With the development of embodied cognitive science,the embodiment of human high-level psychological processes such as language and emotions has been paid more and more attention.The importance of body and situation in...With the development of embodied cognitive science,the embodiment of human high-level psychological processes such as language and emotions has been paid more and more attention.The importance of body and situation in the understanding of emotional experience is the core content of the embodied emotion.This article aims to review the current hypotheses and empirical evidence of embodied emotions,explains the significance and value of embodied emotion research,and thinks about the research prospects and research ideas of embodied emotion.At the same time,as a new theoretical point of view,emotional embodied view provides a new perspective for emotional research.展开更多
Under the influence of European rationalism,which holds that human rationality is higher than,or at least independent of human sensory cognition,the first generation of cognitive science advocates for disembodied cogn...Under the influence of European rationalism,which holds that human rationality is higher than,or at least independent of human sensory cognition,the first generation of cognitive science advocates for disembodied cognition,manifesting the concept of dualism of mind and body.With the development of cognitive science in the 1980s,the second generation of cognitive science redefines the relationship between mind and body,thought and behavior,and reason and feeling and puts forward the concept of embodied cognition,representing monism of mind and body.It is claimed that the formation of concepts,categorical cognition and the evolution of rational thinking are characterized by embodiment,which is the necessary condition and basis for the formation of human rationality.The current study traces the shift of cognitive science from dualism to monism of mind and body and explores the relationship between rationality and sensibility from the perspective of philosophical basis and interpretations,with an aim to achieve a better understanding and thorough interpretation of human rationality.In this heated discussion about embodied cognition,there are still some fundamental questions that need to be further clarified,such as the essence and mechanism of human cognition,the ways that human body participates in cognitive activities,especially imagination and reasoning.The research paradigm of embodied cognition and its relevant theory have not been established and developed yet,and empirical research from interdisciplinary perspectives is far from enough to provide hard evidence for embodied cognition.展开更多
As a recurring pattern of sensory-motor-affective experience, image schema is not only a concept discussed in linguistics and psychology, but also a significant one in the study of embodied cognition. Through analyzi...As a recurring pattern of sensory-motor-affective experience, image schema is not only a concept discussed in linguistics and psychology, but also a significant one in the study of embodied cognition. Through analyzing the features of image schema considered by the authors as embodiment, recessiveness, sedimentation, logicality, scientificity, and dependency to cognitive metaphors and reviewing the definition of embodied cognition, the paper argues that image schema is an integration of bodily property and mental property, and accordingly a core and inseparable concept of embodied cognition by bridging body and mind. Image schema can help to explain how abstraction and inference generate from body-environment interactions, thus making the theory of embodied cognition more persuasive and reliable.展开更多
In the interpretation of the body in the 20th century, philosophy placed less emphasis than before on its natural composition and sought to integrate value judgements from different perspectives. The philosophy of the...In the interpretation of the body in the 20th century, philosophy placed less emphasis than before on its natural composition and sought to integrate value judgements from different perspectives. The philosophy of the body addresses the deepest essential problems of human society and culture, it generates a uniquely detailed analysis of human nature and its various roles and performances in social operations, and it reveals contemporary society's operating mechanisms and deep internal contradictions. Accordingly, philosophy no longer gives the mind any priority or superiority in terms of cognition, and the focus of research has moved away from pure consciousness and towards the body. Contemporary philosophical exploration of the body covers both the concept of belongingness and the feasibility of bodily freedom. It not only foregrounds the impossibility of viewing the body and the mind as separate entities but also leads us to examine the connections between humans and the world, taking meaning, reason and the body as their basis. This paper explores the connections between body and thought in modern philosophy, traces the development of philosophy's increasing concern with the body, elucidates the main contributions of representative figures in the field of philosophy of the body, and analyses the methodological significance and influence of the philosophy of the body as a contemporary philosophical trend.展开更多
