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Diagnostic accuracy of ePOS score in predicting DNr labeling after ICU admission:A prospective observational study(ePOS-DNr)

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journal of Intensive Medicine 2024年第2期4卷 216-221页

作者： Omar e.ramadan Ahmed F.Mady Mohammed A.Al-Odat Ahmed N.Balshi Ahmed W.Aletreby Taisy j.Stephen Sheena r.Diolaso jennifer Q.Gano Waleed Th.Aletreby Department of Critical Care King Saud Medical CityRiyadhSaudi Arabia Anesthesia Department Faculty of MedicineAin Shams UniversityCairoEgypt Anesthesia Department Faculty of MedicineTanta UniversityTantaEgypt Faculty of Medicine Alexandria UniversityAlexandriaEgypt Nursing Department King Saud Medical CityRiyadhSaudi Arabia

Background resuscitation can sometimes be futile and making a do-not-resuscitate(DNr)decision is in the best interest of the *** electronic poor outcome screening(ePOS)score was developed to predict 6-month poor outcomes of critically ill *** explored the diagnostic accuracy of the ePOS score in predicting DNr decisions in the intensive care unit(ICU).Methods This study was conducted at the ICU of a tertiary referral hospital in Saudi Arabia between March and May ***,we calculated ePOS scores for all eligible consecutive admissions after 48 h in the ICU and recorded the DNr *** ability of the score to predict DNr was explored using logistic ***'s ideal cut-off value was calculated using the DeLong method,and different diagnostic accuracy measures were generated with corresponding 95%confidence intervals(CIs).results We enrolled 857 patients,125 received a DNr order and 732 did *** average ePOS score of DNr and non-DNr patients was 28.2±10.7 and 15.2±9.7,*** score,as a predictor of DNr order,had an area under receiver operator characteristic(AUrOC)curve of 81.8%(95%CI:79.0 to 84.3,Pen's ideal cut-off value>17 was associated with a sensitivity of 87.2(95%CI:80.0 to 92.5,Pecificity of 63.9(95%CI:60.3 to 67.4,Pe predictive value of 29.2(95%CI:24.6 to 33.8,Pegative predictive value of 96.7(95%CI:95.1 to 98.3,Pratio 12.1(95%CI:7.0 to 20.8,Pe ePOS score performed well as a diagnostic test for patients who will be labeled as DNr during their ICU stay.A cut-off score>17 may help guide clinical decisions to withhold or commence resuscitative measures.

关键词： Do-not-resuscitate(DNr) resuscitation Intensive care unit(ICU) Diagnostic accuracy Sensitivity Specificity

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editorial

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CCS Chemistry 2024年第9期6卷 266-270页

作者： Zhang Xi Minton Donna j 机构不详

“Our responsibility is to do what we can,learn what we can,improve the solutions,and pass them on.”—richard ***,Nobel Laureate in Physics(1918–1988)With january behind us,we are well into 2024 and life has fallen back into its familiar *** is resuming,and students and professors alike are back in the lab and *** China,there is buzzing excitement for the Spring Festival and coming of the Year of the Dragon on February *** is said that,“龙行龘龘,前程朤朤”or“The dragon strides forward with determination,and the future is bright.”We have much to look forward to in the coming months.

关键词： has dragon Nobel

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American tegumentary leishmaniasis mimicking myiasis and granulomatous vasculitis:A case report

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Asian Pacific journal of Tropical Medicine 2024年第10期17卷 473-476,I0001,I0002页

