检索结果-南通市图书馆

Emergency department patient experience:Same location,same provider,different scores by different survey methods

World Journal of Emergency Medicine 2019年第3期10卷 138-144页

作者： Wirachin Hoonpongsimanont Preet Kaur Sahota Yanjun Chen Maria Nguyen christine louis Jonathan Pena Andrew Wong Maxwell Jen Department of Emergency Medicine University of California Orange CA USA Institute for Clinical and Translational Sciences University of California Irvine CA USA

BACKGROUND: Recent findings on emergency department (ED) patient experience surveys and concerns for the low response rates challenge the quality and reliability of the survey reports. We assessed the consistency of an ED patient experience survey report and identifi ed the effects of patient demographics on ED patient experiences. METHODS: We conducted a prospective, cross-sectional study at a university-based ED from July to December 2017. We obtained ED patient experience scores from an institutional version (IS) survey and the Press Ganey Associates-distributed survey (PGA). We compared top box scores from the two reports using frequency analysis and performed multivariable logistic regressions to identify associations between IS patient demographics and scores. RESULTS: We obtained 289 PGA and 234 IS responses. The IS reported signifi cant, higher top box scores in doctor-specifi c patient questions compared to PGA (all four P-values < 0.01). Female, Christian and White patients were more likely to give top box scores (OR 3.07, OR 2.22 and OR 2.41, P-value < 0.05, respectively). CONCLUSION: We found significant differences in ED patient experience scores between the IS and PGA surveys. We recommend that healthcare providers consider patient demographic variables when interpreting ED experience score reports. Multiple survey techniques and distribution methods may be adopted to best capture ED patient experiences.

关键词： Patient experience Emergency department Patient satisfaction Press Ganey Survey methodology

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The Rain on Underground Porous Media Part Ⅰ:Analysis of a Richards Model

引用

数学年刊：B辑英文版 2013年第2期34卷 193-212页

作者： christine BERNARDI Adel BLOUZA Linda EL ALAOUI Laboratoire Jacques-louis Lions CNRS & Université Pierre et Marie CurieBC 1874 Place Jussieu75252 Paris Cedex 05France Laboratoire de Mathématiques Raphaёl Salem(UMR 6085 CNRS) Université de RouenAvenue de l'UniversitéBP 1276801 Saint-tienne-du-RouvrayFrance Universit Paris 13 Sorbonne Paris CitLAGACNRS(UMR 7539)F-93430VilletaneuseFrance

The Richards equation models the water flow in a partially saturated underground porous medium under the *** it rains on the surface,boundary conditions of Signorini type must be considered on this part of the *** authors first study this problem which results into a variational inequality and then propose a discretization by an implicit Euler's scheme in time and finite elements in *** convergence of this discretization leads to the well-posedness of the problem.

关键词： Richards模型多孔介质变分不等式问题雨水边界条件空间有限元部分饱和方程模型

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Interaction between Live Yeast and Dietary Rumen Degradable Protein Level: Effects on Diet Utilization in Early-Lactating Dairy Cows

引用

Agricultural Sciences 2015年第1期6卷 1-13页

作者： christine Julien Jean Philippe Marden Eric Auclair Raymond Moncoulon Laurent Cauquil Jean louis Peyraud Corine Bayourthe Université de Toulouse INPT ENSAT UMR1388 Génétique Physiologie et Systèmes d’Elevage Castanet-Tolosan France INRA UMR1388 Génétique Physiologie et Systèmes d’Elevage Castanet-Tolosan France Université de Toulouse INPT ENVT UMR1388 Génétique Physiologie et Systèmes d’Elevage Toulouse France Lesaffre Feed Additives Marcq-en-Baroeul France INRA UMR1348 PEGASE F-35590 Saint-Gilles France

