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1Device-associated infection rates, mortality, length of stay and bacterial resistance in intensive care units in Ecuador: International Nosocomial Infection Control Consortium's findings显示文摘AIM To report the results of the International Nosocomial Infection Control Consortium(INICC) study conducted in Quito, Ecuador.METHODS A device-associated healthcare-acquired infection(DAHAI) prospective surveillance study conducted from October 2013 to January 2015 in 2 adult intensive care units(ICUs) from 2 hospitals using the United States Centers for Disease Control/National Healthcare Safety Network(CDC/NHSN) definitions and INICC methods. RESULTS We followed 776 ICU patients for 4818 bed-days. The central line-associated bloodstream infection(CLABSI) rate was 6.5 per 1000 central line(CL)-days, the ventilator-associated pneumonia(VAP) rate was 44.3 per 1000 mechanical ventilator(MV)-days, and the catheterassociated urinary tract infection(CAUTI) rate was 5.7 per 1000 urinary catheter(UC)-days. CLABSI and CAUTI rates in our ICUs were similar to INICC rates [4.9(CLABSI) and 5.3(CAUTI)] and higher than NHSN rates [0.8(CLABSI) and 1.3(CAUTI)]- although device use ratios for CL and UC were higher than INICC and CDC/NSHN's ratios. By contrast, despite the VAP rate was higher than INICC(16.5) and NHSN's rates(1.1), MV DUR was lower in our ICUs. Resistance of A. baumannii to imipenem and meropenem was 75.0%, and of Pseudomonas aeruginosa to ciprofloxacin and piperacillin-tazobactam was higher than 72.7%, all them higher than CDC/NHSN rates. Excess length of stay was 7.4 d for patients with CLABSI, 4.8 for patients with VAP and 9.2 for patients CAUTI. Excess crude mortality in ICUs was 30.9% for CLABSI, 14.5% for VAP and 17.6% for CAUTI. CONCLUSION DA-HAI rates in our ICUs from Ecuador are higher than United States CDC/NSHN rates and similar to INICC international rates.Estuardo Salgado Yepez Maria M Bovera Victor D Rosenthal Hugo A González Flores Leonardo Pazmino Francisco Valencia Nelly Alquinga Vanessa Ramirez Edgar Jara Miguel Lascano Veronica Delgado Cristian Cevallos Gasdali Santacruz Cristian Pelaéz Celso Zaruma Diego Barahona Pinto 2017World Journal of Biological Chemistry2017,8,1:23
2Disruption of the Sugar Transporters AtSWEET11 and AtSWEET12 Affects Vascular Development and Freezing Tolerance in Arabidopsis显示文摘Dear Editor, In plants,the transport of sugars from the site of biosynthesis to the site of utilization or storage relies on sugar transporters located in different subcellular compartments and different vascular cell types.The SWEET sugar transporter family is one such class and is represented by 17 members in Arabidopsis.AtSWEET1 was the first plant SWEET transporter to be characterized;it acts as a glucose uniporter in multiple systems (Chen et al.,2010).Rozenn Le Hir Lara Spinner Patrick A. W. Klemens Dipankar Chakraborti Federica de Marco Francoise Vilaine Nelly Wolff Remi Lemoine Benoit Porcheron Carine Gery Evelyne Teoule Salem Chabout Gregory Mouille H. Ekkehard Neuhaus Sylvie Dinant Catherine Bellini 2015Molecular Plant2015,8,11:16
