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  • 文章类型: Journal Article
    自1995年以来,国家法医DNA数据库使用了最大数量的贡献者,和最少数量的基因座,以减少提供假引线的风险。不符合这些标准的生物痕迹的DNA谱不能加载到这些数据库中。2023年,在瑞士西部分析的15,000多个痕量DNA图谱中,约有10%未在国家一级进行比较。即使它们被认为是可解释的,主要是因为它们含有两个以上人的DNA。在这种情况下,警察部门可以要求与已知人员的DNA档案和/或其他痕迹进行本地比较,但这种情况只发生在一小部分病例中,所以DNA混合物很少被用来帮助检测潜在的序列。概率基因分型软件及其相关工具的开发使这种类型的比较的有效性能成为可能,这是基于似然比(LR)而不是共享等位基因的数量。为了突出调查和情报目的的潜在共同贡献者,本研究使用软件STRmixv2.7的混合物-混合物工具比较了瑞士DNA数据库无法搜索的235个DNA图谱.这些DNA图谱源于2021年和2022年由六个不同的警察部门收集的痕迹。警方根据表明它们来自潜在系列的信息选择了痕迹。将配置文件之间的关联与预期的调查关联进行比较,以定义这种方法的价值。在27,495对DNA图谱的配对比较中,当使用1000的LR阈值时,88对(0.3%)显示出至少一个潜在的共同贡献者。在这88对中,60人(68.2%)被警方认定为“预期”(60/88),22(25.0%)作为“可能”,六个(6.8%)为“意外”。尽管重要的是要考虑这种方法的局限性(例如,不定或错过的联想,成本/效益评估,过程中DNA混合物比较的整合),这些发现表明,非CODIS可加载的DNA混合物可以为警察机构提供有关地方和国家层面潜在系列的信息.
    Since 1995, national forensic DNA databases have used a maximum number of contributors, and a minimum number of loci to reduce the risk of providing false leads. DNA profiles of biological traces that do not meet these criteria cannot be loaded into these databases. In 2023, about 10 % of more than 15,000 trace DNA profiles analyzed in western Switzerland were not compared at the national level, even though they were considered to be interpretable, mainly because they contained the DNA from more than two persons. In this situation, police services can request local comparisons with DNA profiles of known persons and/or with other traces, but this occurs in only a small proportion of cases, so that DNA mixtures are rarely used to help detect potential series. The development of probabilistic genotyping software and its associated tools have made possible the efficient performance of this type of comparison, which is based on likelihood ratios (LR) rather than on the number of shared alleles. To highlight potential common contributors for investigation and intelligence purposes, the present study used the mixture-to-mixture tool of the software STRmix v2.7 to compare 235 DNA profiles that cannot be searched the Swiss DNA database. These DNA profiles originated from traces collected by six different police services in 2021 and 2022. Traces were selected by the police based on information that indicated that they were from potential series. Associations between profiles were compared with expected investigative associations to define the value of this approach. Among the 27,495 pairwise comparisons of DNA profiles, 88 pairs (0.3 %) showed at least one potential common contributor when using a LR threshold of 1000. Of these 88 pairs, 60 (68.2 %) were qualified by the police services as \"expected\" (60/88), 22 (25.0 %) as \"possible\", and six (6.8 %) as \"unexpected\". Although it is important to consider the limits of this approach (e.g., adventitious or missed associations, cost/benefit evaluation, integration of DNA mixture comparison in the process), these findings indicate that non CODIS loadable DNA mixtures could provide police agencies with information concerning potential series at both the local and national level.