Four early lactating Holstein cows were used to study the effect of live yeast (LY, Actisaf®CNCM I-4407, Lesaffre Feed Additives, Marcq en Baroeul, France) supplementation on diet digestive utilization of dairy cows receiving concentrated corn silage-based diets with two rumen-degradable protein (RDP) levels. For a 33 d period, cows were fed a total mixed ration (TMR) containing an adequate level (AL) of RDP or a low level (LL, 30% below AL) by using soybean meal or tanned soybean meal, respectively: for 21 d with no LY addition followed by 12 d during which LY was added to the diet. The pH and redox potential (Eh) were recorded and ruminal fluid samples were collected over 3 consecutive days. Feces were collected individually over 48 h and individual dry matter intake (DMI) was measured for determining apparent nutrient digestibility. The effective degradability of individual feed ingredients composing both diets was evaluated with nylon bags technique. Structure of the ruminal bacterial community was studied and diversity index was calculated. Digestibility of organic matter (OM) and crude protein (CP) were lower for LL than those for AL. With LY, digestibility of OM and CP was increased: +2.4 and +0.8 points, for AL, and +3.7 and +5.9 points for LL, respectively. Live yeast reduced dietary N ruminal degradation with both AL and LL. Ruminal pH and Eh were lower with AL compared to LL: 5.95 and –167 mV vs. 6.13 and –144 mV. Live yeast increased ruminal total volatile fatty acids (VFA) (+8.6%), C2 (+10%), and C4 (+35%) contents for LL and decreased that of C3 (?9.8%) for AL. Neither the structure of bacterial populations of the rumen nor the diversity index (Shannon) was altered by treatments. Those results suggested a specific interest in using LY in RDP deficient diets for early lactating cows.

关键词： Dairy Cow Live Yeast Nitrogen Digestion Ruminally Degradable Protein

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Solar Activity, Solar Wind and Geomagnetic Signatures

引用

Atmospheric and Climate Sciences 2013年第4期3卷 610-617页

作者： Jean-louis Zerbo Frédéric Ouattara christine Amory Mazaudier Jean-Pierre Legrand John D. Richardson Ecole Normale Supérieure de l’Université de Koudougou Koudougou Burkina Faso Institut National des Sciences de l’Univers (INSU) Paris France Kavli Institute for Astrophysics and Space Research Massachusetts Institute of Technology Cambridge USA LPP-Laboratoire de Physique des Plasmas/UPMC/Polytechnique/CNRS Saint-Maur-des-Fossés France Université Polytechnique de Bobo-Dioulasso Bobo-Dioulasso Burkina Faso

The present study investigates solar events through geomagnetic activity and physical processes on the Sun: 1) Quiet activity (QA) related to the slow solar wind, 2) Recurrent activity (RA) related to high and moderate speed solar wind streams from coronal holes, 3) Shock activity (SA) identified by observations of SSCs and 4) Unclear activity (UA) which contains all activity not covered by the first three cases. For recent cycles, we analyze and emphasize some important results: Quiet activity is predominant for cycle 23, comprising 40% of the total activity and over 80% of the activity near solar minimum. Shock and recurrent activity contributions to total geomagnetic activity are largest in cycle 20. The most fluctuating events are observed during cycles 21 and 22. Throughout solar cycle 23, the contribution, from each type of activity, differs from recent solar cycles, with larger percentages of quiet and recurrent activity and less unclear activity. These percentages are similar to those in solar cycles observed in the late 1800s. Since 1963, solar wind data are available. We analyze the distribution of the solar wind velocity for each geomagnetic class of activity and find that: 1) Within each activity type aa does not depend on V, 2) Approximately 80% of the solar wind has V 450 km/s for RA, 3) SA and UA both have 60% of the solar wind V > 450 km/s. We found the following conditions for all four solar cycles: 1) For QA 95% of solar wind speeds are in the range 399 ± 69 km/s, 2) For RA 95% of the solar wind speeds range from 582 ± 110 km/s, 3) For SA 95% of the solar wind velocities are order of 482 ± 101.4 km/s, and 4) For UA 95% of solar wind speeds are 480 ± 85.82 km/s. These results confirm the classification scheme that QA reflects slow wind effects, RA effects high wind stream and UA answers to the fluctuations between high wind stream (~60%) and slow wind (~40%). The study shows that high wind stream (

关键词： Solar Wind Geomagnetic Activity Solar Activity Geomagnetic Index aa

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Accuracy of virtual chromoendoscopy in differentiating gastric antral vascular ectasia from portal hypertensive gastropathy:A proof of concept study

