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Real-world analysis of two ischaemic stroke and TIA systolic blood pressure goals on 12-month mortality and recurrent vascular events

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Stroke & Vascular Neurology 2024年第5期9卷 519-529页

作者： Jason J Sico Xin Hu Laura J myers Deborah Levine Dawn M Bravata Greg W Arling Internal Medicine and Neurology Yale University School of MedicineNew HavenConnecticutUSA Department of Neurology Veterans Affairs Connecticut Healthcare SystemWest HavenConnecticutUSA Yale School of Public Health New HavenConnecticutUSA VA Health Services Research and Development(HSR&D)Center for Healthcare Informatics and Communication and the HSR&D Stroke Quality Enhancement Research Initiative(QUERI) IndianapolisIndianaUSA Richard L.Roudebush VA Medical Center IndianapolisIndianaUSA Departments of Medicine and Neurology University of Michigan School of MedicineAnn ArborMichiganUSA Health Services Research and Development(HSR&D)Center for Healthcare Informatics and Communication and the HSR&D Stroke Quality Enhancement Research Initiative(QUERI) Department of Veterans Affairs(VA) Health Services Research and Development(HSR&D)Precision Monitoring to Transform Care(PRISM)Quality Enhancement Research Initiative(QUERI)IndianapolisIndianaUSA Department of Nursing Purdue UniversityWest LafayetteIndianaUSA

Introduction Whether obtaining the more intensive goal systolic blood pressure(SBP)of140mm Hg).Separate multivariable Cox proportional hazard regressions were used to examine the relationship between average SBP groups and time to:(1)mortality and(2)any recurrent vascular event,from 90 days to up to 365 days after discharge from the index emergency department visit or inpatient *** Compared with those with SBP>140mm Hg,patients with SBP between 116 and 130mm Hg had a significantly lower risk of recurrent stroke/TIA(HR 0.77,95%CI 0.60 to 0.99)but not cardiovascular *** with SBP lower than 105mm Hg,compared with those with>140mm Hg demonstrated a statistically significant higher risk of death(HR 2.07,95%CI 1.43 to 3.00),but no statistical differences were found in other SBP *** Data support a more intensive SBP goal to prevent recurrent cerebrovascular events among stroke/TIA patients by 90 days poststroke/TIA compared with less intensive *** low SBPs were associated wit

关键词： dialysis diagnosis TIA

Does Resisted Sled Towing Improve the Physical Qualities of Elite Youth Soccer Players of Differing Maturity Status?

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Journal of Science in Sport and Exercise 2021年第1期3卷 75-87页

作者： Rhys Morris Tony myers Stacey Emmonds Dave Singleton Kevin Till School of Life Sciences Coventry UniversityCoventryUK Sport Exercise and Health Research CenterNewman University BirminghamBirminghamUK Carnegie School of Sport Leeds Beckett UniversityLeedsUK Birmingham City Football Club BirminghamUK Leeds Rhinos RLFC LeedsUK

Purpose Sled towing has been shown to be an effective method to enhance the physical qualities in youth *** aim of this study was to evaluate the impact of a 6-week sled towing intervention on muscular strength,speed and power in elite youth soccer players of differing maturity *** Seventy-three male elite youth soccer players aged 12-18 years(Pre-Peak Height Velocity[PHV]n = 25;Circa-PHV n = 24;Post-PHV n = 24)from one professional soccer academy participated in this *** assessments(10 m and 30 m),countermovement jump and isometric mid-thigh pull were undertaken before(T1)and after(T2)a 6-week *** training intervention consisted of 6 weeks(2xper week,10 sprints over 20 m distance)of resisted sled towing(linear progression 10%-30%of body mass)during the competitive *** regression models analysed differences between T1 and T2 within each maturity *** There were minimal changes in strength,speed and power(P=0.35-0.80)for each maturity group across the 6-week *** there were changes with greater certainty,they are unlikely to represent real effect due to higher regres-sion to the mean(RTM).Conclusion It appears that a 6-week sled towing training programme with loadings of 10%-30%body mass only maintains physical qualities in elite youth soccer players pre-,circa-,and *** research is required to determine the effectiveness of this training method in long-term athletic development programmes.

关键词： Youth development Long-term athletic development Maturation Strength Speed IMTP

社会变革解释模式：权力意志Vs.历史唯物主义

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现代哲学 2014年第2期 24-27页

作者： david B. myers() 李天保(译) 汪希达(校) 不详中山大学马克思主义哲学与中国现代化研究所暨哲学系广州510275

尼采：哲学家一般把万物整体和科学知识当作一个生命范畴来处理.我认为权力欲、统治世界的欲望,是人类生理学乃至一切生命的关键要素.或许你切中了某些重要的东西,但是你拒绝从中做出彻底的结论.将生命看作权力意志——看作渴望统治的... 详细信息

尼采：哲学家一般把万物整体和科学知识当作一个生命范畴来处理.我认为权力欲、统治世界的欲望,是人类生理学乃至一切生命的关键要素.或许你切中了某些重要的东西,但是你拒绝从中做出彻底的结论.将生命看作权力意志——看作渴望统治的驱动力,这种解释智性和社会变化的方式比经济学的方式更为根本,开个玩笑地说,也更为经济.分类号：B712.5

关键词：权力意志历史唯物主义解释模式社会变革生命范畴文献标识码科学知识社会变化

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The Relationship Equation & Relationship Circle. The Importance of Reciprocal Interaction in Functional Relationships, Role of Context & the “Happinewness” Key.

