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Subsequent total joint arthroplasty: Are we learning from the first stage?

World Journal of Orthopedics 2024年第3期15卷 230-237页

作者： Christine Jiang Wu Colin Penrose sean patrick ryan Michael Paul Bolognesi Thorsten Markus Seyler Samuel Secord Wellman Department of Orthopaedic Surgery Duke University HospitalDurhamNC 27710United States Department of Orthopaedic Surgery Midwest Center for Joint ReplacementIndianapolisIN 46241United States

BACKGROUND With the increasing incidence of total joint arthroplasty(TJA),there is a desire to reduce peri-operative complications and resource *** degenerative conditions progress in multiple joints,many patients undergo multiple *** To determine if both physicians and patients learn from the patient’s initial arth-roplasty,resulting in improved outcomes following the second *** The institutional database was retrospectively queried for primary total hip arth-roplasty(THA)and total knee arthroplasty(TKA).Patients with only unilateral THA or TKA,and patients undergoing same-day bilateral TJA,were *** demographics,comorbidities,and implant sizes were collected at the time of each procedure and patients were stratified by first vs second *** metrics evaluated included operative time,length of stay(LOS),disposition,90-d readmissions and emergency department(ED)*** A total of 642 patients,including 364 undergoing staged bilateral TKA and 278 undergoing bilateral THA,were *** was no significant difference in demographics or comorbidities between the first and second procedure,which were separated by a mean of 285 *** THA and TKA,LOS was significantly less for the second surgery,with 66%of patients having a shorter hospitalization(P<0.001).THA patients had significantly decreased operative time only when the same sized implant was utilized(P=0.025).The vast majority(93.3%)of patients were discharged to the same type of location following their second ***,when a change in disposition was present from the first surgery,patients were significantly more likely to be discharged to home after the second procedure(P=0.033).There was no difference between procedures for post-operative readmissions(P=0.438)or ED visits(P=0.915).CONCLUSION After gaining valuable experience recovering from the initial surgery,a patient’s perioperative outcomes are improved for their second *** may

关键词： Staged total joint arthroplasty Asynchronous total joint arthroplasty Subsequent total joint arthroplasty Contralateral total joint arthroplasty Perioperative outcomes

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Smoking cessation prior to elective total joint arthroplasty results in sustained abstinence postoperatively

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World Journal of Orthopedics 2024年第7期15卷 627-634页

作者： Billy Insup Kim Jeffrey O'Donnell Colleen M Wixted Thorsten Markus Seyler William A Jiranek Michael Paul Bolognesi sean patrick ryan Department of Orthopedic Surgery Hospital for Special SurgeryNew YorkNY 10021United States Department of Orthopedic Surgery New York UniversityNew YorkNY 10003United States Department of Orthopedic Surgery Duke University HospitalDurhamNC 27560United States

BACKGROUND Tobacco use is a well-documented modifiable risk factor for perioperative *** To determine the tobacco abstinence rates of patients who made cessation efforts prior to a total joint arthroplasty(TJA)*** A retrospective evaluation was performed on 88 self-reported tobacco users who underwent TJA between 2014-2022 and had tobacco cessation dates within 3 mo of *** patients were contacted via phone survey to understand their tobacco use pattern,and patient reported outcomes.A total of 37 TJA patients *** Our cohort was on average 61-years-old,60%(n=22)women,with an average body mass index of 30 kg/m^(2).The average follow-up time was 2.9±1.9 years.A total of 73.0%(n=27)of patients endorsed complete abstinence from tobacco use prior to *** cessation methods were used perioperatively including prescription therapy(13.5%),over the counter nicotine replacement(18.9%),cessation programs(5.4%).At final follow up,43.2%(n=16)of prior tobacco smokers reported complete *** who were able to maintain cessation postoperatively had improved Patient-Reported Outcomes Measurement Information System(PROMIS)-10 mental health scores(49 vs 58;P=0.01),and hip dysfunction and osteoarthritis outcome score for joint replacement(***)scores(63 vs 82;P=0.02).No patients in this cohort had a prosthetic joint infection or required revision *** We report a tobacco cessation rate of 43.2%in patients undergoing elective TJA nearly 3 years *** undergoing TJA who were able to remain abstinent had improved PROMIS-10 mental health scores and *** *** perioperative period provides clinicians a unique opportunity to assist active tobacco smokers with cessation efforts and improve postoperative outcomes.

