检索结果-南通市图书馆

failure to rescue as a Quality Metric in Congenital Heart Surgeries in a High-Complexity Service Provider Institution Located in a Middle-Income Country

引用

Congenital Heart Disease 2024年第2期19卷 207-218页

作者： Gustavo Cruz Santiago Pedroza Juan f.Vélez Jessica Largo Juan f.Tejada Jorge H.Mejía-Mantilla Departamento de Anestesiología Fundación Valle del LiliCali760032Colombia Centro de Investigaciones Clínicas Fundación Valle del LiliCali760032Colombia Departamento de Cardiología Pediátrica Fundación Valle del LiliCali760032Colombia facultad de Medicina Universidad IcesiCali760031Colombia Unidad de Cuidado Intensivo Fundación Valle del LiliCali760032Colombia

Background:failure to rescue has been an effective quality metric in congenital heart ***,mor-bidity and mortality depend greatly on non-modifiable individual factors and have a weak correlation with better-quality *** aim to measure the complications,mortality,and risk factors in pediatric patients undergoing congenital heart surgery in a high-complexity institution located in a middle-income country and compare it with other institutions that have conducted a similar ***:A retrospective observational study was conducted in a high-complexity service provider institution,in Cali,*** pediatric patients undergoing any congenital heart surgery between 2019 and 2022 were *** main outcomes evaluated in the study were complication,mortality,and failure to rescue *** and multivariate logistic regression analysis was performed with mortality as the outcome ***:We evaluated 308 congenital heart *** the outcomes,201(65%)complications occurred,23(7.5%)patients died,and the fTr of the entire cohort was 11.4%.The presence of a postoperative complication(Or 14.88,CI 3.06–268.37,p=0.009),age(Or 0.79,CI 0.57–0.96,p=0.068),and urgent/emergent surgery(Or 8.14,CI 2.97–28.66,pre the most significant variables in predicting ***:failure to rescue is an effective and comparable quality measure in healthcare institutions and is the major contributor to postoperative mortality in congenital heart *** our higher mortality and complication rate,we obtained a comparable failure to rescue rate to high-income countries’health institutions.

关键词： Congenital heart surgery complication mortality failure to rescue quality metric

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Niche differentiation among facultative filter feeders: Insights from invasive Ponto-Caspian mysids

引用

Current Zoology 2024年第4期70卷 513-521页

作者： Péter Borza Varsha rani Csaba f.Vada Institute of Aquatic Ecology Centre for Ecological ResearchKarolina ut 29.1113 BudapestHungary Doctoral School of Biology Institute of BiologyEotvos Lorand UniversityPazmany Péter sétany 1/C1117 BudapestHungary

The degree of dietary specialization has a fundamental impact on the ecological function and interactions of suspension *** niche differentiation by food particle size is common among obligate suspension feeders,its role is not evident in facultative *** this study,we aimed at providing new insights on the matter by focusing on sympatric mysid *** mysids use different mechanisms for raptorial and filter-feeding,they represent a more adequate model system than for example,the more extensively studied *** made morpholog-ical measurements on the 4 coexisting invasive Ponto-Caspian mysid species to determine the areas and mesh sizes of their *** also quantified their clearance rates on the microalga Cryptomonas *** a laboratory experiment to reveal how morphological differences manifest in their overall filtering *** found relatively small but consistent differences in the primary filter area among the species,indicating that morphological constraints due to the enclosed position of the setae might limit the possibility for *** primary filter mesh sizes were small in all 4 species(0.69-2.73μm)with moderate but consistent intraspecific differences,suggesting that the benefit of being able to capture small particles might outweigh the pressure for *** observed clearance rates were in accordance with the morphological characteristics of the species,highlighting that auxiliary filters(present in one of the species,Limnomysis benedeni)are needed to increase filtering capacity *** study confirmed that food particle size can contribute to the niche differentiation of facultative filter feeders,but also indicated that they can tolerate a higher overlap than obligate *** observed differences were related to the habitat preferences and predatory potentials of the species,suggesting that complementarity among the different niche axes might further facilitate theircoexistence.

