REVIEW

Review
  • 文章类型: Journal Article
    这项研究调查了伊朗光伏水泵系统(PVWPS)的现状,一个拥有巨大太阳辐射潜力的国家,尤其是在南部和中部地区。尽管有这种潜力,该国缺乏对太阳能水泵系统的全面研究。这项研究的目的是对现有文献进行全面审查,以评估伊朗的太阳能水泵状况。在各省采用PVWPS证明了该系统的多功能性,证明在阳光充足和辐射较少的地区都是有效的。伊朗对PVWPS的广泛利用归因于其充足的辐射,即使在北部地区,具有较低的太阳辐照度水平。包括技术在内的综合研究有限,经济,环境,以及伊朗太阳能光伏水泵项目的社会问题。大部分研究都是在过去几年进行的,这表明人们越来越认识到这项技术的可能优势。最后,这篇综述为研究人员和农民提供了有价值的见解,展示太阳能PVWPS的好处。它为国家农业景观的进一步创新和实施奠定了基础,强调需要继续探索和采用这种可持续的方法。
    This study investigates the current status of photovoltaic water pumping systems (PVWPSs) in Iran, a country endowed with significant solar irradiation potential, notably in its southern and central regions. Despite this potential, there is a scarcity of comprehensive studies on solar water pumping systems within the country. This purpose of this study is to conduct a thorough review of the existing literature to assess the state of solar water pumping in Iran. The adoption of PVWPS across various provinces demonstrates the system\'s versatility, proving effective in both highly sunny and less irradiated regions. Iran\'s widespread utilization of PVWPS is attributed to its ample irradiations, even in its northern areas, which possess lower solar irradiance levels. There are limited comprehensive studies encompassing technical, economic, environmental, and social aspects of solar PV water pumping projects in Iran. Most of the research has been conducted during the last few years, indicating an increased recognition of the possible advantages of this technology. Finally, this review provides valuable insights for researchers and farmers, showcasing the benefits of solar PVWPS. It sets the stage for further innovation and implementation in the country\'s agricultural landscape, emphasizing the need for continued exploration and adoption of this sustainable approach.
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  • 文章类型: Journal Article
    目的:进行了文献计量学研究,以更深入地了解糖尿病和生物钟(BC)的研究现状。
    方法:该研究涉及对1992年至2023年在WebofScience数据库中发表的与糖尿病和BC有关的文献的全面搜索。
    结果:在65种期刊上发表了95篇文章,截至2022年,其中六本期刊未列入期刊引文报告。在剩下的59种期刊中,10的影响因子(IF)大于10,21的IF大于5。29种期刊属于Quartile1,而16种期刊属于Quartile2。这些文章由来自22个国家的研究人员提供,荷兰和美国是最多产的贡献者。然而,来自美国的文章的引用总数明显高于荷兰.标题和抽象关键词的共现分析主要集中在研究BC的机制上。关于作者关键字和关键字加,共现分析集中在糖尿病和BC.发达国家之间的国际合作十分突出,与荷兰,美国,法国是主要参与者。机构间的合作主要发生在荷兰的两个研究机构之间。总的来说,这95篇文章收到了5157次引用,平均每篇文章引用54.28次。
    结论:为了促进这一领域的进步,需要更多的关注和国际合作。强调协作努力可以推动新方法的发展来有效地管理糖尿病和调节血糖水平。
    OBJECTIVE: A bibliometric study was conducted to gain deeper insights into the current state of research on diabetes and the biological clock (BC).
    METHODS: The study involved a comprehensive search for literature related to diabetes and BC published between 1992 and 2023 in the Web of Science database.
