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The Prevalence of Overweight/Obesity and Related Comorbidities among HIV-Positive and HIV-Negative Patients Attending the Same Clinics in Gaborone, Botswana

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Advances in Infectious Diseases 2024年第3期14卷 523-540页

作者： jose Gaby Tshikuka Matshwenyego Boitshwarelo Shimeles Genna Hamda Roy Tapera Ngoyi Kashiba Zacharie Bukonda Marie Esako Onokoko Department of Family Medicine and Public Health Faculty of Medicine University of Botswana Gaborone Botswana Department of Nursing Science Faculty of Health Sciences National Pedagogical University Kinshasa I Congo Department of Public Health Faculty of Medicine University of Mbuji-Mayi Mbuji-Mayi Congo School of Public Health Faculty of Health Sciences University of Botswana Gaborone Botswana

Context: Antiretroviral therapy (ART) helps restore the health status of people living with HIV (PLHIV). Likewise, it increases the risk of overweight/obesity and related comorbidities among the recipients. In countries like Botswana where ±84% of PLHIV is on ART, the paucity of data comparing overweight/obesity between HIV-positive on ART and HIV-negative patients may impede clinical and policy decision-making. This study sought to estimate and compare: i) the prevalence of overweight/obesity between HIV-positive on ART and HIV-negative patients;ii) the prevalence of hypertension (HTN), diabetes mellitus (DM)/coronary heart disease (CHD) between HIV-positive patients on ART and HIV-negative patients attending same outpatient departments of general clinics in Gaborone, Botswana. Patients and Methods: Five hundred eighty-one (581) outpatients were recruited in four major clinics of Gaborone, Botswana, between June and July 2019;294 or 51% of them were HIV-negative and 287 or 49% were HIV-positive on ART. The prevalence of overweight/obesity and of HTN and DM/CHD were calculated and examined using stratified analysis. Subgroups were compared using Chi-square analysis with Yates correction or Fisher exact test and t-student test for continuous data. Results: Major findings after stratification of the study population by HIV status were: i) the prevalence of all categories of (BMI), including overweight/obesity, were comparable between HIV-negative-patients and HIV-positive. In fact, there were 24 (8.0%) cases of underweight among HIV-negative-Patients and 15(5%) cases among HIV-positive patients, p = 0.2;145 (49%) HIV-negative-patients and 128 (45%) HIV-positive, p = 0.07 cases of normal weight;72 (25%) HIV-negative-patients and 87 (30%) HIV-positive, p = 0.08, were overweight;53 (18%) HIV-negative-patients and 57 (20%) HIV-positive, p = 0.12, were obese;125 (43%) HIV-negative patients and 144 (50%) HIV-positive, p=0.06 were overweight/obese;ii) the prevalence of HTN a

关键词： Overweight/Obesity Related Comorbidities HIV-Positive HIV-Negative

Exercised blood plasma promotes hippocampal neurogenesis in the Alzheimer's disease rat brain

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Journal of Sport and Health Science 2024年第2期13卷 245-255页

作者： Cecilie Skarstad Norevik Aleksi M.Huuha Ragnhild N.RФsbjФrgen Linda Hildegard Bergersen Kamilla Jacobsen Rodrigo Miguel-dos-Santos Liv Ryan Belma Skender jose Bianco N.Moreira Asgeir Kobro-Flatmoen Menno P.Witter Nathan Scrimgeour Atefe R.Tari Cardiac Exercise Research Group(CERG) Department of Circulation and Medical ImagingNorwegian University of Science and Technology7491TrondheimNorway Department of Neurology and Clinical Neurophysiology St.Olavs University Hospital7030TrondheimNorway Institute of Oral Biology University of Oslo0372OsloNorway Department of Physiology Federal University of SergipeS~ao Cristov~ao49100-000SergipeBrazil Centre of Molecular Inflammation Research Department of Clinical and Molecular MedicineNorwegian University of Science and Technology7491TrondheimNorway Kavli Institute for Systems Neuroscience Centre for Neural Computationand Egil and Pauline Braathen and Fred Kavli Centre for Cortical MicrocircuitsNorwegian University of Science and Technology7030TrondheimNorway K.G.Jebsen Centre for Alzheimer’s Disease Norwegian University of Science and Technology7030TrondheimNorway

