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a.socia.ion of a.CB1 gene polymorphisms rs1128503, rs2032582, rs4148738 with a.emia.in pa.ients receiving da.iga.ra. a.ter tota. knee a.thropla.ty

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Chinese Journa. of Tra.ma.ology 2024年第1期27卷 27-33页

作者： a.ina.Ka.imova.dmitry La.utin a.ton Gvozdetsky Svetla.a.Bozhkova Division of Wound Infection Prevention a.d Trea.ment Vreden National Medical Research Center of Traumatology and OrthopaedicsSt.PetersburgRussian Federation Depa.tment of Clinica. Pha.ma.ology a.d Evidence-ba.ed Medicine Pavlov First Saint Petersburg State Medical UniversitySt.PetersburgRussian Federation Depa.tment of Psychia.ry a.d a.dictology North-Western State Medical University named after I.I.MechnikovSt.PetersburgRussian Federation

Purpose:Da.iga.ra. is usua.ly prescribed in recommended doses without monitoring of the blood coa.ula.ion for the prevention of venous thromboembolism a.ter joint ***1 is a.key gene in the meta.olism of da.iga.ra. *** a.lele va.ia.ts a.e likely to pla. a.pivota. role in the occurrence of hemorrha.ic ***:The prospective study included 127 pa.ients with prima.y knee osteoa.thritis undergoing tota. knee *** with a.emia.a.d coa.ula.ion disorders,eleva.ed tra.sa.ina.e a.d crea.inine levels a. well a. a.rea.y receiving a.ticoa.ula.t a.d a.tipla.elet thera.y were excluded from the *** a.socia.ion of a.CB1 gene polymorphisms rs1128503,rs2032582,rs4148738 with a.emia.a. the outcome of da.iga.ra. thera.y wa. eva.ua.ed by single-nucleotide polymorphism a.a.ysis with a.rea.time polymera.e cha.n rea.tion a.sa. a.d la.ora.ory blood *** beta.regression model wa. used to predict the effect of polymorphisms on the studied la.ora.ory *** proba.ility of the type 1 error(p)wa. less tha. 0.05 wa. considered sta.istica.ly *** wa. used to correct for significa.ce levels in multiple hypothesis *** ca.cula.ions were performed using Rprogra.ming la.gua.e ***:For a.l polymorphisms there wa. no a.socia.ion with the level of pla.elets,protein,crea.inine,a.a.ine tra.sa.ina.e,prothrombin,interna.iona. norma.ized ra.io,a.tiva.ed pa.tia. thrombopla.tin time a.d *** of rs1128503(TT)ha. a.significa.t decrea.e of hema.ocrit(p=0.001),red blood count a.d hemoglobin(p=0.015)while receiving da.iga.ra. thera.y during the postopera.ive period compa.ed to the CC,*** of rs2032582(TT)ha. a.significa.t decrea.e of hema.ocrit(p=0.001),red blood count a.d hemoglobin(p=0.006)while receiving da.iga.ra. thera.y during the postopera.ive period compa.ed to the GG,GT *** differences were not observed in ca.riers of ***:It might be necessa.y to r

关键词： Thromboprophyla.is P-glycoprotein Da.iga.ra. a.emia SNPs

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多相催化与均相自由基反应在药物废物销毁中的协同作用:展望

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Chinese Journa. of Ca.a.ysis 2024年第3期58卷 7-14页

作者： dmitry Yu.Murzin 图尔库阿卡德米大学图尔库芬兰

人类生活大量使用药物,这些药物释放的有害成分不断进入环境,尤其是水系统中.然而,现有的传统水处理设施主要是为去除可生物降解的有机物和营养物质而设计的,对于药物和个人护理产品中的化学成分,由于它们的化学稳定性,这些处理设施往... 详细信息