作者： Victoria j Arrieta Gastón Morea Leticia M Tennerini María VSanchez esteban S Lozano Diego e Cargnelutti Instituto de Medicina y Biología experimental de Cuyo(IMBeCU) Consejo Nacional de Investigaciones Científicas y Técnicas(CONICET)Universidad Nacional de Cuyo(UNCuyo)MendozaArgentina Hospital Luis C.Lagomaggiore MendozaArgentina Facultad de Ciencias Médicas(FCM) Universidad Nacional de Cuyo(UNCuyo)MendozaArgentina

rationale:American tegumentary leishmaniasis comprises cutaneous and mucocutaneous manifestations caused by parasitic infections by various Leishmania *** report details the clinical interventions for a patient with American tegumentary leishmaniasis in Mendoza,Argentina,a non-endemic *** concerns:A 43-year-old male was admitted to a tertiary care hospital in Mendoza,Argentina republic with a history of progressive nasal discharge,septal perforation,facial pain,and *** treatment for presumed nasal myiasis and vasculitis with granulomatosis,symptoms ***:American tegumentary ***:Intravenous liposomal amphotericin ***:Follow-up at 30 days showed no recurrence of symptoms with a remarkable clinical improvement of the nasal ***:This case sheds light on the necessity of accurate identification for timely intervention and the need to recognize the diverse manifestations of American tegumentary leishmaniasis to avoid misdiagnosis.

关键词： Leishmania American tegumentary leishmaniasis Diagnosis methods Myasis Vasculitis and granulomatosis Case report

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CO oxidation under lean and stoichiometric conditions over ceriazirconia with very low metal contents(Cu,Co,Ag and Pt)

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journal of rare earths 2024年第9期42卷 1669-1681,I0002页

作者： j.C.Martínez-Munuera M.P.Yeste A.García-García MCMA Group Department of Inorganic Chemistry and Institute of MaterialsUniversity of AlicanteCarretera de San Vicente del Raspeig s/n03690San Vicente del RaspeigAlicanteSpain Solid Chemistry and Catalysis Group Department of Materials ScienceMetallurgic Engineering and Inorganic ChemistryInstitute of Electronic Microscopy and Materials ResearchUniversity of CádizAp.40E-11510Puerto RealCádizSpain

In this work,several ceria-zirconia based catalysts with very lo w(and equimolar) metal contents were prepared,characterised and tested for the CO oxidatio n reaction(under lean and stoichiometric conditions),trying to emulate those conditions found in a diesel oxidation catalyst(DOC) system from a diesel engine and those encountered under gasoline exhaust(λ=1).The metals chosen are Cu,Co,Ag and Pt(as a reliable benchmark).The results reveal enormous differences among reducibility and catalytic activity despite quite similar structural and textural properties of the catalysts,showing differences among dispersion(Ag-catalyst seems to present a low level of dispersion).This catalyst seems to be characterised,as well,by a strong electronic interaction between Ce and Ag centres which is suggested to yield an improved reducibility under H_(2)-TPr ***,the order in catalytic activity(Cu>Ag>Co≈Pt>>support) seems not to follow the order found in reducibility and the Cu-catalyst seems to be the most active independently on the reaction conditions,yielding nearly overlapped CO oxidation catalytic *** restingly,a stro ng correlation between the catalytic activity under the two conditions tested and the OSC values of the Ce_(0.8)Zr_(0.2)O_(2)-supported metal catalysts is ***,OSC parameter measured at 150℃ can be used as a relevant descriptor to evaluate the CO oxidation activity at low and medium conversions for the investigated catalysts,much better than the H_(2)-TPr measurements.

关键词： CO oxidation Low metal content Ceria-zirconia Copper species OSC parameter rare earths

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Three-dimensional magnetization reconstruction from electron optical phase images with physical constraints

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Science China(Physics,Mechanics & Astronomy) 2024年第11期67卷 122-132页

作者： Boyao Lyu Shihua Zhao Yibo Zhang Weiwei Wang Fengshan Zheng rafal e.Dunin-Borkowski jiadong Zang Haifeng Du Anhui Province Key Laboratory of Low-energy Quantum Materials and Devices High Magnetic Field LaboratoryHefei Institutes of Physical ScienceChinese Academy of SciencesHefei 230031China Science Island Branch Graduate School of University of Science and Technology of ChinaHefei 230026China Department of Physics and Astronomy University of New HampshireDurham 03824USA Department of Physics The City College of New YorkNew York 10031USA Physics Program Graduate Center of the City University of New YorkNew York 10016USA Department of Chemistry University of New HampshireDurham 03824USA Institutes of Physical Science and Information Technology Anhui UniversityHefei 230601China Spin-X Institute Center for Electron MicroscopySchool of Physics and OptoelectronicsState Key Laboratory of Luminescent Materials and DevicesGuangdong-Hong Kong-Macao Joint Laboratory of Optoelectronic and Magnetic Functional MaterialsSouth China University of TechnologyGuangzhou 511442China ernst ruska-Centre for Microscopy and Spectroscopy with electrons Forschungszentrum JülichJülich 52425Germany

