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A rare case of duodenal duplication treated surgically

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World Journal of Gastroenterology 2009年第7期15卷 882-884页

作者： Mehmet ali uzun Neset Koksal Munire Kayahan Atilla Celik Gamze Kilicoglu Selvinaz Ozkara 2nd Department of General Surgery Haydarpasa Numune Training and Research HospitalIstanbul 34783Turkey Department of Radiology Haydarpasa Numune Training and Research HospitalIstanbul 34783Turkey Department of Pathology Haydarpasa Numune Training and Research HospitalIstanbul 34783Turkey

Duodenal duplication,a rare congenital malformation,can also be observed in *** it can be cystic or tubular,communicating or non-communicating,cystic and non-communicating forms are the most *** complications,such as obstruction,bleeding,perforation and pancreatitis,may *** treatment is total excision,although endoscopic procedures have also been described in appropriate *** total excision is not possible,subtotal excision and internal derivation can be *** 38-year-old woman presented here had occasional attacks of abdominal pain and obstruction,and we considered the diagnosis of duodenal duplication by abdominal computerized *** we confirmed the diagnosis with operative findings and histopathological signs,we treated her with subtotal excision and intraduodenal cystoduodenostomy.

关键词： Duodenum Duplication Subtotal excision Intraduodenal cystoduodenostomy

Effect of preoperative immunonutrition and other nutrition models on cellular immune parameters

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World Journal of Gastroenterology 2009年第4期15卷 467-472页

作者： Yusuf Gunerhan Neset Koksal Umit Yasar Sahin Mehmet ali uzun Emel Ek■ioglu-Demiralp Department of Surgery Kafkas University Faculty of Medicine 2nd Department of General Surgery Haydarpasa Numune Training and Research Hospital Department of Surgery Esenler Basaksehir State Hospital Department of Hematology- Immunology Marmara University Faculty of Medicine

AIM:To evaluate the effects of preoperative immunonutrition and other nutrition models on the cellular immunity parameters of patients with gastrointestinal tumors before surgical *** addition,effects on postoperative complications were examined. METHODS:Patients with gastrointestinal tumors were randomized into 3 *** immunonutrition group received a combination of arginine,fatty acids and *** second and third group received normal nutrition and standard enteral nutrition,*** protocols were administered for 7 d prior to the *** parameters,in particular prealbumin levels and lymphocyte subpopulations(CD4+,CD8+,CD16+/56+,and CD69 cells)were evaluated before and after the nutrition *** were compared in terms of postoperative complications and duration of hospital stay. RESULTS:Of the 42 patients who completed thestudy,16 received immunonutrition,13 received normal nutrition and 13 received standard enteral nutrition. prealbumin values were low in every group,but this parameter was improved after the nutritional protocol only in the immunonutrition group(13.64±8.83 vs 15.98±8.66,P=0.037).Groups were similar in terms of CD4+,CD16+/56,and CD69+prior to the nutritional protocol;whereas CD8+was higher in the standard nutrition group compared to the immunonutrition *** nutritional protocols,none of the groups had an increase in their lymphocyte ***,groups did not differ in terms of postoperative complications and postoperative durations of hospital stay. CONCLUSION:Preoperative immunonutrition provided a significant increase in prealbumin levels,while it did not significantly alter T lymphocyte subpopulation counts,the rate of postoperative complications and the duration of hospital stay.

关键词： Malnutrition Gastrointestinal tumours Immunonutrition Prealbumin Lymphocyte subpopu-lations

Natural Walls of Anatolia: formation and development of Diş Kayalıkları as a structural landform (Sivas, Türkiye)

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Journal of Mountain Science 2023年第7期20卷 1807-1823页

作者： uzun ali AYLAR Faruk ZEYBEK Halil Ibrahim GÜRGÖZE Serkan BAHADIR Muhammet ALEMDAĞ Selçuk Geography Department Ondokuz Mayis UniversitySamsun 55100Turkey Geological Engineering Department Gümüşhane UniversityGümüşhane 29100Turkey

The Diş Kayalıkları is one of the largest and most striking examples of crests in the world and is located between Eskidere and Boğazören villages of the İmranlı district of the Sivas province in Turkey. The crests, which resemble castle walls when viewed from afar, have a real wall pattern due to the right-angled crack system of the bedrock when viewed closely. This study aims at investigating the geomorphological features of the Diş Kayalıkları and determining how the geological and geomorphological evolution of the Diş Kayalıkları took place and how the current formation mechanism continues. In the region, the mid-latitude continental climate prevails with cold humid winters and warm dry summers. The bedrock consists of Miocene bedded deposits of different resistance, folded by young tectonic movements. Diş Kayalıkları was formed by selective erosion of less resistant terrain around a pack of resistant rock on the steeper southern slope of an asymmetrical anticline. It has a length of 4750 m in the approximately northwest-southeast direction, a maximum height of 30 m, and a width varying between 5 and 8 m. In the present morphological appearance of the Diş Kayalıkları, it can be stated that the structure formed after the tectonic formation process was eroded under the control of the local climate and crest formation was realized. In the following process, the crest experienced a polycyclic process where different landforms were formed. There are smaller landforms such as karren, cave and rock window on Diş Kayalıkları, and macrofossil beds in some places. This highly attractive geomorphosite, unknown to wider public, should be investigated from various scientific aspects and should be brought to regional tourism by making the necessary infrastructure and promotion studies.