引用

World Journal of Hepatology 2021年第12期13卷 2168-2178页

作者： Ahmad M Al-Taee Mark P Cubillan Alice Hinton Lindsay A Sobotka Alex S Befeler christine Y Hachem Hisham Hussan Division of Gastroenterology and Hepatology NYU Langone HealthNew YorkNY 10016United States Department of Internal Medicine Saint Louis UniversitySt LouisMO 63110United States Division of Biostatistics The Ohio State UniversityColumbusOH 43210United States Division of Gastroenterology Hepatologyand NutritionThe Ohio State UniversityColumbusOH 43210United States Division of Gastroenterology and Hepatology Saint Louis UniversitySt LouisMO 63110United States

BACKGROUND Accurate detection of gastric antral vascular ectasia(GAVE)is critical for proper management of cirrhosis-related gastrointestinal ***,endoscopic diagnosis of GAVE can be challenging when GAVE overlaps with severe portal hypertensive gastropathy(PHG).AIM To determine the added diagnostic value of virtual chromoendoscopy to high definition white light for real-time endoscopic diagnosis of GAVE and *** We developed an I-scan virtual chromoendoscopy criteria for diagnosis of GAVE and *** tested our criteria in a cross-sectional cohort of cirrhotic adults with GAVE and PHG when high-definition white light endoscopy(HDWLE)diagnosis was in *** then compared the accuracy of I-scan vs HDWLE alone to *** Twenty-three patients were included in this study(65.2%Caucasians and 60.9%males).Chronic hepatitis C was the predominant cause of cirrhosis(43.5%)and seven adults(30.4%)had confirmed GAVE on histology.I-scan had higher sensitivity(100%vs 85.7%)and specificity(75%vs 62.5%)in diagnosing GAVE compared to *** translates into a higher,albeit not statistically significant,accuracy of I-scan in detecting GAVE compared to HDWLE alone(82%vs 70%).I-scan was less likely to lead to an accurate diagnosis of GAVE in patients on dialysis(P<0.05)and in patients with elevated creatinine(P<0.05).Iscan had similar accuracy to HDWLE in detecting *** This pilot work supports that virtual chromoendoscopy may obviate the need for biopsies when the presence of GAVE is in *** studies are needed to assess the impact of virtual chromoendoscopy on success of endoscopic therapy for GAVE.

关键词： Portal hypertensive gastropathy Gastric antral vascular ectasia Virtual chromoendoscopy Endoscopy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

失去双腿的退役军人从伊拉克回国，通过运动得到复健和活下去的理由

引用

空中英语教室（高级版．彭蒙惠英语） 2017年第1期 14-16,40-42页

作者： christine Mai-Duc

对于前陆军中士瑞恩·梅杰而言，最棒的感觉莫过于在比赛中猛力撞上另一名球员并将其撞倒。这是他从小就会从运动中得到的一种兴奋感。

关键词：退役军人运动伊拉克回国

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The Akt Pathway Inhibitor Degeulin Prevents Staphylococcal Enterotoxin B Induced Splenocyte Proliferation and Inflammation

引用

Advances in Bioscience and Biotechnology 2017年第1期8卷 1-12页

作者： Sarah Joanne christine Whitfield Jane Elizabeth Risdall Gareth Griffiths Ethel Diane Williamson Alun James Carter Department of Biomedical Sciences Defence Science and Technology Laboratory Porton Down Wiltshire UK Department of Anaesthesia University of Cambridge Cambridge UK Department of Medicine Washington University St. Louis Missouri USA

Staphylococcal Enterotoxin B (SEB) is considered a potential biological weapon. It is toxic by both inhalation and ingestion. Effects of ingestion include fever, vomiting and diarrhoea, while inhalation may additionally result in chest pain, dyspnoea, pulmonary oedema and respiratory failure. Severe exposure may be fatal and treatment relies on symptomatic support. At a cellular level, SEB up-regulates T-cell proliferation leading to a pathological inflammatory response. Deguelin, a rotenoid isolated from the African plant Mundulea sericea (Leguminosae), has been shown to reduce cellular proliferation by inhibiting the phosphoinositide 3-kinase/Akt (PI3K/Akt) signalling pathway. Using isolated murine splenocytes, we have demonstrated that treatment with deguelin reduces SEB inducing T cell proliferation by 60%. Deguelin treatment also decreased IL-2 and CCL2 secretion by splenocytes exposed to SEB. We demonstrate that targeting cellular proliferation can significantly reduce inflammation after SEB exposure and suggest that anti-proliferatives may have a role as potential generic medical counter measures if superantigens are used as biological weapons.

