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Clonidine use during dexmedetomidine weaning:A systematic review

World Journal of Critical Care Medicine 2023年第1期12卷 18-28页

作者： Sanu Rajendraprasad Molly Wheeler Erin Wieruszewski Joseph Gottwald lindsey a.wallace Danielle Gerberi Patrick M Wieruszewski Nathan J Smischney Department of Pulmonary&Critical Care Mayo ClinicRochesterMN 55905United States Department of Pharmacy Mayo ClinicRochesterMN 55905United States Department of Anesthesiology&Perioperative Medicine Mayo ClinicRochesterMN 55905United States Critical Care Medicine Independent Multidisciplinary Program Mayo ClinicRochesterMN 55905United States Mayo Medical Libraries Mayo ClinicRochesterMN 55905United States

BACKGROUND Dexmedetomidine is a centrally acting alpha-2A adrenergic agonist that is commonly used as a sedative and anxiolytic in the intensive care unit(ICU),with prolonged use increasing risk of withdrawal symptoms upon sudden *** clonidine is an enterally available alpha-2A adrenergic agonist,it may be a suitable agent to taper off dexmedetomidine and reduce withdrawal *** appropriate dosing and conversion strategies for using enteral clonidine in this context are not *** objective of this systematic review is to summarize the evidence of enteral clonidine application during dexmedetomidine weaning for prevention of withdrawal *** To systematically review the practice,dosing schema,and outcomes of enteral clonidine use during dexmedetomidine weaning in critically ill *** This was a systematic review of enteral clonidine used during dexmedetomidine weaning in critically ill adults(≥18 years).Randomized controlled trials,prospective cohorts,and retrospective cohorts evaluating the use of clonidine to wean patients from dexmedetomidine in the critically ill were *** primary outcomes of interest were dosing and titration schema of enteral clonidine and dexmedetomidine and risk factors for dexmedetomidine *** secondary outcomes included prevalence of adverse events associated with enteral clonidine use,re-initiation of dexmedetomidine,duration of mechanical ventilation,and ICU length of *** A total of 3427 studies were screened for inclusion with three meeting inclusion criteria with a total of 88 *** three studies were observational,two being prospective and one *** all included studies,the choice to start enteral clonidine to wean off dexmedetomidine was made at the discretion of the *** time ranged from 13 to 167 h on *** clonidine was started in the prospective studies in a similar protocolized method,with 0.3 mg every 6 *** starti

关键词： Clonidine Dexmedetomidine Intensive care unit Withdrawal Weaning

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Urbanization does not increase“object curiosity”in vervet monkeys,but semi-urban individuals selectively explore food-related anthropogenic items

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Current Zoology 2024年第3期70卷 383-393页

作者： lindsey Ellington Stephanie Mercier Alba Motes-Rodrigo Erica van de Waal Sofa Forss Behavioural&Physiological Ecology University of GroningenP.O.Box 111039700 CCGroningenThe Netherlands Department of Ecology and Evolution University of LausanneBiophore-CH-1015LausanneSwitzerland Department of Evolutionary Biology and Environmental Studies University of ZurichWinterthurerstrasse 190CH-8057ZurichSwitzerland School of Life Sciences University of KwaZulu-NatalPrivate Bag X01Scottsville3209South Africa

Urban environments expose animals to abundant anthropogenic materials and foods that facilitate foraging innovations in species with oppor-tunistic diets and high behavioral *** and exploration tendency are believed to be important behavioral traits for animals thriving in urban *** monkeys(Chlorocebus pygerythrus)are one of few primate species that have successfully adapted to urban environments,thus making them an ideal species to study these *** a within-species cross-habitat approach,we compared neophilia and exploration of novel objects(jointly referred to as"object curiosity")between semi-urban,wild,and captive monkeys to shed light on the cognitive traits facilitating urban *** measure"object curiosity:"we exposed monkeys to various types of novel stimuli and compared their approaches and explorative *** results revealed differences in the number of approaches and explorative behavior toward novel stimuli between the habitat types *** vervet monkeys were significantly more explorative than both semi-urban and wild troops,sug-gesting that positive experiences with humans and lack of predation,rather than exposure to human materials per se,influence object *** habitats,juvenile males were the most explorative age-sex *** is likely due to males being the dispersing sex and juveniles being more motivated to learn about their ***,we found that items potentially associated with human food,elicited stronger explorative responses in semi-urban monkeys than non-food related objects,suggesting that their motivation to explore might be driven by"anthrophilia'that is,their experience of rewarding foraging on similar anthropogenic food *** conclude that varying levels of exposure to humans,predation and pre-exposure to human food packaging explain variation in"object curiosity"in our sample of vervet monkeys.

