检索结果-南通市图书馆

维普期刊数据库

A Retrospective Analysis of Intoxicated Patients Admitted to the Intensive Care Unit: A Single-Institution Assessment in the Post-Pandemic Period

在线全文

学校读者我要写书评

暂无评论

Journal of Biosciences and medicines 2024年第3期12卷 159-167页

作者： müge Arikan Abdullah Yeşilkaya Büşra Nur Taşdelen İbrahim Özyiğit Department of Anesthesia and Intensive Care Faculty of Medicine Karabuk University Karabuk Turkey

Background: The aim of this study was to evaluate the clinical and epidemiological characteristics of patients with acute intoxication admitted to the Intensive Care Unit (ICU). material and methods: An observational retrospective study was conducted on intoxicated patients who admitted to ICU between January 2022 and January 2024. Data were collected from the patients medical records. The demographic characteristics, causes of intoxications, clinical parameters, the mean stay in the ICU, treatment modalities and prognosis were recorded. Results: A total of 2875 critically ill patients were admitted during the study period, and 109 (3.79%) of them were acute intoxications. Their mean of ages was 38.09 ± 12.29. The female-to-male ratio was 1.37/1. Drugs were found to be the primary cause (62.39%) of intoxications, and analgesics, antidepressants, and antibiotics were the most frequent agents. Suicidal attempts were present in 66 patients, most of them were female (62.13%) and between 17 - 24 years (40.91%). The other common causes of intoxications were carbon monoxide (CO) (22.02%), methyl/ethyl alcohol (8.26%) and mushroom (5.50%). The mean stay in the ICU was 2.69 ± 0.89 days. mechanical ventilation was applied to 10 of our patients. Renal replacement therapy was required in 6 patients. Despite all treatments, 6 of our patients died, and we found the mortality rate to be 5.50%. Conclusion: Intoxications were more frequent in young female patients and drugs were the most common cause with suicidal intent. Unfortunately, CO poisoning continues to be a very important problem in our city. These findings provided significant information about the characteristics of intoxications in Karabuk.

关键词： Intoxication Intensive Care Unit Suicidal mortality

The multi-impurity system in CdSe nanoplatelets:electronic structure and thermodynamic properties

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Communications in Theoretical Physics 2024年第3期76卷 165-173页

作者： D A Baghdasaryan V A Harutynyan E m Kazaryan H A Sarkisyan Russian-Armenian University H Emin 1230051YerevanArmenia Institute of Applied Problems of Physics 25 Nersisyan St0014YerevanArmenia

This paper theoretically studies the impurity states and the effects of impurity concentration and configuration on the optical,electrical,and statistical properties of CdSe nanoplatelets(NPLs).An image charge-based model of electron-impurity interaction is *** charge-carrier energy spectra and corresponding wave functions depending on the impurity number and configuration are *** electron binding energies are calculated for different NPL *** is shown that the image charge-based interaction potential that arises due to the dielectric constants mismatch is much stronger than the interaction potential that does not take such a mismatch into ***,it is demonstrated that the binding energies are increasing with the number of *** calculate the canonical partition function using the energy levels of the electron,which in turn is used to obtain the mean energy,heat capacity,and entropy of the non-interacting electron *** thermodynamic properties of the non-interacting electron gas that depend on the geometric parameters of the NPL,impurity number,configuration,and temperature are studied.

关键词： nanoplateletes thermodynamic properties impurity states

维普期刊数据库

Four buildings and a flush:Lessons from degraded water quality and recommendations on building water management

在线全文

学校读者我要写书评

暂无评论

Environmental Science and Ecotechnology 2024年第2期18卷 104-113页

作者： Kyungyeon ra Caitlin Proctor Christian Ley Danielle Angert Yoorae Noh Tolulope Odimayomi Andrew J.Whelton Lyles School of Civil Engineering Purdue University550 Stadium Mall DriveWest LafayetteIN47907USA Agricultural and Biological Engineering Division of Environmental and Ecological EngineeringPurdue UniversityWest LafayetteIN47907USA Division of Environmental and Ecological Engineering Purdue UniversityWest LafayetteIN47907USA Civil and Environmental Engineering University of Colorado1111 Engineering DriveBoulderCO80309USA Civil Architectural and Environmental EngineeringUniversity of Texas301E E Dean Keeton StreetAustinTX78712USA Civil and Environmental Engineering Virginia Tech750 Drillfield DriveBlacksburgVA24061USA Lyles School of Civil Engineering Division of Environmental and Ecological EngineeringPurdue University550 Stadium Mall DriveWest LafayetteIN47907USA

