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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Libich, Jiri; Vondrak, Jiri; Sedlarikova, Marie; Maca, Josef; +1 Authors

    The article deals with preparing of lithiated graphite material. The lithiated graphite material can be used as active electrode material in lithium-ion batteries. Most of the commercially produced lithium-ion batteries have the negative electrode based on graphite. The capacity losses which are caused by irreversible capacity of graphite may reduce the potential capacity of the battery from 15 % up to 45 %. These losses arise on negative electrode interphase (solid graphite electrode and liquid electrolyte), where during the formation process is created the SEI (Solid-Electrolyte Interphase) layer. The layer is composed from lithium atoms and the decomposition products of electrolyte solvents. The SEI layer is indispensable for correct function of lithium-ion battery. In this article are presented experimental methods for synthesis of lithiated graphite material. The article describes the three concepts of preparing lithiated material and its using like a precursor for preparing of negative electrode. The first method is based on using n-butyllithium (C4H9Li) reagent, its behaviour as the donor of lithium atoms, and graphite acts as the acceptor of lithium atoms. The second concept follows the first one only with adding an ionic compound to graphite, in our case FeCl3. The last concept presents the electroless lithiation process, which is based on different electrochemical potential between lithium and graphite.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Portugaliae Electroc...arrow_drop_down
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    Portugaliae Electrochimica Acta
    Article . 2013 . Peer-reviewed
    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Portugaliae Electroc...arrow_drop_down
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Portugaliae Electrochimica Acta
      Article . 2013 . Peer-reviewed
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Ozgur Gunduz; Melike Sapmaz-Metin; Ruhan Deniz Topuz; Oktay Kaya; +2 Authors

    Background and Objectives: Allergic contact dermatitis is a common type IV hypersensitivity reaction characterised by redness, itching, oedema and thickening of the skin. It occurs in about 7% of the population and its incidence is increasing. It has been observed that the preconditioning of tissues by exposing them to transient ischemia increases resistance to subsequent permanent ischemia, and this phenomenon is called ischemic preconditioning. It has been shown that conditioning in one organ can also protect other organs. The protective effect of remote ischemic preconditioning is thought to be based on the induction of anti-inflammatory responses. The aim of this project was to investigate the anti-inflammatory and antipruritic effects of remote ischemic postconditioning in a mouse model of experimental allergic contact dermatitis. Methods: Experimental allergic contact dermatitis was induced with 1-fluoro-2,4-dinitrobenzene. Remote ischemic postconditioning was performed at 3 and 25 h after the challenge. Ear thickness and number of scratches 24 and 48 h after challenge, as well as cytokine levels and the infiltration of mast cells, neutrophils, CD4+ and CD8+ T lymphocytes in serum and ear tissue at 48 h were measured to determine the effect of RIPsC. Results: Remote ischemic postconditioning decreased ear thickness, one of the symptoms of allergic contact dermatitis (p < 0.0001). It had no significant effect on the number of scratches. It reduced serum IL-17 levels (p < 0.01). It alleviated local inflammation by suppressing CD8+ T lymphocyte and neutrophil infiltration. Conclusions: It was concluded that remote ischemic postconditioning may alleviate the symptoms of allergic contact dermatitis by suppressing CD8+ T lymphocyte and neutrophil infiltration and reducing IL-17 secretion.

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    Medicina
    Article . 2023
    Data sources: DOAJ
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    PubMed Central; Medicina
    Other literature type . Article . 2023 . Peer-reviewed
    License: CC BY
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    Medicina
    Article . 2023
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Medicinaarrow_drop_down
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      Medicina
      Article . 2023
      Data sources: DOAJ
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      PubMed Central; Medicina
      Other literature type . Article . 2023 . Peer-reviewed
      License: CC BY
      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Medicina
      Article . 2023
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Jakub Ďureje; Zdeněk Prošek;

