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Disseminated herpes simplex infection induced hepatitis during pregnancy mimicking HELLP syndrome,a diagnostic challenge

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Infectious Medicine 2022年第1期1卷 67-72页

作者： Hassam Ali Shruthi Kumar mary-kate Kratzer Josef Kinderwater Department of Internal Medicine East Carolina University/Vidant Medical CenterGreenvilleNC

The disseminated herpes simplex virus 2(HSV-2)carries a high mortality rate in pregnant women if left *** often presents as unrelieved fever and *** is challenging due to vague symptoms and potential overlap with other *** is a risk factor as it conforms to a partially immunocompro-mised *** to the brain could be devastating,and the treatment requires intravenous antivirals like *** outcomes are variable based on previous case *** present a case of young female gravida 1 para 1 who presented with disseminated HSV infection mimicking HELLP(Hemolysis,Elevated Liver enzymes,and Low Platelets)*** responded well to intravenous acyclovir,and the fetus had a viable outcome at the 26th week of *** diagnosis can prevent progression to fulminant liver failure and the need for a liver transplant.

关键词： Disseminated herpes simplex virus 2 Pregnancy Infectious complications of pregnancy Hsv-2 infection Hepatitis in pregnancy

Sperm retrieval success and testicular histopathology in idiopathic nonobstructive azoospermia

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Asian Journal of Andrology 2020年第6期22卷 555-559页

作者： Arighno Das Joshua A Halpern Annie L Darves-Bornoz Mehul Patel James Wren mary kate Keeter Robert E Brannigan Department of Urology Northwestern University Feinberg School of MedicineChicagoIL 60611USA

Prior studies have investigated sperm retrieval rates in men with non obstructive azoospermia(NoA)secondary to specific etiologies,yet most cases of NoA are *** compared sperm retrieval rates and testicular histopathology in idiopathic NoA(iNoA)and nonidiopathic NoA(niNoA).We performed a retrospective review of men with NoA who underwent microdissection testicular sperm extraction(microTESE)between 2000 and *** with no history of malignancy or cryptorchidism and negative genetic evaluation were considered *** regression determined the association between idiopathic etiology and primary outcomes of sperm retrieval and active spermatogenesis on *** 224 men,86(38.4%)were idiopathic,75(33.5%)were nonidiopathic,and 63(28.1%)did not undergo genetic *** age and serum testosterone were higher among iNoA or no testing versus *** follicle-stimulating hormone(FSH)was lower among iNoA or no testing versus niNoA.A higher proportion of iNoA or no testing versus niNoA had a clinical *** retrieval rates were similar between iNoA,niNoA,and no testing(41.8%vs 48.0%vs 55.6%,respectively;P=0.255).Active spermatogenesis was seen in a higher proportion of iNoA or no testing versus niNoA(31.4%and 27.0%vs 16.0%,P=0.073).on multivariable analysis,iNoA was not associated with sperm retrieval or spermatogenesis(P=0.430 and P=0.078,respectively).Rates of sperm retrieval and spermatogenesis on testis pathology were similar in men with iNoA and *** data will be useful to clinicians in preoperative counseling for men with NoA and negative genetic evaluation.

关键词： microdissection testicular sperm extraction nonobstructive azoospermia sperm retrieval rate

Testing Low Doses of Caffeine on Respiratory Resistance Using the Airflow Perturbation Device

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open Journal of Respiratory Diseases 2017年第2期7卷 53-61页

作者： mary kate Montgomery Allen Luk Arthur T. Johnson Jafar Vossoughi Department of Bioengineering University of Maryland at College Park College Park Maryland USA

Research reports on pulmonary function measurements often mention caffeine abstinence as a condition for testing subjects. Yet, the effects of caffeine on respiration are not well documented. This study was intended to investigate the physiological effects of caffeine on respiratory resistance measurements and the necessity of caffeine avoidance in such testing. Thirty-one subjects were administered caffeine in pill form for dosages in the range of 3 - 4.5 mg/kg body weight. Respiratory resistance was measured with the Airflow Perturbation Device every 15 minutes after caffeine ingestion until a full hour of elapsed time. No changes were noted in inhalation, exhalation, and average respiratory resistances during the times of measurements. The conclusion is that for low dosages of caffeine, respiratory resistance measurements are not affected by caffeine ingestion prior to testing.

