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Liver transplantation and sleeve gastrectomy in the medically complicated obese: New challenges on the horizon

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World Journal of Hepatology 2015年第21期7卷 2315-2318页

作者： Diego C Reino Keri E Weigle Erik P Dutson adam S Bodzin Keri E Lunsford Ronald W Busuttil Division of Liver and Pancreas Transplantation Department of Surgery University of California Los Angeles Division of Minimally Invasive and Bariatric Surgery Department of Surgery University of California Los Angeles

In the last 30 years, operative, technical and medical advances have made liver transplantation(LT) a lifesaving therapy that is used worldwide today. Global industrialization has been a contributor to morbid obesity and this has brought about the metabolic syndrome along with many downstream complications of such. Non-alcoholic steatohepatitis(NASH) has become a recognized hepatic manifestation of the metabolic syndrome and NASH cirrhosis is predicted to be the primary indication for LT in the United States by 2025. Several case series and database reviews have begun analyzing the efficacy of weight reduction surgery in the LT recipient. These data have reasonably demonstrated that weight reduction surgery in the LT recipient is a feasible endeavor. However, several questions have been raised regarding the type of weight reduction surgery, timing of surgery in relation to LT, patient and allograft survival and post-LT maintenance of weight loss to name a few. We look forward to a time when weight reduction surgery will work to improve the technical conduct of LT, improve perioperative benchmarks such as blood transfusions, intensive care unit length of stay and help to prevent recurrence of NASH cirrhosis in the medically complicated obese patient. In the meantime, well-designed prospective clinical trials that focus on the issues highlighted will help guide us in the care of these complicated patients who will soon account for the majority of the patients in our clinics.

关键词： Non-alcoholic steatohepatitis cirrhosis Liver tran

Green Buildings:The Future of Sustainable Living

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Journal of Civil Engineering and Architecture 2022年第4期16卷 195-199页

作者： Ao He Dylan Khalil Jose Luna Toledo adam Julio Martinez Uziel Martinez Giovanni Morales Tadeh Zirakian David Boyajian Department of Civil Engineering and Construction Management California State UniversityNorthridgeC.A.U.S.A.

The objective of this research project was fulfilled through creation of a contemporary home,that of which undeniably projects modernization due to key LEED(leadership in energy and environmental design)*** of this project was carefully supervised by the civil engineering department at California State University,*** design incorporates a 3-story single-family home with a steel *** design properties had a positive impact in LEED specific adjustments which assisted with the overall increase in *** six civil engineering senior students were able to successfully create a cost analysis and compare the benefits of a LEED incorporated design as opposed to a standard residential *** difference between the two is evident as the highly sustainable building resulted in a 7.6%increase in overall ***,as the savings in energy progress over a 9-year period,the home will inevitably reduce the overall cost to the *** research project aided in allowing this diverse team of students to be exposed to real life scenarios,with incorporation of their knowledge acquired from the past 4 *** diversity and teamwork of this group allowed for equal opportunities of innovation and *** such as proper communication and critical thinking will significantly impact them as they progress in their careers as civil engineers.

关键词： LEED green building sustainability energy savings diversity

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贴片机数字化样机开发系统架构

电子工业专用设备 2009年第2期38卷 15-18,27页

作者：宋福民肖永山方强叶爱鹏广州羊城科技实业有限公司广东广州510520 深圳市大族数控科技有限公司广东深圳518057

根据贴片机涉及多个学科的特点,构建贴片机数字化样机开发系统,在设计的阶段采用多学科联合设计与仿真,对产品的功能与性能作校核与检验,通过协调各个系统的参数,使产品的性能达到设计指标;解决各个学科之间的冲突与干涉,使其达到最佳... 详细信息

根据贴片机涉及多个学科的特点,构建贴片机数字化样机开发系统,在设计的阶段采用多学科联合设计与仿真,对产品的功能与性能作校核与检验,通过协调各个系统的参数,使产品的性能达到设计指标;解决各个学科之间的冲突与干涉,使其达到最佳耦合。这将大幅度缩短产品开发周期,减少产品开发费用和成本,明显提高产品质量和系统性能。

关键词：贴片机数字化样机开发系统

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城事

Applying FAIR Principles to Plant Phenotypic Data Management in GnpIS

城市地理 2022年第5期

作者：本刊编辑部张颖博 adam

1.重庆重庆市规划展览馆新馆正式开馆重庆市规划展览馆新馆于4月底正式开馆,市民代表、参建代表、专家代表等共同为新馆启幕。新馆位于重庆市南岸区弹子石广场,由闲置车库改建,建设方案突出“绿色、环保、低碳、智能化”的理念,总建筑...

