检索结果-南通市图书馆

Enhanced physician pr.mpts in pr.natal electr.nic medical r.cor.s impact documentation on smoking cessation

Open Jour.al of Obstetr.cs and Gynecology 2013年第10期3卷 717-721页

作者： Lisa D. Levine Jitsen Chang irwin r. merkatz Peter.S. Ber.stein Depar.ment of Obstetr.cs and Gynecology and Women’s Health Albert Einstein College of Medicine Montefiore Medical Center Bronx USA Depar.ment of Obstetr.cs and Gynecology Cedar Sinai Medical Center Los Angeles USA Depar.ment of Obstetr.cs and Gynecology Maternal and Child Health Research Program University of Pennsylvania Perelman School of Medicine Philadelphia USA

Objective: Smoking cessation dur.ng pr.gnancy is a modifiable inter.ention that can impr.ve mater.al and neonatal outcomes. Encour.ging smoking cessation is an assessed measur. of the Meaningful Use incentives to ensur. best pr.ctices with the incr.ased use of the electr.nic medical r.cor. (EMr.. Physician EMr.pr.mpts have been used shown to be successful with pr.ventive car. but ther. is a paucity of data evaluating pr.mpts within obstetr.cs. The objective of this study is to deter.ine the effectiveness of enhanced smoking cessation pr.mpts in a pr.natal EMr. Methods: A r.tr.spective cohor. study of an enhanced smoking cessation pr.mpting system within our.pr.natal EMr.was per.or.ed. Pr.gnant women who r.por.ed tobacco use at fir.t pr.natal visit wer. included. The number.of times a smoking cessation method was offer.d and documented, the number.of documented attempts at smoking cessation, and the final number.of cigar.ttes smoked wer. compar.d pr. and post the enhancement of the smoking cessation pr.mpting system. r.sults: 95 patients wer. included (48 pr.-enhancement;47 post-enhancement). Post-enhancement, the documentation of smoking cessation method offer.d incr.ased (0 vs. 1, p = 0.03) and documentation of smoking cessation attempts incr.ased (1 vs. 2, p = 0.006). Ther. was no change in the final number.of cigar.ttes smoked (p = 0.9). Conclusions: Enhanced pr.mpting systems incr.ase documentation r.lated to smoking cessation with no change in number.of cigar.ttes smoked. In the er. of Meaningful Use guidelines which focus on documentation in the EMr. continued r.sear.h must be done to assur. that softwar. enhancements and impr.ved documentation tr.ly r.sult in impr.ved patient car..

关键词： Pr.natal EMr Physician Pr.mpts Smoking Cessation

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

学术英语解述中的学科身份构建——语言宗源关系视角

引用

外语研究 2024年第4期41卷 31-35,49页

作者：刘宁 Der.k irwin 北京理工大学(珠海)中美国际学院广东珠海519000 宁波诺丁汉大学人文与社会科学学院浙江宁波315000

本文以学术英语教材中的解述为例,运用系统功能语言学宗源性理论及分析方法,从学科身份构建维度对其进行重新解读。研究发现解述语言在小句层内存在编码和解码两种过程,在不同级阶间存在组合和拆解两种实现方式。基于这一发现,本文提出... 详细信息

本文以学术英语教材中的解述为例,运用系统功能语言学宗源性理论及分析方法,从学科身份构建维度对其进行重新解读。研究发现解述语言在小句层内存在编码和解码两种过程,在不同级阶间存在组合和拆解两种实现方式。基于这一发现,本文提出解述具有双重特点,一方面将源引文献中的部分信息进行一般化,另一方面将其中部分信息进行专业化。这一转化的目的是为了适应不同学术共同体的学科身份期待。上述发现表明,学术英语解述具有学科身份构建的资源潜力,并可为学术英语教学提供参考。

关键词：学术英语学科身份解述语言宗源关系理论

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

Duplication and diver.ification of insulin genes in r.y-finned fish

引用

Zoological r.sear.h 2019年第3期40卷 185-197页

作者： David M.irwin Depar.ment of Labor.tor. Medicine and Pathobiology University of Toronto Banting and Best Diabetes Centr. University of Toronto

