Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhyt...Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhythm of 100-120 times/min for CC.[1,2]Interruptions of the CC must be as short as possible and are related to ventilation,defibrillation and turnover of the rescuers.Most of the automated external defibrillators(AEDs)require interruptions of the CC to perform rhythm analysis.Among the numerous marketed models of AEDs,some provide real-time feedback about the quality of the CC.展开更多
Hydrophilicity is critical in Nafion membranes during fuel cell operation as insufficient membrane hydration leads to brittle behavior and a drop in proton conductivity.The incorporation of APTS(3-(aminopro pyl)trieth...Hydrophilicity is critical in Nafion membranes during fuel cell operation as insufficient membrane hydration leads to brittle behavior and a drop in proton conductivity.The incorporation of APTS(3-(aminopro pyl)triethoxysilane)into exfoliated graphene oxide(EGO)by covalent functionalization to be used as filler into Nafion membranes allows higher hydrophilicity for these membranes.This is associated with promoting hydroxyl,carbonyl,siloxane,silane,and amine groups within the EGO-APTS matrix.The incorporation of these materials as Fuel Cell MEAs leads to a significant reduction of the ohmic resistance measured at high frequency resistance(HFR)in electrochemical impedance spectroscopy(EIS)experiments and achieves maximum power densities of 1.33 W cm^(-2)at 60℃ at 100%RH(APTS-EGO,0.2 wt%)and1.33 W cm^(-2)at 60℃ at 70%RH(APTS-EGO,0.3 wt%),which represents an improvement of 190%compared to the commercial Nafion 212 when utilizing low humidification conditions(70%).Moreover,the as-synthesized membrane utilizes lower Nafion ionomer mass,which,in conjunction with the excellent cell performance,has the potential to decrease the cost of the membrane from 87 to 80￡/W as well as a reduction of fluorinated compounds within the membrane.展开更多
Moderate to severe perinatal hypoxic-ischemic encephalopathy occurs in~1 to 3/1000 live births in high-income countries and is associated with a significant risk of death or neurodevelopmental disability.Detailed asse...Moderate to severe perinatal hypoxic-ischemic encephalopathy occurs in~1 to 3/1000 live births in high-income countries and is associated with a significant risk of death or neurodevelopmental disability.Detailed assessment is important to help identify highrisk infants,to help families,and to support appropriate interventions.A wide range of monitoring tools is available to assess changes over time,including urine and blood biomarkers,neurological examination,and electroencephalography.At present,magnetic resonance imaging is unique as although it is expensive and not suited to monitoring the early evolution of hypoxic-ischemic encephalopathy by a week of life it can provide direct insight into the anatomical changes in the brain after hypoxic-ischemic encephalopathy and so offers strong prognostic information on the long-term outcome after hypoxic-ischemic encephalopathy.This review investigated the temporal dynamics of neonatal hypoxic-ischemic encephalopathy injuries,with a particular emphasis on exploring the correlation between the prognostic implications of magnetic resonance imaging scans in the first week of life and their relationship to long-term outcome prediction,particularly for infants treated with therapeutic hypothermia.A comprehensive literature search,from 2016 to 2024,identified 20 pertinent articles.This review highlights that while the optimal timing of magnetic resonance imaging scans is not clear,overall,it suggests that magnetic resonance imaging within the first week of life provides strong prognostic accuracy.Many challenges limit the timing consistency,particularly the need for intensive care and clinical monitoring.Conversely,although most reports examined the prognostic value of scans taken between 4 and 10 days after birth,there is evidence from small numbers of cases that,at times,brain injury may continue to evolve for weeks after birth.This suggests that in the future it will be important to explore a wider range of times after hypoxic-ischemic encephalopathy to fully understand the optimal timing for predicting long-term outcomes.展开更多
The age at which a woman enters natural menopause has also been associated to death from any cause.Menopause is a natural component of aging that happens between the ages of 45 and 55,with the average menopausal age b...The age at which a woman enters natural menopause has also been associated to death from any cause.Menopause is a natural component of aging that happens between the ages of 45 and 55,with the average menopausal age being 51.Previous research has revealed the age at which women reach menopause,but there is no evidence to support the link between menopause and longevity.We made a study in assessing the limits of maximum lifespan at menopausal age in our previous article.In this paper,we aim to predict the maximum lifespan of women at mean menopausal age.展开更多
With the increasing exploration of oil and gas into deep waters,the necessity for material development increases for lighter conduits such as composite marine risers,in the oil and gas industry.To understand the resea...With the increasing exploration of oil and gas into deep waters,the necessity for material development increases for lighter conduits such as composite marine risers,in the oil and gas industry.To understand the research knowledge on this novel area,there is a need to have a bibliometric analysis on composite marine risers.A research methodology was developed whereby the data retrieval was from SCOPUS database from 1977–2023.Then,VOSviewer was used to visualize the knowledge maps.This study focuses on the progress made by conducting knowledge mapping and scientometric review on composite marine risers.This scientometric analysis on the subject shows current advances,geographical activities by countries,authorship records,collaborations,funders,affiiliations,co‑occurrences,and future research areas.It was observed that the research trends recorded the highest publication volume in the U.S.A.,but less cluster affiiliated,as it was followed by countries like the U.K.,China,Nigeria,Australia and Singapore.Also,thisfiield has more conference papers than journal papers due to the challenge of adaptability,acceptance,qualifiication,and application of composite marine risers in the marine industry.Hence,there is a need for more collaborations on composite marine risers and more funding to enhance the research trend.展开更多
Multi-objective optimization is critical for problem-solving in engineering,economics,and AI.This study introduces the Multi-Objective Chef-Based Optimization Algorithm(MOCBOA),an upgraded version of the Chef-Based Op...Multi-objective optimization is critical for problem-solving in engineering,economics,and AI.This study introduces the Multi-Objective Chef-Based Optimization Algorithm(MOCBOA),an upgraded version of the Chef-Based Optimization Algorithm(CBOA)that addresses distinct objectives.Our approach is unique in systematically examining four dominance relations—Pareto,Epsilon,Cone-epsilon,and Strengthened dominance—to evaluate their influence on sustaining solution variety and driving convergence toward the Pareto front.Our comparison investigation,which was conducted on fifty test problems from the CEC 2021 benchmark and applied to areas such as chemical engineering,mechanical design,and power systems,reveals that the dominance approach used has a considerable impact on the key optimization measures such as the hypervolume metric.This paper provides a solid foundation for determining themost effective dominance approach and significant insights for both theoretical research and practical applications in multi-objective optimization.展开更多
