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Minimization vs tailoring:Where do we stand with personalized immunosuppression during renal transplantation in 2015?

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World Journal of Transplantation 2015年第3期5卷 73-80页

作者： lajos Zsom lászló wagner Tibor Fül?p Division of Transplantation Institute of SurgeryUniversity of Debrecen Department of Transplantation and Surgery Semmelweis University Division of Nephrology Department of MedicineUniversity of Mississippi Medical Center

The introduction of novel immunosuppressive agents over the last two decades and the improvement of our diagnostic tools for early detection of antibodymediated injury offer us an opportunity, if not a mandate, to better match the immunosuppression needs of the individual patients with side effects of the therapy. However, immunosuppressive regimens in the majority of programs remain mostly protocol-driven, with relatively little inter-program heterogeneity in certain areas of the world. Emerging data showing different outcomes with a particular immunosuppressive strategy in populations with varying immunological risks underscore a real potential for "personalized medicine" in renal transplantation. Studies demonstrating marked differences in the adverse-effect profiles of individual drugs including the risk for viral infections, malignancy and renal toxicity call for a paradigm shift away from a "one size fits all" approach to an individually tailored immunosuppressive therapy for renal transplant recipients, assisted by both screening for predictors of graft loss and paying close attention to dose or class-related adverse effects. Our paper explores some of the opportunities during the care of these patients. Potential areas of improvements may include:(1) a thorough assessment of immunological and metabolic risk profile of each renal transplant recipient;(2) screening for predictors of graft loss and early signs of antibody-mediated rejection with donor-specific antibodies, protocol biopsies and proteinuria(including close follow up of adverse effects with dose adjustments or conversions as necessary); and(3) increased awareness of the possible link between poor tolerance of a given drug at a given dose and non-adherence with the prescribed regimen. Altogether, these considerations may enable the most effective use of the drugs we already have.

关键词： Glucocorticoids Donor-specific antibodies Kidney transplantation Mechanistic(mammalian)target of rapamycin inhibitor Mycophenolate mofetil Nonadherence Calcineurin inhibitor Sirolimus

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Geostatistical seismic inversion and 3D modelling of metric flow units,porosity and permeability in Brazilian presalt reservoir

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Petroleum Science 2024年第3期21卷 1699-1718页

作者： Rodrigo Penna wagner Moreira lupinacci Exploratory Interpretation and Reservoir Characterization Group(GIECAR) Department of Geology and GeophysicsUniversidade Federal FluminenseNiteroiRJ24210-346Brazil Petrobras Rio de JaneiroRJ20031-912Brazil

Flow units(FU)rock typing is a common technique for characterizing reservoir flow behavior,producing reliable porosity and permeability estimation even in complex geological ***,the lateral extrapolation of FU away from the well into the whole reservoir grid is commonly a difficult task and using the seismic data as constraints is rarely a subject of *** paper proposes a workflow to generate numerous possible 3D volumes of flow units,porosity and permeability below the seismic resolution limit,respecting the available seismic data at larger *** methodology is used in the Mero Field,a Brazilian presalt carbonate reservoir located in the Santos Basin,who presents a complex and heterogenic geological setting with different sedimentological processes and diagenetic *** generated metric flow units using the conventional core analysis and transposed to the well log ***,given a Markov chain Monte Carlo algorithm,the seismic data and the well log statistics,we simulated acoustic impedance,decametric flow units(DFU),metric flow units(MFU),porosity and permeability volumes in the metric *** aim is to estimate a minimum amount of MFU able to calculate realistic scenarios porosity and permeability scenarios,without losing the seismic lateral *** other words,every porosity and permeability volume simulated produces a synthetic seismic that match the real seismic of the area,even in the metric *** achieved 3D results represent a high-resolution fluid flow reservoir modelling considering the lateral control of the seismic during the process and can be directly incorporated in the dynamic characterization workflow.

