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Venopulmonary ECMO Improved Hypoxemia and Supported the Right Ventricle in a Patient with Decompensated Eisenmenger Syndrome

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World Journal of Cardiovascular Surgery 2024年第1期14卷 7-19页

作者： Daniel Manzur-Sandoval Gian Manuel Jiménez-Rodríguez Edgar García-Cruz Ramón Espinosa-Soto Erika Yamali Ramirez-Marcano Yessenia Máyory Téllez-López José luis Elizalde-Silva Gustavo Rojas-Velasco Cardiovascular Critical Care Unit Ignacio Ch&#225vez National Institute of Cardiology Mexico City Mexico Adult Congenital Heart Disease Unit Ignacio Ch&#225vez National Institute of Cardiology Mexico City Mexico Cardiology Department Ignacio Ch&#225vez National Institute of Cardiology Mexico City Mexico

Mechanical circulatory and/or respiratory assistance with extracorporeal membrane oxygenation (ECMO) has become a standard of care for patients with circulatory (venoarterial) and/or respiratory (venovenous) failure refractory to standard therapies. Adult patients with congenital heart disease are an increasingly recognized and growing population and include various groups, such as undiagnosed cases in childhood and palliated and/or corrected cases, which require subsequent care because of residual lesions, cardiac arrest/insufficiency, and arrhythmias, among other conditions. In addition, these patients are prone to developing pathologies that are typical of adulthood with a generally increased risk of morbidity and mortality because of their low reserves and organic damage associated with the underlying heart disease, which makes them candidates for ECMO. These patients represent an additional challenge in this therapy because malformations and the presence of a shunt can generally affect the usual cannulation methods and hemodynamic and oximetry monitoring. Thus, the configuration decision must be made on a case-by-case basis. Here, we present a cannulation method, venopulmonary artery ECMO, which provides hemodynamic and respiratory support, and may be ideal for patients with shunts and/or right ventricular dysfunction. To our knowledge, this is the first report of this configuration in patients with congenital heart diseases.

关键词： Eisenmenger Syndrome Venopulmonary Artery ECMO Refractory Hypoxemia Right Ventricular Dysfunction

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Sarcopenia and Anemia Are Predictors of Poor Prognostic in Cervical Cancer Patients

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Open Journal of Obstetrics and Gynecology 2024年第5期14卷 693-704页

作者： Leandro Santos de Araujo Resende Francine Vilela de Amorim Miguel Soares Conceição Rodrigo Menezes Jales Patrick Nunes Pereira luis Otávio Sarian Glauco Baiocchi Sophie Derchain Agnaldo Lopes da Silva Filho Department of Gynecology and Obstetrics Botucatu Medical School S&#227o Paulo State University UNESP S&#227o Paulo Brazil Department of Health Sciences University of Sao Francisco S&#227o Paulo Brazil Department of Obstetrics and Gynecology School of Medical Science State University of Campinas (UNICAMP) Campinas Brazil Department of Gynecologic Oncology AC Camargo Cancer Center Sao Paulo Brazil Department of Gynecology and Obstetrics School of Medicine of the Federal University of Minas Gerais Belo Horizonte Brazil

Objective: Evaluate pretreatment sarcopenia and anemia as prognostic factors in women undergoing treatment for cervical cancer (CC) with concurrent chemoradiotherapy (CCRT). Methods: 151 women with CC were analysed in this cohort study. Pretreatment computed tomography (CT) images were analysed to assess skeletal muscle index (SMI). Hazard ratios (HR) and multivariate Cox proportional HR were used to analyse association between low SMI, age, body mass index (BMI), haemoglobin levels, histological type, and International Federation of Gynaecology and Obstetrics (FIGO) stage with PFS and OS. Results: A total of 151 patients were included, 53 (35.1%) presented pretreatment sarcopenia;51 (34%) stage I/II and 100 (66%) stage III/IV. Among those patients in advanced stage (III/IV) 37 (70%) (p = 0.28) were sarcopenic at the beginning of treatment. Sarcopenia was associated with worse progression-free survival (PFS) and overall survival (OS) in our cohort [HR 0.97 (p = 0.01)] [HR 0.73 (p = 0.001)], as well as anemia [HR 0.73 (p = 0.001)] [HR 0.78 (p = 0.001)]. Linear regression models indicated that despite showing no association with age, neutrophil or platelet counts, sarcopenia was associated with pretreatment anemia levels (p = 0.01). After a multivariate analysis, only haemoglobin (anemia) and complete CCRT remained associated with PFS and OS. Sarcopenia and anemia were associated with worse PFS and OS in FIGO stage I/II. Conclusion: Pretreatment sarcopenia was significantly associated with low haemoglobin levels. Anemia and incomplete CCRT were independently associated with poor prognosis in women with CC. Pretreatment sarcopenia, as low SMI, was a predictor of poor prognostic in early stages of CC.

