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A Retrospective Analysis of Intoxicated Patients Admitted to the Intensive Care Unit: A Single-Institution Assessment in the Post-Pandemic Period

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Journal of biosciences and medicines 2024年第3期12卷 159-167页

作者： müge Arikan Abdullah Yeşilkaya büşra Nur Taşdelen İbrahim Özyiğit Department of Anesthesia and Intensive Care Faculty of Medicine Karabuk University Karabuk Turkey

background: The aim of this study was to evaluate the clinical and epidemiological characteristics of patients with acute intoxication admitted to the Intensive Care Unit (ICU). material and methods: An observational retrospective study was conducted on intoxicated patients who admitted to ICU between January 2022 and January 2024. Data were collected from the patients medical records. The demographic characteristics, causes of intoxications, clinical parameters, the mean stay in the ICU, treatment modalities and prognosis were recorded. Results: A total of 2875 critically ill patients were admitted during the study period, and 109 (3.79%) of them were acute intoxications. Their mean of ages was 38.09 ± 12.29. The female-to-male ratio was 1.37/1. Drugs were found to be the primary cause (62.39%) of intoxications, and analgesics, antidepressants, and antibiotics were the most frequent agents. Suicidal attempts were present in 66 patients, most of them were female (62.13%) and between 17 - 24 years (40.91%). The other common causes of intoxications were carbon monoxide (CO) (22.02%), methyl/ethyl alcohol (8.26%) and mushroom (5.50%). The mean stay in the ICU was 2.69 ± 0.89 days. mechanical ventilation was applied to 10 of our patients. Renal replacement therapy was required in 6 patients. Despite all treatments, 6 of our patients died, and we found the mortality rate to be 5.50%. Conclusion: Intoxications were more frequent in young female patients and drugs were the most common cause with suicidal intent. Unfortunately, CO poisoning continues to be a very important problem in our city. These findings provided significant information about the characteristics of intoxications in Karabuk.

关键词： Intoxication Intensive Care Unit Suicidal mortality

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Spatial analysis of Dengue through the reproduction numbers relating to socioeconomic features:Case studies on two brazilian urban centers

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Infectious Disease modelling 2024年第1期9卷 142-157页

作者： Ana T.C.Silva Rejane C.Dorn Lívia R.Tomás Leonardo b.L.Santos Lacita m.Skalinski Suani T.R.Pinho Departamento de Física Universidade Estadual de Feira de SantanaAv.Transnordestinas/n.Novo HorizonteFeira de Santana44036-900BABrazil Instituto de Física Universidade Federal da BahiaRua Barão de Jeremoabo s/nCampus Universitário de OndinaSalvador40170-115BABrazil Centro Nacional de monitoramento e Alertas de Desastres Naturais(CEmADEN) Estrada Dr.Altino Bondensan500São Josédos Campos12247-016SPBrazil Universidade Estadual de Santa Cruz Campus Soane Nazaréde AndradeRodovia Jorge AmadoKm 16SalobrinhoIlhéus45662-900BABrazil Instituto de Saúde Coletiva Universidade Federal da BahiaR.Basílio da Gamas/n-CanelaSalvador40110-140BABrazil Instituto Nacional de Ciência e Tecnologia-Sistemas Complexos Virtual InstitutionBrazil

The study of the propagation of infectious diseases in urban centers finds a close connection with their population's social characteristics and *** work performs a spatial analysis of dengue cases in urban centers based on the basic reproduction numbers,R0,and incidence by planning areas(PAs),as well as their correlations with the Human Development Index(HDI)and the number of *** analyzed dengue epidemics in 2002 at two brazilian urban centers,belo Horizonte(bH)and Rio de Janeiro(RJ),using PAs as spatial *** results reveal heterogeneous spatial scenarios for both cities,with very weak correlations between R0 and both the number of trips and the HDI;in bH,the values of R0 show a less spatial heterogeneous pattern than in *** bH,there are moderate correlations between incidence and both the number of trips and the HDI;meanwhile,they weakly correlate for ***,the absence of strong correlations between the considered measures indicates that the transmission process should be treated considering the city as a whole.

