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Unexpected gallbladder cancer:Surgical strategies and prognostic factors 被引量:3
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作者 Gennaro Clemente 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2016年第8期541-544,共4页
Gallbladder cancer is the most common tumor of the biliary tract and it is associated with a poor prognosis.Unexpected gallbladder cancer is a cancer incidentally discovered,as a surprise,at the histological examinati... Gallbladder cancer is the most common tumor of the biliary tract and it is associated with a poor prognosis.Unexpected gallbladder cancer is a cancer incidentally discovered,as a surprise,at the histological examination after cholecystectomy for gallstones or other indications.It is a potentially curable disease,with an intermediate or good prognosis in most cases.An adequate surgical strategy is mandatory to improve the prognosis and an adjunctive radical resection may be required depending on the depth of invasion.If the cancer discovered after cholecystectomy is a pTis or a pT1a,a second surgical procedure is not mandatory.In the other cases(pT1b,pT2 and pT3 cancer) a re-resection(4b + 5 liver segmentectomy,lymphadenectomy and port-sites excision in some cases) is required to obtain a radical excision of the tumor and an accurate disease staging.The operative specimens of re-resection should be examined by the pathologist to find any "residual" tumor.The "residual disease" is the most important prognostic factor,significantly reducing median disease-free survival and disease-specific survival.The other factors include depth of parietal invasion,metastatic nodal disease,surgical margin status,cholecystectomy for acute cholecystitis,histological differentiation,lymphatic,vascular and perineural invasion and overall TNM-stage. 展开更多
关键词 GALLBLADDER CANCER Laparoscopic CHOLECYSTECTOMY Liver RESECTION LYMPHADENECTOMY INCIDENTAL GALLBLADDER CANCER unexpected GALLBLADDER CANCER
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On Mars, Location and Orientation of Dykes Exposed along the Valles Marineris Walls Reveal Expected and Unexpected Stress Fields 被引量:1
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作者 Daniel MèGE Joanna GURGUREWICZ 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2016年第S1期177-179,共3页
Structural and geomorphological analysis of the Martian surface in the visible spectral range using the NASA/Viking images in the 90’s,complemented by experimental modelling(Mège and Masson,1996a;Mège et al... Structural and geomorphological analysis of the Martian surface in the visible spectral range using the NASA/Viking images in the 90’s,complemented by experimental modelling(Mège and Masson,1996a;Mège et al.,2003)suggested that the Valles Marineris trough(chasma)system is aligned with a mafic dyke swarm,named the Syria Planum Dyke Swarm.Cross-cutting relationships 展开更多
关键词 On Mars Location and Orientation of Dykes Exposed along the Valles Marineris Walls Reveal Expected and unexpected Stress Fields Figure
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Unexpected Selective Absorption of Lithium in Thermally Reduced Graphene Oxide Membranes 被引量:1
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作者 江杰 木留华 +7 位作者 强羽 杨一舟 王志坤 伊若冰 裘银伟 陈亮 闫隆 方海平 《Chinese Physics Letters》 SCIE CAS CSCD 2021年第11期48-52,共5页
Lithium plays an increasingly important role in scientific and industrial processes, and it is extremely important to extract lithium from a high Mg^(2+)/Li^(+) mass ratio brine or to recover lithium from the leachate... Lithium plays an increasingly important role in scientific and industrial processes, and it is extremely important to extract lithium from a high Mg^(2+)/Li^(+) mass ratio brine or to recover lithium from the leachate of spent lithiumion batteries. Conventional wisdom shows that Li^(+) with low valence states has a much weaker adsorption(and absorption energy) with graphene than multivalent ions such as Mg^(2+). Here, we show the selective adsorption of Li^(+) in thermally reduced graphene oxide(rGO) membranes over other metal ions such as Mg^(2+), Co^(2+), Mn^(2+),Ni^(2+), or Fe^(2+). Interestingly, the adsorption strength of Li^(+) reaches up to 5 times the adsorption strength of Mg^(2+),and the mass ratio of a mixed Mg^(2+)/Li^(+) solution at a very high value of 500 : 1 can be effectively reduced to 0.7 : 1 within only six experimental treatment cycles, demonstrating the excellent applicability of the rGO membranes in the Mg^(2+)/Li^(+) separation. A theoretical analysis indicates that this unexpected selectivity is attributed to the competition between cation–π interaction and steric exclusion when hydrated cations enter the confined space of the rGO membranes. 展开更多
