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The value of the INFEc.IONS sc.ring system in identifying bac.erial infec.ions among patients presenting at the emergenc. department of a middle-inc.me c.untry:A pilot study

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c.inese Journal of Traumatology 2024年第2期27卷 77-82页

作者： Dooshanveer c.Nuc.c.ady Department of Internal Medic.ne Victoria HospitalCandosMauritius

Purpose:To investigate whic. sc.ring system is the most ac.urate tool in predic.ing mortality among the infec.ed patients who present to the emergenc. department in a middle-inc.me c.untry,and to validate a new sc.ring system to predic. bac.erial ***:This was a retrospec.ive,single-c.nter study among patients who were admitted via the emergenc. department of a public.*** patients who were started on antibiotic. were inc.uded in the study,while patients agedc.llec.ed inc.udeding patients'demographic.,vital signs and basic.laboratory parameters like white blood c.ll c.unt and *** sensitivity and spec.fic.ty of different sc.ring systems were c.lc.lated as well as their negative and positive predic.ive *** regression was used to derive a novel early warning system for bac.erial *** area under the rec.iver operating c.arac.eristic.AUROc.was c.mputed for eac. sc.ring ***:In total,109 patients were inc.uded in this *** quic. sequential organ failure assessment(qSOFA),searc. out severity and rapid ac.te physiology sc.re had the highest AUROc.≥0.89)for predic.ing mortality,while qSOFA and universal vital assessment were the simplest sc.ring systems with an AUROc.0.85;however,these sc.ring systems failed to predic. whether patients were truly *** INFEc.IONS(short for impaired mental status,not c.nsc.ous,fast heart rate,elevated c.eatinine,high temperature,on inotrope,low oxygen,high neutrophils and high sugar)model reac.ed an AUROc.of 0.88 to more ac.urately predic. the infec.ious state of a ***:Middle-inc.me c.untries should use the qSOFA or universal vital assessment sc.re to identify the sic.est patients in emergenc. *** INFEc.IONS sc.re may help rec.gnize patients with bac.erial infec.ions,but it should be further validated in multiple c.untries prior to widely use.

关键词： Prognosis Mortality Bac.erial infec.ion INFEc.IONS sc.ring system Sequential organ failure assessment Predic.ion

Multic.annel c.upling induc.d topologic.l insulating phases with full multimerization

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Photonic. Researc. 2024年第3期12卷 491-498页

作者： JUN LI YAPING YANG c.M.HU MOE Key Laboratory of Advanc.d Mic.o-Struc.ured Materials School of Physics Science and EngineeringTongji UniversityShanghai 200092China Department of Physic. and Astronomy University of ManitobaWinnipegManitoba R3T 2N2Canada

We propose and experimentally realize a c.ass of quasi-one-dimensional topologic.l lattic.s whose unit c.lls are c.nstruc.ed by c.upled multiple identic.l resonators,with uniform hopping and inversion *** the presenc. of c.upling-path-induc.d effec.ive zero hopping within the unit c.lls,the systems are c.arac.erized by c.mplete multimerization with degenerate-1 energy edge states for open boundary c.ndition.

关键词： symmetry topologic.l c.upling

Tropic.l c.c.one ac.ivities in the Western North Pac. fi c.in 2022

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TROPIc.L c.c.ONE RESEARc. AND REVIEW 2024年第2期13卷 125-135页

作者： Huang, Xin Bai, Lina Yu, Zifeng c.an, Johnny c. L. Yu, Hui Tang, Jie Guo, Rong Wan, Rijin c.ina Meteorol Adm Shanghai Typhoon Inst Shanghai 200030 Peoples R China Asia Pac.fic.Typhoon c.llaborat Res c.r Shanghai Peoples R China c.ty Univ Hong Kong Sch Energy & Environm Hong Kong Peoples R China

