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Appendiceal inflammation affects the length of stay following appendicectomy amongst children: a myth

null

《医学前沿（英文）》 2013年 第7卷 第2期   页码 264-269 doi: 10.1007/s11684-013-0259-1

摘要：

The effect of the severity of appendiceal inflammation on post-operative stay in children following appendicectomy has shown conflicting results. This study was conducted to determine the association between the severity of appendiceal inflammation and post-operative stay amongst children undergoing open appendicectomy. A retrospective cohort study was conducted at a District General Hospital for two years. A total of 204 patients were included in the study with an age range between 3 and 16 years. Females were 54.9% while the rest were male. Mean age was 12.5±3 years. The association of the severity of appendiceal inflammation and post-operative stay was assessed by multivariable Cox Proportional hazards model. Mean post-operative stay was 2.32 days (95% CI 2.14–2.51). Macroscopically perforated appendix, histological inflammation and post-operative complications were significantly associated with post-operative stay on univariable analysis (P<0.05). Whereas, the multivariable analysis showed that the post-operative stay was significantly prolonged only in case of either perforated appendix or post-operative complications while it remained unaffected by the histological inflammation.

关键词： appendiceal inflammation     post-operative stay     paediatrics    

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Heterogeneous length-of-stay modeling of post-acute care residents in the nursing home with competing

《工程管理前沿（英文）》   页码 577-591 doi: 10.1007/s42524-022-0203-7

摘要： Post-acute care (PAC) residents in nursing homes (NHs) are recently hospitalized patients with medically complex diagnoses, ranging from severe orthopedic injuries to cardiovascular diseases. A major role of NHs is to maximize restoration of PAC residents during their NH stays with desirable discharge outcomes, such as higher community discharge likelihood and lower re/hospitalization risk. Accurate prediction of the PAC residents’ length-of-stay (LOS) with multiple discharge dispositions (e.g., community discharge and re/hospitalization) will allow NH management groups to stratify NH residents based on their individualized risk in realizing personalized and resident-centered NH care delivery. Due to the highly heterogeneous health conditions of PAC residents and their multiple types of correlated discharge dispositions, developing an accurate prediction model becomes challenging. Existing predictive analytics methods, such as distribution-/regression-based methods and machine learning methods, either fail to incorporate varied individual characteristics comprehensively or ignore multiple discharge dispositions. In this work, a data-driven predictive analytics approach is considered to jointly predict the individualized re/hospitalization risk and community discharge likelihood over time in the presence of varied residents’ characteristics. A sampling algorithm is further developed to generate accurate predictive samples for a heterogeneous population of PAC residents in an NH and facilitate facility-level performance evaluation. A real case study using large-scale NH data is provided to demonstrate the superior prediction performance of the proposed work at individual and facility levels through comprehensive comparison with a large number of existing prediction methods as benchmarks. The developed analytics tools will allow NH management groups to identify the most at-risk residents by providing them with more proactive and focused care to improve resident outcomes.

关键词： nursing home     predictive analytics     individualized prediction     competing risks     health outcomes    

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Severe adhesive small bowel obstruction

null

《医学前沿（英文）》 2012年 第6卷 第4期   页码 436-439 doi: 10.1007/s11684-012-0221-7

摘要：

Adhesive small bowel obstruction is a frequent cause of hospital admission. Water soluble contrast studies may have diagnostic and therapeutic value and avoid challenging demanding surgical operations, but if bowel ischemia is suspected, prompt surgical intervention is mandatory. A 58-year-old patient was operated for extensive adhesive small bowel obstruction after having had two previous laparotomies for colorectal surgery, and had a complex clinical course with multiple operations and several complications. Different strategies of management have been adopted, including non-operative management with the use of hyperosmolar water soluble contrast medium, multiple surgical procedures, total parenteral nutrition (TPN) support, and finally use of anti-adherences icodextrin solution. After 2 years follow-up the patient was doing well without presenting recurrent episodes of adhesive small bowel obstruction. For patients admitted several times for adhesive small bowel obstruction, the relative risk of recurring obstruction increases in relation to the number of prior episodes. Several strategies for non-operative conservative management of adhesive small bowel obstruction have already addressed diagnostic and therapeutic value of hyperosmolar water soluble contrast. According to the most recent evidence-based guidelines, open surgery is the preferred method for surgical treatment of strangulating adhesive small bowel obstruction as well as after failed conservative management. Research interest and clinical evidence are increasing in adhesions prevention. Hyaluronic acid-carboxycellulose membrane and icodextrin may reduce incidence of adhesions.

