检索结果-南通市图书馆

Metformin-associated lactic acidosis:A mini review of pathophysiology,diagnosis and management in critically ill patients

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of Diabetes 2024年第6期15卷 1178-1186页

作者： Kay choong See Department of Medicine National University HospitalSingapore 119228Singapore

Metformin is a common diabetes drug that may reduce lactate clearance by inhibiting mitochondrial oxidative phosphorylation,leading to metforminassociated lactic acidosis(MALA).As diabetes mellitus is a common chronic metabolic condition found in critically ill patients,pre-existing metformin use can often be found in critically ill patients admitted to the intensive care unit or the high dependency *** aim of this narrative mini review is therefore to update clinicians about MALA,and to provide a practical approach to its diagnosis and *** in critically ill patients may be suspected in a patient who has received metformin and who has a high anion gap metabolic acidosis,and confirmed when lactate exceeds 5 mmol/*** factors include those that reduce renal elimination of metformin(renal impairment from any cause,histamine-2 receptor antagonists,ribociclib)and excessive alcohol consumption(as ethanol oxidation consumes nicotinamide adenine dinucleotides that are also required for lactate metabolism).Treatment of MALA involves immediate cessation of metformin,supportive management,treating other concurrent causes of lactic acidosis like sepsis,and treating any coexisting diabetic *** MALA requires extracorporeal removal of metformin with either intermittent hemodialysis or continuous kidney replacement *** optimal time to restart metformin has not been *** is nonetheless reasonable to first ensure that lactic acidosis has resolved,and then recheck the kidney function post-recovery from critical illness,ensuring that the estimated glomerular filtration rate is 30 mL/min/1.73 m^(2) or better before restarting metformin.

关键词： Acid-base equilibrium Biguanides Oxidative phosphorylation Pyruvic acid Renal replacement therapy

Measurement of very low-molecular weight metabolites by traveling wave ion mobility and its use in human urine samples

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Pharmaceutical Analysis 2024年第5期14卷 733-743页

作者： Alongkorn Kurilung Suphitcha Limjiasahapong Khwanta Kaewnarin Pattipong Wisanpitayakorn Narumol Jariyasopit Kwanjeera Wanichthanarak Sitanan Sartyoungkul Stephen choong Chee wong Nuankanya Sathirapongsasuti Chagriya Kitiyakara Yongyut Sirivatanauksorn Sakda Khoomrung Siriraj Center of Research Excellent in Metabolomics and Systems Biology(SiCORE-MSB) Faculty of Medicine Siriraj HospitalMahidol UniversityBangkok10700Thailand Siriraj Metabolomics and Phenomics Center Faculty of Medicine Siriraj HospitalMahidol UniversityBangkok10700Thailand Department of Biomedical Informatics University of Arkansas for Medical SciencesLittle RockAR72205USA SingHealth Duke-NUS Institute of Biodiversity Medicine National Cancer Centre Singapore168583Singapore Waters Pacific Pte. Ltd.Singapore117528Singapore Program in Translational Medicine Faculty of Medicine Ramathibodi HospitalMahidol UniversityBangkok10400Thailand Chakri Naruebodindra Medical Institute Faculty of Medicine Ramathibodi HospitalMahidol UniversitySamut Prakan10540Thailand Department of Medicine Ramathibodi HospitalMahidol UniversityBangkok10400Thailand Department of Biochemistry Faculty of Medicine Siriraj HospitalMahidol UniversityBangkok10700Thailand Center of Excellence for Innovation in Chemistry(PERCH-CIC) Faculty of ScienceMahidol UniversityBangkok10400Thailand

