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A Randomized Prospective Assessment of Safety and Effectiveness of Instillation of Tissue Plasminogen Activator in the Management of Intra-Abdominal Abscesses

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Open Journal of Radiology 2016年第3期6卷 202-209页

作者： Suhas A. kotecha Murray R. Asch Andrew J. myers Dheeraj k. Rajan Department of Medical Imaging Faculty of Medicine University of Toronto Toronto ON Canada Division of Interventional Radiology University Health Network University of Toronto Toronto ON Canada Department of Radiology Lakeridge Health Oshawa ON Canada

Purpose: Catheter drainage of intra-abdominal abscesses has shown to be effective in reducing sepsis and mortality. We sought to determine whether or not tissue plasminogen activator (tPA), a fibrinolytic, is safe and facilitates resolution when used as an adjunct during drainage of intra-abdo-minal abscesses. Methods: A single-blinded, prospective, multi-center, randomized control trial was performed on patients presenting with image confirmed abscesses;the first group (n = 24) received catheter-directed tPA of their abscess and the second group (n = 23) had their abscess drained without tPA instillation. Variables examined included patient age, gender, location of the abscess, pre-drainage volumes and size of catheters inserted. Baseline variables were compared between tPA and non-tPA groups using a chi-square test for discrete variables and a Wilcoxon ra.k.sum test for continuous variables and for the outcome of drainage volume. Results: Technical success of the drainage procedures was 100% for both groups. The tPA group had higher volume of drainage over the first three days (median for total after 3 days: without tPA: 300 mL vs. with tPA: 322 mL, p = 0.42). At days 4 to 7 the tPA group had significant greater drainage volume than did the non-tPA patient group, 150 mL vs. 110 mL (p = 0.046). The number of days to resume diet was also assessed in the 20 patients where this datum was available, 11 tPA and 9 non-tPA with no difference between groups. No adverse events, such as localized or systemic bleeding were encountered. Conclusion: Instillation of tPA into catheter directed intra-abdominal abscesses was safe, easy to perform and was associated with significantly improved drainage of abscesses from days 4 -7.

关键词： Abscess Catheter Drainage Hemorrhage

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Effect　of　OH－　on　Fluorescence　Lifetime　and　Laser　Performance　of　Er3＋　Glass

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Chinese Journal of Lasers 1995年第4期B4卷 307-312页

作者： (Also with Shanghai institute of Optics and Fine Mechanics, Academia Sinica, Shanghai 201800,China)JIANG Yasi Daniel Rhonehouse WU Ruikun Michael J. myers John D. myers(kigre, Inc., Hilton Head, SC 29926, USA, 803-681-5800 Fax: 803-681-4559) kigre Inc Hilton Head United States

ＥｆｆｅｃｔｏｆＯＨ－ｏｎＦｌｕｏｒｅｓｃｅｎｃｅＬｉｆｅｔｉｍｅａｎｄＬａｓｅｒＰｅｒｆｏｒｍａｎｃｅｏｆＥｒ３＋Ｇｌａｓｓ￥(ＡｌｓｏｗｉｔｈＳｈａｎｇｈａｉｉｎｓｔｉｔｕｔｅｏｆＯｐｔｉｃｓａｎｄＦｉｎｅＭｅｃ... 详细信息

ＥｆｆｅｃｔｏｆＯＨ－ｏｎＦｌｕｏｒｅｓｃｅｎｃｅＬｉｆｅｔｉｍｅａｎｄＬａｓｅｒＰｅｒｆｏｒｍａｎｃｅｏｆＥｒ３＋Ｇｌａｓｓ￥(ＡｌｓｏｗｉｔｈＳｈａｎｇｈａｉｉｎｓｔｉｔｕｔｅｏｆＯｐｔｉｃｓａｎｄＦｉｎｅＭｅｃｈａｎｉｃｓ，Ａｃａｄｅｍｉ?..

关键词： Erbium glass laser eye-safe laser

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1型糖尿病患者发生慢性高血压新的危险因素

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中华高血压杂志 2011年第1期19卷 81-83页

作者： Sahakyan k klein BE myers CE Tsai MY klein R 叶鹏(译) Unknown unit

高血压在患糖尿病的个体中显著地增加他们发生并加速肾脏病、视网膜病变和心血管疾病的发病率和死亡率的风险与过程。以前关于1型或2型糖尿病患者中患高血压的风险研究显示一些传统的指标如年龄、性别、体质量指数（body mass index，BM... 详细信息

高血压在患糖尿病的个体中显著地增加他们发生并加速肾脏病、视网膜病变和心血管疾病的发病率和死亡率的风险与过程。以前关于1型或2型糖尿病患者中患高血压的风险研究显示一些传统的指标如年龄、性别、体质量指数（body mass index，BMI）、吸烟状况、血糖控制状况以及异常的血脂水平和高血压的发病有关。

关键词：慢性高血压 1型糖尿病危险因素患者心血管疾病视网膜病变 2型糖尿病体质量指数

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The Chemical Industry: Shaping the 21st Century

The Chemical Industry: Shaping the 21st Century

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第四届中美化学工程会议和第三届中日化工研讨会合并的三边化学工程大会

作者： Rich myers The Dow Chemical Company USA

Dr. Rich myers, vice president of Research and Development for Performance Chemicals and Thermosets, The Dow Chemical Company, will discuss trends in the global chemical industry and the impact of these trends in Asia-Pacific. He will describe the current state of the global chemical industry, with particular focus on science and technology. myers will describe several global mega-trends-including commoditization, industry consolidation, sustainable development, global regulatory frameworks, and the demand for measurable returns on investment from R&D. He will provide analysis and insight on how these global trends will play out in Asia-Pacific. myers also will discuss the role of science, technology and innovation in growth of the chemical industry. He will compare corporate strategies for maximizing the value from innovation and R&D.