    A modulus of elasticity was determined for eight differently foamed cement paste samples. Samples were loaded in the laboratory by a hydraulic press. The force acting on the sample was read directly from the laboratory press. Digital Image Correlation (DIC) analysis were used to draw deformations. Before loading pressure test was applied a random contrast pattern to the samples. Samples were captured by the camera in a one-second interval during the loading pressure test. The images were edited in the Adobe Photoshop Lightroom and then evaluated using Ncorr software. The result is a vertical and horizontal shift field. On the basis of the results obtained, it was possible to calculate the modulus of elasticity of each sample.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Acta Polytechnica CT...arrow_drop_down
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    Acta Polytechnica CTU Proceedings
    Article
    License: CC BY
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Acta Polytechnica CTU Proceedings
    Article . 2017
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    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Acta Polytechnica CTU Proceedings
    Article . 2017 . Peer-reviewed
    License: CC BY
    Data sources: Crossref
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Acta Polytechnica CT...arrow_drop_down
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      Acta Polytechnica CTU Proceedings
      Article
      License: CC BY
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
      Acta Polytechnica CTU Proceedings
      Article . 2017
      Data sources: DOAJ
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      Acta Polytechnica CTU Proceedings
      Article . 2017 . Peer-reviewed
      License: CC BY
      Data sources: Crossref
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Ricardo de Carvalho Lima; Mozart Escobar; José Wanderley Neto; Luís Daniel Torres; +7 Authors

    A cirurgia de revascularização do miocárdio sem uso de circulação extracorpórea (CEC) foi realizada por TRAPP & BISARYA14, na década de 70. Coube, entretanto, a BUFFOLO et alii2, 3 em nosso meio, e a BENETTI et alii¹, na Argentina, o seu uso sistemático, a sua padronização e recomendação, como uma alternativa válida e segura. Com o objetivo de avaliar a reprodutibilidade da técnica, morbidade e mortalidade, as dificuldades técnicas e as possibilidades de incorporá-las à rotina, os autores apresentam os resultados obtidos em 182 pacientes submetidos a revascularização do miocárdio com pontes de veia safena e/ou torácica interna sem a utilização do sistema de circulação extracorpórea. Foram operados por esta técnica 182 pacientes; 128/182 (70,3%) do sexo masculino e 54/128 (29,7%) do feminino, cujas idades variaram de 40 a 79 anos (m=58,8 anos), com lesões das artérias coronárias: interventricular anterior (IA), direita (CD), diagonal (DI) e marginal (MG). Foram revascularizadas 277 artérias: a IA 159/277 (57,4%), a CD 62/277 (22,4%), a DI 44/277 (15,9%) e a MG 12/277 (4,3%). A artéria torácica interna esquerda foi utilizada em 60 (21,7%) vezes e a veia safena 217/277 (78,3%). O tempo de isquemia variou de 5 a 33 minutos, com média de 14 minutos. Como complicações na série estudada foram observadas: espasmo coronário em 6/182 (3,3%), infarto agudo do miocárdio em 3/182 (1,6%), sangramento em 2/182 (1,1 %), embolia pulmonar em 2/182 (1,1%) e mediastinite em 1/182 (0,6%). Cinco/182 (2,7%) pacientes foram a óbito no período de pósoperatório imediato, sem relação com a técnica utilizada. Os autores concluem que a técnica pode ser realizada em casos selecionados, com segurança e bons resultados pela maioria dos cirurgiões. A técnica reduz os custos da operação e, em alguns subgrupos (idosos, portadores de doenças sistêmicas), pode ser a melhor alternativa.Myocardial revascularization surgery without the use of cardiopulmonary bypass was performed by Trapp and Ankeney in the 1970's. However it fell to Buffolo in Brazil and Benetti in Argentina to introduce its systematic use, standardization and recommendation as a valid and safe alternative modality of treatment. With the aim of evaluating the technique's reproducibility, morbidity and mortality, its technical difficulties and the possibilities of incorporating it into routine practice, the authors present the results obtained in 182 patients submitted to myocardial revascularization with saphenous and/or thoracic internal bypass without the use of cardiopulmonary bypass. One hundred and eighty-two patients were operated on using this technique: 128 (70.3%) males and 54 (29.7%) females, whose ages ranged from 40 to 79 years (mean = 58.8 years), with lesions of coronary arteries: interventricular anterior (IA); right coronary (RD); diagonal artery (DI) and marginal artery (MG). Two hundred and seventy-seven arteries were revasculahsed: 159/277 IA's (57.4%), 62/277 CD's (22.4%), 44/277 DI's (15.9%) and 12/277 MG's (4.3%). The left thoracic internal artery was used on 60/277 (21.7%) occasions and the saphenous vein on 217/277 (78.3%). The duration of the ischemia ranged from 5 to 33 minutes with a mean of 14 minutes. The following conditions were noted in the study as complications: coronary spasm in 6/182 cases (3.3%), acute myocardial infarct in 3/182 (0.6%), bleeding in 2/182 (1.1%), pulmonary embolism in 1/182 (0.6%) and mediastinitis in 1/182 (0.6%). Five/182 patients (2.7%) died in the immediate postoperative period from causes unrelated to the technique employed. The authors conclude that the technique may be safely carried out by most surgeons in selected cases with good results. The technique reduces the costs of surgery and in some subgroups, such as the elderly and those suffering from systemic disease, it may be the best alternative.