The collision cross-sections(CCS)measurement using ion mobility spectrometry(IMS)in combination with mass spectrometry(MS)offers a great opportunity to increase confidence in metabolite ***,owing to the lack of sensitivity and resolution,IMS has an analytical challenge in studying the CCS values of very low-molecular-weight metabolites(VLMs250 Da).Here,we describe an analytical method using ultrahigh-performance liquid chromatography(UPLC)coupled to a traveling wave ion mobility-quadrupole-time-of-flight mass spectrometer optimized for the measurement of VLMs in human urine *** experimental CCS values,along with mass spectral properties,were reported for the 174 *** experimental data included the mass-to-charge ratio(m/z),retention time(RT),tandem MS(MS/MS)spectra,and CCS *** the studied metabolites,263 traveling wave ion mobility spectrometry(TWIMS)-derived CCS values(TWCCSN2)were reported for the first time,and more than 70%of these were CCS values of *** TWCCSN2 values were highly repeatable,with inter-day variations of<1%relative standard deviation(RSD).The developed method revealed excellent TWCCSN2 accuracy with a CCS difference(DCCS)within±2%of the reported drift tube IMS(DTIMS)and TWIMS CCS *** complexity of the urine matrix did not affect the precision of the method,as evidenced by DCCS within±1.92%.According to the Metabolomics Standards Initiative,55 urinary metabolites were identified with a confidence level of *** these 55 metabolites,53(96%)were *** larger number of confirmed compounds found in this study was a result of the addition of TWCCSN2 values,which clearly increased metabolite identification confidence.

关键词： Very low-molecular-weight metabolites Traveling wave ion mobility Collision cross-section Human urine

Prevention of complications in endourological management of stones:What are the basic measures needed before,during,and after interventions?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Journal of Urology 2024年第2期11卷 180-190页

作者： Eric Edison Giorgio Mazzon Vimoshan Arumuham Simon choong Department of Urology University College Hospital LondonLondonUK Department of Urology San Bassiano HospitalVicenzaItaly

Objective:This narrative review aims to describe measures to minimise the risk of complications during percutaneous nephrolithotomy(PCNL),ureteroscopy,and retrograde intrarenal ***:A literature search was conducted from the PubMed/PMC database for papers published within the last 10 years(January 2012 to December 2022).Search terms included“ureteroscopy”,“retrograde intrarenal surgery”,“PCNL”,“percutaneous nephrolithotomy”,“complications”,“sepsis”,“infection”,“bleed”,“haemorrhage”,and“hemorrhage”.Key papers were identified and included meta-analyses,systematic reviews,guidelines,and primary *** references of these papers were searched to identify any further relevant papers not included ***:The evidence is assimilated with the opinions of the authors to provide *** practice pathways for patient care in the pre-operative,intra-operative,and post-operative periods are described,including the identification and management of residual *** complications(sepsis and stent issues)that are relevant for any endourological procedure are then be ***-specific considerations are then *** measures for PCNL include optimising access to minimise the chance of bleeding or visceral *** role of endoscopic combined intrarenal surgery in this regard is *** measures for ureteroscopy and retrograde intrarenal surgery include planning and technique to minimise the risk of ureteric *** role of anaesthetic assessment is *** importance of specific comorbidities on each step of the pathway is highlighted as ***:This review demonstrates that the principles of meticulous planning,interdisciplinary teamworking,and good operative technique can minimise the risk of complications in endourology.

关键词： Endourology Ureteroscopy Retrogradeintrarenal surgery Percutaneous nephrolithotomy Complications Sepsis Stent

A Review of Rechargeable Zinc-Air Batteries:Recent Progress and Future Perspectives

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Nano-Micro Letters 2024年第7期16卷 358-401页

作者： Ghazanfar Nazir Adeela Rehman Jong-Hoon Lee choong-Hee Kim Jagadis Gautam Kwang Heo Sajjad Hussain Muhammad Ikram Abeer AAlObaid Seul-Yi Lee Soo-Jin Park Department of Nanotechnology and Advanced Materials Engineering Hybrid Materials Research Center(HMC)Sejong UniversitySeoul 05006Republic of Korea Department of Chemical and Biomolecular Engineering Yonsei University50 Yonsei-RoSeodaemun-GuSeoul 03722Republic of Korea Department of Chemistry Inha UniversityIncheon 22212Republic of Korea Solar Cell Applications Research Lab Department of PhysicsGovernment College University LahoreLahore 54000 PunjabPakistan Department of Chemistry College of ScienceKing Saud UniversityP.O.Box 2455Riyadh 11451Saudi Arabia

