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Mechanical Performance of Bio-inspired Bidirectional Corrugated Sandwich Pressure Shell Under External Hydrostatic Pressure 被引量:1
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作者 ZHANG Yi CHEN Yue +1 位作者 YUN Lai LIANG Xu 《China Ocean Engineering》 SCIE EI CSCD 2024年第2期297-312,共16页
This paper aims to enhance the compression capacity of underwater cylindrical shells by adopting the corrugated sandwich structure of cuttlebone.The cuttlebone suffers uniaxial external compression,while underwater cy... This paper aims to enhance the compression capacity of underwater cylindrical shells by adopting the corrugated sandwich structure of cuttlebone.The cuttlebone suffers uniaxial external compression,while underwater cylindrical shells are in a biaxial compressive stress state.To suit the biaxial compressive stress state,a novel bidirectional corrugated sandwich structure is proposed to improve the bearing capacity of cylindrical shells.The static and buckling analysis for the sandwich shell and the unstiffened cylindrical shell with the same volume-weight ratio are studied by numerical simulation.It is indicated that the proposed sandwich shell can effectively reduce the ratio between circumferential and axial stress from 2 to 1.25 and improve the critical buckling load by about 1.63 times.Numerical simulation shows that optimizing and adjusting the structural parameters could significantly improve the advantage of the sandwich shell.Then,the hydrostatic pressure tests for shell models fabricated by 3D printing are carried out.According to the experimental results,the overall failure position of the sandwich shell is at the center part of the sandwich shell.It has been found the average critical load of the proposed sandwich shell models exceeds two times that of the unstiffened shell models.Hence,the proposed bio-inspired bidirectional corrugated sandwich structure can significantly enhance the pressure resistance capability of cylindrical shells. 展开更多
关键词 bio-inspiration bidirectional corrugation sandwich shell external pressure BUCKLING
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Exploring non-invasive diagnostics for metabolic dysfunctionassociated fatty liver disease 被引量:1
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作者 Biao Qu Zheng Li 《World Journal of Gastroenterology》 SCIE CAS 2024年第28期3447-3451,共5页
The population with metabolic dysfunction-associated fatty liver disease(MAFLD)is increasingly common worldwide.Identification of people at risk of progression to advanced stages is necessary to timely offer intervent... The population with metabolic dysfunction-associated fatty liver disease(MAFLD)is increasingly common worldwide.Identification of people at risk of progression to advanced stages is necessary to timely offer interventions and appropriate care.Liver biopsy is currently considered the gold standard for the diagnosis and staging of MAFLD,but it has associated risks and limitations.This has spurred the exploration of non-invasive diagnostics for MAFLD,especially for steatohepatitis and fibrosis.These non-invasive approaches mostly include biomarkers and algorithms derived from anthropometric measurements,serum tests,imaging or stool metagenome profiling.However,they still need rigorous and widespread clinical validation for the diagnostic performance. 展开更多
关键词 Metabolic dysfunction-associated fatty liver disease non-invasive diagnostics Circulating biomarkers Imaging biomarkers Stool microbial biomarkers
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FibroScan-aspartate transaminase:A superior non-invasive model for diagnosing high-risk metabolic dysfunction-associated steatohepatitis 被引量:1
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作者 Jing-Ya Yin Tian-Yuan Yang +4 位作者 Bing-Qing Yang Chen-Xue Hou Jun-Nan Li Yue Li Qi Wang 《World Journal of Gastroenterology》 SCIE CAS 2024年第18期2440-2453,共14页
BACKGROUND Non-alcoholic fatty liver disease(NAFLD)with hepatic histological NAFLD activity score≥4 and fibrosis stage F≥2 is regarded as“at risk”non-alcoholic steatohepatitis(NASH).Based on an international conse... BACKGROUND Non-alcoholic fatty liver disease(NAFLD)with hepatic histological NAFLD activity score≥4 and fibrosis stage F≥2 is regarded as“at risk”non-alcoholic steatohepatitis(NASH).Based on an international consensus,NAFLD and NASH were renamed as metabolic dysfunction-associated steatotic liver disease(MASLD)and metabolic dysfunction-associated steatohepatitis(MASH),respectively;hence,we introduced the term“high-risk MASH”.Diagnostic values of seven non-invasive models,including FibroScan-aspartate transaminase(FAST),fibrosis-4(FIB-4),aspartate transaminase to platelet ratio index(APRI),etc.for high-risk MASH have rarely been studied and compared in MASLD.AIM To assess the clinical value of seven non-invasive models as alternatives to liver biopsy for diagnosing high-risk MASH.METHODS A retrospective analysis was conducted on 309 patients diagnosed with NAFLD via liver biopsy at Beijing Ditan Hospital,between January 2012 and December 2020.After screening for MASLD and the exclusion criteria,279 patients wereincluded and categorized into high-risk and non-high-risk MASH groups.Utilizing threshold values