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Update on evidence-based clinical application of sodium-glucose cotransporter inhibitors:Insight to uncommon cardiovascular disease scenarios in diabetes

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World Journal of Diabetes 2024年第7期15卷 1461-1476页

作者： Shi-Bing Tao xi lu Zi-Wei Ye Nan-Wei Tong Department of Endocrinology and Metabolism West China Hospital of Sichuan UniversityChengdu 610041Sichuan ProvinceChina Research Centre for Diabetes and Metabolism West China Hospital of Sichuan UniversityChengdu 610041Sichuan ProvinceChina Department of Endocrinology and Metabolism Ziyang Central HospitalZiyang 641300Sichuan ProvinceChina

In this paper,we concentrate on updating the clinical research on sodium-glucose cotransporter inhibitors(SGLTis)for patients with type 2 diabetes who have heart failure with a preserved injection fraction,acute heart failure,atrial fibrillation,primary prevention of atherosclerotic cardiovascular disease/cardiovascular disease,and acute myocardial *** searched the data of randomized controlled trials and meta-analyses of SGLTis in patients with diabetes from PubMed between January 1,2020 and April 6,2024 for our *** to our review,certain SGLTis(empagliflozin,dapagliflozin,canagliflozin,and tofogliflozin),but not sodium-glucose cotransporter 1 inhibitor(SGLT1i),exhibit relatively superior clinical safety and effectiveness for treating the abovementioned *** utilization of SGLTis in these patients can foster clinical improvement and offer an alternative medication ***,clinical trials involving SGLTis for certain diseases have relatively small sample sizes,brief intervention durations,and conclusions based on weak evidence,necessitating additional *** findings are significant and valuable for providing a more comprehensive reference and new possibilities for the clinical utilization and scientific exploration of SGLTis.

关键词： Sodium-glucose cotransporter inhibitors Diabetes Heart failure Atrial fibrillation Atherosclerosis Cardiovascular disease Acute myocardial infarction

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Design parameter optimization method for a prestressed steel structure driven by multi-factor coupling

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Frontiers of Structural and Civil Engineering 2024年第7期18卷 1066-1083页

作者： Guo-Liang SHI Zhan-Sheng LIU De-chun lu Qing-Wen ZHANG Majid DEZHKAM Ze-Qiang WANG Faculty of Architecture Civil and Transportation EngineeringBeijing University of TechnologyBeijing 100124China The Key Laboratory of Urban Security and Disaster Engineering of the Ministry of Education Beijing University of TechnologyBeijing 100124China Beijing Building Construction Research Institute Co. Ltd.Beijing 100039China

To achieve efficient structural design,it is crucial to reduce the cost of materials while ensuring structural *** study proposes an optimization method for design parameters(DPs)in a prestressed steel structure driven by multi-factor *** accomplish this,a numerical proxy model of prestressed steel structures is established with integration of DPs and mechanical parameters(MPs).A data association-parameter analysis-optimization selection system is established.A correlation between DPs and MPs is established using a back propagation(BP)neural *** correlation provides samples for parameter analysis and optimization *** are used to characterize the safety of the *** on the safety grade analysis,the key DPs that affect the mechanical properties of the structure are obtained.A mapping function is created to match the MPs and the key *** optimal structural DPs are obtained by setting structural materials as the optimization objective and safety energy as the constraint *** theoretical model is applied to an 80-m-span gymnasium and verified with a scale test physical *** MPs obtained using the proposed method are in good agreement with the experimental *** with the traditional design method,the design cycle can be shortened by more than 90%.Driven by the optimal selection method,a saving of more than 20% can be achieved through reduction of structural material ***,the cross-sectional dimensions of radial cables have a substantial influence on vertical *** initial tension and cross-sectional size of the upper radial cable exhibit the most pronounced impact on the stress distribution in that *** initial tension and cross-sectional size of the lower radial cable hold the greatest sway over the stress distribution in that cable.

关键词： structure design association relationship performance analysis optimum selection experimental verification

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Upadacitinib for refractory ulcerative colitis with primary nonresponse to infliximab and vedolizumab:A case report

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World Journal of Clinical Cases 2024年第9期12卷 1685-1690页

作者： Xuan Xu Jing-Wen Jiang Bing-Yun lu xia-xi Li Department of Gastroenterology Shenzhen HospitalSouthern Medical UniversityShenzhen 518100Guangdong ProvinceChina The First Clinical Medical School Southern Medical UniversityGuangzhou 510515Guangdong ProvinceChina

