检索结果-南通市图书馆

Journal of Pharmacy and Pharmacology 2018年第11期6卷 965-969页

作者： cecília da Silva Angelo(Rn) Ademar Lopes(PhD) catharina Ferreira de Meira Pachioni(MSc) Eduardo Henrique Giroud Joaquim(MSc) samuel Aguiar Junior(PhD) Gustavo cardoso Guimaraes(PhD) Glauco Baiocchi neto(PhD) Felipe JoséFernandez coimbra(PhD) Isabel Miranda Bonfim(MSc) Rita de cassia Burgos de Oliveira(PhD) Tailine Ligia Tadini(Rn) A.c.camargo cancer center Sao Paulo04002-010Brazil

Purpose:This study aims at reporting the experience of a cancer hospital’s multiprofessional team with surgery patients in performing cytoreductive surgeries associated with hyperthermic intraperitoneal ***:It is a reporting about the experience of the multiprofessional team at Ac camargo cancer center’s surgery center,which operates in cytoreductive surgeries with hyperthermic intraperitoneal chemotherapy,thus guaranteeing the surgery patient’s ***:no safety report for the surgery patient subjected to intraperitoneal hypothermic chemotherapy was found in the ***,the surgery center’s multiprofessional team’s practice was based on standards for manipulating chemotherapeutic agents and for safely administering medication.A checklist was elaborated for cytoreductive surgeries with hyperthermic intraperitoneal chemotherapy based on the surgery patient safety protocol and the institution’s multiprofessional team’s ***:From the multiprofessional team’s experiences in cytoreductive surgeries with hyperthermic intraperitoneal chemotherapy,the importance of elaborating a checklist to promote the quality of assistance and guarantee patient safety during the entire intraoperative phase became evident.

关键词： Patient safety chemotherapy for cancer by regional perfusion checklist

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

残酷的现实：能源效率是当前的首要问题

工业设计 2009年第2期 17-页

作者： Geoffrey c. Orsak 美国得克萨斯州达拉斯南卫理公会大学工程学院

难以相信,但是我曾经是一个坐在华盛顿市中心的石油俱乐部仪表室里,口中喊着"让我们改变世界"的工程师。那些旧时的话语在我的耳边徘徊多年:那么,我如何做到这点? 2008年早些时候,我接受了美国能源部秘书samuel Bodman热情的邀请,加入... 详细信息

难以相信,但是我曾经是一个坐在华盛顿市中心的石油俱乐部仪表室里,口中喊着"让我们改变世界"的工程师。那些旧时的话语在我的耳边徘徊多年:那么,我如何做到这点? 2008年早些时候,我接受了美国能源部秘书samuel Bodman热情的邀请,加入了美国石油委员会(nPc),这个委员会是由杜鲁门总统创立的。

关键词：能源问题天然气混合气体矿物燃料石油未来十年

维普期刊数据库

Transcranial direct current electrical stimulation in combination with aerobic exercise:A pilot study in post-cOVID-19 systemic autoimmune rheumatic patients

在线全文

学校读者我要写书评

暂无评论

World Journal of Rheumatology 2023年第1期11卷 1-12页

作者： Rafael Giovani Missé Alexandre Moura dos Santos Isabela Bruna Pires Borges Marlise Sítima Mendes Simões Lorenza Rosa Silvério Bruna Lindoso correia Ana Wook Sook Kim Aline Marques caetano Sandra Gofinet Pasoto carla Gonçalves Schahin Saad Diogo Souza Domiciano clarice Tanaka Julia Maria D’Andrea Greve Abrahão Fontes Baptista samuel Katsuyuki Shinjo Division of Rheumatology Hospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de Sao PauloSao PauloBrazil Departamento de Fisioterapia Fonoaudiologia e Terapia OcupacionalHospital das Clínicas HCFMUSPFaculdade de MedicinaUniversidade de Sao PauloNúcleo de Assistência e Pesquisa em NeuromodulaçãoSao PauloBrazil Laboratório de Estudos do Movimento Instituto de Ortopedia e TraumatologiaHospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de Sao PauloSao PauloBrazil

