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Impact of COVID-19 on presentation,management,and outcomes of acute care surgery for gallbladder disease and acute appendicitis

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World journal of Gastrointestinal Surgery 2021年第8期13卷 859-870页

作者： Orly Nadell Farber Giselle I Gomez Ashley L Titan Andrea T Fisher Christopher j Puntasecca Veronica Toro Arana Arielle Kempinsky Clare E Wise Kovi E Bessoff mary T Hawn james R Korndorffer jr joseph D Forrester Micaela M Esquivel Department of Surgery Stanford University School of MedicinePalo AltoCA 94305United States

BACKGROUND The ongoing coronavirus disease 2019(COVID-19)pandemic has significantly disrupted both elective and acute medical *** from the early months suggest that acute care patient populations deferred presenting to the emergency department(ED),portending more severe disease at the time of ***,care for this patient population trended towards initial non-operative *** To examine the presentation,management,and outcomes of patients who developed gallbladder disease or appendicitis during the *** A retrospective chart review of patients diagnosed with acute cholecystitis,symptomatic cholelithiasis,or appendicitis in two EDs affiliated with a single tertiary academic medical center in Northern California between March and june,2020 and in the same months of *** were selected through a research repository using international classification of diseases(ICD)-9 and ICD-10 *** both years,313 patients were identified with either type of gallbladder disease,while 361 patients were identified with acute *** primary outcome was overall incidence of *** outcomes included presentation,management,complications,and 30-d re-presentation *** between different variables were explored using Pearson’s r correlation *** were compared using the Welch’s t-Test,Chi-squared tests,and Fisher’s exact test as *** Patients with gallbladder disease and appendicitis both had more severe presentations in *** respect to gallbladder disease,more patients in the COVID-19 cohort presented with acute cholecystitis compared to the control cohort[50%(80)vs 35%(53);P=0.01].Patients also presented with more severe cholecystitis in 2020 as indicated by higher mean Tokyo Criteria Scores[mean(SD)1.39(0.56)vs 1.16(0.44);P=0.02].With respect to appendicitis,more patients were diagnosed with a perforated appendix at presentation in 2020[20%(36)vs 16%(29);P=0.0

关键词： COVID-19 Cholecystitis Biliary colic Appendicitis Acute care surgery

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Waste-to-Hope: Measuring Sustainability Benefits of Product Philanthropy Partnership

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journal of Environmental Protection 2017年第10期8卷 1219-1242页

作者： Oral S. Saulters Brijesh Krishnan mary Beth Harris Hani Bashour Laura Bellows Evan j. Ringquist Diane Henshel School of Public and Environmental Affairs Indiana University Bloomington IN USA

This study investigates the sustainability-related impacts of the Framing Hope program, an innovative private and nonprofit sector partnership between the nonprofit Good360 and The Home Depot. Specifically, this paper estimates the energy savings, landfill space not filled, and the energy- and landfill-related cost savings associated with the Good360 product philanthropy program with The Home Depot, illustrating that benefits accrue to both company and communities by linkages between environmental, socioeconomic, and energy dimensions. Findings suggest that by redirecting products from the waste stream into usable community resources, considerable landfill space, costs, and energy savings were realized. Product donations can serve as an important platform for sustainable community development and capacity building. This research adds to the growing body of knowledge on environmental performance, corporate giving, and cross-sector partnerships in sustainable and social entrepreneurship.

关键词： Sustainability Product Philanthropy Corporate Social Responsibility

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二战后的泰国电影:分化的国家、观众与电影风格

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电影艺术 2020年第2期 120-127页

作者： [英]玛丽·j.安斯利刘宇清(译) 宁波诺丁汉大学国际传播学院西南大学文学院

社会分化造成双重观众并且影响泰国电影的形态。富裕的城市观众享受好莱坞电影,底层的农村观众偏爱本土电影。"16毫米时代"的泰国电影强调壮观的场面和过度的画面,与下层人民和农村地区的集体观影习惯密切相关。当代泰国电影仍然呈现16... 详细信息

社会分化造成双重观众并且影响泰国电影的形态。富裕的城市观众享受好莱坞电影,底层的农村观众偏爱本土电影。"16毫米时代"的泰国电影强调壮观的场面和过度的画面,与下层人民和农村地区的集体观影习惯密切相关。当代泰国电影仍然呈现16毫米时代电影"卑贱"和"低劣"的特征,不仅是泰国电影历史发展的体现,而且是泰国社会内部持续分化的征候。

关键词：社会分化观影环境电影风格

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红外读出电子部件:回顾与展望(上)

