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Predicting long-term outcomes in acute intracerebral haemorrhage using delayed prognostication scores

Stroke & Vascular Neurology 2021年第4期6卷 536-541,I0013-I0025页

作者： Ronda Lun Vignan Yogendrakumar tim ramsay Michel Shamy Robert Fahed Magdy H Selim Dar Dowlatshahi Department of Medicine Division of NeurologyStroke ProgramOttawa HospitalOttawaOntarioCanada Clinical Epidemiology Program School of EpidemiologyPublic Health and Preventative MedicineOttawa Hospital Research InstituteOttawa UniversityOttawaOntarioCanada Ottawa Hospital Research Institute OttawaOntarioCanada Interventional Neuroradiology Rothschild FoundationParisÎle-de FranceFrance Department of Neurology Beth Israel Deaconess Medical CenterBostonMassachusettsUSA

Objective The concept of the‘self-fulfilling prophecy’is well established in intracerebral haemorrhage(ICH).The ability to improve prognostication and prediction of long-term outcomes during the first days of hospitalisation is important in guiding conversations around goals of *** previously demonstrated that incorporating delayed imaging into various prognostication scores for ICH improves the predictive accuracy of 90-day ***,delayed prognostication scores have not been used to predict long-term functional outcomes beyond 90 ***,setting and participants We analysed data from the ICH Deferoxamine trial to see if delaying the use of prognostication scores to 96 hours after ICH onset will improve performance to predict outcomes at 180 days.276 patients were *** and measurements We calculated the original ICH score(oICH),modified-ICH score(MICH),max-ICH score and the FUNC score on presentation(baseline),and on day 4(delayed).Outcomes assessed were mortality and poor functional outcome in survivors(defined as modified Rankin Scale of 4-5)at 180 *** generated receiver operating characteristic curves,and measured the area under the curve values(AUC)for mortality and functional *** compared baseline and delayed AUCs with non-parametric *** At 180 days,21 of 276(7.6%)*** of the survivors,54 of 255 had poor functional outcome(21.2%).The oICH,MICH and max-ICH performed significantly better at predicting 180-day mortality when calculated 4 days later compared with their baseline equivalents((0.74 vs 0.83,p=0.005),(0.73 vs 0.80,p=0.036),(0.74 vs 0.83,p=0.008),respectively).The delayed calculation of these scores did not significantly improve our accuracy for predicting poor functional *** Delaying the calculation of prognostication scores in acute ICH until day 4 improved prediction of 6-month mortality but not functional *** registration number *** Registry(NCT0

关键词： acute delayed score

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Short-Term Effects of Ozone and PM<sub>2.5</sub>on Mortality in 12 Canadian Cities

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Journal of Environmental Protection 2013年第12期4卷 18-32页

作者： Nawal Farhat tim ramsay Michael Jerrett Daniel Krewski 1Department of Epidemiology and Community Medicine University of Ottawa Ottawa Canada 2McLaughlin Center for Population Health Risk Assessment University of Ottawa Ottawa Canada. Department of Epidemiology and Community Medicine University of Ottawa Ottawa Canada School of Public Health University of California at Berkeley Berkeley USA

Numerous recent epidemiological studies have linked health effects with short-term exposure to air pollution levels commonly found in North America. The association between two key pollutants—ozone and fine particulate matter— and mortality in 12 Canadian cities was explored in a time-series study. City-specific estimates were obtained using Poisson regression models, adjusting for the effects of seasonality and temperature. Estimates were then pooled across cities using the inverse variance method. For a 10 ppb increase in 1-hr daily maximum ozone levels, significant associations were in the range of 0.56% - 2.47% increase in mortality. For a 10 μg/m3 increase in the 24-hr average PM2.5 concentration of, significant associations varied between 0.91% and 3.17% increase in mortality. Generally, stronger associations were found among the elderly. Effects estimates were robust to adjustment for seasonality, but were sensitive to lag structures. There was no evidence for effect modification of the mortality-exposure association by city-level ecologic covariates.

关键词： Air Pollution Ozone Particulate Matter Mortality Canada

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Slow Growing Pre-Weaning Piglets Have Altered Adipokine Gene Expression

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Open Journal of Animal Sciences 2014年第4期4卷 187-195页

作者： tim G. ramsay M. J. Stoll T. J. Caperna Animal Biosciences and Biotechnology Laboratory Beltsville Agricultural Research Center USDA/ARS Beltsville USA

Growth rate affects adipose tissue development and variations in growth rate may potentially impact adipokine expression. Samples of subcutaneous (SQ) and perirenal (PR) adipose tissues and longissimus muscle were collected at day 21 of age from the fastest and slowest growing piglets within seven litters. Reverse transcription and real-time PCR were used to quantify adipokine mRNA abundance. Leptin, adiponectin, tumor necrosis factor α (TNFα ) and lipoprotein lipase (LPL) mRNA abundance were lower in SQ from slow growing piglets (SGP) than in fast growing piglets (FGP, P α gene expression were reduced in PR from SGP in comparison to FGP (P β (IL1β), IL15 and LPL were increased in the longissimus of SGP relative to FGP (P < 0.05). Analysis of mRNA abundance for these adipokines within adipose tissue at day 21 of age demonstrated that the effect of growth rate on adipokine expression varies among different adipokines and the internal and external sites of adipose tissue deposition (PR versus SQ). The increase in longissimus expression of LPL and IL15 suggests that nutrient partitioning for energy use may be greater in the skeletal muscle of the SGP.

