检索结果-南通市图书馆

Epidemiologic and socioeconomic factors impacting hepatitis B virus and related hepatocellular carcinoma

World Journal of Gastroenterology 2022年第29期28卷 3793-3802页

作者： Bipul Gnyawali antoinette pusateri Ashley Nickerson Sajid Jalil Khalid Mumtaz Department of Medicine Kettering Medical CenterDaytonOH 45342United States Department of Medicine The Ohio State UniversityColumbusOH 43210United States

Chronic Hepatitis B is a highly prevalent disease worldwide and is estimated to cause more than 800000 annual deaths from complications such as cirrhosis and hepatocellular carcinoma(HCC).Although universal hepatitis B vaccination programs may have reduced the incidence and prevalence of chronic hepatitis B and related HCC,the disease still imposes a significant healthcare burden in many endemic regions such as Africa and the Asia-Pacific *** is especially concerning given the global underdiagnosis of hepatitis B and the limited availability of vaccination,screening,and treatment in low-resource *** including male gender,older age,ethnicity,and geographic location as well as low socioeconomic status are more heavily impacted by chronic hepatitis B and related *** to mitigate this impact include increasing screening in high-risk groups according to national guidelines,increasing awareness and health literacy in vulnerable populations,and developing more robust vaccination programs in under-served regions.

关键词： Hepatitis B Epidemiology Hepatocellular carcinoma Socioeconomic status Healthcare disparity Hepatitis B vaccine

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Randomized intervention and outpatient follow-up lowers 30-d readmissions for patients with hepatic encephalopathy,decompensated cirrhosis

引用

World Journal of Hepatology 2023年第6期15卷 826-840页

作者： antoinette pusateri Kevin Litzenberg Claire Griffiths Caitlin Hayes Bipul Gnyawali Michelle Manious Sean G Kelly Lanla F Conteh Sajid Jalil Haikady N Nagaraja Khalid Mumtaz Division of Gastroenterology Hepatology and NutritionThe Ohio State University Wexner Medical CenterColumbusOH 43210United States Division of Internal Medicine The Ohio State University Wexner Medical CenterColumbusOH 43210United States The Ohio State University College of Medicine The Ohio State University Wexner Medical CenterColumbusOH 43210United States Division of Gastroenterology and Hepatology The Ohio State Wexner Medical CenterColumbusOH 43210United States Division of Biostatistics The Ohio State UniversityColumbusOH 43210United States

BACKGROUND We previously reported national 30-d readmission rates of 27% in patients with decompensated cirrhosis(DC).AIM To study prospective interventions to reduce early readmissions in DC at our tertiary *** Adults with DC admitted July 2019 to December 2020 were enrolled and randomized into the intervention(INT) or standard of care(SOC) arms. Weekly phone calls for a month were completed. In the INT arm, case managers ensured outpatient follow-up, paracentesis, and medication compliance. Thirty-day readmission rates and reasons were *** Calculated sample size was not achieved due to coronavirus disease 2019;240 patients were randomized into INT and SOC arms. 30-d readmission rate was 33.75%, 35.83% in the INT vs 31.67% in the SOC arm(P = 0.59). The top reason for 30-d readmission was hepatic encephalopathy(HE, 32.10%). There was a lower rate of 30-d readmissions for HE in the INT(21%) vs SOC arm(45%, P = 0.03). There were fewer 30-d readmissions in patients who attended early outpatient follow-up(n = 17, 23.61% vs n = 55, 76.39%, P = 0.04).CONCLUSION Our 30-d readmission rate was higher than the national rate but reduced by interventions in patients with DC with HE and early outpatient follow-up. Development of interventions to reduce early readmission in patients with DC is needed.

关键词： Decompensated cirrhosis Hospital readmissions Interventions

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Accelerated design and characterization of non-uniform cellular materials via a machine-learning based framework

引用

npj Computational Materials 2020年第1期6卷 1338-1345页

作者： Chunping Ma Zhiwei Zhang Benjamin Luce Simon pusateri Binglin Xie Mohammad H.Rafiei Nan Hu Department of Mechanical and Aerospace Engineering The Ohio State UniversityColumbusOH 43210USA School of Civil Engineering Harbin Institute of TechnologyHarbinChina School of Civil Engineering and Transportation South China University of TechnologyGuangzhouChina Department of Mechanical Engineering Johns Hopkins UniversityBaltimoreUSA

Cellular materials,widely found in engineered and nature systems,are highly dependent on their geometric arrangement.A nonuniform arrangement could lead to a significant variation of mechanical properties while bringing challenges in material ***,this proof-of-concept study demonstrates a machine-learning based framework with the capability of accelerated characterization and pattern *** showed that the proposed framework is capable of predicting the mechanical response curve of any given geometric pattern within the design domain under appropriate neural network architecture and ***,the framework is capable of generating matching geometric patterns for a targeted response through a databank constructed from our machine learning *** accuracy of the predictions was verified with finite element simulations and the sources of errors were ***,our machine-learning based framework can boost the design efficiency of cellular materials at unit level,and open new avenues for the programmability of function at system level.

关键词： arrangement characterization pattern

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：