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Association of Congenital Heart Defects (CHD) with Factors Related to Maternal Health and Pregnancy in Newborns in Puerto Rico

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Congenital Heart Disease 2024年第1期19卷 19-31页

作者： Yamixa Delgado Caliani Gaytan Naydi Perez eric Miranda Bryan Colón Morales Mónica Santos Biochemistry&Pharmacology Department San Juan Bautista School of MedicineCaguas00726Puerto Rico Hispanic Alliance for Clinical and Translational Research University of Puerto Rico Medical Sciences CampusSan Juan00936Puerto Rico Department of Internal Medicine University of Puerto Rico Medical Sciences CampusSan Juan00936Puerto Rico

Background:Given the pervasive issues of obesity and diabetes both in Puerto Rico and the broader United States,there is a compelling need to investigate the intricate interplay among body mass index(BMI),pregesta-tional,and gestational maternal diabetes,and their potential impact on the occurrence of congenital heart defects(CHD)during neonatal ***:Using the comprehensive System of Vigilance and Surveillance of Congenital Defects in Puerto Rico,we conducted a focused analysis on neonates diagnosed with CHD between 2016 and *** assessment encompassed a range of variables,including maternal age,gestational age,BMI,pregestational diabetes,gestational diabetes,hypertension,history of abortion,and presence of ***:A cohort of 673 patients was included in our *** average maternal age was 26 years,within a range of 22 to 32 *** mean gestational age measured 39 weeks,with a median span of 38 to 39 *** the 673 patients,274(41%)mothers gave birth to neonates diagnosed with *** this group,22 cases were linked to pre-gestational diabetes,while 202 were not;20 instances were associated with gestational diabetes,compared to 200 without;and 148 cases exhibited an overweight or obese BMI,whereas 126 displayed a normal ***:We identiﬁed a statistically signiﬁcant correlation between pre-gestational diabetes mellitus and the occurrence of ***,our analysis did not show a statistically signiﬁcant association between maternal BMI and the likelihood of *** results may aid in developing effective strategies to prevent and manage CHD in neonates.

关键词： Congenital heart defects(CHD) obesisty maternal health diabetes body mass index(BMI)

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如何负责任地回应他人痛苦?——对中国缓和医疗的再思考

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协和医学杂志 2024年第1期15卷 7-11页

作者： eric L.Krakauer 哈佛大学医学院美国马萨诸塞州波士顿MA02138 波士顿总医院缓和医疗与老年医学部美国马萨诸塞州波士顿MA02138

笛卡尔医学模式导致过度医疗已成为全球普遍现象。现代缓和医疗的兴起正是源于对笛卡尔医学模式的反思,其主要目的是缓解重病患者的痛苦,同时关注医学技术本身带来的不必要伤害。本文结合相关病例提出问题,围绕解除痛苦的历史溯源、笛... 详细信息

笛卡尔医学模式导致过度医疗已成为全球普遍现象。现代缓和医疗的兴起正是源于对笛卡尔医学模式的反思,其主要目的是缓解重病患者的痛苦,同时关注医学技术本身带来的不必要伤害。本文结合相关病例提出问题,围绕解除痛苦的历史溯源、笛卡尔医学模式的观点与弊端、维持生命技术的应用与善终等方面展开讨论,启发对中国缓和医疗发展的进一步思考与深刻理解。

关键词：笛卡尔医学模式过度医疗缓和医疗善终

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Large contributions of emission reductions and meteorological conditions to the abatement of PM_(2.5)in Beijing during the 24th Winter Olympic Games in 2022

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Journal of Environmental Sciences 2024年第2期136卷 172-188页

作者： Yaping Jiang Shaocai Yu Xue Chen Yibo Zhang Mengying Li Zhen Li Zhe Song Pengfei Li Xiaoye Zhang eric Lichtfouse Daniel Rosenfeld Key Laboratory of Environmental Remediation and Ecological Health Ministry of EducationResearch Center for Air Pollution and HealthCollege of Environmental and Resource SciencesZhejiang UniversityHangzhou 310058China College of Science and Technology Hebei Agricultural UniversityBaoding 071000China Chinese Academy of Meteorological Sciences China Meteorological AdministrationBeijing 100081China Aix-Marseille Univ CNRSColl FranceCNRSIRDINRAEEuropole Mediterraneen de l’ArboisAvenue Louis Philibert13100 Aix en ProvenceFrance Xi’an Jiaotong University State Key Laboratory of Multiphase Flow in Power EngineeringXi’an 710049China Institute of Earth Sciences The Hebrew University of JerusalemJerusalemIsrael

