检索结果-南通市图书馆

Use of ketamine for severe asthma exacerbation in a pregnant patient with persistent bronchospasm: A case report

2006年

作者： Daniel T. Banach Travis j. jones Alan j. Kalamej.

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

Emergency and Critical Care Medicine 2024年第3期4卷 130-133页

作者： j.hnson M. Abbas M. Abdo j. Mansour M. jones j. Pharmacy Department Beaumont Health Dearborn MI United States Emergency Center Beaumont Health Dearborn MI United States

Background Estimated 4%-8% of pregnancies are complicated by asthma. Adequate management in this population is critical to minimize complications. Patients presenting with asthma exacerbation are typically managed with standard bronchodilators and systemic corticosteroids. However, additional agents may be used in patients with refractory asthma exacerbation. Ketamine has been used in refractory bronchospasm, although its efficacy in published literature is heterogeneous. Case Presentation We present a case of a pregnant patient with severe asthma exacerbation refractory to standard and salvage treatment who achieved termination of bronchospasm with ketamine infusion. Conclusion After receiving ketamine infusion for several days, the patient had improved air flow and achieved successful extubation, without experiencing rebound bronchospasm. Although this individual clinical case alone cannot change guidelines or directives to use in refractory asthma exacerbations, it offers a possible treatment option to patients and providers in unusually severe cases with extenuating risk factors. © Wolters Kluwer Health, Inc. All rights reserved.

关键词： Asthma Bronchospasms Case Report Ketamine Pregnancy

Weight regain after intragastric balloon for pre-surgical weight loss

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World j.urnal of Gastrointestinal Surgery 2024年第7期16卷 2040-2046页

作者： Danielle Abbitt Kevin Choy Alexandra Kovar Teresa S jones Krzysztof j.Wikiel Edward L jones Department of Surgery University of ColoradoAuroraCO 80045United States Department of Surgery Rocky Mountain Regional Veteran Affairs Medical CenterAuroraCO 80045United States

BACKGROUND Over one-third of Americans carry the diagnosis of obesity,many also with obesity-related *** can place patients at increased risk of operative and postoperative *** intragastric balloon has been shown to aid in minor weight loss,however its weight recidivism in patients requiring short interval weight loss has not been well *** To evaluate weight loss,ability to undergo successful elective surgery after intragastric balloon placement,and weight management after balloon *** This study is a retrospective review of patients in a single academic institution undergoing intragastric balloon placement from 2019-2023 to aid in weight loss prior to undergoing elective *** outcomes including weight loss,duration of balloon placement,successful elective surgery,weight regain postballoon and post-procedure complications were *** criteria included those with balloon in place at time of *** Thirty-three patients completed intragastric balloon therapy from 2019-2023 as a bridge to elective *** patients were required to participate in a 12-month weight management program to be eligible for balloon *** surgeries included incisional hernia repair,umbilical hernia repair,inguinal hernia repair,and knee and hip *** average age at placement was 53 years±11 years,maj.rity(91%)were *** average duration of intragastric balloon therapy was 186 days±41 *** average weight loss was 14.0 kg±7.4 kg and with an average percent excess body weight loss of 30.0%(7.9%-73.6%).Over half of the patients(52.0%)achieved the goal of 30-50 lbs(14-22 kg)weight ***-one patients(64%)underwent their intended elective surgery,2 patients(6%)deferred surgery due to symptom relief with weight loss ***-one of the patients(64%)have documented weights in 3 months after balloon removal,in these patients the maj.rity(76%)gained weight after balloon *** pat

关键词： Intragastric balloon Weight loss Obesity Bariatric Body mass index

Innovative hydrogel-based delivery systems for immunotherapy:A review of pre-clinical progress

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Nano Research 2024年第10期17卷 9031-9043页

作者： Narsimha Mamidi Michael Poellmann Kaila j.vius-jones KiChang Nam Seungpyo Hong Wisconsin Center for NanoBioSystems University of Wisconsin-MadisonMadisonWI 53705USA Pharmaceutical Sciences Division School of PharmacyUniversity of Wisconsin-MadisonMadisonWI 53705USA Department of Medical Engineering College of MedicineDongguk UniversityGoyang 10326Republic of Korea Department of Pharmacy Yonsei UniversityIncheon 21983Republic of Korea Lachman Institute for Pharmaceutical Development University of Wisconsin-MadisonMadisonWI 53705USA