关键词： post-operative intraperitoneal adhesions     adhesive small bowel obstruction     adhesiolysis     antiadhesion treatments     hyperosmolar water soluble contrast medium    

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Vortex-induced vibration of stay cable under profile velocity using CFD numerical simulation method

Wenli CHEN, Hui LI,

《结构与土木工程前沿（英文）》 2009年 第3卷 第4期   页码 357-363 doi: 10.1007/s11709-009-0060-z

摘要： Vortex-induced vibration (VIV) of a stay cable subjected to a wind profile is numerically simulated through combining computational fluid dynamics (CFD) code CFX 10.0 and computational structural dynamics (CSD) code ANSYS 10.0. A stay cable with the inclined angle of 30° is used as the numerical model. Under a profile of mean wind speed, unsteady aerodynamic lift coefficients of the cable have been analyzed in both time domain and frequency domain when VIV occurs. The results indicate that the lift coefficient wave response of the stay cable under a wind profile is different from that of an infinitely long cable under a uniform flow in water (i.e., without consideration of profile) obtained by direct numerical simulation. Cable oscillations can severely affect the unsteady aerodynamic frequencies, change flow field distribution near the cable and affect the vortex shedding in the wake.

关键词： stay cable     fluid-structure interaction     numerical simulation     vortex-induced vibration    

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Emergency strategies and trends in the management of liver trauma

null

《医学前沿（英文）》 2012年 第6卷 第3期   页码 225-233 doi: 10.1007/s11684-012-0186-6

摘要：

The liver is the most frequently injured organ during abdominal trauma. The management of hepatic trauma has undergone a paradigm shift over the past several decades, with mandatory operation giving way to nonoperative treatment. Better understanding of the mechanisms and grade of liver injury aids in the initial assessment and establishment of a management strategy. Hemodynamically unstable patients should undergo focused abdominal sonography for trauma, whereas stable patients may undergo computed tomography, the standard examination protocol. The grade of liver injury alone does not accurately predict the need for operation, and nonoperative management is rapidly becoming popular for high-grade injuries. Hemodynamic instability with positive focused abdominal sonography for trauma and peritonitis is an indicator of the need for emergent operative intervention. The damage control concept is appropriate for the treatment of major liver injuries and is associated with significant survival advantages compared with traditional prolonged surgical techniques. Although surgical intervention for hepatic trauma is not as common now as it was in the past, current trauma surgeons should be familiar with the emergency surgical skills necessary to manage complex hepatic injuries, such as packing, Pringle maneuver, selective vessel ligation, resectional debridement, and parenchymal sutures. The present review presents emergency strategies and trends in the management of liver trauma.

关键词： liver trauma     nonoperative management     operative management    

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Efficacy and safety of JAK inhibitor INC424 in patients with primary and post-polycythemia vera or post-essential

null

《医学前沿（英文）》 2016年 第10卷 第4期   页码 437-443 doi: 10.1007/s11684-016-0472-9

摘要：

A phase II study (A2202) was performed to evaluate the efficacy and safety of JAK inhibitor ruxolitinib in 63 Chinese MF patients. Ruxolitinib was given twice a day (bid) at a starting dose of 15 mg (n=25) or 20 mg (n=38) based on a baseline platelet count. About 94.7% of the patients achieved a reduction in spleen size, 27.0% of which exhibited significant reduction (≥35%) at week 24. Significant improvement in debilitating constitutional symptoms, as assessed by MFSAF v2.0, was observed in patients treated with ruxolitinib. Ruxolitinib treatment was generally well tolerated by Chinese patients. Although the treatment was associated with an increase in certain adverse events (AEs) that were established as identified risks (anemia and thrombocytopenia), these AEs were considered manageable in this clinical setting. Ruxolitinib provided substantial reductions in splenomegaly and improvements in symptoms, and was well-tolerated by Chinese patients with MF.

