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Predicting cardiovascular events in out-of-hospital patients presenting with atypical chest pain and complete left bundle branch block: role of CTA and echocardiographic Global Longitudinal Strain

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Journal of Geriatric Cardiology 2024年第7期21卷 760-767页

作者： Guido Pastorini Fabio Anastasio Anna Botto Valentina Tardivo Mauro Feola Cardiology Division Regina Montis Regalis HospitalASLCN1Mondovi’Italy Intensive Care Regina Montis Re-galis HospitalASLCN1 Mondovi’Italy School of Geriatry University of MedicineTurinItaly

Background Out-of-hospital patients presenting with atypical chest pain and complete left bundle branch block(LBBB)have to be stratified for the presence of coronary artery disease and the risk of developing heart failure(HF).We investigated the pro-gnostic role of coronary CT-angiography(CTA)and echocardiographic global longitudinal strain(GLS)in those patients in a mid-term *** Out-of-hospital patients with LBBB underwent echocardiography and a 64-slice CT angiography were evaluated *** of HF or a cardiovascular death were the events *** Seventy-eight patients(32 female;mean age:66.0±1..4 years were *** a follow-up of 33 months(IQR:1.-77),one patient(1.5%)experienced a cardiovascular death,1. patients(1..9%)required urgent outpatient visits due to acute de-compensated HF(1. hospitalizations).Echocardiography showed a slightly reduced left ventricular ejection fraction(LVEF)(50.0%±9.8%)and GLS within the normal range(-1..2%±4.1.).CTA analysis showed coronary stenosis>50%in 28 patients(35.9%).A high Agatston score(>1.0)was observed in 29.5%.Notably,25 patients(32.1.)were diagnosed with left main coron-ary artery disease and 1. patients(1..7%)underwent revascularization during the follow *** associations were ob-served between events and LVEF(P=0.001.,diastolic dysfunction grade≥2(P=0.02),GLS(P1.,multiple coronary stenos-is(P=0.04)and Agatston score(P=0.05).Multivariate analysis confirmed the relationships with LVEF(R^(2)=0.89,P1.,dia-stolic dysfunction(R^(2)=3.30,P=0.04),GLS(R^(2)=1.43,P1.,and Agatston score(R^(2)=1.01.P=0.05).Conclusions In patients with complete LBBB,CTA and GLS identified those at a high risk of development HF.

关键词： patients echocardiographic branch

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中性粒细胞异质性与表型可塑性研究进展

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标记免疫分析与临床 2024年第9期31卷 1730-1735页

作者：吴亚双赵新静陈琛林小琦赵薇高天语周国钰山东大学齐鲁医院 1.神经内科2.老年医学科山东济南250012

中性粒细胞作为固有免疫应答中的主要效应细胞,是机体对抗微生物和其他有害物质入侵的第一道防线。除了感染性疾病,中性粒细胞在癌症、动脉粥样硬化、心肌梗死、脑梗死以及神经退行性疾病等无菌性炎症反应中也发挥重要作用,参与组织损... 详细信息

中性粒细胞作为固有免疫应答中的主要效应细胞,是机体对抗微生物和其他有害物质入侵的第一道防线。除了感染性疾病,中性粒细胞在癌症、动脉粥样硬化、心肌梗死、脑梗死以及神经退行性疾病等无菌性炎症反应中也发挥重要作用,参与组织损伤与修复的各个阶段。中性粒细胞异质性研究表明中性粒细胞实际上是一类具有多种表型、功能各异的细胞,并在特定的条件下表现出一定的可塑性。本文从中性粒细胞的生物学特性谈起,探讨了中性粒细胞多样性的潜在机制,通过对不同中性粒细胞亚群的特征及病理生理作用加以综述,为实现中性粒细胞基础研究向临床应用转化提供新思路。

关键词：中性粒细胞中性粒细胞异质性中性粒细胞可塑性炎症反应

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Layered Potassium Titanium Niobate/Reduced Graphene Oxide Nanocomposite as a Potassium‑Ion Battery Anode

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Nano-Micro Letters 2024年第1期16卷 1-16页

作者： Charlie A.F.Nason Ajay Piriya Vijaya Kumar Saroja Yi Lu Runzhe Wei Yupei Han Yang Xu Department of Chemistry University College London20 Gordon StreetLondon WC1H 0AJUK