    RESULTS: Ninety-five articles were published in 65 journals, with six of these journals not included in the Journal Citation Reports as of 2022. Among the remaining 59 journals, 10 had an impact factor (IF) greater than 10, and 21 had an IF greater than 5. Twenty-nine journals belonged to Quartile 1, while 16 journals were part of Quartile 2. The articles were contributed by researchers from 22 countries, with the Netherlands and the USA being the most prolific contributors. However, the total number of citations for articles from the USA was significantly higher than that of the Netherlands. The co-occurrence analysis of title and abstract keywords primarily focused on investigating the mechanisms of BC. Regarding author keywords and keyword-plus, the co-occurrence analysis centered around diabetes and BC. International collaboration was prominent among developed countries, with the Netherlands, the USA, and France being major participants. Institution- wise cooperation primarily occurred between two research institutions in the Netherlands. In total, the 95 articles received 5,157 citations, averaging 54.28 citations per article.
    CONCLUSIONS: To foster advancements in this area, more attention and international cooperation are necessary. Emphasizing collaborative efforts can drive the development of novel approaches to manage diabetes and regulate blood glucose levels effectively.
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  • 文章类型: Journal Article
    非产褥期乳腺炎(NPM)的两种主要类型是肉芽肿性小叶性乳腺炎(GLM)和浆细胞性乳腺炎(PCM)。现有研究表明,免疫炎症反应被认为是GLM和PCM发病的核心,先天和适应性免疫反应在PCM和GLM的病理生理学中起着重要作用。然而,这些疾病中各种免疫细胞之间的调节平衡仍不清楚。因此,我们对免疫相关变量以及GLM和PCM的最新进展进行了全面总结。
    The two primary types of non-puerperal mastitis (NPM) are granulomatous lobular mastitis (GLM) and plasma cell mastitis (PCM). Existing research indicates that immune inflammatory response is considered to be the core of the pathogenesis of GLM and PCM, and both innate and adaptive immune responses play an important role in the pathophysiology of PCM and GLM. However, the regulatory balance between various immune cells in these diseases is still unclear. Consequently, we present a comprehensive summary of the immune-related variables and recent advances in GLM and PCM.
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  • 文章类型: Journal Article
    额颞叶变性(FTD)是早发性痴呆的常见原因,症状通常在65岁之前出现,给护理人员增加了巨大的负担。FTD护理研究将患者行为症状(如冷漠和抑制)描述为照顾者心理健康不良的主要来源;然而,很少关注其他常见的患者行为,比如失去同理心。为了更好地理解移情丧失和FTD照顾者结果之间的关系,这篇综合综述旨在解决以下问题:患有FTD(PLwFTD)的人失去同理心如何影响护理人员?
    在PubMed中找到了定量和定性文章,护理和相关健康文献累积指数(CINAHL),和Scopus,并使用Crowe关键评估工具(CCAT)进行质量评估。通过不断的比较分析,文章被评估为抽象文献中的共同主题。
    来自333次引用,纳入了2010年至2022年间发表的8项定性研究和8项定量研究。发现了三个主要主题:1)护理人员对PLwFTD的情绪反应;2)护理人员的心理困扰;3)关系的变化。
    这篇综述强调了移情丧失对FTD护理人员的不利影响。了解这些开发不足的后果对于了解护理人员的福祉和促进支持护理人员的方式至关重要。
    UNASSIGNED: Frontotemporal Degeneration (FTD) is a common cause of early onset dementia with symptoms often presenting before 65 years of age and adding tremendous burden on caregivers. FTD caregiving research describes patient behavioral symptoms such as apathy and disinhibition as primary sources of poor caregiver psychological health; however, little attention has been paid to other common patient behaviors, such as loss of empathy. To better understand the relationship between empathy loss and FTD caregiver outcomes, this integrative review aimed to address the question: How does the loss of empathy in a person living with FTD (PLwFTD) impact the caregiver?
    UNASSIGNED: Quantitative and qualitative articles were found in PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus and were assessed for quality using the Crowe Critical Appraisal Tool (CCAT). Through constant comparative analysis, articles were assessed to abstract common themes in the literature.
    UNASSIGNED: From 333 citations, 8 qualitative and 8 quantitative studies published between 2010 and 2022 were included. Three main themes were uncovered: 1) caregiver emotional reactions to the PLwFTD; 2) caregiver psychological distress; 3) changes in the relationship.
