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Psychogenic non‑epileptic seizures (PNES)in the context of concurrent epilepsy-making the right diagnosis

Acta Epileptologica 2021年第1期3卷 152-162页

作者： Andreas Liampas Sofia Markoula panagiotis zis Markus Reuber Department of Neurology Nicosia New General HospitalNicosiaCyprus Department of Neurology University Hospital of IoanninaIoanninaGreece Medical School University of CyprusNicosiaCyprus Academic Neurology Unit Royal Hallamshire HospitalUniversity of SheffieldSheffieldUK

Epilepsy is a risk factor for the development of psychogenic non-epileptic seizures(PNES)and comorbid epilepsy is recognized as a comorbidity in about 10–30%of patients with *** combination of epileptic and nonepileptic seizures poses a particular diagnostic *** patients with epilepsy,additional PNES may be suspected on the basis of their typical *** possibility of additional PNES should also be considered if seizures fail to respond to antiepileptic drug treatment,in patients with frequent emergency admissions with seizures and in those who develop new types of *** description of semiological details by patients and witnesses can suggest additional *** video recordings can support an initial diagnosis,however,especially in patients with mixed seizure disorders it is advisable to seek further diagnostic confirmation by capturing all habitual seizure types with *** clinical features of PNES associated with epilepsy are similar to those in isolated PNES disorders and include longer duration,fluctuating course,asynchronous movements,pelvic thrusting,side-to-side head or body movement,persistently closed eyes and mouth,ictal crying,recall of ictal experiences and absence of postictal *** can also present as syncope-like episodes with unresponsiveness and reduced muscle *** is no unique epileptological or brain pathology profile putting patients with epilepsy at risk of additional ***,patients with epilepsy and PNES typically have lower educational achievements and higher levels of psychiatric comorbidities than patients with epilepsy *** trauma,including sexual abuse,appears to be a less relevant aetiological factor in patients with mixed seizure disorders than those with isolated PNES,and the gender imbalance(*** greater prevalence in women)is less marked in patients with PNES and additional epilepsy than those with PNES *** sometimes develop after epilepsy surgery.A

关键词： PNES Epilepsy Risk factors Diagnosis

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Assessment of SoilGrids data for soil erosion estimation at watershed scale: A case study in northern Thailand

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Pedosphere 2024年第4期34卷 797-813页

作者： Chike Onyeka MADUEKE Dhruba Pikha SHRESTHA panagiotis NYKTAS Department of Natural Resources Faculty of Geo-information Science and Earth Observation(ITC)University of TwenteEnschede 7500 AEthe Netherlands Department of Applied Earth Sciences Faculty of Geo-information Science and Earth Observation(ITC)University of TwenteEnschede 7500 AEthe Netherlands Department of Soil Science and Land Resources Management Nnamdi Azikiwe UniversityP.M.B.5025AwkaAnambra State 420110Nigeria

Soil erosion has been identified as one of the most destructive forms of land degradation,posing a threat to the sustainability of global economic,social and environmental *** underscores the need for sustainable land management that takes erosion control and prevention into *** requires the use of state-of-the-art erosion prediction *** models often require extensive input of detailed spatial and temporal data,some of which are not readily available in many developing countries,particularly detailed soil *** soil dataset Global Gridded Soil Information(SoilGrids)could potentially fill the data ***,its value and accuracy for soil erosion modelling in the humid tropics is still unknown,necessitating the need to assess its value vis-à-vis field-based *** major objective of this study was to conduct a comparative assessment of the value of SoilGrids and field-based soil data for estimating soil *** samples were collected from five physiographic positions(summit,shoulder,back slope,foot slope,and toe slope)using the soil catena *** were collected using a 5-cm steel sample ring(undisturbed)and a spade(disturbed).Data of the landform,predominant vegetation types,canopy cover,average plant height,land use,soil depth,shear strength,and soil color were recorded for each *** soil samples were subjected to laboratory analysis for saturated hydraulic conductivity,bulk density,particle size distribution,and organic matter *** functions were applied on the SoilGrids and field-based data to generate soil hydrological *** resultant field-based data were compared with the SoilGrids data for corresponding points/areas to determine the potential similarities of the two *** datasets were then used as inputs for soil erosion assessment using the revised Morgan-Morgan-Finney *** results from both datasets were again compared to determine the degree of *** r

关键词： hillslope modelling pedotransfer function similarity assessment soil erosion modelling soil loss soil survey

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Bioinspired supramolecular macrocycle hybrid membranes with enhanced proton conductivity

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Nano Research 2024年第2期17卷 797-805页

作者： Pengfei Yang Linlin Xu panagiotis Trogadas Marc-Olivier Coppens Yang Lan Centre for Nature Inspired Engineering Department of Chemical EngineeringUniversity College LondonLondon WC1E 7JEUK