A reduction in building occupancy can lead to stagnant water in plumbing,and the potential consequences for water quality have gained increasing *** investigate this,a study was conducted during the COVID-19 pandemic,focusing on water quality in four institutional *** of these buildings were old(>58 years)and large(>19,000 m2),while the other two were new(>13 years)and small(m2).The study revealed significant decreases in water usage in the small buildings,whereas usage remained unchanged in the large *** analysis found that residual chlorine was rarely detectable in cold/drinking water ***,the pH,dissolved oxygen,total organic carbon,and total cell count levels in the first draw of cold water samples were similar across all ***,the ranges of heavy metal concentrations in large buildings were greater than observed in small ***(Cu),lead(Pb),and manganese(mn)sporadically exceeded drinking water limits at cold water fixtures,with maxim.m.concentrations of 2.7 mg Cu L^(-1),45.4 mg Pb L^(-1),1.9 mg mn L^(-1).Flushing the plumbing for 5 min resulted in detectable residual at fixtures in three buildings,but even after 125 min of flushing in largest and oldest building,no residual chlorine was detected at the fixture closest to the building's point of *** the pandemic,the building owner conducted fixture flushing,where one to a few fixtures were operated per visit in buildings with hundreds of fixtures and multiple ***,further research is needed to understand the fundamental processes that control faucet water quality from the service line to the *** the absence of this knowledge,building owners should create and use as-built drawings to develop flushing plans and conduct periodic water testing.

关键词： COVID-19 pandemic Stagnation Drinking water quality Flushing

Within-host models unravelling the dynamics of dengue reinfections

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Infectious Disease modelling 2024年第2期9卷 458-473页

作者： Vizda Anam Bruno V.Guerrero Akhil Kumar Srivastav Nico Stollenwerk maíra Aguiar Basque Center for Applied mathematics Basque CountrySpain Department of mathematics and Statistics University of Basque CountryBasque CountrySpain Ikerbasque Basque Foundation for ScienceBasque CountrySpain

Caused by four serotypes,dengue fever is a major public health concern *** modeling efforts have mostly focused on primary and heterologous secondary infections,assuming that lifelong immunity prevents reinfections by the same ***,recent findings challenge this assumption,prompting a reevaluation of dengue immunity *** this study,we develop a within-host modeling framework to explore different scenarios of dengue *** previous studies,we go beyond a deterministic framework,considering individual immunological *** deterministic and stochastic models are calibrated using empirical data on viral load and antibody(Igm and IgG)concentrations for all dengue serotypes,incorporating confidence intervals derived from stochastic *** good agreement between the mean of the stochastic realizations and the mean field solution for each model,our approach not only successfully captures primary and heterologous secondary infection dynamics facilitated by antibody-dependent enhancement(ADE)but also provides,for the first time,insights into homotypic reinfection *** study discusses the relevance of homotypic reinfections in dengue transmission at the population level,highlighting potential implications for disease prevention and control strategies.

关键词： infections immunity prevention

Sodium-glucose cotransporter-2 inhibitors protect tissues via cellular and mitochondrial pathways:Experimental and clinical evidence

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Experimental medicine 2024年第2期14卷 46-52页

作者： raúl Lelio Sanz Sebastián García menéndez Felipe Inserra Leon Ferder Walter manucha Department of Pathology Facultad de Ciencias MédicasUniversidad Nacional de CuyoMendoza 5500Argentina Department of Pharmacology Instituto de Medicina y Biología Experimental de CuyoCentro Científico TecnológicoMendoza 5500Argentina Department of Nephrology Universidad de MaimónidesCiudad Autónoma de Buenos Aires C1405Argentina Department of Cardiology Universidad de MaimónidesCiudad Autónoma de Buenos Aires C1405Argentina

