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Real-time cardiovascular magnetic resonance-guided radiofrequency ablation:A comprehensive review

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世界心脏病学杂志:英文版(电子版) 2023年第9期15卷 415-426页

作者： Konstantinos Tampakis Sokratis Pastromas Alexandros Sykiotis Stamatina Kampanarou Georgios Kourgiannidis Chrysa Pyrpiri Maria Bousoula Dimitrios Rozakis george andrikopoulos Department of Pacing&Electrophysiology Henry Dunant Hospital CenterAthens 11526Greece Department of Radiology Henry Dunant Hospital CenterAthens 11526Greece Department of Anesthesiology Henry Dunant Hospital CenterAthens 11526Greece

Cardiac magnetic resonance(CMR)imaging could enable major advantages when guiding in real-time cardiac electrophysiology procedures offering high-resolu-tion anatomy,arrhythmia substrate,and ablation lesion visualization in the absence of ionizing *** the last decade,technologies and platforms for performing electrophysiology procedures in a CMR environment have been ***,performing procedures outside the conventional fluoro-scopic laboratory posed technical,practical and safety *** development of magnetic resonance imaging compatible ablation systems,the recording of high-quality electrograms despite significant electromagnetic interference and reliable methods for catheter visualization and lesion assessment are the main limiting *** first human reports,in order to establish a procedural workflow,have rationally focused on the relatively simple typical atrial flutter ablation and have shown that CMR-guided cavotricuspid isthmus ablation represents a valid alternative to conventional *** expansion to other more complex arrhythmias,especially ventricular tachycardia and atrial fibrillation,would be of essential impact,taking into consideration the widespread use of substrate-based ***,all limitations need to be solved before application of CMR-guided ablation in a broad clinical setting.

关键词： Interventional cardiac magnetic resonance Image-guided ablation Substrate ablation Cavotricuspid isthmus Catheter ablation Tracking

Flecainide: Current status and perspectives in arrhythmia management

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World Journal of Cardiology 2015年第2期7卷 76-85页

作者： george K andrikopoulos Sokratis Pastromas Stylianos Tzeis Department of Cardiology Henry Dunant Hospital

Flecainide acetate is a class IC antiarrhythmic agent and its clinical efficacy has been confirmed by the results of several clinical trials. Nowadays, flecainide is recommended as one of the first line therapies for pharmacological conversion as well as maintenance of sinus rhythm in patients with atrial fibrillation and/or supraventricular tachycardias. Based on the Cardiac Arrhythmia Suppression Trial study results, flecainide is not recommended in patients with structural heart disease due to high proarrhythmic risk. Recent data support the role of flecainide in preventing ventricular tachyarrhythmias in patients with catecholaminergic polymorphic ventricular tachycardia associated both with ryanodine receptor and calsequestrin mutations. We herein review the current clinical data related to flecainide use in clinical practice and some concerns about its role in the management of patients with coronary artery disease.

关键词： Flecainide Class IC antiarrhythmic drugs Atrial fibrillation Ventricular tachycardia Proarrhythmia

Flexible ultra-thin super-resolution endoscopy

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Science China(Physics,Mechanics & Astronomy) 2024年第3期67卷 171-172页

作者： george S.D.Gordon Department of Electrical and Electronic Engineering University of NottinghamNottingham NG7 2RDUK

In recent years, multimode fiber(MMF) has become an important tool for high-resolution endoscopic imaging in narrow channels(e.g., in the brain via needles or inside blood vessels) due to its high mode density and fine diameter, typically <0.125 mm [1-6]. However, a major obstacle to widespread deployment in applications is that realistic perturbations, including bending, twisting and changes in temperature, cause unacceptable image degradation.

关键词： fiber resolution typically

Unique Genetic Features of Lean NAFLD: A Review of Mechanisms and Clinical Implications

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Journal of Clinical and Translational Hepatology 2024年第1期12卷 70-78页

作者： Jasmine Tidwell george Y.Wu Department of Medicine University of Connecticut Health CenterFarmingtonCTUSA Division of Gastroenterology-Hepatology University of Connecticut Health CenterFarmingtonCTUSA

Non-alcoholic fatty liver disease(NAFLD)affects 25%of the global *** 20%have a normal body mass index(BMI)and a variant known as lean *** typical NAFLD cases associated with obesity and diabetes,lean NAFLD causes liver disease by mechanisms not related to excess weight or insulin *** disorders are among the major factors in developing lean NAFLD,and genome-wide association studies have identified several genes associated with the *** review aims to increase awareness by describing the genetic markers linked to NAFLD and the defects involved in developing lean NAFLD.

关键词： Lean nonalcoholic fatty liver disease Palatine-like phospholipase domain-containing-3 Transmembrane 6 superfamily member 2 Familial hypobetalipoproteinemia Abetalipoproteinemia

Heritable Chronic Cholestatic Liver Diseases:A Review

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Journal of Clinical and Translational Hepatology 2024年第8期12卷 726-738页

Chronic cholestasis due to heritable causes is usually diagnosedin ***,many cases can present andsurvive into *** time course varies considerablydepending on the underlying *** data usuallyreveal elevated conjugated hyperbilirubinemia,alkalinephosphatase,and gamma-glutamyl *** be asymptomatic;however,when present,the typicalsymptoms are pruritus,jaundice,fatigue,and *** diagnostic methods and management requireddepend on the underlying *** development of genome-wide associated studies has allowed the identificationof specific genetic mutations related to the pathophysiologyof cholestatic liver *** aim of this review was tohighlight the genetics,clinical pathophysiology,presentation,diagnosis,and treatment of heritable etiologies of chroniccholestatic liver disease.

