检索结果-南通市图书馆

Impaired immune reaction and increased lactate and C-reactive protein for early prediction of severe morbidity and pancreatic fistula after pancreatoduodenectomy

引用

Hepatobiliary & Pancreatic Diseases International 2020年第1期19卷 58-67页

作者： Mario Rodriguez-Lopez Francisco J.Tejero-Pintor Martin Bailon-Cuadrado Asterio Barrera-Rebollo Baltasar Perez-Saborido david pacheco-sanchez General and Digestive Surgery Department Rio-Hortega University Hospital

Background: Prediction of complications after pancreatoduodenectomy (PD) remains of interest. Blood parameters and biomarkers during rst and second postoperative days (POD1, POD2) may be early indi- cators of complications. Methods: This case-control study included 50 patients. Baseline, POD1 and POD2 values of leukocytes, neutrophils, lymphocytes, platelets, hemoglobin, C-reactive protein (CRP), procalcitonin and arterial lactate were compared between individuals presenting Clavien ≥ III morbidity, pancreatic stula (PF) or clinically relevant PF (CRPF) and those without these morbidities. Common variables reaching signi cance were further analyzed in order to calculate a predictive score. Results: Severe morbidity, PF and CRPF rates were 28.0%, 26.0% and 14.0%, respectively. Patients with severe morbidity had lower leukocytes on POD2 (P=0.04). Patients with PF presented higher CRP on POD2 (P=0.001), higher lactate on POD1 (P=0.007) and POD2 (P=0.008), and lower lymphocytes on POD1 (P=0.007) and POD2 (P=0.008). Patients with CRPF had lower leukocytes and neutrophils on POD1 (P =0.048, P =0.038), lower lymphocytes on POD1 (P =0.001) and POD2 (P =0.003), and higher CRP on POD2 (P =0.001). Baseline parameters and procalcitonin obtained no statistical associations. Score was de ned according to lymphocytes on POD1 < 650/μL and CRP on POD2 ≥ 250 mg/L allocating patients in 3 risk categories. PF and CRPF rates were statistically higher as risk category increased (P<0.001). Receiver operating characteristic curves and Hosmer Lemeshow tests showed a good accuracy. Conclusions: Impaired immunological reaction during early postoperative period (lower leukocytes and, particularly, lymphocytes) in response to surgical aggression would favor complications after PD. Likewise, acidosis (higher arterial lactate) could behave as risk factor of PF. An elevated CRP on POD2 is also an early biomarker of PF. Our novel score based on postoperative lymphocyte count and CRP seems reliable for early prediction of PF.

关键词： Pancreatoduodenectomy Morbidity Pancreatic fistula Biomarker Prediction Score

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Severe morbidity after pancreatectomy is accurately pre dicte d by preoperative pancreatic resection score(PREPARE): A prospective validation analysis from a medium-volume center

引用

Hepatobiliary & Pancreatic Diseases International 2018年第6期17卷 559-565页

作者： Mario Rodriguez-Lopez Francisco J. Tejero-Pintor Baltasar Perez-Saborido Asterio Barrera-Rebollo Martin Bailon-Cuadrado david pacheco-sanchez General and Digestive Surgery Department Rio-Hortega University Hospital

Background: Major morbidity in pancreatic surgery remains high. Different scores for predicting complications have been described. Preoperative pancreatic resection(PREPARE) score is based on objective preoperative variables and offers good predictive accuracy for Clavien ≥ III complications. This study aimed to validate this score and analyze other preoperative variables in a prospective study performed in a medium-volume center. Methods: A total of 50 pancreatic resections were included. Preoperative variables were registered and PREPARE was calculated. The main outcome was severe morbidity(Clavien ≥ III) up to 30 days after discharge. The secondary outcomes were length of stay(LOS) and readmission. Statistical validation was performed to compare severe morbidity rate among the scores categories. Association with other preoperative variables(not included in PREPARE) was also tested. Results: Of the 50 pancreatic resections, the severe morbidity was 34.0%, with median LOS of 11 days. Readmission rate was 25.5%. Severe morbidity rates according to PREPARE categories were 18.5% in lowrisk group, 41.7% in intermediate-risk group, and 63.6% in high-risk group, respectively( P = 0.023). The accuracy was 72%(Hosmer–Lemeshow, P = 0.86). ROC curve was obtained both for PREPARE score expressed as incremental values and categorized as the three risk groups, showing an area under curve(AUC) of 0.736(95% CI: 0.586–0.887; P = 0.007) and 0.712(95% CI: 0.555–0.869; P = 0.015), respectively. PREPARE was significant in multivariate analysis. Median LOS was statistically higher as PREPARE category increases(9, 11 and 15 days in low-, intermediate-and high-risk groups, respectively; P = 0.009). Readmission was not associated with any variables. Conclusions: PREPARE behaves as an independent risk factor for severe morbidity after pancreatic surgery. Score validation shows good accuracy prediction. Increasing PREPARE category is also associated with longer LOS.