With graphite currently leading as the most viable anode for potassium-ion batteries(KIBs),other materials have been left relatively *** metal oxides are among these,with many positive attributes such as synthetic maturity,longterm cycling stability and fast redox ***,to address this research deficiency we report herein a layered potassium titanium niobate KTiNbO5(KTNO)and its rGO nanocomposite(KTNO/rGO)synthesised via solvothermal methods as a high-performance anode for *** effective distribution across the electrically conductive rGO,the electrochemical performance of the KTNO nanoparticles was *** potassium storage performance of the KTNO/rGO was demonstrated by its first charge capacity of 1.8.1.mAh g^(−1. and reversible capacity of 97.5 mAh g^(−1. after 500 cycles at 20 mA g^(−1.,retaining 76.1.of the initial capacity,with an exceptional rate performance of 54.2 mAh g^(−1.at 1.A g^(−1..Furthermore,to investigate the attributes of KTNO in-situ XRD was performed,indicating a low-strain ***-situ X-ray photoelectron spectra further investigated the mechanism of charge storage,with the titanium showing greater redox reversibility than the *** work suggests this lowstrain nature is a highly advantageous property and well worth regarding KTNO as a promising anode for future high-performance KIBs.

关键词： Potassium-ion batteries Intercalation Transition metal oxides Anodes Nanocomposite

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Each coin has 2 sides: a positive role of alien Potamopyrgus antipodarum (Grey, 1.43) snails in reducing the infection of native lymnaeids with trematodes

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Current Zoology 2024年第2期70卷 262-269页

作者： Anna Cichy Anna Stanicka Elzbieta Zbikowska Faculty of Biological and Veterinary Sciences Nicolaus Copernicus University in TorunLwowska 187-100 TorunPoland

The change in the distribution of organisms in freshwater ecosystems due to natural or manmade processes raises the question of the impact of alien species on local *** most studies indicate a negative effect,the positive one is more difficult to discern,espe-cially in multispecies systems,including hosts and *** purpose of the study was to check whether the presence of an alien host,Potamopyrgus antipodarum,reduces the intensity of Echinoparyphium aconiatum metacercariae in a native host,Radix *** additionally tested the impact of water temperature and the biomass of the alien host on the dilution *** experimentally studied(1.the lifespan of echinostome cercariae in different temperatures,(2)the infectivity of cercariae toward the alien host and native host,and(3)the impact of different biomass of the alien host on the intensity of metacercariae in the native *** found that cercarial survival and infectivity were tem-perature ***,cercarial survival decreased with increasing temperature,contrary to cercarial *** cercariae entered the renal cavity of both the native host and alien host,and successfully transformed into *** number of metacercariae in the native host decreased with the increasing biomass of the alien *** results indicate that lymnaeids may benefit from the co-occur-rence with P antipodarum,as the presence of additional hosts of different origins may reduce the prevalence of parasites in native ***,the scale of the dilution effect depends not only on the increased spectrum of susceptible hosts but also on the other variables of the environment,including water temperature and host density.

关键词： biological invasion density dilution effect echinostomes Radix spp. temperature.

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Weak influence of natural vegetation in urban green spaces compared to agricultural ecosystems on House Martin populations:Insights from nationwide citizen science data in the Czech Republic

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Avian Research 2024年第2期15卷 139-146页

作者： Denisa Dvorakova Jan Sipos Josef Suchomel Department of Zoology FisheriesHydrobiology and ApicultureMendel University in BrnoZemedelska 161300BrnoCzech Republic

The House Martin(Delichon urbicum)is a common farmland bird species in the European landscape,yet its population numbers are currently in ***,it is not yet sufficiently explained why this long-term decline *** fill this gap in our knowledge,we investigated how land cover composition affects the abundance of House Martins on the landscape scale by using nationwide citizen science *** a generalised linear mixed-effect model(GLMM),we evaluated 1.,094 records from the Czech Republic spanning *** analysis underscores the significance of land cover type in shaping House Martin *** specifically,our results indicate that within agricultural land covers“naturally managed arable lands”exhibited significant positive effect,while forests,orchards,and vineyards were deemed less favourable for House Martin *** urban land covers,we found a clear distinction in the impact on House Martin populations,with a positive effect observed in urban infrastructure,development areas,and post-industrial sites(i.e.,UrbanAreas),while an indifferent impact was noted within urban green spaces and landscaped areas(i.e.,GreenUrban).Notably,our findings suggest that the simple spatial,age,and species structure typical of forests in Europe,and similarly,the uniform structure of parks and gardens,may be responsible for the decline in the abundance of the House *** advocate for the preservation or enhancement of urban greenery,expansion of natural vegetation in rural areas and adoption of ecological management practices in orchards and vineyards to mitigate further declines in House Martin populations.

