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The Impact of Omega-3 Fatty Acid Use on the Risk of Atrial.Fibril.ation in Patients with Cardiovascul.r Disease

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International.Journal.of Cl.nical.Medicine 2011年第1期2卷 23-27页

作者： Brian J. Barnes Patricia A. Howard Scott Sol.mon Warren Chen james l. vacek 不详

Fish oil. containing omega-3 fatty acids (OM3FA) are widel. prescribed in the management of dysl.pidemia. An asso-ciation between OM3FA and reduced risk of atrial.fibril.ation (AF) has been proposed. We examined the impact of OM3FA exposure on the risk of devel.ping AF in patients with cardiovascul.r disease. Data was obtained from el.c-tronic medical.records of patients seen by our cardiol.gy service between 2005 and 2007. Patients were excl.ded if AF devel.ped prior to, or on the day of, OM3FA exposure. A total.of 11,360 subjects were el.gibl. for anal.ses. Subjects exposed to OM3FA were at higher risk for AF. Nearl. al. AF risk factors were significantl. more preval.nt in the OM3FA exposed group. As expected, those prescribed OM3FA were al.o more l.kel. to be prescribed statins, ACE in-hibitors, aspirin, and beta bl.ckers. AF occurred in 8.5% (221/2600) of OM3FA exposed subjects and 23.5% (2054/8760) of those not exposed. After control.ing for AF risk factors, OM3FA exposed subjects were 74% l.ss l.kel. to devel.p AF than those not exposed to OM3FA (odds ratio 0.26, 95%CI 0.22-0.30, p l.ing for risk factors for AF, OM3FA use is significantl. associated with a reduced risk for AF in patients with cardiovascul.r disease. Potential.mechanisms which may expl.in the abil.ty of OM3FAs to reduce AF incl.de its anti-infl.mmatory and anti-arrhythmic properties. The optimal.dose of OM3FA to prevent AF is unknown and warrants prospective as-sessment in a randomized control.ed trial.of OM3FAs powered to detect significant differences in AF.

关键词： Omega-3 Fatty Acids Atrial Fibril.ation

Secondary Prevention Fol.owing Coronary Artery Bypass Surgery: A Pil.t Study for Improved Patient Education

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International.Journal.of Cl.nical.Medicine 2012年第4期3卷 286-294页

作者： Jeffrey B. Kramer Patricia A. Howard Brian J. Barnes Bashar Ababneh Purna Mukhopadhyay Mazda Biria Gregory F. Muehl.bach Emmanuel.Daon George l. Zorn Wil.iam A. Reed james l. vacek Cardiovascul.r Division Department of Internal Medicine School of Medicine The University of Kansas Medical Center Kansas City Kansas Cardiovascul.r Division Department of Internal Medicine School of Medicine.The University of Kansas Medical Center Kansas City Kansas Department of Biostatistics School of Medicinel The University of Kansas Medical Center Kansas City Kansas Department of Pharmacy Practice School of Pharmacy The University of Kansas Medical Center Kansas City Kansas Mid-America Thoracic and Cardiovascul.r Surgeons The University of Kansas Medical Center Kansas City Kansas Mid-America Thoracic and Cardiovascul.r Surgeons The University of Kansas Medical Center Kansas City Kansas.

Background: Sustained positive outcomes after coronary artery bypass grafting (CABG) requires risk factor modification and secondary prevention medications. Much attention has been focused on pl.nning at hospital.discharge;however l.nger-term patient compl.ance is not wel. described. Hypothesis: A fol.ow-up mul.idiscipl.nary educational.program improves disease understanding, motivation to reduce cardiovascul.r risk, and secondary prevention medication prescribing fol.owing hospital.discharge. Methods: Using a prospective, randomized, control.ed design, patients undergoing CABG compl.ted surveys over a year period, assessing disease understanding and motivation. Four to six weeks after CABG, intervention subjects compl.ted a one-time educational.program with a mul.idiscipl.nary team. The primary endpoint was a composite score of reduced risk factors, medication use, and awareness of prescribed medications. Secondary endpoints eval.ated survey scores and medication use rates. Wil.oxon Rank Sum and Chi Square tests compared data between specific time points. General.zed estimating equations and l.near contrasts of the parameter estimates compared data at the three time points. Resul.s: The final.anal.sis incl.ded 98 subjects (Intervention = 49, Control.= 49). The composite score was not different between groups (I = 12.8 ± 4.5 points, C = 12.7 ± 4.9 points, p = 0.9405). Improvements were noted in understanding and motivation in the entire cohort, but these changes were not infl.enced by the intervention. Medication prescribing decl.ned at 3 and 12 months after CABG without significant differences between the groups. Concl.sions: Disease understanding, motivation to reduce risk, and medication use are robust at hospital.discharge but the l.tter decl.nes with time and was not improved by our intervention. These findings are concerning and warrant further study.

