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关键词： atrial fibrillation   electrocardiography, ambulatory   fibrosis   incidence   pulmonary veins  

摘要： BACKGROUND:Pulsed field ablation (PFA) is a promising treatment for atrial fibrillation. We report 1-year freedom from atrial arrhythmia outcomes using monopolar PFA delivered through 3 commercial, contact force-sensing focal ***:ECLIPSE AF (Safety & Clinical Performance Study of Catheter Ablation With the Centauri System for Patients With Atrial Fibrillation;NCT04523545) was a prospective, single-arm, multicenter study evaluating acute and chronic safety and performance using the CENTAURI system to deliver focal PFA with TactiCath SE, StablePoint, and ThermoCool ST. Patients with paroxysmal or persistent atrial fibrillation underwent pulmonary vein (PV) isolation under deep sedation or general anesthesia and returned for remapping at 90 days to evaluate chronic durability. Freedom from atrial arrhythmia was evaluated continuously through 12 months using standard rhythm monitoring for symptomatic episodes and 24-hour Holter at 6 and 12 ***:Eighty-two patients (74% male, 51.2% paroxysmal, and 58.5% deep sedation) were treated. PV isolation was achieved in 100% of targeted veins (322/322) with first-pass isolation in 92.2% (297/322). There were 4 primary safety events in 4 patients (4.9%, 4/82);1 nonembolic stroke due to exacerbated cardiac tamponade secondary to catheter perforation and 3 hemorrhagic vascular access complications. There were no incidences of adverse event fistula, diaphragmatic paralysis, myocardial infarction, pericarditis, thromboembolism, PV stenosis, transient ischemic attack, or death. Eighty patients (98%) underwent remapping. Optimized PFA cohorts 3, 4, and 5 showed per-patient isolation rates of 60%, 73%, and 81% and per-PV isolation rates of 84%, 90%, and 92%, respectively. One-year freedom from atrial arrhythmia was 80.2% (95% CI, 69.7%-87.4%) for the entire patient sample, including 41 patients who underwent repeat focal PFA with the CENTAURI system at ***:This study demonstrated that optimization

关键词： Anaerobic digestion   Biogas   Carbon capture   ECLIPSE   Trigeneration  

摘要： Aiming to achieve net-zero farming, this study explores the potential of anaerobic digestion of various biowastes to produce biogas for meeting the energy demands of a dairy farm, including electricity, heating, and cooling. Two options were investigated: Option 1 focuses solely on meeting the farm's energy demand, while Option 2 focuses on a big system that utilizes all available biowastes to produce biogas, with surplus electricity sold back to grid. These options were modelled using ECLIPSE software and evaluated in terms of practicality, environmental impact, and economic viability. Option 2, employing trigeneration, achieved an overall efficiency of 80.0 %, significantly higher than Option 1's 48.4 %. However, the efficiencies of the combined heat and power (CHP) system for Option 1 and 2 were 62.2 % and 81.1 %, respectively, both higher than their corresponding trigeneration. Option 2 also produced a greater annual carbon dioxide offset of 4206 Ton CO2-eq compared to 299 Ton CO2-eq for Option 1 by leveraging digestive fertilizers and carbon capture and storage technology (CCS). Finally, it was found that the payback period for Option 1 was projected at 11 years while Option 2 would require 12 years, with anticipated profits of 124,900 pound and 891,900 pound for Options 1 and 2, respectively.

关键词： 方书  

ISBN: (纸本)9787547869147

摘要： 本书包括《类证普济本事方》《类证普济本事方后集》两部书。宋许叔微撰《类证普济本事方》，又称《普济本事方》或《本事方》(相对于《类证普济本事方后集》，以下简称《前集》)，凡10卷。本书是许氏集平生所验效方，并附以医案，约刊于宋绍兴二年(1132)。《类证普济本事方后集》(以下简称《后集》)之刊行在《前集》之后数年。《前集》与《后集》体例相同，皆以所治疾病为纲，下列应用诸方。本次校点所用《前集》之底本，是日本宫内厅书陵部藏，南宋宝佑元年(1253)余氏明经堂刊本。《后集》底本亦是坚田氏旧藏，《后集》国内几无传本。《前集》10卷，以所治疾病为纲，下列应用诸方。书前列“治药制度总例”，将书中常用药物炮制法集中说明，此南宋医书多见之例。其余卷一至七，为内外杂病，如中风、脏腑疾病、虚劳、风寒湿痹、痰饮咳嗽、积聚、疝气、反胃呕吐、喉闭、肿满、脚气、肠风痔漏、金疮痈疽、飞尸鬼注等。卷八、九为伤寒时疫，卷十为妇人、小儿诸疾。《后集》之体例与《前集》同，亦以所治疾病为纲，下列应用诸方。卷一治诸虚进食生气血，卷二治诸积热、诸风等疾，卷三治诸气冷、腰疼、脾胃等疾，卷四治诸口舌牙齿、眼目等患，卷五治诸喘嗽、瘰疬、鼻耳等患，卷六治诸痈疖、水肿气疾、泻痢、大便秘等患，卷七治诸痔疾，卷八治诸打扑伤损、寒疟等患，卷九治诸肠风酒痢、寸白虫及妇人诸疾，卷十治小儿诸疾，并载治诸杂病等方。

摘要： Due to the relative location of the Sun, Earth, and Moon, a common and special phenomenon occurs, termed a solar eclipse. During the solar eclipse, the solar radiation is greatly obscured, therefore, a series of disturbances could be imposed into the ionosphere. Using electron density observations from the Challenging Minisatellite Payload satellite, the equatorial electrojet (EEJ) measurements from the ground station, and simulations from the Thermosphere Ionosphere Electrodynamic General Circulation Model, this work explored the behaviors of EEJ during the total solar eclipse on 29 March 2006. The path of this solar eclipse goes across the dip equator, providing an opportunity for us to explore the perturbations of EEJ. It is found that the observed EEJ at the MBO station is reduced, with a maximum and average percentage of 38.85% and 19.43%, respectively. The perturbations of EEJ are not only established that are directly affected by the solar eclipse but also after the solar eclipse ends. Local Cowling conductivity associated with E-region electron density is greatly decreased when the solar eclipse occurs. The zonal electric field established by the E-region wind might play a key role in the regulation of EEJ in both eclipse and post-eclipse phases.