关键词： Staphylococcal Enterotoxin B Deguelin Therapy Inflammation Biological Weapon

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Virus-host Interactions during Hepatitis C Virus Entry-Implications for Pathogenesis and Novel Treatment Approaches

引用

Virologica Sinica 2008年第2期23卷 124-131页

作者： Joachim Lupberger Mirjam B. Zeisel Anita Haberstroh Eva K. Schnober Sophie Krieger Eric Soulier christine Thumann Cathy Royer Samira Fafi-Kremer Catherine Schuster Franoise Stoll-Keller Hubert E. Blum Thomas F. Baumert Inserm U748 Hpitaux Universitaires de Strasbourg Université Louis Pasteur 3 Rue Koeberle Department of Medicine II University of Freiburg

Hepatitis C virus (HCV) is a member of the Flaviviridae family and causes acute and chronic hepatitis. Chronic HCV infection may result in severe liver damage including liver cirrhosis and hepatocellular carcinoma. The liver is the primary target organ of HCV, and the hepatocyte is its primary target cell. Attachment of the virus to the cell surface followed by viral entry is the first step in a cascade of interactions between the virus and the target cell that is required for successful entry into the cell and initiation of infection. This step is an important determinant of tissue tropism and pathogenesis; it thus represents a major target for antiviral host cell responses, such as antibody-mediated virus neutralization. Following the development of novel cell culture models for HCV infection our understanding of the HCV entry process and mechanisms of virus neutralization has been markedly advanced. In this review we summarize recent developments in the molecular biology of viral entry and its impact on pathogenesis of HCV infection, development of novel preventive and therapeutic antiviral strategies.

关键词：交互效应肝炎病毒治疗方法临床分析

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

A Versatile Phenotyping System and Analytics Platform Reveals Diverse Temporal Responses to Water Availability in Setaria

引用

Molecular Plant 2015年第10期8卷 1520-1535页

作者： Noah Fahlgren Maximilian Feldman Malia A. Gehan Melinda S. Wilson christine Shyu Douglas W. Bryant Steven T. Hill Colton J. McEntee ankalpi N. Warnasooriya Indrajit Kumar Tracy Ficor Stephanie Turnipseed Kerrigan B. Gilbert Thomas P. Brutnell James C. Carrington Todd C. Mockler Ivan Baxter Donald Danforth Plant Science Center St. Louis MO 63132 USA USDA-ARS Donald Danforth Plant Science Center St. Louis MO 63132 USA These authors contributed equally to this article.

Phenotyping has become the rate-limiting step in using large-scale genomic data to understand and improve agricultural crops. Here, the Bellwether Phenotyping Platform for controlled-environment plant growth and automated multimodal phenotyping is described. The system has capacity for 1140 plants, which pass daily through stations to record fluorescence, near-infrared, and visible images. Plant Computer Vision （PlantCV） was developed as open-source, hardware platform-independent software for quantitative image analysis. In a 4-week experiment, wild Setaria viridis and domesticated Setaria italica had fundamentally different temporal responses to water availability. While both lines produced similar levels of biomass under limited water conditions, Setaria viridis maintained the same water-use efficiency under water replete conditions, while Setaria italica shifted to less efficient growth. Overall, the Bellwether Phenotyping Platform and PlantCV software detected significant effects of genotype and environment on height, biomass, water-use efficiency, color, plant architecture, and tissue water status traits. All -79 000 images acquired during the course of the experiment are publicly available.