BACKGROUND Many patients with ulcerative colitis(UC)do not respond well to,or tolerate conventional and biological *** is currently no consensus on the treatment of refractory *** have demonstrated that the selective Janus kinase 1 inhibitor upadacitinib,a small-molecule drug,is effective and safe for treating ***,no studies have revealed that upadacitinib is effective in treating refractory UC with primary nonresponse to infliximab and *** SUMMARY We report the case of a 44-year-old male patient with a chief complaint of bloody diarrhoea with mucus and pus,in addition to *** patient had recurrent disease after receiving mesalazine,prednisone,azathioprine,infliximab and vedolizumab over four *** on the endoscopic findings and pathological biopsy,the patient was diagnosed with refractory *** particular,the patient showed primary nonresponse to infliximab and *** on the patient’s history and recurrent disease,we decided to administer *** hospitalisation,the patient was received upadacitinib under our *** weeks after the initiation of upadacitinib treatment,the patient’s symptoms and endoscopic findings improved *** notable adverse reactions have been reported to *** Our case report suggests that upadacitinib may represent a valuable strategy for treating refractory UC with primary nonresponse.

关键词： Upadacitinib Refractory ulcerative colitis Primary nonresponse Infliximab Vedolizumab Case report

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Application of oblique photogrammetry technique in geological hazard identification and decision management

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Earthquake Research Advances 2024年第3期4卷 34-41页

作者： Min Tang xi Mei Yanna Li Chen Chen xiuju Liu Heng lu China Railway Eryuan Engineering Group CO.LTD Chengdu610031China School of Environment and Resource Southwest University of Science and TechnologyMianyang621000China State Key Laboratory of Hydraulics and Mountain River Engineering Sichuan UniversityChengdu610065China College of Hydraulic and Hydroelectric Engineering Sichuan UniversityChengdu610065China Chengdu Planning Information Technic Center Chengdu610042China

With the continuous development of the oblique photography technique, it has been used more and more widely in the field of geological disasters. It can quickly obtain the three-dimensional(3D) real scene model of dangerous mountainous areas under the premise of ensuring the safety of personnel while restoring the real geographic information as much as possible. However, geological disaster areas are often accompanied by many adverse factors such as cliffs and dense vegetation. Based on this, the paper introduced the flight line design of oblique photogrammetry, analyzed the multi-platform data fusion processing, studied the multi-period data dynamic evaluation technology and proposed the application methods of data acquisition, early warning, disaster assessment and decision management suitable for geological disaster identification through the analysis of actual cases, which will help geologists to plan and control geological work more scientifically and rationally, improve work efficiency and reduce the potential personnel safety hazards in the process of geological survey, to offer technical support to the application of oblique photogrammetry in geological disaster identification and decision making and provide the scientific basis for personal and property safety protection and later-stage geological disaster management in disaster areas.

关键词： Oblique photography technique Three-dimensional models Geological hazards Data integration Disaster assessment Decision management

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The role of tazarotene-induced gene 1 in carcinogenesis:is it a tumor suppressor gene or an oncogene?

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BIOCELL 2024年第9期48卷 1285-1297页

作者： chun-HUA WANG lu-KAI WANG RONG-YAUN SHYU FU-MING TSAI Department of Dermatology Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei City231TaiwanChina School of Medicine Tzu Chi UniversityHualien970TaiwanChina Department of Life Sciences Ministry of Science and TechnologyTaipei106TaiwanChina Department of Internal Medicine Taipei Tzu Chi HospitalThe Buddhist Tzu Chi Medical FoundationNew Taipei City231TaiwanChina Department of Research Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei City231TaiwanChina

Tazarotene-induced gene 1(TIG1)is induced by a derivative of vitamin A and is known to regulate many important biological processes and control the development of ***1 is widely expressed in various tissues;yet in many cancer tissues,it is not expressed because of the methylation of its ***,the expression of TIG1 in cancer cells inhibits their growth and invasion,suggesting that TIG1 acts as a tumor suppressor ***,in some cancers,poor prognosis is associated with TIG1 expression,indicating its protumor growth characteristics,especially in promoting the invasion of inflammatory breast cancer *** review comprehensively summarizes the roles of the TIG1 gene in cancer development and details the mechanisms through which TIG1 regulates cancer development,with the aim of understanding its various roles in cancer development.