关键词： animalurbanization neophilia noveltyresponse object curiosity vervetmonkeys.

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Mistreatment during Childbirth: Impact on Maternal Outcomes and Importance of Provider Perspectives

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Open Journal of Obstetrics and Gynecology 2024年第2期14卷 227-233页

作者： Samantha Truong Katherine lindsey Doughty Mary Greenwald Annekathryn Goodman Department of Obstetrics and Gynecology Massachusetts General Hospital Harvard Medical School Boston USA

Background: Dying in childbirth is one of the most common causes of death for women. While maternal mortality rates, defined as deaths per 100,000 live births, have been steadily dropping in most countries worldwide, maternal mortality rates have doubled in the United States in the last twenty years. This commentary examines the various contributing factors to this trend. Methods: A literature review was performed using the keywords: maternal mortality, United States, disrespectful maternity care, obstetric violence, provider perspectives, and disparities. Maternal mortality statistics were obtained from the World Health Organization website. Results: Medical factors associated with maternal mortality include increased maternal age and cardiovascular conditions. Social factors include barriers to healthcare access, delays in receiving medical care, reduction in reproductive health services in some states, and non-obstetrical deaths such as accidents, domestic violence, and suicide. Racial inequities and disparities of care are reflected in higher maternal mortality rates for minorities and people of color. Disrespectful maternity care or obstetric violence has been reported worldwide as a factor in delay of lifesaving obstetrical care and reluctance by a pregnant person to access the healthcare system. About one in five US women has reported experiencing mistreatment, varying from verbal abuse to lack of privacy, from coerced procedures to neglect during childbirth. Conclusion: This commentary highlights the importance of inclusion of providers in research on respectful maternity care. Provider burnout, moral distress, limited time, and burden of clinical responsibilities are known challenges to respectful and comprehensive medical care. The association of disrespectful care with poor maternal outcomes needs to be studied. Exploring root causes of disrespectful childbirth care can empower nurses, midwives, and physicians to improve their environment and find solutio

关键词： Maternal Mortality United States Disrespectful Maternity Care Obstetric Vi-olence Provider Perspectives Disparities

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MMP-9 deficiency accelerates the progress of periodontitis

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Genes & Diseases 2024年第5期11卷 117-121页

作者： Chun-Yan Wan Yixin Yin Xiaoyan Li Meng Meng Liu Graham Goldman Li-An Wu Feng Wang Dao-Shu Luo Zhuo Chen Wen-An Xu Stephen Chen Mary MacDougall Merry L.lindsey Zhi Chen Shuo Chen Department of Endodontics The Affiliated Hospital of Qingdao UniversitySchool of StomatologyQingdao UniversityQingdaoShandong 266003China Department of Developmental Dentistry School of DentistryThe University of Texas Health Science Center at San AntonioSan AntonioTX 78229USA Oral Implantology Center Jinan Stomatological HospitalJinanShandong 250001China Department of Endodontics School and Hospital of StomatologyCheeloo College of MedicineShandong Key Laboratory of Oral Tissue RegenerationShandong Engineering Laboratory for Dental Materials and Oral Tissue RegenerationShandong UniversityJinanShandong 250012China Department of Pediatric Dentistry School of StomatologyThe Fourth Military Medical UniversityXi’anShaanxi 710032China Laboratory of Clinical Applied Anatomy Department of Human AnatomySchool of Basic Medical SciencesFujian Medical UniversityFuzhouFujian 350108China Key Laboratory for Oral Biomedical Research of Zhejiang Province Affiliated Hospital of StomatologyMedical CollegeZhejiang UniversityHangzhouZhejiang 310027China Department of Stomatology Nanfang HospitalSouthern Medical UniversityGuangzhouGuangdong 510515China UBC Faculty of Dentistry University of British ColumbiaVancouverBC V6T 1Z3Canada School of Graduate Studies and Research Meharry Medical College and Research BiologistResearch Service Nashville VA Medical CenterNashvilleTN 37208USA State Key Laboratory Breeding Base of Basic Science of Stomatology(Hubei-MOST) Key Laboratory for Oral Biomedicine of Ministry of Education(KLOBM)School and Hospital of StomatologyWuhan UniversityWuhanHubei 430079China

Periodontitis is a chronic inflammatory disease caused by periodontopathic bacteria that affects periodontal support tissues.1 If left untreated,it results in loss of periodontal attachment and alveolar bone *** one-half of adults in the United States older than 30 years have periodontal disease.2 Though the disease is initiated by bacterial infection,it activates host defense systems that eventually lead to the degradation of the *** periodontitis,the disease progress involves further production of pro-inflammatory mediators such as cytokines,proteolytic enzymes like matrix metalloproteinases(MMPs),and their inhibitors.

