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Emergency department management of acute agitation in the reproductive age female and pregnancy

World Journal of Emergency Medicine 2024年第2期15卷 83-90页

作者： Ariella Gartenberg Kayla levine Alexander Petrie Department of Emergency Medicine Jacobi Medical Center and Montefiore Medical CenterNY 10461USA Department of Psychiatry and Behavioral Sciences Albert Einstein College of Medicine and Montefiore Medical CenterNY 10461USA Department of Emergency Medicine Jacobi Medical Center and North Central Bronx HospitalNY 10461USA

BACKGROUND:Agitation is a common presentation within emergent departments(EDs).Agitation during pregnancy should be treated as an obstetric emergency,as the distress may jeopardize both the patient and *** safety of psychotropic medications in the reproductive age female has not been well *** review aimed to explore a summary of general agitation recommendations with an emphasis on ED management of agitation during ***:A literature review was conducted to explore the pathophysiology of acute agitation and devise a preferred treatment plan for ED management of acute agitation in the reproductive age or pregnant ***:While nonpharmacological management is preferred,ED visits for agitation often require medical *** should be selected based on the etiology of agitation and the clinical setting to avoid major adverse *** effects are common in pregnant *** mild to moderate agitation in pregnancy,diphenhydramine is an effective sedating agent with minimal adverse *** moderate to severe agitation,high-potency typical psychotropics are preferred due to their neutral effects on *** has become the most frequently utilized psychotropic for agitation during *** generation psychotropics are often utilized as second-line therapy,including *** and ketamine have demonstrated adverse fetal ***:While randomized control studies cannot be ethically conducted on pregnant patients requiring sedation,animal models and epidemiologic studies have demonstrated the effects of psychotropic medication exposure in *** the fetal risk associated with multiple doses of psychotropic medications remains unknown,weighing the risks and benefits of each agent,while utilizing the lowest effective dose remains critical in the treatment of acute agitation within the EDs.

关键词： Agitation Pregnancy Haloperidol Ketamine Benzodiazepines

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Lattice evolution, order transformation, and microwave dielectric properties of the Zn_(1-x)Li_(2x)TiO_(3)(0≤x≤1) system ceramics

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Journal of Advanced Ceramics 2024年第8期13卷 1178-1188页

作者： Qianbiao Du Longxiang Jjang Linzhao ma Jjanhong Duan Zeyan Zhou Hao Li College of Electrical and Information Engineering Hunan UniversityChangsha 410082China College of materials Science and Engineering Hunan UniversityChangsha 410082China

Research on doping modification of ZnTiO_(3) ceramics to enhance microwave dielectric properties has been hindered by poor performance,unclear structure-function *** expand the applicability of ZnTiO_(3) ceramics,this study explores Zn_(1-x)Li_(2x)TiO_(3)(O≤×≤1)ceramics using a phase engineering *** findings reveal that the introduction of Lit into the ZnTiO_(3) system initiates a multiple phase transition,starting at x=***,ilmenite ZnTiO_(3) transforms into a cubic ordered spinel phase(space group P4332).Subsequently,a transition to a disordered spinel phase(space group Fd3m)occurs at x=0.5,culminating in the formation of a monoclinic rock salt-structured LizTiO3 ***,two sets of ceramics with near-zero temperature coefficients of resonance frequency(t:)were obtained at x=0.1 and ***,the quality factor(Qxf)demonstrated a 4.4-fold increase compared to that of ZnTiO_(3) ceramics at x=0.25(105,013 GHz).Additionally,it was observed that the Ti4 polarization in Zn_(1-x)Li_(2x)TiO_(3) ceramics was underestimated by 11.3%-13.3%,causing the measured dielectric constant(e.)exceeding the theoretical dielectric constant(eth).The ionic polarizability of Ti*was adjusted to stabilize around 3.29 *** using multiple methods,including Phillips-van Vechten-levine(P-V-L)theory,Raman vibrational mode analysis,bond valence,bond energy theory,and octahedral distortion,confirms that the Ti-O bonds within the octahedron predominantly affect&r,the increasing lattice energy(U)contributes to the enhancement of Qxf,and the strengthened Li-O bond energy effectively regulates Tr.

