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Target blood pressure in diabetes patients with hypertension——What is the accumulated evidence in 2011?

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2011年第8期12卷 611-623页

作者： peter m.NILSSON Department of Clinical Sciences Lund UniversityUniversity Hospital

There is overwhelming evidence that hypertension is an important risk factor for both macrovascular and microvascular complications in patients with diabetes,but the problem remains to identify appropriate goals for preventive therapies.A number of guidelines (the European Society of Cardiology (ESC)/European Association for the Study of Diabetes (EASD) 2007,the Joint National Committee (JNC)-Ⅶ 2003,the American Diabetes Association (ADA) 2011) have for example advocated a blood pressure goal of less than 130/80 mmHg,but this suggestion has been challenged by findings in recent trials and meta-analyses (2011).The European Society of Hypertension (ESH) therefore recommends a systolic blood pressure goal of "well below" 140 *** on evidence from both randomized controlled trials (hypertension optimal treatment (HOT),action in diabetes and vascular disease:preterax and diamicron mR controlled evaluation (ADVANCE),action to control cardiovascular risk in diabetes (ACCORD)) and observational studies (ongoing telmisartan alone and in combination with ramipril global endpoint trial (ONTARGET),international verapamil-trandolapril study (INVEST),treat to new targets (TNT),and the National Diabetes Register (NDR)),it has been shown that the benefit for stroke reduction remains even at lower achieved blood pressure levels,but the risk of coronary events may be uninfluenced or even increased at lower systolic blood pressure *** a recent meta-analysis,it was therefore concluded that the new recommended goal should be 130-135 mmHg systolic blood pressure for most patients with type 2 *** risk factors should also be controlled with a more ambitious strategy applied in the younger patients with shorter diabetes duration,but a more cautious approach in the elderly and frail patients with a number of vascular or non-vascular *** patients from East Asia,such as China,the stroke risk is relatively higher than the risk of coronary *** must al

关键词： Blood pressure Cardiovascular Diabetes Goal Hypertension Treatment

Fluid and Osmotic Pressure Balance and Volume Stabilization in Cells Dedicated to Professor Karl Stark Pister for his 95th birthday

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Computer modeling in Engineering & Sciences 2021年第12期129卷 1329-1350页

作者： peter m.Pinsky Department of mechanical Engineering Stanford UniversityStanford94305CAUSA

A fundamental problem for cells with their fragile membranes is the control of their *** primordial solution to this problem is the active transport of ions across the cell membrane to modulate the intracellular osmotic *** this work,a theoretical model of the cellular pump-leak mechanism is proposed within the general framework of linear nonequilibrium *** model is expressed with phenomenological equations that describe passive and active ionic transport across cell membranes,supplemented by an equation for the membrane potential that accounts for the electrogenicity of the ionic *** active ionic transport,the model predicts that the intracellular fluid pressure will be balanced by the osmotic pressure and a new pressure component that arises from the active ionic fluxes.A model for the pump-leak mechanism in an idealized human cell is introduced to demonstrate the applicability of the proposed theory.

关键词： Pump-leak mechanism cell volume regulation active ion transport ion pump membrane transport cell mechanics modified Kedem-Katchalsky equations nonequilibrium thermodynamics phenomenological equations

Terrestrial denitrification:challenges and opportunities

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Ecological Processes 2012年第1期1卷 1-11页

作者： peter m Groffman Cary Institute of Ecosystem Studies 2801 Sharon TurnpikeMillbrookNY 12545USA

Denitrification is a process of great environmental importance but is difficult to study in terrestrial *** for quantifying the process are problematic,variability in activity is high,and temporal and spatial scaling challenges are *** methods are problematic for a variety of reasons;they change substrate concentrations,disturb the physical setting of the process,lack sensitivity or are prohibitively costly in time and *** fundamentally,it is very difficult to quantify the dominant end-product(N_(2))of denitrification given its high background concentration in the *** and temporal variation in denitrification is high due to control of the process by multiple factors(oxygen,nitrate,carbon,pH,salinity,temperature etc.)that each vary in time and space.A particular challenge is that small areas(hotspots)and brief periods(hot moments)frequently account for a high percentage of N gas flux *** phenomena are challenging to account for in measurement,modeling and scaling *** need for scaling is driven by the fact that there is a need for information on this microscale process at the ecosystem,landscape and regional scales where there are concerns about nitrogen effects on soil fertility,water quality and air *** this review,I outline the key challenges involved with denitrification and then describe specific opportunities for making progress on these challenges including advances in measurement methods,new conceptual approaches for addressing hotspot and hot moment dynamics,and new remote sensing and geographic information system–based scaling *** of these opportunities suggests that we are poised to make great improvements in our understanding of terrestrial *** improvements will increase our basic science understanding of a complex biogeochemical process and our ability to manage widespread nitrogen pollution problems.