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Sociology Study 2021年第4期11卷 154-164页

作者： Yaacov myers Independent scholar MelbourneAustralia.

Truly opposite is defined by identity of units with complementary anatomy or structure to form a pair,*** and *** or corresponding structure or form permits reciprocal function of these units or“opposites”.Focus on“Identity”or“function”determines one’s view as to whether these units are“opposites”or“complementary”.“Identity”is unique&exclusive,whereas,function requires inclusivity,specificity&reciprocal interaction,contributed to by both units to form a dynamic partnership or *** interaction matters as it permits an inclusive ***&awareness of surroundings that impact on relationships and/or personal interaction is represented here by a surrounding circle or sense of purpose and represents the extension of immediate context involving both units in a paired relationship of structural complementary units within their encompassing surroundings or contextual *** reference is the ethical key to understanding situations&circumstance so serves as the key to ethics,morality&*** Relationship Equation,E=1=m.c-1,provides a simple model of understanding usually viewed as complex *** offers an approach to solving identity issues by viewing these as complementary and functional rather than as *** place of identity as the focus it introduces context and reciprocal interaction of complementary units of a *** as part of a whole transfers the focus from self to other or both and to an awareness of higher purpose in the Oneness of function of Creation as(m.c-1)=E=*** influence is taken into account by viewing the Eco-social environment or Eco-society as *** of environment on one or other unit in a pair or on both&vice versa affects ***&adaptation to environmental change leads to evolution when the pair thrives better in this new Eco-social *** part of a functional whole,as a functional unit or as a functioning pair,adds purp

关键词： relationships the Relationship Equation&Relationship Circle health&wellbeing parenting higher purpose G-dliness is connection&awareness reciprocal interaction function conflict resolution context opportunity&time the“Happinewness”key

Medical Ethics: Context Is the Key Word

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International Journal of Clinical Medicine 2014年第16期5卷 1030-1045页

作者： John myers Wellspring’s Universal Environment P/L Melbourne Australia

Medical Ethics is no different to Ethics, but relates specifically to the doctor-patient relationship. This relationship is based on mutual trust—trust in the doctor’s expertise and knowledge and trust that the patient is consulting the doctor, for his/her/their own health, wellbeing and welfare, without agenda or bias. In other words, the basis of the doctor-patient relationship is one of mutual trust and confidence. Thus, what is imparted between them is held in the strictest confidence. The doctor must act within the law. No third party influence can be brought to bear on this relationship without the patient’s consent. In the case of minors the relationship is between the child’s guardians as well as the doctor who must act within the law. In the category of “elderly” or adult guardianship or advocacy, those appointed and in positions of trust must take the person’s wishes into account if the patient has capacity to make decisions or has indicated their wish prior to any such appointment. Capacity is defined as consistent belief or wish, awareness of what one does not wish for, satisfaction when wishes are respected and fulfilled and the opposite when they are not. Ethical practice is determined by taking context into account in decision-making and ensuring the sanctity of the patient’s rights and wishes. Abuse is just the opposite, where actions taken or not taken are against a person’s wishes. Personal wish determines best interest. Best interest may also be defined in terms of social functioning and psychological wellbeing. Discussion of ethics in terms of General Systems Theory is also addressed, and affects an action on the environment or others, i.e. ethics in the wider medical context may pertain if the person has a contagious disease and a period of quarantine or “isolation” or barrier” nursing is required, and where precedent is given to society’s best interest over the person’s wishes, as part of an educational process and as required for strategic dis

关键词： Medical Ethics and Context Rights Behaviour and Abuse

Computed X-ray Tomography Investigation of Porosity and Permeability of the Liujiagou Formation Sandstone Exposed to CO_(2)-Saturated Brine

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Acta Geologica Sinica(English Edition) 2023年第3期97卷 946-955页

作者： XUE Quan ZHANG Liwei XU Liang Matthew myers Cameron WHITE MEI Kaiyuan WANG Hanwen LI Qi LI Xiaochun State Key Laboratory of Geomechanics and Geotechnical Engineering Institute of Rock and Soil MechanicsChinese Academy of SciencesWuhan 430071China University of Chinese Academy of Sciences Beijing 100049China CSIRO Energy Australian Resources Research CentreKensingtonWestern Australia 6151Australia School of New Energy and Materials Southwest Petroleum UniversityChengdu 610500China

