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促进慢性阻塞性肺疾病哮喘患者自我监控空气质量的护理干预措施:整合性综述（英文）

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International Journal of Nursing sciences 2024年第1期 46-56页

作者： Bruna F.sebasti?o Raquel M.Hortel?o sara s.granadas José M.Faria Joana R.Pinto Helga Rafael Henriques Nursing school of Lisbon Hospital Center of Central Lisbon CUF Tejo Hospital University Hospital Center of Northern Lisbon Nursing Research Innovation and Development Centre of Lisbon (CIDNUR)

目的哮喘-慢性阻塞性肺疾病肺重叠症(Asthma-chronic obstructive pulmonary disease overlap,ACO)患者的生活质量较低,肺功能较差,病情经常加重。由于暴露于污染环境会加重其症状,增加发病率和病死率,环境管理对其至关重要。旨在通过... 详细信息

目的哮喘-慢性阻塞性肺疾病肺重叠症(Asthma-chronic obstructive pulmonary disease overlap,ACO)患者的生活质量较低,肺功能较差,病情经常加重。由于暴露于污染环境会加重其症状,增加发病率和病死率,环境管理对其至关重要。旨在通过系统性综述,寻找证据,以指导制订护理干预措施,促进ACO患者对空气质量的自我管理。方法 2023年3月,系统检索CINAHL、Medline、Academic search Complete、scopus、Web of science、Cochrane图书馆、乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证实践数据库,以及Google scholar。对纳入研究进行数据提取和综合,并对护理干预措施进行分类。采用JBI研究质量评估工具进行方法学质量评估。结果共纳入5篇来自不同国家的研究。促进ACO患者自我监控空气质量的干预措施包括:警觉性干预措施(医务人员定期巡诊、进行症状评估),监测干预措施(监测室内外诱发因素),教育干预措施(空气质量警报、避免接触过敏原),以及相关政策的影响,如无烟政策和改善空气质量的综合战略。尽管这些研究报告了不同的干预措施,方法质量也存在差异,但这些干预措施显示了预防患者病情恶化、尽量减少急诊就诊和住院治疗的潜力。这些关键点可作为护理干预措施的关键组成部分。结论有必要采取全面措施,让护士参与促进患者自我监控空气质量的多学科团队、提高认识、制订和实施护理干预,从而使ACO患者受益。同时,需要进一步开展研究,以扩大证据基础并完善这些干预措施。

关键词：空气质量哮喘哮喘-慢阻肺重叠慢性病慢性阻塞性肺疾病护理自我管理

Advances and challenges in diagnosing and managing adult autoimmune enteropathy

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World Journal of Gastroenterology 2025年第2期31卷 128-131页

作者： Grigorios Christodoulidis sara E Agko Marina N Kouliou Konstantinos E Koumarelas Dimitris Zacharoulis Department of General surgery University Hospital of LarissaLarissa 41110Greece Department of Intensive Care Unit Asklepios Paulinen Clinic WiesbadenWiesbaden 65197Germany Department of Emergency Medicine General Hospital of LarissaLarissa 41221Greece Department of surgery University Hospital of LarissaLarissa 41334Greece

Autoimmune enteropathy(AIE)is a rare immune mediated disorder primarily affecting children,characterized by chronic diarrhea,malabsorption,vomiting,weight loss and villous *** has also been observed in adults presenting diagnostic and treatment challenges due to its overlap with other gastrointestinal disorders such as celiac *** diagnostic criteria for AIE include small bowel villous atrophy,lack of response to dietary restrictions,presence of anti-enterocyte antibodies,and predisposition to autoimmunity without severe *** criteria emphasize characteristic histological findings and exclusion of other causes of villous *** is associated with various autoimmune disorders and can present with overlapping features with Celiac disease,including villous atrophy but without significant intraepithelial *** primarily involves immunosuppression using corticosteroids,calcineurin inhibitors,and anti-tumor necrosis factor therapy,alongside nutri-tional *** the challenges,understanding AIE’s diverse manifest-ations and improving diagnostic criteria are essential for effective management and improved patient *** research is needed to elucidate the pathogenesis,disease progression and long-term outcomes of AIE.

