期刊文献+
共找到218,939篇文章
< 1 2 250 >
每页显示 20 50 100
Vulnerability assessment in fractured aquifer using improved vulnerability index:Applied to Gabes aquifer,Southeastern Tunisia
1
作者 Mounir Atoui Belgacem Agoubi 《Journal of Groundwater Science and Engineering》 2026年第1期69-82,共14页
The Gabes aquifer system,located in southeastern Tunisia,is a crucial resource for supporting local socio-economic activities.Due to its dual porosity structure,is particularly vulnerable to pollution.This study aims ... The Gabes aquifer system,located in southeastern Tunisia,is a crucial resource for supporting local socio-economic activities.Due to its dual porosity structure,is particularly vulnerable to pollution.This study aims to develop a hybrid model that combines the Fracture Aquifer Index(FAI)with the conventional GOD(Groundwater occurrence,Overall lithology,Depth to water table)method,to assess groundwater vulnerability in fractured aquifer.To develop the hybrid model,the classical GOD method was integrated with FAI to produce a single composite index.Each parameter within both GOD and FAI was scored,and a final index was calculated to delineate vulnerable areas.The results show that the study area can be classified into four vulnerability levels:Very low,low,moderate,and high,indicating that approximately 8%of the area exhibits very low vulnerability,29%has low vulnerability,25%falls into the moderate category,and 38%is considered highly vulnerable.The FAI-GOD model further incorporates fracture network characteristics.This refinement reduces the classification to three vulnerability classes:Low,medium,and high.The outcomes demonstrate that 46%of the area is highly vulnerable due to a dense concentration of fractures,while 17%represents an intermediate zone characterized by either shallow or deeper fractures.In contrast,37%corresponds to areas with lightly fractured rock,where the impact on vulnerability is minimal.Multivariate statistical analysis was employed using Principal Components Analysis(PCA)and Hierarchical Cluster Analysis(HCA)on 24 samples across six variables.The first three components account for over 76%of the total variance,reinforcing the significance of fracture dynamics in classifying vulnerability levels.The FAI-GOD model removes the very-low-vulnerability class and expands the spatial extent of low-and high-vulnerability zones,reflecting the dominant influence of fracture networks on aquifer sensitivity.While both indices use a five-class system,FAI-GOD redistributes vulnerability by eliminating very-low-vulnerability areas and amplifying low/high categories,highlighting the critical role of fractures.A strong correlation(R2=0.94)between the GOD and FAI-GOD indices,demonstrated through second-order polynomial regression,confirms the robustness of the FAI-GOD model in accurately predicting vulnerability to pollution.This model provides a useful framework for assessing the vulnerability of complex aquifers and serves as a decision-making tool for groundwater managers in similar areas. 展开更多
关键词 GROUNDWATER Aquifer vulnerability Fractured media FAI-GOD index GOD index GIS
在线阅读 下载PDF
The triglyceride-glucose index shows promise as a novel prognostic marker for advanced hepatocellular carcinoma
2
作者 Tao Xu Xu Qi +1 位作者 Fei-Yu Zhao Nian-Song Qian 《World Journal of Gastroenterology》 2026年第2期167-169,共3页
This commentary critically appraises the study by Li et al which pioneered the exploration of the triglyceride-glucose(TyG)index as a prognostic marker in hepatitis B virus-related advanced hepatocellular carcinoma pa... This commentary critically appraises the study by Li et al which pioneered the exploration of the triglyceride-glucose(TyG)index as a prognostic marker in hepatitis B virus-related advanced hepatocellular carcinoma patients undergoing combined camrelizumab and lenvatinib therapy.While we acknowledge the study’s clinical relevance in proposing an easily accessible metabolic biomarker,we delve into the mechanistic plausibility linking insulin resistance to immunotherapy response and angiogenic inhibition.We further critically examine the methodological limitations,including the retrospective design,the populationspecific TyG cut-off value,and unaddressed metabolic confounders.We highlight the imperative for future research to validate its utility across diverse etiologies and treatment settings,and to unravel the underlying immunometabolic pathways. 展开更多
关键词 Triglyceride-glucose index Prognostic marker Advanced hepatocellular carcinoma Camrelizumab Lenvatinib
暂未订购
Construction of a mental health literacy evaluation index system for adolescents with mental disorders
3