Integrating exhaled breath analysis into the diagnosis of cardiovascular diseases holds significant promise as a valuable tool for future clinical use,particularly for ischemic heart disease(IHD).However,current resea...Integrating exhaled breath analysis into the diagnosis of cardiovascular diseases holds significant promise as a valuable tool for future clinical use,particularly for ischemic heart disease(IHD).However,current research on the volatilome(exhaled breath composition)in heart disease remains underexplored and lacks sufficient evidence to confirm its clinical validity.Key challenges hindering the application of breath analysis in diagnosing IHD include the scarcity of studies(only three published papers to date),substantial methodological bias in two of these studies,and the absence of standardized protocols for clinical imple-mentation.Additionally,inconsistencies in methodologies—such as sample collection,analytical techniques,machine learning(ML)approaches,and result interpretation—vary widely across studies,further complicating their reprodu-cibility and comparability.To address these gaps,there is an urgent need to establish unified guidelines that define best practices for breath sample collection,data analysis,ML integration,and biomarker annotation.Until these challenges are systematically resolved,the widespread adoption of exhaled breath analysis as a reliable diagnostic tool for IHD remains a distant goal rather than an immi-nent reality.展开更多
Monogenic diabetes is a heterogeneous disorder characterized by hyperglycemia arising from defects in a single gene.Maturity-onset diabetes of the young(MODY)is the most common type with 14 subtypes,each linked to spe...Monogenic diabetes is a heterogeneous disorder characterized by hyperglycemia arising from defects in a single gene.Maturity-onset diabetes of the young(MODY)is the most common type with 14 subtypes,each linked to specific mutations affecting insulin synthesis,secretion and glucose regulation.Common traits across MODY subtypes include early-onset diabetes,a family history of autosomal dominant diabetes,lack of features of insulin resistance,and absent islet cell autoimmunity.Many cases are misdiagnosed as type 1 and type 2 diabetes mellitus.Biomarkers and scoring systems can help identify candidates for genetic testing.GCK-MODY,a common subtype,manifests as mild hyperglycemia and doesn’t require treatment except during pregnancy.In contrast,mutations in HNF4A,HNF1A,and HNF1B genes lead to progressive beta-cell failure and similar risks of complications as type 2 diabetes mellitus.Neonatal diabetes mellitus(NDM)is a rare form of monogenic diabetes that usually presents within the first six months.Half of the cases are lifelong,while others experience transient remission.Permanent NDM is most commonly due to activating mutations in genes encoding the adenosine triphosphate-sensitive potassium channel(KCNJ11 or ABCC8)and can be transitioned to sulfonylurea after confirmation of diagnosis.Thus,in many cases,monogenic diabetes offers an opportunity to provide precision treatment.The scope has broadened with next-generation sequencing(NGS)technologies,replacing older methods like Sanger sequencing.NGS can be for targeted gene panels,whole-exome sequencing(WES),or whole-genome sequencing.Targeted gene panels offer specific information efficiently,while WES provides comprehensive data but comes with bioinformatic challenges.The surge in testing has also led to an increase in variants of unknown significance(VUS).Deciding whether VUS is disease-causing or benign can be challenging.Computational models,functional studies,and clinical knowledge help to determine pathogenicity.Advances in genetic testing technologies offer hope for improved diagnosis and personalized treatment but also raise concerns about interpretation and ethics.展开更多
Developing sensorless techniques for estimating battery expansion is essential for effective mechanical state monitoring,improving the accuracy of digital twin simulation and abnormality detection.Therefore,this paper...Developing sensorless techniques for estimating battery expansion is essential for effective mechanical state monitoring,improving the accuracy of digital twin simulation and abnormality detection.Therefore,this paper presents a data-driven approach to expansion estimation using electromechanical coupled models with machine learning.The proposed method integrates reduced-order impedance models with data-driven mechanical models,coupling the electrochemical and mechanical states through the state of charge(SOC)and mechanical pressure within a state estimation framework.The coupling relationship was established through experimental insights into pressure-related impedance parameters and the nonlinear mechanical behavior with SOC and pressure.The data-driven model was interpreted by introducing a novel swelling coefficient defined by component stiffnesses to capture the nonlinear mechanical behavior across various mechanical constraints.Sensitivity analysis of the impedance model shows that updating model parameters with pressure can reduce the mean absolute error of simulated voltage by 20 mV and SOC estimation error by 2%.The results demonstrate the model's estimation capabilities,achieving a root mean square error of less than 1 kPa when the maximum expansion force is from 30 kPa to 120 kPa,outperforming calibrated stiffness models and other machine learning techniques.The model's robustness and generalizability are further supported by its effective handling of SOC estimation and pressure measurement errors.This work highlights the importance of the proposed framework in enhancing state estimation and fault diagnosis for lithium-ion batteries.展开更多
Suicide is defined as the act of a person attempting to take their own life by causing death.Suicide is a complex phenomenon that is influenced by a multitude of factors,including psychosocial,cultural,and religious a...Suicide is defined as the act of a person attempting to take their own life by causing death.Suicide is a complex phenomenon that is influenced by a multitude of factors,including psychosocial,cultural,and religious aspects,as well as genetic,biochemical,and environmental factors.From a biochemical perspective,it is crucial to consider the communication between the endocrine,immune,and nervous systems when studying the etiology of suicide.Several pathologies involve the bidirectional communication between the peripheral activity and the central nervous system by the action of molecules such as cytokines,hormones,and neurotransmitters.These humoral signals,when present in optimal quantities,are responsible for maintaining physiological homeostasis,including mood states.Stress elevates the cortisol and proinflammatory cytokines levels and alter neurotransmitters balance,thereby increasing the risk of developing a psychiatric disorder and subsequently the risk of suicidal behavior.This review provides an integrative perspective about the neurochemical,immunological,and endocrinological disturbances associated with suicidal behavior,with a particular focus on those alterations that may serve as potential risk markers and/or indicators of the state preceding such a tragic act.展开更多
Background:Urinary tract infections(UTIs),primarily caused by uropathogenic Escherichia coli(UPEC),are a significant global health concern.The complications arise from antibiotic resistance and biofilm formation,which...Background:Urinary tract infections(UTIs),primarily caused by uropathogenic Escherichia coli(UPEC),are a significant global health concern.The complications arise from antibiotic resistance and biofilm formation,which reduce the effectiveness of conventional treatments.This study aims to evaluate the antibiofilm activity of the homeopathic medicine Terebinthinae oleum in potencies 30C,200C,and 1M against UTI-causing E.coli,and to compare its effectiveness with the standard antibiotic Gentamycin.Methods:An in-vitro biofilm model was employed.E.coli biofilms were cultivated in microtiter plates and treated with Terebinthinae oleum(30C,200C,1M)and Gentamycin.Biofilm biomass was assessed through crystal violet staining,and optical density(OD)was measured using an ELISA microplate reader.Results:Among the tested potencies,Terebinthinae oleum 30C showed the most prominent inhibitory activity on E.coli biofilms.The inhibition percentage was compared with Gentamycin as a control.Terebinthinae oleum 30C demonstrated 41.88%inhibition of biofilm biomass,while Gentamycin exhibited up to 78.98%inhibition.Higher potencies of Terebinthinae oleum(200C and 1M)showed reduced activity(30.15%and 24.81%,respectively).Conclusion:Terebinthinae oleum,especially at 30C potency,exhibits measurable antibiofilm activity against E.coli,although less effective than Gentamycin.These findings support its use as a complementary therapy in managing biofilm-associated UTIs,justifying further clinical and immunological research.展开更多