关键词： Tazarotene-induced gene 1 Retinoic acid receptor responder protein 1 Tumor suppressor gene Oncogene

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Ferroelectric perovskite PbTiO_(3)for advanced photocatalysis

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Rare Metals 2024年第9期43卷 4038-4055页

作者： Shuang Zhao Shi-Shi Shen lu Han Bo-Chao Tian Na Li Wei Chen xi-Bao Li School of Materials and Metallurgy University of Science and Technology LiaoningAnshan 114051China School of Materials Science and Engineering Nanchang Hangkong UniversityNanchang 330063China Department of Chemistry National University of SingaporeSingapore 117543Singapore

The ferroelectric semiconductor material PbTiO_(3)exhibits remarkable spontaneous polarization and photoelectric properties,positioning it as a promising polar *** internal electric field of ferroelectrics can separate photocarriers and enhance the catalytic performance of ***,when combined with other semiconductors,PbTiO_(3)contributes to the construction of a depolarization field,extending the catalytic applications of PbTiO_(3)***_(3)exhibits optical absorption,semiconductor,and piezoelectric *** piezoelectric polarization field enhances charge separation,modulates band structure,surface charge conduction,and heterojunction interface charge conduction,thereby amplifying photocatalytic *** paper begins by examining the structure,properties,and preparation methods of PbTiO_(3).Subsequently,it delves into the optimization of PbTiO_(3)'s structure and performance,exploring applications in photocatalysis as a ferroelectric *** is placed on the detailed discussion of surface modification,heterostructure formation,and ferroelectric polarization of PbTiO_(3)*** aspects are thoroughly explored for their role in regulating activity and optimizing the performance of photocatalysis and photopiezoelectric *** conclusion,the paper addresses the current research status of PbTiO_(3)ferroelectric materials and highlights the challenges that lie *** intention is to provide valuable references for the ongoing research in PbTiO_(3)ferroelectric materials.

关键词： PbTiO_(3) Ferroelectric polarization Photocatalysis Piezoelectric catalysis Polarization

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Status quo and factors of depression and anxiety in patients with non-muscle invasive bladder cancer after plasma electrocision

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World Journal of Psychiatry 2024年第6期14卷 822-828页

作者： Bing lu Meng Ding Hong-Bo Xu chun-Yin Yan Department of Urology Suzhou Dushu Lake HospitalSuzhou 215000Jiangsu ProvinceChina Department of Urology The First Affiliated Hospital of Soochow UniversitySuzhou 215000Jiangsu ProvinceChina

BACKGROUND Bladder cancer is a type of cancer with a high incidence in *** electrosurgery(PES)is often used in the treatment of bladder *** complications often cause depression and anxiety in patients after *** To investigate the current state of depression and anxiety after PES in patients with non-muscle-invasive bladder cancer and analyze the factors affecting *** A retrospective study was conducted to compare the baseline data of patients by collecting their medical history and grouping them according to their mental status into negative and normal *** regression analysis was used to explore the risk factors affecting the occurrence of anxiety and depression after surgery in patients with bladder *** Comparative analyses of baseline differences showed that the patients in the negative and normal groups differed in terms of their first surgery,economic status,educational level,and marital status.A logistic regression analysis showed that it affected the occurrence of anxiety in patients with bladder cancer,and the results showed that whether the risk factors were whether or not it was the first surgery,monthly income between 3000 and 3000-6000,secondary or junior high school education level,single,divorced,and widowed *** The risk factors affecting the onset of anxiety and depression in bladder cancer patients after PES are the number of surgeries,economic status,level of education,and marital *** study provides a reference for the clinical treatment and prognosis of bladder cancer patients in the future.

关键词： Bladder cancer Anxiety Depression Analysis of influencing factors Plasma electrocision

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Aggressive fibromatosis of the sigmoid colon:A case report

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World Journal of Gastrointestinal Oncology 2024年第8期16卷 3716-3722页

作者： Pan-Pan Yu xin-chun Liu lu Yin Guang Yin Department of Gastrointestinal and Anal Surgery The Affiliated Hangzhou First People's HospitalSchool of MedicineWestlake UniversityHangzhou 310006Zhejiang ProvinceChina Department of Gastric Surgery Zhejiang Cancer HospitalHangzhou 310022Zhejiang ProvinceChina Department of Pathology The Affiliated Hangzhou First People's HospitalSchool of MedicineWestlake UniversityHangzhou 310006Zhejiang ProvinceChina

BACKGROUND Aggressive fibromatosis(AF),also known as desmoid tumor or desmoid-type fibromatosis,is a rare soft tissue neoplasm that can occur in almost any part of the *** it is a benign disease,AF is aggressive and infiltrative and has a high recurrence rate after *** sites for intra-abdominal AF are the small bowel mesentery,retroperitoneum,and *** in the colon is extremely *** SUMMARY Here,we report the first case of sigmoid colon AF,which was accidentally discovered in a 27-year-old woman during laparoscopic *** tomography confirmed a slightly enhanced mass in the sigmoid *** colonoscopy did not reveal a mass in the colonic lumen,but a suspected external compress was found in the sigmoid *** disease involving a gastrointestinal stromal tumor was *** patient underwent laparoscopic exploration,and sigmoidectomy with a negative margin was performed to excise the *** immunohistochemistry revealed that the mass was an *** patient recovered well and was recurrence-free at the 30-month follow-up without adjuvant *** AF should be considered in the differential diagnosis of subepithelial colon *** resection alone can achieve good outcomes.

