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Therapeutic efficacy and effects of artemisinin-based combination treatments on uncomplicated Plasmodium falciparum malaria-associated anaemia in Nigerian children during seven years of adoption as first-line treatments

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Infectious Diseases of Poverty 2017年第1期6卷 315-334页

作者： Akintunde Sowunmi Kazeem Akano Godwin Ntadom Adejumoke I.Ayede Folasade O.Ibironke Temitope Aderoyeje Elsie O.Adewoye Bayo Fatunmbi Stephen Oguche henrietta u.okafor Ismaila Watila Martin Meremikwu Philip Agomo William Ogala Chimere Agomo Onikepe A.Folarin Grace O.Gbotosho Christian T.Happi Department of Pharmacology and Therapeutics University of IbadanIbadanNigeria Institute for Medical Research and Training College of MedicineUniversity of IbadanIbadanNigeria National Malaria Elimination Programme Federal Ministry of HealthAbujaNigeria Department of Paediatrics University of IbadanIbadanNigeria Department of Clinical Pharmacology University College HospitalIbadanNigeria Department of Physiology University of IbadanIbadanNigeria World Health Organization Regional Office for the Western PacificKhan Daun PenhPhnom PenhCambodia Department of Paediatrics University of JosJosNigeria Department of Paediatrics Institute of Child HealthUniversity of Nigeria Teaching HospitalEnuguNigeria Department of Paediatrics Specialist HospitalMaiduguriBorno SateNigeria Department of Paediatrics University of CalabarCalabarCross Rivers StateNigeria Nigeria Institute of Medical Research YabaLagosNigeria Department of Paediatrics Ahmadu Bello UniversityZariaNigeria Department of Biological Sciences Redeemer’s UniversityEdeOsun StateNigeria

Background:Artemisinin-based combination treatments(ACTs)are the first-line treatments of uncomplicated Plasmodium falciparum malaria in many endemic areas but there are few evaluation of their efficacy in anaemic malarious children.Methods:Therapeutic efficacy of 3-day regimens of artesunate-amodiaquine and artemether-lumefantrine was evaluated in 437 anaemic and 909 non-anaemic malarious children following treatment during a seven-year period(2008-2014).Patterns of temporal changes in haematocrit were classified based on haematocrit valuesuated using a non-compartment model.Results:PCR-corrected parasitological efficacy 28 days after start of treatment was significantly higher in artesunateamodiaquine-compared to artemether-lumefantrine-treated children[97%(95%CI:92.8-100)versus 96.4%(95%CI:91.3-99.4),P=0.02],but it was similar in non-anaemic and anaemic children.Fall in haematocrit/1000 asexual parasites cleared from peripheral blood was significantly greater at lower compared to higher parasitaemias(Pultiples of t_(1/2anaemia) and AnRT showed narrow limit of agreement with insignificant bias(P=0.07)suggesting both can be used interchangeably in the same patients.Conclusions:Artesunate-amodiaquine and artemether-lumefantrine remain efficacious treatments of uncomplicated P.falciparum infections in non-anaemic and anaemic Nigerian children in the last 7 years of adoption as first-line treatments.These ACTs may also conserve haematocrit at high parasitaemias and i

关键词： Malaria-associated anaemia “Haematocrit conservation” Artemisinin-based combination treatments Children Nigeria

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In search of a pan-coronavirus vaccine:next-generation vaccine design and immune mechanisms

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Cellular & Molecular Immunology 2024年第2期21卷 103-118页

作者： S.Cankat M.u.Demael L.Swadling Division of Infection and Immunity Institute of Immunity and TransplantationUniversity College LondonPears BuildingLondon NW32PPUK

