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Preva.ence a.d Risk Fa.tors of Osteonecrosis of the Ja. in Pa.ients with Bisphosphona.e Exposure in Ca.a.la.ca. Morocco: a. Observa.iona. Study

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Open Journa. of Epidemiology 2024年第3期14卷 533-545页

作者： a.cha.Oubba.h Souka.na.Remch Meryem Regga. Bouchra.Ba.re Sa.ira.Bellemkha.na.e nadia Za.m Fa.ulty of Dentistry University of Hassan II Casablanca Casablanca Morocco

Objective: To study the preva.ence of bisphosphona.e-rela.ed osteonecrosis of the ja. (BRONJ) a.d to determine the risk fa.tors a.socia.ed with the occurrence of this pa.hology. Method: a. observa.iona. retrospective study wa. conducted in the Depa.tment of Oncology, Rheuma.ology, a.d Ma.illofa.ia. Surgery of Ibn Rochd University Hospita., Ca.a.la.ca. The study utilized complete medica. records from 2014 to 2022 a.d included consulta.ions of pa.ients receiving bisphosphona.es (BPs) in July a.d September 2022. Sta.istica. a.a.ysis wa. performed using SPSS version 16.0. Results: Our study popula.ion comprised 104 pa.ients, of whom 91% were women a.d 49% were over 65 yea.s old. Seventy-two percent of pa.ients ha. a.genera. pa.hology. a.ong them, 64 pa.ients were trea.ed with zoledrona.e, 43 with a.endrona.e, a.d the rema.nder with risedrona.e, iba.drona.e, a.d pa.idrona.e. The most common indica.ions for trea.ment were bone meta.ta.is following brea.t ca.cer (29.8%) a.d osteoporotic fra.tures (19.2%). Sixty-seven pa.ients received intra.enous (IV) trea.ment;only 10.5% exhibited good ora. hea.th. Fifty percent of pa.ients underwent denta. trea.ment, prima.ily tooth extra.tions. Osteonecrosis of the ja. (ONJ) wa. dia.nosed in 1.9% of pa.ients, predomina.tly in sta.es 1 a.d 2. Conclusion: Second a.d third-genera.ion bisphosphona.es a.e more strongly a.socia.ed with the development of ONJ. Risk fa.tors include monthly IV a.ministra.ion, poor ora. hea.th, comorbidities such a. dia.etes, medica.ions like corticosteroids, inva.ive denta. procedures, a.d not only oncologica. conditions but a.so ra.e indica.ions such a. bone a.godystrophy. Nevertheless, our observed preva.ence of 1.9% a.igns with interna.iona. ra.es ra.ging from 0.8% to 12%. However, most of the studies tha. ha.e been ca.ried out ha.e been retrospective studies with insufficient numbers of pa.ients. Further prospective epidemiologica. studies ba.ed on sta.da.dized protocols with rigorous a.d a.propria.e follow-

关键词： Bisphosphona.e-Rela.ed Osteonecrosis of the Ja. Bisphosphona.es Osteonecrosis of the Ja. Preva.ence

Sociodemogra.hic determina.ts a.socia.ed with brea.tfeeding in term infa.ts with low birth weight in La.in a.erica. countries

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World Journa. of Clinica. Pedia.rics 2024年第1期13卷 141-149页

作者： Ca.los Ja.ier a.enda.o-Vásquez Ma.da.Lilia.a.Villa.iza.-Osorio Cla.dia.Ja.min Niño-Peña.a.da.Judith Medellín-Ola.a.nadia Ca.olina.Reina.Ga.ba School of Nursing Antonio Nariño UniversityBogotá111511Colombia School of Nursing Universidad Cooperativa de ColombiaBucaramanga 102536Colombia School of Nursing Universidad Nacional de ColombiaColombia 111511Colombia

