检索结果-南通市图书馆

Handbook of Stroke Prevention in Clinical Practice 1

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Responses to oral glucose challenge differ by physical activity volume and intensity: A pilot study

丛书名： Current Clinical Neurology

2004年

作者： karen L. Furie Peter J. Kelly

ISBN: (数字)9781592597697

ISBN: (纸本)9781588291585;9781468498561

Although the strategies for stroke prevention are scientifically validated and widely accepted, they are often not effectively implemented, and the incidence of stroke has not decreased significantly. In Handbook of Stroke Prevention in Clinical Practice, leading physicians bring together all the up-to-date resources that a physician needs everyday in the office to assess and treat patients at high risk of stroke. The authors isolate the individual areas where intervention can help reduce stroke risk, providing not only background data on the major risk factors (hypertension, lipids, diabetes, tobacco, and alcohol)-along with the epidemiological and clinical trials data available to support the proposed intervention-but also practical advice on such lifestyle issues as diet, vitamin use, and exercise. Among the therapies fully discussed are lipid management, antithrombotic therapy, hormonal therapy, stenting, and angioplasty. Many of the basic tools necessary to measure risk and counsel patients are also provided, along with informative discussions of the less common causes of stroke, perioperative stroke risk assessment and management, the possibilities for early detection using novel biomarkers, and genetic susceptibility to stroke.;Comprehensive and state-of-the-art, Handbook of Stroke Prevention in Clinical Practice is a concise survey of stroke and stroke prevention that offers busy physicians the practical resources needed to assess patients at high risk of stroke, determine optimal stroke prevention and management strategies, and successfully explain them to patients and their families.

关键词： Neurology

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

Journal of Sport and Health Science 2020年第6期9卷 645-650页

作者： Trevor N.Simper Cecile Morris Anthony Lynn Ciara O’Hagan karen Kilner Food Group Sheffield Business School Sheffield Hallam UniversitySheffield S11WBUK Academy of Sport and Physical Activity Sheffield Hallam UniversitySheffield S102BPUK Department for Health and Social Care Research Sheffield Hallam UniversitySheffield S102BPUK

Background:One-hour postprandial hyperglycemia is associated with increased risk of type 2 diabetes and cardiovascular *** activity(PA)has short-term beneficial effects on post-meal glucose *** study compared the oral glucose tolerance test results of 3 groups of people with habitually different levels of ***:Thirty-one adults without diabetes(age 25.9±6.6 years;body mass index 23.8±3.8 kg/m^2;mean±SD)were recruited and divided into 3 groups based on self-reported PA volume and intensity:low activity0.05).The groups were significantly different in terms of baseline glucose level(p=0.003)and,marginally,for gender(p=0.053)and BMI(p=0.050).There was a statistically significant effect of PA on the 1-h postprandial glucose results(p=0.029),with differences between very active and low activity groups(p=0.008)but not between the moderately active and low activity groups(p=0.360),even when baseline glucose level and gender differences were accounted *** incremental area under the curve there was no significant effect of activity group once gender and body fat percentage had been accounted for(p=0.401).Those in the low activity group took 15 min longer to reach peak glucose level than those in the very active group(p=0.012).Conclusion:The results suggest that high levels of PA have a beneficial effect on postprandial blood glucose profiles when compared to low and moderate levels of activity.

关键词： Blood glucose response Incremental area under the curve Oral glucose tolerance test Physical activity Time to peak Type 2 diabetes

Square wave manoeuvre for apogeotropic variant of horizontal canal benign paroxysmal positional vertigo in neck restricted patients

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

Journal of Otology 2021年第2期16卷 65-70页

作者： Dario A.Yacovino Estefania Zanotti karen Roman Timothy C.Hain Department of Neurology Dr.Cesar Milstein HospitalBuenos AiresArgentina Memory and Balance Clinic Buenos AiresArgentina Northwestern University ChicagoILUSA

