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Severe aspi.ati.n pneumoni. i. the elderly

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Journal of i.tensi.e Medi.i.e 2024年第3期4卷 307-317页

作者： Sebasti.n Ocrospoma Marcos i.Restrepo Di.i.i.n of Pulmonary Di.eases&Cri.i.al Care Medi.i.e University of Texas Health San AntonioSan AntonioTXUSA Secti.n of Pulmonary&Cri.i.al Care Medi.i.e South Texas Veterans Health Care SystemSan AntonioTXUSA

The global populati.n i. agi.g at an unprecedented rate,resulti.g i. a growi.g and vulnerable elderly populati.n i. need of effi.i.nt comprehensi.e healthcare servi.es that i.clude long-term care and ski.led nursi.g *** thi. context,severe aspi.ati.n pneumoni.,a condi.i.n that carri.s substanti.l morbi.i.y,mortali.y,and fi.anci.l burden,especi.lly among elderly pati.nts requi.i.g admi.si.n to the i.tensi.e care uni.,has attracted greater *** pneumoni. i. defi.ed as a pulmonary i.fecti.n related to aspi.ati.n or dysphagi. i. *** epi.odes of coughi.g on food or li.ui. i.take,a hi.tory of relevant underlyi.g condi.i.ns,abnormali.i.s on vi.eofluoroscopy or water swallowi.g,and gravi.y-dependent shadow di.tri.uti.n on chest i.agi.g are among the clues that suggest *** wi.h aspi.ati.n pneumoni. tend to be elderly,frai.,and sufferi.g from more comorbi.i.i.s than those wi.hout thi. ***,we comprehensi.ely address the epi.emi.logy,cli.i.al characteri.ti.s,di.gnosi.,treatment,preventi.n,and prognosi. of severe aspi.ati.n communi.y-acqui.ed pneumoni. i. the elderly to opti.i.e care of thi. hi.h-ri.k demographi.,enhance outcomes,and mi.i.i.e the healthcare costs associ.ted wi.h thi. *** preventi.e measures and effecti.e management strategi.s i. vi.al i. ensuri.g the well-bei.g of our agi.g populati.n.

关键词： Aspi.ati.n pneumoni. Aged Cri.i.al i.lness Swallowi.g di.orders Frai.ty Anti.acteri.l agents

The Ti.i.g of Pri.ary Neurosurgi.al Repai. and Wound-Si.e i.fecti.n i. Chi.dren wi.h Myelomeni.gocele

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Open Journal of Modern Neurosurgery 2024年第2期14卷 137-148页

作者： Joseph O. Obande Paul T. Bi.rus Eli.abeth i. Obande Di.i.i.n of Neurosurgery Department of Surgery University of Abuja Teaching Hospital Abuja Nigeria Post-Basi. School of Cri.i.al Care Nursi.g University of Abuja Teaching Hospital Abuja Nigeria

Background: The opti.al ti.e to closure of a newborn wi.h a myelomeni.gocele has been the focus of a number of evaluati.ns. The Ti.i.g of pri.ary surgery has recei.ed si.ni.i.ant attenti.n due to i.s relati.nshi. to repai.-si.e i.fecti.n that can lead to i.creased morbi.i.y and prolonged hospi.al stays. i. i. on thi. basi. that recommendati.ns have uti.i.ed 48 - 72 hours post bi.th as i.eal ti.e of closure. Thi. i. not only prevent i.fecti.n at the si.e but also prevent ventri.uli.i. and neural structure damage. We therefore, hypothesi.ed an i.crease i. wound i.fecti.n rates i. those pati.nts wi.h delays i. myelomeni.gocele repai.. Methods: We retrospecti.ely revi.wed the records of 103 chi.dren wi.h myelomeni.gocele treated between 2016 and 2023. At di.charge the pati.nts were followed up at the post-operati.e cli.i. vi.i. 2 weeks later. Chi.dren were assi.ned to 1 of 2 groups, those who underwent pri.ary neurosurgi.al repai. wi.hi. 72 hours of deli.ery (Group 1) and those undergoi.g repai. after 72 hours (Group 2). We compared the i.fecti.n rates. Results: 103 chi.dren who underwent myelomeni.gocele repai. were i.enti.i.d, wi.h a medi.n ti.e from bi.th to treatment of 1 day. Ei.ht (7.8 %) pati.nts were noted to have post-repai. surgi.al si.e compli.ati.ns. There was no si.ni.i.ant di.ference i. rates of i.fecti.n between Group 1 and Group 2 repai. ti.es. The presence of i.fecti.n was associ.ted i.creased length of stay when compared to neonates wi.hout i.fecti.n. Conclusi.n: i. chi.dren wi.h myelomeni.gocele, the ti.i.g of pri.ary neurosurgi.al repai. appears not to have a si.ni.i.ant i.pact on surgi.al si.e i.fecti.n. Closure of the spi.al lesi.n wi.hi. the fi.st 72 hours of li.e may be more favorable for neural damage preventi.n. These results suggest that early myelomeni.gocele repai. may not i.part si.ni.i.antly on the rate of wound-si.e i.fecti.n.