关键词： abiotic/environmental stress water relations bioinformatics development phenotyping

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Factors associated with DAA virological treatment failure and resistance-associated substitutions description in HIV/HCV coinfected patients

引用

World Journal of Hepatology 2018年第11期10卷 856-866页

作者： Dominique Salmon Pascale Trimoulet Camille Gilbert Caroline Solas Eva Lafourcade Julie Chas Lionel Piroth Karine Lacombe christine Katlama Gilles Peytavin Hugues Aumaitre Laurent Alric Franoois Boué Philippe Morlat Isabelle Poizot-Martin Eric Billaud Eric Rosenthal Alissa Naqvi Patrick Miailhes Firouzé Bani-Sadr Laure Esterle Patrizia Carrieri Franoois Dabis Philippe Sogni Linda Wittkop 无 Assistance Publique des Hopitaux de Paris Hopitaux Universitaires Paris CentreHopital Hotel DieuUnitédes Maladies infectieuses et tropicalesParis 75004France Université Paris Descartes Sorbonne Paris CitéParis 75006France Trimoulet CHU de BordeauxHopital PellegrinLaboratoire de VirologieBordeaux 33000France Trimoulet CNRS-UMR 5234Microbiologie fondamentale et PathogénicitéUniversitéde BordeauxBordeaux 3000France Philippe Morlat Laure EsterleFrancois DabisLinda WittkopUniv.BordeauxISPEDInsermBordeaux Population Health Research Centerteam MORPH3EUSUMR 1219CIC-EC 1401Bordeaux F-33000France APHM Hopital La TimoneLaboratoire de Pharmacocinétique et ToxicologieMarseille 13005France Centre Hospitalier Universitaire de Dijon Département d'InfectiologieDijon cedex 21079France INSERM-CIC 1342 Universitéde Bourgogne Dijon 21000France Assistance Publique des Hopitaux de Paris GHUEP site Saint-AntoineServices Maladies infectieuses et tropicalesParis 75011France UniversitéPierre et Marie Curie UMR S1136Institut Pierre Louis d' Epidémiologie et de SantéPubliqueParis 75646France UniversitéParis-Sorbonne Paris 75005France Assistance Publique des Hopitaux de Paris Hopital PitiéSalpêtrière Services Maladies infectieuses et tropicalesParis 75013France Assistance Publique des Hopitaux de Paris Hopital Bichat-Claude BernardLaboratoire de PharmacologieParis 75877France IAME UMR 1137Sorbonne Paris CitéINSERMUniversitéParis DiderotParis 75890France Centre Hospitalier de Perpignan Service Maladies infectieuses et tropicalesPerpignan 66000Franc Centre Hospitalier Universitaire de Toulouse Hopital PurpanService Médecine interne-Pole DigestifToulouse 31300France UMR 152 IRD UniversitéToulouseⅢ Paul SabatierToulouse 31330France Hopital Antoine-Béclère Assistance Publique des Hopitaux de ParisUniversitéParis SudService Médecine interne et immunologieClamart 92140France Centre Hospitalier Universitaire de Bordeaux Service de médecine interneHopital Saint-AndréBordeaux 33000France Uni

AIM To describe factors associated with treatment failure and frequency of resistance-associated substitutions(RAS).METHODS Human immunodeficiency virus(HIV)/hepatitis C virus(HCV) coinfected patients starting a first direct-acting antiviral(DAA) regimen before February 2016 and included in the French ANRS CO13 HEPAVIH cohort were eligible. Failure was defined as:(1) non-response [HCV-RNA remained detectable during treatment, at end of treatment(EOT)]; and(2) relapse(HCVRNA suppressed at EOT but detectable thereafter). Sequencing analysis was performed to describe prevalence of drug class-specific RAS. Factors associated with failure were determined using logistic regression *** Among 559 patients, 77% had suppressed plasma HIV-RNA < 50 copies/mL at DAA treatment initiation, 41% were cirrhotic, and 68% were HCV treatmentexperienced. Virological treatment failures occurred in 22 patients and were mainly relapses(17, 77%) then undefined failures(3, 14%) and non-responses(2, 9%). Mean treatment duration was 16 wk overall. Posttreatment NS3, NS5 A or NS5 B RAS were detected in 10/14 patients with samples available for sequencing analysis. After adjustment for age, sex, ribavirin use, HCV genotype and treatment duration, low platelet count was the only factor significantly associated with a higher risk of failure(OR: 6.5; 95%CI: 1.8-22.6). CONCLUSION Only 3.9% HIV-HCV coinfected patients failed DAA regimens and RAS were found in 70% of those failing. Low platelet count was independently associated with virological failure.

关键词：耐药性治疗方法患者肝病

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：