of each model,sensitivity,specificity,positive predictive value(PPV),and negative predictive values(NPV),were calculated.Receiver operating characteristic curves were constructed to evaluate their diagnostic efficacy based on the area under the curve(AUROC).RESULTS MASLD diagnostic criteria were met by 99.4%patients with NAFLD.The MASLD population was analyzed in two cohorts:Overall population(279 patients)and the subgroup(117 patients)who underwent liver transient elastography(FibroScan).In the overall population,FIB-4 showed better diagnostic efficacy and higher PPV,with sensitivity,specificity,PPV,NPV,and AUROC of 26.9%,95.2%,73.5%,72.2%,and 0.75.APRI,Forns index,and aspartate transaminase to alanine transaminase ratio(ARR)showed moderate diagnostic efficacy,whereas S index and gamma-glutamyl transpeptidase to platelet ratio(GPR)were relatively weaker.In the subgroup,FAST had the highest diagnostic efficacy,its sensitivity,specificity,PPV,NPV,and AUROC were 44.2%,92.3%,82.1%,67.4%,and 0.82.The FIB-4 AUROC was 0.76.S index and GPR exhibited almost no diagnostic value for high-risk MASH.CONCLUSION FAST and FIB-4 could replace liver biopsy as more effectively diagnostic methods for high-risk MASH compared to APRI,Forns index,ARR,S index,and GPR;FAST is superior to FIB-4. 展开更多
关键词 Metabolic dysfunction-associated steatotic liver disease High-risk metabolic dysfunction-associated steatohepatitis non-invasive models Liver biopsy Diagnostic value
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Functional near-infrared spectroscopy in non-invasive neuromodulation 被引量:1
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作者 Congcong Huo Gongcheng Xu +6 位作者 Hui Xie Tiandi Chen Guangjian Shao Jue Wang Wenhao Li Daifa Wang Zengyong Li 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第7期1517-1522,共6页
Non-invasive cerebral neuromodulation technologies are essential for the reorganization of cerebral neural networks,which have been widely applied in the field of central neurological diseases,such as stroke,Parkinson... Non-invasive cerebral neuromodulation technologies are essential for the reorganization of cerebral neural networks,which have been widely applied in the field of central neurological diseases,such as stroke,Parkinson’s disease,and mental disorders.Although significant advances have been made in neuromodulation technologies,the identification of optimal neurostimulation paramete rs including the co rtical target,duration,and inhibition or excitation pattern is still limited due to the lack of guidance for neural circuits.Moreove r,the neural mechanism unde rlying neuromodulation for improved behavioral performance remains poorly understood.Recently,advancements in neuroimaging have provided insight into neuromodulation techniques.Functional near-infrared spectroscopy,as a novel non-invasive optical brain imaging method,can detect brain activity by measuring cerebral hemodynamics with the advantages of portability,high motion tole rance,and anti-electromagnetic interference.Coupling functional near-infra red spectroscopy with neuromodulation technologies offe rs an opportunity to monitor the cortical response,provide realtime feedbac k,and establish a closed-loop strategy integrating evaluation,feedbac k,and intervention for neurostimulation,which provides a theoretical basis for development of individualized precise neuro rehabilitation.We aimed to summarize the advantages of functional near-infra red spectroscopy and provide an ove rview of the current research on functional near-infrared spectroscopy in transcranial magnetic stimulation,transcranial electrical stimulation,neurofeedback,and braincomputer interfaces.Furthermore,the future perspectives and directions for the application of functional near-infrared spectroscopy in neuromodulation are summarized.In conclusion,functional near-infrared spectroscopy combined with neuromodulation may promote the optimization of central pellral reorganization to achieve better functional recovery form central nervous system diseases. 展开更多
关键词 brain-computer interface cerebral neural networks functional near-infrared spectroscopy neural circuit NEUROFEEDBACK neurological diseases NEUROMODULATION non-invasive brain stimulation transcranial electrical stimulation transcranial electrical stimulation
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Effect of external magnetic field on the instability of THz plasma waves in nanoscale graphene field-effect transistors
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作者 张丽萍 孙宗耀 +1 位作者 李佳妮 苏俊燕 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第4期683-689,共7页
The instability of plasma waves in the channel of field-effect transistors will cause the electromagnetic waves with THz frequency.Based on a self-consistent quantum hydrodynamic model,the instability of THz plasmas w... The instability of plasma waves in the channel of field-effect transistors will cause the electromagnetic waves with THz frequency.Based on a self-consistent quantum hydrodynamic model,the instability of THz plasmas waves in the channel of graphene field-effect transistors has been investigated with external magnetic field and quantum effects.We analyzed the influence of weak magnetic fields,quantum effects,device size,and temperature on the instability of plasma waves under asymmetric boundary conditions numerically.The results show that the magnetic fields,quantum effects,and the thickness of the dielectric layer between the gate and the channel can increase the radiation frequency.Additionally,we observed that increase in temperature leads to a decrease in both oscillation frequency and instability increment.The numerical results and accompanying images obtained from our simulations provide support for the above conclusions. 展开更多