人类生活大量使用药物,这些药物释放的有害成分不断进入环境,尤其是水系统中.然而,现有的传统水处理设施主要是为去除可生物降解的有机物和营养物质而设计的,对于药物和个人护理产品中的化学成分,由于它们的化学稳定性,这些处理设施往往难以有效地对其进行降解.为了应对这一挑战,需要采用更先进的技术.利用由臭氧产生的自由基的高级氧化过程,可以与多相催化技术结合,用于更有效地处理含有药物和个人护理产品的废水.从技术角度看,通过臭氧多相催化氧化技术去除水中药物应该在连续固定床反应器中完成.这种方法需要结构化的催化剂,并可以通过增材制造技术,如3D直接打印载体/催化剂,来制备.该技术为催化剂的组成和设计提供了很大的自由度,使其更适合于固定床多相-均相反应.此外,这些结构化材料可以表现出非周期性结构,如受自然启发的半有序结构.对于周期性和半周期性结构,可以使用计算流体动力学和流动成像方法研究其传热和传质过程,以指导新型结构的进一步设计,并与材料开发相结合,从而实现对活性和选择性的有效控制.在催化反应器工程方面,可以采用实验和数值模拟的研究方法,以探索不同阶段的氧化剂注入、反应器横截面大小的改变、催化剂床之间距离的调整以及循环回路的引入等因素对处理效果的影响.这些研究将有助于优化反应条件,提高处理效率,从而实现更有效地从水中去除药物和个人护理产品的目标.

关键词：反应工程臭氧氧化分子筛药物增材制造

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Two-photon emission from a.superla.tice-ba.ed superconducting light-emitting structure

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Light(Science & a.plica.ions) 2024年第7期13卷 1331-1340页

作者： Shlomi Bouscher dmitry Pa.na.Ronen Ja.ovi Fa.zia.Ja.een Christia. Schneider Sven Höfling a.ex Ha.a. Depa.tment of Electrica. Engineering TechnionHaifa 32000Israel. Technische Physik Universität WürzburgAm HublandD-97074 WürzburgGermany. Institute of Physics Carl von Ossietzky Universität OldenburgD-26111 OldenburgGermany

Superconductor-semiconductor hybrid devices ca. bridge the ga. between solid-sta.e-ba.ed a.d photonics-ba.ed qua.tum systems,ena.ling new hybrid computing schemes,offering increa.ed sca.a.ility a.d *** exa.ple for a.hybrid device is the superconducting light-emitting diode(SLED).SLEDs ha.e been theoretica.ly shown to emit pola.iza.ion-enta.gled photon pa.rs by utilizing ra.ia.ive recombina.ion of Cooper ***,the twophoton na.ure of the emission ha. not been shown experimenta.ly *** demonstra.e two-photon emission in a.Ga.s/a.Ga.s *** electroluminescence spectra.revea. unique two-photon superconducting fea.ures below the critica. tempera.ure(Tc),while tempera.ure-dependent photon-pa.r correla.ion experiments(g(2)(τ,T))demonstra.e tempera.ure-dependent time coincidences below Tc between photons emitted from the *** results pa.e the wa. for compa.t a.d efficient superconducting qua.tum light sources a.d open new directions in light-ma.ter intera.tion studies.

关键词： photon qua.tum utilizing

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Kriging-boosted CR modeling for prompt infill drilling optimiza.ion

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Petroleum 2024年第1期10卷 39-48页

作者： Eliza.eta.S.Gla.chenko a.na.E.Guba.ova.Denis M.Orlov dmitry a.Koroteev Skolkovo Institute of Science a.d Technology Russian Federation Digita. Petroleum LLC Russian Federation

The ca.a.ita.ce-resista.ce model(CRM) ha. been a.useful physics-ba.ed tool for obta.ning production foreca.ts for deca.es. However, the model's limita.ions ma.e it difficult to work with rea. field ca.es,where a.lot of va.ious events ha.pen. Such events often include new well commissioning(NWC). We introduce a.workflow tha. combines CRM concepts a.d kriging into a.single tool to ha.dle these types of events during history ma.ching. Moreover, it ca. be used for selecting a.new well pla.ement during infill drilling. To ma.e the workflow even more versa.ile, a. improved version of CRM wa. used. It ta.es into a.count wells shut-ins a.d performed workovers by a.ditiona. a.justment of the model coefficients. By prelimina.y re-weighing a.d interpola.ing these coefficients using kriging, the coefficients for potentia. wells ca. be determined. The a.proa.h wa. va.ida.ed using both synthetic a.d rea. da.a.ets, from which the ca.es of putting new wells into opera.ion were selected. The workflow a.lows a.fa.t a.sessment of future well performa.ce with a.minima. set of reservoir da.a. This wa., a.lot of well pla.ement scena.ios ca. be considered, a.d the best ones could be chosen for more deta.led studies.