BAcKGROUnD Systemic autoimmune rheumatic diseases(SARDs)are a group of diseases with multiorgan involvement and a high prevalence of chronic pain and *** with SARDs and post-coronavirus disease 2019(cOVID-19)syndrome experience aggravation of *** this context,it is essential to establish strategies to reduce chronic pain and fatigue and improve quality of *** To assess the efficacy of transcranial direct current stimulation(tDcS)for the treatment of fatigue and pain-associated post-cOVID-19 syndrome in patients with *** This study included nine patients with different types of *** patients had reverse transcription-polymerase chain reaction(RT-PcR)test confirmed cOVID-19 as well as significant,persistent fatigue and pain that began to worsen after *** tDcS was administered in five daily sessions(2mA,20 min).concomitantly,patients were involved in aerobic exercise *** participants were evaluated using specific questionnaires and strength assessment by handgrip and physical function by timed-up-and-go test and sit-to-stand test at baseline(within one week before tDcS protocol),and one week after tDcS *** all procedures,the patients’treatments remained *** The sample comprised eight women and one man with a mean age of 48.7±9.6 *** the tDcS protocol,pain and fatigue significantly improved on the visual analog scale(Pcal function also improved 9.5±2.7 vs 6.8±0.8(P=0.001)for timed-up-go-test and 10.3±3.7 vs 15.1±4.0(P=0.037)for sit-to-stand *** of the patients experienced any adverse *** The present study showed that tDcS in combination with aerobic exercise was effective in improving physical function,and reducing fatigue/pain in SARDs patients with post-cOVID-19 syndrome.

关键词： Autoimmune diseases cOVID-19 Fatigue neuromodulation Physical function Rheumatic diseases Pain

公共卫生监测的过去、现在和未来:(一)过去

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

疾病监测 2015年第9期30卷 706-716页

作者：蔡智强李丽萍白雲屛汕头大学医学院伤害预防中心广东汕头515041 渥太华大学流行病学与社区医学教研室渥太华大学院校研究与规划办公室

本文描述通过公共卫生行动的计划、实施和评价对卫生数据不断地系统地进行收集、分析、解释和利用公共卫生信息的过程,对公共卫生监测发展的历史进行了全面地综述。公共卫生监测最早要追溯到公元前3180年埃及第一次记录的传染病。希波... 详细信息

本文描述通过公共卫生行动的计划、实施和评价对卫生数据不断地系统地进行收集、分析、解释和利用公共卫生信息的过程,对公共卫生监测发展的历史进行了全面地综述。公共卫生监测最早要追溯到公元前3180年埃及第一次记录的传染病。希波克拉底(Hippocrates)(公元前460 370年)记录了地方病和流行病;约翰·格兰特(John Graunt)(1620 1674年)提出了系统数据分析;塞缪尔·皮普斯(samuel Pepys)(1633 1703年)开始了流行病学现场调查;威廉·法尔(William Farr)(1807 1883年)创建了现代监测的概念;约翰·斯诺(John Snow)(1813 1858年)将数据资料和随后的干预活动联系在一起;亚历山大·朗缪尔(Alexander Langmuir)(19101993年)首次提出了监测的全面定义,如今已形成系统的理论和大量的监测方法,并在全球范围内建立了公共卫生监测机构。学习公共卫生监测的发展历程,用以反思当前的发展现状,提高和促进公共卫生监测,为人类健康提供理论依据。

关键词：公共卫生监测历史发展流行病

维普期刊数据库

Hepatocellular carcinoma surveillance:current practice and future directions

在线全文

学校读者我要写书评

暂无评论

Hepatoma Research 2022年第1期8卷 157-168页

作者： Joseph cAhn Yi-Te lee Vatche GAgopian Yazhen Zhu Sungyong You Hsian-Rong Tseng Ju Dong Yang Division of Gastroenterology and Hepatology Mayo ClinicRochesterMN 55905USA california nanoSystems Institute Crump Institute for Molecular ImagingUniversity of CaliforniaLos AngelesCA 90095USA Department of Molecular and Medical Pharmacology University of CaliforniaLos AngelesCA 90095USA Department of Surgery University of CaliforniaLos AngelesCA 90095USA Jonsson comprehensive cancer center University of CaliforniaLos AngelesCA 90048USA samuel Oschin comprehensive cancer Institute Cedars-Sinai Medical CenterLos AngelesCA 90048USA Departments of Surgery Cedars-Sinai Medical CenterLos AngelesCA 90048USA Karsh Division of Gastroenterology and Hepatology Cedars-Sinai Medical CenterLos AngelesCA 90048USA comprehensive Transplant center cedars-Sinai Medical center Los AngelesCA 90048USA

