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outcomes of endoscopic submucosal dissection in cirrhotic patients: First American cohort

World Journal of Hepatology 2024年第5期16卷 784-790页

作者： Robert Luke Pecha Fares Ayoub Ankur Patel Abdullah Muftah Michael W Wright Mai A Khalaf Mohamed o othman Department of Gastroenterology and Hepatology UC DavisSacramentoCA 95817United States Department of Gastroenterology and Hepatology Baylor College of MedicineHoustonTX 77030United States Internal Medicine Baylor College of MedicineHoustonTX 77030United States Department of Gastroenterology and Hepatology University of Texas Medical Branch at GalvestonGalvestonTX 77550United States Medical School Baylor College of MedicineHoustonTX 77030United States Department of Tropical Medicine Tanta UniversityTanta 31527Egypt

BACKGRoUND Among patients with cirrhosis and pre-malignant or early malignant mucosal lesions,surgical intervention carries a much higher bleeding *** such lesions are discovered,endoscopic submucosal dissection(ESD)may offer curative therapy with lower risks than surgery and improved outcomes compared to traditional endoscopic *** To evaluate the outcomes of ESD in patients with *** Patients with cirrhosis undergoing ESD between July 2015 and August 2022 were retrospectively matched in 1:2 fashion to controls based on lesion location,size,and anticoagulation *** outcomes were compared between *** A total of 64 Lesions from 59 patients were included(16 cirrhosis,43 control).There were no differences in patient or lesion characteristics between *** bloc and curative resection was achieved in 84.21%,78.94%of the cirrhosis group and 88.89%,68.89%of controls,respectively,with no significant *** patients had significantly higher rates of intra-procedural coagulation grasper use for control of bleeding(47.37%vs 20%;P=0.02).There were otherwise no significant differences in adverse event *** the 29 patients with follow up,we found higher rates of recurrence in the cirrhosis group compared to controls(40%vs 5.26%;P=0.019),however this effect did not persist on multivariable analysis controlling for known *** ESD may be safe and effective in patients with *** procedure related outcomes were not significantly different between ***-procedural bleeding requiring use of the coagulation grasper use was expectedly higher in the cirrhosis group given the known effects of liver disease on hemostasis.

关键词： Endoscopic aubmucosal dissection Cirrhosis Advanced polypectomy Intraprocedural bleeding Colon cancer

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Effects of the concentration and nature of total dissolved solids in drinking water on feed intake, nutrient digestion, energy balance,methane emission, ruminal fermentation, and blood constituents in different breeds of young goats and hair sheep

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Animal Nutrition 2024年第1期16卷 84-95页

作者： Amlan Kumar Patra Luana Paula dos Santos Ribeiro Hirut Yirga Adekayode o.Sonibare Ahmed R.Askar Ali H.Hussein Ryszard Puchala Arthur Louis Goetsch American Institute for Goat Research Langston University Animal and Poultry Nutrition Department Desert Research Center Agriculture Food and Natural ResourcesEastern New Mexico University

Understanding how different livestock species and breeds respond to consumption of brackish water could improve usage of this ***,Angora,Boer,and Spanish goat doelings and Dorper,Katahdin,and *** ewe lambs (6 animals per animal type[AT];initial age=296±2.1 days)consuming water with varying concentrations of minerals of a natural brackish water source (BR) and sodium chloride (NaCl;SL) were used to determine effects on water and feed intake,nutrient digestion,heat energy,methane emission,ruminal fluid conditions,and blood constituent *** were 6 simultaneous 6 (water treatments[WT])×6 (AT) Latin squares with 3-wk *** WT were fresh (FR),BR alone (100-BR),a similar total dissolved solids (TDS) concentration as 100-BR via NaCl addition to FR (100-SL),BR with concentrations of all minerals increased by approximately 50%(150-BR),a similar TDS level as 150-BR by NaCl addition to FR (150-SL),and a similar 150 TDS level achieved by addition of a 1:1 mixture of BR minerals and NaCl to 100-BR (150-BR/SL).Concentrations (mg/kg) in BR were 4928 TDS,85.9 bicarbonate,224.9 calcium,1175 chloride,60.5 magnesium,4.59 potassium,1387sodium,1962 sulfate,and 8.3 boron,and TDS in other WT were 209,5684,7508,8309,and 7319 mg/kg for FR,100-SL,150-BR,150-SL,and 150-BR/SL,*** were very few significant effects of WT or AT×WT interactions,although AT had numerous *** intake was affected by AT (P=0.02)and WT (P=0.04),with greater water intake for 150-SL than for FR,100-BR,100-SL,and *** matter intake among AT was lowest (Por *** of organic matter and neutral detergent fiber and heat energy differed among AT (Pogen digestion and ruminal methane emission were similar among *** aldosterone concentration was higher (Por FR than for other *** conclusion,all AT seemed resilient to these WT regardless of mineral source and concentrations,with TDS less than 8300 mg/kg,which did