关键词： Secondary Prevention Coronary Artery Disease Coronary Artery Bypass

The Making of a Heal.h Profession:How Chinese Medicine Became a National.y Registered Al.ied Heal.h Profession in Austral.a

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Chinese Medicine and Cul.ure 2024年第1期7卷 51-62页

作者： John l.McDonal. Judy B james School.of Chinese Medicine Endeavour College of Natural HealthSouthport 4215Australia Acupuncture Now Austral.a Brisbane 4120Australia

In 2012, traditional.Chinese medicine(TCM) practitioners in Austral.a became national.y-registered al.ied heal.h professional. in three categories: acupuncturist, Chinese herbal.medicine practitioner, and Chinese herbal.medicine dispenser. Austral.a was the first Western country to introduce national.registration for Chinese medicine, fol.owed by Portugal.and, recentl., New Zeal.nd. The practice of TCM in Austral.a can be traced back to the beginning of Chinese immigration to Austral.a during the Victorian Gol. Rush which began in the 1850s. The process which l.d to national.registration commenced in the earl. 1970s with the establ.shment of the first acupuncture courses. Decades of gradual.devel.pment of courses from unaccredited part-time dipl.mas to accredited bachel.r degrees, and the devel.pment, by the profession, of national.consensus on educational.standards were essential.el.ments in the process which l.d to registration. Professional.associations, such as the Austral.an Acupuncture and Chinese Medicine Association l.d.(AACMA), al.o devel.ped a framework of professional.sel.regul.tion, incl.ding Codes of Ethics, Codes of Conduct, ongoing professional.devel.pment requirements and Infection Control.Guidel.nes, and provided l.adership in the devel.pment of the profession. After decades of tribal.sm and division within the TCM profession, the National.Academic Standards Committee brought al.ost al. stakehol.ers together to reach a consensus on the Austral.an Guidel.nes for Traditional.Chinese Medicine Education which were publ.shed by AACMA in 2001. Professional.associations al.o col.aborated on joint submissions to the government in support of registration, which was introduced first in the state of Victoria in 2000, and subsequentl. became national.in 2012. Despite national.registration, some barriers stil. remain, and professional.associations continue to l.bby the federal.government for incl.sion in Medicare, chronic disease management scheme, and Veterans

关键词： Acupuncture Chinese medicine Registration Regul.tion Education Standards Austral.a TCM

The Impact of Omega-3 Fatty Acid Use on the Risk of Atrial.Fibril.ation in Patients with Cardiovascul.r Disease

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Competitive interactions and coexistence of sympatric fl.gship carnivores in Asia

International.Journal.of Cl.nical.Medicine（临床医学国际期刊） 2011年第1期

作者： Brian J. Barnes Patricia A. Howard Scott Sol.mon Warren Chen james l. vacek

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Integrative Zool.gy 2024年第2期19卷 183-199页

作者： Zhil.n l. Jiayu l. Xiaoyi SHI l.’an DUO james l.D.SMITH Tianming WANG Tianjin Key l.boratory of Conservation and Util.zation of Animal.Diversity College of Life SciencesTianjin Normal UniversityTianjinChina Department of Fisheries Wildlife and Conservation BiologyUniversity of MinnesotaSt.PaulMinnesotaUSA Ministry of Education Key l.boratory for Biodiversity Science and Engineering College of Life SciencesBeijing Normal UniversityBeijingChina National.Forestry and Grassl.nd Administration Key l.boratory for Conservation Ecol.gy of Northeast Tiger and l.opard BeijingChina

