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作者： (snyder Scott)斯奈德

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猫头鹰王国. 守卫者传奇

猫头鹰王国. 守卫者传奇

The Use of Trans-Esophageal Electrophysiology Study to Identify a High Risk Asymptomatic Wolff parkinson White Syndrome patient

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作者： Zack snyder eng

来源：畅想之星图书光盘版（南... 评论

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Open Journal of pediatrics 2014年第3期4卷 231-235页

作者： Manoj Gupta Walter Hoyt Christopher S. snyder Division of pediatric Cardiology Department of Pediatrics Rainbow Babies and Children’s Hospital Cleveland OH USA Division of pediatric Cardiology Department of Pediatrics School of Medicine University of Virginia Charlottesville VA USA

patients with a Wolff-parkinson-White (WpW) pattern on their ECG can experience symptoms such as syncope, palpitations, supraventricular tachycardia, and atrial fibrillation, or they can be asymptomatic (aWpW). All patients with WpW, regardless of the presence or absence of symptoms, are at risk of sudden death. Therefore, it is recommended that younger patients with WpW undergo studies to determine their risk. We report a previously asymptomatic WpW patient identified as high risk for sudden death due to?rapid conduction down her accessory pathway during atrial fibrillation induced during a trans-esophageal electrophysiology study.

关键词： Wolff-parkinson-White Syndrome Risk Assessment

Sgr B2中处于振动激发态的CH_3CN分子

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天文学报 1998年第1期39卷 35-39页

作者：缪妍缇曾琴 L.E.snyder 美国伊利诺伊斯大学天文系 urbanail61801 中国科学院紫金山天文台

使用BIMA的C位形混合波寻联结9元天线阵，对SgrB2（N）和SgrB2（M）观测了CH3CN分子振动激发态v8＝1的6k－5k线系.仅在SgrB2（N）的10＂×14＂区域里探测到上述发射线．在8．5kpe的距离下，该区域的相应线尺寸是0．41pc×0．58pc．对于S... 详细信息

使用BIMA的C位形混合波寻联结9元天线阵，对SgrB2（N）和SgrB2（M）观测了CH3CN分子振动激发态v8＝1的6k－5k线系.仅在SgrB2（N）的10＂×14＂区域里探测到上述发射线．在8．5kpe的距离下，该区域的相应线尺寸是0．41pc×0．58pc．对于SgrB2（M）没有探测到高于均方根噪音的发射流量密度．经粗略地估计，SgrB2（N）区的振动激发温度约为300K．针对此线系的激发机制以及SgrB2（N）区和SgrB2（M）区物理条件之间的差别进行了讨论．

关键词：恒星形成 SgrB2区星陆分子振动激发态

Microstructure and composition engineering Yb single-filled CoSb_(3) for high thermoelectric and mechanical performances

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Journal of Materiomics 2019年第4期5卷 702-710页

作者： Zhenxing Zhou Matthias T.Agne Qihao Zhang Shun Wan Qingfeng Song Qing Xu Xiaofang Lu Shijia Gu Yuchi Fan Wan Jiang Gerald Jeffrey snyder Lianjun Wang State Key Laboratory for Modification of Chemical Fibers and polymer Materials College of Materials Science and EngineeringDonghua UniversityShanghai201620China Department of Materials Science and Engineering Northwestern UniversityEvanstonIL60208USA State Key Laboratory of High performance Ceramics and Superfine Microstructure Shanghai Institute of CeramicsChinese Academy of SciencesShanghai200050China Center for High pressure Science and Technology Advanced Research(HpSTAR) Shanghai201203China University of Chinese Academy of Sciences 19 Yuquan RoadBeijing100049China Institute of Functional Materials Donghua UniversityShanghai201620China School of Material Science and Engineering Jingdezhen Ceramic InstituteJindezhen333000China