Background:Exercise training promotes brain plasticity and is associated with protection against cognitive impairment and Alzheimer’s disease(AD).These beneficial effects may be partly mediated by blood-borne *** we used an in vitro model of AD to investigate effects of blood plasma from exercise-trained donors on neuronal viability,and an in vivo rat model of AD to test whether such plasma impacts cognitive function,amyloid pathology,and ***:Mouse hippocampal neuronal cells were exposed to AD-like stress using amyloid-βand treated with plasma collected from human male donors 3 h after a single bout of high-intensity *** in vivo studies,blood was collected from exercise-trained young male Wistar rats(high-intensity intervals 5 days/week for 6 weeks).Transgenic AD rats(McGill-R-Thyl-APP)were inj ected 5 times/fortnight for 6 weeks at2 months or 5 months of age with either(a)plasma from the exercise-trained rats,(b)plasma from sedentary rats,or(c)*** function,amyloid plaque pathology,and neurogenesis were *** plasma used for the treatment was analyzed for 23 ***:Plasma from exercised donors enhanced cell viability by 44.1%(p=0.032)and reduced atrophy by 50.0%(p<0.001)in amyloid-β-treated *** vivo exercised plasma treatment did not alter cognitive function or amyloid plaque pathology but did increase hippocampal neurogenesis by~3 fold,regardless of pathological stage,when compared to saline-treated *** of 7 cytokines were significantly reduced in exercised plasma compared to sedentary ***:Our proof-of-concept study demonstrates that plasma from exercise-trained donors can protect neuronal cells in culture and promote adult hippocampal neurogenesis in the AD rat *** effect may be partly due to reduced pro-inflammatory signaling molecules in exercised plasma.

关键词： Cytokines High-intensity interval training Inflammation Neurons Plasma transfusion

盾构隧道环间剪切效应模拟分析-以隧道开孔为例

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铁道科学与工程学报 2024年

作者：高一民柳献 Gonzalo RAMOS jose TURMO 朱瑶宏同济大学地下建筑与工程系加泰罗尼亚理工大学土木与环境工程系宁波大学滨海城市轨道交通协同创新中心

盾构隧道处于不对称荷载下或结构体系发生变化时（如隧道联络通道开孔等），环缝剪切对盾构隧道的结构响应影响增大，环间剪切效应将进一步影响结构的极限承载力。然而现有的模型对环缝接头进行了不同程度的简化，这给在此过程中对隧道... 详细信息

盾构隧道处于不对称荷载下或结构体系发生变化时（如隧道联络通道开孔等），环缝剪切对盾构隧道的结构响应影响增大，环间剪切效应将进一步影响结构的极限承载力。然而现有的模型对环缝接头进行了不同程度的简化，这给在此过程中对隧道内环间剪切分布进行全面细致的分析带来了困难。为此，以接触原理为基础，建立一种“壳-接触”精细化模型，并与机械法联络通道主隧道开孔足尺试验结果对比，探明该过程的盾构隧道的环间剪切效应机理。研究结果表明：壳-接触模型采用“软接触”的方式，在保证可以模拟接头转动的前提下，也可以实现接头位置压力与剪切的耦合模拟，与实际环缝力学性质相符；在机械法联络通道开孔案例中，考虑摩擦损失的精细化模型结果对足尺实验结果模拟较好；开孔管片的环间剪切以径向剪切力为主；结构体系发生变化时，环缝的剪切力不再满足自平衡现象；且环缝剪切力的突变位置均为纵缝的位置；环间的最大径向剪切力发生位置揭示了盾构隧道开孔后的“环间传力”方向：从开孔位置逐渐向顶部靠近并最终消失；在实际工程中，应关注环间最大剪切力移动方向，经济高效的对环间剪切进行加固，确保有效环间传力。研究成果补充了机械法联络通道盾构隧道中开孔后的环间剪切效应，可为易发生环间错台的盾构隧道工程给出指导建议。

