the recurrence-related morphology characteristics of the Pcom aneurysms correlated with hemodynamics?

IntroductionPosterior communicating artery (Pcom) aneurysm has unique morphological characteristics and a high recurrence risk after coil embolization. This study aimed to evaluate the relationship between the recurrence-related morphology characteristics and hemodynamics.MethodA total of 20 patients with 22 Pcom aneurysms from 2019 to 2022 were retrospectively enrolled. The recurrence-related morphology parameters were measured. The hemodynamic parameters were simulated based on finite element analysis and computational fluid dynamics. The hemodynamic differences before and after treatment caused by different morphological features and the correlation between these parameters were analyzed.ResultSignificant greater postoperative inflow rate at the neck (Qinflow), relative Qinflow, inflow concentration index (ICI), and residual flow volume (RFV) were reported in the aneurysms with wide neck (>4 mm). Significant greater postoperative RFV were reported in the aneurysms with large size (>7 mm). Significant greater postoperative Qinflow, relative Qinflow, and ICI were reported in the aneurysms located on the larteral side of the curve. The bending angle of the internal carotid artery at the initiation of Pcom (αICA@PCOM) and neck diameter had moderate positive correlations with Qinflow, relative Qinflow, ICI, and RFV.ConclusionThe morphological factors, including aneurysm size, neck diameter, and αICA@PCOM, are correlated with the recurrence-inducing hemodynamic characteristics even after fully packing. This provides a theoretical basis for evaluating the risk of aneurysm recurrence and a reference for selecting a surgical plan

Actively implementing an evidence-based feeding guideline for critically ill patients (NEED): a multicenter, cluster-randomized, controlled trial

Background: Previous cluster-randomized controlled trials evaluating the impact of implementing evidence-based guidelines for nutrition therapy in critical illness do not consistently demonstrate patient benefits. A large-scale, sufficiently powered study is therefore warranted to ascertain the effects of guideline implementation on patient-centered outcomes. Methods: We conducted a multicenter, cluster-randomized, parallel-controlled trial in intensive care units (ICUs) across China. We developed an evidence-based feeding guideline. ICUs randomly allocated to the guideline group formed a local "intervention team", which actively implemented the guideline using standardized educational materials, a graphical feeding protocol, and live online education outreach meetings conducted by members of the study management committee. ICUs assigned to the control group remained unaware of the guideline content. All ICUs enrolled patients who were expected to stay in the ICU longer than seven days. The primary outcome was all-cause mortality within 28 days of enrollment. Results: Forty-eight ICUs were randomized to the guideline group and 49 to the control group. From March 2018 to July 2019, the guideline ICUs enrolled 1399 patients, and the control ICUs enrolled 1373 patients. Implementation of the guideline resulted in significantly earlier EN initiation (1.20 vs. 1.55 mean days to initiation of EN; difference − 0.40 [95% CI − 0.71 to − 0.09]; P = 0.01) and delayed PN initiation (1.29 vs. 0.80 mean days to start of PN; difference 1.06 [95% CI 0.44 to 1.67]; P = 0.001). There was no significant difference in 28-day mortality (14.2% vs. 15.2%; difference − 1.6% [95% CI − 4.3% to 1.2%]; P = 0.42) between groups. Conclusions: In this large-scale, multicenter trial, active implementation of an evidence-based feeding guideline reduced the time to commencement of EN and overall PN use but did not translate to a reduction in mortality from critical illness. Trial registration: ISRCTN, ISRCTN12233792. Registered November 20th, 2017

Actively implementing an evidence-based feeding guideline for critically ill patients (NEED): a multicenter, cluster-randomized, controlled trial.

BackgroundPrevious cluster-randomized controlled trials evaluating the impact of implementing evidence-based guidelines for nutrition therapy in critical illness do not consistently demonstrate patient benefits. A large-scale, sufficiently powered study is therefore warranted to ascertain the effects of guideline implementation on patient-centered outcomes.MethodsWe conducted a multicenter, cluster-randomized, parallel-controlled trial in intensive care units (ICUs) across China. We developed an evidence-based feeding guideline. ICUs randomly allocated to the guideline group formed a local "intervention team", which actively implemented the guideline using standardized educational materials, a graphical feeding protocol, and live online education outreach meetings conducted by members of the study management committee. ICUs assigned to the control group remained unaware of the guideline content. All ICUs enrolled patients who were expected to stay in the ICU longer than seven days. The primary outcome was all-cause mortality within 28 days of enrollment.ResultsForty-eight ICUs were randomized to the guideline group and 49 to the control group. From March 2018 to July 2019, the guideline ICUs enrolled 1399 patients, and the control ICUs enrolled 1373 patients. Implementation of the guideline resulted in significantly earlier EN initiation (1.20 vs. 1.55 mean days to initiation of EN; difference - 0.40 [95% CI - 0.71 to - 0.09]; P = 0.01) and delayed PN initiation (1.29 vs. 0.80 mean days to start of PN; difference 1.06 [95% CI 0.44 to 1.67]; P = 0.001). There was no significant difference in 28-day mortality (14.2% vs. 15.2%; difference - 1.6% [95% CI - 4.3% to 1.2%]; P = 0.42) between groups.ConclusionsIn this large-scale, multicenter trial, active implementation of an evidence-based feeding guideline reduced the time to commencement of EN and overall PN use but did not translate to a reduction in mortality from critical illness.Trial registrationISRCTN, ISRCTN12233792 . Registered November 20th, 2017