关键词： microwave dielectric ceramics phase transitions Phillips-van Vechten-levine(P-V-L) Zn_(1-x)Li_(2x)TiO_(3)

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Citrobacter Causing Septic Arthritis: A Case Report

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Infectious Diseases & Immunity 2024年第3期4卷 146-148页

作者： Kimberly K.levine mary Dahl Abubakar Tauseef Joseph Thirumalareddy Department of Internal Medicine Creighton University School of MedicineOmaha 68124NEUSA

The genus Citrobacter commonly found in water and soil as well as the intestinal and urinary tracts of animals and *** Citrobacter infections are infrequently diagnosed in environmental contexts,the rising incidence of nosocomial manifestations underscores the importance of considering this organism in the differential diagnosis of hospital-acquired *** present a case of patient with septic arthritis of the shoulder who had been originally admitted for the management of acute-on-chronic congestive heart failure exacerbation and severe *** hospital day 1,joint aspiration cultures and Gram stain confirmed the presence of Citrobacter koseri,a pathogen not commonly associated with septic arthritis,and ceftriaxone was administered to target *** hospital day 7,antibiotic was transitioned to levofloxacin,every other day for 4 *** patient was discharged to an acute rehabilitation facility after a 14-day hospital *** case stresses the importance of maintaining a broad differential diagnosis for any patients who present with fever and joint inflammation or swelling,especially in a postoperative setting.

关键词： Citrobacter koseri Bacteremia Septic arthritis

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利用大数据提高机器人的能力

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科技纵览 2024年第2期 44-48,4页

作者： Sergey levine Karol Hausman 不详

一系列机器人,一系列任务。在现实世界中变得普遍有用之前,机器人还有很多东西要学。虽然过去几年里,人工智能通过互联网这个庞大数据集的训练取得了令人印象深刻的进步,但机器人还没有类似的大型物理数据集可以利用。我们与世界各地的... 详细信息

一系列机器人,一系列任务。在现实世界中变得普遍有用之前,机器人还有很多东西要学。虽然过去几年里,人工智能通过互联网这个庞大数据集的训练取得了令人印象深刻的进步,但机器人还没有类似的大型物理数据集可以利用。我们与世界各地的其他32家机器人实验室合作,创建了现有最大的真实机器人动作开源数据集,对22种机器人进行了近100万次机器人试验,其中包含500种不同的技能以及与数干个不同对象的交互,包括图中的示例。

关键词：机器人人工智能物理数据大数据互联网数据集开源数据交互

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食物回收等级制度帮助处理剩余食物（英文）

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英语画刊(高中版) 2024年第1期 12-14页

作者： Daisy Chung Ally J.levine Clare Trainor

每天,世界各个角落都会丢弃大量的剩余食物,比如吃不完的饭菜、发霉的面包和不能吃的果皮果核等。这不仅造成食物浪费,还会导致环境问题日益严重。Humans grow and waste food at a staggering(令人吃惊的)*** devote half the earth’s...

每天,世界各个角落都会丢弃大量的剩余食物,比如吃不完的饭菜、发霉的面包和不能吃的果皮果核等。这不仅造成食物浪费,还会导致环境问题日益严重。Humans grow and waste food at a staggering(令人吃惊的)*** devote half the earth’s habitable land to food production,while ultimately tossing one-third of that food.

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The many faces of p53:something for everyone

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Journal of Molecular Cell Biology 2019年第7期11卷 524-530页

作者： Arnold J.levine Institute for Advanced Study PrincetonNJ 08540USA

The p53 gene,from discovery to classification:the first 10 years Forty years ago four research laboratories in London,Paris,NewYork/Bethesda,and Princeton uncovered the existence of the p53 protein (Deleo et al.,1979;Lane and Crawford,1979;Linzer and levine,1979;Kress et al.,1979).Each laboratory came upon this protein for a different reason and with a different experimental approach that uncovered this unanticipated ***,the four papers permitted one to con elude the following:(i) in SV40-infected and transformed cells the SV40-e ncoded on cogene protein,the large T-antigen,formed a protein complex with a cellular-encoded protein of -53000 daltons in size,(ii) This p53 protein was detected at high levels in a variety of transformed cells derived from viral,chemical,or inherited (teratocarcinomas) transformation events,(iii) Nontransformed cells expressed lower levels of the p53 protein,(iv) Animals bearing tumors produced antibodies directed against the p53 protein.

关键词： discovery years protein

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An overview of the management of post-vasectomy pain syndrome

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Asian Journal of Andrology 2016年第3期18卷 332-337,I0006页

作者： Wei Phin Tan Laurence A levine Department of Urology Rush University Medical Center Chicago Illinois USA.

