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A Clinical Test for Diagnosis of Humeroradial Joint Lesions in the Presence of Lateral Elbow Pain: Single-Case Design with Arthroscopic Confirmation

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International Journal of Clinical Medicine 2018年第3期9卷 162-174页

作者： Holly Jonely jean-michel Brismée David Lutton Department of Health Human Function & Rehabilitation Sciences The George Washington School of Medicine & Health Sciences Washington DC USA Center for Rehabilitation Research Texas Tech University Health Sciences Center Lubbock TX USA Department of Orthopaedic Surgery The George Washington School of Medicine & Health Sciences Washington DC USA

INTRODUCTION: Lateral epicondylosis is a common cause of lateral elbow pain, however, some patients fail conservative management. One reason, many pathologies have similar presentations. There are no valid and reliable clinical tests to differentiate between tendopathy and arthropathy. This single case design looks at the utilization of the humeroradial joint (HRJ) distraction test to diagnose HRJ chondropathy. CASE SUMMARY: 38-year-old male recreational athlete with persistent lateral elbow pain, impaired motion, crepitus and locking. Disability of the Arm Shoulder Hand Questionnaire (DASH): 13.33/100. DASH Sport Module, 68.75/100. Differential Diagnosis: Chondropathy of the HRJ with loose body, based on history of elbow pain and locking, non-capsular pattern of limitation of motion and a positive HRJ distraction test. Intervention: loose body manipulation improved pain free range of motion with continued remarkable HRJ distraction test;referral to orthopedic surgeon. Plain radiographs and CT demonstrated a loose body and marked cartilage thinning within the HRJ. Arthroscopic removal of the loose body and plica resection was performed. Surgical exploration confirmed Grade 3 cartilage lesions within the radial head without involvement of the extensor muscle group. Post-operative physical therapy focused on restoration of accessory joint motion and education on return to functional and recreational activity. OUTCOMES: Full range and normal joint accessory motion, DASH score and DASH Sport Module score reduced to 8.33 and 25, 12-weeks post-operative. CONCLUSION: Arthroscopic exploratory surgery is recommended for chronic lateral elbow pain resistant to conservative management;however, patients who present with pain in the absence of a positive clinical examination and radiographic findings benefit least from arthroscopic evaluation. No clinical test(s) have been validated in the literature to diagnose HRJ lesions. This report is the first to propose the use of a new c

关键词： Epicondylalgia Chondropathy Loose Body Plica

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Patient education improves adherence to peg-interferon and ribavirin in chronic genotype 2 or 3 hepatitis C virus infection:A prospective,real-life,observational study

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World Journal of Gastroenterology 2008年第40期14卷 6195-6203页

作者： Patrice Cacoub Denis Ouzan Pascal Melin jean-Philippe Lang michel Rotily Thierry Fontanges Marina Varastet michel Chousterman Patrick Marcellin Department of Internal Medicine Pitié-Salpêtrière Hospital Pierre and Marie Curie (Paris 6) University Department of Hepato-Gastroenterology Arnault Tzanck Institute Department of Polyvalent Medicine Hospital of Saint Dizier Department of Psychiatry and Addiction Hospital of Erstein ClinSearch Bagneux 92220France Department of Hepato-Gastroenterology General Hospital of Bourgoin Department of Hepato-Gastroentrology Hospital of Créteil (CHIC) Department of Hepatology Beaujon Hospital INSERM U 773 CRB3University of Paris VⅡBeaujon Hospital

AIM： To evaluate the impact of therapeutic education on adherence to antiviral treatment and sustained virological response （SVR） in a real-life setting in genotype 2/3 hepatitis C, as there are few adherence data in genotype 2/3 infection, even from randomized trials. METHODS： This prospective survey included genotype 2/3 patients who received peg-interferon alfa-2b and ribavirin. There was no intervention. Adherence wasself-reported over the past 4 wk （peg-interferon） or 7 d （ribavirin）. Adherence to bitherapy was defined as adherence to the two drugs for ≥ 20 wk. SVR was defined as undetectable RNA ≥ 12 wk after the end of treatment. RESULTS： 370/674 patients received education during the first 3 mo of treatment. After 6 too, adherence to bitherapy was higher in educated patients （61% vs 47%, P = 0.01）. Adherence to peg-interferon was 78% vs 69% （P=0.06）. Adherence to ribavirin was 70% vs 56% （P = 0.006）. The SVR （77% vs 70%, P = 0.05） and relapse （10% vs 16%, P = 0.09） rates tended to be improved. After adjustment for baseline differences, education improved adherence [Odds ratio （OR） 1.58, P = 0.04] but not the SVR （OR 1.54, P = 0.06）. CONCLUSION： In genotype 2/3 patients, therapeutic education helped maintain real-life adherence to bitherapy.

