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Academic stress Assessment Using Virtual Reality as an Educational Tool in spine surgery

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Non-participation of asymptomatic candidates in screening protocols reduces early diagnosis and worsens prognosis of colorectal cancer

Open Journal of Modern Neurosurgery（现代神经外科学进展） 2024年第2期 114页

作者： Diana Chávez Lizárraga jesús Alberto pérez Contreras Fernando Alvarado Gómez Evelyn Quintero Medina Emmanuel Cantú Chávez Iván Ulises sámano López Ana sofía peña Blesa

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World Journal of Gastroenterology 2024年第26期30卷 3198-3200页

作者： sergio pérez-Holanda Office of Regional Viceministry of Health Regional Viceministry of HealthOviedo 33005AsturiasSpain

The Agatsuma et al’s study shows that despite the evidence of the benefits of an early colorectal cancer(CRC)diagnosis,through screening in asymptomatic subjects,up to 50%of candidates reject this option and many of those affected are diagnosed later,in advanced *** efficacy of screening programs has been well-established for several years,which reduces the risk of CRC morbidity and mortality,without taking into account the test used for screening,or other ***,a significant proportion of patients remain unscreened,so understanding the factors involved,as well as the barriers of the population to adherence is the first step to possibly modify the participation *** barriers could include a full range of social and political aspects,especially the type of financial provision of each health *** Japan,health services are universal,and this advantageous situation makes it easier for citizens to access to these services,contributing to the detection of various diseases,including ***,the symptomatic CRC group had a lower early-stage diagnosis rate than the patients detected during follow-up for other comorbidities,and symptomatic and cancer screening groups showed similar early-stage diagnosis.

关键词： Colorectal neoplasms Cancer registry Diagnostic route Cancer screening stage at diagnosis

Does enhanced recovery after surgery programs improve clinical outcomes in liver cancer surgery?

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World Journal of Gastrointestinal Oncology 2024年第2期16卷 255-258页

作者： Belinda sánchez-pérez JoséM Ramia Department of General Digestive and Transplantation SurgeryUniversity Regional HospitalMálaga 29010MálagaSpain Department of surgery Hospital General Universitario Dr.BalmisAlicante 03010Spain

Enhanced recovery after surgery(ERAs)programs have been widely applied in liver surgery since the publication of the first ERAs guidelines in 2016 and the new recommendations in *** surgery is usually performed in oncological patients(liver metastasis,hepatocellular carcinoma,cholangiocarcinoma,etc.),but the real impact of liver surgery ERAs programs in oncological outcomes is not clearly *** advantages of ERAs programs are:ERAs decreases postoperative complication rates and has been demonstrated a clear relationship between complications and oncological outcomes;a better and faster posto-perative recovery should let oncologic teams begin chemotherapeutic regimens on time;prehabilitation and nutrition actions before surgery should also improve the performance status of the patients receiving ***,ERAs could be another way to improve our oncological *** will discuss the literature about liver surgery ERAs focusing on its oncological implications and future investigations projects.

关键词： Enhanced recovery after surgery programs Liver surgery Key components Long-term oncological outcomes Enhanced recovery after surgery compliance

Exact solutions for magnetohydrodynamic nanofluids flow and heat transfer over a permeable axisymmetric radially stretching/shrinking sheet

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Chinese physics B 2024年第2期33卷 108-114页

作者： U.s.Mahabaleshwar G.p.Vanitha L.M.pérez Emad H.Aly I.pop Department of studies in Mathematics Davangere UniversityShivagangothriDavangereIndia Departamento de F´ısica FACIUniversidad de Tarapac´aCasilla 7DAricaChile Department of Mathematics Faculty of EducationAin Shams UniversityRoxyCairoEgypt Department of Mathematics Babes-Bolyai University400084 Cluj-NapocaRomania

We report on the magnetohydrodynamic impact on the axisymmetric flow of Al_(2)O_(3)/Cu nanoparticles suspended in H_(2)O past a stretched/shrinked *** the use of partial differential equations and the corresponding thermophysical characteristics of nanoparticles,the physical flow process is *** resultant nonlinear system of partial differential equations is converted into a system of ordinary differential equations using the suitable similarity *** transformed differential equations are solved *** of the magnetic parameter,solid volume fraction and stretching/shrinking parameter on momentum and temperature distribution have been analyzed and interpreted *** skin friction and Nusselt number were also *** addition,existence of dual solution was deduced for the shrinking sheet and unique solution for the stretching ***,Al_(2)O_(3)/H_(2)O nanofluid flow has better thermal conductivity on comparing with Cu/H_(2)O ***,it was found that the first solutions of the stream are stable and physically realizable,whereas those of the second ones are unstable.