关键词：盾构隧道环间剪切效应壳-接触模型环间摩擦模拟机械法联络通道摩擦损失环间传力

Environmental determinants of social wasp diversity and assemblage structure in an Amazonian archipelagic landscape

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Zoological Research(Diversity and Conservation) 2024年第2期1卷 121-129页

作者： jose Victor Alves Ferreira Alexandre Somavilla Maíra Benchimol Ana Filipa Palmeirim Carlos A.Peres Danielle Storck-Tonon Laboratório de Ecologia Aplicada àConservação Universidade Estadual de Santa CruzIlhéus 45662-900Brazil Instituto Nacional de Pesquisas da Amazônia Coordenação de BiodiversidadeManaus 69067-001Brazil CIBIO Centro de Investigação em Biodiversidade e Recursos GenéticosInBIO Laboratório AssociadoCampus de VairãoUniversidade do PortoVairão 4485-661Portugal BIOPOLIS Program in Genomics Biodiversity and Land PlanningCIBIOCampus de VairãoVairão 4485-661Portugal School of Environmental Sciences University of East AngliaNorwich NR47TJUK Instituto Juruá Manaus69057-060Brazil Programa de Pós-Graduação em Ambiente e Sistemas de Produção Agrícola(PPGASP) Universidade do Estado de Mato GrossoTangaráda Serra 78300-970Brazil

Hydropower development has become an important driver of habitat loss and fragmentation across lowland tropical *** ample evidence on the detrimental effects of insular habitat fragmentation on biodiversity,invertebrate taxa,that may be critical to ecosystem functioning,have been *** assessed the assemblage-level responses of social wasps to forest insularization induced by the Balbina Hydroelectric Dam in Central Brazilian *** Malaise trapping,we captured wasps on 27 forest islands and three continuous *** constructed Generalized Linear Models and employed a model selection approach to examine the impact of local variables(fire severity(FIRE)and basal area of pioneer tree species(PIONEER))and landscape-scale variables(amount of habitat(COVER))on patterns of species richness,composition,and body size of wasps.A total of 374 individuals(29 species)were collected across all sampling *** was the main predictor of species richness,while PIONEER was the only variable that explained variation in community composition,with a negative effect on body *** results add evidence to the pervasive impacts of large hydroelectric dams on tropical forest biodiversity,and suggest that social wasps,among other invertebrates,can be used as bioindicators in infrastructure development projects.

关键词： Habitat amount hypothesis Habitat fragmentation Habitat loss Hydroelectric dams Invertebrates

The outcomes and safety of patients undergoing endoscopic retrograde cholangiopancreatography combining a single-use cholangioscope and a single-use duodenoscope:A multicenter retrospective international study

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Hepatobiliary & Pancreatic Diseases International 2024年第1期23卷 71-76页

作者： Alessandro Fugazza Matteo Colombo Michel Kahaleh V.Raman Muthusamy Bick Benjamin Wim Laleman Carmelo Barbera Carlo Fabbri jose Nieto Abed Al-Lehibi Mohan Ramchandani Amy Tyberg Haroon Shahid Avik Sarkar Dean Ehrlich Stuart Shermand Cecilia Binda Marco Spadaccini Andrea Iannone Kareem Khalaf Nageshwar Reddy Andrea Anderloni Alessandro Repici Division of Gastroenterology and Digestive Endoscopy Humanitas Research Hospital-IRCCSVia Manzoni 5620089RozzanoMilanoItaly Gastroenterology Rutgers Robert Wood JohnsonNew BrunswickNew JerseyUSA Vatche and Tamar Manoukian Division of Digestive Diseases University of CaliforniaLos Angeles School of Medicine at UCLALos AngelesCaliforniaUSA Division of Digestive and Liver Disorders Indiana University School of MedicineIndianapolisINUSA Department of Gastroenterology and Hepatology University Hospitals LeuvenKU Leuven3000 LeuvenBelgium U.O.C.di Gastroenterologia ed Endoscopia Digestiva Ospedale Giuseppe MazziniASL TeramoItaly Gastroenterology and Digestive Endoscopy Unit Forlì-Cesena HospitalsAUSL RomagnaForlì-CesenaItaly Borland Groover Clinic JacksonvilleFloridaUSA Department of Gastroenterology and Hepatology King Fahad Medical CityRiyadhSaudi Arabia Asian Institute of Gastroenterology HyderabadIndia Section of Gastroenterology Department of Emergency and Organ TransplantationUniversity of BariBari 70124Italy Department of Biomedical Sciences Humanitas UniversityVia Rita Levi Montalcini 420090Pieve EmanueleMilanItaly