作者 Ying-Qiong Ge Xiao-Shuang Ouyang +2 位作者 Zheng-Min Zhu Bi-Can Tan Xiao-Jian Jiang 《World Journal of Psychiatry》 2026年第1期299-311,共13页
BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an e... BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population. 展开更多
关键词 Adolescents Mental disorders Mental health literacy Evaluation index system Delphi method
暂未订购
Local Characterizations of Results on the Normal Index of Subgroups in Finite Groups
4
作者 Yubo LV Yangming LI Xiaoxia DONG 《Journal of Mathematical Research with Applications》 2026年第1期33-39,共7页
Let G be a finite group and H a subgroup of G.The normal index of H in G is defined as the order of K/H_(G),where K is a normal supplement of H in G such that|K|is minimal and H_(G)≤K■G.Let p be a prime which divide... Let G be a finite group and H a subgroup of G.The normal index of H in G is defined as the order of K/H_(G),where K is a normal supplement of H in G such that|K|is minimal and H_(G)≤K■G.Let p be a prime which divides the order of a group G.In this paper,some characterizations of G being p-solvable or p-supersolvable were obtained by analyzing the normal index of certain subgroups of G.These results can be viewed as local version of recent results in the literature. 展开更多
关键词 p-solvable group p-supersolvable group normal index maximal subgroup 2-maximal subgroup
原文传递
Highly sensitive,multi-stage,and mid-infrared refractive index sensor based on photonic spin Hall effect
5
作者 Jiaye Ding Chenglong Wang +2 位作者 Shengli Liu Peng Dong Jie Cheng 《Chinese Physics B》 2026年第1期432-438,共7页
Surface polaritons,as surface electromagnetic waves propagating along the surface of a medium,have played a crucial role in enhancing photonic spin Hall effect(PSHE)and developing highly sensitive refractive index(RI)... Surface polaritons,as surface electromagnetic waves propagating along the surface of a medium,have played a crucial role in enhancing photonic spin Hall effect(PSHE)and developing highly sensitive refractive index(RI)sensors.Among them,the traditional surface plasmon polariton(SPP)based on noble metals limits its application beyond the near-infrared(IR)regime due to the large negative permittivity and optical losses.In this contribution,we theoretically proposed a highly sensitive PSHE sensor with the structure of Ge prism-SiC-Si:InAs-sensing medium,by taking advantage of the hybrid surface plasmon phonon polariton(SPPhP)in mid-IR regime.Here,heavily Si-doped InAs(Si:InAs)and SiC excite the SPP and surface phonon polariton(SPhP),and the hybrid SPPhP is realized in this system.More importantly,the designed PSHE sensor based on this SPPhP mechanism achieves the multi-stage RI measurements from 1.00025-1.00225 to 1.70025-1.70225,and the maximal intensity sensitivity and angle sensitivity can be up to 9.4×10^(4)μm/RIU and245°/RIU,respectively.These findings provide a new pathway for the enhancement of PSHE in mid-IR regime,and offer new opportunities to develop highly sensitive RI sensors in multi-scenario applications,such as harmful gas monitoring and biosensing. 展开更多
关键词 refractive index(RI)sensor photonic spin Hall effect MID-IR MULTI-STAGE
原文传递
基于优化Bray-Curtis相异度和PSO算法的轴承剩余寿命预测方法研究 被引量:1
6
作者 李权福 贾晨 +1 位作者 宋冬利 徐潇 《机车电传动》 北大核心 2023年第3期90-96,共7页
轴承在车辆运行过程中既承受载荷又传递载荷,工作环境非常恶劣,若发生故障,会严重威胁车辆的正常运行安全,因此对轴承开展剩余寿命预测方法研究具有重大意义。文章提出了采用稀疏自编码器和Bray-Curtis相异度相结合的方式构建新的轴承... 轴承在车辆运行过程中既承受载荷又传递载荷,工作环境非常恶劣,若发生故障,会严重威胁车辆的正常运行安全,因此对轴承开展剩余寿命预测方法研究具有重大意义。文章提出了采用稀疏自编码器和Bray-Curtis相异度相结合的方式构建新的轴承健康指标集,并利用改进后的粒子群优化(Particle Swarm Optimization,PSO)算法建立轴承退化模型,最后对测试轴承的剩余寿命进行预测。首先,将轴承健康样本及实测数据的各特征指标输入到稀疏自编码器中进行训练,提取出2种轴承特征参数,计算Bray-Curtis相异度差值作为新的健康指标;然后,基于改进后PSO算法建立轴承退化模型;最后,依据新的健康指标对实测状态下的轴承进行剩余寿命预测。结果表明:该退化模型的拟合曲线预测精度较高,其性能退化曲线与实际轴承退化情况较为接近,可以较好地预测轴承的剩余寿命。 展开更多
关键词 bray-curtis相异度 PSO算法 退化模型 剩余寿命预测
原文传递
基于Bray-Curtis相异度的冲突度量方法 被引量:1
7
作者 陈洪锋 王欣 《黑龙江大学工程学报》 2022年第2期78-83,共6页
无法准确度量证据间的冲突程度是D-S证据理论存在的一个基本问题。为了有效地解决此问题,基于Bray-Curtis相异度公式,提出了一种新的冲突度量方法,它满足非负性、规范性、对称性、一致性和三角不等式等冲突度量性质,具有计算负担小、度... 无法准确度量证据间的冲突程度是D-S证据理论存在的一个基本问题。为了有效地解决此问题,基于Bray-Curtis相异度公式,提出了一种新的冲突度量方法,它满足非负性、规范性、对称性、一致性和三角不等式等冲突度量性质,具有计算负担小、度量精度高的优点。通过理论证明以及实例仿真验证了所提方法的有效性。 展开更多
关键词 D-S证据理论 bray-curtis相异度 冲突度量
在线阅读 下载PDF
Prognostic value of the preoperative systemic immune-inflammation nutritional index in patients with gastric cancer 被引量:1
8
作者 Li-Jing Wang Cai-Lu Lei +7 位作者 Ting-An Wang Zhi-Feng Lin Shi-Jie Feng Tao Wei Yan-Qin Li Meng-Ru Shen Yan Li Liu-Feng Liao 《World Journal of Clinical Oncology》 2025年第4期130-141,共12页
