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Self-reported participation restrictions in normal hearing individuals in thyroid ontogeny: Evidence of subclinical changes

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Journal of Otology 2019年第1期14卷 6-11页

作者： Caio Le?nidas Oliveira de Andrade Gabriela Carvalho Machado Luan Paulo Franco Magalh?es Elen Pereira de Jesus Elaine Alves Matias Taíse Lima de Oliveira Cerqueira Hélida Braga de Oliveira Luciene da cruz Fernandes Helton Estrela Ramos Crésio de Arag?o Dantas Alves Postgraduate Program in Interactive Processes of Organs and Systems Institute of Health Science–Federal University of Bahia department of Life Sciences University of the State of Bahia Social Services Sister Dulce Institute of Health Science–Federal University of Bahia department of Speech Therapy Institute of Health Science–Federal University of Bahia department of Bioregulation Health & Sciences Institute Federal University Bahia (UFBA) Medical School Institute of Health Science–Federal University of Bahia

Purpose: To verify evidence of subclinical alterations through self-reported participation restrictions in normal hearing individuals and congenital hypothyroidism ***: An analytical, quantitative, cross-sectional exploratory study with a 1:1 ratio, consisting of a convenience sample of 86 normal hearing individuals with(n = 42) and without(n = 44) congenital hypothyroidism diagnosis. All participants underwent tonal and speech audiometry, immitance and distortion product otoacoustic emissions. The researchers excluded people with hearing loss, genetic syndromes and metabolic diseases. The instrument used for evaluate of self-reported participation restrictions was the HHIE-adapted questionnaire, composed of 25 questions, 12 of which were social domain and 13 emotional domain. Student's ttest and chi-square test were used for statistical analysis at a significance level of 5%.Results: There was a significant(p derate(40.5%)and higher prevalence of association with clinical factors and adherence to ***: The findings indicate that self-reported participation restrictions in normal hearing individuals with congenital hypothyroidism was more significant than in the non-exposed group, suggesting evidence of subclinical auditory abnormalities in this population.

关键词： Hearing Hearing loss Auditory perception Congenital hypothyroidism Surveys and questionnaires

Immunization with Cop-1 promotes neuroprotection and neurogenesis after ischemic stroke

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Neural Regeneration Research 2015年第11期10卷 1733-1734页

作者： Yolanda cruz Paola Suárez-Meade Antonio Ibarra Facultad de Ciencias de la Salud Universidad Anáhuac México Norte Av.Universidad Anáhuac No.46 Col.Lomas Anáhuac C.P.52786 Huixquilucan Edo.de México Proyecto CAMINA A.C. Tlalpan No.4430 Col.Toriello Guerra C.P.14050México City México

Cerebrovascular diseases are considered to be amongst the most serious public health issues,since they are the third leading cause of death（WHO,2014）and the most common cause of disability *** monetary significance is evidenced by the economic burden imposed on health care systems,given that the cost of medical care for a patient that has suffered a stroke is around$25,741US dollars every 5 years（Luengo-Fernandez et al.,2012）.A stroke occurs as a result of a disturbance or interruption of cerebral blood flow that significantly reduces the supply of oxygen and glucose to the neural tissue. Consequently, several cell death mechanisms （secondary lesion mechanisms） such as necrosis, excitotoxicity, free radical production and inflammation are triggered （Castillo, 2000）.

关键词： Immunization with Cop-1 promotes neuroprotection and neurogenesis after ischemic stroke BDNF Figure

Insulin:A connection between pancreaticβcells and the hypothalamus

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World Journal of Diabetes 2023年第2期14卷 76-91页

作者： Brenda de la cruz Concepción Yaccil Adilene Flores Cortez Martha Isela Barragán Bonilla Juan Miguel Mendoza Bello Monica Espinoza Rojo Molecular and Genomic Biology Laboratory Faculty of Chemical-Biological SciencesAutonomous University of GuerreroChilpancingo 39070GuerreroMexico

Insulin is a hormone secreted by pancreaticβ*** concentration of glucose in circulation is proportional to the secretion of insulin by these *** target cells,insulin binds to its receptors and activates phosphatidylinositol-3-kinase/protein kinase B,inducing different mechanisms depending on the cell *** the liver it activates the synthesis of glycogen,in adipose tissue and muscle it allows the capture of glucose,and in the hypothalamus,it regulates thermogenesis and *** in insulin function[insulin resistance(IR)]are related to the development of neurodegenerative diseases in obese ***,in obesity and diabetes,its role as an anorexigenic hormone in the hypothalamus is diminished during ***,hyperphagia prevails,which aggravates hyperglycemia and IR further,becoming a vicious circle in which the patient cannot regulate their need to *** calorie intake induces an increase in reactive oxygen species,overcoming cellular antioxidant defenses(oxidative stress).Reactive oxygen species activate stress-sensitive kinases,such as c-Jun Nterminal kinase and p38 mitogen-activated protein kinase,that induce phosphorylation in serine residues in the insulin receptor,which blocks the insulin signaling pathway,continuing the mechanism of *** brain and pancreas are organs mainly affected by oxidative *** use of drugs that regulate food intake and improve glucose metabolism is the conventional therapy to improve the quality of life of these ***,the use of antioxidants that regulate oxidative stress has given good results because they reduce oxidative stress and inflammatory processes,and they also have fewer side effects than synthetic drugs.

