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Pancreatic neuroendocrine tumors:Are tumors smaller than 2 cm truly indolent?

World Journal of Gastrointestinal Oncology 2024年第5期16卷 1756-1762页

作者： Sergio Hoyos Pablo Posada-Moreno Natalia Guzman-Arango Romario Chanci-Drago jaime Chavez Alvaro Andrés-Duarte Santiago Salazar-Ochoa Hepatobilary and Liver Transplant Unit Hospital Pablo Tobon Uribe and Gastrohepathology Group Universidad de AntioquiaMedellin 050034AntioquiaColombia Department of General Surgery Universidad Pontificia BolivarianaMedellín 050034AntioquiaColombia

BACKGROUND Pancreatic neuroendocrine tumors(PNETs)are relatively rare but rank as the second most common pancreatic *** can be functional,causing early metabolic disturbances due to hormone secretion,or non-functional and diagnosed later based on tumor size-related *** diagnoses of PNETs under 2 cm in size have sparked debates about their management;some practitioners advocate for surgical removal and others suggest observation due to the tumors’lower potential for ***,it is unclear whether managing these small tumors expectantly is truly *** To evaluate poor prognostic factors in PNETs based on tumor size(>2 cm or<2 cm)in surgically treated *** This cohort study included 64 patients with PNETs who underwent surgical resection between 2006 and 2019 at a high-complexity reference hospital in Medellín,*** assess patient survival,quarterly follow-ups were conducted during the first year after surgery,followed by semi-annual con-sultations at the hospital's hepatobiliary surgery *** variables were described using absolute and relative frequencies,and quantitative variables were expressed using measures of central tendency and their corresponding measures of *** The presence of lymph node involvement,neural involvement,and lymphovascular invasion were all associated with an increased risk of mortality,with hazard ratios of 5.68(95%CI:1.26–25.61,P=0.024),6.44(95%CI:1.43–28.93,P=0.015),and 24.87(95%CI:2.98–207.19,P=0.003),*** involvement and lymphovascular invasion were present in tumors smaller than 2 cm in diameter and those larger than 2 cm in *** recurrence rates between the two tumor groups were furthermore similar:18.2%for tumors smaller than 2 cm and 21.4%for tumors larger than 2 *** survival was additionally comparable between the two tumor *** Tumor size does not dictate prognosis;lymph node and lymphovascular involvement a

关键词： Neuroendocrine tumor Pancreatic neoplasm Pancreas Pancreatic neuroendocrine neoplasm Pancreatic neuroendocrine tumors

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Robotic management of urinary fistula

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Asian Journal of Urology 2024年第3期11卷 357-365页

作者： Luis G.Medina Randall A.Lee Valeria Celis Veronica Rodriguez jaime Poncel Aref S.Sayegh Rene Sotelo The Catherine and Joseph Aresty Department of Urology USC Institute of UrologyKeck School of MedicineUniversity of Southern CaliforniaLos AngelesCAUSA Division of Urology Department of SurgeryFox Chase Cancer CenterTemple University Health SystemPhiladelphiaPAUSA

Objectives:To highlight critical preoperative and intraoperative considerations in approaching fistula repair ***:A search of the literature was conducted to identify relevant articles pertaining to robotic management of urinary ***:Fistulae of the genitourinary tract can be a challenging dilemma for urologists,as definitive management may require surgical *** of both enteric and non-enteric fistulae are multifactorial,and successful repair hinges on the meticulous perioperative evaluation,planning,and *** open techniques can subject patients to increased morbidity and prolonged *** its introduction,the robotic surgical platform has continued to expand its *** three-dimensional visualization and tremor free wristed instrument movements have made the robotic platform an attractive option for genitourinary fistula ***:Robotic management of complex urinary fistulae is feasible in expert hands;more studies are needed to define its role in the treatment algorithm of this devastating conditions.

关键词： Fistula Robotic surgery Rectourethral Rectovesical Vesicovaginal

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Load Profile Analysis for Mitigating Load-Shedding in Central Africa: Case of Kinshasa

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Journal of Power and Energy Engineering 2024年第8期12卷 1-19页

作者： Ngondo Otshwe Josue Bin Li Nawaraj Kumar Mahato Ngouokoua jaime School of Electrical and Electronics Engineering North China Electric Power University Beijing China Department of Electrical Engineering Mapon University Kindu RD Congo Research Center for Energy Electric Power Information Security North China Electric Power Information Security North China Electric Power University Beijing China

Load shedding is a major problem in Central Africa, with negative consequences for both society and the economy. However, load profile analysis can help to alleviate this problem by providing valuable information about consumer demand. This information can be used by power utilities to forecast and reduce power cuts effectively. In this study, the direct method was used to create load profiles for residential feeders in Kinshasa. The results showed that load shedding on weekends results in significant financial losses and changes in people’s behavior. In November 2022 alone, load shedding was responsible for $ 23,4 08,984 and $ 2 80,9 07,808 for all year in losses. The study also found that the SAIDI index for the southern direction of the Kinshasa distribution network was 122.49 hours per feeder, on average. This means that each feeder experienced an average of 5 days of load shedding in November 2022. The SAIFI index was 20 interruptions per feeder, on average, and the CAIDI index was 6 hours, on average, before power was restored. This study also proposes ten strategies for the reduction of load shedding in the Kinshasa and central Africa power distribution network and for the improvement of its reliability, namely: Improved load forecasting, Improvement of the grid infrastructure, Scheduling of load shedding, Demand management programs, Energy efficiency initiatives, Distributed Generation, Automation and Monitoring of the Grid, Education and engagement of the consumer, Policy and regulatory assistance, and Updated load profile analysis.