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    Authors: Horníčková, Lenka;

    The bachelor thesis concentrates on the inventories as one of the basic accounting categories. The thesis informs us about essential details, methods of recording and especially about the impact of various valuation methods which is exemplified in a complex example.

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    Authors: STACHOVÁ, Daniela;

    The aim of this thesis was to study the possibilities for targeting in tumor immunotherapy. We studied the expression of phosphatidylserine in melanoma B16-F10 in vivo and in cell culture B16-F10 in vitro. We analyzed conditions resulting in higher expression of phosphatidylserine on tumor cells surface.

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    Authors: Strnad, Lukáš;

    Lately, the supply of employee benefits is component of remuneration. Employees do not get wage only. There is huge quantity of employee benefits. This paper firstly defines employee benefits, summarizes tax legislative and points out new trends which are connected with this topic. After the short introduction of the company Ceska sporitelna, I am trying to describe the system of employee benefits at this company, I am also analyzing this system from the view of satisfaction, foreknowledge and the rate of exploitation by the questionnaires. At the end of my paper I am evaluating all the mentioned system of benefits and I am offering some improvements.

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    We describe the unitary globalization of cohomologically induced modules $A_{\fq}(��)$. The purpose of the paper is to give a geometric realization of the unitarizable modules. Our results do not constitute a proof of unitarity. Journal of Functional Analysis, 2014

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    MPG.PuRe
    Article . 2014
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    Journal of Functional Analysis
    Article . 2014 . Peer-reviewed
    License: Elsevier Non-Commercial
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    https://doi.org/10.48550/arxiv...
    Article . 2014
    License: arXiv Non-Exclusive Distribution
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      Journal of Functional Analysis
      Article . 2014 . Peer-reviewed
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      https://doi.org/10.48550/arxiv...
      Article . 2014
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    Authors: Mouchová, Bohumila;

    Festovo Breviarium má jednak funkci informovat o průběhu rozšiřování imperia a o historii konfliktů na východě, jednak přesvědčovat, že vzdor neúspěchům byla římská expanze koneckonců vždy úspěšná, i apelovat na oprávněnost zamýšleného zásahu císaře Valenta na východní hranici. Úseky, v nichž stojí na předním místě informace o zdárném průběhu expanze, a úseky, v nichž k informaci přistupuje explikace s apely, se liší především ve stavbě souvětí. Toto svým charakterem propagační dílko je psáno tak, aby v souladu se svým posláním bylo srozumitelné širšímu okruhu čtenářů, jak vzdělanému, tak méně vzdělanému. The main aim of Festus's Breviarium is, on the one hand, to inform about the expansion of the Roman Empire and its conflicts with the Parthians and Persians, and on the other, to show that Rome remained successful in the East despite the numerous back sets of the time. In addition, its aim is to call for achieving new, more favourable freedom. These aims are highlighted also through stylistic means in the relevant parts of the breviary. The text of Propaganda for the Emperor Valens's campaign was addressed to a broad, both educated and naive, readership.

