检索结果-南通市图书馆

Upper extremity vascular injuries:Etiology,management and outcome

World Journal of Critical Care Medicine 2024年第2期13卷 159-167页

作者： Nikolaos Stefanou Theodoros Mylonas Fragkiskos A Angelis christina Arnaoutoglou Sokratis E Varitimidis Zoe H Dailiana Department of Orthopaedic Surgery Faculty of MedicineSchool of Health SciencesUniversity of ThessalyUniversity Hospital of LarissaLarissa 41500Greece Department of Hand Upper Extremity and MicrosurgeryIASO ThessaliasLarissa 41500Greece

BACKGROUND Vascular injuries of the upper extremities are considered relatively rare injuries affecting mostly the young *** often are complex injuries accompanied by other musculoskeletal trauma or trauma in other anatomic *** management is challenging since they can lead to disabilities with major socioeconomic *** To analyze data about the mechanism of injury,the management algorithm and functional outcomes of vascular injuries of the upper *** One hundred and fifteen patients(96 males and 19 females)with arterial injuries of the upper extremity treated in a tertiary trauma center from January 2003 to December 2022 was *** patients’age was 33.7 years and the mean follow up time was 7.4 *** with Mangled Extremity Severity Score≥7 and Injury Severity Score≥20,previous upper limb surgery or major trauma and any neuromuscular or psychiatric disease were excluded,from the *** A penetrating trauma was the most common cause of *** radial artery was the artery injured in most of the cases(37.4%)followed by the ulnar(29.5%),the brachial(12.1%)and the axillary(6%).A simultaneous injury of both of the forearm’s arteries was in 15.6%of the *** 93%of the cases there were other concomitant musculoskeletal injuries of the *** lacerations were the most common,followed by nerve *** postoperative functional scores(full Disabilities of the Arm,Shoulder,and Hand and VAS)had very satisfactory *** Although vascular injuries of the upper extremity are rare,they may occur in the context of major combined musculoskeletal *** a multidisciplinary approach is essential to optimize outcome,the ability of trained hand surgeons to repair all injuries in combined vascular and musculoskeletal upper extremity trauma,excluding isolated vascular injuries,ensures shorter operative times and better functional outcomes.

关键词： Upper extremity Vascular injuries Complex injuries Musculoskeletal trauma Mangled extremity

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Aging impairs the osteocytic regulation of collagen integrity and bone quality

引用

Bone Research 2024年第1期12卷 78-94页

作者： Charles A.Schurman Serra Kaya Neha Dole Nadja M.Maldonado Luna Natalia Castillo Ryan Potter Jacob P.Rose Joanna Bons christina D.King Jordan B.Burton Birgit Schilling Simon Melov Simon Tang Eric Schaible Tamara Alliston Department of Orthopaedic Surgery University of CaliforniaSan FranciscoCA 94143USA UC Berkeley/UCSF Graduate Program in Bioengineering San FranciscoCA 94143USA Buck Institute for Research on Aging NovatoCA 94945USA Washington University in St Louis Department of OrthopedicsSt.LouisMO 63130USA Advanced Light Source Lawrence Berkeley National LaboratoryBerkeleyCA 94720USA

Poor bone quality is a major factor in skeletal fragility in elderly *** molecular mechanisms that establish and maintain bone quality,independent of bone mass,are unknown but are thought to be primarily determined by *** hypothesize that the age-related decline in bone quality results from the suppression of osteocyte perilacunar/canalicular remodeling(PLR),which maintains bone material *** examined bones from young and aged mice with osteocyte-intrinsic repression of TGFβsignaling(TβRII^(ocy−/−))that suppresses *** control aged bone displayed decreased TGFβsignaling and PLR,but aging did not worsen the existing PLR suppression in male TβRII^(ocy−/−)*** relationship impacted the behavior of collagen material at the nanoscale and tissue scale in macromechanical *** effects of age on bone mass,density,and mineral material behavior were independent of osteocytic TGFβ.We determined that the decline in bone quality with age arises from the loss of osteocyte function and the loss of TGFβ-dependent maintenance of collagen integrity.

