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Quality-adjusted life years and surgical waiting list:Systematic review of the literature

World Journal of Gastrointestinal Surgery 2024年第4期16卷 1155-1164页

作者： Roberto de la Plaza Llamas Lorena Ortega Azor Marina Hernández Yuste Ludovica Gorini Raquel Aránzazu Latorre-Fragua daniel Alejandro Díaz Candelas Farah Al Shwely Abduljabar Ignacio Antonio Gemio del Rey Department of General and Digestive Surgery Hospital Universitario de GuadalajaraGuadalajara 19002Spain Department of Surgery Medical and Social SciencesFaculty of Medicine and Health SciencesUniversity of AlcaláAlcaláde Henares 28871MadridSpain

BACKGROUND The quality-adjusted life year(QALY)is a metric that is increasingly used today in the field of health economics to evaluate the value of different medical treatments and *** waiting lists(SWLs)represent a pressing problem in public *** QALY measure has rarely been used in the context of *** would be interesting to know how many QALYs are lost by patients on *** To investigate the relationship between QALYs and SWLs in a systematic review of the scientific *** The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses *** unlimited search was carried out in PubMed,updated on January 19,*** on the following variables were investigated and analyzed:Specialty,country of study,procedure under study,scale used to measure QALYs,the use of a theoretical or real-life model,objectives of the study and items measured,the economic value assigned to the QALY in the country in question,and the results and conclusions *** Forty-eight articles were selected for the *** data were found regarding QALYs lost on *** specialties in which QALYs were studied the most in relation to the waiting list were urology and general surgery,with 15 articles *** country in which the most studies of QALYs were carried out was the United States(n=21),followed by the United Kingdom(n=9)and Canada(n=7).The most studied procedure was organ transplantation(n=39),including 15 kidney,14 liver,5 heart,4 lung,and 1 ***(n=4),cataract surgery(n=2),bariatric surgery(n=1),mosaicplasty(n=1),and septoplasty(n=1)completed the surgical interventions ***-nine of the models used were theoretical(the most frequently applied being the Markov model,n=34),and nine were *** survey used to measure quality of life in 11 articles was the European Quality of Life-5 dimensions,but in 32 articles the survey was not specified.T

关键词： Quality-adjusted life year Waitlist Quality of life Surgery Systematic review

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Green Hydrogen: Perspectives and Challenges in Using the Natural Gas Network in Ceará/Brazil

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Journal of Geoscience and Environment Protection 2024年第3期12卷 70-94页

作者： Francisco Alfredo de Castro Mona Lisa Moura de Oliveira Lutero Carmo de Lima daniel Silveira Serra Science and Technology Center State University of Ceará Ceará Brazil Av. Dr. Silas Munguba 1700 Fortaleza-Ceará Brazil

Climate change, mainly caused by the use of non-renewable fuels, has raised global concerns and led to the search for less polluting energy sources, making hydrogen a promising energy alternative with the potential to contribute to changes in the energy mix of various countries through the use of technologies that enable its production and use with low or zero carbon emissions. In this context, Brazil has aroused great interest from other countries in exploring its renewable resources for the production of hydrogen (green hydrogen). In this sense, the use of natural gas pipelines and the use of hydrogen in mixtures with natural gas have become the subject of studies due to their economically viable alternative for the immediate use of this energy vector. However, there are still technical and regulatory challenges regarding the integration of hydrogen into the existing natural gas pipeline network. In this context, the present study aims to address the effects of hydrogen interaction with the structure of natural gas pipeline steel and the regulatory barriers to the use of this network for the transportation of green hydrogen, particularly in the state of Ceará/Brazil. After extensive analysis of literature and regulatory documents, it was concluded that: 1) Ceará/Brazil has strong potential to meet the demand for green hydrogen through the use of solar and wind energy sources;2) there is feasibility for the adaptation or conversion of natural gas infrastructure for the transportation of green hydrogen;3) discussions regarding the regulatory competence of green hydrogen transportation and distribution through the natural gas network in Brazil are still incipient;4) the current regulation of the natural gas industry can serve as a subsidy for the regulation of green hydrogen and natural gas transportation.