Members of the coronaviridae family are endemic to human populations and have caused several epidemics and pandemics in recent history.In this review,we will discuss the feasibility of and progress toward the ultimate goal of creating a pan-coronavirus vaccine that can protect against infection and disease by all members of the coronavirus family.We will detail the unmet clinical need associated with the continued transmission of SARS-CoV-2,MERS-CoV and the four seasonal coronaviruses(HCoV-OC43,NL63,HKu1 and 229E)in humans and the potential for future zoonotic coronaviruses.We will highlight how first-generation SARS-CoV-2 vaccines and natural history studies have greatly increased our understanding of effective antiviral immunity to coronaviruses and have informed next-generation vaccine design.We will then consider the ideal properties of a pan-coronavirus vaccine and propose a blueprint for the type of immunity that may offer cross-protection.Finally,we will describe a subset of the diverse technologies and novel approaches being pursued with the goal of developing broadly or universally protective vaccines for coronaviruses.

关键词： Vaccine Coronavirus Cross-reactive immunity Cross-protection universal

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Fuzzy and IRLNC-based routing approach to improve data storage and system reliability in IoT

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Intelligent and Converged Networks 2024年第1期5卷 68-80页

作者： u.Indumathi A.R.Arunachalam the Department of Computer Science and Engineering Dr.M.G.R.Educational and Research InstituteChennai 600095India

Internet of Things(IoT)based sensor network is largely utilized in various field for transmitting huge amount of data due to their ease and cheaper installation.While performing this entire process,there is a high possibility for data corruption in the mid of transmission.On the other hand,the network performance is also affected due to various attacks.To address these issues,an efficient algorithm that jointly offers improved data storage and reliable routing is proposed.Initially,after the deployment of sensor nodes,the election of the storage node is achieved based on a fuzzy expert system.Improved Random Linear Network Coding(IRLNC)is used to create an encoded packet.This encoded packet from the source and neighboring nodes is transmitted to the storage node.Finally,to transmit the encoded packet from the storage node to the destination shortest path is found using the Destination Sequenced Distance Vector(DSDV)algorithm.Experimental analysis of the proposed work is carried out by evaluating some of the statistical metrics.Average residual energy,packet delivery ratio,compression ratio and storage time achieved for the proposed work are 8.8%,0.92%,0.82%,and 69 s.Based on this analysis,it is revealed that better data storage system and system reliability is attained using this proposed work.

关键词： Internet of Things(IoT) data storage management fuzzy system improved random linear network coding energy utilization system reliability

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Predictive factors for percutaneous nephrolithotomy bleeding risks

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Asian Journal of urology 2024年第1期11卷 105-109页

作者： u Phun Loo Chun Hou Yong Guan Chou Teh urology Department Sarawak General HospitalKuchingMalaysia

Objective:This study aimed to identify predictive factors for percutaneous nephrolithotomy(PCNL)bleeding risks.With better risk stratification,bleeding in high-risk patient can be anticipated and facilitates early identification.Methods:A prospective observational study of PCNL performed at our institution was done.All adults with radio-opaque renal stones planned for PCNL were included except those with coagulopathy,planned for additional procedures.Factors including gender,co-morbidities,body mass index,stone burden,puncture site,tract dilatation size,operative position,surgeon's seniority,and operative duration were studied using stepwise multivariate regression analysis to identify the predictive factors associated with higher estimated hemoglobin(Hb)deficiency.Results:Overall,4.86%patients(n=7)received packed cells transfusion.The mean estimated Hb deficiency was 1.3(range 0-6.5)g/dL and the median was 1.0 g/dL.Stepwise multivariate regression analysis revealed that absence of hypertension(p=0.024),puncture site(p=0.027),and operative duration(p=0.023)were significantly associated with higher estimated Hb deficiency.However,the effect sizes are rather small with partial eta-squared of 0.037,0.066,and 0.038,respectively.Observed power obtained was 0.621,0.722,and 0.625,respectively.Other factors studied did not correlate with Hb difference.Conclusion:Hypertension,puncture site,and operative duration have significant impact on estimated Hb deficiency during PCNL.However,the effect size is rather small despite adequate study power obtained.Nonetheless,operative position(supine or prone),puncture number,or tract dilatation size did not correlate with Hb difference.The mainstay of reducing bleeding in PCNL is still meticulous operative technique.Our study findings also suggest that PCNL can be safely done by urology trainees under supervision in suitably selected patient,without increasing risk of bleeding.