The integration of artificial intelligence(AI)into medical robotics has emerged as a cornerstone of modern healthcare,driving transformative advancements in precision,adaptability and patient outcomes.Although computa...The integration of artificial intelligence(AI)into medical robotics has emerged as a cornerstone of modern healthcare,driving transformative advancements in precision,adaptability and patient outcomes.Although computational tools have long supported diagnostic processes,their role is evolving beyond passive assistance to become active collaborators in therapeutic decision-making.In this paradigm,knowledge-driven deep learning systems are redefining possibilities-enabling robots to interpret complex data,adapt to dynamic clinical environments and execute tasks with human-like contextual awareness.展开更多
There is a need to develop interventions to slow or reverse the degeneration of dopamine neurons in Parkinson’s disease after diagnosis.Given that preclinical and clinical studies suggest benefits of dietary n-3 poly...There is a need to develop interventions to slow or reverse the degeneration of dopamine neurons in Parkinson’s disease after diagnosis.Given that preclinical and clinical studies suggest benefits of dietary n-3 polyunsaturated fatty acids,such as docosahexaenoic acid,and exercise in Parkinson’s disease,we investigated whether both could synergistically interact to induce recovery of the dopaminergic pathway.First,mice received a unilateral stereotactic injection of 6-hydroxydopamine into the striatum to establish an animal model of nigrostriatal denervation.Four weeks after lesion,animals were fed a docosahexaenoic acid-enriched or a control diet for the next 8 weeks.During this period,the animals had access to a running wheel,which they could use or not.Docosahexaenoic acid treatment,voluntary exercise,or the combination of both had no effect on(i)distance traveled in the open field test,(ii)the percentage of contraversive rotations in the apomorphine-induction test or(iii)the number of tyrosine-hydroxylase-positive cells in the substantia nigra pars compacta.However,the docosahexaenoic acid diet increased the number of tyrosine-hydroxylase-positive terminals and induced a rise in dopamine concentrations in the lesioned striatum.Compared to docosahexaenoic acid treatment or exercise alone,the combination of docosahexaenoic acid and exercise(i)improved forelimb balance in the stepping test,(ii)decreased the striatal DOPAC/dopamine ratio and(iii)led to increased dopamine transporter levels in the lesioned striatum.The present results suggest that the combination of exercise and docosahexaenoic acid may act synergistically in the striatum of mice with a unilateral lesion of the dopaminergic system and provide support for clinical trials combining nutrition and physical exercise in the treatment of Parkinson’s disease.展开更多
This study evaluates the Fuzzy Analytical Hierarchy Process(FAHP)as a multi-criteria decision(MCD)support tool for selecting appropriate additive manufacturing(AM)techniques that align with cleaner production and envi...This study evaluates the Fuzzy Analytical Hierarchy Process(FAHP)as a multi-criteria decision(MCD)support tool for selecting appropriate additive manufacturing(AM)techniques that align with cleaner production and environmental sustainability.The FAHP model was validated using an example of the production of aircraft components(specifically fuselage)employing AM technologies such as Wire Arc Additive Manufacturing(WAAM),laser powder bed fusion(L-PBF),Binder Jetting(BJ),Selective Laser Sintering(SLS),and Laser Metal Deposition(LMD).The selection criteria prioritized eco-friendly manufacturing considerations,including the quality and properties of the final product(e.g.,surface finish,high strength,and corrosion resistance),service and functional requirements,weight reduction for improved energy efficiency(lightweight structures),and environmental responsibility.Sustainability metrics,such as cost-effectiveness,material efficiency,waste minimization,and environmental impact,are central to the evaluation process.A computer-aided modeling approach was also used to simulate the performance of aluminum(AA7075 T6),steel(304),and titanium alloy(Ti6Al4V)for fuselage development.The results demonstrate that MCD approaches such as FAHP can effectively guide the selection of AM technologies that meet functional and technical requirements while minimizing environmental degradation footprints.Furthermore,the aluminumalloy outperformed the other materials investigated in the simulation with the lowest stress concentration and least deformation.This study contributes to advancing cleaner production practices by providing a decision-making framework for sustainable and eco-friendly manufacturing,enabling manufacturers to adopt AM technologies that promote environmental responsibility and sustainable development,while maintaining product quality and performance.展开更多
Pancreatic neuroendocrine tumors(pNETs)are rare,presenting significant challenges in timely diagnosis and subsequent treatment.The clinical and pathobiological behavior of these tumors varies significantly,making foll...Pancreatic neuroendocrine tumors(pNETs)are rare,presenting significant challenges in timely diagnosis and subsequent treatment.The clinical and pathobiological behavior of these tumors varies significantly,making follow-up and therapeutic approaches challenging for clinicians.Although the majority of these neoplasms are hormonally inactive,some can be associated with endocrine dysfunction.Very rarely,a nonfunctional tumor can later become hormonally active,further complicating prognostication and management.Depending on the character of the disease,clinical picture and prognosis,different treatment modalities are instituted with varying effectivities.We recently came across a unique case of nonfunctioning malignant pNET at an advanced stage,metastatic disease upon diagnosis,managed medically with somatostatin analog therapy(Octreotide)and targeted therapy(Everolimus)with stable disease for 40 months that subsequently turned out to become functional(insulinoma).With the aid of this unique case,we update the current clinical,diagnostic and therapeutic approach to pNETs in this evidence-based review.展开更多
AIM: To determine whether normal genetically immunocompetent rodent hosts could be manipulated to accept human hepatocyte transplants with long term survival without immunosuppression. METHODS: Tolerance towards human...AIM: To determine whether normal genetically immunocompetent rodent hosts could be manipulated to accept human hepatocyte transplants with long term survival without immunosuppression. METHODS: Tolerance towards human hepatocytes was established by injection of primary human hepatocytes or Huh7 human hepatoma cells into the peritoneal cavities of fetal rats. Corresponding cells were subsequently transplanted into newborn rats via intrasplenic injection within 24h after birth. RESULTS: Mixed lymphocyte assays showed that spleen cells from non-tolerized rats were stimulated to proliferate when exposed to human hepatocytes, while cells from tolerized rats were not. Injections made between 15 d and 17 d of gestation produced optimal tolerization. Transplanted human hepatocytes in rat livers were visualized by immunohistochemical staining of human albumin. By dot blotting of genomic DNA in livers of tolerized rats 16 weeks after hepatocyte transplantation, it was found that approximately 2.5 X 10(5) human hepatocytes survived per rat liver. Human albumin mRNA was detected in rat livers by RT-PCR for 15 wk, and human albumin protein was also detectable in rat serum. CONCLUSION: Tolerization of an immuno-competent rat can permit transplantation, and survival of functional human hepatocytes.展开更多