关键词： Refractive index  

摘要： Objective This study explores the feasibility and superiority of coupled cavities as electromagnetically induced transparent (EIT) excitation media. The EIT effect is realized by the coupled cavity structure, and its performance in gas sensing is investigated, including its sensitivity, detection limit, and selective recognition ability for different gases. In addition, we analyze the influence of the coupling cavity spacing on the EIT excitation and gas sensing performance to provide new ideas for the development of high-performance optical sensor devices. Methods The study is based on the coupled-mode theory, and the simulation model of the EIT-like effect of the coupled cavity is constructed using the finite difference in the time domain (FDTD) method for simulation. By optimizing the structure of the doublering coupled cavity, the EIT-like effect is realized, and the refractive index sensing tests of several gases (hydrogen, oxygen, carbon dioxide, and chlorine) that are conventionally employed in the industry are carried out using this effect. The size, spacing, intrinsic loss, and coupling loss of the coupling cavity are considered in this study, and the EIT-like effect is modulated by changing these parameters and analyzing their effects on the gas sensing performance. Results and Discussions The results show that the coupling cavity can be employed effectively as an excitation medium for the EIT-like effect and that when the EIT is excited, its sensitivity is stable and can reach 205.166 nm/RIU, despite the decrease in sensitivity. The limit of detection (LOD) value reaches 7.46×10-4 RIU, and it is optimized by a factor of 4.16 with respect to that of the unexcited EIT. This indicates that the coupling cavity structure has significant potential for applications in optical sensing, especially for improving the sensitivity and detection limit of the sensor. The effect of the coupling-cavity spacing on the excitation of the EIT is discussed in this paper. Resea

关键词： GNSS network   low-cost   multi-frequency   geomagnetic storm   total electron content   eclipse  

摘要： This work aims to demonstrate that dense networks of low-cost dual-frequency global navigation satellite systems (GNSS) receivers can be used to retrieve ionospheric electron content with almost the same level of accuracy as scientific-grade GNSS receivers. A network of 15 GNSS receivers called EclipseNB was designed and installed in New Brunswick, Canada to study ionospheric structure and dynamic behavior, including the response of the ionosphere to the total solar eclipse in April 2024. EclipseNB observations during the solar eclipse and the extreme geomagnetic storm in May 2024 are presented. The status and the future of the network are discussed.

关键词： 世界遗产   考古遗址   博物馆化   展示阐释  

摘要： 通过对我国考古遗址类世界遗产及其博物馆的展示阐释现状进行分析,认为其规划编制、本体和环境展示、博物馆建设、解说传播等方面均取得显著成效。但仍面临世界遗产突出普遍价值阐释不够,环境展示深度有限,早期遗产地展示理念与手段滞后等问题。应将世界文化遗产地视作一座“大博物馆”,把世界遗产、考古遗址、博物馆设计与策展等方面有机结合,引入现代博物馆展示理念和技术手段,通过科学合理的规划与设计,展现遗址的突出普遍价值,呈现国家和文明发展的历史叙事,构筑文化教育与人文素养的培育空间。

摘要： 信息类文本包括论述类文本和实用类文本，论述类文本以论点为核心，具有很强的逻辑性和思辨性；实用类文本以解决问题或传递信息为根本，具有很强的实用性和针对性。弄清楚一篇信息类文本的论证思路我们才能准确把握作者的观点，有效提取重要信息；搞清楚一篇信息类文本的论证特点，我们才能真正明白文章应该如何准确生动地表达观点和传达内容，提升我们的思维能力和表达能力。下面以2024年福建漳州一模现代文阅读Ⅰ为例，谈谈如何分析文章的论证思路和论证特点。

关键词： 高中数学   深度学习   问题驱动   函数的单调性  

摘要： 指向深度学习的数学问题驱动教学，需要创设真实数学情境，生成系列化、连贯性、思维性的探究问题，并以问题驱动推进课堂走向纵深，从直观到抽象，再从抽象回到直观，将数学图象语言、数学符号语言与抽象形式语言进行联结和贯通，从而引领学生实现深度学习。

关键词： 正畸拔牙矫治   CBCT   口咽部气道   舌骨  

摘要： 目的 探究拔牙矫治对骨性Ⅰ类和骨性Ⅱ类双颌前突患者口咽部气道及舌骨位置的影响。方法回顾性纳入80例完成拔牙矫治（减数四个第一前磨牙）的骨性Ⅰ类和骨性Ⅱ类双颌前突成年患者，收集治疗前、后大视野CBCT影像，采用Dolphin软件测量口咽部气道及舌骨位置变化。结果 骨性Ⅰ类患者拔牙矫治后口咽部气道形态发生显著变化，前后径缩窄，横径增宽，口咽部气道体积无显著变化，最小横截面积轻度减小，舌骨轻度向后移位。骨性Ⅱ类患者拔牙矫治后口咽部气道体积和最小横截面积出现轻度下降。骨性Ⅰ类患者和骨性Ⅱ类患者拔牙矫治口咽部气道和舌骨位置的变化无显著性差异。结论 正畸拔牙矫治并不会造成骨性Ⅰ类和骨性Ⅱ类双颌前突患者医源性的气道狭窄。