关键词 graphene field-effect transistors external magnetic field radiation frequency instability increment
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Recent developments in non-invasive methods for assessing metabolic dysfunction-associated fatty liver disease
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作者 Anmol Singh Aalam Sohal Akash Batta 《World Journal of Gastroenterology》 SCIE CAS 2024年第39期4324-4328,共5页
The prevalence of metabolic dysfunction-associated fatty liver disease(MAFLD)is increasing,affecting over one-third of the global population and contributing to significant morbidity and mortality.Diagnosing MAFLD,esp... The prevalence of metabolic dysfunction-associated fatty liver disease(MAFLD)is increasing,affecting over one-third of the global population and contributing to significant morbidity and mortality.Diagnosing MAFLD,especially with advan-ced fibrosis,remains challenging due to the limitations of liver biopsy,the current gold standard.Non-invasive tests are crucial for early detection and management.Among these,the fibrosis-4 index(Fib-4)is widely recommended as a first-line test for screening for liver fibrosis.Advanced imaging techniques,including ultrasound-based elastography and magnetic resonance elastography,offer high accuracy but are limited by cost and availability.Combining biomarkers,such as in the enhanced liver fibrosis score and FibroScan-AST score,enhances diagnostic precision and is recommended to further stratify patients who are considered to be intermediate or high risk from the Fib-4 score.We believe that the future lies in the combined use of biomarkers to improve diagnostic accuracy. 展开更多
关键词 non-invasive tests Metabolic-associated fatty liver disease Fibrosis-4 index Magnetic resonance elastography Enhanced liver fibrosis
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An externally perceivable smart leaky-wave antenna based on spoof surface plasmon polaritons
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作者 Weihan Li Jia Chen +6 位作者 Shizhao Gao Lingyun Niu Jiaxuan Wei Ruosong Sun Yaqi Wei Wenxuan Tang Tie Jun Cui 《Opto-Electronic Advances》 SCIE EI CAS CSCD 2024年第9期5-20,共16页
Smart antennas have received great attention for their potentials to enable communication and perception functions at the same time.However,realizing the function synthesis remains an open challenge,and most existing ... Smart antennas have received great attention for their potentials to enable communication and perception functions at the same time.However,realizing the function synthesis remains an open challenge,and most existing system solutions are limited to narrow operating bands and high complexity and cost.Here,we propose an externally perceivable leakywave antenna(LWA)based on spoof surface plasmon polaritons(SSPPs),which can realize adaptive real-time switching between the“radiating”and“non-radiating”states and beam tracking at different frequencies.With the assistance of computer vision,the smart SSPP-LWA is able to detect the external target user or jammer,and intelligently track the target by self-adjusting the operating frequency.The proposed scheme helps to reduce the power consumption through dynamically controlling the radiating state of the antenna,and improve spectrum utilization and avoid spectrum conflicts through intelligently deciding the radiating frequency.On the other hand,it is also helpful for the physical layer communication security through switching the antenna working state according to the presence of the target and target beam tracking in real time.In addition,the proposed smart antenna can be generalized to other metamaterial systems and could be a candidate for synaesthesia integration in future smart antenna systems. 展开更多
关键词 smart antenna external perception spoof surface plasmon polaritons computer vision aids
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Practical Use of the Subjective Mathematical Model of Bayes and Its External Validation in Dental Medicine & Dentistry
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作者 Muyembi Muinaminayi Pierre Kayembe Mwimbi David +9 位作者 Nyimi Boshabu Fidèle Panoumvita Kapamona Junior Nsudila Mpoyi Monique Tubanza Mulongo Simplot Sekele Issouradi-Bourley Jean-Paul Mantshumba Milolo Augustin Kalala Kazadi Em Mabela Rosti Munyanga Mukongo Sylvain Dan Wang 《Open Journal of Statistics》 2024年第5期553-575,共23页