Background: Duodenoscope-related multidrug-resistant organism(MDRO) infections raise concerns. Disposable duodenoscopes have been recently introduced in the market and approved by regulatory agencies with the aim to reduce the risk of endoscopic retrograde cholangiopancreatography(ERCP) associated infections. The aim of this study was to evaluate the outcome of procedures performed with single-use duodenoscopes in patients with clinical indications to single-operator cholangiopancreatoscopy. Methods: This is a multicenter international, retrospective study combining all patients who underwent complex biliopancreatic interventions using the combination of a single-use duodenoscope and a single-use cholangioscope. The primary outcome was technical success defined as ERCP completion for the intended clinical indication. Secondary outcomes were procedural duration, rate of cross-over to reusable duodenoscope, operator-reported satisfaction score(1 to 10) on performance rating of the single-use duodenoscope, and adverse event(AE) rate. Results: A total of 66 patients(26, 39.4% female) were included in the study. ERCP was categorized according to ASGE ERCP grading system as 47(71.2%) grade 3 and 19(28.8%) grade 4. The technical success rate was 98.5%(65/66). Procedural duration was 64(interquartile range 15-189) min, cross-over rate to reusable duodenoscope was 1/66(1.5%). The satisfaction score of the single-use duodenoscope classified by the operators was 8.6 ± 1.3 points. Four patients(6.1%) experienced AEs not directly related to the single-use duodenoscope, namely 2 post-ERCP pancreatitis(PEP), 1 cholangitis and 1 ***: Single-use duodenoscope is effective, reliable and safe even in technically challenging procedures with a non-inferiority to reusable duodenoscope, making these devices a viable alternative to standard reusable equipment.

关键词： Single-operator cholangioscopy Single-use duodenoscope Endoscopic retrograde cholangiopancreatography Indeterminate biliary stricture Difficult biliary stones

Enhancing air traffic operational efficiency by reducing network scale

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Aerospace Traffic and Safety 2024年第1期1卷 10-19页

作者： Tianyu Zhao jose Escribano-Macias Mingwei Zhang Shenghao Fu Yuxiang Feng Mireille Elhajj Arnab Majumdar Panagiotis Angeloudis Washington Yotto Ochieng Centre for Transport Engineering and Modelling Imperial College LondonLondon SW72AZUnited Kingdom State Key Laboratory of Air Traffic Management System Nanjing 210007China Astra-Terra Limited LondonUnited Kingdom

The growing demand for air travel has led to the saturation of air traffic *** methods of adding routes to alleviate congestion and reduce delays may not achieve the desired effect and even degrade system *** this paper,we explore the application of Braess’s Paradox in the reduction of air traffic *** counterintuitive phenomenon shows that adding new connections to a network can actually increase the overall network *** study uses Hidden Markov methods and the Viterbi algorithm to match air traffic flow with routes,a machine learning approach and a mathematical method to construct cost functions for flight time and traffic volume,and finally uses genetic algorithm and the A*algorithm to detect Braess’s Paradox *** uses ADS-B data from the busy month of July 2019 for a case study of the air traffic network over the UK *** results show that Braess’s Paradox is also applicable to multi-flight level air route *** such network edges can improve system *** one day’s case,the total flight time of the day’s traffic volume decreased from 11509.24 minutes to 10459.97 *** equates to an average savings of 4.99 minutes of flight time per flight,which is significant in controlling delay performance.

