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Tricuspid mass-curious case of Li-Fraumeni syndrome: A case report

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World Journal of Clinical Cases 2024年第11期12卷 1936-1939页

作者： tyler Huffaker Stella Pak Anum Asif Prince Otchere Department of Cardiology University of Texas Health San AntonioSan AntonioTX 78701United States Department of Neurology Albany Medical CenterAlbanyNY 12208United States

BACKGROUND Li-Fraumeni syndrome(LFS)is a rare autosomal dominant cancer-predisposing syndrome,which can manifest as a polymorphic spectrum of *** is associated with an early onset in life,with the majority of cases occurring prior to the age of *** the infrequency of primary cardiac tumors,it behooves clinicians to remain vigilant in considering the differential diagnosis of such tumors in LFS patients who present with a cardiac *** is due to the markedly elevated risk for malignancy in this particular population,far surpassing that of the general *** SUMMARY Herein,we present a case of a 30-year-old female with LFS who was found to have a tricuspid valve leaflet *** This case exemplifies valuable learning points in the diagnostic approach for this exceptionally rare patient population.

关键词： Li-Fraumeni syndrome Cardiac mass Intracardiac thrombus Transesophageal echocardiogram Cardiac magnetic resonance imaging Case report

Polyethylene glycol has immunoprotective effects on sciatic allografts, but behavioral recovery and graft tolerance require neurorrhaphy and axonal fusion

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Neural Regeneration Research 2025年第4期20卷 1192-1206页

作者： tyler.a.smith Liwen Zhou Cameron L.Ghergherehchi Michelle Mikesh Cathy Z.Yang Haley O.Tucker JuliAnne Allgood Jared S.Bushman George D.Bittner Department of Molecular Biosciences University of Texas at AustinAustinTXUSA Department of Neuroscience University of Texas at AustinAustinTXUSA Division of Pharmaceutical Sciences University of WyomingLaramieWYUSA

Behavioral recovery using(viable)peripheral nerve allografts to repair ablation-type(segmental-loss)peripheral nerve injuries is delayed or poor due to slow and inaccurate axonal ***,such peripheral nerve allografts undergo immunological rejection by the host immune *** contrast,peripheral nerve injuries repaired by polyethylene glycol fusion of peripheral nerve allografts exhibit excellent behavioral recovery within weeks,reduced immune responses,and many axons do not undergo Wallerian *** relative contribution of neurorrhaphy and polyethylene glycol-fusion of axons versus the effects of polyethylene glycol per se was unknown prior to this *** hypothesized that polyethylene glycol might have some immune-protective effects,but polyethylene glycol-fusion was necessary to prevent Wallerian degeneration and functional/behavioral *** examined how polyethylene glycol solutions per se affect functional and behavioral recovery and peripheral nerve allograft morphological and immunological responses in the absence of polyethylene glycol-induced axonal ***-type sciatic nerve injuries in outbred Sprague–Dawley rats were repaired according to a modified protocol using the same solutions as polyethylene glycol-fused peripheral nerve allografts,but peripheral nerve allografts were loose-sutured(loose-sutured polyethylene glycol)with an intentional gap of 1–2 mm to prevent fusion by polyethylene glycol of peripheral nerve allograft axons with host *** to negative control peripheral nerve allografts not treated by polyethylene glycol and in contrast to polyethylene glycol-fused peripheral nerve allografts,animals with loose-sutured polyethylene glycol peripheral nerve allografts exhibited Wallerian degeneration for all axons and myelin degeneration by 7 days postoperatively and did not recover sciatic-mediated behavioral functions by 42 days *** morphological signs of rejection,such as col

关键词： allograft rejection axotomy macrophage myelin nerve repair polyethylene glycol(PEG) sciatic nerve T cell transplantation Wallerian degeneration

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完美数及其相关问题

数学进展 2024年第4期53卷 673-689页

作者：蔡天新 tyler ROSS 浙江大学数学科学学院杭州浙江310058

完美数问题是最古老的数学问题之一,可能来源于古希腊的毕达哥拉斯学派,被意大利当代数学家奥迪弗雷迪列为面向21世纪的“四大数学难题”之首.本文对古老的完美数问题及相关的梅森素数进行综述,尤其是对其拓展为平方完美数、立方完美数... 详细信息

完美数问题是最古老的数学问题之一,可能来源于古希腊的毕达哥拉斯学派,被意大利当代数学家奥迪弗雷迪列为面向21世纪的“四大数学难题”之首.本文对古老的完美数问题及相关的梅森素数进行综述,尤其是对其拓展为平方完美数、立方完美数及S-完美数以后所产生的问题进行了综述.