关键词： Flowunits Geostatistical inversion Presalt reservoir 3D reservoir modelling Petrophysical modelling

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Organic petrographic and mineralogical composition of the No. 6 coal seam of the Soutpansberg Coalfield, South Africa: Insights into paleovegetation and depositional environment

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International Journal of Coal Science & Technology 2024年第3期11卷 190-207页

作者： Sanki Biswas Nicola J.wagner Ofentse M.Moroeng DSI-NRF CIMERA/PPM Research Group Department of GeologyUniversity of JohannesburgJohannesburgSouth Africa

This study investigates the paleodepositional conditions of the No.6 Seam of the Madzaringwe Formation in Makhado and Voorburg south area of the Soutpansberg Coalfield(limpopo Province,South Africa)utilizing organic petrography and inorganic geochemical *** coals are predominantly high-volatile bituminous B-A rank with high ash yields(avg.36.1 wt%),characterized by high-vitrinite(~41.5 vol%),moderate-to-high inertinite(9.8 vol%–33.7 vol%)and low liptinite(~2.3 vol%).The distribution of inertinite varies among different coal horizons(from bottom-lower to middle-upper),suggesting differential oxidation conditions and/or paleofire ***-to-inertinite(V/I)ratio,tissue preservation–gelification index(TPI–GI),and groundwater–vegetation index(GWI–VI)plots,indicate that the peat-forming forest-swamp vegetation accumulated under mesotrophic-to-rheotrophic hydrological *** presence of structured macerals(i.e.,telinite,collotelinite,fusinite,and semifusinite)suggests well-preserved plant tissues,whereas framboidal pyrite and sulphur content(0.24 wt%–2.16 wt%)point to brackish-water influence at the peat *** coals contain quartz,kaolinite,siderite,muscovite,dolomite,calcite,and pyrite minerals,most of which were likely sourced from felsic igneous *** Al/(Al+Fe+Mn)and(Fe+Mn)/Ti ratios for the studied samples range between 0.24–0.97 and 0.57–70.10,*** ratios,Al–Fe–Mn plot,and presence of massive botryoidal-type pyrite imply some influence of meteoric waters or fluids from hydrothermal activity ***,the chemical index of alteration(CIA:98.25–99.67),chemical index of weathering(CIW:92.04–97.66),and A–CN–K ternary diagram suggest inorganic matter suffered strong chemical weathering,indicating warm paleoclimatic conditions during the coal formation.

关键词： Macerals Coal facies Geochemical-indices Hydrothermal Madzaringwe formation Soutpansberg Coalfield

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Stochastic seismic inversion and Bayesian facies classification applied to porosity modeling and igneous rock identification

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Petroleum Science 2024年第2期21卷 918-935页

作者： Fábio Júnior Damasceno Fernandes leonardo Teixeira Antonio Fernando Menezes Freire wagner Moreira lupinacci Exploratory Interpretation and Reservoir Characterization Group(GIECAR) Department of Geology and GeophysicsFederal Fluminense UniversityNiter oiRJ24210-346Brazil Petrobras Rio de JaneiroRJ20231-030Brazil National Institute of Science and Technology of Petroleum Geophysics(INCT-GP/CNPQ) Niter oiRJ24210-346Brazil

We apply stochastic seismic inversion and Bayesian facies classification for porosity modeling and igneous rock identification in the presalt interval of the Santos Basin. This integration of seismic and well-derived information enhances reservoir characterization. Stochastic inversion and Bayesian classification are powerful tools because they permit addressing the uncertainties in the model. We used the ES-MDA algorithm to achieve the realizations equivalent to the percentiles P10, P50, and P90 of acoustic impedance, a novel method for acoustic inversion in presalt. The facies were divided into five: reservoir 1,reservoir 2, tight carbonates, clayey rocks, and igneous rocks. To deal with the overlaps in acoustic impedance values of facies, we included geological information using a priori probability, indicating that structural highs are reservoir-dominated. To illustrate our approach, we conducted porosity modeling using facies-related rock-physics models for rock-physics inversion in an area with a well drilled in a coquina bank and evaluated the thickness and extension of an igneous intrusion near the carbonate-salt interface. The modeled porosity and the classified seismic facies are in good agreement with the ones observed in the wells. Notably, the coquinas bank presents an improvement in the porosity towards the top. The a priori probability model was crucial for limiting the clayey rocks to the structural lows. In Well B, the hit rate of the igneous rock in the three scenarios is higher than 60%, showing an excellent thickness-prediction capability.

