Risk factors for repeat percutaneous coronary intervention in young patients (≤45 years of age) with acute coronary syndrome

Background The incidences of premature coronary heart disease present a rising trend worldwide. The possible risk factors that may predict the incidence of repeat percutaneous coronary intervention (PCI) in premature acute coronary syndrome (ACS) remains unclear. Methods A total of 203 patients ≤45 years with ACS from Chinese PLA General Hospital who have undergone angiography twice were included in this report. Data were collected from medical records of patients during hospitalization. Baseline characteristics which have significant differences in the univariate analysis were enrolled into the multiple logistic regression analysis. According to the odds ratio (OR) of these variables, different values were assigned to build a risk model to predict the possible risk of the premature ACS patients undergoing repeat PCI. Results Of the 203 young patients, 88 patients (43.3%) underwent repeat PCI. The intermit time (OR 1.002, (95% CI [1.001–1.002])), diastolic blood pressure of second procedure (OR 0.967, (95% CI [0.938–0.996])), stent diameter (OR 0.352, (95% CI [0.148–0.840])), HbA1C of the first procedure (OR 1.835, (95% CI [1.358–2.479])), and Troponin T of the second procedure (OR 1.24, (95% CI [0.981–1.489])) were significantly associated with the incidence of repeat PCI in patients with premature ACS. An aggregate score between 0 and 6 was calculated based on these cutpoints. Conclusion For young patients with premature ACS, risk of undergoing repeat PCI was high. HbA1C was a significant, independent predictor for the incidence of repeat revascularization, and weighed more than traditional lipid profile. The glucose metabolism and disorders in patients with premature ACS should be routinely screened

Skywork: A More Open Bilingual Foundation Model

In this technical report, we present Skywork-13B, a family of large language models (LLMs) trained on a corpus of over 3.2 trillion tokens drawn from both English and Chinese texts. This bilingual foundation model is the most extensively trained and openly published LLMs of comparable size to date. We introduce a two-stage training methodology using a segmented corpus, targeting general purpose training and then domain-specific enhancement training, respectively. We show that our model not only excels on popular benchmarks, but also achieves \emph{state of the art} performance in Chinese language modeling on diverse domains. Furthermore, we propose a novel leakage detection method, demonstrating that test data contamination is a pressing issue warranting further investigation by the LLM community. To spur future research, we release Skywork-13B along with checkpoints obtained during intermediate stages of the training process. We are also releasing part of our SkyPile corpus, a collection of over 150 billion tokens of web text, which is the largest high quality open Chinese pre-training corpus to date. We hope Skywork-13B and our open corpus will serve as a valuable open-source resource to democratize access to high-quality LLMs

Genetic Variation of Promoter Sequence Modulates XBP1 Expression and Genetic Risk for Vitiligo

Our previous genome-wide linkage analysis identified a susceptibility locus for generalized vitiligo on 22q12. To search for susceptibility genes within the locus, we investigated a biological candidate gene, X-box binding protein 1(XBP1). First, we sequenced all the exons, exon-intron boundaries as well as some 5′ and 3′ flanking sequences of XBP1 in 319 cases and 294 controls of Chinese Hans. Of the 8 common variants identified, the significant association was observed at rs2269577 (p_trend = 0.007, OR = 1.36, 95% CI = 1.09–1.71), a putative regulatory polymorphism within the promoter region of XBP1. We then sequenced the variant in an additional 365 cases and 404 controls and found supporting evidence for the association (p_trend = 0.008, OR = 1.31, 95% CI = 1.07–1.59). To further validate the association, we genotyped the variant in another independent sample of 1,402 cases and 1,288 controls, including 94 parent-child trios, and confirmed the association by both case-control analysis (p_trend = 0.003, OR = 1.18, 95% CI = 1.06–1.32) and the family-based transmission disequilibrium test (TDT, p = 0.005, OR = 1.93, 95% CI = 1.21–3.07). The analysis of the combined 2,086 cases and 1,986 controls provided highly significant evidence for the association (p_trend = 2.94×10−6, OR = 1.23, 95% CI = 1.13–1.35). Furthermore, we also found suggestive epistatic effect between rs2269577 and HLA-DRB1*07 allele on the development of vitiligo (p = 0.033). Our subsequent functional study showed that the risk-associated C allele of rs2269577 had a stronger promoter activity than the non-risk G allele, and there was an elevated expression of XBP1 in the lesional skins of patients carrying the risk-associated C allele. Therefore, our study has demonstrated that the transcriptional modulation of XBP1 expression by a germ-line regulatory polymorphism has an impact on the development of vitiligo

