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Is overhydration in peritoneal dialysis patients associated with cardiac mortality that might be reversible?

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World Journal of Nephrology 2016年第5期5卷 448-454页

作者： elizabeth oei Klara Paudel Annemarie Visser Hazel Finney Stanley L Fan Department of Renal Medicine and Transplantation Barts Health NHS Trust Department of Nutrition and Dietetics Barts Health NHS Trust Department of Clinical Biochemistry Barts Health NHS Trust

AIMTo study the relationship between overhydration （OH） in peritoneal dialysis （PD） patients and cardiac ***, as measured by body composition monitor （BCM）, is associated with increased mortality in dialysis pa-tients. BCM has been used to guide treatment on the assumption that correcting OH will improve cardiac morbidity and mortality although data demonstrating causality that is reversible is limited. We wished to determine if OH in PD patients predicted cardiac mor-tality, and if there was a correlation between OH and cardiac troponin-T （cTnT） levels. Finally, we wished to determine if improving OH values would lead to a decrement in cTnT. All prevalent PD patients over the study period of 57 mo who had contemporaneous BCM and cTnT measurements were followed irrespective of transplantation or PD technique failure. We also studied a cohort of patients with who had severe OH （〉＋2L）.The Fresenius Body Composition Monitor was used to obtain hydration parameters. cTnT levels were done as part of routine clinical care. Data was analysed using SPSS version *** were 48 deaths in the 336 patients. The patients that died from cardiac or non-cardiac causes were similar with respect to their age, incidence of diabetes mellitus, gender, ethnicity and cause of renal failure. However, the patients with cardiac causes of death had significantly shorter dialysis vintage （10.3 mo vs 37.0 mo, P 〈 0.0001） and were significantly more overhydrated by BCM measurement （2.95 L vs 1.35 L, P 〈 0.05）. The mean （standard error of the means） hydration status of the 336 patients was ＋1.15 （0.12） L and the median [interquartile range （IQR）] cTnT level was 43.5 （20-90） ng/L. The cTnT results were not normally distributed and were therefore transformed logarithmically. There was a statistically significant correlation between Log （cTnT） with the OH value （Spearman r value 0.425, P 〈 0.0001）. We identifed a sub-group of patients that were severely overhydrated; m

关键词： Bioimpedance Fluid status Peritoneal dialysis Mortality Overhydration Cardiac troponin

Semantic Segmentation of Lumbar Vertebrae Using Meijering U-Net(MU-Net)on Spine Magnetic Resonance Images

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Computer Modeling in Engineering & Sciences 2025年第1期142卷 733-757页

作者： Lakshmi S V V Shiloah elizabeth Darmanayagam Sunil Retmin Raj Cyril Department of Computer Science and Engineering College of Engineering GuindyAnna UniversityChennai600025India Department of Information Technology Madras Institute of TechnologyAnna UniversityChrompetChennai600044India

Lower back pain is one of the most common medical problems in the world and it is experienced by a huge percentage of people *** to its ability to produce a detailed view of the soft tissues,including the spinal cord,nerves,intervertebral discs,and vertebrae,Magnetic Resonance Imaging is thought to be the most effective method for imaging the *** semantic segmentation of vertebrae plays a major role in the diagnostic process of lumbar *** is difficult to semantically partition the vertebrae in Magnetic Resonance Images from the surrounding variety of tissues,including muscles,ligaments,and intervertebral discs.U-Net is a powerful deep-learning architecture to handle the challenges of medical image analysis tasks and achieves high segmentation *** work proposes a modified U-Net architecture namely MU-Net,consisting of the Meijering convolutional layer that incorporates the Meijering filter to perform the semantic segmentation of lumbar vertebrae L1 to L5 and sacral vertebra ***-colour mask images were generated and used as ground truth for training the *** work has been carried out on 1312 images expanded from T1-weighted mid-sagittal MRI images of 515 patients in the Lumbar Spine MRI Dataset publicly available from Mendeley *** proposed MU-Net model for the semantic segmentation of the lumbar vertebrae gives better performance with 98.79%of pixel accuracy(PA),98.66%of dice similarity coefficient(DSC),97.36%of Jaccard coefficient,and 92.55%mean Intersection over Union(mean IoU)metrics using the mentioned dataset.