关键词： Stochastic inversion Bayesian classification Porosity modeling Carbonate reservoirs Igneous rocks

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Mechanical upper bowel obstruction caused by a large trichobezoar in a young woman: A very unusual case report

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World Journal of Clinical Cases 2024年第4期12卷 777-781页

作者： Magdalena Scherrer Peter Kornprat Robert Sucher Johanna Muehlsteiner Doris wagner Department of Surgery Division for GeneralVisceral and Transplantation SurgeryMedical University of GrazGraz 8036Austria Department of Surgery Clinic RohrbachRohrbach 4150Austria

BACKGROUND Bezoars usually compile human fibers and debris.A special form of bezoar in case of psychologically altered individuals is the *** consists of voluntarily swallowed hair bulks and is normally removed via *** leading to ileus have rarely been *** SUMMARY A 24-year-old female patient presented to the emergency room with abdominal pain,nausea,and vomiting for 3 *** previous medical and psychiatric history was *** analysis showed iron deficiency anemia,leukocytosis,and elevated liver *** abdominal CT scan revealed a dense structure in the patients’stomach which turned out to be a huge trichobezoar completely obstructing the *** trichobezoar had to be removed *** her postoperative course,a subcutaneous seroma *** a single puncture,the rest of the recovery process was unremarkable,and the patient recovered *** A mechanical bowel obstruction is a potentially life-threatening event for every *** our case a young female was suffering from severe symptoms of an obstruction which might have resulted in serious harm without successful surgical management.

关键词： Rapunzel syndrome Hair ingestion Gastroscopy Bezoar Case report

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A census tract-level assessment of social determinants of health,traffic exposure,and asthma exacerbations in New York State's Medicaid Population(2005–2015)

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Eco-Environment & Health 2024年第3期3卷 300-307页

作者： Temilayo Adeyeye Tabassum Zarina Insaf Catherine Adler Victoria wagner Anisa Proj Susan McCauley Bureau of Environmental and Occupational Epidemiology New York State Department of HealthAlbanyNY 12237USA Department of Environmental Health Sciences University at Albany School of Public HealthAlbanyNY 12222USA Bureau of Cancer Epidemiology New York State Department of HealthAlbanyNY 12237USA Department of Epidemiology and Biostatistics University at Albany School of Public HealthAlbanyNY 12222USA Office of Quality and Patient Safety New York State Department of HealthAlbanyNY 12237USA Bureau of Chronic Disease Evaluation and Research New York State Department of HealthAlbanyNY 12237USA

This study aims to evaluate the association between social determinants,environmental exposure metrics,and the risk of asthma emergency department(ED)visits in the New York State(NYS)Medicaid population using smallarea *** densities for each census tract in NYS were calculated using the length of road segments within each tract and total area of the tract to produce a measure of average number of vehicles per square meter per *** on social determinants of health including internal and external environments and other demographic factors were obtained from various *** regression analyses were conducted to identify significant factors associated with asthma ED visits in Medicaid claim and encounter data for years 2005–*** traffic density in NYS excluding New York City(NYC)correlated with increased risk of asthma ED visits(RR 1.69;95%CI:1.42,2.00),mitigated by adjusting for environmental and social determinants(RR 1.00;95%CI:0.85,1.19).Similar trends were observed in NYC only(RR 1.19;95%CI:1.00,1.41),with the adjusted risk remaining elevated(RR 1.14;95%CI:0.98,1.33)albeit not statistically *** in census tracts with high concentrated disadvantage index,high proportions of minorities,and less green space predicted higher asthma ED *** mapped predicted rates and model residuals to identify areas of high *** results support previous findings that environmental and social risk factors in poor and urban areas contribute to asthma exacerbations in the NYS Medicaid population,even if they may not necessarily contribute to its development.