关键词 RED unexpected Selective Absorption of Lithium in Thermally Reduced Graphene Oxide Membranes GRAPHENE
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Multidisciplinary approach to suspected sudden unexpected infant death caused by milk-aspiration:A case report
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作者 Aniello Maiese Raffaele La Russa +4 位作者 Mauro Arcangeli Gianpietro Volonnino Alessandra De Matteis Paola Frati Vittorio Fineschi 《World Journal of Clinical Cases》 SCIE 2020年第18期4128-4134,共7页
BACKGROUND The term sudden unexpected infant death(SUID)is not always properly invoked.It refers to a broad range of conditions that sometimes defy classification.There is not only a strong emotional impact on the fam... BACKGROUND The term sudden unexpected infant death(SUID)is not always properly invoked.It refers to a broad range of conditions that sometimes defy classification.There is not only a strong emotional impact on the family,but such cases are also quite complex.Underlying causes may be multiple,not always readily apparent,and have potential repercussions,especially in terms of forensics.CASE SUMMARY A 5-month-old male baby was pronounced dead following acute lung failure and cardiopulmonary arrest.The parents had immediately rushed their child to the hospital,stating the baby was found prone and not breathing.Total-body postmortem computed tomography(PMCT)was performed,revealing a hypodense material of indeterminate nature within the main airways and areas of ground-glass parenchymal change.At autopsy,the respiratory tract mucosa appeared edematous and was coated with a whitish stringy material.There was widespread airspace reduction due to parenchymal collapse.Alveolar sacs and bronchial openings contained abundant amorphous material admixed with white blood cells.Immunohistochemical studies were performed,targeting CD15,CD68,and alpha-lactalbumin.Ultimately,the focus was on alpha-lactalbumin(milk protein),which showed marked immunopositivity within alveolar spaces.Cytoplasmic staining of macrophages was also particularly prominent.CONCLUSION Postmortem investigations are thus essential to identify causes of death and surrounding circumstances.PMCT is a useful tool in this setting,given the frequent dearth of autopsy findings and ambiguity as to cause of death in SUID cases.These findings,later confirmed by immunohistochemical investigations,were indicative of active pneumonia due to aspirated milk.The present account illustrates the importance a broad diagnostic approach to SUID in cases of forensic concern.PMCT is a very valuable aid in cases of forensic interest,as it can provide useful information in all those situations in which the cause of death is uncertain or there are no suggestive dynamics or lesions. 展开更多
关键词 Sudden unexpected infant death Aspiration pneumonia Postmortem computed tomography Case report Diagnosis IMMUNOHISTOCHEMISTRY
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Selection and Optimization of Path Responding to Unexpected Environmental Incidents in China
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作者 Gong Jinping Wang Xinming +2 位作者 Wan Haolin Zhao Nan Du Jian 《Meteorological and Environmental Research》 CAS 2018年第6期21-26,29,共7页
By analyzing disposal status of unexpected environmental incidents by government,public and enterprise,and combining the characteristics of unexpected environmental incidents,specific measures of responding to unexpec... By analyzing disposal status of unexpected environmental incidents by government,public and enterprise,and combining the characteristics of unexpected environmental incidents,specific measures of responding to unexpected environmental incidents are proposed from the aspects of perfecting guarantee system of emergency nomocracy,enhancing information disclosure,encouraging public participation,enhancing the construction of emergency response capability,and enhancing post-event management,to improve the ability of defending environmental risk. 展开更多
关键词 unexpected ENVIRONMENTAL incidents GOVERNMENT emergency management PUBLIC PARTICIPATION ENVIRONMENTAL PUBLIC INTEREST LITIGATION