3D stability analysis method of concave slope based on the Bishop method

In order to study the stability control mechanism of a concave slope with circular landslide, and remove the influence of differences in shape on slope stability, the limit analysis method of a simplified Bishop method was employed. The sliding body was divided into strips in a three-dimensional model, and the lateral earth pressure was put into mechanical analysis and the three-dimensional stability analysis methods applicable for circular sliding in concave slope were deduced. Based on geometric structure and the geological parameters of a concave slope, the influence rule of curvature radius and the top and bottom arch height on the concave slope stability were analyzed. The results show that the stability coefficient decreases after growth, first in the transition stage of slope shape from flat to concave, and it has been confirmed that there is a best size to make the slope stability factor reach a maximum. By contrast with average slope, the stability of a concave slope features a smaller range of ascension with slope height increase, which indicates that the enhancing effect of a concave slope is apparent only with lower slope heights. Keywords: Bishop method, Concave slope, Three-dimensional structure, Stability analysi

A Two-Stage Feature Selection Method for Power System Transient Stability Status Prediction

Transient stability status prediction (TSSP) plays an important role in situational awareness of power system stability. One of the main challenges of TSSP is the high-dimensional input feature analysis. In this paper, a novel two-stage feature selection method is proposed to handle this problem. In the first stage, the relevance between features and classes is measured by normalized mutual information (NMI), and the features are ranked based on the NMI values. Then, a predefined number of top-ranked features are selected to form the strongly relevant feature subset, and the remaining features are described as the weakly relevant feature subset, which can be utilized as the prior knowledge for the next stage. In the second stage, the binary particle swarm optimization is adopted as the search algorithm for feature selection, and a new particle encoding method that considers both population diversity and prior knowledge is presented. In addition, taking the imbalanced characteristics of TSSP into consideration, an improved fitness function for TSSP feature selection is proposed. The effectiveness of the proposed method is corroborated on the Northeast Power Coordinating Council (NPCC) 140-bus system

Chinese Herbal Injections for Primary Nephrotic Syndrome in Adults: A Systematic Review and Network Meta-Analysis

Primary nephrotic syndrome (PNS) is a common renal disease that presents with heavy proteinuria and hypoalbuminemia. Despite notable advances in its treatment, some patients show poor responses and clinical outcomes when treated with conventional Western medicine (WM). Chinese herbal injections (CHIs) have been reported to have beneficial effects for PNS. The aim of the present study was to comprehensively determine the efficacy and safety of CHIs for PNS in adults using a network meta-analysis approach. PubMed, Embase, the Cochrane library, and four Chinese databases were systematically searched to identify randomized controlled trials (RCTs) using CHIs for treatment of PNS published before June 1, 2019. Quality assessment of the identified RCTs was performed according to the Cochrane Handbook. Pooled odds ratios (OR) or mean differences (MD) with corresponding 95% confidence intervals (CI) were calculated for discrete or continuous variables, respectively. The primary outcome was complete/total remission and secondary outcomes were serum albumin and urinary protein excretion. The surface under the cumulative ranking curve (SUCRA) value and cluster analyses were used to rank treatment by probability. Eighty-five studies involving 11 CHIs and 5801 subjects were included. Compared with WM alone, CHI plus WM showed an improved complete/total remission rate as well as higher serum albumin and lower 24-hour urinary protein excretion, except in the following: Yinxingye injection plus WM did not improve the total remission rate, and Dengzhanhua or Xueshuantong injection plus WM did not lower the 24-hour urinary protein excretion. Either Danhong (DH) or Dengzhanhua (DZH) injection plus WM was the preferable treatment for PNS based on SUCRA and cluster analyses of clinical remission and adverse events. However, considering that literature in this area is limited, these results need further validation. CHIs administered as adjuvants to WM showed favourable outcomes for PNS. DH + WM and DZH + WM might be the potential optimal therapies for PNS

Optimization of combustion organization scheme for pre-combustion chamber of pre-cooled engine

Abstract Pre-cooled engines, in which the incoming air is cooled by a pre-cooler before it enters the subsequent components for operation, are one of the important developments in combined power solutions. Therefore, how to optimize the gas temperature uniformity of the high temperature gas stream at the outlet of the pre-combustion chamber to achieve higher efficiency of the pre-cooled engine will be the main research content. In this paper, grid partitioning was performed on the pre combustion chamber model, and the k-omega model and EDC model were used to simulate the internal flow field of the pre combustion chamber. And verify the correctness of the simulation through engine hot testing. Explored the changing trends of the internal velocity and temperature fields of the engine under different secondary injection structures. The larger the secondary injection flow rate, the more obvious the obstruction to high-temperature gas, and the better the uniformity of gas temperature. However, in experiments, the secondary injection components often cannot withstand a large flow rate ratio. Ultimately, the gas temperature uniformity is best when the secondary injection flow rate ratio is 65%. Circumferential deflection will cause the gas to spin, and the spinning process will make the gas temperature at the same radius more uniform. However, due to the decrease in radial velocity, the obstruction effect on the overall high-temperature gas is weakened. When the gas is deflected towards the head by 30°, the velocity of the incoming gas and the velocity of the secondary injection gas are combined and perpendicular to the axis. At this time, the gas temperature uniformity is the best