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Using clinical cases to guide healthcare

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World Journal of Clinical Cases 2024年第9期12卷 1555-1559页

作者： Michael Colwill Samantha Baillie Richard Pollok andrew Poullis Department of Gastroenterology St George's University Hospital NHS Foundation TrustLondon SW170QTUnited Kingdom

Evidence-based practice(EBP)has been the gold standard in healthcare for nearly three centuries and aims to assist physicians in providing the safest and most effective healthcare for their *** well-established hierarchy of evidence lists systematic reviews and meta-analyses at the top however these methodologies are not always appropriate or possible and in these instances case-control studies,case series and case reports are utilised to support ***-control studies allow simultaneous study of multiple risk factors and can be performed rapidly and relatively cheaply.A recent example was during the Coronavirus pandemic where case-control studies were used to assess the efficacy of personal protective equipment for healthcare *** series and case reports also play a role in EBP and are particularly useful to study rare diseases such as inflammatory bowel disease in transgender and gender non-conforming *** are also vital in generating and disseminating early signals and encouraging further *** these methodologies have weaknesses,particularly with regards to bias and loss of patient confidentiality for rare pathologies,they have an important part to play in EBP and when appropriately utilised can significantly impact upon clinical practice.

关键词： Evidence based medicine Hierarchy of evidence Case reports Case series

Aboveground carbon sequestration of Cunninghamia lanceolata forests:Magnitude and drivers

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Forest Ecosystems 2024年第1期11卷 32-41页

作者： Chen Wang Shuguang Liu Yu Zhu andrew R.Smith Ying Ning Deming Deng National Engineering Laboratory for Applied Technology of Forestry&Ecology in South China Central South University of Forestry and TechnologyChangsha 410004China Technology Innovation Center for Ecological Conservation and Restoration in Dongting Lake Basin Ministry of Natural ResourcesChangsha 410007China College of Life Science and Technology Central South University of Forestry and TechnologyChangsha 410004China School of Ecology and Environment Hainan UniversityHaikou 570228China School of Natural Sciences Bangor UniversityGwyneddLL572UWUK College of Forestry Central South University of Forestry and TechnologyChangsha 410004China Hunan Prospecting Designing&Research General Institute for Agriculture Forestry&IndustryChangsha 410007China

Understanding the spatial variation,temporal changes,and their underlying driving forces of carbon sequestration in various forests is of great importance for understanding the carbon cycle and carbon management *** carbon density and sequestration in various Cunninghamia lanceolata forests,extensively cultivated for timber production in subtropical China,vary with biodiversity,forest structure,environment,and cultural factors remain poorly explored,presenting a critical knowledge gap for realizing carbon sequestration supply potential through *** on a large-scale database of 449 permanent forest inventory plots,we quantified the spatial-temporal heterogeneity of aboveground carbon densities and carbon accumulation rates in Cunninghamia lanceolate forests in Hunan Province,China,and attributed the contributions of stand structure,environmental,and management factors to the heterogeneity using quantile age-sequence analysis,partial least squares path modeling(PLS-PM),and hot-spot *** results showed lower values of carbon density and sequestration on average,in comparison with other forests in the same climate zone(i.e.,subtropics),with pronounced spatial and temporal ***,quantile regression analysis using carbon accumulation rates along an age sequence showed large differences in carbon sequestration rates among underperformed and outperformed forests(0.50 and 1.80 Mg·ha^(-1)·yr^(-1)).PLS-PM demonstrated that maximum DBH and stand density were the main crucial drivers of aboveground carbon density from young to mature ***,species diversity and geotopographic factors were the significant factors causing the large discrepancy in aboveground carbon density change between low-and high-carbon-bearing *** analysis revealed the importance of culture attributes in shaping the geospatial patterns of carbon *** work highlighted that retaining largesized DBH trees and increasing shade-t

关键词： Carbon density Carbon accumulation rate Forest age Spatial variation Cultural influence

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Effects of different organic fertilizers on nitrous oxide and methane emissions from double-cropping rice fields

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Pedosphere 2024年第1期34卷 52-62页