关键词： Cervical Cancer Sarcopenia Anemia Chemoradiotherapy

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Endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction in Mexico

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World Journal of Surgical Procedures 2024年第3期14卷 15-20页

作者： Massiel Madelin Rosario-Morel Rodrigo Soto-Solis Katia Picazo-Ferrera Miriam Idalia Torres-Ruiz JoséAlberto Estradas-Trujillo Mario Alberto Gallardo-Ramírez Gerardo Akram Darwich-del Moral luis Ariel Waller-González Department of Endoscopy Centro Médico Nacional“20 de Noviembre”ISSSTEMexico City 03229Mexico Department of Gastroenterology HospitalÁngeles PedregalMexico City 10700Mexico Department of Endoscopy Centro Médico ABCMexico City 01120Mexico Department of Endoscopy Hospital General de México“Dr.Eduardo Liceaga”Mexico City 06720Mexico

BACKGROUND Endoscopic ultrasound-guided gastroenterostomy(EUS-GE)has recently emerged as an alternative treatment for gastric outlet obstruction(GOO)in selected *** To report the initial experience of EUS-GE in patients with *** This study was a retrospective,observational,multicenter study in which the data from 10 patients who underwent EUS-GE due to GOO between September 2021 and May 2023 were *** analyzed technical success,clinical success,adverse events,and *** success was defined as adequate positioning and deployment of the *** success was defined as the patient’s ability to tolerate oral intake without vomiting 7 d after the *** adverse events were *** Eleven procedures in 10 patients with GOO were *** mean age of the patients was 67.5 years(range:56-77 years).Malignant GOO was present in 9 *** success was achieved in 9/11 procedures(82%).Among them,clinical success was achieved in 9 patients(100%).Adverse events occurred in 1 patient(9%).The median survival was 3 months(n=7;range:1-8 months).CONCLUSION EUS-GE is a feasible therapeutic option in the treatment of GOO.

关键词： Endoscopic ultrasound-guided gastroenterostomy Gastric outlet obstruction Lumen apposing metal stent Interventional endoscopic ultrasound Gastrojejunostomy Duodenal stenting

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All-optical nonlinear chiral ultrafast magnetization dynamics driven by circularly polarized magnetic fields

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High Power Laser Science and Engineering 2023年第6期11卷 154-161页

作者： luis Sánchez-Tejerina Rodrigo Martín-Hernández Rocío Yanes luis Plaja luis López-Díaz Carlos Hernández-García Grupo de Investigación en Aplicaciones del Láser y Fotónica Departamento de Física AplicadaUniversidad de SalamancaSalamancaSpain Present address:Departamento de Electricidad y Electrónica Universidad de ValladolidValladolidSpain Departamento de Física Aplicada Universidad de SalamancaSalamancaSpain Unidad de Excelencia en Luz y Materia Estructuradas(LUMES) Universidad de SalamancaSalamancaSpain

Ultrafast laser pulses provide unique tools to manipulate magnetization dynamics at femtosecond timescales,where the interaction of the electric field usually dominates over the magnetic *** proposals using structured laser beams have demonstrated the possibility to produce regions where intense oscillating magnetic fields are isolated from the electric *** these conditions,we show that technologically feasible tesla-scale circularly polarized high-frequency magnetic fields induce purely precessional nonlinear magnetization *** fundamental result not only opens an avenue in the study of laser-induced ultrafast magnetization dynamics,but also sustains technological implications as a route to promote all-optical non-thermal magnetization dynamics both at shorter timescales-towards the subfemtosecond regime-and at THz frequencies.