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  • 文章类型: Journal Article
    结节病是一种多器官炎性疾病,可在多达80%的病例中累及肝脏。很少,结节病可以表现为仅局限于肝脏的疾病。虽然大多数肝结节病患者在临床上是沉默的,某些病例可能有隐匿性发作,导致肝硬化和继发性并发症。这里,我们描述了3例孤立性肝结节病,以说明可能与这种情况相关的表现范围。在调查未分化肝病患者时,临床医生应警惕肝结节病是罪魁祸首。
    Sarcoidosis is a multi-organ inflammatory disease that can have hepatic involvement in up to 80% of cases. Rarely, sarcoidosis can manifest with only confined disease to the liver. While most patients with hepatic sarcoidosis are clinically silent, certain cases can have insidious onset leading to cirrhosis and secondary complications. Here, we describe three cases of isolated hepatic sarcoidosis to illustrate the range of presentations that may be associated with this condition. Clinicians should be vigilant in consideration of hepatic sarcoidosis as a culprit when investigating patients with undifferentiated liver disease.
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  • 文章类型: Journal Article
    这项定性研究使用案例研究来观察电视小说中的非二进制表示。西班牙系列HIT(RTVE,2020年至今),他是西班牙电视小说中第一个公开的非二进制人物,通过酷儿媒体研究的镜头进行分析。本研究采用内容与语篇分析相结合的方法。定性内容类别包括角色的可见性、身份,相关性,实施例,和社交互动。语篇分析类别包括角色的建构,词汇化,命题框架,和焦点。结果表明,丹的非二元描述围绕三个重要的轴:二元论,混乱,和非凡的才能。这些轴构成了对非二元人的社会态度,并由丹案例中确定的一组特征组成,这些特征也为社会的思维定势提供了信息。这些特征被提议作为一种分析理论工具,用于进一步分析不同文化背景下的非二进制表示。这项研究的结果可能会为视听行业提供信息,法规和学术界,并有助于巩固非二元媒体研究。
    This qualitative research uses a case study to observe non-binary representation in TV fiction. The Dan character from the Spanish series HIT (RTVE, 2020-present), who is the first openly non-binary character in Spanish TV fiction, is analyzed through the lens of Queer Media Studies. The research applies a combination of content and discourse analysis. Qualitative content categories include a character\'s visibility, identity, relevance, embodiment, and social interaction. Discourse analysis categories include character\'s construction, lexicalization, propositional framing, and focus. Results show that Dan\'s non-binary depiction revolves around three significant axes: dualism, confusion, and exceptional talent. These axes frame social attitudes toward non-binary people and are composed by a set of features identified in Dan\'s case which also informs society\'s mind-sets. These traits are proposed as an analytical-theoretical tool for further analyses of non-binary representation in different cultural contexts. The outcomes of this research may inform audiovisual industries, regulations and academia, and are useful to consolidate non-binary media studies.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    为了解决摩擦电纳米发电机(TENG)输出功率低的问题,探索了串联和并联多个TENG的输出特性。研制了一种多层TENGs实验装置。通过实验建模的方法,分别建立了串联和并联的等效电路和数学模型,并阐述了其工作原理。实验发现,当多个TENG并联时,电压,电流,和输出功率可以定期增加。当TENG串联连接时,输出功率只与前两个和后两个摩擦发电机的性能有关,与串联连接的TENG的数量无关。这一发现对高效摩擦纳米发电机的设计具有一定的参考价值。
    To tackle the problem of the low output power of triboelectric nanogenerators (TENGs), the output characteristics of multiple TENGs in series and parallel were explored. An experimental device for multilayer TENGs was developed. Through the method of experimental modeling, the equivalent circuits and mathematical models in series and parallel are established respectively, and the working principle is expounded. The experiment found that when multiple TENGs are connected in parallel, the voltage, current, and output power can be regularly increased. When the TENGs are connected in series, the output power is only related to the performance of the first and last two triboelectric generators and has nothing to do with the number of series-connected TENGs. This finding has a certain reference value for the design of high-efficiency triboelectric nanogenerators.
