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Surgical intervention combined with weight-bearing walking training promotes recovery in patients with chronic spinal cord injury:a randomized controlled study

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Neural Regeneration Research 2024年第12期19卷 2773-2784页

作者： Hui Zhu james D.Guest Sarah Dunlop Jia-Xin Xie Sujuan Gao Zhuojing Luo Joe e.Springer Wutian Wu Wise Young Wai Sang Poon Song Liu Hongkun Gao Tao Yu Dianchun Wang Libing Zhou Shengping Wu Lei Zhong Fang Niu Xiaomei Wang Yansheng Liu Kwok-Fai So Xiao-Ming Xu Kunming Tongren Hospital KunmingYunnan ProvinceChina Neurological Surgery and the Miami Project to Cure ParalysisMiller School of MedicineUniversity of MiamiMiamiFLUSA School of Biological Sciences The University of Western AustraliaPerthWAAustralia Minderoo Foundation PerthWAAustralia Clinical Center for Spinal Cord Injury Kunming General Hospital of Chengdu Military CommandKunmingYunnan ProvinceChina Department of Biostatistics and Health Data Science Indiana University School of MedicineIndianapolisINUSA Department of Orthopedic Spinal Surgery Xijing HospitalFourth Military Medical UniversityXi’anShaanxi ProvinceChina Spinal Cord and Brain Injury Research Center Department of Physical Medicine and RehabilitationUniversity of Kentucky College of MedicineLexingtonKYUSA Guangdong-HongKong-Macao Institute of CNS Regeneration Jinan UniversityGuangzhouGuangdong ProvinceChina W.M.Keck Center for Collaborative Neuroscience Rutgers UniversityPiscatawayNJUSA Neurosurgery Department Chinese University of Hong KongPrince of Wales HospitalHong Kong Special Administration RegionChina Spinal Cord and Brain Injury Research Group Stark Neurosciences Research InstituteDepartment of Neurological SurgeryIndiana University School of MedicineIndianapolisINUSA

For patients with chronic spinal cord injury,the co nventional treatment is rehabilitation and treatment of spinal cord injury complications such as urinary tract infection,pressure sores,osteoporosis,and deep vein *** is rarely perfo rmed on spinal co rd injury in the chronic phase,and few treatments have been proven effective in chronic spinal cord injury *** of effective therapies fo r chronic spinal co rd injury patients is *** conducted a randomized controlled clinical trial in patients with chronic complete thoracic spinal co rd injury to compare intensive rehabilitation(weight-bearing walking training)alone with surgical intervention plus intensive *** clinical trial was registered at ***(NCT02663310).The goal of surgical intervention was spinal cord detethering,restoration of cerebrospinal fluid flow,and elimination of residual spinal cord *** found that surgical intervention plus weight-bearing walking training was associated with a higher incidence of American Spinal Injury Association Impairment Scale improvement,reduced spasticity,and more rapid bowel and bladder functional recovery than weight-bearing walking training ***,the surgical procedures and intensive rehabilitation were *** Spinal Injury Association Impairment Scale improvement was more common in T7-T11 injuries than in T2-T6 *** combined with rehabilitation appears to have a role in treatment of chronic spinal cord injury patients.

关键词： chronic spinal cord injury intensive rehabilitation locomotor training neurological recovery surgical intervention weightbearing walking training

Momentum as Translations at Conformal Infinity

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Journal of Applied Mathematics and Physics 2024年第4期12卷 1522-1540页

作者： Richard james Petti Jacob Luke Graham Arlington MA USA Newton MA USA

Although General Relativity is the classic example of a physical theory based on differential geometry, the momentum tensor is the only part of the field equation that is not derived from or interpreted with differential geometry. This work extends General Relativity and einstein-Cartan theory by augmenting the Poincaré group with projective (special) conformal transformations, which are translations at conformal infinity. Momentum becomes a part of the differential geometry of spacetime. The Lie algebra of these transformations is represented by vectorfields on an associated Minkowski fiber space. Variation of projective conformal scalar curvature generates a 2-index tensor that serves as linear momentum in the field equations of General Relativity. The computation yields a constructive realization of Mach’s principle: local inertia is determined by local motion relative to mass at conformal infinity in each fiber. The vectorfields have a cellular structure that is similar to that of turbulent fluids.

