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Prediabetes and cardiovascular complications study:Highlights on gestational diabetes, self-management and primary health care

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World Journal of Meta-Analysis 2021年第6期9卷 543-556页

作者： Ezekiel Uba Nwose Phillip Taderera Bwititi Otovwe Agofure Echinei Jacob Oshionwu Ekenechukwu Esther Young Eferhire Aganbi Solomon Ekwuweokwuenu Egwenu Helen Egoyibo Chime Fortunatus Darius Gbeinbo alex Odufu John Nwakaego Okuzor Azuka Okuleye Kennedy Aninze Innocent Chuks Onyia Euzebus Chinonye Ezugwu Eunice Obiajuru Igumbor Ifeoma Isabel Ulasi Department of Public and Community Health Novena UniversityKwale 322107Nigeria School of Dentistry and Medical Sciences Charles Sturt UniversityWagga campusNew South Wales 2650Australia Global Medical Research and Development Organization(GMRDO)group Abbi Delta State 322107Nigeria California Department of State Hospital StocktonCA 95215United States Department of Medicine College of MedicineUniversity of NigeriaItuku-Ozalla campusEnugu 402109Nigeria Biochemistry Department Delta State UniversityAbraka 330105Nigeria Department of Clinical Laboratory Services Texas Health(HMH HEB)BedfordTX 76022United States Clinic Department Donak HospitalKwale 2539083Nigeria Clinic Department U-Turn HospitalU-Turn Abule Egba 100276Nigeria

International collaboration on the prediabetes and cardiovascular complications study started in *** 2017,a reflection was *** of documentation and screening of antenatal cases for gestational diabetes mellitus(GDM)was ***,further observations have been made that warrant an *** objective of this review is to highlight gaps between clinical knowledge and practice in GDM,diabetes self-management and primary health care(PHC)for rural *** followed a descriptive field notes *** records of patients screened for GDM with incomplete documentation were examined to determine incompleteness of data in those that also met the criteria for GDM risk *** on development of a diabetes register and education and notes on behavioural change wheel were also *** data included cross-sectional evaluation of activities of daily living at two private *** to 29%had high GDM risk factors,which fulfilled selection criteria for laboratory *** data was complete in all women;however,incomplete documentation was observed with as much as 98%of basic *** levels of physical activity were found in the population,and health lectures proved effective in food *** workforce need for diabetes care seems underestimated,but this may be better understood with reactivation of PHC *** observations highlight behavioural change wheel issues on GDM and PHC services that need concerted *** proposals are to advance the use of a‘risk assessment and screening sheet’for GDM screening and enlightenment of stakeholders on the central hub role of PHC in diabetes management.

关键词： Behavioural change wheel Community health Diabetes education Knowledge vs practice gap Lifestyle Patient follow-up Screening services Telehealth

The Perspectives of Kwame Nkrumah University of Science and Technology Dental School Graduates

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Open Journal of Stomatology 2018年第5期8卷 158-167页

作者： alex Oti Acheampong Felix Ampofo Anafi Nana Tuffuor Ampem Gyimah Ama Amuasi Solomon Obiri-Yeboah Daniel Kwesi Sabbah Alfred Nyarko Merley Newman Nartey Patrick Ampofo Stephen Ankoh Joseph Abu-Sakyi Isaac Kwaku Asiamah Robert Nii Lamy Larmie Francis Adu-Ababio James Appiah Amoateng Peter Donkor Kwame Nkrumah University of Science and Technology Dental School Kumasi Ghana Kumasi South Hospital Kumasi Ghana Komfo Anokye Teaching Hospital Oral Health Directorate Kumasi Ghana University of Ghana School of Medicine and Dentistry Accra Ghana