关键词： magnetohydrodynamic nanofluid stretching/shrinking sheet axisymmetric flow analytical solution suction/injection

Interactivity software tools for teaching in ophthalmology

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Annals of Eye science 2024年第1期9卷 10-23页

作者： jesús Barrio-Barrio Department of Ophthalmology Navarra University Clinic HospitalNavarra Institute for Health ResearchIdiSNAPamplonaSpain

The use of interactive audience software,such as audience response systems(ARs),in medical education has become increasingly popular in recent *** technology allows instructors to engage students in real time,encouraging active participation and promoting effective *** benefits of interactive audience software in medical education include increased student engagement,promotion of active learning,and enhanced learning ***,there are also several challenges to its implementation,including technical difficulties,careful planning and preparation,over-reliance on technology,and ethical concerns related to privacy and data *** cost of implementing interactive audience software may also be a barrier for some *** paper specifically reviews six interactive software platforms,including socrative,Quizizz,pear Deck,slido,Wooclap and *** platforms allow for real-time assessment of student understanding,feedback,and *** also enable instructors to adjust their teaching strategies based on student responses and ***,interactive audience software has shown great potential to enhance learning and engagement in medical *** is important for instructors to carefully consider the benefits and challenges of its *** the cost of implementing interactive audience software may be a barrier for some institutions,there are free and low-cost options available.

关键词： Interactive audience software mobile software audience response systems(ARs) medical education

船员·商人·理发师:美洲早期华人移民的身份考证(1565—1700年)

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拉美研究论丛 2022年 179-193页

作者：李晨光 jesús paniagua pérez 浙江外国语学院拉丁美洲研究所西班牙莱昂大学文哲学院

欧洲西南伊比利亚半岛两国——葡萄牙和西班牙15世纪开启的海外扩张,是人类进入现代意义全球化时代的标志。从16世纪下半叶开始,部分祖籍福建沿海地区的华人在迁居西班牙人殖民统治的菲律宾后,继续沿跨越太平洋的马尼拉大帆船航线二次... 详细信息

欧洲西南伊比利亚半岛两国——葡萄牙和西班牙15世纪开启的海外扩张,是人类进入现代意义全球化时代的标志。从16世纪下半叶开始,部分祖籍福建沿海地区的华人在迁居西班牙人殖民统治的菲律宾后,继续沿跨越太平洋的马尼拉大帆船航线二次移民西属美洲。本文通过对古西班牙语第一手档案的考据,以及中外其他史料文献和研究成果的比勘,还原和展现了美洲首批中国移民的身份信息、全球化迁移的原因,以及他们在新的生存空间的融入历程。

关键词：华人移民西班牙帝国美洲身份

snapshot survey of the presence of perfluoroalkyl substances in products, Articles, and the Environment in Ecuador

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Engineering 2024年第6期37卷 49-61页

作者： Heidelore Fiedler Luis Vega-Bustillos Jenny Arias-pastrano Lander Vinicio pérez-Aldás Jose Castro-Díaz MTM Research Centre School of Science and TechnologyÖrebro UniversityÖrebro 70182Sweden Undersecretariat of Environmental Quality Ministry of EnvironmentWater and Ecological Transition of EcuadorQuito 170525Ecuador Department of Environmental Chemistry The Technical University of AmbatoHuachi CampusAmbato 180207Ecuador Alternativavision Ambiental Cia.Ltda. Mexico 03100Mexico

