检索结果-南通市图书馆

Review on the management of cardiovascular risk factors in the elderly

Journal of Geriatric Cardiology 2022年第11期19卷 894-927页

作者： Magali gonzález-Colaço Harmand María del Mar García-Sanz Antònia Agustí Pablo César Prada-Arrondo Alberto Domínguez-Rodríguez Beatriz Grandal-Leirós David Peña-Otero Natalia Negrín-Mena Jesús Javier López-Hernández Pablo Díez-Villanueva Department of Internal Medicine-Geriatric Medicine Hospital Universitario Nuestra Señora de CandelariaSanta Cruz de TenerifeSpain Universidad Europea de Canarias Faculty of Health SciencesLa OrotavaSpain Clinical Pharmacology Department Hospital Universitario Marqués de ValdecillaSantanderSpain Clinical Pharmacology Department.Hospital Vall d'Hebron BarcelonaSpain Cardiac Surgery Department Hospital Universitario de CanariasLa LagunaTenerifeSpain Cardiology Department Hospital Universitario de CanariasLa LagunaTenerifeSpain Ortogeriatric Department.Hospital Universitario de Canarias La LagunaTenerifeSpain Subdepartment of Health Care Hospital Universitario Marqués de ValdecillaServicio Cántabro de SaludSantanderSpain Instituto de Investigación Sanitaria gregorio Marañón(liSGM)y Valdecilla(IDIVAL) Spain Hospital Universitario de Canarias Sistema Canario de SaludTenerifeSpain Primary Care Management Servicio Cántabro de SaludSpain Cardiology Department Hospital de la PrincesaMadridSpain

Cardiovascular risk factors(CVRF)are very prevalent in the elderly population and in addition to predisposing to cardiovascular disease they are related to functional decline,which limits the quality of life in this *** objective of this work is to offer a review of the current evidence in the management of CVRF in the elderly *** search strategy was executed in PubMed,*** and Embase,to search for clinical trials,observational cohort or cross-sectional studies,reviews,and clinical practice guidelines focused or including elderly *** results provided were refined after reading the title and abstract,as well as elimination of duplicates,and were finally identified and assessed following the GRADE methodology.A total of 136 studies were obtained for all predefined risk factors,such as sedentary lifestyle,smoking,obesity and metabolic syndrome,hypertension,diabetes mellitus,dyslipidemia and *** described the results of the studies identified and assessed according to their methodological quality in different recommendation sections:diagnostic and prevention,intervention,or treatment in the elderly *** the main limitation to the results of this review,there is the lack of quality studies whose target population is elderly *** issue limits the recommendations that can be made in this *** to this reason,comprehensive geriatric assessment seems the best tool currently available to implement the most appropriate treatment plans based on the baseline situation and comorbidity of each elderly patient.

关键词： prevention elderly finally

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

Triple Wavelength and 810 nm Diode Lasers for Hair Removal: A Clinical and in Silico Comparative Study on Indian Skin

引用

Journal of Cosmetics, Dermatological Sciences and Applications 2022年第4期12卷 164-173页

作者： Anuj Pall gregorio Viera-Mármol Escallent Institute of Lasers and Aesthetic Medicine (EILAM) Gurugram India R&D and Clinical Department at Sinclair Barcelona Spain

In laser hair removal treatments on dark skin, the high concentration of melanin in the skin competes with the melanin in the hair. During standard laser procedures, with wavelengths of 755 nm or 810 nm, a high level of laser light absorption by melanin in the skin is observed. Therefore, to avoid side effects, lower fluence values are used, which further reduces hair-removal efficacy. To improve results, 810 nm diode lasers operating in dynamic mode, with high frequency and multiple passes, are typically used. The aim of this study is to compare the efficacy and safety of triple-wavelength diode lasers (810 nm, 940 nm, 1060 nm) with that of 810 nm diode lasers on Indian patients. A side-by-side comparison was performed using a triple-wavelength diode laser in stamping mode on one side, and an 810 nm diode laser in dynamic mode on the other. Three subjects with skin type IV on the Fitzpatrick scale participated in the study. Efficacy was assessed through hair counting using clinical photographs, taken before and after the treatments, and the Global Aesthetic Improvement Scale (GAIS). Additionally, comparisons related to epidermal heating and thermal damage to the hair follicle were conducted through mathematical 3D simulations using COMSOL Multiphysics® software. Side effects were also evaluated. A superior end point was observed with triple wavelength compared to the 810 nm diode laser. Hair counting showed a 27% greater hair reduction with triple wavelength. No adverse effects were observed. Thermal simulations revealed 29% higher thermal damage with the triple-wavelength laser compared to the 810 nm diode laser. To conclude, on darker skin types, the triple-wavelength diode laser has been shown to be more effective at removing hair, compared to the 810 nm diode laser, while also being a safe procedure.

