检索结果-南通市图书馆

“Flow” Transcranial Direct Current Stimulation (tDCS) for Depression Treatment in a Primary Healthcare General Practice—An Open-Label Cohort Study Measuring Montgomery-Åsberg Depression Rating Scale (MADRS-S) Outcomes

引用

Open Journal of Psychiatry 2024年第4期14卷 386-399页

作者： Chris Griffiths Harmony Jiang david smart Azhar Zafar Northamptonshire Healthcare NHS Foundation Trust Northampton UK University of Northampton Northampton UK General Practice Alliance Ltd. Northampton UK

Background: Flow FL-100 is a transcranial direct current stimulation (tDCS) device self-administered by a patient at home in combination with a software application delivered wellbeing behaviour therapy training. tDCS has evidence of effectiveness in treating symptoms of depression. Purpose/Aim: This post marketing study evaluated the effect of Flow on depression for primary care general practice patients with depression symptoms. Methods: Open-label patient cohort design with no control group. Inclusion criteria were aged 18 years or over and reporting depression symptoms. Participants self-administered five 30 minute tDCS sessions per week for the first three weeks, and then 3 sessions per week following this. Three, six and ten week assessment with participant self-report measure: Montgomery- Åsberg Depression Rating Scale (MADRS-S). Results: MADRS-S remission rates were between 29% - 30% at three weeks, 33% - 34% at six-weeks and 50% at 10-weeks treatment. There was a significant improvement in MADRS-S with large effect sizes at all time points. Conclusions: Flow tDCS can be delivered through a primary healthcare general practice service and patients will choose to use. Flow tDCS provides an effective depression treatment in addition and as an alternative to antidepressants and psychotherapy. tDCS has evidence as an effective depression treatment, and the widespread availability of tDCS in primary care general practice should be considered.

关键词： Depression Transcranial Direct Current Stimulation Wellbeing General Practice

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

Alpha-Stim Cranial Electrotherapy Stimulation (CES) for Anxiety Treatment: Outcomes in a United Kingdom (UK) Primary Care Practice

引用

Open Journal of Psychiatry 2021年第3期11卷 186-201页

作者： Chris Griffiths Chloe Leathlean david smart Azhar Zafar Cara-Leigh Hall Sarah Deeks Innovation and Research Department Northamptonshire Healthcare NHS Foundation Trust (NHFT) Northampton UK General Practice Alliance (GPA) Northampton UK

Background: Anxiety disorders are the most common mental disorders, typically treated with psychotherapy and medication. These treatments are not suitable for, acceptable to, or effective for everyone. Alpha-Stim AID is a Cranial Electrotherapy Stimulation (CES) treatment with evidence of effectiveness in treating anxiety disorders. Objective: The aim of this paper is to present outcomes on anxiety, depression, and quality of life of Alpha-Stim use in primary care patients in the United Kingdom’s (UK) National Health Service (NHS) who reported symptoms of anxiety. Methods: Open label patient cohort design. Self-report measures: PHQ-9 (depression), GAD-7 (anxiety) and EQ-5D-5L (health related quality of life). Twenty-three patients with symptoms of anxiety completed a six-week course of Alpha-Stim intervention. Results: Reliable improvement and remission rates respectively were 60.9% and 17.4% for the GAD-7;42.9% and 22.7% for the PHQ-9. Significant improvement and medium/large effect sizes (n2 = 0.59 and 0.56 respectively). EQ-5D-5L results showed significant improvements in quality of life. Perceived quality of life doubled with an improvement of 0.36 on the health index score, this intervention adds 3.64 Quality Adjusted Life Years (QALYs). Limitations: The study was not an RCT, there was no control group. Conclusions: Alpha-Stim AID CES can be delivered through a UK primary care practice, and can have a significant impact on symptoms of anxiety and depression, and improve quality of life in primary care patients with anxiety symptoms. Further feasibility studies in primary care and sufficiently powered RCT are required.

