检索结果-南通市图书馆

World Journal of Gastroenterology 2007年第3期13卷 474-477页

作者： Joseph D Boujaoude Khalil Honein Cesar Yaghi Claude Ghora Gerard Abadjian raymond sayegh Department of Gastroenterology Hotel-Dieu de France hospital Saint-Joseph University Beirut Lebanon Department of Pathology Hotel-Dieu de France hospital Saint-Joseph University Beirut Lebanon

Pancreatic tuberculosis is an extremely rare form of extrapulmonary disease. The diagnosis preoperatively is difficult because clinical, laboratory and radiologic findings are nonspecific. Published data indicate that these lesions mimic cystic neoplasms of the pancreas and the confirmation of clinical suspicion could only be obtained by an open surgical biopsy. Recently, fine needle aspiration cytology has been shown to be a safe, reliable and cost-effective alternative. We report a new case of a peripancreatic tuberculosis in a 52 year old woman and review the relevant literature, paying special attention to the usefulness of endoscopic ultrasound guided-fine needle aspiration in the diagnosis of abdominal tuberculosis.

关键词： EUS guided-FNA Pancreatic Tuberculosis

Isolated fever induced by mesalamine treatment

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2013年第7期19卷 1147-1149页

作者： Rita Slim Joseph Amara Roy Nasnas Khalil Honein Joseph Bou Jaoude Cesar Yaghi Fady Daniel raymond sayegh Department of Gastroenterology Hotel Dieu de France University HospitalSaint Joseph University Department of Infectious Diseases Hotel Dieu de France University HospitalSaint Joseph University

Adverse reactions to mesalamine,a treatment used to induce and maintain remission in inflammatory bowel diseases,particularly ulcerative colitis,have been described in the literature as case *** case illustrates an unusual adverse *** patient developed an isolated fever of unexplained etiology,which was found to be related to mesalamine treatment.A 22-year-old patient diagnosed with ulcerative colitis developed a fever with rigors and anorexia 10 d after starting oral mesalamine while his colitis was clinically *** revealed no infection.A mesalamineinduced fever was considered,and treatment was stopped,which led to spontaneous resolution of the *** diagnosis was confirmed by reintroducing the *** year later,this side effect was noticed again in the same patient after he was administered topical *** reaction to mesalamine seems to be idiosyncratic,and the mechanism that induces fever remains *** encountered in the course of a mesalamine treatment in ulcerative colitis must be considered a mesalamine-induced fever when it cannot be explained by the disease activity,an associated extraintestinal manifestation,or an infectious etiology.

关键词： Mesalamine 5-aminosalicylic acid Side effects Adverse reactions Fever

Hepatocellular carcinoma in Lebanon: Etiology and prognostic factors associated with short-term survival

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2006年第22期12卷 3575-3580页

作者： César Yaghi Ala I Sharara Paul Rassam Rami Moucari Khalil Honein Joseph BouJaoude Rita Slim Roger Noun Heitham Abdul-Baki Mohamad Khalifeh Sami Ramia raymond sayegh Service de Gastroenterologie Hotel Dieu de France University Hospital BeirutLebanon Service de Gastroenterologie Hotel Dieu de France University Hospital.Beirut.Lebanon Departments of Internal Medicine and Surgery American University of Beirut Medical CenterBeirutLebanon Service de Gastroenterologie Hotel Dieu de France University Hospital BeirutLebanon Service de GastroenterologieHopital Saint GeorgesBeirutLebanon Departments of Internal Medicine and Surgery American University of Beirut Medical Center BeirutLebanon

AIM： To study the epidemiology of HCC in Lebanon and prognostic factors predictive of early mortality. METHODS： An observational follow-up cohort study of HCC cases diagnosed over a five-year period was carried out. Multivariate analysis was conducted to identify prognostic factors in comparison to Cancer of the Liver italian Program （CUP） score. Multiple variables including the etiology of underlying liver disease, the demographic characteristics of patients, and the severity of liver disease evaluated by the Child-Pugh score were studied. Tumor parameters included the time of diagnosis of HCC, alpha-fetoprotein level, number and size of nodules, presence of portal vein thrombosis, and treatment modalities. Death or loss of follow-up was considered as an end-point event. RESULTS： Ninety-two patients （mean 60.5 ± 22.3 years） were included. Etiology of underlying disease was hepatitis B, C, and alcohol in 67%, 20%, and 23.5% respectively. Child-Pugh class at diagnosis was A, B, and C in 34.8%, 39.3% and 25.8% respectively. Overall survival was 44.8%, 32.8% and 17.6% at 1, 2 and 3 years respectively （mean F/U 40.2 ± 23.5 mo）. Multivariate analysis identified three predictors of early mortality （〈 6 mo）： bilirubin 〉 3.2 mg/dL （P 〈 0.01）, HCC as first presentation of liver disease （P = 0.035）, and creatinine 〉 1 mg/dL （P = 0.017）. A score based on these variables outperformed the CLIP score by Cox proportional hazard. ROC curve showed both models to be equivalent and moderately accurate.CONCLUSION： HBV is the leading cause of HCC in Lebanon. Independent predictors of early mortality are elevated bilirubin, creatinine and HCC as first manifestation of disease. Prospective validation of a score based on these clinical parameters in predicting short-term survival is needed.

