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Anesthetic management of a Percutaneous mitral Valve Repair (mVR) with the mitraClip System in a twice Renal transplanted Patient

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Open Journal of Anesthesiology 2016年第2期6卷 9-12页

作者： Ezgi Erkılıç Elvin Kesimci tülin gümüş Orhan Kanbak Anesthesiology and Reanimation Department Ataturk Training and Research Hospital Ankara Turkey

Chronic renal failure is strongly related to poor outcomes, in cardiovascular system, such as: cardiac dilatation, left ventricular dysfunction and mitral valve regurgitation. mitral calcification and regurgitation play an important role in prediction of morbidity and mortality in patients on dialysis. Percutaneous mitral valve repair (mVR) with the mitraClip system, which has begun to be used in severe mitral insufficiency patients with multiple comorbid medical conditions, including renal disease, is a new, alternative method. this intervention is not associated with cardiopulmonary bypass, thus;it has been proven to be safe and effective in risky patients. In this report, we would like to share our anesthetic experience in successful mitral valve repair by mitraClip system in a patient who had undergone renal transplantation twice.

关键词： Renal transplantation mitraClip Implantation Anesthesia

microRNAs in hepatocellular carcinoma treatment:Charting the path forward

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World Journal of gastroenterology 2024年第11期30卷 1470-1474页

作者： Hong t lin Antonio F Alvarez Castaneda Somashekar g Krishna Khalid mumtaz Division of gastroenterology Hepatology and NutritionDepartment of MedicineThe Ohio State University Wexner Medical CenterColumbusOH 43210United States

microRNAs(miRNAs)are recognized for their involvement in the regulation of gene expression and exhibit significant potential in both the prognostic assessment and treatment of hepatocellular carcinoma(HCC).HCC,like other tumors,seldom occurs in isolation;instead,it evolves within a microenvironment featuring oncogenic and tumor-suppressive *** combined with suitable delivery vehicles,miRNA technology provides the capability to directly engage with these elements,thereby hindering tumor formation and *** research in this domain holds the promise of enabling a more efficacious and multi-modal treatment approach for HCC in the near future.

关键词： Hepatocellular carcinoma tumor microenvironment microRNA mesenchymal stem cell Exosome

the role of N-glycosylation in cancer

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Acta Pharmaceutica Sinica B 2024年第3期14卷 1098-1110页

作者： Yu lin David m.Lubman Department of Surgery University of Michigan Medical CenterAnn ArborMI 48109USA

Despite advances in understanding the development and progression of cancer in recent years,there remains a lack of comprehensive characterization of the cancer *** play an important role in medicine and are involved in various human disease conditions including ***-moieties participate in fundamental cancer processes like cell signaling,invasion,angiogenesis,and *** N-glycosylation significantly impacts cancer processes and targeted therapies in ***,understanding N-glycosylation in a tumor is essential for comprehending disease progression and discovering anti-cancer targets and biomarkers for therapy monitoring and *** review presents the fundamental process of protein N-glycosylation and summarizes glycosylation changes in tumor cells,including increased terminal sialylation,N-glycan branching,and ***,the role of N-glycosylation in tumor signaling pathways,migration,and metabolism are *** and glycopeptides as potential biomarkers for early detection of cancer based on site specificity have been ***,understanding and exploring the cancer glycoproteome,along with its role in medicine,implication in cancer and other human diseases,highlights the significance of N-glycosylation in tumor processes,necessitating further research for potential anticancer targets and biomarkers.

关键词： N-glycosylated proteins Cancer signaling Cancer angiogenesis Cancer metabolism Cancer biomarkers

tensile deformation of fine-grained mg at 4K,78K and 298K

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Journal of magnesium and Alloys 2024年第6期12卷 2534-2556页

