检索结果-南通市图书馆

在线全文

学校读者我要写书评

暂无评论

骨关节炎的内科治疗

英国医学杂志中文版 2003年第3期6卷 163-165页

作者： Karen Walker-Bone Kassim Javaid nigel arden Cyrus Cooper 周炜 MRC Environmental Epidemiology Unit University of Southampton Southampton General Hospital Southampton SO16 6YD clinical research fellow MRC Environmental Epidemiology Unit University of Southampton Southampton General Hospital Southampton SO16 6YD senior house officer in rheumatology MRC Environmental Epidemiology Unit University of Southampton Southampton General Hospital Southampton SO 16 6YD senior lectredr in rheumatology MRC Environmental Epidemiology Unit University of Southampton Southampton General Hospital Southampton SO16 6YD professor of rheumatology

骨关节炎是一种常见的慢性肌肉骨骼系统疾病。症状性骨关节炎,尤其是膝关节和髋关节受累,是老年人肌肉骨骼系统残疾的最常见原因。在西方社会,它是损害女性健康的第4位病因,男性是第8位。因为它的高患病率,其治疗必须由初级和高级医疗... 详细信息

骨关节炎是一种常见的慢性肌肉骨骼系统疾病。症状性骨关节炎,尤其是膝关节和髋关节受累,是老年人肌肉骨骼系统残疾的最常见原因。在西方社会,它是损害女性健康的第4位病因,男性是第8位。因为它的高患病率,其治疗必须由初级和高级医疗机构共同承担。对本病的治疗策略中包括了一系列的非手术干预措施。

关键词：骨关节炎内科治疗慢性肌肉骨骼系统疾病非药物治疗物理治疗社会支持

Etiology and management of urethral calculi:A systematic review of contemporary series

在线全文

学校读者我要写书评

暂无评论

Asian Journal of Urology 2024年第1期11卷 10-18页

作者： Andrew Morton Arsalan Tariq nigel Dunglison Rachel Esler Matthew J.Roberts Faculty of Medicine The University of QueenslandBrisbaneQueenslandAustralia Department of Urology Ipswich HospitalQueenslandAustralia Department of Urology Royal Brisbane and Women's HospitalQueenslandAustralia The University of Queensland Centre for Clinical Research HerstonAustralia

Objective:To conduct a systematic literature review on urethral calculi in a contemporary cohort describing etiology,investigation,and management ***:A systematic search of MEDLINE and Cochrane Central Register of Controlled Trials(CENTRAL)databases was ***,including case reports and case series on urethral calculi published between January 2000 and December 2019,were ***-text manuscripts were reviewed for clinical parameters including symptomatology,etiology,medical history,investigations,treatment,and *** were collated and analyzed with univariate ***:Seventy-four publications met inclusion criteria,reporting on 95 *** symptoms(41.1%),pain(40.0%),and acute urinary retention(32.6%)were common presenting *** calculi were most often initially investigated using plain X-ray(63.2%),with almost all radio-opaque(98.3%).Urethral calculi were frequently associated with coexistent bladder or upper urinary tract calculi(16.8%)and underlying urethral pathology(53.7%)including diverticulum(33.7%)or stricture(13.7%).Urethral calculi were most commonly managed with external urethrolithotomy(31.6%),retrograde manipulation(22.1%),and endoscopic in situ lithotripsy(17.9%).Conclusion:This unique systematic review of urethral calculi provided a summary of clinical features and treatment trends with a suggested treatment *** in contemporary urological practice should be according to calculus size,shape,anatomical location,and presence of urethral pathology.

关键词： Urinary calculi Urethra Urethral calculi Management algorithm

The variation of DOM during long distance water transport by the China South to North Water Diversion Scheme and impact on drinking water treatment

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Frontiers of Environmental Science & Engineering 2024年第5期18卷 85-100页

作者： Hankun Yang Yujuan Li Hongyu Liu nigel J.D.Graham Xue Wu Jiawei Hou Mengjie Liu Wenyu Wang Wenzheng Yu State Key Laboratory of Environmental Aquatic Chemistry Key Laboratory of Drinking Water Science and TechnologyResearch Center for Eco-Environmental SciencesChinese Academy of SciencesBeijing100085China School of Environment and Municipal Engineering Qingdao Technological UniversityQingdao266033China Colleges of Forestry Northeast Forestry UniversityHarbin150006China Department of Civil and Environmental Engineering Imperial College LondonSouth Kensington CampusLondonSW7 2AZUK School of Chemistry and Chemical Engineering Beijing Institute of TechnologyBeijing100081China State Key Laboratory of Separation Membrane Processes School of Environment Science and EngineeringTiangong UniversityTianjin300387China

In this study,samples were taken from three locations,upstream to downstream,along the central route project of the China South to North Water Diversion(SNWD)scheme in summer and *** were used to reveal the variations of dissolved organic matter(DOM)during the water transfer process,and the effects of these variations on drinking water treatment and disinfection by-products formation potential(DBPs-FP).The results showed that polysaccharides accumulate in summer and reduce in winter with flow distance,which has an important effect on the overall properties of DOM,as well as on the performance of coagulation,ultrafiltration,and the formation of *** substances,and their hydrophilic content,also increased in summer and decreased in winter with flow *** contrast,the concentration of small organic substances(MW≤1000 Da)increased in both summer and winter with flow distance,which affected both nanofiltration(NF)membrane fouling and *** results provide a useful case study of spatial and temporal changes in raw water DOM during long distance water transfer and their impact on the treatment and quality of drinking water from the SNWD.