关键词： Alpha-Stim Primary Care Cranial Electrotherapy Stimulation Service Delivery Anxiety Depression Quality of Life Social Prescription Co-Morbidity GAD

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

Quality of Service and Security on Cisco Network Devices, Coupled with the Development of a Mobile Application Prototype Software for Server Room Temperature Monitoring

引用

Journal of Computer and Communications 2024年第8期12卷 123-140页

作者： Desire Mudenda Charles smart Lubobya Department of Electrical and Electronic Engineering UNZA Lusaka Zambia

In an era where digital technology is paramount, higher education institutions like the University of Zambia (UNZA) are employing advanced computer networks to enhance their operational capacity and offer cutting-edge services to their academic fraternity. Spanning across the Great East Road campus, UNZA has established one of the most extensive computer networks in Zambia, serving a burgeoning community of over 20,000 active users through a Metropolitan Area Network (MAN). However, as the digital landscape continues to evolve, it is besieged with burgeoning challenges that threaten the very fabric of network integrity—cyber security threats and the imperatives of maintaining high Quality of Service (QoS). In an effort to mitigate these threats and ensure network efficiency, the development of a mobile application to monitor temperatures in the server room was imperative. According to L. Wei, X. Zeng, and T. Shen, the use of wireless sensory networks to monitor the temperature of train switchgear contact points represents a cost-effective solution. The system is based on wireless communication technology and is detailed in their paper, “A wireless solution for train switchgear contact temperature monitoring and alarming system based on wireless communication technology”, published in the International Journal of Communications, Network and System Sciences, vol. 8, no. 4, pp. 79-87, 2015 [1]. Therefore, in this study, a mobile application technology was explored for monitoring of temperatures in the server room in order to aid Cisco device performance. Additionally, this paper also explores the hardening of Cisco device security and QoS which are the cornerstones of this study.

关键词： Quality of Service (QoS) Network Security Temperature Monitoring Mobile Application Cisco Devices

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

Prevalence of Drug Resistant Uropathogenic Escherichia coli from Immunocompromised Diabetic Patients Attending Selected Health Facilities in Benue State

引用

Advances in Microbiology 2024年第1期14卷 77-91页

作者： Isaac Ilesanma Adeoti Grace Mwuese Gberikon Innocent Okonkwo Ogbonna Tersagh smart Ichor Department of Microbiology College of Biological Sciences Joseph Sarwuan Tarka University Makurdi Nigeria

Escherichia coli is the commonest bacterial uropathogen of UTIs, the commonest infections in immunocompromised diabetic patients. Better understanding of their main resistance mechanisms to commonly used antibacterial agents will help to reduce the burden of this infection. The prevalence of drug resistant uropathogenic Escherichia coli isolates from immunocompromised diabetic patients attending selected health facilities in Benue State was investigated. Two hundred and ninety-six midstream urine samples were collected for both study and control diabetic patients. Bacterial isolation was done using semi-quantitative method. Drug resistant Escherichia coli were identified as multidrug resistant (MDR), extensive drug resistant (XDR) and pan-drug resistant organisms (PDR). Statistical significance was considered at p E. coli isolates from the study and control subjects with overall prevalence of 20.9% and 8.4% respectively. The isolates were highly resistant to penicillin (ampicillin), monobactam (aztreonam), older quinolone (nalidixic acid) whereas the majority of them showed high susceptibility to aminoglycoside (streptomycin), cephalosporin (cefotaxime) and carbapenem (imipenem). None showed complete susceptibility to all the tested antibiotics. Twenty-five E. coli were identified in this MDR, eight, XDR while 5 were PDR. High numbers of drug resistant E. coli isolates were identified in the study group of which 25 were MDR, 8 XDR while 5 were PDR isolates. High prevalence of UTI and drug resistant isolates occur in diabetic patients with hyperglycemic condition.

关键词： Urinary Tract Infection Immunocompromised Diabetic Mellitus Antibiotic Resistance Escherichia coli

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

香港地区中学文凭考试英语口语实施网考的探索研究

引用

中国考试 2024年第2期 47-55页

作者： Cameron smart Jennifer Shiu Matthew Drysdale Andy Chan 吴泓霖(译) 香港考试及评核局中国香港999077 教育部教育考试院北京100084

香港地区中学文凭考试(Hong Kong Diploma of Secondary Education Examination,HKDSE)英语口语公开考试中的小组互动部分受疫情等多种因素的影响而无法正常开展,需要探索其他口试形式。本研究探讨使用基于网络的协作视频会议工具Zoom... 详细信息

香港地区中学文凭考试(Hong Kong Diploma of Secondary Education Examination,HKDSE)英语口语公开考试中的小组互动部分受疫情等多种因素的影响而无法正常开展,需要探索其他口试形式。本研究探讨使用基于网络的协作视频会议工具Zoom进行网考口试(Internet-delivered Speaking Test)的可能性方案。选取40名中学生进行网考口试的试测,由经验丰富的口试考官对考生表现进行评分,并使用基于学习者语料库的方法研究口试考生在话轮转换和语法准确性方面的表现。通过对考生话语的语言分析,以及从考生处和考官处分别收集的反馈结果,证实网考口试是可靠且可行的。