Embodied intelligence emphasizes the synergy between body,mind,and environment,offering a powerful framework for building more adaptive and interactive intelligent systems.Over the past decade,rapid advancements in ar...Embodied intelligence emphasizes the synergy between body,mind,and environment,offering a powerful framework for building more adaptive and interactive intelligent systems.Over the past decade,rapid advancements in artificial intelligence have driven remarkable achievements in perception,planning,and control tasks,particularly through the rise of deep learning.However,embodied intelligence–the integration of AI with a physical body interacting in real environments–remains a relatively underexplored frontier.Unlike disembodied systems that rely solely on static datasets,embodied agents learn through real-time interaction with their surroundings,leveraging perception-action loops to adaptively understand and manipulate the world.Inspired by human cognition,embodied intelligence emphasizes learning by doing,thereby offering the potential to generalize knowledge across tasks,environments,and sensorimotor experiences.展开更多
Have you ever imagined that home robots can not only help you clean,but also read you,chat and play chess with you and even take good care of you when you are sick?These are no longer scenes in science fiction movies,...Have you ever imagined that home robots can not only help you clean,but also read you,chat and play chess with you and even take good care of you when you are sick?These are no longer scenes in science fiction movies,but reality that is happening.With the rapid development of Embodied Intelligence technology,robots are evolving from“tools”to“partners”.As cold machines are given“body temperature”,an intelligent revolution has begun quietly.展开更多
Electrical energy can be harvested from the rotational kinetic energy of moving bodies,consisting of both mechanical and kinetic energy as a potential power source through electromagnetic induction,similar to wind ene...Electrical energy can be harvested from the rotational kinetic energy of moving bodies,consisting of both mechanical and kinetic energy as a potential power source through electromagnetic induction,similar to wind energy applications.In industries,rotational bodies are commonly present in operations,yet this kinetic energy remains untapped.This research explores the energy generation characteristics of two rotational body types,disk-shaped and cylinder-shaped under specific experimental setups.The hardware setup included a direct current(DC)motor driver,power supply,DC generator,mechanical support,and load resistance,while the software setup involved automation testing tools and data logging.Electromagnetic induction was used to harvest energy,and experiments were conducted at room temperature(25℃)with controlled variables like speed and friction.Results showed the disk-shaped body exhibited higher energy efficiency than the cylinder-shaped body,largely due to lower mechanical losses.The disk required only two bearings,while the cylinder required four,resulting in lower bearing losses for the disk.Additionally,the disk experienced only air friction,whereas the cylinder encountered friction from a soft,uneven rubber material,increasing surface contact losses.Under a 40 W resistive load,the disk demonstrated a 17.1%energy loss due to mechanical friction,achieving up to 15.55 J of recycled energy.Conversely,the cylinder body experienced a 48.05%energy loss,delivering only 51.95%of energy to the load.These insights suggest significant potential for designing efficient energy recycling systems in industrial settings,particularly in manufacturing and processing industries where rotational machinery is prevalent.Despite its lower energy density,this system could be beneficially integrated with energy storage solutions,enhancing sustainability in industrial practices.展开更多
Here we compare the efficacy of anti-obesity drugs alone or combined with exercise training on body weight and exercise capacity of obese patients.Randomized clinical trials that assessed the impact of any anti-obesit...Here we compare the efficacy of anti-obesity drugs alone or combined with exercise training on body weight and exercise capacity of obese patients.Randomized clinical trials that assessed the impact of any anti-obesity drug alone or combined with exercise training on body weight,body fat,fat-free mass and cardiorespiratory fitness in obese patients were retrieved from Pubmed and EMBASE up to May 2024.Risk of bias assessment was performed with RoB 2.0,and the GRADE approach assessed the certainty of evidence(CoE)of each main outcome.We included four publications summing up 202 patients.Two publications used orlistat as an anti-obesity drug treatment,while the other two adopted GLP-1 receptor agonist(liraglutide or tirzepatide)as a pharmacotherapy for weight management.Orlistat combined with exercise was superior to change body weight(mean difference(MD):−2.27 kg;95%CI:−2.86 to−1.69;CoE:very low),fat mass(MD:−2.89;95%CI:−3.87 to−1.91;CoE:very low),fat-free mass(MD:0.56;95%CI:0.40–0.72;CoE:very low),and VO_(2)Peak(MD:2.64;95%CI:2.52–2.76;CoE:very low).GLP-1 receptor agonist drugs combined with exercise had a great effect on body weight(MD:−3.96 kg;95%CI:−5.07 to−2.85;CoE:low),fat mass(MD:−1.76;95%CI:−2.24 to−1.27;CoE:low),fat-free mass(MD:0.50;95%CI:−0.98 to 1.98;CoE:very low)and VO_(2)Peak(MD:2.47;95%CI:1.31–3.63;CoE:very low).The results reported here suggest that exercise training remains an important approach in weight management when combined with pharmacological treatment.展开更多
Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality worldwide,necessitating innovative treatment strategies.Surgical resection and liver transplantation continue to be the gold standards f...Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality worldwide,necessitating innovative treatment strategies.Surgical resection and liver transplantation continue to be the gold standards for early-stage HCC;however,advances in imaging and minimally invasive techniques have improved patient selection and outcomes.Additionally,the emergence of targeted therapies and immunotherapy has transformed the treatment landscape for advanced HCC.This review highlights the efficacy of agents such as tyrosine kinase inhibitors,alongside emerging options like immune checkpoint inhibitors,which have shown promise in clinical trials.Furthermore,the role of locoregional therapies,including ablation in the setting of combined treatment,transar-terial chemoembolization and transarterial radioembolization with flow catheters,cone-beam computed tomo-graphy and 4D navigation guidance,is examined in the context of bridging therapies for patients awaiting surgical intervention.The integration of multidisciplinary care approaches and personalized treatment plans is crucial for optimizing outcomes.Future directions for HCC treatment are discussed,including the potential of novel biomarkers in prognosis and treatment response.This comprehensive overview aims to equip clinicians with the latest insights and foster collaborative efforts to improve HCC patient management and survival rates.展开更多
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
An upper estimate of the new curvature entropy is provided,via the integral inequality of a concave function.For two origin-symmetric convex bodies in R^(n),this bound is sharper than the log-Minkowski inequality of c...An upper estimate of the new curvature entropy is provided,via the integral inequality of a concave function.For two origin-symmetric convex bodies in R^(n),this bound is sharper than the log-Minkowski inequality of curvature entropy.As its application,a novel proof of the log-Minkowski inequality of curvature entropy in the plane is given.展开更多
Helicobacter pylori-associated gastritis(HPAG)is a common condition of the gastrointestinal tract.However,extensive and long-term antibiotic use has resulted in numerous adverse effects,including increased resistance,...Helicobacter pylori-associated gastritis(HPAG)is a common condition of the gastrointestinal tract.However,extensive and long-term antibiotic use has resulted in numerous adverse effects,including increased resistance,gastrointestinal dysfunction,and increased recurrence rates.When these concerns develop,traditional Chinese medicine(TCM)may have advantages.TCM is based on the concept of completeness and aims to eliminate pathogens and strengthen the body.It has the potential to prevent this condition while also boosting the rate of Helicobacter pylori eradication.This review elaborates on the mechanism of TCM treatment for HPAG based on cellular signalling pathways,which reflects the flexibility of TCM in treating diseases and the advantages of multi-level,multipathway,and multi-target treatments for HPAG.展开更多
There exists a notion that there is an obesity paradox in the prognosis of community-acquired pneumonia.In other words,obese individuals with communityacquired pneumonia have a better prognosis.The study by Wang et al...There exists a notion that there is an obesity paradox in the prognosis of community-acquired pneumonia.In other words,obese individuals with communityacquired pneumonia have a better prognosis.The study by Wang et al supports this claim,but we believe that the obesity paradox should not be proposed hastily as it is influenced by numerous subjective and objective confounding factors.展开更多
BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of ...BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of patients after pancreatic resections.Globally recognized superior mesenteric artery(SMA)first approaches are invariably performed.The mesenteric dissection through the inferior infracolic approach has been discussed in this study emphasizing its post-operative impact on CL which is the cornerstone of this study.AIM To assess incidence,risk factors,clinical impact of CL following root of mesentery dissection,and the different treatment modalities.METHODS This is a retrospective study incorporating the patients who underwent dissection of the root of mesentery with inferior infracolic SMA first approach pancreat-oduodenectomy for the ventral body and uncinate mass of