关键词： Computer aided diagnosis(CAD) magnetic resonance imaging(MRI) semantic segmentation lumbar vertebrae deep learning U-Net model

Plasticity as panacea？ Nerves, hormones, and the currencies of trade-offs

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Current Zoology 2015年第2期61卷 251-264页

作者： elizabeth BASTIAANS elizabeth SWANGER Department of Ecology Evolution and Behavior University of Minnesota MN 55108 USA

Phenotypic plasticity is nearly universal among organisms, and evidence indicates that plasticity can exhibit additive genetic variation and respond to selection. These findings have important implications for our understanding of how plasticity may be constrained and how its mechanistic structure may affect its evolution. Many life history trade-offs may be conceptua- lized as plastic traits, with individuals varying in their position along trade-off axes due to genetic differences, developmental plasticity, or short-term plasticity occurring throughout an individual＇s lifetime. Behavioral plasticity is key to understanding when organisms are likely to encounter trade-offs, whether those trade-offs can be mitigated, and how the tradc-offs affect the ecology and evolution of populations. In this review, we discuss hormonal and neural mechanisms that may influence how plastic behavioral traits are expressed and evolve. We also outline a classification of life history trade-offs and their mechanistic bases and discuss the currencies most likely to mediate each category of trade-off and bow they are tied to the mechanisms by which animals express their behaviors.

关键词： Phenotypic plasticity Life history trade-offs Hormones Neural tissue

应用CRISP清单,提升我国全科医学和基本医疗研究报告的质量

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中国全科医学 2025年第4期28卷 393-401页

作者：杨辉汪洋陈庆奇刘晨曦顾杰赵洋秦江梅曹新阳 elizabeth Sturgiss William R.Phillips 许岩丽 Monash大学公共卫生与预防医学学院澳大利亚墨尔本市VIC 3168 上海市全科医学与社区卫生发展研究中心 200090 同济大学附属杨浦医院全科医学科上海市200090 香港大学家庭医学及基层医疗学系中国香港特别行政区999077 华中科技大学同济医学院医药卫生管理学院湖北省武汉市430000 复旦大学附属中山医院全科医学科上海市200032 复旦大学附属中山医院国际医疗部上海市200032 新南威尔士大学乔治全球健康研究院澳大利亚悉尼2050 墨尔本大学人口与全球健康学院澳大利亚墨尔本3010 国家卫生健康委卫生发展研究中心北京市100044 《中国全科医学》杂志社有限公司北京市100053 School of Primary and Allied Health Care Monash UniversityMelbourneVictoriaAustraliaVIC 3168 University of Washington SeattleWashington98195

基本医疗(初级保健)研究报告内容的条目共识(CRISP)工作组于2023年提出了CRISP清单,以支持改善上述领域研究报告的质量、实用性和传播性。《中国全科医学》英文版的学术编辑团队对CRISP清单进行了中文翻译,并通过这篇述评,在回顾我国全... 详细信息

基本医疗(初级保健)研究报告内容的条目共识(CRISP)工作组于2023年提出了CRISP清单,以支持改善上述领域研究报告的质量、实用性和传播性。《中国全科医学》英文版的学术编辑团队对CRISP清单进行了中文翻译,并通过这篇述评,在回顾我国全科医学和基本医疗研究的内涵和发展现状的基础上,归纳了该领域的科研报告中目前存在的主要问题,如“以作者为中心”“过度重视塑造权威性”“盲目生搬国际经验”“缺乏对方法学的透明报告”“在论文中压入大量冗繁信息”以及“遮蔽关键信息”等。最后,编辑团队推荐和鼓励中国的全科医学和基本医疗服务研究的作者、编辑和学术评议专家尝试使用CRISP清单,在改善中国全科医学和基本医疗研究报告质量的同时,进一步完善该工具在学科发展研究、临床研究、卫生服务研究、卫生政策研究、教育和培训研究以及社区流行病学研究等亚领域中的应用。

