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Development and internal validation of the Comprehensive ALPPS Preoperative Risk Assessment(CAPRA)score:is the patient suitable for Associating Liver Partition and Portal vein ligation for Staged hepatectomy(ALPPS)?

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Hepatobiliary Surgery and Nutrition 2022年第1期11卷 52-66,I0007,I0008页

作者： Ivan Capobianco Karl J.Oldhafer mohammed-hossein fard-aghaie Ricardo Robles-Campos Roberto Brusadin Henrik Petrowsky Michael Linecker Arianeb Mehrabi Katrin Hoffmann Jun Li Asmus Heumann Roberto Hernandez-Alejandro Mauro Enrique Tun-Abraham Elio Jovine Matteo Serenari Bergthor Bjornsson Per Sandström Ruslan Alikhanov Mikhail Efanov Paolo Muiesan Andrea Schlegel Thomas M.van Gulik Pim B.Olthof Gregor Alexander Stavrou Lina Maria Serna-Higuita Alfred Königsrainer Silvio Nadalin Department of General Visceral and Transplant SurgeryUniversity Hospital TübingenTübingenGermany Department of General and Abdominal Surgery Asklepios Hospital BarmbekHamburgGermany Department of Surgery Virgen de la Arrixaca Clinic and University HospitalMurciaSpain Swiss HPB and Transplantation Center Department of SurgeryZurich University HospitalZurichSwitzerland Department of General Visceraland Transplantation SurgeryUniversity of HeidelbergHeidelbergGermany General Visceral and Thoracic Surgery Department and ClinicHamburg-Eppendorf University Medical CenterHamburgGermany Division of Transplantation and Hepatobiliary Surgery University of RochesterRochesterNYUSA Division of HPB Surgery and Liver Transplantation Department of SurgeryLondon Health Sciences CentreLondonCanada General and Emergency Surgery Unit Azienda Ospedaliero-Universitaria di BolognaMaggiore HospitalBolognaItaly General Surgery and Transplantation Unit Azienda Ospedaliero-Universitaria di BolognaSant’Orsola-Malpighi HospitalBolognaItaly Department of Surgery in Linköping and Department of Biomedical and Clinical SciencesLinköping UniversityLinköpingSweden Department of Hepatopancreatobiliary Surgery Moscow Clinical Scientific CenterMoscowRussia Liver Unit Queen Elizabeth Hospital BirminghamUniversity Hospitals Birmingham NHS Foundation TrustBirminghamUK Department of Surgery Amsterdam UMC(Location AMC)University of AmsterdamAmsterdamThe Netherlands Department of General Abdominal and Thoracic SurgerySurgical OncologySaarbruecken General HospitalSaarbrueckenGermany Department of Clinical Epidemiology and Applied Biometry University of TübingenTübingenGermany

Background:Preoperative patient selection in Associating Liver Partition and Portal vein ligation for Staged hepatectomy(ALPPS)is not always reliable with currently available scores,particularly in patients with primary liver *** study aims to(I)to determine whether comorbidities and patients characteristics are a risk factor in ALPPS and(II)to create a score predicting 90-day mortality ***:Thirteen high-volume centers participated in this retrospective multicentric study.A risk analysis based on patient characteristics,underlying disease and procedure type was performed to identify risk factors and model the Comprehensive ALPPS Preoperative Risk Assessment(CAPRA)score.A nonparametric receiver operating characteristic analysis was performed to estimate the predictive ability of our score against the Charlson Comorbidity Index(CCI),the age-adjusted CCI(aCCI),the ALPPS risk score before Stage 1(ALPPS-RS1)and Stage 2(ALPPS-RS2).The model was internally validated applying ***:A total of 451 patients were *** was 14.4%.The CAPRA score is calculated based on the following formula:(0.1×age)−(2×BSA)+1(in the presence of primary liver tumor)+1(in the presence of severe cardiovascular disease)+2(in the presence of moderate or severe diabetes)+2(in the presence of renal disease)+2(if classic ALPPS is planned).The predictive ability was 0.837 for the CAPRA score,0.443 for CCI,0.519 for aCCI,0.693 for ALPPS-RS1 and 0.807 for *** 1,000 cycles of bootstrapping the C statistic was *** accuracy plot revealed a cut-off for optimal prediction of postoperative mortality of ***:Comorbidities play an important role in ALPPS and should be carefully considered when planning the *** assessing the patient’s preoperative condition in relation to ALPPS,the CAPRA score has a very good ability to predict postoperative mortality.

