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Exploring the effects of coronary artery disease as a preexisting comorbidity on mortality in hospitalized septic patients:a retrospective observation study

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Emergency and Critical Care Medicine 2024年第2期4卷 47-51页

作者： Anmol Multani Greg Stahl Kerry johnson Scott Goade Robert d.Arnce College of Osteopathic Medicine Kansas City UniversityJoplinMOUSA department of data Improvement Freeman Health SystemJoplinMOUSA department of Mathematics Missouri Southern State UniversityJoplinMOUSA department of Pharmacy Freeman Health SystemJoplinMOUSA

Background:Sepsis has high prevalence and mortality rate,and it is imperative to identify populations at risk of poor sepsis outcomes.Septic patients with preexisting chronic comorbidities are shown to have worse sepsis outcomes.By identifying comorbidities with greater influence on sepsis progression,we can direct limited resources to septic patients with comorbidities and reduce health care costs.Chronic comorbidities can impact the risk of developing sepsis and having worse outcomes.Coronary artery disease(CAd)is a common comorbidity,especially in the elderly,and a leading cause of death globally.We wished to investigate the influence of CAd as a comorbidity on sepsis and hypothesized that preexisting CAd would increase mortality in hospitalized septic patients.Methods:We conducted retrospective observational study using patient data from Freeman Health System in Joplin,MO.We analyzed patient records from Freeman Health System database from January 1,2019,to June 30,2020.Septic patients were identified using the International Classification of diseases,Tenth Revision sepsis codes.To identify septic patients with preexisting CAd,we used International Classification of diseases,Tenth Revision codes for CAd.We compared mortality rates for septic patients with and without CAd.Results:Two-sample proportion test was conducted to test the difference in mortality between septic patients with and without preexisting CAd.The difference in mortality for the total population was−0.016(P=0.553).In the male and female subgroups,the differences in mortality were 0.0122(P=0.739)and−0.0511(P=0.208),respectively.The differences in mortality in patients aged 40 to 64 years and 65 years and older were−0.0077(P=0.870)and 0.0007(P=0.983),respectively.The statistical tests failed to find significant differences when comparing septic patients with and without preexisting CAd.There was no significant difference in the age and sex subgroups.Conclusion:Our study showed that CAd alone was not associated with higher mortality due to sepsi

关键词： Comorbidity Coronary artery disease Inflammation Mortality rate in sepsis prognosis Sepsis

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Endoscopic ultrasound guided liver biopsy: Recent evidence

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World Journal of Gastrointestinal Endoscopy 2020年第3期12卷 83-97页

作者： kemmian d johnson Passisd Laoveeravat Eric U Yee Abhilash Perisetti Ragesh Babu Thandassery Benjamin Tharian department of Internal Medicine Louisiana State University Health Sciences CenterNew OrleansLA 70112United States department of Internal Medicine Texas Tech University Health Sciences CenterLubbockTX 79430United States department of Pathology College of MedicineUniversity of Arkansas for Medical SciencesLittle RockAR 72205United States department of Internal Medicine Division of GastroenterologyUniversity of Arkansas for Medical SciencesLittle RockAR 72205United States department of Internal Medicine Division of GastroenterologyCentral Arkansas Veterans Health Care SystemLittle RockAR 72205United States

Liver biopsy(LB)is an essential tool in diagnosing,evaluating and managing various diseases of the liver.As such,histopathological results are critical as they establish or aid in diagnosis,provide information on prognosis,and guide the appropriate selection of medical therapy for patients.Indications for LB include evaluation of persistent elevation of liver chemistries of unclear etiology,diagnosis of chronic liver diseases such as Wilson's disease,autoimmune hepatitis,small duct primary sclerosing cholangitis,work up of fever of unknown origin,amyloidosis and more.Traditionally,methods of acquiring liver tissue have included percutaneous LB(PCLB),transjugular LB(TJLB)or biopsy taken surgically via laparotomy or laparoscopy.However,traditional methods of LB may be inferior to newer methods.Additionally,PCLB and TJLB carry higher risks of adverse events and complications.More recently,endoscopic ultrasound guided LB(EUS-LB)has evolved as an alternative method of tissue sampling that has proven to be safe and effective,with limited adverse events.Compared to PC and TJ routes,EUS-LB may also have a greater diagnostic yield of tissue,be superior for a targeted approach of focal lesions,provide higher quality images and allow for greater patient comfort.These advantages have contributed to the increased use of EUS-LB as a technique for obtaining liver tissue.Herein,we provide a review of the recent evidence of EUS-LB for liver disease.

