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Effect of transplant center volume on post-transplant survival in patients listed for simultaneous liver and kidney transplantation

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World Journal of Hepatology 2018年第1期10卷 134-141页

作者： Rohan M Modi Dmitry Tumin Andrew J Kruger Eliza W Beal don Hayes jr.James Hanje Anthony J Michaels Kenneth Washburn Lanla F Conteh Sylvester M Black Khalid Mumtaz Department of Internal Medicine Ohio State University Wexner Medical CenterColumbusOH 43210United States Department of Anesthesiology and Pain Medicine Nationwide Children’s HospitalColumbusOH 43205United States Department of General Surgery Division of TransplantationOhio State University Wexner Medical CenterColumbusOH 43210United States Comprehensive Transplant Center Ohio State University Wexner Medical CenterColumbusOH 43210United States Section of Pulmonary Medicine Nationwide Children’s HospitalColumbusOH 43205United States Department of Internal Medicine Division of GastroenterologyHepatology and NutritionOhio State University Wexner Medical CenterColumbusOH 43210United States

AIM To examine the effect of center size on survival differences between simultaneous liver kidney transplantation(SLKT) and liver transplantation alone(LTA) in SLKT-listed *** The United Network of Organ Sharing database was queried for patients ≥ 18 years of age listed for SLKT between February 2002 and December 2015. Posttransplant survival was evaluated using stratified Cox regression with interaction between transplant type(LTA vs SLKT) and center *** During the study period, 393 of 4580 patients(9%) listed for SLKT underwent a LTA. Overall mortality was higher among LTA recipients(180/393, 46%) than SLKT recipients(1107/4187, 26%). The Cox model predicted a significant survival disadvantage for patients receiving LTA vs SLKT [hazard ratio, hazard ratio(HR) = 2.85; 95%CI: 2.21, 3.66; P < 0.001] in centers performing 30 SLKT over the study period. This disadvantage was modestly attenuated as center SLKT volume increased, with a 3% reduction(HR = 0.97; 95%CI: 0.95, 0.99; P = 0.010) for every 10 SLKs *** In conclusion, LTA is associated with increased mortality among patients listed for SLKT. This difference is modestly attenuated at more experienced centers and may explain inconsistencies between smaller-center and larger registry-wide studies comparing SLKT and LTA outcomes.

关键词： Kidney transplantation Center volume Mortality Liver transplantation United network for organ sharing

走向全球:开放与远程教育所面临的危险与前景(英文)

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开放教育研究 2009年第2期15卷 67-71页

作者：邓.奥尔科特无国界高等教育观察组织

过去十年以来,电子学习、远程学习技术,以及精细化的教学设计、方法和支持服务等的发展表明,这些创新革新了高等教育的国际化阶段。而且,全球化正在驱动国际经济、社会、政治、文化、政治生活等相互关联的方方面面,这又进一步表明电子学... 详细信息

过去十年以来,电子学习、远程学习技术,以及精细化的教学设计、方法和支持服务等的发展表明,这些创新革新了高等教育的国际化阶段。而且,全球化正在驱动国际经济、社会、政治、文化、政治生活等相互关联的方方面面,这又进一步表明电子学习(或者是远程、混合学习、分布式学习或过几周又会有新的术语)已经创造了一个新的世界。确实,这只是刚刚开始(Olcott,2008,2008a).本文将探讨国际化、跨境高等教育、远程学习等一系列问题,有些评论可能会引起争论、有争议的。但生活就是这样!而且,这些评论直接针对学院和大学的校长。这又是为什么呢?就像杜鲁门所说的"责任到此,不能再推。"

关键词：开放与远程教育跨境高等教育电子学习国际化全球化

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希拉里的宽恕

中外妇儿健康 2010年第5期 40-43页

作者： JEFF GERTH don VAN NATTA jr.李维

希拉里·克林顿在丈夫性丑闻阴影袭来时，所表现出的愤怒、痛苦、挣扎让世界看到了这位坚强女性的另一面。通过坚强的信念和爱，希拉里最终做出了抉择。让我们回到那个夏天，一探这位杰出女性的心路历程。

关键词：希拉宽恕心路历程克林顿女性坚强

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ASC:进口葡萄酒在中国

中国酒 2006年第6期 42-43页

作者： Mr.don St.Pierre jr ASC Fine Wines 总经理

ASC 精品葡萄酒公司简介我父亲和我于1996年创建了 ASC 精品葡萄酒公司,今年我们刚刚迎来了我们第一个十年。我父亲老圣皮尔曾于1985至1988年在中国最早的中美合资企业——北京吉普股

关键词：葡萄酒消费者果酒进口中华人民共和国 ASC

Curupira V1.0: Joint Inversion of VES and TEM for Environmental and Mass Movements Studies

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International Journal of Geosciences 2023年第11期14卷 1160-1176页

作者： Cassiano Antonio Bortolozo Jorge Luís Porsani Tristan Pryer Jorge Luis Abril Benjumea Fernando Acácio Monteiro dos Santos Marco Antonio Couto jr. Luana Albertani Pampuch Tatiana Sussel Gonçalves Mendes Daniel Metodiev Marcio Augusto Ernesto de Moraes Rodolfo Moreda Mendes Marcio Roberto Magalhães de Andrade CEMADEN—National Center for Monitoring and Early Warning of Natural Disasters General Coordination of Research and Development S&#227o José dos Campos Brazil Geophysics Department Institute of Astronomy Geophysics and Atmospheric Sciences (IAG) University of S&#227o Paulo (USP) S&#227o Paulo Brazil Department of Mathematical Sciences University of Bath Bath UK Colombian Geological Service (SGC) Bogotá Colombia don Luiz Institute (IDL) University of Lisboa Lisboa Portugal CPRM—Brazilian Geological Survey SUREG-BH Belo Horizonte Brazil Institute of Science and Technology S&#227o Paulo State University (Unesp) S&#227o José dos Campos Brazil