Background: The idea of establishing a Dental school at the Kwame Nkrumah University of Science and Technology (KNUST) was borne out of a need. There was a shortfall in the supply of dental surgeons, especially in the northern half of the country. Aim/Objective: To seek for feedback from KNUST Dental school graduates over the past six about their overall assessment of the BDS courses taught during their clinical training and challenges faced in the course of their training. Methodology: A cross-sectional retrospective study of all KNUST Dental school graduates from 2012 to 2017. A structured goggle form questionnaire was developed. The Google form link was emailed to the representatives who in turn forwarded the link to their year mates. The questionnaire was filled online and submitted as requested. Results: This represented 63.0% of the entire graduates from KNUST Dental School. The male to female ratio was 1.3:1.0. The age range of our graduate was from 24 yrs (3.8%) to 32 years (1.9%). The average age was 26.3 years. 48.10% of respondents said their training was very good. The major challenges were inadequate clinical space (25.2%) and lack of materials and dental chairs for students’ clinic (27.3%). Conclusion: On the whole, the quality of the training was rated as very good even though some of the courses taught during the clinical training were rated as poor. Inadequate dental chairs, laboratory and clinic materials, supervision of student’s clinic were some of the major challenges expressed by the graduates.

关键词： Dentistry Perspective Graduates Challenges Students

Comparison and Quantification of the Development of Phenolic Compounds during the Aging of Cachaca in Oak(Quercus sp)and Amburana(Amburana cearensis)Barrels

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American Journal of Plant Sciences 2014年第21期5卷 3140-3150页

作者： Wilder D.Santiago Maria das G.Cardoso Juliana de A.Santiago Marcos S.Gomes Leonardo M.A.Rodrigues Rafaela M.Brandao Rodolfo R.Cardoso Gabriel B.d’Avila Bruno L.da Silva alex R.S.Caetano Department of Chemistry Federal University of LavrasLavrasBrazil Department of Food Science Federal University of LavrasLavrasBrazil

Aging is a stage of the cachaça production process in which several chemical reactions occur between compounds extracted from the wood and other compounds present on the beverage. In an attempt to establish a profile regarding the chemical characterization of aged cachaças, phenolic compounds have been studied because of the specific characteristics of each wood species and their known antioxidant properties. This work sought to assess and compare the development of 12 phenolic compounds in cachaças aged in oak (Quercus sp) and amburana (Amburana cearenses) barrels during a period of 12 months. There was a progressive increase in the concentration of phenolic compounds in the beverage for both of the types of wood. The principal compounds encountered in the cachaça aged in oak barrels were gallic acid, syringaldehyde and syringic acid, while vanillic acid, syringaldehyde, sinapic acid and gallic acid were isolated from that aged in amburana barrels.

关键词： Beverage Aging Phenolic Compounds Liquid Chromatography

Community-Based Coral Reef Rehabilitation in a Changing Climate:Lessons Learned from Hurricanes,Extreme Rainfall,and Changing Land Use Impacts

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Open Journal of Ecology 2014年第14期4卷 918-944页

作者： Edwin A.Hernandez-Delgado alex E.Mercado-Molina Pedro J.Alejandro-Camis Frances Candelas-Sanchez Jaime S.Fonseca-Miranda Carmen M.Gonzalez-Ramos Roger Guzman-Rodriguez Pascal Mege Alfredo A.Montanez-Acuna Ivan Olivo Maldonado Abimarie Otano-Cruz Samuel E.Suleiman-Ramos Center for Applied Tropical Ecology and Conservation Coral Reef Research GroupUniversity of Puerto RicoSan JuanPuerto Rico Department of Biology University of Puerto RicoSan JuanPuerto Rico Sociedad Ambiente Marino San JuanPuerto Rico Department of Environmental Sciences University of Puerto RicoSan JuanPuerto Rico