Objective: Our study aims to validate the subjective Bayes mathematical model using the mathematical model of logistic regression. Expert systems are being utilized increasingly in medical fields for the purposes of a... Objective: Our study aims to validate the subjective Bayes mathematical model using the mathematical model of logistic regression. Expert systems are being utilized increasingly in medical fields for the purposes of assisting diagnosis and treatment planning in Dentistry. Existing systems used few symptoms for dental diagnosis. In Dentistry, few symptoms are not enough for diagnosis. In this research, a conditional probability model (Bayes rule) was developed with increased number of symptoms associated with a disease for diagnosis. A test set of recurrent cases was then used to test the diagnostic capacity of the system. The generated diagnosis matched that of the human experts. The system was also tested for its capacity to handle uncommon dental diseases and the system portrayed useful potential. Method: The study used the Subjective Mathematical Bayes Model (SBM) approach and employed Logistic Regression Mathematical Model (LMR) techniques. The external validation of the subjective mathematical Bayes model (MSB) concerns the real cases of 625 patients who developed alveolar osteitis (OA). We propose strategies for reproducibility and reporting standards, outlining an updated WAMBS (when to Worry and how to Avoid the Misuse of Bayesian Statistics) checklist. Finally, we outline the impact of Bayesian analysis Logistic Regression Mathematical Model (LMR) techniques and on artificial intelligence, a major goal in the next decade. Results: The internal validation had identified seven (7) etiological factors of OA, which will be compared to the cases of MRL, for the external validation which retained six (6) etiological factors of OA. The experts in the internal validation of the MSB had generated 40 cases of OA and a COP of (0.5), which will be compared to the MRL that collected 625 real cases of OA to produce a Cop of (0.6) in the external validation, which discriminates between healthy patients (Se) and sick patients (Sp). Compared to real cases and the logistic regression model, the Bayesian model is efficient and its validity is established. 展开更多
关键词 external Validation-MSB-MRL Mathematical Model
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Effect of slow shot speed on externally solidified crystal,porosity and tensile property in a newly developed high-pressure die-cast Al-Si alloy
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作者 Wen-ning Liu Wei Zhang +6 位作者 Peng-yue Wang Yi-xian Liu Xiang-yi Jiao Ao-xiang Wan Cheng-gang Wang Guo-dong Tong Shou-mei Xiong 《China Foundry》 SCIE EI CAS CSCD 2024年第1期11-19,共9页
The effect of slow shot speed on externally solidified crystal(ESC),porosity and tensile property in a newly developed high-pressure die-cast Al-Si alloy was investigated by optical microscopy(OM),scanning electron mi... The effect of slow shot speed on externally solidified crystal(ESC),porosity and tensile property in a newly developed high-pressure die-cast Al-Si alloy was investigated by optical microscopy(OM),scanning electron microscopy(SEM)and laboratory computed tomography(CT).Results showed that the newly developed AlSi9MnMoV alloy exhibited improved mechanical properties when compared to the AlSi10MnMg alloy.The AlSi9MnMoV alloy,which was designed with trace multicomponent additions,displays a notable grain refining effect in comparison to the AlSi10MnMg alloy.Refining elements Ti,Zr,V,Nb,B promote heterogeneous nucleation and reduce the grain size of primaryα-Al.At a lower slow shot speed,the large ESCs are easier to form and gather,developing into the dendrite net and net-shrinkage.With an increase in slow shot speed,the size and number of ESCs and porosities significantly reduce.In addition,the distribution of ESCs is more dispersed and the net-shrinkage disappears.The tensile property is greatly improved by adopting a higher slow shot speed.The ultimate tensile strength is enhanced from 260.31 MPa to 290.31 MPa(increased by 11.52%),and the elongation is enhanced from 3.72%to 6.34%(increased by 70.52%). 展开更多
关键词 hypoeutectic Al-Si alloy high pressure die casting POROSITY externally solidified crystal tensile property
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Comparison of the effect of different external electrodes on discharge plasma-assisted diffusion flame stabilization
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作者 Siyin ZHOU Xiang LIU +1 位作者 Wansheng NIE Shuhui YUAN 《Plasma Science and Technology》 SCIE EI CAS CSCD 2024年第10期123-132,共10页
To optimize the design of plasma injectors,the influence of different external electrodes on plasma-assisted flame stabilization was assessed by using a nonequilibrium plasma injector flame control setup.The electrica... To optimize the design of plasma injectors,the influence of different external electrodes on plasma-assisted flame stabilization was assessed by using a nonequilibrium plasma injector flame control setup.The electrical characteristics of the injector,flame structure parameters,flame intensity,discharge power,and cost-to-effectiveness ratio under different external electrodes(four mesh electrodes and one copper foil electrode)were analyzed using electrical and optical methods.The results show that reducing the mesh size of the external electrode leads to a decrease in breakdown voltage.Compared with a ceramic dielectric barrier-based injector,an injector with a quartz dielectric barrier produces a higher breakdown voltage under the same conditions.For the same actuation voltage,the discharge current increases as the mesh size of the external electrode decreases,and combustion is enhanced by the discharge plasma;therefore,it is better to adopt a smaller mesh hole size to realize good flame stabilization under a lower actuation voltage.However,under the studied working conditions,reducing the mesh hole size of the external electrode increases the cost-to-effectiveness ratio of plasma injector-based flame stabilization.Thus,considering the cost-to-effectiveness ratio and the weight of the injector,an external electrode with a larger mesh hole size should be chosen,which contradicts the above rule. 展开更多