关键词： Dengue mathematical mode lbasic reproduction number Urban m.b.lity Urban indices

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Simulation and experimentation of Propeller-Savonius turbine tested underwater surface

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Clean Energy 2024年第3期8卷 20-33页

作者： Sri Wuryanti Teguh Sasono bambang P.manunggal Wahyu b.mursanto Sugianto Department of Energy Conversion Engineering Politeknik Negeri BandungIndonesia Department of mechanical Engineering Politeknik Negeri BandungIndonesia

Indonesia’s vast maritime territory offers a unique opportunity for harnessing the potential Energy of seawater *** study explores the effectiveness of a combined Savonius and propeller-type turbine *** Savonius turbine,known for its efficiency in capturing ocean currents due to its large sweep area,is combined with a propeller-type turbine to enhance rotational speed and power generation.A novel approach is employed to induce turbulence and optimize energy extraction,first channeling water through the propeller turbine and then into the Savonius turbine.A comprehensive investigation is conducted through simulations and experimental tests within a controlled tunnel *** study explores the performance of two-bladed and three-bladed Propeller-Savonius configurations at varying inlet water velocities(0.1,0.3,0.6 and 1.0 m/s).The simulation incorporates a turbulence model with 5%intensity and a hydraulic diameter of 0.216 *** indicate that the proposed configuration achieves a maximum power output of 2.0293 W with an impressive efficiency of 63.339%in ***,experimental testing yields a peak efficiency of 61.335%and turbine power of 0.3951 *** findings demonstrate the feasibility of the combined turbine system and highlight the importance of turbulence in optimizing energy extraction from seawater *** research contributes valuable insights into the design and performance of hybrid turbines for harnessing oceanic Energy,emphasizing the potential for sustainable power generation in maritime *** methodology and results presented herein offer a foundation for further exploration and refinement of seawater current energy conversion technologies.

关键词： hydro-turbine propeller-Savonius renewable energy water

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Additively manufactured Ti–Ta–Cu alloys for the next-generation load-bearing implants

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International Journal of Extreme manufacturing 2024年第1期6卷 353-374页

作者： Amit bandyopadhyay Indranath mitra Sushant Ciliveri Jose D Avila William Dernell Stuart b Goodman Susmita bose W.m.Keck biomedical materials Research Laboratory School of Mechanical and Materials EngineeringWashington State UniversityPullmanWA 99164United States of America Veterinary Clinical Sciences College of Veterinary MedicineWashington State UniversityPullmanWA 99164United States of America Department of Orthopedic Surgery Stanford University Medical CenterRedwood CityCA 94063United States of America

bacterial colonization of orthopedic implants is one of the leading causes of failure and clinical complexities for load-bearing metallic implants. Topical or systemic administration of antibiotics may not offer the most efficient defense against colonization, especially in the case of secondary infection, leading to surgical removal of implants and in some cases even limbs. In this study, laser powder bed fusion was implemented to fabricate Ti3Al2V alloy by a 1:1 weight mixture of CpTi and Ti6Al4V powders. Ti-Tantalum(Ta)–Copper(Cu) alloys were further analyzed by the addition of Ta and Cu into the Ti3Al2V custom alloy. The biological,mechanical, and tribo-biocorrosion properties of Ti3Al2V alloy were evaluated. A 10 wt.% Ta(10Ta) and 3 wt.% Cu(3Cu) were added to the Ti3Al2V alloy to enhance biocompatibility and impart inherent bacterial resistance. Additively manufactured implants were investigated for resistance against Pseudomonas aeruginosa and Staphylococcus aureus strains of bacteria for up to 48 h. A 3 wt.% Cu addition to Ti3Al2V displayed improved antibacterial efficacy, i.e.78%–86% with respect to CpTi. mechanical properties for Ti3Al2V–10Ta–3Cu alloy were evaluated, demonstrating excellent fatigue resistance, exceptional shear strength, and improved tribological and tribo-biocorrosion characteristics when compared to Ti6Al4V. In vivo studies using a rat distal femur model revealed improved early-stage osseointegration for alloys with10 wt.% Ta addition compared to CpTi and Ti6Al4V. The 3 wt.% Cu-added compositions displayed biocompatibility and no adverse infammatory response in vivo. Our results establish the Ti3Al2V–10Ta–3Cu alloy’s synergistic effect on improving both in vivo biocompatibility and microbial resistance for the next generation of load-bearing metallic implants.

关键词： Ti6Al4V load-bearing implants additive manufacturing 3D printing antibacterial performance

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A FLEXIbLE ObJECTIVE-CONSTRAINT APPROACH AND A NEW ALGORITHm FOR CONSTRUCTING THE PARETO FRONT OF mULTIObJECTIVE OPTImIZATION PRObLEmS

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Acta mathematica Scientia 2024年第2期44卷 702-720页

作者： N.HOSEINPOOR m.GHAZNAVI Faculty of mathematical Sciences Shahrood University of TechnologyShahroodIran

In this article, a novel scalarization technique, called the improved objective-constraint approach, is introduced to find efficient solutions of a given multiobjective programming problem. The presented scalarized problem extends the objective-constraint problem. It is demonstrated that how adding variables to the scalarized problem, can lead to find conditions for (weakly, properly) Pareto optimal solutions. Applying the obtained necessary and sufficient conditions, two algorithms for generating the Pareto front approximation of bi-objective and three-objective programming problems are designed. These algorithms are easy to implement and can achieve an even approximation of (weakly, properly) Pareto optimal solutions. These algorithms can be generalized for optimization problems with more than three criterion functions, too. The effectiveness and capability of the algorithms are demonstrated in test problems.

