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Machin. learn.n. in.liver surgery:Ben.fits an. pitfalls

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World Journ.l of Clin.cal Cases 2024年第12期12卷 2134-2137页

作者： Rafael Calleja Man.el Durán.María Dolores Ayllón.Ruben.Ciria Javier Briceño Hepatobiliary Surgery an. Liver Tran.plan.ation.Un.t Hospital Universitario Reina SofíaMaimonides Biomedical Research Institute of CordobaCórdoba 14004Spain

The application.of machin. learn.n.(ML)algorithms in.various fields of hepatology is an.issue of ***,we must be cautious with the *** this letter,based on.a published ML prediction.model for acute kidn.y in.ury after liver surgery,we discuss some limitation. of ML models an. how they may be addressed in.the *** the future faces sign.fican. challen.es,it also holds a great poten.ial.

关键词： Machin. learn.n. Liver surgery Artificial in.elligen.e Ran.om forest Prediction.model

Systemic treatmen. for hepatocellular carcin.ma:Still un.et expectation.

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World Journ.l of Hepatology 2017年第2期9卷 80-90页

作者： Dimitrios n.Samon.kis Elias A Kouroumalis Departmen. of Gastroen.erology an. Hepatology University Hospital of Heraklion71110 CreteGreece

Man. patien.s with hepatocellular carcin.ma(HCC) are diagn.sed in.an.advan.ed stage, so they can.ot be offered the option.of curative treatmen.s. The results of systemic chemotherapy are un.atisfactory an. this has led to molecular targeted *** develops in.chron.cally damaged tissue due to cirrhosis in.most patien.s. Several differen. cell types an. molecules con.titute a un.que microen.iron.en. in.the liver, which has sign.fican. implication. in.tumor developmen. an. in.asion. This, together with gen.me in.0}bility, con.ributes to a sign.fican. heterogen.ity which is further en.an.ed by the molecular differen.es of the un.erlyin. causes. n.w classification. based on.gen.tic characteristics of the tissue microen.iron.en. have been.proposed an. key carcin.gen.c sign.lin. pathways have been.described. Tumor an. adjacen. tissue profilin. seem biologically promisin., but have n.t yet been.tran.lated in.o clin.cal settin.s. The en.ouragin. first results with molecular- gen.tic sign.tures should be validated an. clin.cally applicable. A more person.lized approach to modern.man.gemen. of HCC is urgen.ly n.eded.

关键词： Systemic Chemotherapy Hepatocellular carcin.ma Progn.sis

n.ofomitella guan.xien.is an. Sebipora aquosa n.wly recorded white rot polypores from In.ia

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Studies in.Fun.i 2021年第1期6卷 307-314页

作者： Vin.usha n.Arun.Kumar TK The Zamorin.s Guruvayurappan.College KozhikodeKerala 673014India

As a part of the documen.ation.of the polyporoid fun.i of Kerala state,In.ia,two in.erestin. polypore specimen. were *** an. molecular characterization.revealed the iden.ity of two species as n.ofomitella guan.xien.is an. Sebipora aquosa,which were reported as n.w records to *** presen. the taxon.my of the two species based on.morphology an. molecular phylogen.tic data.

关键词： Gelatoporiaceae Polyporaceae Polyporales phylogen. wood decayin. fun.i

Open.versus laparoscopic cholecystectomies in.patien.s with or without type 2 diabetes mellitus in.Spain.from 2003 to 2013

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Hepatobiliary & Pan.reatic Diseases In.ern.tion.l 2016年第5期15卷 525-532页

作者： JoséM de Miguel-Yan.s Man.el Mén.ez-Bailón.Rodrigo Jimén.z-García Valen.ín.Hern.n.ez-Barrera n.poleón.Pérez-Farin.s Fern.n.o Turégan. n.ria Mun.z-Rivas An. López-de-An.rés In.ern.l Medicin. Departmen. Hospital General Universitario“Gregorio Maranón”46Doctor Esquerdo28007MadridSpain In.ern.l Medicin. Departmen. Hospital Clínico San CarlosCalle Profesor Martín Lagos28040MadridSpain Preven.ive Medicin. an. Public Health Departmen. Health Sciences FacultyRey Juan Carlos UniversityAvenida de AtenasAlcorcón28292MadridSpain Span.sh Agen.y of Alimen.ary Safety an. n.trition Ministry of HealthSocial Policy and Equality56Alcalá28071MadridSpain In.ern.l Medicin. Departmen. Hospital Infanta Leonor80Avenida Gran Vía del Este28031MadridSpain Surgery Departmen. Hospital General Universitario“Gregorio Maranón”46Doctor Esquerdo28007MadridSpain

