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Left bundle branch pacing set to outshine biventricular pacing for cardiac resynchronization therapy?

World Journal of Cardiology 2024年第4期16卷 186-190页

作者： Akash Batta Juniali Hatwal Department of Cardiology Dayanand Medical College and HospitalLudhiana 141001India Department of Internal Medicine Advanced Cardiac CentrePost Graduate Institute of Medical Education&ResearchChandigarh 160012India

The deleterious effects of long-term right ventricular pacing necessitated the search for alternative pacing sites which could prevent or alleviate pacinginduced *** recently,biventricular pacing(BiVP)was the only modality which could mitigate or prevent pacing induced ***,BiVP could resynchronize the baseline electromechanical dssynchrony in heart failure and improve ***,the high non-response rate of around 20%-30%remains a major *** non-response has been largely attributable to the direct non-physiological stimulation of the left ventricular myocardium bypassing the conduction *** overcome this limitation,the concept of conduction system pacing(CSP)came *** initial success of the first CSP via His bundle pacing(HBP),certain drawbacks including lead instability and dislodgements,steep learning curve and rapid battery depletion on many occasions prevented its widespread use for cardiac resynchronization therapy(CRT).Subsequently,CSP via left bundle branch-area pacing(LBBP)was developed in 2018,which over the last few years has shown efficacy comparable to BiVP-CRT in small observational ***,its safety has also been well established and is largely free of the pitfalls of the *** the recent metanalysis by Yasmin et al,comprising of 6 studies with 389 participants,LBBPCRT was superior to BiVP-CRT in terms of QRS duration,left ventricular ejection fraction,cardiac chamber dimensions,lead thresholds,and functional status amongst heart failure patients with left bundle branch ***,there are important limitations of the study including the small overall numbers,inclusion of only a single small randomized controlled trial(RCT)and a small follow-up ***,the entire study population analyzed was from China which makes generalizability a *** the concerns,the meta-analysis adds to the growing body of evidence demonstrating the efficacy of *** this st

关键词： Biventricular pacing Cardiac resynchronization therapy Conduction system pacing Left bundle branch-area pacing Left bundle branch block Electromechanical dssynchrony

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Hetero-integrated high-peak-optical-power laser source (940 nm) for time-of-flight sensors

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Chinese Optics Letters 2024年第7期22卷 81-85页

作者： Sergey Olegovich Slipchenko Aleksandr Aleksandrovich Podoskin Ilia Vasil'evich Shushkanov Marina Gennad'evna Rastegaeva Artem Eduardovich Rizaev Matvey Igorevich Kondratov Artem Evgen'evich Grishin Nikita Aleksandrovich Pikhtin Timur Anatol'evich Bagaev Maxim Anatol'evich Ladugin Aleksandr Anatol'evich Marmalyuk Vladimir Aleksandrovich Simakov Ioffe Institut Russian Academy of SciencesSt.Petersburg 194021Russia Open Joint-stock Company M.F.stel’makh Polyus research institute Moscow 117342Russia RUDN University Moscow 117198Russia

The generation of high-power laser pulses using a compact hetero-integrated assembly based on a semiconductor laser with a dual-element composite 2μm×100μm aperture and a compact heterothyristor switch is *** achieved peak optical power was 33 W with a pulse duration of 3 ns at a thyristor operating voltage of 55 *** leading edge of the laser pulse turn-on was 50 ps to a power level of 24.7 W,and the turn-on delay between the elements of the composite aperture was 160 ps.

关键词： hetero-integrated assembly semiconductor lasers thyristor switches LIDAR gain-switching mode laser heterostructure

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Tubularized incised plateurethroplasty and grafted tubularized incised plate urethroplasty: systematic review, metaanalysis and trial sequential analysis

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World Journal of Pediatric Surgery 2024年第1期7卷 10-19页

作者： Nitinkumar Borkar Charu Tiwari Abhijit Nair Debajyoti Mohanty C K Sinha Jai Kumar Mahajan Paediatric Surgery All India Institute of Medical Sciences-RaipurRaipurChhattisgardhIndia Department of Anaesthesiology Ibra HospitalbraOman General Surgery All India Institute of Medical Sciences-RaipurRaipurChhattisgardhIndia Paediatric Surgery St George's University Hospitals NHS Foundation TrustLondonUK Pediatric Surgery PGIMERChandigarhIndia

Background Hypospadias is one of the most common genital birth *** are around 300 various techniques available for the repair of *** study aims to compare the reported outcomes of Tubularized incised plate urethroplasty(TIP)and Grafted TIP(GTIP)repair in children undergoing primary *** This meta-analysisadhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines,and we framed our research question using the population,intervention,control and outcomes *** conducted comprehensive electronic searches across various databases,employing a Boolean search strategy with predefined search *** randomized controlled trials(RCTs)were included for quantitative *** Totally,10 RCTs met our inclusion criteria for quantitative *** results indicated that urethrocutaneous fistula,glans dehiscence,and stricture rates were comparable between the two *** incidence of meatal stenosis was found to be significantly lower in the GTIP group with a relative risk(RR)of 0.32(95%confidence interval(Cl)0.15 to 0.67).Conclusion The coucomes UCF,glans dehiscence,and stricture rates were comparable between the two ***,the incidence of meatal stenosis was found to be significantly lower in the grafted TIP *** terms of operative time,our quantitative synthesis demonstrated that the TIP group had a shorter operative time than the GTIP group with significant heterogeneity.