关键词： Spi.a Bi.i.a Surgi.al Ti.i.g Exci.i.n and Repai. Surgi.al Si.e i.fecti.n Myelomeni.gocele

Modeli.g of Total Di.solved Soli.s (TDS) and Sodi.m Absorpti.n Rati. (SAR) i. the Edwards-Tri.i.y Plateau and Ogallala Aqui.ers i. the Mi.land-Odessa Regi.n Usi.g Random Forest Regressi.n and eXtreme Gradi.nt Boosti.g

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Journal of Geosci.nce and Envi.onment Protecti.n 2024年第5期12卷 218-241页

作者： Azuka i. Udeh Osayamen J. i.arhi.gbe Erepamo J. Omi.ti.i Department of Geosci.nce University of Texas Permian Basin Odessa Texas USA Department of Geology University of Pretoria Pretoria South Africa

Effi.i.nt water quali.y moni.ori.g and ensuri.g the safety of dri.ki.g water by government agenci.s i. areas where the resource i. constantly depleted due to anthropogeni. or natural factors cannot be overemphasi.ed. The above statement holds for West Texas, Mi.land, and Odessa Preci.ely. Two machi.e learni.g regressi.n algori.hms (Random Forest and XGBoost) were employed to develop models for the predi.ti.n of total di.solved soli.s (TDS) and sodi.m absorpti.n rati. (SAR) for effi.i.nt water quali.y moni.ori.g of two vi.al aqui.ers: Edward-Tri.i.y (plateau), and Ogallala aqui.ers. These two aqui.ers have contri.uted i.mensely to provi.i.g water for di.ferent uses rangi.g from domesti., agri.ultural, i.dustri.l, etc. The data was obtai.ed from the Texas Water Development Board (TWDB). The XGBoost and Random Forest models used i. thi. study gave an accurate predi.ti.n of observed data (TDS and SAR) for both the Edward-Tri.i.y (plateau) and Ogallala aqui.ers wi.h the R2 values consi.tently greater than 0.83. The Random Forest model gave a better predi.ti.n of TDS and SAR concentrati.n wi.h an average R, MAE, RMSE and MSE of 0.977, 0.015, 0.029 and 0.00, respecti.ely. For the XGBoost, an average R, MAE, RMSE, and MSE of 0.953, 0.016, 0.037 and 0.00, respecti.ely, were achi.ved. The overall performance of the models produced was i.pressi.e. From thi. study, we can clearly understand that Random Forest and XGBoost are appropri.te for water quali.y predi.ti.n and moni.ori.g i. an area of hi.h hydrocarbon acti.i.i.s li.e Mi.land and Odessa and West Texas at large.

关键词： Water Quali.y Predi.ti.n Predi.ti.e Modeli.g Aqui.ers Machi.e Learni.g Regressi.n eXtreme Gradi.nt Boosti.g

On the “Oni.n Husk” Algori.hm for Approxi.ate Soluti.n of the Traveli.g Salesman Problem

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Journal of Appli.d Mathemati.s and Physi.s 2024年第4期12卷 1557-1570页

作者： Mi.hai. E. Abramyan Ni.olai.i. Krai.i.kov Bori. F. Melni.ov Faculty of Computati.nal Mathemati.s and Cyberneti.s Shenzhen MSU-BIT University Shenzhen China Department of Algebra and Di.crete Mathemati.s Southern Federal University Rostov-on-Don Russian Federation

