检索结果-南通市图书馆

科技巨擘间的竞争、合作与创新苹果与高通持续寻求科技进步

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

空中英语教室（高级版．彭蒙惠英语） 2021年第7期 16-17,41,42页

作者： Mark Gurman Ian King mike freeman 陈信宏(译) 不详

苹果打算挑战高通。苹果公司已然成为芯片大厂,在半导体产业的地盘里击败了该产业的若干家顶尖公司。不过,这家iPhone制造商即将开启该公司迄今为止最大的挑战,也就是以自己的设计取代高通公司的移动通信数据芯片。

关键词：科技进步半导体产业苹果公司 iPhone 高通公司移动通信数据合作与创新制造商

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

铜基木材防腐剂

国际木业 2009年第9期39卷 40-40页

作者： mike H.freeman Craig R.McIntyre 管宁

铜是大部分活细胞的基本微量元素之一，其剂量较大时，铜离子有杀虫灭菌功效。铜基防腐剂已广泛应用了一个多世纪。虽然硼酸盐和有机防腐剂受到了重视，铜仍然是与土壤接触和完全暴露在大气中的木材所用防腐剂的主要成分。铜化合物的显... 详细信息

铜是大部分活细胞的基本微量元素之一，其剂量较大时，铜离子有杀虫灭菌功效。铜基防腐剂已广泛应用了一个多世纪。虽然硼酸盐和有机防腐剂受到了重视，铜仍然是与土壤接触和完全暴露在大气中的木材所用防腐剂的主要成分。铜化合物的显著优点是，较容易制成水载或水溶性药剂；较容易测出渗入木材的深度；并能减缓紫外线或水引起的木材光降解。

关键词：木材防腐剂铜基水溶性微量元素杀虫灭菌铜化合物活细胞铜离子

Clinician’s perspectives in using head impulse-nystagmus- test of skew (HINTS) for acute vestibular syndrome: UK experience

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Stroke & Vascular Neurology 2022年第2期7卷 172-175页

作者： Charlotte L Warner Lisa Bunn Nehzat Koohi Gunnar Schmidtmann Jennifer freeman Diego Kaski School of Health Professions University of PlymouthPlymouthUK Department of Clinical and Movement Neurosciences University College LondonLondonUK The Ear Institute University College LondonLondonUK Neuro-otology Department University College London HospitalsLondonUK

Background Acute vestibular syndrome(AVS)features continuous dizziness and may result from a benign inner ear disorder or *** head impulse-nystagmus-test of skew(HINTS)bedside assessment is more sensitive than brain MRI in identifying stroke as the cause of AVS within the first 24 ***’perspectives of the test in UK secondary care remains ***,we explore front-line clinicians’perspectives of use of the HINTS for the diagnosis of *** Clinicians from two large UK hospitals who assess AVS patients completed a short online survey,newly designed with closed and open *** Almost half of 73 total responders reported limited(n=33),or no experience(n=19),reflected in low rates of use of HINTS(n=31).While recognising the potential utility of HINTS,many reported concerns about subjectivity,need for specialist skills and poor patient *** clinicians reported high levels of confidence in performing HINTS,with 98%identifying training needs.A lack of formalised training was associated with onward specialist referrals and neuroimaging(p=0.044).Conclusions Although the low sample size in this study limits the generalisability of findings to wider sites,our preliminary data identified barriers to the application of the HINTS in AVS patients and training needs to improve rapid,cost-effective and accurate clinical diagnosis of stroke presenting with vertigo.

关键词： AVS diagnosis formal

The Shortage of Local Anesthesia and Palliative Care Medications in Minor Postoperative Orthopedic Surgical Procedures in Ecuador

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Health 2022年第9期14卷 964-971页

作者： Naiesa freeman Finance/PreMed University of Texas at Austin Austin USA

This white paper discusses the Ecuadorian healthcare system specifically the lack of proper anesthesia and post-operative pain medication and touches base with centralized hospitals. This paper articulates the specific problems inhibiting the usage of these proper medications, specifically looking at a hospital in Quito, Ecuador. Present day tribal situations are also discussed as they are a significant part of the population that is affected by the shortages of pain medication and anesthesia. Solutions are presented to solve the problems the country faces and how it is relevant today.