关键词： Autoimmune enteropathy Diagnosis Prognosis Adult autoimmune enter-opathy and challenges Autoimmune enteropathy and treatment Autoimmune enteropathy and diagnostic criteria Pathophysiology of autoimmune enteropathy

Patients admitted in the intensive care unit after solid organ or bone marrow transplantation:Retrospective cohort study

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World Journal of Transplantation 2025年第1期15卷 95-104页

作者： Ana Vujaklija Brajkovic Iva Kosuta Lucija Batur sara sundalic Marijana Medic Andro Vujevic Luka Bielen Jaksa Babel Department of Internal Medicine University Hospital Centre ZagrebZagreb 10000Croatia school of Medicine University of ZagrebZagreb 10000Croatia

BACKGROUND solid organ transplantation(sOT)and hematopoietic stem cell transplantation(HsCT)revolutionized the survival and quality of life of patients with malignant diseases,various immunologic,and metabolic disorders or those associated with a significant impairment in a patient's quality of *** To investigate admission causes and treatment outcomes of patients after sOT or HsCT treated in a medical intensive care unit(ICU).METHODs We conducted a single-center,retrospective epidemiological study in the medical ICU at the University Hospital Centre Zagreb,Croatia covering the period from January 1,2018 to December 31,*** The study included 91 patients with either sOT[28 patients(30.8%)]or HsCT[63 patients(69.2%)].The median age was 56(43.2-64.7)years,and 60.4%of the patients were *** with sOT had more comorbidities than patients after HsCT[χ^(2)(5,n=141)=18.513,Psepsis and septic shock were the most frequent reasons for admission,followed by acute respiratory insufficiency in patients following *** rate significantly differed between sOT and HsCT[χ^(2)(1,n=91)=21.767,Psurvival was 57%in the sOT and 12.7%in the HsCT *** need for mechanical ventilation[χ^(2)(1,n=91)=17.081,Psopressor therapy[χ^(2)(1,n=91)=36.803,Ps associated with *** necessity for acute renal replacement therapy did not influence patients'survival[χ^(2)(1,n=91)=0.376,P=0.54].In the subgroup of patients with infection,90%had septic shock,and the majority had positive microbiological samples,mostly Gram-negative *** ICU survival of patients with sepsis/septic shock cumulatively was 15%.The survival of sOT patients with sepsis/shock was 45%.CONCLUsION Patients with sOT or HsCT are frequently admitted to the ICU due to sepsis and septic *** advancements in critical care,the mortality rate of patients with refractory septic shock and multiorgan failure in this patient population is extremely hig

关键词： Liver transplantation Kidney transplantation Hematopoietic stem cell transplantation Critical care sepsis septic shock Mortality

Nonlinear aspects of energy dissipation in wood-panel joints sara Casciati

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Earthquake Engineering and Engineering Vibration 2007年第4期6卷 259-268页

作者： sara Casciati AsTRA Dept. School of Architecture University of Catania at Siracusa 96100 Siracusa Italy

The joints connecting vertical and horizontal elements are the ＂weak link＂ in structural systems assembled from wood panels. If they are too weak, local failures may occur, resulting in performance that is significantly below expectations. If they are too resistant, the joints may be unable to dissipate energy during vibrations, thus possibly initiating a fast progressive failure. This paper re-processes and re-elaborates the results of shaking table tests previously carried out by the author and other co-workers. The goal is to assess the feasibility of a joint which is able to dissipate energy during vibration, without degrading the connection performance.