Zinc-air batteries(ZABs)are gaining attention as an ideal option for various applications requiring high-capacity batteries,such as portable electronics,electric vehicles,and renewable energy *** offer advantages such as low environmental impact,enhanced safety compared to Li-ion batteries,and cost-effectiveness due to the abundance of ***,early research faced challenges due to parasitic reactions at the zinc anode and slow oxygen redox *** advancements in restructuring the anode,utilizing alternative electrolytes,and developing bifunctional oxygen catalysts have significantly improved *** have achieved battery reversibility over thousands of cycles,introduced new electrolytes,and achieved energy efficiency records surpassing 70%.Despite these achievements,there are challenges related to lower power density,shorter lifespan,and air electrode corrosion leading to performance *** review paper discusses different battery configurations,and reaction mechanisms for electrically and mechanically rechargeable ZABs,and proposes remedies to enhance overall battery *** paper also explores recent advancements,applications,and the future prospects of electrically/mechanically rechargeable ZABs.

关键词： Zinc-air batteries Energy storage Affordability Reversibility

Diagnosis and management of severe pulmonary and extrapulmonary tuberculosis in critically ill patients:A mini review for clinicians

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of Critical Care Medicine 2024年第2期13卷 106-115页

作者： Dominic Ti Ming Tan Kay choong See Department of Medicine National University HospitalSingapore 119228Singapore

Among critically ill patients,severe pulmonary and extrapulmonary tuberculosis has high morbidity and ***,it is a diagnostic challenge given its nonspecific clinical symptoms and signs in early stages of the *** addition,management of severe pulmonary and extrapulmonary tuberculosis is complicated given the high risk of drug-drug interactions,drug-disease interactions,and adverse drug *** help clinicians acquire an up-to-date approach to severe tuberculosis,this paper will provide a narrative review of contemporary diagnosis and management of severe pulmonary and extrapulmonary tuberculosis in critically ill patients.

关键词： Tuberculosis Severe tuberculosis Mycobaterium tuberculosis Critical care Intensive care Diagnosis of tuberculosis Management of tuberculosis

Impact of inhaled and intranasal corticosteroids on glucose metabolism and diabetes mellitus:A mini review

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 Diabetes 2023年第8期14卷 1202-1211页

作者： Kay choong See Department of Medicine National University HospitalSingapore 119228Singapore

Inhaled corticosteroids(ICS)and intranasal corticosteroids(INS)are the mainstays of treatment for chronic respiratory diseases like asthma,chronic obstructive pulmonary disease,and allergic *** addition,these localized forms of steroid therapy are generally considered to have fewer systemic side effects compared to long-term oral ***,concern and controversy remain over the impact of ICS and INS on the incidence and control of diabetes mellitus(DM).Given the widespread use of ICS and INS,even small individual effects on DM could lead to large consequences for the global *** large observational studies suggest that high dose ICS is associated with increased incident DM and worsened DM control,though the contribution of other risk factors is less *** addition,only two studies were done to investigate the association of INS and DM,with both studies demonstrating a short-term association of INS use with *** more research evaluating the risk of ICS/INS for DM-related adverse events is needed,high doses of ICS/INS should be avoided when *** following strategies for ICS/INS dose minimization can be considered:Use of non-pharmacological measures(trigger avoidance,smoking cessation,vaccination to avoid infection),control of comorbid conditions,use of non-ICS-containing medications,intermittent rather than regular ICS dosing,and appropriate de-escalation of high ICS doses.

关键词： Beclomethasone Budesonide Fluticasone Glucocorticoids Glucose Hyperglycemia

Stone-scoring systems for predicting complications in percutaneous nephrolithotomy:A systematic review of the literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Journal of Urology 2023年第3期10卷 226-238页

作者： Giorgio Mazzon Simon choong Antonio Celia Department of Urology AULSS7 PedemontanaSan Bassiano HospitalBassano Del GrappaItaly Institute of Urology University College Hospitals of LondonLondonUK

