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Interest of D-dimer level,severity of COVID-19 and cost of management in Gabon

World Journal of Critical Care Medicine 2025年第1期14卷 91-99页

作者： Berthe A Iroungou Arnaud Nze O Helga M Kandet Y neil-Michel Longo-Pendy Nina D Mezogho-Obame Annicet-Clotaire Dikoumba Guignali L Mangouka UnitéMixte de Recherche Centre International de Recherches Médicales de Franceville et le Service de SantéMilitaireLibreville 20404EstuaireGabon AP-HP Health Economics Research UnitHtel Dieu HospitalParis 75004Ilede-FranceFrance Laboratory Hôpital D'Instruction des Armées D'AkandaLibreville 20404EstuaireGabo Unitéde Recherche enÉcologie de la Santé Centre Interdisciplinaire de Recherches Médicales de FrancevilleFranceville 769Gabon Laboratory Hôpital D'Instruction des Armées Omar Bongo OndimbaLibreville 20404EstuaireGabon Department of Medecine Polyvalente Hôpital D'Instruction des Armées Omar Bongo OndimbaLibreville 20404EstuaireGabon

BACKGROUND Coronavirus disease 2019(COVID-19)is strongly associated with an increased risk of thrombotic events,including severe outcomes such as pulmonary *** D-dimer levels are a critical biomarker for assessing this *** Gabon,early implementation of anticoagulation therapy and D-dimer testing has been crucial in managing *** study hypothesizes that elevated Ddimer levels are linked to increased COVID-19 *** To determine the impact of D-dimer levels on COVID-19 severity and their role in guiding clinical *** This retrospective study analyzed COVID-19 patients admitted to two hospitals in Gabon between March 2020 and December *** study included patients with confirmed COVID-19 diagnoses and available D-dimer measurements at *** on demographics,clinical outcomes,D-dimer levels,and healthcare costs were ***-19 severity was classified as non-severe(outpatients)or severe(inpatients).A multivariable logistic regression model was used to assess the relationship between D-dimer levels and disease severity,with adjusted odds ratios(OR)and 95%*** A total of 3004 patients were included,with a mean age of 50.17 years,and the majority were female(53.43%).Elevated D-dimer levels were found in 65.81%of patients,and 57.21%of these experienced severe *** analysis showed that patients with elevated D-dimer levels had 3.33 times higher odds of severe COVID-19(OR=3.33,95%CI:2.84-3.92,P<0.001),and this association remained significant in the multivariable analysis,adjusted for age,sex,and year of *** financial analysis revealed a substantial burden,particularly for uninsured *** D-dimer predicts COVID-19 severity and guides treatment,but the high cost of anticoagulant therapy highlights the need for policies ensuring affordable access in resource-limited settings like Gabon.

关键词： D-dimers COVID-19 Management Disease severity Healthcare costs Gabon

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国际盆景协会佳作选登(十)

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花木盆景 2025年第1期 74-75页

作者：陈昌 [韩国]Jeong I Seuk [美国]Ryan neil [菲律宾]Mike Pena 不详

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The synthesis of polymers of intrinsic microporosity (PIMs)

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Science China Chemistry 2017年第8期60卷 1023-1032页

作者： neil B.McKeown School of Chemistry University of Edinburgh David Brewster Road Edinburgh EH9 3F J U

Polymers of intrinsic microporosity （PIMs） are a class of porous organic polymer （POP） that form microporous solids due to the inefficient packing of their rigid and contorted macromolecular chains. In contrast to other types of POP, PIMs are not comprised of a network of cross-linked covalent bonds so that they can be dissolved in organic solvents and processed into robust films, coatings or fibres. Here, over twelve years＇ accumulated research on the synthesis of PIMs is reviewed. To date, three types of polymerisation reaction have been used successfully to prepare PIMs of sufficient molecular mass to form robust self-standing films. These involve the formation of dibenzodioxin, Tr6ger＇s base and imide linkages between monomeric units. This rapid development of synthetic methods for preparing PIMs has been driven by their rich potential for numerous diverse applications and this synergistic relationship between synthesis and functionality is set to continue.