关键词： Viral hepatitis Adherence Therapeutic education Real life Peg-interferon Ribavirin

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Moyamoya Disease Associated with Hyperhomocysteinemia: A Rare Cause of Stroke in Sub-Saharan Africa

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World Journal of Neuroscience 2022年第1期12卷 22-28页

作者： Raphael Marie Kabore Habib A. K. Ouiminga jean Kabore jean-michel Vallat Department of Neurology Tengandogo Teaching Hospital Ouagadougou Burkina Faso Department of Neurosurgery Tengandogo Teaching Hospital Ouagadougou Burkina Faso Department of Neurology Yalgado Teaching Hospital Ouagadougou Burkina Faso Department of Neurology Dupuytren Teaching Hospital Limoges France

Introduction: Moyamoya disease (MMD) is a chronic cerebrovascular disorder characterized by progressive bilateral occlusion of the supraclinoid internal carotid artery (ICA) and its main branches, associated with the development of fine collateral networks, especially adjacent to the site of occlusion in the deep areas of the brain. MMD frequently occurs in East Asian populations, including pediatric and adult patients, and may lead to ischemic or hemorrhagic stroke, headache, epilepsy or transient ischemic attack. The majority is presumed to be of genetic origin and few cases of thrombophilia have been reported in MMD. We report a case of MMD in a young sub-Saharan African woman associated with Hyperhomocysteninemia (HHCys). Observation: A 33-year-old female was seen for aphasia, which had suddenly appeared fourteen days before, and was associated with memory impairment. She mentioned chronic headaches during the 10 previous years, of frontal seat, without migraine criteria. She had no history of hypertension, no obesity, no known dyslipidemia, and there was no family history of stroke. Neurological examination noted Wernicke’s aphasia, with discreet right central facial palsy, associated with memory impairment. The brain MRI revealed semi recent infarct in the left parietal lobe, sequelae in the left temporo-occipital and right frontal with lacunar ischemic lesions, associated with several foci of sub- cortical demyelination. MRA showed stenosis of the supraclinoid carotid arteries and their division branches. In addition, there was a stenosis of the posterior cerebral arteries, with a network of anastomosis at the level of the base of the skull. An investigation of thrombophilia showed hyperhomocysteinemia (HHCys). The diagnosis of moyamoya disease associated with hyperhomocysteinemia was mentioned. She was treated by Aspirin combined to folic acid. After a 3-year setback the patient was asymptomatic. Conclusion: MMD is a rare cause of stroke in sub-Saharan Afric

关键词： Moyamoya Headache Silent Infarcts Hyperhomocysteinemia Diagnosis Treatment

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对电动汽车购买意愿的探索：考察外国人抵达中国后购买电动汽车意愿的影响因素

对电动汽车购买意愿的探索：考察外国人抵达中国后购买电动汽车意...

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作者： HUMBERT jean michel BERNARD 华东师范大学

学位级别：硕士

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Improve Image Decoding in Lightweight Environment Using a Coroutines Based Approach

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Journal of Computer and Communications 2020年第10期8卷 60-74页

作者： Rodrigue Saoungoumi-Sourpele jean michel Nlong jean-Robert Kala Kamdjoug Glen Vernyuy Yufui Department of Mathematics and Computer Science ENSAI University of Ngaoundere Ngaoundere Cameroon Department of Mathematics and Computer Science FS University of Ngaoundere Ngaoundere Cameroon GRIAGES Catholic University of Central Africa Yaounde Cameroon Department of Computer Engineering IUT University of Ngaoundere Ngaoundere Cameroon

The JPEG2000 still image compression standard, while providing a remedy for the many shortcomings of its predecessor JPEG, is still slow to establish itself on the Internet. This problem is mainly due to the complexity of the COder-DECoder (CODEC) which implies its non-adoption by large firms and platforms in the field of image acquisition, processing and transmission. Indeed, the encoding and decoding process consumes a lot of CPU, memory and energy resources and takes a lot of computing time. The objective of this paper is to propose a model for decoding jpeg2000 on lightweight devices running on the Android mobile operating system. This implementation uses coroutines, which are a lightweight process model with reduced resource consumption costs compared to conventional AsyncTask threadsets. The model minimizes decoding time while minimizing CPU and memory usage, resulting in a fast and energetically economical decoded image. The results of integrating the coroutines from the main thread into the decoding process instead of the AsyncTask from the main thread produced better performance in terms of computation time, CPU and memory utilization. Indeed, the use of our model has led to a gain of around 23.41% in execution time, 9.8% in CPU utilization rate and 18.56% in memory utilization rate, compared to the model proposed in the literature which uses the threads.

关键词： Coroutines JPEG2000 Android Thread Asynctask

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NONWOVENS INDUSTRYTRENDS AND TECHNICALSTANDARDISATION IN EUROPE

NONWOVENS INDUSTRYTRENDS AND TECHNICALSTANDARDISATION IN EUR...