关键词： maintain primarily integrity

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The effect of high-flow oxygen via tracheostomy on respiratory pattern and diaphragmatic function in patients with prolonged mechanical ventilation:A randomized,physiological,crossover study

引用

Journal of Intensive Medicine 2024年第2期4卷 202-208页

作者： Elena Lytra Stelios Kokkoris Ioannis Poularas Dimitrios Filippiadis Demosthenes Cokkinos Dimitrios Exarhos Spyros Zakynthinos christina Routsi 1st Department of Intensive Care Medical SchoolNational and Kapodistrian University of AthensEvangelismos HospitalAthensGreece Radiology Department Evangelismos HospitalAthensGreece 2nd Radiology Department Medical SchoolNational and Kapodistrian University of AthensAttikon HospitalAthensGreece

Background Compared to conventional oxygen devices,high-flow oxygen treatment(HFOT)through the nasal cannulae has demonstrated clinical *** data exist on whether such effects are also present in HFOT through ***,we aimed to examine the short-term effects of HFOT through tracheostomy on diaphragmatic function and respiratory parameters in tracheostomized patients on prolonged mechanical *** A randomized,crossover,physiological study was conducted in our ICU between December 2020 and April 2021,in patients with tracheostomy and prolonged mechanical *** patients underwent a 30-min spontaneous breathing trial(SBT)and received oxygen either via T-piece or by HFOT through tracheostomy,followed by a washout period of 15-min breathing through the T-piece and receipt of 30-min oxygen with the other modality in a randomized crossover *** the start and end of each session,blood gasses,breathing frequency(f),and tidal volume(VT)via a Wright's spirometer were measured,along with diaphragm ultrasonography including diaphragm excursion and diaphragmatic thickening fraction,which expressed the inspiratory muscle *** Eleven patients were enrolled in whom 19 sessions were uneventfully completed;eight patients were studied twice on two different days with alternate sessions;and three patients were studied *** were randomly assigned to start the SBT with a T-piece(n=10 sessions)or with HFOT(n=9 sessions).With HFOT,VT and minute ventilation(VE)significantly increased during SBT(from[465±119]mL to[549±134]mL,P<0.001 and from[12.4±4.3]L/min to[13.1±4.2]L/min,P<0.05,respectively),but they did not change significantly during SBT with T-piece(from[495±132]mL to[461±123]mL and from[12.8±4.4]mL to[12.0±4.4]mL,respectively);f/VT decreased during HFOT(from[64±31]breaths/(min∙L)to[49±24]breaths/(min∙L),P<0.001),but it did not change significantly during SBT with T-piece(from[59±28]breaths/(min∙L)to[64±33]breaths/(m

关键词： Diaphragm Diaphragm ultrasonography High-flow oxygen Prolonged mechanical ventilation Tracheostomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

南岭地区离子吸附型稀土矿床基岩的稀土元素预富集机制探讨

引用

大地构造与成矿学 2024年第2期48卷 200-212页

作者：豆敬兆王焰谭伟赵子送中国科学院广州地球化学研究所矿物学与成矿学重点实验室广东广州510640 广东省矿物与材料研究开发重点实验室广东广州510640 中国科学院深地科学卓越创新中心广东广州510640 中国科学院大学北京100049

南岭地区离子吸附型稀土矿床是目前全球重稀土的主要来源。在岩浆演化及热液蚀变过程中,稀土元素在成矿基岩中的迁移和富集过程受稀土元素的地球化学行为控制。本文对比了离子吸附型轻、重稀土矿床中基岩在矿物组合、岩石化学及主要稀... 详细信息

南岭地区离子吸附型稀土矿床是目前全球重稀土的主要来源。在岩浆演化及热液蚀变过程中,稀土元素在成矿基岩中的迁移和富集过程受稀土元素的地球化学行为控制。本文对比了离子吸附型轻、重稀土矿床中基岩在矿物组合、岩石化学及主要稀土矿物类型等方面的差异,简要介绍了南岭地区离子吸附型稀土矿床基岩中热液活动与稀土元素富集的相关研究进展。其中富重稀土矿床的基岩主要为高硅碱长花岗岩(SiO_(2)>75%),基岩中硅铍钇矿和氟碳钙钇矿为主要稀土矿物。岩浆期后热液过程中,早期形成的氟铈矿等轻稀土矿物可导致残余流体富集重稀土元素,并形成重稀土热液矿物,稀土氯络合物可能是流体中迁移并富集重稀土元素的主要介质。而富轻稀土矿床的基岩主要为黑云母花岗岩、花岗闪长岩等(SiO_(2)<75%),主要稀土矿物为褐帘石和榍石,为岩浆演化晚期结晶产物,其在后期含F^(−)、CO_(3)^(2−)/HCO_(3)^(–)流体作用下蚀变成氟碳钙铈矿;这一过程导致轻稀土元素在基岩中被重新活化并再次富集。含F^(−)、CO_(3)^(2−)/HCO_(3)^(–)流体可能与南岭地区地下水的贡献有关。