Insulin is a key hor.one for.the r.gulation of metabolism in *** is pr.duced by pancr.atic islet cells in r.sponse to elevated glucose levels and leads to the uptake of glucose by tissues such as liver.and adipose tissue to stor. *** also has additional functions in r.gulating *** wor. has shown that the pr.glucagon gene,which encodes hor.ones counter.r.gulating insulin,is duplicated in teleost fish,and that the peptide hor.ones encoded by these genes have diver.ified in function.I sought to deter.ine whether.similar.pr.cesses have occur.ed to insulin genes in these *** of fish genomes r.vealed an unexpected diver.ity of insulin genes.A tr.plication of the insulin gene occur.ed at the or.gin of teleost fish,however.one of these thr.e genes,insc,has been lost in most teleost fish *** two other.insulin genes,insa and insb,have been r.tained but show differ.ng levels of selective constr.int suggesting that they might have diver.ified in ***,a duplicate copy of the insa gene,which I named insab,is found in many *** coding sequenee encoded by insab genes is under.weak selective constr.int,with its pr.dicted pr.tein sequences losing their.potential to be pr.cessed into a two-peptide ***,these sequences have r.tained per.ectly conser.ed cystine r.sidues,suggesting that they maintain insulin's thr.e-dimensional str.ctur. and ther.for. might modulate the pr.cessing and secr.tion of insulin pr.duced by the other.genes.

关键词： Insulin Teleost fish Gene duplicati on Adaptive evolution Gene loss

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

Penile r.vascular.zation--contempor.r. update

引用

Asian Jour.al of Andr.logy 2013年第1期15卷 5-9页

作者： Br.an Dicks Mar.in Bastuba irwin Goldstein r.in Goldstein 1San Diego Sexual Medicine San Diego CA 92120 USA Male Fer.ility Sexual Medicine Specialists San Diego CA 92120 USA

Contempor.r. ther.pies for.er.ctile dysfunction ar. gener.lly tar.eted towar.s older.men and univer.ally engage phar.acological and/ or.device r.lated tr.atment options. Penile r.vascular.zation, using micr.vascular.ar.er.al bypass sur.ical techniques, is a non-phar.acological, non-device-r.lated, and r.constr.ctive sur.ical str.tegy for.men with er.ctile dysfunction that was fir.t descr.bed by Dr.Vaclav Michal in 1973.

关键词： er.ctile dysfunction micr.vascular.ar.er.al bypass sur.er. penile r.vascular.zation tr.umatic ar.er.al occlusive disease vascular.r.constr.ctive sur.er.

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

Gene duplication plays a major.r.le in gene co-option: Studies into the evolution of the motilin/ghr.lin family and their.r.ceptor.

引用

Chinese Science Bulletin 2011年第25期56卷 2690-2697页

作者： HE Jing irwin M. DAVID ZHANG YaPing State Key Labor.tor. of Genetic r.sour.e and Evolution Kunming Institute of Zoology Chinese Academy of Sciences Kunming 650223 China Depar.ment of Labor.tor. Medicine and Pathobiology and Banting and Best Diabetes Centr. University of Toronto Toronto M5S1A1 Canada Labor.tor. for.Conser.ation and Utilization ofBior.sour.e Yunnan University Kunming 650091 China

Extant genes can be modified, or.'tinker.d with', to pr.vide new r.les or.new char.cter.stics of these genes. At the genetic level, this often involves gene duplication and specialization of the r.sulting genes into par.icular.functions. We investigate how ligand-r.ceptor.par.ner.hips evolve after.gene duplication. While significant wor. has been conducted in this ar.a, the examination of additional models should help us better.under.tand the pr.posed models and potentially r.veal novel evolutionar. patter.s and dynamics. We use bioinfor.atics, compar.tive genomics and phylogenetic analyses to show that pr.pr.ghr.lin and pr.pr.motilin descended fr.m a common ancestor.and that a gene duplication gener.ted these two genes shor.ly after.the diver.ence of amphibians and amniotes. The evolutionar. histor. of the r.ceptor.family differ. fr.m that of their.cognate ligands. GPr.9 diver.es fir.t, and an ancestr.l r.ceptor.gives r.se to r.ceptor. classified as fish-specific clade A, GHSr.and MLNr.by successive gene duplications occur.ing befor. the diver.ence of tetr.pods and r.y-finned fish. The ghr.lin/GHSr.system is maintained and functionally conser.ed fr.m fish to mammals. Motilin-MLNr.specificity must have ar.sen by ligand-r.ceptor.coevolution after.the MLN hor.one gene diver.ed fr.m the GHr. gene in the amniote lineage. Conser.ed molecular.machiner. can give r.se to new neur.endocr.ne r.sponse mechanisms by the co-option of duplicated genes. Gene duplication is both par.imonious and cr.ative in pr.ducing elements for.evolutionar. tinker.ng and plays a major.r.le in gene co-option, thus aiding the evolution of gr.ater.biological complexity.