mitochondrial dysfunction is a key driver of cardiovascular disease(CVD)in metabolic syndrome and *** dysfunction promotes the production of reactive oxygen species(ROS),which cause oxidative stress and *** II,the main mediator of the renin-angiotensin-aldosterone system,also contributes to CVD by promoting ROS *** activity of sirtuins(SIRTs),a family of proteins that regulate cellular metabolism,also worsens oxidative *** of energy production by mitochondria is a common feature of all metabolic *** SIRT levels and 5’adenosine monophosphate-activated protein kinase signaling stimulate hypoxia-inducible factor 1 beta,which promotes ***,in turn,increases autophagy and mitophagy,processes that clear cells of debris and protect against *** cotransporter-2 inhibitors(SGLT2i),a class of drugs used to treat type 2 diabetes,have a beneficial effect on these *** clinical trials have shown that SGLT2i improves cardiac function and reduces the rate of cardiovascular and renal ***2i also increase mitochondrial efficiency,reduce oxidative stress and inflammation,and strengthen *** findings suggest that SGLT2i hold great potential for the treatment of ***,they are proposed as anti-aging drugs;however,rigorous research is needed to validate these preliminary findings.

关键词： Sodium-glucose cotransporter-2 inhibitors Cardiovascular diseases Sirtuins Oxidative stress Inflammation mitochondrial dysfunction

Natural Convection of a Power-Law Nanofluid in a Square Cavity with a Vertical Fin

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Fluid Dynamics & materials Processing 2024年第9期20卷 2091-2108页

作者： Amira m’hadbi mohammed El Ganaoui Haïkel Ben Hamed Amenallah Guizani Khalid Chtaibi LERmAB Department of Transition and Energy Efficiency ProfessionsIUT H Poincaréde LongwyUniversity of LorraineLongwy54400France LPT Center for Energy Research and Technologies(Borj Cedria2084)University of Tunis El ManarTunis1068Tunisia LTI Department of Mechanical Engineering and ProductionIUTUniversity of Picardie Jules-VerneAmiens80025France

The behavior of non-Newtonian power-law nanofluids under free convection heat transfer conditions in a cooled square enclosure equipped with a heated fin is investigated *** particular,the impact of nanofluids,composed of water and Al_(2)O_(3),TiO_(2),and Cu nanoparticles,on heat transfer enhancement is *** aim of this research is also to analyze the influence of different parameters,including the rayleigh number(ra=10^(4)-10^(6)),nanoparticle volume fraction(φ=0%-20%),non-Newtonian power-law indexes(n=0.6-1.4),and fin dimensions(Ar=0.3,0.5,and 0.7).Streamlines and isotherms are used to depict flow and related heat transfer *** indicate that thermal performance improves with increasing rayleigh number,regardless of the nanoparticle type or nanofluid rheological *** suggests that the buoyancy force has a significant impact on heat transfer,particularly near the heat *** Nusselt number is more sensitive to variations in Cu nanoparticle volume fractions compared to Al₂O₃and TiO₂.moreover,the average Nusselt numbers for power-law nanofluids with n1)are greater(smaller)than for Newtonian fluids due to the decrease(increase)in viscosity with increasing(decreasing)shear rate,at the same values of rayleigh number ra owing to the amplification(attenuation)of the convective ***,the most substantial enhancement is observed with Cu-water shear-thinning nanofluid,where the Nusselt number increases by 136%when changing from Newtonian to shear thinning behavior and by 154.9%when adding 16%nanoparticle volume ***,an even larger increase of 57%in the average Nusselt number is obtained on increasing the fin length from 0.3 to 0.7.

关键词： Heat transfer nanofluid non-Newtonian fluid natural convection

Photometric and Spectroscopic Study of Ten Low mass ratio Contact Binary Systems:Orbital Stability,O'Connell Effect and Infrared Calcium Line Filling

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Research in Astronomy and Astrophysics 2024年第8期24卷 212-222页

作者： Surjit S.Wadhwa Adam Popowicz raúl michel Petar Kostić Oliver Vince Nick F.H.Tothill Ain Y.De Horta miroslav D.Filipović School of Science Western Sydney UniversityLocked Bag 1797PenrithNSW 2751Australia Department of Electronics Electrical Engineering and MicroelectronicsSilesian University of TechnologyAkademicka 1644120 GliwicePoland Instituto de Astronomía UNAM.A.P.87722800 EnsenadaBCMéxico Astronomical Observatory Volgina 711060 BelgradeSerbia