关键词： plate grafted analysis

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Effectiveness of biofertilizers foliar application on yield and quality traits of flax(Linum usitatissimum L.)

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Oil Crop Science 2024年第2期9卷 91-101页

作者： Saied El Sayed A.B.Bakry O.A.Nofal M.A.Abo Horish Plant Nutrition Department National Research Centre33 El-Behouth St12622DokkiCairoEgypt Field Crops Department National Research Centre33 El-Behouth St12622DokkiCairoEgypt

Flax is considered to be one of the most significant dual-purpose crops for oil and fiber production in Egypt and *** have a substantial impact on various metabolic processes,including increased photo-synthesis,endogenous hormone levels,ion absorption,nucleic acid synthesis,and protein *** factors collectively contribute to the growth and development of ***,this study aims to investigate how three biofertilizers(Algae extract,CMS as a by-product of yeast,and Metalosate multi minerals as amino acids)can enhance both the quantity and quality of flax seed yield under sandy soil *** field experiments were conducted at the Experimental station of National research Centre in Nubaria District,Behira Governorate,Egypt during two seasons(2021/2022)using a randomized complete block design(RCBD).The results revealed significant differences among all tested biofertilizers in terms of various characteristics studied in *** application of algae extract at a rate of 1.50 mL/L resulted in an increase in seed yield(ton/ha)by 26.69%&19.89%,straw yield(ton/ha)by 8.08%&17.12%,and oil yield(kg/ha)by 47.72%&33.69%compared to the control group during both seasons *** applications of algae extract at a rate of 1.50 mL/L along with CMS at a rate of 5 m L/L and amino acids at a rate of 1.50 mL/L demonstrated significantly higher macronutrient contents(N,P,K),micronutrient contents(Fe,Zn,Mn),seed oil content,and protein content in flax seeds during both *** highest values for seed oil content and protein content%were obtained through foliar application of amino acids at a rate of 1.50 mL/*** can be concluded that foliar sprays with these bio-fertilizers effectively improved flax performance by increasing seed straw and oil yields,nutrients oil,protein and fatty acids seeds contents.

关键词： Flax Bio fertilizers Seeds yield Nutrient contents Quality

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Comparison of Perovskite Systems Based on AFeO_(3)(A=Ce,La,Y)in CO_(2) Hydrogenation to CO

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Transactions of Tianjin University 2024年第4期30卷 337-358页

作者： Anna N.Matveyeva Shamil O.Omarov Laboratory of Materials and Processes for Hydrogen Energy Ioff e Institute194021 St.PetersburgRussia

CO_(2) is the most cost-eff ective and abundant carbon resource,while the reverse water-gas reaction(rWGS)is one of the most eff ective methods of CO_(2) *** work presents a comparative study of rWGS activity for perovskite systems based on AFeO_(3)(where A=Ce,La,Y).These systems were synthesized by solution combustion synthesis(SCS)with diff erent ratios of fuel(glycine)and oxidizer(φ),diff erent amounts of NH 4 NO_(3),and the addition of alumina or silica as *** techniques,including X-ray diff raction analysis,thermogravimetric analysis,Fourier transform infrared spectroscopy(FTIR),scanning electron microscopy,energy-dispersive X-ray spectroscopy,N 2-physisorption,H_(2) temper-ature-programmed reduction,temperature-programmed desorption of H_(2) and CO_(2),Raman spectroscopy,and in situ FTIR,were used to relate the physicochemical properties with the catalytic performance of the obtained *** specifi c perovskite-containing system(either bulk or supported)has its own optimalφand NH_(4) NO_(3) amount to achieve the highest yield and dispersion of the perovskite *** all synthesized systems,bulk SCS-derived La-Fe-O systems showed the highest resistance to reducing environments and the easiest hydrogen desorption,outperforming La-Fe-O produced by solgel combustion(SGC).CO_(2) conversion into CO at 600°C for bulk ferrite systems,depending on the A-cation type and preparation method,follows the order La(SGC)stem based on La-Fe-O,obtained by the SCS method.γ-Al_(2)O_(3) improves the dispersion of CeFeO_(3) and LaFeO_(3) phases,the specifi c surface area,and the quant