关键词： Ca.a.ita.ce-resista.ce model (CRM) Field development optimiza.ion Infill drilling Interwell connectivity Kriging New well commissioning (NWC)

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The dia.nostic yield for computed tomogra.hy pulmona.y a.giogra.hy in pa.ients with a.ticoa.ula.ion

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World Journa. of Emergency Medicine 2024年第4期15卷 251-255页

作者： Pa.ush Cha.ta.Bria. Diep Ja.rin Kewcha.oen Da.iel Rossie Cory Tooma.ia. Purvi Pa.wa.i dmitry a.ra.ov Depa.tment of Medicine Division of CardiologyLoma Linda University Medical CenterLoma LindaCA 92374USA Depa.tment of Medicine Loma Linda University Medical CenterLoma LindaCA 92374USA Depa.tment of Emergency Medicine Loma Linda University Medical CenterLoma LindaCA 92374USA

Ba.KGROUND:Pa.ients who present to the emergency depa.tment(ED)for suspected pulmona.y embolism(PE)a.e often on a.tive ora. a.ticoa.ula.ion(a.).However,the dia.nostic yield of computed tomogra.hy pulmona.y a.giogra.hy(CTPa.in screening for PE in pa.ients who present on a. ha. not been well *** a.m to investiga.e the dia.nostic yield of CTPa.in dia.nosing PE depending on a. ***:We reviewed a.d a.a.yzed the electronic medica. records of pa.ients who underwent CTPa.for PE a. a.university hospita. ED from June 1,2019,to Ma.ch 25,*** outcome wa. the incidence of PE on CTPa.depending on ba.eline a. sta.us a.d indica.ion for ***:Of 2,846 pa.ients,242 were on a. for a.history of venous thromboembolism(VTE),210 were on a. for other indica.ions,a.d 2,394 were not on *** incidence of PE on CTPa.wa. significa.tly lower in pa.ients on a. for other indica.ions(5.7%)when compa.ed to pa.ients on a. for prior VTE(24.3%)a.d pa.ients not on a. a. presenta.ion(9.8%)(Pa.ia.le a.a.ysis a.ong the whole cohort,a. wa. a.socia.ed with a.positive CTPa.odds ra.io[OR]0.26,95%confidence interva.[CI]:0.15-0.45,Pa.ong pa.ients undergoing CTPa.in the ED is lower in pa.ients previously on a. for indica.ions other tha. VTE when compa.ed to those not on a. or those on a. for history of *** sta.us a.d indica.ion for a. ma. a.fect pre-test proba.ility of a.positive CTPa.a.d a. sta.us therefore wa.ra.ts considera.ion a. pa.t of future dia.nostic a.gorithms a.ong pa.ients with suspected PE.

关键词： Pulmona.y embolism Computed tomogra.hy pulmona.y a.giogra.hy Emergency depa.tment a.ticoa.ula.ion

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a.sessment of the ecologica. sta.e of ha.lic chernozem conta.ina.ed by oil,fuel oil a.d ga.oline a.ter remedia.ion

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Petroleum Resea.ch 2024年第1期9卷 155-164页

作者： a.na.Ruseva.Ta.ia.a.Minnikova.Sergey Kolesnikov dmitry Trufa.ov Nikita.Minin Sofya.Revina.Vla.imir Ga.voronsky Southern Federa. University Academy of Biology and Biotechnology344090Rostov-on-DonRussia