关键词： polymers of intrinsic microporosity synthesis porous organic polymers

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Nat Genet:单基因突变导致过敏性皮炎的发生

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现代生物医学进展 2017年第27期17卷 I0004-I0004页

作者： Chi A Ma, Yuan Zhang, Michael A Weinreich, Jonathan J Lyons, Celeste G Nelson, Thomas DiMaggio, Kelly D Stone, Joshua D Milner Jeffrey R Stinson, Elisa Ruffo, Batsukh Dorjbal, Swadhinya Arjunaraja, Kelsey Voss, Andrew L Snow Jordan K Abbott, Pia J Hauk, Paul R Reynolds, Erwin W Gelfand Elisa Ruffo Salomé Glauzy, Natsuko Yamakawa, Eric Meffre Jennifer Stoddard, Julie Niemela, Sergio D Rosenzweig Yu Zhang, Helen F Matthews Joshua J McElwee Nina Jones Alejandro Palma, Matías Oleastro, Emma Prieto, Andrea R Bernasconi, Geronimo Dubra, Silvia Danielian, Jonathan Zaiat, Marcelo A Marti Brian Kim Megan A Cooper neil romberg Laboratory of Allergic Diseases National Institute of Allergy and Infectious Diseases National Institutes of Health Bethesda Maryland USA Department of Pharmacology and Molecular Therapeutics Uniformed Services University of the Health Sciences Bethesda Maryland USA Immunodeficiency Diagnosis and Treatment Program Department of Pediatrics National Jewish Health Denver Colorado USA Department of Translational Medicine University of Piemonte Orientale Novara Italy Department of Immunobiology Yale University School of Medicine New Haven Connecticut USA Immunology Service Department of Laboratory Medicine NIH Clinical Center National Institutes of Health Bethesda Maryland USA Human Immunological Disease Section National Institute of Allergy and Infectious Diseases National Institutes of Health Bethesda Maryland USA Merck Research Laboratories Merck and Co. Inc. Boston Massachusetts USA Clinical Research Directorate/Clinical Monitoring Research Program Leidos Biomedical Research Inc. NCI Campus at Frederick Frederick Maryland USA Servicio de Immunología y Reumatología Hospital Nacional de Pediatría Prof. Dr. Juan P. Garrahan Buenos Aires Argentina Division of Dermatology Department of Medicine Washington University School of Medicine St. Louis Missouri USA Department of Pediatrics Division of Rheumatology and Department of Pathology and Immunology Washington University School of Medicine St. Louis Missouri USA Department of Pediatrics Children’s Hospital of Philadelphia Philadelphia Pennsylvania USA.

最近，研究者们鉴定出了一类导致神经性皮炎发生的关键基因突变：CARDll。来自美国NIH过敏与传染病研究所的研究者们通过对四个没有血缘关系的患病家庭进行分析，发现了这一导致疾病产生的基因、

关键词：过敏性皮炎基因突变 Nat 神经性皮炎血缘关系研究所传染病 NIH

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No evidence of Permacol rejection presented by Wotton and Akoh

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World Journal of Gastroenterology 2010年第5期16卷 657-658页

作者： neil James Smart Department of General Surgery Royal Devon&Exeter HospitalBarrack RoadExeterEX2 5DW United Kingdom

Wotton and Akoh in their previously reported case in this journal postulate that Permacol *** letter provides a detailed critique of that claim and provides an alternative explanation for the histological data provided by the *** is also argued that Wotton and Akoh have misrepresented one of the papers in the discussion in their article and a clarification of that referenced paper is given.

关键词： Porcine dermal collagen implant(Permacol) Renal Transplant Rejection

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Gamma-ray bursts in the swift-Fermi era

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Frontiers of physics 2013年第6期8卷 661-678页

作者： neil Gehrels Soebur Razzaque Astrophysics Science Division NASA Goddard Space Flight Center Greenbelt MD 20771 USA George Mason University Fairfax VA 22030 USA Resident at Space Science Division Naval Research Laboratory Washington DC 20375 USA

Gamma-ray bursts （GRBs） are among the most violent occurrences in the universe. They are pow- erful explosions, visible to high redshift, and thought to be the signature of black hole birth. They are highly luminous events and provide excellent probes of the distant universe. GRB research has greatly advanced over the past 10 years with the results from Swift, Fermi and an active followup community. In this review we survey the interplay between these recent observations and the theoretical models of the prompt GRB emission and the subsequent afterglows.

