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Effects of neoadjuvant chemotherapy vs chemoradiotherapy in the treatment of esophageal adenocarcinoma:A systematic review and meta-analysis

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World Journal of Gastroenterology 2024年第11期30卷 1621-1635页

作者： Armand Csontos Alíz Fazekas Lajos szakó Nelli Farkas Csenge Papp szilárd Ferenczi szabolcs Bellyei Péter Hegyi andrás Papp Department of surgery University of PécsMedical SchoolClinical CenterPécs H-7624BaranyaHungary Institute of Bioanalysis University of PécsMedical SchoolPécs H-7624BaranyaHungary Institute for Translational Medicine University of PécsMedical SchoolPécs H-7624BaranyaHungary Department of Emergency Medicine Clinical CenterUniversity of PécsMedical SchoolPécs 7624BaranyaHungary Department of Oncotherapy University of PécsMedical SchoolClinical CenterPécs H-7624BaranyaHungary Centre for Translational Medicine Semmelweis UniversityBudapest 1085Hungary Institute of Pancreatic Diseases Semmelweis UniversityBudapest H-1083Hungary

BACKGROUND Neoadjuvant therapy is an essential modality for reducing the clinical stage of esophageal cancer;however,the superiority of neoadjuvant chemotherapy(nCT)or neoadjuvant chemoradiotherapy(nCRT)is ***,a discussion of these two modalities is *** To investigate the benefits and complications of neoadjuvant *** To address this concern,predefined criteria were established using the PICO *** independent authors performed comprehensive searches using predetermined *** analyses were performed to identify significant differences between *** publication bias was visualized using funnel *** quality of the data was evaluated using the Risk of Bias Tool 2(RoB2)and the GRADE *** Ten articles,including 1928 patients,were included for the *** difference was detected in pathological complete response(pCR)[Ps ratio(OR):0.27;95%CI:0.16-0.46],30-d mortality(P=0.015;OR:0.4;95%CI:0.22-0.71)favoring the nCRT,and renal failure(P=0.039;OR:1.04;95%CI:0.66-1.64)favoring the *** significant differences were observed in terms of survival,local or distal recurrence,or other clinical or surgical *** result of RoB2 was moderate,and that of the GRADE approach was low or very low in almost all *** Although nCRT may have a higher pCR rate,it does not translate to greater long-term ***,nCRT is associated with higher 30-d mortality,although the specific cause for postoperative complications could not be *** the case of nCT,toxic side effects are suspected,which can reduce the quality of *** the quality of available studies,further randomized trials are required.

关键词： Neoadjuvant Chemotherapy Chemoradiotherapy Esophageal cancer Adenocarcinoma

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Determination of riding comfort on cycleways using a smartphone application

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Journal of Traffic and Transportation Engineering(English Edition) 2024年第4期11卷 747-760页

作者： Anna Niska Leif sjögren Peter andrén Christian Weber Tineke de Jong Aslak Fyhri Department of Infrastructure Maintenance Swedish National Road and Transport Research Institute(VTI)Linköping SE-58195Sweden Department of safety and Behavior Institute of Transport EconomicsGaustadalleen 210349 OsloNorway

Well maintained cycleways will encourage more people to cycle,as the condition of cycleways is important for the safety,accessibility and riding comfort of *** that,only a few models used to describe the quality of service for cyclists take the surface condition into *** measuring methods are needed to enable reliable and effective assessment of surface conditions,and measurable performance criteria related to the needs of cyclists should be *** purpose of this study has been to test the reliability and validity of using accelerometers in smartphones to assess the riding comfort on cycleways.A smartphone application converting three-dimensional accelerometer measurements into a single indicator for cycleways has been used to assess road surfaces in two field studies,in sweden and Norway,*** studies assessed test sections of varying *** relate the measurements to subjective riding comfort assessments by cyclists,recruited cyclists collected quantitative data using the app,whilst also rating their perceived riding comfort by completing a *** were also related to standard road surface condition indicators,generated from a road surface tester equipped with 19 laser sensors:international roughness index(IRI),mega-and *** results show that it is possible to describe the unevenness of a cycleway using the technology present in smartphones.A software application can be used to collect and analyse data from the acceleration sensors in the phone,which can then be used to describe the riding comfort of *** is mainly the unevenness in the 50-1000 mm sizerange that create the greatest discomfort for cyclists,and intermittent vibrations are perceived as more uncomfortable than more evenly distributed ***,IRI is not a relevant measurement for describing the riding comfort of cyclists.