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红外 1997年第1期18卷 1-7页

作者： mary j.Hewitt 高国龙美国休斯飞机公司圣巴巴拉研究中心

休斯公司圣巴巴拉研究中心和休斯技术中心是从七十年代初开始设计和制造第二代读出电子部件的。本文讨论推动这些电路发展的一些因素,如发展过程、存在的问题以及系统设计等。讨论将从读出部件的单片实施开始一直到比较新的具有较高集... 详细信息

休斯公司圣巴巴拉研究中心和休斯技术中心是从七十年代初开始设计和制造第二代读出电子部件的。本文讨论推动这些电路发展的一些因素,如发展过程、存在的问题以及系统设计等。讨论将从读出部件的单片实施开始一直到比较新的具有较高集成度的混成方法为止。涉及的范围将包括从NMOS或PMOS向CMOS的转变、设计规则的技术的发展、产量、成本以及性能。所有这些都将表明这些发展是如何影响读出部件和第二代红外敏感器的。我们还将对ROIC枝术的今后发展作一推测。

关键词：红外器件电子器件红外读出

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Analytical methods of electroacoustic music

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2006年

作者： edited by mary Simoni.

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Primary colonic type adenocarcinoma of the cecal appendix presented as obstructive acute abdominal syndrome

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The Chinese-German journal of Clinical Oncology 2006年第6期5卷 458-459页

作者： Gabriel j.Arismendi-Morillo Rafael E.Aez-Moreno mary C.Fernández-Abreu Department of Pathology Hospital General del Sur "Dr.Pedro Iturbe"Maracaibo-Venezuela Institute of Biological Investigations-Electron Microscopy LaboratoryFaculty of MedicineUniversity of ZuliaMaracaibo-Venezuela Department of Surgery Hospital General del Sur "Dr.Pedro Iturbe"Maracaibo-Venezuela Department of Internal Medicine Hospital General del Sur "Dr.Pedro Iturbe"Maracaibo-Venezuela

We reported a case with an obstructive acute abdomen,and emergency exploratory laparotomy was ***-pendiceal neoplasm was observed adhered to the ileum,and an ileohemicolectomy was *** the histopathological point of view the neoplasm was an infiltrating colonic type adenocarcinoma of the appendix,with extension to the periapendicular adipose tissue and fixation of an adjacent ileal loop secondary to infiltration of the intestinal *** tumor produced a moderate luminal stenosis of the intestine,this explained the clinical manifestations of the ***-operative evolution was satisfac-tory and there had been no signs of recurrence in the 5 years since the *** upon the comparison of clinical char-acteristics,pathological behavior(in relation to the growth and dissemination),and therapeutic considerations,possibly colonic type adenocarcinoma of the appendix is a neoplasm similar to the carcinomas of ascending colon.

关键词： appendix pdmary colonic type adenocarcinoma appendiceal adenocarcinoma

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Health-education to prevent COVID-19 in schoolchildren: a call to action

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Infectious Diseases of Poverty 2020年第4期9卷 142-144页

作者： Darren j.Gray johanna Kurscheid mary Lorraine Mationg Gail M.Williams Catherine Gordon Matthew Kelly Kinley Wangdi Donald P.McManus Department of Global Health Research School of Population HealthAustralian National UniversityCanberraAustralia School of Public Health University of QueenslandBrisbaneAustralia Infectious Diseases Division QIMR Berghofer Medical Research InstituteBrisbaneAustralia

Background:There is currently considerable international debate around school closures/openings and the role of children in the transmission of coronavirus disease 2019(COVID-19).Whilst evidence suggests that children are not impacted by COVID-19 as severely as adults,little is still known about their transmission potential,and with a lot of asymptomatic cases they may be silent transmitters(*** without showing clinical signs of disease),albeit at a lower level than *** relation to this,it is somewhat concerning that in many countries children are cared for,or are often in close contact with,older individuals such as grandparents—the age group most at risk of acquiring serious respiratory complications resulting in *** text:We emphasise that in the absence of a vaccine or an effective therapeutic drug,preventive measures such as good hygiene practices—hand washing,cough etiquette,disinfection of surfaces and social distancing represent the major(in fact only)weapons that we have against ***,we stress that there is a pressing need to develop specific COVID-19 prevention messages for ***:An entertainment education intervention for schoolchildren systematically implemented in schools would be highly effective and fill this *** such measures in place there would be greater confidence around the opening of schools.