关键词： Projective Symmetry Conformal Symmetry Momentum General Relativity einstein-Cartan Mach’s Principle

Burden of gallstone disease in the United States population:Prepandemic rates and trends

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World Journal of Gastrointestinal Surgery 2024年第4期16卷 1130-1148页

作者： Aynur Unalp-Arida Constance e Ruhl National Institute of Diabetes and Digestive and Kidney Diseases National Institutes of HealthBethesdaMD 20892-5458United States Social&Scientific Systems Inc.DLH Holdings Corp CompanySilver SpringMD 20910United States

BACKGROUND Gallstone disease is one of the most common digestive disorders in the United States and leads to significant morbidity,mortality,and health care *** To expand on earlier findings and investigate prepandemic rates and trends in the gallstone disease burden in the United States using national survey and claims *** The National Ambulatory Medical Care Survey,National Inpatient Sample,Nationwide emergency Department Sample,Nationwide Ambulatory Surgery Sample,Vital Statistics of the United States,Optum Clinformatics®Data Mart,and Centers for Medicare and Medicaid Services Medicare 5%Sample and Medicaid files were used to estimate claims-based prevalence,medical care including cholecystectomy,and mortality with a primary or other gallstone *** were age-adjusted(for national databases)and shown per 100000 *** Gallstone disease prevalence(claims-based,2019)was 0.70%among commercial insurance enrollees,1.03%among Medicaid beneficiaries,and 2.09%among Medicare beneficiaries and rose over the previous ***,in the United States population,gallstone disease contributed to approximately 2.2 million ambulatory care visits,1.2 million emergency department visits,625000 hospital discharges,and 2000 deaths *** had higher medical care rates with a gallstone disease diagnosis,but mortality rates were higher among *** had higher ambulatory care visit and hospital discharge rates compared with Whites,but not mortality *** had lower ambulatory care visit and mortality rates,but similar hospital discharge rates compared with *** the study period,ambulatory care and emergency department visit rates with a gallstone disease diagnosis rose,while hospital discharge and mortality rates *** commercial insurance enrollees,rates were higher compared with national data for ambulatory care visits and hospitalizations,but lower for emergency department ***

关键词： Gallstone disease Burden Cholecystectomy Mortality Health care use Cholelithiasis Gallstones epidemiology

High seed losses in mountain birch(Betula pubescens ***)and developmental,ecological,and environmental correlates

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Journal of Plant ecology 2024年第4期17卷 56-69页

作者： Guorun Oskarsdottir Thora e.Thorhallsdottir Kristin Svavarsdottir University of Iceland 102 ReykjavíkIceland Land and Forest Iceland ReykjavíkIceland

Plants typically experience great losses from their reproductive potential represented by ovule production to the post-dispersal crop of viable *** examined seed density and viability in a founder population of mountain birch(Betula pubescens ***),aiming to quantify losses at different stages and examine potential selection forces on the reproduction success of the founder generation of an isolated *** the time of the study(2017-2020),the population had recently reached reproductive maturity,following its colonization around 1990 through long-distance dispersal onto an early successional outwash plain in southeast *** densities were high,but 89% of apparently intact seeds did not contain an embryo,despite being visually indistinguishable from filled *** evident losses amounted to about 45% of the total seed crop and were mostly due to predation by the gall midge Semudobia *** all losses were accounted for,2.7% of the seed crop remained viable and *** limitation may partially explain the high incidence of empty *** flower production is compatible with the predator satiation hypothesis but cannot explain pre-dispersal *** adaptation to predation,masting,appears poorly developed in *** results suggest the presence of constraints on the reproduction potential of the new island population,that are more limiting than in neighbouring populations,and we discuss their developmental,ecological,and environmental correlates.