关键词： Statistical Analysis Load Profile Load Shedding Kinshasa Distribution Network Distribution Reliability Indices

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The relationship between DNA fragmentation and the intensity of morphologically abnormal human spermatozoa

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Asian pacific Journal of Reproduction 2024年第1期13卷 22-27页

作者： Mercedes González-Martínez Pascual Sánchez-Martín Carmen López-Fernández Stephen D.Johnston jaime Gosálvez Clínica Ginemed Unidad de ReproducciónSevillaSpain Department of Biology Universidad Autónoma de MadridCantoblancoMadridSpain School of Environment The University of QueenslandGattonAustralia School of Veterinary Science The University of QueenslandGattonAustralia

Objective:To determine the relationship between teratozoospermia and sperm DNA fragmentation(SDF)in the human ***:This retrospective study included 100 normozoospermic men as a control cohort(abnormal forms>14%),210 patients with a high level of abnormal forms(≤4%)and 65 patients presenting with a moderate level of abnormal forms(>4%to≤14%)based on the World Health Organization *** morphology was assessed using bright field *** DNA fragmentation was assessed using the sperm chromatin dispersion ***-parametric analyses were conducted to examine the relationship between abnormal sperm morphology and sperm DNA fragmentation;receiver operating characteristic(ROC)analyses were conducted to assess sensitivity and specificity of this ***:A correlation analysis revealed that the higher the proportion of abnormal spermatozoa in the ejaculate,the higher the level of SDF(Spearman's Rho=-0.230;P<0.001).Significant differences in the proportion of SDF were found when all cohorts were compared(P<0.001);these significant differences were also retained when the different cohorts were compared *** analysis showed a moderate but significant predictive value for SDF to differentiate patients with different levels of ***:Although analysis of a more continuous range of values for teratozoospermia would help further clarify any causal relationship with SDF,there is clearly a synergistic or coincident affiliation between these variables that needs to be acknowledged by the clinician when interpreting the spermiogram.

关键词： Teratozoospermia Sperm morphology Sperm DNA fragmentation Male factor Human reproduction Human fertility

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Assessment of Intangible Losses in Earthquake Engineering

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Open Journal of Civil Engineering 2024年第3期14卷 469-485页

作者： jaime García-Pérez Orlando Díaz-López Eric García-López Instituto de Ingeniera Ingeniera Estructural Edif 2 Universidad Nacional Autnoma de Mxico Ciudad Universitaria Mexico City Mxico Cobertizo San Pedro Mrtir s/n Facultad de Ciencias Jurdicas y Sociales Universidad de Castilla-La Mancha Toledo Espaa

In order to find optimum design parameters in earthquake engineering, an objective function is optimized. This function comprises the initial cost of a structure and the cost due to the damage of earthquakes. Intangible losses may be included in the latter, such as how much society is willing to invest to preserve a human life. In this paper, the expression of the objective function is developed in terms of the seismic design coefficient, and the aforementioned intangible loss is calculated from both the individual point of view and that of society. The calculation of the intangible is based on utility curves. Finally, optimum seismic design coefficients are calculated for a firm ground site.

关键词： Seismic Risk Optimum Coefficients Structural Reliability Intangible Losses Utility

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一对姐妹的故事

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中学生英语 2024年第23期 31-32页

作者： jaime Joyce 杨舟

16岁的海莉·史密斯说，她和她的妹妹布鲁克“对书的品味截然不同”。海莉喜欢“大吃一惊”系列。13岁的布鲁克更喜欢奇幻小说。她们的共同点是相信如果孩子们与书中的人物产生共鸣，他们就会更有动力阅读。这就是为什么在2020年，她们...

16岁的海莉·史密斯说，她和她的妹妹布鲁克“对书的品味截然不同”。海莉喜欢“大吃一惊”系列。13岁的布鲁克更喜欢奇幻小说。她们的共同点是相信如果孩子们与书中的人物产生共鸣，他们就会更有动力阅读。这就是为什么在2020年，她们创办了“像我的书”的原因。这家非营利组织为教师提供文化多样的儿童书籍。

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Distribution and Relation of Primes with Tesla Numbers 3, 6, and 9

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Journal of Applied Mathematics and Physics 2024年第4期12卷 1021-1027页