关键词： Cyclist Comfort Assessment Road surface measurement smartphone application

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New immune regulators of sciatic nerve regeneration?Lessons from the neighborhood

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Neural Regeneration Research 2024年第4期19卷 705-706页

作者： andréL.Bombeiro Rodrigo G.Q.Fernandes Julie C.Ribot Instituto de Medicina Molecular João Lobo Antunes Faculdade de MedicinaUniversidade de LisboaLisbonPortugal

For decades,the immune system has been associated with host protection against infectious pathogens or tumors,while also contributing to ***,this paradigm is now changing,with recent studies highlighting novel roles for immune mediators in the maintenance of steady-state tissue *** this perspective,we review some of the latest findings featuring immune modulators of the nervous system pathophysiology,with a special focus on interleukin(IL)-17.

关键词： homeostasis neighborhood finding

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R-Factor Analysis of Data Based on Population Models Comprising R- and Q-Factors Leads to Biased Loading Estimates

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Open Journal of statistics 2024年第1期14卷 38-54页

作者： andré Beauducel Department of Psychology University of Bonn Bonn Germany

Effects of performing an R-factor analysis of observed variables based on population models comprising R- and Q-factors were investigated. Although R-factor analysis of data based on a population model comprising R- and Q-factors is possible, this may lead to model error. Accordingly, loading estimates resulting from R-factor analysis of sample data drawn from a population based on a combination of R- and Q-factors will be biased. It was shown in a simulation study that a large amount of Q-factor variance induces an increase in the variation of R-factor loading estimates beyond the chance level. Tests of the multivariate kurtosis of observed variables are proposed as an indicator of possible Q-factor variance in observed variables as a prerequisite for R-factor analysis.

关键词： R-Factor Analysis Q-Factor Analysis Loading Bias Model Error Multivariate Kurtosis

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Critical Analysis of the Origins of Heisenberg's Uncertainty Principle

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Journal of Modern Physics 2024年第6期15卷 765-795页

作者： andré Michaud service de Recherche Pé dagogique Qu&#233bec Canada

Analysis of the initial stages of the logical process followed by Louis de Broglie in establishing the electron phase wave equation in his 1924 thesis, which triggered the development of Wave Mechanics when Erwin schrödinger formalized this concept with his vectorial wave equation. This development was soon followed by Quantum Mechanics, when schrödinger proved that the Matrix Mechanics independently developed by Werner Heisenberg was equivalent to Wave Mechanics, with both theories leaving room for some degree of uncertainty as to the physical localization of the moving electron. This is what led Heisenberg to also formalize the Uncertainty Principle to take this situation into account. This principle was soon regarded as a fundamental axiomatic principle that seemed to make further exploration of the subatomic level of magnitude appear impossible to most researchers. We will analyze in this article the reason why the phase-wave velocity established by de Broglie generated this uncertainty in the localization of the moving electron in light of the current state of knowledge on the behavior of the electron in motion, in view of establishing the relevance of maintaining the Uncertainty Principle in the study of the subatomic level of magnitude.

关键词： Phase Wave Velocity Wave Mechanics Matrix Mechanics Quantum Mechanics Uncertainty Principle

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Interindividual Age-Independent Differences in Human CX43 Impact Ventricular Arrhythmic Risk

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Research 2024年第3期6卷 417-432页

作者： Laura García-Mendívil María Pérez-Zabalza Antoni Oliver-Gelabert JoséMaría Vallejo-Gil Javier Fañanás-Mastral Manuel Vázquez-sancho Javier andréBellido-Morales Alexánder sebastián Vaca-Núñez Carlos Ballester-Cuenca Emiliano Diez Laura Ordovás Esther Pueyo Biomedical signal Interpretation and Computational simulation group(BsICos) Aragón Institute of Engineering ResearchUniversity of ZaragozaZaragoza 50018Spain BsICos Instituto de Investigación Sanitaria Aragón(IISA)Zaragoza 50018Spain Centro Universitario de la Defensa(CUD) Zaragoza 50090Spain. Department of Cardiovascular surgery University Hospital Miguel ServetZaragoza 50009Spain. Institute of Experimental Medicine and Biology of Cuyo(IMBECU) CONICETMendoza 5500Argentina. Fundación Agencia Aragonesa para la Investigación y el Desarrollo(ARAID) Zaragoza 50018Spain. Biomedical Research Networking Center in Bioengineering Biomaterials and Nanomedicine(CIBER-BBN)Zaragoza 50018Spain.