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Pockety Women Unite?

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英语学习 1994年第2期 60-62页

作者： Jane myers 沈学文

Pockets are what women need more *** women’s move-ment in the past decade has made giant strides in achievinggreater social justice for females,but there’s a great deal of workyet to be *** it can’t be done without pockets. It has been commonly thought that men get the best jobs andmake the most money and don’t have to wash the dinner dishes

关键词： Pockety Women Unite

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社会心理学

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作者： (美)戴维·迈尔斯(David G.myers)

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The treatment of streptococcal tonsillitis/ pharyngitis in young children

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2021年第3期7卷 161-165页

作者： Laura Norton Angela myers University of Minnesota Medical School USA Pediatrics Children’s Mercy Hospital USA

Pharyngitis is common in children,accounting for nearly 12 million visits annually in the United *** pyogenes or group A streptococcus(GAS)is the most common bacterial cause of pharyngitis for which antibiotics are *** treatment of streptococcal pharyngitis virtually eliminates the presence of bacteria from the pharynx and thus removes the risk of subsequent rheumatic *** is spread from person to person via respiratory droplets with a short incubation period of 2~5 *** pharyngitis peaks in the late winter and early spring months when children are predominately indoors for school and *** is also higher in winter months,and while up to 20%of school age children are colonized with GAS in their throat during this time,colonization has not been shown to contribute to the spread of *** low-and middle-income countries and other situations in which crowding is common(e.g.,schools),outbreaks of pharyngitis are *** pharyngitis can occur at all ages and it is most common in school-aged children with a peak at 7~8 years of *** caused by GAS is rare in children<3 years of age and becomes much less common in late adolescence through adulthood.

关键词： Tonsillitis Streptococcal tonsillitis Pharyngitis

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Strategic Project Management to Use the Grand Challenge Scholars Program to Address Urban Infrastructure

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Frontiers of Engineering Management 2016年第3期3卷 203-205,297-298页

作者： David A.Wyrick Warren myers American Society for Engineering Management Statler College of Engineering and Mineral Resources West Virginia University Statler College of Engineering and Mineral Resources West Virginia University

Throughout the world, infrastructure to support cities is critical to support sustainable and responsible economic development. This can include new infrastructure projects in the case of growing areas. It can also include the renewal and upgrading of existing infrastructure in areas that have been inhabited and already developed. Infrastructure includes roads, bridges and transportation systems; power grids and energy service;internet and telecommunications; and water and sewer services. This development can be part of a system of systems, in which government, industries, and universities can contribute knowledge, skills, and abilities. This paper will investigate the strategic project management taken by one university to provide an academic experience that will prepare engineering students to address several of the Grand Engineering Challenges of the 21 st Century, as identified by the US National Academy of *** challenges relating to energy, water, information, and urban infrastructure can be approached using the functions of teaching, research, and service. By approaching the challenges strategically, resources of faculty time, student effort and laboratory facilities can be leveraged to achieve greater results. This case study will describe the efforts and results to date and identify opportunities for future growth.

关键词： Grand Challenges urban infrastructure development engineering management system of systems strategic management engineering management case study

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Elevated Stream Pathogenic Indicator Bacteria Concentrations in Livestock Grazing Areas across a Single National Forest

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Natural Resources 2017年第10期8卷 657-670页

作者： Lindsey myers Megan Fiske Megan Layhee Central Sierra Environmental Resource Center Twain Harte CA USA

Livestock presence in proximity to forest streams has been shown to contribute pathogenic bacteria in excess of water quality standards established to protect human health. However, the degree to which livestock fecal contamination in streams on national forest lands is either a limited or a potentially widespread occurrence is still debated. This study provides additional insight into the matter. We analyzed water in small streams near known cattle grazing areas within the Stanislaus National Forest in the Sierra Nevada, California from 2012 to 2016. Fourteen stream sites were sampled before and after cattle were released onto the forest (four of these sites were sampled across multiple years) to compare indicator bacteria concentrations (fecal coliform—FC, Escherichia coli—EC) to standards established for recreational contact for surface waters. One control site was also sampled. There were 194 water quality violations of either state or federal regulatory standards for recreational contact, all of which occurred once cattle were on the forest. Mean (max) FC and EC concentrations were on orders of magnitude higher after cattle were released onto the forest [FC 1307 (30,000) and EC 1033 (17,000) MPN/100 mL] than during the time period before cattle were on the forest [FC 19 (220) and EC 17 (220) MPN/100 mL;FC, F1,210 = 105, p 1,210 = 85.5, p 0.001]. In addition, the presence of cattle, visual evidence of recent cattle-related disturbances, and sampling week were important predictor variables of FC and EC. These findings support the link between cattle presence and increased levels of stream pathogenic bacteria, and also demonstrate that stream pathogenic bacteria pollution occurs widely across the forest. This research indicates the need to consider alternative range management practices to better protect water quality and human health.

关键词： Cattle Escherichia coli Fecal Coliform Sierra Nevada Water Quality

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Eugene N myers,MD,头颈外科讲座的由来

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中国医学文摘（耳鼻咽喉科学） 2007年第1期22卷 41-42页

作者： Eugene N myers 付维王琪匹斯堡医药大学耳鼻咽喉学系首都医科大学附属北京同仁医院耳鼻咽喉头颈外科北京100730

Eugene N myers,MD,匹兹堡医药大学耳鼻咽喉学系眼耳基金主席及教授.口腔颌面外科学教授,口腔肿瘤中心主任.曾在哈佛大学的眼、耳医院进行培训,并随后师从John Conley教授在头颈外科领域进行了为期一年的研究学习.

关键词：头颈外科讲座 MD 资金组织

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