1.重庆重庆市规划展览馆新馆正式开馆重庆市规划展览馆新馆于4月底正式开馆,市民代表、参建代表、专家代表等共同为新馆启幕。新馆位于重庆市南岸区弹子石广场,由闲置车库改建,建设方案突出“绿色、环保、低碳、智能化”的理念,总建筑面积达1.7万平方米。方案由中国建筑设计院崔愷院士团队领衔设计,建筑以“起”字意向表现城市“奋起”之义,又以“互”字意向表达重庆落实互联网智能化、互联互通国际化、山水交互绿色化、互建互享人文化的决心。新馆外立面由不规则曲面铝板组成,通过参数化设计、（共4页)

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Plant Phenomics 2019年第1期1卷 15-29页

作者： C.Pommier C.Michotey G.Cornut P.Roumet E.Duchêne R.Flores A.Lebreton M.Alaux S.Durand E.Kimmel T.Letellier G.Merceron M.Laine C.Guerche M.Loaec D.Steinbach M.A.Laporte E.Arnaud H.Quesneville A.F.adam-Blondon URGI INRAUniversit′e Paris-Saclay78026 VersaillesFrance AGAP Univ MontpellierCIRADINRAMontpellier SupAgroMontpellierFrance UMR SVQV 28 rue de HerrlisheimB.P.2050768021 ColmarFrance Bioversity International parc Scientifique Agropolis II34397 Montpellier cedex 5France

GnpIS is a data repository for plant phenomics that stores whole field and greenhouse experimental data including environment *** allows long-term access to datasets following the FAIR principles:Findable,Accessible,Interoperable,and Reusable,by using a flexible and original *** is based on a generic and ontology driven data model and an innovative software architecture that uncouples data integration,storage,and *** takes advantage of international standards including the Crop Ontology,MIAPPE,and the Breeding *** allows handling data for a wide range of species and experiment types,including multiannual perennial plants experimental network or annual plant trials with either raw data,i.e.,direct measures,or computed *** also ensures the integration and the interoperability among phenotyping datasets and with genotyping *** is achieved through a careful curation and annotation of the key resources conducted in close collaboration with the communities providing *** repository follows the Open Science data publication principles by ensuring citability of each ***,GnpIS compliance with international standards enables its interoperability with other data repositories hence allowing data links between phenotype and other data *** can therefore contribute to emerging international federations of information systems.

关键词： stores hence Plant

Realizing Attosecond Core-Level X-ray Spectroscopy for the Investigation of Condensed Matter Systems

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Ultrafast Science 2023年第4期3卷 1-13页

作者： adam M.Summers Stefano Severino Maurizio Reduzzi Themistoklis P.H.Sidiropoulos Daniel E.Rivas Nicola Di Palo Hung-Wei Sun Ying-Hao Chien Iker Leon Barbara Buades Seth L.Cousin Stephan M.Teichmann Tobias Mey Klaus Mann Barbara Keitel Elke Plonjes Dmitri K.Efetov Heinrich Schwoerere Jens Biegert ICFO-Institut de Ciencies Fotoniques The Barcelona Institute of Science and Technology08860 CastelldefelsBarcelonaSpain Linac Coherent Light Source SLAC National Accelerator LaboratoryMenlo ParkCA 94025USA European XFEL Holzkoppel 422869 SchenefeldGermany Institut für Nanophotonik Göttingen e.V. Hans-Adolf-Krebs-Weg 137077 GöttingenGermany Deutsches Elektronen-Synchrotron Notkestraße 8522607 HamburgGermany Max-Planck-Institut für Struktur und Dynamik der Materie 22761 HamburgGermany ICREA Pg.Lluís Companys 2308010 BarcelonaSpain

Unraveling the exact nature of nonequilibrium and correlated interactions is paramount for continued progress in many areas of condensed matter science. Such insight is a prerequisite to develop an engineered approach for smart materials with targeted properties designed to address standing needs such as efficient light harvesting, energy storage, or information processing. For this goal, it is critical to unravel the dynamics of the energy conversion processes between carriers in the earliest time scales of the excitation dynamics. We discuss the implementation and benefits of attosecond soft x-ray core-level spectroscopy up to photon energies of 600 eV for measurements in solid-state systems. In particular, we examine how the pairing between coherent spectral coverage and temporal resolution provides a powerful new insight into the quantum dynamic interactions that determine the macroscopic electronic and optical response. We highlight the different building blocks of the methodology and point out the important aspects for its application from condensed matter studies to materials as thin as 25 nm. Furthermore, we discuss the technological developments in the field of tabletop attosecond soft x-ray sources with time-resolved measurements at the near and extended edge simultaneously and investigate the exciting prospective of extending such technique to the study of 2-dimensional materials.