关键词： Decarbonization Natural Gas Green Hydrogen Pipelines

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在荒野中写诗拉斯维加斯Fort 137住宅

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室内设计与装修 2024年第5期 46-51页

作者： daniel Joseph Chenin,Ltd. daniel Joseph CheninLtd. 美国

daniel Joseph Chenin,Ltd.是一家在建筑领域屡获殊荣、擅长多学科交叉的设计工作室,秉承一种综合且具有电影感的建筑方法。Fort 137为工作室最新完成的私人住宅,坐落在拉斯维加斯山谷的边缘地带,周围是荒凉的沙漠。建筑师以其擅长的电... 详细信息

daniel Joseph Chenin,Ltd.是一家在建筑领域屡获殊荣、擅长多学科交叉的设计工作室,秉承一种综合且具有电影感的建筑方法。Fort 137为工作室最新完成的私人住宅,坐落在拉斯维加斯山谷的边缘地带,周围是荒凉的沙漠。建筑师以其擅长的电影场景的手法,打造了一个既现代又充满温馨氛围的家庭住宅,并与周围崎岖的自然美景融为一体。

关键词：私人住宅设计工作室家庭住宅多学科交叉自然美景拉斯维加斯边缘地带

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Acute Kidney Injury in the Nephrology Department of the Brazzaville University Hospital: Epidemiological, Clinical and Evolutionary Aspects

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Open Journal of Nephrology 2024年第2期14卷 196-215页

作者： daniel Tony Eyeni Sinomono Gael Honal Mahoungou Eric Gabdzali Ngabé Audrey Missamou Mavi Bouloupy Richard Loumingou Department of Nephrology Brazzaville University Hospital Brazzaville Congo Department of Nephrology Adolphe Ciss General Hospital Pointe Noire Congo

Introduction: Acute kidney injury (AKI) is defined as a sudden and reversible deterioration in renal function. It is a life-threatening condition in hospitalized patients. Our objectives were to determine the prevalence of AKI in a nephrology department, list the causes, describe the evolutionary profile and identify the factors associated with death. Patients and Methods: We reviewed the records of patients hospitalised between 1 January 2016 and 31 October 2020 in the nephrology department of Brazzaville University Hospital. We included patients aged at least 18 years whose discharge diagnosis included the item AKI. Study variables were socio-demographic data, clinical and paraclinical signs, stage and type of AKI, etiology and evolutionary profile. Results: Of the 1823 patients hospitalised, 244 (13.38%) were hospitalised for AKI. Of these, 60.2% were boys and 39.8% girls, with an average age of 47 19 years. The average consultation time was 10 6.5 days. AKI was stage 3 in 69.57% of cases. It was functional, organic and obstructive in the order of 55.28%, 36.02% and 8.69%. Dialysis was indicated in 62 patients (38.51%) and performed in 24 patients (14.9%). In-hospital mortality was 27.95%, with an average hospital stay of 9.6 5.8 days. Metabolic acidosis and anemia were the main causes of death in 14.28% and 4.35% of patients respectively. Factors associated with death were male sex, socioeconomic level, coma, indication for dialysis and absence of dialysis, with a p Conclusion: AKI is more common in young adult males. Mortality is relatively low. Improving prognosis requires early management and access to dialysis.

