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Cardioprotective effects of glucagon-like peptide 1 receptor agonists in heart failure: Myth or truth?

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World Journal of Diabetes 2024年第5期15卷 818-822页

作者： Lorenzo Nesti domenico Trico Department of Clinical and Experimental Medicine University of PisaPisa 56126Italy Laboratory of Metabolism Nutritionand AtherosclerosisUniversity of PisaPisa 56126Italy

Therapy with glucagon-like peptide 1(GLP1)receptor agonists has raised great interest for its beneficial cardiovascular effects in preventing atherosclerosis and heart failure-related ***,while evidence about atherosclerosis consistently suggests a cardioprotective potential with class effect,controversies remain on its impact on heart ***1 receptor agonists appear to prevent hospitalization for new-onset heart failure and reduce symptoms in heart failure with preserved ejection fraction(as demonstrated by the recent STEP-HFpEF Trial).Still,GLP1 agonism has resulted in neutral or even harmful effects in patients with established heart failure with reduced ejection fraction(the LIVE trial).GLP1 receptor agonists benefit the cardiovascular system indirectly through their marked metabolic effects(improved weight management,glycemic control,blood pressure,systemic and tissue inflammation),while direct effects on the heart have been ***,weight loss alone achieved through GLP1 receptor agonists has failed in improving left ventricular *** is a dual agonist of GLP1 and glucose-dependent insulinotropic polypeptide,representing an innovative treatment option in diabetes with a major impact on weight loss and promising cardiovascular *** this class of therapies is going to change the history of heart failure is an ongoing debate.

关键词： Atherosclerosis Cardiovascular system Glucagon-like peptide-1 Heart failure Tirzepatide Type 2 diabetes Ventricular function Left

Keep in mind sex differences when prescribing psychotropic drugs

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World Journal of Psychiatry 2024年第2期14卷 194-198页

作者： Marianna Mazza domenico De Berardis Giuseppe Marano Department of Neurosciences Fondazione Policlinico Universitario A Gemelli IRCCSUniversitàCattolica del Sacro CuoreRome 00168Italy Mental Health NHSASL 4 TeramoTeramo 64100Italy

Women represent the majority of patients with psychiatric diagnoses and also the largest users of psychotropic *** are inevitable differences in efficacy,side effects and long-term treatment response between men and *** research needs to develop adequately powered animal and human trials aimed to consider pharmacokinetics and pharmacodynamics of central nervous system drugs in both male and female *** professionals have the responsibility to prescribe sex-specific psychopharmacotherapies with a priority to differentiate between men and women in order to minimize adverse drugs reactions,to maximize therapeutic effectiveness and to provide personalized management of care.

关键词： Women Psychopharmacology Psychotropic drugs Sex differences

Numerical modeling techniques for noise emission of free railway wheels

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Railway Engineering Science 2024年第2期32卷 144-161页

作者： Linus Taenzer Urs Pachale Bart Van Damme Andrea Bergamini domenico Tallarico Laboratory of Acoustics/Noise Control EmpaÜberlandstrasse 129DübendorfSwitzerland

In this article,we consider the numerical prediction of the noise emission from a wheelset in laboratory *** focus on the fluid-structure interaction leading to sound emission in the fluid domain by analyzing three different methods to account for acoustic *** are a discretized baffled piston using the discrete calculation method(DCM),a closed cylindrical volume using the boundary element method(BEM)and radiating elastic disks in a cubic enclosure solved with the finite element method(FEM).We provide the validation of the baffled piston and the BEM using measurements of the noise emission of a railway wheel by considering ground reflections in the numerical *** space-resolved waveforms are compared with experimental results as well as with a fluid-structure interaction finite element *** computational advantage of a discretized disk mounted on a baffle and BEM compared to FEM is highlighted,and the baffled pistons limitations caused by a lack of edge radiation effects are investigated.

关键词： Discretized baffled piston Finite element Boundary element Railway noise Acoustic emission Vibrations

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Numerical Simulations of Wave Impact Forces on the Open-Type Sea Access Road Using A Two-Phase SPH Model

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China Ocean Engineering 2024年第5期38卷 755-770页

作者： CHEN Yong-kun domenico D.MERINGOLO LIU Yong Shandong Provincial Key Laboratory of Ocean Engineering Ocean University of China Dipartimento D.I.C.E.A.M. Università degli Studi Mediterranea di Reggio Calabria

A numerical study based on a two-dimensional two-phase SPH(Smoothed Particle Hydrodynamics) model to analyze the action of water waves on open-type sea access roads is presented. The study is a continuation of the analyses presented by Chen et al.(2022), in which the sea access roads are semi-immersed. In this new configuration, the sea access roads are placed above the still water level, therefore the presence of the air phase becomes a relevant issue in the determination of the wave forces acting on the structures. Indeed, the comparison of wave forces on the open-type sea access roads obtained from the single and two-phase SPH models with the experimental results shows that the latter are in much better agreement. So in the numerical simulations, a two-phase δ-SPH model is adopted to investigate the dynamical problems. Based on the numerical results, the maximum horizontal and uplifting wave forces acting on the sea access roads are analyzed by considering different wave conditions and geometries of the structures. In particular, the presence of the girder is analyzed and the differences in the wave forces due to the air cushion effects which are created below the structure are highlighted.