关键词： Goats Hair sheep Nutrient utilization Ruminal fermentation Salinity Water quality

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The Effects of Acupressure on Vomiting, Stress, and Anxiety in Chinese Pregnant Women with Hyperemesis Gravidarum

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Journal of Clinical and Nursing Research 2024年第5期8卷 369-383页

作者： Wenyuan Jiang Esther o.Dela Cruz Institute of Health Sciences and Nursing Far Eastern UniversityNicanor Reyes StreetSampalocManila 1015Philippines

objective:To investigate the role of acupressure therapy in helping pregnant women with HG reduce the frequency or severity of vomiting and relieve stress and ***:A quantitative study with a quasi-experimental design and non-equivalent group design was ***-six valid data points were obtained from pregnant mothers diagnosed with HG in a general hospital in Linyi *** pregnant women received either acupressure(n=33)or general therapeutic care(n=33).They completed standardized questionnaires designed to assess vomiting,anxiety,and stress ***:Data showed no differences between the experimental and control groups before the *** the intervention,there were significant differences in anxiety(P≤0.05)and stress(P≤0.05)scores between the two ***,there was no significant difference in vomiting scores(P>0.05)between the two groups after the *** anxiety and stress scores of the experimental group were significantly lower than those of the control group post-intervention,while the vomiting scores of the two groups were ***:The findings suggest that acupressure significantly reduces anxiety and stress in pregnant women with hyperemesis gravidarum(HG)and also helps reduce *** presents a viable clinical option for pregnant women seeking relief from HG symptoms.

关键词： Acupressure Anxiety Stress Nausea Vomiting

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Gram-negative bacterial diversity and evidence of international clones of multidrug-resistant strains in zoo animals

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Integrative Zoology 2024年第3期19卷 417-423页

作者： João Pedro Rueda FURLAN Micaela Santana RAMoS Fábio Parra SELLERA Irys Hany Lima GoNZALEZ Patrícia Locosque RAMoS Eliana Guedes STEHLING Department of Clinical Analyses Toxicology and Food ScienceSchool of Pharmaceutical Sciences of Ribeirão PretoUniversity of São PauloRibeirão PretoBrazil Department of Internal Medicine School of Veterinary Medicine and Animal ScienceUniversity of São PauloSão PauloBrazil School of Veterinary Medicine Metropolitan University of SantosSantosBrazil Coordination of Wild Fauna Secretary of EnvironmentInfrastructure and LogisticsSão PauloBrazil

Antimicrobial resistance(AMR)is a growing phenomenon that poses a major public health challenge worldwide(Dhingra et al.2020;Antimicrobial Resistance Collaborators 2022).The selective pressure exerted in clinical settings has contributed to the longlasting successful dissemination of multidrug-resistant(MDR)Gram-negative bacteria in these environments(Chia et al.2020).

关键词： multidrug clinical

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Risk Assessment of an Environmental Liability in the Commercialization of Hydrocarbons-A Secondary Publication

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Journal of World Architecture 2024年第2期8卷 108-117页

作者： Yamila Navarro Sosa Josécarlos Rojas Acosta Lester Rivas Trasancos carlos C.cañete Pérez Yuletsis Díaz Rodríguez Center for Petroleum Research(CEINPET) HavanaCuba Technological University of Havana JoséAntonio Echeverría HavanaCuba

The risk analysis evaluates the probability of occurrence with the impact of said *** the hydrocarbon sector,an environmental liability is an improperly abandoned facility,soil contaminated by spills or *** objective of this work is to define a risk management *** characterization of the residue and the area was carried *** events were identified:overflow spill,soil contamination by infiltration,as well as radiant heat and suffocating and toxic fumes from a *** matrix method was applied considering the probability of occurrence against *** danger of infiltration implied a high level of *** risk management plan was drawn up,its main action being the liquidation of the pool and the sanitation of the area.

关键词： Hazardous events Environmental liability Waste Risk Vulnerability

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on the Range of Action of Adult Culex pipiens s.l.