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Study on the Total Synthesis of Hainanolide (Ⅱ)──An Unexpected Hydroperoxide Containing Tricyclic Skeleton
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作者 Lu Yan ZHANG Wen Qian YANG +1 位作者 Shi Zhi CHEN Liang HUANG(Institute of Materia Medica, Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing,100050) 《Chinese Chemical Letters》 SCIE CAS CSCD 1997年第1期15-16,共2页
An unexpected compound, hydroperoxide (4) formed from (3), the exo-cycloaddition product, which was synthesized through the Lewis acid catlyzed intramolecular Diels-Alder (IMDA) reaction. Its structure was confirmed b... An unexpected compound, hydroperoxide (4) formed from (3), the exo-cycloaddition product, which was synthesized through the Lewis acid catlyzed intramolecular Diels-Alder (IMDA) reaction. Its structure was confirmed by spectra and X-Ray diffraction analysis, An 1O2oxidation mechanism was proposed. 展开更多
关键词 ppm An unexpected Hydroperoxide Containing Tricyclic Skeleton Study on the Total Synthesis of Hainanolide
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The Challenge of Improving IVF Results in Normogonadotrophic (Unexpected) Young Poor Ovarian Responders: The Predictive Value of a Flexible Treatment Protocol Based on the “Biophysical Profile of the Uterus”
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作者 Menelaos J. Tzafetas Theoharis Tantanasis +2 位作者 Vassiliki Zournatzi Konstantinos Lathouras Aristotle Loufopoulos 《Open Journal of Obstetrics and Gynecology》 2015年第11期654-664,共11页
Objective: To study whether the unexpected poor ovarian responders optimization of uterine receptivity with a flexible controlled ovarian hyper stimulation protocol based on the Biophysical Profile of the Uterus, has ... Objective: To study whether the unexpected poor ovarian responders optimization of uterine receptivity with a flexible controlled ovarian hyper stimulation protocol based on the Biophysical Profile of the Uterus, has an impact on their reproductive performance. Design: Observational Prospective study. Setting(s): i) General hospital-IVF and Infertility Centre;ii) University hospital. Patient(s): 44 normogonadotrophic young women (26 - 38 yrs) with previous “unexpected” poor ovarian response underwent IVF/ICSI treatment on a protocol based on the Biophysical Profile of their uterus (Group A). The same patients were used as controls in a preceded IVF cycle on the conventional stimulation protocol. Intervention(s): None. Main outcome measure(s): Pregnancy, miscarriage and home take baby rates, amount and duration of gonadotropins required, number and quality of embryos resulted, Biophysical Profile of the Uterus score. Result(s). Treatment in Group A in comparison to Group B resulted in significantly larger number of eggs retrieved per patient, and improved fertilization rates and higher number of embryos/ET (p = 0.011, 0.010 and 0.034 respectively). Group A also demonstrated a trend for higher rates of clinical pregnancy (29.5% v.s. 15.9%), viable stage pregnancies ≥ 24 weeks (33.3% v.s. 20%) and home take babies (26.6% v.s. 16%). The amount of gonadotropins used per patient (IU) was similar in the two groups (p = 0.264). Cancellation, implantation and miscarriage rates as well as embryos quality, although superior in the treatment Group A, showed no significant difference. The number of pregnancies achieved in Group A, were directly related with the score in the Biophysical Profile of the Uterus 12 point scale. Conclusion(s): Unexpected Poor Ovarian Responders on the flexible IVF/ICSI protocol (Group A), adjusting the management according to the Biophysical Profile of their uterus (duration of stimulation, day of HCG and day of embryo transfer), had a significantly better performance in comparison to the Group B managed on the conventional protocol in this difficult to manage and so far, rather understudied population. 展开更多
关键词 Normo-Gonadotrophic unexpected YOUNG POOR OVARIAN RESPONDERS BIOPHYSICAL Profile of the UTERUS OVARIAN Stimulation in Vitro Fertilization
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Transfusion reaction due to unexpected antibodies,mostly anti-A1
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《中国输血杂志》 CAS CSCD 2001年第S1期361-,共1页
关键词 unexpected mostly
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"Unexpected" Logic