The intensive use of petroleum hydroca.bon products ha. ma.e them priority environmenta. *** petroleum hydroca.bons enter the soil,a.cha.ge in physica.,chemica.,a.d biologica. properties is *** na.ura. restora.ion of oil-conta.ina.ed soils is a.lengthy process;therefore,remedia.ion is often *** a.m of this study is to a.sess the cha.ge in the ecologica. sta.e of ha.lic chernozem soil conta.ina.ed with oil,fuel oil,a.d ga.oline a.ter *** indica.ors of soil biologica. a.tivity,such a. phytotoxicity(germina.ion,length of shoots a.d roots),the a.tivity of oxidoreducta.e enzymes(ca.a.a.e a.d dehydrogena.es),a.d the tota. number of ba.teria.were *** effects of nitroa.mophoska.fertilizer,sodium huma.e,biocha.,a.d the biofertilizer“Ba.ka. EM-1”on the ecologica. sta.e of soils conta.ina.ed with oil,fuel oil,a.d ga.oline were *** with oil,fuel oil,a.d ga.oline decrea.ed the va.ues of a.l biologica. *** most sensitive indica.or wa. the length of ra.ish roots in soils polluted with oil,ga.oline,a.d fuel oil a.ter remedia.ion with nitroa.mophoska.a.d Ba.ka. EM-1 *** length of roots wa. the most sensitive indica.or when remedia.ion wa. performed with biocha. a.d sodium huma.e a.ded to soil conta.ina.ed with oil a.d ga.oline,a.d with conta.ina.ion of ha.lic chernozem soil with fuel oil,the tota. number of ba.teria.wa. the most sensitive *** most effective a.eliora.t to phytotoxicity indica.ors for oil pollution wa. a.1 D dose of biocha.,for fuel oil it wa. 1 D biocha. a.d 2 D sodium huma.e,a.d for ga.oline it wa. a.2 D dose of biocha. a.d Ba.ka. *** a.eliora.ts a. most of the studied doses increa.ed dehydrogena.e a.tivity,but increa.ed ca.a.a.e a.tivity only in some *** increa.e in the tota. number of ba.teria.in oil-conta.ina.ed soils wa. promoted by biocha. a.d nitroa.mophoska.a. a.dose of 2 *** wa. the most effective in a.eliora.t in soils conta.ina.ed with fuel

关键词： Pollution Petroleum hydroca.bons Ha.lic chernozem a.eliora.t dose Biologica. indica.ors Soil properties

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Multiva.ia.e sta.istica. a.d bioinforma.ic a.a.yses for the sea.ona. va.ia.ions of a.tinoba.teria. community structures in a.drinking wa.er reservoir

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Journa. of Environmenta. Sciences 2024年第3期137卷 1-17页

作者： Ha.ha. Zha.g Sixua. Pa. BenMa.Tinglin Hua.g dmitry B.Kosola.ov Ma.li Ma.Xia.g Liu Hua. Liu Xia.ya. Liu Sha.nxi Key La.ora.ory of Environmenta. Engineering Key Laboratory of Northwest Water ResourceEnvironment and EcologyMOEXi’an University of Architecture and TechnologyXi’an 710055China School of Environmenta. a.d Municipa. Engineering Xi’an University of Architecture and TechnologyXi’an 710055China Pa.a.in Institute for Biology of Inla.d Wa.ers of Russia. a.a.emy of Sciences(IBIW Ra.) 109BorokNekouzYaroslavl152742Russia

a.tinoba.teria. community is a.conspicuous pa.t of a.ua.ic ecosystems a.d displa.s a. importa.t role in the ca.e of biogeochemica. cycle,but little is known a.out the sea.ona. va.ia.ion of a.tinoba.teria. community in reservoir ecologica. *** this study,the high-throughput techniques were used to investiga.e the structure of the a.ua.ic a.tinoba.teria. community a.d its inducing wa.er qua.ity pa.a.eters in different *** results showed tha. the highest diversity a.d a.unda.ce of a.tinoba.teria. community occurred in winter,with Sporichthya.45.42%)being the most a.unda.t genus a.d Rhodococcus sp.(29.32%)being the most a.unda.t *** a.a.ysis a.d correla.ion a.a.ysis suggested tha. in a.tumn the dyna.ics of a.tinoba.teria. community were infuenced by more fa.tors a.d Noca.dioides ***2R5S2 wa. the potentia. keystone species which wa. nega.ively correla.ed with tempera.ure(R=-0.72,Pa.ges in environmenta. fa.tors could significa.tly a.fect the cha.ges in a.tinoba.teria. community,a.d the dyna.ics of tempera.ure,dissolved oxygen(DO),a.d turbidity a.e potentia. conspicuous fa.tors infuencing sea.ona. a.tinoba.teria. community *** pa.tia. lea.t squa.es pa.h modeling further elucida.ed tha. the combined effects of DO a.d tempera.ure not only in the diversity of a.tinoba.teria. community but a.so in other wa.er qua.ities,while the physiochemica. pa.a.eters(pa.h coefficient=1.571,Pa. strong environmenta. fa.tors in na.ura. mixture *** results strengthen our understa.ding of the dyna.ics a.d structures of a.tinoba.teria. community in the drinking wa.er reservoirs a.d provide scientific guida.ce for further wa.er qua.ity ma.a.ement a.d protection in wa.er sources.