关键词：全科医学基本医疗研究报告内容共识

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The effectiveness of eyespots and masquerade in protecting artificial prey across ontogenetic and seasonal shifts

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Current Zoology 2022年第4期68卷 451-458页

作者： elizabeth G Postema Department of Entomology and Nematology University of CaliforniaDavisCA 95616USA

When constraints on antipredator coloration shift over the course of development,it can be advantageous for animals to adopt different color strategies for each life *** caterpillars in the genus Papilio exhibit unique ontogenetic color sequences:for example,early instars that masquerade as bird feces,with later instars possessing eyespots.I hypothesize that larvae abandon feces masquerade in favor of eyespots due to ontogenetic changes in signaler *** ontogenetic pattern also occurs within broader seasonal shifts in background color and predator activity.I conducted predation experiments with artificial prey to determine how potential signaling constraints(specifically size and season)shape predation risk,and consequently the expression of ontogenetic color change in Papilio ***,both predation and background greenness declined significantly from July to September,though there was little evidence that these patterns impacted the effectiveness of either color *** size and color strongly affected the attack rate of avian predators:attacks increased with prey size regardless of color,and eyespotted prey were attacked more than masquerading prey *** results may reflect a key size-mediated tradeoff between conspicuousness and intimidation in eyespotted prey,and raise questions about how interwoven aspects of behavior and signal environment might maintain the prevalence of large,eyespotted larvae in nature.

关键词： ontogenetic color change eyespots masquerade predator-prey dynamics season

ntegrated approach to winery waste： waste generation and data consolidation

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Frontiers of Environmental Science & Engineering 2016年第1期10卷 168-176页

作者： Margarida OLIVEIRA elizabeth DUARTE Instituto Superior de Agronomia (ISA) University of Lisbon 1349-017 Lisboa Portugal Escola Superior Agrairia de Santarem (ESAS) Instituto Superior Politecnico de Santarem 2001-904 Santarem Portugal

The winemaking process involves the genera- tion of a significant amount of waste and wastewater. These residues should be addressed for recycling or treatment before being returned to environment. As each winery is unique in waste generation and disposal, plans for environmentally friendly waste management are not universal and should be tested for their effectiveness. In this study, a diagnostic was made during three years, in different wineries, throughout Portugal, in order to quantify and characterize the waste and the wastewater produced. The results showed that solid waste and wastewater are mainly produced during the harvest period, corresponding to 74% and 87%, respectively. One ton of processed grape approximately produce 0.13 t marc, 0.06 t lees, 0.03 t of stalks and 1.65 m3 of wastewater. No significant differences （P≤0.05） were observed for grape marc, lees and wastewater ratios, between years or wineries. With respect to the stalk ratio, there was no effect of year but the winery significantly affected this ratio （P ≤ 0.05）. During the study period the treated wastewater, since diluted, revealed suitable characteristics for irrigation representing an additional source of water. In this regard, the data acquisition and consolidation ensure the transfer of information and experience which constitute an essential step in a support decision tool design.

关键词： waste management wastewater reuse winerywastewater

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Crystal Structure of the MAP3K TAO2 Kinase Domain Bound by an Inhibitor Staurosporine

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Acta Biochimica et Biophysica Sinica 2006年第6期38卷 385-392页

作者： elizabeth J.GOLDSMITH USA TX 75390-9038 Department of Biochemistry University of Texas Southwestern Medical Center at Dallas

Mitogen-activated protein kinase (MAPK) signal transduction pathways are ubiquitous ineukaryotic cells,which transfer signals from the cell surface to the nucleus,controlling multiple *** are activated by MAPK kinases [MAP2Ks or MAP/extracellular signal-regulated kinase(ERK) kinases (MEK)],which in turn are activated by MAPK kinase kinases (MAP3Ks).TAO2 is a MAP3Klevel kinase that activates the MAP2Ks MEK3 and MEK6 to activate p38 *** p38 MAPKs arekey regulators of expression of inflammatory cytokines,they appear to be involved in human diseases suchas asthma and *** an upstream activator of p38s,TAO2 represents a potential drug *** we report the crystal structure of active TAO2 kinase domain in complex with staurosporine,a broad-range protein kinase inhibitor that inhibits TAO2 with an ICof 3 μ*** structure reveals that staurosporineoccupies the position where the adenosine of ATP binds in TAO2,and the binding of the inhibitor mimicsmany features of ATP *** polar and nonpolar interactions contribute to the *** induces conformational changes in TAO2 residues that surround the inhibitormolecule,but causes very limited global changes in the *** structure provides atomic details forTAO2-staurosporine interactions,and explains the relatively low potency of staurosporine against *** structure presented here should aid in the design of inhibitors specific to TAO2 and related kinases.

