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Utility and correlation of known anticoagulation parameters in the management of pediatric ventricular assist devices

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World Journal of Cardiology 2017年第9期9卷 749-756页

作者： Ajay K Bhatia Mouhammad Yabrodi Mallory Carroll Silvia Bunting kirk kanter Kevin O Maher Shriprasad R Deshpande Division of Pediatric Cardiology Emory University School of MedicineChildren’s Healthcare of Atlanta Mechanical Circulatory Support Program Children’s Healthcare of Atlanta Department of Pathology Emory University School of Medicine Department of Cardiothoracic Surgery Emory University School of Medicine

AIM To assess utility and correlation of known anticoagulation parameters in the management of pediatric ventricular assist device(VAD). METHODS Retrospective study of pediatric patients supported with a Berlin EXCOR VAD at a single pediatric tertiary care center during a single *** We demonstrated associations between activated thro-mboplastin time(a PTT) and R-thromboelastography(R-TEG) values(rs = 0.65, P < 0.001) and between anti-Xa assay and R-TEG values(rs = 0.54, P < 0.001). The strongest correlation was seen between a PTT and anti-Xa assays(rs = 0.71, P < 0.001). There was also a statistically significant correlation between platelet counts and the maximum amplitude of TEG(rs = 0.71, P < 0.001). Importantly, there was no association between dose of unfractionated heparin and either measure of anticoagulation(a PTT, anti-Xa or R-TEG value). CONCLUSION This study suggests that while there is strong correlation between a PTT, anti-Xa assay and R-TEG values for patients requiring VAD support, there is a lack of relevant correlation between heparin dose and degree of effect. This raises concern as various guidelines continue to recommend using these parameters to titrate heparin therapy.

关键词： Ventricular assist device Anticoagulation BERLIN--EXCOR Pediatric Thromboelastography

Physical activity and amyloid beta in middle-aged and older adults:A systematic review and meta-analysis

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Journal of Sport and Health Science 2024年第2期13卷 133-144页

作者： María Rodriguez-Ayllon Patricio Solis-Urra Cristina Arroyo-ávila Miriam álvarez-Ortega Pablo Molina-García Cristina Molina-Hidalgo Manuel Gómez-Río Belinda Brown kirk I.Erickson Irene Esteban-Cornejo Department of Epidemiology Erasmus University Medical Center RotterdamRotterdamGD 3015the Netherlands Department of Physical Education and Sports Faculty of Sport SciencesSport and Health University Research Institute(iMUDS)University of GranadaGranada 18071Spain Faculty of Education and Social Sciences Universidad Andres BelloVina del Mar 2531015Chile Department of Nuclear Medicine Virgen de las Nieves University HospitalInstitute of Biosanitary Research of Granada(IBS)Granada 18014Spain Physical Medicine and Rehabilitation Service Virgen de las Nieves University HospitalInstitute of Biosanitary Research of Granada(IBS)Granada 18014Spain Department of Psychology University of PittsburghPittsburghPA 15260USA Centre for Healthy Ageing Health Futures InstituteMurdoch UniversityMurdochWA 6150Australia School of Medical and Health Sciences Edith Cowan UniversityJoondalupWA 6027Australia Advent Health Research Institute Neuroscience Institute OrlandoOrlandoFL 32803USA Physiopathology of Obesity and Nutrition Research Center(CIBERobn) Institute of Health Carlos Ⅲ(ISCⅢ)Madrid 28029Spain

