检索结果-南通市图书馆

Comparison of the use of Alvarado and AIR scores as an adjunct to the clinical diagnosis of acute appendicitis in the pediatric population

引用

World Journal of Pediatric Surgery 2019年第2期2卷 33-37页

作者： aya musbahi Darren Rudd Matei Dordea Bussa Gopinath Vijay Kurup University Hospital of North Tees Stockton-on-TeesUK

Background Acute appendicitis is one of the most common causes of acute abdominal pain with an incidence of 1.17 per 1000 and lifetime risk of approximately 7%.It remains the most common indication for emergency abdominal surgery in *** of acute appendicitis is particularly difficult in young women and the pediatric *** the USA,CT imaging is used to avert diagnostic dilemma,however the procedure is associated with radiation risk in this vulnerable ***,the procedure has high cost and variable *** A retrospective study involving all suspected pediatric cases of appendicitis between the ages of 5 and 17 who were operated on between 2012 and 2015 was carried *** were collated from clinical notes on age,sex,ultrasound findings;postoperative complications,white cell count,neutrophils,C-reactive protein,histology result,and number of days to *** patients in the time period were retrospectively scored on the Alvarado and Appendicitis Inflammatory Response(AIR)*** A total of 239 patients between 11 and 17(mean 13.6±SE)years of age were included in the *** these,79 had preoperative ultrasound,of which 52 were negative,and only one patient had CT scan.213 of the patients had an appendicectomy and 26 had diagnostic laparoscopy with no *** the 213 appendixes removed,71 were histopathologically normal,giving a negative appendectomy rate of 33.3%.28 appendixes were *** average number of days from admission to theater was 1.0 SE in males and 1.424 in females(p=0.0498).The average number of days from admission to theater in those who had ultrasound was 2.03 days compared with 0.75 in those who did not have ultrasound(p<0.0001).AIR scoring that was high and medium risk showed slightly lower negative appendicectomy rates but not significantly *** Our study has found no significant difference between the AIR scores and *** is a role for scori

关键词： pediatric diagnosis removed

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Numerical Treatments for Crossover Cancer Model of Hybrid Variable-Order Fractional Derivatives

引用

Computer Modeling in Engineering & Sciences 2024年第8期140卷 1619-1645页

作者： Nasser Sweilam Seham Al-Mekhlafi aya Ahmed Ahoud Alsheri Emad Abo-Eldahab Mathematics Department Faculty of ScienceCairo UniversityGiza12613Egypt Mathematics Department Faculty of EducationSana’a UniversitySana’a1247Yemen Mathematics Department Faculty of ScienceHelwan UniversityCairo11795Egypt Department of Mathematics College of ScienceUniversity of BishaAl Namas67398-5644Saudi Arabia

In this paper,two crossover hybrid variable-order derivatives of the cancer model are ***ünwald-Letnikov approximation is used to approximate the hybrid fractional and variable-order fractional *** existence,uniqueness,and stability of the proposed model are *** Bashfourth’s fifth-step method with a hybrid variable-order fractional operator is developed to study the proposed *** studies with generalized fifth-order Runge-Kutta method are *** examples and comparative studies to verify the applicability of the used methods and to demonstrate the simplicity of these approximations are *** have showcased the efficiency of the proposed method and garnered robust empirical support for our theoretical findings.

关键词： Cancer diseases hybrid variable-order fractional derivatives adams bashfourth fifth step generalized fifth order Runge-Kutta method

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Trauma to the solid abdominal organs:The missed dark box of colonoscopy

引用

World Journal of Gastroenterology 2024年第7期30卷 624-630页

作者： Mohamed H Emara Usama Mazid Yasmine A Elshaer Mahmoud A Elkerdawy Dilaver Farooq Malik aya M Mahros Department of Hepatology Gastroenterologyand Infectious DiseasesKafrelsheikh UniversityKafr-Elshikh 33516Egypt Department of Medicine Alyousif HospitalAlkhobar 31952Saudi Arabia