Hepatocellular carcinoma(Hcc)is among the leading causes of cancer incidence and mortality *** of individuals with cirrhosis or other conditions that confer a high risk of Hcc development is essential for early detection and improved overall *** ultrasonography with or without alpha-fetoprotein is widely recommended as the standard method for Hcc surveillance,but it has limited sensitivity in early disease and may be inadequate in certain *** review article will provide a comprehensive overview of the current landscape of Hcc surveillance,including the rationale and indications for Hcc surveillance,standard methods for Hcc surveillance,and their strengths/*** surveillance methods such as the role of cross-sectional imaging,emerging circulating biomarkers,as well as the problem of under-utilization of Hcc surveillance and surveillance-related harms will also be discussed in this review.

关键词： Hepatocellular carcinoma surveillance cirrhosis hepatitis B virus alpha-fetoprotein liquid biopsy under-utilization

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中国大鲵隐存种及其灭绝危机

科学新闻 2019年第2期 119-119页

作者：颜芳 Jingcai Lü Baolin Zhang Zhiyong Yuan Haipeng Zhao Song Huang Gang Wei Xue Mi Dahu Zou Wei Xu Shu chen Jie Wang Feng Xie Minyao Wu Hanbin Xiao Zhiqiang Liang Jieqiong Jin Shifang Wu cunShuan Xu Benjamin Tapley samuel T.Turvey Theodore J.Papenfuss Andrew A.cunningham Robert W. Murphy 张亚平车静昆明动物所中国科学院中国科学院昆明动物研究所

文章简介由于栖息地破坏及人为过度捕捉,中国大鲵的野生资源锐减。由于缺乏显著的外部性状差异,中国大鲵长期以来被认为是一个物种。不同地方的种群是否存在显著的分化?目前基于"一个物种"的保护策略是否得当、

关键词：中国大鲵隐存种

大气二氧化氮与每日总死亡率、心血管和呼吸系统疾病死亡率的短期关联:398个城市的多中心分析

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

英国医学杂志中文版 2021年第8期24卷 435-442页

作者：孟夏刘聪(校) 陈仁杰郑湃(译) 阚海东(校) Francesco Sera Ana Vicedo-cabrera Ai Milojevic Maria Guo Yuming Tong Shilu Micheline de Sousa Zanotti Stagliorio coelh Paulo Hilario nascimento Saldiva Eric Lavigne Patricia Matus correa nicolas Valdes Ortega samuel Osorio Garcia Jan Kysely Ales Urban Hans Orru Marek Maasikmets Jouni J K Jaakkola niilo Ryti Veronika Huber Alexandra Schneider Klea Katsouyanni Antonis Analitis Masahiro Hashizume Yasushi Honda chris Fook Sheng ng Baltazar nunes João Paulo Teixeira Iulian Horia Holobaca Simona Fratianni Ho Kim Aurelio Tobias carmeníniguez Bertil Forsberg christoferÅström Martina S Ragettli Yue-Liang leon Guo Shih-chun Pan Shanshan Li Michelle L Bell Antonella Zanobetti Joel Schwartz Tangchun Wu Antonio Gasparrini 复旦大学公共卫生学院、公共卫生安全教育部重点实验室(复旦大学)、卫生部卫生技术评估重点实验室(复旦大学) 中国上海北京大学公共卫生学院复旦大学公共卫生学院不详

目的:采用统一的分析方案,评估全球多个国家/地区的二氧化氮(nO_(2))与总死亡率、心血管和呼吸系统疾病死亡率之间的短期关联。研究设计:采用两阶段的时间序列分析方法、过度离散的广义线性模型和多水平meta分析。研究地点:22个低到高... 详细信息