Background:One of the pathological hallmarks distinguishing Alzheimer’s disease from other dementias is the accumulation of amyloid beta(Aβ).Higher physical activity is associated with decreased dementia risk,and one potential path could be through Aβlevels *** aimed to explore the relationship between physical activity and Aβin middle-aged and older ***:A systematic search of PubMed,Web of Science,PsycINFO,Cochrane Central Register of Controlled Trials,and SPORTDiscus was performed from inception to April 28,*** were eligible if they included physical activity and Aβdata in adults aged 45 years or ***-level metaanalyses of intervention and observational studies were performed to examine the role of physical activity in modulating Aβ***:In total,37 articles were included(8 randomized controlled trials,3 non-randomized controlled trials,4 prospective longitudinal studies,and 22 cross-sectional studies).The overall effect size of physical activity interventions on changes in blood Aβwas medium(pooled standardized mean difference=-0.69,95%confidence interval(95%CI):-1.41 to 0.03;I^(2)=74.6%).However,these results were not statistically significant,and there were not enough studies to explore the effects of physical activity on cerebrospinal fluid(CSF)and brain Aβ.Data from observational studies were examined based on measurements of Aβin the brain using positron emission tomography scans,CSF,and *** physical activity was positively associated with Aβonly in the CSF(Estimate r=0.12;95%CI:0.05-0.18;I^(2)=38.00%).Conclusion:Physical activity might moderately reduce blood Aβin middle-aged and older ***,results were only near statistical significance and might be interpreted with caution given the methodological limitations observed in some of the included *** observational studies,higher levels of physical activity were positively associated with Aβonly in ***,further research is needed t

关键词： Aging Cognitive impairment Dementia Exercise PET

Estimation of Peanut Maturity Using Color Image Analysis

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American Journal of Plant Sciences 2024年第8期15卷 617-635页

作者： Wei-Zhen Liang Kendall R. kirk James S. Thomas Andrew C. Warner Department of Biological Systems Engineering University of Nebraska-Lincoln Lincoln NE USA Panhandle Research and Extension Center University of Nebraska-Lincoln Scottsbluff NE USA Department of Plant Environmental Science Clemson University Clemson SC USA Edisto Research and Education Center Clemson University Blackville SC USA University of Georgia-Athens Cooperative Extension Athens GA USA

Peanuts pods grow underground and mature unevenly, resulting that choosing the correct time to harvest is more complicated than other crops. Pod maturity can be determined by blasting with a pressure washer to remove outer skin of the pod (exocarp) to expose the color of the middle layer (mesocarp). The mesocarp color changes with maturity from white to yellow, orange, brown and finally black. The sum of percentage from orange, brown, and black mesocarp (OBB) color and black color (BL) represents the kernels that are mature enough to harvest. The goal of this research is to identify methodologies to estimate OBB and BL of the pods using RGB images taken in the field and validate the proposed model using other pod images. The Mahalanobis distance classification method was used to process sets of images and calculate pod area (number of pixels) corresponding to two classes (mesocarp and background) with nine different color groups. The results showed a performance of 94% effectiveness for mesocarp using Mahalanobis distance classification. Statistical regression for OBB and BL was developed based on 315 images of peanut pods taken from the field. The R2 and root mean square error of predicted and actual OBB were 0.93 and 4.1%, respectively. The R2 and root mean square error of predicted and actual BL were 0.88 and 1.8%, respectively. The validation of OBB using other images provided reasonable estimation (R2 = 0.98 and RMSE = 2.73%). This study introduces a novel, cost-effective, and non-destructive method for estimating peanut maturity using RGB imagery and Mahalanobis distance classification in the field. This innovative approach addresses the limitations of traditional methods and offers a robust alternative for real-time maturity assessment.

关键词： Peanut Maturity Mesocarp Exocarp Mahalanobis Distance Statistical Regression

Adventures Beyond Amdahl's Law:How Power-Performance Measurement and Modeling at Scale Drive Server and Supercomputer Design

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Journal of Computer Science & Technology 2023年第1期38卷 80-86页

作者： kirk W.Cameron Computer Science Virginia TechWashington D.C.VA 24061U.S.A.

Amdahl’s Law painted a bleak picture for large-scale *** implication was that parallelism was limited and therefore so was potential *** Amdahl’s contribution was seminal and important,it drove others vested in parallel processing to define more clearly why large-scale systems are critical to our future and how they fundamentally provide opportunities for speedup beyond Amdahl’s *** the early 2000s,much like Amdahl,we predicted dire consequences for large-scale systems due to power *** our early work was often dismissed,the implications were clear to some:power would ultimately limit *** this retrospective,we discuss how power-performance measurement and modeling at scale led to contributions that have driven server and supercomputer design for more than a *** the influence of these techniques is now indisputable,we discuss their connections,limits and additional research directions necessary to continue the performance gains our industry is accustomed to.