    UNASSIGNED: This review emphasizes the detrimental impact of empathy loss on FTD caregivers. Understanding these underexplored consequences is critical in understanding the well-being of caregivers and promoting ways to support caregivers.
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  • 文章类型: Journal Article
    背景:多发性硬化症(MS)是一种神经系统疾病,需要采用多学科方法来帮助MS患者控制其疾病。健康行为,或者改变生活方式,是一种新兴的MS自我管理方法。MS研究人员利用测量工具来确保干预措施最适合结果,从而可能影响实践。这项研究的目的是调查哪些工具正在用于MS患者的健康行为管理研究,并为工具选择提供帮助。
    方法:在PRISMA-Sc检查表和JBI证据综合手册的指导下进行范围审查,并在四个科学数据库中执行系统搜索策略:Medline,PubMed,CINAHL,和Cochrane图书馆。使用的评估工具的类型是从纳入的研究中提取的。每个工具都被归类为健康行为干预学科(营养,锻炼,和心理学),然后根据工具的目的进行分类。确定每种工具的使用频率。对评估工具的验证报告进行了整理,以告知工具选择清单。
    结果:审查确定了总共248种工具(12种营养,55练习,和119份心理学独特报告)来自166项研究。确定了77个多维工具,包括生活质量的衡量标准,疲劳,和功能尺度。只有88项研究(53%)提到了这些工具的有效性。最常报告的工具是饮食习惯问卷(n=4,营养),6分钟步行测试(n=17,锻炼),符号数字和模式测试,医院焦虑和抑郁量表(每组n=15,心理学)与扩展残疾状况量表报告43次。
    结论:来自干预措施的证据可以为卫生专业人员的实践提供信息。这篇综述提供了对MS健康行为干预研究报告的工具范围的见解,并为更一致的研究方法报告提供了指导。
    BACKGROUND: Multiple sclerosis (MS) is a neurological condition that necessitates a multidisciplinary approach to aid those living with MS in managing their disease. Health behavior, or lifestyle modification, is an emerging approach to MS self-management. MS researchers utilize measurement tools to ensure that interventions are best suited to the outcomes, thereby potentially influencing practice. The aim of this study was to investigate which tools are being used for health behavior management studies in people living with MS and develop an aid for tool selection.
    METHODS: A scoping review guided by the PRISMA-Sc checklist and the JBI manual for evidence synthesis was employed with a systematic search strategy executed across four scientific databases: Medline, PubMed, CINAHL, and Cochrane Libraries. The types of assessment tools used were extracted from the included studies. Each tool was categorized into the health behavior intervention discipline (nutrition, exercise, and psychology) and then subcategorized by the tool\'s purpose. The frequency of use was determined for each tool. Reporting of validation of the assessment tools were collated to inform a tool selection checklist.
    RESULTS: The review identified a total of 248 tools (12 nutrition, 55 exercise, and 119 psychology unique reports) from 166 studies. Seventy-seven multidimensional tools were identified including measures of quality of life, fatigue, and functional scales. Only 88 studies (53%) referred to the validity of the tools. The most commonly reported tools were the dietary habits questionnaire (n = 4, nutrition), 6-minute walk test (n = 17, exercise), Symbol Digits and Modalities Test, and Hospital Anxiety and Depression Scale (n = 15 each, psychology) with the Expanded Disability Status Scale reported 43 times.
    CONCLUSIONS: Evidence from interventions may inform practice for health professionals. This review provides insights into the range of tools reported across health behavior intervention studies for MS and offers a guide toward more consistent reporting of study methods.