关键词： multiobjective optimization Pareto front scalarization objective-constraint approach proper efficient solution

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The role of N-glycosylation in cancer

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Acta Pharmaceutica Sinica b 2024年第3期14卷 1098-1110页

作者： Yu Lin David m.Lubman Department of Surgery University of Michigan Medical CenterAnn ArborMI 48109USA

Despite advances in understanding the development and progression of cancer in recent years,there remains a lack of comprehensive characterization of the cancer *** play an important role in medicine and are involved in various human disease conditions including ***-moieties participate in fundamental cancer processes like cell signaling,invasion,angiogenesis,and *** N-glycosylation significantly impacts cancer processes and targeted therapies in ***,understanding N-glycosylation in a tumor is essential for comprehending disease progression and discovering anti-cancer targets and biomarkers for therapy monitoring and *** review presents the fundamental process of protein N-glycosylation and summarizes glycosylation changes in tumor cells,including increased terminal sialylation,N-glycan branching,and ***,the role of N-glycosylation in tumor signaling pathways,migration,and metabolism are *** and glycopeptides as potential biomarkers for early detection of cancer based on site specificity have been ***,understanding and exploring the cancer glycoproteome,along with its role in medicine,implication in cancer and other human diseases,highlights the significance of N-glycosylation in tumor processes,necessitating further research for potential anticancer targets and biomarkers.

关键词： N-Glycosylated proteins Cancer signaling Cancer angiogenesis Cancer metabolism Cancer biomarkers

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measures of Relative and Absolute Convergence and Pro-poor Growth with an Illustration based on China(2010–2018)

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China & World Economy 2024年第2期32卷 1-41页

作者： Elena bárcena-martin Jacques Silber Yuan Zhang Facultad de Ciencias Económicas y Empresariales Universidad de MálagaSpain Department of Economics Bar-Ilan UniversityIsrael China Center for Economic Studies Fudan UniversityChina

Income m.b.lity is a key issue for understanding the process of economic growth and distributional *** economists have used the concept of“pro-poor growth”to examine,with individual-level panel data,whether the poor benefit more than the rich from economic growth by tracking the extent of income m.b.lity among different population *** is also literature in macroeconomics on the measurement of *** paper introduces population-weighted relative and absolute indices of m.b.lity,convergence,and pro-poor growth;it also distinguishes between anonymous and nonanonymous approaches to these *** empirical analysis is based on Chinese panel data for the period 2010–*** both absolute and relative terms,income growth in China was greater for individuals with an initially lower income but only for lower income deciles in relative *** was also an overall increase in individual welfare from anonymous and nonanonymous perspectives,which was higher among younger *** welfare of the poor did not increase more than that of the *** results shed light on the evolution of income distribution in China during the past decade's rapid economic growth.

关键词： anonymous and nonanonymous approach convergence exchange and structural m.b.lity pro-poor growth

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Did pediatric drug development advance epilepsy treatment in young patients?It is time for new research goals

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World Journal of methodology 2024年第2期14卷 65-74页

作者： Earl b Ettienne Emilio Russo Pasquale Striano Jane m Grant-Kels Klaus Rose College of Pharmacy Howard University College of PharmacyWashingtonDC 20059United States Department of Health Sciences School of MedicineRussoUniversity"Magna Graecia"of CatanzaroCatanzaro 88100Italy IRCCS Istituto Giannina Gaslini Genova 16148Italy Department of Dermatology University of Connecticut Health CenterFarmingtonCT 06032United States klausrose Consulting Pediatric Drug Development and moreMedical ScienceCH-4125 RiehenSwitzerland

modern drugs have changed epilepsy,which affects people of all ***,for young people with epilepsy,the framework of drug development has *** the wake of the thalidomide catastrophe,the misconception emerged that for peoplemedications(ASms),need separate proof of efficacy and safety,overall called"pediatric drug development".For ASms,this has changed to some *** now accept that ASms are effective inbut they still require"extrapolation of efficacy,"as if minors were another *** a result,some of the pediatric clinical epilepsy research over the past decades was *** more importantly,this has hampered research on meaningful research *** do not need to confirm that ASms work before as they do after the 18th ***,we need to learn how to prevent brain damage in young patients by preventing seizures and optimize ASms’*** we discuss how to proceed in this endeavor.