3人工智能初筛分流在大规模糖尿病视网膜病变筛查中的应用显示文摘目的探索人工智能(AI)初筛分流在大规模糖尿病视网膜病变(DR)筛查中的应用。方法2018年5至7月在新疆维吾尔自治区喀什市和克孜勒苏柯尔克孜自治州,8005例糖尿病患者参加了DR筛查,所有患者均行免散瞳的眼底彩照检查,每眼采集2张眼底彩照(分别以视盘和黄斑为中心)。拍照完成后,首先使用AI系统对每例患者的4张眼底彩照进行判定,如均为可分级且无DR时,直接产生AI报告,并随机抽取1/3至读片中心由眼科医师组分级以作质量控制(组A)。此外,如4张眼底彩照中,任意一张图片判别为无法分级或存在DR时,该患者的所有眼底彩照均需行人工分级(组B)。从组A和组B中分别随机抽取300例患者的眼底照片,由眼科医师组作出最终判别,确定AI和人工分级判定需转诊DR(增殖前或增殖期DR,或糖尿病黄斑水肿)的准确性。结果在8005例参加筛查的糖尿病患者中,男3220例(40.2%),女4785例(59.8%),年龄(58.3±10.6)岁。经AI初筛后,AI直接产生报告5267例(65.8%),另外2738例(34.2%)需要进行人工分级。在组A中,AI和人工判定需转诊DR的准确性和特异度均为100.0%。在组B中,AI和人工判定需转诊DR的准确性分别为75.8%和90.3%,灵敏度分别为100%和79.1%。结论在大规模的DR筛查中,使用AI作为DR的初筛手段,可在不遗漏需转诊DR病例的情况下,减少约60%的图片分级工作量。李治玺 张健 Fong Nellie 何明光 2020中华医学杂志2020,100,48:11
4Restoration of energy level in the early phase of acute pediatric pancreatitis显示文摘Acute pancreatitis (AP) is a serious inflammatory disease with rising incidence both in the adult and pediatric populations. It has been shown that mitochondrial injury and energy depletion are the earliest intracellular events in the early phase of AP. Moreover, it has been revealed that restoration of intracellular ATP level restores cellular functions and defends the cells from death. We have recently shown in a systematic review and meta-analysis that early enteral feeding is beneficial in adults; however, no reviews are available concerning the effect of early enteral feeding in pediatric AP. In this minireview, our aim was to systematically analyse the literature on the treatmentof acute pediatric pancreatitis. The preferred reporting items for systematic review(PRISMA-P) were followed, and the question was drafted based on participants, intervention, comparison and outcomes: P: patients under the age of twenty-one suffering from acute pancreatitis; I: early enteral nutrition (per os and nasogastric- or nasojejunal tube started within 48 h); C: nil per os therapy; O: length of hospitalization, need for treatment at an intensive care unit, development of severe AP, lung injury (including lung oedema and pleural effusion), white blood cell count and pain score on admission. Altogether, 632 articles (Pub Med: 131; EMBASE: 501) were found. After detailed screening of eligible papers, five of them met inclusion criteria. Only retrospective clinical trials were available. Due to insufficient information from the authors, it was only possible to address length of hospitalization as an outcome of the study. Our mini-meta-analysis showed that early enteral nutrition significantly(SD = 0.806, P = 0.034) decreases length of hospitalization compared with nil per os diet in acute pediatric pancreatitis. In this minireview, we clearly show that early enteral nutrition, started within 24-48 h, is beneficial in acute pediatric pancreatitis. Prospective studies and better presentation of research are crucially needed to achieve a higher level of evidence.Dóra Mosztbacher Nelli Farkas Margit Solymár Gabriella Pár Judit Bajor ákos Szucs József Czimmer Katalin Márta Alexandra Mikó Zoltán Rumbus Péter Varjú Péter Hegyi Andrea Párniczky 2017World Journal of Gastroenterology2017,23,6:8
5响应面试验优化链霉菌Z331-A的发酵条件显示文摘链霉菌Z331-A是一株活性很好的生防菌,为提高链霉菌Z331-A发酵液的抑菌效果,对其发酵条件进行优化。该研究在单因子试验基础上,利用Plackett-Burman设计筛选出影响菌株Z331-A发酵的3个关键因子为发酵时间、接种量、摇瓶转速;然后通过响应面试验确定最佳发酵条件。结果表明,链霉菌Z331-A最佳发酵条件为发酵时间7.2d,接种量5.7%,摇瓶转速210r/min。在此最佳发酵条件下,抑菌圈直径可达24.30 mm,比未优化前(19.20mm)提高了26.56%。表明响应面法优化的链霉菌Z331-A发酵工艺效果良好。范丽霞 胡晓苹 刘文波 RAJAOFERA Mamy Jayne Nelly 唐中发 缪卫国 2018中国酿造2018,37,4:7