Connexin 43 (CX43) is one of the major components of gap junctions, the structures responsible for the intercellular communication and transmission of the electrical impulse in the left ventricle. There is limited information on the histological changes of CX43 with age and their effect on electrophysiology, especially in humans. Here, we analyzed left ventricular biopsies from living donors starting at midlife to characterize age-related CX43 remodeling. We assessed its quantity, degree of lateralization, and spatial heterogeneity together with fibrotic deposition. We observed no significant age-related remodeling of CX43. Only spatial heterogeneity increased slightly with age, and this increase was better explained by biological age than by chronological age. Importantly, we found that CX43 features varied considerably among individuals in our population with no relevant relationship to age or fibrosis content, in contrast to animal species. We used our experimental results to feed computational models of human ventricular electrophysiology and to assess the effects of interindividual differences in specific features of CX43 and fibrosis on conduction velocity, action potential duration, and arrhythmogenicity. We found that larger amounts of fibrosis were associated with the highest arrhythmic risk, with this risk being increased when fibrosis deposition was combined with a reduction in CX43 amount and/or with an increase in CX43 spatial heterogeneity. These mechanisms underlying high arrhythmic risk in some individuals were not associated with age in our study population. In conclusion, our data rule out CX43 remodeling as an age-related arrhythmic substrate in the population beyond midlife, but highlight its potential as a proarrhythmic factor at the individual level, especially when combined with increased fibrosis.

关键词： CX43 rhythm Independent

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Federated Learning on Internet of Things:Extensive and systematic Review

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Computers, Materials & Continua 2024年第5期79卷 1795-1834页

作者： Meenakshi Aggarwal Vikas Khullar sunita Rani Thomas andréProla shyama Barna Bhattacharjee sarowar Morshed shawon Nitin Goyal Chitkara University Institute of Engineering and Technology Chitkara UniversityRajpuraPunjab140401India Department of CsE&IT BPS Mahila VishwavidyalayaKhanpur KalanSonipatHaryana131305India Engineering Research&Innovation Group Universidad Europea del AtlánticoC/Isabel Torres 21Santander39011Spain Department of Project Management Universidad Internacional IberoamericanaAreciboPR00613USA Department of Project Management Universidade Internacional do CuanzaEstrada Nacional 250Bairro KaluapandaCuito-BiéAngola Department of Computer science and Engineering University of Science and Technology Chittagong(USTC)Chattogram4202Bangladesh Deptartment of EEE University of Science and Technology Chittagong(USTC)Chattogram4202Bangladesh Department of Computer science and Engineering School of Engineering and TechnologyCentral University of HaryanaMahendragarhHaryana123031India

The proliferation of IoT devices requires innovative approaches to gaining insights while preserving privacy and resources amid unprecedented data ***,FL development for IoT is still in its infancy and needs to be explored in various areas to understand the key challenges for deployment in real-world *** paper systematically reviewed the available literature using the PRIsMA guiding *** study aims to provide a detailed overview of the increasing use of FL in IoT networks,including the architecture and challenges.A systematic review approach is used to collect,categorize and analyze FL-IoT-based *** was performed in the IEEE,Elsevier,Arxiv,ACM,and WOs databases and 92 articles were finally *** measures were published in English and with the keywords“FL”and“IoT”.The methodology begins with an overview of recent advances in FL and the IoT,followed by a discussion of how these two technologies can be *** be more specific,we examine and evaluate the capabilities of FL by talking about communication protocols,frameworks and *** then present a comprehensive analysis of the use of FL in a number of key IoT applications,including smart healthcare,smart transportation,smart cities,smart industry,smart finance,and smart *** key findings from this analysis of FL IoT services and applications are also ***,we performed a comparative analysis with FL IID(independent and identical data)and non-ID,traditional centralized deep learning(DL)*** concluded that FL has better performance,especially in terms of privacy protection and resource *** is excellent for preserving privacy becausemodel training takes place on individual devices or edge nodes,eliminating the need for centralized data aggregation,which poses significant privacy *** facilitate development in this rapidly evolving field,the insights presented are intended to help practitioners and re

关键词： Internet of Things federated learning PRIsMA framework of FL applications of FL data privacy communication

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Embracing different languages and local differences:Coconstructive patient simulation strengthens host countries’clinical training in psychiatry

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World Journal of Psychiatry 2024年第1期14卷 111-118页