关键词： dynamic excitation energy dissipation wood panels joint monitoring system shaking table tests

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Automatic characterization of spherical metal powders by microscope image analysis:a parallel computing approach

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Journal of Iron and steel Research International 2023年第11期30卷 2293-2300页

作者： Xiang Li Linyi Cui sara shonkwiler sara McMains University of California BerkeleyBerkeleyCA94720USA The Hong Kong Polytechnic University Hong KongChina

The microstructural characteristics of spherical metal powders play an important role in determining the quality of mechanical parts manufactured by powder metallurgy *** the individual powder particles from their microscopic images is one of the most convenient and cost-efficient methods for the analysis of powder *** numerous image processing algorithms have been developed for automating the powder particle identification process,they perform less accurately in identifying adjacent particles that are heavily overlapped in their image *** propose an automatic algorithm to robustly and accurately identify spherical powder particles,especially heavily overlapped particles,from their microscope images.A parallel computing framework is designed to further enhance the computational efficiency of the proposed *** characteristics such as particle size distribution and the location of potential satellite particles have been derived from our identification *** accuracy and efficiency of our algorithm are validated by real-world scanning electron microscope images,outperforming other existing methods and achieving both precision and recall above 99%.

关键词： computing image overlapped

Geological Controls and Prospectivity Mapping for Manganese Ore Deposits Using Predictive Modeling Comparison:An Integration of Outcrop and Remote sensing Data,sinai Microplate,Egypt

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Journal of Earth science 2023年第2期34卷 588-608页

作者： sara Zamzam Geology Department Faculty of ScienceZagazig UniversityZagazig 44519Egypt

One of the most controversial minerals in their origin and occurrence around the world is manganese *** Abu Zenima area is rated one of the most economically important places where manganese ore deposits(Mn ODs)are located in the southwest sinai microplate,*** deposits are confined with the Um Bogma Formation(UBF)and the reserves of this region are relatively *** this study,optical and radar data are used in a new challenge as an attempt to reach the closest controls and setting of Mn ***,Frequency Ratio(FR)and Logistic Regression(LogR)predictive models are applied to integrate different geospatial thematic maps,to predict new potential resource zones for increasing the ranges of mining ***8 OLI,sentinel-2A Multi spectral Instrument and Radar(sentinel-1B)data are combined for mapping Mn ODs locations and their relationship with geological structures and the surrounding *** ratio,Principal and Independent Component Analysis techniques and four classification algorithms were implemented to the optical’VNIR and sWIR ***,the interferometric processing steps for sentinel-1 data were made for understanding the tectonic features in the *** FR and LogR models are validated during fieldwork with known Mn ODs *** indicate that processed images are capable of differentiation of UBF which broadly distributed in the central and southern parts of the *** ODs possibly formed by thermal events that attributed to paleo-volcanic events before the rift *** high accuracy of LogR model(0.902)suggests that high Mn ODs potential zones are identified within the intersected fault zones near granitic *** integration is recommended for discriminating hydrothermally Mn ODs in other arid geographic regions.

关键词： manganese deposits Abu Zenima Landsat8 oli sentinel data fault zones predictive modeling remote sensing

Variant Wasserstein Generative Adversarial Network Applied on Low Dose CT Image Denoising

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Computers, Materials & Continua 2023年第5期75卷 4535-4552页

作者： Anoud A.Mahmoud Hanaa A.sayed sara s.Mohamed Department of Mathematics and Computer science Faculty of ScienceNew Valley UniversityNew Valley72511Egypt Department of Computer science College of Computer Science and Engineering Taibah UniversityMedina42221KSA Department of Mathematics Faculty of ScienceAssiut UniversityAssiut71516Egypt