关键词： Respiratory Resistance Caffeine

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药房与护理工作者为病人提供用药指导

医院管理论坛 1989年第4期 159-161页

作者： mary kate MCGINTy ,王坤律

本文介绍药房与护理工作者共同对心脏病人进行院外用药指导的情况。他们认为有必要执行正规的药疗计划,并在心肺治疗小组进行试点。因心脏病学家审查制订心脏病常用药疗指导卡片时,曾担心这些卡片会使某些病人对副作用产生过分忧虑,因... 详细信息

本文介绍药房与护理工作者共同对心脏病人进行院外用药指导的情况。他们认为有必要执行正规的药疗计划,并在心肺治疗小组进行试点。因心脏病学家审查制订心脏病常用药疗指导卡片时,曾担心这些卡片会使某些病人对副作用产生过分忧虑,因而制订了标准医嘱表,以便医生选用,并准备对其他病人提供这种用药指导。

关键词：药房副作用病人药疗护理工作者用药指导

Cytoreductive surgery and intraperitoneal chemotherapy for colorectal peritoneal metastases

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World Journal of Gastroenterology 2014年第38期20卷 14018-14032页

作者： Reza Mirnezami Brendan J Moran kate Harvey Tom Cecil Kandiah Chandrakumaran Norman Carr Faheez Mohamed Alexander H Mirnezami Section of Biosurgery and Surgical Technology Department of Surgery and CancerImperial College London10th Floor QEQM BuildingSt Mary’s Hospital National Pseudomyxoma Peritonei Centre Hampshire Hospitals Foundation Trust Somers Cancer Research Building University of Southampton Cancer Sciences DivisionSouthampton University Hospital NHS Trust

AIM: To systematically review the available evidence regarding cytoreductive surgery (CRS) and intraperitoneal chemotherapy (IPC) for colorectal peritoneal metastases (CPM).

关键词： Colorectal cancer Peritoneal metastasis Cytoreductive surgery Intraperitoneal chemotherapy Hyperthermic intraperitoneal chemotherapy

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我有我的YoUNG

父母世界 2020年第5期 62-65页

作者： Sharlene Breakey mary Anderson Jennifer King Lindley kate Sandoval Box 不详

谁说做了妈妈就不能活出少女感?孕育新生不等于“放弃自己人生”,来看看这些“新榜YoUNG”妈妈,她们高度自律、精致生活,在孩子与自己之间找到了完美的平衡点。爱孩子,更要加倍爱自己,妈妈活得漂亮,才能把幸福传递给孩子。

关键词：平衡点新生妈妈

Gastroenterology in developing countries:Issues and advances

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World Journal of Gastroenterology 2009年第23期15卷 2839-2854页

作者： kate L Mandeville Justus Krabshuis Nimzing Gwamzhi Ladep Chris JJ Mulder Eamonn MM Quigley Shahid A Khan Centre for Infectious Diseases Epidemiology Department of Primary Care and Population Sciences University College London Hampstead Campus Royal Free Hospital London NW3 2PF United Kingdom Highland Data Les Charleix 24390 Tourtoirac Dordogne France Department of Medicine University of Jos and Jos University Teaching Hospital Jos Plateau State P.M.B. 2076 Nigeria Department of Gastroenterology VU University Medical Center Amsterdam 1081 HV Holland World Gastroenterology organisation and Department of Medicine National University of Ireland Cork University Hospital Clinical Sciences Building Wilton Cork Ireland Department of Hepatology and Gastro-enterology Faculty of Medicine Imperial College London St Mary's Campus London W2 1NY United Kingdom