Immunotherapy has markedly reinvented how we treat cancer,as shown by numerous Food and Drug Administration(FDA)drug approvals that have made significant clinical impact and ongoing clinical ***,undesirable side effects,such as autoimmunity and inflammation,and inconsistent clinical outcomes remain a maj.r *** response rates across various immunotherapeutic reagents is imperative to enhance overall effectiveness and reduce adverse side *** address this challenge,interdisciplinary approaches have been explored by incorporating immunotherapies into hydrogels,enabling finecontrolled delivery to target *** review focuses on recent progress in the utilization of hydrogel-based delivery systems for cancer immunotherapy and their potential to further enhance treatment response ***,recent preclinical advances in hydrogels implemented with immune checkpoint inhibitors,combination therapies,and vaccines,along with selfassembled peptide hydrogels,are *** also discuss technological advances and drawbacks in this area and provide insights to ultimately realize the clinical application of hydrogels in cancer immunotherapy.

关键词： cancer immunotherapy drug delivery hydrogels immunotherapeutic agents immune modulation clinical outcomes

Lipid nanoparticles deliver mRNA to the blood-brain barrier

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Nano Research 2024年第10期17卷 9126-9134页

作者： Yanina Kuzminich Avraham Shakked Randi Calkins Sebastian Rudden Camille jones j.ssie Doan Bora j.ng Elisa Schrader Echeverri Ryan Zenhausern Liming Lian David Loughrey Hannah E.Peck Rachelle Wiese Dorothy Koveal Philip j.Santangelo j.mes E.Dahlman George C.Woodruff School of Mechanical Engineering Georgia Institute of TechnologyAtlantaGA 30332USA Parker H.Petit Institute for Bioengineering and Biosciences Georgia Institute of TechnologyAtlantaGA 30332USA Wallace H.Coulter Department of Biomedical Engineering Emory University School of Medicine and Georgia Institute of TechnologyAtlantaGA 30332USA

Lipid nanoparticles(LNPs)have delivered RNA to hepatocytes in patients after intravenous *** clinical data support efforts to design LNPs that transfect cells in the central nervous system(CNS).However,delivery to the CNS has been difficult,in large part because quantifying on-target delivery alongside common off-target cell types in adult mice remains *** we report methods to isolate different cell types from the CNS,and subsequently present mRNA delivery readouts using a liver-detargeted *** data suggest that LNPs without targeting ligands can transfect cerebral endothelial cells in mice after intravenous *** the difficulty of crossing the blood-brain barrier,they also underscore the value of quantifying delivery in the CNS with cell-type resolution instead of whole-tissue resolution.

关键词： lipid nanoparticle mRNA nanomedicine central nervous system blood-brain barrier

Surgical or medical treatment of obesity-associated type 2 diabetesan increasing clinical conundrum

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World j.urnal of Diabetes 2024年第10期15卷 2036-2040页

作者： Ryan j.j.lleh Karen L jones Md Shahidul Islam Lu Cai Michael Horowitz Adelaide Medical School and Centre of Research Excellence in Translating Nutritional Science to Good Health University of Adelaide Endocrine and Metabolic Unit Royal Adelaide HospitalAdelaide 5000South AustraliaAustralia Department of Biochemistry School of Life SciencesUniversity of KwaZulu-NatalDurban 4000KwaZulu-NatalSouth Africa Pediatric Research Institute Departments of PediatricsRadiation OncologyPharmacology and ToxicologyUniversity of LouisvilleWendy Novak Diabetes InstituteNorton Children’s HospitalLouisvilleKY 40202United States

In this editorial,we comment on the article by He et al,specifically in relation to the efficacy of bariatric surgery vs glucagon-like peptide-1 receptor agonist(GLP-1RA)therapy in the management of type 2 diabetes(T2D)associated with *** surgery has now also been shown to be safe and effective in pre-teens and teenagers with obesity and T2D,but information on newer GLP-1RAs in these groups is predictably *** older individuals(age>65 years),both bariatric surgery and GLP-1RA therapy improve cardiovascular ***-tric surgery is not infrequently associated with post-operative postprandial hypoglycemia,which is not the case with GLP-1RAs and,paradoxically,there is evidence that GLP-1RAs may reduce both the frequency and severity of postprandial *** trials of the long-term efficacy of bariatric surgery and GLP-1RAs are indicated.

