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Epinephrine in out-of-hospital cardiac arrest:A critical review

World Journal of Emergency Medicine 2013年第2期4卷 85-91页

作者： Peter M.Reardon kirk Magee Dalhousie Medical School HalifaxB3H 4R2Nova ScotiaCanada Dalhousie Department of Emergency Medicine QEII Health Sciences Centre

BACKGROUND： Epinephrine is recommended in advanced cardiac life support guidelines for use in adult cardiac arrest, and has been used in cardiopulmonary resuscitation since 1896. Yet, despite its long time use and incorporation into guidelines, epinephrine suffers from a paucity of evidence regarding its influence on survival. This critical review was conducted to address the knowledge deficit regarding epinephrine in out-of-hospital cardiac arrest and its effect on return of spontaneous circulation, survival to hospital discharge, and neurological performance. METHODS： The EMBASE and MEDLINE （through the Pubmed interface） databases, and the Cochrane library were searched with the key words ＂epinephrine＂, ＂cardiac arrest＂ and variations of these terms. Original research studies concerning epinephrine use in adult, out-of-hospital cardiac arrest were selected for further review. RESULTS： The search yielded nine eligible studies based on inclusion criteria. This includes five prospective cohort studies, one retrospective cohort study, one survival analysis, one case control study, and one RCT. The evidence clearly establishes an association between epinephrine and increased return of spontaneous circulation, the data were conflicting concerning survival to hospital discharge and neurological outcome. CONCLUSIONS： The results of this review exhibit the paucity of evidence regarding the use of epinephrine in out of hospital cardiac arrest. There is currently insufficient evidence to support or reject its administration during resuscitation. Larger sample, placebo controlled, double blind, randomized control trials need to be performed to definitively establish the effect of epinephrine on both survival to hospital discharge and the neurological outcomes of treated patients.

关键词： Emergency medicine Epinephrine Cardiac arrest Prehospital Out-of-hospita Resuscitation

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嵌入式系统的C程序设计

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作者： kirk·Zurell

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Hyperspectral Evaluation of <i>Venturia inaequalis</i>Management Using the Disease Predictive Model RIMpro in the Northeastern U.S.

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Agricultural Sciences 2017年第12期8卷 1358-1371页

作者： Matthew Wallhead Heping Zhu kirk Broders Department of Biological Sciences University of New Hampshire Durham USA U.S. Department of Agriculture-Agriculture Research Service Application Technology Research Unit Wooster USA Department of Bioagricultural Sciences and Pest Management Colorado State University Fort Collins USA

Use of hyperspectral spectroradiometers allows for information on different light bands to be captured, allowing for identification of plant health status. Apple scab is the most important disease in the production of apples. RIMpro is a web-based decision support system (DDS) for orchardists that has the capacity to improve optimal fungicide application for the control of apple scab and has the potential to reduce the number of applications and thereby reduce input expenses. The objective of this study was to complete a hyperspectral assessment of apple leaves in order to evaluate the spectral characteristics of trees sprayed according to forecasted infection events from the DDS. No significant differences in visual assessments or vegetation indices were observed between conventionally treated leaves and leaves treated according to the DSS. In the first year of this study two fungicide treatments were eliminated, in the second one fungicide treatment was eliminated. This finding is important because it provides evidence that plant health status is similar between conventionally sprayed trees and trees on a DSS-guided reduced spray program. In addition, the use of spectroradiometers for assessing the efficacy of different fungicide programs was demonstrated. Finally, potassium bicarbonate tank-mixed with sulfur was confirmed to be an effective spray material for managing apple scab. By integrating the precise information provided by DSSs and the use of biorational pesticides, agricultural producers, service providers and educators are able to adapt climate change considerations and action-oriented decisions into pest management plans.

