Currently, some non-conventional therapies (NCT), such as acupuncture, homeopathy, osteopathy, naturopathy, herbology, and Traditional Chinese Medicine are structured and well-regulated for a market of teaching and clinical practice in Portugal, among which acupuncture has become one of the most appealing and functional branches. Through investigation of acupuncture laws, field surveys, teaching work and interviews with people from NCT field in Portugal, we showed the current acupuncture education in Portugal and found that according to the academic norms and rules of education in Portugal, there is a gradual difficulty in the progression and maintenance of the degree training dynamics, due to the lack of more tolerant transitional measures and also, a timid commitment on the part of the institutions that embark on these complementary programs. Therefore, it will be necessary to promote additional programs and measures that avoid a total emptiness of the teaching of acupuncture and at the same time losses of clinicians, competencies and quality of information that are difficult to recover. It could be very meaningful and thought-provoking to the future development and improvement of acupuncture in Portugal and in other countries that welcome acupuncture and intend to have a better legislation and application.

An analysis of the stiffness theory reveals that coal mass compression bumps occur only when both the failure criterion and the stiffness criterion are simultaneously satisfied. Then a new structural factor called uneven stiffness coal seam structure (USCS) is proposed, which consists of an uneven stiffness coal seam along with continuous roof and floor. The USCS serves the dual functions of pressure concentration and stiffness reduction. The former facilitates stress concentration from the low stiffness zone (LSZ) to the high stiffness zone (HSZ), thus raising the risk (rF) of failure. The latter reduces the stiffness of the surrounding rock of the HSZ, allowing the system to meet the stiffness criterion even with a hard roof, thereby reconciling the contradiction between the stiffness theory and engineering experience and raising the risk (rI) of instability. The HSZ of the USCS, including thinning zones, bifurcating areas, magmatic intrusion areas, and remnant pillar affected areas, is more susceptible to coal bump incidents than a conventional coal seam. Mechanical analysis and simple numerical simulations validate the pressure concentration and stiffness reduction functions of the USCS. The results demonstrate the following: 1) The normal stress of the HSZ positively correlates with ER, HR, KH, and SL, but negatively correlates with KL and SH; The stiffness of surrounding rock of the HSZ negatively correlates with HR, KH, SL, and SH, but positively correlates with ER and KL. 2) Failures within the HSZ of the USCS enables the roof strata to release bending deformation energy without undergoing fracturing. 3) The alignment between the HSZ of an existing USCS and the HSZ of an artificial USCS advancing with the working face intensifies stress concentration and reduces stiffness, thereby significantly increases the risk (rCB) of coal bump. By applying the stiffness theory and relevant USCS findings, new explanations can be provided for engineering phenomena such as the time-delayed coal bumps, the inefficient pressure relief in ultra thick coal seams, and the “microseism deficiency” observed prior to certain coal bumps.

This paper studies the flexural behavior of the bridge deck link slabs made with the Polyvinyl Alcohol-Strain Hardening Cementitious Composites (PVA-SHCC). Tensile and flexural properties of the PVA-SHCC with four volume fractions, i.e., 0%, 1%, 1.5%, and 2%, were evaluated first. Next, using the similarity theory, composite models with a geometric similarity ratio of 1: 5 were designed to represent the bridge deck with the link slabs. The models considered three materials for link slabs, including concrete, cement mortar and self-compacting PVA-SHCC; and two different curing ages at 7 and 56 days. Bending tests were performed to investigate the flexural behavior of the models. Based on the fractal theory, cracking characteristics of the models with different types of link slabs were compared, and the relationship between Df and the flexural behavior of the models were studied. Numerical models were built to correlate with the results from the bending tests. It is illustrated that the flexural behavior of the self-compacting PVA-SHCC link slab is better than that of concrete and cement mortar link slabs, where the crack initiation and propagation can be postponed.

In this paper, COMSOL Multiphysics software was used to simulate and analyze the process of cleaning oily sludge by high-speed stirring rotor. The physical phenomena such as velocity field, pressure field, heat dissipation and cavitation generated by the rotor during the process of the oily sludge cleaning were analyzed. The results showed that in the process of cleaning the oily sludge by high-speed stirring rotor, the shear force, heat dissipation and pressure increased with the enhance in the rotor speed. Cavitation occurs in the impeller area of the rotor because of the change of pressure, so the cavitation bubbles were formed. Shear force, heat dissipation and cavitation contributed to the separation of oil phase in oily sludge. Meanwhile, the simulation results were verified by experiments.

Human Epidermal Growth Factor Receptor 2(HER2) is a transmembrane glycoprotein receptor with intracellular tyrosine kinase activity. It is generally considered as a poor prognostic marker. Targeted therapies, such as small molecule tyrosine kinase inhibitors (TKIs), showed limited efficacy in HER2-mutant advanced Non-Small Cell Lung Cancer (NSCLC). In the 2023 NCCN guidelines for NSCLC, Antibody-Drug Conjugate(ADC) Trastuzumab emtansine (T-DM1) is recommended for the treatment of HER2-mutant Lung Cancer (LC). However, this medication is currently not approved in certain regions.So it is necessary to explore alternative treatment options for HER2-mutant NSCLC patients.In our study of a patient with HER2 exon 20ins Lung Adenocarcinoma who had previously failed multiple TKI treatments, we discovered that Sunvozertinib could stabilize the patient's condition, achieving a progression-free survival (PFS) of 87 days. This is a novel finding that may provide new treatment options for HER2 exon 20ins patients who have failed TKI therapy.

A large core size and bending resistance are very important properties of mid-infrared energy transfer fibers, but large core sizes usually lead to a deterioration of bending properties. A negative-curvature nested node-free anti-resonant hollow-core fiber (AR-HCF) based on quartz is proposed. It was made by adding a nested layer to a previous AR-HCF design to provide an additional anti-resonance region while keeping the gap between adjacent tubes strictly correlated to the core diameter to produce a node-free structure. These features improve the fiber’s bending resistance while achieving a larger core diameter. The simulation results show that the radial air-glass anti-resonant layer is increased by the introduction of the nested anti-resonant tube, and the weak interference overlap between the fiber core and the cladding mode is reduced, so the fiber core’s limiting loss and the sensitivity to bending are effectively reduced. When the capillary wall thickness t of the fiber is 0.71 μm, the core diameter D is 70 μm, the ratio of the inner diameter of the cladding capillary to the core diameter d/D is 0.62, and the diameter of the nested tube is d0=29 μm, the fiber has a lower limiting loss at the wavelength of 2.79 μm, and the limiting loss is 3.28×10-4 dB/m. At the same time, the optimized structure also has good bending resistance. When the bending radius is 30 mm, the bending loss is only 4.72×10-2 dB/m. To our knowledge, this is the first research to achieve an anti-bending low-loss micro-structure hollow fiber with a bending radius of less than 30 mm in the 2.79 μm band. An anti-bending low-loss anti-resonant hollow-core fiber with this structure constitutes a reliable choice for the light guiding system of a 2.79 μm band erbium laser therapy instrument.