The stockholm Convention on persistent Organic pollutants(pOps)is a legally binding instrument for 186 parties(status:April 2023).Accordingly,among other responsibilities,countries are obliged to report the production,import,or export of the pOps listed in Annexes A,B,or C;provide information to registers;maintain inventories;and monitor the presence of pOps in the *** the broader context of international chemicals and waste management,producer responsibilities,harmonized reporting,and compliance with national and international regulations,Ecuador has addressed the newly listed group of perfluorinated alkyl substances(pFAs)in its national implementation plan and sent selected products from its national market for pFAs *** products analyzed came from the initially listed fields of specific exemptions and acceptable purposes,including:fire-fighting foams;photographic aids;greasers/degreasers;various kinds of paper/packaging;textiles;and leather,coatings,cleaners,metal plating,and *** results showed that the three pFAs presently listed in the stockholm Convention could be quantified in only a few samples;additional pFAs,not yet listed in the Convention also had low detection *** the number of samples was limited,the samples covered a large spectrum of sample matrices,making it possible to conclude that—once these products become waste and are regulated under the Basel Convention—they would not constitute a disposal ***,verification of the presence of pFAs in products on the market is expected to pose an analytical challenge for both,developed and developing countries.

关键词： Emerging or newly listed pOps stockholm Convention products and articles pFAs analysis Developing countries

Calibration of the DEM sliding friction and rolling friction parameters of a cohesionless bulk material

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particuology 2024年第9期92卷 126-139页

作者： Jonatan Marín pérez Tugrul Comlekci Yevgen Gorash Donald MacKenzie University of strathclyde 75 Montrose StreetG11XJGlasgowUnited Kingdom

The discrete element method(DEM)has become a valuable tool for understanding the mechanical behaviour of granular assemblies,however,the accuracy of the DEM simulations depends on several interaction parameters such as the sliding friction and rolling friction ***,these parameters are estimated using bulk calibration approach(BCA)where the draw down test has been suggested as an effective way to approach these *** test provides up to four bulk criteria,the angle of repose,shear angle,mass flow rate and the mass loss which are used to narrow down the possible ***,there is still more research needed around it to fully understand how this methodology *** experimental and numerical study was carried out using the draw down test to assess the influence of different mass flow rates and particle shapes on DEM parameters for a cohesionless bulk *** is concluded that use of multi-sphere particles and three aperture sizes in the draw down test to calibrate the sliding and rolling friction parameters of a cohesionless bulk material can converge to a small feasible region in which a single combination of the friction coefficients can be *** calibrated sliding and rolling friction coefficients were validated using multi-sphere particles,where the maximum deviation was 5.9%from the experimental values.

关键词： Discrete element method Calibration Draw down sliding friction Rolling friction particle shape

Ca-based materials derived from calcined cigarette butts for CO_(2)capture and thermochemical energy storage

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Journal of Environmental sciences 2024年第6期140卷 230-241页

作者： Nabil Amghar Virginia Moreno pedro E.sánchez-Jiménez Antonio perejón Luis A.pérez-Maqueda Instituto de Ciencia de Materiales de sevilla C.S.I.C.-Universidad de SevillaC.Américo Vespucio4941092 SevillaSpain Instituto de Tecnología de Materiales(ITM) Universitat Politècnica de València(UPV)Plaza Ferrándiz y Carbonell 1AlcoyAlicante 03801Spain Departamento de Química Inorgánica Facultad de QuímicaUniversidad de Sevilla41012 SevillaSpain

Cigarette butts(CBs)are one of the most common types of litter in the *** to the toxic substances they contain,the waste generated poses a harmful risk to the environment,and therefore there is an urgent need for alternative solutions to landfill ***,this work presents a possible revalorization of this waste material,which implies interesting environmental *** were used as sacrificial templates for the preparation of CaO-based materials by impregnation with calcium and magnesium nitrates followed by flaming *** materials presented enhanced porosity for their use in the Calcium Looping process applied either to thermochemical energy storage or CO_(2)capture *** influence of the concentration of Ca and Mg in the impregnating solutions on the multicycle reactivity of the samples was *** improved multicycle performance was obtained in terms of conversion for both applications.

关键词： Cigarette butts Calcium-Looping CO_(2)Capture Thermochemical energy storage