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Navigating medial patellotibial ligament reconstruction:Clinical perspectives and surgical strategies

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World Journal of Clinical Cases 2025年第1期13卷 6-10页

作者： Juan Pablo Zicaro Ignacio garcia-Mansilla Division of Knee Hospital Italiano de Buenos AiresBuenos Aires 1109Argentina

The surgical approach for patellar instability usually refers to reconstruction of the medial patellofemoral ligament associated with an osteotomy of the tibial tuberosity or a trochleoplasty when *** medial patellotibial ligament and the medial patellomeniscal ligament are secondary stabilizers of the *** this,both the medial patellotibial and patellofemoral ligaments aid in patellar rotation and tilt when the knee is flexed beyond 45°.The medial patellotibial ligament plays a particularly important role in the final stages of stretching in extension and between 40 degrees to 90 degrees of *** clinical relevance and surgical indications for medial patellotibial ligament reconstruction associated with medial patellofemoral ligament reconstruction are still *** editorial explores the surgical indications and clinical results for medial patellotibial ligament reconstruction to improve readers’understanding of this technique,especially because reported clinical outcomes have remained sparse.

关键词： Medial patellotibial ligament Patellar instability Reconstruction Surgical

Challenges and improvement strategies in the hospitalization of chronic multimorbid patients

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World Journal of Clinical Cases 2025年第3期13卷 35-41页

作者： Andres Fontalba-Navas Francisco Pozo Muñoz Rogelio garcia Cisneros Maria Jose garcia Larrosa Maria del Mar Callejon Gil Ignacio garcia Delgado Maria Belen Jimenez Martinez Antequera Hospital Northern Málaga Integrated Healthcare AreaAntequera 29200AndalusiaSpain Department of Public Health and Psychiatry University of MálagaMálaga 29010Spain Antequera Hospital Northern Málaga Antequera Integrated Healthcare AreaAntequera 29200MálagaSpain

BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot *** diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient *** proven effective,this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid *** To evaluate the effectiveness of the high complexity unit(HCU)in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital *** The study employed a descriptive longitudinal approach,analyzing data from the Basic Minimum Data Set(BMDS)to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout *** HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity *** The study employed a descriptive longitudinal approach,analyzing data from the BMDS to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout *** HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity *** This study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary *** coordinated care provided by the HCU results in improved patient outcomes,reduced unnecessary hospitalizations,and better management of patient *** superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction,reinforcing its value as a model of ca

关键词： High complexity unit Chronic multimorbidity Patient-centered care Integrated care Healthcare management

Microstructural Morphologies and experimental Growth Laws during Solidification of Monotectic and Hypermonotectic Al-Pb Alloys

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Journal of Materials Science & Technology 2014年第4期30卷 401-407页

作者： Adrina P.Silva Amauri garcia José e.Spinelli Department of Materials engineering University of Campinas-UNICAMP Department of Materials engineering Federal University of Sao Carlos-UFSCar

AI-Pb alloys with monotectic and hypermonotectic compositions were directionally solidified under unsteady- state heat flow conditions. The cooling curves recorded during solidification allowed solidification thermal parameters such as the cooling rate （T）, growth rate （v） and thermal gradient （G） to be experimentally determined. Different microstructural patterns have been associated with the alloy solute content, i.e., AI-1.2 and 2.1 wt% Pb. A sequence of morphologies from the bottom to the top of the A1-1.2 wt% Pb alloy casting （monotectic） can be observed： Pb-rich droplets in the aluminum-rich matrix, followed by a region of microstructural transition formed by droplets and fibers and finally by a mixture of fibers and strings of pearls. A completely fibrous structure （without transition） has been observed along the entire AI-2.1 wt% Pb alloy casting （hypermonotectic）. The interphase spacing （λ） was measured along the casting length, and experimental correlations between λand experimental solidification thermal parameters have been established. Power laws with a -2.2 exponent expressing λ as a function of the growth rate, v, were found to better represent the fibrous growth of both AI-Pb alloys. Moreover, a single experimental law expressing λ as a function of both G and v was found to describe the fibrous growth of both the monotectic and the hypermonotectic alloys experimentally examined.

关键词： Aluminum alloys Casting Phase transformation

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An investigation of soil erosion and redistribution in a Mediterranean lowland agricultural catchment using caesium-137

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International Journal of Sediment Research 2010年第1期25卷 1-16页

作者： Joan eSTRANY Celso garcia Desmond e. WALLING Department of earth Sciences University of the Balearic Islands Department of Geography University of ExeterAmory Building

This study sought to contribute to an improved understanding of soil erosion and redistribution on Mediterranean agricultural land, where traditional soil conservation practices have been applied over millennia to provide effective protection of cultivated land. The study was undertaken in the Na Borges catchment, a groundwater-dominated lowland limestone basin (319 km2), located in the northeastern part of Mallorca, Spain. The average sediment yield from the basin, based on river sediment load data, is e 137Cs technique was used to quantify soil redistribution rates over the past 40 years and to identify the key factors involved in soil erosion and redistribution processes. To estimate erosion and deposition rates and to elucidate the main factors affecting soil redistribution, samples were collected from six slope transects representative of the local land use and slope gradients and the presence or absence of soil conservation practices. A mass balance and a profile distribution conversion model were used for cultivated areas and areas of natural vegetation, respectively, to derive point estimates of the soil redistribution rates from the 137Cs inventories measured for individual soil bulk cores. In areas without soil conservation practices, the estimated mean soil erosion rates ranged from 12.7 to 26.4 t/ha·yr, which correspond to the slight and moderate erosion classes. The erosivity of Mediterranean climatic conditions combined with the influence of agricultural practices and slope gradient on soil erosion, represent the main factors responsible for the variation of soil losses documented for the cultivated land located in downslope areas, in the absence of soil conservation practices. Deposition dominated for those transects affected by soil conservation practices, with rates ranging between 18.8 and 96.6 t/ha·yr. However, this situation does not mean that soil conservation measures retain all the sediment, but rather that agriculture and urba