pancreas in the Department of Gastrointestinal and General Surgery of Kathmandu Medical College and Teaching Hospital from January 1,2021 to February 28,2024.Intraop-erative findings and postoperative outcomes were analyzed.RESULTS In three years,ten patients underwent root of mesentery dissection with inferior infracolic SMA first approach pancreatoduodenectomy.The mean age was 67.6 years with a male-to-female ratio of 4:5.CL was seen in four patients.With virtue of CL,Clavien-Dindo grade Ⅱ or higher morbidity was observed in four patients.Two patients had a hospital stay of more than 20 days with the former having a delayed gastric emptying and the latter with long-term total parenteral nutrition requirement.The mean operative time was 330 minutes.Curative resection was achieved in 100%of the patients.The mean duration of the intensive care unit and hospital stay were 2.55±1.45 days and 15.7±5.32 days,respectively.CONCLUSION Root of mesentery dissection with lymphadenectomy and vascular resection correlated with occurrence of CL.After complete curative resection,these were managed with total parenteral nutrition without adversely impacting outcome.展开更多
The concept of emissivity has been with the scientific and engineering world since Planck formulated his blackbody radiation law more than a century ago.Nevertheless,emissivity is an elusive concept even for ex⁃perts....The concept of emissivity has been with the scientific and engineering world since Planck formulated his blackbody radiation law more than a century ago.Nevertheless,emissivity is an elusive concept even for ex⁃perts.It is a vague and fuzzy concept for the wider community of engineers.The importance of remote sensing of temperature by measuring IR radiation has been recognized in a wide range of industrial,medical,and environ⁃mental uses.One of the major sources of errors in IR radiometry is the emissivity of the surface being measured.In real experiments,emissivity may be influenced by many factors:surface texture,spectral properties,oxida⁃tion,and aging of surfaces.While commercial blackbodies are prevalent,the much-needed grey bodies with a known emissivity,are unavailable.This study describes how to achieve a calibrated and stable emissivity with a blackbody,a perforated screen,and a reliable and linear novel IR thermal sensor,18 dubbed TMOS.The Digital TMOS is now a low-cost commercial product,it requires low power,and it has a small form factor.The method⁃ology is based on two-color measurements,with two different optical filters,with selected wavelengths conform⁃ing to the grey body definition of the use case under study.With a photochemically etched perforated screen,the effective emissivity of the screen is simply the hole density area of the surface area that emits according to the blackbody temperature radiation.The concept is illustrated with ray tracing simulations,which demonstrate the approach.Measured results are reported.展开更多
文摘With the development of embodied cognitive science,the embodiment of human high-level psychological processes such as language and emotions has been paid more and more attention.The importance of body and situation in the understanding of emotional experience is the core content of the embodied emotion.This article aims to review the current hypotheses and empirical evidence of embodied emotions,explains the significance and value of embodied emotion research,and thinks about the research prospects and research ideas of embodied emotion.At the same time,as a new theoretical point of view,emotional embodied view provides a new perspective for emotional research.
文摘Under the influence of European rationalism,which holds that human rationality is higher than,or at least independent of human sensory cognition,the first generation of cognitive science advocates for disembodied cognition,manifesting the concept of dualism of mind and body.With the development of cognitive science in the 1980s,the second generation of cognitive science redefines the relationship between mind and body,thought and behavior,and reason and feeling and puts forward the concept of embodied cognition,representing monism of mind and body.It is claimed that the formation of concepts,categorical cognition and the evolution of rational thinking are characterized by embodiment,which is the necessary condition and basis for the formation of human rationality.The current study traces the shift of cognitive science from dualism to monism of mind and body and explores the relationship between rationality and sensibility from the perspective of philosophical basis and interpretations,with an aim to achieve a better understanding and thorough interpretation of human rationality.In this heated discussion about embodied cognition,there are still some fundamental questions that need to be further clarified,such as the essence and mechanism of human cognition,the ways that human body participates in cognitive activities,especially imagination and reasoning.The research paradigm of embodied cognition and its relevant theory have not been established and developed yet,and empirical research from interdisciplinary perspectives is far from enough to provide hard evidence for embodied cognition.