BACKGROUND Gastric cancer(GC)is the fifth most common cancer and the third leading cause of cancer-related deaths in China.Many patients with GC frequently experience symptoms related to the disease,including anorexia... BACKGROUND Gastric cancer(GC)is the fifth most common cancer and the third leading cause of cancer-related deaths in China.Many patients with GC frequently experience symptoms related to the disease,including anorexia,nausea,vomiting,and other discomforts,and often suffer from malnutrition,which in turn negatively affects perioperative safety,prognosis,and the effectiveness of adjuvant therapeutic measures.Consequently,some nutritional indicators such as nutritional risk index(NRI),prognostic nutritional index(PNI),and systemic immune-inflammatorynutritional index(SIINI)can be used as predictors of the prognosis of GC patients.AIM To examine the prognostic significance of PNI,NRI,and SIINI in postoperative patients with GC.METHODS A retrospective analysis was conducted on the clinical data of patients with GC who underwent surgical treatment at the Guangxi Medical University Cancer Hospital between January 2010 and December 2018.The area under the receiver operating characteristic(ROC)curve was assessed using ROC curve analysis,and the optimal cutoff values for NRI,PNI,and SIINI were identified using the You-Review-HTMLden index.Survival analysis was performed using the Kaplan-Meier method.In addition,univariate and multivariate analyses were conducted using the Cox proportional hazards regression model.RESULTS This study included a total of 803 patients.ROC curves were used to evaluate the prognostic ability of NRI,PNI,and SIINI.The results revealed that SIINI had superior predictive accuracy.Survival analysis indicated that patients with GC in the low SIINI group had a significantly better survival rate than those in the high SIINI group(P<0.05).Univariate analysis identified NRI[hazard ratio(HR)=0.68,95%confidence interval(CI):0.52-0.89,P=0.05],PNI(HR=0.60,95%CI:0.46-0.79,P<0.001),and SIINI(HR=2.10,95%CI:1.64-2.69,P<0.001)as prognostic risk factors for patients with GC.However,multifactorial analysis indicated that SIINI was an independent risk factor for the prognosis of patients with GC(HR=1.65,95%CI:1.26-2.16,P<0.001).CONCLUSION Analysis of clinical retrospective data revealed that SIINI is a valuable indicator for predicting the prognosis of patients with GC.Compared with NRI and PNI,SIINI may offer greater application for prognostic assessment. 展开更多
关键词 Systemic immune-inflammatory-nutritional index Prognostic nutritional index Nutritional risk index Gastric cancer Prognosis
暂未订购
基于ARIMA与Theil Index的瓦斯异常涌出态势评估
9
作者 李作泉 张巨峰 +3 位作者 权继业 张建江 苗在全 王玉峰 《陇东学院学报》 2025年第5期5-10,共6页
为了更好地进行瓦斯异常涌出预测与预警,应用自回归积分滑动平均(ARIMA)模型与泰尔指数(Theil Index)模型相结合,以甘肃某矿东1102工作面为例,结合历史数据,分别在不同时间尺度下进行了参数优化,选取ARIMA(1,1,1)作为最佳模型,利用Theil... 为了更好地进行瓦斯异常涌出预测与预警,应用自回归积分滑动平均(ARIMA)模型与泰尔指数(Theil Index)模型相结合,以甘肃某矿东1102工作面为例,结合历史数据,分别在不同时间尺度下进行了参数优化,选取ARIMA(1,1,1)作为最佳模型,利用Theil Index模型构建了瓦斯涌出量的综合评价指标,对瓦斯异常涌出态势进行了综合分析。通过ARIMA(1,1,1)模型,预测了工作面瓦斯涌出的动态趋势,结合泰尔指数对潜在的异常态势进行了识别和分析,并提出了相应的瓦斯异常涌出防治措施。研究结果表明,ARIMA模型与Theil Index模型联合可以有效地预测和评估瓦斯异常涌出态势,为煤矿安全管理提供了新的方法。 展开更多
关键词 ARIMA模型 Theil index模型 瓦斯异常涌出 趋势预测
在线阅读 下载PDF
Construction of Vocational Education Quality Evaluation Index System from the Perspective of Digital Transformation Based on the Analytic Hierarchy Process of Higher Vocational Colleges in Hainan Province,China 被引量:2
10
作者 Limei Fu 《Journal of Contemporary Educational Research》 2025年第1期282-289,共8页
In the context of the digital transformation of vocational education,a quality evaluation index system has been constructed.Based on a questionnaire survey conducted among higher vocational colleges and enterprises in... In the context of the digital transformation of vocational education,a quality evaluation index system has been constructed.Based on a questionnaire survey conducted among higher vocational colleges and enterprises in Hainan Province,it has been found that the quality of vocational education generally depends on the talent training program and professional construction at the macro level.At the meso level,the teacher level and teaching environment are critical,while at the micro level,the evaluation of talent training quality cannot be underestimated.Strategies for quality improvement in vocational education are proposed from the perspectives of talent training programs,major construction,teacher development,teaching environment,and talent training quality,all under the lens of digital transformation. 展开更多
关键词 Digital transformation Vocational education Evaluation index system
在线阅读 下载PDF
Diagnostic implications of neutrophil-to-lymphocyte ratio,platelet-tolymphocyte ratio,and systemic immune-inflammatory index for gastric carcinoma 被引量:2
11
作者 Huang-Min Wu Xiao-Xuan Ying +1 位作者 Li-Li Lv Jian-Wen Hu 《World Journal of Gastrointestinal Surgery》 2025年第1期139-146,共8页
BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neut... BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),and systemic immune-inflammatory index(SII)for GC.METHODS The baseline data of 133 patients with GC and 134 patients with precancerous gastric conditions admitted between January 2022 and December 2023 were retrospectively analyzed.The information on peripheral blood platelet,neutrophil,and lymphocyte counts in each patient was collected,and the NLR,PLR,and SII levels of both groups were calculated.Additionally,multivariate logistic regression analysis was conducted,and the diagnostic implications of NLR,PLR,and SII in differentiating patients with precancerous gastric conditions,compared with those with GC,were analyzed through receiver operating characteristic(ROC)curves.RESULTS The data indicated that NLR,PLR,and SII had abnormally increased levels in the patients with GC.Gender and body mass index were risk factors for the occurrence of GC.ROC data revealed that the areas under the curve of three patients with precancerous gastric conditions,who were differentiated from those with GC,were 0.824,0.787,and 0.842,respectively.CONCLUSION NLR,PLR,and SII are all abnormally expressed in GC and have diagnostic implications,especially when used as joint indicators,in distinguishing patients with precancerous gastric conditions from those with GC. 展开更多
关键词 Gastric carcinoma Neutrophil-to-lymphocyte ratio Platelet-to-lymphocyte ratio Precancerous gastric conditions Systemic immune-inflammatory index
暂未订购
Association between atherogenic index of plasma trajectory and new-onset coronary heart disease in Chinese elderly people:a prospective cohort study 被引量:1
12
作者 Wan-Li HU Yv-Lin CHENG +7 位作者 Dong-Hai SU Yv-Fang CUI Zi-Hao LI Ge-Fei LI Hai-Yun GAO Da-Tian GAO Xiao-Ke ZHANG Song-He SHI 《Journal of Geriatric Cardiology》 2025年第10期835-843,共9页
BACKGROUND The atherogenic index of plasma(AIP)has been shown to be positively correlated with cardiovascular disease in previous studies.However,it is unclear whether elderly people with long-term high AIP levels are... BACKGROUND The atherogenic index of plasma(AIP)has been shown to be positively correlated with cardiovascular disease in previous studies.However,it is unclear whether elderly people with long-term high AIP levels are more likely to develop coronary heart disease(CHD).Therefore,the aim of this study was to investigate the relationship between AIP trajectory and CHD incidence in elderly people.METHODS 19,194 participants aged≥60 years who had three AIP measurements between 2018 and 2020 were included in this study.AIP was defined as log10(triglyceride/high-density lipoprotein cholesterol).The group-based trajectory model was used to identify different trajectory patterns of AIP from 2018 to 2020.Cox proportional hazards models were used to estimate the hazard ratio(HR)with 95%CI of CHD events between different trajectory groups from 2020 to 2023.RESULTS Three different trajectory patterns were identified through group-based trajectory model:the low-level group(n=7410,mean AIP:-0.25 to-0.17),the medium-level group(n=9981,mean AIP:0.02-0.08),and the high-level group(n=1803,mean AIP:0.38-0.42).During a mean follow-up of 2.65 years,a total of 1391 participants developed CHD.After adjusting for potential confounders,compared with the participants in the low-level group,the HR with 95%CI of the medium-level group and the high-level group were estimated to be 1.24(1.10-1.40)and 1.43(1.19-1.73),respectively.These findings remained consistent in subgroup analyses and sensitivity analyses.CONCLUSIONS There was a significant correlation between persistent high AIP level and increased CHD risk in the elderly.This suggests that monitoring the long-term changes in AIP is helpful to identify individuals at high CHD risk in elderly people. 展开更多
关键词 cardiovascular disease atherogenic index plasma atherogenic index plasma aip elderly people TRAJECTORY new onset coronary heart disease coronary heart disease chd thereforethe prospective cohort study
暂未订购
Early prediction of anastomotic leakage after rectal cancer surgery: Onodera prognostic nutritional index combined with inflammationrelated biomarkers 被引量:1
13
作者 Zi-Yi Zhang Ke-Jin Li +4 位作者 Xiang-Yue Zeng Kuan Wang Subinur Sulayman Yi Chen Ze-Liang Zhao 《World Journal of Gastrointestinal Surgery》 2025年第4期46-57,共12页