关键词： JAK     ruxolitinib     Chinese patients     myelofibrosis    

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虚拟会议会有长远发展吗？

Chris Palmer

《工程（英文）》 2021年 第7卷 第3期   页码 280-281 doi: 10.1016/j.eng.2021.01.005

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Dynamic modelling and simulation of a post-combustion CO capture process for coal-fired power plants

《化学科学与工程前沿（英文）》 2022年 第16卷 第2期   页码 198-209 doi: 10.1007/s11705-021-2057-7

摘要： Solvent-based post-combustion capture technologies have great potential for CO2 mitigation in traditional coal-fired power plants. Modelling and simulation provide a low-cost opportunity to evaluate performances and guide flexible operation. Composed by a series of partial differential equations, first-principle post-combustion capture models are computationally expensive, which limits their use in real time process simulation and control. In this study, we propose a first-principle approach to develop the basic structure of a reduced-order model and then the dominant factor is used to fit properties and simplify the chemical and physical process, based on which a universal and hybrid post-combustion capture model is established. Model output at steady state and trend at dynamic state are validated using experimental data obtained from the literature. Then, impacts of liquid-to-gas ratio, reboiler power, desorber pressure, tower height and their combination on the absorption and desorption effects are analyzed. Results indicate that tower height should be designed in conjunction with the flue gas flow, and the gas-liquid ratio can be optimized to reduce the reboiler power under a certain capture target.

关键词： CO2 capture     post-combustion capture     simulation     dominant factor    

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Adiponectin: mechanisms and new therapeutic approaches for restoring diabetic heart sensitivity to ischemic post-conditioning

null

《医学前沿（英文）》 2013年 第7卷 第3期   页码 301-305 doi: 10.1007/s11684-013-0283-1

摘要：

Systemic inflammatory response following myocardial ischemia-reperfusion injury (IRI) to a specific organ may cause injuries. Ischemic post-conditioning (IPostC) has emerged as a promising method for myocardial protection against IRI both in experimental and in clinical settings. Enhancement of endogenous nitric oxide (NO) is one of the major mechanisms by which IPostC confers cardioprotection. However, the sensitivity of the diabetic heart to IPostC is impaired and the underlying mechanism is unknown. Adiponectin (APN) is an adipocyte-derived plasma protein with anti-diabetic and anti-inflammatory properties. Plasma levels of APN are decreased in obese subjects and in patients with type 2 diabetes. APN supplementation has been shown to increase NO production and attenuate myocardial IRI in normal (non-diabetic) animals. However, the effect of APN on myocardial injury in diabetic subjects, especially its potential in restoring the sensitivity of the diabetic heart to IPostC has not been investigated. In the current paper, we discussed the possible reasons why the myocardium of diabetic subjects loses sensitivity to IPostC and also highlighted the potential effectiveness and mechanism of APN in restoring IPostC cardioprotection in diabetes. This review proposes to conduct studies that may facilitate the development of novel and optimal therapies to enhance cardioprotection in patients with severe diseases such as diabetes.

关键词： adiponectin     ischemic post-conditioning     ischemia reperfusion injury     diabetes    

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Internet of Things (IoT)–blockchain-enabled pharmaceutical supply chain resilience in the post-pandemic

《工程管理前沿（英文）》   页码 82-95 doi: 10.1007/s42524-022-0233-1

摘要： During the COVID-19 pandemic, the current operating environment of pharmaceutical supply chain (PSC) has rapidly changed and faced increasing risks of disruption. The Internet of Things (IoT) and blockchain not only help enhance the efficiency of PSC operations in the information technology domain but also address complex related issues and improve the visibility, flexibility, and transparency of these operations. Although IoT and blockchain have been widely examined in the areas of supply chain and logistics management, further work on PSC is expected by the public to enhance its resilience. To respond to this call, this paper combines a literature review with semi-structured interviews to investigate the characteristics of PSC, the key aspects affecting PSC, and the challenges faced by PSC in the post-pandemic era. An IoT–blockchain-integrated hospital-side oriented PSC management model is also developed. This paper highlights how IoT and blockchain technology can enhance supply chain resilience and provides a reference on how PSC members can cope with the associated risks.