关键词： scaling process landscape

Volcanic Risk Perception and Coping Strategies from mounts Cameroon and Nyiragongo Eruptions, Central Africa: A Comparative Analysis

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Journal of Geoscience and Environment Protection 2024年第6期12卷 161-189页

作者： mabel N. Wantim Innocent Bradriyo Asong F. Zisuh Louis m. Balgawa mero Yannah Katcho Karume Nde-Fon peter Bih Amban Nchini L. Wayih Emmanuel V. Yenshu Samuel N. Ayonghe Unit of Disaster Risk management Department of Environmental Science University of Buea Buea Cameroon Observatoire Volcanologique de Goma (OVG) Goma Democratic Republic of the Congo Institute of Geological and mining Research (IRGm) Yaounde Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Faculty of Social and management Sciences University of Buea Buea Cameroon

Approximately 2,000,000 people are exposed to volcanic risks in communities situated at the flanks of mounts Cameroon (mC) and Nyiragongo (mN) volcanoes in Central Africa. This study therefore sought to investigate risk perception from four previous eruptions of mC, namely the 1959, 1982, 1999, and 2000 eruptions;and two previous eruptions of mN: 1977 and 2002. The study was initiated with co-design workshops held with major stakeholders in the cities of Buea and Goma at the flanks of mC and mN, respectively, in 2017, to develop the research objectives for the study. A non-random questionnaire survey was later conducted within 14 and 15 communities in Buea and Goma respectively, on the effects, perceived risks, and coping strategies for the chosen eruptions. Three age groups (18 - 30, 31 - 45 and >45 years) and gender (male and female) were considered. The population at the flanks of both volcanoes cited scientific and indigenous factors to be responsible for eruptions from these volcanoes. At mC and mN, ≥45% of the sampled participants (with a higher female population) perceived that the sampled eruptions posed a very high risk to the population. In terms of the effects, the age group of 18 - 30 was the least knowledgeable. In terms of direct effect on persons, over 90% of participants at mC and mN attested that they were overcome by fear/panic. On measures to cope with any likely eruption, the following order was established at the flanks of both volcanoes: sensitization of population, use of religious (prayers) and of traditional/indigenous strategies. In terms of future coping strategies, while the males at mC maintained sensitization as the favourite option, 62% of the males at mN opted for traditional/indigenous strategies. The female population at both mC and mN showed a higher preference for religious strategies like prayers.

关键词： Risk Perception mount Cameroon mount Nyiragongo Indigenous Buea Goma

Simulation and calibration of granules using the discrete element method

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Particuology 2014年第1期12卷 40-43页

作者： peter müller Jürgen Tomas Institute of Process Engineering Mechanical Process EngineeringOtto-von-Guericke University MagdeburgUniversitätsplatz 239106 MagdeburgGermany

The discrete element method （DEm）, developed by Cundall and 5track to solve geomecnamcai problems, is used to simulate the mechanical behavior of granules. According to the DEm, an individ ual granule can be modeled as a realistic mechanical system consisting of primary particles bonded by interaction forces. Cranulometric properties of the model material, zeolite 4A, have been measured to determine their macro properties. To investigate the compression behavior, a compression test was performed using a strength tester on single granules between two pistons. A modeled granule consisting of more than 22,000 primary particles was generated. The micro properties of the modeled granule have been precisely set to allow its macro properties to be equivalent to the macro properties of zeolite 4A granules. To calibrate the mechanical properties, diametrical compression was simulated using two rigid walls stressed at a constant stressing velocity, The force-displacement curve of the modeled granule at compression has been calibrated by the experimental curve of zeolite 4A.

关键词： Discrete element method material behavior Granulation

A Transmission Electron microscopy Study of Plate martensite Formation in High-carbon Low Alloy Steels

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Journal of materials Science & Technology 2013年第4期29卷 373-379页

作者： Albin Stormvinter peter Hedstrm Annika Borgenstam Department of materials Science and Engineering School of Industrial Engineering and ManagementKTH Royal Institute of TechnologySE-100 44 StockholmSweden

The martensitic microstructures in two high-carbon low alloy steels have been investigated by classical and automated crystallographic analysis under a transmission electron microscope. It is found that the martensitic substructure changes from consisting mostly of transformation twins for 1.20 mass% carbon （C） steel to both transformation twins and planar defects on {101}m for 1.67 mass% C steel. In the 1.67 mass% C steel it is further found that small martensite units have a rather homogeneous substructure, while large martensite units are more inhomogeneous. In addition, the martensite units in both steels are frequently found to be of zigzag patterns and have distinct crystallographic relationships with neighboring martensite units, e.g. kink or wedge couplings. Based on the present findings the development of martensite in high-carbon low alloy steels is discussed and a schematic of the martensite formation is presented. moreover, whether the schematic view can be applied to plate martensite formation in general, is discussed.