关键词： period eventually untreated

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今夏打算看奥运会吗?不一定要去巴黎

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商业周刊（中文版） 2024年第3期 32-33页

作者： lindsey Tramuta 孟洁冰(译) 不详

你完全有可能在不踏足巴黎的情况下观看奥运会。以下是你需要了解的详情,今年,数以百万的体育爱好者将前往巴黎,因为这座城市将举办近代史上最具纪念意义的体育盛会:2024年夏季奥运会和残奥会。

关键词：夏季奥运会体育爱好者纪念意义残奥会体育盛会近代史巴黎

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Sources of transcription variation in Plasmodium falciparum

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Journal of Genetics and Genomics 2022年第10期49卷 965-974页

作者： lindsey B.Turnbull Katrina A.Button-Simons Nestor Agbayani Michael T.Ferdig Department of Pediatrics Indiana University School of MedicineIndianapolisIN 46202USA Department of Biological Sciences Eck Institute for Global HealthUniversity of Notre DameNotre DameIN 46556USA Rush School of Medicine ChicagoIL 60612USA

Variation in transcript abundance can contribute to both short-term environmental response and long-term evolutionary *** studies are designed to assess differences in mean transcription levels and do not consider other potentially important and confounding sources of transcriptional *** quantification of variation sources will improve our ability to detect and identify the mechanisms that contribute to genome-wide transcription changes that underpin adaptive *** quantify innate levels of expression variation,we measured m RNA levels for more than 5000 genes in the malaria parasite,Plasmodium falciparum,among clones derived from two parasite strains across biologically and experimentally replicated *** a mixed effects model,we partitioned the total variation among four sources—between strain,within strain,environmental batch effects,and stochastic *** found 646 genes with significant variation attributable to at least one of these *** genes were categorized by their predominant variation source and further examined using gene ontology enrichment analysis to associate function with each source of *** with environmental batch effect and within strain transcript variation may contribute to phenotypic plasticity,while genes with between strain variation may contribute to adaptive responses and processes that lead to parasite strain-specific survival under varied conditions.

关键词： Expression variation Malaria Transcription Cloning Microarray

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Sexual signal conspicuity is correlated with tail autotomy in an anoline lizard

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Current Zoology 2022年第1期68卷 129-132页

作者： Kelly LinWUTHRICH Derek STOCK Janelle B.TALAVERA Breanna J.PUTMAN lindsey SWIERK Department of Biological Sciences Binghamton UniversityState University of New YorkBinghamtonNY 13902USA Department of Biology California State UniversityNorthridgeCA 91330-8303USA Department of Biology California State UniversitySan BernardinoCA 92407USA Department of Ecology and Evolutionary Biology University of California621 Young Drive SouthLos AngelesCA 90095-1606USA Department of Herpetology and Urban Nature Research Center Natural History Museum of Los Angeles CountyLos AngelesCA 90007USA School of Forestry and Environmental Studies Yale UniversityNew HavenCT 06511USA Amazon Conservatory for Tropical Studies IquitosLoreto 16001Peru The Morpho Institute Kansas CityMO 64113USA

Sexual selection favors conspicuous signals that animals can use to communicate with conspecifics and/or to attract ***,natural and sexual selection are often in opposition,as conspicuous sexual signals can also be detected by eavesdropping predators,forcing these signals to also evolve in light of natural selection(Andersson 1994).

关键词： signal evolve selection

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Response to osimertinib in a colorectal cancer patient with an EGFR T790M mutation: A case report

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World Journal of Gastrointestinal Oncology 2023年第10期15卷 1829-1834页

作者： Blake Buzard lindsey Douglass Beth Gustafson Jennifer Buckley Marc Roth Lara Kujtan Dhruv Bansal Cancer Institute St.Luke's HospitalKansasMO 64111United States Department of Medical Oncology University of Missouri-Kansas CityKansasMO 64108United States Department of Hematology/Oncology St.Luke's Cancer InstituteKansasMO 64111United States