关键词： Perovskites LaFeO_(3) CeFeO_(3) YFeO_(3) Solution combustion synthesis CO_(2) hydrogenation Reverse water–gas reaction(rWGS)

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What Mice Can Teach Us about How to stop Drug-Resistant Tuberculosis:Correct Chemotherapy Regimen and Patient Compliance are the Key

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Biomedical and Environmental Sciences 2024年第9期37卷 1086-1090页

作者： Igor Mokrousov Tatiana Vinogradova Marine Dogonadze Maria Vitovskaya Natalia Zabolotnykh Sergei Chekrygin Anna Vyazovaya Laboratory of Molecular Epidemiology and Evolutionary Genetics St.Petersburg Pasteur InstituteSt.Petersburg197101Russia Henan International Joint Laboratory of Children’s Infectious Diseases Children’s Hospital Affiliated to Zhengzhou UniversityHenan Children’s Hospital Zhengzhou Children’s HospitalZhengzhou 450012HenanChina st.Petersburg research institute of Phthisiopulmonology St.PetersburgRussia Resource Center Bio-bank Center Research Park of St.Petersburg State UniversitySt.PetersburgRussia

Despite well-known limitations,mice remain useful as model animals to study tuberculosis(TB)pathogenesis,the basic immune response,the extent of lung pathology as well as efficacy of new drugs against Mycobacterium tuberculosis[1,2].There are four routes of tuberculosis infection in mice:aerosol generation and exposition,intravenous injection,intranasal administration,and subcutaneous administration[3].

关键词： tuberculosis drugs injection

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Bioinspired nanocomposites with self-adaptive mechanical properties

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Nano research 2024年第2期17卷 633-648页

作者： Grant Kitchen Bohan Sun Sung Hoon Kang 13400 N Charles st Department of Materials Science and EngineeringJohns Hopkins UniversityBaltimore 21218USA 23400 N Charles st Department of Mechanical EngineeringJohns Hopkins UniversityBaltimore 21218USA 33400 N Charles st Hopkins Extreme Materials InstituteJohns Hopkins UniversityBaltimore 21218USA

Conventional synthetic materials have fixed mechanical properties and suffer defects,damage,and degradation over *** makes them unable to adapt to changing environments and leads to limited ***,self-adaptive materials inspired by natural materials have emerged as a solution to address these *** the ability to change their mechanical properties based on changing mechanical environments,repairing defects,and maintaining their mechanical properties,these materials can lead to improved performance while decreasing *** this review,we explore self-adaptive phenomena found in nature that have inspired the development of synthetic self-adaptive materials,and the mechanisms that have been employed to create the next generation of *** potential applications of these materials,the challenges that existing approaches face,and future research opportunities are also discussed.

关键词： nanocomposites self-adaptive materials bioinspired materials force-activated resilience

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Association of prealbumin with short-term and long-term outcomes in patients with acute st-segment elevation myocardial infarction

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Journal of Geriatric Cardiology 2024年第4期21卷 421-430页

作者： Jing TAN Jin SI Ke-Ling XIAO Ying-Hua ZHANG Qi HUA Jing LI Department of Cardiology Xuanwu Hospital Capital Medical UniversityBeijingChina Department of Geriatric Medicine Xuanwu Hospital Capital Medical UniversityNational Clinical Research Center for Geriatric DiseasesBeijingChina

BACKGROUND Prealbumin is considered to be a useful indicator of nutritional status. Furthermore, it has been found to be associated with severities and prognosis of a range of diseases. However, limited data on the association of baseline prealbumin level with outcomes of patients with acute st-segment elevation myocardial infarction(stEMI) are *** We analyzed 2313 patients admitted for acute stEMI between October 2013 and December 2020. In-hospital outcomes and mortality during the 49 months(interquartile range: 26–73 months) follow-up period were compared between patients with the low prealbumin level(stic regression analysis identified that the low prealbumin level(stment of possible confounders, baseline prealbumin level(170 mg/L) was no longer independently associated with 49-month cardiovascular death. After propensity score matching, Kaplan-Meier survival curves revealed consistent *** Decreased prealbumin level closely related to unfavorable short-term outcomes. However, after multivariate adjustment and controlling for baseline differences, baseline prealbumin level was not independently assoc

关键词： patients admitted infarction

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Muscle strength deficits are associated with low bone mineral density in young pediatric cancer survivors:The iBoneFIT project

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Journal of Sport and Health Science 2024年第3期13卷 419-427页