6Intralesional steroid is beneficial in benign refractory esophageal strictures:A meta-analysis显示文摘AIM To analyze the effect of intralesional steroid injections in addition to endoscopic dilation of benign refractory esophageal strictures.METHODS A comprehensive search was performed in three databases from inception to 10 April 2017 to identify trials, comparing the efficacy of endoscopic dilation to dilation combined with intralesional steroid injections. Following the data extraction, meta-analytical calculations were performed on measures of outcome by the randomeffects method of Der Simonian and Laird. Heterogeneity of the studies was tested by Cochrane's Q and I^2 statistics. Risk of quality and bias was assessed by the Newcastle Ottawa Scale and JADAD assessment tools.RESULTS Eleven articles were identified suitable for analyses, involving 343 patients, 235 cases and 229 controls in total. Four studies used crossover design with 121 subjects enrolled. The periodic dilation index(PDI) was comparable in 4 studies, where the pooled result showed a significant improvement of PDI in the steroid group(MD:-1.12 dilation/month, 95% CI:-1.99 to -0.25 P = 0.012; I^2 = 74.4%). The total number of repeat dilations(TNRD) was comparable in 5 studies and showed a non-significant decrease(MD:-1.17, 95%CI:-0.24-0.05, P = 0.057; I^2 = 0), while the dysphagia score(DS) was comparable in 5 studies and did not improve(SMD: 0.35, 95%CI:-0.38, 1.08, P = 0.351; I^2 = 83.98%) after intralesional steroid injection.CONCLUSION Intralesional steroid injection increases the time between endoscopic dilations of benign refractory esophageal strictures. However, its potential role needs further research.László Szapáry Benedek Tinusz Nelli Farkas Katalin Márta Lajos Szakó Agnes Meczker Roland Hágendorn Judit Bajor Aron Vincze Zoltan Gyongyi Alexandra Mikó Dezso Csupor Péter Hegyi Balint Eross 2018World Journal of Gastroenterology2018,24,21:7
7Current concepts in ameloblastoma-targeted therapies in B-raf proto-oncogene serine/threonine kinase V600E mutation: Systematic review显示文摘BACKGROUND Ameloblastomas are common benign epithelial odontogenic neoplasms that present an aggressive and unpredictable behavior that may modify treatment strategies.Different signaling pathways that participate in the progression of these tumors have been identified.B-raf proto-oncogene serine/threonine kinase(BRAF)is a protein involved in the behavior of ameloblastomas,and it is related to many cell mechanisms.BRAF gene mutations have been identified in ameloblastomas,of which the BRAF V600E(valine substituted by glutamic acid at amino acid 600)mutation has been the most common and can be present concomitantly with other mutations that may be involved in its behavior.Targeted therapies have been used as an alternative in the case of resistance or contraindications to conventional treatments.AIM To document the presence of BRAF V600E and additional mutations,their behavior,and targeted therapies in these tumors.METHODS An electronic literature search was conducted according to PRISMA guidelines in PubMed/MEDLINE,Cochrane,EMBASE,and SpringerLink using the terms“ameloblastomas”,“BRAF V600E”,“additional mutations”,and“targeted therapies”.Ameloblastomas were classified according to WHO guidelines.Inclusion criteria were articles in English,published not more than 10 years ago,and studies with laboratory works related to BRAF V600E.Articles were evaluated by two independent reviewers and retrieved for full-text evaluation.The EBLIP Critical Appraisal Checklist was used to evaluate the quality of the eligible studies.Descriptive statistical analysis was performed.RESULTS Two independent reviewers,with a substantial concordance indicated by a kappa coefficient of k=0.76,evaluated a total of 19 articles