关键词： Smoking cessation Total joint arthroplasty Outcomes Tobacco use Postoperative abstinence

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The role of latitudinal, genetic and temperature variation in the induction of diapause of Papilio glaucus （Lepidoptera： Papilionidae）

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Insect Science 2018年第2期25卷 328-336页

作者： sean F. ryan Patti Valella Gabrielle Thivierge Matthew L. Aardema J. Mark Scriber Department of Biological Sciences University of Notre Dame Notre Dame Indiana USA USDA-ARS Center for Medical Agricultural and Veterinary Entomology 1600/1700 Southwest 23rd Drive Gainesville Florida USA Department of Entomology Michigan State University East Lansing Michigan USA Life Science Department Long Beach City College Long Beach California USA Sackler Institute for Comparative Genomics American Museum of Natural History New York New York USA McGuire Centerfor Lepidoptera and Diversity University of Florida Gainesville Florida US

A key adaptation in insects for dealing with variable environmental conditions is the ability to diapause. The tiger swallowtail butterflies, Papilio glaucus and P. canadensis are ideal species to explore the genetic causes and population genetic consequences of diapause because divergence in this trait is believed to be a salient factor in maintaining a hybrid zone between these species. Yet little is known about the factors that influence diapause induction in this system. Here we explored how spatial （latitudinal）, environmental （temperature） and genetic （hybridization） factors affect diapause induction in this system. Specifically, a series of growth chamber experiments using wild caught individuals from across the eastern United States were performed to：（1） evaluate how critical photoperiod varies with latitude, （2） isolate the stage in which induction occurs, （3） test whether changes in temperature affected rates of diapause induction, and （4） explore how the incidence of diapause is affected in hybrid offspring. We find that induction occurs in the larval stage, is not sensitive to a relatively broad range of temperatures, appears to have a complex genetic basis （i.e., is not simply a dominant trait following a Mendelian inheritance pattern） and that the critical photoperiod increases by 0.4 h with each increasing degree in latitude. This work deepens our understanding of how spatial, environmental and genetic variation influences a key seasonal adaptation （diapause induction） in a well-developed ecological model system and will make possible future studies that explore how climatic variation affects the population dynamics and genetics of this system.

关键词： adaptation critical photoperiod development diapauses facultative hybridization

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Parallel personal measurements of diesel engine exhaust and crystalline silica using dual sampling port

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International Journal of Mining Science and Technology 2020年第3期30卷 313-319页

作者： Alan Fleck Caroline Couture Virginie Cabelguen patrick Eddy ryan Ross Thuot Guillaume Lachapelle Hugo Coulombe Maximilien Debia Department of Environmental and Occupational Health University of MontrealMontreal H3T 1A8Canada Health and Safety Agnico Eagle MinesToronto M5C 2Y7Canada Health and Safety Westwood Mine(IAMGOLD)Preissac J0Y 2E0Canada

Diesel engine exhaust(DEE) and crystalline silica exposures occur simultaneously in the mining industry,and occupational sampling campaigns can be time-and cost-consuming. The authors evaluated a dualport system for simultaneous sampling of DEE and crystalline silica in laboratory and field *** tests evaluated the operation of pumps during 8 h sampling and the intensity of the flow variation for various filter loading conditions and for different modes of operation. Field validation was performed in an underground mine. Pumps operated in constant flow or constant pressure *** in constant flow mode showed that when the flowrate increased on one side of the system, it decreased on the opposite side according to the loading intensity. Tests in constant pressure mode showed that flowrates systematically decreased when using loaded cassettes. However, the higher the backpressure setting, the lower the flow variation was. Flow variations during field tests were generally within the acceptable ±5% range. However, significant flow variations were identified in higher concentrations. A significant negative correlation was found between flowrate variation and total carbon concentration. While the majority of tests support the use of the dual-port for evaluating concomitant exposures, results highlight the possibility of filter overloading as a cause of flowrate changes.