Coral reefs have largely declined across multiple spatial scales due to a combination of local-scale anthropogenic impacts, and due to regional-global climate change. This has resulted in a significant loss of entire coral functional groups, including western Atlantic Staghorn coral (Acropora cervicornis) biotopes, and in a net decline of coral reef ecosystem resilience, ecological functions, services and benefits. Low-tech coral farming has become one of the most important tools to help restore depleted coral reefs across the Wider Caribbean Region. We tested a community-based, low-tech coral farming approach in Culebra Island, Puerto Rico, aimed at adapting to climate change-related impacts through a two-year project to propagate A. cervicornis under two contrasting fishing management conditions, in coastal areas experimenting significant land use changes. Extreme rainfall events and recurrent tropical storms and hurricanes had major site-and method-specific impacts on project outcome, particularly in areas adjacent to deforested lands and subjected to recurrent impacts from land-based source pollution (LBSP) and runoff. Overall, coral survival rate in “A frame” units improved from 73% during 2011-2012 to 81% during 2012-2013. Coral survival rate improved to 97% in horizontal line nurseries (HLN) incorporated during 2012-2013. Percent tissue cover ranged from 86% to 91% in “A frames”, but reached 98% in HLN. Mean coral skeletal extension was 27 cm/y in “A frames” and 40 cm/y in HLN. These growth rates were up to 545% to 857% faster than previous reports from coral farms from other parts of the Caribbean, and up to 438% faster than wild colonies. Branch production and branchiness index (no. harvestable branches > 6 cm) increased by several orders of magnitude in comparison to the original colonies at the beginning of the project. Coral mortality was associated to hurricane physical impacts and sediment-laden runoff impacts associated to extreme rainfall and defores

关键词： Acropora cervicornis Climate Change Coral Farming Extreme Weather Events

Diabetic and Prediabetic Profile of Patients in a Family Health Care Unit of Salvador, Northeastern Brazil

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Open Journal of Endocrine and Metabolic Diseases 2016年第1期6卷 66-71页

作者： João Zallio Coelho Pedro Julião Zallio Coelho Sanchela Raiane Pereira de Oliveira alex Farias Soares Jacqueline Novais Santana Paulo Ricardo Bacelar Macedo Juliana Silveira de Freitas Danilo Guimarães Nogueira Andrade Mirella Hansen de Almeida Denise Rosso Tenório Wanderley Rocha Alberto Krayyem Arbex Division of Endocrinology IPEMED Medical School Sao Paulo Brazil Visiting Physician Joslin Diabetes Center Harvard University Boston USA Visiting Scientist Harvard T. H. Chan School of Public Health Harvard University Boston USA

Diabetes Mellitus is one of the most prevalent diseases in the world. In Brazil, 8.7% of the population between 20 and 79 years of age has diabetes, estimating 11.6 million diabetics. It is commonly associated with other co-morbidities such as hypertension, dyslipidemia and obesity, which put these patients into a high cardiovascular risk profile. This study was performed using the medical records of enrolled population attending a Family Health Unit of Alto do Coqueirinho, Salvador, Northeastern Brazil, consisting of one doctor, one nurse, one dentist, one nursing technician and six community health workers. Medical records and data provided by the system of the Primary Care Information (SIAB), showed total of 2495 patients. Considering the prevalence morbidities in this population, hypertension was present in 9.8% of patients and Type 2 Diabetes in only 3.6%. Since the prevalence of morbidities is the key indicator to the development of public health policies, it seems important a better knowledge on the prevalence rates of diabetes, prediabetes and its co-morbidities of this population. Future plans and projects for health professionals will be based on a consistent medical record.

关键词： Diabetes Prediabetes Comorbidities Family Health Unit

Agonist-directed sorting of β2-adrenergic receptor signaling and its therapeutic implication in heart

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郑州大学学报(医学版) 2000年第1期35卷 37-45页

作者： ZHANG Shengjun,XIAO Ruiping,ZHOU Yingying,Meike Kuschel,XIA Xianmin,Richard A.Bond ,Olga V.Fedorova,alex Y.Bagrov,C.Wiuiam Balke,Edward G.Lakatta,CHEN Heping Laboratory of Cardiovascular Science ,Gerontology Research Center,NIA,NIH,Baltimore,MD 21224

Cardiac β 2 adrenergic receptor (AR) dually couples to G s and to pertussis toxin(PTX) sensitive G i proteins ,resulting in opposing effects on cell *** we show that the coupling preference of β 2AR to the bifurcated signaling pathways,tested over wide ranges of agonist concentrations and receptor densities,is determined by agonist *** β 2AR agonists including zinterol,procaterol or salbutamol activate concurrent G s and G i signaling in both rat and mouse ventricular myocytes,as evidenced by a marked potentiating effect of PTX on contractile ***,however ,sorts the β 2AR primarily to G s signaling,as evidenced by the lack of effect of *** results were observed in transgenic mice overexpressing human β *** cells from failing rat hearts where the contractile response to zinterol was severely depressed due to an up regulation of G i,fenoterol,which activates G s bypassing the G i signaling pathway,rescued the diminished β 2AR ***,agonist directed sorting of receptor stimulus affords a novel therapeutic strategy to enhance desired “signaling specific”effects while avoiding adverse side effects of therapeutic agents.