Objective:We aimed to describe the clinical features of the apogeotropic variant of horizontal canal benign paroxysmal positional vertigo(HC BPPV-AG)in a cluster of patients with restrictive neck movement disorders and a new therapeutic manoeuvre for its ***:In a retrospective review of cases from an ambulatory tertiary referral center,patients with HC BPPV-AG in combination with neck movement restriction that prevented any classical manual repositioning procedure or who were refractory to canalith repositioning manoeuvres,were treated with a new manoeuvre comprised of sequential square-wave pattern of head and body supine rotations while nystagmus was being monitored,until either an apogeotropic to geotropic conversion or resolution of the nystagmus was ***:Fifteen patients were *** but one[14/15 cases]showed a positive therapeutic response to the repositioning procedure in a single *** two cases,a direct relief of vertigo and elimination of nystagmus was observed without an intermediate geotropic *** in three patients the affected ear was not initially identified,it was ultimately identified and successfully treated by the square wave manoeuvre in all of ***:The square-wave manoeuvre is an alternative for HC BPPV-AG treatment in either cases with neck restriction,where the affected side is not well identified at the bedside or when other manoeuvres fail to resolve the HC BPPV-AG.

关键词： Benign paroxysmal positional vertigo Horizontal canal Cupulolithiasis treatment

Thrombolysis of stroke mimics via telestroke

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

Stroke & Vascular Neurology 2022年第3期7卷 267-270页

作者： Vivien H Lee Ravyn Howell Randheer Yadav Sharon Heaton karen L Wiles Sushil Lakhani Neurology The Ohio State University Wexner Medical CenterColumbusOhioUSA

Background The rate of intravenous tissue plasminogen activator(IVtPA)administered to stroke mimics(SM)occurs in 24%-44%of telestroke *** We reviewed 270 suspected acute ischaemic stroke(AIS)patients who were evaluated by telestroke and received IVtPA from 1 July 2016 to 30 September 2017 at our academic comprehensive stroke *** Among 270 AIS patients who received IVtPA via telestroke,64(23.7%)were diagnosed with *** with patients who had a stroke,the SM group was younger(mean age 56.4 vs 68.2,p<0.0001),more likely to be female(60.9%vs 45.6%,p=0.0324)and had longer door-to needle times(85.3 vs 69.9,p=0.0008).The most common SM diagnoses were migraine 26(40.6%),conversion disorder 12(18.8%),encephalopathy 7(10.9%)and unmasking(9.4%).Among the SM,migraine and conversion disorder were younger compared with the other subgroups(p<0.001).Functional exam elements were noted more frequently in conversion disorder(66.7%)and migraine(34.6%),but rare in other diagnoses(p=0.006).Among the SM,23(35.9%)had a history of a prior similar episodes,and 15(23.4%)had a history of more than 5 *** In our telestroke programme,23.7%of those administered thrombolysis had a final diagnosis of SM.

关键词： needle diagnosis younger

Management of mantle cell leukemia with cardiac involvement leading to cardiogenic shock

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Frontiers of Medicine 2014年第2期8卷 254-258页

作者： Muhammad Furqan Yamei Chen Akintunde Akinleye Judy Sarungbam Alan Gass karen Seiter Delong Liu Division of Hematology and Oneology Department of Medicine Westchester Medical Center 100 Woods Rd Valhalla NY 10595 USA Department of Hematology Xiamen Zhongshan Hospital Xiamen University Xiamen 361004 China Department of Pathology Westehester Medical Center 100 Woods Rd Valhalla NY 10595 USA Division of Cardiology Department of Medicine Westchester Medical Center 100 Woods Rd Valhalla NY 10595 USA

Mantle cell lymphoma is an aggressive subtype of B cell non-Hodgkin lymphoma. It can progress to leukemic phase but frank leukemic picture at initial presentation is not common. Leukemic phase indicates advance stage of the disease and generally associated with extensive extra-nodal involvement. Pericardial invasion has been reported, however we could not find a report of myocardial infiltration by this disease since the appraisal of the term ＂mantle cell lymphoma＂ in 1992. Here we report a case of cardiac involvement by mantle cell leukemia leading to cardiogenic shock which complicates the treatment decisions.