关键词： Chronic cholestasis Cholestatic liver disease Congenital hepatic fibrosis Caroli disease Caroli syndrome Alagille syndrome Biliary atresia

Effects of interlayer spacing and applied pressure on the lanthanide transport in MoS2-based two-dimensional channels

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International Journal of Smart and Nano Materials 2024年第3期15卷 579-592页

作者： Qinsi Xiong Chong Liu george C.Schatz Department of Chemistry Northwestern UniversityEvanstonILUSA Pritzker School of Molecular Engineering University of ChicagoChicagoILUSA

Rare-earth elements(REEs)are critical to modern industry but difficult to separate due to their subtle and monotonic changes in physico-chemical ***2-based two-dimensional(2D)materials offer novel opportunities for enhancing REE separation,exhibiting a distinct volcano-shaped transport performance distribution that peaks at Sm3+.However,the specific contributions of thermodynamic and kinetic factors to ion transport within 2D confinement remain *** this study,we conducted a series of non-equilibrium all-atom molecular dynamics(MD)simulations to explore the effects of interlayer spacing and external pressure on the transport of lanthanide ions inÅ-scale acetate functionalized 2D MoS2(MoS2-COOH)*** examined ion entry and permeation rates,water flux,dehydration,and binding *** simulation results reveal that the transport trends of lanthanide ions are jointly driven by the dehydration degree and the relative-binding strengths of ions to water and to the acetate within the 2D ***,the dehydration pattern of lanthanide ions during permeation is closely linked to kinetic ***,this study provides a detailed atomistic understanding of the mechanisms under-lying lanthanide ion transport under *** findings point to the significant potential for tuning confinement and chemical functionalization withinÅ-scale channels for more efficient REE separation.

关键词： MoS_(2) 2D channels Lanthanide ions ion transport nanofluidics

Accelerated thermal ageing on performance of polypropylene-based semiconducting screen for high voltage direct current cable applications-Effect of antioxidants

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High Voltage 2024年第2期9卷 410-418页

作者： Haitian Wang Yi Luo Mingyu Zhou Xintong Ren george Chen GEIRI BerlinGermany The Tony Davies High Voltage Laboratory University of SouthamptonSouthamptonUK

The potential of using eco-friendly thermoplastic polypropylene(PP)-based insulation for high voltage direct current(HVDC)cable has been widely investigated but much less work on the PP-based semiconducting screen(SC).Considering a long service life(>30 years)under high temperature and high electrical stress is required for typical HVDC cables,and investigations on the effect of antioxidant(AO)concentration and thermal oxidative sta-bility,mechanical,and electrical properties of PP-based SCs have been *** has been demonstrated that an appropriate combination and amounts of AOs are critical for achieving high thermal stability and maintaining the mechanical properties of SC after ageing in a harsh environment(150°C,with Cu,in air,7 days).Although higher amounts of space charges have been observed in SC/PP/SC samples with higher AO concentrations,the impact on space charge behaviours is less after ageing,suggesting that ageing(or operating at high temperature)leads to microstructure evolution in SC and can potentially mitigate space accumulation in PP-based insulating materials.

关键词： microstructure thermal high

Focal Nodular Hyperplasia: A Comprehensive Review with a Particular Focus on Pathogenesis and Complications

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Journal of Clinical and Translational Hepatology 2024年第2期12卷 182-190页

作者： Jaimy Villavicencio Kim george Y.Wu Division of Gastroenterology-Hepatology University of Connecticut Health CenterFarmingtonCTUSA

Focal nodular hyperplasia is a benign tumor of the liver that is often found incidentally with *** purpose of this review is to discuss the pathophysiology,rare complications that can occur due to these lesions,and management options.A literature review was performed on clinical trials and case reports involving focal nodular hyperplasia complications and management of these,as well as the proposed pathogenesis underlying these *** exposure to oral contraceptive pills and endogenous hormones have been thought to play a role in the development of these lesions,this has not been *** recently,they are thought to arise as a consequence of a vascular anomaly causing alterations in the expression of angiopoietin *** are rare,but previous cases have reported associated pain,rupture and compression of nearby structures(hepatic vein,stomach,biliary system).Resection of focal nodular hyperplasia is not usually ***,if there is associated pain with no other identifiable cause or presence of a large or growing lesion with risk of causing a complication,then surgical resection,radiofrequency ablation or arterial embolization should be considered.

关键词： Focal nodular hyperplasia Oral contraceptives Liver lesion

Subnormal Serum Liver Enzyme Levels:A Review of Pathophysiology and Clinical Significance

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Journal of Clinical and Translational Hepatology 2024年第4期12卷 428-435页

作者： Elham M.Youssef george Y.Wu Biochemistry Department National Research CenterCairoEgypt Department of Medicine Division of Gastroenterology-HepatologyUniversity of Connecticut Health CenterFarmingtonCTUSA

Subnormal levels of liver enzymes,below the lower limit of normal on local laboratory reports,can be useful *** instance,subnormal levels of aminotransferases can be observed in vitamin B6 deficiency and chronic kidney *** alkaline phosphatase levels may indicate the presence of hypophosphatasia,Wilson's disease,deficiencies of divalent ions,or *** levels of gamma glutamyl transferase may be seen in cases of acute intrahepatic cholestasis,the use of certain medications,and in bone ***,subnormal levels of 5'-nucleotidase have been reported in lead poisoning and nonspherocytic hemolytic *** aim of this review is to bring attention to the fact that subnormal levels of these enzymes should not be ignored as they may indicate pathological conditions and provide a means of early diagnosis.

关键词： Transaminases Vitamin B6 Celiac disease Renal insufficiency Hepatolenticular Degeneration Crohn disease Malnutrition Clofibrate Bone diseases Lead poisoning Anemia Hemolytic