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Variant of Wellen’s syndrome in type 1 diabetic patient: A case report

世界心脏病学杂志:英文版(电子版) 2023年第9期15卷 462-468页

作者： Mukosolu Florence Obi Manjari Sharma Vikhyath Namireddy Paul Gargiulo Chelsea noel Cho Hyun Blossom De Gale Internal Medicine Wyckoff Heights Medical CenterBrooklynNY 11237United States Clinical Rotations St Georges UniversitySchool of MedicineTrue Blue 96038Grenada

BACKGROUND Wellen’s syndrome is a form of acute coronary syndrome associated with proximal left anterior descending artery(LAD)stenosis and characteristic electro-cardiograph(ECG)patterns in pain free *** abnormal ECG pattern is classified into type A(biphasic T waves)and type B(deeply inverted T waves),based on the T wave pattern seen in the pericodial chest *** SUMMARY We present the case of a 37-year-old male with history of type 1 diabetes mellitus(T1DM),gastroparesis,mild peripheral artery disease and right toe cellulitis on IV antibiotics who presented to the emergency department with nausea,vomiting and abdominal pain for 3 d and as a result couldn’t take his *** to have fasting blood sugar 392 mg/*** for diabetic *** the hospital course,the patient was asymptomatic and denied any chest *** admission,No ECG and troponin draws were *** day 2,the patient became hypoxic with oxygen saturation 80%on room air,intermittent mild right-sided chest pain which he attributed to vomiting from his *** ECG done was significant for Biphasic T wave changes in leads V2 and V3 and elevated high sensitivity *** was transitioned to cardiac intensive care unit and cardiac catheterization performed with result significant for extensive coronary artery *** This case highlights an exceptional manifestation of Wellen's syndrome,wherein the right coronary artery and circumflex artery display a remarkable 100%constriction,alongside a proximal LAD stenosis of 90%-95%.Notably,this occurrence transpired in a patient grappling with extensive complications arising from ***,it underscores the utmost significance of promptly recognizing the presence of Wellen's syndrome and swiftly initiating appropriate medical intervention.

关键词： Wellens’s syndrome Biphasic T waves Deeply inverted T waves Precordial leads Left anterior descending artery Pseudo-normalization Right coronary artery Left circumflex artery Case report

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Empirical Models for the Evaluation of Global Solar Radiation for the Site of Abeche in the Province of Ouaddaï, in Chad

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Smart Grid and Renewable Energy 2022年第10期13卷 223-234页

作者： Marcel Hamda Soulouknga Abraham Dandoussou noel Djongyang Higher Normal School of Technical Education of Sarh University of Sarh Sarh Chad Department of Electrical and Power Engineering Higher Technical Teachers’ Training School University of Buea Kumba Cameroon Department of Renewable Energy National Advanced Polytechnic School University of Maroua Maroua Cameroon

The global sustainability plan for future development relies on solar radiation which is the main source of renewable energy. Thus, this work studies the performance of six models to estimate global solar radiation on a horizontal surface for the Abeche site in Chad. The data used in this work were collected at the General Directorate of National Meteorology of Chad. The reliability and accuracy of different models for estimating global solar radiation were validated by statistical indicators to identify the most accurate model. The results show that among all the models, the Sabbagh model has the best performance in estimating the global solar radiation. The average is 6.354 kWh/m2 with an average of -3.704%. This model is validated against NASA data which is widely used.

关键词： Empirical Models Statistical Indicators Solar Radiation Abeche

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基于荷马分析建模和机器学习的太阳能预测技术研究，以扩大卢旺达太阳能发展的规模

基于荷马分析建模和机器学习的太阳能预测技术研究，以扩大卢旺达...