关键词：完美数平方完美数立方完美数 S-完美数

Increased Mortality Risk in Children with Fetal Alcohol Spectrum Disorders: A Scoping Review

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Open Journal of Pediatrics 2024年第4期14卷 754-766页

作者： Devin Evavold tyler Mueller Erika Johnson Marilyn G. Klug Larry Burd School of Medicine and Health Sciences University of North Dakota Grand Forks USA

Objective: Fetal Alcohol Spectrum Disorders (FASDs) are common, often undiagnosed, lifelong developmental disorders that result from prenatal alcohol exposure. FASD is present at birth and typically identified around seven years of age. The most severe outcome in cases of FASD is mortality. The purpose of this scoping review is to 1) use a systematic review to provide an estimated mortality proportion for children with FASD, and 2) update a study published in 2014 by reviewing published reports of mortality in individuals diagnosed with FASD. Method: A search of PubMed, CINAHL, and Google Scholar for reports published between 2013 and 2023 on mortality in individuals with FASD. Results: Three population-based studies have reported on all-cause mortality rates, finding a combined mortality rate of 10.9%, a 2.63 fold (95% CI: 2.61 to 2.65) increase in mortality risk over the general population. Since 2016, this review identified only eight new cases meeting the study inclusion criteria. The reported causes of death were five cases of pneumonia, and one case each of failure to thrive and dehydration, intestinal dilatation and asphyxiation caused by overeating due to pica, and acute gastric volvulus. Discussion: While current research suggests a diagnosis of FASD is associated with a 2.6-fold increase in mortality risk, this is likely an underestimation, as most cases of FASD-related mortality go unreported. Globally, about 1 new case is reported every 15 months. However, in the United States alone, between 1752 to 4400 FASD related deaths occur annually. Our review suggests that FASD is rarely identified as a causal or contributing factor in deaths of children and adolescents, resulting in a substantial undercount of FASD-related deaths. Increased attention to the role of FASD in infant and child mortality case reviews, child death review committee reports, and mortality reviews is needed.

关键词： Fetal Alcohol Spectrum Disorders Mortality Birth Defects Death Exposure Pneumonia

Predicting the temporal transferability of model parameters through a hydrological signature analysis

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Frontiers of Earth Science 2020年第1期14卷 110-123页

作者： Dilhani Ishanka JAYATHILAKE tyler smith Institute for a Sustainable Environment Clarkson UniversityPotsdamNY 13699USA Department of Civil and Environmental Engineering Clarkson UniversityPotsdamNY 13699USA

Attention has recently increased on the use of hydrological signatures as a potential tool for assessing the fidelity of model structures and providing insights into the transfer of model *** utility of hydrological signatures as model performance/reliability indicators in a calibration-validation testing scenario(i.e.,the temporal transfer of model parameters)is the focus of this *** Probability Distributed Model,a flexible conceptual hydrological model,is used to test the approach across a number of catchments included in the MOPEX data set We explore the change in model performance across calibration and validation time periods and contrast it to the corresponding change in several hydrological signatures to assess signature *** are explored in finer detail by utilizing a moving window approach to calibration and validation time *** results of this study indicated that the most informative signature can vary,both spatially and temporally,based on physical and climatic characteristics and their interaction to the model ***,one signature could not adequately illustrate complex watershed behaviors nor predict model performance in new analysis periods.

关键词： streamflow hydrological signature validation testing model calibration

Is a Mini-Screen for Fetal Alcohol Spectrum Disorder Feasible?

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Open Journal of Pediatrics 2024年第4期14卷 767-781页

作者： tyler Mueller Devin Evavold June-Yung Kim Marilyn G. Klug Larry Burd School of Medicine and Health Sciences University of North Dakota Grand Forks USA Department of Social Work University of North Dakota Grand Forks USA

Background: Fetal Alcohol Spectrum Disorders (FASDs) are a global public health concern with lifelong consequences for affected individuals. Recent prevalence studies suggest FASD prevalence rates range from 1-5% among school age children. Most people with FASD are not correctly diagnosed and inadequate screening to identify patients with increased risk may contribute to under-diagnosis. This study developed a 10-item screening tool for FASD and examined its feasibility. Methods: The sample consisted of 355 children who had been evaluated at an FASD clinic. Data from the 33-item Alcohol Related Neurodevelopmental Disorder Behavioral Checklist was used to develop a brief FASD screen by comparing the changes in Cronbach’s alpha for different combinations of items. The validity of the brief scale was then further examined using receiving operating characteristic analyses. Results: The 10-item screen demonstrated acceptable sensitivity, specificity, and accuracy to identify children at high risk for FASD. The percentage correctly classified was 91.3 and the area under the receiving operating characteristic curve was 0.971. Conclusions: This feasibility study demonstrated that a screen for FASD consisting of 10 items with yes or no responses can be completed in 3 - 4 minutes. The tool is brief, with a low administration burden and has acceptable epidemiologic performance characteristics including accuracy. Future research should examine the performance of this tool when used in larger, community-based populations where screening for FASD would be appropriate.