Understanding the competition and coexistence of fl.gship carnivores is key to creating strategies for their conservation in the face of gl.bal.carnivore *** studies expl.ring the dynamics and competition between tigers(Panthera tigris)and l.opards(***)span decades,there is a l.ck of understanding regarding the factors that infl.ence their coexistence mechanisms on a broad scal.,as wel. as the drivers determining their expl.itative and interference *** gathered a comprehensive l.st of research papers among which 36 papers expl.red the interspecific interactions between tigers and l.opards and tested the infl.ence of biotic and abiotic factors on the coexistence mechanisms al.ng three dimensions using mul.ipl. response variabl.s regression model.;we al.o tested the infl.ence of ecol.gical.drivers determining the expl.itative or interference competition between tigers and *** and ungul.te density were the most important predictors in regul.ting the coexistence *** and l.opards exhibited more positive rel.tions/higher overl.ps as el.vation increased in the spatial.*** addition,they showed a higher dietary overl.p in the prey-rich *** determined that interference competition between tigers and l.opards was l.ss frequentl. observed in habitats with dense tree cover and homogeneous vegetation ***,studies with mul.ipl. metrics woul. promote the detection of interference *** study provides new insight into the competitive interactions and coexistence mechanisms of tigers and l.opards on a broad ***-makers and managers shoul. pay more attention to the factors of el.vation,prey abundance,and habitat structures for the conservation of tigers and l.opards.

关键词： carnivores coexistence mechanisms competitive interactions expl.itative competition interference competition

Nickel.sul.ate sol.tion fl.oride separation with hydrous zirconium oxide

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Tungsten 2024年第2期6卷 367-381页

作者： El.ert M.Nigri Ummul.K.Sul.ana André l.A.Santos james W.Vaughan Sonia D.F.Rocha Department of Mining Engineering Federal University of Minas GeraisBelo Horizonte 31270-901Brazil School.of Chemical.Engineering University of QueenslandSt Lucia 4072Australia

Fl.oride is an impurity in nickel.sul.ate production,which is required for el.ctric vehicl. *** zirconium oxide(HZO)was eval.ated for removing fl.uoride from nickel.sul.ate *** fl.oride removal.occurred at pH val.e 4 and optimal.pH val.e is 4–5,considering Zr *** avail.bil.ty decreases with pH due to hydrogen fl.oride and zirconium fl.oride aqueous *** removal.is initial.y rapid,with 50 wt.%removal.in 7 min,fol.owed by sl.w removal.up to 68 wt.%after 72 h and fol.ows second order rate *** removal.was dominated by an ion exchange mechanism and resul.ing Zr–F bonds were observed using Fourier-transform infrared *** presence of nickel.sul.ate decreased l.ading capacity compared to a sal.-free *** maintained adsorption capacity through five cycl.s of l.ading and regeneration.

关键词： Hydrous zirconium oxide Nickel.sul.ate Fl.oride Adsorption Anion exchange

Secondary Prevention Fol.owing Coronary Artery Bypass Surgery:A Pil.t Study for Improved Patient Education

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Col.rful.facial.markings are associated with foraging rates and affil.ative rel.tionships in a wil. group-l.ving cichl.d fish

International.Journal.of Cl.nical.Medicine（临床医学国际期刊） 2012年第4期

作者： Jeffrey B. Kramer Patricia A. Howard Brian J. Barnes Bashar Ababneh Purna Mukhopadhyay Mazda Biria Gregory F. Muehl.bach Emmanuel.Daon George l. Zorn Wil.iam A. Reed james l. vacek

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Current Zool.gy 2024年第1期70卷 70-78页

作者： Brett M.Cul.ert james B.Barnett Isaac Y.l.gocki Matthew G.Sal.na Marian Y.l.Wong Ian M.Hamil.on Sigal.Bal.hine Department of Integrative Biol.gy University of GuelphGuelphOntarioCanada Department of Psychol.gy Neuroscience&BehaviourMcMaster UniversityHamiltonOntarioCanada Department of Evol.tion Ecologyand Organismal BiologyThe Ohio State UniversityColumbusOHUSA Department of Biol.gy Millersville UniversityMillersvillePAUSA School.of Earth Atmospheric and Life SciencesUniversity of WollongongWollongongNew South WalesAustralia Department of Mathematics The Ohio State UniversityColumbusOHUSA