关键词： clearance rate coexistence filter area filtermesh size.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Tuning the optoelectronic properties for small organic compounds as organic solar cell applications

引用

Optoelectronics Letters 2024年第7期20卷 412-417页

作者： Hussein K.Mejbel Lafy f.Al-Badry Department of Physics College of Education for Pure Science University of Thi-Qar Department of Physics College of Science University of Thi-Qar

recently, organic solar cells have attracted the attention of many researchers owing to flexibility, low cost, light weight and large-area applications, and significant improvement in the power conversion efficiency（PCE）. In this work, we designed chains from organic compounds as donors and replaced the core unit in each series with a variety of acceptors in order to enhance their optical and electronic characterization and performance for power conversion efficiencies in organic solar cells. We utilized density functional theory（DfT） and time-dependent density functional theory（TD-DfT） to investigate the geometry optimization by using the Gaussian 09 program. Both electronic and optical properties were determined, which involve the lowest unoccupied molecular orbital（LUMO） and the highest occupied molecular orbital（HOMO） levels, the band gap energy, maximum absorption wavelength(λ;max;), open circuit voltage(V;oc;), and light harvesting efficiency（LHE）. Our evaluation denotes that the small compounds suggested are predicted to exhibit the best performance compared to the first series（SC1）, like a lower band gap energy, a lower HOMO energy level, a greater absorption range, and a larger PCE.

关键词： A

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Adsorption of yttrium(Y^(3+)) and concentration of rare earth elements from phosphogypsum using chitin and chitin aerogel

引用

Journal of rare Earths 2024年第4期42卷 775-782页

作者： Glaydson S.dos reis Diana Pinto Sabrina f.Lütke Eder C.Lima Luis f.O.Silva Irineu A.S.De Brum Guilherme L.Dotto Department of forest Biomaterials and Technology Biomass Technology Centre Swedish University of Agricultural SciencesUmeaE13Swedn Universidad De La Costa Calle 58#55-66080002BarranquillaAtlanticoColombia research Group on Adsorptive and Catalytic Process Engineering(ENGEPAC) Federal University of Santa MariaAv.Roraima100079705900Santa MariaRSBrazil Institute of Chemistry Federal University of Rio Grande do Sul90040060Porto AlegreBrazil

Chitin powder and chitin-aerogel were prepared from shrimp wastes and used to uptake Y^(3+)from aqueous solutions and concentrate this rare earth element from phosphogypsum(PG).Chitin aerogel displays a specific surface area of 945 m^(2)/g,while chitin powder is 3.6 m^(2)/g,which largely influences its adsorption *** the adsorption in synthetic solutions,the effect of pH on Y^(3+)removal is strong for chitin powder *** contrast,no big pH influence was detected for chitin *** interactions and chelation can highlight the proposed mechanism of Y^(3+)on chitin adsorbents for the powder and ***,in addition to these interactions,pore filling/pore diffusion is the main mechanism of Y^(3+)removal in the chitin *** aerogel is efficient in concentrating 8 times the Y^(3+)from PG,a very complex *** complex chitin aerogel-Y^(3+)can be a secondary source of rare earth elements for other applications.

关键词： rare earths Sustainable material Chitin powder Chitin porous aerogel Yttrium adsorption and recovery

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Clinical studies in COVID-related olfactory disorders:review of an institutional experience

引用

World Journal of Otorhinolaryngology-Head and Neck Surgery 2024年第2期10卷 129-136页

作者： Theresa Tharakan Dorina Kallogjeri Jay f.Piccirillo Department of Otolaryngology-Head and Neck Surgery Clinical Outcomes Research OfficeSchool of MedicineWashington University in St LouisSt LouisMissouriUSA

Objective:To share a single institutional experience with clinical research on COVID-related olfactory dysfunction(OD).Data Source/Method:Narrative review of published original data and ongoing clinical trials on COVID-related OD at Washington University from 2020 to ***:There were three new diagnostic-/patient-reported outcome measures developed and *** report five clinical trials of interventions for COVID-related olfactory disorders:combined Visual-Olfactory Training(VOLT)with patient-preferred scents versus standard olfactory training(VOLT trial),oral gabapentin versus placebo(Gabapentin for the relief of Acquired Chemosensory Experience trial),nasal theophylline irrigations versus placebo(Smell Changes and Efficacy of Nasal Theophylline trial),stellate ganglion block(single-arm),and mindfulness-based stress reduction(MBSr)versus lifestyle intervention(MBSr trial).Conclusions:Initial intervention trials for COVID-related OD have shown potential for improving subjective and objective olfactory ***,there remains no gold standard treatment that definitively outperforms placebo in controlled ***,continued investigation of novel therapeutic strategies for COVID-related OD is necessary to maximize olfactory outcomes for affected patients.