BACKGROUND Malnutrition and epilepsy share a complex bidirectional relationship,with malnutrition serving as a potential risk factor for epilepsy development,while epilepsy,in turn,often exerts profound effects on nut...BACKGROUND Malnutrition and epilepsy share a complex bidirectional relationship,with malnutrition serving as a potential risk factor for epilepsy development,while epilepsy,in turn,often exerts profound effects on nutritional status.Nutritional interventions have emerged as a critical adjunctive approach in epilepsy management.AIM To explore the multifaceted associations between malnutrition and epilepsy,structured into three primary sections:(1)Elucidating the impact of malnutrition as a risk factor for epilepsy onset;(2)Examining the reciprocal influence of epilepsy on nutritional status,and(3)Evaluating diverse nutritional interventions in the management of epilepsy.METHODS A systematic search was conducted across PubMed,Scopus,and Web of Science databases utilizing defined keywords related to malnutrition,epilepsy,and nutritional interventions.Inclusion criteria encompassed various study types,including clinical trials,animal models,cohort studies,case reports,meta-analyses,systematic reviews,guidelines,editorials,and review articles.Four hundred sixteen pertinent references were identified,with 198 review articles,153 research studies,21 case reports,24 meta-analyses,14 systematic reviews,4 guidelines,and 2 editorials meeting the predefined criteria.RESULTS The review revealed the intricate interplay between malnutrition and epilepsy,highlighting malnutrition as a potential risk factor in epilepsy development and elucidating how epilepsy often leads to nutritional deficiencies.Findings underscored the importance of nutritional interventions in managing epilepsy,showing their impact on seizure frequency,neuronal function,and overall brain health.CONCLUSION This systematic review emphasizes the bidirectional relationship between malnutrition and epilepsy while emphasizing the critical role of nutritional management in epilepsy treatment.The multifaceted insights underscore the need for a holistic approach to addressing nutritional aspects alongside conventional epilepsy management strategies.展开更多
BACKGROUND Giant cell tumor of bone(GCTB)is a rare,locally aggressive neoplasm that should be treated surgically,whenever possible.This treatment approach may be linked with greater morbidity besides functional impair...BACKGROUND Giant cell tumor of bone(GCTB)is a rare,locally aggressive neoplasm that should be treated surgically,whenever possible.This treatment approach may be linked with greater morbidity besides functional impairment.Denosumab is a human monoclonal antibody.Its administration inhibits bone resorption and has become part of the therapeutic armamentarium against GCTB,as it allows local control with a view to downstaging for a more conservative surgical procedure.However,there is no consensus in the literature regarding the optimal denosumab regimen for GCTB.Therefore,a wide discussion of denosumab regimen is necessary.AIM To assess the effectiveness of various therapy protocols employing denosumab in individuals with GCTB.METHODS A broad and systematic literature search was carried out using the PRISMA guidelines.We analyzed studies that reported skeletally mature patients with GCTB regardless of sex or ethnicity treated with denosumab.Articles with fewer than five patients and in languages except Spanish,Portuguese and English were excluded.Statistical analysis with proportion meta-analysis was performed due to the dichotomous nature of the data.RESULTS 1005 articles were screened,of which 26 articles met the inclusion criteria and were selected,totaling 1742 patients,51.8%women and 48.2%men,with an average of 35 years of age.Treatment with denosumab was associated with high rates of clinical benefit(CB)and imaging response(IR),without changing local recurrence rates when compared to patients treated without denosumab,regardless of the therapeutic regimen adopted and the number of doses applied.The adverse events(AE)presented were mostly mild,with the exception of a malignant transformation to osteosarcoma.CONCLUSION Treatment of GCTB with denosumab is effective,showing high rates of CB and IR.The AE that occurred were mostly mild.We found no differences between the articles considering the researched outcomes regardless of the therapeutic regimen adopted.展开更多
The use of carbon from waste biomass has the potential to eliminate the drawbacks of Li-S batteries and improve their overall performance.Chrome-tanned-leather-shavings(CTLS)are a readily available waste product that ...The use of carbon from waste biomass has the potential to eliminate the drawbacks of Li-S batteries and improve their overall performance.Chrome-tanned-leather-shavings(CTLS)are a readily available waste product that can be transformed into porous carbon.We prepared an ac-tivated carbon by microwave pyrolysis combined with KOH activator using the CTLS as starting materials.The carbon had a specific surface area of 556 m^(2)g^(-1) and a honeycomb-like structure.Two kinds of N-doped activated carbons were then synthesized by thermal decomposition of the activated carbon,either combined with urea,or impregnated with eth-anolamine.Both N-doped activated carbons have an in-creased number of nitrogen and amine surface groups.However,only the urea treatment was effective in improv-ing the initial capacity of the cell(1363 mAh g^(-1)),which is probably linked to the sorption of long-chain polysulfides.This investigation confirms that it is possible to use the thermal de-composition of urea to obtain carbon materials from CTLS for use as the sulfur-host cathode in Li-S batteries and improve their performance.A radial basis function neural network was fitted to provide statistical support for the experimental results,which confirmed the importance of the nitrogen content of the carbons in determining the discharge capacity of the cells.展开更多
The Cretaceous Koum Basin is a rift-related half-graben in northern Cameroon,which constitutes a portion of the Yola Arm of the Upper Benue Trough.This study presents the first comprehensive dataset combining mineral-...The Cretaceous Koum Basin is a rift-related half-graben in northern Cameroon,which constitutes a portion of the Yola Arm of the Upper Benue Trough.This study presents the first comprehensive dataset combining mineral-ogical,bulk-rock geochemical,and stable C-H-O isotopic data for dark-gray,finegrained mudstones from the basin,providing new insights into its sediment source,paleoenvironment,and geodynamic setting.The mudstones primarily consist of phyllosilicates(~8.6%),feldspars(~30.5%),carbonates(~13.7%),and minor iron oxides(~2.7%),with vermiculite,illite,and kaolinite as the main clay minerals.The presence of analcime,ankerite,and dolomite suggests low-grade metamorphism and/or hydrothermal alteration.Fe_(2)O_(3)/K_(2)O(1.52-6.40)and SiO_(2)/Al_(2)O_(3)(2.97-4.68)ratios classify the mudstones as compositionally immature shales(ICV~1.64)with low-moderate chemical weathering(CIA~56.35;PIA~59.74;R^(3+)/R^(3+)+R^(2+)+M^(+)~0.51).Trace element ratios(Th/Sc~1.70,Zr/Sc~1.33,La/Sc~6.30,La/Th~4.14)indicate an intermediate igneous provenance from a continental crustal source.Paleoenviron-mental proxies suggest deposition in a dynamic basin environment marked by fluctuating redox(C org/P:0.21-178.34)and salinity(Sr/Ba:0.34-3.25;N-values:48-35.92)conditions,ranging from oxic to anoxic and brackish to saline.Major element data(SiO_(2) vs.Al_(2)O_(3)+K_(2)O+Na_(2)O)indicate a semi-arid regime,while Paleoclimatic indicators such as Sr/Cu(1.88-37.47)and C-values(0.12-0.93)suggests alter-nating humid and arid conditions.Notably,stable isotope data,reported here for the first time in the Koum Basin,reveal a predominantly terrestrial,fluvial-deltaic C_(3) plant source for organic carbon(δ^(13)C-25.2‰ to -35.2‰)and complex fluid-rock interactions involving meteoric and magmatic-metamorphic fluids under a warm,equatorial climate(δ^(18)O+3.6‰to +24.9‰,δ^(2)H-104‰ to-50‰).The combined mineralogical,geochemical,and isotopic data point to deposition in a tectonically active continental arc setting,with contributions from ocean island arc and passive margin sources.展开更多
文摘Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhythm of 100-120 times/min for CC.[1,2]Interruptions of the CC must be as short as possible and are related to ventilation,defibrillation and turnover of the rescuers.Most of the automated external defibrillators(AEDs)require interruptions of the CC to perform rhythm analysis.Among the numerous marketed models of AEDs,some provide real-time feedback about the quality of the CC.