关键词： Attosecond Science Core-level x-ray Spectroscopy High Harmonic Generation X-ray Absorption Ultrafast solid-state dynamics

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养牛技术问答

草食家畜 1988年第2期 56-56页

作者： R.S.adam 刘建设

问青贮制作好后,经抽样检查,半干苜蓿青贮干物质含酸性洗涤纤维(ADF)36—38％,蛋白质19—20％。可当饲喂时大多数半干青贮的ADF竟达40—42％。应如何解决这一问题? 答在青贮过程中,可溶性碳水化合物经发酵产生保护青贮作物的酸类。在... 详细信息

问青贮制作好后,经抽样检查,半干苜蓿青贮干物质含酸性洗涤纤维(ADF)36—38％,蛋白质19—20％。可当饲喂时大多数半干青贮的ADF竟达40—42％。应如何解决这一问题? 答在青贮过程中,可溶性碳水化合物经发酵产生保护青贮作物的酸类。在镇压时纤维部分的比例肯定会增加。同样,由于去除了脂肪,脱脂奶粉的蛋白质含量高于全脂奶粉(30％对25％)。

关键词：脂肪日粮青贮过程有机碘饱和度流涕鼻溢液饲喂饲养产奶量产乳量植物性

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优秀短跑运动员的赛前训练

辽宁体育 1988年第1期 26-26页

作者： adam Zajac 杨用明周张嘉

当前,在世界田径大赛中,不少优秀运动员(包括美国最优秀的选手在内,往往都达不到自己的最佳成绩,最佳竞技状态不是过早的出现就是大赛后才出现。我国运动员也不例外。怎样科学地、有效地安排赛前训练已成为各国教练员、运动员所关心的... 详细信息

当前,在世界田径大赛中,不少优秀运动员(包括美国最优秀的选手在内,往往都达不到自己的最佳成绩,最佳竞技状态不是过早的出现就是大赛后才出现。我国运动员也不例外。怎样科学地、有效地安排赛前训练已成为各国教练员、运动员所关心的问题。现译波兰 adam Zajac 的文章,他介绍了东德是如何训练自己的运动员,使他们能准确地在大型比赛时达到最佳竞技状态的,供同志们参考。

关键词：赛前训练竞技状态运动员体育工作者

基于KID数据库的心血管病患儿院内心肺复苏的流行病学和预后分析

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中国小儿急救医学 2013年第2期 226-226页

作者： adam W Jarrod D Antonio G 杨明北京和睦家医院

目的因心血管疾病(CVD)住院的患儿可能更易发生心跳骤停。但有关其流行病学,风险因子或心肺复苏预后的资料仍缺乏。本研究旨在对全美国的心血管疾病患儿心肺复苏及复苏后死亡情况做综合分析及预估。设计对2000、2003、2006年KID数据进... 详细信息

目的因心血管疾病(CVD)住院的患儿可能更易发生心跳骤停。但有关其流行病学,风险因子或心肺复苏预后的资料仍缺乏。本研究旨在对全美国的心血管疾病患儿心肺复苏及复苏后死亡情况做综合分析及预估。设计对2000、2003、2006年KID数据进行回顾性分析。通过样本加权法预估全国数据。场所儿童住院信息数据库(Kids′Inpatient Database,KID)纳入的38个州的3739家医院。测量指标和主要结果预计的22 175 468次入院中,患CVD者可占2.2%。因CVD住院的患儿中0.74%接受CPR,无CVD的患儿接受CPR者为0.05%,OR为13.8。按占入院的比率,CPR最多见于心肌炎(3.0%),心功能衰竭(2.0%),冠脉疾病(2.0%)。单心室患儿较其他心血管疾病患儿心肺复苏后的病死率更高),接受心脏手术的患儿病死率则相对较低(48%vs.57%;OR 0.6;95%CI0.5～0.8)。结论心血管疾病患儿每1 000次住院约发生7次CPR,这一比率较无心血管疾病的患儿高10倍以上。心肺复苏后单心室患儿病死率最高,近期接受心脏手术者心肺复苏后病死率则有降低。今后应开展研究进一步证实上述发现,并针对此类高危人群进行医疗技术革新,以预防心跳骤停的发生。

关键词：心肺复苏心血管病先天性心跳骤停病死率儿科学流行病学