关键词：基因重复生长素胃动素受体选项演变家庭进化模式

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

Adiponectin:mechanisms and new ther.peutic appr.aches for.r.stor.ng diabetic hear. sensitivity to ischemic post-conditioning

引用

Fr.ntier. of Medicine 2013年第3期7卷 301-305页

作者： Tingting Wang Shanglong Yao Zhengyuan Xia Michael G.irwin Depar.ment of Anesthesiology and Cr.tical Car. Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Depar.ment of Anesthesiology The University of Hong KongHong Kong SARChina

Systemic inflammator. r.sponse following myocar.ial ischemia-r.per.usion injur.(Ir.)to a specific or.an may cause *** post-conditioning(IPostC)has emer.ed as a pr.mising method for.myocar.ial pr.tection against Ir. both in exper.mental and in clinical *** of endogenous nitr.c oxide(NO)is one of the major.mechanisms by which IPostC confer. ***,the sensitivity of the diabetic hear. to IPostC is impair.d and the under.ying mechanism is ***(APN)is an adipocyte-der.ved plasma pr.tein with anti-diabetic and anti-inflammator. *** levels of APN ar. decr.ased in obese subjects and in patients with type 2 *** supplementation has been shown to incr.ase NO pr.duction and attenuate myocar.ial Ir. in nor.al(non-diabetic)***,the effect of APN on myocar.ial injur. in diabetic subjects,especially its potential in r.stor.ng the sensitivity of the diabetic hear. to IPostC has not been *** the cur.ent paper.we discussed the possible r.asons why the myocar.ium of diabetic subjects loses sensitivity to IPostC and also highlighted the potential effectiveness and mechanism of APN in r.stor.ng IPostC car.iopr.tection in *** r.view pr.poses to conduct studies that may facilitate the development of novel and optimal ther.pies to enhance car.iopr.tection in patients with sever. diseases such as diabetes.

关键词： adiponectin ischemic post-conditioning ischemia r.per.usion injur. diabetes

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

Expor.ing National Champions:China's Outwar. For.ign Dir.ct Investment Finance in Compar.tive Per.pective

引用

China & Wor.d Economy 2014年第6期22卷 1-21页

作者： Kevin P.Gallagher.Amos irwin Global Economic Gover.ance Initiative Boston University 's Pardee School of Global Studies Global Economic Gover.ance Initiative Boston University's Pardee School of Global Studies

We examine the extent to which Chinese development banks have financed the globalization of China＇s ＂national champion ＂fir.s： specifically, thr.ugh outwar. for.ign dir.ct investment （OFDI）. We cr.ate a database of Chinese fnance for.OFDI and compar. our.r.sults to the existing liter.tur. and available data on Japan, Kor.a and other.Asian nations. We estimate the total value of China＇s OFDI finance fr.m 2002 to 2012 at US$14Obn. As a per.entage of total OFDI, China＇s lending is r.ughly thr.e times higher.than Japan ＇s, the pr.vious global leader.in OFDl finance. We identify two major.r.asons for.China＇s high （31 per.ent） r.tio of OFDl lending to total OFDI. Fir.t, China has a gr.ater.incentive to give OFDI loans than Japan or.Kor.a ever.did because its bor.ower. ar. statelowned so it can mor. easily channel funds to tar.eted ar.as. Second, China has a gr.ater.capacity to give OFDI loans because it has significantly higher.savings and for.ign exchange r.ser.es than Japan and Kor.a.