关键词 flame stabilization alternating current driven dielectric barrier discharge plasma injector plasma-assisted combustion external electrode
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Effects of vacancy and external electric field on the electronic properties of the MoSi_(2)N_(4)/graphene heterostructure
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作者 梁前 罗祥燕 +3 位作者 钱国林 王远帆 梁永超 谢泉 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第3期542-550,共9页
Recently,the newly synthesized septuple-atomic layer two-dimensional(2D)material MoSi_(2)N_(4)(MSN)has attracted attention worldwide.Our work delves into the effect of vacancies and external electric fields on the ele... Recently,the newly synthesized septuple-atomic layer two-dimensional(2D)material MoSi_(2)N_(4)(MSN)has attracted attention worldwide.Our work delves into the effect of vacancies and external electric fields on the electronic properties of the MSN/graphene(Gr)heterostructure using first-principles calculation.We find that four types of defective structures,N-in,N-out,Si and Mo vacancy defects of monolayer MSN and MSN/Gr heterostructure are stable in air.Moreover,vacancy defects can effectively modulate the charge transfer at the interface of the MSN/Gr heterostructure as well as the work function of the pristine monolayer MSN and MSN/Gr heterostructure.Finally,the application of an external electric field enables the dynamic switching between n-type and p-type Schottky contacts.Our work may offer the possibility of exceeding the capabilities of conventional Schottky diodes based on MSN/Gr heterostructures. 展开更多
关键词 MoSi_(2)N_(4) vacancy defects external electric field Schottky contacts
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Differential diagnosis of gastric submucosal masses and external pressure lesions
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作者 Ying Na Xiang-Dong Liu Hui-Min Xu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第10期3374-3376,共3页
Lesions of the left triangular ligament of the liver are rare,and there are even fewer cases of vascular tumors misdiagnosed as gastrointestinal stromal tumors.We comment on the two cases reported in the article.The a... Lesions of the left triangular ligament of the liver are rare,and there are even fewer cases of vascular tumors misdiagnosed as gastrointestinal stromal tumors.We comment on the two cases reported in the article.The article did not include pictures of laparoscopic surgery,making it unconvincing.For gastric submucosal lesions,enhanced computed tomography venous phase imaging may be beneficial for differential diagnosis.Although endoscopic ultrasound is an effective tool for diagnosing submucosal lesions of the stomach,due to various factors,it cannot achieve an accurate diagnosis.During endoscopic examination,a more accurate diagnosis can be made depending on the personal experience of the operators. 展开更多
关键词 Differential diagnosis Gastric submucosal masses external pressure lesions Endoscopic ultrasonography Computed tomography
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Advances in the Research Application of Ultrasound Non-Invasive Stress-Strain Loop Technology in Cardiovascular Diseases
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作者 Jinshu Wang Qiang Zhang +1 位作者 Ling Guo Xinyu Hao 《Journal of Biosciences and Medicines》 2024年第9期1-12,共12页
The ultrasound pressure-strain loop (PSL) technique is a non-invasive method of examining myocardial work, which takes into account the effect of cardiac afterload on deformation and combines the overall longitudinal ... The ultrasound pressure-strain loop (PSL) technique is a non-invasive method of examining myocardial work, which takes into account the effect of cardiac afterload on deformation and combines the overall longitudinal strain force of the left ventricle with the changes in the left ventricular pressure, allowing earlier detection of possible subclinical cardiac damage in patients, and a more accurate and non-invasive assessment of the patient’s myocardial work performance. In this article, we will discuss the progress of PSL applications in cardiovascular diseases. 展开更多
关键词 ECHOCARDIOGRAPHY Speckle Tracking non-invasive Myocardial Work Pressure-Strain Loop Left Ventricular Pressure
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Open-Air Quarries in the Urban Commune of Zinder (South-East Niger): An Opportunity with Strong Externalities
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作者 Karimou Dia Hantchi Abdoulkader Moussa Issaka +4 位作者 Bouba Hassane Mahamadou Bahari Ibrahim Charifatou Salissou Ousmane Sitou Lawali Moussa Konaté 《Geomaterials》 2024年第4期59-81,共23页