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Journal of Biosciences and Medicines 2024年第3期12卷 113-121页

作者： Maria da Conceição Proença Maria Teresa Rebelo Department of Physics and MARE-ULisboa Marine and Environmental Sciences Centre & ARNET Aquatic Research Infrastructure Network Associated Laboratory Faculty of Sciences University of Lisbon Lisbon Portugal Department of Animal Biology and CESAM_Ciências Centre for Environmental and Marine Studies Faculty of Sciences University of Lisbon Lisbon Portugal

Mosquitoes are an interesting topic due to their medical importance, as they play an active role in the transmission of many pathogens and parasites, acting as vectors for various pathologies that are deadly to humans, such as dengue, yellow fever, chikungunya, West Nile virus, encephalitis and malaria, among many others that are less common. In terms of morbidity and mortality caused by vector-borne diseases, mosquitoes are the most dangerous animals for humanity and, although they also play a role in the ecosystem as a food source for other organisms, their importance for public health cannot be overlooked. As highly efficient vectors, they put more than three billion people at risk, mainly in tropical and subtropical regions as well as in Europe, since heat waves and flooding are becoming more frequent and severe, and summers are getting longer and warmer, accelerating mosquito development, biting rates, and the incubation of the pathogens within their bodies. Female mosquitoes bite to acquire proteins for the development of their ovaries and eggs and, in the process, acquire pathogens and/or parasites from one vertebrate host and transmit them to another, usually after a short period of replication. Three of their four life stages are lived in still freshwater, so it is crucial to understand their range of action when they reach adulthood and leave the water, in order to plan and implement local prevention measures. A set of georeferenced abundance data collected in mainland Portugal over seven years was linked to cartographed water bodies in a geographic information system to estimate the distances at which Culex pipiens s.l. had a significant presence, with criteria based on the size of the catches. The result allows for an estimate of the fly range of those mosquitoes, which can be used to focus countermeasures.

关键词： Mosquito Fly Distance Vector-Borne Diseases Culex pipiens s.l. Geographic Information Systems

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Groupoid Approach to Ergodic Dynamical System of Commutative von Neumann Algebra

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Advances in Pure Mathematics 2024年第3期14卷 167-184页

作者： Nicholas o. okeke Murphy E. Egwe Physical and Mathematical Sciences Dominican University Ibadan Nigeria Department of Mathematics University of Ibadan Ibadan Nigeria

Given a compact and regular Hausdorff measure space (X, μ), with μ a Radon measure, it is known that the generalised space M(X) of all the positive Radon measures on X is isomorphic to the space of essentially bounded functions L∞(X, μ) on X. We confirm that the commutative von Neumann algebras M⊂B(H), with H=L2(X, μ), are unitary equivariant to the maximal ideals of the commutative algebra C(X). Subsequenly, we use the measure groupoid to formulate the algebraic and topological structures of the commutative algebra C(X) following its action on M(X) and define its representation and ergodic dynamical system on the commutative von Neumann algebras of M of B(H) .

关键词： Measure Groupoid Groupoid Equivalence Ergodic Action Convolution Algebra von Neumann Algebra Generalized Space

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Ensemble Deep Learning Based Air Pollution Prediction for Sustainable Smart Cities

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Computer Systems Science & Engineering 2024年第3期48卷 627-643页

作者： Maha Farouk Sabir Mahmoud Ragab Adil o.Khadidos Khaled H.Alyoubi Alaa o.Khadidos Information Systems Department Faculty of Computing and Information TechnologyKing Abdulaziz UniversityJeddah21589Saudi Arabia Information Technology Department Faculty of Computing and Information Technology King Abdulaziz UniversityJeddah21589Saudi Arabia 3Department of MathematicsFaculty of ScienceAl-Azhar UniversityNaser CityCairo11884Egypt Center of Research Excellence in Artificial Intelligence and Data Science King Abdulaziz UniversityJeddahSaudi Arabia