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  • image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
    Authors: Gígelová, Anna;

    This Bachelor´s thesis deals with the tax systems in the Czech Republic and Austria with a focus on a natural person´s taxation in Austria, in particular. Some real life examples are also given here. There is an elucidation of double taxation avoidance in terms of taxes and international contracts. To be more specific, document number 48/1979 dc. Tato práce se zabývá daňovou soustavou Rakouska a České republiky.Především zdaňováním fyzické osoby v Rakousku. Jsou zde uvedeny i některé příklady z praxe. Objasňuje zamezení dvojího zdanění z pohledu daní a mezinárodních smluv.Konkrétně smlouvy č. 48/1979 Sb. E

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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Libich, Jiri; Vondrak, Jiri; Sedlarikova, Marie; Maca, Josef; +1 Authors

    The article deals with preparing of lithiated graphite material. The lithiated graphite material can be used as active electrode material in lithium-ion batteries. Most of the commercially produced lithium-ion batteries have the negative electrode based on graphite. The capacity losses which are caused by irreversible capacity of graphite may reduce the potential capacity of the battery from 15 % up to 45 %. These losses arise on negative electrode interphase (solid graphite electrode and liquid electrolyte), where during the formation process is created the SEI (Solid-Electrolyte Interphase) layer. The layer is composed from lithium atoms and the decomposition products of electrolyte solvents. The SEI layer is indispensable for correct function of lithium-ion battery. In this article are presented experimental methods for synthesis of lithiated graphite material. The article describes the three concepts of preparing lithiated material and its using like a precursor for preparing of negative electrode. The first method is based on using n-butyllithium (C4H9Li) reagent, its behaviour as the donor of lithium atoms, and graphite acts as the acceptor of lithium atoms. The second concept follows the first one only with adding an ionic compound to graphite, in our case FeCl3. The last concept presents the electroless lithiation process, which is based on different electrochemical potential between lithium and graphite.

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    Portugaliae Electrochimica Acta
    Article . 2013 . Peer-reviewed
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      Portugaliae Electrochimica Acta
      Article . 2013 . Peer-reviewed
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    Authors: Ozgur Gunduz; Melike Sapmaz-Metin; Ruhan Deniz Topuz; Oktay Kaya; +2 Authors

    Background and Objectives: Allergic contact dermatitis is a common type IV hypersensitivity reaction characterised by redness, itching, oedema and thickening of the skin. It occurs in about 7% of the population and its incidence is increasing. It has been observed that the preconditioning of tissues by exposing them to transient ischemia increases resistance to subsequent permanent ischemia, and this phenomenon is called ischemic preconditioning. It has been shown that conditioning in one organ can also protect other organs. The protective effect of remote ischemic preconditioning is thought to be based on the induction of anti-inflammatory responses. The aim of this project was to investigate the anti-inflammatory and antipruritic effects of remote ischemic postconditioning in a mouse model of experimental allergic contact dermatitis. Methods: Experimental allergic contact dermatitis was induced with 1-fluoro-2,4-dinitrobenzene. Remote ischemic postconditioning was performed at 3 and 25 h after the challenge. Ear thickness and number of scratches 24 and 48 h after challenge, as well as cytokine levels and the infiltration of mast cells, neutrophils, CD4+ and CD8+ T lymphocytes in serum and ear tissue at 48 h were measured to determine the effect of RIPsC. Results: Remote ischemic postconditioning decreased ear thickness, one of the symptoms of allergic contact dermatitis (p < 0.0001). It had no significant effect on the number of scratches. It reduced serum IL-17 levels (p < 0.01). It alleviated local inflammation by suppressing CD8+ T lymphocyte and neutrophil infiltration. Conclusions: It was concluded that remote ischemic postconditioning may alleviate the symptoms of allergic contact dermatitis by suppressing CD8+ T lymphocyte and neutrophil infiltration and reducing IL-17 secretion.

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    Medicina
    Article . 2023
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    PubMed Central; Medicina
    Other literature type . Article . 2023 . Peer-reviewed
    License: CC BY
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    Medicina
    Article . 2023
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      PubMed Central; Medicina
      Other literature type . Article . 2023 . Peer-reviewed
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      Medicina
      Article . 2023
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    Authors: Jakub Ďureje; Zdeněk Prošek;

    A modulus of elasticity was determined for eight differently foamed cement paste samples. Samples were loaded in the laboratory by a hydraulic press. The force acting on the sample was read directly from the laboratory press. Digital Image Correlation (DIC) analysis were used to draw deformations. Before loading pressure test was applied a random contrast pattern to the samples. Samples were captured by the camera in a one-second interval during the loading pressure test. The images were edited in the Adobe Photoshop Lightroom and then evaluated using Ncorr software. The result is a vertical and horizontal shift field. On the basis of the results obtained, it was possible to calculate the modulus of elasticity of each sample.