Post-vasectomy pain syndrome remains one of the more challenging urological problems to manage. This can be a frustrating process for both the patient and clinician as there is no well-recognized diagnostic regimen or reliable effective treatment. many of these patients will end up seeing physicians across many disciplines, further frustrating them. The etiology of post-vasectomy pain syndrome is not clearly delineated. Postulations include damage to the scrotal and spermatic cord nerve structures via inflammatory effects of the immune system, back pressure effects in the obstructed vas and epididymis, vascular stasis, nerve impingement, or perineural fibrosis. Post-vasectomy pain syndrome is defined as at least 3 months of chronic or intermittent scrotal content pain. This article reviews the current understanding of post-vasectomy pain syndrome, theories behind its pathophysiology, evaluation pathways, and treatment options.

关键词： epididymectomy microdenervation orchalgia post-vasectomy pain management post-vasectomy pain syndrome testicular pain vasectomy reversal vaso-vasostomy

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Surgery for Peyronie＇s disease

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Asian Journal of Andrology 2013年第1期15卷 27-34页

作者： Laurence A levine Stephen M Larsen Department of Urology Rush University Medical Center Chicago IL 60612 USA

Peymnie＇s disease （PD） is most simply referred to as a fibrotic wound-healing disorder of the tunica albuginea. It is both a physically and psychologically devastating disorder that causes penile deformity, curvature, hinging, narrowing and shortening, which may compromise sexual function. Although a variety of non-surgical treatments have been suggested, none to date offer a reliable and effective correction of the penile deformity. As a result, surgery remains the gold standard treatment option, offering the most rapid and reliable treatment which will be the focus of this article. We review the preoperative evaluation, surgical algorithm, graft materials and postoperative management of PD. Outcomes for tunical shortening, tunical lengthening and penile prosthesis placement for penile straightening are reviewed. Tunica albuginea plication is the preferred method of straightening for men with adequate rigidity and less severe disease defined as curvature less than 70° without narrowing/hinging. Men who have more severe, complex deformity, but maintain strong preoperative erectile function should be considered candidates for straightening with plaque incision or partial excision and grafting. Finally, for those men who have inadequate rigidity and PD, penile prosthesis placement with straightening is the best approach to address both problems.

关键词： penile prosthesis Peyronie's disease, penile reconstruction plaque excision and grafting plaque incision tunica albuginea plication

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Lethal means and suicide prevention among military veterans

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Military Medical Research 2023年第1期10卷 139-140页

作者： Joshua levine Leo Sher Veterans’Administration New York Harbor Healthcare System BrooklynNY 11209USA James J.Peters Veterans’Administration Medical Center BronxNY 10468USA

Dear Editor,Suicide amongst the military veteran population is a significant *** VeteranSuicidePreventionAnnualReportrevealedthat6261 died by suicide in 2019[1]. The lingering effects of the coronavirus disease 2019 (... 详细信息

关键词： Suicide Depression Public health Lethal means Military veterans

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Is Non-exercise Activity Thermogenesis-a Target for Reversing Obesity?

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中国临床营养杂志 2006年第6期14卷 345-350页

作者： James A levine Endocrine Research Unit Mayo Clinic RochesterMN 55905 USA

Non-exercise activity thermogenesis (NEAT) is the energy expenditure of all physical activities other than volitional sporting-like exercise. NEAT includes all the activities that render us vibrant, unique and independent beings such as working, playing, and dancing. Because people of the same weight have markedly variable activity levels, it is not surprising that NEAT varies substantially between people by 2000 kcal/day. Evidence suggests that low NEAT may occur in obesity but in a very specific fashion. Obese individuals appear to exhibit an innate tendency to be seated for 2.5 hours per day more than sedentary lean counterparts. If obese individuals were to adopt the lean ‘NEAT-o-type’, they could potentially expend an additional 350 kcal/day. Obesity was rare a century ago and the human genotype has not changed over that time. Thus, the obesity epidemic may reflect the emergence of a chair-enticing environment to which those with an innate tendency to sit, did so and became obese. To reverse obesity therefore, we need to develop individual strategies to promote standing & ambulating time by 2.5 hours per day but also re-engineer our work, school and home environments to render active living the option of choice.

关键词： non-exercise activity thermogenesis physical activity energy expenditure obesity malnutrition

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