基金financially supported by the UK Research Council EPRSC EP/W03395X/1the Program grant SynHiSel EP/V047078/1the Hydrogen and Fuel Cells Hub(H_(2)FC SUPERGEN)EP/P024807/1。
文摘Hydrophilicity is critical in Nafion membranes during fuel cell operation as insufficient membrane hydration leads to brittle behavior and a drop in proton conductivity.The incorporation of APTS(3-(aminopro pyl)triethoxysilane)into exfoliated graphene oxide(EGO)by covalent functionalization to be used as filler into Nafion membranes allows higher hydrophilicity for these membranes.This is associated with promoting hydroxyl,carbonyl,siloxane,silane,and amine groups within the EGO-APTS matrix.The incorporation of these materials as Fuel Cell MEAs leads to a significant reduction of the ohmic resistance measured at high frequency resistance(HFR)in electrochemical impedance spectroscopy(EIS)experiments and achieves maximum power densities of 1.33 W cm^(-2)at 60℃ at 100%RH(APTS-EGO,0.2 wt%)and1.33 W cm^(-2)at 60℃ at 70%RH(APTS-EGO,0.3 wt%),which represents an improvement of 190%compared to the commercial Nafion 212 when utilizing low humidification conditions(70%).Moreover,the as-synthesized membrane utilizes lower Nafion ionomer mass,which,in conjunction with the excellent cell performance,has the potential to decrease the cost of the membrane from 87 to 80￡/W as well as a reduction of fluorinated compounds within the membrane.
基金supported by a grant from the Health Research New Zealand(HRC)22/559(to AJG and LB)。
文摘Moderate to severe perinatal hypoxic-ischemic encephalopathy occurs in~1 to 3/1000 live births in high-income countries and is associated with a significant risk of death or neurodevelopmental disability.Detailed assessment is important to help identify highrisk infants,to help families,and to support appropriate interventions.A wide range of monitoring tools is available to assess changes over time,including urine and blood biomarkers,neurological examination,and electroencephalography.At present,magnetic resonance imaging is unique as although it is expensive and not suited to monitoring the early evolution of hypoxic-ischemic encephalopathy by a week of life it can provide direct insight into the anatomical changes in the brain after hypoxic-ischemic encephalopathy and so offers strong prognostic information on the long-term outcome after hypoxic-ischemic encephalopathy.This review investigated the temporal dynamics of neonatal hypoxic-ischemic encephalopathy injuries,with a particular emphasis on exploring the correlation between the prognostic implications of magnetic resonance imaging scans in the first week of life and their relationship to long-term outcome prediction,particularly for infants treated with therapeutic hypothermia.A comprehensive literature search,from 2016 to 2024,identified 20 pertinent articles.This review highlights that while the optimal timing of magnetic resonance imaging scans is not clear,overall,it suggests that magnetic resonance imaging within the first week of life provides strong prognostic accuracy.Many challenges limit the timing consistency,particularly the need for intensive care and clinical monitoring.Conversely,although most reports examined the prognostic value of scans taken between 4 and 10 days after birth,there is evidence from small numbers of cases that,at times,brain injury may continue to evolve for weeks after birth.This suggests that in the future it will be important to explore a wider range of times after hypoxic-ischemic encephalopathy to fully understand the optimal timing for predicting long-term outcomes.
文摘The age at which a woman enters natural menopause has also been associated to death from any cause.Menopause is a natural component of aging that happens between the ages of 45 and 55,with the average menopausal age being 51.Previous research has revealed the age at which women reach menopause,but there is no evidence to support the link between menopause and longevity.We made a study in assessing the limits of maximum lifespan at menopausal age in our previous article.In this paper,we aim to predict the maximum lifespan of women at mean menopausal age.
基金support of the School of Engineering,Lancaster University,UK,for the Engineering Department Studentship as well as the Engineering and Physical Sciences Research Council(EPSRC)’s Doctoral Training Centre(DTC)。
文摘With the increasing exploration of oil and gas into deep waters,the necessity for material development increases for lighter conduits such as composite marine risers,in the oil and gas industry.To understand the research knowledge on this novel area,there is a need to have a bibliometric analysis on composite marine risers.A research methodology was developed whereby the data retrieval was from SCOPUS database from 1977–2023.Then,VOSviewer was used to visualize the knowledge maps.This study focuses on the progress made by conducting knowledge mapping and scientometric review on composite marine risers.This scientometric analysis on the subject shows current advances,geographical activities by countries,authorship records,collaborations,funders,affiiliations,co‑occurrences,and future research areas.It was observed that the research trends recorded the highest publication volume in the U.S.A.,but less cluster affiiliated,as it was followed by countries like the U.K.,China,Nigeria,Australia and Singapore.Also,thisfiield has more conference papers than journal papers due to the challenge of adaptability,acceptance,qualifiication,and application of composite marine risers in the marine industry.Hence,there is a need for more collaborations on composite marine risers and more funding to enhance the research trend.
基金funded by Researchers Supporting Programnumber(RSPD2024R809),King Saud University,Riyadh,Saudi Arabia.
文摘Multi-objective optimization is critical for problem-solving in engineering,economics,and AI.This study introduces the Multi-Objective Chef-Based Optimization Algorithm(MOCBOA),an upgraded version of the Chef-Based Optimization Algorithm(CBOA)that addresses distinct objectives.Our approach is unique in systematically examining four dominance relations—Pareto,Epsilon,Cone-epsilon,and Strengthened dominance—to evaluate their influence on sustaining solution variety and driving convergence toward the Pareto front.Our comparison investigation,which was conducted on fifty test problems from the CEC 2021 benchmark and applied to areas such as chemical engineering,mechanical design,and power systems,reveals that the dominance approach used has a considerable impact on the key optimization measures such as the hypervolume metric.This paper provides a solid foundation for determining themost effective dominance approach and significant insights for both theoretical research and practical applications in multi-objective optimization.