An innovative inversion code, named “Curupira v1.0”, has been developed using Matlab to determine the vertical distribution of resistivity beneath the subsoil. The program integrates Vertical Electrical Sounding (VES), successful in shallow subsurface exploration and Time Domain Electromagnetic (TEM) techniques, better suited for deeper exploration, both of which are widely employed in geophysical exploration. These methodologies involve calculating subsurface resistivity through appropriate inversion processes. To address the ill-posed nature of inverse problems in geophysics, a joint inversion scheme combining VES and TEM data has been incorporated into Curupira v1.0. The software has been tested on both synthetic and real-world data, the latter of which was acquired from the Parana sedimentary basin which we summarise here. The results indicate that the joint inversion of VES and TEM techniques offers improved recovery of simulated models and demonstrates significant potential for hydrogeological studies.

关键词： VES TEM Joint Inversion CRS—Controlled Random Search Paraná Sedimentary Basin Brazil

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我们为什么不抱怨?

英语自学 2000年第6期 10-14页

作者： William F.Buckley jr. 晓雾

这是整列火车最后一节车厢中唯一的一个空位子,所以也不必再掉头去找了。问题是这里让人透不过气来。外面的气温在冰点以下,而火车车厢里的温度一定有85度左右。我脱掉了大衣,几分钟之后又脱了外套,并且我注意到车厢里望去星星点点的都... 详细信息

这是整列火车最后一节车厢中唯一的一个空位子,所以也不必再掉头去找了。问题是这里让人透不过气来。外面的气温在冰点以下,而火车车厢里的温度一定有85度左右。我脱掉了大衣,几分钟之后又脱了外套,并且我注意到车厢里望去星星点点的都是乘客们的白衬衫。不久我就发现我的手在开始松领带了。在火车

关键词：电影院乘务员

The Therapeutic Role of Guided Mental Imagery in Treating Stress and Insomnia: A Neuropsychological Perspective

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Open Journal of Medical Psychology 2020年第1期9卷 21-39页

作者： Ravinder Jerath Connor Beveridge Michael jensen Ruchir Paladiya Charitable Medical Healthcare Foundation Augusta GA USA Department of Medical Illustration College of Allied Health Sciences Augusta University Augusta GA USA B. J. Medical College Ahmedabad India

Excessive distress and insomnia are much too common in the modern world and often lead to a myriad of detrimental effects including loss of cognitive ability and even physical ailments such as cancer. Current pharmaceutical treatments can be addictive, detrimental to health, and in the case of insomnia don’t produce naturalistic sleep. We present a viewpoint on a potential adjunctive treatment of distress and insomnia that harnesses specific mental imagery as a component of mind/body relaxation technique. Via our perspective on the modern nature of stress and insomnia, our theoretical perspective on how specific guided mental imagery can be used to treat these ailments, and our review on the current literature on treatment with mental imagery, we hope to stimulate further research into mental health treatment with mental imagery which has traditionally been neglected. This perspective on the pathology of insomnia and distress is founded in prevailing “dysevolution” and hyper-arousal theories. Hyper-arousal is characterized in part by a vicious cycle of chronic physiological and emotional stimulation/distress. We argue for spatially based mental imagery in the form of nighttime-sky imagery to attenuate such pathology by breaking one away from a vicious cycle of stimulation and distress and discuss neuropsychological bases for its potential treatment mechanisms which include the autonomic nervous system and a phenomenal foundation of conscious cognition.

关键词： Mental Imagery Guided Imagery Insomnia Chronic Stress Hyperarousal Vicious Cycle

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管理学能力培养取向

丛书名：管理学系列

2005年

作者：（美）唐·黑尔里格尔（don Hellriegel）（美）苏珊·E.杰克逊（Susan E. Jackson）（美）小约翰·W.斯洛克姆（John W. Slocum jr.）张燕刘小涛栗晓虹译

本书重点在于对管理能力的培养方面，针对进行管理所必须具备的六种管理能力——沟通、协作、计划和执行、战略行动、全球意识以及自我管理展开了论述。

ISBN: (数字)7508603664

ISBN: (纸本)7508603664

关键词：管理学

来源：畅想之星图书光盘版（南... 评论

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脑血管痉挛的治疗进展

中国现代神经疾病杂志 2007年第2期7卷 131-133页

作者： Cargill H Alleyne jr.] 刘暌（译）只达石（校） Department of Neurosurgery Medical College of Georgia Augus-ta Georgia 天津市环湖医院神经外科 300060 天津医科大学总医院

近数十年来，脑血管意外如动脉瘤破裂后导致的蛛网膜下腔出血（SAH）已被临床医师所熟知。动脉瘤破裂所致蛛网膜下腔出血最常见的并发症为脑血管痉挛，近半数患者发生于出血后．若不予治疗，神经功能缺失或死亡的发生率高达20％。事实... 详细信息

近数十年来，脑血管意外如动脉瘤破裂后导致的蛛网膜下腔出血（SAH）已被临床医师所熟知。动脉瘤破裂所致蛛网膜下腔出血最常见的并发症为脑血管痉挛，近半数患者发生于出血后．若不予治疗，神经功能缺失或死亡的发生率高达20％。事实上，致残或致死的主要原因是动脉痉挛引起的迟发性脑缺血。鉴于脑血管痉挛的损害作用．研究者及临床医师多年来一直致力于明确其病理生理机制以期发现有效的治疗方法。

关键词：脑血管痉挛治疗方法蛛网膜下腔出血动脉瘤破裂神经功能缺失迟发性脑缺血病理生理机制临床医师