关键词： Liver Epidemiology Hepatitis Neoplasm Cancer Cirrhosis

Beyond COVID: Reframing the Global Problematique with STiP (Systems Thinking in Practice)

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Systems Science and Systems Engineering 2023年第1期32卷 1-15页

作者： raymond L.Ison IFSR(International Federation for Systems Research)&Applied Systems Thinking in Practice(ASTiP)Group School of Engineering&InnovationThe Open UniversityWalton HallUK

Since 2019 humanity has been subjected to the perturbations of pandemic,economic disruption,war,civil unrest and changes in whole-Earth dynamics associated with a human-induced *** perturbation is like a wave-front breaking on the shore of our historical ways of thinking and acting,increasingly unfit for our human *** challenge to humanity is not *** 1970 the French term‘problematique’was coined to refer to a set of 49 interrelated global problems;the classic description of wicked and tame problems was published soon after,yet little progress has been made towards answering the question:what purposeful action will aid human flourishing,create and sustain a viable space for humanity,in our ongoing co-evolution with the Anthropocene-Biosphere?A case for innovation in our ways of knowing and doing is made based on arguments that our social world is constrained by:(i)explanations we accept that are no longer relevant to our circumstances;(ii)outdated historical institutions(in the institutional economics sense)that contribute as social technologies to a broader human created and ungoverned technosphere;(iii)inadequate theory-informed practices,or praxis,and(iv)governance-systems no longer adequate for *** of knowledge science and systems science are urged to act reflexively to critically evaluate the traditions-of-understanding out of which they think and act.

关键词： Cybersystemics governance systems reframing and framing critical social learning system

Flow behavior and deposition study of pollen-shape carrier particles in an idealized inhalation path model

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Particuology 2010年第1期8卷 51-59页

作者： Meer Saiful Hassan raymond Lau School of Chemical and Biomedical Engineering (SCBE) Nanyang Technological University (NTU)

Pollen-shape （spiked sphere） hydroxyapatite （HA） particles for drug carrier application are studied. The particle shape and size effect on flow characteristics and deposition are assessed. The pollen-shape HA particles are synthesized to have comparable size as typical carrier particles with mean diameter of 30-50 μm and effective density less than 0.3 g/cm^3. The flow behaviors of HA and commonly used lactose （LA） carrier particles are characterized by the Carr＇s compressibility index （CI）. The HA particles have lower CI than the LA particles for the same size range. The flow fields of HA and LA carrier particles are measured in an idealized inhalation path model using particle image velocimetry （PLY） technique. The particle streamlines indicate that a large portion of particles may deposit at the bending section due to inertial impaction and gravitational deposition. The flow field result shows that HA particles give smaller separation regions than the LA particles for the same size range. The pollen-shape HA particles are found to be able to follow the gas flow in the model and minimize undesired deposition. Deposition result confirms the bending section to have the most deposition. Deposition is found to be a function of particle properties. An empirical correlation is derived for the deposition efficiency of the pollen-shape particles as a function of particles Stokes number.

关键词： Aerosol Fluid mechanics Multiphase flow Particle Powder technology Pulmonary drug delivery

Developments and research directions in pipe jacking and microtunneling

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Underground Space 2020年第1期5卷 1-19页

作者： raymond L.Sterling Louisiana Tech University RustonLouisiana 71272USA

This paper provides a review of the history and development of pipe jacking and microtunneling methods with extensive referencing to the published *** application of such methods in comparison with other trenchless technologies is discussed and the various planning,design and construction aspects are *** emphasis of the paper is to trace the academic research and field monitoring results covering critical aspects of design and construction with a particular emphasis on jacking force estimation and the effect of lubrication on jacking forces.

关键词： Pipe jacking Microtunneling Design Construction Research Review

Energy model based on solar potential and the production of electrical energy through living plants’photosynthesis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Clean Energy 2024年第3期8卷 116-126页

作者： raymond Daniel Rodriguez Martinez Department of Industrial Production Faculty of EngineeringUniversidad Metropolitana1073 CaracasVenezuela

Developing a sustainable energy model is imperative considering the current trend towards decarbonizing sectors *** this purpose,Venezuela was used as a reference to propose an energy model focused on taking advantage of plant photosynthesis through microbial-vegetable fuel cells together with an agro-photovoltaic system to enhance energy and agricultural *** production from the cells was estimated using an average power density of 264 mW/m^(2) over 4%of the areas destined for crops in the entire Venezuelan region,obtaining an annual production of 19.889 GWh/*** contrast,the energy production of the agro-photovoltaic system was modelled using PVsyst software on 50%of the area used for the cells distributed throughout the states of Anzoátegui,Guárico,Monagas and Portuguesa according to their meteorological conditions,solar irradiation and agricultural activity,resulting in 3703417 GWh/*** resulting whole system proved to be able to cover>10 times the installed electricity generation capacity at a national level and,together with the tremendous scalability of the microbial fuel cells,it shows that Venezuela has a high potential for the production and distribution of clean energy.