that were included in this study.The analysis registered 521 conventional ameloblastomas(AM),81 unicystic ameloblastomas(UA),13 ameloblastic carcinomas(AC),three metastatic ameloblastomas(MA),and six peripheral ameloblastomas(PA),of which the histopathological type,anatomic location,laboratory tests,expression of BRAF mutation,and additional mutations were registered.The BRAF V600E mutation was found in 297 AM(57%),63 UA(77.7%),3 AC(23%),1 MA(50%),and 5 PA(83.3%).Follicular type predominated with a total of 116 cases(40%),followed by plexiform type with 63 cases(22.1%).Furthermore,both types presented additional mutations,in which alterations in JAK3 P132T,SMARCB1,PIK3CA,CTNNB1,SMO,and BRAF G606E genes were found.Four case reports were found with targeted therapy to BRAF V600E.CONCLUSION The identification of BRAF V600E and additional mutations as an aid in targeted therapies has been a breakthrough in alternative treatments of ameloblastomas where surgical treatments are contraindicated.Rogelio González-González Sandra López-Verdín Jesús Lavalle-Carrasco Nelly Molina-Frechero Mario Isiordia-Espinoza Ramón G Carreón-Burciaga Ronell Bologna-Molina 2020World Journal of Clinical Oncology2020,11,1:6
8On the Estimation of the Functional Size of Software from Requirements Specifications显示文摘这篇论文介绍一个测量过程,叫了 RmFFP,它为建模描述一套操作并且用 OO 方法需求模型从高级说明估计面向对象的软件系统的尺寸。OO 方法是一个自动软件生产方法。这个工作的贡献是系统地定义允许在软件生产过程的一个早阶段估计功能的尺寸的一套规则,根据 COSMIC-FFP。做这,我们描述为软件测量跟随一个过程模型的步骤的建议测量过程的设计,应用程序,和分析。我们也以它的重制度在 RmFFP 的评估上报导起始的结果。电子增补材料这篇文章(doi:10.1007/s11390-007-9050-6 ) 的联机版本 contatins 增补材料,它对授权用户可得到。Nelly Condori-Fernández Silvia Abrahao Oscar Pastor 2007Journal of Computer Science & Technology2007,22,3:3
9Gemcitabine and cisplatin combined with regional hyperthermia as second-line treatment in patients with gemcitabine-refractory advanced pancreatic cancer显示文摘Katharina Elisabeth Tschoep-Lechner Valeria Milani Frank Berger Nelli Dieterle Sultan Abdel-Rahman Christoph Salat Rolf-Dieter Issels 2013International Journal of Hyperthermia2013,,1:3
10带有泊松波的两部件温贮备系统可靠性分析显示文摘为了讨论带有泊松冲击波的两部件贮备系统可靠度,假设该系统由两串联部件和1个温贮备部件以及1个修理工组成。部件工作寿命和维修时间都服从指数分布,外界冲击为泊松冲击波,利用马尔可夫过程理论和Laplace变换方法在是否有优先权2种情况下分别得到了该系统的可靠度、故障频度、平均周期等可靠性指标,为进一步研究外界冲击下温贮备系统的可靠性提供参考。卢芳香 董秋仙 张芳 Nelly 陈琴 2014南昌大学学报(工科版)2014,36,2:3
11Chronic kidney disease severely deteriorates the outcome of gastrointestinal bleeding: A meta-analysis显示文摘AIM To understand the influence of chronic kidney disease(CKD) on mortality, need for transfusion and rebleeding in gastrointestinal(GI) bleeding patients.METHODS A systematic search was conducted in three databases for studies on GI bleeding patients with CKD or endstage renal disease(ESRD) with data on outcomes of mortality, transfusion requirement, rebleeding rate and length of hospitalization(LOH). Calculations were performed with Comprehensive Meta-Analysis software using the random effects model. Heterogeneity was tested by using Cochrane's Q and I2 statistics. Mean difference(MD) and OR(odds ratio) were calculated.RESULTS1063 articles(EMBASE: 589; PubM ed: 459; Cochrane: 15) were found in total. 