作者： m.Walag A.Kula P.Noga t.tokarski g.Cios m.Niewczas AgH University of Krakow Faculty of Non-Ferrous MetalsKrakowPoland AgH University of Krakow Academic Centre for Materials and NanotechnologyKrakowPoland materials Science and Engineering McMaster UniversityHamiltonCanada

the impact of grain size, ranging from 0.9 μm to 9 μm, on the mechanical properties of commercially pure mg is investigated at temperatures of 4K, 78K, and 298K. the mechanisms governing plastic flow are influenced by both grain size and temperature. At 4K and 78K, dominant deformation modes in mg involve dislocation glide and extension twinning, regardless of grain size. the interactions between basal and non-basal dislocations and dislocations with grain boundaries promote an unusually high rate of work hardening in the plastic regime, leading to premature failure. the yield stress follows the Hall-Petch relationship σy~ k/√d, with the slope k increasing with decreasing temperature. At 298K, in addition to dislocation glide and twinning, grain boundary sliding(gBS) becomes significant in samples with grain sizes below 3 μm, considerably enhancing the material's deformability. gBS activation provides an additional recovery mechanism for dislocations accumulating at grain boundaries, facilitating their absorption during sliding and rotation. Analysis of σ Θ relationship suggests that the basal slip is the dominant dislocation mode in mg at 298K. Decreasing grain size suppresses dislocation activity and twinning and increases gBS, resulting in lower Θ and σ Θ values. Suppressing conventional deformation modes coupled with enhanced gBS yields stress softening, breaking down the Hall-Petch relationship in mg below 3 μm grain size, leading to an inverse Hall-Petch behaviour. the work reports new data on the strength, ductility, work hardening and fracture behaviour, and their variations with mg grain size across different temperature regimes.

关键词： Polycrystalline mg mechanical properties Deformation mechanisms Work-hardening texture evolution Cryogenic temperatures Hall-Petch relationship

Supposition of graphene stacks to estimate the contact resistance and conductivity of nanocomposites

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Applied mathematics and mechanics(English Edition) 2024年第4期45卷 663-676页

作者： Y.ZARE m.t.mUNIR g.J.WENg K.Y.RHEE Biomaterials and tissue Engineering Research group Department of Interdisciplinary TechnologiesBreast Cancer Research CenterMotamed Cancer InstituteTehran ***Iran College of Engineering and technology American University of the Middle EastEgaila 54200Kuwait Department of mechanical and Aerospace Engineering Rutgers UniversityNew BrunswickNJ 08903U.S.A. Department of mechanical Engineering(BK21 Four) College of EngineeringKyung Hee UniversityYongin 446701Republic of Korea

In this study,the effects of stacked nanosheets and the surrounding interphase zone on the resistance of the contact region between nanosheets and the tunneling conductivity of samples are evaluated with developed equations superior to those previously *** contact resistance and nanocomposite conductivity are modeled by several influencing factors,including stack properties,interphase depth,tunneling size,and contact *** developed model's accuracy is verified through numerous experimental *** further validate the models and establish correlations between parameters,the effects of all the variables on contact resistance and nanocomposite conductivity are ***,the contact resistance is primarily dependent on the polymer tunnel resistivity,contact area,and tunneling *** dimensions of the graphene nanosheets significantly influence the conductivity,which ranges from 0 S/m to90 S/*** increased number of nanosheets in stacks and a larger gap between them enhance the nanocomposite's ***,the thicker interphase and smaller tunneling size can lead to higher sample conductivity due to their optimistic effects on the percolation threshold and network efficacy.

关键词： graphene polymer composite stacked nanosheet tunneling conductivity contact resistance interphase

Brugada Syndrome: Anesthesia management

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Journal of Biosciences and medicines 2021年第9期9卷 147-153页

作者： Ezgi Erkiliç Ayça t.D. Özcan tülin gümüş Yüce İslamoğlu Betül Akaycan Orhan Kanbak Ankara City Hospital Ankara Turkey

Brugada’s Syndrome (BrS) is a rare but highly risky medical condition. It is a genetic disorder that may result in Ventricular Fibrillations (VF) that can lead to sudden cardiac arrest. the highest possible standards of safety in anesthetic medications must be followed and adequate measures must be taken with sufficient monitorization in patients with BrS. We wanted to mention the importance of monitorization in the early detection of possible complications and a careful follow-up even though no administration of anesthetic medication is present.