In order to improve CO_(2) capture,utilization and storage(CCUS) to solve carbon emission,sandstone from the Triassic Liujiagou Formation(LF) from the Ordos Basin in China was investigated using permeability tests and computed X-ray tomography(CT) *** presence of reactive minerals within the geological CO_(2) sequestration target storage formation can allow reaction with injected CO_(2),which changes the porosity and permeability of the LF beds,affecting storage *** investigate the effect of chemical reactions on the pore structure and permeability of sandstone cores representing the LF CO_(2) storage,tests were conducted to analyze the changes in porosity and permeability of sandstone cores induced by CO_(2)-saturated brine at different reaction times(28-day maximum reaction period).Porosity and permeability of the sandstone increased after reaction with CO_(2)-saturated brine due to mineral *** sandstone exhibited an increase in porosity and permeability after 15 days of reaction with CO_(2)-saturated ***,there was an increase in the volume of large pores in the sandstone after the 28-day *** pore network of the sandstone was established through CT results,and the porosity calculated based on the obtained pore network was close to that measured in the test,demonstrating the feasibility to use CT to study the evolution of the microstructure of sandstone after long-time exposure to CO_(2)-saturated brine.

关键词： CO_(2)capture-utilization-storage Triassic sandstone permeability porosity Ordos Basin

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The treatment of streptococcal tonsillitis/ pharyngitis in young children

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2021年第10期7卷 161-165页

作者： Laura Norton Angela.myers University of Minnesota Medical School USA Pediatrics Children’s Mercy Hospital USA

Pharyngitis is common in children,accounting for nearly 12 million visits annually in the United *** pyogenes or group A streptococcus(GAS)is the most common bacterial cause of pharyngitis for which antibiotics are *** treatment of streptococcal pharyngitis virtually eliminates the presence of bacteria from the pharynx and thus removes the risk of subsequent rheumatic *** is spread from person to person via respiratory droplets with a short incubation period of 2~5 *** pharyngitis peaks in the late winter and early spring months when children are predominately indoors for school and *** is also higher in winter months,and while up to 20%of school age children are colonized with GAS in their throat during this time,colonization has not been shown to contribute to the spread of *** low-and middle-income countries and other situations in which crowding is common(e.g.,schools),outbreaks of pharyngitis are *** pharyngitis can occur at all ages and it is most common in school-aged children with a peak at 7~8 years of *** caused by GAS is rare in children<3 years of age and becomes much less common in late adolescence through adulthood.

关键词： Tonsillitis Streptococcal tonsillitis Pharyngitis

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Colorectal cancer in patients under 50 years of age:A retrospective analysis of two institutions' experience

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World Journal of Gastroenterology 2013年第34期19卷 5651-5657页

作者： Elizabeth a.myers Daniel L Feingold Kenneth A Forde Tracey Arnell Joon Ho Jang Richard L Whelan Department of Colon and Rectal Surgery St. Luke’s Roosevelt Hospital Department of Surgery College of Physicians and SurgeonsColumbia University

AIM:To investigate the epidemiological characteristics of colorectal cancer(CRC)in patients under 50 years of age across two ***:Records of patients under age 50 years of age who had CRC surgery over a 16 year period were assessed at two *** following documents where reviewed:admission notes,operative notes,and discharge *** main study variables included:age,presenting symptoms,family history,tumor location,operation,stage/differentiation of disease,and post operative *** of disease was classified according to the American Joint Committee on Cancer TNM staging system:tumor depth;node status;and ***:CRC was found in 180 patients under age50 years(87 females,93 males;mean age 41.4±6.2years).Young patients accounted for 11.2%of cases during a 6 year period for which the full data set *** percent had a 1stdegree and 12%a 2nd degree family CRC *** all patients(94%)were symptomatic at diagnosis;common symptoms included:bleeding(59%),obstruction(9%),and abdominal/rectal pain(35%).Evaluation was often delayed and bleeding frequently attributed to *** stage CRC(Stage 3 or 4)was noted in 53%of *** tumors were distal to the splenic flexure(77%)and 39%involved the *** patients(95%)had segmental resections;6 patients had subtotal/total *** differentiated tumors were noted in 12%and mucinous lesions in 19%of patients of which most had Stage 3 or 4 ***-two patients(13%)developed recurrence and/or progression of disease to *** patients(ages 42,42and 49 years)went on to develop metachronous primary colon cancers within 3 to 4 years of their initial ***:CRC was common in young patients with no family *** patients with symptoms merit a timely evaluation to avoid presentation with late stage CRC.

关键词： Colorectal cancer Colorectal cancer screening Sporadic colorectal cancer Early-age onset colorectal cancer Sigmoidoscopy

Using Films as a Learning Tool

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语数外学习(高中版高三年级) 2007年第10期 44-46页

作者： Travis myers

Most people would agree that watching movies is one of their favorite free-time activities. We often think of movies as fun entertainment, but

关键词： Using Films as a Learning Tool