Enhancing the proton conductivity of proton exchange membranes(PEMs)is essential to expand the applications of proton exchange membrane fuel cells(PEMFCs).Inspired by the proton conduction mechanism of bacteriorhodopsin,cucurbit[n]urils(CB[n],where n is the number of glycoluril units,n=6,7,or 8)are introduced into sulfonated poly(ether ether ketone)(SPEEK)matrix to fabricate hybrid PEMs,employing a nature-inspired chemical engineering(NICE)*** carbonyl groups of CB[n]act as proton-conducting sites,while the host–guest interaction between CB[n]and water molecules offers extra protonconducting ***,the molecular size of CB[n]aids in their dispersion within the SPEEK matrix,effectively bridging the unconnected proton-conducting sulfonic group domains within the SPEEK ***,all hybrid membranes exhibit significantly enhanced proton ***,the SPEEK membrane incorporating 1 wt.%CB[8](CB[8]/SPEEK-1%)demonstrates the highest proton conductivity of 198.0 mS·cm^(−1) at 60°C and 100%relative humidity(RH),which is 228%greater than that of the pure SPEEK membrane under the same ***,hybrid membranes exhibit superior fuel cell *** CB[8]/SPEEK-1%membrane achieves a maximum power density of 214 mW·cm^(−2),representing a 140%improvement over the pure SPEEK membrane(89 mW·cm^(−2))at 50°C and 100%*** findings serve as a foundation for constructing continuous proton-conducting pathways within membranes by utilizing supramolecular macrocycles as fuel cell electrolytes and in other applications.

关键词： supramolecular macrocycle proton conductivity cucurbit[n]uril proton exchange membrane fuel cell

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Extending the decision-making process during yellow phase from human drivers to autonomous vehicles:A microsimulation study with safety considerations

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Journal of Traffic and Transportation Engineering(English Edition) 2024年第2期11卷 362-379页

作者： Efthymis Papadopoulos Anastasia Nikolaidou Emmanouil Lilis Ioannis Politis panagiotis Papaioannou Transport Engineering Laboratory School of Civil EngineeringFaculty of EngineeringAristotle University of ThessalonikiThessaloniki 54124Greece

One of the main factors affecting the safety of signalised intersections is the stop/go behaviour during the yellow *** previous research has exhaustively examined drivers’stop/go decision-making,the expected autonomous vehicles’(AVs’)stop/go behaviour has not yet been thoroughly *** a series of simulation experiments developed for conventional and autonomous vehicles using different carfollowing,lane-changing,lateral placement and stop/go model parameter values,we examine here whether the default VISSIM stop/go parameter values can adequately replicate the observed drivers’behaviour at the considered intersection and assess the suitability of using the currently available options,albeit referring to human drivers,to simulate the expected stop/go behaviour of *** also propose a policy framework for determining the desired behaviour of AVs in yellow interval,which is integrated into an AVs logic and achieved in the last simulation to explore the effect of automation on the stop/go outcome and,hence,on the safety level of signalised *** data analysis and modeling techniques were used for the formulation of certain scenarios,including binary choice *** default stop/go parameter values were found unfit to replicate the observed stop/go behaviour and subjected to *** to the currently available options,the proposed AVs logic proved to produce the most accurate results,in terms of the stop/go simulation *** the impact of automation on the stop/go outcome,the simulation experiments showed that AVs preferred a more conservative behaviour in favor of road safety,as indicated by the significant reduction(≈15%)in the number of vehicles crossing the stop line during the yellow light and zero instances of red light ***,compared to the conservative drivers represented by the default stop/go parameter values,AVs preferred a more rational behaviour in favor of intersection capacit

关键词： Driver behaviour AVs behaviour Signalised intersection Choice model Micro-simulation Policy framework

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Single-center experience with Knee+^(TM) augmented reality navigation system in primary total knee arthroplasty

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World Journal of Orthopedics 2024年第3期15卷 247-256页

作者： Evangelos Sakellariou panagiotis Alevrogiannis Fani Alevrogianni Athanasios Galanis Michail Vavourakis panagiotis Karampinas panagiotis Gavriil John Vlamis Stavros Alevrogiannis The 3^(rd)Department of Orthopaedic Surgery National&Kapodistrian University of AthensKAT General HospitalAthens 14561Greece The 1^(st)Department of Orthopaedic Surgery National&Kapodistrian University of AthensAttikon General HospitalAthens 14561Greece Department of Anesthesiology KAT General HospitalAthens 14561Greece Department of Robotic Hip&Knee Orthopaedic Surgery Metropolitan General HospitalAthens 14561Greece