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作者： HAGUMIMANA noel（志强）福建工程学院

学位级别：硕士

受到环境污染、能源供应减少、产品价格波动以及化石燃料的成本的影响,大多数国家在选择替代能源。可以独立运行的小型电力系统,即离网微电网,可以在建立基于分散的可再生能源(Renewable Energy,RE)技术的电力系统中发挥关键作用。卢旺... 详细信息

受到环境污染、能源供应减少、产品价格波动以及化石燃料的成本的影响,大多数国家在选择替代能源。可以独立运行的小型电力系统,即离网微电网,可以在建立基于分散的可再生能源(Renewable Energy,RE)技术的电力系统中发挥关键作用。卢旺达的能源部门近年来在一定程度上有了很大的发展,拥有包括水电、太阳能和沼气在内的自然能源,有45个发电厂,其中43.8%是并网的,19.43%%是离网的,但总体电气化率仅为68.17%,超过31%的卢旺达人无法获得电力,其中大部分人在国家电网之外。本研究论文组织如下:本研究论文首先研究了集中式太阳能(Concentrated Solar Energy,CSP)和光伏系统以促进人人享有可持续能源(Sustainable Energy for All,Se4all)的新方法。聚光太阳能技术通过使用镜子集中太阳辐射光束来发电,这些镜子聚焦在一个小区域,并集中太阳能来为导热油提供能量。CSP的生产在卢旺达仍未受到重视,尽管它已经引起了全世界的关注。本文通过优势、劣势、机会和威胁(Strengths,Weaknesses,Opportunities and Threats,SWOT)研究,对CSP和光伏系统进行技术经济分析。本章利用系统顾问模型(System Advisor Model,SAM)研究了卢旺达离网地区CSP和光伏微电网系统的技术和经济可行性。仿真计算结果显示,农村社区的离网光伏微电网系统因为它的净现值很低(Net Present Value,NPC),最具成本效益。第二,本文开发了一种具有成本效益的太阳能光伏系统发电模式,以较低的成本为卢旺达的农村家庭供电。通过开发高效、低成本的离网光伏系统,对单户和微网光伏系统进行性能比较。可再生混合优化模型(Renewable Hybrid Optimization Model,HOMER)软件被用来确定系统及其生命周期成本,包括每种发电模式的平均能源成本(Levelized Cost of Energy,LCOE)和净现值成本(Net Present Cost,NPC)。结果显示,与向农村社区供电的微电网光伏系统相比,一个独立家庭的独立光伏系统的LCOE被认为具有成本效益。第三,本文进行了太阳能预测,以确定根据天气条件建立多大的微电网和独立的光伏系统。根据不同的气候条件,应用了线性回归模型、随机森林回归模型、神经网络回归、Ada Boost回归、额外树回归等机器学习方法,对这些结果进行了比较,计算结果显示,在一定的变异条件下,额外树和随机森林在预测质量方面有非常好的准确性,但随机森林由于运行时间短而具有很好的优势,与额外树回归模型相比是准确的.

关键词：聚光太阳能 SWOT分析 SAM模型独立光伏系统太阳能预测

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Liver disease in pregnancy

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World Journal of Gastroenterology 2009年第8期15卷 897-906页

作者： noel M Lee Carla W Brady Department of Medicine Duke University Medical Center Durham NC 27710 United States Division of Gastroenterology Duke University Medical Center Durham NC 27710 United States

Liver diseases in pregnancy may be categorized into liver disorders that occur only in the setting of pregnancy and liver diseases that occur coincidentally with pregnancy. Hyperemesis gravidarum, preeclampsia/eclampsia, syndrome of hemolysis, elevated liver tests and low platelets (HELLP), acute fatty liver of pregnancy, and intrahepatic cholestasis of pregnancy are pregnancy-specific disorders that may cause elevations in liver tests and hepatic dysfunction. Chronic liver diseases, including cholestatic liver disease, autoimmune hepatitis, Wilson disease, and viral hepatitis may also be seen in pregnancy. Management of liver disease in pregnancy requires collaboration between obstetricians and gastroenterologists/hepatologists. Treatment of pregnancy-specific liver disorders usually involves delivery of the fetus and supportive care, whereas management of chronic liver disease in pregnancy is directed toward optimizing control of the liver disorder. Cirrhosis in the setting of pregnancy is less commonly observed but offers unique challenges for patients and practitioners. This article reviews the epidemiology, pathophysiology, diagnosis, and management of liver diseases seen in pregnancy.