关键词： Asthma Medicaid Social determinants Traffic density Environmental exposures

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light correcting light with nonlinear optics

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Advanced Photonics 2024年第2期6卷 41-49页

作者： Sachleen Singh Bereneice Sephton wagner Tavares Buono Vincenzo D'Ambrosio Thomas Konrad Andrew Forbes University of the Witwatersrand School of Physics Università degli studi di Napoli “Federico Ⅱ” Dipartimento di Fisica “E.Pancini” University of Kwa Zulu-Natal School of Chemistry and Physics

Structured light, where complex optical fields are tailored in all their degrees of freedom, has become highly topical of late, advanced by a sophisticated toolkit comprising both linear and nonlinear *** undesired structure from light is far less developed, leveraging mostly on inverting the distortion,e.g., with adaptive optics or the inverse transmission matrix of a complex channel, both requiring that the distortion be fully characterized through appropriate measurement. We show that distortions in spatially structured light can be corrected through difference-frequency generation in a nonlinear crystal without any need for the distortion to be known. We demonstrate the versatility of our approach using a wide range of aberrations and structured light modes, including higher-order orbital angular momentum(OAM) beams,showing excellent recovery of the original undistorted field. To highlight the efficacy of this process, we deploy the system in a prepare-and-measure communications link with OAM, showing minimal cross talk even when the transmission channel is highly aberrated, and outline how the approach could be extended to alternative experimental modalities and nonlinear processes. Our demonstration of light-correcting light without the need for measurement opens an approach to measurement-free error correction for classical and quantum structured light, with direct applications in imaging, sensing, and communication.

关键词： phase conjugation aberration correction orbital angular momentum nonlinear optics

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Determination of critical state line(CSl)for silty-sandy iron ore tailings subjected to low-high confining pressures

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Journal of Rock Mechanics and Geotechnical Engineering 2024年第5期16卷 1684-1695页

作者： Nilo Cesar Consoli João Vítor de Azambuja Carvalho Alexia Cindy wagner Hugo Carlos Scheuermann Filho Inácio Carvalho Pedro Pazzoto Cacciari João Paulo de Sousa Silva Civil Engineering Universidade Federal do Rio Grande do SulPorto AlegreRS90035-190Brazil Exploration and Mineral Projects-Mineral Development Centre VALE S.A.Santa LuziaMG33040-900Brazil Department of Civil Geological and Mining EngineeringPolytechnique MontrealQuebecH3C 3A7Canada

The disposal of filtered tailings in high dry stacks can induce particle breakage,changing the material's behaviour during the structure's *** grading changes influence material properties at the critical state,and this is not mature for intermediate artificial soils(tailings)in a broad range of confining *** this paper,it aims to describe the behaviour of iron ore tailings in a spectrum of confining pressures broader than the reported in previous studies.A series of consolidated drained(CD)triaxial tests was carried out with confining pressures ranging from 0.075 MPa to 120 *** results show that the amount of breakage plays an essential role in the response of iron ore *** existence of curved critical state line(CSl)in both specific volume(ν)-logarithm of mean effective stress(p′)and deviatoric stress(q)-mean effective stress(p′)planes,and different responses in the deviatoric stress-axial strain-volumetric strain curves were *** inverse S-shaped equation was proposed to represent the silty-sandy tailings'behaviour up to high pressures onν-lnp′*** proposed equation provides a basis for enhancing constitutive models and considers the evolution of the grading up to severe loading *** adjustment considered three regions with different responses associated with particle breakage at different pressure levels.