关键词： Air traffic network Braess's paradox Genetic algorithm

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6岁了,黑马从未停止奔跑

中国广告 2024年第1期 72-75页

作者：林莹不详

品牌的目标是可持续地增加品牌价值。这一点,决定了我们看待问题的方式。我们的每一次突破都是和客户、合作伙伴以及蔚迈团队共同致力于增长的结果。“重新定义可能性”的勇气是蔚迈创立至今不变的精神,驱动着我们成长和不断突破边界。

关键词：品牌价值合作伙伴重新定义可能性

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高速永磁电机定子铁心损耗的分析与计算

防爆电机 2024年第3期59卷 23-26页

作者：顾雪政 Edson jose Koshinski 许海峰万高(南通)电机制造有限公司江苏南通226010

为了提高高速永磁电机定子铁心损耗计算的准确性。首先,通过分析高速永磁电机定子铁心的磁化特性,给出了定子铁心的磁化轨迹图。然后,根据得到的磁化轨迹图对铁耗模型进行了改进,并依据有限元法验证了该解析法的准确性。最后,对比了样... 详细信息

为了提高高速永磁电机定子铁心损耗计算的准确性。首先,通过分析高速永磁电机定子铁心的磁化特性,给出了定子铁心的磁化轨迹图。然后,根据得到的磁化轨迹图对铁耗模型进行了改进,并依据有限元法验证了该解析法的准确性。最后,对比了样机铁心损耗的测试值,给出了优化后的新铁耗计算模型。样机定子铁耗计算模型的优化为高速永磁电机系列化设计提供了有力参考。

关键词：高速电机定子铁心损耗磁化特性有限元仿真

护理干预促进慢性呼吸困难患者自我管理的研究进展:整合性综述

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International Journal of Nursing Sciences 2024年第2期11卷 241-257,I0003页

作者： Helga Rafael Henriques Andreia Correia Tatiana Santos jose Faria Diana Sousa Joana Portela Joana Teixeira Nursing School of Lisbon LisbonPortugal CIDNUR-Nursing Research Innovation and Development Centre of LisbonLisbonPortugal Unidade de Hemodi-alise de Torres Vedras-Nephrocare Torres VedrasPortugal Unidade de Cuidados Continuados na AMETIC Torres VedrasPortugal Unidade Local de Saúde Sao jose Cardiology DepartmentLisbonPortugal Unidade Local de Saúde da Arrabida General Surgery DepartmentSetúbalPortugal

目的旨在通过系统综述,确定针对复杂慢性病患者增强自我管理的干预措施,以改善慢性呼吸困难,为护理人员促进该类人群的自我管理提供依据。方法2023年12月,系统检索Medline、Scopus、Web of Science、CINAHL、Cochrane图书馆和乔安娜布... 详细信息

目的旨在通过系统综述,确定针对复杂慢性病患者增强自我管理的干预措施,以改善慢性呼吸困难,为护理人员促进该类人群的自我管理提供依据。方法2023年12月,系统检索Medline、Scopus、Web of Science、CINAHL、Cochrane图书馆和乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证实践数据库。对纳入研究进行数据提取和综合,研究人员采用Rayyan文献管理软件筛选标题及摘要,并依据JBI研究质量评估工具进行方法学质量评估。结果共纳入18项研究。这些研究探讨了针对慢性呼吸困难的各种干预措施,包括药物干预(氧气疗法和吸入疗法)和非药物方法(教育计划、呼吸练习、液体摄入管理、身体感知技术、同伴支持、情商培训和网络应用程序的使用)。这些干预措施减轻了患者情绪困扰,可以使患者在自我管理方面变得独立自主。结论促进复杂慢性病患者对慢性呼吸困难的自我管理需要采取综合方法,但目前研究中没有充分考虑到针对患者行为改变的干预措施,需要进一步开展相关研究完善干预措施。

关键词：慢性疾病呼吸困难护理病人自我管理