关键词： Pancreatic surgery Morbidity Complications Preoperative pancreatic resection score Validation

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Undergraduate Design and Analysis of a LEED Certified Building

引用

Journal of Civil Engineering and Architecture 2022年第5期16卷 227-234页

作者： Lance Narcida Madison O’Dell Mynor pacheco Carlos Perla Victor Ramirez Damian sanchez Jillian Shoemaker Louisa Songco Tadeh Zirakian david Boyajian Department of Civil Engineering and Construction Management California State UniversityNorthridgeCAU.S.A.

In this technical and educational research endeavor, a diverse group of civil engineering students took on the role of creating the means and methods of producing a successful building design. Architectural, structural, and environmental designs were primarily performed. This was followed by detailed cost analysis with the intent of providing a realistic cost comparison by pricing the intended building, using traditional material and typical building methods, versus pricing the building using recycled material and new present-day technology. Some green features needed to achieve a LEED (Leadership in Energy and Environmental Design) gold certification were considered and applied. It is shown that producing a green building is more costly in present circumstances;however, the additional cost due to greenification pays itself off throughout the years giving in return saving features. Even though the design of a green building comes with detailed planning and costly material, it does generate benefits for the building owner, the society, and most importantly the environment.

关键词： Structural design LEED certification green building design cost analysis engineering education

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

Corneal topography in keratoconus: state of the art

引用

Eye and Vision 2016年第1期3卷 37-48页

作者： F.Cavas-Martinez E.De la Cruz sanchez J.Nieto Martinez F.J.Fernandez Canavate D.G.Fernandez-pacheco Department of Graphical Expression Technical University of CartagenaC/Doctor Fleming s/nCartagena 30202MurciaSpain Faculty of Sports Science C/Santa Alicia s/nSantiago de la Ribera30720 MurciaSpain

The morphological characterization of the cornea using corneal topographers is a widespread clinical practice that is essential for the diagnosis of keratoconus.The current state of this non-invasive exploratory technique has evolved with the possibility of achieving a great number of measuring points of both anterior and posterior corneal surfaces,which is possible due to the development of new and advanced measurement devices.All these data are later used to extract a series of topographic valuation indices that permit to offer the most exact and reliable clinical diagnosis.This paper describes the technologies in which current corneal topographers are based on,being possible to define the main morphological characteristics that the keratoconus pathology produces on corneal surface.Finally,the main valuation indices,which are provided by the corneal topographers and used for the diagnosis of keratoconus,are also defined.

关键词： Placido disc Detection system Topographer Diagnosis

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

Non-thermal plasma for exhaust gases treatment

引用

Frontiers of Mechanical Engineering 2015年第3期10卷 301-305页

作者： Elvia ALVA R. Marquidia pacheco P.l Fernando GOMEZ B. Joel pacheco P. Arturo COLIN C Victor sanchez-MENDIETA Ricardo VALDIVIA B Alfredo SANTANA D. Jose HUERTAS C Hilda FRIAS P. Instituto Nacional de Investigaciones Nucleates Ocoyoacac 52750Mexico Universidad Autonoma del Estado de Mexico Toluca 50000 Mexico Instituto Tecnologico y de Estudios Superiores de Monterrey CampusToluca 50110 Mexico

这篇文章在一台非热的血浆设备上描述研究对待在一台内燃机用尽气体。用到对待的一台血浆设备的几测试用尽气体以不同旋转速度在一台 Honda GX200-196 厘米 3 引擎上被进行。一个血浆反应堆能在降级的氮氧化物和微粒物质是有效的。一氧... 详细信息

这篇文章在一台非热的血浆设备上描述研究对待在一台内燃机用尽气体。用到对待的一台血浆设备的几测试用尽气体以不同旋转速度在一台 Honda GX200-196 厘米 3 引擎上被进行。一个血浆反应堆能在降级的氮氧化物和微粒物质是有效的。一氧化物和二氧化碳处理是最小的。然而，完成 1%3% 降级可能有趣减少温室气体的排放。

关键词：废气处理非热等离子体等离子体装置等离子体反应器温室气体排放氮氧化物二氧化碳一氧化碳

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

Determination of Epibionts of the Marine Turtle Lepidochelys Ofivacea （Eschscholtz, 1829） Nesting in Ceuta Beach, Sinaloa, Mexico