The ability to characterize three-dimensional(3D)magnetization distributions in nanoscale magnetic materials and devices is essential to fully understand their static and dynamic magnetic *** contrast techniques in the transmission electron microscope(TeM),such as electron holography and electron ptychography,can be used to record two-dimensional(2D)projections of the in-plane magnetic induction of 3D nanoscale *** the 3D magnetic induction can in principle be reconstructed from one or more tilt series of such 2D projections,conventional tomographic reconstruction algorithms do not recover the 3D magnetization within a sample ***,we use simulations to describe the basis of an improved model-based algorithm for the tomographic reconstruction of a 3D magnetization distribution from one or more tilt series of electron optical phase images recorded in the *** algorithm allows a wide range of physical constraints,including a priori information about the sample geometry and magnetic parameters,to be *** also makes use of minimization of the micromagnetic energy in the loss *** demonstrate the reconstruction of the 3D magnetization of a localized magnetic soliton—a hopfion ring—and discuss the influence of noise,choice of magnetic constants,maximum tilt angle and number of tilt axes on the *** algorithm can in principle be adapted for other magnetic contrast imaging techniques in the TeM,as well as for other magnetic characterization techniques,such as those based on X-rays or neutrons.

关键词： three-dimensional magnetization vector field tomography differentiable programming electron holography micromagnetism

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三轴形变核^(131)Ba中的奇异集体激发模式

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物理学报 2024年第11期73卷 89-100页

作者：韦锐周厚兵王思成丁兵强赟华贾晨旭陈红星郭松 C.M.Petrache D.Mengoni A.Astier e.Dupont 吕冰锋 D.Bazzacco A.Boso A.Goasduff F.recchia D.Testov F.Galtarossa G.jaworski D.r.Napoli S.riccetto M.Siciliano j.j.Valiente-Dobon C.Andreoiu F.H.Garcia K.Ortner K.Whitmore A.Ataç-Nyberg T.Bäck B.Cederwall e.A.Lawrie I.Kuti D.Sohler T.Marchlewski j.Srebrny A.Tucholski 广西师范大学物理科学与技术学院桂林541004 广西核物理与核技术重点实验室桂林541004 中国科学院近代物理研究所兰州730000 中国科学院大学北京100049 巴黎萨克雷大学 CNRS/IN2P3IJCLab奥赛91405 帕多瓦大学物理和天文学系帕多瓦I-35131 意大利国家核物理研究所帕多瓦分部帕多瓦I-35131 意大利国家核物理研究所莱尼亚罗国家实验室莱尼亚罗(帕多瓦)I-35020 费拉拉大学理学与自然科学院费拉拉西蒙菲莎大学化学系本拿比BC V5A 1S6 皇家理工学院物理系斯德哥摩尔S-10691 国家研究基金会iThemba加速器科学实验室西萨默塞特7123 西开普大学物理与天文系贝尔维尔ZA-7535 HUN-reN原子核研究所德布勒森4001 华沙巴斯德拉大学重离子实验室华沙02-093

利用意大利Legnaro实验室串列静电加速器提供的65 MeV^(13)C束流与122Sn靶的熔合蒸发反应布居了^(131)Ba的高自旋态,并搭建了新的能级纲图.新的能级纲图由15条转动带组成,包括三对手征双重带,其中两对正宇称手征带为赝自旋-手征四重带.... 详细信息

利用意大利Legnaro实验室串列静电加速器提供的65 MeV^(13)C束流与122Sn靶的熔合蒸发反应布居了^(131)Ba的高自旋态,并搭建了新的能级纲图.新的能级纲图由15条转动带组成,包括三对手征双重带,其中两对正宇称手征带为赝自旋-手征四重带.正负宇称手征带通过一系列增强的e1跃迁连接,表明它们之间存在八极关联.在低自旋区域搭建了一条新的转动带,通过一系列γ跃迁向νh1_(1/2)晕带退激.这种能级结构与摇摆带相似,但基于现有的实验证据还难以将它确认为摇摆带,不能排除其他集体激发机制,如γ振动的影响.