关键词： Structural landform Crest Geosite DişKayalıkları Sivas

MARIE:One-Stage Object Detection Mechanism for Real-Time Identifying of Firearms

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Computer Modeling in Engineering & Sciences 2025年第1期142卷 279-298页

作者： Diana Abi-Nader Hassan Harb ali Jaber ali Mansour Christophe Osswald Nour Mostafa Chamseddine Zaki Computer Science Department Faculty of SciencesLebanese UniversityBeirut146404Lebanon College of Engineering and Technology American University of the Middle EastEgaila54200Kuwait Lab-STICC CNRS UMR 6285ENSTA-BretagneBrest29200France

Security and safety remain paramount concerns for both governments and individuals *** today’s context,the frequency of crimes and terrorist attacks is alarmingly increasing,becoming increasingly intolerable to ***,there is a pressing need for swift identification of potential threats to preemptively alert law enforcement and security forces,thereby preventing potential attacks or violent *** advancements in big data analytics and deep learning have significantly enhanced the capabilities of computer vision in object detection,particularly in identifying *** paper introduces a novel automatic firearm detection surveillance system,utilizing a one-stage detection approach named MARIE(Mechanism for Realtime Identification of Firearms).MARIE incorporates the Single Shot Multibox Detector(SSD)model,which has been specifically optimized to balance the speed-accuracy trade-off critical in firearm detection *** SSD model was further refined by integrating MobileNetV2 and InceptionV2 architectures for superior feature extraction *** experimental results demonstrate that this modified SSD configuration provides highly satisfactory performance,surpassing existing methods trained on the same dataset in terms of the critical speedaccuracy *** these innovations,MARIE sets a new standard in surveillance technology,offering a robust solution to enhance public safety effectively.

关键词： Firearm and gun detection single shot multi-box detector deep learning one-stage detector MobileNet inception convolutional neural network

Vagus nerve stimulation in intracerebral hemorrhage:the need for further research

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Neural Regeneration Research 2025年第11期20卷 3213-3214页

作者： Sheharyar S.Baig ali N.ali Arshad Majid Sheffield Institute for Translational Neuroscience Division of NeuroscienceThe University of SheffieldSheffieldUK

Vagus nerve stimulation(VNS)and stroke:Stroke is the second leading cause of death and the third leading cause of disability worldwide(Baig et al.,2023).There have been significant paradigm shifts in the management of acute ischemic stroke through mechanical *** chronic ischemic stroke,invasive VNS paired with rehabilitation is associated with a significant increase in upper limb motor recovery and is FDA-approved(Baig et al.,2023).There are no treatments of similar efficacy in acute intracerebral hemorrhage(ICH)where several promising trials,e.g.,TICH-2,STOP-AUST,and TRAIGE did not show improvements in functional outcomes(Puy et al.,2023).

关键词： stimulation acute

A Synergistic Multi-Attribute Decision-Making Method for Educational Institutions Evaluation Using Similarity Measures of Possibility Pythagorean Fuzzy Hypersoft Sets

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Computer Modeling in Engineering & Sciences 2025年第1期142卷 501-530页

作者： Khuram ali Khan Saba Mubeen Ishfaq Atiqe Ur Rahman Salwa El-Morsy Department of Mathematics University of SargodhaSargodha40100Pakistan Department of Mathematics University of Management and TechnologyLahore54000Pakistan Department of Mathematics College of ScienceQassim UniversityBuraydah51452Saudi Arabia

Due to the numerous variables to take into account as well as the inherent ambiguity and uncertainty,evaluating educational institutions can be *** concept of a possibility Pythagorean fuzzy hypersoft set(pPyFHSS)is more flexible in this regard than other theoretical fuzzy set-like models,even though some attempts have been made in the literature to address such *** study investigates the elementary notions of pPyFHSS including its set-theoretic operations union,intersection,complement,OR-and *** results related to these operations are also modified for ***,the similarity measures between pPyFHSSs are formulated with the assistance of numerical examples and ***,an intelligent decision-assisted mechanism is developed with the proposal of a robust algorithm based on similarity measures for solving multi-attribute decision-making(MADM)problems.A case study that helps the decision-makers assess the best educational institution is discussed to validate the suggested *** algorithmic results are compared with the most pertinent model to evaluate the adaptability of pPyFHSS,as it generalizes the classical possibility fuzzy set-like theoretical ***,while considering significant evaluating factors,the flexibility of pPyFHSS is observed through structural comparison.