关键词： Associating Liver Partition and Portal vein ligation for Staged hepatectomy(ALPPS) comorbidity mortality prediction model patient selection

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地热能在预热中的应用综述

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Journal of Central South University 2023年第11期30卷 3519-3537页

作者： Mohammad ALHUYI NAZARI Ravinder KUMAR Azfarizal MUKHTAR Ahmad Shah Hizam Md YASIR Mohammad hossein AHMADI mohammed AL-BAHRANI Faculty of New Sciences and Technologies University of TehranTehranIran School of Mechanical Engineering Lovely Professional UniversityPhagwaraPunjab 144411India Institute of Sustainable Energy Putrajaya CampusUniversiti Tenaga NasionalJalan IKRAM-UNITENKajang 43000Malaysia Faculty of Resilience Rabdan AcademyAbu DhabiUAE Faculty of Mechanical Engineering Shahrood University of TechnologyShahroodIran Chemical Engineering and Petroleum Industries Department Al-Mustaqbal University CollegeBabylon 51001Iraq

考虑到化石燃料的环境污染和成本波动等问题,发展可再生能源技术是未来可持续能源供应的必要和必然。与太阳能和风能相比,地热能在一天中的所有时间都是可利用的。这种可再生能源适用于供暖、制冷、淡水和电力的清洁供应。地热能除了作... 详细信息

考虑到化石燃料的环境污染和成本波动等问题,发展可再生能源技术是未来可持续能源供应的必要和必然。与太阳能和风能相比,地热能在一天中的所有时间都是可利用的。这种可再生能源适用于供暖、制冷、淡水和电力的清洁供应。地热能除了作为主要能源直接用于发电外,还可以作为辅助热源用于预热,减少温室气体排放,节约燃料。在这些系统中,利用地热热源的热量进行蒸汽预热。此外,地热能可用于其他能源系统,如制氢装置,用于预热电解过程中消耗的水。针对利用地热能进行预热的优势,综述了地热能预热系统的应用研究。通过这一研究可以看出,利用地热能进行预热在节约燃料和提高性能方面具有很大的潜力。上述系统的性能取决于系统的配置、钻孔规格和地热源温度等因素。通过实施优化,可以进一步改进这些系统。

关键词：地热能预热火力发电厂节约燃料

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The Research on the Distribution, Abundance and Some Ecological Characteristics of Neuroterus Species （Hymenoptera： Cynipidae） in Oak Forest of West Azerbaijan （Iran）

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Journal of Life Sciences 2011年第8期5卷 625-633页

作者： mohammed Reza Zargaran mohammed Hassan Safaralizadeh Ali Asghar Pourmirza Esmaeil Alizadeh Department of Plant Protection Faculty of Agriculture Uremia University Uremia West Azerbao＇an P.O. Box 165 Iran Agricultural and Natural Resources Center of West Azerbao＇an Uremia P. O. Box 365 Iran

Oak gall wasps （Hymenoptera： Cynipidae）, with more than 1300 species, represent one of the largest radiations of gall inducing insects. Many studies have documented galling species lists and richness, especially gall wasps, but few studies have been directed toward understanding how the gall-inducing species are locally distributed. In this survey, the oak gall wasps were collected from April to November （2009 and 2010） in West Azerbaijan of Iran. Among these collected galls, five species of oak gall wasps which belonged to the genus Neuroterus sp. were identified as： Neuroterus lanuginosus Giraud, N. numismalis Geoffroy, N. saliens Kollar, N. laeviusculus Schenck and N. quercus-baccarum Linnaeus. All of the galls in this survey are leaf galls. These galls were produced by the asexual reproduction and were collected in summer and fall seasons. The highest species richness was recorded in Ghabre-hossein and Vavan stations. Also, the highest density of gall formation was recorded at the southern direction. The multiple-sites similarity measures indicated that similarity in gall composition and community between collecting sites was generally between 0.57 and 0.90. The highest multiple site similarity was recorded between Vavan vs Rabat vs Dare-ghabr station. The authors showed that the very cold and humidity climate is not appropriate to Neuroterus species activity and the south direction is the best side for their survival.

关键词： Oak gall wasps distribution population Neuroterus sp. forest.

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