关键词： chemosensory disorders COVID olfactory dysfunction

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Spalling characteristics of high-temperature treated granitic rock at different strain rates

引用

Journal of rock Mechanics and Geotechnical Engineering 2024年第4期16卷 1280-1288页

作者： L.f.fan Q.H.Yang X.L.Du The Key Laboratory of Urban Security and Disaster Engineering of Ministry of Education Beijing University of TechnologyBeijing100124China

The dynamic spalling characteristics of rock are important for stability analysis in rock *** paper presented an experimental investigation on the dynamic spalling characteristics of granite with different temperatures and strain rates.A series of dynamic spalling tests with different impact velocities were conducted on thermally treated granite at different *** dynamic spalling strengths of granite with different temperatures and strain rates were determined.A model was proposed to correlate the dynamic spalling strength of granite,high temperature and strain *** results show that the spalling strength of granite decreases with increasing ***,the spalling strength of granite with a higher strain rate is larger than that with a lower strain *** proposed model can describe the relationship among dynamic spalling strength of granite,high temperature and strain rate.

关键词： Dynamic spalling characteristics High temperature Strain rate Dynamic loading Granite

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

On the analytical solution of transient friction in channel flows

引用

Applied Mathematics and Mechanics(English Edition) 2024年第8期45卷 1447-1466页

作者： f.J.GArCíA-GArCíA P.fArI?AS-ALVArI?O Department of Naval & Industrial Engineering Polytechnic School of EngineeringUniversity of A Coru?a Campus Industrial de Ferrol Integraciones Técnicas de Seguridad S.A. Pol.Ind.Espíritu Santo

The transient friction in channel mean flows is the sum of two contributions,i.e., the underlying laminar flow(ULf) and the purely turbulent component(PTC), and the contributions are analyzed separately by theoretical experiments. It is found that,the transient friction may be higher or remarkably lower than that in equal-reynolds number steady-state flows. The universal time constant for plane-parallel laminar flows is reported, and the role of the time constant in a turbulent mean flow is examined. It is shown that the time constant is related to the turbulence's frozen time. finally, a study of the logarithmic layer during the transient flow is accomplished, which shows that the logarithmic layer is destroyed.

关键词： 76D05 76D06 76f55 O361 transient flow transient friction unsteady channel flow

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

further investigation on the fusion of ^(6)Li with ^(209)Bi target at near-barrier energies

引用

Chinese Physics C 2024年第7期48卷 106-117页

作者：张高龙焦振威张广鑫 M.r.Cortes 胡世鹏钱建强 D.Mengoni 屈卫卫李聪博郑云张焕乔孙慧斌王楠张春雷 J.J.Valiente-Dobón D.Testov M.Mazzocco A.Gozzelino C.Parascandolo D.Pierroutsakou M.La Commara A.Goasduff D.Bazzacco D.r.Napoli f.Galtarossa f.recchia A.Illana S.Bakes I.Zanon S.Aydin G.de Angelis M.Siciliano r.Menegazzo S.M.Lenzi J.L.ferreira J.rangel Serkan Akkoyun L.f.Canto J.Lubian School of Physics Beihang UniversityBeijing 100191China Sino-french Institute of Nuclear Engineering and Technology Sun Yat-Sen UniversityZhuhai 519082China Instituto de física Universidade Federal Fluminense24210-340NiteróiRio de JaneiroBrazil Institute for Advanced Study in Nuclear Energy&Safety Shenzhen UniversityShenzhen 518060China Shenzhen Key Laboratory of research and Manufacture of High Purity Germanium Materials and fetectors Shenzhen UniversityShenzhen 518060China INfN Sezione di PadovaPadovaItaly Dipartimento di fisica Astronomia dell'Universita di padova PadovaItaly State Key Laboratory of radiation Medicine and Protection School of Radiation Medicine and ProtectionSoochow UniversitySuzhou 215123China China Institute of Atomic Energy Beijing 102413China The Key Laboratory of Beam Technology and Material Modification of Ministry of Education College of Nuclear Science and TechnologyBeijing Normal UniversityBeijing 100875China INfN Laboratori Nazionali di LegnaroI-35020 LegnaroItaly INfN Sezione di NapoliI-80126 NapoliItaly Dipartimento di farmacia Universitàdi Napoli"Federico II"I-80131 NapoliItaly Department of Natural and Mathematical Sciences Faculty of EngineeringTarsus University33480 MersinTurkiye Physics Division Argonne National LaboratoryLemont-ILUSA Departamento de Matemaética Física e Computaç˜ao Universidade do Estado do Rio de JaneiroFaculdade de Tecnologia27537-000ResendeRio de JaneiroBrazil Department of Physics Sivas Cumhuriyet UniversitySivasTurkey Instituto de física Universidade Federal do Rio de JaneiroCP 6852821941-972Rio de JaneiroBrazil