BACKGROUND Anastomotic leakage(AL)is a serious complication following rectal cancer surgery and is associated with increased recurrence,mortality,extended hospital stays,and delayed chemotherapy.The Onodera prognostic... BACKGROUND Anastomotic leakage(AL)is a serious complication following rectal cancer surgery and is associated with increased recurrence,mortality,extended hospital stays,and delayed chemotherapy.The Onodera prognostic nutritional index(OPNI)and inflammation-related biomarkers,such as the neutrophil-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR),have been studied in the context of cancer prognosis,but their combined efficacy in predicting AL remains unclear.AIM To investigate the relationships between AL and these markers and developed a predictive model for AL.METHODS A retrospective cohort study analyzed the outcomes of 434 patients who had undergone surgery for rectal cancer at a tertiary cancer center from 2016 to 2023.The patients were divided into two groups on the basis of the occurrence of AL:One group consisted of patients who experienced AL(n=49),and the other group did not(n=385).The investigation applied logistic regression to develop a risk prediction model utilizing clinical,pathological,and laboratory data.The efficacy of this model was then evaluated through receiver operating characteristic curve analysis.RESULTS In the present study,11.28%of the participants(49 out of 434 participants)suffered from AL.Multivariate analysis revealed that preoperative levels of the OPNI,NLR,and PLR emerged as independent risk factors for AL,with odds ratios of 0.705(95%CI:0.641-0.775,P=0.012),1.628(95%CI:1.221-2.172,P=0.024),and 0.994(95%CI:0.989-0.999,P=0.031),respectively.These findings suggest that these biomarkers could effectively predict AL risk.Furthermore,the proposed predictive model has superior discriminative ability,as demonstrated by an area under the curve of 0.910,a sensitivity of 0.898,and a specificity of 0.826,reflecting its high level of accuracy.CONCLUSION The risk of AL in rectal cancer surgery patients can be effectively predicted by assessing the preoperative levels of serum nutritional biomarkers and inflammatory indicators,emphasizing their importance in the preoperative evaluation process. 展开更多
关键词 Platelet-to-lymphocyte ratio Neutrophil-to-lymphocyte ratio Postoperative anastomotic leakage Ondera prognostic nutritional index Rectal cancer surgery
暂未订购
Effects of body mass index on gastric motility:Comparing children with functional abdominal pain disorders and healthy controls 被引量:1
14
作者 Amaranath Karunanayake Shaman Rajindrajith +1 位作者 Manori Vijaya Kumari Niranga Manjuri Devanarayana 《World Journal of Clinical Pediatrics》 2025年第3期111-119,共9页
BACKGROUND Overweight children exhibit a higher prevalence of functional gastrointestinal disorders compared with their normal-weight peers,yet the underlying reasons remain unclear.Gastrointestinal motility,a key pat... BACKGROUND Overweight children exhibit a higher prevalence of functional gastrointestinal disorders compared with their normal-weight peers,yet the underlying reasons remain unclear.Gastrointestinal motility,a key pathophysiological factor in functional gastrointestinal disorders,may be influenced by body mass index(BMI).AIM To evaluate the impact of BMI on gastric motility parameters in children with functional abdominal pain disorders(FAPDs).METHODS We assessed gastric motility in 176 children with FAPDs(61.4%females,mean age 7.94 years,SD 1.96 years)and 63 healthy controls(57.1%females,mean age 9.17 years,SD 1.90 years)at the Gastroenterology Research Laboratory,University of Kelaniya,Sri Lanka.FAPDs were diagnosed and subtyped using the Rome IV criteria:Functional abdominal pain 97 patients;irritable bowel syndrome 39 patients,functional dyspepsia(FD)25 patients;and abdominal migraine 15 patients.Gastric motility was measured using a validated ultrasound method.Weight and height were measured using sensitive standard scales.RESULTS The BMIs of children with FAPDs and controls were 15.04 and 15.46 kg/m^(2),respectively(P=0.33).Fasting antral area(FAA)and antral area at 1 min(AA1)and 15 min(AA15)were significantly greater in patients with FAPD with a higher BMI(2.71 cm^(2),12.57 cm^(2),and 7.19 cm^(2),respectively)compared with those with a lower BMI(2.12 cm^(2),10.68 cm^(2),and 6.13 cm^(2),respectively)(P<0.01).BMI positively correlated with FAA and AA15(r=0.18 and r=0.19,respectively)(P<0.01)in those with FAPDs.In controls,only AA1 was greater in the higher BMI group(12.51 cm^(2)vs 9.93 cm^(2))and had a positive correlation(r=0.33)(P≤0.01).Subgroup analysis revealed that in patients with FD,BMI negatively correlated with gastric emptying rate(GER)(r=-0.59)and antral motility index(MI)(r=-0.49),while in functional abdominal pain,MI positively correlated(r=0.25)with BMI(P≤0.01).CONCLUSION In children with FAPDs,higher BMI was associated with increased gastric antral distention during fasting and postprandial periods(as indicated by FAA,AA1,and AA15)but not with contractility and transit(MI,GER).However,in the FD subgroup,high BMI correlated with reduced GER and MI.This indicates the possible role of BMI in gastric hypomotility and the pathophysiology of FD.These findings underscore the importance of lifestyle and dietary interventions aimed at optimizing BMI in the management of FAPDs,particularly FD. 展开更多