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  • 文章类型: Journal Article
    尽管有相当多的研究努力,炎症性疾病仍然是人类健康的沉重负担,每年造成重大经济损失。组蛋白脱乙酰酶(HDAC)在调节炎症(通过组蛋白和非组蛋白脱乙酰),染色质结构和基因表达调控中起重要作用。在这里,我们详细描述了不同的HDACs及其功能,并分析了HDACs在炎症性疾病中的作用,包括减少促炎细胞因子的产生,免疫细胞功能调节,和抗炎细胞活性增强。尽管HDAC抑制剂已显示出广泛的炎症性疾病治疗潜力,由于它们的非特异性作用,它们的临床适用性仍然有限,不利影响,和抗药性。随着进一步的研究和见解,这些抑制剂有望成为治疗多种炎性疾病的重要工具。本文旨在探讨HDACs及其抑制剂在多种炎症性疾病中的作用机制和应用前景。
    Despite considerable research efforts, inflammatory diseases remain a heavy burden on human health, causing significant economic losses annually. Histone deacetylases (HDACs) play a significant role in regulating inflammation (via histone and non-histone protein deacetylation) and chromatin structure and gene expression regulation. Herein, we present a detailed description of the different HDACs and their functions and analyze the role of HDACs in inflammatory diseases, including pro-inflammatory cytokine production reduction, immune cell function modulation, and anti-inflammatory cell activity enhancement. Although HDAC inhibitors have shown broad inflammatory disease treatment potentials, their clinical applicability remains limited because of their non-specific effects, adverse effects, and drug resistance. With further research and insight, these inhibitors are expected to become important tools for the treatment of a wide range of inflammatory diseases. This review aims to explore the mechanisms and application prospects of HDACs and their inhibitors in multiple inflammatory diseases.
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  • 文章类型: Journal Article
    与围绕计划和自发运动管理葡萄糖水平相关的挑战和恐惧会影响1型糖尿病患者的结果和生活质量。技术的进步,包括连续血糖监测,用于1型糖尿病运动管理的开环胰岛素泵治疗和混合闭环(HCL)系统,解决其中一些挑战。在这次审查中,三名研究或临床专家,每个人都患有1型糖尿病,利用已发表的文献、临床和个人经验,将研究结果转化为简化,以患者为中心的战略。了解胰岛素药代动力学的局限性,个体对有氧运动和无氧运动的不同反应,以及技术的特点,提出了六个步骤来指导临床医生有效地将简化的操作更有效地传达给1型糖尿病患者.从根本上说,六个步骤集中在两个方面。首先,无论胰岛素治疗类型,特别是自发运动所需要的,我们提供了葡萄糖进入活动肌肉的估计值,这些活动肌肉打算作为额外的碳水化合物消耗用于运动(\'ExCarbs\';一个常见的例子是成人每小时0.5g/kg体重,青年每小时1.0g/kg体重)。第二,对于使用开环泵治疗或HCL系统的计划锻炼,我们还建议在运动开始前90分钟(1-2小时)开始使用先发制人的基础胰岛素减少或使用HCL运动模式,直至运动结束.讨论了有氧运动和无氧运动的修改。先发制人的基础胰岛素减少和ExCarbs消耗的负担是HCL系统的局限性,这可能会被未来的创新所克服,但无疑是当前可用系统所必需的。
    Challenges and fears related to managing glucose levels around planned and spontaneous exercise affect outcomes and quality of life in people living with type 1 diabetes. Advances in technology, including continuous glucose monitoring, open-loop insulin pump therapy and hybrid closed-loop (HCL) systems for exercise management in type 1 diabetes, address some of these challenges. In this review, three research or clinical experts, each living with type 1 diabetes, leverage published literature and clinical and personal experiences to translate research findings into simplified, patient-centred strategies. With an understanding of limitations in insulin pharmacokinetics, variable intra-individual responses to aerobic and anaerobic exercise, and the features of the technologies, six steps are proposed to guide clinicians in efficiently communicating simplified actions more effectively to individuals with type 1 diabetes. Fundamentally, the six steps centre on two aspects. First, regardless of insulin therapy type, and especially needed for spontaneous exercise, we provide an estimate of glucose disposal into active muscle meant to be consumed as extra carbohydrates for exercise (\'ExCarbs\'; a common example is 0.5 g/kg body mass per hour for adults and 1.0 g/kg body mass per hour for youth). Second, for planned exercise using open-loop pump therapy or HCL systems, we additionally recommend pre-emptive basal insulin reduction or using HCL exercise modes initiated 90 min (1-2 h) before the start of exercise until the end of exercise. Modifications for aerobic- and anaerobic-type exercise are discussed. The burden of pre-emptive basal insulin reductions and consumption of ExCarbs are the limitations of HCL systems, which may be overcome by future innovations but are unquestionably required for currently available systems.