关键词：南岭地区离子吸附型稀土矿床花岗质基岩热液蚀变稀土富集

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

离子吸附型稀土矿床的诱导成矿学研究

引用

大地构造与成矿学 2024年第2期48卷 293-301页

作者：李宁波王焰朱建喜杨武斌中国科学院广州地球化学研究所矿物学与成矿学重点实验室/广东省矿物物理与材料研究开发重点实验室广东广州510640 中国科学院深地科学卓越创新中心广东广州510640 中国科学院大学北京100049

诱导成矿学的核心理念是针对低品位矿石、尾矿和具有成矿潜力岩石中的关键金属资源,通过人工干预手段诱导目标金属元素活化和富集,在有限的时间尺度内形成具有经济价值的可利用资源。离子吸附型稀土矿床是全球稀土资源的主要来源之一,... 详细信息

诱导成矿学的核心理念是针对低品位矿石、尾矿和具有成矿潜力岩石中的关键金属资源,通过人工干预手段诱导目标金属元素活化和富集,在有限的时间尺度内形成具有经济价值的可利用资源。离子吸附型稀土矿床是全球稀土资源的主要来源之一,近年来为全球提供了80%以上的中、重稀土资源供给。该类矿床的形成主要受控于内生稀土初始富集和表生风化淋积成矿两个过程,而后者对于成矿极为关键。由于我国华南地区具有适宜形成离子吸附型稀土矿床的气候条件、大量出露的花岗质岩石及风化壳,因此对该地区开展人工诱导成矿技术研发将具有重要应用前景。通过分析离子吸附型稀土矿床形成的控制因素,预计可选择具有成矿潜力的花岗岩、含稀土风化壳和低品位矿床作为主要诱导成矿对象。通过调控地形地貌、生态、水文和风化壳物理化学条件等加速风化进程,促进稀土元素释放,引导稀土元素定向迁移,并在指定位置进行沉淀成矿,形成具有经济价值的富集稀土的矿体。特别是在该过程中可控制轻重稀土元素的分异,促使其形成富集重稀土的矿体,为解决全球重稀土资源紧缺和保障重稀土资源持续供给提供有效实施方案。因此,对离子吸附型矿床开展诱导成矿学研究具有重要的理论意义和应用价值,可作为诱导成矿学的重点研究方向之一。

关键词：诱导成矿学离子吸附型稀土矿床风化过程稀土元素迁移沉淀

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Management Practices of Locally Advanced and Metastatic Urothelial Carcinoma: A Questionnaire-Based Survey among Lebanese Oncologists

引用

Open Journal of Urology 2024年第2期14卷 138-149页

作者： Joseph Kattan Sally Temraz Fadi Nasr Arafat Tfayli christina Khater Anas Mugharbel Hady Ghanem Hampig Raphael Kourie Georges Hachem Sarah Masri Jamil Debs Ali Shamseddine Department of Hematology-Oncology H&#244tel-Dieu de France University Hospital Faculty of Medicine Saint-Joseph University of Beirut Beirut Lebanon Department of Internal Medicine Hematology-Oncology Division American University of Beirut Medical Center Beirut Lebanon Hematology-Oncology Division American University of Beirut Medical Center Beirut Lebanon Department of Hematology-Oncology Saint Charles Hospital Beirut Lebanon Department of Internal Medicine Makassed General Hospital Beirut Lebanon Hematology-Oncology Division Lebanese American University Medical Center - Rizk Hospital Beirut Lebanon Department of Hematology-Oncology Saint George Hospital University Medical Center Beirut Lebanon Pfizer Medical Affairs Beirut Lebanon

