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Neuropathic pain-like symptoms and pre-surgery radiographic severity contribute to patient satisfaction 4.8 years post-total joint replacement

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World Journal of Orthopedics 2017年第10期8卷 761-769页

作者： Sophie C Warner helen richardson Wendy Jenkins Thomas Kurien Michael Doherty Ana M Valdes Academic Rheumatology University of NottinghamClinical Sciences BuildingNottingham City Hospital Department of Cardiovascular Sciences University of Leicester and National Institute for Health Res-earchLeicester Cardiovascular Biomedical Research Unit Arthritis Research UK Pain Centre Academic Division of Trauma and Orthopaedics Queens Medical Centre

AIM To investigate a comprehensive range of factors that contribute to long-term patient satisfaction post-total joint replacement(TJR) in people who had undergone knee or hip replacement for *** Participants(n = 1151) were recruited from Nottinghamshire post-total hip or knee replacement. Questionnaire assessment included medication use, the pain-DETECT questionnaire(PDQ) to assess neuropathic pain-like symptoms(NP) and TJR satisfaction measured on average 4.8 years post-TJR. Individual factors were tested for an association with post-TJR satisfaction, before incorporating all factors into a full model. Data reduction was carried out using LASSO and receiveroperator characteristic(ROC) curve analysis was used to quantify the contribution of variables to post-TJR *** After data reduction, the best fitting model for post-TJR satisfaction included various measures of pain, history of revision surgery, smoking, pre-surgical X-ray severity, WOMAC function scores and various comorbidities. ROC analysis of this model gave AUC = 0.83(95%CI: 0.80-0.85). PDQ scores were found to capture much of the variation in post-TJR satisfaction outcomes: AUC = 0.79(0.75-0.82). Pre-surgical radiographic severity was associated with higher post-TJR satisfaction: OR_(satisfied) = 2.06(95%CI: 1.15-3.69), P = *** These results highlight the importance of pre-surgical radiographic severity, post-TJR function, analgesic medication use and NP in terms of post-TJR satisfaction. The PDQ appears to be a useful tool in capturing factors that contribute to post-TJR satisfaction.

关键词： Osteoarthritis Patient satisfaction Total joint arthroplasty Neuropathic pain Surgery outcomes

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Exogenous cytokinin application to Actinidia chinensis var. deliciosa ‘Hayward’ fruit promotes fruit expansion through water uptake

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Horticulture Research 2017年第1期4卷 131-141页

作者： Simona Nardozza helen L Boldingh Mark W Wohlers Andrew P Gleave Zhiwei Luo Guglielmo Costa Elspeth A MacRae Michael J Clearwater Annette C richardson The New Zealand Institute for Plant&Food Research Limited(PFR) Mt Albert Research CentrePrivate Bag 92169AucklandNew Zealand PFR Ruakura Research CentrePrivate Bag 3123HamiltonNew Zealand Dipartimento di Scienzie Agrarie Universitàdi BolognaVia Fanin 46Bologna40127Italy PFR Te Puke Research CentreTe Puke3182New Zealand PFR Kerikeri Research CentrePrivate Bag 23KerikeriNew Zealand Scion Te Papa Tipu Innovation ParkPrivate Bag 3020RotoruaNew Zealand University of Waikato School of SciencePrivate Bag 3105HamiltonNew Zealand

Exogenous application of a cytokinin-like compound forchlorfenuron(CPPU)can promote fruit growth,although often at the expense of dry matter(DM),an important indicator of fruit *** chinensis ***‘Hayward’fruit are very responsive to CPPU treatments,but the mechanism underlying the significant fruit weight increase and associated decrease in DM is *** this study,we hypothesised that CPPU-enhanced growth increases fruit carbohydrate demand,but limited carbohydrate supply resulted in decreased fruit *** fruit development,CPPU effects on physical parameters,metabolites,osmotic pressure and transcriptional changes were assessed under conditions of both standard and a high carbohydrate *** showed that CPPU increased fruit fresh weight but the dramatic DM decrease was not carbohydrate *** glucose and fructose concentrations contributed to an increase in soluble carbohydrate osmotic pressure,which was correlated with increased water accumulation in CPPU-treated fruit and up-regulation of water channel aquaporin gene PIP2.4 at 49 days after *** analysis suggested that the molecular mechanism contributing to increased glucose and fructose concentrations was altered by carbohydrate *** standard carbohydrate supply,the early glucose increase in CPPU fruit was associated with reduced starch synthesis and increased starch *** carbohydrate supply was high,the early glucose increase in CPPU fruit was associated with a general decrease in starch synthesis but up-regulation of vacuolar invertase and fructokinase *** conclude that CPPU affected fruit expansion by increasing the osmotically-driven water uptake and its effect was not carbohydrate supply-limited.

关键词： CPPU Actinidia expansion

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The Introduction for the Forum ＂The Biology, Psychology, and Economics of Social Reproduction： Health, Wealth, and Happiness in the Modern Chinese Family＂

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Frontiers of History in China 2012年第1期7卷 2-3页

作者： helen Schneider University of Oxford

These essays grow out of a panel organized by Nicole richardson for the 2011 Association for Asian Studies annual meetings in Honolulu for which I served as commentator. This was a remarkably coherent panel, and the three articles here carefully unpack ideas about social reproduction in the family from the final decade of the Qing dynasty through the middle 1930s. These studies of conceptions of pregnancy, childrearing, and wedding ceremonies advance our understanding of how intellectuals re-conceptualized family management by combining traditional expectations with newer, often imported, scientific concepts and practices. Each author also explains how intellectuals, educators, journalists and state authorities transformed relationships between Chinese families and the state.

关键词： family management Qing dynasty

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