Objective:Percutaneous nephrolithotomy is a treatment of choice for larger stones of the upper urinary ***,several nephrolithometric nomograms for prediction of post-operative surgical outcomes have been proposed,although uncertainties still exist regarding their roles in the estimation of ***:We conducted a systematic review on PubMed and Web of Sciences databases including English studies with at least 100 cases and published between January 2010 and December *** identified original articles evaluating correlations between the Guy’s stone score,the stone size(S),tract length(T),obstruction(O),number of involved calices(N),and essence or stone density(E)(S.T.O.N.E.),Clinical Research Office of the Endourological Society(CROES),and Seoul National University Renal Stone Complexity(S-ReSC)scores and post-operative complications in adult *** also included newly designed nomograms for prediction of specific ***:After an initial search of 549 abstracts,we finally included a total of 18 *** them,11 investigated traditional nephrolithometric nomograms,while seven newly designed nomograms were used to predict specific ***,7316 patients have been *** total,14 out of 18 papers are derived from retrospective single-center ***’s stone score obtained correlation with complications in five,*** score in four,while CROES score and S-ReSC score in three and two,*** of the studies investigated minimally invasive percutaneous nephrolithotomy(PCNL)and all cases have been conducted in prone *** newly designed nomograms,none of them is currently externally validated;five of them predict post-operative infections;the remaining two have been designed for thromboembolic events and urinary ***:This review presents all nomograms currently available in the PCNL field and highlights a certain number of *** data ha

关键词： Percutaneous nephrolithotomy Complications Nomogram Stone-scoring system Clavien-Dindo

Expert insights on Malaysia’s residential solar-energy policies:shortcomings and recommendations

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Clean Energy 2022年第4期6卷 619-631页

作者： Lin-Sea Lau Yuen-Onn choong Suet-Ling Ching Chooi-Yi Wei Abdelhak Senadjki Chee-Keong choong Ai-Na Seow Faculty of Business and Finance Universiti Tunku Abdul RahmanMalaysia

Malaysia has a long way before achieving the 20%renewable-energy penetration by ***,merely 2%of the country’s electricity is generated by renewable energy sources including solar *** the abundant literature about solar energy,qualitative studies that focus on experts’opinions on the weaknesses of residential solar-energy policies have received less attention,particularly in the context of *** the flaws in the existing policies would lead to creating a better policy framework for solar-energy ***,this study aims to identify the shortcomings of the current government initiatives and policies that deter solar photovoltaic adoption among households from experts’*** also provide recommendations for better future policy design and *** study employs a qualitative research approach(via semi-structured interviews)in collecting experts’*** concerns emerging from the interviews include insufficient financial support,lack of awareness programmes and subsidized electricity ***,interviewed experts suggest sufficient financial incentives,increased public awareness programmes and comprehensive legislation aimed at safeguarding consumer interests as a means to raising solar-energy adoption in the *** underlines the need for policymakers to create public awareness,provide financial support and develop regulatory measures aimed at managing solar companies for the sake of solar development in Malaysia.

关键词： qualitative study interview expert insights solar energy households policy shortcomings policy recommendations

A Review on Interface Engineering of MXenes for Perovskite Solar Cells

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Nano-Micro Letters 2023年第8期15卷 270-308页

作者： Srikanta Palei G.Murali choong‑Hee Kim Insik In Seul‑Yi Lee Soo‑Jin Park Department of Chemistry Inha University100 InharoIncheon 22212South Korea Department of Polymer Science and Engineering Department of IT‑Energy Convergence(BK21 Four)Chemical Industry InstituteKorea National University of TransportationChungju 27469South Korea

With an excellent power conversion efficiency of 25.7%,closer to the Shockley–Queisser limit,perovskite solar cells(PSCs)have become a strong candidate for a next-generation energy ***,the lack of stability and reliability in PSCs remained challenging for ***,such as interfacial and structural engineering,have a more critical influence on enhanced ***,two-dimensional materials,have emerged as promising materials in solar cell applications due to their metallic electrical conductivity,high carrier mobility,excellent optical transparency,wide tunable work function,and superior mechanical *** to different choices of transition elements and surface-terminating functional groups,MXenes possess the feature of tuning the work function,which is an essential metric for band energy alignment between the absorber layer and the charge transport layers for charge carrier extraction and collection in ***,adopting MXenes to their respective components helps reduce the interfacial recombination resistance and provides smooth charge transfer paths,leading to enhanced conductivity and operational stability of *** review paper aims to provide an overview of the applications of MXenes as components,classified according to their roles as additives(into the perovskite absorber layer,charge transport layers,and electrodes)and themselves alone or as interfacial layers,and their significant importance in PSCs in terms of device performance and ***,we discuss the present research status and future directions toward its use in PSCs.

关键词： MXenes Perovskite solar cells Additives Interfacial layer Electrodes