基金Supported by The government assignment,No.1023022600020-6The Ministry of Science and Higher Education of the Russian Federation Within The Framework of State Support for The Creation and Development of World-Class Research Center“Digital Biodesign and Personalized Healthcare,”No.075-15-2022-304RSF grant,No.24-15-00549.
文摘Integrating exhaled breath analysis into the diagnosis of cardiovascular diseases holds significant promise as a valuable tool for future clinical use,particularly for ischemic heart disease(IHD).However,current research on the volatilome(exhaled breath composition)in heart disease remains underexplored and lacks sufficient evidence to confirm its clinical validity.Key challenges hindering the application of breath analysis in diagnosing IHD include the scarcity of studies(only three published papers to date),substantial methodological bias in two of these studies,and the absence of standardized protocols for clinical imple-mentation.Additionally,inconsistencies in methodologies—such as sample collection,analytical techniques,machine learning(ML)approaches,and result interpretation—vary widely across studies,further complicating their reprodu-cibility and comparability.To address these gaps,there is an urgent need to establish unified guidelines that define best practices for breath sample collection,data analysis,ML integration,and biomarker annotation.Until these challenges are systematically resolved,the widespread adoption of exhaled breath analysis as a reliable diagnostic tool for IHD remains a distant goal rather than an immi-nent reality.
文摘Monogenic diabetes is a heterogeneous disorder characterized by hyperglycemia arising from defects in a single gene.Maturity-onset diabetes of the young(MODY)is the most common type with 14 subtypes,each linked to specific mutations affecting insulin synthesis,secretion and glucose regulation.Common traits across MODY subtypes include early-onset diabetes,a family history of autosomal dominant diabetes,lack of features of insulin resistance,and absent islet cell autoimmunity.Many cases are misdiagnosed as type 1 and type 2 diabetes mellitus.Biomarkers and scoring systems can help identify candidates for genetic testing.GCK-MODY,a common subtype,manifests as mild hyperglycemia and doesn’t require treatment except during pregnancy.In contrast,mutations in HNF4A,HNF1A,and HNF1B genes lead to progressive beta-cell failure and similar risks of complications as type 2 diabetes mellitus.Neonatal diabetes mellitus(NDM)is a rare form of monogenic diabetes that usually presents within the first six months.Half of the cases are lifelong,while others experience transient remission.Permanent NDM is most commonly due to activating mutations in genes encoding the adenosine triphosphate-sensitive potassium channel(KCNJ11 or ABCC8)and can be transitioned to sulfonylurea after confirmation of diagnosis.Thus,in many cases,monogenic diabetes offers an opportunity to provide precision treatment.The scope has broadened with next-generation sequencing(NGS)technologies,replacing older methods like Sanger sequencing.NGS can be for targeted gene panels,whole-exome sequencing(WES),or whole-genome sequencing.Targeted gene panels offer specific information efficiently,while WES provides comprehensive data but comes with bioinformatic challenges.The surge in testing has also led to an increase in variants of unknown significance(VUS).Deciding whether VUS is disease-causing or benign can be challenging.Computational models,functional studies,and clinical knowledge help to determine pathogenicity.Advances in genetic testing technologies offer hope for improved diagnosis and personalized treatment but also raise concerns about interpretation and ethics.
基金Fund supported this work for Excellent Youth Scholars of China(Grant No.52222708)the National Natural Science Foundation of China(Grant No.51977007)+1 种基金Part of this work is supported by the research project“SPEED”(03XP0585)at RWTH Aachen Universityfunded by the German Federal Ministry of Education and Research(BMBF)。
文摘Developing sensorless techniques for estimating battery expansion is essential for effective mechanical state monitoring,improving the accuracy of digital twin simulation and abnormality detection.Therefore,this paper presents a data-driven approach to expansion estimation using electromechanical coupled models with machine learning.The proposed method integrates reduced-order impedance models with data-driven mechanical models,coupling the electrochemical and mechanical states through the state of charge(SOC)and mechanical pressure within a state estimation framework.The coupling relationship was established through experimental insights into pressure-related impedance parameters and the nonlinear mechanical behavior with SOC and pressure.The data-driven model was interpreted by introducing a novel swelling coefficient defined by component stiffnesses to capture the nonlinear mechanical behavior across various mechanical constraints.Sensitivity analysis of the impedance model shows that updating model parameters with pressure can reduce the mean absolute error of simulated voltage by 20 mV and SOC estimation error by 2%.The results demonstrate the model's estimation capabilities,achieving a root mean square error of less than 1 kPa when the maximum expansion force is from 30 kPa to 120 kPa,outperforming calibrated stiffness models and other machine learning techniques.The model's robustness and generalizability are further supported by its effective handling of SOC estimation and pressure measurement errors.This work highlights the importance of the proposed framework in enhancing state estimation and fault diagnosis for lithium-ion batteries.
基金Supported by CONAHCYT Project,No.CF-2023-I-2663Instituto Nacional de Psiquiatría Project,No.NC24208.0(to Pérez-Sánchez G,Pavón L,Sánchez-Huerta K,Maldonado-García JL,Chin-Chan JM,Ponce-Regalado MD,Arreola R,Contis-Montes de Oca A,and Moreno-Lafont MC).
文摘Suicide is defined as the act of a person attempting to take their own life by causing death.Suicide is a complex phenomenon that is influenced by a multitude of factors,including psychosocial,cultural,and religious aspects,as well as genetic,biochemical,and environmental factors.From a biochemical perspective,it is crucial to consider the communication between the endocrine,immune,and nervous systems when studying the etiology of suicide.Several pathologies involve the bidirectional communication between the peripheral activity and the central nervous system by the action of molecules such as cytokines,hormones,and neurotransmitters.These humoral signals,when present in optimal quantities,are responsible for maintaining physiological homeostasis,including mood states.Stress elevates the cortisol and proinflammatory cytokines levels and alter neurotransmitters balance,thereby increasing the risk of developing a psychiatric disorder and subsequently the risk of suicidal behavior.This review provides an integrative perspective about the neurochemical,immunological,and endocrinological disturbances associated with suicidal behavior,with a particular focus on those alterations that may serve as potential risk markers and/or indicators of the state preceding such a tragic act.
