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1918年流感的教训

英语文摘 2005年第12期 40-42页

作者： John m.barry 赵海燕

卡特里娜飓风刮过美国,留给人们无尽的思考:那么多无辜生命的丧失,竟然是因为政府救灾不力造成的。作者借1918年大流感爆发事件给人们留下的教训,对比1968年抵抗大流感的成功实例,呼吁政府在面对灾难性事件时,积极采取必要的防范措施,... 详细信息

卡特里娜飓风刮过美国,留给人们无尽的思考:那么多无辜生命的丧失,竟然是因为政府救灾不力造成的。作者借1918年大流感爆发事件给人们留下的教训,对比1968年抵抗大流感的成功实例,呼吁政府在面对灾难性事件时,积极采取必要的防范措施,担当起其肩负的责任。

关键词：大流感贝奈特死亡人数疫苗生产卡特里娜共和党科技前沿

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吉布斯佯谬的佯谬

大学物理 1982年第12期1卷 8-11页

作者： barry m.CASPER 范印哲人民教育出版社

吉布斯佯谬的传统的解决方法又引起另一个佯谬。本文提出对这个佯谬的解决方法。

关键词：吉布斯佯谬解决方法统计力学经典课题

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高温硫化硅橡胶和氟硅橡胶的改进及其最新进展

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橡胶参考资料 1987年第1期 1-5页

作者： m.J.Dams barry 郭宏盛

1、简介一般来说,只有在极高或极低的温度条件下人们才考虑使用硅橡胶。硅橡胶以宽广的使用温度范围(-100—+316℃)而著称,包括下列特性在内,使其得到了更加广泛的应用。

关键词：氟硅橡胶氟硅弹性体橡胶胶料硅橡胶制品最新进展

综合环境管理——纸浆、造纸工业的中间试验研究

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世界环境 1988年第1期 7-10页

作者： Timothy m.barry 戴进池袁亮 Regulatory Integration Division Office of Policy Analysis U.S.Environmental Protection Agency.

我们对大多数化学品的慢性毒理学的认识和了解是很有限的。我们的数据大多来自短期对动物进行的高浓度生物鉴定试验,它们很难与长期的低浓度环境暴露联系起来。某些化学品(主要是致癌物)被认为在所有浓度下,不管其浓度如何低,对人类健... 详细信息

我们对大多数化学品的慢性毒理学的认识和了解是很有限的。我们的数据大多来自短期对动物进行的高浓度生物鉴定试验,它们很难与长期的低浓度环境暴露联系起来。某些化学品(主要是致癌物)被认为在所有浓度下,不管其浓度如何低,对人类健康都有害。许多有毒化学品都是有用的,但它们的“毒性循环”的每一阶段(制造、加工、利用和处置)对健康和环境又都存在潜在的危害。有毒化学品从一个环境介质转移到另一个环境介质(例如,从空气到水)的时候,常常保持它们的毒性。这

关键词：造纸工业污染控制造纸业效应评价经济效益暴露评价有毒化学品中间试验半工业试验

Graves’ Disease in 100 Cases in Conakry: Epidemiological, Clinical, Therapeutic, and Evolutionary Aspects

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Open Journal of Endocrine and metabolic Diseases 2022年第2期12卷 75-81页

作者： Naby moussa Baldé Amadou Kaké Djibril Sylla Alpha mamadou Diallo mamadou mansour Diallo mamadou Alpha Diallo Amadou Diango Lanciné Kourouma Elhdj Zainoul Bah mamadou Chérif Diallo Kadija Dieng mody Abdoulaye barry Department of Endocrinology and Diabetes Donka Conakry University Hospital Conakry Guinea Department of Internal medicine Donka Conakry University Hospital Conakry Guinea