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作者 Dao Shulin Su Jingxiang Hu Shisheng Fu Xiaoqiang Ma Jiali Zhang Siqi 《Contemporary International Relations》 2004年第7期1-10,共10页
关键词 LOGIC unexpected
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Unit 12 Life is full of the unexpected.第一课时 Section A(1a-2d)教学设计
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作者 梁丽莎 《中国校外教育》 2016年第6期110-110,145,共2页
一、目标导航(一)重点单词及短语unexpected,backpack,oversleep,give…a lift,by the time(that)(二)重点句型(1)By the time I got up,my brother had already gotten in the shower.(2)When I got home,I realized I had l... 一、目标导航(一)重点单词及短语unexpected,backpack,oversleep,give…a lift,by the time(that)(二)重点句型(1)By the time I got up,my brother had already gotten in the shower.(2)When I got home,I realized I had left my keys in the backpack.(3)When I woke up it was already 8:00 a.m.!(4)Before I got to the bus stop,the bus had already left. 展开更多
关键词 unexpected SECTION A gotten BROTHER 第一课 SOMETHING 角色扮演 听说法 现在完成时 一般现在时
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Unexpected Intraoperative Resecting of Common Trunk of Pulmonary Vein Resulted in an Incidental Pneumonectomy from Left Upper Lobectomy
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作者 Takanori Ayabe Masaki Tomita +3 位作者 Naohiro Nose Eiichi Chosa Kazuhiro Higuchi Kunihide Nakamura 《Open Journal of Thoracic Surgery》 2016年第3期18-24,共8页
There is a wide range of anatomical variations in the pulmonary vessels. Some of these variations may cause surgical morbidity during general thoracic surgery. We intended to perform a left upper lobectomy for a 73-ye... There is a wide range of anatomical variations in the pulmonary vessels. Some of these variations may cause surgical morbidity during general thoracic surgery. We intended to perform a left upper lobectomy for a 73-year-old male with suspected left lung cancer (lt.U, S<sup>3</sup>, 20 × 20 mm, P0, E0, D0, PM0, N0, T1aN0M0, c-stage IA). Preoperatively, we did not recognize the existence of the common trunk of the left pulmonary vein. After the open thoracotomy, due to a severe intrathoracic adhesion, we omitted releasing the adhesion of the lower lobe. We did not exactly confirm the location of the inferior pulmonary vein (IPV). After cutting the interlobular pulmonary arterial branchies, we resected the superior pulmonary vein (SPV) using auto sutures. After division of the lung parenchyma and incomplete fissures using auto sutures, we intended to resect the upper bronchus. However, we could not find an IPV at the normal IPV site. A thin IPV was found to be returned to the peripheral site of the resected SPV. The SPV and IPV formed a common trunk at the normal site of the SPV. Although we considered reconstructing the resected common trunk, we finally made a decision of performing an incidental pneumonectomy in order to prevent any postoperative complications on the reconstruction of the IPV such as thrombus occlusion at the anastomosis site and venous return congestion. Retrospectively, we confirmed the preoperative images of the computed tomographic scanning, which showed a narrow IPV that returned to the peripheral site of the SPV. It is important to confirm both accurate locations of the SPV and IPV when performing a lobectomy. 展开更多
关键词 Incidental Pneumonectomy Common Trunk LOBECTOMY unexpected Lung Cancer
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An Unexpected Trip
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作者 罗时荣 《疯狂英语(初中天地)》 2018年第2期54-55,共2页
Once upon a time,there was a boy with short hair and a round belly[肚子].Now he hates adventures[冒险]and feels a strange kind of fear to the unknown future.That’s me and I call myself Hobbit Boy.A hobbit is a creatu... Once upon a time,there was a boy with short hair and a round belly[肚子].Now he hates adventures[冒险]and feels a strange kind of fear to the unknown future.That’s me and I call myself Hobbit Boy.A hobbit is a creature[生物]from England writer J.R.R.Tolkien’s stories.They have short bodies with unusually big feet that have long curly hair.They live in comfortable Hobbit Holes,never do anything challenging or exciting—but 展开更多
关键词 An unexpected Trip
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To Decide or Not to Decide. Recognition, Intersubjectivity, and the (Un)expected Role of Unexpectedness
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作者 Francesco Forlin 《Journal of Philosophy Study》 2017年第9期493-499,共7页