关键词： Glucagon-like peptide-1 Glucagon-like peptide-1 receptor agonist Obesity Diabetes Weight loss Bariatric surgery Metabolic surgery Hypoglycemia

Dual ecological and socio-cultural fragmentation induced by hydropower dams: Case studies from the Greater Himalayan region of India

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Zoological Research(Diversity and Conservation) 2024年第2期1卷 117-120页

作者： Garima Gupta Rahul Kotiyal Isabel L.jones Biological and Environmental Sciences University of StirlingScotland FK94LAUK Baramasa.in Narrating Himalaya 248001India

Climate change and biodiversity loss are pressing global challenges(Pörtner et al.,2021).However,as global energy demand continues to increase(IEA,2021),nations face significant challenges to decarbonization and reaching“net zero”due to trade-offs between the often-competing needs of renewable energy generation and biodiversity *** example,hydropower generates renewable energy(Gibson et al.,2017),yet there are well-documented and severe consequences of dam development for biodiversity(e.g.,Zarfl et al.,2019)and people(e.g.,Bisht,2009)due to reservoir creation and disruption of river *** such potentially damaging ecological and social trade-offs,hydropower currently contributes 70%of global renewable energy and there are at least 3700 large dams planned or under construction globally(Zhang&Gu,2023).

关键词： reservoir consequences globally

煤中惰质组及其古环境意义:来自AI和大数据分析的启示

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中国科学：地球科学 2024年第6期54卷 1806-1829页

作者：邵龙义周家民 Timothy P.jones 华芳辉徐小涛闫志明侯海海王东东鲁静中国矿业大学(北京)煤炭精细勘探与智能开发全国重点实验室中国矿业大学(北京)地球科学与测绘工程学院北京100083 School of Earth and Environmental Sciences Cardiff UniversityCardiffCF103YEWalesEngland 中国煤炭地质总局勘查研究总院北京100039 潍坊学院土木与交通学院潍坊261061 辽宁工程技术大学矿业学院阜新123000 山东科技大学地球科学与工程学院青岛266590

惰质组是煤中常见且重要的显微组分组,作为古野火指示物在古环境研究中发挥着至关重要的作用,古野火在多种生态系统中扮演着不可替代的角色.通过惰质组来讨论古野火与古气候变化及古植物演化的研究逐年增多.丝质体和半丝质体的反射率可... 详细信息

惰质组是煤中常见且重要的显微组分组,作为古野火指示物在古环境研究中发挥着至关重要的作用,古野火在多种生态系统中扮演着不可替代的角色.通过惰质组来讨论古野火与古气候变化及古植物演化的研究逐年增多.丝质体和半丝质体的反射率可以用来估算古野火的燃烧温度及类型,进而判断不同类型野火的燃烧特征.惰质组的相对丰度可以重建大气氧含量.人工智能(AI)和科学数据库的在线搜索工具的快速发展,使得查找、收集、整理和分析从最老到最新的出版物,以及出版物中的全球惰质组数据成为可能.本文使用数据提取工具Deep Shovel收集分析从志留纪到新近纪的全球惰质组数据,然后应用Gplates、ArcGIS pro、Tableau等多个软件建立地质历史时期惰质组相对丰度的变化模型,该模型可以与其他因素如大气氧含量、植物进化及古气候变化等进行关联.惰质组在地质历史中的分布特征差异很大,二叠纪属于典型的“高惰质组含量-高大气氧含量”时期,新生代属于典型的“低惰质组含量-低大气氧含量”时期.本文提出惰质组特征与古环境因素之间的可能性正负反馈关系,揭示出惰质组在地质古环境演化研究中发挥着不可替代的作用.未来惰质组相关研究应该聚焦在有机岩石学和有机地球化学的深入结合,大数据驱动的惰质组时、空分布特征,古野火在不同气候背景下的地球系统中发挥的作用以及融合现代野火研究预测未来由于气候变化导致的野火发生的频率和强度.