关键词： Aggressive fibromatosis Desmoid tumor Sigmoid mass Subepithelial tumor Case report

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Single transition-metal atoms anchored on a novel Diracdispersiveπ-πconjugated holey graphitic carbon nitride substrate:computational screening toward efficient bifunctional OER/ORR electrocatalysts

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Rare Metals 2024年第8期43卷 3819-3832页

作者： chun-Yao Fang xi-Hang Zhang Qiang Zhang Di Liu xiao-Meng Cui Jing-Cheng Xu Cheng-Long Shi Meng-Yu Yang College of Science University of Shanghai for Science and TechnologyShanghai 200093China School of Materials and Chemistry University of Shanghai for Science and TechnologyShanghai 200093China

Nonprecious-metal-group single-metal-atom catalysts with bifunctional catalytic capabilities toward the oxygen evolution reaction(OER)and oxygen reduction reaction(ORR)are highly sought after in energy-conversion and storage ***,producing renewable and sustainable energy sources remains ***,single-transition metal atoms anchored onπ-πconjugated two-dimensional(2D)graphitic carbon nitride substrates formπ-d conjugated conductive channels that enhance the overall electrocatalytic ***,firstprinciples calculations were carried out to design and demonstrate a novel macropore graphitic carbon nitride(gC_(10)N_(3))as a promising 2D electrocatalyst substrate to support single-transition metal(TM,from Sc to Au).The"donation-acceptance"charge interaction in the TM-N_(2)moiety effectively balances the adsorption strength of oxygenated intermediates in Ni@g-C_(10)N_(3)and Rh@gC_(10)N_3,making them effective bifunctional OER/ORR electrocatalysts with IrO_(2)/Pt-beyond overpotentials being as low as 0.39/0.38 V and 0.54/0.44 V,***,they possess high stability and conductivity and are less susceptible to oxidation and corrosion under working *** guarantees high activity under ambient ***,the origin of the OER/ORR activity of TM@g-C_(10)N_(3) is explained using multilevel descriptors:intrinsic(p,Bader charge,integral crystal orbital Hamilton population(ICOHP),bond length,and d-band center(εd).In particular,for optimal Ni@g-C_(10)N_(3),the clear hybridization between the Ni-d orbital and surface O-p orbital causes the paired electrons to occupy the bonding *** enables OH~*to be adsorbed on the Ni@g-C_(10)N_(3),thereby achieving the highest catalytic performance.

关键词： First-principles calculation Oxygen evolution reaction Oxygen reduction reaction Bifunctional electrocatalysts Single-metal-atom electrocatalysts

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Study on the thermo-hydraulic behaviors of the new-pattern fuel assembly in lead-based fast reactors based on OpenFOAM

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NUCLEAR SCIENCE AND TECHNIQUES 2024年第10期35卷 1-14页

作者： Li, Yun-xiang Yang, Run-Sheng Li, Yue Su, xing-Kang Huang, Zi-Nan Meng, lu Li, Song xi, Bin Zhang, You-Peng Zhang, lu Jiang, Wei Fudan Univ Inst Modern Phys Shanghai 200433 Peoples R China Lanzhou Univ Sch Nucl Sci & Technol Lanzhou 730000 Peoples R China Chinese Acad Sci Inst Modern Phys Lanzhou 730000 Peoples R China

To improve the heat transfer efficiency of the coolant in lead-based fast reactors, this study optimized the configuration and rotational direction of the spacer wires in fuel assemblies to design a new-pattern fuel assembly. This study conducted detailed comparisons between traditional and new pattern fuel assembly rod bundles utilizing the open-source computational fluid dynamics platform, OpenFOAM. The results indicated that the new design may significantly reduce the pressure drop along the rod bundle, which is beneficial for lowering the pressure drop. Furthermore, this new design improved coolant mixing in the subchannels, which facilitated a more uniform temperature distribution and lower thermal gradients at the assembly outlet. These factors collectively reduced the thermal fatigue and creep in nearby internal components. Overall, the new-pattern fuel assembly proposed in this study may have better heat transfer performance, thereby enhancing the Integrated Thermal-Hydraulic Factor by 48.2% compared to the traditional pattern.

关键词： Spacer wires Enhanced coolant mixing OpenFOAM CFD simulations 3-DIMENSIONAL FLOW

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