关键词： Photoepilation Diode Laser Hair Removal Triple Blend Wavelength 810 nm Comsol Simulations

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

T10 Test as an Alternative Method to Assess Critical Speed and its Potential Application to Runners

引用

Journal of Science in Sport and Exercise 2023年第4期5卷 369-377页

作者： Edilson Fernando de Borba Lucio Follador Sara Crosatti Barbosa Marcus Peikriszwili Tartaruga Sergio gregorio da Silva Postgraduate Program in Physical Education Federal University of ParanáCuritibaBrazi

Exercise intensity is usually prescribed based on a metabolic marker,such as maximum oxygen uptake or maximal lactate steady *** markers,however,face some difficulties regarding their practical applicability to the general *** critical speed emerges as an alternative parameter to determine aerobic exercise intensities through maximal tests using ergometers or field tests,demanding few *** evaluated the fidelity of test to predict critical speed and if this parameter could be used to prescribe intensity in aerobic *** hundred recreational runners performed the T10 test and a conventional critical speed test to define running *** of them,44 runners proceed continuous and interval *** critical speed assessed from T10 test was then compared to critical speed measured by three maximal runs in the track field(1200 m,2400 m,and 3600 m).We found a strong correlation(r=0.91)and did not find statistical differences(t=1.8,P=0.90)between critical speed assessed by T10(3.89±0.49 m/s)and field-test(3.85±0.51 m/s).T10 is also better associated with running and interval running speeds than metabolic markers.T10 test can be used as a valid alternative method to assess critical speed and to prescribe runs.

关键词： Critical velocity Exercise intensity domains Race Running Interval aerobic training

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

Localized amyloidosis of the stomach:A case report

引用

World Journal of Gastroenterology 2007年第12期13卷 1877-1878页

作者： Gianluca Rotondano Raffaele Salerno Fabio Cipolletta Maria Antonia Bianco Antonino De gregorio Raffaele Miele Antonio Prisco Maria Lucia Garofano Livio Cipolletta Division of Gastroenterology Hospital Maresca Torre del Greco Italy University of Naples School of Medicine Department of Gastroenterology Naples Italy Division of Pathology Hospital Maresca Torre del Greco Italy

We report an unusual case of primary amyloidosis of the stomach in a patient complaining of dyspeptic symptoms. The diagnosis was confirmed histologically and other gastrointestinal site or systemic involvement was ru... 详细信息

关键词： Amyloidosis Gastrointestinal tract Dyspepsia

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

META-R:A software to analyze data from multi-environment plant breeding trials

引用

The Crop Journal 2020年第5期8卷 745-756页

作者： gregorio Alvarado Francisco M.Rodríguez Angela Pacheco Juan Burgueño JoséCrossa Mateo Vargas Paulino Pérez-Rodríguez Marco A.Lopez-Cruz Biometrics and Statistics Unit International Maize and Wheat Improvement Center(CIMMYT)MexicoDF 6-64106600Mexico Centro de Investigación en Matemáticas(CIMAT)A.C. Jalisco S/NCol.ValencianaGuanajuatoGto 40236023Mexico Universidad Autónoma Chapingo Carretera Federal México-Texcoco km 38.5TexcocoMéxico 6356230Mexico Colegio de Postgraduados Carretera México-Texcoco Km.36.5MontecilloTexcoco 6356231Mexico Department of Plant Soil and Microbial SciencesMichigan State University1066 Bogue StEast LansingMI 48824USA

META-R(multi-environment trial analysis in R)is a suite of R scripts linked by a graphical user interface(GUI)designed in Java *** objective of META-R is to accurately analyze multi-environment plant breeding trials(METs)by fitting mixed and fixed linear models from experimental designs such as the randomized complete block design(RCBD)and the alpha-lattice/lattice ***-R simultaneously estimates the best linear and unbiased estimators(BLUEs)and the best linear and unbiased predictors(BLUPs).Additionally,it computes the variance-covariance parameters,as well as some statistical and genetic parameters such as the least significant difference(LSD)at 5%significance,the coefficient of variation in percentage(CV),the genetic variance,and the broad-sense *** parameters are very important in the selection of top performing genotypes in plant ***-R also computes the phenotypic and genetic correlations among environments and between traits,as well as their statistical *** genetic correlations between environments or traits can be visualized in a biplot graph or a tree diagram(dendrogram).Genetic correlations are very important for identifying environments with similar behavior or making indirect selection and identifying the most highly associated ***-R performs multi-environment analyses by using the residual maximum likelihood(REML)method;these analyses can be done by environment,across environments by grouping factors(stress conditions,nitrogen content,etc.)and across environments;the analyses across environments can be done with a pre-defined degree of heritability.