关键词 Body mass index Gastric motility Functional abdominal pain disorders Functional gastrointestinal disorders Sri Lanka
暂未订购
Body mass index and its association with clinical outcomes in acute liver failure 被引量:1
15
作者 Arunkumar Krishnan Sameer Khan +8 位作者 Julia Gips Saleh A Alqahtani Dhananjay Vaidya Yi-Si Liu Ahyoung Kim Amanda Su Ahmet Gurakar James P Hamilton Tinsay A Woreta 《World Journal of Clinical Cases》 2025年第30期28-40,共13页
BACKGROUND Acute liver failure(ALF)is a life-threatening multisystemic condition with high short-term mortality.With the growing prevalence of obesity and metabolic syndrome,it is important to investigate the clinical... BACKGROUND Acute liver failure(ALF)is a life-threatening multisystemic condition with high short-term mortality.With the growing prevalence of obesity and metabolic syndrome,it is important to investigate the clinical implications of high body mass index(BMI)on survival outcomes in ALF.AIM To explore the impact of overweight and obesity on the clinical outcomes of patients with ALF.METHODS A retrospective observational cohort study was conducted involving patients with ALF admitted to the Johns Hopkins Health System between January 1,2000 and May 1,2020.We performed Cox proportional hazards regression to identify outcomes,including the need for liver transplantation(LT)or all-cause mortality.RESULTS A total of 196 patients were included,the median age was 43.5 years,63.3%were female,and 59.7%were of Caucasian ethnicity.Acetaminophen-induced ALF was the most common etiology(45%).The mean BMI was significantly greater among patients who underwent LT or died(29.64 kg/m^(2)vs 26.59 kg/m^(2),P=0.008)than among survivors.Patients with overweight and obesity had a higher risk of all-cause mortality or need for LT by 2.22-fold(95%CI:1.30-3.78)and 2.04-fold(95%CI:1.29-3.39),respectively.Elevated BMI was associated with renal failure and higher grades of hepatic encephalopathy.Derangements in serologic markers,including alanine transaminase,lactate,and ammonia,were associated with a mortality risk or need for LT.CONCLUSION In this large,retrospective study,with a diverse cohort of United States patients,Overweight and obese were independently associated with an increased risk of all-cause mortality or need for LT.This work highlights the importance of closely monitoring ALF patients who are overweight or obese for adverse complications and measures to improve outcomes in this vulnerable patient population. 展开更多
关键词 Acute liver failure Body mass index OBESITY Hepatic encephalopathy Organ failure Liver transplantation SURVIVAL MORTALITY OUTCOME
暂未订购
Hemoglobin glycation index among adults with type 1 diabetes:Association with double diabetes features 被引量:1
16
作者 Xiao-Lin Ji Min Yin +5 位作者 Chao Deng Li Fan Yu-Ting Xie Fan-Su Huang Yan Chen Xia Li 《World Journal of Diabetes》 2025年第4期153-165,共13页
ACKGROUND The hemoglobin glycation index(HGI)represents the discrepancy between the glucose management indicator(GMI)based on mean blood glucose levels and laboratory values of glycated hemoglobin(HbA1c).The HGI is a ... ACKGROUND The hemoglobin glycation index(HGI)represents the discrepancy between the glucose management indicator(GMI)based on mean blood glucose levels and laboratory values of glycated hemoglobin(HbA1c).The HGI is a promising indicator for identifying individuals with excessive glycosylation,facilitating personalized evaluation and prediction of diabetic complications.However,the factors influencing the HGI in patients with type 1 diabetes(T1D)remain unclear.Autoimmune destruction of pancreaticβcells is central in T1D pathogenesis,yet insulin resistance can also be a feature of patients with T1D and their coexistence is called“double diabetes”(DD).However,knowledge regarding the relationship between DD features and the HGI in T1D is limited.AIM To assess the association between the HGI and DD features in adults with T1D.METHODS A total of 83 patients with T1D were recruited for this cross-sectional study.Laboratory HbA1c and GMI from continuous glucose monitoring data were collected to calculate the HGI.DD features included a family history of type 2 diabetes,overweight/obesity/central