关键词：惰质组古野火大气氧含量古气候古生态系统

Ectomycorrhizal and Saprotrophic Fungal Communities Vary Across mm-Scale Soil Microsites Differing in Phosphatase Activity

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

Pedosphere 2019年第3期29卷 344-359页

作者： Aaron GODIN Denise BROOKS Sue j. GRAYSTON Melanie D. jones Biology Department University of British Columbia Okanagan campus Kelowna V1V 1V7 (Canada) Department of Forest & Conservation Sciences Faculty of Forestry University of British Columbia Vancouver V6T 1Z4 (Canada)

To understand nutrient cycling in soils, soil processes and microorganisms need be better characterized. To determine whether specific trophic groups of fungi are associated with soil enzyme activity, we used soil imprinting to guide mm-scale sampling from microsites with high and low phosphatase activities in birch/Douglas-fir stands. Study 1 involved sampling one root window per site at 12 sites of different ages(stands);study 2 was conducted at one of the stem-exclusion stands, at which 5 root windows had been installed. Total fungal and ectomycorrhizal(EM) fungal terminal-restriction fragment length polymorphism(TRFLP)fingerprints differed between high-and low-phosphatase activity microsites at 8 of 12 root windows across 12 sites. Where differences were detected, fewer EM fungi were detected in high-than low-phosphatase activity microsites. Using 5 root windows at one site,next-generation sequencing detected similar fungal communities across microsites, but the ratio of saprotrophic to EM fungal reads was higher in high-phosphatase activity microsites in the two windows that had low EM fungal richness. In windows with differences in fungal communities, both studies indicated that EM fungi were less successful than saprotrophic fungi in colonizing fine-scale,organic matter-rich microsites. Fine-scale sampling linked with in situ detection of enzyme activity revealed relationships between soil fungal communities and phosphatase activity that could not be observed at the scales employed by conventional approaches, thereby contributing to the understanding of fine-scale phosphorus cycling in forest soils.

关键词： ectomycorrhizae fine scale fungal communities phosphatase root windows saprotrophic fungi soil imprinting

一项评价银屑病严重程度的3种量表(银屑病面积和严重性指数、医师全面评估指标和点阵系统医师)的评定者之间和之内可靠性的研究

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

世界核心医学期刊文摘（皮肤病学分册） 2006年第12期2卷 12-页

作者： Berth-jones j. Grotzinger K. Rainville C. 周少娜 Department of Dermatology University Hospitals Coventry Warwickshire NHS Trust Coventry CV2 2DX United Kingdom

Background: There is a lack of consensus as to the best way of monitoring psoriasis severity in clinical trials. The Psoriasis Area and Severity Index (PASI) is the most frequently used system and the Physician’s Global Assessment (PGA) is also often used. However, both instruments have some drawbacks and neither has been fully evaluated in terms of ‘validity’and ‘reliability’as a psoriasis rating scale. The Lattice System Physician’s Global Assessment (LS-PGA) scale has recently been developed to address some disadvantages of the PASI and PGA. Obj.ctives: To evaluate the inter-rater and intra rater reliability of the PASI, PGA and LS-PGA. Methods: On the day before the study, 14 dermatologists (raters), with varied experience of assessing psoriasis, received detailed training (2.5 h) on use of the scales. On the study day, each rater evaluated 16 adults with chronic plaque psoriasis in the morning and again in the afternoon. Raters were randomly assigned to assess subj.cts using the scales in a specific sequence, either PGA, LS-PGA, PASI or PGA, PASI, LS-PGA. Each rater used one sequence in the morning and the other in the afternoon. The primary endpoint was the inter-rater and intrarater reliability as determined by intraclass correlation coefficients (ICCs). Results: All three scales demonstrated ‘substantial’(a priori defined as ICC > 80%) intrarater reliability. The inter-rater reliability for each of the PASI and LS-PGA was also ‘substantial’and for the PGA was ‘moderate’(ICC 75%). Conclusions: Each one of the three scales provided reproducible psoriasis severity assessments. In terms of both intrarater and inter-rater reliability values, the three scales can be ranked from highest to lowest as follows: PASI, LS-PGA and PGA.

关键词：银屑病严重程度白疮 PASI 严重性量表点阵医师