A broad tunability of the thermoelectric and mechanical properties of CoSb_(3) has been demonstrated by adjusting the composition with the addition of an increasing number of ***,such a strategy may negatively impact processing repeatability and composition *** this work,singleelement-filled skutterudite is engineered to have high thermoelectric and mechanical *** Yb filling fraction is found to increase phonon scattering,whereas cryogenic grinding contributes additional microstructural scattering.A peak zT of 1.55 and an average zT of about 1.09,which is comparable to the reported results of multiple-filled SKDs,are realized by the combination of simple composition and microstructure ***,the mechanical properties of Yb single-filled CoSb_(3) skutterudite are improved by manipulation of the microstructure through cryogenic *** findings highlight the realistic prospect of producing high-performance thermoelectric materials with reduced compositional complexity.

关键词： Skutterudites Thermoelectric material Compositional complexity Microstructure engineering Cryogenic grinding

Mochi: Composing Data Services for High-performance Computing Environments

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Journal of Computer Science & Technology 2020年第1期35卷 121-144页

作者： Robert BRoss George Amvrosiadis philip Carns Charles DCranor Matthieu Dorier Kevin Harms Greg Ganger Garth Gibson Samuel KGutierrez Robert Latham Bob Robey Dana Robinson Bradley Settlemyer Galen Shipman Shane snyder Jerome Soumagne Qing Zheng Argonne National Laboratory LemontIL 60439U.S.A parallel Data Laboratory Carnegie Mellon UniversityPittsburghPA 15213U.S.A Vector Institute for Artificial Intelligence TorontoOntarioCanada Los Alamos National Laboratory Los Alamos NMU.S.A The HDF Group Champaign ILU.S.A

Technology enhancements and the growing breadth of application workflows running on high-performance computing(HpC)platforms drive the development of new data services that provide high performance on these new platforms,provide capable and productive interfaces and abstractions for a variety of applications,and are readily adapted when new technologies are *** Mochi framework enables composition of specialized distributed data services from a collection of connectable modules and *** than forcing all applications to use a one-size-fits-all data staging and I/O software configuration,Mochi allows each application to use a data service specialized to its needs and access *** paper introduces the Mochi framework and *** Mochi core components and microservices are *** of the application of the Mochi methodology to the development of four specialized services are ***,a performance evaluation of a Mochi core component,a Mochi microservice,and a composed service providing an object model is *** paper concludes by positioning Mochi relative to related work in the HpC space and indicating directions for future work.

关键词： storage and I/O data-intensive computing distributed services high-performance computing

pediatric post-Operative Atrio-Ventricular Block Meets the Affordable Care Act: A New Strategy for Management

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Open Journal of pediatrics 2017年第3期7卷 118-127页

作者： Melissa L. Morello Joan S. Steinberg Christopher snyder Division of pediatric Cardiology Rainbow Babies & Children’s Hospital Case Western Reserve University School of Medicine Cleveland OH USA School of public Health and Tropical Medicine Tulane University New Orleans LA USA

Introduction: post-operative (post-op) complete atrio-ventricular heart block (CAVB) occurs after 1% - 4% of pediatric cardiac operations. Current practice dictates implantation of permanent pacemaker (ppM) when post-op CAVB persists >9 days. We propose that earlier ppM implantation may be the most cost-effective methodology since patient costs increase with extended length of stay (LOS). Methods: Data on the probabilities of persistent post-op CAVB were extracted from published reports. No individual patient data were utilized during this study. This was utilized to create a decision-making model and a total cost analysis on post-op day 0 - 10 to determine the most cost-efficient day to implant a ppM. Cost variables included estimates of daily cardiac ICU care, cost of ppM implantation, LOS, cost related to possible superficial or deep infection based on published prevalence rates (2.3% and 4.9%, respectively) and need for explant due to deep infection or recovery of native conduction. The model assumes 5-day minimum LOS and 1 day increase in LOS with ppM implantation. Cost data were obtained from relevant billing codes and manufacturer list prices for ppM and leads. A secondary analysis evaluated probability of unnecessary ppMs implanted and excess costs. Results: post-op day (pOD) 4 is the lowest total cost of ppM implantation for post-op CAVB, even when accounting for possible risk of either superficial or deep infection. A one-way sensitivity analysis accounting for variability of cardiac ICU care costs between centers ranging from $3000 - $9000 per day consistently replicates pOD 4 as the most cost-effective day for ppM implantation. Implant on pOD 4 results in a 26% chance of unnecessary implantation. Conclusions: The most cost-efficient day for ppM implantation for post-op CAVB is post-op day 4, which results in a minimum total cost savings of $17,422 per patient. Added costs due to risk of superficial or deep infection are marginal due to low prevalence of