关键词： ecosystems microbial fuel cell microorganisms renewable sustainability

Plant-microbial fuel cell for electrical generation through living plants: an internal resistance insight into the plant species used

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Clean Energy 2024年第5期8卷 45-53页

作者： raymond Daniel Rodriguez Martinez Department of Industrial Production Faculty of EngineeringUniversidad Metropolitana1073 CaracasVenezuela

Climate change is a global threat,the presence of which has encouraged the development and implementation of renewable energies,including plant–microbial fuel cells,which could generate 6629568–33147840 MWh per year due to their large-scale *** of the main challenges associated with microbial cells is internal resistance—a parameter whose magnitude is influenced by sev-eral *** the case of plant–microbial fuel cells,adding a plant positively affects the mitigation of internal ***,the species employed is expected to play an important *** the present study,the objective was to determine as a general reference the internal resistance of cells using various plant species,among which were tomato(Solanum lycopersicum),black beans(Phaseolus vulgaris),aloe vera(Aloe vera),corn(Zea mays),and moss(Dicranidae).For this purpose,an experimental procedure was carried out to compare the manual voltage measurements with a free cell concerning the voltage obtained by adding an external resistor in *** internal resistance values were determined as a function of the measured voltage,obtaining 177,179,175,324,and 233 kΩfor aloe vera,corn,tomato,black beans,and moss,*** this,it was shown that the roots of the plants represent an essen-tial addition to the internal resistance of the cell in the short *** contrast,plants with a C4 photosynthetic metabolism are more favourable,while C3 plants can also benefit from internal resistance during a more extended period of rhizodeposition.

关键词： climate change energy microorganism renewable source voltage

Active Matter, Microreversibility, and Thermodynamics

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Research 2020年第1期2020卷 1921-1940页

作者： Pierre Gaspard raymond Kapral Center for Nonlinear Phenomena and Complex Systems UniversitéLibre de Bruxelles(U.L.B.)Code Postal 231Campus PlaineB-1050 BrusselsBelgium Chemical Physics Theory Group Department of ChemistryUniversity of TorontoTorontoOntarioCanada M5S 3H6

Active matter,comprising many active agents interacting and moving in fluids or more complex environments,is a commonly occurring state of matter in biological and physical *** its very nature,active matter systems exist in nonequilibrium *** this paper,the active agents are small Janus colloidal particles that use chemical energy provided by chemical reactions occurring on their surfaces for propulsion through a diffusiophoretic *** a result of interactions among these colloids,either directly or through fluid velocity and concentration fields,they may act collectively to form structures such as dynamic clusters.A general nonequilibrium thermodynamics framework for the description of such systems is presented that accounts for both self-diffusiophoresis and diffusiophoresis due to external concentration gradients,and is consistent with *** predicts the existence of a reciprocal effect of diffusiophoresis back onto the reaction rate for the entire collection of colloids in the system,as well as the existence of a clustering instability that leads to nonequilibrium inhomogeneous system states.

关键词： mechanism nonequilibrium system

Evolutionary Optimization: Pitfalls and Booby Traps

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Computer Science & Technology 2012年第5期27卷 907-936页

作者： Thomas Weise raymond Chiong Ke Tang Nature Inspired Computation and Applications Laboratory School of Computer Science and Technology University of Science and Technology of China Hefei 230027 China Faculty of Higher Education Swinburne University of Technology 50 Melba Avenue Lilydale Victoria 3140 Australia

Evolutionary computation （EC）, a collective name rithms, is one of the fastest-growing areas in computer science. for a range of metaheuristic black-box optimization algo- Many manuals and ＂how-to＇s on the use of different EC methods as well as a variety of free or commercial software libraries are widely available nowadays. However, when one of these methods is applied to a real-world task, there can be many pitfalls and booby traps lurking certain aspects of the optimization problem that may lead to unsatisfactory results even if the algorithm appears to be correctly implemented and executed, These include the convergence issues, ruggedness, deceptiveness, and neutrality in the fitness landscape, epistasis, non-separability, noise leading to the need for robustness, as well as dimensionality and scalability issues, among others. In this article, we systematically discuss these related hindrances and present some possible remedies. The goal is to equip practitioners and researchers alike with a clear picture and understanding of what kind of problems can render EC applications unsuccessful and how to avoid them from the start.

关键词： evolutionary computing problem difficulty optimization meta-heuristics