The complete and incomplete fusion cross sections for ^(6)Li+^(209)Bi were measured using the in-beamγ-ray method around the Coulomb *** cross sections of(deuteron captured)incomplete fusion(ICf)products were re-quantified experimentally for this reaction *** results reveal that the ICf cross section is equivalent to that of complete fusion(Cf)above the Coulomb barrier and dominant near or below the Coulomb barrier.A theoretical calculation based on the continuum discretized coupled channel(CDCC)method was performed for the aforementioned Cf and ICf cross sections;the result is consistent with the *** universal fusion function(Uff)was also compared with the measured Cf cross section for different barrier parameters,demonstrating that the Cf suppression factor is significantly influenced by the choice of potential,which can reflect both dynamic and static effects of breakup on the fusion process.

关键词： cross section incomplete fusion suppression factor weakly bound nuclei

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

具有BCC或fCC晶体结构的固溶体高熵合金设计

引用

材料工程 2024年第1期52卷 16-26页

作者： HOrBAN V.f. 乌克兰国家科学院弗兰采维奇材料问题研究所乌克兰基辅03680

高熵合金最初报道于21世纪初期,该类合金具有较高的混合熵值,使其具有优异的热稳定性;较大的晶格畸变,产生了强烈固溶强化效果;较大的负焓值导致在晶粒内部形成团簇结构,有效阻碍了位错运动,进一步提高了合金强度。高熵合金独有的这些特... 详细信息

高熵合金最初报道于21世纪初期,该类合金具有较高的混合熵值,使其具有优异的热稳定性;较大的晶格畸变,产生了强烈固溶强化效果;较大的负焓值导致在晶粒内部形成团簇结构,有效阻碍了位错运动,进一步提高了合金强度。高熵合金独有的这些特性,使其在低温和高温条件下均有望表现出优异的物理性能和力学性能,引起了广泛的关注,研究报道呈爆发性增长。本文根据已有的BCC和fCC结构高熵合金物理-力学性能数据,分析了电子浓度、晶格常数、原子错配度、混合焓、硬度、弹性模量和归一化硬度等参数之间的关系,提出了BCC和fCC晶体结构的高熵合金弹性模量和硬度的经验计算公式,在此基础之上,综合考虑合金密度、塑性和服役工况等条件,提出了BCC和fCC结构的高熵合金成分设计方法。最后指出高熵合金的持久性能、大尺寸铸锭的成分和性能均匀性以及大尺寸合金锭的制备是高熵合金工程应用需解决的关键问题。

关键词：高熵合金电子浓度晶格常数晶格畸变混合焓硬度弹性模量归一化硬度

来源：

维普期刊数据库博看期刊

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Proposed numerical and machine learning models for fiber-reinforced polymer concrete-steel hollow and solid elliptical columns

引用

frontiers of Structural and Civil Engineering 2024年第8期18卷 1169-1194页

作者： Tang QIONG Ishan JHA Alireza BAHrAMI Haytham f.ISLEEM rakesh KUMAr Pijush SAMUI School of Applied Technologies Qujing Normal UniversityQujing 655011China Department of Civil Engineering Indian Institute of Technology-BHUVaranasi 221005India Department of Building Engineering Energy Systems and Sustainability ScienceFaculty of Engineering and Sustainable DevelopmentUniversity of GävleGävle 80176Sweden Department of Civil Engineering National Institute of Technology-PatnaPatna 800005India

This study employs a hybrid approach,integrating finite element method(fEM)simulations with machine learning(ML)techniques to investigate the structural performance of double-skin tubular columns(DSTCs)reinforced with glass fiber-reinforced polymer(GfrP).The investigation involves a comprehensive examination of critical parameters,including aspect ratio,concrete strength,number of GfrP confinement layers,and dimensions of steel tubes used in DSTCs,through comparative analyses and parametric *** ensure the credibility of the findings,the results are rigorously validated against experimental data,establishing the precision and trustworthiness of the *** present research work examines the use of the columns with elliptical cross-sections and contributes valuable insights into the application of fEM and ML in the design and evaluation of structural systems within the field of structural engineering.

关键词： elliptical column fiber-reinforced polymer machine learning finite element method ABAQUS

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：