关键词： Crystalline silica Diesel engine exhaust Dual-port Mining Monitoring

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Enhancing pedestrian mobility in Smart Cities using Big Data

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Journal of Management Analytics 2020年第2期7卷 173-188页

作者： Ebony Carter patrick Adam Deon Tsakis Stephanie Shaw Richard Watson Peter ryan Faculty of Business and Law Swinburne UniversityHawthornAustralia Swinburne University of Technology Defence Science&Technology Group MelbourneAustralia

Smart City is an emerging concept in global urban development.A Smart City applies ICT technologies to provide greater efficiencies for its urban areas and civilian *** of the key requirements for a Smart City is to exploit data from its ICT infrastructure(such as Internet of Things connected sensors)to improve city services and features such as accessibility and *** address this requirement,the City of Melbourne(COM)Smart City office maintains several hundred data sets relating to urban activity and *** datasets address parking,mobility,land use,3D data,statistics,environment,and major city developments such as rail *** promising dataset relates to pedestrian *** are obtained from sensors and updated on the COM website(City of Melbourne Open Data Platform:https://***/.)at regular *** data include the number of pedestrians passing 53 specific locations in the central business district and also their times and directions of *** a 24 h period,over 650,000 pedestrians were counted passing all *** rates of several thousand pedestrians per minute are regularly recorded during city rush hours at hotspots making the data amenable to Big Data analysis *** are obtained in graphical format as heatmaps and charts of city pedestrian traffic using both Microsoft Excel^(■)for static analysis and PowerBI^(■)for more advanced interactive visualisation and *** findings can identify pedestrian hotspots and inform future locations of traffic lights and street configurations to make the city more pedestrian ***,the experience gained can be used to examine other data sets such as bicycle traffic that can be analysed to inform city infrastructure *** work is suggested that could link these pedestrian flow data with social media data from smartphones and potentially wearable devices such as fitness monitors to correlate pedestrian s

关键词： Internet of Things Smart Cities Big Data analytics

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Polymersomes scalably fabricated via flash nano- precipitation are non-toxic in non-human primates and associate with leukocytes in the spleen and kidney following intravenous administration

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Nano Research 2018年第10期11卷 5689-5703页

作者： sean D. Allen Yu-Gang Liu Sharan Bobbala Lei Cai Peter I. Hecker ryan Temel Evan A. Scott Interdisciplinary Biological Sciences Northwestern University IL 60208 USA Department of Biomedical Engineering Northwestern University IL 60208 USA Saha Cardiovascular Research Center University of Kentucky KY40506 USA Department of Pharmacology and Nutritional Sciences University of Kentucky KY40506 USA

Vesicular nanocarrier formulations confer the ability to deliver hydrophobic and hydrophilic cargos simultaneously to cells of interest in vivo. While liposomal formulations reached the clinic long ago, younger technologies such as polymeric vesicles （polymersomes） have yet to make the transition to clinical approval and use, in part due to difficulties in ensuring their safe and scalable production. In this work, we demonstrate the scalable production of poly（ethylene glycol）-block-poly（propylene sulfide）（PEG-bl-PPS） polymersomes via flash nanoprecipitation, and further show the safe administration of these nanocarriers to mice and non-human primates. In mice, PEG-bl-PPS polymersomes were found to be well tolerated at up to 200 mg/（***）. Following the administration of a more relevant 20 mg/（***） dosage in non-human primates, polymersomes were found to associate with numerous phagocytic immune cell populations, including a remarkable 68% of plasmacytoid dendritic cells and 〉 95% of macrophages in the spleen, while showing no toxicity or abnormalities in the liver, kidney, spleen, or blood. Despite the presence of a dense PEG corona, neither anti-PEG antibodies nor complement activation were detected. This work provides evidence of the translatability of PEG-bI-PPS polymersomes into the clinic for therapeutic applications in humans.