Low mass ratio contact binary systems are more likely to have unstable orbits and potentially *** addition,such systems exhibit characteristics such as starspots and high energy emissions(UV)suggestive of chromospheric and magnetic *** curve modeling of ten contact binary systems is *** were found to be of extreme low mass ratio ranging from 0.122 to 0.24 and three were found to be potentially unstable and possible merger *** of the infrared calcium absorption lines is a marker of increased chromospheric *** use the available Large Sky Area multi-Object Fiber Spectroscopic Telescope spectra along with matched standard spectra(broadened for rotation)to measure the excess filling of the central core depression flux of the two main infrared calcium absorption linesλ8542 andλ*** find that all reported contact binaries have excess filling of the core flux in the infrared calcium *** of the systems reported were also observed by the Galaxy Evolution Explorer mission and we find that all three have features of excess ultraviolet emissions further adding evidence for increased chromospheric activity in low mass ratio contact *** of both orbital stability and absorption line filling is dependent on the determination of geometric and absolute parameters from light curve *** an insignificant number of contact binary light curves exhibit the O’Connell effect,usually attributed to *** discuss the inclusion of starspots in light curve solutions and how they influence the geometric and absolute parameters.

关键词： (stars)binaries eclipsing-techniques photometric-stars chromospheres

维普期刊数据库

Vegetation Response To Soil And morphological Properties In An Arid Region Alluvial Fan Landscape. Pre-Andes Of San Juan， Argentina

在线全文

学校读者我要写书评

暂无评论

Journal of Earth Science 2024年

作者： FLORES Daniel Germán OCA?A raúl Emmanuel mELIáN Edgardo ORTEG Andrés ESPER ANGILLIERI maría Yanina PITTALUGA maría Alejandra CIGEOBIO (CONICET-UNSJ) Av.José I.de la Roza y meglioli Gabinete de Geología Ambiental， INGEO， Universidad Nacional de San Juan， Av.José I.de la Roza y meglioli

The monte Desert is characterized by a great diversity of landforms created with fluvial， alluvial which the vegetation patterns are related to. The present work has the following objectives: 1: determine whether topographical attributes， surface characteristics， soil properties and vegetation patterns vary between alluvial landforms， and 2: define whether morphometric， soil and surface properties influence vegetation patterns along alluvial landscape. morphometric data were obtained by processing a 5 m digital elevation model. The coverage of rock fragments， fine sediments and mulch was quantified. Observations and descriptions of the soil profiles were restricted to the uppermost 50 cm. Vegetation properties were calculated using a Point Quadrat method. The relationship between variables was evaluated through multivariate statistical analysis. The main results show the presence of 45 plant species distributed in 19 families， where shrubs are dominant. The wind effect， topographic wetness and dissection of the landscape are limiting factors of diversity. The coverage of superficial rock fragments influence vegetation coverage through the distribution and availability of rainwater. Furthermore， the different soil textures reveal that the silt content favors an increase in vegetation coverage. The presence of V horizon could condition the installation and development of vegetation in the early stages of growth.

关键词：

Evaluating the influence of a structured nursing protocol on targeted outcomes in rheumatoid arthritis patients

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Journal of Integrative Nursing 2024年第1期6卷 22-28页

作者： mohammed Elsayed ZAKY Shimaa magdi FARGHALY Osama mohamed Elsayed ramADAN Rehab m.ABDELKADER mostafa SHABAN Department of medical Surgical Nursing Faculty of Nursing Cairo UniversityCairoEgypt Department of medical Surgical Nursing College of NursingJouf UniversitySakakaAljawfSaudi Arabia Faculty of Nursing Cairo University CairoEgypt Department of Geriatric Nursing Faculty of Nursing Cairo UniversityCairoEgypt

Objective:Rheumatoid arthritis(ra)requires comprehensive *** nursing protocols may enhance outcomes,but evidence is *** study evaluated the effect of a structured nursing protocol on ra *** and methods:In this one-group pre-post study,30 Egyptian ra patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management *** included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported *** count decreased from 18.4±4.2 to 14.2±3.8(Pm 30.1±6.8 mm/h to 25.5±6.8 mm/h(Pm 15.2±3.6 mg/L to 11.8±2.9 mg/L(Pmes showed a marked increase in ASES score from 140±25 to 170±30(Pm 1.6±0.4 to 1.3±0.3(Pm 7.8±1.7 to 6.2±1.2(Pm 11±3 to 8±2(Pmproved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in ra patients.A multifaceted nursing intervention appears beneficial for optimizing ra outcomes.

关键词： Nursing care patient education quality of life rheumatoid arthritis self‑management