关键词： TAO2 MAP3K inhibitor staurosporine crystal structure

Distribution of Panama’s narrow-range trees:are there hot-spots?

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Forest Ecosystems 2021年第4期8卷 801-809页

作者： elizabeth Tokarz Richard Condit Morton Arboretum 4100 Illinois Rte.53LisleIL 60532USA

Background:Tree species with narrow ranges are a conservation concern because heightened extinction risk accompanies their small *** risks for these species is challenging,however,especially in tropical flora where their sparse populations seldom appear in traditional plots and ***,we utilize instead large scale databases that combine tree records from many sources to test whether the narrow-range tree species of Panama are concentrated at certain elevations or in certain *** investigations have suggested that the Choco region of eastern Panama and the high mountains of western Panama may be potential hotspots of narrow-range tree ***:All individual records were collected from public databases,and the range size of each tree species found in Panama was estimated as a polygon enclosing all its *** with ranges<20,000 km^(2) were defined as narrow *** divided Panama into geographic regions and elevation zones and counted the number of individual records and the species richness in each,separating narrow-range species from all other ***:The proportion of narrow endemics peaked at elevations above 2000 m,reaching 17.2% of the species *** elevation<1500 m across the country,the proportion was 6-11%,except in the dry Pacific region,where it was 1.5%.Wet forests of the Caribbean coast had 8.4% narrow-range species,slightly higher than other *** total number of narrow endemics,however,peaked at mid-elevation,not high elevation,because total species richness was highest at ***:High elevation forests of west Panama had higher proportions of narrow endemic trees than low-elevation regions,supporting their hot-spot status,while dry lowland forests had the lowest *** supports the notion that montane forests of Central America should be a conservation ***,given generally higher diversity at low-to mid-elevation,lowlands are also import

关键词： Narrow endemic trees Biodiversity hot-spots Panama Rarefaction High elevations BIEN database Narrow-range

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The Sendai Framework for Disaster Risk Reduction at Five:Lessons from the 2011 Great East Japan Earthquake and Tsunami

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International Journal of Disaster Risk Science 2020年第2期11卷 167-178页

作者： elizabeth Maly Anawat Suppasri International Research Institute of Disaster Science Tohoku UniversitySendai 980-8579.Japan

The Sendai Framework for Disaster Risk Reduction 2015–2030(SFDRR) represents an inclusive approach to disaster risk reduction, linked to development and recovery. Building on previous international guidelines, the SFDRR promotes practical and measurable outcomes for reducing disaster losses, including indicators to measure progress towards seven specific global *** in the context of the priorities and global targets of the SFDRR, the article considers the case of the Great East Japan Earthquake and Tsunami of 2011 to illustrate advances and limitations in pre-disaster tsunami hazard engineering and post-disaster recovery. With respect to the targets set out in the Sendai Framework related to risk reduction and tsunami engineering, especially Priority 1,understanding disaster risk, there have been significant advances in hazard assessment and systems for tsunami detection and warning. Although the SFDRR emphasizes actions in the recovery phase through Priority 4, enhancing disaster preparedness with an emphasis on the concept of build back better, on its own this does not function as a clear directive for guiding recovery. However, the overall people-centered and inclusive approach of the SFDRR, as well as the global targets and several sub-priorities, can be a useful way to shape good practices in recovery and evaluate recovery progress.

关键词： Build back better Disaster recovery Great East Japan Earthquake Sendai Framework Tsunami risk

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