文摘As a recurring pattern of sensory-motor-affective experience, image schema is not only a concept discussed in linguistics and psychology, but also a significant one in the study of embodied cognition. Through analyzing the features of image schema considered by the authors as embodiment, recessiveness, sedimentation, logicality, scientificity, and dependency to cognitive metaphors and reviewing the definition of embodied cognition, the paper argues that image schema is an integration of bodily property and mental property, and accordingly a core and inseparable concept of embodied cognition by bridging body and mind. Image schema can help to explain how abstraction and inference generate from body-environment interactions, thus making the theory of embodied cognition more persuasive and reliable.
基金supported by a major project of the National Social Science Fund of China,‘Contemporary Approaches to Personal Identity’(grant no.18ZDA029)
文摘In the interpretation of the body in the 20th century, philosophy placed less emphasis than before on its natural composition and sought to integrate value judgements from different perspectives. The philosophy of the body addresses the deepest essential problems of human society and culture, it generates a uniquely detailed analysis of human nature and its various roles and performances in social operations, and it reveals contemporary society's operating mechanisms and deep internal contradictions. Accordingly, philosophy no longer gives the mind any priority or superiority in terms of cognition, and the focus of research has moved away from pure consciousness and towards the body. Contemporary philosophical exploration of the body covers both the concept of belongingness and the feasibility of bodily freedom. It not only foregrounds the impossibility of viewing the body and the mind as separate entities but also leads us to examine the connections between humans and the world, taking meaning, reason and the body as their basis. This paper explores the connections between body and thought in modern philosophy, traces the development of philosophy's increasing concern with the body, elucidates the main contributions of representative figures in the field of philosophy of the body, and analyses the methodological significance and influence of the philosophy of the body as a contemporary philosophical trend.
文摘Embodied intelligence emphasizes the synergy between body,mind,and environment,offering a powerful framework for building more adaptive and interactive intelligent systems.Over the past decade,rapid advancements in artificial intelligence have driven remarkable achievements in perception,planning,and control tasks,particularly through the rise of deep learning.However,embodied intelligence–the integration of AI with a physical body interacting in real environments–remains a relatively underexplored frontier.Unlike disembodied systems that rely solely on static datasets,embodied agents learn through real-time interaction with their surroundings,leveraging perception-action loops to adaptively understand and manipulate the world.Inspired by human cognition,embodied intelligence emphasizes learning by doing,thereby offering the potential to generalize knowledge across tasks,environments,and sensorimotor experiences.
文摘Have you ever imagined that home robots can not only help you clean,but also read you,chat and play chess with you and even take good care of you when you are sick?These are no longer scenes in science fiction movies,but reality that is happening.With the rapid development of Embodied Intelligence technology,robots are evolving from“tools”to“partners”.As cold machines are given“body temperature”,an intelligent revolution has begun quietly.
基金The APC was funded by Research Management Center, Multimedia University, Malaysia.
文摘Electrical energy can be harvested from the rotational kinetic energy of moving bodies,consisting of both mechanical and kinetic energy as a potential power source through electromagnetic induction,similar to wind energy applications.In industries,rotational bodies are commonly present in operations,yet this kinetic energy remains untapped.This research explores the energy generation characteristics of two rotational body types,disk-shaped and cylinder-shaped under specific experimental setups.The hardware setup included a direct current(DC)motor driver,power supply,DC generator,mechanical support,and load resistance,while the software setup involved automation testing tools and data logging.Electromagnetic induction was used to harvest energy,and experiments were conducted at room temperature(25℃)with controlled variables like speed and friction.Results showed the disk-shaped body exhibited higher energy efficiency than the cylinder-shaped body,largely due to lower mechanical losses.The disk required only two bearings,while the cylinder required four,resulting in lower bearing losses for the disk.Additionally,the disk experienced only air friction,whereas the cylinder encountered friction from a soft,uneven rubber material,increasing surface contact losses.Under a 40 W resistive load,the disk demonstrated a 17.1%energy loss due to mechanical friction,achieving up to 15.55 J of recycled energy.Conversely,the cylinder body experienced a 48.05%energy loss,delivering only 51.95%of energy to the load.These insights suggest significant potential for designing efficient energy recycling systems in industrial settings,particularly in manufacturing and processing industries where rotational machinery is prevalent.Despite its lower energy density,this system could be beneficially integrated with energy storage solutions,enhancing sustainability in industrial practices.