关键词： Fetal Alcohol Spectrum Disorders (FASDs) Children Screening Prevalence

Oral transforming growth factor-beta receptor 1 inhibitor vactosertib promotes osteosarcoma regression by targeting tumor proliferation and enhancing anti-tumor immunity

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Cancer Communications 2024年第8期44卷 884-888页

作者： Sung Hee Choi Jay Thomas Myers Suzanne Louise Tomchuck Melissa Bonner Saada Eid Daniel tyler Kingsley Kristen Ashley Van Heyst Seong-Jin Kim Byung-Gyu Kim Alex Yee-Chen Huang Department of Pediatrics CaseWestern Reserve University School of MedicineClevelandOhioUSA Case Comprehensive Cancer Center CaseWestern Reserve University School of MedicineClevelandOhioUSA Department of Pathology CaseWestern Reserve University School of MedicineClevelandOhioUSA MedPacto Inc. SeoulRepublic of Korea Center for Pediatric Immunotherapy Angie Fowler AYA Cancer InstituteUH Rainbow Babies and Children’s HospitalClevelandOhioUSA

Osteosarcoma is an aggressive malignant bone sarcoma common among children,adolescents,and young *** 20%of patients present with pulmonary metastasis,and an additional 40%develop pulmonary osteosarcoma *** survival ou... 详细信息

关键词： osteosarcoma immunity patients

Cooling High Power Dissipating Artificial Intelligence (AI) Chips Using Refrigerant

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Journal of Electronics Cooling and Thermal Control 2024年第2期13卷 35-49页

作者： Waheeb Mukatash Hussameddine Kabbani Jochem Marc Massalt Matthew Moscoso Merari Mejia Robles tyler Yang Charlie Nino Department of Mechanical Engineering San Jose State University San Jose USA

High power dissipating artificial intelligence (AI) chips require significant cooling to operate at maximum performance. Current trends regarding the integration of AI, as well as the power/cooling demands of high-performing server systems pose an immense thermal challenge for cooling. The use of refrigerants as a direct-to-chip cooling method is investigated as a potential cooling solution for cooling AI chips. Using a vapor compression refrigeration system (VCRS), the coolant temperature will be sub-ambient thereby increasing the total cooling capacity. Coupled with the implementation of a direct-to-chip boiler, using refrigerants to cool AI server systems can materialize as a potential solution for current AI server cooling demands. In this study, a comparison of 8 different refrigerants: R-134a, R-153a, R-717, R-508B, R-22, R-12, R-410a, and R-1234yf is analyzed for optimal performance. A control theoretical VCRS model is created to assess variable refrigerants under the same operational conditions. From this model, the coefficient of performance (COP), required mass flow rate of refrigerant, work required by the compressor, and overall heat transfer coefficient is determined for all 8 refrigerants. Lastly, a comprehensive analysis is provided to determine the most optimal refrigerants for cooling applications. R-717, commonly known as Ammonia, was found to have the highest COP value thus proving to be the optimal refrigerant for cooling AI chips and high-performing server applications.

关键词： Artificial Intelligence Thermal Control Server Systems Vapor Compression Refrigeration Cycle Server Cooling

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教师主观幸福感量表的中文修订

中国临床心理学杂志 2024年第4期32卷 887-892页

作者：谢家树柳剑锋林欣欣 Chunyan Yang 魏宇民蔺璐璐 Quennie Dong tyler L.Renshaw 湖南师范大学心理学系湖南师范大学认知与人类行为湖南省重点实验室长沙410081 上海市嘉定区武宁路实验小学上海201824 College of Education University of MarylandCollege ParkMD20742 中南林业科技大学心理健康教育中心长沙410004 Berkeley School of Education University of CaliforniaBerkeleyCA94720 Utah State University Psychology Department LoganUT84322

目的:检验教师主观幸福感量表(Teacher Subjective Well-being Questionnaire,TSWQ)中文修订版信度、效度及其跨教师性别、跨任教学段的测量等值性。方法:应用中文版TSWQ对来自全国9省份56所中学的1463名教师进行测量,以中小学教师职业... 详细信息

目的:检验教师主观幸福感量表(Teacher Subjective Well-being Questionnaire,TSWQ)中文修订版信度、效度及其跨教师性别、跨任教学段的测量等值性。方法:应用中文版TSWQ对来自全国9省份56所中学的1463名教师进行测量,以中小学教师职业倦怠量表和特拉华校园氛围量表-教工卷为效标工具,一个月后随机抽取55名教师进行重测。结果:(1)验证性因素分析结果支持一阶二因子模型。(2)中文版TSWQ总分与教师校园氛围感知、个人成就感显著正相关(r=0.465,P<0.01;r=0.416,P<0.01),与情绪衰竭、非人性化显著负相关(r=-0.226,P<0.01;r=-0.232,P<0.01)。(3)中文版TSWQ总量表的Cronbach’sα系数为0.898,四周后的重测信度为0.813。(4)多组验证性因素分析结果显示,中文版TSWQ跨性别和跨任教学段的测量等值性假设成立。(5)在教师主观幸福感量表的教学效能感维度存在显著性别差异,男教师教学效能感优于女教师。结论:中文版TSWQ信度与效度良好,可在不同教师性别、任教学段之间进行跨组比较,是研究我国教师主观幸福感的可靠工具。

关键词：主观幸福感心理健康信度效度测量等值性教师