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Endoscopic Step-Up Approach in Management of Necrotizing Pancreatitis.
Gastroenterol Clin North Am
March 2025
Department of Gastroenterology, Asian Institute of Gastroenterology, AIG Hospitals, Hyderabad, India. Electronic address:
The endoscopic step-up approach in the management of necrotizing pancreatitis involves sequential steps of intervention at different time points in the clinical course of the disease. EUS -guided drainage of walled-off necrosis is the first step of the endoscopic step-up approach. Lumen-apposing metal stents are preferred over plastic stents for safe and effective drainage because of their wide caliber.
View Article and Find Full Text PDFEffects of an external load on anticipatory mechanisms of handstand walking initiation in experienced gymnasts.
J Sports Sci
January 2025
Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.
Anticipatory postural adjustments (APAs) are responsible for a successful first step execution in handstand walking. This study evaluates gymnasts' ability to adapt their APAs and stepping parameters in response to adding/removing an external load over repeated handstand walking initiation trials. Eighteen gymnasts performed five handstand walking initiation trials without load (PRE), eight trials with an external load (LOAD) and five trials with removed load (POST).
View Article and Find Full Text PDFOptimizing Point-in-Space Continuous Monitoring System Sensor Placement on Oil and Gas Sites.
ACS Sustain Resour Manag
January 2025
Department of Applied Mathematics and Statistics, Colorado School of Mines, Golden, Colorado 80401, United States.
We propose a generic, modular framework to optimize the placement of point-in-space continuous monitoring system sensors on oil and gas sites aiming to maximize the methane emission detection efficiency. Our proposed framework substantially expands the problem scale compared to previous related studies and can be adapted for different objectives in sensor placement. This optimization framework is comprised of five steps: (1) simulate emission scenarios using site-specific wind and emission information; (2) set possible sensor locations under consideration of the site layout and any site-specific constraints; (3) simulate methane concentrations for each pair of emission scenario and possible sensor location; (4) determine emissions detection based on the site-specific simulated concentrations; and (5) select the best subset of sensor locations, under a given number of sensors to place, using genetic algorithms combined with Pareto optimization.
View Article and Find Full Text PDFHow technology influences English learning attainment among Chinese students.
Acta Psychol (Amst)
January 2025
School of Humanities and Law, Gannan University of Science and Technology, Ganzhou 341000, China. Electronic address:
The purpose of this research includes analyzing the interaction between online English learning motivations, digital readiness, academic engagement, self-regulated English learning attainment, and technology self-efficacy. These interactions were examined based on data gathered from learners in online English courses through the method of structural equation modeling. Analysis found that online English learning motivation has a significant impact on the learners' level of digital readiness and levels of academic engagement, thereby underlining its importance in getting learners ready for meaningful navigation of the digital environments with emphasis on specific academic tasks.
View Article and Find Full Text PDFValue Propositions for Digital Shared Medication Plans to Boost Patient-Health Care Professional Partnerships: Co-Design Study.
J Particip Med
January 2025
Department of Ambulatory Care, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Background: Health authorities worldwide have invested in digital technologies to establish robust information exchange systems for improving the safety and efficiency of medication management. Nevertheless, inaccurate medication lists and information gaps are common, particularly during care transitions, leading to avoidable harm, inefficiencies, and increased costs. Besides fragmented health care processes, the inconsistent incorporation of patient-driven changes contributes to these problems.
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