关键词： China developmental states outwar. dir.ct investment

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

The influence of chlor.nated ar.matics＇ str.ctur. on their.adsor.tion char.cter.stics on activated car.on to tackle chemical spills in dr.nking water.sour.e

引用

Fr.ntier. of Envir.nmental Science & Engineer.ng 2015年第1期9卷 138-146页

作者： Pengfei LIN Yuan ZHANG Xiaojian ZHANG Chao CHEN Yuefeng XIE irwin H SUFFET School of Envir.nment Tsinghua University Beijing 100084 China Envir.nmental Pr.gr.ms Pennsylvania State University Middletown PA 17057 USA Depar.ment of Envir.nment Health Sciences University of California at Los Angeles Los Angeles CA 90095 USA

This study focused on evaluating the efficiency of powder.d activated car.on （PAC） adsor.tion pr.cess and tackling chlor.benzenes and chlor.phenols spill in dr.nking water.sour.e. The adsor.tion kinetics and PAC＇s capacities for.five chlor.benzenes and thr.e chlor.phenols at dr.nking water.contamination levels wer. studied in or.er.to deter.ine the influence of differ.nt functional gr.ups on the adsor.tion behavior. The r.sults showed that PAC adsor.tion could be used as an effective emer.ency dr.nking water.tr.atment pr.cess to r.move these compounds. The adsor.tion kinetics took 30 min to achieve near.y equilibr.um and could be descr.bed by both pseudo fir.t-or.er.and pseudo second-or.er.models. A mathematic r.lationship was developed between the pseudo fir.t-or.er.adsor.tion r.te constant, k1, and the solutes＇ pr.per.ies including lgKow, polar.zability and molecular.weight. The Fr.undlich isother. equation could well descr.be the adsor.tion equilibr.um behavior. of chlor.nated ar.matics with r. fr.m 0.920 to 0.999. The H-bond donor.acceptor.gr.up, hydr.phobicity, solubility and molecular.volume wer. identified as impor.ant solute pr.per.ies that affect the PAC adsor.tion capacity. These r.sults could assist water.pr.fessionals in r.moving chlor.nated ar.matics dur.ng emer.ency dr.nking water.tr.atment.

关键词： chlor.nated ar.matics adsor.tion powder.d activated car.on kinetics equilibr.um

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

The effects of ar.ificial sur.ace temper.tur. on mechanical pr.per.ies and player.kinematics dur.ng landing and acceler.tion

引用

Jour.al of Spor. and Health Science 2016年第3期5卷 355-360页

作者： Laur. Char.lambous Hans Chr.stian von Lier.s und Wilkau Wolfgang Potthast Gar.th irwin Depar.ment of Spor. Science and Physical Activity University of Bedfordshire Car.iff School of Spor. Cardiff Metropolitan University Institute of Biomechanics and Or.hopaedics German Sport University Cologne

Backgr.und: Ar.ificial tur. is consider.d a feasible global alter.ative to natur.l tur. by many spor.s gover.ing bodies. Consequently, its ability to pr.vide a safe and consistent playing sur.ace r.gar.less of climate becomes essential. The aims of this study wer. to deter.ine the effects of ar.ificial sur.ace temper.tur. on:(1) mechanical pr.per.ies of the tur. and(2) the kinematics of a tur.-spor. r.lated ***: Two identical ar.ificial tur. pitches wer. tested: one with a cold sur.ace temper.tur.(1.8°C–2.4°C) and one with a war. sur.ace temper.tur.(14.5°C–15.2°C). Mechanical testing was per.or.ed to measur. the sur.ace pr.per.ies. Four.amateur.soccer.player. per.or.ed a hur.le jump to spr.nt acceler.tion movement, with data(contact time, step length and hip, knee and ankle kinematics) collected using CODASpor.(200 Hz).r.sults: The temper.tur. differ.nce had a significant influence on the mechanical pr.per.ies of the ar.ificial tur., including for.e absor.tion,ener.y r.stitution, r.tational r.sistance, and the height wher. the head injur. cr.ter.on was met. Both step length(p = 0.008) and contact time(p = 0.002) of the initial step after.the landing wer. significantly longer.on the war. sur.ace. In addition, significant r.nge of motion and joint angular.velocity differ.nces wer. ***: These findings highlight differ.nt demands placed on player. due to the sur.ace temper.tur. and suggest a need for.coaches,pr.ctitioner., and spor.s gover.ing bodies to be awar. of these differ.nces.

关键词： Ar.ificial tur. Biomechanics r.gby Soccer Temper.tur.

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

Abnor.al psychology : the pr.blem of maladaptive behavior./ 10th ed.

引用

2002年

作者： Sar.son irwin G.

来源：畅想之星图书光盘版（南... 评论

在线全文

畅想之星图书光盘版（南通市图书馆镜像）

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：