BACKGROUn.: This study aimed to compare the rates of open.an. laparoscopic cholecystectomies an. outcomes in.patien.s with or without type 2 diabetes mellitus (T2DM) in.Spain.from 2003 to 2013. METHODS: We collected all cases of open.an. laparoscopic cholecystectomies usin. n.tion.l hospital discharge data an. evaluated the an.ual cholecystectomy rates stratiifed by T2DM status. We an.lyzed ten.en.y for in.hospital mortality (IHM). We also an.lyzed the impact of T2DM on.IHM in.patien.s who un.erwen. cholecystectomies. RESULTS: We iden.iifed 611 533 cholecystectomies (71.3%laparoscopic) in.the patien.s, in.whom 78 227 (12.8%) patien.s had T2DM. The rates of open.cholecystectomies were 3-fold higher (130.0/105 vs 41.1/105) in.patien.s with T2DM than.in.n.sp;those without T2DM, an. the rate of laparoscopic cholecys-tectomies was almost 2-fold higher (195.2/105 vs 111.8/105) in.patien.s with T2DM. The an.ual rate of laparoscopic pro-cedures showed an.11-year relative in.rease of 88.3% (from 117.0/105 to 220.3/105) in.T2DM an. 49.2% (from 79.2/105 to 118.2/105) in.patien.s without T2DM (Pn.procedures showed an.11-year relative decrease of 27.6% in.patien.s with T2DM an. 37.9% in.those without T2DM (Pn.y laparoscopic cho-lecystectomy was in.reased in.the 11 years, whereas the rate of emergen.y open.cholecystectomies was decreased (both Pn.lysis revealed that older age, higher comorbidity an. emergen.y cholecystectomy were associated with a higher IHM. Compared with patien.s without T2DM, patien.s with T2DM demon.trated a lower IHM after open.cholecystectomy [OR=0.82 (0.78-0.87)], but a higher IHM after laparoscopic cholecystectomy (OR=1.18 (1.03-1.35))Time-tren. an.lyses showed a sign.ifcan. reduction.in.IHM in.patien.s with or without T2DM after the two procedures. COn.LUSIOn. The rate of cholecystectomy was higher in.patien.s with T2DM, an. laparoscopic cholecystectomy was p

关键词： diabetes mellitus cholecystectomy mortality in.hospital mortality

An.Adaptive Image Calibration.Algorithm for Stegan.lysis

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Computers, Materials & Con.in.a 2020年第2期62卷 963-976页

作者： Xuyu Xian. Jiaohua Qin.Jun.han.Tan.n.al n.Xion. 无 College of Computer Scien.e an. In.ormation.Techn.logy Central South University of Forestry&TechnologyChangsha410114China Departmen. of Mathematics an. Computer Scien.e Northeastern State UniversityOK74464USA

In.this paper,a n.w adaptive calibration.algorithm for image stegan.lysis is *** disturbs the depen.en.e between.n.ighborin. pixels an. decreases the n.ighborhood n.de ***,we an.lyzed the effect of stegan.graphy on.the n.ighborhood n.de degree of cover ***,the calibratable pixels are marked by the an.lysis of n.ighborhood n.de ***,the stron. correlation.calibration.image is con.tructed by revisin. the calibratable *** results reveal that compared with secon.ary stegan.graphy the image calibration.method sign.fican.ly in.reased the detection.accuracy for LSB matchin. stegan.graphy on.low embeddin. *** proposed method also has a better performan.e again.t spatial stegan.graphy.

关键词： Calibration.algorithm n.ighborhood n.de degree ordin.ry pixel sen.itive pixel stegan.lysis

An.lysis of Pulsatile Magn.tohydrodyn.mic (MHD) Third Grade Blood Flow in.a Sten.sed Artery

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American.Journ.l of Computation.l Mathematics 2018年第1期8卷 78-95页

作者： L. n. Ikpakyegh G. T. Okedayo T. Aboiyar E. S. On.h Departmen. of Mathematics/statistics/Computer Scien.e University of Agriculture Makurdi Benue State Nigeria Departmen. of Mathematical Scien.es Ondo State University of Science and Technology Okitipupa Ondo State Nigeria

In.this research, we modeled MHD third grade blood flow in.a sten.sed artery. The blood viscosity an. the den.ity have been.modeled in.o the shear thin.in./thicken.n. parameters, the most importan. rheological properties of blood. We used regular perturbation.method an. obtain.d the flow characteristics such as the flow velocity, the volume flow rate, the shear stress an. the resistan.e to the flow con.iderin. a sin.le layered sten.sed artery. The results however showed that there is sign.fican. in.rease in.volume flow rate an. the velocity with in.rease in.the magn.tic field in.en.ity H an. the shear thin.in. Λ an. reduces with in.rease in.the shear thicken.n. Ω.

关键词： Third Grade Fluid Magn.tohydrodyn.mics (MHD) Shear Thin.in./Thicken.n.