基金supported by Brazilian agencies CAPES(Finance Code 001)CNPq through PQ productivity scholarship.
文摘Here we compare the efficacy of anti-obesity drugs alone or combined with exercise training on body weight and exercise capacity of obese patients.Randomized clinical trials that assessed the impact of any anti-obesity drug alone or combined with exercise training on body weight,body fat,fat-free mass and cardiorespiratory fitness in obese patients were retrieved from Pubmed and EMBASE up to May 2024.Risk of bias assessment was performed with RoB 2.0,and the GRADE approach assessed the certainty of evidence(CoE)of each main outcome.We included four publications summing up 202 patients.Two publications used orlistat as an anti-obesity drug treatment,while the other two adopted GLP-1 receptor agonist(liraglutide or tirzepatide)as a pharmacotherapy for weight management.Orlistat combined with exercise was superior to change body weight(mean difference(MD):−2.27 kg;95%CI:−2.86 to−1.69;CoE:very low),fat mass(MD:−2.89;95%CI:−3.87 to−1.91;CoE:very low),fat-free mass(MD:0.56;95%CI:0.40–0.72;CoE:very low),and VO_(2)Peak(MD:2.64;95%CI:2.52–2.76;CoE:very low).GLP-1 receptor agonist drugs combined with exercise had a great effect on body weight(MD:−3.96 kg;95%CI:−5.07 to−2.85;CoE:low),fat mass(MD:−1.76;95%CI:−2.24 to−1.27;CoE:low),fat-free mass(MD:0.50;95%CI:−0.98 to 1.98;CoE:very low)and VO_(2)Peak(MD:2.47;95%CI:1.31–3.63;CoE:very low).The results reported here suggest that exercise training remains an important approach in weight management when combined with pharmacological treatment.
文摘Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality worldwide,necessitating innovative treatment strategies.Surgical resection and liver transplantation continue to be the gold standards for early-stage HCC;however,advances in imaging and minimally invasive techniques have improved patient selection and outcomes.Additionally,the emergence of targeted therapies and immunotherapy has transformed the treatment landscape for advanced HCC.This review highlights the efficacy of agents such as tyrosine kinase inhibitors,alongside emerging options like immune checkpoint inhibitors,which have shown promise in clinical trials.Furthermore,the role of locoregional therapies,including ablation in the setting of combined treatment,transar-terial chemoembolization and transarterial radioembolization with flow catheters,cone-beam computed tomo-graphy and 4D navigation guidance,is examined in the context of bridging therapies for patients awaiting surgical intervention.The integration of multidisciplinary care approaches and personalized treatment plans is crucial for optimizing outcomes.Future directions for HCC treatment are discussed,including the potential of novel biomarkers in prognosis and treatment response.This comprehensive overview aims to equip clinicians with the latest insights and foster collaborative efforts to improve HCC patient management and survival rates.
文摘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.
基金supported by the NSFC(12171378)supported by the Characteristic innovation projects of universities in Guangdong province(2023K-TSCX381)+3 种基金supported by the Young Top-Talent program of Chongqing(CQYC2021059145)the Major Special Project of NSFC(12141101)the Science and Technology Research Program of Chongqing Municipal Education Commission(KJZD-K202200509)the Natural Science Foundation Project of Chongqing(CSTB2024NSCQ-MSX0937).
文摘An upper estimate of the new curvature entropy is provided,via the integral inequality of a concave function.For two origin-symmetric convex bodies in R^(n),this bound is sharper than the log-Minkowski inequality of curvature entropy.As its application,a novel proof of the log-Minkowski inequality of curvature entropy in the plane is given.
