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Neonatal Death Rates: Lack of Equal Access to Hospital Obstetric Service and Intensive Therapy

Open Journal of Obstetrics and Gynecology 2016年第5期6卷 259-267页

作者： rosângela Aparecida Pimenta Ferrari Maria Rita Girotto Edmarlon Girotto José Carlos Dalmas Alexandrina Aparecida Maciel Cardelli Department of Nursing Health Sciences Center State University of Londrina (UEL) Londrina Brazil Department of Public Health School of Nursing University of Sao Paulo (EEUSP) Sao Paulo Brazil Department of Pharmacy Health Sciences Center State University of Londrina (UEL) Londrina Brazil Department of Statistics Centre for Mathematical Sciences State University of Londrina (UEL) Londrina Brazil

Aim: To identify the association between access to obstetric and neonatal hospital service and neonatal death rates. Method: Quantitative and retrospective research retrieved from Declaration of Live Newly-born Children;Declaration of Death;Investigation Chart on Municipal Child Mortality, between 2000 and 2009, at the Nucleus of Information on Mortality Rates. The population studied comprised 537 neonatal deaths and mothers with residence in the municipality, and investigated by the work team of the Committee for the Investigation of Mother-Child Deaths. Data were analyzed in Epi Info 2002? computer program and the Statistical Package for the Social Sciences? was used. Chi-square Test and Fischer’s Exact Test were applied at p < 0.05. Results: 63.7% of 537 neonates were born in hospitals with maternities and neonatal intensive therapy unit;60.7% weighed ≤1.500 grams;76.7% had a pregnancy age of ≤36 weeks;73% died of asphyxia in the 1st minute and 73.5% died during the perinatal period. Throughout the ten years of analysis, access to hospital obstetric service without NITU reduced death rate from 25% in 2000 to 6.8% in 2009. There was a significant statistical association between place of delivery and maternal socio-demographic variables (maternal age bracket p = 0.028;schooling p = 0.000;family income p = 0.000);occupation p = 0.000) and neonatal variables (race/skin color p = 0.007;type of delivery p = 0.000;weight at birth p = 0.000;pregnancy age p = 0.000 and Apgar Score 1st minute p = 0.000 and Apgar Score 5th minute p = 0.007). Conclusion: Although the municipal government provides obstetric services and specialized neonatal care, this right is not extensive to all;gaps at different levels in mother-child care should be identified to reduce neonatal deaths.

关键词： Accessibility to Health Services Neonatal Mortality Gynecology and Obstetrics Hospital Unit Ne-onatal Intensive Therapy Unit

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Ultrasound cyclo plasty for the management of glaucoma secondary to ocular irradiation for choroidal melanoma

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International Journal of Ophthalmology(English edition) 2020年第1期13卷 184-188页

作者： Stefano Sebastiani Mónica Asencio-Durán Cosme Lavín-Dapena Beatriz ManzanoMuñoz Oriana D’Anna-Mardero rosa Cordero-ros Marco Pellegrini Federico Bernabei Andrea Mercanti Vincenzo Scorcia Giuseppe Giannaccare Ophthalmology Unit S.Orsola-Malpighi HospitalUniversity of BolognaBologna 40138Italy Ophthalmology Unit Infermi HospitalRimini 47838Italy Ophthalmology Department Hospital Universitario La PazMadrid 28046Spain Department of Ophthalmology University of“Magna Graecia”Catanzaro 88100Italy

Dear Editor,In the past, enucleation has been considered the only available option and the standard of care for the management of malignant intraocular tumors. Thanks to the advances in the field of radiotherapy, new therapeutic approaches have been developed in the last decades, such as plaque brachytherapy and proton beam therapy(PBT)^([1]).

关键词： ocular therapy glaucoma

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Non-invasive ventilation for acute hypoxemic respiratory failure,including COVID-19

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Journal of Intensive Medicine 2023年第1期3卷 11-19页

作者： Tommaso rosà Luca Salvatore Menga Ambika Tejpal Melania Cesarano Teresa Michi Michael C.Sklar Domenico Luca Grieco Department of Emergency Intensive Care Medicine and AnesthesiaFondazione Policlinico Universitario Agostino Gemelli IRCCSRome 00168Italy Istituto di Anestesiologiae Rianimazione UniversitàCattolica del Sacro CuoreRome 00168Italy Division of Cardiology Department of MedicineUniversity of TorontoToronto ON M5S 1A1Canada Interdepartmental Division of Critical Care Medicine University of TorontoToronto ON M5S 1A1Canada Department of Anesthesia and Pain Medicine St.Michael's Hospital–Unity Health TorontoUniversity of TorontoToronto ON M5S 1A1Canada

Optimal initial non-invasive management of acute hypoxemic respiratory failure(AHRF),of both coronavirus disease 2019(COVID-19)and non-COVID-19 etiologies,has been the subject of significant *** of endotracheal intubation reduces related complications,but maintenance of spontaneous breathing with intense respiratory effort may increase risks of patients’self-inflicted lung injury,leading to delayed intubation and worse clinical ***-flow nasal oxygen is currently recommended as the optimal strategy for AHRF management for its simplicity and beneficial physiological ***-invasive ventilation(NIV),delivered as either pressure support or continuous positive airway pressure via interfaces like face masks and helmets,can improve oxygenation and may be associated with reduced endotracheal intubation ***,treatment failure is common and associated with poor *** and knowledge of the specific features of each interface are necessary to fully exploit their potential benefits and minimize *** clinical and physiological monitoring is necessary during any treatment to avoid delays in endotracheal intubation and protective *** this narrative review,we analyze the physiological benefits and risks of spontaneous breathing in AHRF,and the characteristics of tools for delivering *** goal herein is to provide a contemporary,evidence-based overview of this highly relevant topic.