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    Acta Polytechnica CTU Proceedings
    Article
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    Acta Polytechnica CTU Proceedings
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    Authors: Ricardo de Carvalho Lima; Mozart Escobar; José Wanderley Neto; Luís Daniel Torres; +7 Authors

    A cirurgia de revascularização do miocárdio sem uso de circulação extracorpórea (CEC) foi realizada por TRAPP & BISARYA14, na década de 70. Coube, entretanto, a BUFFOLO et alii2, 3 em nosso meio, e a BENETTI et alii¹, na Argentina, o seu uso sistemático, a sua padronização e recomendação, como uma alternativa válida e segura. Com o objetivo de avaliar a reprodutibilidade da técnica, morbidade e mortalidade, as dificuldades técnicas e as possibilidades de incorporá-las à rotina, os autores apresentam os resultados obtidos em 182 pacientes submetidos a revascularização do miocárdio com pontes de veia safena e/ou torácica interna sem a utilização do sistema de circulação extracorpórea. Foram operados por esta técnica 182 pacientes; 128/182 (70,3%) do sexo masculino e 54/128 (29,7%) do feminino, cujas idades variaram de 40 a 79 anos (m=58,8 anos), com lesões das artérias coronárias: interventricular anterior (IA), direita (CD), diagonal (DI) e marginal (MG). Foram revascularizadas 277 artérias: a IA 159/277 (57,4%), a CD 62/277 (22,4%), a DI 44/277 (15,9%) e a MG 12/277 (4,3%). A artéria torácica interna esquerda foi utilizada em 60 (21,7%) vezes e a veia safena 217/277 (78,3%). O tempo de isquemia variou de 5 a 33 minutos, com média de 14 minutos. Como complicações na série estudada foram observadas: espasmo coronário em 6/182 (3,3%), infarto agudo do miocárdio em 3/182 (1,6%), sangramento em 2/182 (1,1 %), embolia pulmonar em 2/182 (1,1%) e mediastinite em 1/182 (0,6%). Cinco/182 (2,7%) pacientes foram a óbito no período de pósoperatório imediato, sem relação com a técnica utilizada. Os autores concluem que a técnica pode ser realizada em casos selecionados, com segurança e bons resultados pela maioria dos cirurgiões. A técnica reduz os custos da operação e, em alguns subgrupos (idosos, portadores de doenças sistêmicas), pode ser a melhor alternativa.Myocardial revascularization surgery without the use of cardiopulmonary bypass was performed by Trapp and Ankeney in the 1970's. However it fell to Buffolo in Brazil and Benetti in Argentina to introduce its systematic use, standardization and recommendation as a valid and safe alternative modality of treatment. With the aim of evaluating the technique's reproducibility, morbidity and mortality, its technical difficulties and the possibilities of incorporating it into routine practice, the authors present the results obtained in 182 patients submitted to myocardial revascularization with saphenous and/or thoracic internal bypass without the use of cardiopulmonary bypass. One hundred and eighty-two patients were operated on using this technique: 128 (70.3%) males and 54 (29.7%) females, whose ages ranged from 40 to 79 years (mean = 58.8 years), with lesions of coronary arteries: interventricular anterior (IA); right coronary (RD); diagonal artery (DI) and marginal artery (MG). Two hundred and seventy-seven arteries were revasculahsed: 159/277 IA's (57.4%), 62/277 CD's (22.4%), 44/277 DI's (15.9%) and 12/277 MG's (4.3%). The left thoracic internal artery was used on 60/277 (21.7%) occasions and the saphenous vein on 217/277 (78.3%). The duration of the ischemia ranged from 5 to 33 minutes with a mean of 14 minutes. The following conditions were noted in the study as complications: coronary spasm in 6/182 cases (3.3%), acute myocardial infarct in 3/182 (0.6%), bleeding in 2/182 (1.1%), pulmonary embolism in 1/182 (0.6%) and mediastinitis in 1/182 (0.6%). Five/182 patients (2.7%) died in the immediate postoperative period from causes unrelated to the technique employed. The authors conclude that the technique may be safely carried out by most surgeons in selected cases with good results. The technique reduces the costs of surgery and in some subgroups, such as the elderly and those suffering from systemic disease, it may be the best alternative.

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