The framing of this theme would contribute to a better analysis of the benefits of open-air quarrying in Zinder, and should make it possible to understand and measure the socio-environmental externalities of this type... The framing of this theme would contribute to a better analysis of the benefits of open-air quarrying in Zinder, and should make it possible to understand and measure the socio-environmental externalities of this type of activity in an urban environment. The approach method consisted of carrying out surveys combined with field observations and interviews with the various stakeholders as well as the local population. The results obtained made it possible to identify both positive and negative impacts. The positive impacts are above all the advantages derived from these aggregate quarries, in particular, the creation of direct and permanent jobs and the increase in community income. The price of piling up a truck costs around 28,000 CFA ($56 CAN) and that of loading is around 10,000 F CFA ($20 CAN). This has the effect of removing young people (20 - 39 years old) from the circuit of migration outside the region and even the country. The possibility of using the extraction sites by the local population was identified, in terms of profits relating to fish farming, off-season crops, animal drinking and reclaimed plots. The study also noted negative externalities, such as the temptation of young boys to become involved in extractive activities for immediate gains at the expense of school attendance. Added to this is the upheaval in the topography of the urban landscape, pollution and nuisances (noise, visual and olfactory), while the disappearance or clogging of quarry ponds is the cause of frequent flooding in the neighborhoods. In short, corrective measures (e.g. the revegetation of sites) certainly make it possible to minimize the harmful impacts on the urban environment. But, to improve the performance and organizational capacity of the quarrying industry in Niger, even stronger regulation, training and awareness of stakeholders prove to be the necessary measures. 展开更多
关键词 Open-Air Quarries Urban Environment Community Income externalities Zinder
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Unraveling the efficacy network: A network meta-analysis of adjuvant external beam radiation therapy methods after hepatectomy
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作者 Gao-Yuan Yang Zhi-Wei He +7 位作者 Yong-Chang Tang Feng Yuan Ming-Bo Cao Yu-Peng Ren Yu-Xuan Li Xiao-Rui Su Zhi-Cheng Yao Mei-Hai Deng 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第1期205-214,共10页
BACKGROUND Primary liver cancer is a malignant tumor with a high recurrence rate that significantly affects patient prognosis.Postoperative adjuvant external radiation therapy(RT)has been shown to effectively prevent ... BACKGROUND Primary liver cancer is a malignant tumor with a high recurrence rate that significantly affects patient prognosis.Postoperative adjuvant external radiation therapy(RT)has been shown to effectively prevent recurrence after liver cancer resection.However,there are multiple RT techniques available,and the differ-ential effects of these techniques in preventing postoperative liver cancer re-currence require further investigation.AIM To assess the advantages and disadvantages of various adjuvant external RT methods after liver resection based on overall survival(OS)and disease-free survival(DFS)and to determine the optimal strategy.METHODS This study involved network meta-analyses and followed the PRISMA guidelines.The data of qualified studies published before July 10,2023,were collected from PubMed,Embase,the Web of Science,and the Cochrane Library.We included relevant studies on postoperative external beam RT after liver resection that had OS and DFS as the primary endpoints.The magnitudes of the effects were determined using risk ratios with 95%confidential intervals.The results were analyzed using R software and STATA software.RESULTS A total of 12 studies,including 1265 patients with hepatocellular carcinoma(HCC)after liver resection,were included in this study.There was no significant heterogeneity in the direct paired comparisons,and there were no significant differences in the inclusion or exclusion criteria,intervention measures,or outcome indicators,meeting the assumptions of heterogeneity and transitivity.OS analysis revealed that patients who underwent stereotactic body radiotherapy(SBRT)after resection had longer OS than those who underwent intensity modulated radiotherapy(IMRT)or 3-dimensional conformal RT(3D-CRT).DFS analysis revealed that patients who underwent 3D-CRT after resection had the longest DFS.Patients who underwent IMRT after resection had longer OS than those who underwent 3D-CRT and longer DFS than those who underwent SBRT.CONCLUSION HCC patients who undergo liver cancer resection must consider distinct advantages and disadvantages when choosing between SBRT and 3D-CRT.IMRT,a RT technique that is associated with longer OS than 3D-CRT and longer DFS than SBRT,may be a preferred option. 展开更多
关键词 Primary liver cancer Hepatocellular carcinoma Network meta-analysis external beam radiation therapy Stereotactic body radiotherapy Intensity modulated radiotherapy