The paper descri.es some i.plementati.n aspects of an algori.hm for approxi.ate soluti.n of the traveli.g salesman problem based on the constructi.n of convex closed contours on the i.i.i.l set of poi.ts (“ci.i.s”) and thei. subsequent combi.ati.n i.to a closed path (the so-called contour algori.hm or “oni.n husk” algori.hm). A number of heuri.ti.s related to the di.ferent stages of the algori.hm are consi.ered, and vari.us vari.nts of the algori.hm based on these heuri.ti.s are analyzed. Sets of randomly generated poi.ts of di.ferent si.es (from 4 to 90 and from 500 to 10,000) were used to test the algori.hms. The numeri.al results obtai.ed are compared wi.h the results of two well-known combi.atori.l opti.i.ati.n algori.hms, namely the algori.hm based on the branch and bound method and the si.ulated anneali.g algori.hm. .

关键词： Branch and Bound Method Contour Algori.hm “Oni.n Husk” Algori.hm Si.ulated Anneali.g Method Traveli.g Salesman Problem

Taxonomy,di.tri.uti.n,and contemporary exposure of terrestri.l mammals to floods and human pressure across di.ferent areas for bi.di.ersi.y conservati.n i. Chi.a

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i.tegrati.e Zoology 2024年第3期19卷 458-467页

作者： Roman SHARNUUD Eri. i.AMECA MOE Key Laboratory for Bi.di.ersi.y Sci.nce&Ecologi.al Engi.eeri.g College of Life SciencesBeijing Normal UniversityBeijingChina Cli.ate Change Speci.li.t Group Species Survival CommissionInternational Union for Conservation of NatureGlandSwitzerland

A si.ni.i.ant research focus i. placed on i.enti.yi.g ani.al speci.s and areas at future ri.k to human-i.duced alterati.ns of the envi.onment and long-term changes i. cli.ati. ***,the extent to whi.h exposure to extreme cli.ati. events and i.tense human pressure can i.crease the ri.k of harmful i.pacts on speci.s remai.s poorly *** on terrestri.l mammals i. Chi.a,one of the world’s megadi.erse countri.s,we i.vesti.ated patterns of contemporary exposure to floods and human pressures and determi.ed thei. taxonomi. representati.n and di.tri.uti.n across three major area-based conservati.n schemes,namely,nati.nal nature reserves(NNRs),pri.ri.y areas for bi.di.ersi.y conservati.n(PABCs),and key bi.di.ersi.y areas(KBAs).Among the 440 speci.s assessed wi.h moderate or hi.h exposure to floods,327(∼75%)also quali.i.d as moderate or hi.h i. exposure to i.tense human *** speci.s mai.ly belong to the orders Chi.optera,Euli.otyphla,and ***,there were 305,311,and 311 speci.s wi.h moderate or hi.h exposure to flood and i.tense human pressure represented across NNRs,PABCs,and KBAs,*** fi.di.gs support the pri.ri.i.ati.n of KBAs for expansi.n of si.e-based protecti.n efforts such as NNRs i. Chi.a,consi.eri.g threats to speci.s from exposure to adverse effects from both extreme cli.ate and human pressure.

关键词： conservati.n floods human pressure mammals taxonomy

Effect of Weari.g a Maxi.lofaci.l Prosthesi. on Masti.atory Rhythm i.provement i. Mandi.ulectomy Pati.nts

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Health 2024年第7期16卷 717-729页

作者： Xuewei.Han Mi.oko Haraguchi.Yuka i. Sumi.a Marwa Ahmed Aboelez Nori.uki.Wakabayashi Department of Advanced Prosthodonti.s Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University (TMDU) Tokyo Japan Department of Parti.l and Complete Denture School of Life Dentistry at Tokyo The Nippon Dental University Tokyo Japan Department of Prosthodonti.s Faculty of Dentistry Mansoura University Mansoura Egypt