文摘Background:Urinary tract infections(UTIs),primarily caused by uropathogenic Escherichia coli(UPEC),are a significant global health concern.The complications arise from antibiotic resistance and biofilm formation,which reduce the effectiveness of conventional treatments.This study aims to evaluate the antibiofilm activity of the homeopathic medicine Terebinthinae oleum in potencies 30C,200C,and 1M against UTI-causing E.coli,and to compare its effectiveness with the standard antibiotic Gentamycin.Methods:An in-vitro biofilm model was employed.E.coli biofilms were cultivated in microtiter plates and treated with Terebinthinae oleum(30C,200C,1M)and Gentamycin.Biofilm biomass was assessed through crystal violet staining,and optical density(OD)was measured using an ELISA microplate reader.Results:Among the tested potencies,Terebinthinae oleum 30C showed the most prominent inhibitory activity on E.coli biofilms.The inhibition percentage was compared with Gentamycin as a control.Terebinthinae oleum 30C demonstrated 41.88%inhibition of biofilm biomass,while Gentamycin exhibited up to 78.98%inhibition.Higher potencies of Terebinthinae oleum(200C and 1M)showed reduced activity(30.15%and 24.81%,respectively).Conclusion:Terebinthinae oleum,especially at 30C potency,exhibits measurable antibiofilm activity against E.coli,although less effective than Gentamycin.These findings support its use as a complementary therapy in managing biofilm-associated UTIs,justifying further clinical and immunological research.
文摘The integration of artificial intelligence(AI)into medical robotics has emerged as a cornerstone of modern healthcare,driving transformative advancements in precision,adaptability and patient outcomes.Although computational tools have long supported diagnostic processes,their role is evolving beyond passive assistance to become active collaborators in therapeutic decision-making.In this paradigm,knowledge-driven deep learning systems are redefining possibilities-enabling robots to interpret complex data,adapt to dynamic clinical environments and execute tasks with human-like contextual awareness.
基金supported by funding from Parkinson Canadafunded by a scholarship from Parkinson Canadaa scholarship from Fonds d’Enseignement et de Recherche (FER) (Faculty of Pharmacy, Université Laval)
文摘There is a need to develop interventions to slow or reverse the degeneration of dopamine neurons in Parkinson’s disease after diagnosis.Given that preclinical and clinical studies suggest benefits of dietary n-3 polyunsaturated fatty acids,such as docosahexaenoic acid,and exercise in Parkinson’s disease,we investigated whether both could synergistically interact to induce recovery of the dopaminergic pathway.First,mice received a unilateral stereotactic injection of 6-hydroxydopamine into the striatum to establish an animal model of nigrostriatal denervation.Four weeks after lesion,animals were fed a docosahexaenoic acid-enriched or a control diet for the next 8 weeks.During this period,the animals had access to a running wheel,which they could use or not.Docosahexaenoic acid treatment,voluntary exercise,or the combination of both had no effect on(i)distance traveled in the open field test,(ii)the percentage of contraversive rotations in the apomorphine-induction test or(iii)the number of tyrosine-hydroxylase-positive cells in the substantia nigra pars compacta.However,the docosahexaenoic acid diet increased the number of tyrosine-hydroxylase-positive terminals and induced a rise in dopamine concentrations in the lesioned striatum.Compared to docosahexaenoic acid treatment or exercise alone,the combination of docosahexaenoic acid and exercise(i)improved forelimb balance in the stepping test,(ii)decreased the striatal DOPAC/dopamine ratio and(iii)led to increased dopamine transporter levels in the lesioned striatum.The present results suggest that the combination of exercise and docosahexaenoic acid may act synergistically in the striatum of mice with a unilateral lesion of the dopaminergic system and provide support for clinical trials combining nutrition and physical exercise in the treatment of Parkinson’s disease.
文摘This study evaluates the Fuzzy Analytical Hierarchy Process(FAHP)as a multi-criteria decision(MCD)support tool for selecting appropriate additive manufacturing(AM)techniques that align with cleaner production and environmental sustainability.The FAHP model was validated using an example of the production of aircraft components(specifically fuselage)employing AM technologies such as Wire Arc Additive Manufacturing(WAAM),laser powder bed fusion(L-PBF),Binder Jetting(BJ),Selective Laser Sintering(SLS),and Laser Metal Deposition(LMD).The selection criteria prioritized eco-friendly manufacturing considerations,including the quality and properties of the final product(e.g.,surface finish,high strength,and corrosion resistance),service and functional requirements,weight reduction for improved energy efficiency(lightweight structures),and environmental responsibility.Sustainability metrics,such as cost-effectiveness,material efficiency,waste minimization,and environmental impact,are central to the evaluation process.A computer-aided modeling approach was also used to simulate the performance of aluminum(AA7075 T6),steel(304),and titanium alloy(Ti6Al4V)for fuselage development.The results demonstrate that MCD approaches such as FAHP can effectively guide the selection of AM technologies that meet functional and technical requirements while minimizing environmental degradation footprints.Furthermore,the aluminumalloy outperformed the other materials investigated in the simulation with the lowest stress concentration and least deformation.This study contributes to advancing cleaner production practices by providing a decision-making framework for sustainable and eco-friendly manufacturing,enabling manufacturers to adopt AM technologies that promote environmental responsibility and sustainable development,while maintaining product quality and performance.
文摘Pancreatic neuroendocrine tumors(pNETs)are rare,presenting significant challenges in timely diagnosis and subsequent treatment.The clinical and pathobiological behavior of these tumors varies significantly,making follow-up and therapeutic approaches challenging for clinicians.Although the majority of these neoplasms are hormonally inactive,some can be associated with endocrine dysfunction.Very rarely,a nonfunctional tumor can later become hormonally active,further complicating prognostication and management.Depending on the character of the disease,clinical picture and prognosis,different treatment modalities are instituted with varying effectivities.We recently came across a unique case of nonfunctioning malignant pNET at an advanced stage,metastatic disease upon diagnosis,managed medically with somatostatin analog therapy(Octreotide)and targeted therapy(Everolimus)with stable disease for 40 months that subsequently turned out to become functional(insulinoma).With the aid of this unique case,we update the current clinical,diagnostic and therapeutic approach to pNETs in this evidence-based review.
文摘AIM: To determine whether normal genetically immunocompetent rodent hosts could be manipulated to accept human hepatocyte transplants with long term survival without immunosuppression. METHODS: Tolerance towards human hepatocytes was established by injection of primary human hepatocytes or Huh7 human hepatoma cells into the peritoneal cavities of fetal rats. Corresponding cells were subsequently transplanted into newborn rats via intrasplenic injection within 24h after birth. RESULTS: Mixed lymphocyte assays showed that spleen cells from non-tolerized rats were stimulated to proliferate when exposed to human hepatocytes, while cells from tolerized rats were not. Injections made between 15 d and 17 d of gestation produced optimal tolerization. Transplanted human hepatocytes in rat livers were visualized by immunohistochemical staining of human albumin. By dot blotting of genomic DNA in livers of tolerized rats 16 weeks after hepatocyte transplantation, it was found that approximately 2.5 X 10(5) human hepatocytes survived per rat liver. Human albumin mRNA was detected in rat livers by RT-PCR for 15 wk, and human albumin protein was also detectable in rat serum. CONCLUSION: Tolerization of an immuno-competent rat can permit transplantation, and survival of functional human hepatocytes.