关键词： Percutaneous nephrolithotomy Predictive factor Risk factor Bleeding Blood loss

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Lump and travelling wave solutions of a(3+1)-dimensional nonlinear evolution equation

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Journal of Ocean Engineering and Science 2024年第2期9卷 164-172页

作者： Kalim u.Tariq Raja Nadir Tufail Department of Mathematics Mirpur University of Science and TechnologyMirpurAJK 10250Pakistan

In this paper,the(3+1)-dimensional nonlinear evolution equation is studied analytically.The bilinear form of given model is achieved by using the Hirota bilinear method.As a result,the lump waves and col-lisions between lumps and periodic waves,the collision among lump wave and single,double-kink soliton solutions as well as the collision between lump,periodic,and single,double-kink soliton solutions for the given model are constructed.Furthermore,some new traveling wave solutions are developed by applying the exp(−φ(ξ))expansion method.The 3D,2D and contours plots are drawn to demonstrate the nature of the nonlinear model for setting appropriate set of parameters.As a result,a collection of bright,dark,periodic,rational function and elliptic function solutions are established.The applied strategies appear to be more powerful and efficient approaches to construct some new traveling wave structures for various contemporary models of recent era.

关键词： The Hirota bilinear method Lump wave solution Travelling wave solution Exp(−φ(ξ))expansion technique

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Development of immature ovarian teratoma after mature teratoma in a girl with familial ovarian teratoma:A case report

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World Journal of Clinical Cases 2024年第8期12卷 1442-1447页

作者： u Chul Ju Woo Dae Kang Seok Mo Kim Department of Obstetrics and Gynecology Chonnam National University Medical SchoolGwangju 61469South Korea

BACKGROuND Immature ovarian teratoma is a rare and aggressive neoplasm that affects young women.This report is the first to describe the development of immature teratoma after ovarian cystectomy for mature teratoma of the ovary in an adolescent female with a family history of ovarian teratoma.CASE SuMMARY A 16-year-old girl who had undergone bilateral ovarian cystectomy for mature teratomas 3 years ago showed bilateral adnexal tumors during her regular ultrasonography follow-up every 6 months.She received laparoscopic bilateral ovarian cystectomy,and final histopathology showed grade-1 immature teratoma of the left ovary and mature teratoma of the right ovary.Laparoscopic left salpingo-oophorectomy and staging procedures were performed again.Her mother,maternal aunt,and maternal grandmother had also received surgeries for mature ovarian teratomas.CONCLuSION It is important to have guidance on management of patient and family members with familial ovarian teratomas.

关键词： Familial ovarian teratomas Adolescent female Immature ovarian teratoma Management Case report

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Latest Carboniferous-Early Permian Rifting of the Northern Gondwanan Margin and the Opening of the Northern Neotethys: New Evidence from the Carboniferous and Permian Foraminiferal Assemblages from the Beyşehir-Hoyran Nappes, Central Taurides(Southern Turkey)

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Journal of Earth Science 2024年第2期35卷 394-415页

作者： Cengiz Okuyucu u.Kagan Tekin Cagri Guzgun Kaan Sayit Department of Geological Engineering Konya Technical UniversityKonya42250Turkey Department of Geological Engineering Hacettepe UniversityAnkara06800Turkey Department of Geological Engineering Middle East Technical UniversityAnkara06800Turkey

