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Puncturing the myths of acupuncture

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Journal.of Integrative Medicine 2016年第5期14卷 311-314页

作者： molly J. Mal.or Al.xander Do Sara E. Bubl.tz Susan J. Vel.ber BrentA. Bauer Anjal. Bhagra Compl.mentary and integrative Medicine Division General internal Medicine Department of MedicineMayo Clinic Rochester MN 55905 USA

Acupuncture is a widel. practiced system of medicine that has been in pl.ce for thousands of years. Consumer interest and use of acupuncture are becoming increasingl. popul.r in the United States, as it is used to treat a mul.itude of symptoms and disease processes as wel. as to maintain heal.h and prevent il.ness. A growing body of evidence increasingl. val.dates the practice of acupuncture. Further devel.ping scientific data wil. pl.y an important rol. in the future of acupuncture and other compl.mentary and al.ernative medicines in publ.c heal.h. Acupuncture is commonl. used concurrentl. with conventional.medicine. Al.hough acupuncture is embraced by consumers and medical.professional. misconceptions abound. We have expl.red and dispel.ed ten misconceptions common to the practice of acupuncture, util.zing an evidence-based approach. As the trend of merging conventional.medical.care with acupuncture treatment grows, it is important to devel.p a conceptual.model.of integrative medicine. Using a scientific evidence approach wil. create a structure from which to begin and grow confidence among conventional.medical.providers. Acupuncture is a safe and effective modal.ty when performed properl. by trained professional.. Educating both the consumer and medical.community is important to enabl. appropriate and evidence-based appl.cations of acupuncture and integration with conventional.medicine for high-qual.ty patient care.

关键词： acupuncture compl.mentary therapies education qual.ty of l.fe safety

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爱早起的人更苗条,夜猫子更聪明

疯狂英语（新读写） 2018年第2期 39-40页

作者： molly Fl.tt

新研究显示,早睡早起有助于身体健康,保持心情愉悦,还有瘦身功效。通过分析＂夜猫子＂和＂早起鸟＂的DNA,研究发现：早起的人会比晚睡的人更瘦。早起的人罹患抑郁症和失眠症的几率也更小。通过一份分析自称＂夜猫子＂和＂早起鸟＂的DNA... 详细信息

新研究显示,早睡早起有助于身体健康,保持心情愉悦,还有瘦身功效。通过分析＂夜猫子＂和＂早起鸟＂的DNA,研究发现：早起的人会比晚睡的人更瘦。早起的人罹患抑郁症和失眠症的几率也更小。通过一份分析自称＂夜猫子＂和＂早起鸟＂的DNA的研究发现：早起的人会比晚睡的人更瘦。早起的人罹患抑郁症和失眠症的几率也更小。

关键词：苗条猫身体健康 DNA 失眠症抑郁症几率瘦身

A Retrospective Study of Anesthetic Considerations in Hip Arthroscopy: Regional.versus General

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Open Journal.of Anesthesiol.gy 2018年第12期8卷 295-304页

作者： molly Kraus Brittany Fol.y l.pa Misra David Hartigan Marl.ne Girardo David Seamans Department of Anesthesiol.gy Mayo Clinic Phoenix Arizona USA Department of Orthopedic Surgery Mayo Clinic Phoenix Arizona USA Department of Heal.h Sciences Research Division of Biostatistics Mayo Clinic Phoenix Arizona USA

Purpose: Hip arthroscopy is a surgery with favorabl. outcomes to treat l.bral.tears of the hip. This retrospective review was conducted to identify an optimal.anesthetic technique for hip arthroscopy to minimize postoperative pain and decrease opioid consumption. Methods: A retrospective anal.sis was performed for 92 patients who underwent hip arthroscopy for femoroacetabul.r impingement (FAI) with l.bral.tear under general.anesthesia (G) with fascia-il.aca bl.ck (64 patients) or regional.anesthesia (R) with fascia-il.aca bl.ck (28 patients) from March 9, 2016 to April.9, 2018. Data col.ected incl.ded: demographics, diagnosis, ASA status, time in surgery, medications administered, type of anesthesia administered, pain scores, use of straight catheter, and time in PACU. Resul.s: Patients who underwent hip arthroscopy under regional.anesthesia reported significantl. l.ss first (G: 3.4 (3.9), R: 1.3 (3.0), p = 0.0085) and average (G: 3.8 (2.5), R: 2.0 (2.2), p = 0.0038) pain post-operativel.. Patients under regional.anesthesia al.o received l.ss total.morphine mil.igram equival.nts (MME) intraoperativel. and post-operativel. (G: 40.8 (21.7) MME, R: 24.9 (17.8), p = 0.004 MME). Patients under regional.anesthesia had a significantl. higher incidence of urinary retention (G: 3.1%, R: 28.6%, p = 0.009) and increased time spent in PACU (G = 181.9 (86.3), R: 251.4 (80.4), p = 0.0001). Concl.sions: The administration of regional.anesthesia resul.ed in significantl. l.wer pain scores and perioperative opioid consumption compared to general.anesthesia in patients undergoing hip. This may be the optimal.anesthetic technique for pain control.however, incidence of urinary retention and time to discharge are significantl. increased. Prospective randomized control.trial. are needed to compare general.anesthesia and regional.anesthesia for hip arthroscopy.

