Therapeutic Strategies for Disseminated Intravascular Coagulation Associated with Aortic Aneurysm

Aortic aneurysms are sometimes associated with enhanced-fibrinolytic-type disseminated intravascular coagulation (DIC). In enhanced-fibrinolytic-type DIC, both coagulation and fibrinolysis are markedly activated. Typical cases show decreased platelet counts and fibrinogen levels, increased concentrations of fibrin/fibrinogen degradation products (FDP) and D-dimer, and increased FDP/D-dimer ratios. Thrombin-antithrombin complex or prothrombin fragment 1 + 2, as markers of coagulation activation, and plasmin-α₂ plasmin inhibitor complex, a marker of fibrinolytic activation, are all markedly increased. Prolongation of prothrombin time (PT) is not so obvious, and the activated partial thromboplastin time (APTT) is rather shortened in some cases. As a result, DIC can be neither diagnosed nor excluded based on PT and APTT alone. Many of the factors involved in coagulation and fibrinolysis activation are serine proteases. Treatment of enhanced-fibrinolytic-type DIC requires consideration of how to control the function of these serine proteases. The cornerstone of DIC treatment is treatment of the underlying pathology. However, in some cases surgery is either not possible or exacerbates the DIC associated with aortic aneurysm. In such cases, pharmacotherapy becomes even more important. Unfractionated heparin, other heparins, synthetic protease inhibitors, recombinant thrombomodulin, and direct oral anticoagulants (DOACs) are agents that inhibit serine proteases, and all are effective against DIC. Inhibition of activated coagulation factors by anticoagulants is key to the treatment of DIC. Among them, DOACs can be taken orally and is useful for outpatient treatment. Combination therapy of heparin and nafamostat allows fine-adjustment of anticoagulant and antifibrinolytic effects. While warfarin is an anticoagulant, this agent is ineffective in the treatment of DIC because it inhibits the production of coagulation factors as substrates without inhibiting activated coagulation factors. In addition, monotherapy using tranexamic acid in cases of enhanced-fibrinolytic-type DIC may induce fatal thrombosis. If tranexamic acid is needed for DIC, combination with anticoagulant therapy is of critical importance.     

一种分布式工作流中基于负载平衡的调度算法

工作流管理系（Workflow Management System）帮助企业实现分布式异质环境中的人工和自动任务的全面流程化。本文提出一种新的分布式WFMS负载平衡调度算法,解决单节点引擎负载过重的问题。改进后的负载平衡技术比轮询调度算法更能保证多引擎间负载基本均衡。当多引擎间任务调度出现不平衡,导致某些节点负载过重或是某个节点出现故障时,多引擎能够根据相应模型策略和实际的信息来动态调整各节点的负载,这样也可以在一定程度上解决有大量分布式事务处理时的性能问题。另外,负载指数调度算法实现简单,尽可能地减少了引擎负担。     

平台无关的分布式空间数据引擎技术初探

针对空间数据引擎提出平台无关设想.阐述平台无关的分布式空间数据引擎所需的技术及技术的实现.     

直接乙醇燃料电池研究面临的挑战

从热力学、动力学及乙醇渗透等方面,综述了直接乙醇燃料电池(DEFC)研究面临的挑战.从热力学角度看,在低温(＜100℃)时,乙醇的最大热力学转化效率低于14%,降低了DEFC的效率;从动力学角度看,目前对乙醇氧化活性最高的Pt-Sn催化剂仍不能使乙醇完全氧化,降低了DEFC的法拉第效率;乙醇渗透可能带来的后果,加大了研究的困难性.     

First experimental results of intrinsic torque on EAST

Direct measurements of the intrinsic torque profile in L-mode plasmas on the EAST tokamak have been performed using the balanced neutral beam injection. Co-and counter-current neutral beams are modulated to balance the intrinsic and externally injected torques, which result in the rotation profile close to zero and flat. The experimental results show that the intrinsic torque derived from momentum balance equations is found to be in the co-current direction, peaked in the plasma edge and negligibly small in the core.     

LPG贮罐注水堵漏抢险工艺的探讨

讨论了LPG贮罐发生泄漏事故时采取的注水堵漏工艺。     

Direct Reprogramming and Induction of Human Dermal Fibroblasts to Differentiate into iPS-Derived Nucleus Pulposus-like Cells in 3D Culture

Intervertebral disc (IVD) diseases are common spinal disorders that cause neck or back pain in the presence or absence of an underlying neurological disorder. IVD diseases develop on the basis of degeneration, and there are no established treatments for degeneration. IVD diseases may therefore represent a candidate for the application of regenerative medicine, potentially employing normal human dermal fibroblasts (NHDFs) induced to differentiate into nucleus pulposus (NP) cells. Here, we used a three-dimensional culture system to demonstrate that ectopic expression of MYC, KLF4, NOTO, SOX5, SOX6, and SOX9 in NHDFs generated NP-like cells, detected using Safranin-O staining. Quantitative PCR, microarray analysis, and fluorescence-activated cell sorting revealed that the induced NP cells exhibited a fully differentiated phenotype. These findings may significantly contribute to the development of effective strategies for treating IVD diseases.     

点燃式氨氢燃料发动机燃烧与排放模拟研究

通过三维数值仿真方法研究了化学当量比下掺氢比和点火时刻对点燃式氨氢燃料发动机燃烧与排放的影响。结果表明,增加掺氢比可加速火焰传播,缩短燃烧持续期,提高缸内压力和温度峰值。随着掺氢比增加,未燃氨和N₂O排放减少,燃料型和热力型NO生成增多。点火时刻的适当提前可有效改善燃烧特性,平衡NO、N₂O和未燃氨的排放。随着点火时刻的推迟,NO排放减少,N₂O和未燃氨排放呈相反趋势。然而,过于推迟点火会造成较多未燃氨排放,导致放热不完全,指示热效率下降。     

新型直接采样电离方法研究及其毒品快速质谱分析应用

在新型毒品层出不穷的背景下,对毒品进行现场快速检测的需求日益增加.直接采样电离技术与小型质谱系统的结合是对多类型毒品进行现场快速检测的重要途径.针对目前直接电离采样方法对部分毒品分子电离效率低的问题,本工作开发了一种基于快速采样萃取的新型直接毛细管喷雾方法(DCS)及相应的一体化试剂盒.分析流程包括表面采样、溶剂洗涤、...