Colonoscopy is an integral part of the lower bowel care and is generally considered a potentially safe diagnostic and therapeutic procedure performed as a daycare outpatient *** is associated with different complications that are not limited to adverse events related to the bowel preparation solutions used,the sedatives used,but to the procedure related as well including bleeding and *** to the extra-luminal abdominal organs during colonoscopy are uncommon,however,serious complications related to the procedure have been reported infrequently in the *** threatening injuries to the spleen,liver,pancreas,mesentery,and urinary bladder have been reported as early as in *** injuries should not be overlooked by clinicians and *** increasing abdominal pain,abdominal distension,and hemodynamic instability in absence of rectal bleeding should raise the possibility of severe organ *** and hepatic injury following colonoscopy are usually serious and may be life *** conservative management may help,yet they usually need interventional radiology or surgical *** pancreatitis following colonoscopy is usually mild and is mostly managed *** mechanism of abdominal organ injuries during colonoscopy is not fully understood,however many risk factors have been identified,which can be classified as-organ related,procedure related,and local abdominal *** colonoscopy and prior intra-abdominal adhesions are probably the most relevant risk factors for these *** lateral position,avoidance of looping and excessive force during the procedure would probably reduce the risk of such injuries.

关键词： Colonoscopy Pancreatitis Trauma Complications Adhesions

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Athletes Also Need Cross-Cultural Dialogue

引用

中国新闻发布(英文版) 2024年第Z1期 46-47页

作者： aya Medany

At the age of 15, I participated in the Olympic Games for the first time — the 2004 Athens Olympics. Before this, I couldn't imagine the scale of Olympics. Seeing over 10,000 athletes from different cultural backgrounds, families, and countries at the opening ceremony was very shocking. In the competition, the modern pentathlon included multiple events. During the final long-distance running event, I felt like I couldn't run anymore, but many people were still cheering me on. You can imagine the pressure I was under. The Athens Olympics gave me my first cross-cultural exchange experience.

关键词：

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

A Novel Deep Learning-Based Model for Classification of Wheat Gene Expression

引用

Computer Systems Science & Engineering 2024年第2期48卷 273-285页

作者： Amr Ismail WalidHamdy aya MAl-Zoghby Wael AAwad Ahmed Ismail Ebada Yunyoung Nam Byeong-Gwon Kang Mohamed Abouhawwash Faculty of Science Port Said UniversityPort SaidEgypt Modern Academy for Computer Science and Management Technology Cairo11742Egypt Faculty of Computers and Artificial Intelligence Damietta UniversityNew DamiettaEgypt Department of ICT Convergence Soonchunhyang UniversityAsan31538South Korea Department of Mathematics Faculty of ScienceMansoura UniversityMansoura35516Egypt Department of Computational Mathematics Scienceand Engineering(CMSE)Michigan State UniversityEast LansingMI48824USA

Deep learning(DL)plays a critical role in processing and converting data into knowledge and *** technologies have been applied in a variety of applications,including image,video,and genome sequence *** deep learning the most widely utilized architecture is Convolutional Neural Networks(CNN)are taught discriminatory traits in a supervised *** comparison to other classic neural networks,CNN makes use of a limited number of artificial neurons,therefore it is ideal for the recognition and processing of wheat gene *** is an essential crop of cereals for people around the *** Genotypes identification has an impact on the possible development of many countries in the agricultural *** quantitative genetics prediction of genetic values is a central *** is an allohexaploid(AABBDD)with three distinct *** sizes of the wheat genome are quite large compared to many other kinds and the availability of a diversity of genetic knowledge and normal structure at breeding lines of wheat,Therefore,genome sequence approaches based on techniques of Artificial Intelligence(AI)are *** paper focuses on using the Wheat genome sequence will assist wheat producers in making better use of their genetic resources and managing genetic variation in their breeding program,as well as propose a novel model based on deep learning for offering a fundamental overview of genomic prediction theory and current *** this paper,the hyperparameters of the network are optimized in the CNN to decrease the requirement for manual search and enhance network performance using a new proposed model built on an optimization algorithm and Convolutional Neural Networks(CNN).

关键词： Gene expression convolutional neural network optimization algorithm genomic prediction wheat

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Factors Influence Hanoians’ Choice of Non-Motorized Transport Mode to Access Bus Stations

引用

Journal of Transportation Technologies 2024年第3期14卷 372-389页

作者： Ngo Trung Phuong Masahiko Kikuchi aya Kojima Hisashi Kubota Graduate School of Science and Engineering Saitama University Saitama Japan Department of Engineering Affairs City Bureau Ministry of Land Infrastructure Transportation and Tourism Tokyo Japan

Hanoi’s rapid urbanization has led to a surge in private vehicle ownership, particularly motorcycles, amidst inadequate public transportation infrastructure. Despite government efforts, many still prefer motorized transport, citing mobility and safety concerns, exacerbated by insufficient pedestrian infrastructure. This study examines the motivations behind this reliance on motorized vehicles, particularly motorcycles, in Hanoi. Findings reveal safety and convenience as primary factors driving motorized transport use, especially for accessing bus stations. Economic incentives could promote non-motorized travel and public transport adoption. Policy implications highlight the importance of addressing economic factors and improving access infrastructure to manage motorized vehicle reliance and foster sustainable urban mobility in Hanoi.