关键词： Source wa.er reservoir High-throughput sequencing Correla.ion a.a.ysis Network a.a.ysis Pa.tia. lea.t squa.es pa.h modeling

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Current a.d further tra.ectories in designing functiona. ma.eria.s for solid oxide electrochemica. cells:a.review of other reviews

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Journa. of Energy Chemistry 2024年第7期94卷 302-331页

作者： Sta.isla. Ba.a.ov Elena.Filonova.a.a.ta.iya.Iva.ova.Muha.ma. Bila. Ha.if Muneeb Irsha. Muha.ma. Zuba.r Kha. Ma.tin Motola.Sa.id Ra.f dmitry Medvedev Hydrogen Energy La.ora.ory Ural Federal University620002 EkaterinburgRussia Institute of Na.ura. Sciences a.d Ma.hema.ics Ural Federal University620002 EkaterinburgRussia Depa.tment of Inorga.ic Chemistry Faculty of Natural SciencesComenius University BratislavaIlkovicova 6Mlynska Dolina84215 BratislavaSlovakia Sta.e Key La.ora.ory for Mecha.ica. Beha.ior of Ma.eria.s School of Materials Science and EngineeringXi'an Jiaotong UniversityXi'an 710049ShaanxiChina Depa.tment of Physics University of Engineering and TechnologyLahore 54890Pakistan Pa.-a.stria.Fa.hhochschule:Institute of a.plied Sciences a.d Technology Ma.g Haripur 22621Khyber PakhtunkhwaPakistan College of Mecha.ronics a.d Control Engineering Shenzhen UniversityShenzhen 518000GuangdongChina La.ora.ory of Electrochemica. Devices Ba.ed on Solid Oxide Proton Electrolytes Institute of High Temperature Electrochemistry620066 EkaterinburgRussia

Complex oxides a.e a. importa.t cla.s of ma.eria.s with enormous potentia. for electrochemica. *** on their composition a.d structure,such complex oxides ca. exhibit either a.single conductivity(oxygen-ionic or protonic,or n-type,or p-type electronic)or a.combina.ion thereof gener-a.ing distinct dua.-conducting or even triple-conducting *** properties ena.le their use a. diverse functiona. ma.eria.s for solid oxide fuel cells,solid oxide electrolysis cells,permea.le membra.es,a.d ga. *** litera.ure review shows tha. the field of solid oxide ma.eria.s a.d rela.ed electro-chemica. cells ha. a.significa.t level of resea.ch enga.ement,with over 8,000 publica.ions published since *** ma.ua. a.a.ysis of such a.la.ge volume of ma.eria. is ***,by exa.ining the review a.ticles,it is possible to identify key pa.terns,recent a.hievements,prospects,a.d rema.ning *** perform such a. a.a.ysis,the present a.ticle provides,for the first time,a.comprehensive summa.y of previous review publica.ions tha. ha.e been published since 2020,with a.specia. focus on solid oxide ma.eria.s a.d electrochemica. ***,this study provides a. importa.t reference for resea.chers specia.izing in the fields of solid sta.e ionics,high-tempera.ure electrochemistry,a.d energyconversiontechnologies.

关键词： SOFCs SOECs PCFCS Electrochemistry Energy conversion Hydrogen energy,Ca.bon neutra.ity

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Coba.t phtha.ocya.ine promoted copper ca.a.ysts towa.d enha.ced electro reduction of CO_(2)to C_(2):Synergistic ca.a.ysis or ta.dem ca.a.ysis?

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Journa. of Energy Chemistry 2024年第5期92卷 499-507页

作者： Ya. Luo Jun Ya.g Jundi Qin Ka.ghua.Mia. Dong Xia.g a.da. Kuchka.v dmitry Ya.hva.ov Chua.sheng Hu Xiongwu Ka.g New Energy Resea.ch Institute School of Environment and EnergySouth China University of TechnologyHigher Education Mega CenterGuangzhou 510006GuangdongChina Gua.gdong University of Petrochemica. Technology School of Chemical EngineeringMaoming 525000GuangdongChina a.buzov Institute of Orga.ic a.d Physica. Chemistry FRC Kazan Scientific Center of RASArbuzov Street 8Kazan 420088Russian Federation Na.iona. Synchrotron Ra.ia.ion La.ora.ory University of Science and Technology of ChinaHefei 230029AnhuiChina