关键词： Liver biopsy Percutaneous liver biopsy Transjugular liver biopsy Endoscopic ultrasound guided liver biopsy Fine-needle aspiration Core biopsy Fineneedle biopsy

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Spatial distribution and potential ecological and health risks associated with heavy metals in the Ijero-Ekiti mining site,Nigeria

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Regional Sustainability 2024年第1期5卷 26-41页

作者： johnson Adedeji OLUSOLA Adeyinka Oluyemi ATURAMU Olufunke ASAOLU Olusesan Sola OGUNLEYE department of Geography and Planning Science Ekiti State UniversityAdo Ekiti360211Nigeria Institute of Ecology and Environmental Studies Obafemi Awolowo UniversityIle IfeOsun State220101Nigeria department of Geology(Climate Change and Paleobiology Group) Ekiti State UniversityAdo Ekiti360211Nigeria Environmental Natural Resources and Blue EconomyEurope and Central AsiaWorld Bank GroupWashington D.C.20433the USA

Artisanal gold mining,a labor-intensive and antiquated technique,is a growing industry and the source of income for rural communities all over the world.However,artisanal gold mining has potential negative and long-term effects on economy,environment,and society.This study collected soil samples from 16 sample points including a control point to examine the pollution degrees and spatial distribution of heavy metals,as well as ecological and health risks associated with heavy metal pollution in the Ijero-Ekiti mining site,Nigeria.Geographical Information System(GIS)and remote sensing technologies were used to identify regions with high concentrations of heavy metals and assess the environmental impact of gold mining activities.The results show that the mean heavy metal concentrations of 16 soil pointa are 8.94(±5.97)mg/kg for As,0.18(±0.54)mg/kg for Cd,0.11(±1.06)mg/kg for Co,14.32(±3.43)mg/kg for Cr,6.89(±0.64)mg/kg for Cu,48.92(±11.77)mg/kg for Fe,135.81(±30.75)mg/kg for Mn,5.92(±0.96)mg/kg for Ni,5.72(±1.66)mg/kg for Pb,and 13.94(±1.38)mg/kg for Zn.The study reveals that heavy metal concentration in soils follows the order of Mn>Fe>Cr>Zn>As>Cu>Ni>Pb>Co>Cd.An analysis of soil samples indicates that 3 principal components(PCs)account for 70.008%of the total variance and there are strong positive correlations between various pairs of heavy metals.The total potential ecological risk index(309.599)in the study area is high.Non-carcinogenic risk suggests that there may be long-term health impacts on people who work in the mining areas due to chronic exposure to the environment.Based on the study,the hazard index of carcinogenic health risks associated with heavy metals through ingestion is 520.00×10^(–4).dermal contact from As and Cr also increases the risk of cancer,with the highest hazard index value of 18.40×10^(–4).The lowest exposure pathway,with the hazard index value of 0.68×10^(–4),indicates that the inhalation of heavy metals has a comparatively low risk of cancer.This study recommends the formulation of pol

关键词： Artisanal gold mining Heavy metals Exposure pathway Potential ecological risk Geo-accumulation index Ijero-Ekiti mining site

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One-pot and One-step Cu(0)-mediated Reversible-deactivation Radical Polymerization of N-Isopropylacrylamide(NIPAM) in Water

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Chinese Journal of Polymer Science 2024年第1期42卷 1-6,I0004页

作者： Zi-Shan Li Jing Lyu Bei Qiu Ying-Hao Li Ruth Foley Ri-Jian Song Melissa johnson Qiang Geng Wen-Xin Wang Institute of Precision Medicine(AUST-IPM) Anhui University of Science and TechnologyHuainan 232001China Charles Institute of dermatology School of MedicineUniversity College DublinDublin D04 V1W8Ireland

Copper(0)-mediated reversible-deactivation radical polymerization(Cu(0)-mediated RdRP) of the water-soluble monomer Nisopropylacrylamide(NIPAM) has been challenging with the problems of high dispersity, poor control over the molecular weights(MWs) or complex or multi reaction steps, etc. In this work, we report the well-controlled polymerization of NIPAM in water via a facile one-pot and one-step Cu(0)-mediated RdRP. The results of this approach show that the key for kicking off the Cu(0)-mediated NIPAM RdRPs is to ensure sufficient Cu~I at the very beginning, and the key to achieve a well-controlled chain growth is to provide adequate deactivation strength during the polymerization process. For NIPAM, which has a high propagation rate constant, the deactivation control can be effectively enhanced by extra adding deactivator(i.e., Cu~II) to the system. Moreover, a low reaction temperature(4 ℃) is necessary in the controlled synthesis of higher MW poly(Nisopropylacrylamide)(PNIPAM) to avoid the compromise in control caused by the phase transition from its lower critical solution temperature(LCST). Through this new kinetically controlled strategy, PNIPAMs with well-defined structure, narrow molecular weight distributions(MWds) and varied MWs were successfully achieved.