关键词： AKI Epidemiology Diagnosis Evolution Brazzaville

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以芳基重氮盐为芳基前体电化学合成芳基取代的苯并噻吩和菲（英文）

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电化学(中英文) 2024年第4期 9-51页

作者：蓝丽媛蒋洋叶 R.daniel Little 曾程初北京工业大学环境与生命学院 Department of Chemistry & Biochemistry University of California

芳基取代的苯并噻吩和菲是药物化学和材料科学中的重要结构单元。尽管已经投入了很多来制备这类化合物,并且已经开发了多种方法来构建2-取代的苯并噻吩核心结构,但仍然需要环境友好且有效的合成方法。基于我们以前的以芳基重氮盐为芳基... 详细信息

芳基取代的苯并噻吩和菲是药物化学和材料科学中的重要结构单元。尽管已经投入了很多来制备这类化合物,并且已经开发了多种方法来构建2-取代的苯并噻吩核心结构,但仍然需要环境友好且有效的合成方法。基于我们以前的以芳基重氮盐为芳基前体的电化学Minisci型芳基化反应,以及来自K?nig小组的工作,本文使用成对电解以苯重氮盐为芳基前体来获得2-芳基苯并噻吩和9-芳基菲。首先,选择2-甲硫基苯重氮盐1a和4-甲基苯乙炔2a作为模型底物,通过考察溶剂、支持电解质、电极材料和电流密度来优化反应条件。经过大量的努力,发现在装备有石墨毡阳极、镍片阴极的单室电解池中,使用n-Bu4NBF4作为支持电解质,DMSO作为溶剂,控制在4mA·cm-2条件下恒流电解,获得89%产率的所需产物3a。在最佳条件下,考察该电化学方案和底物范围的普适性。结果表明,烷基乙炔和芳基乙炔都适用于该方法,并成功地得到了一系列芳基取代的苯并噻吩衍生物。考虑到菲类化合物在药物化学和材料科学中的广泛应用,将此方案应用到菲衍生物的合成中,获得了相应的9-芳基菲衍生物。最后,通过循环伏安法分析了可能的机理。2-甲硫基苯重氮盐1a在CH3CN中相对于Ag/Ag+在-0.4 V处产生一个显著的不可逆还原峰,而在扫描电位窗口中没有检测到苯乙炔2a的信号。此外,尽管峰电流略有增加,2a的存在没有改变1a的还原峰电位。这些结果表明1a的还原比2a的还原容易。基于循环伏安分析和光催化结果,我们提出了成对电解机制,即芳基重氮盐1a在阴极的电化学还原产生芳基5a,然后芳基5a加成到苯乙炔上,在分子内环化后产生乙烯基6a和磺酰基7a。最后,7a的阳极氧化,接着用DMSO脱甲基化,生成目标产物3a。总之,我们发展了一种成对电解法来合成2-芳基苯并噻吩衍生物和9-芳基菲衍生物。该方案具有广泛的底物范围和官能团耐受性,进一步证明了芳基重氮盐作为多用途芳基自由基来源通过电化学还原产生芳基自由基的实用性。

关键词：苯并噻吩菲成对电合成芳基重氮盐芳基自由基

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Metallurgical Microstructure Complexity in the Electron Beam Welding (EBW) Joint of Ti6246

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Journal of Minerals and Materials Characterization and Engineering 2024年第2期12卷 100-111页

作者： daniel Moreno Yohanan Nachmana Roei Saraga Tal Rokah Denis Panchenco Michael Mansano Elinor Itzhaky Moshe Shapira Beth Shemesh Engines LTD FAA & EASA Beth Shemesh Israel

Electron Beam Welding (EBW) is employed to both melt and unite materials, influencing their thermal history and subsequently determining the microstructure and properties of the welded joint. Welding Titanium alloys involves undergoing local melting and rapid solidification, subjecting the material to thermal stresses induced by a thermal expansion coefficient of 9.5 × 10 m/m°C. This process, reaching range temperatures from the full melting alloy to room temperature, results in phase formation dictated by the thermodynamic preferences of the alloyed elements, posing a significant challenge. Recent efforts in simulation and calculations have been undertaken elsewhere to address this challenge. This study focuses on a joint of two plates with differing cross-sectional areas, influencing heat transfer during welding. This report presents a case study focusing on the metallurgical changes observed in the microstructure within the welded zone, emphasizing alterations in the cooling rate of the welded joint. The investigation utilizes optical metallography, Vickers’s Hardness testing, and SEM (scanning electron microscopy) to comprehensively characterize the observed changes in addition to heat transfer simulation of the welded zone.