关键词： gamma-ray bursts (GRBs) Swift Fermi

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Relative abundance of American badger (Taxidea taxus) and red fox (Vulpes vulpes) in landscapes with high and low rodenticide poisoning levels

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Integrative Zoology 2012年第1期7卷 41-47页

作者： Gilbert PROULX neil MacKENZIE Alpha Wildlife Research&Management Sherwood ParkAlbertaCanada

Over the past decade,extensive poisoning campaigns have been conducted in southern Saskatchewan to control Richardson’s ground squirrel Spermophilus richardsonii(Sabine,1822)*** campaigns might impact on predator abundance by decreasing prey levels,and also through secondary *** spotlighting,we investigated the relative abundance of American badgers Taxidea taxus(Schreber,1777)and red fox Vulpes vulpes(Linnaeus,1758)in 2 study areas with road access and crops,but with different levels of *** the study area with relatively low poisoning(19.6%of the area traversed by roads),there were 2.2 times more American badgers per km of road and 6.4 times more red foxes per km than in the study area with high poisoning(89.7%of the area).It is recommended that an Integrated Pest Management program be developed to conserve natural predators across landscapes.

关键词： ground squirrels poisoning populations predators

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Herb-Induced Liver Injury: A Global Concern

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Chinese Journal of Integrative Medicine 2018年第9期24卷 643-644页

作者： neil Kaplowitz USC Research Center for Liver Disease USC Keck School of Medicine

Chinese medicine and herb medicine though used to treat liver diseases are an important cause of liver injury. Many phytochemicals have the potential to injure the liver, some in a dose-related fashion and more often in an idiosyncratic fashion, meaning occurrence is uncommon to rare in the population using these treatments. As is the case with pharmaceuticals, the phytochemicals are usually tolerated despite either no or mild transient subclinical injury but rarely in some susceptible patients cause moderate to severe liver injury which is likely mediated by the adaptive immune system.

关键词： herb-induced liver injury diagnosis and management guideline Chinese medicine

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Multimodality treatment of potentially curative gastric cancer: Geographical variations and future prospects

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World Journal of Gastroenterology 2014年第36期20卷 12892-12899页

作者： neil D Merrett Discipline of Surgery School of Medicine University Of Western Sydney Penrith NSW 2751 Australia Department of Upper Gastrointestinal Surgery Sydney South West Local Health District Liverpool NSW 2170 Australia

After much controversy, multimodality therapy is now accepted worldwide as the gold standard for treatment of resectable bulky localized gastric cancer. There is significant regional variation in the style of multimodality treatment with adjuvant chemoradiation the North American standard, neoadjuvant chemotherapy preferred in Europe and Australasia, whilst adjuvant chemotherapy is preferred in Asia. With further standardization of surgery and D1+/D2 resections increasingly accepted world wide, and in particular in the West, as the surgical standard of care for potentially curable disease, it is timely to reassess the multimodality regimes being used. The challenge in the use of multimodality therapy is how current outcomes can be standardized and improved further. Recent studies indicate that mere intensification of the regime in time, dosage or addition of further agents does not improve localized gastric cancer outcomes. More novel strategies including early commencement of adjuvant therapies, intra-peritoneal chemotherapy or assessing neoadjuvant response with positron emission tomography scanning may give improvements in outcomes. The introduction of targeted therapies means that the adjuvant use of biological agents needs to be explored. By proper assessment of the patient’s co-morbidities, full tumour staging, and a better understanding of the tumour’s molecular pathology, multimodality therapy for gastric adenocarcinoma may be individualized to optimize the likelihood of cure.

关键词： Gastric cancer Gastrectomy Multimodality Adjuvant treatment Neoadjuvant Targeted therapy Human epidermal growth factor receptor

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The effects of acquired paternal obesity on the next generation

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Asian Journal of Andrology 2011年第2期13卷 195-196页

作者： neil A Youngson Emma Whitelaw Queensland Institute of Medical Research 300 HerstonRoad Herston Brisbane 4006 Australia

It is well established that the health of mothers can influence the health of theiroffspring, i ms can occur as a result or me transfer of viruses or toxins via the placenta or the milk, a compromised nutrient supply to the embryo or abnormal behavioural inter- actions between mother and offspring） However, examples of paternal health affecting the next generation are rare.

关键词： Neurophysiology Learning and memory

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