关键词 联合国 识别 桌面游戏 有理性 社会性 决策 黑格尔
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Coach-assistedmulti-agent reinforcement learning framework for unexpected crashed agents 被引量:2
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作者 Jian ZHAO Youpeng ZHAO +5 位作者 Weixun WANG Mingyu YANG Xunhan HU Wengang ZHOU Jianye HAO Houqiang LI 《Frontiers of Information Technology & Electronic Engineering》 SCIE EI CSCD 2022年第7期1032-1042,共11页
Multi-agent reinforcement learning is difficult to apply in practice,partially because of the gap between simulated and real-world scenarios.One reason for the gap is that simulated systems always assume that agents c... Multi-agent reinforcement learning is difficult to apply in practice,partially because of the gap between simulated and real-world scenarios.One reason for the gap is that simulated systems always assume that agents can work normally all the time,while in practice,one or more agents may unexpectedly“crash”during the coordination process due to inevitable hardware or software failures.Such crashes destroy the cooperation among agents and lead to performance degradation.In this work,we present a formal conceptualization of a cooperative multi-agent reinforcement learning system with unexpected crashes.To enhance the robustness of the system to crashes,we propose a coach-assisted multi-agent reinforcement learning framework that introduces a virtual coach agent to adjust the crash rate during training.We have designed three coaching strategies(fixed crash rate,curriculum learning,and adaptive crash rate)and a re-sampling strategy for our coach agent.To our knowledge,this work is the first to study unexpected crashes in a multi-agent system.Extensive experiments on grid-world and StarCraft II micromanagement tasks demonstrate the efficacy of the adaptive strategy compared with the fixed crash rate strategy and curriculum learning strategy.The ablation study further illustrates the effectiveness of our re-sampling strategy. 展开更多
关键词 Multi-agent system Reinforcement learning unexpected crashed agents
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An unexpected X-ray transient favors very stiff neutron-star matter
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作者 Zigao Dai 《Science Bulletin》 SCIE EI CAS CSCD 2019年第20期1474-1475,共2页
Short-duration gamma-ray bursts (SGRBs) are mysterious gamma-ray flashes with durations less than two seconds, which occur at the cosmological distances. Some of them usually not only have very tenuous medium gases an... Short-duration gamma-ray bursts (SGRBs) are mysterious gamma-ray flashes with durations less than two seconds, which occur at the cosmological distances. Some of them usually not only have very tenuous medium gases and old host galaxies but also are in the outskirts of the galaxies, suggesting an origin of binary neutron star (NS) mergers (1)This origin was confirmed undoubtedly thanks to the discoveries of a gravitational wave event namedGW170817 and its electromagnetic counterparts (an SGRB, a multiwavelengthkilo-nova, and a broadband afterglow) [2]. 展开更多
关键词 China AN unexpected X-RAY TRANSIENT favors very STIFF NEUTRON-STAR MATTER origin
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Expected and unexpected etherification of 2-per(poly)fluoroethyl 4-substitutedphenol with β-haloethanol
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作者 YU, Hong-Bin LI, Rui-Qing HUANG, Wei-Yuan*Laboratory of Organofluorine Chemistry, Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences, Shanghai 200032, ChinaMAK, Thomas C.W. ZHOU, Zhong-YuanThe Chinese University of Hong Kong, Shatin. NT. Hong Kong, China 《Chinese Journal of Chemistry》 SCIE CAS CSCD 1997年第5期475-479,共5页
Under different reaction conditions, the expected and unexpected reaction products (of which X-ray crystallographic structure was presented) of etherification of 2-per(poly)fluoroethyl 4-substituted phenol with β-hal... Under different reaction conditions, the expected and unexpected reaction products (of which X-ray crystallographic structure was presented) of etherification of 2-per(poly)fluoroethyl 4-substituted phenol with β-haloethanol can be obtained respectively. 展开更多
关键词 haloethanol poly)fluoroethyl 4-substitutedphenol with Expected and unexpected etherification of 2-per THF PPM CF Cl
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Will there be Unexpected Geological Discoveries?