关键词： adrenergic beta receptor agonists G protein toxins cell contra-ctihty

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郑州建业艾美酒店

城市环境设计 2015年第Z1期 222-231页

作者：郭锡恩胡如珊 alex Mok 谢宜加马丽媛闵捷 Peter Eland 陆颖芝 Victor Ung Eva Wieland 王琢 Andrew Roman 张致云倪端龚梦胡正芳 Begonia Sebastian 穆忆恩 Erika Lanselle Debby Haepers 蔡春燕 Dagmar Niecke 杨延蕙 Briar Hickling Dirk Weihlen 王翔 Jadesupa Pittasporn 王宇扬邱琪 Joseph Lee Singeyong Pham Shelley Gabriel Arnau Baril Talitha Liu 郭锡真任四维赵颖丝彭立恬周浩鲁永新赵云 Jean-Philippe Bonzon(产品设计师) 陈晓雯 Nicholas Faradet 李希米 Pedro Pegenaute 如恩设计研究室

档案——游走一个城市的脉络河南,曾是中国古老的政治经济及文化中心,也是帝王定都之地,如今吸引着世界各地的旅人。本案旨在将位于河南省省会城市郑州的建业艾美酒店,打造为郑州的全新地标。为了通过艺术(文学、自然、饮食、戏剧以及图... 详细信息

档案——游走一个城市的脉络河南,曾是中国古老的政治经济及文化中心,也是帝王定都之地,如今吸引着世界各地的旅人。本案旨在将位于河南省省会城市郑州的建业艾美酒店,打造为郑州的全新地标。为了通过艺术(文学、自然、饮食、戏剧以及图案)展现河南的历史,建筑师的设计理念就是将新旧手工艺品'归档',形成为当地居民与旅客的观光热点。档案理念在建筑立面上表现为系

关键词：平面设计师建筑立面酒店建业郑州河南档案理念建筑师美术家客房大堂后台区高级项目经理中庭盒子

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看我移花接木索尼A7/A7R转接完全手册

移动信息 2014年第4期 79-86页

作者：大灰灰 LEO土奇 Huangsh315 NAPOLEON 遇见886 暗夜之辉 SADAKO1 胖溜溜灰夜 Bg1un PH1ONE wuchen 没有问题歌舞台榭 smr814 finfunnel 时候尚早八品 DALEJIANG QY680TY 一匹马师长 CY_alex 潘潘猫单身的牛大叔 SONGZHM2011 ANDYYET 编云织雨 YUSHANCHAO 神SMJ XENONCAO

索尼（SONY）A7和A7R自发布以来,吸引了不少摄影爱好者的关注和讨论.不仅因为它们是第一批反全画幅微单,还因为两款机器还可转接大量的镜头,把各家用户勾引得心痒难耐,跃跃欲试,想品尝一下自己的镜头用在全副微单上的“味道”.

关键词：转接索尼手册摄影爱好者镜头画幅

Treating Incarcerated Juvenile Methamphetamine Abusers

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Psychology Research 2013年第8期3卷 463-474页

作者： Andrew Belt Ralph A. Weisheit S. alex Stalcup Gantt P.Galloway Franklin County JuvenileMethamphetamine TreatmentProgram Illinois USA Illinois State University Illinois USA New Leaf Treatment Center California USA

Methamphetamine is a powerful central nervous system stimulant. The typical user begins in their late teens or early 20s. However, those who begin using at a much younger age present particularly difficult treatment challenges. Such youth often have troubled social and substance abuse histories and may not respond well to short-term outpatient treatment. This is a report on the novel application of an evidence-based treatment model to incarcerated methamphetamine abusing youth. The program provides six months of intensive individualized treatment in a secure juvenile facility followed by six months of monitoring and support services in the community.

关键词：甲基苯丙胺治疗少年中枢神经系统滥用药物兴奋剂社会