关键词： Long-distance water transfer The China South to North Water Diversion Scheme Coagulation Membrane filtration Disinfection by-products

From source to emplacement:The origin of leucogranites from the Sikkim-Darjeeling Himalayas,India

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Geoscience Frontiers 2024年第1期15卷 384-401页

作者： Tanya Srivastava nigel Harris Catherine Mottram Kumar Batuk Joshi Nishchal Wanjari Department of Geology Sikkim UniversityGangtokIndia School of Environment Earth&Ecosystem SciencesOpen UniversityMiltonKeynesUK School of the Environment Geography and GeosciencesUniversity of PortsmouthUK National Centre for Earth Science Studies ThiruvananthapuramKeralaIndia

Himalayan leucogranites are important for understanding the tectonic evolution of collision zones in general and the causes of crustal melting in the Himalayan orogen in *** paper aims to understand the melt source and emplacement age of the leucogranites from Sikkim in order to decipher the deep geodynamic processes of the eastern *** U-Pb analysis of the Higher Himalayan Sequence(HHS)metamorphic core reveals a prolonged period of crustal melting between>33 Ma and ca.14 *** and trace element abundances are presented for 27 leucogranites from North Sikkim that are classified into two-mica and tourmaline leucogranite *** are peraluminous in composition,characterized by high SiO2(70.91-74.9 wt.%),Al2O3(13.69-15.82 wt.%),and low MgO(0.13-0.74 wt.%).Elemental abundances suggest that Sikkim Himalayan leucogranites are derived from crustal *** two-mica leucogranites are derived from a metagreywacke source,whereas the tourmaline leucogranites are sourced from metapelitic sources,with inherited zircons indicating an HHS origin for both types.U-Pb zircon geochronology of the two mica leucogranites indicates ages of ca.19-15 Ma,consistent with crustal melting recorded in HHS gneisses from *** from both the two-mica and tourmaline leucogranites yield a crystallization age of ca.15-14 Ma,coeval with movement on the Main Central Thrust and South Tibetan Detachment System which further provides constraints on the timing and mechanism of petrogenesis of leucogranites in the Sikkim Himalayas.

关键词： Leucogranites Gneiss U-Pb geochronology Zircon Monazite Sikkim-Darjeeling Himalayas

Enhancing the clinical relevance of haemorrhage prediction models in trauma

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Military Medical Research 2024年第3期11卷 467-468页

作者： Sankalp Tandle Jared M.Wohlgemut Max E.R.Marsden Erhan Pisirir Evangelia Kyrimi Rebecca S.Stoner William Marsh Zane B.Perkins nigel R.M.Tai Centre for Trauma Sciences Blizard InstituteQueen Mary University of LondonLondon E12ATUK The Royal London Hospital Barts Health NHS TrustLondon E11FRUK Academic Department of Military Surgery and Trauma Research and Clinical InnovationThe Royal Centre for Defence MedicineBirmingham B152WBUK Department of Electronic Engineering and Computer Science Queen Mary University of LondonLondon E14NSUK

We read with interest the recent systematic reviewaArtificial intelligence and machine learning for hemorrhagic trauma careoby Peng et al.[1],which evaluated literature on machine learning(ML)in the management of trau... 详细信息

关键词： Trauma Injury Blood transfusion Massive transfusion Prediction Artificial intelligence Machine learning

在线全文

学校读者我要写书评

暂无评论

拉纳酒店及拉纳住宅公寓

世界建筑导报 2024年第3期39卷 123-126页

作者： nigel Young(摄) AHMED ALNAJI(摄) Cai Yunpu(摄) 福斯特建筑事务所

位于迪拜市中心和迪拜设计区(Dubai Design District)之间的马拉西码头(Marasi Marina)边缘的新滨海区域将成为这座城市的主要奢华生活方式目的地。新开发项目坐落在一条12公里长的海滨长廊的中心,长廊内设有浮动别墅和宽敞的游艇泊位... 详细信息

位于迪拜市中心和迪拜设计区(Dubai Design District)之间的马拉西码头(Marasi Marina)边缘的新滨海区域将成为这座城市的主要奢华生活方式目的地。新开发项目坐落在一条12公里长的海滨长廊的中心,长廊内设有浮动别墅和宽敞的游艇泊位。横穿开发项目的七个垂直花园是设计的环境和社会焦点。每个花园都创造了一种新的生活方式体验,丰富了客人和居民的生活。整座建筑被抬离地面,在码头和通往建筑的道路之间建立了视觉联系,同时在场地中间创造了一个景观公共空间。新长廊两侧林立着商店、餐馆和咖啡馆,被称为海滨花园,为海滨边缘增添了活力。