Background: Recordi.g jaw movement rhythms i. pati.nts wi.h jaw defects i. challengi.g usi.g conventi.nal tracki.g devi.es. However, masti.atory rhythm i. cruci.l for masti.atory performance and nutri.i.nal i.take. Thi. study ai.ed to explore the i.pact of usi.g a maxi.lofaci.l prosthesi. to restore masti.atory rhythm i. mandi.ulectomy pati.nts wi.h a novel wearable devi.e. Methods: Twelve pati.nts who underwent mandi.ulectomy and were rehabi.i.ated wi.h maxi.lofaci.l prosthesi. were recrui.ed. Chewi.g rate, cycle durati.ns, coeffi.i.nt of vari.ti.n of cycle durati.ns (CV), changi.g ti.es of ski. morphology on the back of the ear pi.na area (SM), and masti.atory performance were measured duri.g gum chewi.g wi.hout and wi.h a denture usi.g a wearable jaw movement rhythm tracki.g devi.e. A pai.ed t-test and the Pearson correlati.n coeffi.i.nt were used for stati.ti.al analysi.. Results: The chewi.g rate i.creased by 8.6 cycles/mi. wi.h dentures (P P = 0.01). The CV and SM decreased wi.h dentures (P = 0.004 and P = 0.01, respecti.ely). Si.ni.i.ant correlati.ns were found between the CV and SM wi.hout dentures (P = 0.004). Conclusi.n: 1. Weari.g maxi.lofaci.l prostheses can i.prove masti.atory rhythm i. pati.nts who undergo mandi.ulectomy wi.h Ei.hner B2 occlusal supports. 2. The wearable devi.e i. avai.able for measuri.g masti.atory rhythm i. pati.nts wi.h jaw defects i. cli.i.s. 3. Changi.g ti.es of the ski. morphology on the back of the ear pi.na i.di.ate jaw movement stabi.i.y through a si.pler process than the coeffi.i.nt of vari.ti.n of cycle durati.ns.

关键词： Masti.atory Rhythm Jaw Movement Rhythm Tracki.g Devi.e Maxi.lofaci.l Prosthesi. Head and Neck Tumor Mandi.ulectomy

Detecti.n of 4p16.3 deleti.n and 11p15.5p15.4 gai. i. a boy by comparati.e genomi. hybri.i.ati.n array:A case report

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World Journal of Cli.i.al Cases 2024年第8期12卷 1517-1522页

作者： i.ın Kaya Medi.al Geneti.s Bakırçay UniversityÇiğli Education ve Training Hospitalİzmir 35620Turkey

BACKGROUND Nonalleli. homologous recombi.ati.n(NAHR)of segmental dupli.ati.ns or low copy repeats(LCRs)result i. DNA gai./loss and play an i.portant role i. the ori.i. of genomi. *** SUMMARY A 3-year-old boy was referred for geneti. *** genomi. hybri.-i.ati.n array analysi. revealed a loss of 3776 kb i. the 4p16.3 chromosomal regi.n and a gai. of 3201 kb i. the 11p15.5p15.4 chromosomal *** Genomi. i.balances caused by NAHR i. LCRs result i. deleti.n and dupli.ati.n syndromes.

关键词： Wolf-Hi.schhorn syndrome Si.ver-Russell syndrome Recurrent rearrangements Case report

Enhancement of coerci.i.y,permeabi.i.y,and di.lectri. properti.s of Co_(0.2)Zn_(0.3)Ni.(0.5)Eu_(x)Fe_(2-x)O_(4) ferri.es for memory and hi.h frequency devi.es

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Journal of Rare Earths 2024年第6期42卷 1128-1135,I0005页

作者： i.Sardar M.D.Hossai. M.S.Si.der M.N.i.Khan M.R.Rahman Physi.s Di.ci.li.e Khulna UniversityKhulna9208Bangladesh Department of Physi.s Khulna University of Engineering&TechnologyKhulna9203Bangladesh Department ofComputer Sci.nce and Engi.eeri.g Northern University of Business&Technology KhulnaKhulna9100Bangladesh Materi.l Sci.nce Di.i.i.n Atomic Energy CentreDhaka1000Bangladesh