Context and Objective: Graves’ disease is an autoimmune disorder of the thyroid gland that occurs in genetically predisposed individuals. It represents the most frequent cause of hyperthyroidism with a clear female predominance. The objective of our work was to report the sociodemographic, clinical, therapeutic, and evolutionary characteristics of Graves’ disease at the University Hospital of Conakry. methods: This was a cross-sectional, descriptive study, over the period from December 2016 to June 2021, at the endocrinology consultation of Donka University Hospital. Epidemiological, clinical, therapeutic, and evolutionary variables of patients followed up for Graves’ disease were collected and analyzed. The diagnosis of Graves’ disease was based on the presence of clinical signs of thyrotoxicosis, diffuse goiter, exophthalmos, and or T-RAK positivity. Results: Graves’ disease was related to 33% of thyroid consultations and 64% of hyperthyroidism. The sex ratio m/F was 0.07. The median age of the patients was 39.4 ± 13 years. The main reason for consultation was thyrotoxicosis syndrome, dominated by cardiovascular signs (92%). TRAK was performed in 38 patients with a positive result in 89%, i.e., a mean level of 17.93 mUI/l. All patients were treated with synthetic antithyroid drugs, with a favorable clinical evolution. Surgery was considered in 4 patients after the stabilization of the thyroid function. The follow-up was considered regular in 49 patients (49%). Conclusion: Graves’ disease is the most frequent hyperthyroidism in Conakry with a clear predominance of women, especially young women. Efforts should be focused on improving diagnosis and the access to treatment for better patient compliance.

关键词： Autoimmunity Thyroid Graves’ Disease Conakry

An Examination of Elite Rowers and Their Experiences of Conquering Their mental Boundaries

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Journal of Sports Science 2014年第2期2卷 72-80页

作者： Nicole Jordens Noah Gentner Daniel Robert Czech barry Joyner David Dunkin Biber Department of Health and Kinesiology Georgia Southern University Statesboro GA 30460 USA School of Hospitality Recreation & Tourism Humber College Toronto Ontario M9W 5L 7 Canada Department of Kinesiology andHealth Georgia State University Atlanta GA 30303 USA

Elite endurance athletes face mental boundaries, referred to as "The Wall" in pursuit of success in every respective sport. The purpose of this study was to examine the lived experience of elite rowers when challenged with "The Wall". Four elite male and four elite female rowers were selected via purposeful sampling. The method for the study utilized a humanistic theoretical framework. Semi-structured interviews were completed with eight elite rowers with probing questions to help gain a further understanding of the participants" experiences. Six themes emerged from the data analysis: (1) team support; (2) hunger-strong desire for success; (3) preparation; (4) war between body and mind; (5) focus and (6) confidence. Implications from this study may benefit coaches, athletes, sport psychology consultants, and those who may encounter mental boundaries.

关键词：运动科学体育运动体育训练运动训练

前列腺癌筛查：调和初级保健和专科的视角矛盾

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中国全科医学 2013年第13期16卷 1451-1452页

作者： Richard m.Hoffman michael J.barry Richard G.Roberts Harold C.Sox 邵钧(翻译) New mexico大学医学院家庭医学和社区医学系美国新墨西哥州 Harvard医学院马萨诸塞州 Wisconsin大学医学和公共卫生学院家庭医学系威斯康辛州 Dartmouth医学院 Dartmouth研究所新罕布什尔州中国全科医学杂志社

当初级保健医生实施专科医生制定的筛查指南时,两者可能因视角不同而产生分歧。两则由专科机构最近发布的临床指南就足以说明这一问题。美国泌尿学会(AUA)指南小组和美国国家综合癌症网络(NCCN)建议,具有前列腺癌一般患病风险的男性在4... 详细信息

当初级保健医生实施专科医生制定的筛查指南时,两者可能因视角不同而产生分歧。两则由专科机构最近发布的临床指南就足以说明这一问题。美国泌尿学会(AUA)指南小组和美国国家综合癌症网络(NCCN)建议,具有前列腺癌一般患病风险的男性在40岁对前列腺特异性抗原筛查风险和好处进行咨询,而此前建议的年龄是50岁。不过,目前没有直接证据证明此建议对前列腺癌死亡率有具体影响。为了不妨碍初级保健医生为患者提供好处和价值已被证实的服务,专业机构在制定指南时应遵循适当的标准。初级保健协会和医疗系统也应该对现有证据进行评估,以判断临床建议实施的可行性和适用性。

关键词：前列腺特异性抗原癌症早期检测指南话题循证医学

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Case Report: A Severe Hypernatremia with multiple Organ Failure, about a Clinical Observation