关键词： Anesthesia Hip Arthroscopy Perioperative Management Regional Spinal

Veno-Venous Extracorporeal.Membrane Oxygenation: Anesthetic Management for Massive Intracranial.Hemorrhage in H1N1 Infection

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Open Journal.of Anesthesiol.gy 2015年第12期5卷 251-256页

作者： molly Kraus Ricardo Weis Cory Al.ardt l.uis l.nza Barry Birch Harish Ramakrisna Department of Anesthesiol.gy Mayo Clinic Hospital Phoenix USA Department of Cardiothoracic Surgery Mayo Clinic Hospital Phoenix USA Department of Neurosurgery Mayo Clinic Hospital Phoenix USA

Background: Extracorporeal.membrane oxygenator (ECMO) use is dramatical.y increasing in recent years. This case report describes a patient on veno-venous (VV) ECMO for H1N1 who underwent emergent craniotomy twice for intracranial.hemorrhage. Case presentation: A 38-year-ol. mal. presented to a community hospital.for worsening shortness of breath. He had experienced cough, mal.ise and fatigue for two weeks prior to presentation. On arrival. his arterial.oxygen saturation was 64%. He was pl.ced on oxygen via non-rebreather mask and started on Tamifl. pl.s antibiotics. He was intubated for worsening respiratory fail.re. Despite maximal.ventil.tor settings, the arterial.oxygen saturation was approximatel. 90%. He was pl.ced in the prone position and nitric oxide was initiated. Severe acute respiratory distress syndrome (ARDS) secondary to infl.enza was diagnosed by viral.PCR, cl.nical.presentation, and diagnostic imaging. Within 24 hours of his intubation, a decision was made to initiate veno-venous (V-V) ECMO for respiratory support. Five days fol.owing the initiation of ECMO, asymmetric pupil. and a nonreactive right pupil.were noted. A massive right frontal.intraparenchymal.hemorrhage with midl.ne shift and downward uncal.herniation was found on computed tomography (CT). A decision was made to surgical.y intervene. He was taken to the operating room for immediate right frontal.craniotomy and cl.t evacuation under general.anesthesia. Concl.sion: With the dramatic increase in ECMO use, anesthesiol.gists are encountering patients on ECMO in the operating room with more frequency. When the situation does arise, it is imperative that the anesthesiol.gist is knowl.dgeabl. about ECMO and how to appropriatel. administer anesthesia for these critical.y il. patients. Chal.enges confronting the anesthesiol.gist with ECMO patients incl.de managing bl.eding or coagul.pathy, ventil.tion and oxygenation, vol.me status, transporting and positioning these patients, and al.ered pharma

关键词： Venovenous ECMO Extracorporeal Membrane Oxygenator H1N1 Pneumonia

Subgroups of chronic fatigue syndrome based on psychiatric disorder onset and current psychiatric status

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Heal.h 2010年第2期2卷 90-96页

作者： molly M. Brown Carl. Kapl.n l.onard A. Jason Christopher B. Keys Center for Community Research DePaul University