Spi.el cubi. ferri.es have huge appli.ati.ns i. me mory and hi.h frequency *** the i.provement of these modern devi.es,the magneti. coerci.i.y,permeabi.i.y,and di.lectri. properti.s of a ferri.e are the i.portant *** arti.le focuses on i.provi.g the magneti. coerci.i.y,magneti. permeabi.i.y,and di.lectri. properti.s of Co_(0.2)Zn_(0.3)Ni.(0.5)Eu_(x)Fe_(2-x)O_(4) ferri.es,where x=0.00,0.06,and *** X-ray di.fracti.n(XRD),Fouri.r transform i.frared spectroscopy(FTi.),fi.ld emi.si.n scanni.g electron mi.roscopy(FESEM),energy di.persi.e X-ray(EDX),vi.rati.g sample magnetometer(VSM),and an i.pedance analyzer were used to characteri.e the structural,magneti.,and di.lectri. properti.s of the *** XRD patterns i.di.ate the formati.n of spi.el cubi. structure of the samples wi.h a secondary peak(EuFeO_(3))for Eu doped *** densi.i.s and porosi.i.s of the samples follow an i.verse trend,where the doped samples’latti.e parameters are i.creased wi.h the i.crement of rare earth Eu *** FTi. analysi. also proves the spi.el cubi. phase of the *** average grai. si.e of the ferri.es i. obtai.ed vi. FESEM i.ages,and i. i. i.creased from 121 to 198 *** analysi. confi.ms that dopi.g of the Eu content also changes other hysteresi. loop properti.s of Co_(0.2)Zn_(0.3)Ni.(0.5)Eu_(x)Fe_(2-x)O_(4) ***,the coerci.i.y of the Eu doped samples i. greater than that of the mother alloy(x=0.00).The EDX study shows that there i. no i.puri.y contami.ati.n i. the *** permeabi.i.y and di.lectri. measurements show an i.proved quali.y factor of the Eu-doped samples wi.h low magneti. and di.lectri. *** dependent resi.ti.i.y and i.pedance analysi. also show the i.proved *** the observed properti.s of the samples,all the i.vesti.ated ferri.es mi.ht be strong candi.ates for potenti.l appli.ati.ns i. memory devi.es,magneti. sensors,and hi.h frequency appli.ati.ns.

关键词： Ferri.es Raree arths Coerci.i.y Permeabi.i.y EDX Resi.ti.i.y

Congeni.al Mesoblasti. Nephroma: A Case Report

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Open Journal of Pedi.tri.s 2024年第5期14卷 834-840页

作者： E. A. Ali.nor O. C. Ugwa i. O. Nnamani Department of Paedi.tri.s University of Port Harcourt Teaching Hospital Port Harcourt Nigeria Department of Anatomi.al Pathology University of Port Harcourt Teaching Hospital Port Harcourt Nigeria

Background: Congeni.al Mesoblasti. Nephroma (CMN) i. a mesenchymal renal tumour of early li.e. Wi.h a medi.n di.gnosi. of two months and over 90% of cases occurri.g wi.hi. the fi.st year of li.e, i. i. the most prevalent non-Wi.ms’ renal tumour. Even though i.agi.g can be used as a di.gnosi.g tool, i. i. frequently i.enti.i.d i. the neonatal peri.d when the baby has an abdomi.al mass. There are three di.ferent hi.tologi. types: mi.ed, cellular, and classi.. Radi.al nephrectomy i. the usual mode of treatment, though adjuvant chemotherapy may be necessary for the cellular type, whi.h may be aggressi.e. Case presentati.n: We report on a case of a 2-day-old term male neonate born to a 27-year-old mother through spontaneous vertex deli.ery (SVD). He presented wi.h a ri.ht-si.ed abdomi.al mass from bi.th. An abdomi.al ultrasound scan revealed a huge, well-ci.cumscri.ed heterogeneous soft ti.sue mass i. the ri.ht hemi.abdomen extendi.g to the left si.e, measuri.g 10.2 cm by 8.0 cm. He underwent a ri.ht radi.al nephrectomy wi.h a tumour wei.ht of 450 g and a si.e of 18 cm × 15 cm × 6 cm. Hi.topathologi.al di.gnosi. was Congeni.al Mesoblasti. Nephroma (cellular type) Stage 1. Conclusi.n: Any i.fant wi.h a renal tumour should be evaluated for congeni.al mesoblasti. nephroma. Detai.ed i.vesti.ati.n and complete resecti.n are fundamental for ensuri.g an excellent outcome.

关键词： Congeni.al Mesoblasti. Nephroma Nephrectomy Neonate