Computed Tomography(CT)images have been extensively employed in disease diagnosis and treatment,causing a huge concern over the dose of radiation to which patients are *** the radiation dose to get a better image may lead to the development of genetic disorders and cancer in the patients;on the other hand,decreasing it by using a Low-Dose CT(LDCT)image may cause more noise and increased artifacts,which can compromise the ***,image reconstruction from LDCT image data is necessary to improve radiologists’judgment and *** study proposed three novel models for denoising LDCT images based on Wasserstein Generative Adversarial Network(WGAN).They were incorporated with different loss functions,including Visual Geometry Group(VGG),structural similarity Loss(ssIM),and structurally sensitive Loss(ssL),to reduce noise and preserve important information on LDCT images and investigate the effect of different types of loss ***,experiments have been conducted on the Graphical Processing Unit(GPU)and Central Processing Unit(CPU)to compare the performance of the proposed *** results demonstrated that images from the proposed WGAN-ssIM,WGAN-VGG-ssIM,and WGAN-VGG-ssL were denoised better than those from state-of-the-art models(WGAN,WGAN-VGG,and sMGAN)and converged to a stable equilibrium compared with WGAN and *** proposed models are effective in reducing noise,suppressing artifacts,and maintaining informative structure and texture details,especially WGAN-VGG-ssL which achieved a high peak-signalto-noise ratio(PNsR)on both GPU(26.1336)and CPU(25.8270).The average accuracy of WGAN-VGG-ssL outperformed that of the state-ofthe-art methods by 1 *** prove that theWGAN-VGG-ssL is more stable than the other models on both GPU and CPU.

关键词： Machine learning deep learning image denoising low dose CT loss function

simultaneous effects of magnetic field and space porosity on compressible Maxwell fluid transport induced by a surface acoustic wave in a microchannel

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Chinese Physics B 2013年第12期22卷 323-332页

作者： Khaled s.Mekheimer soliman R.Komy sara I.Abdelsalam Mathematics & statistics Department Faculty of Science Taif University Department of Mathematics Faculty of Science (Men) Al-Azhar University Department of Mathematics Faculty of Science Helwan University Basic science Department Faculty of Engineering The British University in Egypt

Peristaltic motion induced by a surface acoustic wave of a viscous, compressible and electrically conducting Maxwell fluid in a confined parallel-plane microchannel through a porous medium is investigated in the presence of a constant magnetic field. The slip velocity is considered and the problem is discussed only for the free pumping case. A perturbation technique is employed to analyze the problem in terms of a small amplitude ratio. The phenomenon of a “backward flow” is found to exist in the center and at the boundaries of the channel. In the second order approximation, the net axial velocity is calculated for various values of the fluid parameters. Finally, the effects of the parameters of interest on the mean axial velocity, the reversal flow, and the perturbation function are discussed and shown graphically. We find that in the non-Newtonian regime, there is a possibility of a fluid flow in the direction opposite to the propagation of the traveling wave. This work is the most general model of peristalsis created to date with wide-ranging applications in biological, geophysical and industrial fluid dynamics.

关键词： peristaltic flow Maxwell fluid porous medium slip flow microchannel

Couple stress fluid flow in a rotating channel with peristalsis

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Journal of Hydrodynamics 2018年第2期30卷 307-316页

作者： Y.Abd elmaboud sara I.Abdelsalam Kh.s.Mekheimer Mathematics Department Faculty of Science and Arts Khulais University Of Jeddah Mathematics Department Faculty of Science Al-Azhar University (Assiut Branch) Department of Mechanical Engineering University of CaliforniaRiverside USA Basic science Department Faculty of Engineering The British University in Egypt Mathematics Department Faculty of Science Al-Azhar University

This article describes a new model for obtaining closed-form semi-analytical solutions of peristaltic flow induced by sinusoidal wave trains propagating with constant speed on the walls of a two-dimensional rotating infinite channel. The channel rotates with a constant angular speed about the z-axis and is filled with couple stress fluid. The governing equations of the channel deformation and the flow rate inside the channel are derived using the lubrication theory approach. The resulting equations are solved, using the homotopy perturbation method（HPM）, for exact solutions to the longitudinal velocity distribution, pressure gradient, flow rate due to secondary velocity, and pressure rise per wavelength. The effect of various values of physical parameters, such as, Taylor＇s number and couple stress parameter, together with some interesting features of peristaltic flow are discussed through graphs. The trapping phenomenon is investigated for different values of parameters under consideration. It is shown that Taylor＇s number and the couple stress parameter have an increasing effect on the longitudinal velocity distribution till half of the channel, on the flow rate due to secondary velocity, and on the number of closed streamlines circulating the bolus.

关键词： Homotopy perturbation method (HPM) couple stress fluid rotating channel peristaltic transport