Ba.KGROUND a.progressive decrea.e in exclusive brea.tfeeding(BF)is observed in La.in a.erica.a.d the Ca.ibbea. compa.ed with globa. *** possibility of being brea.tfed a.d continuing BF for>6 months is lower in low birth weight tha. in hea.thy-weight *** To identify fa.tors a.socia.ed with BF ma.ntena.ce a.d promotion,with pa.ticula. a.tention to low-a.d middle-income countries,by studying geogra.hic,socioeconomic,a.d individua. or neona.a. hea.th *** a.scoping review wa. conducted in 2018 using the conceptua. model of socia. determina.ts of hea.th published by the Commission on Equity a.d Hea.th Inequa.ities in the United *** extra.ted da.a.with common cha.a.teristics were synthesized a.d ca.egorized into two ma.n themes:(1)Sociodemogra.hic fa.tors a.d proxima. determina.ts involved in the initia.ion a.d ma.ntena.ce of BF in low-birth-weight term infa.ts in La.in a.erica.a.d(2)individua. cha.a.teristics rela.ed to the self-effica.y ca.a.ity for BF ma.ntena.ce a.d a.herence in low-birth-weight term *** This study identified ma.erna. a.e,educa.iona. level,ma.erna. economic ca.a.ity,socia. stra.um,exposure to BF substitutes,a.cess to BF informa.ion,a.d qua.ity of hea.th services a. media.ors for ma.nta.ning *** Individua. self-effica.y fa.tors tha. ena.le BF a.herence in a.-risk popula.ions should be a.a.yzed for better hea.th outcomes.

关键词： Brea.tfeeding Low birth weight La.in a.erica Self-effica.y Socia. determina.ts of hea.th

Impa.ts of multiple dema.d-side ma.a.ement stra.egies on microgrids pla.ning: a.litera.ure survey

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CLEa. ENERGY 2024年第1期8卷 36-54页

作者： Ela.a., Ra.ha.a.delna.y, a.med T. a.i, a. a. Helwa. Univ Fac Engn Elect Power & Machines Dept Cairo Egypt

Dema.d-side ma.a.ement (DSM) schemes pla. a.crucia. role in ma.a.ing renewa.le energy genera.ion a.d loa. fluctua.ions by utilizing dema.d-response progra.mes (DRPs). This pa.er a.ms to provide a.deta.led overview of DRPs tha. help microgrid opera.ors to keep costs a.d relia.ility within a.cepta.le ra.ges. a.ditiona.ly, this review pa.er provides a.deta.led economic loa. model for DRPs ba.ed on initia. loa., dema.d-response (DR) incentive, DR pena.ty a.d ela.ticity coefficients. This a.ticle a.so a.ms to guide resea.chers in identifying resea.ch ga.s in DSM a.plica.ions in microgrids by compa.ing va.ious DSM schemes from different countries a.d regions in terms of DSM stra.egies, objective functions a.d optimiza.ion techniques. Furthermore, this study a.a.yses the impa.t of DRPs on microgrid configura.ion from the perspective of utilities a.d customers, considering technica. a.d economic performa.ce metrics. a. a.result, it ca. be concluded tha. none of the studied ca.es provides models or guidelines for choosing a.propria.e DSM schemes tha. consider different consumer interests or loa.-type fea.ures. Furthermore, a.few resea.chers ha.e a.dressed the fea.ures of a.modern price-ba.ed DR stra.egy, renewa.le genera.ion-ba.ed dyna.ic pricing DR, which offers higher customer sa.isfa.tion tha. tra.itiona. DRPs. [GRa.HICS] .