关键词： Soil erosion 137Cs Traditional soil conservation practices Agricultural land Mediterranean

Bioleaching of zinc from gold ores using Acidithiobacillus ferrooxidans

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International Journal of Minerals,Metallurgy and Materials 2009年第4期16卷 368-374页

作者： Pakawadee Kaewkannetra Francisco Jose garcia-garcia Tze Yen Chiu Department of Biotechnology Faculty of TechnologyKhon Kaen University Corrosion and Protection Centre School of MaterialsThe University of Manchester Centre of Water Science Cranfield University

The present work investigated microbial leaching of zinc from ore using Acidithiobacillus ferrooxidans （ATCC 14859）. The ore samples, consisted of 13wt% zinc, were obtained from a gold mine in north-eastern Thailand. A shake flask study was performed on the ore samples using a rotary shaker under the following fixed conditions （250 r·min^-1, 30℃ for 16 d）. The influence of various conditions, namely medium type （with and without iron）, particle ore size （〈20, 20-40, 40-60, 60-100, and 〉100 mesh）, ore density （20 kg·m^-3, 50 kg·m^-3, and 100 kg·m^-3）, and pH of the medium （2, 2.5, 2.8, and 3）, were investigated. The microbial leaching was assessed by determining the concentration of zinc in the medium and compared with the initial sample concentration. The results show that Acidithiobacillus ferrooxidans can successfully leach zinc by as much as 6 times compared with the control experiment （without Acidithiobacillus ferrooxidans ferrooxidans）. The maximum efficiency （92.3%） for microbial leaching is obtained in iron-containing medium, 20-40 mesh ore sizes, 20 kg·m^-3 ore density at pH 2.8, and the zinc content is found in the medium at about 120 mg·m^-1.

关键词： bioleaching Acidithiobacillusferrooxidans gold ores gold mine

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Renewable energy Penetration Strengthened Using a Reversible Solid Oxide Cell Installed in a Building

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CSee Journal of Power and energy Systems 2022年第2期8卷 360-368页

作者： Mario Lamagna Davide Astiaso garcia Astronautical Electrical and Energy Engineering Department(DIAEE)Sapienza University of RomeItaly Planning DesignTechnology of Architecture Department(DPDTA)Sapienza University of RomeItaly

The renewable energy source(ReS)penetration in end use must be strengthened to reach the prefixed decarbonization targets.A penetration obstacle is represented by the Power Grid,designed with an architecture disinclined to ReS ***,different solutions are available to integrate these latter issues without affecting the Grid,among these,the reversible Solid Oxide Cell(rSOC)promises high efficiencies and the possibility to control energy fluxes in both production and *** this study,a series of hourly simulations based on real data were designed to evaluate the rSOC capacity to integrate a large number of ReSs in the end use of three different buildings,through analyzing the possible congestion on the Power *** a rSOC model we chose the Smart energy Hub proposed by Sylfen while for the buildings we selected a school,a hotel,and an office located in Procida,*** results show the rSOC capacity to integrate ReS increased from 40%to 62%according to the storage capacity and the building’s hourly load curve and seasonal consumptions.

关键词： Green hydrogen ReS integration rSOC power-to-power

A glance at three-dimensional Alexandrov spaces

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Frontiers of Mathematics in China 2016年第5期11卷 1189-1206页

作者： Fernando GALAZ-garcia Institut fur Algebra und Geometrie Karlsruher Institut fiir Technologie (KIT) Karlsruhe Germany

We discuss the topology and geometry of closed Alexandrov spaces of dimension three.

关键词： Alexandrov space group action 3-manifold

Versatile chip-based nanoscopy becomes ready for histopathology assessment

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Light(Science & Applications) 2022年第5期11卷 730-732页

作者： Martin Lopez-garcia Natural and Artificial Photonic Structures Group International Iberian Nanotechnology LaboratoryBraga 4715-330Portugal

Nanoscopy is a mature technology used routinely in life science to obtain images well below the optical diffraction *** the use of nanoscopy in histopathology assessment is very limited mostly due to the low throughput of traditional nanoscopic *** far,Chip-nanoscopy,nanoscopy in which sample illumination is performed by an integrated photonic chip instead of bulk optics,has been shown to provide an enhanced field of view and throughput for cell ***,a new development shows that chip-nanoscopy also offers interesting progress for the study of histological samples offering a complementary technique to electron microscopy for histopathology assessment.

关键词： nanos offering illumination

Fibonacci Sequences and the Multiperiodicity of the Variable Star UW Herculis

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Chinese Journal of Astronomy and Astrophysics 2003年第3期3卷 235-240页

作者： Juan garcia escudero Departamento de Fisica Universidad de Oviedo 33007 Oviedo Spain

We present an application of the methods recently developed for the study of quasicrystal structures to the analysis of multiperiodicity of semiregular variables. A light curve analysis of UW Her shows frequencies that can be included within the general scheme characterizing the Fourier spectra of Fibonacci quasiperiodic sequences. The analysed data come from the BAA Variable Star Section computerised archive.

关键词： stars: variables

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