关键词： Cu(0)-mediated RdRP N-isopropylacrylamide Propagation deactivation Reaction parameters

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A 63-Year-Old Male with d-Transposition of the Great Arteries Who Had an Early Form of the Arterial Switch Operation

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Congenital Heart disease 2024年第1期19卷 65-68页

作者： Michael A.Rebolledo Jane S.Yao Jason N.johnson Umar S.Boston Benjamin R.Waller III division of Pediatric Cardiology Department of PediatricsThe University of Tennessee Health Science CenterThe Heart InstituteLe Bonheur Children’s HospitalMemphisUSA College of Medicine The University of Tennessee Health ScienceMemphisUSA division of Pediatric Cardiothoracic Surgery Department of SurgeryThe University of Tennessee Health Science CenterHeart InstituteLe Bonheur Children’s HospitalMemphisUSA

We describe a 63-year-old male who appears to have undergone an early form of the arterial switch operation for d-transposition of the great arteries performed in the mid-1960s.We review the clinical and imaging data that support our conclusion.He had a diagnostic cardiac catheterization which demonstrated severe pulmonary hypertension responsive to epoprostenol and oxygen.Our case may represent one example of the experimental surgical work done prior to dr.Adibe Jatene’s description of theﬁrst successful arterial switch performed in 1975.

关键词： Adult congenital heart disease arterial switch operation great vessel anomaly imaging(all modalities)

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Photoionisation detection of a single Er3+ ion with sub-100-ns time resolution

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National Science Review 2024年第4期11卷 38-45页

作者： Yangbo Zhang Wenda Fan Jiliang Yang Hao Guan Qi Zhang Xi Qin Changkui duan Gabriele G.de Boo Brett C.johnson Jeffrey C.Mc Callum Matthew J.Sellars Sven Rogge Chunming Yin Jiangfeng du CAS Key Laboratory of Microscale Magnetic Resonance and School of Physical Sciences University of Science and Technology of China CAS Center for Excellence in Quantum Information and Quantum Physics University of Science and Technology of China Hefei National Laboratory University of Science and Technology of China Centre of Excellence for Quantum Computation and Communication Technology School of Physics University of New South Wales Centre of Excellence for Quantum Computation and Communication Technology School of Engineering RMIT University Centre of Excellence for Quantum Computation and Communication Technology School of Physics University of Melbourne Centre of Excellence for Quantum Computation and Communication Technology Research School of Physics and Engineering Australian National University

Efficient detection of single optical centres in solids is essential for quantum information processing, sensing and single-photon generation applications.In this work,we use radio-frequency（RF） reflectometry to electrically detect the photoionisation induced by a single Er3+ion in Si.The high bandwidth and sensitivity of the RF reflectometry provide sub-100-ns time resolution for the photoionisation detection.With this technique,the optically excited state lifetime of a single Er3+ion in a Si nano-transistor is measured for the first time to be 0.49±0.04μs.Our results demonstrate an efficient approach for detecting a charge state change induced by Er excitation and relaxation.This approach could be used for fast readout of other single optical centres in solids and is attractive for large-scale integrated optical quantum systems thanks to the multi-channel RF reflectometry demonstrated with frequency multiplexing techniques.

关键词： single optical centres erbium ions RF reflectometry photoionisation detection

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《万里千寻》:1949年后的张大千人生一警

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艺术品鉴 2024年第2期 152-155页

作者：马克d.约翰逊旧金山州立大学(SFSU)文学院

2023年12月,由张伟民执导的纪录片《万里干寻》摘得第20届广州国际纪录片节“中国故事优秀纪录长片”奖和圣保罗国际电影节“最佳国际纪录片”两项大奖,并于2024年1月18日在香港地区上映,影片以画家张大千1949年离开中国飘泊海外为重心... 详细信息

2023年12月,由张伟民执导的纪录片《万里干寻》摘得第20届广州国际纪录片节“中国故事优秀纪录长片”奖和圣保罗国际电影节“最佳国际纪录片”两项大奖,并于2024年1月18日在香港地区上映,影片以画家张大千1949年离开中国飘泊海外为重心,重构这位“画作抵万金”的国画大师鲜为人知的下半生。《万里千寻》的筹备与拍摄历时12年,张伟民辗转全球20多个国家和地区,探访张大千的子女、家人、朋友、弟子以及艺术家和国际上研究张大千的学者共100多人,通过影片解读张大千后半生的传奇故事。