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  • 文章类型: Journal Article
    自然语言处理(NLP)任务可以通过多种深度学习架构来解决。许多不同的方法被证明是有效的。本研究旨在简要总结NLP任务的用例以及主要架构。这项研究提出了NLP任务的基于变压器的解决方案,例如变压器的双向编码器表示(BERT),和创成式预培训(GPT)架构。要做到这一点,我们在审查策略中进行了逐步的过程:确定包括变形金刚在内的最新研究,应用过滤器来提取最一致的研究,确定和定义纳入和排除标准,评估每一项研究中提出的策略,最后讨论了所产生的文章中提出的方法和体系结构。这些步骤促进了基于Transformer架构的NLP应用程序的系统总结和比较分析。主要焦点是NLP域的当前状态,特别是关于它的应用,语言模型,和数据集类型。研究结果为该研究领域遇到的挑战提供了见解。
    Natural language processing (NLP) tasks can be addressed with several deep learning architectures, and many different approaches have proven to be efficient. This study aims to briefly summarize the use cases for NLP tasks along with the main architectures. This research presents transformer-based solutions for NLP tasks such as Bidirectional Encoder Representations from Transformers (BERT), and Generative Pre-Training (GPT) architectures. To achieve that, we conducted a step-by-step process in the review strategy: identify the recent studies that include Transformers, apply filters to extract the most consistent studies, identify and define inclusion and exclusion criteria, assess the strategy proposed in each study, and finally discuss the methods and architectures presented in the resulting articles. These steps facilitated the systematic summarization and comparative analysis of NLP applications based on Transformer architectures. The primary focus is the current state of the NLP domain, particularly regarding its applications, language models, and data set types. The results provide insights into the challenges encountered in this research domain.
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  • 文章类型: Journal Article
    大脑前动脉(ACA)动脉瘤的位置各不相同,在ACA的过程中会出现各种动脉瘤。破裂和一些未破裂的ACA动脉瘤可能需要积极治疗以避免出血或再出血。虽然开放手术是ACA动脉瘤的有效治疗方法,血管内治疗(EVT)正在成为选择病例的替代治疗方法。用于ACA动脉瘤的EVT技术通常有所不同,并且根据动脉瘤的性质和位置逐案进行。为了更好地理解ACA动脉瘤的EVT策略,有必要对ACA动脉瘤进行EVT检查。在这次审查中,讨论了以下主题:ACA解剖和异常,ACA动脉瘤的分类,ACA动脉瘤的自然史,ACA动脉瘤的开放手术和EVT状态,各种ACA动脉瘤的EVT技术,以及EVT治疗ACA动脉瘤的预后和并发症。根据我们的审查和经验,传统的螺旋EVT仍然是大多数ACA动脉瘤的首选治疗方法。对于A1动脉瘤,EVT具有挑战性。在选择合适的案例后,对于ACA动脉瘤患者,采用导流器和WovenEndoBridge装置可获得良好的预后。此外,母体动脉闭塞可用于治疗侧支循环良好的A1动脉瘤和一些远端ACA动脉瘤。总的来说,EVT作为ACA动脉瘤的替代治疗方案越来越受欢迎。
    The locations of anterior cerebral artery (ACA) aneurysms vary, and various aneurysms can occur along the course of the ACA. Ruptured and some unruptured ACA aneurysms may require aggressive treatment to avoid bleeding or rebleeding. Although open surgery is an effective treatment for ACA aneurysms, endovascular treatment (EVT) is becoming an alternative treatment in select cases. EVT techniques for ACA aneurysms often vary and are performed on a case-by-case basis according to the nature and location of the aneurysm. To better understand the EVT strategy for ACA aneurysms, it is necessary to review EVT for ACA aneurysms. In this review, the following topics are discussed: ACA anatomy and anomalies, classifications of ACA aneurysms, the natural history of ACA aneurysms, open surgery and EVT statuses for ACA aneurysms, EVT techniques for various ACA aneurysms, and the prognosis and complications of EVT for ACA aneurysms. According to our review and experience, traditional coiling EVT is still the preferred therapy for most ACA aneurysms. For A1 aneurysms, EVT is challenging. After the selection of appropriate cases, deployment of a flow diverter and Woven EndoBridge device can result in a good prognosis for patients with ACA aneurysms. In addition, parent artery occlusion can be used to treat A1 aneurysms with good collateral circulation and some distal ACA aneurysms. In general, EVT is gaining popularity as an alternative treatment option for ACA aneurysms.
