6,176 research outputs found

    PG19 COST-UTILITY-ANALYSIS OF PEGINTERFERON ALFA-2B PLUS RIBAVIRIN VERSUS INTERFERON ALFA-2B PLUS RIBAVIRIN AS INITIAL THERAPY FOR CHINESE NAIVE PATIENTS WITH CHRONIC HEPATITIS C

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    Life cycle assessment of a biogas system for cassava processing to close the loop in the water-waste-energy-food nexus in Brazil

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    Biogas, generated from anaerobic digester (AD), has been one of the promising sources of renewable energy. To manage the organic waste from small cassava industry in Brazil, a waste-water-energy-food nexus (WWEF) system is proposed, combining AD and co-generation or combined heat and power (CHP) plants. However, the environmental impacts and benefits of this system are yet not known. By using Life Cycle Assessment (LCA) method, environmental impacts of three scenarios are assessed, i.e. business-as-usual (base), improved business-as-usual and WWEF closed-loop. Functional unit (FU) in this study is defined as generating 1 kg cassava starch/flour. Global warming potential (GWP), cumulative energy demand (CED), freshwater eutrophication potential (FEP), terrestrial acidification potential (TAP) and water depletion potential (WDP) are selected. Landfilling cassava waste, power use for cassava starch and flour production, and emissions from fertilizer application are identified as environmental hotspots for business-as-usual case, suggesting making decisions on these aspects when dealing with environmental impacts. By using cassava waste to recover energy and nutrients for Brazilian rural family farming, the WWEF system is identified as the best environment-friendly scenario with lowest environmental impacts for the selected impact categories. The impact savings of the closed-loop scenario for GWP are over 90%, while over 50% of emissions for other selected impact categories, except FEP (lower than 10%), are saved compared to the business-as-usual and improved scenarios. Sensitivity analysis reinforces the results. Overall, this study provides a view on the potential of using cassava waste for the WWEF closed-loop system in Brazil, suggesting that the proposed WWEF closed-loop system is feasible and beneficial for small industries from the environmental perspective

    Simulation-based reachability analysis for nonlinear systems using componentwise contraction properties

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    A shortcoming of existing reachability approaches for nonlinear systems is the poor scalability with the number of continuous state variables. To mitigate this problem we present a simulation-based approach where we first sample a number of trajectories of the system and next establish bounds on the convergence or divergence between the samples and neighboring trajectories. We compute these bounds using contraction theory and reduce the conservatism by partitioning the state vector into several components and analyzing contraction properties separately in each direction. Among other benefits this allows us to analyze the effect of constant but uncertain parameters by treating them as state variables and partitioning them into a separate direction. We next present a numerical procedure to search for weighted norms that yield a prescribed contraction rate, which can be incorporated in the reachability algorithm to adjust the weights to minimize the growth of the reachable set

    RUNDC3A regulates SNAP25-mediated chemotherapy resistance by binding AKT in gastric neuroendocrine carcinoma (GNEC)

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    Gastric neuroendocrine carcinoma (GNEC) is a common type of neuroendocrine carcinoma (NEC) with a poor prognosis and limited therapeutic options. The underlying mechanisms of chemoresistance in patients with GNEC and those with NEC are largely unknown, and thus, reliable biomarkers and therapeutic targets that could improve treatment outcomes in patients with NECs are lacking. The aim of this study was to identify specific targets and investigate their roles in GNEC progression and treatment resistance. Differentially expressed genes (DEGs) were identified in GNEC specimens and were further analysed by focusing on their roles in chemoresistance. Gene Ontology (GO) and pathway enrichment analyses of GNEC DEGs revealed that synapse-related function was the most prominent cellular function perturbed in GNEC. SNAP25 was identified as the target gene involved in most of the enriched pathways. In vitro and in vivo experiments showed that SNAP25 plays a role in proliferation and chemoresistance in GNEC cell lines. AKT has been identified as a downstream target, and SNAP25 binds to AKT protein and promotes AKT protein half-life. Further analysis of other types of NEC as well as small cell lung cancer, which resembles NEC on a molecular level, has identified RUNDC3A as an upstream molecule that regulates SNAP25 expression and the associated phenotypes that could enhance chemoresistance in NECs. Our results show that SNAP25 expression in GNEC is mediated by RUNDC3A and promotes GNEC progression and chemoresistance via posttranslational modification of AKT. Thus, our results suggest that the RUNDC3A/SNAP25/Akt axis could be a potential therapeutic target in GNEC