Developing countries shoulder a considerable burden of gastroenterological disease. Infectious diseases in particular cause enormous morbidity and mortality. Diseases which afflict both western and developing countries are often seen in more florid forms in poorer countries. Innovative techniques continuously improve and update gastroenterological practice. However, advances in diagnosis and treatment which are commonplace in the West, have yet to reach many developing countries. Clinical guidelines, based on these advances and collated in resource-rich environments, lose their relevance outside these settings. In this two-part review, we first highlight the global burden of gastroenterological disease in three major areas： diarrhoeal diseases, hepatitis B, and Helicobacter pylori. Recent progress in their management is explored, with consideration of future solutions. The second part of the review focuses on the delivery of clinical services in developing countries. Inadequate numbers of healthcare workers hamper efforts to combat gastroenterological disease. Reasons for this shortage are examined, along with possibilities for increased specialist training. Endoscopy services, the mainstay of gastroenterology in the West, are in their infancy in many developing countries. The challenges faced by those se^ing up a service are illustrated by the example of a Nigerian endoscopy unit. Finally, we highlight the limited scope of many clinical guidelines produced in western countries. Guidelines which take account of resource limitations in the form of ＂cascades＂ are advocated in order to make these guidelines truly global. Recognition of the different working conditions facing practitioners worldwide is an important step towards narrowing the gap between gastroenterology in rich and poor countries.

关键词： Helicobacter pylori Developing countries Gastrointestinal diseases Health care delivery Practice guidelines

Communities and service providers address access to perinatal care in postconflict Northern Uganda:socialising evidence for participatory action

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Family Medicine and Community Health 2021年第2期9卷 1-10页

作者： Loubna Belaid Pamela Atim Eunice Atim Emmanuel ochola Martin ogwang Pontius Bayo Janet oola Isaac Wonyima okello Ivan Sarmiento Laura Rojas-Rozo kate Zinszer Christina Zarowsky Neil Andersson CIET/PRAM Family Medicine McGill UniversityMontrealQuébecCanada Public Health Gulu UniversityGuluUganda Maternal and child health Nwoya Health DistrictNwoyaUganda St mary's Lacor Hospital GuluUganda Family Medicine McGill UniversityMontrealQuébecCanada Preventive and social medicine University of MontrealMontrealQuébecCanada Universidad Autónoma de Guerrero Centro de Investigación de Enfermedades TropicalesAcapulcoMexico

objectives Describe participatory codesign of interventions to improve access to perinatal care services in Northern *** design Mixed-methods participatory research to codesign increased access to perinatal *** cognitive mapping,focus groups and a household survey identified and documented the extent of obstructions to *** dialogue focused stakeholder discussions of this evidence to address the obstacles to *** significant change stories explored the participant experience of this *** Three parishes in Nwoya district in the Gulu region,Northern *** Purposively sampled groups of women,men,female youth,male youth,community health workers,traditional midwives and service *** of seven stakeholder categories included 5-8 participants in each of three *** Stakeholders identified several obstructions to accessing perinatal care:lack of savings in preparation for childbirth in facility costs,lack of male support and poor service provider *** suggested joining saving groups,practising saving money and income generation to address the short-term financial *** recommended increasing spousal awareness of perinatal care and they proposed improving service provider *** described their own improved care-seeking behaviour and patient-provider relationships as short-term gains of the *** Participatory service improvement is feasible and acceptable in postconflict settings like Northern *** communities in identifying perinatal service delivery issues and reflecting on local evidence about these issues generate workable community-led solutions and increases trust between community members and service providers.

关键词： service services action

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古老脚印之谜

科学（中文版） 2005年第10期 7-8页

作者： kate Wong 郭凯声

大约360万年以前,在现今坦桑尼亚的莱托里(Laetoli),一串脚印留在了一层新沉积的火山灰上.这些脚印现在成了最引人遐想的人类祖先遗迹之一.1978年,mary Leakey率领的一支考古队发掘出了莱托里脚印,根据这些脚印,考古学家得出了一个令人... 详细信息

大约360万年以前,在现今坦桑尼亚的莱托里(Laetoli),一串脚印留在了一层新沉积的火山灰上.这些脚印现在成了最引人遐想的人类祖先遗迹之一.1978年,mary Leakey率领的一支考古队发掘出了莱托里脚印,根据这些脚印,考古学家得出了一个令人瞠目的结论:人类早在制作石器并进化出大容量的脑之前就已经开始直立行走了.

关键词：脚印人类祖先坦桑尼亚直立行走最佳措施研究成果考古学火山灰大容量