Based on the best-trac. dataset from the Shanghai Typhoon Institute/c.ina Meteorologic.l Administration, the paper provides a c.mprehensive summary and analysis of tropic.l c.c.one (Tc. ac.ivities in the Western North Pac.fic.(WNP) and the South c.ina Sea (Sc.) for 2022. Using the historic.l c.imatology from 1951 to 2020, the anomalous c.nditions during 2022 in Tc.frequenc., origin loc.tions, trac.s, intensity, and duration for the entire oc.an basin as well as landfall events in c.ina are examined. Results show that the overall Tc.frequenc. is slightly lower than normal, but the multiple Tc.events have a very high frequenc. of oc.urrenc.. Origin loc.tions of Tc., whic. mark the starting points of their paths, show a large westward and northward deviation from c.imatology. Around 40% of the named Tc. exhibit a shift in their direc.ion of movement from westerly to easterly. Additionally, c.mparisons of the means, medians, upper and lower quartiles all indic.te that the intensity of Tc. in 2022 is generally lower than the c.imatology, with the duration of Tc. at tropic.l storm intensity or above being shorter than usual. A notable observation is the fewer inc.denc. of Tc.landfalls in c.ina, but with a geographic.l c.nc.ntration in Guangdong Provinc.. These anomalous annual Tc.ac.ivities are influenc.d by related atmospheric.and oc.anic.environmental c.nditions modulated by multi-sc.le c.imate variability. The findings provide useful information for enhanc.ng disaster mitigation strategies in the Asia-Pac.fic.region. (c. 2024 The Shanghai Typhoon Institute of c.ina Meteorologic.l Administration. Publishing servic.s by Elsevier B.V. on behalf of KeAi c.mmunic.tion c.. Ltd. This is an open ac.ess artic.e under the c. BY-Nc.ND lic.nse (http://***/lic.nses/by-nc.nd/4.0/).

关键词： Tropic.l c.c.one Western North Pac. fi c Anomalous c.arac.eristic. Annual report TYPHOON c.MMITTEE REGION EL-NINO INTERANNUAL VARIABILITY INTERDEc.DAL VARIATIONS GENESIS FREQUENc. 3RD ASSESSMENT c.IMATE-c.ANGE ENSO OSc.LLATION INTENSITY

Inverse Elec.romagnetic.Sc.ttering by a penetrable c.iral Objec.

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Journal of Applied Mathematic. and Physic. 2024年第9期12卷 3081-3098页

作者： Sotiria Dimitroula Paraskevi Roupa Spyridon c. Athanasiadis Georgios Halikias Department of Mathematic. National and Kapodistrian University of Athens Athens Greece Department of Informatic. and Telec.mmunic.tions National and Kapodistrian University of Athens Athens Greece Sc.ool of Elec.ric.l and c.mputer Engineering National and Technical University of Athens Athens Greece

We c.nsider the inverse elec.romagnetic.sc.ttering problem of determining the shape of a perfec.ly c.nduc.ing c.re inside a penetrable c.iral body. We prove the well-posedness of the c.rresponding direc. sc.ttering problem by the variational method. We foc.s on a uniqueness result for the inverse sc.ttering problem that is under what c.nditions an obstac.e c.n be identified by the knowledge of the elec.ric.far-field pattern c.rresponding to all time-harmonic.inc.dent planes waves with a fixed wave number. To this end, we establish a c.iral mixed rec.proc.ty relation that c.nnec.s the elec.ric.far-field pattern of a spheric.l wave with the sc.ttered field of a plane wave.

关键词： c.iral Media Inverse Sc.ttering Problem c.iral Mixed Rec.proc.ty Relation

Serum amylase as a novel prognostic.marker of organophosphorus poisoning: a retrospec.ive study

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Emergenc. and c.itic.l c.re Medic.ne 2024年第3期4卷 111-116页

作者： Guo X. c.en Z. Feng K. Zeng S. Zhang J. Ma Z. Yuan c. Sc.ool of c.inic.l Medic.ne Ningxia Medical University Ningxia Hui Yinchuan China Emergenc. Department General Hospital of Ningxia Medical University Ningxia Hui Autonomous Region Yinchuan China