关键词： mantle cell lymphoma bendamustine cardiogenic shock

Social work and the transformation of adult social care

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Gastric emptying, postprandial blood pressure, glycaemia and splanchnic flow in Parkinson's disease

作者： Lymbery Mark. Postle karen.

来源：南通市图书馆图书评论

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2016年第20期22卷 4860-4867页

作者： Laurence G Trahair Thomas E Kimber Katerina Flabouris Michael Horowitz karen L Jones Discipline of Medicine The University of Adelaide NHMRC Centre of Research Excellence in Translating Nutritional Science to Good Health The University of Adelaide Neurology Unit Royal Adelaide Hospital

AIM: To determine gastric emptying, blood pressure, mesenteric artery blood flow, and blood glucose responses to oral glucose in Parkinson’s ***: Twenty-one subjects (13 M, 8 F; age 64.2 ± 1.6 years) with mild to moderate Parkinson’s disease (Hoehn and Yahr score 1.4 ± 0.1, duration of known disease 6.3 ± 0.9 years) consumed a 75 g glucose drink, labelled with 20 MBq 99mTc-calcium phytate. Gastric emptying was quantified with scintigraphy, blood pressure and heart rate with an automated device, superior mesenteric artery blood flow by Doppler ultrasonography and blood glucose by glucometer for 180 min. Autonomic nerve function was evaluated with cardiovascular reflex tests and upper gastrointestinal symptoms by ***: The mean gastric half-emptying time was 106 ± 9.1 min, gastric emptying was abnormally delayed in 3 subjects (14%). Systolic and diastolic blood pressure fell (P < 0.001) and mesenteric blood flow and blood glucose (P < 0.001 for both) increased, following the drink. Three subjects (14%) had definite autonomic neuropathy and 8 (38%) had postprandial hypotension. There were no significant relationships between changes in blood pressure, heart rate or mesenteric artery blood flow with gastric emptying. Gastric emptying was related to the score for autonomic nerve function (R = 0.55, P < 0.01). There was an inverse relationship between the blood glucose at t = 30 min (R = -0.52, P < 0.05), while the blood glucose at t = 180 min was related directly (R = 0.49, P < 0.05), with gastric ***: In mild to moderate Parkinson’s disease, gastric emptying is related to autonomic dysfunction and a determinant of the glycaemic response to oral glucose.

关键词： Gastric emptying Hypotension Parkinson’ s disease Blood pressure Glucose

Somatic growth of lean children:the potential role of sleep

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 Journal of Pediatrics 2014年第3期10卷 245-250页

作者： Yan-Rui Jiang karen Spruyt Wen-Juan Chen Xiao-Ming Shen Fan Jiang Department of Developmental and Behavioral Pediatrics Shanghai Children's Medical CenterShanghai Jiaotong University School of MedicineShanghaiChina and MOE-Shanghai Key Laboratory of Children's Environmental Health Shanghai Institute for Pediatric Research Xinhua HospitalShanghai Jiaotong University School of Medicine and MOE-Shanghai Key Laboratory of Children's Environmental HealthShanghaiChina

Background:Despite the current obesity pandemic,childhood malnutrition remains an urgent,public health *** to the obesity pandemic,childhood malnutrition is influenced by genetic and a number of social,environmental and biological *** this study,we investigated the association between sleep duration and somatic growth in lean ***:A stratified,randomly clustered sampling design was used to select fifth grade students from 10 primary schools in *** on a body mass index below the 15th percentile a subsample of 143 lean children aged 10-11 years old was defi *** duration and other potential confounders were surveyed through parental or self-report *** measurements were collected and used to calculate the Z score of weight,height,body mass index as well as body fat ***:Compared with children who slept<9 hours,those who slept for≥10 hours grew taller and gained more weight after adjusting for confounding *** children slept 9-10 hours,they had signifi cantly higher Z score of weight and body mass ***:Prolonged sleep not only benefi ts weight gain but also improves height in lean *** findings might provide important public health advice such that prolonged sleep may be an effective modifi er of nutritional problems in childhood.

关键词： height lean children sleep somatic growth weight