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  • 文章类型: Journal Article
    背景:确定马是否正在脱落沙门氏菌很重要。,但是一个完整的文化系列可能成本过高。
    目的:确定维持沙门氏菌高灵敏度的最佳合并技术。使用加标样品培养,然后证明该方案对临床提交的有效性。
    目的:收集的粪便样本与5种单独培养物一样敏感,用于检测沙门氏菌脱落。
    方法:来自大学牧群的一匹沙门氏菌阴性马,和19匹住院的马。
    方法:在无沙门氏菌的粪便样品中添加不同量的沙门氏菌。102,103,104,和105个菌落形成单位[cfu])并匀浆化以评估合并的样品。从19匹住院马收集五个单独的粪便样品。将每个单独样品的10克等分试样组合以制备汇集的样品。单独和合并的样品均培养沙门氏菌。通过基质辅助激光解吸电离飞行时间质谱确认了细菌分离株的身份。
    结果:沙门氏菌的102cfu浓度。可以从无沙门氏菌的粪便样本中回收。均质化方案表明,向合并的样品中添加20mL肉汤可提高回收率,而均质化时间没有。在测试的19匹马中,5为沙门氏菌阳性。在所有情况下,沙门氏菌属。从粪便池以及单个样本中回收。
    结论:收集5个粪便样本进行沙门氏菌培养是一种敏感且经济有效的诊断方法,可以检测出正在脱落的生物体的马。
    BACKGROUND: It is important to determine if a horse is shedding Salmonella spp., but a complete culture series can be cost prohibitive.
    OBJECTIVE: Determine the optimal pooling technique to maintain high sensitivity of Salmonella spp. culture using spiked samples, and then demonstrate the efficacy of this protocol on clinical submissions.
    OBJECTIVE: Pooled fecal samples are as sensitive as 5 individual cultures for the detection of Salmonella shedding.
    METHODS: A single Salmonella-negative horse from the university herd, and 19 hospitalized horses.
    METHODS: Salmonella-free fecal samples were spiked with different amounts of Salmonella spp. (102 , 103 , 104 , and 105 colony forming units [cfu]) and homogenized to evaluate pooled samples. Five individual fecal samples were collected from 19 hospitalized horses. Ten-gram aliquots of each individual sample were combined to make a pooled sample. Both individual and pooled samples were cultured for Salmonella spp. The identity of bacterial isolates was confirmed by matrix-assisted laser desorption-ionization time of flight mass spectrometry.
    RESULTS: A 102  cfu concentration of Salmonella spp. could be recovered from a spiked Salmonella-free fecal sample. Homogenization protocols indicated that the addition of 20 mL of broth to the pooled sample improved recovery, whereas homogenization time did not. Of the 19 horses tested, 5 were positive for Salmonella. In all instances, Salmonella spp. were recovered from the fecal pool as well as individual samples.
    CONCLUSIONS: Pooling of 5 fecal samples for Salmonella culture is a sensitive and cost-effective diagnostic approach to detect horses that are shedding the organism.
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  • 文章类型: Journal Article
    •颅内囊肿与许多血管病变相关。它们主要发生在较大的,部分血栓形成的动脉瘤和老年患者。•如果未经治疗,随着时间的推移有扩大的趋势,并且在治疗后有复发的可能性。•我们假设囊肿来自扩张的Virchow-Robin空间和/或炎症过程。
    •Intracranial cysts are associated with a number of vascular lesions.•They predominantly occur in larger, partially-thrombosed aneurysms and in older patients.•There is a trend towards enlargement over time if untreated and a likelihood of recurrence following treatment.•We hypothesise the cysts arise either from dilated Virchow-Robin spaces and/or inflammatory processes.