To guarantee the blue skies for the 2022 Winter Olympics held in Beijing and Zhangjiakou from February 4 to 20,Beijing and its surrounding areas adopted a series of emission control *** provides an opportunity to determine the impacts of large-scale temporary control measures on the air quality in Beijing during this special ***,we applied the WRF-CMAQ model to quantify the contributions of emission reduction measures and meteorological *** show that meteorological conditions in 2022 decreased PM_(2.5)in Beijing by 6.9 and 11.8μg/m^(3)relative to 2021 under the scenarios with and without emission reductions,*** emission reduction measures implemented in Beijing and seven neighboring provinces resulted in an average decrease of 13.0μg/m^(3)(-41.2%)in PM_(2.5)in *** the entire period,local emission reductions contributed more to good air quality in Beijing than nonlocal emission *** the emission reduction scenario,local,controlled regions,other regions,and boundary conditions contributed 47.7%,42.0%,5.3%,and 5.0%to the PM_(2.5)concentrations in Beijing,*** results indicate that during the cleaning period with the air masses from the northwest,the abatements of PM_(2.5)were mainly caused by local emission ***,during the potential pollution period with the air masses from the east-northeast and west-southwest,the abatements of PM_(2.5)were caused by both local and nonlocal emission reductions almost *** implies that regional coordinated prevention and control strategies need to be arranged scientifically and rationally when heavy pollution events are forecasted.

关键词： PM_(2.5) WRF-CMAQ Meteorological conditions Emission reductions Winter Olympic games

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Optimal timing of invasive intervention for high-risk non-ST-segment-elevation myocardial infarction patients

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Journal of Geriatric Cardiology 2024年第8期21卷 807-815页

作者： Juan-Juan ZHENG Yue-Qiao SI Tian-Yang XIA Bing-Jun LU Chun-Yu ZENG Wei-eric WANG Department of Geriatrics Southwest HospitalThird Military Medical UniversityChongqingChina Department of Cardiology Daping HospitalThird Military Medical UniversityChongqingChina

OBJECTIVE To compare the immediate,early,and delayed percutaneous coronary intervention(PCI)strategies in non-ST-segment-elevation myocardial infarction(NSTEMI)patients with *** Medical records of patients treated at the Daping Hospital,Third Military Medical University,Chongqing,China between 2011 and 2021 were retrospectively *** patients with complete available information were *** patients assigned into three groups based on the timing of PCI including immediate(<2 h),early(2–24 h)and delayed(≥24 h)*** Cox hazards regression and simpler nonlinear models were *** A total of 657 patients were included in the *** median follow-up length was 3.29(interquartile range:1.45–4.85)*** PCI strategy improved the major adverse cardiac event(MACE)outcome compared to the immediate or delayed PCI *** PCI,diabetes mellitus,and left main or/and left anterior descending or/and left circumflex stenosis or/and right coronary artery≥99%were predictors for MACE *** optimal timing range for PCI to reduce MACE risk is 3–14 h *** high-risk NSTEMI patients,early PCI reduced primary clinical outcomes compared to immediate or delayed PCI,and the optimal timing range was 3–14 h *** PCI was superior for NSTEMI with chronic kidney *** Delayed invasive strategy was helpful to reduce the incidence of MACE for high-risk NSTEMI with chronic kidney *** immediate PCI strategy might increase the rate of MACE.

关键词： patients infarction Chongqing

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The Lesbian Conundrum and the Poetry of Audre Lorde

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Cultural and Religious Studies 2024年第7期12卷 461-474页

作者： eric Sipyinyu Njeng University of Yaounde YaoundeCameroon

This article diagnoses Audre Lorde’s lesbian experience as portrayed in her *** describes lesbianism as natural,liberating,political,and ***’s idea of lesbianism involves women who indulge in erotic relations on the one hand and relations among women who are emotionally,intellectually,and politically liberating on the *** radical feminists see lesbianism as sexually fulfilling as it draws women together for intellectual and emotional comfort.

关键词： Lorde lesbian problem creativity jouissance matriarchy

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Echoes From Cote d’Ivoire

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ChinAfrica 2024年第3期16卷 46-47页

作者： eric VINCENT FOMO 不详

A look back at the upsets and unexpected turnarounds at the 2023 Africa Cup of Nations,Cote d’Ivoire brilliantly orchestrated and won the 34th edition of the Africa Cup of Nations(CAN),held from 13 January to 11 February 2024,demonstrating its excellence in sports,security and *** challenges were at the heart of the event,with 24 passionately competitive teams divided into six groups,offering intensely contested matches to an enthusiastic *** encounters highlighted the balance of footballing power between nations,and unexpected turnarounds defying predictions of bookmakers and football pundits.