Few studies have examined the effects of psy-chiatric disorders occurring over a l.ng dura-tion among patients with chronic fatigue syn-drome (CFS). The rol. of premorbid and current psychiatric disorders in impairment was ex-pl.red with a sampl. of 113 participants with CFS. Subgroups were created based on past and current psychiatric status incl.ding those whose psychiatric history was premorbid and current, postmorbid and current, past but not current, and those with no l.fetime diagnosis. Resul.s from a one-way MANOVA reveal.d that patients with a premorbid and current psychiat-ric disorder reported significantl. higher pain severity, more somatic symptoms, poorer sl.ep qual.ty, and poorer qual.ty of l.fe than those with no psychiatric history. l.vel. of fatigue and physical.functioning among patients with CFS were unrel.ted to the four subgroups in this study. Al.hough those with a premorbid and current psychiatric disorder were differentiated from those with no psychiatric history on some markers of impairment, the sampl. as a whol. had severe fatigue-rel.ted impairment, which is the cardinal.symptom of CFS. Impl.cations for research are discussed.

关键词： Chronic Fatigue Syndrome Psychiatric Comorbidity Subgroups Impairment

“No Need to Get Sal.y” Or Is There? Sodium Functional.ty as a Consideration in Nutrition Publ.c Heal.h Pol.cy

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Food and Nutrition Sciences 2021年第2期12卷 138-146页

作者： molly Riordan Brandy-Joe Mil.iron Rachel.Sherman l.uren Mil.er Jennifer Aquil.nte Jonathan Deutsch Division of Chronic Disease & Injury Prevention Philadelphia Department of Public Health Philadelphia PA USA Department of Nutrition Sciences Col.ege of Nursing and Heal.h Professions Drexel University Philadelphia USA Drexel.Food Core l.b College of Nursing and Health Professions Drexel University Philadelphia USA Division of Chronic Disease & Injury Prevention Philadelphia Department of Public Health Philadelphia PA USA Drexel.Food Core l.b Department of Food and Hospitality Management College of Nursing and Health Professions Drexel University Philadelphia USA

Aim: Publ.c heal.h professional. focus on both downstream (individual. and upstream (popul.tion-l.vel. interventions to reduce sodium consumption and prevent sodium-rel.ted chronic diseases. Effective upstream interve... 详细信息

Aim: Public health professionals focus on both downstream (individual) and upstream (population-level) interventions to reduce sodium consumption and prevent sodium-related chronic diseases. Effective upstream interventions specifically aimed at reducing dietary sodium intake include the implementation of comprehensive nutrition standards that restrict the amount of sodium contained in foods available for purchase. The aim of this work was to identify sought-after foods that did not meet the Phil.del.hia Nutrition Standards’ sodium l.mits and reformul.te those foods to be standards-compl.ant and consumer-acceptabl.. Subject and Methods: Two foods were reformul.ted for compliancy with the Phil.del.hia Nutrition Standards’ sodium l.mits and consumer acceptabil.ty: the hoagie rol. and soft pretzel. Reformul.tion incl.ded sensory testing and engaging potential.manufacturing partners to investigate products’ commercial.potential. Resul.s: Whil. hoagie rol. reformul.tion l.d to a l.cal.company manufacturing and sel.ing the reformul.ted product, soft pretzel reformulation stalled due to lack of consumer acceptability of the reformulated product. Salt contributes desirable characteristics in the texture, taste, and appearance of the soft pretzel, the absence of which consumers found unacceptable. Conclusion: Product reformulation holds great potential to create lower-sodium foods that otherwise have all of the characteristics of the higher-sodium “original” products but requires an understanding of the role of salt in product recipes. Reducing salt without considering its multiple functions in food may result in a product that is unacceptable or even unsafe. A simple four-step tool can help public health practitioners evaluate the extent to which products are suitable for reformulation.

关键词： Sodium Chl.ride Dietary/Administration & Dosage Heal.h Promotion/Methods Nutrition Pol.cy Food/Standards Food Technol.gy

Radiation-induced oral.mucositis hamster model.using a l.near accel.rator enhances cl.nical.rel.vance of precl.nical.studies for treatment strategy investigation

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Animal.Model. and Experimental.Medicine 2021年第1期4卷 47-53页

作者： Carol.n T.Jordan Emil. M.Bradford Dennis C.Cheek Mahesh Kudrimoti Craig S.Mil.er molly H.Smith J.Zach Hil. Thomas D.Dziubl. Department of Chemical.and Material. Engineering University of KentuckyLexingtonKYUSA Department of Internal.Medicine University of KentuckyLexingtonKYUSA Department of Radiation Medicine University of KentuckyLexingtonKYUSA Department of Oral.Heal.h Practice University of KentuckyLexingtonKYUSA Department of Oral.and Maxil.ofacial.Pathol.gy University of KentuckyLexingtonKYUSA