关键词： Access Mode Choice Non-Motorized Vehicles Motorized Vehicles Bus User Urban Transport Behavior

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The Performance of Small Diameter Aluminum Light Support Structures Containing Handholes under Cyclic Fatigue

引用

Open Journal of Civil Engineering 2024年第2期14卷 196-213页

作者： Cameron R. Rusnak aya Al-Hamami Craig C. Menzemer Department of Science Technology and Mathematics Lincoln University of Missouri Jefferson Missouri USA Auburn Science and Engineering Center Department of Civil Engineering The University of Akron Akron Ohio USA

Aluminum light poles play a pivotal role in modern infrastructure, ensuring proper illumination along highways and in populated areas during nighttime. These poles typically feature handholes near their bases, providing access to electrical wiring for installation and maintenance. While essential for functionality, these handholes introduce a vulnerability to the overall structure, making them a potential failure point. Although prior research and analyses on aluminum light poles have been conducted, the behavior of smaller diameter poles containing handholes remains unexplored. Recognizing this need, a research team at the University of Akron undertook a comprehensive experimental program involving aluminum light poles with handholes containing welded inserts in order to gain a better understanding of their fatigue life, mechanical behavior, and failure mechanisms. The research involved testing seven large-scale aluminum light poles each 8-inch diameter, with two separate handholes. These handholes included a reinforcement that was welded to the poles. Finite Element Analysis (FEA), statistical analysis, and comparison analysis with their large counterparts (10-inch diameter) were used to augment the experimental results. The results revealed two distinct failure modes: progressive crack propagation leading to ultimate failure, and rupture of the pole near the weld initiation/termination site around the handhole. The comparison analysis indicated that the 8-inch diameter specimens exhibited an average fatigue life exceeding that of their 10-inch counterparts by an average of 30.7%. The experimental results were plotted alongside the fatigue detail classifications outlined in the Aluminum Design Manual (ADM), enhancing understanding of the fatigue detail category of the respective poles/handholes.

关键词： Light Pole Handhole Cyclic Fatigue Fatigue Analysis Finite Element Analysis Statistical Analysis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

搭上人类便车的动物“旅客”

引用

百科知识 2024年第11期 11-17页

作者： aya 猫猫

2024年1月16日，一架新加坡航空公司的波音747货机从新加坡樟宜机场飞抵中国成都双流机场。与往常满载货物的货机不同，这架飞机的货舱里只有一位尊贵的旅客—首只在新加坡出生的大熊猫“叻叻”。2021年8月14日，叻叻出生于新加坡河川...

2024年1月16日，一架新加坡航空公司的波音747货机从新加坡樟宜机场飞抵中国成都双流机场。与往常满载货物的货机不同，这架飞机的货舱里只有一位尊贵的旅客—首只在新加坡出生的大熊猫“叻叻”。2021年8月14日，叻叻出生于新加坡河川生态园，它是我国向新加坡出借的大熊猫“嘉嘉”和“凯凯”的孩子。“叻”源自新加坡的旧称石叻，且与“乐”同音，寓意快乐、幸福。自出生以来，“叻叻”备受狮城人民喜爱，是河川生态园的“大明星”。按照此前中新两国达成的协议，“叻叻”年满两岁后需回到中国。因此，自2023年8月起，新加坡方面就开始紧锣密鼓地安排它的回国之旅，直至今年1月16日顺利成行。

关键词：

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Influence of Production Factors on the Physico-Chemical Characteristics of Fermented Cassava Dough and Sensory Evaluation of Attieke

引用

Food and Nutrition Sciences 2024年第5期15卷 361-376页

作者： Weiléko Hélène Dougba Djedjro Clément Akmel Emmanuel aya Diane Boudouin Dibi Nogbou Emmanuel Assidjo Laboratory of Industrial Processes for Environmental Synthesis and New Energies Institut National Polytechnique F&#233lix Yamoussoukro C&#244te d&#8217Ivoire Department of Agro-Food and Food Industries UFR Agriculture Fisheries Resources and Agro-Industry University of San-Pedro San-Pedro C&#244te d&#8217Ivoire