The Beyşehir-Hoyran Nappes,one of the tectonostratigraphic units of the Taurides,are thought to be originated from the Izmir-Ankara Ocean(northern branch of Neotethys).In this study,Late Paleozoic rock units from the blocks of Beyşehir-Hoyran Nappes were studied in detail using foraminiferal assemblages in two different locations from the southwest of Karaman City(southern Turkey).In both places,blocks/slices and pebbles of various origins are embedded within a highly sheared matrix of Late Cretaceous Age,and the whole unit can be regarded as a sedimentary mélange.The ages of the blocks from the southwest of Karaman City range from the Late Serpukhovian(Late Mississippian)to Late Capitanian(Middle Permian)with some depositional breaks(e.g.,Bashkirian,Kasimovian).Combined with the previous data from the Mersin Mélange,which also include the remnants of the Beyşehir-Hoyran Nappes,our new findings suggest that a shallowing-upward sequence,characterized by a shallow water environment with foraminifera-bearing limestones,was deposited over the Tournaisian pelagic sequence in the Beyşehir-Hoyran Nappes till the Early Moscovian(Early Middle Pennsylvanian).This shallowing-upward sequence in the Beyşehir-Hoyran Nappes could be related to the Late Paleozoic Glaciation on the Gondwana supercontinent(Glacial Ⅱ),which resulted in a sea-level drop and deposition of platform carbonates during the Viséan–Early Moscovian(Middle Mississippian to Early Middle Pennsylvanian)time interval.The absence of the main part of the Middle-upper Pennsylvanian deposits(continental phase during the Middle Moscovian–Middle Gzhelian)in the Beyşehir-Hoyran Nappes can be mainly attributed to the occurrence of a mantle plume and partially to the effect of Late Paleozoic Gondwanan Glaciation(Glacial Ⅲ).Progressive uplifting by the buoyant mantle plume material has resulted in rifting at the center of the basin where the Beyşehir-Hoyran Nappes have deposited.The rifting process led to tectonic destabilization of the platform in the basin,causing accum

关键词： foraminifera Carboniferous and Permian Beyşehir-Hoyran Nappes plume rifting Neotethys paleontology

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On some new travelling wave structures to the(3+1)-dimensional Boiti-Leon-Manna-Pempinelli model

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Journal of Ocean Engineering and Science 2024年第2期9卷 99-111页

作者： Kalim u.Tariq Ahmet Bekir Muhammad Zubair Department of Mathematics Mirpur University of Science and TechnologyMirpur 10250 AJKPakistan Neighbourhood of Akcaglan Imarli StreetNumber:28/4Eskisehir26030 Turkey

In this article,the(1/G')-expansion method,the Bernoulli sub-ordinary differential equation method and the modified Kudryashov method are implemented to construct a variety of novel analytical solutions to the(3+1)-dimensional Boiti-Leon-Manna-Pempinelli model representing the wave propagation through incompressible fluids.The linearization of the wave structure in shallow water necessitates more critical wave capacity conditions than it does in deep water,and the strong nonlinear properties are perceptible.Some novel travelling wave solutions have been observed including solitons,kink,periodic and rational solutions with the aid of the latest computing tools such as Mathematica or Maple.The physical and analytical properties of several families of closed-form solutions or exact solutions and rational form function solutions to the(3+1)-dimensional Boiti-Leon-Manna-Pempinelli model problem are examined using Mathematica.

关键词： The(3+1)-dimensional Boiti-Leon-Manna-Pempinelli model The(1/G')-expansion method The Bernoulli sub-ODE method The modified Kudryashov method

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Suppressive effects of exercise-conditioned serum on cancer cells:A narrative review of the influence of exercise mode,volume,and intensity

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Journal of Sport and Health Science 2024年第4期13卷 484-498,F0003页

作者： Francesco Bettariga Dennis R.Taaffe Daniel A.Galvao Chris Bishop Jin-Soo Kim Robert u.Newton Exercise Medicine Research Institute Edith Cowan UniversityJoondalupWA 6027Australia School of Medical and Health Sciences Edith Cowan UniversityJoondalupWA 6027Australia London Sport Institute School of Science and TechnologyMiddlesex UniversityLondonNW44BTUK School of Human Movement and Nutrition Sciences University of QueenslandSt.LuciaQLD 4072Australia