BACKGROUND Computer-assisted systems obtained an increased interest in orthopaedic surgery over the last years,as they enhance precision compared to conventional *** expansion of computer assistance is evolving with the employment of augmented ***,the accuracy of augmented reality navigation systems has not been *** To examine the accuracy of component alignment and restoration of the affected limb’s mechanical axis in primary total knee arthroplasty(TKA),utilizing an augmented reality navigation system and to assess whether such systems are conspicuously fruitful for an accomplished knee *** From May 2021 to December 2021,30 patients,25 women and five men,under-went a primary unilateral *** cases were excluded.A preoperative radiographic procedure was performed to evaluate the limb’s axial *** patients were operated on by the same team,without a tourniquet,utilizing three distinct prostheses with the assistance of the Knee+™augmented reality navigation system in every ***,the same radiographic exam protocol was executed to evaluate the implants’position,orientation and coronal plane *** recorded measurements in 3 stages regarding femoral varus and flexion,tibial varus and posterior ***,the expected values from the Augmented Reality system were *** we calculated the same values after each cut and finally,the same measurements were recorded radiolo-gically after the *** statistical analysis,Lin’s concordance correlation coefficient was estimated,while Wilcoxon Signed Rank Test was performed when *** A statistically significant difference was observed regarding mean expected values and radiographic mea-surements for femoral flexion measurements only(Z score=2.67,P value=0.01).Nonetheless,this difference was statistically significantly lower than 1 degree(Z score=-4.21,P value<0.01).In terms of discrepancies in the calculations of

关键词： Augmented reality Orthopedics Total knee arthroplasty Robotics Knee Navigation

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Assessing the impacts of traffic calming at network level:A multimodal agent-based simulation

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Journal of Traffic and Transportation Engineering(English Edition) 2024年第1期11卷 41-54页

作者： Eftychia Zargiannaki panagiotis G.Tzouras Eleni Antoniou Christos Karolemeas Konstantinos Kepaptsoglou School of Rural Surveying and Geoinformatics EngineeringNational Technical University of AthensZografou 15780Greece

The reduction of speed limits in urban roads through traffic calming schemes intends to ensure safer traffic conditions among road users by reducing the probability related to the occurrence of severe *** it from a different perspective,traffic calming measures can potentially resolve congestion problems at the same time by lowering the overall accessibility and attractiveness of private cars in urban *** study proposes a new methodological approach to explore and assess the direct impacts of traffic calming in the transport system efficiency of a metropolitan *** multi-agent transport simulation(MATSim)and Open-Berlin scenario are utilized to perform this simulation *** developing a new external tool,the free flow speed and road capacity of each network link is updated based on new speed limits and different compliance rates,which are defined per road hierarchy *** test scenarios that are formulated present radical conditions,where the speed limit in most urban roads of Berlin drops to 30 km/h or even 15 km/*** findings of this study show a considerably high increase in trips,passenger hours,and passenger kilometers using public transport modes,when traffic calming links are introduced,the reserve change is observed in private cars *** the speed limits are decreased in inner urban roads in most of the scenarios,the decrease of average travel speed of private cars is not so high as it was ***,private cars are used for longer distances in all test *** drivers seem to use already existed motorways and private road to *** simulations,driver compliance to the new speed limits seems to be a determinant factor that is strongly influenced by the design interventions applied in a traffic calming area.

关键词： Agent-based simulation Traffic calming Impact assessment Urban road network

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Ab initio density response and local field factor of warm dense hydrogen

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Matter and Radiation at Extremes 2024年第5期9卷 48-67页

作者： Tobias Dornheim Sebastian Schwalbe panagiotis Tolias Maximilian P.Böhme Zhandos A.Moldabekov Jan Vorberger Center for Advanced Systems Understanding(CASUS) D-02826 GörlitzGermany Helmholtz-Zentrum Dresden-Rossendorf(HZDR) D-01328 DresdenGermany Space and Plasma Physics Royal Institute of Technology(KTH)Stockholm SE-10044Sweden Technische Universität Dresden D-01062 DresdenGermany

We present quasi-exact ab initio path integral Monte Carlo(PIMC)results for the partial static density responses and local field factors of hydrogen in the warm dense matter regime,from solid density conditions to the strongly compressed *** full dynamic treatment of electrons and protons on the same footing allows us to rigorously quantify both electronic and ionic exchange–correlation effects in the system,and to compare the results with those of earlier incomplete models such as the archetypal uniform electron gas or electrons in a fixed ion snapshot potential that do not take into account the interplay between the two *** full electronic density response is highly sensitive to electronic localization around the ions,and our results constitute unambiguous predictions for upcoming X-ray Thomson scattering experiments with hydrogen jets and fusion *** PIMC results are made freely available and can be used directly for a gamut of applications,including inertial confinement fusion calculations and the modeling of dense astrophysical ***,they constitute invaluable benchmark data for approximate but computationally less demanding approaches such as density functional theory or PIMC within the fixed-node approximation.