关键词： pharmaceutical supply chain     Internet of Things     blockchain     resilience     post-pandemic era    

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Parametric study of hexagonal castellated beams in post-tensioned self-centering steel connections

Hassan ABEDI SARVESTANI

《结构与土木工程前沿（英文）》 2019年 第13卷 第5期   页码 1020-1035 doi: 10.1007/s11709-019-0534-6

摘要： The effects of important parameters (beam reinforcing plates, initial post-tensioning, and material properties of steel angles) on the behavior of hexagonal castellated beams in post-tensioned self-centering (PTSC) connections undergone cyclic loading up to 4% lateral drift have been investigated by finite element (FE) analysis using ABAQUS. The PTSC connection is comprised of bolted top and bottom angles as energy dissipaters and steel strands to provide self-centering capacity. The FE analysis has also been validated against the experimental test. The new formulations derived from analytical method has been proposed to predict bending moment of PTSC connections. The web-post buckling in hexagonal castellated beams has been identified as the dominant failure mode when excessive initial post-tensioning force is applied to reach greater bending moment resistance, so it is required to limit the highest initial post-tensioning force to prevent this failure. Furthermore, properties of steel material has been simulated using bilinear elastoplastic modeling with 1.5% strain-hardening which has perfectly matched with the real material of steel angles. It is recommended to avoid using steel angles with high yielding strength since they lead to the yielding of bolt shank. The necessity of reinforcing plates to prevent beam flange from local buckling has been reaffirmed.

关键词： finite element analysis     hexagonal castellated beam     parametric study     post-tensioned self-centering steel connection     steel moment-resisting frame    

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Special issue: Advancing supply chain resilience for excellence in the post-pandemic era

《工程管理前沿（英文）》 2023年 第10卷 第1期   页码 1-4 doi: 10.1007/s42524-022-0246-9

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Integrated adsorption and absorption process for post-combustion CO

Gongkui Xiao, Penny Xiao, Andrew Hoadley, Paul Webley

《化学科学与工程前沿（英文）》 2021年 第15卷 第3期   页码 483-492 doi: 10.1007/s11705-020-1964-3

摘要： This study explored the feasibility of integrating an adsorption and solvent scrubbing process for post-combustion CO capture from a coal-fired power plant. This integrated process has two stages: the first is a vacuum swing adsorption (VSA) process using activated carbon as the adsorbent, and the second stage is a solvent scrubber/stripper system using monoethanolamine (30 wt-%) as the solvent. The results showed that the adsorption process could enrich CO in the flue gas from 12 to 50 mol-% with a CO recovery of >90%, and the concentrated CO stream fed to the solvent scrubber had a significantly lower volumetric flowrate. The increased CO concentration and reduced feed flow to the absorption section resulted in significant reduction in the diameter of the solvent absorber, bringing the size of the absorber from uneconomically large to readily achievable domain. In addition, the VSA process could also remove most of the oxygen initially existed in the feed gas, alleviating the downstream corrosion and degradation problems in the absorption section. The findings in this work will reduce the technical risks associated with the state-of-the art solvent absorption technology for CO capture and thus accelerate the deployment of such technologies to reduce carbon emissions.

关键词： vacuum swing adsorption     monoethanolamine     post-combustion     CO2 capture     integrated process    

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基于拉索安全评估的普通斜拉桥和矮塔斜拉桥结构冗余度对比研究 Article