5 retrospective articles and 1 prospective study were available for analysis. These 6 articles contained data on 406035 patients, of whom 51315 had impaired renal function. The analysis showed a higher mortality in the CKD group(OR = 1.786, 95%CI: 1.689-1.888, P < 0.001) and the ESRD group(OR = 2.530, 95%CI: 1.386-4.616, P = 0.002), and a rebleeding rate(OR = 2.510, 95%CI: 1.521-4.144, P < 0.001) in patients with impaired renal function. CKD patients required more unit red blood cell transfusion(MD = 1.863, 95%CI: 0.812-2.915, P < 0.001) and spent more time in hospital(MD = 13.245, 95%CI: 6.886-19.623, P < 0.001) than the controls.CONCLUSION ESRD increases mortality, need for transfusion, rebleeding rate and LOH among GI bleeding patients. Prospective patient registries and observational clinical trials are crucially needed.Roland Hágendorn Nelli Farkas Aron Vincze Zoltán Gyongyi Dezso Csupor Judit Bajor Bálint Eross Péter Csécsei Andrea Vasas Zsolt Szakács László Szapáry Péter Hegyi Alexandra Mikó 2017World Journal of Gastroenterology2017,23,47:3
12Recent advances in the understanding of the molecular mechanisms regulating platelet integrin αIIbβ3 activation显示文摘Integrins are allosteric cell adhesion receptors that cycle from a low to a high affinity ligand binding state,a complex process of receptor activation that is of particular importance in blood cells such as platelets or leukocytes.Here we highlight recent progress in the understanding of the molecular pathways that regulate integrin activation in platelets and leukocytes,with a special focus on the structural changes in platelet integrinαIIbβ3 brought about by key intracellular proteins,namely talin and kindlins,that are of crucial importance in the regulation of integrin function.Evidence that the small GTPase Rap1 and its guanine exchange factor CalDAG-GEF1,together with RIAM,a Rap1GTP adaptor protein,promote the interaction of talin with the integrinβsubunit,has greatly contributed to fill the gap in our understanding of the signaling pathway from G-coupled agonist receptors and their phospholipase C-dependant second messengers,to integrin activation.Studies of patients with the rare blood cell disorder LAD-III have contributed to the identification of kindlins as new co-regulators of the talin-dependent integrin activation process in platelets and leukocytes,underlining the relevance for the in-depth investigation of patients with rare genetic blood cell disorders.Lanlan Tao Yue Zhang Xiaodong Xi Nelly Kieffer 2010Protein & Cell2010,1,7:3
13Effectiveness of a microabrasion technique using 16% HCL with manual application on fluorotic teeth: A series of studies显示文摘BACKGROUND Dental fluorosis is caused by excessive fluoride ingestion during tooth formation.As a consequence,there is a higher porosity on the enamel surface,which causes an opaque look.AIM The aim of this study was to identify a dental intervention to improve the smile in patients with tooth fluorosis.Additional aims were to relate the stain size on fluorotic teeth with the effectiveness of stain removal,enamel loss and procedure time using a manual microabrasion technique with 16%hydrochloric acid(HCL).METHODS An experimental study was carried out on 84 fluorotic teeth in 57 adolescent patients,33 females and 24 males,with moderate to severe fluorosis.The means,standard deviations and percentages were analyzed using nonparametric statistics and ArchiCAD 15 software was used for the variables including stain size and effectiveness of stain removal.RESULTS The average enamel loss was 234μm and was significantly related to the procedure time categorized as 1-4 min and 4.01-6 min,resulting in a P>0.000.The microabrasion technique using 16%HCL was effective in 90.6%of patients and was applied manually on superficial stains in moderate and severe fluorosis.Procedure time was less than 6 min and enamel loss was within the acceptable range.CONCLUSION Microabrasion is a first-line treatment;however,the clinician should measure the average enamel loss to ensure that it is within the approximate range of 250μm in order to avoid restorative treatment.Martina Nevárez-Rascón Nelly Molina-Frechero Edith Adame Ethel Almeida Uriel Soto-Barreras Enrique Gaona Alfredo Nevárez-Rascón 2020World Journal of Clinical Cases2020,8,4:2