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Open Journal of Nephrology 2017年第1期7卷 19-23页

作者： Alpha Oumar Bah mamadou Cellou Balde Amadou Bah Alpha Oumar barry Departement of Nephrology Donka National Hospital Conakry Guinea Departement of Nephrology-Hemodialysis Chiva Hospital Foix Cedex France Departement of Diabetology Donka National Hospital Conakry Guinea Departement of Reanimation Donka National Hospital Conakry Guinea

A hypernatremia severity is often associated with a poor prognosis, especially if it is associated with multiple organ failure. In a country with very limited resources, the prognosis may be favorable in the absence of renal replacement. We report the case of a 63 years old woman, hypertensive and diabetic, admitted to the ICU for unconsciousness. Clinically, neurological examination notes a Glasgow of 8/15 (Y2, V2, m4) and a left hemiplegia. Temperature was 39°C. Diuresis was 100 ml during the first 24 hours. Blood pressure was 90/60 mmHg, tachycardia at 133/min. Cardiac auscultation is normal. Vascular axes were weakly perceptible. Oxygen saturation was 95%. The skin examination notes a dry skin and mucous membranes, a flattening of the superficial veins, sunken eyes and a persistent skin fold. There is no hepatomegaly or splenomegaly, or jaundice. Biological point of view note natremia: 176 mmol/L;osmolarity: 390 mosmol/kg;creatinin: 300 μmol/L;glycemia > 6 g/L;transaminases 217 UI. Diagnostics: malignant hypernatremia with a high plasma osmolarity associated with an acute anuric renal failure, hydro electrolytic disorders, an abnormal liver function, a fever of central origin and a stroke. The treatment consisted of a correction of the electrolyte disorders by infusion of isotonic and hypotonic fluids with insulin. In a country with very limited resources, the severe hypernatremia prognosis associated with anuric acute renal failure may be favorable in the absence of renal replacement.

关键词： Hypernatremia Hyperosmolar Coma multiple Organ Failure Acute Renal Failure Diabetes

BK nephropathy in the native kidneys of patients with organ transplants: Clinical spectrum of BK infection

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World Journal of Transplantation 2016年第3期6卷 472-504页

作者： Darlene Vigil Nikifor K Konstantinov marc barry Antonia m Harford Karen S Servilla Young Ho Kim Yijuan Sun Kavitha Ganta Antonios H Tzamaloukas Nephrology Section Medicine Service Raymond G. Murphy VA Medical Center and Department of Medicine University of New Mexico School of Medicine Department of medicine University of Minnesota School of Medicine Department of Pathology University of New Mexico School of Medicine Division of Nephrology Department of Medicine University of New Mexico School of Medicine Division of Nephrology University of North Carolina School of Medicine

Nephropathy secondary to BK virus, a member of the Papoviridae family of viruses, has been recognized for some time as an important cause of allograft dysfunction in renal transplant recipients. In recent times, BK nephropathy(BKN) of the native kidneys has being increasingly recognized as a cause of chronic kidney disease in patients with solid organ transplants, bone marrow transplants and in patients with other clinical entities associated with immunosuppression. In such patients renal dysfunction is often attributed to other factors including nephrotoxicity of medications used to prevent rejection of the transplanted organs. Renal biopsy is required for the diagnosis of BKN. Quantitation of the BK viral load in blood and urine are surrogate diagnostic methods. The treatment of BKN is based on reduction of the immunosuppressive medications. Several compounds have shown antiviral activity, but have not consistently shown to have beneficial effects in BKN. In addition to BKN, BK viral infection can cause severe urinary bladder cystitis, ureteritis and urinary tract obstruction as well as manifestations in other organ systems including the central nervous system, the respiratory system, the gastrointestinal system and the hematopoietic system. BK viral infection has also been implicated in tumorigenesis. The spectrum of clinical manifestations from BK infection and infection from other members of the Papoviridae family is widening. Prevention and treatment of BK infection and infections from other Papovaviruses are subjects of intense research.

关键词： BK viral infection BK nephropathy Cardiac transplant Bone marrow transplant Liver transplant Pancreatic transplant Lung transplant