关键词： Adipose Tissue Adipokines Neonate Growth Rate

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Like a G6-nal:transcriptional control of G-protein coupled receptors during oligodendroglial development

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Neural Regeneration Research 2025年第7期20卷 2001-2002页

作者： tim Aberle Michael Wegner Institut für Biochemie Friedrich-Alexander-Universität Erlangen-NürnbergErlangenGermany

Multilayered control of myelination:Quick,saltatory conduction of action potentials along nerve fibers requires the electrical insulation of axons by myelinating *** the central nervous system,this role is taken up by *** are marked by the expression of the lineage determinants Sox10 and Olig2 and arise from oligodendrocyte precursor cells(OPCs)during embryonal *** the majority of OPCs differentiate into mature oligodendrocytes when nearby axonal segments require myelination,a small subpopulation of OPCs persist as a progenitor ***,the timing of myelination and maintenance of the OPC pool both need to be precisely *** transcription factors either positively or negatively affect oligodendrocyte differentiation and maintenance of the OPC pool as components of a complex gene regulatory network(reviewed in Sock and Wegner,2021).Network activity is additionally influenced by extracellular signaling molecules that bind to receptors on the oligodendroglial cell surface and activate intracellular signaling *** the receptors are linked to the network is poorly understood so far,but pivotal to understanding the overall regulation of central nervous system(CNS)myelination in response to environmental *** insights were recently gained for Gpr37(Schmidt et al.,2024),a G-protein coupled receptor(GPCR)with known relevance in differentiating oligodendrocytes(Yang et al,2016).

关键词： gained insulation conduction

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Insights from an academic endeavor into central nervous system drug discovery

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Neural Regeneration Research 2025年第6期20卷 1717-1718页

作者： Lieve van Veggel An M.Voets tim Vanmierlo Rudy Schreiber BIOMED Biomedical Research Institute Faculty of Medicine and Life SciencesHasselt UniversityHasseltBelgium Department of Psychiatry and Neuropsychology Division of Translational NeuroscienceEuropean Graduate School of NeuroscienceSchool for Mental Health and NeuroscienceMaastricht UniversityMaastrichtThe Netherlands Section of Psychopharmacology Neuropsychology and PsychopharmacologyFaculty of Psychology and NeuroscienceMaastricht UniversityMaastrichtThe Netherlands University MS Center(UMSC) Hasselt-PeltBelgium

Historically,"big pharma"did most central nervous system drug discovery R&D ***,in modern times their"management reductionism"resulted in disappointing pipelines and pharma resided to(late)development,regulatory approval,and marketing(Thong,2015).This had significant consequences for financing and executing research,resulting in a larger role for funding by governments and patient-organizations and a shift of research to academia(Mazzucato,2013).

关键词： academic approval consequences

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Effect of dietary fibre on the gastrointestinal microbiota during critical illness:A scoping review

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World Journal of Critical Care Medicine 2025年第1期14卷 49-59页

作者： Angajendra N Ghosh Calum J Walsh Matthew J Maiden tim P Stinear Adam M Deane Department of Intensive Care The Northern HospitalEpping 3076VictoriaAustralia Department of Microbiology and Immunology The Peter Doherty Institute for Infection and ImmunityMelbourne 3052VictoriaAustralia Department of Intensive Care The Royal Melbourne HospitalThe University of MelbourneParkville 3050VictoriaAustralia Department of Intensive Care Medicine The Royal Melbourne HospitalParkville 3050VictoriaAustralia

The systemic effects of gastrointestinal(GI)microbiota in health and during chronic diseases is increasingly *** strategies to modulate the GI microbiota during chronic diseases have demonstrated *** changes in dietary intake can rapidly change the GI microbiota,the impact of dietary changes during acute critical illness on the microbiota remain *** fibre is metabolised by carbohydrate-active enzymes and,in health,can alter GI *** aim of this scoping review was to describe the effects of dietary fibre supplementation in health and disease states,specifically during critical *** controlled trials and prospective cohort studies that include adults(>18 years age)and reported changes to GI microbiota as one of the study outcomes using non-culture methods,were *** show dietary fibres have an impact on faecal microbiota in health and *** fibre,inulin,has a marked and specific effect on increasing the abundance of faecal *** chain fatty acids produced by Bifidobacteria have been shown to be beneficial in other patient *** few trials have evaluated the effect of dietary fibre on the GI microbiota during critical *** research is necessary to establish optimal fibre type,doses,duration of intervention in critical illness.