引用

Journal of Agricultural Science and Technology(B) 2012年第11期2卷 1190-1194页

作者： Ingmar Sosa-Comejo Dulce Italivi Montano-Valdez Marcos Bucio-pacheco Fernando Enciso-Saracho Jorge Guillermo sanchez-Zazueta Estela Fierros-Perez Escuela de Biologla Universidad Autdenoma de Sinaloa Culiacfn Rosales Sinaloa CP 80030 Mexico Facultad de Ciencias del Mar Universidad Autenoma de Sinaloa. Mazatl6n Sinaloa Mexico

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

Aggregation Study of Ag-TiO_(2) Composites

引用

Materials Sciences and Applications 2011年第12期2卷 1719-1723页

作者： Maria Eugenia Noriega-Trevino Claudia Cristina Quintero-Gonzalez Jose Elpidio Morales-sanchez Jesus Maria Guajardo-pacheco Martha Eugenia Compean-Jasso Facundo Ruiz Science Faculty Universidad Autonoma de San Luis PotosiSan Luis PotosiMexico Mathematics and Physics Department Universidad Autonoma de San Luis PotosiSan Luis PotosiMexico Materials Advanced Research Center ChihuahuaMexico Materials Advanced Research Center ApodacaMexico

Most of the toxicity data presented in the literature are obtained in relatively simple media, like distilled water. The literature reported that nanoparticles agglomerate immediately upon being added to cell culture media and if the agglomerates are used directly in antimicrobial studies, the interpretation of the toxicity results tends to be complicated. Six different molar ratios Ag-TiO2 composites were synthesized by a reduction method using two different commercial TiO2 particles as base materials and were used to find the aggregate size in distilled water and Mueller-Hinton Broth, and to obtain the minimum inhibitory concentrations (MIC) against E. coli and E. faecalis. To evaluate the evolution of the Ag-TiO2 particle size (z-average) three dilutions of each of the synthesized composites 100 μg/ml, 250 μg/mL and 500 μg/ml were realized in deionized water and Mueller Hinton broth. It was found that Ag-TiO2 composites increased in size after being diluted in Mueller-Hinton Broth, but once they grew in size, they remained constant for 24 minutes, and after this time, did not affect the MIC for the microorganisms involved.

关键词： Ag-TiO_(2) Composites Nanoparticles Particles Aggregate Size MIC

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

高冲击下的保护:清除西墨西哥岛屿外来哺乳动物

引用

AMBIO－人类环境杂志 2008年第2期37卷 97-103页

作者： Alfonso Aguirre-Muoz Donald A.Croll C.Josh Donlan R.William Henry Ⅲ Miguel Angel Hermosillo Gregg R.Howald Bradford S.Keitt Luciana Luna-Mendoza Marlenne Rodríguez-Malagón Luz María Salas-Flores Araceli Samaniego-Herrera Jose Angel sanchez-pacheco Jacob Sheppard Bernie R.Tershy Jorge Toro-Benito Shaye Wolf Bill Wood 寒江 Grupo de Ecologíay Conservación de Islas 岛屿保护组织(IC) 高级保护战略(Advanced Conservation Strategies) 加州大学圣克鲁兹分校 IC-Canada IC Grupo de Ecología y Conservación de Islas 墨西哥联邦政府内务部

岛屿蕴含着与其面积不成比例的地球生物多样性,但是,岛屿生物多样性有很大一部分丧失了,这很大程度上是由于外来哺乳动物的冲击。幸运的是,倘若有强有力的手段防止生物灭绝、重建生态系统,那么,可以例行地清除岛屿上的外来哺乳动物。鉴... 详细信息

岛屿蕴含着与其面积不成比例的地球生物多样性,但是,岛屿生物多样性有很大一部分丧失了,这很大程度上是由于外来哺乳动物的冲击。幸运的是,倘若有强有力的手段防止生物灭绝、重建生态系统,那么,可以例行地清除岛屿上的外来哺乳动物。鉴于目前超过80%的世界主要岛群存在外来哺乳动物并且它们构成了对地球生物多样性的首要威胁,推广可重现的、可依比例缩放的行动模式以清除岛屿外来哺乳动物便十分重要了。这里我们报告过去10年来应用于西墨西哥群岛的一种成功的行动模式。非政府组织、理论生物学家、墨西哥政府机构,以及当地个人在3个群岛海进行了通力合作,产生了重大的重建成效。从26个岛屿清除了42个外来哺乳动物种群。对于每一生物群体(colony)花费21 615美元,每一分类(taxon)花费49 370美元,分别有201个海鸟群体、88个陆地特有分类得到了保护。这些保护行动的成功要归功于一种可操作的行动模式,它有3个主要的构成部分:1)将研究、重点设定、资助、公众教育、政策制定、能力建设、保护行动、监测及评估结合在一起的三国通力协作;2)主动的、专门的自然资源管理机构;3)墨西哥和美国学术研究人员的有效参与。现在需要的是:一份将所需的额外资助、能力、技术进步及政策问题综合起来的,本地区其余岛屿清除外来哺乳动物的详细计划。西墨西哥的岛屿保护提供了一种有效的方法,这种方法可以很容易地应用于其它保护努力十分有限的多岛海区域。