关键词： polymersome non-human primate nanoprecipitation toxicity biodistribution

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Venous thromboembolism in children undergoing surgery:incidence,risk factors and related adverse events

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World Journal of Pediatric Surgery 2020年第1期3卷 18-27页

作者： Elbert Johann Mets ryan patrick McLynn Jonathan Newman Grauer Department of Orthopaedics and Rehabilitation Yale School of MedicineNew HavenConnecticutUSA Department of Orthopaedic Surgery University of Alabama at BirminghamBirminghamAlabamaUSA

background Although less common in adults,venous thromboembolism(VTE)in children is a highly morbid,preventable adverse *** VTE has been well studied among pediatric hospitalized and trauma patients,limited work has been done to examine postoperative VTE in children undergoing *** Using data from National Surgical Quality Improvement Project Pediatric database(NSQIP-P)from 2012 to 2016,a retrospective cohort analysis was performed to determine the incidence of,and risk factors for,VTE in children undergoing ***,the relationships between VTE and other postoperative adverse outcomes were *** Of 361384 pediatric surgical patients,378(0.10%)were identified as experiencing postoperative *** controlling for patient and surgical factors,we found that American Society of Anesthesiologists(ASA)class of II or greater,aged 16-18 years,non-elective surgery,general surgery(compared with several other surgical specialties),cardiothoracic surgery(compared with general surgery)and longer operative time were significantly associated with VTE in pediatric patients(p<0.001 for each comparison).Furthermore,a majority of adverse events were found to be associated with increased risk of subsequent VTE(p<0.001).Conclusion In a large pediatric surgical population,an incidence of postoperative VTE of 0.10%was *** patient and surgical factors,and perioperative adverse events were found to be associated with such VTE events.

关键词： surgery postoperative thrombo

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Insights into optimizing exosome therapies for acute skin wound healing and other tissue repair

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Frontiers of Medicine 2024年第2期18卷 258-284页

作者： Tianjing Sun Mo Li Qi Liu Anyong Yu Kun Cheng Jianxing Ma sean Murphy patrick Michael McNutt Yuanyuan Zhang Department of Emergency Affiliated Hospital of Zunyi Medical UniversityZunyi563003China Department of Nephrology Affiliated Hospital of Zunyi Medical UniversityZunyi563003China Division of Pharmacology and Pharmaceutical Sciences School of PharmacyUniversity of Missouri-Kansas CityKansas CityMO64108USA Department of Biochemistry Wake Forest University School of MedicineWinston-SalemNC27157USA Wake Forest Institute of Regenerative Medicine Wake Forest School of MedicineWinston-SalemNC27109USA

Exosome therapy holds great promise as a novel approach to improve acute skin wound *** review provides a comprehensive overview of the current understanding of exosome biology and its potential applications in acute skin wound healing and ***,small extracellular vesicles secreted by various stem cells,have emerged as potent mediators of intercellular communication and tissue *** advantage of exosome therapy is its ability to avoid potential risks associated with stem cell therapy,such as immune rejection or stem cells differentiating into unwanted cell ***,further research is necessary to optimize exosome therapy,not only in the areas of exosome isolation,characterization,and engineering,but also in determining the optimal dose,timing,administration,and frequency of exosome ***,optimization of exosome therapy is critical for the development of more effective and safer exosome-based therapies for acute skin wound healing and other diseases induced by cancer,ischemia,or *** review provides valuable insights into the potential of exosome therapy and highlights the need for further research to optimize exosome therapy for clinical use.