关键词：公共空间垂直花园住宅公寓咖啡馆滨海区域奢华生活拉纳酒店

A cluster line approach to finding new Fe-B-Y-Nb-Zr bulk metallic glasses

在线全文

学校读者我要写书评

暂无评论

International Journal of Minerals,Metallurgy and Materials 2007年第S1期15卷 26-30页

作者： nigel Pemberton-Pigott State Key Laboratory of Materials Modification Dalian University of Technology

The glass forming ability of the [(Fe12/13Y1/13)100?xBx]96Nb2Zr2 (x=9–26) system was investigated using a series of cluster lines. Three types of clusters, an icosahedron (Fe12Y), a capped Archimedes anti-prism (Fe8B3) and a capped trigonal prism (Fe9B), as well as a binary eutectic (Fe83B17) were considered. Bulk glassy alloy rods of 3 mm in diameter were synthesized using a copper mold suction-casting method. The glass transition temperature was observed for all samples in the boron range of 15.9at%-25.7at%, with the alloy at 15.9at% of boron having the best thermal properties. The ferrous-based bulk metallic glasses (BMG) obtained have high reduced glass transition temperatures with the maximum reaching 0.63 and large supercooled liquid regions with the maximum reaching 111 K. Magnetic testing revealed a large value of coercive force and remanent magnetization, being 11 kA/m and 0.1 T, re- spectively.

关键词： bulk metallic glasses Fe-B-Y-Nb-Zr alloys composition design cluster line

Teasing apart socially-induced infertility in non-reproductive female Damaraland mole-rats, Fukomys damarensis (Rodentia:Bathyergidae)

在线全文

学校读者我要写书评

暂无评论

Integrative Zoology 2011年第4期6卷 311-320页

作者： nigel C.BENNETT Department of Zoology and Entomology University of PretoriaPretoriaSouth Africa and Mammals ChairDepartment ofZoologyKing Saud UniversityRiyadhSaudi Arabia

The Damaraland mole-rat is a subterranean mammal exhibiting extreme reproductive skew with a single reproductive female in each colony responsible for ***-reproductive female colony members are physiologically suppressed while in the colony,exhibiting reduced concentrations of plasma luteinizing hormone(LH)and a decreased response of the pituitary,as measured by the release of bioactive LH,to an exogenous dose of gonadotrophin releasing hormone(GnRH).Removal of the reproductive female from the colony results in an elevation of LH and an enhanced response of the pituitary to a GnRH challenge in non-reproductive females comparable to reproductive females,implying control of reproduction in these individuals by the reproductive *** Damaraland mole-rat is an ideal model for investigating the physiological and behavioral mechanisms that regulate the hypothalamo-pituitary-gonadal *** contrast,we know less about the control of reproduction at the level of the *** immunohistochemistry of the GnRH system of both reproductive and non-reproductive female Damaraland mole-rats has revealed no significant differences with respect to morphology,distribution or numbers of immunoreactive GnRH *** examined whether the endogenous opioid peptide beta-endorphin was responsible for the inhibition of the release of the GnRH from the neurons indirectly by measuring LH concentrations in these non-reproductive females following single,hourly and 8 hourly injections of the opioid antagonist *** results imply that the endogenous opioid peptide,beta-endorphin,is not responsible for the inhibition of GnRH release from the perikarya in non-reproductive *** data examining the circulating levels of cortisol also do not support a role for circulating *** possible role of kisspeptin is discussed.

关键词： Bathyergidae mole-rat reproduction social suppression

Hepatocellular carcinoma:Defining the place of surgery in an era of organ shortage

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 2008年第28期14卷 4445-4453页

作者： Adam Bartlett nigel Heaton Institute of Liver Studies Kings College School of Medicine at Kings College HospitalDenmark HillCamberwellLondonSE5 9RSUnited Kingdom

Liver resection (LR) and transplantation offer the only potential chance of cure for patients with hepatocellular carcinoma (HCC). Historically, all patients were treated by hepatic resection. With the advent of liver transplantation (LT) patients with HCC were preferentially placed on the waiting list for LT. However, early experience with LT was associated with a high rate of tumour recurrence and poor long-term survival. The increasing scarcity of donor livers resulted in restrictions being placed on tumour size, and an improvement in patient survival. To date there have been no randomised clinical trials comparing LR to LT. We review the evidence supporting LR and/or LT for HCC and discuss the role of neoadjuvant therapy. The decision of whether to resect or transplant remains debatable and is often determined by centre experience, availability of LT and donor organs.

关键词： Hepatocellular carcinoma Liver transplantation Liver resection Adjuvant therapy Salvage liver transplantation Radiofrequency ablation Transarterial chemoembolization