关键词： Non-invasive ventilation Hypoxemic respiratory failure Self-inflicted lung injury

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The role of B-type natriuretic peptide in the evaluation of congestive heart failure patients in emergency department

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Open Journal of Clinical Diagnostics 2012年第2期2卷 11-17页

作者： Hao Wang Tiffany Littleton Sonya J. Wilson Ferran ros Richard D. Robinson Kathleen A. Delaney Department of Emergency Medicine JPS Health Network Fort Worth USA JPS Health Network

Aim: Congestive heart failure (CHF) is a severe cardiovascular disorder seen in the Emergency Department (ED). B-type Natriuretic Peptide (BNP) is usually ordered to evaluate the CHF severity. However, it is difficult to interpret serum BNP level when different clinical entities existed. The aim of this study is to illustrate the correlation between serum BNP level and relevant clinical variables and further determine the role of serum BNP in different CHF patients. Methods: Univariate comparisons between 26 clinical variables and serum BNP level were analyzed. In order to avoid confounding factors, potential independent clinical variables were analyzed together using multivariate regression. Results: 529 CHF patients were reviewed and divided into different groups by 26 clinical variables. Serum BNP levels were found statistically significant different by univariate compareson between groups divided by 8 clinical variables that included obesity, diastolic/systolic heart failure (HF), serum blood urea nitrogen (BUN) level, serum creatinine (Cr) level, serum sodium (Na) level, patients taking loop diuretics, history of cerebrovascular accident (CVA), and history of dementia. Among all 8 clinical variables, obesity, serum BUN, Cr level, and diastolic/systolic HF had weak-to-moderate correlation effects with serum BNP level by correlation coefficient analysis. However, only obesity and dia- stolic/systolic HF were two moderately stronger clini- cal variables that can affect the serum BNP levels by multivariate regression. Analyzing CHF patients separately by obesity and diastolic/systolic HF subsets showed longer hospitalization in diastolic HF patients with relatively higher serum Cr level. In addition, poor correlation was found between serum BNP level and length of hospitalization (LOH) as well. Conclusion: High variability of serum BNP levels exists in CHF patients with weak-to-moderate correlation effects particularly on obesity and diastolic/systolic *** is rec

关键词： Congestive Heart Failure B-Type Natriuretic Peptide Clinical Variables Emergency Department

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Effects of Finer Scale Soil Survey and Land-Use Classification on SWAT Hydrological Modelling Accuracy in Data-Poor Study Areas

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Journal of Water Resource and Protection 2022年第2期14卷 100-125页

作者： Verenice Escamilla-Rivera Sergio Cortina-Villar Raúl A. Vaca Duncan Golicher José Arellano-Monterrosas Jordi Honey-rosés Patagonian Institute for the Study of Continental Ecosystems IPEEC-CONICET-CENPAT Puerto Madryn Argentina Center for Demographic Urban and Environmental Studies El Colegio de México A.C. Mexico City Mexico Department of Agriculture Society and Environment El Colegio de la Frontera Sur San Cristóbal de Las Casas Mexico National Council of Science and Technology El Colegio de San Luis (CONACYT-COLSAN) San Luis Potosí Mexico Department of Life and Environmental Sciences Bournemouth University Dorset United Kingdom National Water Commission CONAGUA Mexico City Mexico Institute for Environmental Science and Technology Universitat Autonoma de Barcelona (ICTA-UAB) Barcelona Espa&ntilde a Institute for Resources Environment and Sustainability (IRES) The University of British Columbia Vancouver Canada

The limited availability of high-quality spatial data often limits the development of hydrological modelling in developing countries. Hydrological models with data at different scales may generate large uncertainties in modelling outputs. This study analysed the accuracy of four SWAT built models that combine soil and land use/land cover (LULC) data at the scale of 1:250,000 and 1:100,000 in a basin of Mexico. SWAT model allowed determining that large-scale maps produced better results than data from small-scale. Sensitivity analysis with different soil data was less than LULC data. However, the small-scale can be used for exploratory purposes when testing SWAT performance.