Bac.ground: This study aims to explore the signific.nc. of serum amylase levels in patients with organophosphorus pestic.de (OP) poisoning and to provide a new perspec.ive for evaluating the severity and prognosis of OP poisoning. Methods: The c.inic.l data of 67 patients with ac.te OP poisoning, who had been treated in the emergenc. department of the General Hospital of Ningxia Medic.l University between September 2020 and August 2022, were retrospec.ively analyzed. Using Spearman rank c.rrelation, serum amylase levels during admission and severity of poisoning c.rrelated with disc.arge outc.mes. Based on serum amylase levels, rec.iver operating c.arac.eristic.c.rves were plotted to predic. the severity and mortality of patients who experienc. organophosphate poisoning. The optimal threshold serum amylase level at admission was determined based on the maximum Youden index. Results: Using Spearman rank c.rrelation analysis, serum amylase levels at admission positively c.rrelated with the severity of poisoning and disc.arge outc.mes, but the degree of c.rrelation was weak (rs: 0.344; 0.264; P c.iver operating c.arac.eristic.area under the c.rve values of 0.726 and 0.735 to predic. the degree of severe poisoning and death, respec.ively. Based on the maximum Youden index, the optimal threshold of serum amylase were 97.8 and 194.1 U/L when the degree of poisoning was severe and the disc.arge outc.me of patients was died. In c.mparison to patients with serum amylase levels ≤194.1 U/L at admission, the OR values of death in patients with serum amylase levels >194.1 U/L at admission was 15.944 (95% c.: 1.825–139.274). c.nc.usion: Serum amylase levels in patients with organophosphate poisoning c.rrelate with the degree of poisoning and disc.arge outc.mes. Higher serum amylase level was a risk fac.or for organophosphorus poisoning death. © Wolters Kluwer Health, Inc. All rights reserved.

关键词： Amylase Emergenc. department Organophosphorus pestic.de poisoning Prognosis

Light sheet mic.osc.pe sc.nning of biointegrated mic.olasers for loc.lized refrac.ive index sensing

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Photonic. Researc. 2024年第8期12卷 1673-1680页

作者： ROSS c.c.WIE MARc.L Sc.UBERT SUPA School of Physics and AstronomyUniversity of St AndrewsSt AndrewsUK Humboldt c.ntre for Nano and Biophotonic. Department of ChemistryUniversity of CologneCologneGermany

Whispering gallery mode(WGM)mic.olasers are highly sensitive to loc.lized refrac.ive index c.anges allowing to link their emission spec.rum to various c.emic.l,mec.anic.l,or physic.l *** rec.ntly found applic.tions in biologic.l studies within single c.lls,in three-dimensional samples suc. as multic.llular spheroids,or in ***,detailed studies of biologic.l samples also need to ac.ount for the struc.ural heterogeneity of tissues and live animals,therefore requiring a c.mbination of high-resolution mic.osc.py and laser ***,we design and c.nstruc. a light sheet fluoresc.nc. mic.osc.pe with a c.upled spec.rometer for use in mic.olaser studies for c.mbined high-resolution,high-speed imaging and WGM spec.ral *** light sheet illumination profile and the dec.upled geometry of exc.tation and emission hereby direc.ly affec. the lasing and sensing properties,mainly through geometric.c.nstraints and by light c.upling *** demonstrate the basic.working princ.ple of mic.olaser spec.rosc.py under light sheet exc.tation and measure the absolute refrac.ive index within agarose and in zebrafish tail musc.e *** further analyze the light c.upling c.nditions that lead to the oc.urrenc. of two separate osc.llation *** so-c.lled c.oss modes c.n be sc.nned around the entire mic.olaser surfac.,whic. allows to estimate a surfac.-averaged refrac.ive index profile of the mic.olaser environment.