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亚洲国际非织造材料研讨会第十届上海国际非织造材料研讨会

作者： Pierre Wiertz jean-michel Anspach Deputy Secretary General EDANA Technical and Education Director EDANA

＜正＞ Contents ·Nonwovens Trends ·Technical Standardisation by EDANA ·EDANA’s Activities

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Identifying sex-specific differences in the carotid revascularisation literature:findings from a scoping review

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Stroke & Vascular Neurology 2021年第3期6卷 496-499,I0085-I0096页

作者： Vignan Yogendrakumar michel Shamy Brian Dewar Dean A Fergusson Dar Dowlatshahi Candyce Hamel Sophia Gocan Mark Fedyk jean-Louis Mas Peter Rothwell Virginia Howard Olena Bereznyakova On behalf of the WoW-CAD Investigators Department of Medicine Division of Neurology and Ottawa Hospital Research InstituteUniversity of OttawaOttawaOntarioCanada Epidemiology Program Ottawa Hospital Research InstituteOttawaOntarioCanada Stroke Prevention Clinic Ottawa HospitalOttawaOntarioCanada Bioethics Program UC Davis Department of MedicineSacramentoCaliforniaUSA Universite Paris Descartes Faculte de Medecine Site Cochin Parislle-de-FranceFrance Service de Neurologie Hôital Sainte-AnneParisFrance The University of Alabama at Birmingham School of Medicine BirminghamAlabamaUSA School of Public Health University of Alabama at BirminghamBirminghamAlabamaUSA 不详

Objective No systematic review of the literature has dedicated itself to looking at the management of symptomatic carotid stenosis in female *** this scoping review,we aimed to identify all randomised controlled trials(RCTs)that reported sex-specific outcomes for patients who underwent carotid revascularisation,and determine whether sufficient information is reported within these studies to assess short-term and long-term outcomes in female ***,setting and participants We systematically searched Medline,Embase,Pubmed and Cochrane libraries for RCTs published between 1991 and 2020 that included female patients and compared either endarterectomy with stenting,or any revascularisation(endarterectomy or stenting)with medical therapy in patients with symptomatic high-grade(>50%)carotid *** From 1537 references examined,27 eligible studies were ***-specific outcomes were reported in 13 *** patient characteristics of enrolled female patients were reported in 2 of those 13 *** outcomes reported included stroke and death,however,there was significant heterogeneity in the reporting of both periprocedural and long-term ***-specific differences relating to the degree of stenosis and time from index event to treatment are largely limited to studies comparing endarterectomy to medical *** events were not reported by *** Only half of the previously published RCTs and systematic reviews report sex-specific *** analyses on the results of carotid artery intervention for female patients with symptomatic stenosis are limited.

关键词： carotid stenosis finding

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Use of Additive Based on Non-Timber Forest Products for the Ecological Stabilization of Raw Earth:Case of the Parkia Biglobosa Nut and Vitellaria Paradoxa

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Journal of Renewable Materials 2023年第12期11卷 4143-4160页

作者： Bio Chéïssou Koto Tamou jean-michel Mechling Crespin Prudence Yabi Gildas EdjrossèF.Godonou Edmond Codjo Adjovi Mohamed Gibigaye AndréLecomte Nicolas Brosse L2EGC-Laboratory of Studies and Tests in Civil Engineering University of SciencesTechnologyEngineeringand MathematicsAbomeyBenin IJL-jean Lamour Institute University of LorraineNancyFrance LEMA-Laboratory of Energetics and Applied Mechanics University of Abomey-CalaviAbomey-CalaviBenin LERMAB-Study and Research Laboratory on Wood Material University of LorraineNancyFrance

The housing sector today uses elaborate materials such as cement,iron,sand,often prohibitively expensive and whose production generates a strong environmental impact(scarcity of resources,transport,greenhouse gas greenhouse,etc.).In order to meet the challenges of sustainable development,earth construction is experiencing a resurgence of interest these *** its many advantages,raw earth material has drawbacks,in particular its low mechanical resistance and its loss of geometric characteristics in the face of water,which slow down its *** part of this study,the mechanical characteristics and durability of raw earth were improved by using residual water from the processing of Parkia Biglobosa(nere)and Vitellaria Paradoxa(shea)nuts in order to optimize its use for the construction of modern *** this end,the decoctions resulting from the artisanal transformation of the nut of the Parkia Biglobosa into African mustard and of the Vitellaria Paradoxa into shea butter were added to the raw earth according to volume proportions of 25%,50%,75%and 100%of the aqueous solution to obtain the projected ***,mechanical characterization and durability tests were carried out on the composites *** results revealed that the decoctions of Vitellaria Paradoxa and Parkia Biglobosa improve the compressive strength of the material by up to 90%and 260%,***,these decoctions improved the resistance to water penetration of the 100%additive composite by 1.5 times for Vitellaria Paradoxa and 5 times for Parkia *** study shows that it is possible to use decoctions as raw earth stabilizers to build modern,ecological buildings at lower energy ***,more in-depth studies on surface wettability and long-term durability are planned to better characterize the geomaterial.