关键词： local incomplete rigorous

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Non-coronary myocardial infarction in myasthenia gravis: Case report and review of the literature

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World Journal of Cardiology 2013年第7期5卷 265-269页

作者： panagiotis zis Stavros Dimopoulos Vasiliki Markaki Antonios Tavernarakis Serafim Nanas Department of Neurology Evangelismos Hospital10676 AthensGreece 1st Critical Care Medicine Department Evangelismos HospitalNational Kapodistrian University of Athens10676 AthensGreece

Cardiovascular adverse events in patients with myasthenia gravis (MG) are rare, but the early recognition of such events is crucial. We describe a case of a noncoronary myocardial infarction (MI) during the initial treatment period with pyridostigmine bromide in a female patient with MG. Clinicians should be cautious about the appearance of potential MI in patients with MG. A baseline electrocardiogram is advocated, when the early recognition of the MI clinical signs and the laboratory findings (myocardial markers) are vital to the immediate and appropriate management of this medical emergency, as well as to prevent future cardio-vascular events. In this case report possible causes of myocardial adverse events in the context of MG, which may occur during the ongoing treatment and the clinical course of the disease, are discussed.

关键词： Myasthenia gravis Myocardial infarction Pyridostigmine

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Primary unifocal penile follicular center non-Hodgkin lymphoma:Report of a rare case and review of the literature

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Asian Journal of Urology 2024年第1期11卷 134-136页

作者： Nikolaos Kostakopoulos Christos Masaoutis Vasileios Argyropoulos Varvara Pantelaion panagiotis Theodoropoulos panagiotis Kouroupakis Athanasios Kostakopoulos 1st Department of Urology Metropolitan General HospitalAthensGreece Department of Pathology Metropolitan General HospitalAthensGreece Department of Pathology Evangelismos General Hospital of AthensGreece 2nd Department of Surgery Evangelismos General Hospital of AthensGreece Department of Haematology Sismanogleio General HospitalAthensGreece

Dear Editor,We present a rare case of a primary penile follicular center non-Hodgkin lymphoma and a review of the available literature on this condition.A BCL2 gene transposition which was identified with fluorescent in situ hybridization(FISH)molecular analysis is a unique manifestation not previously reported to the best of our knowledge.A 67-year-old man presented with a 3-month history of a small nodule on the left side of the corona of glans *** patient had no significant medical or family *** patient underwent excision and biopsy of the penile lesion with a 0.5 cm macroscopic margin under local anesthesia and *** was discharged on the day of surgery,and there were no postoperative complications or adverse *** informed consent was obtained from thepatient.

关键词： anesthesia lymphoma rare

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Mn-based MXene with high lithium-ion storage capacity

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Nano Research 2024年第5期17卷 4181-4191页

作者： Yanyan Wu Dongqing Liu Xiaonan Wang Usman Ghani Muhammad Asim Mushtaq Jinfeng Yang Huarui Sun panagiotis Tsiakaras Xingke Cai School of Science and Ministry of Industry and Information Technology Key Laboratory of Micro-Nano Optoelectronic Information System Harbin Institute of Technology ShenzhenShenzhen 5180552 China Collaborative Innovation Center of Extreme Optics Shanxi UniversityTaiyuan 030006China Institute for Advanced Study Shenzhen UniversityShenzhen 518060China College of Mechatronics and Control Engineering Shenzhen UniversityShenzhen 518060China Laboratory of Alternative Energy Conversion Systems Department of Mechanical EngineeringSchool of EngineeringUniversity of ThessalyPedion Areos 38834Greece

3d-transition metal(Fe,Co,Ni,and Mn)-based MXene materials have been predicted to demonstrate exceptional electrochemical performance because of their good electrical conductivity and the presence of metallic atoms with multiple charge ***,until now,there have been no reports on MXenes based on Fe,Co,Ni,and Mn,due to the lack of 3d-metal-layered ***,we successfully synthesized the first 3d-transition metal-based MXenes,Mn_(2)CT_(x) by exfoliating a layered precursor derived from the anti-perovskite bulk *** as-prepared Mn_(2)CT_(x) MXene nanosheets were employed as anode materials in lithium-ion batteries,which exhibited stable storage capacity of 764.7 mAh·g^(-1) at 0.5 C,placing its storage capacities at an upper-middle level compared with other reported MXene materials as well as other Mn-based anode ***,this study opens a new avenue for MXene research by synthesizing 3d-transition metal-based MXenes for electrochemical applications.

关键词： Mn_(3)GaC Mn_(2)CT_(x) MXenes lithium-ion battery anode materials negative fading capacity

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