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Three predictive scores compared in a retrospective multicenter study of nonunion tibial shaft fracture

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World Journal of Orthopedics 2024年第6期15卷 560-569页

作者： Davide Quarta Marco Grassi Giuliano Lattanzi Antonio Pompilio Gigante Alessio D'Anca domenico Potena Clinical Orthopedics Department of Clinical and Molecular ScienceUniversitàPolitecnica Delle MarcheAncona 60126Italy Department of Information and Engineering UniversitàPolitecnica delle MarcheAncona 60121Italy

BACKGROUND Delayed union,malunion,and nonunion are serious complications in the healing of *** the risk of nonunion before or after surgery is *** To compare the most prevalent predictive scores of nonunion used in clinical practice to determine the most accurate score for predicting *** We collected data from patients with tibial shaft fractures undergoing surgery from January 2016 to December 2020 in three different trauma *** this retrospective multicenter study,we considered only fractures treated with intramedullary *** calculated the tibia FRACTure prediction healING days(FRACTING)score,Nonunion Risk Determination score,and Leeds-Genoa Nonunion Index(LEG-NUI)score at the time of definitive *** Of the 130 patients enrolled,89(68.4%)healed within 9 months and were classified as *** remaining patients(n=41,31.5%)healed after more than 9 months or underwent other surgical procedures and were classified as *** calculation of the three scores,LEG-NUI and FRACTING were the most accurate at predicting *** LEG-NUI and FRACTING showed the best performances by accurately predicting union and nonunion.

关键词： Trauma Bone Tibial fracture Nonunion Scores Prediction model

Driving pressure:A useful tool for reducing postoperative pulmonary complications

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World Journal of Critical Care Medicine 2024年第3期13卷 91-94页

作者： domenico Posa Fabio Sbaraglia Giuliano Ferrone Marco Rossi Department of Emergency Intensive Care Medicine and AnaesthesiaFondazione Policlinico Universitario A.Gemelli IRCCSRome 00168LazioItaly

The operating room is a unique environment where surgery exposes patients to non-physiological changes that can compromise lung ***,raising clinicians’awareness of the potential risk of ventilator-induced lung injury(VILI)is *** pressure is a useful tool for reducing lung complications in patients with acute respiratory distress syndrome and those undergoing elective *** pressure has been most extensively studied in the context of single-lung ventilation during thoracic ***,the awareness of association of VILI risk and patient positioning(prone,beach-chair,parkbench)and type of surgery must be raised.

关键词： Ventilator-induced lung injury Protective ventilation Driving pressure Mechanical ventilation Surgery room Single-lung ventilation Operative room Surgery

Validation of fluid-particle interaction force relationships in binary-solid suspensions

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Particuology 2015年第6期13卷 40-48页

作者： Marco rotondi Renzo Di Felice Paolo Pagliai Department of Civil Chemical and Environmental Engneering University of Genova Via Opera Pia 15 16145 Genova Italy

In this work several relationships governing solid-fluid dynamic interaction forces were validated against experimental data for a single particle settling in a suspension of other smaller particles. It was observed that force relationships based on Lattice-Boltzmann simulations did not perform as well as other inter- action types tested. Nonetheless, it is apparent that, in the case of a suspension of different particle types, it is important that the correct choice is made as to how the contribution to the overall fluid-particle interaction force is split between buoyancy and drag. Experimental evidence clearly suggests that the ＂generalized＂ Archimedes＇ principle （where the foreign particle is considered to displace the whole suspension and not just the fluid） provides the best result.

关键词： Solid-fluid suspensionsSolid-fluid interaction forcesDrag forceBuoyancy force

Resilience Against Replay Attacks:A Distributed Model Predictive Control Scheme for Networked Multi-Agent Systems

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IEEE/CAA Journal of Automatica Sinica 2021年第3期8卷 628-640页

作者： Giuseppe Franzè Francesco Tedesco domenico Famularo DIMES Department University of CalabriaArcavacata di Rende 87036Italy

In this paper,a resilient distributed control scheme against replay attacks for multi-agent networked systems subject to input and state constraints is *** methodological starting point relies on a smart use of predictive arguments with a twofold aim:1)Promptly detect malicious agent behaviors affecting normal system operations;2)Apply specific control actions,based on predictive ideas,for mitigating as much as possible undesirable domino effects resulting from adversary ***,the multi-agent system is topologically described by a leader-follower digraph characterized by a unique leader and set-theoretic receding horizon control ideas are exploited to develop a distributed algorithm capable to instantaneously recognize the attacked ***,numerical simulations are carried out to show benefits and effectiveness of the proposed approach.

关键词： Distributed model predictive control leader-follower networks multi-agent systems replay attacks resilient control

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Biofabrication of nanovesicles for brain diseases

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Neural Regeneration Research 2023年第3期18卷 525-526页

作者： Pasquale Picone domenico Nuzzo Istituto per la Ricerca e l’Innovazione Biomedica CNRDipartimento di Scienze e Tecnologie Biologiche Chimiche e FarmaceuticheUniversitàdi PalermoPalermoItaly

Background:Nanotechnologies promise to improve disease diagnosis and treatment,overcoming the limitations of conventional *** particular,extracellular vesicles(EVs)and artificial vesicles(AVs)are strongly emerging tools in nanomedicine(Leggio et al.,2020).EVs are cell-derived membrane structures secreted after the fusion of endosomes with the plasma membrane(exosomes)or shed from the plasma membrane(microvesicles).EVs are released by different brain cells(neurons,oligodendrocytes,astrocytes,and microglia)and constitute a physiological intercellular communication ***,EVs can deliver different types of molecules(nucleic acids and proteins),which often influence the phenotype of the recipient *** play a physiological role in the central nervous system(CNS),such as development,myelination,regeneration,and synaptic activity(Lai et al.,2012).Due to their content,EVs could therefore constitute an important biomarker for neurodegenerative diseases,represent candidates for therapeutic use,enclosing regulatory molecules,or be considered as vectors for brain drug delivery(Croese et al.,2018).

关键词： diseases diagnosis constitute

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