14CrN-Encapsulated Hollow Cr-N-C Capsules Boosting Oxygen Reduction Catalysis in PEMFC显示文摘Understanding the origin of the catalytic activity for the development of efficient catalysts is critical yet challenging.Herein,we report a simple strategy for the synthesis of chromium nitride nanoparticles(CrNNPs)encapsulated into hollow chromium-nitrogen-carbon capsules(CrN@H-Cr-N_(x)-C).The CrN@H-Cr-N_(x)-C demonstrated excellent electrocatalytic activity for the oxygen reduction reaction(ORR)in acidic solutions.When applied as a cathode material in a proton-exchange membrane fuel cell(PEMFC),the CrN@H-Cr-N_(x)-C achieved outstanding initial performance,which is better than that of the PEMFC with H-Cr-N_(x)-C cathode material.The CrN@H-Cr-N_(x)-C cathode also showed good stability over 110 h of operation.These results demonstrated that the coexistence of atomically dispersed CrN_(x) sites and sufficient CrNNPs is essential for excellent PEMFC performances.Density functional theory(DFT)studies further corroborated that CrNNPs can boost the ORR activity of H-Cr-N_(x)-C.This finding opens a new avenue for the fabrication of low-cost,highly active,and durable ORR catalysts for PEMFC and other applications.Hui Yang Xu Wang Tao Zheng Nelly Cantillo Cuello Gabriel Goenaga Thomas A.Zawodzinski He Tian Joshua T.Wright Robert W.Meulenberg Xiangke Wang Zhenhai Xia Shengqian Ma 2021CCS Chemistry2021,3,5:2
15电场或电磁场和光动力的协同效应对癌细胞失活和坏死的作用(英文)显示文摘 应用弱正弦波电磁场改变细胞膜的穿透性并引起其失活和坏死.研究中,将人类癌细胞U 937和K 562放置于强度为10mT和39mT(50Hz)的正弦波电磁场内,并依次结合细胞毒素放线菌素 C以及其独特的光动力活性分别进行试验.Maria Radeva Maya Lambrera Plamena Angelova Nelly Traitcheva Hermann Berg 2004电化学2004,10,3:2
16Analysis of pelvic floor musculature function during pregnancy and postpartum: a cohort study显示文摘AdrianaDe Souza Caroci Maria Luiza GonzalezRiesco WesllannyDa Silva Sousa Ana CarolinaCotrim Edinéia MariaSena Nelly LimaRocha Cintia Najara CarociFontes 2010Journal of Clinical Nursing (鈥?)2010,,17:2
17Up Close: Family Therapy Challenges and Innovations Around the World显示文摘Janine Roberts Khawla Abu‐Baker Cristina Diez Fernández Nelly Chong Garcia Glenda Fredman Hugo Kamya Yolanda Martín Higarza Jacqueline Fortes de Leff Philip Messent Shin‐Ichi Nakamura Fatma Torun Reid Timothy Sim Chitra Subrahmanian Roxana Zevallos Vega 2014Fam. Proc2014,,:2
18加拿大绿色建筑:标准、组织、技术及实例显示文摘程乃立(Nellie Chen) 朱馥艺(翻译) 2006现代城市研究2006,21,12:2
19广义Lorenz曲线的非参数统计推断显示文摘本文讨论了广义Lorenz曲线的经验似然统计推断.在简单随机抽样、分层随机抽样和整群随机抽样下,本文分别定义了广义Lorenz坐标的profile经验似然比统计量,得出这些经验似然比的极限分布为带系数的自由度为1的χ2分布.对于整个Lorenz曲线,基于经验似然方法类似地得出相应的极限过程.根据所得的经验似然理论,本文给出了bootstrap经验似然置信区间构造方法,并通过数据模拟,对新给出的广义Lorenz坐标的bootstrap经验似然置信区间与渐近正态置信区间以及bootstrap置信区间等进行了对比研究.对整个Lorenz曲线,基于经验似然方法对其置信域也进行了模拟研究.最后我们将所推荐的置信区间应用到实例中.杨宝莹 秦更生 BELINGA-HILL Nelly E. 2012中国科学:数学2012,42,3:2
20Visual lansuase in Mamluk architecture: A semiotic analysis of the Funerary Complex of Sultan Qaitbay in Cairo显示文摘Nelly Shafik Ramzy 2013Frontiers of Architectural Research2013,2,3:2
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