Background and Objective: The outcome of locally advanced and metastatic urothelial carcinoma LA/mUC has improved over the past years with a plethora of new treatments and the approval of immune checkpoint inhibitors (ICIs), antibody-drug conjugates, and targeted agents, to identify locally advanced metastatic urothelial carcinoma’s current management practices in Lebanon and the implication of the ongoing economic crisis on the medical practice. Methods: An online questionnaire was used to survey ten Lebanese oncologists from six different hospitals, between July 5 and July 11, 2022, requesting information pertaining to their current clinical practice in the pharmacological treatment of locally advanced metastatic urothelial carcinoma. Key Findings: Cisplatin-based chemotherapy was the most frequently reported initial treatment of locally advanced metastatic urothelial carcinoma. Participants reported using immune checkpoint inhibitors in platinum-ineligible patients and those with PDL1 positive tumors. Also, they would not consider the concomitant use of immunotherapy and chemotherapy in the first-line setting. Participants believed that avelumab maintenance is effective in the absence of progression after first-line platinum-based chemotherapy;they would consider initiating it 2 - 10 weeks after completion of chemotherapy. Conclusions and Clinical Implications: After comparing with current international guidelines, this study shows that Lebanese oncologists follow international guidelines and have deep knowledge of recent clinical trials for the management of locally advanced metastatic urothelial carcinoma, regardless of economic crisis challenges.

关键词： Clinical Practice Chemotherapy Immune Checkpoint Inhibitors PDL1 Urothelial Carcinoma

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

FORECASTING EXCHANGE RATES: AN OPTIMAL APPROACH

引用

Journal of Systems Science & Complexity 2014年第1期27卷 21-28页

作者： BENEKI christina YARMOHAMMADI Masoud School of Business and Economics Department of Business Administration Technological Educational Instituteof Ionian Islands 31100 Lefkada Greece. Department of Statistics Payame Noor University 19395-4697 Tehran Islamic Republic of Iran.

This paper looks at forecasting daily exchange rates for the United Kingdom, European Union, and China. Here, the authors evaluate the forecasting performance of neural networks （NN）, vector singular spectrum analysis （VSSA）, and recurrent singular spectrum analysis （RSSA） for fore casting exchange rates in these countries. The authors find statistically significant evidence based on the RMSE, that both VSSA and RSSA models outperform NN at forecasting the highly unpredictable exchange rates for China. However, the authors find no evidence to suggest any difference between the forecasting accuracy of the three models for UK and EU exchange rates.

关键词： China European union exchange rates forecasting neural networks recurrent singularspectrum analysis United Kingdom vector singular spectrum analysis.

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Electrochemical and spectroelectrochemical characterization of different mesoporous TiO2 film electrodes for the immobilization of Cytochrome c

引用

Frontiers of Materials Science 2018年第1期12卷 64-73页

作者： Stavros KATSIAOUNIS christina TIFLIDIS christina TSEKOURA Emmanuel TOPOGLIDIS Department of Materials Science University of Patras Rion 26504 Greece

In this work three different mesoporous TiO2 film electrodes were prepared and used for the immobilization of Cytochrome c （Cyt-c）. Films prepared via a standard sol-gel route （SG-films） were compared with commercially available benchmark nanotitania materials, namely P25 Degussa （P25-films） and Dyesol nanopaste （Dyesol films）. Their properties, film deposition characteristics and their abilities to adsorb protein molecules in a stable and functional way were examined. We investigated whether it is possible, rather than preparing TiO2 films using multistep, lengthy and not always reproducible sol-gel procedures, to use commercially available nanotitania materials and produce reproducible films faster that exhibit all the properties that make TiO2 films ideal for protein immobilization. Although these materials are formulated primarily for dye-sensitized solar cell applications, in this study we found out that protein immobilization is facile and remarkably stable on all of them. We also investigated their electrochemical properties by using cyclic voltammetry and spectroelectrochemistry and found out that not only direct reduction of Fe（III）-heme to Fe（II）-heme of immobilized Cyt-c was possible on all flms but that the adsorbed protein remained electroactive.

关键词： TiO2 films spectroelectrochemistry cyclic voltammetry Cytochrome c

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Volatile and C-H-O isotopic compositions of giant Fe-Ti-V oxide deposits in the Panxi region and their implications for the sources of volatiles and the origin of Fe-Ti oxide ores

引用

Science China Earth Sciences 2012年第11期55卷 1782-1795页

作者： WANG christina Yan Key Laboratory of Mineralogy and Metallogeny Guangzhou Institute of GeochemistryChinese Academy of SciencesGuangzhou 510640China