基金Supported by National Natural Science Foundation of China,No.82374323and Hunan Graduate Research Innovation Project,No.2023CX15.
文摘Helicobacter pylori-associated gastritis(HPAG)is a common condition of the gastrointestinal tract.However,extensive and long-term antibiotic use has resulted in numerous adverse effects,including increased resistance,gastrointestinal dysfunction,and increased recurrence rates.When these concerns develop,traditional Chinese medicine(TCM)may have advantages.TCM is based on the concept of completeness and aims to eliminate pathogens and strengthen the body.It has the potential to prevent this condition while also boosting the rate of Helicobacter pylori eradication.This review elaborates on the mechanism of TCM treatment for HPAG based on cellular signalling pathways,which reflects the flexibility of TCM in treating diseases and the advantages of multi-level,multipathway,and multi-target treatments for HPAG.
文摘There exists a notion that there is an obesity paradox in the prognosis of community-acquired pneumonia.In other words,obese individuals with communityacquired pneumonia have a better prognosis.The study by Wang et al supports this claim,but we believe that the obesity paradox should not be proposed hastily as it is influenced by numerous subjective and objective confounding factors.
文摘BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of patients after pancreatic resections.Globally recognized superior mesenteric artery(SMA)first approaches are invariably performed.The mesenteric dissection through the inferior infracolic approach has been discussed in this study emphasizing its post-operative impact on CL which is the cornerstone of this study.AIM To assess incidence,risk factors,clinical impact of CL following root of mesentery dissection,and the different treatment modalities.METHODS This is a retrospective study incorporating the patients who underwent dissection of the root of mesentery with inferior infracolic SMA first approach pancreat-oduodenectomy for the ventral body and uncinate mass of pancreas in the Department of Gastrointestinal and General Surgery of Kathmandu Medical College and Teaching Hospital from January 1,2021 to February 28,2024.Intraop-erative findings and postoperative outcomes were analyzed.RESULTS In three years,ten patients underwent root of mesentery dissection with inferior infracolic SMA first approach pancreatoduodenectomy.The mean age was 67.6 years with a male-to-female ratio of 4:5.CL was seen in four patients.With virtue of CL,Clavien-Dindo grade Ⅱ or higher morbidity was observed in four patients.Two patients had a hospital stay of more than 20 days with the former having a delayed gastric emptying and the latter with long-term total parenteral nutrition requirement.The mean operative time was 330 minutes.Curative resection was achieved in 100%of the patients.The mean duration of the intensive care unit and hospital stay were 2.55±1.45 days and 15.7±5.32 days,respectively.CONCLUSION Root of mesentery dissection with lymphadenectomy and vascular resection correlated with occurrence of CL.After complete curative resection,these were managed with total parenteral nutrition without adversely impacting outcome.
文摘The concept of emissivity has been with the scientific and engineering world since Planck formulated his blackbody radiation law more than a century ago.Nevertheless,emissivity is an elusive concept even for ex⁃perts.It is a vague and fuzzy concept for the wider community of engineers.The importance of remote sensing of temperature by measuring IR radiation has been recognized in a wide range of industrial,medical,and environ⁃mental uses.One of the major sources of errors in IR radiometry is the emissivity of the surface being measured.In real experiments,emissivity may be influenced by many factors:surface texture,spectral properties,oxida⁃tion,and aging of surfaces.While commercial blackbodies are prevalent,the much-needed grey bodies with a known emissivity,are unavailable.This study describes how to achieve a calibrated and stable emissivity with a blackbody,a perforated screen,and a reliable and linear novel IR thermal sensor,18 dubbed TMOS.The Digital TMOS is now a low-cost commercial product,it requires low power,and it has a small form factor.The method⁃ology is based on two-color measurements,with two different optical filters,with selected wavelengths conform⁃ing to the grey body definition of the use case under study.With a photochemically etched perforated screen,the effective emissivity of the screen is simply the hole density area of the surface area that emits according to the blackbody temperature radiation.The concept is illustrated with ray tracing simulations,which demonstrate the approach.Measured results are reported.