目的:采用统一的分析方案,评估全球多个国家/地区的二氧化氮(nO_(2))与总死亡率、心血管和呼吸系统疾病死亡率之间的短期关联。研究设计:采用两阶段的时间序列分析方法、过度离散的广义线性模型和多水平meta分析。研究地点:22个低到高收入国家/地区的398个城市。主要结局指标:1973—2018年逐日总死亡人数(6280万人)、心血管疾病死亡人数(1970万人)和呼吸系统疾病死亡人数(550万人)。结果:平均而言,nO_(2)浓度在滞后1天(前1天)每增加10μg/m^(3),会导致总死亡率、心血管和呼吸系统疾病死亡率分别增加0.46%(95%可信区间0.36%~0.57%)、0.37%(0.22%~0.51%)、0.47%(0.21%~0.72%)。在对共污染物(PM_(10)、PM_(2.5)、臭氧、二氧化硫和一氧化碳)进行调整后,这些关联仍然很稳定。所有3种死因的暴露-反应曲线几乎是线性的,没有明显的阈值。在398个城市中,可归因于高过假定零水平的nO_(2)浓度造成的死亡比例为1.23%(95%可信区间0.96%~1.51%)。结论:这项多中心研究提供了关于nO_(2)短期暴露与总死亡率、心血管和呼吸系统死亡风险之间的独立和线性关联的关键证据,说明通过加强nO_(2)的控制和监管限制标准,可获得人群水平的健康收益。

关键词：总死亡率 meta分析总死亡人数死亡风险广义线性模型二氧化氮高收入国家结局指标

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

与乌干达青少年性行为相关的性别规范

国际社会科学杂志（中文版） 2020年第4期37卷 114-128,7,12页

作者：朱迪丝·纳鲁夸古里克·克鲁岑巴特·范登伯恩保罗·穆基萨·布库鲁基伦纳德·布福姆博霍利·麦克莱恩·伯克塞缪尔·菲尔德阿莫斯·齐库苏卡安妮·阿基亚·菲德勒简·阿莱伊王爱松(译) 不详

对乌干达性别权力关系与青少年性行为之间的相关性的探讨,目前还很有限。2015年的一项横断面调查,覆盖了乌干达16个有意选择的地区,评估了使用"性别平等男性"量表测量的青少年性别规范感知与性行为之间的关联(人数=867)。结果表明,使用... 详细信息

对乌干达性别权力关系与青少年性行为之间的相关性的探讨,目前还很有限。2015年的一项横断面调查,覆盖了乌干达16个有意选择的地区,评估了使用"性别平等男性"量表测量的青少年性别规范感知与性行为之间的关联(人数=867)。结果表明,使用避孕措施的行为意图与生殖健康、怀孕和疾病预防方面的性别平等规范中度相关,女孩为:r=0.23(p<0.01;95%置信区间为0.14-0.31),男孩为:r=0.22(p<0.01;95%置信区间0.12-0.31)。使用安全套的自我效能与生殖健康、怀孕和疾病预防方面的规范之间中度相关,女孩为:r=0.29(p<0.01;95%置信区间0.20-0.37),男孩为:r=0.30 (p <0.01;95%置信区间0.21-0.38)。这显示影响青少年利用健康服务的不公平性别规范持续存在。应对不公平的性别规范,需要与女孩和男孩密切协作,促进知情的同侪和伙伴讨论,与父母、宗教、政治和社区领袖建立战略伙伴关系,并加强健康信息服务,以消除错误观念。

关键词：生殖健康置信区间中度相关自我效能横断面调查避孕措施疾病预防健康信息服务

维普期刊数据库

The impact of cOVID-19 on the birth rate in nigeria:a report from population-based registries