Khawaja Ali, Hiroshi Katsuchi, Hitoshi Yamada

《工程（英文）》 2021年 第7卷 第1期   页码 111-123 doi: 10.1016/j.eng.2020.07.021

摘要：

本研究基于斜拉桥和矮塔斜拉桥的拉索安全性评估，为比较斜拉桥和矮塔斜拉桥提供了新的观点。由于二者都使用拉索，人们通常认为这两种类型的桥梁具有相同的结构。但是，国际桥梁设计标准规定了二者各自的拉索安全系数。为了纠正这一误解，本研究通过考虑各种异常因素和破坏因素（如过载、钢索损耗和钢索腐蚀）的影响，对在疲劳和极限状态下的拉索的安全系数进行了比较。本研究的主要目的是解释两种类型桥梁之间的结构差异，并通过采用确定性和非确定性方法来评估其结构冗余。为了实现这一目标，根据日本现行的拉索设计指南，本文建立了两座桥的三维模型。在达到桥梁模型的平衡状态之后，以参数化方式对拉索的不同安全系数进行了静态分析。最后，采用一阶可靠性方法和蒙特卡洛方法确定了拉索的可靠性指标。分析结果表明，在相同的荷载条件下，斜拉桥和矮塔斜拉桥在不同安全系数下具有不同的结构冗余度。此外，随着拉索的安全系数的增加，其结构上的冗余大大增加。

关键词： 斜拉桥     矮塔斜拉桥     冗余     拉索     安全系数     可靠性分析    

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Interactions between remote ischemic conditioning and post-stroke sleep regulation

《医学前沿（英文）》 2021年 第15卷 第6期   页码 867-876 doi: 10.1007/s11684-021-0887-9

摘要： Sleep disturbances are common in patients with stroke, and sleep quality has a critical role in the onset and outcome of stroke. Poor sleep exacerbates neurological injury, impedes nerve regeneration, and elicits serious complications. Thus, exploring a therapy suitable for patients with stroke and sleep disturbances is imperative. As a multi-targeted nonpharmacological intervention, remote ischemic conditioning can reduce the ischemic size of the brain, improve the functional outcome of stroke, and increase sleep duration. Preclinical/clinical evidence showed that this method can inhibit the inflammatory response, mediate the signal transductions of adenosine, activate the efferents of the vagal nerve, and reset the circadian clocks, all of which are involved in sleep regulation. In particular, cytokines tumor necrosis factor α (TNFα) and adenosine are sleep factors, and electrical vagal nerve stimulation can improve insomnia. On the basis of the common mechanisms of remote ischemic conditioning and sleep regulation, a causal relationship was proposed between remote ischemic conditioning and post-stroke sleep quality.

关键词： remote ischemic conditioning     sleep regulation     stroke    

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标题 作者 时间 类型 操作

Appendiceal inflammation affects the length of stay following appendicectomy amongst children: a myth

null

期刊论文

Heterogeneous length-of-stay modeling of post-acute care residents in the nursing home with competing

期刊论文

Severe adhesive small bowel obstruction

null

期刊论文

Vortex-induced vibration of stay cable under profile velocity using CFD numerical simulation method

Wenli CHEN, Hui LI,

期刊论文

Emergency strategies and trends in the management of liver trauma

null

期刊论文

Efficacy and safety of JAK inhibitor INC424 in patients with primary and post-polycythemia vera or post-essential

null

期刊论文

虚拟会议会有长远发展吗？

Chris Palmer

期刊论文

Dynamic modelling and simulation of a post-combustion CO capture process for coal-fired power plants

期刊论文

Adiponectin: mechanisms and new therapeutic approaches for restoring diabetic heart sensitivity to ischemic post-conditioning

null

期刊论文

Internet of Things (IoT)–blockchain-enabled pharmaceutical supply chain resilience in the post-pandemic

期刊论文

Parametric study of hexagonal castellated beams in post-tensioned self-centering steel connections

Hassan ABEDI SARVESTANI

期刊论文

Special issue: Advancing supply chain resilience for excellence in the post-pandemic era

期刊论文

Integrated adsorption and absorption process for post-combustion CO

Gongkui Xiao, Penny Xiao, Andrew Hoadley, Paul Webley

期刊论文

基于拉索安全评估的普通斜拉桥和矮塔斜拉桥结构冗余度对比研究

Khawaja Ali, Hiroshi Katsuchi, Hitoshi Yamada

期刊论文

Interactions between remote ischemic conditioning and post-stroke sleep regulation

期刊论文