关键词： Transmission electron microscopy High-carbon low alloy steel Plate martensite

On the experimental characterization of the fluid volume influence on the friction between rough surfaces

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Friction 2023年第7期11卷 1334-1348页

作者： Lukas STAHL michael mÜLLER Georg-peter OSTERmEYER Institute of Dynamics and Vibrations Technische Universität BraunschweigBraunschweig 37106Germany

The load-bearing behaviour of lubricated contacts depends primarily on the normal force,the relative velocity,and the ***,with the aid of the Stribeck curve,it is usually well possible to characterize whether hydrodynamics,mixed friction,or boundary friction is more likely to be *** fact that the load regime can also depend on the fluid quantity is obvious,but has hardly been systematically investigated so *** for contacts with microscopic roughness,the defined application of a very small amount of fluid is a very challenging *** this paper,a very fundamental study shows how a pin-on-disc tribometer can be used to achieve the transition from dry friction via mixed friction to predominant hydrodynamics by the amount of supplied *** experiments are carried out on samples filed with different *** addition,the simultaneous influence of partial filling and normal force as well as relative velocity is also *** good reproducibility has been practically reached over the entire range of the *** the quantities for the coefficient of friction(COF),it was concluded that close to full filling,a reduction of the fluid quantity has a similar effect on the COF as the reduction of the *** property goes along with the common theory of starved lubricated *** behaviour was not observed to the same extent for the normal *** the vicinity of smaller fluid quantities,the COF increases very rapidly with further reduction in fluid quantity,far more disproportionately than that with reduction in *** a deeper understanding of this problem,various practical issues such as idling or the run-up process in bearings can also be studied in a more focused manner.

关键词： starved lubrication Stribeck curve pin-on-disc tribometer fluid supply experimental studies

Drug treatment of functional dyspepsia

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World Journal of Gastroenterology 2006年第17期12卷 2694-2700页

作者： Klaus mnkemüller peter malfertheiner Division of Gastroenterology Hepatology and Infectious Diseases Otto-von-Guericke Medical SchoolUniversity of MagdeburgMagdeburgGermany

Symptomatic improvement of patients with functional dyspepsia after drug therapy is often incomplete and obtained in not more than 60% of patients. This is likely because functional dyspepsia is a heterogeneous disease. Although great advance has been achieved with the consensus definitions of the Rome I and II criteria, there are still some aspects about the definition of functional dyspepsia that require clarification. The Rome criteria explicitly recognise that epigastric pain or discomfort must be the predominant complaint in patients labelled as suffering from functional dyspepsia. However, this strict definition can create problems in the daily primary care clinical practice, where the patient with functional dyspepsia presents with multiple symptoms. Before starting drug therapy it is recommended to provide the patient with an explanation of the disease process and reassurance. A thorough physical examination and judicious use of laboratory data and endoscopy are also indicated. In general, the approach to treat patients with functional dyspepsia based on their main symptom is practical and effective. Generally, patients should be treated with acid suppressive therapy using proton-pump inhibitors if the predominant symptoms are epigastric pain or gastroesophageal reflux symptoms. Although the role of Helicobacter pylori （H pylon） in functional dyspepsia continues to be a matter of debate, recent data indicate that there is modest but clear benefit of eradication of H pylori in patients with functional dyspepsia. In addition, H pylori is a gastric carcinogen and if found it should be eliminated. Although there are no specific diets for patients with FD, it may be helpful to guide the patients on healthy exercise and eating habits.

关键词： Functional dyspepsia Drug treatment Helicobacterpylori Predominant symptoms

Gamma-ray bursts and their links with supernovae and cosmology

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Research in Astronomy and Astrophysics 2012年第8期12卷 1139-1161页

作者： peter mszros Neil Gehrels Center for Particle and Gravitational Astrophysics Dept.of Astronomy&Astrophysics and Dept.of Physics Pennsylvania State UniversityUniversity ParkPA 16802USA Astrophysics Science Division NASA Goddard Space Flight CenterGreenbeltMD 20771USA

Gamma-ray bursts are the most luminous explosions in the Universe, whose origin and mechanism are the focus of intense interest. They appear connected to su- pernova remnants from massive stars or the merger of their remnants, and their bright- ness makes them temporarily detectable out to the largest distances yet explored in the universe. After pioneering breakthroughs from space and ground experiments, their study is entering a new phase with observations from the recently launched Fermi satellite, as well as the prospect of detections or limits from large neutrino and gravitational wave detectors. The interplay between such observations and theoretical models of gamma-ray bursts is reviewed, and cosmology. as well as their connections to supernovae

关键词： gamma-ray sources -- gamma-ray bursts -- cosmic rays -- neutrinos-- supernovae -- cosmology -- intergalactic medium