关键词： Raw earth organic additive adobe Vitellaria Paradoxa Parkia Biglobosa durability

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Ab Initio Study of the Electronic and Vibrational Properties of 1-nm-Diameter Single-Walled Nanotubes

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Advances in Materials Physics and Chemistry 2013年第2期3卷 178-184页

作者： Jesus Marquina Chrystian Power Jesus gonzalez jean-Marc Broto Centro de Estudios Avanzado en Optica Facultad de CienciasUniversidad de los AndesMeridaVenezuela Centro de Estudios de Semiconductores Facultad de CienciasUniversidad de los AndesMeridaVenezuela Malta Consolider Team CITIMACFacultad de CienciasUniversidad de CantabriaSantanderEspana LNCMI Paul Sabatier UniversityToulouseFrance

The electronic structure, band gap, density of states of the (8,8), (14,0) and (12,3) single-walled carbon nanotubes by the SIESTA (Spanish Initiative for Electronic Simulations with Thousands of Atoms) method in the framework density-functional theory (DFT) with the generalized gradients approximation (GGA) were studied. Also, we studied the vibrational properties of the (8,8) and (14,0) nanotubes. Only the calculated relaxed geometry for (12,3) nanotube show significant deviations from the ideal rolled graphene sheet configuration. The electronic transition energies of van Hove singularities were studied and compared with previous results. The calculated band structures, density of states and dispersion curves for all tubes were in good agreement with theoretical and experimental results.

关键词： Carbon Nanotubes Electronic Structure Dispersion Curve

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Spray Pyrolyzed TiO2 Embedded Multi-Layer Front Contact Design for High-Efficiency Perovskite Solar Cells

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Nano-Micro Letters 2021年第2期13卷 262-278页

作者： Md.Shahiduzzaman Mohammad Ismail Hossain Sem Visal Tetsuya Kaneko Wayesh Qarony Shinjiro Umezu Koji Tomita Satoru Iwamori Dietmar Knipp Yuen Hong Tsang Md.Akhtaruzzaman jean-michel Nunzi Tetsuya Taima Masao Isomura Nanomaterials Research Institute(NanoMaRi) Kanazawa UniversityKakumaKanazawa 920-1192Japan Department of Applied Physics and Materials Research Center The Hong Kong Polytechnic UniversityHung HomKowloonHong KongP.R.China Research Institute of Science and Technology Tokai UniversityKitakanameHiratsuka 259-1292Japan Department of Chemistry School of ScienceTokai UniversityKitakanameHiratsuka 259-1292Japan Graduate School of Engineering Tokai UniversityKitakanameHiratsuka 259-1292Japan Department of Modern Mechanical Engineering Waseda University3-4-1 OkuboShinjukuTokyo 169-8555Japan Solar Energy Research Institute The National University of Malaysia43600 BangiSelangorMalaysia Department of Materials Science and Engineering City University of Hong KongKowloonHong KongP.R.China Geballe Laboratory for Advanced Materials Department of Materials Science and EngineeringStanford UniversityStanfordUSA Department of Physics Engineering Physics and AstronomyQueens UniversityKingstonONCanada

The photovoltaic performance of perovskite solar cells(PSCs)can be improved by utilizing efficient front ***,it has always been a significant challenge for fabricating high-quality,scalable,controllable,and cost-effective front *** study proposes a realistic multi-layer front contact design to realize efficient single-junction PSCs and perovskite/perovskite tandem solar cells(TSCs).As a critical part of the front contact,we prepared a highly compact titanium oxide(TiO2)film by industrially viable Spray Pyrolysis Deposition(SPD),which acts as a potential electron transport layer(ETL)for the fabrication of *** and reproducibility of the TiO2 ETL were discreetly investigated while fabricating a set of planar *** the front contact has a significant influence on the optoelectronic properties of PSCs,hence,we investigated the optics and electrical effects of PSCs by three-dimensional(3D)finite-difference time-domain(FDTD)and finite element method(FEM)rigorous *** investigation allows us to compare experimental results with the outcome from ***,an optimized single-junction PSC is designed to enhance the energy conversion efficiency(ECE)by>30% compared to the planar reference ***,the study has been progressed to the realization of all-perovskite TSC that can reach the ECE,exceeding 30%.Detailed guidance for the completion of high-performance PSCs is provided.

关键词： Perovskite Tandem solar cells Spray pyrolysis deposition TiO2 compact layer Optics and optimization Electrical characteristic

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