作者： Andres Marmol-Perez Jose J.Gil-Cosano Esther Ubago-Guisado Francisco J.Llorente-Cantarero Juan Francisco Pascual-Gázquez Kirsten K.Ness Vicente Martinez-Vizcaino Jonatan R.Ruiz Luis Gracia-Marco Department of Physical Education and Sports Faculty of Sport SciencesSport and Health University Research Institute(iMUDS)University of GranadaGranada 18011Spain Department of Epidemiology and Cancer Control St.Jude Children's Research HospitalMemphisTN 38105USA Department of Communication and Education Loyola University AndalusiaSeville 41704Spain Biosanitary research institute ibs.GranadaGranada 18012Spain Maimonides Biomedical research institute of Cordoba(IMIBIC) Cordoba 14004Spain CIBEROBN Biomedical Research Networking Center for Physiopathology of Obesity and NutritionCarlos III Health InstituteMadrid 28029Spain Department of Specific Didactics Faculty of EducationUniversity of CordobaCordoba 14071Spain Pediatric and adolescent hematology and oncology service Pediatrics and Pediatric Surgery Clinical Management UnitVirgen de las Nieves University HospitalGranada 18014Spain Health and Social research Center Universidad de Castilla-La ManchaCuenca 13001Spain

Background Pediatric cancer survivors are at increased risk of muscle weakness and low areal bone mineral density(aBMD).However,the prevalence of muscle strength deficits is not well documented,and the associations of muscle strength with aBMD are unknown in this ***,this study aimed to investigate the prevalence of upper-and lower-body muscle strength deficits and to examine the associations of upper-and lower-body muscle strength with age-,sex,and race-specific aBMD Z-scores at the total body,total hip,femoral neck,and lumbar *** This cross-sectional study included 116 pediatric cancer survivors(12.1±3.3 years old,mean±SD;42.2%female).Upper-and lower-body muscle strength were assessed by handgrip and standing long jump test,***‑energy X‑ray absorptiometry was used to measure aBMD(g/cm2).Associations between muscle strength and aBMD were evaluated in multivariable linear regression *** regression was used to evaluate the contribution of muscle strength(1-decile lower)to the odds of having low aBMD(Z-score≤1.0).All analyses were adjusted for time from treatment completion,radiotherapy exposure,and body mass *** More than one-half of survivors were within the 2 lowest deciles for upper-(56.9%)and lower-body muscle strength(60.0%)in comparison to age-and sex-specific reference *** strength deficits were associated with lower aBMD Z-scores at all sites(B=0.133–0.258,p=0.001–0.032).Each 1-decile lower in upper-body muscle strength was associated with 30%–95%higher odds of having low aBMD Z-scores at all *** 1-decile lower in lower-body muscle strength was associated with 35%–70%higher odds of having low aBMD Z-scores at total body,total hip,and femoral *** Muscle strength deficits are prevalent in young pediatric cancer survivors,and such deficits are associated with lower aBMD Z-scores at all *** results suggest that interventions designed to improve muscle strength in t

关键词： Bone health Childhood cancer DXA Lean mass Resistance training

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Effects of dynamical spanwise retraction and stretch on flapping-wing forward flights

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Chinese Journal of Aeronautics 2024年第4期37卷 181-202页

作者： Kang LIU Bifeng SONG Ang CHEN Zhihe WANG Dong XUE Wenqing YANG School of Aeronautics Northwestern Polytechnical UniversityXi’an 710072China Intelligent Aircraft research Center Chengdu Technological UniversityChengdu 610031China research&Development institute of Northwestern Polytechnical University in Shenzhen Shenzhen 518057China Harbin institute of Technology Shenzhen 518055China

Birds and bats retract and stretch their wings dynamically during each flap in level flights, implying intriguing mechanisms for the aerodynamic performance improvement of flapping wings. A numerical investigation into the aerodynamic effects of such bio-inspired concept in forward flights has been performed based on a three-dimensional wing in plunging motion and a twosection wing in flapping motion. The currently considered Reynolds number and strouhal number are Re=1.5×10^(5) and st=0.3, respectively. During the research, the mean angle of attack is varied in relatively wide ranges to achieve lift-thrust interconversion for the wings. The conclusive results show that dynamical spanwise retraction and stretch has induced three absolutely desirable scenarios for the oscillating wings in forward flights, namely producing more lift and consuming less power for a given thrust generation, producing more thrust and consuming less power for a given lift generation, and producing more lift and more thrust while consuming less power. Furthermore,the morphing wings have alleviated periodical aerodynamic load fluctuations compared with the non-morphing baseline. The mechanism of the aerodynamic effects of the bionic morphing mode is analyzed with the aid of field visualization. The current article is the first to reveal the absolute advantages of the bionic spanwise morphing. Hopefully, it may help comprehend the behaviors of natural fliers and provide inspirations for performance enhancement of micro artificial flappingwing vehicles.

关键词： Flapping wing Morphing wing Bionic Aerodynamics Vortex Flight

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