关键词： Ti Alloys Welding Phase Formation Hardness Metallography

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欧洲央行跟着降息全球利率政策大分化

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商业周刊（中文版） 2024年第9期 22-23页

作者： daniel Moss 杨飞(译) 不详

有关各国央行政策差异的讨论重回风头浪尖,利率的一致性已经被打破了一段时间。全球主要货币当局的政策在经历了一段相对统一的时期后,人们突然开始热议利率政策走向的分化。不幸的是,这种简单的描述掩盖了过去一年中22出现的某些重要... 详细信息

有关各国央行政策差异的讨论重回风头浪尖,利率的一致性已经被打破了一段时间。全球主要货币当局的政策在经历了一段相对统一的时期后,人们突然开始热议利率政策走向的分化。不幸的是,这种简单的描述掩盖了过去一年中22出现的某些重要且微妙的差异。美国和美国联邦储备委员会并不是在地球上唱独角戏。

关键词：利率政策美国联邦储备委员会欧洲央行降息央行政策货币当局风头浪尖分化

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Application of a Pulsed Electric Field to Modify the Free Energy of the Active Site of an Azoreductase

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Journal of Applied Mathematics and Physics 2024年第1期12卷 249-255页

作者： Jesus Magyber de Jesus Miranda Pedro Guillermo Reyes-Romero Jorge Mulia-Rodríguez daniel Osorio-González Molecular Biophysics Laboratory Faculty of Sciences Autonomous University of State of Mexico Toluca Mexico Advanced Physics Laboratory Faculty of Sciences Autonomous University of State of Mexico Toluca Mexico

The Gibbs free energy is strongly related to the stability and catalytic function of an enzyme through the energetic changes that occur in the chemical reactions the enzyme catalyzes. In this in silico study, a pulsed electric field was applied to an azoreductase, and its effect on the Gibbs free energy of molecular docking with two dyes was measured. We propose that certain stimuli from a pulsed electric field favor the structural stability of the enzyme by promoting an arrangement in the active site, potentially leading to an enhancement of enzymatic activity overall.

关键词： Pulsed Electric Field Molecular Dynamics Docking Azoreductase

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Solitary Osteogenic Exostosis of the Femur Revealed by Recurring Acute Distal Thigh Pain: About a Case

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Open Journal of Pediatrics 2024年第4期14卷 719-726页

作者： Thierno Saïdou Barry Mohamed Lamine Sadou Sacko Balla Keita Sory Sidimé Moussa Condé daniel Agbo-Panzo Pediatric Surgery Department Donka National Hospital (HND) of the University Hospital of Conakry Gamal Abdel Nasser University of Conakry (UGANC) of Guinea Conakry Guinea Orthopedic and Trauma Surgery Department Donka National Hospital (HND) of the Conakry University Hospital Conakry Guinea