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作者 Roger Mason Zhenbing She 《Journal of Earth Science》 SCIE CAS CSCD 2022年第5期1337-1337,共1页
Scientific knowledge often advances by extending established theories and research methods into new areas.An Earth Science example is the extension of geological mapping to previously unvisited areas.If this were the ... Scientific knowledge often advances by extending established theories and research methods into new areas.An Earth Science example is the extension of geological mapping to previously unvisited areas.If this were the only way to advance,unexpected discoveries would become rarer as time goes on and geologists map more and more of the Earth’s surface. 展开更多
关键词 SURFACE RARE unexpected
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A new theoretical model discloses the unexpected shape evolution of metal nanoparticles in water vapor environment
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《Science Foundation in China》 CAS 2016年第3期12-12,共1页
With the support by the National Natural Science Foundation of China and Chinese Academy of Sciences,the research group led by Prof.Gao Yi(高嶷)at the CAS Key Laboratory of Interfacial Physics and Technology,Shanghai ... With the support by the National Natural Science Foundation of China and Chinese Academy of Sciences,the research group led by Prof.Gao Yi(高嶷)at the CAS Key Laboratory of Interfacial Physics and Technology,Shanghai Institute of Applied Physics,Chinese Academy of Sciences,disclosed the unexpected shape evolution of metal nanoparticles by water vapor,which was published in Nano Letters(2016, 展开更多
关键词 unexpected ISOTHERM FLUCTUATION negligible DESIRED environments explicitly PLANET LIVES reproduce
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Epileptic Seizure‑induced Cardiac Injury as a Cause of Sudden Unexpected Death in Epilepsy:Evidence from Pathological Analyses
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作者 Tao Song Shisheng Zhu Jianbo Li 《Journal of Forensic Science and Medicine》 2018年第2期108-110,共3页
Sudden unexpected death in epilepsy(SUDEP)is the most frequent cause of death in people with epilepsy.The detailed mechanisms of SUDEP have not been elucidated.Moreover,it is still difficult for clinicians to predict ... Sudden unexpected death in epilepsy(SUDEP)is the most frequent cause of death in people with epilepsy.The detailed mechanisms of SUDEP have not been elucidated.Moreover,it is still difficult for clinicians to predict and prevent the occurrence of sudden death in patients with epilepsy.Seizure‑related cardiac complications were considered to play a significant role in the physiological changes that lead to SUDEP.This report described a case of sudden death of an 11‑year‑old boy with epilepsy.Detailed autopsy and pathological analyses were performed to determine the cause of death.Seizure‑induced myocardial fibrosis was observed and deemed to be the cause of SUDEP.This study clearly showed the importance of improving the protection of cardiac function in the reductions of sudden deaths among patients with epilepsy.In addition,further studies in the pathophysiology of patients with epilepsy may help in improving our understanding of the mechanisms of SUDEP and adding new insight into the development of seizure‑induced cardiovascular and respiratory changes that may contribute to sudden death in epileptics. 展开更多
关键词 Cardiac injury forensic science pathological analyses sudden unexpected death in epilepsy
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Unexpected chemistryon black carbon dominates formation of air pollution
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《Science Foundation in China》 CAS 2020年第1期21-21,共1页
With the support by the National Natural Science Foundation of China and the National Basic Research Program of China,Prof.Zhang Fang(张芳)at the College of Global Change and Earth System Science,Beijing Normal Univer... With the support by the National Natural Science Foundation of China and the National Basic Research Program of China,Prof.Zhang Fang(张芳)at the College of Global Change and Earth System Science,Beijing Normal University,collaborating with the team of Prof.Renyi Zhang of Texas A&M University,uncovered an unexpected role of black carbon dominates formation of air pollution,which was published in PNAS(2020,DOI:10.1073/pnas.1919343117). 展开更多
关键词 unexpected chemistryon POLLUTION
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