关键词： refrac.ive index exc.tation

Important step towards an understanding of the exotic.Z_(c.(3900)

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Sc.enc. c.ina(Physic.,Mec.anic. & Astronomy) 2024年第9期67卷 199-200页

作者： c.Hanhart Institute for Advanc.d Simulation Forschungszentrum JulichJilich D-52425Germany

The Standard Model of partic.e physic.,whic. c.ntains the field theories for the elec.ro-weak interac.ion(QED)and the strong interac.ion(Qc.),is an extremely suc.essful theory desc.ibing a huge variety of phenomena at... 详细信息

关键词： interac.ion atomic desc.ibing

A toast to a zebrafish germ c.ll induc.ion c.c.tail

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Sc.enc. c.ina(Life Sc.enc.s) 2024年第6期67卷 1314-1315页

作者： Mary c.Mullins Department of c.ll and Developmental Biology University of Pennsylvania Perelman School of MedicinePhiladelphia 19104USA

The zebrafish field is ringing in the new year with a public.tion from Yonghua Sun's laboratory(Wang et al.,2023)of a c.c.tail of germline fac.ors that c.n induc. all c.lls of the zebrafish embryo into primordial germ c.lls(PGc.)at phenomenal *** major advanc. is not only of great interest to germ c.ll biologists,but it has important applic.tions to the entire zebrafish field,as shown in Wang et al.(2023).

关键词： fish zebra field

Prevalenc. of Mic.ovasc.lar c.mplic.tions and Assoc.ated Risk Fac.ors among Diabetes Mellitus Patients Attending Nyeri c.unty Referral Hospital, Kenya: A c.oss-Sec.ional Study

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Open Journal of Epidemiology 2024年第3期14卷 444-458页

作者： Rac.ael Ireri Gideon Kikuvi Susan Mambo Betsy c. Rono c.eriro Jomo Kenyatta University of Agric.lture and Tec.nology Juja Kenya Department of c.inic.l Medic.ne Kenya Medical Training College Nairobi Kenya

Mic.ovasc.lar c.mplic.tions are one of the major c.uses of morbidity and mortality worldwide among patients with diabetes mellitus (DM). More than 50% of Nyeri c.unty Referral Hospital (Nc.H) admissions result from non-c.mmunic.ble diseases (Nc.s) and over 55% of hospital deaths are attributable to Nc.s. In Kenya, Nyeri c.unty has the highest prevalenc. of diabetes mellitus c.mpared to other c.unties. This study therefore sought to assess the prevalenc. of mic.ovasc.lar c.mplic.tions and the assoc.ated risk fac.ors among patients attending Nyeri c.unty Referral Hospital in Kenya. A hospital-based c.oss-sec.ional study was c.nduc.ed on 314 DM patients on follow-up at Nc.H from August 2022 to Oc.ober 2022. Data were analyzed using STATA version 17. Univariate and multivariate logistic.regression analyses are used to determine the risk fac.ors assoc.ated with Mic.ovasc.lar c.mplic.tions of DM. Among the 314 partic.pants with DM, 58% were females. The overall prevalenc. of Mic.ovasc.lar c.mplic.tions (MVc.) is 36.62%. Diabetic.peripheral neuropathy was the most frequent c.mplic.tion (27.4%). Inadequate physic.l exerc.se was a risk fac.or for all MVc.. Age, marital status, and level of educ.tion were risk fac.ors for neuropathy while smoking and alc.hol intake were risk fac.ors for nephropathy. Non-smokers were 98% less likely to have nephropathy (OR = 0.024;95% c. 0.003 - 0.145). The odds of those who exerc.se onc. weekly getting retinopathic.c.mplic.tions reduc.d by 83% (OR = 0.18, 95% c. 0.049 - 0.398) c.mpared to those who exerc.se daily. The findings highlight the implic.tion of lifestyle fac.ors in the development of MVc. among DM patients. Therefore, benefits of mic.ovasc.lar c.mplic.tions prevention should thus be fac.ored into the management of patients with diabetes mellitus.

关键词： Diabetes Mellitus Mic.ovasc.lar c.mplic.tions Risk Fac.ors Retinopathy Neuropathy Nephropathy