关键词：香港地区中学文凭考试口语测试网考口试面对面口试

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

Structured magnetic resonance imaging and endoanal ultrasound anal fistulas reporting template(smart):An interdisciplinary Delphi consensus

引用

World Journal of Gastrointestinal Surgery 2024年第10期16卷 3288-3300页

作者： Iwona Sudoł-Szopińska Pankaj Garg Anders Mellgren Antonino Spinelli Stephanie Breukink Francesca Iacobellis Małgorzata Kołodziejczak Przemysław Ciesielski Christian Jenssen smart Collaborative Group Giulio Aniello Santoro Department of Radiology National Institute of GeriatricsRheumatology and RehabilitationWarsaw 02-637Poland Department of Colorectal Surgery Garg Fistula Research InstitutePanchkula 134113HaryanaIndia Department of Surgical Oncology King Faisal Specialist Hospital&Research CenterRiyadh 11211Saudi Arabia Department of Biomedical Sciences Humanitas UniversityPieve Emanuele-MilanItaly IRCCS Humanitas Research Hospital Rozzano-MilanItaly Department of Surgery Maastricht and NUTRIM Institute of Nutrition and Translational Research in Metabolism GROW-Research Institute for Oncology and Reproductionthe Netherlands Department of General and Emergency Radiology A.Cardarelli HospitalNaples 80131CampaniaItaly Warsaw Proctology Center St.Elizabeth HospitalWarsaw 02-616Poland Department of Internal Medicine Hospital Märkisch OderlandStrausberg 15344BrandenburgGermany Brandenburg Institute for Clinical Ultrasound Neuruppin 16186BrandenburgGermany Third Referral Pelvic Floor Center Division of Surgery 2AULSS n.2 Marca TrevigianaDISCOG University of PaduaTrevisoItaly 不详

BACKGROUND There is still considerable heterogeneity regarding which features of cryptoglandular anal fistula on magnetic resonance imaging(MRI)and endoanal ultrasound(EAUS)are relevant to surgical *** a con-sequence,the quality and completeness of the report are highly dependent on the training and experience of the *** To develop a structured MRI and EAUS template(smart)reporting the minimum dataset of information for the treatment of anal *** This modified Delphi survey based on the RAND-UCLA appropriateness for consensus-building was conducted between May and August *** hundred and fifty-one articles selected from a systematic review of the lite-rature formed the database to generate the evidence-based statements for the Delphi *** questions were anonymously voted by an interdisciplinary multidisciplinary group for a maximum of three iterative *** degree of agreement was scored on a numeric 0–10 *** consensus was defined as a score≥8 for≥80%of the *** Eleven scientific societies(3 radiological and 8 surgical)endorsed the *** three rounds of voting,the experts(69 colorectal surgeons,23 radiologists,2 anatomists,and 1 gastroenterologist)achieved consensus for 12 of 14 statements(85.7%).Based on the results of the Delphi process,the six following features of anal fistulas were included in the smart:Primary tract,secondary extension,internal opening,presence of collection,coexisting le-sions,and sphincters *** A structured template,smart,was developed to standardize imaging reporting of fistula-in-ano in a simple,systematic,time-efficient way,providing the minimum dataset of information and visual diagram useful to refer-ring physicians.

关键词： Anal fistulas Fistula-in-ano Template Reporting Magnetic resonance imaging Endoanal ultrasound

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

No evidence of Permacol rejection presented by Wotton and Akoh

引用

World Journal of Gastroenterology 2010年第5期16卷 657-658页

作者： Neil James smart Department of General Surgery Royal Devon&Exeter HospitalBarrack RoadExeterEX2 5DW United Kingdom

Wotton and Akoh in their previously reported case in this journal postulate that Permacol *** letter provides a detailed critique of that claim and provides an alternative explanation for the histological data provided by the *** is also argued that Wotton and Akoh have misrepresented one of the papers in the discussion in their article and a clarification of that referenced paper is given.

关键词： Porcine dermal collagen implant(Permacol) Renal Transplant Rejection

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

Stable oral lubrication enhancer obtained from thiolated polyethylene glycol and mucin

引用

Friction 2023年第4期11卷 617-634页

作者： Xiaoyan HE Pravin smart Mohamad TAUFIQURRAKHMAN Chun WANG Michael BRYANT Institute of Functional Surfaces School of Mechanical EngineeringUniversity of LeedsLeeds LS29JTUnited Kingdom Reliability Engineering Institute National Engineering Research Center for Water Transport SafetyWuhan University of TechnologyWuhan 430063China