关键词： dema.d-side ma.a.ement optima. sizing dema.d-response stra.egies renewa.le genera.ion-ba.ed dyna.ic pricing TIME-OF-USE ENERGY Ma.a.EMENT RENEWa.LE ENERGY RESPONSE PROGRa. RELIa.ILITY Pa.TICIPa.ION TECHNOLOGY CHa.LENGES OPERa.ION SYSTEMS

Survey of current pra.tices in the ma.a.ement of cervica. ca.cer by Morocca. ra.iothera.ists

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Ra.ia.ion Medicine a.d Protection 2024年第2期5卷 124-130页

作者： Bouchra.a.a.ui Slima.e Semghouli Ha.a.e El Ka.emi Issa. La.ya.nadia Benchekroune Fa.ima.Sa.ini Sa.a. a.ba.ui Biotechnology a.d Medicine(BioMed)La.ora.ory Faculty of Medicine and PharmacyIbn Zohr UniversityAgadirMorocco Souss Ma.sa.University Hospita. Center AgadirMorocco Higher Institute of Nursing Professions a.d Hea.th Techniques AgadirMorocco Moha.med-V University RabatMorocco Na.iona. Institute of Oncology(INO) RabatMorocco Moha.med-V Milita.y Instruction Hospita. RabatMorocco Ha.sa. II University CasablancaMorocco Moha.med VI Oncology Center-Ca.a.la.ca.University Hospita. CasablancaMorocco Regiona. Oncology Center AgadirMorocco

Objective:To a.sess the a.plica.ility degree of the interna.iona. guidelines by Morocca. ra.iothera.ists,in order to improve the ma.a.ement of cervica. ca.cer(CC),since CC is the second most common ca.cer for women in ***:This cross-sectiona. study wa. ca.ried out using a.questionna.re sent online to Morocca. *** questionna.re covered pa.ticipa.ts'cha.a.teristics,initia. a.sessment a.d trea.ment prepa.a.ion,techniques a.d indica.ions for ra.iothera.y a.d bra.hythera.y,dose a.d indica.ions,a. well a. on the protocol a.opted in the intermedia.e sta.es a.d the loca.ion of a.juva.t trea.ments a.d a.sessments'***:74 ra.iothera.ists out of 300 ha.e responded to the *** 27.0%of pra.titioners reported discussing pa.ient records systema.ica.ly in a.multidisciplina.y consulta.ion meeting(MCM).For the initia. a.sessment,77.0%requested pelvic ma.netic resona.ce ima.ing(MRI).It is significa.tly less requested in regiona. oncology centers(ROCs)tha. in university hospita. centers(UHCs)or the priva.e sector(Pa.s in ROCs do not ha.e a.cess to new techniques of *** 83.8%of ca.es,the most prescribed ra.iothera.y protocols were 45–46 Gy in 1.8–2 Gy per ***-dimensiona. gyna.cologica. bra.hythera.y high-throughput dose guided by dosimetric sca.ner wa. a.a.la.le in 75.5%of structures while interstitia. gyna.cologica. bra.hythera.y wa. only a.a.la.le in 23%of *** two most prescribed dose protocols were 47 Gy a.d 37 Gy in 74.4%a.d 21.6%of ca.es,***,monitoring during the first two yea.s wa. ba.ed ma.nly on pelvic MRI(82.2%)while PET/CT wa. recommended by only less tha. 10%.Conclusions:The findings obta.ned show tha. our ra.iothera.ists genera.ly comply with interna.iona. guidelines for the cervica. ca.cer ***,they should still enha.ce their pra.tices for the first sta.ing eva.ua.ion,the use of systema.ic MCMs,the doses a.d trea.ment techniques used,a.d

关键词： Ra.iothera.y Bra.hythera.y Cervica. ca.cer Morocco

模拟训练在提高肿瘤护理质量和患者安全中的应用:范围综述

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Interna.iona. Journa. of Nursing Sciences 2024年第2期11卷 187-196,I0002页

作者： nadia a. Wa.ha.i Moha.ed Cha.boune Ibtissa. Youlyouz-ma.fa. Moha.ed Reda.Mesra.i Ha.a. Lemriss a.derra.uf Hila.i Ha.sa. First University of Setta. Higher Institute of Health SciencesLaboratory of Sciences and Health TechnologiesSettatMorocco

目的模拟训练(simula.ion-ba.ed tra.ning,SBT)是一种有效的教育方法,广泛应用于包括肿瘤学在内的多种临床环境中。该文对肿瘤学中与SBT相关的研究进行了范围综述,全面了解SBT在提高医护人员技能方面的作用,从而提高护理质量和患者安全... 详细信息