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External Otitis: Epidemiological, Clinical, Etiological, and Therapeutic Aspects at the Oto-Rhino-Laryngology Department of Mamou Regional Hospital
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作者 Mamadou Mouctar Ramata Diallo Sayon Kourouma +6 位作者 Oumou Amadou Diallo Ibrahima Diallo Francine Haba Alsény Cisse Raphan Madi Kaba Keita Abdoulaye Keita Alpha Oumar Diallo 《International Journal of Otolaryngology and Head & Neck Surgery》 2024年第3期213-224,共12页
Introduction: External otitis (OE) is an acute or chronic inflammation or infection of the external ear resulting from an imbalance in the external auditory canal secondary to microtrauma, maceration, eczema, or a for... Introduction: External otitis (OE) is an acute or chronic inflammation or infection of the external ear resulting from an imbalance in the external auditory canal secondary to microtrauma, maceration, eczema, or a foreign body in the external auditory canal. Objective: To study cases of external otitis at the Mamou Regional Hospital. Materials and Methods: This was a prospective descriptive study conducted over a period of six (6) months from July 1st to December 31st, 2016. It included all patients admitted to the ENT department of the Mamou Regional Hospital. Results: During the study period, 712 patients were admitted to the department for various pathologies, of which 103 met our selection criteria, representing a frequency of 14.46%. The mean age of the patients was 33.74 years with a range of 1 to 90 years. Males predominated in the sample, accounting for 59.22%. The vast majority of patients resided in urban areas, constituting 61.17% of the sample. In our study, all patients consulted for otalgia (100%), and over half (53.39%) for hypoacusis. We formally identified rhinitis in 66.66% of cases, while diabetes was found in only 4 patients (11.11%). Otomycosis was the most commonly identified condition (53.39%), followed by furuncles (33.98%). Ear drops containing antibiotics were administered to all patients, although 66.60% received antibiotic therapy. Conclusion: External otitis is a relatively common condition, particularly among children and the elderly. Diagnosis can be made based on pain upon traction of the pinna and pressure on the tragus. 展开更多
关键词 external Otitis ENT Mamou Regional Hospital
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Gangrene of the External Genitalia at Chu-Abeche
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作者 Vadandi Valentin Mahamat Ali Mahamat +5 位作者 Abdelmahamoud Chene Vounouzia Barthelemy Temga Ouang Michael Minguemadji Allah Siyangar Ndormadjita Allah Siyangar Rimtebaye Kimassoum 《Open Journal of Urology》 2024年第4期197-206,共10页
Introduction: Gangrene of the external genitalia organs (EGO) is a medico-surgical emergency that is still very common in Third World countries. The main etiologies are urogenital, dermocutaneous and proctological. Mo... Introduction: Gangrene of the external genitalia organs (EGO) is a medico-surgical emergency that is still very common in Third World countries. The main etiologies are urogenital, dermocutaneous and proctological. Mortality remains very high despite therapeutic advances. Our aim was to report on the epidemiological, diagnostic and therapeutic aspects of gangrene of the external genitalia, and to identify prognostic factors. Patients and Method: This was a 5-year retrospective descriptive study, from February 2016 to February 2021, of cases of gangrene of the external genitalia admitted to and treated in the Urology Department of Abeche University Hospital. Results: We collected 49 cases of gangrene of the external genitalia. The mean age of patients was 42 ± 16.81, with extremes of 20 and 81 years. The age group most concerned was between 20 and 29. The most frequent reasons for consultation were suppuration of the external genitalia and scrotal swelling. The average consultation time was 19.05 ± 16.02 days. The most common comorbidity was diabetes (35.9%). The most frequent pathological antecedents were urinary tract infections and endourethral maneuvers, reported in 40.5% and 38.7% respectively. Urogenital aetiology was predominant in 54.7%, and idiopathic in 35.9%. Lesions involved the scrotum in 60.6%, the scrotum and penis in 16.5%, and the penis alone in 5.7% of cases. Lesions extended to the perineum in 13.6% of cases, and to the abdomen in 3.6%. Vascular filling via the central venous line was performed in 58.6% of cases, and via the peripheral venous line in 41.4%. 3rd-generation cephalosporins and associated imidazoles were the most commonly used antibiotics. Necrosectomy was performed in 37 patients (73.4%), debridement combined with bypass cystostomy in 26.6% of cases. Colostomy was performed in 4% of cases. 90.8% of patients were cured and 9.2% died. The average hospital stay was 30 ± 75 days. Conclusion: The gangrene of the external genitalia is a medical and surgical emergency which has become rare in Europe, but which is still very common in the context of our practice in Chad. The severity of the disease is linked to delayed consultation and co-morbidity factors. Mortality remains very high despite therapeutic advances. 展开更多