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  • 文章类型: Journal Article
    背景:射血分数降低HFrEF(<40%)的心力衰竭的治疗使用卫生饮食规则结合β受体阻滞剂,肾素-血管紧张素系统阻断剂RASB(单独或与Sacubitril联合使用)和螺内酯。Dapagliflozin(SGLT2抑制剂)已证明可有效降低HF患者的死亡率。然而,其对超声心动图参数的影响鲜为人知。
    目的:描述在常规治疗中添加达格列净对HFrEF<40%患者的超声心动图参数的影响。
    方法:观察性,单中心和非随机研究涉及HFrEF<40%的患者。将该组与未经Dapagliflozin的常规治疗下HfrEF<40%的50名患者进行比较(取自我们中心的HF登记册,其管理可追溯到HFESC-2021指南中采用该分子之前)评估Dapagliflozin的超声影响。
    结果:43例年龄在40至68岁之间的患者,使用β受体阻滞剂治疗HfrEF<40%,BSRA,螺内酯和达格列净10mg/d。平均EF为33%±3(30-39%),平均LVd直径64mm±6(55-71mm),平均纵向应变为-11%±4。将这些患者与50名没有达格列净的相同特征的患者进行比较。经过7个月(5-8个月)的随访:平均EF增加到37%,其中11例患者EF>40%,而不使用达格列净的35%和5例患者EF>40%(P0.057),不使用达格列净的组的平均LVd为61mm与66mm(P0.095),没有达格列净的组平均纵向应变为-14%(6例<-15)与-12%(1例<-15)(P0.046)。
    结论:在常规HF治疗下HfrEF<40%的患者人群中,Dapagliflozin的处方与超声心动图参数(EF和纵向应变)的改善有关。MOTS-CLéS:Série;Dapagliflozine;心脏病;菌株;ProBNP;功能失调VG。
    BACKGROUND: The treatment of heart failure with reduced ejection fraction HFrEF (< 40%) uses hygienic-dietary rules combined with beta-blockers, renin-angiotensin system blockers RASB (alone or in combination with Sacubitril) and spironolactone. Dapagliflozin (SGLT2 inhibitor) has proven its effectiveness in reducing morbi-mortality in patients with HF. However, its effects on echocardiographic parameters are less known.
    OBJECTIVE: To describe the impact of the addition of Dapagliflozin to conventional treatment on echocardiographic parameters in patients with HFrEF < 40%.
    METHODS: Observational, single-center and non-randomized study involving patients with HFrEF < 40%. This group was compared to a cohort of 50 patients with HfrEF < 40% under conventional treatment without Dapagliflozin (taken from the HF register of our center and whose management dates back to before the adoption of this molecule in the HF ESC-2021 guidelines) to assess the ultrasound impact of Dapagliflozin.
    RESULTS: 43 patients aged between 40 and 68 years with HfrEF < 40% on Beta-blocker, BSRA, Spironolactone and Dapagliflozin 10 mg/d. The mean EF was 33% ± 3 (30-39%), mean LVd diameter 64 mm ± 6 (55-71 mm) and mean longitudinal strain at -11% ± 4. These patients were compared to a cohort of 50 patients with the same profile without Dapagliflozin. After a follow-up of 7 months (5-8 months): The average EF increased to 37% with 11 patients EF > 40% against 35% and 5 patients EF > 40% for the group without Dapagliflozin (P 0.057), average LVd at 61 mm versus 66 mm in the group without Dapagliflozin (P 0.095), Mean longitudinal strain at -14% (6 patients < -15) versus -12% (1 patient <-15) in the group without Dapagliflozin (P 0.046).
    CONCLUSIONS: In a population of patients with HfrEF < 40% under conventional treatment for HF, the prescription of Dapagliflozin is associated with an improvement of echocardiographic parameters (EF and longitudinal strain). MOTS-CLéS: Série;Dapagliflozine;insuffisance cardiaque;strain;ProBNP;dysfonction VG.