关键词： Citizen science Habitat preferences House Martin Species distribution Urban and suburban landscape

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Disaster Awareness and Preparedness Among Older Adults in Canada Regarding Floods, Wildfires, and Earthquakes

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International Journal of Disaster Risk Science 2024年第2期15卷 198-212页

作者： Evalyna Bogdan Rachel Krueger Julie Wright Kyle Woods Shaieree Cottar School of Administrative Studies Disaster and Emergency Management ProgramYork UniversityTorontoOntario M3J 1P3Canada Department of Geography and Environmental Management University of WaterlooWaterlooOntario N2L 3G1Canada Partners for Action Faculty of EnvironmentUniversity of WaterlooWaterlooOntario N2L 3G1Canada

Older adults are significantly impacted by natural hazards and disasters that are exacerbated by climate change. Understanding their awareness and preparedness is essential for enhancing disaster resilience. This study investigated the attitudes, actions, and recommendations of older adults regarding natural hazards that pose risks in their geographic area—specifically floods, wildfires, and/or earthquakes in Canada. Methods for this study included survey and focus groups with older adults(n = 1.1.and n = 1., respectively) and other high-risk groups from across Canada, that are vulnerable to these natural hazards. The main findings from this study are that current awareness and preparedness among older adults is low, though stronger perceptions of risks are associated with risks specific to geographic locations where respondents live. Several barriers, such as hazard vulnerability misperceptions, cost-related reasons, and lack of hazard awareness have resulted in low awareness and preparedness among these populations. The two main recommendations arising from this research are:(1. improve awareness and preparedness with tailor-made emergency preparedness materials for older adults;and(2) adopt community-based approaches to disaster preparedness through existing community groups to strengthen social connections with a focus on locally specific hazards. The findings from this research can be applied to other hazards, including heatwaves and pandemics.

关键词： Canada Community-based disaster risk management Disaster awareness and preparedness Disaster resilience Natural hazards Older adults

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Impact of propofol and sevoflurane anesthesia on cognition and emotion in gastric cancer patients undergoing radical resection

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World Journal of Gastrointestinal Oncology 2024年第1期16卷 79-89页

作者： Ao-Han Li Su Bu Ling Wang Ai-Min Liang Hui-Yu Luo Department of Anesthesiology Xiangyang No.1 People's HospitalHubei University of MedicineXiangyang 441000Hubei ProvinceChina Department of Cardiothoracic Surgery Xiangyang No.1 People's HospitalHubei University of MedicineXiangyang 441000Hubei ProvinceChina Department of Rehabilitation Xiangyang No.1 People's HospitalHubei University of MedicineXiangyang 441000Hubei ProvinceChina Department of Internal Medicine-Cardiovascular Xiangyang No.1 People's HospitalHubei University of MedicineXiangyang 441000Hubei ProvinceChina

BACKGROUND Propofol and sevoflurane are commonly used anesthetic agents for maintenance anesthesia during radical resection of gastric ***,there is a debate concerning their differential effects on cognitive function,anxiety,and depression in patients undergoing this *** To compare the effects of propofol and sevoflurane anesthesia on postoperative cognitive function,anxiety,depression,and organ function in patients undergoing radical resection of gastric *** A total of 80 patients were involved in this *** subjects were divided into two groups:Propofol group and sevoflurane *** evaluation scale for cognitive function was the Loewenstein occupational therapy cognitive assessment(LOTCA),and anxiety and depression were assessed with the aid of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Hemodynamic indicators,oxidative stress levels,and pulmonary function were also *** The LOTCA score at 1.d after surgery was significantly lower in the propofol group than in the sevoflurane ***,the SAS and SDS scores of the sevoflurane group were significantly lower than those of the propofol *** sevoflurane group showed greater stability in heart rate as well as the mean arterial pressure compared to the propofol ***,the sevoflurane group displayed better pulmonary function and less lung injury than the propofol *** Both propofol and sevoflurane could be utilized as maintenance anesthesia during radical resection of gastric *** anesthesia has a minimal effect on patients'pulmonary function,consequently enhancing their postoperative *** anesthesia causes less impairment on patients'cognitive function and mitigates negative emotions,leading to an improved postoperative mental ***,the selection of anesthetic agents should be based on the individual patient's specific circumstances.

关键词： Propofol Sevoflurane Radical resection of gastric cancer Anesthetic effect Cognitive function Negative emotion

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Parametric investigation of railway fastenings into the formation and mitigation of short pitch corrugation

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Railway Engineering Science 2024年第3期32卷 286-306页

作者： Pan Zhang Shaoguang Li Rolf Dollevoet Zili Li Section of Railway Engineering Delft University of TechnologyStevinweg 12628 CN Delftthe Netherlands