作者： Mingcheng HU andrew J.WADE Weishou SHEN Zhenfang ZHONG Chongwen QIU Xiangui LIN Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control Collaborative Innovation Center of Atmospheric Environment and Equipment TechnologySchool of Environmental Science and EngineeringNanjing University of Information Science&TechnologyNanjing 210044China Department of Geography and Environmental Science University of ReadingReading RG66 DWUK Haina Research Institute of Guangdong Haina Agricultural Co. Ltd.Huizhou 516000China State Key Laboratory of Soil and Sustainable Agriculture Institute of Soil ScienceChinese Academy of SciencesNanjing 210008China

Rice fields are a major source of greenhouse gases,such as nitrous oxide (N_(2)O) and methane (CH_(4)).Organic fertilizers may potentially replace inorganic fertilizers to meet the nitrogen requirement for rice growth;however,the simultaneous effects of organic fertilizers on N_(2)O and CH_(4)emissions and crop yield in paddy fields remain poorly understood and *** this study,experimental plots were established in conventional double-cropping paddy fields in the Pearl River Delta,China,including an unfertilized control and five fertilizer treatments with fresh organic fertilizer (FOF),successively composted organic fertilizer (SOF),chemically composted organic fertilizer (COF),COF supplemented with inorganic fertilizer (COIF),and chemical fertilizers (CFs)(TFOF,TSOF,TCOF,TCOIF,and TCF,respectively).Paddy field soils behaved simultaneously as an N_(2)O sink (cumulative N_(2)O emission:-196 to-381 g N ha^(-1)) and as a CH_(4)source (cumulative CH_(4)emission:719 to 2 178 kg ha^(-1)).Compared to CFs,the effects of organic fertilizers on N_(2)O emission were not *** contrast,total annual CH_(4)emission increased by 157%,132%,125%,and 37%in TFOF,TCOF,TSOF,and TCOIF,respectively,compared to *** TCOIF,rice yield was maintained,while CH_(4)emission was not significantly increased from the paddy fields characterized by a prolonged flood *** important next step is to extend these field-based measurements to larger rice cultivation areas to quantify the regional and national-scale impacts on greenhouse gas emissions and to help determine the optimum practice for fertilizer use.

关键词： crop production global warming potential greenhouse gases manure paddy sustainable agriculture

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Gastroesophageal signet ring cell carcinoma morbidity and mortality: A retrospective review

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1629-1636页

作者： Megan Grinlinton Chris Furkert andrew Maurice Neville Angelo Michael Booth Department of General Surgery North Shore HospitalAuckland 0620New Zealand Department of Pathology North Shore HospitalAuckland 0620New Zealand

BACKGROUND Upper gastrointestinal(GI)signet ring cell carcinomas(SRCC)confer a poor *** benefit of operative intervention for this patient group is contro-versial in terms of overall *** To investigate factors relating to survival in patients with upper GI *** A retrospective,tertiary,single-centre review of patients who were diagnosed with oesophageal,gastroesophageal junction and gastric SRCC was *** primary outcome was to compare mortality of patients who underwent operative management with those who had nonoperative ***-dary outcomes included assessing the relationship between demographic and histopathological factors,and *** One hundred and thirty-one patients were *** one-year survival for the operative group was 81%and for the nonoperative group was 19.1%.The five-year survival in the operative group was 28.6%vs 1.5%in the nonoperative *** difference in overall survival between groups was statistically significant(HR 0.19,95%CI(0.13-0.30),P<0.001).There was no difference in survival when ad-justing for age,smoking status or *** multivariate analysis,patients who underwent surgical management,those with a lower stage of disease,and those with a lower Charlson Comorbidity Index(CCI)had significantly improved *** Well-selected patients with upper GI SRCC appear to have reasonable medium-term survival following *** surgery to a carefully selected patient group may improve the outcome for this disease.

关键词： Signet ring cell carcinoma Gastric cancer Oesophageal cancer Poorly cohesive gastric cancer Diffuse gastric cancer

Heterogeneous Catalysis with Metal-Containing Crystalline Porous Materials:Element-and Site-Specific Insights

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CCS Chemistry 2024年第5期6卷 1110-1129页

作者： Yan Li andrew G.Walsh Peng Zhang Tianjun Zhang State Key Laboratory of New Pharmaceutical Preparations and Excipients College of Chemistry and Materials ScienceHebei UniversityBaoding 071002 Department of Chemistry Dalhousie UniversityHalifaxNova Scotia B3H 4R2