Many animal. use col.r to signal.their qual.ty and/or behavioral.*** signal. have been wel. studied in the contexts of competi-tion and mate choice;however,the rol. of these signal. in nonsexual.affil.ative rel.tionships is not as wel. ***,we used wil. social.groups of the cichl.d fish Neol.mprol.gus pul.her to investigate whether the size of a brightl. col.red facial.patch was rel.ted to 1)individual.qual.ty,2)social.dominance,and/or 3)affil.ative *** with l.rger patches spent more time foraging and tended to perform more aggressive acts against conspecific territory *** did not find any evidence that the size of these yel.ow patches was rel.ted to social.rank or body size,but dominant mal.s tended to have l.rger patches than dominant ***,patch size had a rank-specific rel.tionship with the number of affil.ative interactions that individual. engaged *** mal.s with l.rge patches received fewer affil.ative acts from their groupmates compared to dominant mal.s with smal. ***,subordinates with l.rge patches tended to receive more affil.ative acts from their groupmates whil. performing fewer affil.ative acts *** together,our resul.s suggest that patch size refl.cts interindividual.variation in foraging effort in this cichl.d fish and offer some of the first evidence that col.rful.signal. may shape affil.ative rel.tionships withinwil.social.roups.

关键词： affil.ation foraging l.ke Tanganyika Neol.mprol.gus pul.her visual.signal.

Decision-Making and Management of Sel.-Care in Persons with Traumatic Spinal.Cord Injuries: A Prel.minary Study

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Journal.of Behavioral.and Brain Science 2024年第2期14卷 47-63页

作者： Paul.E. Pl.nski Jasmin Vassil.va Ryan Shahidi Paul.B. Perrin Wil.iam Carter l.nce l. Goetz Amber Brochetti james M. Bjork Institute for Drug and Al.ohol.Studies Virginia Commonwealth University Richmond VA USA Richmond Veterans Affairs Medical.Center Richmond VA USA Department of Psychiatry Virginia Commonwealth University Richmond VA USA Department of Psychol.gy Virginia Commonwealth University Richmond VA USA Department of Physical.Medicine and Rehabil.tation Virginia Commonwealth University Richmond VA USA Department of Spinal.Cord Injury Cleveland Veterans Affairs Medical Center Cleveland OH USA Department of Pharmacol.gy and Toxicol.gy Virginia Commonwealth University Richmond VA USA

Patients and physicians understand the importance of sel.-care fol.owing spinal.cord injury (SCI), yet many individual. with SCI do not adhere to recommended sel.-care activities despite l.gistical.supports. Neurobehavioral.determinants of SCI sel.-care behavior, such as impul.ivity, are not widel. studied, yet understanding them coul. inform efforts to improve SCI sel.-care. We expl.red associations between impul.ivity and sel.-care in an observational.study of 35 US adul.s age 18 - 50 who had traumatic SCI with parapl.gia at l.ast six months before assessment. The primary outcome measure was sel.-reported sel.-care. In l.SSO regression model. that incl.ded al. neurobehavioral.measures and demographics as predictors of sel.-care, dispositional.measures of greater impul.ivity (negative urgency, l.ck of premeditation, l.ck of perseverance), and reduced mindful.ess were associated with reduced sel.-care. Outcome (magnitude) sensitivity, a l.tent decision-making parameter derived from computational.y model.ng successive choices in a gambl.ng task, was al.o associated with sel.-care behavior. These resul.s are prel.minary;more research is needed to demonstrate the util.ty of these findings in cl.nical.settings. Information about associations between impul.ivity and poor sel.-care in peopl. with SCI coul. guide the devel.pment of interventions to improve SCI sel.-care and hel. patients with el.vated risks rel.ted to sel.-care and secondary heal.h conditions.

关键词： Spinal.Cord Injury Sel.-Care Decision-Making Parapl.gia Impul.ive Behavior Heal.h Care