关键词： Tailings Iron ore tailings dry stacking Silty-sandy material Critical state soil mechanics High confining pressures Particle breakage

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Optimizing magneto-ionic performance in structure/composition-engineered ternary nitrides

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Journal of Materiomics 2024年第4期10卷 870-879页

作者： Zheng Ma P.Monalisha Zhengwei Tan Eva Pellicer Maciej O.liedke Maik Butterling Ahmed G.Attallah Eric Hirschmann Andreas wagner Fatima Ibrahim Mairbek Chshiev Enric Menndez Jordi Sort Departament de Física Universitat Autònoma de BarcelonaCerdanyola del Vallès08193Spain Institute of Radiation Physics Helmholtz-Zentrum Dresden–RossendorfDresden01328Germany University of Grenoble Alpes CEACNRSSPINTECGrenoble38000France Institut Universitaire de France Paris75231France InstitucióCatalana de Recerca i Estudis Avançats(ICREA) Pg.Lluís Companys 23Barcelona08010Spain

Magneto-ionics,an emerging approach to manipulate magnetism that relies on voltage-driven ion motion,holds the promise to boost energy efficiency in information technologies such as spintronic devices or future non-von Neumann computing *** this purpose,stability,reversibility,endurance,and ion motion rates need to be synergistically *** various ions,nitrogen has demonstrated superior magneto-ionic performance compared to classical species such as oxygen or ***,we show that ternary Co1−xFexN compound exhibits an unprecedented nitrogen magneto-ionic *** substitution of Co by Fe in binary CoN is shown to be favorable in terms of generated magnetization,cyclability and ion motion ***,the Co_(0.3)5Fe_(0.6)5N films exhibit an induced saturation magnetization of 1,500 emu/cm^(3),a magneto-ionic rate of 35.5 emu/(cm^(3)·s)and endurance exceeding 103 *** values significantly surpass those of other existing nitride and oxide *** improvement can be attributed to the larger saturation magnetization of Co_(0.35)Fe_(0.65) compared to individual Co and Fe,the nature and size of structural defects in as-grown films of different composition,and the dissimilar formation energies of Fe and Co with N in the various developed crystallographic structures.

关键词： Voltage control of magnetism Magneto-ionics Electrolyte gating Ternary nitrides Ion transport

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Chemically robust superhydrophobic surfaces with a self‐replenishing nanoscale liquid coating

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Droplet 2024年第1期3卷 136-148页

作者： Xiaoteng Zhou Pranav Sudersan Diego Diaz Benjamin leibauer Chirag Hinduja Fahimeh Darvish Pravash Bista lukas Hauer Manfred wagner Werner Steffen Jie liu Michael Kappl Hans‐Jürgen Butt Max Planck Institute for Polymer Research MainzGermany Key laboratory of Green Printing Institute of ChemistryChinese Academy of SciencesBeijingChina School of Chemical Sciences University of Chinese Academy of SciencesBeijingChina

Due to poor chemical robustness,superhydrophobic surfaces become susceptible to failure,especially in a highly oxidative *** ensure the longterm efficacy of these surfaces,a more stable and environmentally friendly coating is required to replace the conventional salinization ***,soottemplated surfaces with re‐entrant nanostructures are precoated with polydimethylsiloxane(PDMS)*** additional nanometer‐thick lubricant layer of PDMS was then applied to increase chemical *** surface is superhydrophobic with a nanoscale liquid *** the lubricant layer is thin,ridge formation is suppressed,which leads to low drop sliding friction and fast drop *** introducing a bottom“reservoir”of a free lubricant as an oil source for self‐replenishing to the upper layer,the superhydrophobic surface becomes more stable and heals spontaneously in response to alkali erosion and O2 plasma *** design also leads to a higher icing delay time and faster removal of impacting cooled water drops than for uncoated surfaces,preventing icing at low temperatures.

关键词： coating friction liquid

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