关键词： Healthcare Ecuador Anesthesia Medication Centralization Reform

Predicting factors for better outcomes of stable supination external rotation type 2 ankle fractures

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2022年第6期25卷 353-356页

作者： Efthymios Iliopoulos Jay James Watson Felicity Auld Richard freeman Natasha Hossain Brighton&SussexUniversity Hospitals NHS TrustBrightonBN25BEUnited Kingdom

Purpose:Stable Weber B ankle fractures are treated by a walking boot for 6 weeks and bearing full weight through the boot as *** aim of the present study was to assess the outcome parameters of this treatment protocol,evaluate the efficacy of using the walking boot,and investigate any possible predicting factors that could affect the ***:All the patients with stable Weber B ankle fractures,treated in our hospital between January 2018 and December 2018,were prospectively included to the *** patients were evaluated clinically,and the patient-reported outcome measures data were collected at the 2 and 6 weeks *** square,Spearman’’s rho test,independent samples and paired samplet-tests were used for the monovariant ***:A total of 128 consecutive patients(aged 52.2±19.1 years)with supination external rotation type 2 fracture were finally included to the *** the 2 weeks follow-up,the reported outcome measures scores were in moderate levels,but improved significantly at the 6 weeks follow-up(p<0.0001).Multivariant analysis revealed that the ability to bear full weight without the boot at the 2 weeks after diagnosis was the only variable,which made statistically unique contribution to the foot and ankle disability index score at the 6 weeks(p=0.005).Conclusion:Conservative treatment using a walking boot with advice to bear full weight of stable ankle Weber B fractures can bring to good functional *** ability to bear full weight without the aid of the walking boot at 2 weeks after diagnosis was the only significant predicting factor for better outcomes at 6 weeks after diagnosis.

关键词： Ankle injury Weber B SER2 Ankle fracture rehabilitation

Limitations in assessment of mucosal healing in inflammatory bowel disease

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2010年第1期16卷 15-20页

作者： Hugh James freeman Department of Medicine University of British Columbia

An emerging parameter to define the effectiveness of new therapeutic agents in clinical trials,and by extension,for use in day-to-day clinical practice has been labeled mucosal *** has been hypothesized that complete healing of the intestinal mucosa in inflammatory bowel diseases should result in reduced disease complications,reduced hospitalization and reduced surgical *** implication,the natural history of inflammatory bowel disease might then be altered. Measurement of mucosal healing,however,is largely observational,requiring repeated invasive endoscopic examinations,sometimes with mucosal *** indirect imaging methods may play a role in this assessment along with other surrogate markers,including intestinal *** measurements may have significant limitations that prohibit precise correlation with symptom-based disease activity indices in clinical *** likely reflects the dynamic nature of this evolving and individualized inflammatory process that tends to be focused,but not limited,to the mucosa of the intestinal tract.

关键词： Intestinal mucosa Digestive system endoscopy Clinical trials

Surveillance for colitis-associated colon neoplasia

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2010年第37期16卷 4646-4651页

作者： Hugh James freeman Department of Medicine University of British Columbia

The risk of developing colon cancer is increased in colitis patients, particularly if the disease is extensive and its duration long-standing. Endoscopic guidelines have been developed with the goal of detecting early neoplastic changes prior to development of advanced malignancy. Unfortunately, the natural history of this superimposed neoplastic process in colitis appears to be very heterogeneous and poorly understood. Moreover, there are numerous confounding variables in colitis patients that limit accurate assessment of the surveillance effectiveness of colonoscopy and multi-site biopsy protocols. Although the clinical challenge posed to even the most experienced clinicians remains significant, evolving methods of endoscopic imaging may facilitate better evaluation of this highly select group of patients.

关键词： Ulcerative colitis Crohn’s disease Colon cancer Surveillance colonoscopy Colon biopsies

Reproductive changes associated with celiac disease

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2010年第46期16卷 5810-5814页

作者： Hugh James freeman Department of Medicine (Gastroenterology) University of British Columbia Hospital

Celiac disease is a mucosal disorder of the small intestine that may be triggered by dietary exposure to gluten in genetically-susceptible *** disorder is often associated with diarrhea,malabsorption and weight loss along with other extra-intestinal *** changes have been described,including impaired fertility and adverse pregnancy outcomes possibly related to immune-mediated mechanisms or nutrient *** possible pathogenetic factors that may alter placental function include maternal celiac disease autoantibodies binding to placental transglutaminase,and genetic mutations that may facilitate microthrombus *** noting activation during pregnancy or the puerperium may be important,and suggest that celiac disease may also be hypothetically precipitated by maternal exposure to one or more fetal antigens.

关键词： Celiac disease Infertility Pregnancy Post-partum celiac disease Fetal outcome