Attieke is an Ivorian semolina which obtained by fermenting, pressing and steaming cassava dough. Attieke production remains a traditional activity carried out by less literate women. However, perceived differences in measurable factors and attieke qualities require an investigation of their influence on the characteristics of the pressed dough and attieke. The aim of this study is to improve the quality of the dough in relation to that of the attieke produced. The experiment was carried out on 4 production factors, namely the type of boiled or braised ferment, the incorporation rate of the ferment between 8 and 10%, the addition of oil from 0.1 to 1% and the fermentation time from 12 to 15 hours applied to the Improved African Cassava (IAC) variety. A complete experiment design of 16 samples of fermented dough and attieke was employed. These samples underwent physic-chemical analyses for the fermented dough and sensory evaluation for the attieke. It was found that, except for titratable acidity, reducing sugar content and ash content, the physico-chemical characteristics of the dough of IAC variety were significantly influenced by all production factors and their interaction. Fermentation time significantly influences 60% of the physico-chemical characteristics of the fermented dough. The type of ferment, the oil addition and the ferment rate have a significant influence at 40% of these characteristics. At the sensory level, color, acidity and grain binding with an explained variance of 34.60% were essential for the appreciation of the attieke samples. Thus, these production factors could be considered for the improvement of the fermented dough and attieke production process.

关键词： Influence Production Fermented Dough Attieke

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Adherence to Advisory Committee on Immunization Practices in diabetes mellitus patients in Saudi Arabia:A multicenter retrospective study

引用

World Journal of Diabetes 2024年第3期15卷 440-454页

作者： Saleh Fahad Alqifari aya K Esmail Dalal M Alarifi Ghalya Y Alsuliman Maram M Alhati May R Mutlaq Mohammed Aldhaeefi Shaden A Alshuaibi Palanisamy Amirthalingam Abrar Abdallah Afaf S Wasel Heba R Hamad Shoroq Alamin Tasneem H Atia Tariq Alqahtani Department of Pharmacy Practice University of TabukTabuk 71491Saudi Arabia Department of Clinical Sciences Sulaiman Alrajhi UniversityQassim 52726Saudi Arabia Department of Family Medicine International Medical CenterJeddah 23214Saudi Arabia Clinical and Administrative Pharmacy Sciences College of PharmacyHoward UniversityWashingtonDC 20059United States Department of Pharmacology King Saud Bin Abdulaziz University for Health SciencesKing Abdullah International Medical Research CenterRiyadh 11481Saudi Arabia

BACKGROUND Patients with diabetes mellitus(DM)are predisposed to an increased risk of infection signifying the importance of vaccination to protect against its potentially severe *** Centers for Disease Control and Prevention/Advisory Committee on Immunization Practices(CDC/ACIP)issued immunization recommendations to protect this patient *** To assess the adherence of patients with DM to the CDC/ACIP immunization recommendations in Saudi Arabia and to identify the factors associated with the vaccine adherence *** An observational retrospective study conducted in 2023 was used to collect data on the vaccination records from 13 diabetes care centers in Saudi Arabia with 1000 eligible patients in phase I with data collected through chart review and 709 patients in phase II through online *** Among participants,10.01%(n=71)had never received any vaccine,while 85.89%(n=609)received at least one dose of the coronavirus disease 2019(COVID-19)vaccine,and 34.83%(n=247)had received the annual influenza *** 2.96%(n=21),2.11%(n=15),and 1.12%(n=8)received herpes zoster,tetanus,diphtheria,and pertussis(Tdap),and human papillomavirus(HPV)vaccines,*** patients with DM in Saudi Arabia,the rate of vaccination for annual influenza and COVID-19 vaccines was higher compared to other vaccinations such as herpes zoster,Tdap,pneumococcal,and *** such as vaccine recommendations provided by family physicians or specialists,site of care,income level,DM-related hospitalization history,residency site,hemoglobin A1c(HbA1c)level,and health sector type can significantly influence the vaccination rate in patients with *** non-vaccinated patients with DM,the most reported barriers were lack of knowledge and fear of side *** signifies the need for large-scale research in this area to identify additional factors that might facilitate adherence to CDC/ACIP vaccine recommendations in patients with *** In S

关键词： Diabetes mellitus Vaccine recommendation COVID-19 vaccine Influenza vaccine Pneumococcal vaccine Immunization Retrospective study

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：