关键词：慢性肝病患者怀孕期间妊娠急性脂肪肝肝内胆汁淤积症胆汁淤积性肝病自身免疫性肝炎肝脏疾病肝豆状核变性

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THE WEAK ESTIMATION OF CERTAIN MAXIMAL FUNCTIONS ON THE SYMMETRIC SPACES

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Acta Mathematica Scientia 1990年第3期10卷 250-264页

作者： noel Lohoué 朱赋鎏 Université

The purpose of this paper is to prove that on the Riemannian symmetric space of rank-one, and on the complex symmetric space, the maximal functions associated to the heat kernel and to the Poisson kernel are weak (1—... 详细信息

关键词：对尔空间最大函数弱估计

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New variation of median arcuate ligament compression causing hepatic arterial hypoperfusion during liver transplantation

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Hepatobiliary & Pancreatic Diseases International 2020年第4期19卷 394-395页

作者： noel Cassar Stephen Gregory Krishna Menon Institute of Liver Studies King’s Healthcare PartnersDenmark Hill SiteLondon SE59RSUK

Satisfactory blood flow after hepatic arterial anastomosis in liver transplantation is a critical point of the *** with this anastomosis can result in hepatic artery thrombosis with resultant graft failure and patient morbidity and *** of hepatic artery thrombosis include problematic technique,hepatic artery dissection,external compression(*** hematoma),hypercoagulable state,splenic arterial steal and rarer causes such as median arcuate ligament compression(MALC).A careful review of preoperative radiology and imaging will reveal these rare instances and enable a proper intraoperative plan.

关键词： hepatic arterial ligament

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Overview on signal transduction cascades regulation roles of garlic and its bioactive constituents

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Food Science and Human Wellness 2023年

作者： Ammad Ahmad Farooqi Iqra Mobeen Rukset Attar Khalida I noel Baojun Xu William C Cho Khursheed Rasheed Hospital Lahore Food Science and Technology Program Department of Life Sciences BNU-HKBU United International College Human Anatomy Department College of Medicine Al-Mustansiriyah University Department of Obstetrics and Gynecology Yeditepe University Department of Clinical Oncology Queen Elizabeth Hospital Institute of Biomedical and Genetic Engineering (IBGE)

High-throughput technologies in combination with modern exciting advancements in mass spectrometry-based proteomics and data analysis pipelines have empowered comprehensive characterization of disease phenotypes and their mechanistic regulation by dietary agents and bioactive molecules at unprecedented dimensionality and resolution. Extra-ordinary breakthroughs in the field of nutrigenomics have leveraged our understanding altogether to a new level of maturity. Interdisciplinary researchers have extensively analyzed health promoting and pharmacologically significant properties of garlic (Allium sativum). Importantly， garlic and its biologically active chemicals targeted oncogenic signaling cascades. In this mini-review we have attempted to summarize how garlic and its bioactive constituents regulated signal transduction cascades in cell culture studies and tumor-bearing mice.