Short pitch corrugation has been a problem for railways worldwide over one *** this paper,a parametric investigation of fastenings is conducted to understand the corrugation formation mechanism and gain insights into corrugation mitigation.A three-dimensional finite element vehicle-track dynamic interaction model is employed,which considers the coupling between the structural dynamics and the contact mechanics,while the damage mechanism is assumed to be differential *** fastening models with different configurations,boundary conditions,and parameters of stiffness and damping are built up and *** models may represent different service stages of fastenings in the ***,the effect of train speeds on corrugation features is *** results indicate:(1.Fastening parameters and modelling play an important role in corrugation formation.(2)The fastening longitudinal constraint to the rail is the major factor that determines the corrugation *** fastening vertical and lateral constraints influence corrugation features in terms of spatial distribution and wavelength components.(3)The strengthening of fastening constraints in the longitudinal dimension helps to mitigate ***,the inner fastening constraint in the lateral direction is necessary for corrugation alleviation.(4)The increase in fastening longitudinal stiffness and damping can reduce the vibration amplitudes of longitudinal compression modes and thus reduce the track corrugation *** simulation in this work can well explain the field corrugation in terms of the occurrence possibility and major wavelength *** can also explain the field data with respect to the small variation between the corrugation wavelength and train speed,which is caused by frequency selection and jump between rail longitudinal compression modes.

关键词： Short pitch corrugation Fastening modelling and parameters Corrugation formation and mitigation Rail longitudinal compression modes Finite element vehicle-track interaction model

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Artificial ground freezing of underground mines in cold regions using thermosyphons with air insulation

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International Journal of Mining Science and Technology 2024年第5期34卷 643-654页

作者： Ahmad F.Zueter Mohammad Zolfagharroshan Navid Bahrani Agus P.Sasmito Department of Civil and Resource Engineering Dalhousie UniversityHalifax B3H4R2Canada Department of Mining Engineering McGill UniversityMontreal H3A0E8Canada

Current practice of underground artificial ground freezing(AGF)typically involves huge refrigeration systems of large economic and environmental *** this study,a novel AGF technique is proposed deploying available cold wind in cold *** is achieved by a static heat transfer device called thermosyphon equipped with an air insulation layer.A refrigeration unit can be optionally integrated to meet additional cooling *** introduction of air insulation isolates the thermosyphon from ground zones where freezing is not needed,resulting in:(1.steering the cooling resources(cold wind or refrigeration)towards zones of interest;and(2)minimizing refrigeration *** design is demonstrated using well-validated mathematical models from our previous work based on two-phase enthalpy method of the ground coupled with a thermal resistance network for the *** Canadian mines are considered:the Cigar Lake Mine and the Giant *** results show that our proposed design can speed the freezing time by 30%at the Giant Mine and by two months at the Cigar Lake ***,a cooling load of 2.4 GWh can be saved at the Cigar Lake ***,this study provides mining practitioners with sustainable solutions of underground AGF.

关键词： Artificial ground freezing Underground mining Sustainable mining Thermosyphon Air insulation Cold regions

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Research on denoising of joint detection signal of water quality with multi-parameter based on IEEMD

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Optoelectronics Letters 2024年第2期20卷 107-115页

作者： LI Wen LI Dejian MA Yongyue TIAN Wang WEN Xin LI Jie Institute of Mechanical and Electrical Engineering North China University of TechnologyBeijing 100144China1

An improved ensemble empirical mode decomposition(IEEMD) is suggested to process water quality spectral signals in order to address the issue that noise interference makes it difficult to extract and evaluate water quality spectral *** algorithm effectively solves the problems of modal mixing,poor reconstruction accuracy in the empirical mode decomposition(EMD),and a large amount of calculation in the ensemble empirical mode decomposition(EEMD).Based on EEMD,IEEMD firstly preprocesses the original water quality spectral signals,then performs Savitzky-Golay(S-G) smoothing on the decomposed effective intrinsic mode function(IMF) components,and finally reconstructs them to obtain the denoised *** sample data at different concentrations can be accurately analyzed based on the noise-reduced spectral *** this paper,three water quality parameters are used as research objects:benzene(C_(6)H_(6)),benzo(b)fluoranthene(C_(20)H_(1.)),and chemical oxygen demand(COD).The original water quality multi-parameter(C_(6)H_(6),C_(20)H_(1.),COD) spectral signals were subjected to denoising based on the IEEMD and the water quality multi-parameter joint detection *** signal-to-noise ratio(SNR) and the correlation coefficient(R^(2)) of the fitted curves obtained from the processing of the IEEMD were compared and analyzed with those obtained from the processing of the EMD and the *** experimental results show that the SNR of the spectral signals and the R^(2) of the fitting curve in three water quality parameters have been significantly ***,the IEEMD effectively improves the phenomenon of modal mixing,reduces the amount of calculation,improves the reconstruction accuracy,and provides an important guarantee for the effective extraction of multi-parameter spectral signals of water quality.

关键词： signal parameter noise

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