关键词： Insulin Pancreas Hypothalamus Hyperphagia Hyperglycemia Stress

Phylogenetic endemism of the orchids of Megamexico reveals complementary areas for conservation

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Plant Diversity 2022年第4期44卷 351-359页

作者： Brandon E.Gutierrez-Rodríguez Marilyn Vasquez-cruz Victoria Sosa Instituto de Ecología AC Carretera Antigua a Coatepec 351El Haya91073 XalapaVeracruzMexico Unidad de Genomica Avanzada Laboratorio Nacional de Genomica para La BiodiversidadCentro de Investigaciony Estudios Avanzados IrapuatoLibramiento Norte Carretera Leon Km.9.636821 IrapuatoGuanajuatoMexico

Orchid diversity provides a unique opportunity to further our understanding of biotic and abiotic factors linked to patterns of richness,endemism,and phylogenetic endemism in many ***,orchid diversity is consistently threatened by illegal trade and habitat ***,we identified areas critical for orchid conservation in the biogeographic province of *** this purpose,we evaluated orchid endemism,phylogenetic diversity,and phylogenetic endemism within Megamexico and characterized orchid life *** results indicate that the majority of the regions with the highest estimates of endemism and phylogenetic endemism are in southern Mexico and northern Central America,mostly located on the Pacific side of *** the most important orchid lineages,several belong to epiphytic lineages such as Pleurothallidinae,Laeliinae and *** also found that species from diverse and distantly related lineages converge in montane forests where suitable substrates for epiphytes ***,the southernmost areas of phylogenetic diversity and endemism of Megamexico are in unprotected ***,we conclude that the most critical areas for orchid conservation in Megamexico are located in southern Mexico and northern Central *** recommend that these areas should be given priority by the Mexican system of natural protected areas as complementary conservation areas.

关键词： Epiphytes Geophytes Orchids Phylogenetic endemism Weighted endemism

Low dose oral haloperidol does not prolong QTc interval in older acutely hospitalised adults： a subanalysis of a randomised double-blind placebo-controlled study

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Journal of Geriatric Cardiology 2018年第6期15卷 401-407页

作者： Edmee JM Schrijver Maaike Verstraaten peter M van de Ven Pierre M Bet Astrid M van Strien Carel de Cock Prabath WB Nanayakkara on behalf of all HARPOON Investigators department of Internal Medicine VU University Medical Centre Amsterdam the Netherlands department of Cardiology VU University Medical Centre Amsterdam the Netherlands department of Epidemiology and Biostatistics VU University Medical Centre the Netherlands department of Clinical Pharmacology and Pharmacy VU University Medical Centre the Netherlands department of Geriatric Medicine Jeroen Bosch Hospital s-Hertogenbosch the Netherlands

Background Haloperidol is the most frequently prescribed antipsycbotic for delirium symptoms. The risk of QTc prolongation often raises concerns, although the effect of haloperidol on QTc interval has not yet been investigated in a randomised placebo-controlled fixed-dose study. Methods A subanalysis of a randomised double-blind placebo-controlled study was conducted to evaluate the effect of prophylactic haloperidol 1 mg or placebo 1 mg orally twice-daily （maximum of 14 doses） on QTc interval in patients aged 70 years and over. Bedside, 12-lead ECGs were recorded before, during and after the one-week intervention period. Automatic QTc measurements were ob- tained in addition to manual measurements of QT and RR intervals, blinded for treatment status. Manual measurements were corrected （QTc） using Bazett （QTc-B）, Framingham （QTc-Fa）, Fridericia （QTc-Fi） and Hodges （QTc-H） methods. Mixed model analyses were used to test for differences in longitudinal course of QTc between patients receiving haloperidol and placebo. Results ECG recordings of 72 patients （haloperidol n = 38） were analysed, 45.8% male. Median （range） haloperidol serum concentration on day 4 was 0.71 （0.32-1.82） μg/L （n = 23）. Longitudinal course of mean QTc did not significantly differ between treatment arms for any of the automatic or manually derived QTc values. Conclusions Low dose oral haloperidol did not result in QTc prolongation in older acutely hospitalised patients. Results may not be generalizable to patients with existing ECG abnormalities such as atrial fibrillation.