关键词： pediatric pacemaker post-Operative Heart Block Atrioventricular Block Cost

Achieving Zero Coronary Artery Bypass Graft Surgical Site Infections for over Four Years: Our Experience Utilizing Bundle Elements, Education, and Audits

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Open Journal of Epidemiology 2022年第2期12卷 102-106页

作者： Mohamed Adawee Ara pridjian Linnea Eifert Chaney Manarin Viviana snyder Infection prevention and Epidemiology Department Sparrow Health System Lansing USA

Background: Surgical site infections (SSI) are expensive and potentially deadly infections;however, with evidence-based infection prevention techniques many can be prevented. The purpose of this quality improvement project is to describe our hospital’s experience achieving zero coronary artery bypass graft (CABG) deep incisional and organ/space SSI incidences from October 2016-July 2021. Methods: To prevent CABG deep incisional and organ/space SSI incidences our Infection prevention and Epidemiology Department along with the Cardiothoracic and Vascular Surgery Department established SSI prevention bundle elements, continuous education, and monthly audits. Results: From quarter one of 2015 through quarter three of 2016 there were three deep incisional or organ/space SSI cases out of 317 CABG procedures. From quarter four of 2016 through quarter two of 2021 there have been 625 CABG procedures, zero of which developed into deep incisional or organ/space SSI incidences. CABG SSI prevention bundle element compliance ranged from 88.2% to 99.6% and operating room environment of care compliance was 94%. Conclusion: Our results show overall improvements in our quarterly CABG SSI SIR from quarter one of 2015 to quarter two of 2021. This experience demonstrates the importance of complying with SSI prevention bundle elements, education, and auditing in reducing and maintaining zero CABG deep incisional and organ/space incidences for over four years.

关键词： SSI CABG Infection

Non-alcoholic Fatty Liver Disease: A Review of Anti-diabetic pharmacologic Therapies

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Journal of Clinical and Translational Hepatology 2018年第2期6卷 168-174页

作者： Heather S.snyder Sami A.Sakaan Katherine L.March Osama Siddique Rosann Cholankeril Carolyn D.Cummings Chiran Gadiparthi Sanjaya K.Satapathy Aijaz Ahmed George Cholankeril Department of pharmacy Methodist University HospitalMemphisTNUSA College of pharmacy University of Tennessee Health Science CenterMemphisTNUSA Department of Medicine Memorial Hospital of Rhode IslandProvidenceRIUSA Roger Williams Medical Center ProvidenceRIUSA Methodist University Hospital Transplant Institute University of Tennessee Health Sciences CenterMemphisTNUSA Division of Gastroenterology and Hepatology Stanford University School of MedicineStanfordCAUSA

Non-alcoholic fatty liver disease(NAFLD),the most common cause of liver disease,affects approximately 75 to 100 million *** with concurrent NAFLD and type 2 dia-betes mellitus have a higher risk of progressing to advanced fibrosis and non-alcoholic steatohepatitis compared to *** modifications,including weight loss,remain the mainstay of treatment for NAFLD,as there are no med-ications currently indicated for this disease ***-diabetic pharmacologic therapies aimed at improving insulin sensitivity and decreasing insulin production have been studied to determine their potential role in slowing the progression of *** this review,we focus on the evidence surrounding anti-diabetic medications and their ability to improve disease progression in patients with NAFLD.

关键词： Non-alcoholic fatty liver disease Non-alcoholic steatohepatitis Diabetes mellitus