adiposity,hypertension,atherogenic dyslipidemia,an abnormal percentage of body fat(PBF)and/or visceral fat area(VFA)and decreased estimated insulin sensitivity.Skin autofluorescence of advanced glycation end products(SAF-AGEs),diabetic complications,and DD features were assessed,and their association with the HGI was analyzed.RESULTS A discrepancy was observed between HbA1c and GMI among patients with T1D and DD.A higher HGI was associated with an increased number of SAF-AGEs and a higher prevalence of diabetic microangiopathy(P=0.030),particularly retinopathy(P=0.031).Patients with three or more DD features exhibited an eight-fold increased risk of having a high HGI,compared with those without DD features(adjusted odds ratio=8.12;95%confidence interval:1.52-43.47).Specifically,an elevated PBF and/or VFA and decreased estimated insulin sensitivity were associated with high HGI.Regression analysis identified estimated insulin sensitivity and VFA as factors independently associated with HGI.CONCLUSION In patients with T1D,DD features are associated with a higher HGI,which represents a trend toward excessive glycosylation and is associated with a higher prevalence of chronic diabetic complications. 展开更多
关键词 Type 1 diabetes Double diabetes Insulin resistance Hemoglobin glycation index Advanced glycation end products Diabetic complications
暂未订购
A semi-empirical approach to simulating the Dst index in global MHD models of Earth’s magnetosphere
17
作者 JiaWen Yue XiaoCheng Guo +1 位作者 YuXian Wang Chi Wang 《Earth and Planetary Physics》 2025年第4期946-954,共9页
The Dst index has been commonly used to measure the geomagnetic effectiveness of magnetic storm events for several decades.Based on Burton’s empirical Dst model and the global magneto-hydrodynamic(MHD)simulation of E... The Dst index has been commonly used to measure the geomagnetic effectiveness of magnetic storm events for several decades.Based on Burton’s empirical Dst model and the global magneto-hydrodynamic(MHD)simulation of Earth’s magnetosphere,here we proposed a semi-empirical model to forecast the Dst index during geomagnetic storms.In this model,the ring current contribution to the Dst index is derived from Burton’s model,while the contributions from other current systems are obtained from the global MHD simulation.In order to verify the model accuracy,a number of recent magnetic storm events are tested and the simulated Dst index is compared with the observation through the correlation coefficient(CC),prediction efficiency(PE),root mean square error(RMSE)and central root mean square error(CRMSE).The results indicate that,in the context of moderate and intense geomagnetic storm events,the semi-empirical model performs well in global MHD simulations,showing relatively higher CC and PE,and lower RMSE and CRMSE compared to those from the empirical model.Compared with the physics-based ring current models,this model inherits the advantage of fast processing from the empirical model,and easy implementation in a global MHD model of Earth’s magnetosphere.Therefore,it is suitable for the Dst estimation under a context of a global MHD simulation. 展开更多
关键词 global MHD Dst index SYM-H index semi-empirical model Earth's magnetosphere
在线阅读 下载PDF
Predicting Standardized Precipitation Evapotranspiration Index for Fada N’Gourma by 2050 Using CMPI-6 Outputs under SSPs Scenarios
18
作者 Tog-Noma Patricia Emma Bontogho Andrew Ireson +1 位作者 Dominic Boateng-Gyambiby Abdullahi Dini 《Journal of Environmental Science and Engineering(A)》 CAS 2025年第1期31-42,共12页
Extreme weather events,such as floods and droughts,are expected to rise significantly worldwide as a result of climate change.Investigating future drought patterns is therefore a key approach for elaborating anticipat... Extreme weather events,such as floods and droughts,are expected to rise significantly worldwide as a result of climate change.Investigating future drought patterns is therefore a key approach for elaborating anticipatory water resources management responses to climate change.In this paper,future meteorological drought conditions are investigated based on the SPEI(Standardised Precipitation Evapotranspiration Index).This study makes use of observed and projected data.The simulated data were retrieved from the CMIP6(Coupled Model Intercomparison Project Phase 6)over the period 2025-2050,and the Delta change method was adopted to remove the bias in the dataset.Then SPEI at various scales has been estimated under four future scenarios(SSP1-2.6,SSP2-4.5,SSP3-7.0 and SSP5-8.5).The trend analysis of the projected SPEI was performed at p<0.05 using the MMK(Modified Mann-Kendall)test in order to