关键词： Hypersoft set Pythagorean fuzzy hypersoft set computational complexity multi-attribute decision-making optimization similarity measures uncertainty

Application of ultrasonic waves in measurement of hardness of welded carbon steels

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Defence Technology（防务技术） 2015年第3期11卷 255-261页

作者： Fatih uzun ali Nezihi BILGE Department of Chemical Engineering Yeditepe University Department of Energy Systems Engineering Bilgi University

The ultrasonic contact impedance technique and ultrasonic wave velocities have been widely used for non-destructive hardness *** wave velocity shift provides through the thickness average hardness, however, the correlations are performed according to surface hardness. In order to accept this technique as a particular non-destructive method for determination of hardness, it is necessary to test it with industrial applications. A widely used joining(welding) technique is selected for this purpose. Samples of carbon steels with three different carbon contents, but similar composition, are annealed in order to obtain the softened samples with different hardness values. Rockwell B scale hardness of heat treated samples, which are assumed to be isotropic, are determined and correlated with ultrasonic wave velocity shifts. Effect of welding process on hardness is investigated using ultrasonic wave velocity shifts, and the results are verified with destructive hardness measurements.

关键词：超声波速度硬度测量焊接工艺工业应用碳钢非破坏性硬度测试接触阻抗

Complement-dependent neuroinflammation in spinal cord injury:from pathology to therapeutic implications

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Neural Regeneration Research 2025年第5期20卷 1324-1335页

作者： Hassan Saad Bachar El Baba ali Tfaily Firas Kobeissy Juanmarco Gutierrez Gonzalez Daniel Refai Gerald R.Rodts Christian Mustroph David Gimbel Jonathan Grossberg Daniel L.Barrow Matthew F.Gary ali M.Alawieh Department of Neurosurgery Emory University School of MedicineAtlantaGAUSA Department of Neurology Yale UniversityNew HavenCTUSA Center for Neurotrauma Multiomics&Biomarkers(CNMB)Morehouse School of MedicineAtlantaGAUSA

Spinal cord injury remains a major cause of disability in young adults,and beyond acute decompression and rehabilitation,there are no pharmacological treatments to limit the progression of injury and optimize recovery in this *** the thorough investigation of the complement system in triggering and propagating cerebral neuroinflammation,a similar role for complement in spinal neuroinflammation is a focus of ongoing *** this work,we survey the current literature investigating the role of complement in spinal cord injury including the sources of complement proteins,triggers of complement activation,and role of effector functions in the *** study relevant data demonstrating the different triggers of complement activation after spinal cord injury including direct binding to cellular debris,and or activation via antibody binding to damage-associated molecular *** effector functions of complement have been implicated in spinal cord injury,and we critically evaluate recent studies on the dual role of complement anaphylatoxins in spinal cord injury while emphasizing the lack of pathophysiological understanding of the role of opsonins in spinal cord *** this pathophysiological review,we systematically review the different translational approaches used in preclinical models of spinal cord injury and discuss the challenges for future translation into human *** review emphasizes the need for future studies to dissect the roles of different complement pathways in the pathology of spinal cord injury,to evaluate the phases of involvement of opsonins and anaphylatoxins,and to study the role of complement in white matter degeneration and regeneration using translational strategies to supplement genetic models.

关键词： complement neuroinflammation neuroplasticity regeneration spinal cord injury targeted therapy

Risk factors for congenital nasolacrimal duct obstruction in children under two years of age

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国际眼科杂志 2025年第1期25卷 17-23页

作者： Rozhin Kasiri Gholamreza Khataminia ali Kasiri Mohammad Sadegh Mirdehghan Mohammad Armin Kasiri Infectious Ophthalmologic Research Center Ahvaz Jundishapur University of Medical SciencesAhvaz ***Iran Islamic Azad University Tehran Medical Sciences Tehran ***Iran

·AIM:To identify various risk factors that may play a significant role in the development of congenital nasolacrimal duct obstruction(CNLDO).·METHODS:This observational case-control study included a case group of 122 children less than two years of age with CNLDO who underwent probing and irrigation treatment at the ophthalmology department of Imam Khomeini Hospital in Ahvaz,Iran,from June 2022 to June2024.A control group of 122 age-matched children without CNLDO was also included for *** was collected from the children's medical records.·RESULTS:The study found a significant correlation between the occurrence of CNLDO and several maternal factors,such as preeclampsia,the use of levothyroxine,hypothyroidism,having more than three pregnancies(gravidity>3),natural pregnancy,and gestational diabetes ***,in children,factors,such as oxygen therapy,anemia,reflux,jaundice,and a family history of CNLDO in first-degree relatives were associated with CNLDO,and maternal preeclampsia and hypothyroidism were found to significantly increase the risk of developing CNLDO in children.·CONCLUSION:Given that CNLDO affects both premature and full-term children,the present findings may potentially facilitate the early identification of children and infants at risk of nasolacrimal duct obstruction,thereby preventing the onset of chronic dacryocystitis.

关键词： risk factors congenital nasolacrimal duct obstruction children