关键词： chiral behavior nonlinear dynamics ultrafast dynamics

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Linear viscoelastic behavior of asphalt binders and mixtures containing very high percentages of reclaimed asphalt pavement

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Frontiers of Structural and Civil Engineering 2023年第8期17卷 1211-1227页

作者： Reza IMANINASAB luis LORIA-SALAZAR Alan CARTER Construction Engineering Department École de Technologie Supérieure(ÉTS)University of QuebecMontreal H3C 1K3Canada Civil Engineering Department Universidad Isaac NewtonSan José10108Costa Rica

The primary aim of this study is to correlate the impact of aggregates,if any,on the viscoelastic behavior of rejuvenated asphalt mixtures containing very high amounts of reclaimed asphalt pavement(RAP)(>50%).First,gradation of 100%RAP was rectified,using a modified Bailey method by adding virgin aggregates to achieve two coarse dense-graded and one fine dense-graded *** modulus test was then performed from−35 to+35℃and 0.01–10 *** addition to performance grade(PG)testing,extracted and recovered binders from different asphalt mixtures underwent shear complex modulus test within−8℃to high temperature PG and frequencies from 0.001 to 30 ***−Cole,Black space,complex modulus and phase angle master curves were constructed and ShiftHomothety-Shift in time-Shift(SHStS)transformation was used to compare the linear viscoelastic behavior of asphalt binders and *** influence of aggregates on the viscoelastic behavior of asphalt mixtures depends on temperature and/or *** role of asphalt binders in the behavior of asphalt mixtures is more pronounced at high temperatures and the effect of the aggregate structure increases as the temperature *** maximum difference(60%to 70%)in the viscoelastic behavior of the binder and mixture based on SHStS transformed Cole−Cole curves is within the phase angle of 15°–20°.

关键词： RAP complex modulus SHStS transformation rejuvenation behavior of asphalt binder and mixture

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A renewal theory based performance and configuration framework of the IEEE 802.11ah RAW mechanism

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Digital Communications and Networks 2023年第1期9卷 236-251页

作者： Hamid Taramit luis Orozco-Barbosa Abdelkrim Haqiq Hassan First University of Settat Faculty of Sciences and TechniquesComputerNetworksMobility and Modeling Laboratory:IR2M26000 SettatMorocco Albacete Research Institute of Informatics Universidad de Castilla-La Mancha02006 AlbaceteSpain

IEEE 802.11ah is a new Wi-Fi standard for sub-1Ghz communications,aiming to address the challenges of the Internet of Things(IoT).Significant changes in the legacy 802.11 standards have been proposed to improve the network performance in high contention scenarios,the most important of which is the Restricted Access Window(RAW)*** mechanism promises to increase the throughput and energy efficiency by dividing stations into different *** this scheme,only the stations belonging to the same group may access the channel,which reduces the collision probability in dense ***,the standard does not define the RAW grouping *** this paper,we develop a new mathematical model based on the renewal theory,which allows for tracking the number of transmissions within the limited RAW slot contention period defined by the *** then analyze and evaluate the performance of RAW *** also introduce a grouping scheme to organize the stations and channel access time into different groups within the ***,we propose an algorithm to derive the RAW configuration parameters of a throughput maximizing grouping *** additionally explore the impact of channel errors on the contention within the time-limited RAW slot and the overall RAW optimal *** presented analytical framework can be applied to many other Wi-Fi standards that integrate periodic channel *** simulations using the MATLAB software validate the analytical model and prove the effectiveness of the proposed RAW configuration scheme.