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    文章类型: Journal Article
    背景:髓内钉固定目前是非典型股骨骨折(AFF)手术治疗的首选方式。它的用途有限,然而,在严重弯曲的股骨中,狭窄的髓管,或在股骨曲线的顶点处存在厚厚的内膜愈伤组织。在这些情况下,髓外钢板接骨术是首选。采用钢板接骨术的考虑因素是短节段固定还是长节段固定。我们假设长节段固定具有保护股骨整个长度免受未来无动力骨骨折的潜在优势。在这个系列中,我们提出了我们机构的两个案例,旨在讨论短节段钢板固定与长节段钢板固定在AFF中的益处和局限性。
    方法:我们报告了2例严重股骨曲度的亚洲患者中2例罕见的双膦酸盐相关性AFF,在我们机构接受髓外板接骨术治疗的患者。一名患者接受了短节段钢板固定术,另一个人接受了横跨股骨近端到远端的长钢板接骨术,试图保护骨骼免受未来的骨折。两名患者在术后均表现出良好且简单的病程,随访时早期恢复下床活动和影像学骨愈合。
    结论:我们希望看到AFF和股骨弯曲的患者数量增加,特别是随着亚洲人口老龄化,双膦酸盐的使用增加。短长钢板接骨术是手术治疗的选择,具有各自的优点和局限性。随着新的解剖板选项的出现,长节段固定已变得更容易获得,在该患者组中可以考虑,因为它具有保护无动力股骨免受未来骨折的潜在优势.进一步的研究应该有针对性地确定哪种治疗方法在这一特定的患者组中更优。
    BACKGROUND: Intramedullary nail fixation is currently the modality of choice in surgical treatment for atypical femoral fractures (AFF). Its uses are limited, however, in severely bowed femurs, narrow medullary canals, or in the presence of thick endosteal callus at the apex of the femoral curve. In these cases, extramedullary plate osteosynthesis is preferred. The consideration when adopting plate osteosynthesis is whether a short or long segment fixation is superior. We hypothesize that a long segment fixation has the potential advantage of protecting the entire length of the femur from future fractures in the adynamic bone. In this series, we present two cases from our institution, with the aims of discussing the benefits and limitations of short versus long segment plate fixation in AFF.
    METHODS: We report two uncommon cases of bisphosphonate-related AFF in two Asian patients with severe femoral curvature, who were treated with extramedullary plate osteosynthesis at our institution. One patient underwent fixation with a short segment plate osteosynthesis, and the other received a long plate osteosynthesis spanning the proximal to distal femur in an attempt to protect the bone from future fractures. Both patients showed a favourable and uncomplicated course post-surgery, with early return to ambulation and radiographic bone union at follow up.
    CONCLUSIONS: We expect to see an increase in the number of patients with AFF and bowed femurs, especially with the increased usage of bisphosphonates given an ageing Asian population. Surgical treatment with short and long plate osteosynthesis are options with their own advantages and limitations. With the advent of new anatomical plate options, long segment fixation has become more accessible and may be considered in this patient group as it has the potential advantage of protecting the adynamic femur from future fractures. Further studies should be targeted to determine which method of treatment is superior in this particular group of patients.
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  • 文章类型: Journal Article
    椭球和平面椭圆表面被广泛用作反射,许多光学系统中的点对点聚焦元件,包括X射线光学。在这里,费马的经典光路函数方法用于推导这些表面的封闭形式表达式,这些表达式由物体和图像距离以及反射镜表面上某一点的入射角唯一描述。紧凑的描述有助于设计,建模,fabrication,并以任意精度进行测试。给出了两个有用的坐标系中的全等表面-一个以椭圆体的对称轴为中心的系统和一个以镜像为中心的或“顶点”系统,其表面在镜像中心与xy平面相切。从结果中得出局部斜率和曲率半径的表达式,麦克劳伦系列扩展的前几个条款是关于镜子中心的。
    Ellipsoidal and plane-elliptical surfaces are widely used as reflective, point-to-point focusing elements in many optical systems, including X-ray optics. Here the classical optical path function approach of Fermat is applied to derive a closed-form expression for these surfaces that are uniquely described by the object and image distances and the angle of incidence at a point on a mirror surface. A compact description facilitates design, modeling, fabrication, and testing to arbitrary accuracy. Congruent surfaces in two useful coordinate systems - a system centered on the ellipsoid\'s axes of symmetry and a mirror-centered or `vertex\' system with the surface tangent to the xy plane at the mirror\'s center - are presented. Expressions for the local slope and radii of curvature are derived from the result, and the first several terms of the Maclauren series expansion are provided about the mirror center.
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