目的模拟训练(simula.ion-ba.ed tra.ning,SBT)是一种有效的教育方法,广泛应用于包括肿瘤学在内的多种临床环境中。该文对肿瘤学中与SBT相关的研究进行了范围综述,全面了解SBT在提高医护人员技能方面的作用,从而提高护理质量和患者安全。方法根据a.ksey和O’Ma.ley提出的范围综述方法框架,在Medline、Scopus和Web of Science数据库中检索于2012年至2022年发表的,与SBT在提高肿瘤科医护人员技能方面的相关研究文献,仅纳入经过同行评审的英文或法语文献。由2名研究员独立进行文献的筛选、提取和分析。结果检索出1013篇文章,共纳入29篇文献。其中25篇文献侧重于非技术技能,如决策技能、沟通和团队合作技能以及认知能力;13篇文献侧重于技术技能。纳入文献研究结果表明,通过SBT项目,肿瘤科医护人员的技能得到了显著提高。其中14篇文献对SBT的应用进行了主观评估,9篇文献对其进行了客观评估,6篇文献采用了主观和客观相结合的评估方法。结论SBT是提高肿瘤科医护人员技能的有效方法,支持和推广SBT对提供高质量的医疗服务和确保患者安全至关重要。

关键词：护士肿瘤科患者安全卫生保健质量模拟训练

Finite control set model predictive control of three-port converter for interfa.ing a.PV-ba.tery energy stora.e system to a.three-pha.e sta.d-a.one a. system

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CLEa. ENERGY 2024年第2期8卷 73-84页

作者： Preeti, Ga.ga.hetty a. Ka.thikeya., a.ba.a.a. Na.l Inst Technol Ka.na.a.a Dept Elect & Elect Engn Surathkal 575025 India

This pa.er proposes a.multiport bidirectiona. non-isola.ed converter topology tha. provides a.va.ta.es in terms of simulta.eous multiple opera.ions, single-sta.e conversion, high power density a.d reduced power losses due to the lower number of switches. The proposed multiport converter uses a.centra.ized non-linea. controller known a. a.finite control set model predictive controller to ma.a.e the flow of power between different ports. It dea.s with the pa.a.lel opera.ion of photovolta.c a.d ba.tery energy stora.e systems for sta.d-a.one a.terna.ing current (a.) systems. The converter connects the lower volta.e ba.tery to the photovolta.c port using a.bidirectiona. buck/boost converter a.d the photovolta.c port is linked to the sta.d-a.one a. loa. through a.three-pha.e full-bridge inverter. Ea.h leg of the three-pha.e converter will a.t a. a.bidirectiona. direct current (DC)/DC converter a. well a. a. inverter simulta.eously. Only six switches ma.a.e the power tra.sfer between a.l the connected ports of photovolta.c-ba.tery energy stora.e system linked to the sta.d-a.one a. loa.. The proposed multiport converter is ma.hema.ica.ly modelled a.d controlled by a.finite control set model predictive controller. The system is va.ida.ed in simula.ion (1-kW ra.ing) a.d experimenta. environment (200-W ra.ing). The ha.dwa.e prototype is developed in the la.ora.ory a.d the controller is implemented on the field-progra.ma.le ga.e a.ra. boa.d. Two independent ca.e studies a.e ca.ried out to va.ida.e the effica.y of the system. The first scena.io is for a.cha.ge in sola. irra.ia.ce, while the second scena.io is for a.cha.ge in the output loa.. a.multiport bidirectiona. non-isola.ed converter topology for a.PV-ba.tery energy stora.e system provides a.va.ta.es in terms of simulta.eous multiple opera.ions, single-sta.e conversion, high power density a.d reduced power losses. The proposed converter is va.ida.ed through simula.ion (1-kW sca.e) a.d experiment (200-W sca.e). Gra.hica. a.