关键词： Haloperidol Prolongation QTc interval The aged

Long-term follow-up of quality of life in high-risk patients undergoing transcatheter aortic valve implantation for symptomatic aortic valve stenosis

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Journal of Geriatric Cardiology 2018年第4期15卷 261-267页

作者： Marjo JAG de Ronde-Tillmans Tom AJ de Jager Jeannette A Goudzwaard Nahid El Faquir Nicolas M van Mieghem Felix Zijlstra Elisabeth MWJ. Utens Francesco US Mattace-Raso MaRie J Lenzen peter PT de Jaegere Erasmus Medical Center Department of Cardiology Thorax Center Rotterdam the Netherlands Erasmus Medical Center Section of Geriatrics Department of Internal Medicine Rotterdam the Netherlands Erasmus Medical Center Department of Child and Adolescent Psychiatry/Psychology Sophia Children 's Hospital Rotterdam the Netherlands The Netherlands Research Institute of Child development and Education University of Amsterdam the Netherlands

Background Transcatheter aortic valve implantation （TAVI） has become the standard treatment for patients with severe symptomatic aortic stenosis （AS） considered at very high risk for surgical aortic valve replacement. The purpose of this sub-study was to evaluate long-term （〉 4 years） health-related quality of life （QoL） in octogenarians who underwent TAVI. Methods A single center observational registry in twenty patients who underwent frame analysis assessment ≥ 4 years after TAVI. Health-related QoL was evaluated, using the Short Form-36 （SF-36）, the EuroQoL-5D （EQ-5D） and the visual analogue score （EQ-VAS） questionnaires. Results The mean SF-36 subscale scores at follow-up were physical functioning 40.8 ± 26.3, role physical functioning 67.7 ± 34.9, vitality 54.6 ± 21.6, general health 52.1 ± 20.4, social functioning 63.8 ± 37.7, role emotional functioning 70.2 ± 36.0, mental health 73.2 ± 23.3 and bodily pain 80.9 ± 22.9. The mean EQ-VAS score 〉 4 years after TAVI was 64.7 ± 15.1. With respect to functional class, 80% of the patients were in NYHA class I/II at follow-up compared to 15% prior to TAVI. Conclusions This sub-study reports a significant improvement in functional class （NYHA） in a selected group of very elderly patients 〉 4 years after TAVI. Furthermore, all patients showed a satisfactory QoL despite their age and multiple comorbidities. In addition, our study reveals a lower QoL when compared with the general age matched Dutch population.

关键词： Octogenarians Quality of life Transcatheter aortic valve implantation

离子淌度谱和SIMPLISMA用于痕量有机化合物的检测

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光谱学与光谱分析 2005年第9期25卷 1530-1533页

作者：张卓勇陈国祥 Harrington peter de B 首都师范大学化学系 department of Chemistry and Biochemistry Center for Intelligent Chemical Instrumentation Clippinger Laboratories Ohio University Athens Ohio 45701-2979 USA

离子淌度谱(IMS)是检测痕量挥发性有机化合物的灵敏方法。SIMPLISMA(simpletouseinteractiveselfmodelingmixtureanalysis)是一种自模型曲线分辨方法。文章将SIMPLISMA用于DMMP,DIMP和deMP的IMS检测和数据的处理。这些化合物的IMS谱数据经SIMPLISMA处理后,可以提取出IMS的谱特征,并去除大部分噪声的影响。经SIMPLISMA提取的IMS谱可被用于其他计算,如曲线分辨和模式识别等。

关键词：离子淌度谱 SIMPLISMA 化学计量学数据处理甲基瞵酸酯

Numerical Analysis for Transients in External Source Driven Reactors

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World Journal of Nuclear Science and Technology 2017年第2期7卷 103-120页

作者： Willian Vieira de Abreu Alessandro da cruz Goncalves Zelmo Rodrigues de Lima Nuclear Engineering Institute National Commission for Nuclear EnergyRio de JaneiroBrazil Nuclear Engineering Program COPPEFederal University of Rio de Janeiro/UFRJRio de JaneiroBrazil

The main purpose of this paper is to perform a numerical analysis of the Neutron Spatial Kinetic Equations, subject to transients of the External Neutron Source, by applying the Implicit Euler Method as well as the Runge-Kutta Method in order to check which methods are best applicable in transients caused by External Neutron Source. For this purpose, a one-dimensional ADS reactor with a constant external source was simulated based on the geometry of ANL-BSS-6 reactor for benchmark effects.

关键词： ADS Transients Spatial Kinetics

Multicultural care in nursing—From the theoretical paradigm to the subjective experiences in clinical settings

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Open Journal of Nursing 2013年第8期3卷 557-562页

作者： Ana Paula Teixeira de Almeida Monteiro Aida cruz Mendes Nursing School of Coimbra CoimbraPortugal Unidade de Investigacao em Ciencias da Saude-Enfermagem(UICISA-E) CoimbraPortugal

Last decade, the geography of immigration in Portugal experienced intense transformations with an increasing inflow of new and diversified migratory groups. An open questionnaire was developed and applied to 22 Portuguese nurses, aiming to analyse personal experiences and significant situations of nursing care in multicultural contexts. The understanding of hospital routines, difficulties in managing physical space due to different cultural standards, body exposure, and body handling in nursing clinical care, emerged as more significant issues in reports of critical incidents focusing on multicultural contexts.

关键词： Multicultural Nursing Mental Health and Culture