关键词： Gastrointestinal microbiota Dietary fibre Health Critical illness Short chain fatty acids

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Solvable base change and Rankin-Selberg convolutions

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Science China Mathematics 2017年第1期60卷 99-112页

作者： GILLESPIE tim Department of Mathematics St. Ambrose University Davenport IA 52803 USA

Let π and π′ be unitary automorphic cuspidal representations of GL_n(A_E) and GL_m(A_F), and let E and F be solvable Galois extensions of Q of degrees ? and ?′, respectively. Using the fact that the automorphic induction and base change maps exist for E and F, and assuming an invariance condition under the actions of the Galois groups, we attach to the pair(π, π′) a Rankin-Selberg L-function L(s, π×E,Fπ′) for which we prove a prime number theorem. This gives a method for comparing two representations that could be defined over completely different extensions, and the main results give a measure of how many cuspidal components the two representations π and π′ have in common when automorphically induced down to the rational numbers. The proof uses the structure of the Galois group of the composite extension EF and the character groups attached to the fields via class field theory. The second main theorem also gives an indication of when the base change of π up to the composite extension EF remains cuspidal.

关键词： automorphic L-function base change automorphic induction

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Antipredator deception in terrestrial vertebrates

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Current Zoology 2014年第1期60卷 16-25页

作者： tim CARO Department of Wildlife Fish and Conservation Biology and Center of Population Biology University of California Davis CA95616 USA

Abstract Deceptive antipredator defense mechanisms fall into three categories： depriving predators of knowledge of prey＇s presence, providing cues that deceive predators about prey handling, and dishonest signaling. Deceptive defenses in terrestrial vertebrates include aspects of crypsis such as background matching and countershading, visual and acoustic Batesian mimicry, active defenses that make animals seem more difficult to handle such as increase in apparent size and threats, feigning injury and death, distractive behaviours, and aspects of flight. After reviewing these defenses, I attempt a preliminary evaluation of which aspects of antipredator deception are most widespread in amphibians, reptiles, mammals and birds

关键词： Amphibians Birds Defenses Dishonesty Mammals Prey Reptiles

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Male circumcision： towards a World Health Organisation normative practice in resource limited settings

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Asian Journal of Andrology 2010年第5期12卷 628-638页

作者： tim Hargreave Senior Fellow School of Clinical Science Edinburgh University Scotland UK Technical Adviser to the WHO RHR -HRP Africa HIV Prevention Male Circumcision Programme

There is now grade 1 evidence that male circumcision （MC） reduces the risk of a man acquiring HIV. Modelling studies indicate MC could in the next 10 years save up to 2 million lives in those African countries with high HIV prevalence. Several African countries are now scaling up public health MC programmes. The most effective immediate public health MC programmes in Africa will need to target 18-20 years old men. In the longer term there is a need for infant circumcision programmes. In order to implement more widespread MC there is a need to make the surgical procedures as simple as possible so that safe operations can be performed by paramedical staff. The WHO Manual of Male Circumcision under local anaesthetic was written with these objectives in mind. Included in the manual are three adult techniques and four paediatric procedures. The adult procedures are the dorsal slit, the for- ceps guided and the sleeve resection methods. Paediatric methods included are the plastibell technique, the Mogen and Gomco shield method and a standard surgical dorsal slit procedure. Each method is described in a step by step manner with photographic and line drawing illustrations. In addition to the WHO manual of surgical technique a teaching course has been developed and using this course it has been possible in one week to train a circumcision surgeon who has had no or minimal previous surgical experience. Further scaling will require training of circumcision surgeons, monitoring performance, training the trainer workshops as well as advocacy at national, international and government meetings. In addition to proceeding with standardised methods work is in progress to assess novel techniques in adults such as stay on ring devices and policies are being formulated as to how to assess new devices. Also work is in progress to explore efficiencies in surgical processing by task sharing. Proper informed consent and safety remain paramount and great care has to be taken as programmes in

关键词： Africa HIV male circumcision

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Orderly Algorithm to Enumerate Central Groupoids and Their Graphs

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Acta Mathematica Sinica,English Series 2007年第2期23卷 249-264页

作者： tim BOYKETT time’s Up Research Department and Department of Mathematics Johannes-Kepler University

A graph has the unique path property UPPif there is a unique path of length n betweenany ordered pair of *** paper reiterates Royle and MacKay’s technique for constructing orderly *** wishto use this technique to enumerate all UPPgraphs of small orders 3~2 and 4~*** attempt to use thedirect graph formalism and find that the algorithm is *** introduce a generalised problem and derive algebraic and combinatoric structures with appro-priate *** we are able to design an orderly algorithm to determine all UPPgraphs oforder 3~2,which runs fast *** hope to be able to determine the UPPgraphs of order 4~2 in thenear future.

关键词： orderly algorithms paths in directed graphs enumeration

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