关键词： multiport converter DC/a. converter DC/DC converter finite control set model predictive controller (FCSMPC) PV-BESS three-pha.e converter DC-DC CONVERTER RENEWa.LE ENERGY

Correla.ion between Wnt Signa.ling Inhibitors (Dickkopf-1 & Sclerostin) a.d the Intima. Media. Thickness in Children on Ma.ntena.ce Hemodia.ysis

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Open Journa. of Nephrology 2024年第3期14卷 397-412页

作者： Ma.a. a.d El-Sa.a. Moha.ed Ha.di a.i nadia Youssef Ria. Ra.ha.a.d El Sa.a. Fa.a. Shima.Moha.ed Depa.tment of Pedia.rics Faculty of Medicine (for Girls) Al-Azhar University Cairo Egypt Tbilisi Sta.e Medica. University Tbilisi Georgia Depa.tment of Clinica. Pa.hology National Heart Institute Cairo Egypt Depa.tment of Ra.iology Faculty of Medicine (for Girls) Al-Azhar University Cairo Egypt

Ba.kground: Wnt signa.ling inhibitors (Dickkopf-1 a.d Sclerostin) signa.ling pla. a.role in va.cula. development a.d ma. contribute to ca.cifica.ion. a.m: To investiga.e the a.socia.ion between Dickkopf-1 a.d sclerostin serum concentra.ions in children undergoing ma.ntena.ce hemodia.ysis with intima. media. thickness a.d pea. systolic velocity of the ma.n a.teries. Pa.ients a.d Methods: a.study wa. conducted on 40 children undergoing ma.ntena.ce hemodia.ysis a.d controls of the sa.e a.e a.d sex. The study mea.ured the initia. media. thickness (IMT) a.d pea. systolic velocity (PSV) of the ma.n vessels (ca.otid, ulna., a.d femora.). Dickkopf-1 a.d sclerostin serum levels in both groups were a.sessed, a.d a.routine investiga.ion wa. performed. Results: The findings indica.e tha. the levels of serum Dickkopf-1 a.d Sclerostin were significa.tly higher in the hemodia.ysis group 2540.65 (2215.4 - 2909.2 pg/ml) a.d 1.17 (0.85 - 2.03 ng/ml)respectively (P = 0.001), compa.ed to their control group it wa. 1110.45 (885.45 - 1527.65 pg/ml) a.d 0.28 (0.25 - 0.32 ng/ml)) respectively P = 0.001. a.ditiona.ly, there wa. a.significa.t increa.e in intima.media.thickness (IMT) with a.decrea.e in pea. systolic velocity (PSV) in the ma.n blood vessels, including the ca.otid, ulna., a.d femora. a.teries. a.significa.t correla.ion wa. a.so observed between Dickkopf-1 a.d sclerostin levels a.d IMT of the ca.otid, ulna., a.d femora. a.teries. Conclusion: Wnt signa.ling inhibitors (Dickkopf-1 a.d Sclerostin) exert effects beyond the bone a.d significa.tly contribute to ea.ly va.cula. ca.cifica.ion in pedia.ric pa.ients undergoing ma.ntena.ce hemodia.ysis.

关键词： Wnt Signa.ling Va.cula. Ca.cifica.ion Hemodia.ysis Children

Simulta.eous Compression of the Celia. Trunk, Superior Mesenteric a.tery, a.d Rena. a.teries by the Media. a.cua.e Liga.ent: a.out One Ca.e

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Open Journa. of Medica. Ima.ing 2024年第3期14卷 106-113页

作者： Siddick Ouma. Kenza.Fa.ha.la. Ha.sa. a.med a.cha.Merzem Ha.na. Belga.ir Oma. a.riss nadia Moussa.i Na.ma.El Benna Depa.tment of Ra.iology University Hospital Center Ibn Rochd Casablanca Morocco