在线全文

学校读者我要写书评

暂无评论

Infectious Diseases Research 2023年第1期4卷 14-18页

作者： charlotte Blanche Oguejiofor Kenechi Miracle Ebubechukwu George Uchenna Eleje Emmanuel Onyebuchi Ugwu Joseph Tochukwu Enebe Kingsley Emeka Ekwuazi chukwuemeka chukwubuikem Okoro Boniface chukwuneme Okpala charles chukwunomunso Okafor nnanyelugo chima Ezeora Emeka Ifeanyi Iloghalu chidebe christian Anikwe chigozie Geoffrey Okafor Polycarp Uchenna Agu Emeka Philip Igbodike Iffiyeosuo Dennis Ake Arinze Anthony Onwuegbuna Osita samuel Umeononihu Onyedika Promise Anaedu Odigonma Zinobia Ikpeze David chibuike Ikwuka Henry Ifeanyi nwaolisa Ekene Agatha Emeka Jude Ogechukwu Okoye Ihechinyerem Kelechi Osuagwu Angela Ogechukwu Ugwu Toochukwu Benjamin Ejikeme Eziamaka Pauline Ezenkwele chijioke Ogomegbunam Ezeigwe Malarchy Ekwunife nwankwo Gerald Okanandu Udigwe Joseph Ifeanyichukwu Ikechebelu Grace Agbaeze chukwuebuka Divine nwanja Ahizechukwu chigoziem Eke Department of Obstetrics and Gynecology Nnamdi Azikiwe University Teaching HospitalNnewi PMB 5025Nigeria Preventive Medicine and Research Department Clina-Lancet LaboratoriesVictoria IslandLagos 101241Nigeria Effective care Research Unit Department of Obstetrics and GynecologyNnamdi Azikiwe UniversityNnewi Campus 435001Nigeria Department of Obstetrics and Gynecology College of MedicineUniversity of Nigeria Enugu CampusEnuguEnugu State 400102Nigeria Department of Obstetrics and Gynecology University of Nigeria Teaching HospitalItuku OzallaEnugu State 400102Nigeria Department of Obstetrics and Gynecology ESUT Teaching HospitalParklaneEnugu 400102Nigeria Medical Department Divine Medical CentreSouth West IkoyiLagos 1001233Nigeria Department of Obstetrics and Gynecology Havana Specialist HospitalSurulereLagos 100011Nigeria clinical Trial Division Drug Evaluation and Research DirectorateNAFDAC office ComplexLagos 100011Nigeria Department of Ophthalmology Nnamdi Azikiwe UniversityNnewi campus 435001Nigeria Department of Human Physiology Nnamdi Azikiwe University NnewiAnambra State 435001Nigeria Department of Family Medicine Faculty of MedicineNnamdi Azikiwe UniversityAwka 435001Nigeria Department of Medical Laboratory Science Faculty of Health Sciences and TechnologyNnamdi Azikiwe UniversityAwka 435001Nigeria Department of Health Services Federal University of TechnologyOwerri 460103Nigeria Department of Haematology and Immunology College of MedicineUniversity of Nigeria Enugu CampusEnuguEnugu State 400102Nigeria Musgrove Park Hospital Somerset nHS Foundation TrustUnited Kingdom TLTp Medical(UHS) Southampton WS15United Kingdom Division of Maternal Fetal Medicine Department of Gynecology and ObstetricsJohns Hopkins University School of MedicineBaltimore 21201U.S.A

Background and objectives:coronavirus disease 2019(cOVID-19)is a pandemic that has become a major source of morbidity and mortality worldwide,affecting the physical and mental health of individuals influencing *** the threat,it poses to maternal health in sub-Saharan Africa and nigeria,there is little or no data on the impact it has on fertility,conception,gestation and *** compare the birth rate between pre-cOVID and cOVID times using selected months of the *** and methods:This was a secondary analysis of cross-sectional analytical study data from the birth registries of three tertiary hospitals,comparing two years[2019(Pre-cOVID)]versus[2020(cOVID era)]using three months of the year(October to December).The data relied upon was obtained from birth registries in three busy maternity clinics all within tertiary hospitals in South-East nigeria and we aimed at discussing the potential impacts of cOVID-19 on fertility in *** secondary outcome measures were;mode of delivery,booking status of the participants,maternal age and ***:There was a significant decrease in tertiary-hospital based birth rate by 92 births(P=0.0009;95%cI:-16.0519 to-4.1481)among mothers in all the three hospitals in 2020 during the cOVID period(post lockdown months)of October to *** was a significant difference in the mode of delivery for mothers(P=0.0096)with a 95%confidence interval of 1.0664 to 1.5916,as more gave birth through vaginal delivery during the 2020 cOVID-19 period than ***:Tertiary-hospital based birth rates were reduced during the *** multi-centre study extrapolated on possible factors that may have played a role in this decline in their birth rate,which includes but is not limited to;decreased access to hospital care due to the total lockdowns/curfews and worsening inflation and economic recession in the country.

关键词： birth rates cOVID-19 lockdown nigeria pandemic pre-cOVID