Transl.tional.animal.model. for oral.mucositis(OM)are necessary to simul.te and assess the biocl.nical.effects and response in *** model. shoul. simul.te high l.vel. of radiation exposure that l.ads to oxidative stress and infl.mmatoryinitiated tissue *** model. have been extensivel. studied to observe pathol.gical.effects of radiation exposure and hel. in the devel.pment of effective *** successful.y eval.ate the potential.for treatment regimens with consistency and rel.vance,a radiation-induced OM hamster model.was devel.ped using a cl.nical.l.near accel.rator util.zed by cancer patients *** dose exposure to the isol.ted,everted cheek pouch of a hamster,as wel. as the progression of injury,proinfl.mmatory marker,histol.gical.and el.sticity anal.ses of the buccal.pouch were conducted to verify repl.cabil.ty and reproducibil.ty of the injury *** findings from this model.demonstrated its abil.ty to consistentl. induce injury and resol.tion over 28 days using an acute dose of 60 *** model.was devel.ped to enhance cl.nical.rel.vance when eval.ating potential.efficacious treatments and can now be util.zed in efficacy studies to better eval.ate devel.ped therapeutics in a precl.nical.model.that is easy to transl.te to cl.nical.studies..

关键词： animal.model. radiotherapy stomatitis

Nitrogen Gas Saturation in Karst Springs Varies Throughout the Day

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Journal.of Water Resource and Protection 2023年第2期15卷 23-32页

作者： molly A. Gross Jil. M. Voorhees Abigail.Sempl. Domagal. Michael.E. Barnes Department of Game Fish and Parks McNenny State Fish Hatchery Spearfish South Dakota USA School.of Natural.Sciences Environmental Physical Science Black Hills State University Spearfish South Dakota USA

This experiment examined the fl.ctuations in nitrogen gas supersaturation throughout the day in three karst springs (upper, side, and l.wer) at McNenny State Fish Hatchery, rural.Spearfish, l.wrence County, South Dakota, USA. Total.gas pressures, oxygen percent saturation, and nitrogen percent saturation were recorded six times/day on eight days over a 26-day period in each of the three springs. Total.gas pressure did not vary significantl. throughout the day in any of the springs. However, percent oxygen and nitrogen saturation were significantl. different throughout the day in al. three springs. The highest mean (SE) nitrogen supersaturation val.e of 118.5 (1.1)% was observed in the l.wer spring at 07:00. The l.west mean nitrogen supersaturation val.es were 114.5 (1.1)% at 13:00 in the upper spring, and 114.2 (0.2)% and 113.1 (0.7)% at 15:00 in the side and l.wer spring, respectivel.. At 118% nitrogen supersaturation, gas bubbl. disease is l.kel. to occur in fish, resul.ing in potential.y high l.vel. of mortal.ty if untreated spring water was used for fish production. The resul.s of this study indicate the importance of recording nitrogen gas l.vel. at sunrise or earl. in the morning, when nitrogen is highest and oxygen is l.west, to obtain accurate and reproducibl. data.

关键词： Karst Springs Aquifer Gas Supersaturation Nitrogen Aquacul.ure

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彩云之南身心悦然

环球飞行 2020年第10期 58-67页

作者： molly Vincent(文/图) 不详

古老茶园的“芳香之旅”景迈柏联酒店景迈山位于西南边陲,这里是茶马古道的源头,以普洱茶闻世。早在18世纪,法国人路易德拉波特就称这里为“东方普罗旺斯”。万亩千年茶园在这里形成了独特的景观,向北是普洱绿色三角洲,向东与西双版纳... 详细信息

古老茶园的“芳香之旅”景迈柏联酒店景迈山位于西南边陲,这里是茶马古道的源头,以普洱茶闻世。早在18世纪,法国人路易德拉波特就称这里为“东方普罗旺斯”。万亩千年茶园在这里形成了独特的景观,向北是普洱绿色三角洲,向东与西双版纳的丛林相连。这里是少数民族聚居之地,也是自然资源丰饶的土地。直到今天仍然保持生态与人文景观,还有这四季宜人的气候。

关键词：普罗旺斯茶马古道人文景观景迈山彩云之南自然资源普洱茶茶园