文摘BACKGROUND Malnutrition and epilepsy share a complex bidirectional relationship,with malnutrition serving as a potential risk factor for epilepsy development,while epilepsy,in turn,often exerts profound effects on nutritional status.Nutritional interventions have emerged as a critical adjunctive approach in epilepsy management.AIM To explore the multifaceted associations between malnutrition and epilepsy,structured into three primary sections:(1)Elucidating the impact of malnutrition as a risk factor for epilepsy onset;(2)Examining the reciprocal influence of epilepsy on nutritional status,and(3)Evaluating diverse nutritional interventions in the management of epilepsy.METHODS A systematic search was conducted across PubMed,Scopus,and Web of Science databases utilizing defined keywords related to malnutrition,epilepsy,and nutritional interventions.Inclusion criteria encompassed various study types,including clinical trials,animal models,cohort studies,case reports,meta-analyses,systematic reviews,guidelines,editorials,and review articles.Four hundred sixteen pertinent references were identified,with 198 review articles,153 research studies,21 case reports,24 meta-analyses,14 systematic reviews,4 guidelines,and 2 editorials meeting the predefined criteria.RESULTS The review revealed the intricate interplay between malnutrition and epilepsy,highlighting malnutrition as a potential risk factor in epilepsy development and elucidating how epilepsy often leads to nutritional deficiencies.Findings underscored the importance of nutritional interventions in managing epilepsy,showing their impact on seizure frequency,neuronal function,and overall brain health.CONCLUSION This systematic review emphasizes the bidirectional relationship between malnutrition and epilepsy while emphasizing the critical role of nutritional management in epilepsy treatment.The multifaceted insights underscore the need for a holistic approach to addressing nutritional aspects alongside conventional epilepsy management strategies.
文摘BACKGROUND Giant cell tumor of bone(GCTB)is a rare,locally aggressive neoplasm that should be treated surgically,whenever possible.This treatment approach may be linked with greater morbidity besides functional impairment.Denosumab is a human monoclonal antibody.Its administration inhibits bone resorption and has become part of the therapeutic armamentarium against GCTB,as it allows local control with a view to downstaging for a more conservative surgical procedure.However,there is no consensus in the literature regarding the optimal denosumab regimen for GCTB.Therefore,a wide discussion of denosumab regimen is necessary.AIM To assess the effectiveness of various therapy protocols employing denosumab in individuals with GCTB.METHODS A broad and systematic literature search was carried out using the PRISMA guidelines.We analyzed studies that reported skeletally mature patients with GCTB regardless of sex or ethnicity treated with denosumab.Articles with fewer than five patients and in languages except Spanish,Portuguese and English were excluded.Statistical analysis with proportion meta-analysis was performed due to the dichotomous nature of the data.RESULTS 1005 articles were screened,of which 26 articles met the inclusion criteria and were selected,totaling 1742 patients,51.8%women and 48.2%men,with an average of 35 years of age.Treatment with denosumab was associated with high rates of clinical benefit(CB)and imaging response(IR),without changing local recurrence rates when compared to patients treated without denosumab,regardless of the therapeutic regimen adopted and the number of doses applied.The adverse events(AE)presented were mostly mild,with the exception of a malignant transformation to osteosarcoma.CONCLUSION Treatment of GCTB with denosumab is effective,showing high rates of CB and IR.The AE that occurred were mostly mild.We found no differences between the articles considering the researched outcomes regardless of the therapeutic regimen adopted.
文摘The use of carbon from waste biomass has the potential to eliminate the drawbacks of Li-S batteries and improve their overall performance.Chrome-tanned-leather-shavings(CTLS)are a readily available waste product that can be transformed into porous carbon.We prepared an ac-tivated carbon by microwave pyrolysis combined with KOH activator using the CTLS as starting materials.The carbon had a specific surface area of 556 m^(2)g^(-1) and a honeycomb-like structure.Two kinds of N-doped activated carbons were then synthesized by thermal decomposition of the activated carbon,either combined with urea,or impregnated with eth-anolamine.Both N-doped activated carbons have an in-creased number of nitrogen and amine surface groups.However,only the urea treatment was effective in improv-ing the initial capacity of the cell(1363 mAh g^(-1)),which is probably linked to the sorption of long-chain polysulfides.This investigation confirms that it is possible to use the thermal de-composition of urea to obtain carbon materials from CTLS for use as the sulfur-host cathode in Li-S batteries and improve their performance.A radial basis function neural network was fitted to provide statistical support for the experimental results,which confirmed the importance of the nitrogen content of the carbons in determining the discharge capacity of the cells.
文摘The Cretaceous Koum Basin is a rift-related half-graben in northern Cameroon,which constitutes a portion of the Yola Arm of the Upper Benue Trough.This study presents the first comprehensive dataset combining mineral-ogical,bulk-rock geochemical,and stable C-H-O isotopic data for dark-gray,finegrained mudstones from the basin,providing new insights into its sediment source,paleoenvironment,and geodynamic setting.The mudstones primarily consist of phyllosilicates(~8.6%),feldspars(~30.5%),carbonates(~13.7%),and minor iron oxides(~2.7%),with vermiculite,illite,and kaolinite as the main clay minerals.The presence of analcime,ankerite,and dolomite suggests low-grade metamorphism and/or hydrothermal alteration.Fe_(2)O_(3)/K_(2)O(1.52-6.40)and SiO_(2)/Al_(2)O_(3)(2.97-4.68)ratios classify the mudstones as compositionally immature shales(ICV~1.64)with low-moderate chemical weathering(CIA~56.35;PIA~59.74;R^(3+)/R^(3+)+R^(2+)+M^(+)~0.51).Trace element ratios(Th/Sc~1.70,Zr/Sc~1.33,La/Sc~6.30,La/Th~4.14)indicate an intermediate igneous provenance from a continental crustal source.Paleoenviron-mental proxies suggest deposition in a dynamic basin environment marked by fluctuating redox(C org/P:0.21-178.34)and salinity(Sr/Ba:0.34-3.25;N-values:48-35.92)conditions,ranging from oxic to anoxic and brackish to saline.Major element data(SiO_(2) vs.Al_(2)O_(3)+K_(2)O+Na_(2)O)indicate a semi-arid regime,while Paleoclimatic indicators such as Sr/Cu(1.88-37.47)and C-values(0.12-0.93)suggests alter-nating humid and arid conditions.Notably,stable isotope data,reported here for the first time in the Koum Basin,reveal a predominantly terrestrial,fluvial-deltaic C_(3) plant source for organic carbon(δ^(13)C-25.2‰ to -35.2‰)and complex fluid-rock interactions involving meteoric and magmatic-metamorphic fluids under a warm,equatorial climate(δ^(18)O+3.6‰to +24.9‰,δ^(2)H-104‰ to-50‰).The combined mineralogical,geochemical,and isotopic data point to deposition in a tectonically active continental arc setting,with contributions from ocean island arc and passive margin sources.