关键词：哺乳动物墨西哥岛屿保护清除高冲击生物多样性比例缩放

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Performance and calibration of quark/gluon-jet taggers using 140 fb^(-1) of pp collisions at √s=13 TeV with the ATLAS detector

引用

Chinese Physics C 2024年第2期48卷 1-25页

作者： G. Aad B. Abbott K. Abeling N.J. Abicht S.H. Abidi A. Aboulhorma H. Abramowicz H. Abreu Y. Abulaiti B.S. Acharya C. Adam Bourdarios L. Adamczyk S.V. Addepalli M.J. Addison J. Adelman A. Adiguzel T. Adye A.A. Affolder Y. Afik M.N. Agaras J. Agarwala A. Aggarwal C. Agheorghiesei A. Ahmad F. Ahmadov W.S. Ahmed S. Ahuja X. Ai G. Aielli A. Aikot M. Ait Tamlihat B. Aitbenchikh I. Aizenberg M. Akbiyik T.P.A. Åkesson A.V. Akimov D. Akiyama N.N. Akolkar K. Al Khoury G.L. Alberghi J. Albert P. Albicocco G.L. Albouy S. Alderweireldt M. Aleksa I.N. Aleksandrov C. Alexa T. Alexopoulos F. Alfonsi M. Algren M. Alhroob B. Ali H.M.J. Ali S. Ali S.W. Alibocus M. Aliev G. Alimonti W. Alkakhi C. Allaire B.M.M. Allbrooke J.F. Allen C.A. Allendes Flores P.P. Allport A. Aloisio F. Alonso C. Alpigiani M. Alvarez Estevez A. Alvarez Fernandez M. Alves Cardoso M.G. Alviggi M. Aly Y. Amaral Coutinho A. Ambler C. Amelung M. Amerl C.G. Ames D. Amidei S.P. Amor Dos Santos K.R. Amos V. Ananiev C. Anastopoulos T. Andeen J.K. Anders S.Y. Andrean A. Andreazza S. Angelidakis A. Angerami A.V. Anisenkov A. Annovi C. Antel M.T. Anthony E. Antipov M. Antonelli F. Anulli M. Aoki T. Aoki J.A. Aparisi Pozo M.A. Aparo L. Aperio Bella C. Appelt A. Apyan N. Aranzabal S.J. Arbiol Val C. Arcangeletti A.T.H. Arce E. Arena J-F. Arguin S. Argyropoulos J.-H. Arling O. Arnaez H. Arnold G. Artoni H. Asada K. Asai S. Asai N.A. Asbah J. Assahsah K. Assamagan R. Astalos S. Atashi R.J. Atkin M. Atkinson H. Atmani P.A. Atmasiddha K. Augsten S. Auricchio A.D. Auriol V.A. Austrup G. Avolio K. Axiotis G. Azuelos D. Babal H. Bachacou K. Bachas A. Bachiu F. Backman A. Badea P. Bagnaia M. Bahmani A.J. Bailey V.R. Bailey J.T. Baines L. Baines O.K. Baker E. Bakos D. Bakshi Gupta V. Balakrishnan R. Balasubramanian E.M. Baldin P. Balek E. Ballabene F. Balli L.M. Baltes W.K. Balunas J. Balz E. Banas M. Bandieramonte A. Bandyopadhyay S. Bansal L. Barak M. Barakat E.L. Barberio D. Barberis M. Barbero M.Z. Barel K.N. Barends T. Barillari M-S. Barisits T. Barklow P. Baron D.A. Baron Mo The ATLAS Collaboration

The identification of jets originating from quarks and gluons,often referred to as quark/gluon tagging,plays an important role in various analyses performed at the Large Hadron Collider,as Standard Model measurements and searches for new particles decaying to quarks often rely on suppressing a large gluon-induced background.This paper describes the measurement of the efficiencies of quark/gluon taggers developed within the ATLAS Collaboration,using √s=13 TeV proton–proton collision data with an integrated luminosity of 140 fb^(-1) collected by the ATLAS experiment.Two taggers with high performances in rejecting jets from gluon over jets from quarks are studied:one tagger is based on requirements on the number of inner-detector tracks associated with the jet,and the other combines several jet substructure observables using a boosted decision tree.A method is established to determine the quark/gluon fraction in data,by using quark/gluon-enriched subsamples defined by the jet pseudorapidity.Differences in tagging efficiency between data and simulation are provided for jets with transverse momentum between 500 GeV and 2 TeV and for multiple tagger working points.

关键词： ATLAS JET QUARK GLUON TAGGING

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

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

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：