关键词： environments breeding variance

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

Fibrosing cholestatic hepatitis following cytotoxic chemotherapy for small-cell lung cancer

引用

World Journal of Gastroenterology 2009年第18期15卷 2290-2292页

作者： Jaime Ceballos-Viro José M López-Picazo José L Pérez-Gracia Jesús J Sola gregorio Aisa Ignacio Gil-Bazo Department of Oncology Clínica Universidad de NavarraPio XII 3631008 PamplonaSpain Department of Pathology Clínica Universidad de NavarraPio XII 3631008 PamplonaSpain

Fibrosing cholestatic hepatitis(FCH) is a variant of viral hepatitis reported in hepatitis B virus or hepatitis C virus infected liver,renal or bone transplantation recipients and in leukemia and lymphoma patients after conventional cytotoxic *** constitutes a well-described form of fulminant hepatitis having extensive fibrosis and severe cholestasis as its most characteristic pathological ***,we report a case of a 49-year-old patient diagnosed with small-cell lung cancer who developed this condition following conventional chemotherapy-induced *** is the first reported case in the literature of FCH after conventional chemotherapy for a solid *** addition to a detailed report of the case,a physiopathological examination of this potentially life-threatening condition and its treatment options are discussed.

关键词： Fibrosing cholestatic hepatitis Immunosuppression Chemotherapy Lung cancer Hepatitis Bvirus Lamivudine

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

Robot-assisted trans-gastric drainage and debridement of walled-off pancreatic necrosis using the EndoWrist stapler for the da Vinci Xi:A case report

引用

World Journal of Clinical Cases 2019年第12期7卷 1461-1466页

作者： Luca Morelli Niccolò Furbetta Desirée Gianardi Matteo Palmeri gregorio Di Franco Matteo Bianchini Gianni Stefanini Simone Guadagni Giulio Di Candio General Surgery Unit Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa Pisa 56124 Italy EndoCAS (Center for Computer Assisted Surgery) University of Pisa Pisa 56124 Italy

BACKGROUND Walled-off pancreatic necrosis (WOPN) is a late complication of acute pancreatitis. The management of a WOPN depends on its location and on patient's symptoms. Trans-gastric drainage and debridement of WOPN represents an important surgical treatment option for selected patients. The da Vinci surgical System has been developed to allow an easy, minimally invasive and fast surgery, also in challenging abdominal procedures. We present here a case of a WOPN treated with a robotic trans-gastric drainage using the da Vinci Xi. CASE SUMMARY A 63-year-old man with an episode of acute necrotizing pancreatitis was referred to our center. Six wk after the acute episode the patient developed a walled massive fluid collection, with an extensive pancreatic necrosis, causing obstruction of the gastrointestinal tract. The patient underwent a robotic transgastric drainage and debridement of the WOPN performed with the da Vinci Xi platform. Firstly, an anterior ideal gastrotomy was carried out, guided by intraoperative ultrasound (US)-scan using the TilePro? function. Then, through the gastrotomy, the best location for drainage on the posterior gastric wall was again US-guided identified. The anastomosis between the posterior gastric wall and the walled-off necrosis wall was carried out with the new EndoWrist stapler with vascular cartridge. Debridement and washing of the cavity through the anastomosis were performed. Finally, the anterior gastrotomy was closed and the cholecystectomy was performed. The postoperative course was uneventful and a post-operative computed tomography-scan showed the collapse of the fluid collection. CONCLUSION In selected cases of WOPN the da Vinci Surgical System can be safely used as a valid surgical treatment option.

