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- He, Xin, et al.
(författare)
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Worsening of Renal Function Among Hospitalized Patients With Acute Heart Failure: Phenotyping, Outcomes, and Predictors.
- 2022
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Ingår i: Mayo Clinic proceedings. - : Elsevier BV. - 1942-5546 .- 0025-6196. ; 97:9, s. 1619-1630
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Tidskriftsartikel (refereegranskat)abstract
- To define clinical phenotyping and its associated outcome of worsening of renal function (WRF) in hospitalized acute heart failure (AHF) patients.Latent class analysis was performed in 113 AHF patients who developed WRF within 72 hours in the DOSE (Diuretic Optimization Strategies Evaluation) trial (from March 2008 to November 2009) and ROSE-AHF (Renal Optimization Strategies Evaluation in Acute Heart Failure) trial (from September 2010 to March 2013) to identify potential WRF phenotypes. Clinical characteristics and outcome (in-hospital and post-discharge) were compared between different phenotypes.Two WRF phenotypes were identified by latent class analysis, which we named WRF minimally responsive to diuretics (WRF-MRD) and WRF responsive to diuretics (WRF-RD). Among the population, 58 (9.5%) developed WRF-MRD and 55 (9.0%) developed WRF-RD. Patients with WRF-MRD had more comorbidities than WRF-RD. In WRF-MRD, there were an early increase in serum creatinine, a smaller amount of net fluid loss and weight loss, and a higher rate of worsening or persistent heart failure over 72 hours. In contrast, for those with WRF-RD, they had faster in-hospital net fluid loss and weight loss and a better 60-day survival after discharge even compared with patients without WRF (P=.004). Furthermore, baseline chronic obstructive pulmonary disease, diabetes, and cystatin C were independent predictors of WRF-MRD, whereas serum hemoglobin and sodium predicted WRF-RD.Among hospitalized AHF patients, we identified two phenotypes of WRF with distinct response to heart failure treatment, predictors, and short-term prognosis after discharge. The results could help early differentiation of WRF phenotypes in clinical practice.
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| 2. |
- Li, Fangfei, et al.
(författare)
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Application and analysis of flip mechanism in the melting process of a triplex-tube latent heat energy storage unit
- 2023
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Ingår i: Energy Reports. - : Elsevier BV. - 2352-4847. ; 9, s. 3989-4004
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Tidskriftsartikel (refereegranskat)abstract
- In order to improve the characteristics of uneven melting in the melting process of the horizontal latent heat energy storage system, the triplex-tube latent heat energy storage unit is taken as the research object, and the flip mechanism is applied to its melting process. Numerical simulation is used for the research, and the numerical model is verified by experimental data. The results show that under different dimensionless times, the melting performance of the unit can be significantly improved by a single flip. When the dimensionless time is 0.4576, it is found that the total melting time of the unit is reduced by 16.17 %, the average heat absorption rate is increased by 14.7 %, but the total heat energy absorption is reduced by 3.85 %. The results show that the addition of a flip can effectively shorten the melting time and increase the heat absorption rate, but it has a negative effect on the total heat absorption in one melting cycle. Moreover, through the comparison of dynamic flow rate, dynamic temperature response, and temperature interval, it is shown that the addition of flip effectively reduces the negative influence of the hard-to-melt zone on the melting performance of the unit during the melting process. The flip mechanism reduces the proportion of high-temperature phase change material in the melting process and makes the melting process more uniform.
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