关键词： COVID-19 Children Health education Health promotion Prevention

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劳依德·布朗:划燃火柴伸向油桶(英文)

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外国文学研究 2007年第4期29卷 7-22页

作者：玛丽.海伦.华盛顿美国马里兰州立大学

劳依德·布朗在1951年发表了小说《铁城》,其亲共产主义和亲黑人的政治观注定了它在20世纪50年代冷战时期被谴责和被压制的命运。如果说在麦卡锡主义时期对这部政治上极左的小说的拒绝还可以理解,那么它仍被排除在当前的非洲裔美国文学... 详细信息

劳依德·布朗在1951年发表了小说《铁城》,其亲共产主义和亲黑人的政治观注定了它在20世纪50年代冷战时期被谴责和被压制的命运。如果说在麦卡锡主义时期对这部政治上极左的小说的拒绝还可以理解,那么它仍被排除在当前的非洲裔美国文学及其批评史之外这一事实却令人费解——除非它仍处于一种没有被意识到的反共气氛之中。本文认为,正是由于布朗在50年代与共产主义的密切联系,他不仅可以自由地拒绝加在黑人作家身上的知识束缚和美学束缚,特别是要求他们放弃黑人人物和黑人主题以赢得白人主流文学认同的压力;而且能够接触并利用那些与由政治色彩较淡的作家们所发起的文学形式实验相关的左翼文学和文化产品。正是由于这样的影响,《铁城》富有想象地将黑人民间传统、现代主义实验以及激进观点融合起来。本文同时认为,尽管布朗的作品,包括"黑人作家该走哪条路?"(1951)和他在左翼期刊上发表的批评文章,旨在挑战理查德·赖特、拉尔夫·艾利森、切斯特·海姆斯、j·桑德斯·雷丁等同时代作家的保守立场,而在当今布朗仍被排除在经典之外也暴露了当代非洲裔美国文学批评实践中的保守立场。

关键词：非洲裔美国文学20世纪50年代冷战现代主义共产主义

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Synthetic Anticancer Saponins

Synthetic Anticancer Saponins

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多学科交叉，产学研联合，实现西部药用植物资源的可持续利用——第十届全国药用植物及植物药学术研讨会

作者： Matthew j.Kaskiw Stacey Tokar mary Lynn Tassotto Mac Mok Roxanne Pycho johnTh'ng Department of Chemistry Lakehead University Medical Sciences Division Northern Ontario School of Medicine

Diosgenyl saponins are steroidal glycosides found as major components in many traditional oriental medicines.A number of naturally occurring diosgenyl saponins have been shown to exert cytotoxic activity against several strains of human cancer *** example,Dioscin(Fig.1)is one of the most common steroidal saponins and exhibits potent anticancer activity through apoptosis-inducing *** of such saponins for cancer treatment is hampered due to the lack

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Effects of transdermal magnesium chloride on quality of life for patients with fibromyalgia: a feasibility study

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journal of Integrative Medicine 2015年第5期13卷 306-313页

作者： Deborah j.Engen Samantha j.Mc Allister mary O.Whipple Stephen S.Cha Liza j.Dion Ann Vincent Brent A.Bauer Dietlind L.Wahner-Roedler Department of Physical Medicine and Rehabilitation Mayo Clinic Division of General Internal Medicine Mayo Clinic Division of Biomedical Statistics and Informatics Mayo Clinic

BACKGROUND： Fibromyalgia is a syndrome characterized by chronic pain, fatigue, depression, and sleep disturbances. Its primary cause is unclear. Several studies have reported decreased intracellular magnesium levels in patients with fibromyalgia and have found negative correlation between magnesium levels and fibromyalgia symptoms.OBjECTIVE： To gather preliminary data on whether transdermal magnesium can improve quality of life for women who have fibromyalgia. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS： This is a patient questionnaires and survey in a fibremyalgia clinic at a tertiary medical center. Forty female patients with the diagnosis of fibremyalgia were enrolled. Each participant was provided a spray bottle containing a transdermal magnesium chloride solution and asked to apply 4 sprays per limb twice daily for 4 weeks. Participants were asked to complete the Revised Fibromyalgia Impact Questionnaire, SF-36v2 Health Survey, and a quality-of-life analog scale at baseline, week 2, and week 4. MAIN OUTCOME MEASURE： Questionnaire and survey scores, evaluated through intent-to-treat and per-protocol analyses. RESULTS： Twenty-four patients completed the study （mean [SD] age, 57.2 [7.6] years; white, 95%; mean body mass index, 31.3 kg/m2）. With intention-to-treat analysis, Revised Fibromyalgia Impact Questionnaire subscale and total scores were significantly improved at week 2 and week 4 （total score, P = 0.001）. Per-protocol analysis results were similar： all subscales of the Revised Fibremyalgia Impact Questionnaire were significantly improved at week 2 and week 4 （total score, P = 0.001）. CONCLUSION： This pilot study suggests that transdermal magnesium chloride applied on upper and lower limbs may be beneficial to patients with fibromyalgia.

关键词： fibromyalgia magnesium chloride Revised Fibromyalgia Impact Questionnaire clinical trial

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