关键词： Case report da Vinci Xi EndoWrist stapler Walled-off pancreatic necrosis TilePro Minimally-invasive surgery

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

Acute heart failure in elderly patients:a review of invasive and non-invasive management

引用

Journal of Geriatric Cardiology 2021年第7期18卷 560-576页

作者： gregorio Tersalvi Alessio Gasperetti Marco Schiavone Jeroen Dauw Cecilia Gobbi Marialessia Denora Joel Daniel Krul Giacomo Maria Cioffi Gianfranco Mitacchione Giovanni B.Forleo Department of Internal Medicine Hirslanden Klinik St.AnnaLucerneSwitzerland Cardiology Unit ASST-Fatebenefratelli SaccoLuigi Sacco University HospitalMilanItaly Department of Cardiology Ziekenhuis Oost-LimburgGenkBelgium Doctoral School for Medicine and Life Sciences Hasselt UniversityDiepenbeekBelgium Institut Cardiovasculaire de Caen Hôpital PrivéSaint MartinCaenFrance Division of Cardiology Fondazione Cardiocentro TicinoLuganoSwitzerland Division of Cardiology Heart CenterLuzerner KantonsspitalLucerneSwitzerland

Acute heart failure(AHF)is a major cause of unplanned hospitalisations in the elderly and is associated with high *** prevalence has grown in the last years due to population aging and longer life expectancy of chronic heart failure *** international societies have provided guidelines for the management of AHF in the general population,scientific evidence for geriatric patients is often lacking,as these are underrepresented in clinical *** have a different risk profile with more comorbidities,disability,and frailty,leading to increased morbidity,longer recovery time,higher readmission rates,and higher ***,therapeutic options are often limited,due to unfeasibility of invasive strategies,mechanical circulatory support and cardiac ***,the in-hospital management of AHF should be tailored to each patient's clinical situation,cardiopulmonary condition and geriatric *** care should be considered in some cases,in order to avoid unnecessary diagnostics and/or *** discharge,a strict follow-up through outpatient clinic or telemedicine is can improve quality of life and reduce rehospitalisation *** aim of this review is to offer an insight on current literature and provide a clinically oriented,patient-tailored approach regarding assessment,treatment and follow-up of elderly patients admitted for AHF.

关键词： patients mortality invasive

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

Subcapsular Hepatic Hematoma after ERCP:A Case Report and Revision of Literature

引用

Case Reports in Clinical Medicine 2014年第3期3卷 161-166页

作者： Katerina Klímová Camilo Padilla Suárez Cecilia gonzález Asanza Ana Matilla Pena Enrique Cos Arregui Ana Hernando Alonso Department of Hepatogastroenterology and Endoscopy Hospital General Universitario Gregorio MaranónMa-dridSpain

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is a minimally invasive procedure for diagnosis and treatment of biliary and pancreatic diseases. Even in the best hands, complications may occur. Clinically significant hemorrhagic complications associated usually to previous papillotomy are uncommon. Subcapsular hepatic hematoma is excepcional, with only twenty cases described. We present a case of a 52-year-old man who developed a large subcapsular liver hematoma following a therapeutic ERCP. Due to serious anemization and hemodynamic instability, arterial embolization and finally urgent surgical evacuation of the hematoma were performed. In the postoperative period the patient presented infection of the collection, which indicated colocation of percutaneous drainage and broad-spectrum intravenous antibiotics, and gradually recovered.

关键词： Subcapsular Hepatic Hematoma Endoscopic Retrograde Cholangiopancreatography Arterial Embolization Percutaneous Drainage Surgery

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

Innovative circular path harvester for mechanical harvesting of irregular and large-canopy olive trees

引用

International Journal of Agricultural and Biological Engineering 2018年第3期11卷 86-93页

作者： Rafael R.Sola-Guirado gregorio L.Blanco-Roldan Sergio Castro-Garcia Francisco J.Castillo-Ruiz Jesus A.Gil-Ribes Department of Rural Engineering E.T.S.I.Agronomos y MontesUniversity of CordobaCampus de RabanalesCtra.Nacional IV Km 396CordobaSpain

The harvesting process of the olive tree is mainly performed by manual means,because traditional olive orchards(the main planting typology)are formed of irregular,large-canopy trees that are very difficult to harvest *** that reason,the cost of harvesting is very high,and it threatens the future of these plantations whose conversion to other more modern layouts is not always possible due to several *** introduction of a harvester may represent the technological change that is the key factor for improved *** main purpose of this work was to develop a harvester based on canopy shaker technology for work on irregular,large trees in a circular *** design of the harvester was based on a determination of tree geometry,together with tree *** tests were used to determine machine-tree interaction,and to evaluate the removal,catch frame and driven *** proposed innovation allowed the fully mechanical harvest of previously planted trees with a removal efficiency of over 84%,achieving an effective field capacity of 0.21 hm^(2)/*** the results so far have been promising,further improvements are advisable in machine and tree adaptation.

关键词： olive tree olive fruit canopy shaker harvester machinery design

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：