detect the statistically significant trend of the drought against the null hypothesis of no trend.Results show large variability in the magnitude of drought in the past and future.Based on SPEI at 24 months accumulation,the result shows that under SSP1-2.6,the basin will experience a wet period during the first decade(SPEI=0.60),the second decade will be dry(SPEI24=-0.43).The remaining years will be also dry(SPEI=-0.34).Under SSP2-4.5,SSP3-7.0 and SSP5-8.5 scenarios,the district will experience a wet period during the first two decades with SPEI ranging from 0.38 to 0.59.This wet period will be followed by a dry period under these scenarios ranging from-0.14 to-0.06.Overall,under SSPs scenarios,two main periods characterized by a rainfall recovery spanning from followed by a moderately prolonged drought are identified within the study area.The findings of this study may provide valuable information for developing proactive measures to reduce water insecurity in Fada N’Gourma through effective drought mitigation. 展开更多
关键词 Climate change drought index CMPI-6 Fada N’Gourma SSP-scenarios.
在线阅读 下载PDF
Nonnegative Group Lasso and Application in Index Tracking
19
作者 GAO Ruiyao QI Kai TU Jingwen 《应用概率统计》 北大核心 2025年第6期890-909,共20页
Index tracking is known to be a passive portfolio management strategy by replicating the performance of a real or virtual index.However,the full replication,which considers all the asserts consisted of the index,often... Index tracking is known to be a passive portfolio management strategy by replicating the performance of a real or virtual index.However,the full replication,which considers all the asserts consisted of the index,often suffers from small and illiquid positions and large transaction costs.Thus,it is preferred to purchase sparse portfolios.Besides,existing literature pointed out the phenomenon of the co-movement in assert returns,indicating that the index tracking problems possibly contain group structures together with sparsity.Based on the consideration of the grouping effects and sparsity in index tracking problems,this paper proposes a grouping sparse index tracking model with nonnegative restrictions.We derive a modified version of coordinate decent algorithm for solving the model.The asymptotic properties are also discussed in detail.To show the efficiency of the model,we apply it into the constrained index tracking problem in Shanghai stock market,i.e.tracking SSE 50 Index.By selecting about 10 stocks,the result shows that nonnegative group lasso outperforms nonnegative lasso in assert allocation. 展开更多
关键词 nonnegative group lasso index tracking asymptotic unbiasedness variable selection consistency block-wise coordinate decent algorithm
在线阅读 下载PDF
From fatty liver indices to the Zhejiang University index:Re-shaping risk stratification of metabolic liver disease in diabetes
20
作者 Mostafa M Gouda 《World Journal of Diabetes》 2025年第12期1-7,共7页
This editorial comments on the study by Tao et al,emphasizing the scalable diagnostic tool for metabolic dysfunction-associated steatotic liver disease(MASLD)in type 2 diabetes mellitus(T2DM).Classical indices such as... This editorial comments on the study by Tao et al,emphasizing the scalable diagnostic tool for metabolic dysfunction-associated steatotic liver disease(MASLD)in type 2 diabetes mellitus(T2DM).Classical indices such as the fatty liver index(FLI),hepatic steatosis index(HSI),and non-alcoholic fatty liver disease-liver fat score have provided valuable insights.Still,their predictive accuracy often varies across populations and clinical settings.In Western cohorts,FLI and HSI are widely applied,yet they depend heavily on anthropometric or categorical variables,which limits their sensitivity in Asian populations.The Zhejiang University index(ZJU index),developed in China,integrates fasting glucose,triglycerides,hepatic enzyme ratios,and body mass index into a composite score of insulin resistance.Recent studies show that the ZJU index outperforms FLI and HSI in predicting MASLD among Chinese patients,particularly those with T2DM,where it demonstrates a nonlinear association with disease risk and identifies a critical threshold of 38.87.The ZJU index links to conditions like sarcopenia,sleep apnea,and gallstones,showing its versatility in metabolic health.This editorial compares its performance with other indices and emphasizes the ZJU index as a nextgeneration tool for MASLD risk stratification globally. 展开更多
关键词 Metabolic dysfunction-associated Type 2 diabetes mellitus Zhejiang University index Fatty liver index Hepatic steatosis index Non-invasive diagnostics Risk stratification
暂未订购
上一页 1 2 250 下一页 到第
使用帮助 返回顶部