关键词：高自旋态手征带赝自旋八极关联摇摆运动

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Dynamic convergent shock compression initiated by return current in high-intensity laser-solid interactions

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Matter and radiation at extremes 2024年第4期9卷 40-53页

作者： Long Yang Martin rehwald Thomas Kluge Alejandro LasoGarcia Toma Toncian Karl Zeil Ulrich Schramm Thomas e.Cowan Lingen Huang Helmholtz-Zentrum Dresden-rossendorf 01328 DresdenGermany Technische Universitat Dresden 01062 DresdenGermany

We investigate the dynamics of convergent shock compression in solid cylindrical targets irradiated by an ultrafast relativistic laser *** particle-in-cell simulations and coupled hydrodynamic simulations reveal that the compression process is initiated by both magnetic pressure and surface ablation associated with a strong transient surface return current with density of the order of 10^(17) A/m^(2) and lifetime of 100 *** results show that the dominant compression mechanism is governed by the plasma β,i.e.,the ratio of thermal pressure to magnetic *** targets with small radius and low atomic number Z,the magnetic pressure is the dominant shock compression *** to a scaling law,as the target radius and Z increase,the surface ablation pressure becomes the main mechanism generating convergent ***,an indirect experimental indication of shocked hydrogen compression is provided by optical shadowgraphy measurements of the evolution of the plasma expansion *** results presented here provide a novel basis for the generation of extremely high pressures exceeding Gbar(100 TPa)to enable the investigation of high-pressure physics using femtosecond j-level laser pulses,offering an alternative to nanosecond kj-laser pulse-driven and pulsed power Z-pinch compression methods.

关键词： shock convergent return

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ranking environmental and edaphic attributes driving soil microbial community structure and activity with special attention to spatial and temporal scales

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mLife 2024年第1期3卷 21-41页

作者： Vadakattu V.S.r.Gupta james M.Tiedje CSIrO Agriculture&Food UrrbraeSouth AustraliaAustralia Centre for Microbial ecology Michigan State UniversityEast LansingMichiganUSA

The incredibly complex soil microbial communities at small scales make their analysis and identification of reasons for the observed structures *** community structure is mainly a result of the inoculum(dispersal),the selective advantages of those organisms under the habitat-based environmental attributes,and the ability of those colonizers to sustain themselves over *** soil is protective,and its microbial inhabitants have long adapted to varied soil conditions,significant portions of the soil microbial community structure are likely ***,a substantial portion of the community will not correlate to often measured soil *** suggest that the drivers be ranked on the basis of their importance to the fundamental needs of the microbes:(i)those that supply energy,i.e.,organic carbon and electron acceptors;(i)environmental effectors or stressors,i.e.,pH,salt,drought,and toxic chemicals;(ii)macro-organism associations,i.e.,plants and their seasonality,animals and their fecal matter,and soil fauna;and(iv)nutrients,in order,N,P,and probably of lesser importance,other micronutrients,and *** relevance of drivers also varies with spatial and time scales,for example,aggregate to field to regional,and persistent to dynamic populations to transcripts,and with the extent of phylogenetic difference,hence phenotypic differences in organismal *** present a summary matrix to provide guidance on which drivers are important for particular studies,with special emphasis on a wide range of spatial and temporal scales,and illustrate this with genomic and population(rrNA gene)data from selected studies.