Mucins are vital components contributing to the unique lubrication properties of human whole *** patients receiving medication and or treatment such as diabetes or radiotherapy,xerostomia(dry mouth)is a common with numerous and deleterious side *** products exist on the market to relive the symptoms of Xerostomia there remains a drive to formulate a biocompatible lubricant that replicate the functionality offered by the natural biological ***,a combination of mucin and thiolated polyethylene glycol(PEG-SH)was proposed as a new saliva *** and PEG-SH molecules could form hydrated layers immediately by ***,the chemical interactions between mucin and PEG-SH molecules also promoted the formation of a mixed *** the pre-formed layers could decrease friction and had the potential to decrease wear,especially mucin and PEG-SH mixed layer when compared to mucin only *** investigations of tribological mechanism implied that the excellent lubrication performance of mixed layer with long effectiveness was contributed to the frictionreducing effect of PEG/mucin molecules and the mucoadhesive property of *** study provides a guide for using mucin as a mucoadhesive agent to stable lubricative polymers with low molecular weight as novel salivary substitutes for lubrication.

关键词： lubrication mucin polyethylene glycol mucoadhesive chemisorption

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

Geochemical characterization of Granitoids in Katchuan Irruan area: further evidence for peraluminous and shoshonitic compositions and post-collisional setting of granitic rocks in the Precambrian Basement Complex of Nigeria

引用

Acta Geochimica 2019年第5期38卷 734-752页

作者： Chinedu U.Ibe smart C.Obiora Department of Geology University of Nigeria

Petrographic studies on Granitoids from Katchuan Irruan and adjoining areas,southeastern Nigeria,has shown that they are garnetiferous biotite granite,aplitic granite,porphyritic hornblende biotite granite,porphyritic muscovite biotite granite,weakly foliated leucogranodiorite and simple *** are closely associated with the Precambrian Basement Complex rocks which they *** analysis shows that the rocks consist of quartz(10%-25%),oligoclase(10%-30%),K-feldspar(15%-35%),biotite(3%-25%),with occasional garnet,hornblende,muscovite,and accessory chlorite,haematite and *** data indicates that the rocks are generally shoshonitic,alkali-calcic to calcic,ferroan and *** are enriched in large ion lithophile elements as well as high field strength elements(Hf,Ta,Yb,Sm,Zr and Y).Their trace elements and REE patterns are similar,indicating that they are *** are characterized by high fractionation factor(La/Yb)N(3.04-228.44)and pronounced negative Eu anomalies(Eu/Eu*)(0.23-0.71).Their overall geochemical features indicate that they were most likely derived from partial melting of crustal materials in an orogenic(post-collisional)tectonic *** are therefore related to the Pan-African granites,otherwise known as the Older Granites which were emplaced during the Pan African orogenic event.

关键词： Pan African Partial melting Post-collisional Precambrian Older Granites Orogenic

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

Thrips: Pests of Concern to China and the United States

引用

Agricultural Sciences in China 2011年第6期10卷 867-892页

作者： smart R Reitz GAO Yu-lin LEI Zhong-ren Center for Medical Agricultural and Veterinary Entomology Agricultural Research Service United States Department of Agriculture Tallahassee FL 32308 USA State Key Laboratory of Plant Disease and Insect Pests Institute of Plant Protection Chinese Academy of Agricultural Sciences Beijing 100193 P.R.China

Thrips are among the most important agricultural pests globally because of the damage inflicted by their oviposition, feeding, and ability to transmit plant viruses. Because of their invasiveness, a number of pest species are common to both China and the United States and present significant challenges to growers of a wide range of crops in both countries. Among the pest thrips common to both countries are four of the major global thrips pests, Frankliniella occidentalis （Pergande）, Scirtothrips dorsalis Hood, Thrips palmi Karny, and Thrips tabaci Lindeman. This review addresses characteristics that enable thrips to be such damaging pests and how biological attributes of thrips create challenges for their management. Despite these challenges, a number of successful management tactics have been developed for various cropping systems. We discuss some of these tactics that have been developed, including the use of cultural controls, biological controls, and judicious use of insecticides that do not disrupt overall pest management programs. The exchange of this type of information will help to facilitate management of pest thrips, especially in regions where species have recently invaded. A prime example is F. occidentalis, the western flower thrips, which is native to the United States, but has recently invaded China. Therefore, management tactics developed in the United States can be adapted to China. Because further success in management of thrips requires a thorough understanding of thrips ecology, we discuss areas of future research and emphasize the importance of collaboration among different countries to enhance our overall understanding of the biology and ecology of thrips and to improve management programs for these widespread pests.

关键词： Frankliniella Scirtothrips Thrips Tospovirus behavioral ecology pest status integrated pest management

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

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：