A rare medicin.l fun.us,Lign.sus rhin.cerus(Polyporales,Agaricomycetes),n.w to In.ia

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Studies in.Fun.i 2021年第1期6卷 151-158页

作者： Vin.usha n.Arun.Kumar TK The Zamorin.s Guruvayurappan.College(affiliated to the Un.versity of Calicut) Kerala 673014India

Lign.sus rhin.cerus is on. of the most valuable medicin.l fun.i used throughout South East Asia,an. South *** polypore is characterized by a stipitate basidiomata with orbicular pileus,an. an.un.ergroun. sclerotium,a trimitic hyphal system bearin. gen.rative hyphae with clamp con.ection.,an. globose to subglobose ***,in.ludin. the sclerotia of *** are used to treat various *** is rarely en.oun.ered in.the wild an. has a very restricted geographic *** of its rarity an. importan.e,domestication.an. commercial cultivation.of the fun.us has been.*** study of the polyporoid fun.i in.forests of Kerala state,In.ia,some in.erestin. specimen. were *** taxon.mic study of the collected specimen. iden.ified them as ***,with a distribution.record n.w to *** accoun. of the species is presen.ed.

关键词： Polyporaceae sclerotia taxon.my therapeutic tiger milk mushroom

Role of n.rse in.Admin.stratin. In.uction.of Ovulation.Medication. at Assisted Reproduction.Cen.er versus at Home

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Open.Journ.l of Obstetrics an. Gyn.cology 2020年第1期10卷 118-134页

作者： Mon. Rabeea Ahmed Man.l Farouk Mostafa Ghadah Abdelrahaman.Mahmoud Ahmed n. Fetih Esraa Badran.Tarek A. Farghaly Faculty of n.rsin. Assiut University Assiut Egypt Faculty of Medicin. Assiut University Assiut Egypt

Backgroun.: The respon.e of ovaries durin. con.rolled ovarian.stimulation.is the most importan. factor for evaluatin. the pregn.n.y outcome in.assisted reproductive techn.ques. Aim: The study is to assess the role of a n.rse in.givin. in.uction.of ovulation.medication. at assisted reproduction.un.versity cen.er versus home medication. by private In.Vitro Fertilization.an. in.ertility cen.er on.clin.cal outcomes an. patien. satisfaction. Subjects an. Methods: Case-con.rol research design. con.ucted at two cen.ers (Ban.n.private cen.er for IVF an. Assisted Reproductive Un.t at Women.health hospital, Assiut Un.versity) durin. the period from February 2018 to n.vember 2018. The sample size in.luded 150 women.un.ergoin. IVF for each group. Results: There is n. statistically sign.fican. differen.e between.women.given.IVF medication. by the n.rse at the public IVF cen.er an. women.take IVF medication.in.the home at Ban.n.IVF cen.er as regards the outcome of IVF. Majority of in.ertile patien.s are satisfied with the care, they received an. n.arly third of them are satisfied with outcome of IVF in.both groups, an. there is statistically sign.fican. differen.e between.satisfaction.in.public IVF cen.er an. satisfaction.in.private cen.er in.relation.to in.ormation.provided about IVF procedure, staff willin.n.ss to listen.carefully an. help patien.s;regular progress update on.con.ition.is in.place with p value (0.000, 0.005, 0.003) respectively. Con.lusion. IVF outcome isn.t sign.fican.ly related to where in.uction.medication.was taken.either at IVF cen.er or at the home because in.ertile couples are keen.to comply with all in.truction. on.how to take medication. with correct route, correct dose an. on.time. Recommen.ation.: Empower the role of n.rse as a health educator for women.un.ergoin. IVF about importan.e of stage of in.uction.an. take medication. with correct route, correct dose an. on.time on.outcome of IVF;other studies should also be con.ucted in.other cen.ers to furt

关键词： In.uction of Ovulation IVF Patien.’ Satisfaction

Seismicity of the n.irobi City area,Its Geotechn.cal Implication. an. Mitigation.Measures

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地学前缘 2009年第S1期16卷 43-44页

作者： Jeremiah L.n.Muia Departmen. of Geology University of Nairobi

This paper is an.attempt to determin. how vuln.rable the city of n.irobi is to earthquake attack an. the poten.ial disaster sites within.it an. its en.iron.,how this affects the structural in.egrity of the its con.truction.works an. the sustain.ble way *** sits close to the eastern.flan.s of the Great Rift Valley an. recen. revelation. that in.icate the valley may be expan.in. at a rate of 2-3 mm per year due to ten.ion.l forces in.the crust(Waithaka, 2001).The high heat flow ben.ath the crust is represen.ed by the geothermal activities at Olkaria,

关键词： geology fault lin.s seismicity GIS hazard modelin. n.irobi