关键词： Integrated Pest Management Decision Support System Pathogens Fungicide Remote Sensing

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ELEVATED TEA RITUALS From Deserted Factory to Modern Teahouse

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城市漫步（上海版、英文） 2019年第3期 28-29页

作者： Dominic Ngai kirk Weiblen(Photos) 不详

Project name:Tingtai Teahouse Location:Putuo district,Shanghai Area:450 square meters Design company:Linehouse The brief:Tasked with transforming an abandoned factory space in the M50 Art District into a modern Chinese teahouse,designers at Linehouse stripped back the entire space to expose the concrete columns and brick walls and installed three new glass and stainless steel structures,creating double spaces with different levels of privacy for guests.

关键词： Desert walls district

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Lead Phytoremediation in Contaminated Soils Using Ornamental Landscape Plants

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Journal of Geoscience and Environment Protection 2021年第5期9卷 152-164页

作者： Danna Thompson Edward Bush Heather kirk-Ballard Joseph’s Academy Baton Rouge LA USA LSU AgCenter Baton Rouge LA USA

Lead (Pb) in the urban environment can have a negative effect on human health, especially children’s health. Reducing elevated Pb exposure in the home landscape is essential. The purpose of this study was to determine which ornamental groundcover landscape plants uptake Pb from contaminated soil. Plants for both shade and sun were selected. Plants for shade [Brake fern (Pteris vittata), Asian Jasmine (Trachelospermum asiaticum), “Big Blue” Liriope (Liriope muscari), and St. Augustinegrass (Stenotaphrum secundatum)] and sun [Variegated Liriope (Liriope muscari “Variegata”), Asian Jasmine (Trachelospermum asiaticum), Asparagus Fern (Asparagus setaceus), and Bermudagrass (Cynodon dactylon)] adapted landscape groundcover plants successfully assimilated Pb grown in soil containing 250 ppm and 500 ppm Pb concentrations. Additionally, soil movement at both 25 mph and 50 mph wind speed was significantly different, with increased soil movement at 50 mph. Therefore, it was determined that landscape plants adapted to both sun and shade can help remove Pb from contaminated soils and stabilize soil particles reducing the movement of soil and be aesthetically pleasing.

关键词： Soil Heavy Metals Remediation Soil Health Urban Horticulture Phytoextraction

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My boy Jack

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2009年

作者： [导演] Brian kirk

1915年，一战打响，英国著名短篇小说作家鲁德亚德·吉卜林（rudyardkipling）怀揣爱国之情，想尽办法将因近视而被军队拒绝两次的儿子、年仅17岁杰克送上了抵抗德军的战场。然而不久便传来了儿子在路斯战役中失踪的噩耗，当时杰克刚..

ISBN: (纸本)9787883708520

关键词：译制片

来源：畅想之星图书光盘版（南... 评论

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Is routine measurement of international normalized ratio necessary as part of the investigation of patients with cardiac-type chest pain?

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World Journal of Emergency Medicine 2021年第3期12卷 221-224页

作者： Samuel G.Campbell kirk Magee Ismail Cajee Simon Field Michael B.Butler Christine L.Campbell Sarah E.Bryson Charles V.Keating Emergency and Trauma Centre Queen Elizabeth II HSCHalifaxNova Scotia B3H 3A7Canada

Dear editor, Chest pain is a frequent complaint of patients presenting to the emergency department (ED), and many of them are referred to the cardiology service for further investigation. At the Charles V. Keating Emergency and Trauma Centre in Halifax, Nova Scotia, Canada, 4,800 (6.6%) of the approximately 73,000 patients per year register with a complaint of “chest pain”, and 20% of patients are referred to cardiology. Coagulation studies, specifi cally international normalized ratio (INR) frequently part of the “routine” panel of blood tests, are ordered for patients in the ED being investigated or treated for chest pain suspected to be cardiac in nature. Recent calls to examine how much of our practice is likely to benefit patients in any way have led us to question the clinical utility of routine use of these tests.