关键词： Amdahl’s Law speedup power-aware computing power modeling performance modeling performance prediction power measurement

Can we grow sperm？ A translational perspective on the current animal and human spermatogenesis models

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Asian Journal of Andrology 2011年第5期13卷 677-682页

作者： kirk C Lo Trustin Domes Department of Surgery University of Toronto Toronto Ont. Canada Division of Urology Department of Surgery Mount Sinai Hospital Toronto Ont. Canada

There have been tremendous advances in both the diagnosis and treatment of male factor infertility; however, the mechanisms responsible to recreate spermatogenesis outside of the testicular environment continue to elude andrologists. Having the ability to ＇grow＇ human sperm would be a tremendous advance in reproductive biology with multiple possible clinical applications, such as a treatment option for men with testicular failure and azoospermia of multiple etiologies. To understand the complexities of human spermatogenesis in a research environment, model systems have been designed with the intent to replicate the testicular microenvironment. Currently, there are both in vivoand in vitro model systems. In vivo model systems involve the transplantation of either spermatogonial stem cells or testicular xenographs. In vitro model systems involve the use of pluripotent stem cells and complex coculturing and/or three-dimensional culturing techniques. This review discusses the basic methodologies, possible clinical applications, benefits and limitations of each model system. Although these model systems have greatly improved our understanding of human spermatogenesis, we unfortunately have not been successful in demonstrating complete human spermatogenesis outside of the testicle.

关键词： fertility preservation spermatogenesis models spermatogonial stem cells

Comparing the Open University Systems of China and India:Origins,Developments and Prospects

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Frontiers of Education in China 2015年第2期10卷 274-305页

作者： kirk PERRIS Research Center of Distance Education School of Educational TechnologyFaculty of EducationBeijing Normal UniversityBeijing 100875China

The national open universities of China and India are unique adaptations of the open university model that emanated from the *** institutions have expanded to become the largest universities in the world as measured by current enrollment of approximately four million *** article comparatively analyzes how these open universities have differentiated themselves from the open university model and from each other amidst similarities of outcome and differences of *** contexts,national governance of higher education,institutional administration,curriculum and international operations are the foci of *** article contributes to the literature on national and local forces that shape higher education systems and aims to spur collaborations between the institutions in question for mutual benefit.

关键词： open university indigenization Indian higher education Chinese higher education comparative education

Economic appraisal of shale gas resources, an example from the Horn River shale gas play, Canada

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Petroleum Science 2015年第4期12卷 712-725页

作者： Zhuoheng Chen kirk G.Osadetz Xuansha Chen Geological Survey of Canada University of Calgary ZLR Valeon

Development of unconventional shale gas resources involves intensive capital investment accompa- nying large commercial production uncertainties. Eco- nomic appraisal, bringing together multidisciplinary project data and information and providing likely economic outcomes for various development scenarios, forms the core of business decision-making. This paper uses a dis- counted cash flow （DCF） model to evaluate the economic outcome of shale gas development in the Horn River Basin, northeastern British Columbia, Canada. Through numerical examples, this study demonstrates that the use of a single average decline curve for the whole shale gas play is the equivalent of the results from a random drilling process. Business decision based on a DCF model using a single decline curve could be vulnerable to drastic changes of shale gas productivity across the play region. A random drilling model takes those drastic changes in well estimated ultimate recovery （EUR） and decline rates into account in the economic appraisal, providing more information useful for business decisions. Assuming a natural gas well-head price of S4/MCF and using a 10 % discount rate, the results from this study suggest that a random drilling strategy （e.g., one that does not regard well EURs）, could lead to a negative net present value （NPV）; whereas a drilling sequence that gives priority to developing those wells with larger EURs earlier in the drilling history could result in a positive NPV with various payback time and internal rate of return （IRR）. Under a random drilling assumption, the breakeven price is S4.2/MCF with more than 10 years of payout time. In contrast, if the drilling order is strictly proportional to well EURs, the result is a much better economic outcome with a breakeven price below the assumed well-head price accompanied by a higher IRR.