The a.tivity a.d selectivity of electroca.a.ytic CO_(2)reduction rea.tion(CO_(2)RR)to C_(2)products on meta. ca.a.ysts ca. be regula.ed by molecula. ***,the mecha.ism behind it rema.ns elusive a.d ***,copper na.owires(Cu NWs)were fa.rica.ed a.d decora.ed with coba.t phtha.ocya.ine(CoPc).The electronic intera.tion between the Cu NWs,CoPc,CO_(2) a.d CO_(2)RR intermedia.es were explored by density functiona. theory(DFT)*** wa. found tha. the selectivity a.d a.tivity of CO_(2)RR towa.ds C_(2)products on Cu NWs were considera.ly enha.ced from 35.2%to 69.9%by surfa.e decora.ion of *** ca.cula.ions revea.ed tha. CO_(2)RR ca. proceed in the interpha.e between Cu substra.e a.d CoPc,a.d the CO_(2)RR intermedia.es could synergistica.ly bond with both Cu a.d Co meta. centre in CuNWs-CoPc,which fa.ours the a.sorption of CO_(2),CO a.d CO_(2)RR intermedia.es,thus reducing the free energy for CO-COcoupling towa.ds C_(2)*** synergistic intera.tion wa. further extended to phtha.ocya.ine(Pc)a.d other meta. phtha.ocya.ine deriva.ives(MPc),where a.rela.ively wea.er synergistic intera.tion of COintermedia.es with MPc a.d Cu substra.e a.d only a.slight enha.cement of CO_(2)RR towa.ds C_(2) products were *** study demonstra.es a.synergistic ca.a.ysis pa.hwa. for CO_(2)RR,a.novel perspective in interpreting the role of CoPc in enha.cing the a.tivity a.d selectivity of CO_(2)RR on Cu NWs,in contra.t to the conventiona. ta.dem ca.a.ysis mecha.ism.

关键词： CO_(2)reduction rea.tion Ra.a. spectroscopy Synergistic ca.a.ysis DFT ca.cula.ion

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Milestones to optimize of tra.sjugula. intra.epa.ic portosystemic shunt technique a. a.method for the trea.ment of porta. hypertension complica.ions

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World Journa. of Hepa.ology 2024年第6期16卷 891-899页

作者： dmitry Victorovich Ga.buzenko Depa.tment of Fa.ulty Surgery South Ural State Medical UniversityChelyabinsk 454092Russia

This editoria. describes the milestones to optimize of tra.sjugula. intra.epa.ic portosystemic shunt(TIPS)technique,which ha.e ma.e it one of the ma.n methods for the trea.ment of porta. hypertension complica.ions *** idea.,subsequent experimenta. studies a.d prelimina.y experience of use in cirrhotic pa.ients contributed to the introduction of TIPS into clinica. *** the moment,the ma.n a.hievement in optimize of TIPS technique is progress in the qua.ita.ive cha.a.teristics of *** tra.sition from ba.e meta. stents to extended polytetra.luoroethylene–covered stent gra.ts ma.e it possible to significa.tly prevent shunt ***,the question of its preferred dia.eter,which contributes to a. optima. reduction of porta. pressure without the risk of developing post-TIPS hepa.ic encepha.opa.hy,rema.ns ***,hepa.ic encepha.opa.hy is one of the most common complica.ions of TIPS,significa.tly a.fecting its effectiveness a.d *** selection of pa.ients ba.ed on cognitive indica.ors,nutritiona. sta.us,a.sessment of liver function,etc.,will reduce the incidence of post-TIPS hepa.ic encepha.opa.hy a.d improve trea.ment *** of TIPS technique ha. significa.tly expa.ded the indica.ions for its use a.d ma.e it one of the ma.n methods for the trea.ment of porta. hypertension *** the sa.e time,there a.e a.number of limita.ions a.d unresolved issues tha. require further ra.domized controlled tria.s involving a.la.ge cohort of pa.ients.

关键词： Liver cirrhosis Porta. hypertension Ga.troesopha.ea. va.icea. bleeding Prevention Ma.a.ement Tra.sjugula. intra.epa.ic portosystemic shunt

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