关键词： offering competitive football

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Genetic Optimization via Diverse Crossover Intelligence

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Journal of Applied Mathematics and Physics 2024年第8期12卷 2885-2903页

作者： David Webb eric Sandgren AdvanSix Inc. Parsippany New Jersey USA Systems Engineering Department Donaghey College of Engineering & Information Technology University of Arkansas at Little Rock Little Rock Arkansas USA

An intelligent crossover methodology within the genetic algorithm (GA) is explored within both mathematical and finite element arenas improving both design and solution convergence time. This improved intelligent crossover outperforms the traditional genetic algorithm combined with a rule-based approach utilizing domain specific knowledge developed by Webb, et al. [1]. The encoding of the improved crossover consists of two chromosome strings within the genetic algorithm where the first string represents the design or solution string, and the second string represents chromosome crossover string intelligence. This improved crossover methodology saves the best population members or designs evaluated from each generation and applies crossover chromosome intelligence to the best saved population members paired with globally selected parents. Enhanced features of this crossover methodology employ the random selection of the best designs from the prior generation as a potential parent coupled with alternating intelligence pairing methods. In addition to this approach, two globally selected parents possess the ability to mate utilizing crossover chromosome string intelligence maintaining the integrity of a global GA search. Overall, the final population following crossover employs both global and best generation design chromosome strings to maximize creativity while enhancing the solution search. This is a modification to a conventional GA that can be translated into GA encoding. This technique is explored initially through a Base 10 mathematical application followed by the examination of plate structural optimization considering stress and displacement constraints. Results from crossover intelligence are compared with the conventional genetic algorithm and from Webb, et al. [1] which illustrates the outcome of a two phase genetic optimization algorithm.

关键词： Crossover Topological Design Structural Optimization Genetic Optimization Variable Material Design

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Trophy Dream

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ChinAfrica 2024年第1期16卷 44-45页

作者： eric VINCENT FOMO 不详

A two-year cycle of qualifying tournaments for the FIFA World Cup 2026 began in Africa on 15 November *** is the first qualifying round after a significant change in FIFA rules that raised the number of teams competing at the finals of the World Cup to 48 from *** means more African teams can take part in the coveted tournament and,therefore,greater chance for Africa’s footballing stars to shine brightly.

关键词： stars FIFA raised

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MEMS-actuated terahertz metamaterials driven by phase-transition materials

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Frontiers of Optoelectronics 2024年第2期17卷 23-32页

作者： Zhixiang Huang Weipeng Wu eric Herrmann Ke Ma Zizwe A.Chase Thomas A.Searles M.Benjamin Jungfleisch Xi Wang Department of Materials Science and Engineering College of EngineeringUniversity of DelawareNewarkDE 19716USA Department of Physics and Astronomy College of Arts and SciencesUniversity of DelawareNewarkDE 19716USA Department of Electrical and Computer Engineering College of EngineeringUniversity of Illinois ChicagoChicagoIL 60607USA

The non-ionizing and penetrative characteristics of terahertz(THz)radiation have recently led to its adoption across a variety of *** effectively utilize THz radiation,modulators with precise control are *** most recent THz modulators manipulate the amplitude,frequency,or phase of incident THz radiation,considerably less progress has been made toward THz polarization *** methods for polarization control suffer from high driving voltages,restricted modulation depth,and narrow band capabilities,which hinder device performance and broader ***,an ideal THz modulator that offers high modulation depth along with ease of processing and operation is *** this paper,we propose and realize a THz metamaterial comprised of microelectromechanical systems(MEMS)actuated by the phase-transition material vanadium dioxide(VO_(2)).Simulation and experimental results of the three-dimensional metamaterials show that by leveraging the unique phase-transition attributes of VO_(2),our THz polarization modulator offers notable advancements over existing designs,including broad operation spectrum,high modulation depth,ease of fabrication,ease of operation condition,and continuous modulation *** enhanced features make the system a viable candidate for a range of THz applications,including telecommunications,imaging,and radar systems.

关键词： Metamaterials MEMS THz VO_(2) Phase-transition material

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Artificial intelligence strengthenes cervical cancer screening–present and future

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Cancer Biology & Medicine 2024年第10期 864-879页

作者： Tong Wu eric Lucas Fanghui Zhao Partha Basu Youlin Qiao School of Population Medicine and Public Health Chinese Academy of Medical Sciences and Peking Union Medical College Early Detection Prevention & Infections Branch International Agency for Research on Cancer (WHO) Department of Cancer Epidemiology National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College

Cervical cancer is a severe threat to women's health. The majority of cervical cancer cases occur in developing countries. The WHO has proposed screening 70% of women with high-performance tests between 35 and 45 years of age by 2030 to accelerate the elimination of cervical cancer. Due to an inadequate health infrastructure and organized screening strategy, most low-and middleincome countries are still far from achieving this goal. As part of the efforts to increase performance of cervical cancer screening, it is necessary to investigate the most accurate, efficient, and effective methods and strategies. Artificial intelligence(AI) is rapidly expanding its application in cancer screening and diagnosis and deep learning algorithms have offered human-like interpretation capabilities on various medical images. AI will soon have a more significant role in improving the implementation of cervical cancer screening, management, and follow-up. This review aims to report the state of AI with respect to cervical cancer screening. We discuss the primary AI applications and development of AI technology for image recognition applied to detection of abnormal cytology and cervical neoplastic diseases, as well as the challenges that we anticipate in the future.

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