关键词： Drilling order EUR Risk aversion - Shalepetroleum resource

Effects of ghrelin on interdigestive contractions of the rat gastrointestinal tract

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World Journal of Gastroenterology 2008年第41期14卷 6299-6302页

作者： Hiroshi Taniguchi Hajime Ariga kirk Ludwig Toku Takahashi Department of Surgery Medical College of Wisconsin and Zablocki VA Medical Center MilwaukeeWisconsin

Ghrelin causes interdigestive contractions of the stom- ach in rats. However, it remains unknown whether ghrelin causes interdigestive contractions in the small intestine. Four strain gauge transducers were implanted on the antrum, duodenum, proximal and distal jejunum. After an overnight fast, gastrointestinal （GI） contrac- tions were recorded in freely moving conscious rats. Spontaneous phase m-like contractions were observed at every 13-16 min in rat GI tract. The fasted motor patterns were replaced by the fed motor pattern imme- diately after food intake. Two minutes after finishing the spontaneous phase Ill-like contractions in the antrum, acyl ghrelin （0.8, 2.4 and 8.0 μg/kg per min） was con- tinuously infused for 30 min. Three-five minutes after the starting ghrelin infusion, augmented phase Ⅲ-like contractions were observed at the antrum, duodenum, and jejunum. Ghrelin infusion （0.8, 2.4 and 8.0μg/kg per min） significantly increased motility index of phase Ⅲ-like contractions at the antrum and jejunum in a dose dependent manner, compared to that of saline in- jection. Thus, it is likely that exogenously administered ghrelin causes phase Ⅲ-like contraction at the antrum, which migrates to the duodenum and jejunum. The possible role of 5-HT, in addition to ghrelin, in mediating intestinal migrating motor complex （MMC）, is discussed.

关键词： Phase Ⅲ-like contractions Strain gage transducers Motility index

Enhanced enzymatic removal of anthracene by the mangrove soil-derived fungus,Aspergillus sydowii BPOI

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Frontiers of Environmental Science & Engineering 2020年第6期14卷 223-235页

作者： Paul Olusegun Bankole kirk Taylor Semple Byong-Hun Jeon Sanjay Prabhu Govindwar Department of Pure and Applied Botany College of BiosciencesFederal University of Agriculture AbeokutaOgun State 234039Nigeria Lancaster Environment Centre Lancaster UniversityLancaster LAI 4YQUK Department of Earth Resources and Environmental Engineering Hanyang UniversitySeoul 04763Republic of Korea

The present study investigated the efficiency of Aspergillus sydowii strain bpol(GenBank Accession Number:MK373021)in the removal of anthracene(100 mg/L).Optimal degradation efficiency(98.7%)was observed at neutral pH,temperature(30℃),biomass weight(2 g)and salinity(0.2%w/v)within 72 *** enzyme analyses revealed 131%,107%,and 89%induction in laccase,lignin peroxidase,and manganese peroxidase respectively during anthracene ***,the degradation efficiency(99.8%)and enzyme induction were significantly enhanced with the addition of 100 mg/L of citric acid and glucose to the *** varying anthracene concentrations(100-500 mg/L),the degradation rate constants(K1)peaked with increasing concentration of anthracene while the half-life(t1/2)decreases with increase in anthracene *** of fit(R2=0.976 and 0.982)was observed when the experimental data were subjected to Langmuir and Temkin models respectively which affirmed the monolayer and heterogeneous nature exhibited by *** cells during *** distinct metabolites;anthracene-1,8,9(2H,8aH,9aH)-trione,2,4adihydronaphthalene-1,5-dione,l,3,3a,7a-tetrahydro-2-benzofuran-4,7-dione and 2-hydroxybenzoic acid was obtained through Gas Chromatography-Mass spectrometry(GC-MS).*** exhibited promising potentials in the removal of PAHs.

关键词： Aspergillus sydowii Anthracene Biodegradation Polycyclic aromatic hydrocarbons