Cancer is a major cause of morbidity and mortality worldwide,and the incidence is increasing,highlighting the need for effective strategies to treat this disease.Exercise has emerged as fundamental therapeutic medicine in the management of cancer,associated with a lower risk of recur-rence and increased survival.Several avenues of research demonstrate reduction in growth,proliferation,and increased apoptosis of cancer cells,including breast,prostate,colorectal,and lung cancer,when cultured by serum collected after exercise in vitro(i.e.,the cultivation of cancer cell lines in an experimental setting,which simpliﬁes the biological system and provides mechanistic insight into cell responses).The underlying mechanisms of exercise-induced cancer suppressive effects may be attributed to the alteration in circulating factors,such as skeletal muscle-induced cytokines(i.e.,myokines)and hormones.However,exercise-induced tumor suppressive effects and detailed information about training interventions are not well investigated,constraining more precise application of exercise medicine within clinical oncology.To date,it remains unclear what role different training modes(i.e.,resistance and aerobic training)as well as volume and intensity have on exercise-condi-tioned serum and its effects on cancer cells.Nevertheless,the available evidence is that a single bout of aerobic training at moderate to vigorous intensity has cancer suppressive effects,while for chronic training interventions,exercise volume appears to be an inﬂuential candidate driving cancer inhibitory effects regardless of training mode.Insights for future research investigating training modes,volume and intensity are provided to further our understanding of the effects of exercise-conditioned serum on cancer cells.

关键词： Cancer cells High intensity interval training Moderate intensity continuous training Resistance training Myokines

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Endoscopic ultrasound-guided tissue acquisition for the diagnosis of focal liver lesion

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World Journal of Radiology 2024年第4期16卷 72-81页

作者： Alina Tantău Cosmina Sutac Anamaria Pop Marcel Tantău Department of Internal Medicine and Gastroenterology “Iuliu Hatieganu”University of Medicine and PharmacyThe 4th Medical Clinic CF HospitalCluj-Napoca 400012ClujRomania Department of Gastroenterology “Prof.Dr.Octavian Fodor”Regional Institute of Gastroenterology and HepatologyCluj-Napoca 400162ClujRomania Department of Gastroenterology and Hepatology Gastroenterology and Hepatology Medical CenterDigenio HospitalCluj-Napoca 400058ClujRomania Department of Internal Medicine and Gastroenterology “Iuliu Hatieganu”University of Medicine and Pharmacy“Prof.Dr.Octavian Fodor”Regional Institute of Gastroenterology and HepatologyCluj-Napoca 400162ClujRomania

In patients with liver tumors,the histopathology examination can assist in diagnosis,staging,prognosis,and therapeutic management strategy.Endoscopic ultrasound(EuS)-guided tissue acquisition using fine needle aspiration(FNA)or more newly fine needle biopsy(FNB)is a well-developed technique in order to evaluate and differentiate the liver masses.The goal of the EuS-FNA or EuS-FNB is to provide an accurate sample for a histopathology examination.Therefore,malignant tumors such as hepatocarcinoma,cholangiocarcinoma and liver metastasis or benign tumors such as liver adenoma,focal hyperplastic nodular tumors and cystic lesions can be accurately diagnosed using EuS-guided tissue acquisition.EuS-FNB using 19 or 22 Ga needle provide longer samples and a higher diagnostic accuracy in patients with liver masses when compared with EuS-FNA.Few data are available on the diagnostic accuracy of EuS-FNB when compared with percutaneously,ultrasound,computer tomography or transjugulary-guided liver biopsies.This review will discuss the EuS-guided tissue acquisition options in patients with liver tumors and its efficacy and safety in providing accurate samples.The results of the last studies comparing EuS-guided liver biopsy with other conventional techniques are presented.The EuS-guided tissue acquisition using FNB can be a suitable technique in suspected liver lesions in order to provide an accurate histopathology diagnosis,especially for those who require endoscopy.

关键词： Endoscopic ultrasound-guided liver biopsy Liver tissue acquisition Fine-needle aspiration Fine-needle biopsy Liver tumors Focal liver lesions

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