BACKGROUND Although common in lung cancer,somatic epidermal growth factor receptor(EGFR)mutations are rarely found in colorectal cancer,occurring in approximately 3%of *** with anti-EGFR antibodies is commonplace,but EGFR tyrosine kinase inhibitors are not standard treatments in colorectal *** we report a case of sustained response to osimertinib in a colorectal cancer patient with an EGFR T790M mutation on cell-free DNA *** SUMMARY A 72-year old woman with a past medical history of post-polio syndrome confined to a wheelchair,scoliosis and hypothyroidism presented with metastatic sigmoid colon adenocarcinoma with hepatic *** generation sequencing revealed a RAS/RAF wild-type,microsatellite stable,PD-L1 negative *** in TP3 and APC were also identified,as well as EGFR ***-free DNA analysis revealed an EGFR T790M *** was unable to tolerate first-line treatment with panitumumab,5-fluorouracil and leucovorin,progressed on second-line treatment with trifluridine/tipiracil plus bevacizumab,and was unable to tolerate third-line treatment with *** was started on fourth-line treatment with off-label osimertinib,with clinical response–decrease in size of hepatic metastases and a pericardial *** remained on treatment with osimertinib for seven *** This case shows the benefit of multi-gene sequencing assays to identify potential therapeutic options in patients with refractory disease.

关键词： Colorectal cancer Osimertinib Epidermal growth factor receptor T790M Precision oncology Tyrosine kinase inhibitor Case report

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Trait allometries generate super-honesty in Anolis dewlaps and may underlie sexual dimorphism

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Integrative Zoology 2017年第2期12卷 97-111页

作者： Maria PETELO lindsey SWIERK Department of Biology University of Hawaiʻi at MānoaHonoluluUSA Las Cruces Biological Station Organization for Tropical StudiesSan VitoCoto BrusCosta Rica School of Forestry and Environmental Studies Yale UniversityNew HavenConnecticutUSA

Whether or not sexually selected traits consistently exhibit positive allometry(*** disproportionately large in larger individuals)is an ongoing *** models and exceptions to this rule suggest that the underlying drivers of sexual trait allometry are ***,we compare allometries of sexual and non-sexual traits of a species(Anolis aquaticus)within a well-studied lizard genus to test the competing hypotheses that sexual traits are,or are not,defined by positive *** further consider the relationships of trait functions,which are relatively well understood in the genus Anolis,and allometry to identify potential drivers of allometric *** particular,we explore how trait allometries interact to influence total organism function and generate sexual *** quantified size(of targeted traits)and color of a sexual signal(the dewlap)in Anolis aquaticus in the *** dewlap conveyed information relevant to intra-sexual combat and exhibited positive ***,our results suggest that using single-trait allometries as indicators of past selection provides only an incomplete understanding of trait *** the function of positive allometry in some individual sexual signals(*** conveying“super-honest”information)may be straightforward,we illustrate how scaling relationships interact synergistically to influence the function of phenotypes and propose avenues for future research.

关键词： Anolis[Norops]aquaticus color morphology reproductive strategy scaling

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Microsurgical vasovasostomy

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Asian Journal of Andrology 2013年第1期15卷 44-48页

作者： lindsey Herrel Wayland Hsiao Emory University Department of Urology Atlanta GA 30322 USA

Up to 6% of men who have undergone vasectomy will ultimately elect for reversal in the form of vasovasostomy or vasoepididymostomy for various reasons. Vasovasostomy performed to regain fertility is a technique that has undergone numerous advances during the last century, including the use of microsurgical equipment and principles to construct a meticulous anastomosis, it is important during vasovasostomy to ensure good blood supply to the anastomosis as well as to build as a tension-free anastomosis. Visual inspection to ensure healthy mucosa and inner muscularis as well as atraumatic handling of tissues is helpful. With vasovasostomy, it is essential to creat a watertight anastomosis to prevent secondary scar formation. The microdot technique of vasovasostomy allows for markedly discrepant lumens to be brought together more precisely. Thereby, the planning is separated from suture placement, which prevents dog-ears and avoids subsequent leaks. In the age of in vitro fertilization （IVF）/intracytoplasmic sperm injection （ICSI）, it becomes even more important to clarify outcomes after vasectomy reversals, as patients now have a choice between surgical sperm retrieval coupled with IVF/ICSI versus vasectomy reversal. Little data on long-term outcomes for vasectomy reversals exist. Therefore, further research in this field needs to evaluate the rate of late failures and the predictors of late failures.

关键词： male infertility microsurgery vasectomy vasectomy reversal vasovasostomy

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