Metal-containing crystalline porous materials(CPMs)are gaining popularity in heterogeneous catalysis because of their highly crystalline and porous systems,and their excellent chemical *** of the metal species and framework structure permits them to have greater activity,selectivity,and stability over other *** in-depth understanding of the complex nature of metal active sites in CPMs is essential for revealing the structure-performance relationships and directing the rational design of such *** to conventional characterization techniques,the rapid development of X-ray absorption spectroscopy(XAS)has provided element-and site-specific deep insights into the electronic and structural information of metal species in *** such,this review begins by summarizing novel XAS techniques and analysis methods in accurately obtaining such ***,the combination of XAS with other high-level characterization methods into disclosing the configuration of active sites in metalcontaining CPMs is ***,the utilization of theory-assisted XAS data analysis in examining complex metal-containing CPM catalysts is ***,advanced in-situ/operando XAS studies into revealing the working sites in metal-containing CPMs under catalytic conditions are *** conclude by outlining the future challenges and prospects of XAS measurements,data analyses,and in-situ/operando setups in advancing the study of metal-in-CPM catalysts.

关键词： X-ray absorption spectroscopy in-situ metal species crystalline porous materials heterogeneous catalysis

Insights and reviews on battery lifetime prediction from research to practice

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Journal of Energy Chemistry 2024年第7期94卷 716-739页

作者： Xudong Qu Dapai Shi Jingyuan Zhao Manh-Kien Tran Zhenghong Wang Michael Fowler Yubo Lian andrew FBurke Hubei Longzhong Laboratory Hubei University of Arts and ScienceXiangyang 441000HubeiChina Institute of Transportation Studies University of California DavisDavisCA 95616USA Department of Chemical Engineering University of WaterlooWaterlooOntario N2L 3G1Canada BYD Automotive Engineering Research Institute Shenzhen 518118GuangdongChina

The rising demand for energy storage solutions,especially in the electric vehicle and renewable energy sectors,highlights the importance of accurately predicting battery health to enhance their longevity and *** article comprehensively examines various methods used to forecast battery health,including physics-based models,empirical models,and equivalent circuit models,among *** delves into the promise of data-driven prognostics,utilizing both conventional machine learning and cuttingedge deep neural network *** advantages and limitations of hybrid models are thoroughly analyzed,with a focus on the benefits of integrating diverse data sources to improve prognostic *** practical case studies,the article showcases the effectiveness and flexibility of these *** also critically addresses the challenges encountered in applying battery health prognostics in realworld scenarios,such as issues of scalability,complexity,and data *** these challenges,the article underscores the emerging opportunities brought about by recent technological,academic,and research *** include the development of digital twin models for batteries,the use of data-centric AI and standardized benchmarking,the potential integration of blockchain technology for enhanced data security and transparency,and the synergy between edge and cloud computing to boost data analysis and *** primary goal of this article is to enrich the understanding of current battery health prognostic techniques and to inspire further research aimed at overcoming existing hurdles and tapping into new *** concludes with a visionary perspective on future research directions and potential developments in this evolving field,encouraging both researchers and practitioners to explore innovative solutions.

关键词： Batteries Lifetime Health Machine learning Deep learning Field Real world

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Mesenchymal stem cell-based TRAIL delivery inhibits the metastatic state of clinical therapy-resistant progressive neuroblastoma

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World Journal of Pediatrics 2024年第3期20卷 287-293页

作者： Dinesh Babu Somasundaram andrew Maher Sheeja Aravindan Zhongxin Yu Brian MBesch Natarajan Aravindan Department of Radiation Oncology University of Oklahoma Health Sciences CenterOklahoma CityOKUSA Stephenson Cancer Center Oklahoma CityOKUSA Department of Pathology University of Oklahoma Health Sciences CenterOklahoma CityOKUSA Radiation Biology Laboratory University of Oklahoma Health Sciences CenterBSEB 302F941 Stanton L.Young BoulevardOklahoma CityOK 73104USA

Progressive neuroblastomas(pNBs)that defy current intensive multimodal clinical therapy(IMCT)are a significant contributor to overall childhood cancer deaths[l].Neuroblastomas(NBs)that survive first-line IMCT actively evolve to acquire genetic and molecular rearrangements and display unparalleled plasticity and evolution,which causes frequent relapses in a rapidly accelerating timeline[2-4].