关键词： abundance community structure diversity functional microbiome microorganisms

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Characterization of bright betatron radiation generated by direct laser acceleration of electrons in plasma of near critical density

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Matter and radiation at extremes 2024年第2期9卷 26-35页

作者： j.Cikhardt M.Gyrdymov S.Zähter P.Tavana M.M.Günther N.Bukharskii N.Borisenko j.jacoby X.F.Shen A.Pukhov N.e.Andreev O.N.rosmej Faculty of electrical engineering Czech Technical University in Prague16627 Prague 6Czech Republic Goethe University FrankfurtMax-von-Laue-Straße 160438 Frankfurt am MainGermany GSI Helmholtzzentrum für Schwerionenforschung GmbH Planckstraße 164291 DarmstadtGermany Focused energy GmbH Im Tiefen See 4564293 DarmstadtGermany National research Nuclear University MePhI Kashirskoe shosse 31115409 MoscowRussian Federation Lebedev Physical Institute rAS Leninskiy Prospekt 53119991 MoscowRussian Federation Heinrich-Heine-University Düsseldorf Universitätsstrasse 1DüsseldorfGermany joint Institute for High Temperatures RASIzhorskaya st.13Bldg.2125412 MoscowRussian Federation Moscow Institute of Physics and Technology Institutskiy Pereulok 9141700 DolgoprudnyRussia

Directed x-rays produced in the interaction of sub-picosecond laser pulses of moderate relativistic intensity with plasma of near-critical density are investigated. Synchrotron-like (betatron) radiation occurs in the process of direct laser acceleration (DLA) of electrons in a relativisticlaser channel when the electrons undergo transverse betatron oscillations in self-generated quasi-static electric and magnetic fields. In anexperiment at the PHeLIX laser system, high-current directed beams of DLA electrons with a mean energy ten times higher than the ponderomotive potential and maximum energy up to 100 MeV were measured at 10^(19) W/cm^(2)laser intensity. The spectrum of directed x-raysin the range of 5–60 keV was evaluated using two sets of ross filters placed at 0°and 10°to the laser pulse propagation axis. The differential x-ray absorption method allowed for absolute measurements of the angular-dependent photon fluence. We report 10^(13) photons/sr withenergies >5 keV measured at 0°to the laser axis and a brilliance of 10^(21) photons s^(−1) mm^(−2) mrad−2(0.1%BW)−1. The angular distributionof the emission has an FWHM of 14°–16°. Thanks to the ultra-high photon fluence, point-like radiation source, and ultra-short emissiontime, DLA-based keV backlighters are promising for various applications in high-energy-density research with kilojoule petawatt-class laserfacilities.

关键词： laser acceleration critical

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Gut microbiota modulating intestinal stem cell differentiation

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World journal of Stem Cells 2024年第6期16卷 619-622页

作者： Lin He Chen Zhu Xiang-Feng Zhou Shu-e Zeng Le Zhang Kuan Li Department of Alcohol and Drug Dependence Treatment The Mental Hospital of Yunnan ProvinceKunming 650224Yunnan ProvinceChina Department of Physical education Kunming Medical UniversityKunming 650500Yunnan ProvinceChina Department of Geriatric Psychiatry The Mental Hospital of Yunnan ProvinceKunming 650224Yunnan ProvinceChina Sleep Medicine Center The Mental Hospital of Yunnan ProvinceKunming 650224Yunnan ProvinceChina

Proliferation and differentiation of intestinal stem cell(ISC)to replace damaged gut mucosal epithelial cells in inflammatory states is a critical step in ameliorating gut ***,when this disordered proliferation continues,it induces the ISC to enter a cancerous *** gut microbiota on the free surface of the gut mucosal barrier is able to interact with ISC on a sustained ***-biota metabolites are able to regulate the proliferation of gut stem and progenitor cells through transcription factors,while in steady state,differentiated colono-cytes are able to break down such metabolites,thereby protecting stem cells at the gut *** the future,the gut flora and its metabolites mediating the regulation of ISC differentiation will be a potential treatment for enteropathies.

关键词： Intestinal stem cells Gut microbiota Gut stem niche Microenvironment Probiotics

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