作者： Şafak ErayÇamlı Büşra Ece Yavuz Meliha Feyza Gök Idil Yazgan Yanki Yazgan Ayelet Brand-Gothelf Doron Gothelf Doron Amsalem andrés Martin Department of Child and Adolescent Psychiatry Bursa UludağUniversity Faculty of MedicineBursa 16059 Turkey Yale University school of Medicine New HavenCT 06510United States Güzel Günler Clinic Beşiktaş/İstanbul 34335 Turkey Child study Center Yale School of MedicineNew HavenCT 06520United States The Feinberg Child study Center Schneider Children's Medical Center of IsraelTel Aviv UniversityPetach Tikvah 4920235Israel The Child Psychiatry Division Edmond and Lily Safra Children’s HospitalSheba Medical CenterTel HashomerRamat Gan 52561Israel Faculty of Medicine and sagol school of Neuroscience Tel Aviv UniversityTel Aviv 6997801Israel Department of Psychiatry Columbia University Vagelos College of Physicians and SurgeonsNew YorkNY 10032United States

BACKGROUND Global education in psychiatry is heavily influenced by knowledge from Western,high-income countries,which obscures local voices and *** To adapt a human simulation model to psychiatric education in a context that is specific to local languages and *** We conducted an observational study consisting of six human simulation sessions with standardized patients from two host countries,speaking their native languages,and following an adaptation of the co-constructive patient simulation(CCPs)*** local faculty became increasingly familiar with the CCPs approach,they took on the role of facilitators—in their country’s native *** Fifty-three learners participated:19 child and adolescent psychiatry trainees and 3 faculty members in Türkiye(as a group that met online during 3 consecutive months);and 24 trainees and 7 faculty in Israel(divided into 3 groups,in parallel in-person sessions during a single training day).Each of the six cases reflected local realities and clinical challenges,and was associated with specific learning goals identified by each case-writing *** Human simulation has not been fully incorporated into psychiatric education:The creation of immersive clinical experiences and the strengthening of reflective practice are two areas ripe for *** adaptations of CCPs can also strengthen local and regional networks and psychiatric communities of ***,the model can help question and press against hegemonies in psychiatric training that overshadow local expertise.

关键词： Human simulation standardized patients Medical education Psychiatric education Capacity building Local languages

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Beyond the imaging evaluation of fractures of the lateral process of the talus:Let’s not forget concomitant injuries

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World Journal of Clinical Cases 2024年第30期12卷 6410-6412页

作者： Cristian Lindner Pedro Reyes Eduardo Molina andrés Olave Department of Radiology Faculty of MedicineUniversity of ConcepciónConcepción 4030000BiobíoChile Department of Radiology Hospital Regional Guillermo Grant BenaventeConcepción 4030000BiobíoChile Department of Musculoskeletal Radiology Hospital Regional Guillermo Grant BenaventeConcepción 4030000BiobíoChile

Fractures of the lateral process of the talus(FLPT)are uncommon fractures that represent a clinical *** radiological classification systems rely predominantly on radiographic ***,due to the high rate of FLPT misdiagnosis and the limited accuracy in evaluating concomitant talar injuries through plain radiographs,novel imaging classification systems have been developed that aim to enhance the diagnosis of concomitant talar injuries,thereby optimizing patient management and reducing the incidence of long-term complications.

关键词： Talus Bone fracture subtalar joint Hindfoot injuries Fracture of the talus Intraarticular fracture

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Vegetation Response To soil And Morphological Properties In An Arid Region Alluvial Fan Landscape. Pre-Andes Of san Juan， Argentina

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Journal of Earth science 2024年

作者： FLOREs Daniel Germán OCA?A Raúl Emmanuel MELIáN Edgardo ORTEG andrés EsPER ANGILLIERI María Yanina PITTALUGA María Alejandra CIGEOBIO (CONICET-UNsJ) Av.José I.de la Roza y Meglioli Gabinete de Geología Ambiental， INGEO， Universidad Nacional de san Juan， Av.José I.de la Roza y Meglioli

The Monte Desert is characterized by a great diversity of landforms created with fluvial， alluvial which the vegetation patterns are related to. The present work has the following objectives: 1: determine whether topographical attributes， surface characteristics， soil properties and vegetation patterns vary between alluvial landforms， and 2: define whether morphometric， soil and surface properties influence vegetation patterns along alluvial landscape. Morphometric data were obtained by processing a 5 m digital elevation model. The coverage of rock fragments， fine sediments and mulch was quantified. Observations and descriptions of the soil profiles were restricted to the uppermost 50 cm. Vegetation properties were calculated using a Point Quadrat Method. The relationship between variables was evaluated through multivariate statistical analysis. The main results show the presence of 45 plant species distributed in 19 families， where shrubs are dominant. The wind effect， topographic wetness and dissection of the landscape are limiting factors of diversity. The coverage of superficial rock fragments influence vegetation coverage through the distribution and availability of rainwater. Furthermore， the different soil textures reveal that the silt content favors an increase in vegetation coverage. The presence of V horizon could condition the installation and development of vegetation in the early stages of growth.

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