    Constraints on Fluid Dynamics from Equilibrium Partition Functions

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    We study the thermal partition function of quantum field theories on arbitrary stationary background spacetime, and with arbitrary stationary background gauge fields, in the long wavelength expansion. We demonstrate that the equations of relativistic hydrodynamics are significantly constrained by the requirement of consistency with any partition function. In examples at low orders in the derivative expansion we demonstrate that these constraints coincide precisely with the equalities between hydrodynamical transport coefficients that follow from the local form of the second law of thermodynamics. In particular we recover the results of Son and Surowka on the chiral magnetic and chiral vorticity flows, starting from a local partition function that manifestly reproduces the field theory anomaly, without making any reference to an entropy current. We conjecture that the relations between transport coefficients that follow from the second law of thermodynamics agree to all orders in the derivative expansion with the constraints described in this paper.Comment: Typos corrected, References adde

    Effectiveness of mechanical chest compression for out-of-hospital cardiac arrest patients in an emergency department

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    AbstractBackgroundTo increase the chance of restoring spontaneous circulation, cardiopulmonary resuscitation (CPR) with high-quality chest compressions is needed. We hypothesized that, in a municipal hospital emergency department, the outcome in nontraumatic out-of-hospital cardiac arrest patients treated with standard CPR followed by mechanical chest compression (MeCC) was not inferior to that followed by manual chest compression (MaCC). The purposes of the study were to test our hypothesis and investigate whether the use of MeCC decreased human power demands for CPR.MethodsA total of 455 consecutive out-of-hospital cardiac arrest patients of presumed cardiac etiology were divided into two groups according to the chest compressions they received (MaCC or MeCC) in this retrospective review study. Human power demand for CPR was described according to the Basic Life Support/Advanced Cardiovascular Life Support guidelines and the device handbook. The primary endpoint was recovery of spontaneous circulation during resuscitation, and the secondary endpoints were survival to hospital admission and medical human power demands.ResultsIn this study, recovery of spontaneous circulation was achieved in 33.3% of patients in the MeCC group and in 27.1% in the MaCC group (p = 0.154), and the percentages of patients who survived hospitalization were 22.2% and 17.6%, respectively (p = 0.229). A ratio of 2:4 for the human power demand for CPR between the groups was found. Independent predictors of survival to hospitalization were ventricular fibrillation/pulseless ventricular tachycardia as initial rhythm and recovery of spontaneous circulation.ConclusionNo difference was found in early survival between standard CPR performed with MeCC and that performed with MaCC. However, the use of the MeCC device appears to promote staff availability without waiving patient care in the human power-demanding emergency departments of Taiwan hospitals

    Multivalued SK-contractions with respect to b-generalized pseudodistances

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    A new class of multivalued non-self-mappings, called SK-contractions with respect to b-generalized pseudodistances, is introduced and used to investigate the existence of best proximity points by using an appropriate geometric property. Some new fixed point results in b-metric spaces are also obtained. Examples are given to support the usability of our main result

    Constraints on Superfluid Hydrodynamics from Equilibrium Partition Functions

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    Following up on recent work in the context of ordinary fluids, we study the equilibrium partition function of a 3+1 dimensional superfluid on an arbitrary stationary background spacetime, and with arbitrary stationary background gauge fields, in the long wavelength expansion. We argue that this partition function is generated by a 3 dimensional Euclidean effective action for the massless Goldstone field. We parameterize the general form of this action at first order in the derivative expansion. We demonstrate that the constitutive relations of relativistic superfluid hydrodynamics are significantly constrained by the requirement of consistency with such an effective action. At first order in the derivative expansion we demonstrate that the resultant constraints on constitutive relations coincide precisely with the equalities between hydrodynamical transport coefficients recently derived from the second law of thermodynamics.Comment: 46 page

    The Value of Success: Acquiring Gains, Avoiding Losses, and Simply Being Successful

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    A large network of spatially contiguous, yet anatomically distinct regions in medial frontal cortex is involved in reward processing. Although it is clear these regions play a role in critical aspects of reward-related learning and decision-making, the individual contributions of each component remains unclear. We explored dissociations in reward processing throughout several key regions in the reward system and aimed to clarify the nature of previously observed outcome-related activity in a portion of anterior medial orbitofrontal cortex (mOFC). Specifically, we tested whether activity in anterior mOFC was related to processing successful actions, such that this region would respond similarly to rewards with and without tangible benefits, or whether this region instead encoded only quantifiable outcome values (e.g., money). Participants performed a task where they encountered monetary gains and losses (and non-gains and non-losses) during fMRI scanning. Critically, in addition to the outcomes with monetary consequences, the task included trials that provided outcomes without tangible benefits (participants were simply told that they were correct or incorrect). We found that anterior mOFC responded to all successful outcomes regardless of whether they carried tangible benefits (monetary gains and non-losses) or not (controls). These results support the hypothesis that anterior mOFC processes rewards in terms of a common currency and is capable of providing reward-based signals for everything we value, whether it be primary or secondary rewards or simply a successful experience without objectively quantifiable benefits

    The Effect of Locally Delivered Statins on Treating Periodontal Intrabony Defects: A Systematic Review and Metaâ Analysis

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142319/1/jper0357.pd
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