关键词： Map Scale SWAT Model Soil Survey Land Use/Land Cover Mexico

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作者： R.·罗斯(R. ros)

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分子生物学图象

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世界科学 1983年第3期 8-9页

作者： ros Herman 蒋照仁

1982年的诺贝尔化学奖已授予把解决DNA结构的X射线技术应用于电子显微术的物理学家艾伦·克卢格(Aaron Klug),以表彰他在分子生物学方面作出的重要贡献。二十多年来艾伦·克卢格博士用这种方法同全部其他物理和生化技术相结合,对我们的... 详细信息

1982年的诺贝尔化学奖已授予把解决DNA结构的X射线技术应用于电子显微术的物理学家艾伦·克卢格(Aaron Klug),以表彰他在分子生物学方面作出的重要贡献。二十多年来艾伦·克卢格博士用这种方法同全部其他物理和生化技术相结合,对我们的得以认识病毒的结构和成长以及细胞内蛋白质构成的机制作出了贡献。

关键词：克卢格电子艾伦轻子分子生物学结晶学家显微照片图象罗莎琳德·富兰克林

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中等英语习题集附答案 1版

中等英语习题集附答案

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丛书名：书名原文:Essential english Practice for Secondary Schools

1981年

作者：罗斯（R.ros）方立许才德译

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Participation of epididymal cysteine-rich secretory proteins in sperm-egg fusion and their potential use for male fertility regulation

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Asian Journal of Andrology 2007年第4期9卷 528-532页

作者： Debora J. Cohen Vanina G. Da ros Dolores Busso Diego A. Ellerman Julieta A. Maldera Nadia Goldweic Patricia S. Cuasnicti Institute of Biology and Experimental Medicine Vuelta de Obligado 2490 Buenos Aires 1428 Argentina

Rat protein DE is an androgen-dependent cysteine-rich secretory protein （CRISP） synthesized by proximal epididymal regions. DE, also known as CRISP-1, is localized on the equatorial segment of acrosome-reacted spermatozoa and participates in gamete fusion through binding to egg complementary sites. Immunization of rats with DE inhibits fertility and sperm fusion ability, suggesting that DE represents a good epididymal contraceptive target. Recombinant DE fragments and synthetic peptides revealed that DE binds to the egg via a 12-amino acid region of an evolutionarily conserved motif, Signature 2 （S2）. The ability of other CRISP to bind to the rat egg was correlated with their S2 amino acid sequences. Although testicular protein Tpx- 1 （CRISP-2） was capable of binding to rodent eggs, human epididymal AEG-related protein （ARP） and helothermine （from lizard saliva） were not. The S2 region presented only two substitutions in Tpx-1 and four in ARP and helothermine, compared with the DE S2, suggesting that this amino acid sequence was relevant for egg interaction. Studies with Tpx- 1 and anti-Tpx- 1 revealed the participation of this protein in gamete fusion through binding to complementary sites in the egg. In competition studies, DE reduced binding of Tpx- 1 dose-dependently, indicating that both CRISP share the egg complementary sites. That anti-DE and anti-Tpx-1 inhibit sperm-egg fusion while recognizing only the corresponding proteins, suggests functional cooperation between these homologous CRISP to ensure fertilization success. These results increase our understanding of the molecular mechanisms of gamete fusion and contribute to the development of new and safer fertility regulating methods. （Asian J Androl 2007 July; 9： 528-532）

关键词： contraception cysteine-rich secretory protein epididymis gamete fusion sperm

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双取代簇阴离子RuCo_3(CO)_(10)(PPh_3)_2^-与(PPh_3Au)^+的反应研究

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广州大学学报（自然科学版） 2002年第6期1卷 17-20页

作者：徐敏 Jacky rosé Pièrre Braunstein 广州大学生物与化学工程学院广东广州510405 Laboratoir de Chimie de Coordination

双取代簇合物NEt4RuCo3(CO) 10 (PPh3) 2 与固体 (PPh3Au)Cl和TlPF6 反应 ,生成了双取代簇合物AuPPh3RuCo3(CO) 10 (PPh3) 2 ·CH2 Cl2 I后 ,双取代簇合物I又逐渐转变为单取代簇合物AuPPh3RuCo3(CO) 11(PPh3)II.它们的组成和结构已通过... 详细信息

双取代簇合物NEt4RuCo3(CO) 10 (PPh3) 2 与固体 (PPh3Au)Cl和TlPF6 反应 ,生成了双取代簇合物AuPPh3RuCo3(CO) 10 (PPh3) 2 ·CH2 Cl2 I后 ,双取代簇合物I又逐渐转变为单取代簇合物AuPPh3RuCo3(CO) 11(PPh3)II.它们的组成和结构已通过元素分析、IR、31PNMR、5 9CoNMR及有关反应验证 .双取代簇合物I中的两个取代基位置与反应物NEt4RuCo3(CO) 10 (PPh3) 2 中两个取代基的位置相同 ,即两个取代基中 ,一个占据与钴结合的位置(Co_P) ,而另一个占据与钌结合的位置 (Ru_P) .单取代簇合物II中的一个取代基占据与钌结合的位置 (Ru_P) .

关键词：双取代簇阴离子 RuCo3(CO)10(PPh3)2^- (PPh3Au)^+ 取代反应羰基簇合物混合金属簇合物取代基位置

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