关键词： routine patients pain

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Loss of Intestinal Integrity:Costs of the Immune Responses and Impact on Animal Welfare

Loss of Intestinal Integrity:Costs of the Immune Responses a...

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第二届全国家禽营养与饲料科技研讨会

作者： kirk C.Klasing University of California DavisCA 95616USA Professor of Animal Science

＜正＞The intestines are the most likely site for patho- gens to proliferate and infect the *** defen- ses include the maintenance of very tight associations between the individual cells that comprise the single cell epithelium,rapid turnover of epithelial cells, and a large immune system poised to retard the penetration of pathogens and to clear those that cross into the

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Correlation between diabetes prevalence and subsequent cancer mortality in North Carolina counties

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Journal of Diabetes Mellitus 2014年第1期4卷 1-5页

作者： John G. Spangler Julienne kirk Department of Family and Community Medicine Wake Forest School of Medicine Medical Center BLVD Winston-Salem USA

Worldwide, over 250 million people live with diabetes mellitus, a disease which has been described as an epidemic. While much is known about the cardiovascular risks associated with this condition, its association with cancer has been less appreciated at the population level. This study assessed the relationship between colo-rectal, breast and prostate cancer mortality, and diabetes prevalence measured years earlier at the county level in the 100 counties of North Carolina. Methods: County level data were obtained from the 2000 US Census, the Centers for Disease Control and Prevention, and the North Carolina State Center for Health Statistics. The 2004 diabetes prevalence data by county and county level mortality from 2005 to 2009 for colorectal, breast and prostate cancer mortality were analyzed descriptively. Then multivariate linear regression was carried out to evaluate the contribution of pre-existing diabetes prevalence to cancer mortality, controlling county level covariates. Results: Average North Carolina county level prevalence of diabetes mellitus in 2004 (9%) was higher than the average prevalence of diabetes nationally in 2004 (7%). Mortality rates for breast, colorectal and prostate cancers at the county level were also higher than those nationally. In multivariate analysis, county level 2005-2009 total cancer mortality as well as mortality from colon and prostate cancers (but not breast cancer) correlated with county level 2004 diabetes prevalence rates. Diabetes mellitus prevalence in 2004 explained 31%, 34% and 42% of the variance of mortality from prostate, colorectal and total cancers. Conclusions: These findings support the relationship between diabetes mellitus and cancer at the population level. Direct and indirect costs of cancer care in North Carolina in 2004 were $5.57 billion. Because diabetes explained 42% of the variance of total county level cancer mortality, prevention and control of diabetes could save the state over $2 billion.

关键词： Diabetes Mellitus Cancer Mortality North Carolina

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介入放射学科管理者的角色研究

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中华医院管理杂志 2009年第1期25卷 67-70页

作者： kirk S.Roden 美国德州大学 M·D·Anderson癌症治疗中 77030

介入放射学(IR)是一门发展迅猛、作用显著的医学分支学科,在为病人提供高质量的医疗服务中起着重要的作用.介入放射学的学科发展依靠于教学、科研和临床服务三方面的有效结合和协同促进,以及应用一套系统、全面的策略和规划去指导学科... 详细信息

介入放射学(IR)是一门发展迅猛、作用显著的医学分支学科,在为病人提供高质量的医疗服务中起着重要的作用.介入放射学的学科发展依靠于教学、科研和临床服务三方面的有效结合和协同促进,以及应用一套系统、全面的策略和规划去指导学科的长远发展、扩大和成熟.介入放射科的部门管理者在学科发展过程中起着基本和关键作用.他们为介入放射学的教学、科研和临床服务这三大学科使命提供基础支持,并促进介入放射治疗科室部门的成功发展.在这一过程中,管理者担任着五种重要的角色:领导与工作规划;组织设计与发展;人事管理;财务管理以及计划与资源获取.在行政决策层其他决策人员的协助下,管理者引导并支持着整个部门全面向前发展.

关键词：部门管理管理者经营人事管理财务管理医院管理

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