关键词： Brugada Syndrome (BrS) Cardiac Arrhythmia Ventricular Fibrillation Anesthesia

Evaluation of Operating Room Noise by Different medical Specialists

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Journal of Environmental Protection 2023年第12期14卷 1016-1024页

作者： Ezgi Erkiliç Yasemin Akçaalan Ayça Dumanli Özcan Yusuf Furkan güneş Levent Öztürk tülin gümüş Orhan Kanbak Anesthesiology and Reanimation Department Ataturk City Hospital Ankara T&uumlrkiye

Noise pollution is in an increasing trend in the operating rooms, as has been the case in various other domains in life. It has been shown in studies that the main cause of this noise pollution consist of the behavior related to the operating room personel and the surgical equipment. these higher than normal noise levels may increase stress and decrease communication and performance, apart from the negative health effects on the operating team. In this study, we aimed to explore the sources of noise pollution and the place of music on these effects on anesthesiology and surgical doctors. Questions formulated through a questionnaire have been asked to the anesthesiology and surgical department physicians on a voluntary basis, and their approach to the concept of noise has been assessed. the study was planned as a descriptive study. In total, highest impact from noise pollution was found to be the aspirator (74.3%), chatting (55.4%), noises from the monitors (54.8%), alarms (48.6%), surgical material (25.9%) and music (23.8%). Noise had the most impact on the concentration of the doctors with a rate of 61.9%. Anesthesiologists, when compared to other surgical department physicians, were found to be impacted most by music with 37.2%. It is not realistic to eliminate all the noise and distraction. On the other hand, it can be minimalized through sufficient measures. Yet, general measures to keep the silence isn’t too likely to keep the noise down during long operations. Whereas music stays as a matter of personal choice. Controlled studies on whether to keep or not the music in the operating rooms aren’t yet sufficient, due to which, general recommendations do not apply. As a result of this study, we have found that while music might have performance increasing effects, it still has a potential as a distraction and interfere with the communication in the operating room.

关键词： Operating Room Noise music

Nomograms and prognosis for superficial esophageal squamous cell carcinoma

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World Journal of gastroenterology 2024年第10期30卷 1291-1294页

作者： Hong tao lin Ahmed Abdelbaki Somashekar g Krishna Department of Internal medicine Division of GastroenterologyHepatology and NutritionThe Ohio State University Wexner Medical CenterColumbusOH 43210United States

In recent years,endoscopic resection,particularly endoscopic submucosal dis-section,has become increasingly popular in treating non-metastatic superficial esophageal squamous cell carcinoma(ESCC).In this evolving paradigm,it is crucial to identify factors that predict higher rates of lymphatic invasion and poorer *** tumor size,deeper invasion,poorer differentiation,more infiltrative growth patterns(INF-c),higher-grade tumor budding,positive lymphovascular invasion,and certain biomarkers have been associated with lymph node metastasis and increased morbidity through retrospective reviews,leading to the construction of comprehensive nomograms for outcome *** validated by future prospective studies,these nomograms would prove highly applicable in guiding the selection of treatment for superficial ESCC.

关键词： Esophageal cancer Esophageal squamous cell carcinoma Esophageal resection Endoscopic mucosal resection Endoscopic submucosal dissection Lymph node metastasis

Féeton(B-L gauge boson)dark matter for the 511-keV gamma-ray excess and the prediction of low-energy neutrino flux

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Chinese Physics C 2024年第8期48卷 76-82页

作者： Jie Sheng Yu Cheng Weikang lin tsutomu t.Yanagida tsung-Dao Lee Institute&School of Physics and Astronomy Shanghai Jiao Tong UniversityChina Key Laboratory for Particle Astrophysics and Cosmology(mOE)&Shanghai Key Laboratory for Particle Physics and Cosmology Shanghai Jiao Tong UniversityShanghai 200240China South-Western Institute For Astronomy Research Yunnan UniversityKunming 650500China Kavli IPmU(WPI) UTIASUniversity of TokyoKashiwa277-8583Japan

the féeton is the gauge boson of the U(1)_(B−L) gauge *** the gauge coupling constant is extremely small,the féeton becomes a candidate for dark *** show that its decay to a pair of an electron and a positron explains the observed galactic 511-keV gamma-ray excess in a consistent *** féeton dark matter decays mainly into pairs neutrino and *** low-energy experiments with improved directional capability will enable capturing these neutrino *** seesaw-motivated parameter space predicts a relatively short féeton lifetime that is comparable to the current cosmological constraint.

关键词： feeton 511-keV gamma-ray excess low-energy neutrino