关键词： Betula pubescens ssp.tortuosa(Ledeb.)Nyman Iceland seed quality seed losses Semudobia betulae sub-arctic

Surgical management of the diabetic foot:The current evidence

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World Journal of Orthopedics 2024年第5期15卷 404-417页

作者： Richard Henry Randall Roberts Gareth Rhys Davies-Jones james Brock Vaishnav Satheesh Greg AJ Robertson Department of Trauma and Orthopaedics Wrexham Maelor HospitalWrexham LL137TDUnited Kingdom Department of Trauma and Orthopaedics The Robert Jones and Agnes Hunt Orthopaedic HospitalOswestry SY107AGUnited Kingdom

The prevalence of diabetes mellitus and its associated complications,particularly diabetic foot pathologies,poses significant healthcare challenges and economic burdens *** review synthesises current evidence on the surgical management of the diabetic foot,focusing on the interplay between neuropathy,ischemia,and infection that commonly culminates in ulcers,infections,and,in severe cases,*** escalating incidence of diabetes mellitus underscores the urgency for effective management strategies,as diabetic foot complications are a leading cause of hospital admissions among diabetic patients,significantly impacting morbidity and mortality *** review explores the pathophysiological mechanisms underlying diabetic foot complications and further examines diabetic foot ulcers,infections,and skeletal pathologies such as Charcot arthropathy,emphasising the critical role of early diagnosis,comprehensive management strategies,and interdisciplinary care in mitigating adverse *** addressing surgical interventions,this review evaluates conservative surgeries,amputations,and reconstructive procedures,highlighting the importance of tailored approaches based on individual patient profiles and the specific characteristics of foot *** integration of advanced diagnostic tools,novel surgical techniques,and postoperative care,including offloading and infection control,are discussed in the context of optimising healing and preserving limb function.

关键词： Diabetes Diabetic foot Charcot Osteomyelitis Amputation Diabetic foot attack Conservative surgery

Influence of Methane-Hydrogen Mixture Characteristics on Compressor Vibrations

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Fluid Dynamics & Materials Processing 2024年第5期20卷 1031-1043页

作者： Vladimir Ya.Modorskii Ivan e.Cherepanov High Performance Computing Center Perm National Research Polytechnic UniversityPerm614990Russia

A transition to clean hydrogen energy will not be possible until the issues related to its production, transportation,storage, etc., are adequately resolved. Currently, however, it is possible to use methane-hydrogen *** gas can be transported using a pipeline system with the required pressure being maintained by gascompression stations. This method, however, is affected by some problems too. Compressors emergency stopscan be induced by vibrations because in some cases, mechanical methods are not able to reduce the vibrationamplitude. As an example, it is known that a gas-dynamic flow effect in labyrinth seals can lead to increasedvibrations. This paper presents the numerical simulation of rotor oscillations taking into account a gas-dynamicload. The influence of a transported mixture on the oscillatory process is investigated. Mixtures consisting ofmethane and hydrogen in various proportions and an air mixture are considered. The results are discussed forvarious operating pressures and include the rotor motion trajectories and oscillation frequency spectra obtainednumerically. It is shown that the gas mixture composition has a significant effect on the oscillations and theiroccurrence. Hydrogen as a working fluid reduces the vibration amplitude. Operating a compressor with hydrogenleads to a decrease in the resonant frequency, bringing it closer to the operating one. However, the operatingpressure at which maximum oscillations are observed depends slightly on the gas mixture composition.