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Nano CuO/g-C_3N_4 sheets-based ultrafiltration membrane with enhanced interfacial affinity,antifouling and protein separation performances for water treatment application

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Journal of Environmental Sciences 2019年第8期31卷 57-69页

作者： Thanigaivelan Arumugham Reshika Gnanamoorthi Amimodu noel Jacob Kaleekkal Dipak Rana Department of Chemistry School of Advanced Sciences Vellore Institute of Technology (VIT) Department of Integrative Biology School of Bioscience and Technology Vellore Institute of Technology (VIT) Department of Chemical Engineering National Institute of Technology Calicut Department of Chemical and Biological Engineering Industrial Membrane Research Institute University of Ottawa

To improve the interfacial affinity and antifouling properties of polyphenylsulfone(PPSU)membrane, nano CuO/g-C3 N4(g-CN) sheets were synthesized via facile calcination route as one pot synthesis method. The uniformly assembled nanohybrid fillers, CuO on g-CN sheets were confirmed by using XRD, TEM, EDX and FTIR analysis. The non-solvent induced phase inversion technique was used to fabricate the nanohybrid ultrafiltration(UF)membranes by doping different concentration(0.5–1 wt.%) of nano CuO/g-C_3 N_4(g-CN)sheets within the PPSU matrix. The results of contact angle, atomic force microscopy,energy-dispersive X-ray spectroscopy reveal that surface structure and physico-chemical properties of nanohybrid membrane plays lead role in solute interaction and rejection compared to bare membrane, M0. Furthermore, the interfacial affinity of membrane was explored in detail via surface free energy, spreading coefficient, wetting tension and reversible work of adhesion analysis. Nanohybrid UF membrane, with 0.5% of the filler(M1)displayed remarkable permeation flux of 202, 131 L/m2/hr for pure water and protein solution, respectively while maintaining a high protein rejection(96%). Moreover, the exceptional dispersion of the nanosheets in the polymer matrix enhanced FRR(79%) and decreased the overall resistance of M1 compared to the pristine membrane(M0). Overall results suggest that the incorporation of nano sheets is a facile modification technique which improves the comprehensive membrane performance and holds a great potential to be further explored for water treatment.

关键词： Ultrafiltration membrane Copper oxide Graphitic carbon nitride Interfacial affinity Antifouling Protein removal

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A comparison of the water management systems in France and China

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Frontiers of Environmental Science & Engineering 2013年第5期7卷 721-734页

作者： Xiaoliu YANG Jian XU Jean-Francois DONZIER Coralie noel College of Urban and Environmental Sciences Peking University Beijing 100871 China Asia-Pacific Centre for Water Security of Tsinghua University Beijing 100084 China International Office for Water and Permanent Technical Secretary of the International Network of Basin Organizations Paris 75008 France

This paper compares legal systems for water management in France and China, with a focus on integrated water resources management and regarding in particular the formulation of policies and their implemen- tation. The research shows that China has committed itself to the efficient management of water resources through the development of various policy tools during the current period. This commitment, however, has often been interrupted and distorted by politics, resulting in the neglect of socioeconomic and environmental priorities. France has developed a legislative framework and practical instruments to apply integrated water resources manage- ment at the river basin level since the 1960s. This experience and the current implementation of the European Water Framework Directive brings elements that can contribute to Chinese society meeting its water challenges.

关键词： legislation regulation water policy integrated river basin management protection of water quality,water permitting

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全科医生对躯体症状障碍的评估和处理

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中华全科医师杂志 2023年第1期22卷 97-100页

作者：王英秀 Stephens Timothy noel 郭敬柱中南大学湘雅医学院附属海口医院国际医疗部海口570208

躯体症状障碍(somatic symptom disorder)是一种以各式各样、经常变化的躯体症状为主的精神障碍,此定义来自美国精神疾病诊断与统计手册第5版(DSM-5)^([1])。患者因持续担忧各种躯体症状而反复求医,但检查结果往往没有明显的阳性,医生... 详细信息

躯体症状障碍(somatic symptom disorder)是一种以各式各样、经常变化的躯体症状为主的精神障碍,此定义来自美国精神疾病诊断与统计手册第5版(DSM-5)^([1])。患者因持续担忧各种躯体症状而反复求医,但检查结果往往没有明显的阳性,医生反复解释仍不能使患者的顾虑停止.

关键词：精神障碍躯体症状障碍全科医生

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