关键词 GANGRENE external Genitalia Medical and Surgical Treatment
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Weak External Bisection of Some Graphs
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作者 Yumin Liu 《Journal of Applied Mathematics and Physics》 2024年第1期91-97,共7页
Let G be a graph. A bipartition of G is a bipartition of V (G) with V (G) = V<sub>1</sub> ∪ V<sub>2</sub> and V<sub>1</sub> ∩ V<sub>2</sub> = ∅. If a bipartition satis... Let G be a graph. A bipartition of G is a bipartition of V (G) with V (G) = V<sub>1</sub> ∪ V<sub>2</sub> and V<sub>1</sub> ∩ V<sub>2</sub> = ∅. If a bipartition satisfies ∥V<sub>1</sub>∣ - ∣V<sub>2</sub>∥ ≤ 1, we call it a bisection. The research in this paper is mainly based on a conjecture proposed by Bollobás and Scott. The conjecture is that every graph G has a bisection (V<sub>1</sub>, V<sub>2</sub>) such that ∀v ∈ V<sub>1</sub>, at least half minuses one of the neighbors of v are in the V<sub>2</sub>;∀v ∈ V<sub>2</sub>, at least half minuses one of the neighbors of v are in the V<sub>1</sub>. In this paper, we confirm this conjecture for some bipartite graphs, crown graphs and windmill graphs. 展开更多
关键词 Weak external Bisection Bipartite Graph Windmill Graph
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Evidence for the Reliability and Validity of the Arabic Version of the Student Risk Screening Scale for Internalizing and Externalizing Behaviors (SRSS-IE)
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作者 Sumayah A. Alrubayie Keetam D. F. Alkahtani 《Journal of Behavioral and Brain Science》 2024年第1期32-45,共14页
School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric proper... School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric properties are critical to making decisions about choosing a screening instrument. The purpose of the present study was to examine the psychometric properties of the student risk screening scale for internalizing and externalizing behaviors (SRSS-IE). Participants included 3145 students and their teachers. Item-level analyses of the current sample supported the retention of all items. The internal consistency of the SRSS items ranged from 0.83 to 0.85. Convergent validity between the SRSS-IE and a well-established screening tool, the strength and difficulties questionnaire (SDQ), was found for the total score (r = 0.70). Additionally, the results of this study demonstrate strong social validity, suggesting the SRSS-IE to be a useful and functional screening tool. We conclude that the SRSS-IE is a valid and reliable instrument for assessing the level of emotional and behavioral difficulties among elementary students. 展开更多
关键词 The Student Risk Screening Scale for Internalizing and externalizing Behaviors (SRSS-IE) Strength and Difficulties Questionnaire (SDQ) Emotional and Behavioral Difficulties Screening Tools Systematic Screening
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The Effect of External Pressure on Mechanical Properties of Aquamarine Gemstone Using First Principles Studies
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作者 Evarist Kahuluda Pulapa Ventkata Kanaka Rao Stanley Mwanga 《Journal of Minerals and Materials Characterization and Engineering》 2024年第5期237-246,共10页
Aquamarine gemstones are popular jewelry in the gemstone trade and are currently one of the important products in the world market because of their economic value. Aquamarine is a Beryllium Aluminium Silicate with the... Aquamarine gemstones are popular jewelry in the gemstone trade and are currently one of the important products in the world market because of their economic value. Aquamarine is a Beryllium Aluminium Silicate with the chemical formula Be3Al2Si6O18 and crystallizes in the hexagonal system with space group P6/mcc (192), and Tanzania has wide deposits of aquamarine gemstones. The quality of gemstone depends on its characteristic properties, including electronic, optical, and mechanical properties. In the present study, the effect of external pressure on mechanical properties including independent elastic constants and other related parameters such as Bulk modulus, Shear modulus, Young modulus, Poisson’s ratio, and Compressibility were studied. Density Function Theory in the forcite module of the material studies software on the external pressure within the range of 0 - 200 GPa on the optimized structure at electrostatic, Van der Waals and Ewald terms were used in this study. The results reveal that the independent elastic constants are mechanically unstable at 50 - 120 Gpa and are stable at 0 - 40 GPa and above 120 GPa, with the average bulk modulus, shear modulus, young modulus, Poisson’s ratio of 2319.9447, 652.3058, 1789.2236, and 0.26 respectively with the compressibility of 0.059921/TPa, this indicates that aquamarine gemstones are stable against strain and strongly against shear stress but opposing shear deformation. These values are within other crystalline materials found in the literature. This provides technological backing for the comprehensive valuation of mechanical properties, quality, and stability of gemstones available in Tanzania. 展开更多
关键词 Aquamarine Gemstones Mechanical Properties external Pressure Biovia Material Studio Forcite Module
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