关键词：张大千纪录片国画大师千寻国际电影节传奇故事后半生圣保罗

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张大千加州时期杰作《秋山夕照》

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艺术品鉴 2024年第2期 156-159页

作者：马克d.约翰逊不详

张大千先生一生四海为家、交游广阔,所到之处必结交名流同道,留下许多佳话。自上世纪60年代中期频繁造访加州,1971年购置“环苹庵”正式移居,直至1976年搬去中国台湾,大干先生与加州结下了一段十余年的缘分。

关键词：张大千中国台湾加州杰作

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Elite,transformable haploid inducers in maize

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The Crop Journal 2024年第1期12卷 314-319页

作者： Brent delzer dawei Liang david Szwerdszarf Isadora Rodriguez Gonzalo Mardones Sivamani Elumalai Francine johnson Samson Nalapalli Rachel Egger Erin Burch Kerry Meier Juan Wei Xiujuan Zhang Huaping Gui Huaibing Jin Huan Guo Kun Yu Yubo Liu Becky Breitinger Ana Poets Jason Nichols Wan Shi david Skibbe Qiudeng Que Timothy Kelliher Seeds development Syngenta SeedsJanesvilleWI 53546USA Seeds Research Syngenta Biotechnology China Co.Ltd.Beijing 102206China Centro de Investigación de Cultivos Arica Syngenta R&DArica 1000000Chile Syngenta S.A. Proyecto la SoledadGraneros 2880000Chile Seeds Research Syngenta Crop Protection LLCRTPNC 27709USA Seeds development Syngenta SeedsSlaterIA 50244USA

The introduction of alleles into commercial crop breeding pipelines is both time consuming and costly.Two technologies that are disrupting traditional breeding processes are doubled haploid(dH)breeding and genome editing(GE).Recently,these techniques were combined into a GE trait delivery system called HI-Edit(Haploid Inducer-Edit).In HI-Edit,the pollen of a haploid inducer line is reprogrammed to deliver GE traits to any variety,obviating recurrent selection.For HI-Edit to operate at scale,an efficient transformable HI line is needed,but most maize varieties are recalcitrant to transformation,and haploid inducers are especially difficult to transform given their aberrant reproductive behaviors.Leveraging marker assisted selection and a three-tiered testing scheme,we report the development of new Iodent and Stiff Stalk maize germplasm that are transformable,have high haploid induction rates,and exhibit a robust,genetically-dominant anthocyanin native trait that may be used for rapid haploid identification.We show that transformation of these elite‘‘HI-Edit”lines is enhanced using the BABYBOOM and WUSCHEL morphogenetic factors.Finally,we evaluate the HI-Edit performance of one of the lines against both Stiff Stalk and non-Stiff Stalk testers.The strategy and results of this study should facilitate the development of commercially scalable HI-Edit systems in diverse crops.

关键词： Zea mays L doubled haploids Transformation Genome editing QTL

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Ketamine use disorder:preclinical,clinical,and neuroimaging evidence to support proposed mechanisms of actions

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Intelligent Medicine 2022年第2期2卷 61-68页

作者： Leah Vines diana Sotelo Allison johnson Evan dennis Peter Manza Nora d.Volkow Gene-Jack Wang Laboratory of Neuroimaging National Institute on Alcohol Abuse and AlcoholismNational Institutes of Health10 Center DrRm B2L124BethesdaMarylandUnited States

Ketamine,a noncompetitive N-methyl-d-aspartate(NMdA)receptor antagonist,has been exclusively used as an anesthetic in medicine and has led to new insights into the pathophysiology of neuropsychiatric disorders.Clinical studies have shown that low subanesthetic doses of ketamine produce antidepressant effects for individuals with depression.However,its use as a treatment for psychiatric disorders has been limited due to its reinforcing effects and high potential for diversion and misuse.Preclinical studies have focused on understanding the molecular mechanisms underlying ketamine’s antidepressant effects,but a precise mechanism had yet to be elucidated.Here we review different hypotheses for ketamine’s mechanism of action including the direct inhibition and disinhibition of NMdA receptors,aminomethylphosphonic acid receptors(AMPAR)activation,and heightened activation of monoaminergic systems.The proposed mechanisms are not mutually exclusive,and their combined influence may exert the observed structural and functional neural impairments.Long term use of ketamine induces brain structural,functional impairments,and neurodevelopmental effects in both rodents and humans.Its misuse has increased rapidly in the past 20 years and is one of the most common addictive drugs used in Asia.The proposed mechanisms of action and supporting neuroimaging data allow for the development of tools to identify‘biotypes’of ketamine use disorder(KUd)using machine learning approaches,which could inform intervention and treatment.

关键词： Ketamine Neuroimaging N-methyl-d-aspartate dopamine Serotonin Glutamatergic Gamma-aminobutyric acid

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