关键词： neuroblastoma clinical evolve

Elucidating the Degradation Pathways of Human Insulin in the Solid State

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Journal of Analysis and Testing 2024年第3期8卷 288-299页

作者： andrew Fagan Lorraine M.Bateman Joseph P.O'Shea Abina M.Crean SSPC the SFI Centre for Pharmaceutical Research School of Pharmacy University College Cork School of Pharmacy University College Cork Analytical and Biological Chemistry Research Facility (ABCRF) University College Cork School of Chemistry University College Cork

While there have been significant advances in the development of peptide oral dosage forms in recent years, highlighted by the clinical and commercial success of approved peptides such as Rybelsus?, there remain several barriers in the way of broad range applicability of this approach to peptide delivery. One such barrier includes the poor physical and chemical stability inherent to their structures, which persists in the solid state although degradation typically occurs at different rates and via different pathways in comparison to the solution state. Using insulin as a model peptide, this work sought to contribute to the development of analytical techniques for investigating common insulin degradation pathways. Chemically denatured,deamidated and aggregated samples were prepared and used to benchmark circular dichroism spectroscopy, reverse phase HPLC and size exclusion chromatography methods for the investigation of unfolding, chemical modifications and covalent aggregation of the insulin molecule respectively. Solid state degraded samples were prepared by heating insulin powder at 60 °C and 75% relative humidity for 1, 3, 5 and 7 d, and the degradation profiles of the samples were evaluated and compared with those observed in solution. While no unfolding was observed to occur, significant deamidation and covalent aggregation were detected. Reductive disulfide bond cleavage using dithiothreitol allowed for separation of the insulin A-and B-chains,offering a facile yet novel means of assessing the mechanisms of deamidation and covalent aggregation occurring in the solid state.

关键词： Biopharmaceutical analysis Covalent aggregation Deamidation Disulfide cleavage Insulin Solid state Stability

Mitigating Carbon Emissions:A Comprehensive Analysis of Transitioning to Hydrogen-Powered Plants in Japan’s Energy Landscape Post-Fukushima

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Energy Engineering 2024年第5期121卷 1143-1159页

作者： Nugroho Agung Pambudi andrew Chapman Alfan Sarifudin Desita Kamila Ulfa Iksan Riva Nanda Department of Mechanical Engineering Education Universitas Sebelas MaretSukoharjo57161Indonesia International Institute for Carbon-Neutral Reserch(WPI-I2CNER) Kyushu UniversityFukuoka819-0395Japan Postgraduate of Mechanical Engineering Universitas Sebelas MaretSurakarta57126Indonesia Energy and Society Laboratory Department of Mechanical Engineering EducationUniversitas Sebelas MaretSukoharjo57161Indonesia Department of Metallurgical and Material Engineering Universitas IndonesiaDepok16424Indonesia

One of the impacts of the Fukushima disaster was the shutdown of all nuclear power plants in Japan,reaching zero production in *** response,the country started importing more fossil energy including coal,oil,and natural gas to fill the energy ***,this led to a significant increase in carbon emissions,hindering the efforts to reduce its carbon *** the current situation,Japan is actively working to balance its energy requirements with environmental considerations,including the utilization of hydrogen ***,this paper aims to explore the feasibility and implications of using hydrogen power plants as a means to reduce emissions,and this analysis will be conducted using the energy modeling of the MARKAL-TIMES Japan *** hydrogen scenario(HS)is assumed with the extensive integration of hydrogen into the power generation sector,supported by a hydrogen import ***,this scenario will be compared with the Business as Usual(BAU)*** results showed that the generation capacities of the BAU and HS scenarios have significantly different primary energy *** BAU scenario is highly dependent on fossil fuels,while the HS scenario integrates hydrogen contribution along with an increase in renewable energy,reaching a peak contribution of 2,160 PJ in *** the HS scenario,the target of reducing CO_(2) emissions by 80%is achieved through significant hydrogen *** 2050,the total CO_(2) emissions are estimated to be 939 million tons for the BAU scenario and 261 million tons for the Hydrogen *** addition,the contribution of hydrogen to electricity generation is expected to be 153 TWh,smaller than PV and wind power.

关键词： Business as usual(BAU)scenario hydrogen scenario CO_(2)emissions power generation sector