关键词： exosomes stem cells therapeutic impact skin wound healing

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Synthesis of hexagonal boron nitrides by chemical vapor deposition and their use as single photon emitters

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Nano Materials Science 2021年第3期3卷 291-312页

作者： Hongwei Liu Chae Young You Jingwei Li patrick ryan Galligan Jiawen You Zhenjing Liu Yuting Cai Zhengtang Luo Department of Chemical and Biological Engineering the Hong Kong University of Science and TechnologyClear Water BayKowloon999077Hong Kong

Two-dimensional(2D)hexagonal boron nitride(hBN),due to its extraordinary thermal,chemical,and optical properties,has arisen as an enticing material for the research community to explore for various applications,including the use of site defects in hBN as single photon emitters(SPEs).In this review,we systematically summarize recent advanced strategies towards the controllable synthesis of 2D hBN using chemical vapor deposition,towards a full control of the domain size,orientation,morphology,layer number,and stacking order,***,we review the underlying mechanisms for single photon emission(SPE)in hBN and methods to selectively generate and tune the ***(e.g.,carbon substituted defects)are discussed for the potential use as emission *** finally give an outlook of future challenges and opportunities on desirable hBN synthesis and further investigation of SPEs in hBN,targeting to utilize hBN as single photon emitters in an industrial scale.

关键词： hBN CVD Controllable synthesis Single photon emission

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Estimating potential harvestable biomass for bioenergy from sustainably managed private native forests in Southeast Queensland, Australia

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Forest Ecosystems 2018年第1期5卷 62-76页

作者： michael r.ngugi victor j.neldner sean ryan tom lewis jiaorong li phillip norman michelle mogilski department of environment and sciencequeensland herbariumMt Coot-tha RoadToowongQld 4066Australia private forestry service queensland 8 Fraser RdGympieQld 4570Australa department of agriculture and fisheries university of sunshine coastSippy DownsQld 4556Australia department of environment and science soil and land resources41 Boggo RoadDutton ParkQld 4102Australia university of queensland St LuciaQld 4072Australia

Background： Australia＇s energy future is at the crossroads and the role of renewable sources is in focus. Biomass from sustainably managed forests provide a significant opportunity for electricity and heat generation and production of liquid fuels. Australia has extensive native forests of which a significant proportion are on private land. However, there is limited knowledge on the potential capacity of this resource to contribute to the expansion of a biomass for bioenergy industry. In addition, there are concerns on how to reconcile biomass harvesting with environmental protection. Methods： We used regional ecosystem vegetation mapping for Queensland to stratify harvestable forests within the 1.8 m hectares of private native forests present in the Southeast Queensland bioregion in 2014. We used a dataset of 52,620 individual tree measurements from 541 forest inventory plots collected over the last 10 years. Tree biomass was estimated using current biomass allometric equations for Australia. Biomass potentially available from selective sawlog harvesting and silvicultural treatment across the bioregion was calculated and mapped. Results： Current sawlog harvesting extracts 41.4% of the standing tree biomass and a biomass for bioenergy harvest would retain on average 36% of felled tree biomass on site for the protection of environmental and fauna habitat values. The estimated area extent of harvestable private native forests in the bioregion in 2013 was 888,000 ha and estimated available biomass for bioenergy in living trees was 13.6 million tonnes （t）. The spotted gum （Corymbio citriodora subsp, variegata） forests were the most extensive, covering an area of 379,823 ha and with a biomass for bioenergy yield of 14.2 t-ha-1 （with approximately 11.2 ***-1 of the biomass harvested from silvicultural thinning and 3 ***-1 recovered from sawlog harvest residual）. Conclusions： Silvicultural treatment of private native forests in the Southeast Queensland bioregion, has the

关键词： Renewable energy Forest biomass Woody biomass Native forests Silvicultural management Biomassretention Biobased

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