Big data and information and communication technologies can be important to the effectiveness of smart *** on the maximal attention on smart city sustainability,developing data-driven smart cities is newly obtained attention as a vital technology for addressing sustainability ***-time monitoring of pollution allows local authorities to analyze the present traffic condition of cities and make *** to air pollution occurs a main environmental problem in smart city *** effect of the deep learning(DL)approach quickly increased and penetrated almost every domain,comprising air pollution ***,this article develops a new Coot optimization Algorithm with an Ensemble Deep Learning based Air Pollution Prediction(CoAEDL-APP)system for Sustainable Smart *** projected CoAEDL-APP algorithm accurately forecasts the presence of air quality in the sustainable smart city *** achieve this,the CoAEDL-APP technique initially performs a linear scaling normalization(LSN)approach to pre-process the input *** air quality prediction,an ensemble of three DL models has been involved,namely autoencoder(AE),long short-term memory(LSTM),and deep belief network(DBN).Furthermore,the CoA-based hyperparameter tuning procedure can be designed to adjust the hyperparameter values of the DL *** simulation outcome of the CoAEDL-APP algorithm was tested on the air quality database,and the outcomes stated the improved performance of the CoAEDL-APP algorithm over other existing systems with maximum accuracy of 98.34%.

关键词： Sustainability smart cities air pollution prediction ensemble learning coot optimization algorithm

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Engineering nanomedicines for immunogenic eradication of cancer cells:Recent trends and synergistic approaches

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Acta Pharmaceutica Sinica B 2024年第6期14卷 2475-2504页

作者： Ahmed o.Elzoghby omar Samir Hagar E.Emam Ahmed Soliman Riham M.Abdelgalil Yomna M.Elmorshedy Kadria A.Elkhodairy Mahmoud L.Nasr Division of Engineering in Medicine and Division of Renal Medicine Department of MedicineBrigham and Women's HospitalHarvard Medical SchoolBoston 02115MAUSA cancer Nanotechnology Research Laboratory(CNRL) Faculty of PharmacyAlexandria UniversityAlexandria 21521Egypt

Resistance to cancer immunotherapy is mainly attributed to poor tumor immunogenicity as well as the immunosuppressive tumor microenvironment(TME)leading to failure of immune *** therapeutic strategies including chemotherapy,radiotherapy,photodynamic,photothermal,magnetic,chemodynamic,sonodynamic and oncolytic therapy,have been developed to induce immunogenic cell death(ICD)of cancer cells and thereby elicit immunogenicity and boost the antitumor immune ***,many challenges hamper the clinical application of ICD inducers resulting in modest immunogenic ***,we outline the current state of using nanomedicines for boosting ICD of cancer ***,synergistic approaches used in combination with ICD inducing nanomedicines for remodeling the TME via targeting immune checkpoints,phagocytosis,macrophage polarization,tumor hypoxia,autophagy and stromal modulation to enhance immunogenicity of dying cancer cells were *** further highlight the emerging trends of using nanomaterials for triggering amplified ICD-mediated antitumor immune *** reticulum localized ICD,focused ultrasound hyperthermia,cell membrane camouflaged nanomedicines,amplified reactive oxygen species(RoS)generation,metallo-immunotherapy,ion modulators and engineered bacteria are among the most innovative *** challenges,merits and demerits of ICD inducer nanomedicines were also discussed with shedding light on the future role of this technology in improving the outcomes of cancer immunotherapy.

关键词： Immunogenic cell death Immunogenic eradication Nanomedicines Drug delivery cancer immunotherapy Antitumor immunity T cells Tumor associated antigens Synergistic immune response

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Smooth muscle cell-specific genetic targeting by Myh11-driven Cre(ER) knockin mice

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Science China Life Sciences 2024年

作者： Enci Wang Ximeng Han Haixiao Wang Kathy o.Lui Bin Zhou Lixin Wang Department of Vascular Surgery Zhongshan Hospital Fudan University Department of cardiology Shanghai Chest Hospital Shanghai Jiao Tong University School of Medicine Pediatric Research Institute The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Department of Chemical Pathology and Li Ka Shing Institute of Health Sciences Prince of Wales Hospital The Chinese University of Hong Kong New Cornerstone Investigator Institute State Key Laboratory of Cell Biology Shanghai Institute of Biochemistry and Cell Biology Center for Excellence in Molecular Cell Science Chinese Academy of SciencesUniversity of Chinese Academy of Sciences Department of Vascular Surgery (Xiamen) Zhongshan hospital Fudan University

Dear editor,Site specific recombinases have been widely used for genome engineering in cardiovascular research (Fu et al., 2024;Huang et al., 2023; Xue et al., 2022). In particular, Cre is the most broadly used recombinase for cell type-specific lineage tracing and gene manipulation in mammals. For smooth muscle cell (SMC)-specific targeting, several SMC promoters including Myh11 (smooth muscle myosin heavy chain), Acta2 (smooth muscle a-2actin), and SM22a (Tagln) have been used to drive Cre or CreER.

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