Introduction: Solitary exostoses are the most common benign tumors of the fertile metaphyses of the long bones of children. Their radiological diagnosis of metaphyseal bone growth must be confirmed on pathological examination. These tumors can remain asymptomatic for a long time and reveal themselves during a particularly vascular complication. The objective of this study was to describe the epidemiological, diagnostic, therapeutic and evolutionary aspects of these tumors. Patient and Observation: We report the case of a 15-year-old adolescent girl, with no particular pathological history, received in the pediatric surgery department of the Donka National Hospital (HND) of the Conakry University Hospital for recurrent acute painful swelling of the lower third of the left thigh in an afebrile context accompanied by lameness and stopping school for a few days (2 - 3 days). The symptoms appear to have evolved over the past 3 years and after physical activities. It regresses with rest, analgesics and non-steroidal anti-inflammatory drugs. The notion of trauma and sickle cell disease was not reported in the patient's clinical history. It is the persistence of the symptomatology which motivates the said consultation. On palpation, a small hard mass is noted at the expense of the internal metaphysis of the left distal femur. Deep palpation of this area causes a tingling sensation and during rapid mobilization of the knee. The remainder of the orthopedic examination was unremarkable. Standard x-ray of the femur shows a bony growth with a pointed tip from the distal metaphysis of the left femur. On surgical exploration, we noted a wedge-shaped exostosis oriented towards the vastus medialis muscle. Histological examination of the surgical specimen confirms osteogenic exostosis. There is no recurrence after 2 years. Conclusion: The distal femoral metaphysis is the most common location of solitary osteochondromas in children. Their definitive diagnosis requires the histology of

关键词： Osteogenic Exostosis Osteochondromas Fertile Long Bone Metaphyses Child

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Magnesium lithospermate B enhances the potential of human-induced pluripotent stem cell-derived cardiomyocytes for myocardial repair

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中华医学杂志(英文版) 2024年第15期137卷 1857-1869页

作者： Fan Chengming Qin Kele Iroegbu Chukwuemeka daniel Xiang Kun Gong Yibo Guan Qing Wang Wenxiang Peng Jun Guo Jianjun Wu Xun Yang Jinfu Department of Cardiovascular Surgery The Second Xiangya Hospital Central South University Changsha Hunan China Department of Pharmacology Xiangya School of Pharmaceutical Sciences Central South University Changsha Hunan China Hunan Fangsheng Pharmaceutical Co. Ltd. Changsha Hunan China Department of Thoracic Surgery The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University Changsha Hunan China

Background: We previously reported that activation of the cell cycle in human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) enhances their remuscularization capacity after human cardiac muscle patch transplantation in infarcted mouse hearts. Herein, we sought to identify the effect of magnesium lithospermate B (MLB) on hiPSC-CMs during myocardial repair using a myocardial infarction (MI) mouse ***: In C57BL/6 mice, MI was surgically induced by ligating the left anterior descending coronary artery. The mice were randomly divided into five groups (n = 10 per group); a MI group (treated with phosphate-buffered saline only), a hiPSC-CMs group, a MLB group, a hiPSC-CMs + MLB group, and a Sham operation group. Cardiac function and MLB therapeutic efficacy were evaluated by echocardiography and histochemical staining 4 weeks after surgery. To identify the associated mechanism, nuclear factor (NF)-κB p65 and intercellular cell adhesion molecule-1 (ICAM1) signals, cell adhesion ability, generation of reactive oxygen species, and rates of apoptosis were detected in human umbilical vein endothelial cells (HUVECs) and ***: After 4 weeks of transplantation, the number of cells that engrafted in the hiPSC-CMs + MLB group was about five times higher than those in the hiPSC-CMs group. Additionally, MLB treatment significantly reduced tohoku hospital pediatrics-1 (THP-1) cell adhesion, ICAM1 expression, NF-κB nuclear translocation, reactive oxygen species production, NF-κB p65 phosphorylation, and cell apoptosis in HUVECs cultured under hypoxia. Similarly, treatment with MLB significantly inhibited the apoptosis of hiPSC-CMsvia enhancing signal transducer and activator of transcription 3 (STAT3) phosphorylation and B-cell lymphoma-2 (BCL2) expression, promoting STAT3 nuclear translocation, and downregulating BCL2-Associated X, dual specificity phosphatase 2 (DUSP2), and cleaved-caspase-3 expression under hypoxia. Furthermore, MLB significan

关键词： Myocardial infarction Cell therapy Induced pluripotent stem cells Magnesium lithospermate B Cardiomyocyte Disease modeling hiPSC-CMs

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