The Panzhihua,Hongge,and Baima Fe-Ti-V oxide deposits in the Panzhihua-Xichang(Panxi) region are hosted in large layered mafic-ultramafic *** layered intrusions intrude either the Neoproterozoic Dengying Formation,composed mainly of limestone,or the Paleoproterozoic Hekou Formation,composed of meta-sedimentary-volcanic *** remains unclear if the wall rocks have been involved during the fractionation of magmas and have affected the sequence of crystallization of Fe-Ti *** and their C-H-O isotopic compositions of magnetite,apatite,clinopyroxene,and plagioclase of different types of ores from the three intrusions are analyzed using a technique of stepwise heating mass spectrometer to evaluate the role of wall rocks in the formation of Fe-Ti oxide *** released from magnetite are composed mainly of H 2 O and CO 2,whereas the other minerals are composed mainly of H 2 O,CO 2 and H *** 800-1200°C temperature interval,the average 13 C values of CO 2 of all the minerals from the three intrusions range from 7.7‰ to 13.5‰ and the average 18 O CO 2 values from 19.1‰ to 19.5‰,which are scattered in a mixed field with basalt and the two types of wall rocks as end-members,indicating that CO 2 from the wall rocks may have been involved in the magmas from which the three intrusions *** 400-800 C temperature interval,both 13 C values(13.7‰ to 17.9‰ on the average) and 18 O values(16.2‰ to 19.2‰ on the average) of CO 2 of all the minerals are lower than those for 800-1200 C temperature interval,and much closer to the values of the wall *** H 2 O released at the 400-800 C temperature interval has relatively low D values ranging from 90‰ to 115‰,also indicating the involvement of fluids from the wall *** average bulk contents of volatiles released from magnetite of the Hongge,Baima,and Panzhihua intrusions are 4891,2996,and 1568 mm 3 STP/g,respectively,much higher than those released from other minerals in total,which are 382

关键词： magnetite volatiles C-H-O isotope Fe-Ti-V oxide ore Panxi region

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Contrasting oxidation states of low-Ti and high-Ti magmas control Ni-Cu sulfide and Fe-Ti oxide mineralization in Emeishan Large Igneous Province

引用

Geoscience Frontiers 2022年第6期13卷 41-58页

作者： Yonghua Cao christina Yan Wang Key Laboratory of Metallogenic Prediction of Nonferrous Metals and Geological Environment Monitoring Ministry of EducationSchool of Geosciences and Info-PhysicsCentral South UniversityChangsha 410083China Key Laboratory of Mineralogy and Metallogeny Guangzhou Institute of GeochemistryChinese Academy of SciencesGuangzhou 510640China CAS Center for Excellence in Deep Earth Science Guangzhou 510640China Guangdong Provincial Key Laboratory of Mineral Physics and Materials Guangzhou 510640China

Magmatic Ni-Cu-(PGE) sulfide and Fe-Ti oxide deposits in plume-related large igneous provinces(LIPs)are commonly related to low-Ti and high-Ti series magmas, respectively, but the major factors that control such a relationship of metallogenic types and magma compositions are unclear. Magma fOcontrols sulfur status and relative timing of Fe-Ti oxide saturation in mafic magmas, which may help clarify this issue. Taking the Emeishan LIP as a case, we calculated the magma fOof the high-Ti and low-Ti picrites based on the olivine-spinel oxygen barometer, and the partitioning of V in olivine. The obtained fOof the high-Ti series magma(FMQ + 1.1 to FMQ + 2.6) is higher than that of the low-Ti series magma(FMQ-0.5to FMQ + 0.5). The magma fOof the high-Ti and low-Ti picrites containing Fo > 90 olivine reveals that the mantle source of the high-Ti series is likely more oxidized than that of the low-Ti series. The results using the ’lambda REE’ approach show that the high-Ti series may have been derived from relatively oxidized mantle with garnet pyroxenite component. The S contents at sulfide saturation(SCSS) of the two series magmas were calculated based on liquid compositions obtained from the alpha Melts modeling, and the results show that the low-Ti series magma could easily attain the sulfide saturation as it has low fOwith S being dominantly as S. In contrast, the oxidized high-Ti series magma is difficult to attain the sulfide saturation, but could crystallize Fe-Ti oxides at magma MgO content of ~7.0 wt.%. Thus, contrasting magma fOof low-Ti and high-Ti series in plume-related LIPs may play an important role in producing two different styles of metallogeny.

关键词： Emeishan large igneous province Mantle plume High-Ti and low-Ti series magma Magma oxygen fugacity Magmatic Fe-Ti oxide deposits Magmatic Ni-Cu-(PGE)deposits

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：