关键词： IEEE 802.11ah Performance evaluation Renewal theory RAW mechanism Internet of things

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Singular Integrals with Variable Kernels in Dyadic Settings

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Acta Mathematica Sinica,English Series 2023年第8期39卷 1565-1579页

作者： Hugo AIMAR Raquel CRESCIMBENI luis NOWAK IMAL-CONICET and UNL Santa FeArgentina Departamento de Matemática FaEAUNCo.and IITCI-CONICETNeuquenArgentina

In this paper we explore conditions on variable symbols with respect to Haar systems,defining Calderón–Zygmund type operators with respect to the dyadic metrics associated to the Haar bases. We show that Petermichl’s dyadic kernel can be seen as a variable kernel singular integral and we extend it to dyadic systems built on spaces of homogeneous type.

关键词： Singular integrals spaces of homogeneous type Petermichl’s operator Haar basis

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Theranostic of orthotopic gliomas by core-shell structured nanoplatforms

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Light(Science & Applications) 2022年第6期11卷 1034-1035页

作者： luis D.Carlos Phantom-G CICECO-Aveiro Institute of MaterialsPhysics DepartmentUniversity of Aveiro3810-193 AveiroPortugal

Smart designed core-shell nanostructures formed by a YVO_(4)∶Nd^(3+) nanoparticle as the core,the sonosensitizer hematoporphyrinmonomethyl ether as the carrier,and MnO_(2) nanosheets as the shell demonstrate bimodal ... 详细信息

关键词： modal glioma orthotopic

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A graph-based representation of knowledge for managing land administration data from distributed agencies–A case study of Colombia

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Geo-Spatial Information Science 2022年第2期25卷 259-277页

作者： luis M.Vilches-Blázquez Jhonny Saavedra Investigación en Computación Instituto Politécnico NacionalMexico CityMexico School of Land Surveying Geodesy and Mapping EngineeringUniversidad Politécnica de MadridMadridSpain

Multiple efforts have been performed worldwide around diverse aspects of land ***,land administration data and systems’notorious heterogeneity remains a longstanding challenge to develop a harmonized *** this sense,the traditional Spatial Data Infrastructures adoption is not enough to overcome this challenge since data sources’heterogeneity implies needs related to harmonization interoperability,sharing,and integration in land administration *** paper proposes a graph-based represen-tation of knowledge for integrating multiple and heterogeneous data sources(tables,shape-files,geodatabases,and WFS services)belonging to two Colombian agencies within a decentralized land administration *** knowledge graphs are developed on an ontology-based knowledge representation using national and international standards for land *** approach aims to prevent data isolation,enable cross-datasets integration,accomplish machine-processable data,and facilitate the reuse and exploitation of multi-jurisdictional datasets in a single approach.A real case study demonstrates the applicability of the land administration data cycle deployed.

关键词： Land administration knowledge graph ontology heterogeneity data integration

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Structural performance assessment of GFRP elastic gridshells by machine learning interpretability methods

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Frontiers of Structural and Civil Engineering 2022年第10期16卷 1249-1266页

作者： Soheila KOOKALANI Bin CHENG Jose luis Chavez TORRES Department of Civil Engineering Shanghai Jiao Tong UniversityShanghai 200240China Department of Civil Engineering Technical University of LojaLoja 110102Ecuador

The prediction of structural performance plays a significant role in damage assessment of glass fiber reinforcement polymer(GFRP)elastic gridshell *** learning(ML)approaches are implemented in this study,to predict maximum stress and displacement of GFRP elastic gridshell *** ML algorithms,including linear regression(LR),ridge regression(RR),support vector regression(SVR),K-nearest neighbors(KNN),decision tree(DT),random forest(RF),adaptive boosting(AdaBoost),extreme gradient boosting(XGBoost),category boosting(CatBoost),and light gradient boosting machine(LightGBM),are implemented in this *** features of structural performance considered in this study are the maximum stress as f1(x)and the maximum displacement to self-weight ratio as f2(x).A comparative study is conducted and the Catboost model presents the highest prediction ***,interpretable ML approaches,including shapely additive explanations(SHAP),partial dependence plot(PDP),and accumulated local effects(ALE),are applied to explain the *** is employed to describe the importance of each variable to structural performance both locally and *** results of sensitivity analysis(SA),feature importance of the CatBoost model and SHAP approach indicate the same parameters as the most significant variables for f1(x)and f2(x).

关键词： machine learning gridshell structure regression sensitivity analysis interpretability methods

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