关键词： Epilepsy Pediatric drug development Therapeutic orphans Antiseizure medications Pediatric investigation plan Clinical pharmacology

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Synergistic Interactions of Soil and Vegetation in Agroforestry Systems in mitigating Climate Change in Upper East Region, Ghana

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American Journal of Climate Change 2024年第2期13卷 140-162页

作者： Joshua A. Adombire Abdul-Wahab m. Imoro Eunice Essel Nang b. Douti Department of Environmental Science C. K. Tedam University of Technology and Applied Sciences Navrongo Ghana Department of Forestry and Forest Resources management University for Development Studies Tamale Ghana Department of Crop Science and biotechnology C. K. Tedam University of Technology and Applied Sciences Navrongo Ghana

Climate change has been a global pandemic with its adverse impacts affecting environments and livelihoods. This has been largely attributed to anthropogenic activities which generate large amounts of Green House Gases (GHGs), notably carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O) among others. In the Upper East of Ghana, climate change manifests in erratic rainfalls, drought, high temperatures, high wind speeds, high intensity rainfall, windstorms, flooding, declining vegetation cover, perennial devastating bushfires etc. Practices such as burning farm residues, use of dung as fuel for cooking, excessive application of nitrogenous fertilizers, and deforestation that are prevalent in the region exacerbate the situation. Although, efforts made by governmental and none-governmental organizations to mitigate climate change through afforestation, agroforestry and promotion of less fuelwood consuming cook stoves, land management practices antagonize these efforts as more CO2 is generated than the carrying capacity of vegetation in the region. Research findings have established the role of trees and soil in carbon sequestration in mitigating climate. However, there is limited knowledge on how the vegetation and soil in agroforestry interplay in mitigation climate change. It is against this background that this review seeks to investigate how vegetation and soil in an agroforestry interact synergistically to sequester carbon and contribute to mitigating climate change in Upper East region of Ghana. In this review, it was discovered soil stored more carbon than vegetation in an agroforestry system and is much effective in mitigating climate change. It was found out that in order to make soil and vegetation in an agroforestry system interact synergistically to effectively mitigate climate change, Climate Smart Agriculture practice which integrates trees, and perennials crops effectively mitigates climate. The review concluded that tillage practices that ensure r

关键词： Climate Change Carbon Sequestration Agroforestry Photosynthesis Nutrient mining Synergistic

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Storylines of family medicine Ⅻ:family medicine and the healthcare system

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Family medicine and Community Health 2024年第S03期12卷 109-118页

作者： William.b.Ventres Leslie A Stone Jeannette E South-Paul Kendall m Cam.b.ll Aerial R Petty Hima Ekanadham Kurt C Stange Rebecca S Etz William L miller Robert L Ferrer marianna Kong Thomas bodenheimer Roger Strasser Sharon C m Reece Joshua Freeman John m Westfall Family and Preventive medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA meharry medical College NashvilleTennesseeUSA Family medicine University of Texas Medical Branch at Galveston School of MedicineGalvestonTexasUSA Family medicine Residency Program New York-Presbyterian Columbia University Medical CenterNew YorkNew YorkUSA Center for Family and Community medicine Columbia University Vagelos College of Physicians and SurgeonsNew YorkNew YorkUSA Center for Community Health Integration Case Western Reserve University School of MedicineClevelandOhioUSA Family medicine and Population Health Virginia Commonwealth University School of MedicineRichmondVirginiaUSA Family medicine Lehigh Valley Health NetworkAllentownPennsylvaniaUSA University of South Florida morsani College of medicine TampaFloridaUSA Family and Community medicine UT Health San Antonio Long School of MedicineSan AntonioTexasUSA Family and Community medicine University of California San Francisco School of MedicineSan FranciscoCaliforniaUSA Northern Ontario School of medicine University SudburyOntarioCanada Family medicine Baylor Scott and White HealthTempleTexasUSA Family medicine University of Kansas School of MedicineKansas CityKansasUSA DARTNet Insitute AuroraColoradoUSA

Storylines of Family medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine,as interpreted by individual family physicians and medical educators in the USA and elsewhere around the ***‘Ⅻ:Family medicine and the future of the healthcare system’,authors address the following themes:‘Leadership in family medicine’,‘becoming an academic family physician’,‘Advocare—our call to act’,‘The paradox of primary care and three simple rules’,‘The quadruple aim—melding the patient and the health system’,‘Fit-for-purpose medical workforce’,‘Universal healthcare—coverage for all’,‘The futures of family medicine’and‘The 100th essay.’may readers of these essays feel empowered to be part of family medicine’s exciting future.

关键词： system illustration family

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