Actively implementing an evidence-based feeding guideline for critically ill patients (NEED): a multicenter, cluster-randomized, controlled trial (vol 26, 46, 2022)

BackgroundPrevious cluster-randomized controlled trials evaluating the impact of implementing evidence-based guidelines for nutrition therapy in critical illness do not consistently demonstrate patient benefits. A large-scale, sufficiently powered study is therefore warranted to ascertain the effects of guideline implementation on patient-centered outcomes.MethodsWe conducted a multicenter, cluster-randomized, parallel-controlled trial in intensive care units (ICUs) across China. We developed an evidence-based feeding guideline. ICUs randomly allocated to the guideline group formed a local "intervention team", which actively implemented the guideline using standardized educational materials, a graphical feeding protocol, and live online education outreach meetings conducted by members of the study management committee. ICUs assigned to the control group remained unaware of the guideline content. All ICUs enrolled patients who were expected to stay in the ICU longer than seven days. The primary outcome was all-cause mortality within 28 days of enrollment.ResultsForty-eight ICUs were randomized to the guideline group and 49 to the control group. From March 2018 to July 2019, the guideline ICUs enrolled 1399 patients, and the control ICUs enrolled 1373 patients. Implementation of the guideline resulted in significantly earlier EN initiation (1.20 vs. 1.55 mean days to initiation of EN; difference - 0.40 [95% CI - 0.71 to - 0.09]; P = 0.01) and delayed PN initiation (1.29 vs. 0.80 mean days to start of PN; difference 1.06 [95% CI 0.44 to 1.67]; P = 0.001). There was no significant difference in 28-day mortality (14.2% vs. 15.2%; difference - 1.6% [95% CI - 4.3% to 1.2%]; P = 0.42) between groups.ConclusionsIn this large-scale, multicenter trial, active implementation of an evidence-based feeding guideline reduced the time to commencement of EN and overall PN use but did not translate to a reduction in mortality from critical illness.Trial registrationISRCTN, ISRCTN12233792 . Registered November 20th, 2017

An Automatic Classification Method of Well Testing Plot Based on Convolutional Neural Network (CNN)

The precondition of well testing interpretation is to determine the appropriate well testing model. In numerous attempts in the past, automatic classification and identification of well testing plots have been limited to fully connected neural networks (FCNN). Compared with FCNN, the convolutional neural network (CNN) has a better performance in the domain of image recognition. Utilizing the newly proposed CNN, we develop a new automatic identification approach to evaluate the type of well testing curves. The field data in tight reservoirs such as the Ordos Basin exhibit various well test models. With those models, the corresponding well test curves are chosen as training samples. One-hot encoding, Xavier normal initialization, regularization technique, and Adam algorithm are combined to optimize the established model. The evaluation results show that the CNN has a better result when the ReLU function is used. For the learning rate and dropout rate, the optimized values respectively are 0.005 and 0.4. Meanwhile, when the number of training samples was greater than 2000, the performance of the established CNN tended to be stable. Compared with the FCNN of similar structure, the CNN is more suitable for classification of well testing plots. What is more, the practical application shows that the CNN can successfully classify 21 of the 25 cases

Synthesis and Characterization of Enhanced Photocatalytic Activity With Li\u3csup\u3e+\u3c/sup\u3e-Doping Nanosized TiO\u3csub\u3e2\u3c/sub\u3e Catalyst

The photocatalytic efficiency of TiO2 is reduced by rapid electron–hole recombination. An effective approach to address this limitation is to have TiO2 doped with various metal ions or heteroatoms. Herein, we prepared a series of Li+-doped TiO2 nanoparticles showing high photocatalytic activities through the sol–gel method. The samples were characterized by X-ray diffraction (XRD) and surface area analyses. Effects of Li+ doping on the Brunauer–Emmett–Teller (BET) surface area, crystallite size, phase transformation temperature, and phase composition were studied. The results showed that Li+ doping can promote the generation of the rutile crystal phase in TiO2, lower the anatase-to-rutile transformation temperature, and generate the mixed-crystal effect. The photocatalytic degradation of methyl orange (MO) was used as a probe reaction to evaluate the photoactivity of the nanoparticles. Parameters affecting the photocatalytic efficiency, including the Li+ doping amount, calcination temperature, and catalyst amount, as well as the kinetics of the photocatalytic process toward the degradation of MO, were investigated. The mixed-crystal TiO2, which was doped with 1.0 mol % Li+ and calcined at 550 °C containing 27.1% rutile and 72.9% anatase phase, showed a 2.2-fold increase in the photoactivity on the basis of the rate constant of MO decomposition as compared with the undoped TiO2. The existence of a definite quantity of rutile phase could effectively inhibit the recombination of the electron–hole pairs, thus promoting photocatalytic activity