作者： Javier Mendoza-Navarrete Huetzin Perez Ismael Ojeda Victor Verdugo Gabriel Luna Sandoval Ricardo Jimenez Garcia jaime Alvarez Departametno de Matemá ticas CBTis 256 DGETI Cabo San Lucas M&#233xico DCI Departamento de Fisica Mé dica Universidad de Guanajuato Leon M&#233xico Divisió n de Ingenieria en Sistemas Computacionales Tecnol&#243gico Nacional de M&#233xico ITES Los Cabos Cabo San Lucas M&#233xico Departamento de Ingenieria Industrial en Manufactura Universidad Estatal de Sonora Navojoa M&#233xico Departamento de Elé ctrica-Electr&#243nica Tecnol&#243gico Nacional de M&#233xico Campus Mexicali Mexicali M&#233xico Guanajuato M&#233xico

This work presents a different approach to twin primes, an approach from the perspective of the Tesla numbers and gives a refresh and new observation of twin primes that could lead us to an answer to the Twin Prime Conjecture problem. We expose a peculiar relation between twin primes and the generation of prime numbers with Tesla numbers. Tesla numbers seem to be present in so many domains like time, vibration and frequency [1], and the space between twin primes is not the exception. Let us say that twin primes are more than just prime numbers plus 2 or minus 2, and Tesla numbers are more involved with twin primes than we think, and hopefully, this approach give us a better understanding of the distribution of the twin pairs.

关键词： Tesla Numbers Prime Number Twin Prime Numbers Twin Pair

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SenseCap Watcher:新的健康代理助手

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无线电 2024年第10期 46-50页

作者： [西班牙]jaime 谢沛岑(翻译) 不详

SenseCap Watcher是一款先进的健康代理助手,旨在彻底改变个人健康监测方式。首先,我要感谢Seeed Studio选择我作为新设备SenseCap Watcher的测试员。在我的研究生涯中,我一直专注于开发物联网代理,重点是协助老年人。我发表了大量论文... 详细信息

SenseCap Watcher是一款先进的健康代理助手,旨在彻底改变个人健康监测方式。首先,我要感谢Seeed Studio选择我作为新设备SenseCap Watcher的测试员。在我的研究生涯中,我一直专注于开发物联网代理,重点是协助老年人。我发表了大量论文,记录了在这一领域的研究,并在Hackster平台上展示了很多项目。这些项目具有测量生理参数、心电图、PPG等功能,本项目的亮点在于它能够利用YOLOV8姿势判断功能监测上肢运动。

关键词：物联网代理生理参数健康监测测试员研究生涯上肢运动

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La Guadalupe社区发展中心

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现代装饰 2024年第2期 102-109页

作者：无 jaime Navarro(摄影) 范嘉苑(编译) CCA Centro de Colaboracion Arquitectonica 不详

为了振兴墨西哥塔巴斯科Jalpade Méndez地区的公共生活,墨西哥农业、土地和城市发展部(SEDATU)对该地区进行了总体规划,并对城市中最具代表性的三个公共空间进行更新:包括高性能体育中心、社区发展中心(CDC)和“ElCampestre”休闲公园... 详细信息

为了振兴墨西哥塔巴斯科Jalpade Méndez地区的公共生活,墨西哥农业、土地和城市发展部(SEDATU)对该地区进行了总体规划,并对城市中最具代表性的三个公共空间进行更新:包括高性能体育中心、社区发展中心(CDC)和“ElCampestre”休闲公园,而本案的社区发展中心(CDO)是一个为当地社区提供更广泛的发展机会的文化教育场所。

关键词：公共空间体育中心当地社区总体规划文化教育墨西哥

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Cytomegalovirus Transverse Myelitis Secondary to Influenza Infection and Early Recovery:A Case Report

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Infectious Diseases & Immunity 2024年第1期4卷 41-42页

作者： Jill S.Bhavsar Lekhini K.Fultariya Poojan J.Prajapati Archi K.Dhamelia jaime E.Campos Department of Infectious Disease Hialeah HospitalMiamiFL(affiliated with HerbertWertheim College of MedicineFlorida International University)33013USA

Immunosuppression can lead to opportunistic infections in a *** evidence of viral infections causing immunosuppression in a host for a transient period is gaining *** order to prolong their stay in the human body,viruses affect the human immune systemin various *** viral infections such as influenza can lead to transient lymphocytopenia,which lays the groundwork for more dangerous opportunistic ***(CMV)infection is a rare cause of inflammatory *** present the case of a patient with an influenza infection who progressed to severe acute respiratory distress syndrome,methicillin-resistant Staphylococcus aureus necrotizing pneumonia,and idiopathic lymphocytopenia with a CD4 count of 61 perμL on *** 2 weeks,the patient developed complete flaccid paralysis with sensory and autonomic *** his polymerase chain reaction results of cerebrospinal fluid and blood test were positive for CMV infection,he was treated with high doses of steroids and ganciclovir *** to early diagnosis and intervention,the patient was able to recover in 2 months with only minimal residual ***,this case stresses on the importance of looking out for opportunistic infections in patients affected by severe viral infections for their early recovery.

关键词： Influenza,Human Lymphocytopenia Transverse myelitis Case report

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