Media. a.cua.e liga.ent syndrome (Ma.S), is a.ra.e a.domina. va.cula. compression syndrome ca.sed by the compression of the proxima. celia. trunk by the media. a.cua.e liga.ent. a.cording to ma.y a.thors, a.low insertion of the dia.hra.ma.ic crura.or a. a.norma.ly high origin of the celia. trunk from the a.rta.ca. ca.se compression of the celia. a.tery. Usua.ly, pa.ients with Ma.S a.e a.ymptoma.ic. Computed tomogra.hy (CT) a.giogra.hy of the a.domen is the ma.n ima.ing moda.ity to confirm the dia.nosis. The coexistence of celia. trunk a.d superior mesenteric a.tery compression by the media. a.cua.e liga.ent is ra.ely described in the litera.ure. To our knowledge, until now, a.simulta.eous combina.ion of three a.domina. va.cula. compressions by the media. a.cua.e liga.ent ha. never been described. From this ca.e, we report a.simulta.eous compression of the celia. trunk, superior mesenteric a.tery, a.d rena. a.teries by the media. a.cua.e liga.ent.

关键词： Media. a.cua.e Liga.ent Syndrome (Ma.S) Celia. Trunk Compression Superior Mesenteric a.tery a.d Rena. a.teries Compression Computed Tomogra.hy a.giogra.hy

Correla.ion between DKK-1 Level a.d Bone Density Sta.us in Children on Ma.ntena.ce Ha.modia.ysis

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Open Journa. of Nephrology 2024年第1期14卷 48-61页

作者： Ma.a. a.d El-Sa.a. Ma.wa.Moha.ed a.wa. Ra.ha.Ma.moud Gouda.Na.la. a.ou El Fa.ta. nadia Youssef Ria. Depa.tment of Pedia.rics Faculty of Medicine (For Girls) Al-Azhar University Cairo Egypt Depa.tment of Interna. Medicine Faculty of Medicine (For Girls) Al-Azhar University Cairo Egypt Depa.tment of Clinica. Pa.hology National Heart Institute Cairo Egypt

Ba.kground: Rena. osteodystrophy (ROD) is a.bone disorder resulting from chronic kidney disea.e (CKD) a.d rela.ed meta.olic disea.es. Dickkopf-rela.ed protein-1 (DKK-1) is critica. in regula.ing bone biology. This study a.med to eva.ua.e the serum DKK-1 level a. a.bone ma.ker in children with CKD who undergo regula. hemodia.ysis (HD). Subjects a.d Methods: This ca.e-control study involved 40 children with CKD on HD a.d 40 hea.thy children a. controls. The study mea.ured serum DKK-1 levels a.d performed a.dua.-energy X-ra. a.sorptiometry sca. (DEXa. in line with routine la.ora.ory investiga.ions. Results: There wa. a.significa.t increa.e in the serum level of DKK-1 in the pa.ient group compa.ed to the control group. The DKK-1 levels were 2540.65 (2215.4 - 2909.2) pg/ml a.d 1110.45 (885.45 - 1527.65) pg/ml, respectively, with a.p-va.ue of less tha. 0.001. In the hemodia.ysis group, 25 pa.ients (62.5%) ha. low bone minera. density (BMD) with a.Z-score of under -2.0. Eighteen of these pa.ients ha. low BMD in both the neck of the femur a.d lumba. spines. a.ditiona.ly, there wa. a.significa.t increa.e in serum DKK-1 level in pa.ients with low BMD (2567.35 (2303.8 - 3108.1) pg/ml) compa.ed to pa.ients with norma. BMD (2454 (1859 - 2820) pg/ml) (p = 0.041). There wa. a.so a.significa.t positive correla.ion between DKK1 level a.d phosphorus, a.ka.ine phospha.a.e, a.d Pa.a.hormone serum levels. In conclusion, the study indica.es a.clea. correla.ion between DKK-1 a.d BMD in children undergoing ma.ntena.ce hemodia.ysis. DKK1 is a.promising bioma.ker for CKD-MBD.

关键词： DKK-1 Children Ha.modia.ysis Bone Density Sta.us