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  • 文章类型: Journal Article
    背景:在治疗十二指肠穿孔的外科和内窥镜文献中存在差异。尽管经常保守地管理,手术修复是十二指肠穿孔的标准治疗方法。这与胃肠病学文献相反,现在建议内镜修复十二指肠穿孔,从先进的内窥镜手术的不断发展的领域中更常见的医源性。本研究旨在对十二指肠穿孔内镜修复的文献内容和质量进行综述。
    方法:JoannaBriggsInstitute概述了进行该范围审查的方案。所有报告在2022年2月之前接受过十二指肠穿孔内镜修复的患者的主要结局的研究,无论穿孔的病因或修复类型如何,都进行了回顾。1999年后的研究符合纳入标准。该研究排除了未报告内镜修复临床结果的文章,没有描述内镜修复在胃肠道发生的地方的文章,儿科患者,和动物研究。
    结果:筛选了7606篇摘要,共审查了474篇完整文章,152项研究符合纳入标准.560例十二指肠穿孔经内镜修复,技术成功率90.4%,成活率86.7%。这些穿孔中的大多数(74.5%)是由内窥镜手术或手术引起的。仅发现一项随机对照试验(RCT),53%的研究是病例报告。
    结论:这些结果表明,内镜下修复术可以作为十二指肠穿孔的可行一线治疗方法出现,并强调需要更多高质量的研究。
    BACKGROUND: There is a discrepancy in the surgical and endoscopic literature for managing duodenal perforations. Although often managed conservatively, surgical repair is the standard treatment for duodenal perforations. This contrasts with the gastroenterology literature, which now recommends endoscopic repair of duodenal perforations, which are more frequently iatrogenic from the growing field of advanced endoscopic procedures. This study aims to provide a scoping review to summarize the current literature content and quality on endoscopic repair of duodenal perforations.
    METHODS: The protocol for performing this scoping review was outlined by the Joanna Briggs Institute. All studies that reported primary outcomes of patients who had undergone endoscopic repair of duodenal perforations before February 2022, regardless of perforation etiology or repair type were reviewed, with studies after 1999 meeting inclusion criteria. The study excluded articles that did not report clinical outcomes of endoscopic repair, articles that did not describe where in the gastrointestinal tract the endoscopic repair occurred, pediatric patients, and animal studies.
    RESULTS: 7606 abstracts were screened, with 474 full articles reviewed and 152 studies met inclusion criteria. 560 patients had duodenal perforations repaired endoscopically, with a technical success rate of 90.4% and a survival rate of 86.7%. Most of these perforations (74.5%) were iatrogenic from endoscopic procedures or surgery. Only one randomized control trial (RCT) was found, and 53% of studies were case reports.
    CONCLUSIONS: These results suggest that endoscopic repair could emerge as a viable first-line treatment for duodenal perforation and highlight the need for more high-quality research in this topic.
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