关键词： Seal stabilities vibration FSI CFD multiphase flows hydrogen

Landau quantization effects on damping Kawahara solitons in electron–positron–ion plasma in rotating ionized medium

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Communications in Theoretical Physics 2024年第10期76卷 143-152页

作者： e I el-Awady S Hussain N Akhtar Department of Physics Faculty of Science Port Said University Theoretical Physics Division (TPD) PINSTECH

For the dynamics of three-dimensional electron–positron–ion plasmas, a fluid quantum hydrodynamic model is proposed by considering Landau quantization effects in dense ***–neutral collisions in the presence of the Coriolis force are also considered. The application of the reductive perturbation technique produces a wave evolution equation represented by a damped Korteweg–de Vries equation. This equation, however, is insufficient for describing waves in our system at very low dispersion coefficients. As a result, we considered the highest-order perturbation, which resulted in the damped Kawahara equation. The effects of the magnetic field, Landau quantization, the ratio of positron density to electron density, the ratio of positron density to ion density, and the direction cosine on linear dispersion laws as well as soliton and conoidal solutions of the damped Kawahara equation are explored. The understanding from this research can contribute to the broader field of astrophysics and aid in the interpretation of observational data from white dwarfs.

关键词： Coriolis force Kawahara equation Landau quantization magnetoplasmas quantum plasma solitary and cnoidal waves

Artificial intelligence meets body sense: task-driven neural networks reveal computational principles of the proprioceptive pathway

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Signal Transduction and Targeted Therapy 2024年第8期9卷 3147-3149页

作者： Leonard e.van Dyck Frank Bremmer Katharina Dobs Department of Psychology Justus Liebig University GiessenGiessenGermany Max Planck Institute for Human Cognitive and Brain Sciences LeipzigGermany Center for Mind Brain and BehaviorUniversities of MarburgGiessenand DarmstadtMarburgGermany Department of Neurophysics Philipps-Universitat MarburgMarburgGermany

In a recent study published in Cell,Marin Vargas and Bisi et al.1 present an innovative approach to unravel the computational principles underlying proprioceptive processing in non-human *** findings showcase the utility of task-driven modeling in advancing neuroscience and offer translational potential by providing seminal insights into the goals and mechanisms by which the brain encodes body position and movements.

关键词： networks neural principles

A Proposed Feature Selection Particle Swarm Optimization Adaptation for Intelligent Logistics--A Supply Chain Backlog elimination Framework

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Computers, Materials & Continua 2024年第6期79卷 4081-4105页

作者： Yasser Hachaichi Ayman e.Khedr Amira M.Idrees College of Computing and Information Technology at Khulais Department of Information SystemsUniversity of JeddahJeddah21959Saudi Arabia Faculty of Computers and Information Technology Future University in EgyptCairo11835Egypt

The diversity of data sources resulted in seeking effective manipulation and *** challenge that arises from the increasing dimensionality has a negative effect on the computation performance,efficiency,and stability of *** of the most successful optimization algorithms is Particle Swarm Optimization(PSO)which has proved its effectiveness in exploring the highest influencing features in the search space based on its fast convergence and the ability to utilize a small set of parameters in the search *** research proposes an effective enhancement of PSO that tackles the challenge of randomness search which directly enhances PSO *** the other hand,this research proposes a generic intelligent framework for early prediction of orders delay and eliminate orders backlogs which could be considered as an efficient potential solution for raising the supply chain *** proposed adapted algorithm has been applied to a supply chain dataset which minimized the features set from twenty-one features to ten significant *** confirm the proposed algorithm results,the updated data has been examined by eight of the well-known classification algorithms which reached a minimum accuracy percentage equal to 94.3%for random forest and a maximum of 99.0 for Naïve ***,the proposed algorithm adaptation has been compared with other proposed adaptations of PSO from the literature over different *** proposed PSO adaptation reached a higher accuracy compared with the literature ranging from 97.8 to 99.36 which also proved the advancement of the current research.

关键词： Optimization particle swarm optimization algorithm feature selection logistics supply chain management backlogs