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Impact of a Pilot, Pharmacy-Led Tobacco Cessation Medication Protocol at discharge in a Community Hospital

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Journal of Pharmacy and Pharmacology 2017年第9期5卷 642-647页

作者： Carly M. mckenzie rachana Patel Kaitlyn r. Eder University Hospitals St. John Medical Center Westlake Ohio 44145 USA

Purpose： To evaluate the implementation of a pharmacy-led tobacco cessation medication education protocol at discharge in a community hospital. design： Single center, retrospective quality assessment study. Methods： A retrospective review of a pharmacy-led protocol was completed from November 2016 through April 2017. data from one year prior to implementation of the protocol was analyzed against the study group. results： A total of 607 tobacco cessation medication education interventions were made during the study period, 379 patients （62.4%） were given an OTC （Over The Counter） NrT （Nicotine replacement Therapy） recommendation upon discharge and 148 （24.4%） were referred to the Ohio Tobacco Quit Line. TJC （The Joint Commission） TOB-3/3a measure was met in 44.1% of patients during the study period compared to 0% in the comparator group. Of the 75 patients who were reached via follow-up phone call, 23 （30.7%） purchased an OTC NrT and 22 （29.3%） completely quit using tobacco. Conclusions： Pharmacy-led tobacco cessation interventions during hospitalizations have a positive impact on TJC TOB-3/3a quality measure results and quit rates post-discharge. Our results encourage future studies in this area to further establish the importance of pharmacist involvement in tobacco cessation, specifically in the hospital setting.

关键词： Tobacco cessation pharmacists hospital nicotine replacement therapy.

Analysis of non-ionized substance losses in experiments on plasma mass separation

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Plasma Science and Technology 2022年第8期24卷 124-129页

作者： r A USMANOV N N ANTONOV A V GAVrIKOV G d LIZIAKIN A d MELNIKOV A P OILEr V P SMIrNOV r A TIMIrKHANOV L S VOLKOV N A VOrONA Laboratory of Electrophysical and Plasma devices Joint Institute for High TemperatureMoscow 125412Russia

Plasma mass separation requires a lot of diagnostic techniques that not only demonstrate the separation effect but also show the efficiency of the *** the test experiments,plasma flux to be separated may contain neutral particles that avoid the separation process due to their insensitivity to electromagnetic *** present the diagnostics of the lost substance in experiments on plasma mass *** obtained data of the diagnostics helps determine the law of particle evaporation from the plasma *** show that neutral flux is unable to distort the result of separation *** presented approach can be used in experiments aimed at enhancing the separation effect and achieving target productivity for industry applications.

关键词： plasma mass separation plasma diagnostics lead silver film deposition

Classification of request-Based Mobility Load Balancing in Fog Computing

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Computer Systems Science & Engineering 2023年第7期46卷 137-151页

作者： d.deepa K.r.Jothi School of Computer Science and Engineering Vellore Institute of TechnologyVellore632014India

Every day,more and more data is being produced by the Internet of Things(IoT)*** data differ in amount,diversity,veracity,and *** of latency,various types of data handling in cloud computing are not suitable for many time-sensitive *** users move from one site to another,mobility also adds to the *** placing computing close to IoT devices with mobility support,fog computing addresses these *** efficient Load Balancing Algorithm(LBA)improves user experience and Quality of Service(QoS).Classification of request(Cor)based resource Adaptive LBA is suggested in this *** technique clusters fog nodes using an efficient K-means clustering algorithm and then uses a decision Tree approach to categorize the *** decision-making process for time-sensitive and delay-tolerable requests is facilitated by the classification of *** does the operation based on these *** MobFogSim simulation program is utilized to assess how well the algorithm with mobility features *** outcome demonstrates that the LBA algorithm’s performance enhances the total system performance,which was attained by(90.8%).Using LBA,several metrics may be examined,including response Time(rT),delay(d),Energy Consumption(EC),and *** the on-demand provisioning of necessary resources to IoT users,our suggested LBA assures effective resource usage.

关键词： Mobility load balancing classification clustering IoT devices

Influence of a laser profile in impedance mismatch techniques applied to carbon EOS measurement

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High Power Laser Science and Engineering 2013年第2期1卷 102-104页

作者： A.Aliverdiev d.Batani r.dezulian Institute for Geothermal researches dSC of russian Academy of Sciences – Pr. Shamilya 39A 367030 Makhachkala Russia dagestan State University Gadjieva Str. 43A 367025 Makhachkala Russia University Bordeaux CEA CNRS CELIA (Centre Laser Intense et Applications)UMR 5107 33405 Talence France dipartimento di Fisica ‘G. Occhialini' Universita` di Milano-BicoccaMilano Italia

We present a recent numerical analysis of impedance mismatch technique applied to carbon equation of state *** consider high-power laser pulses with a Gaussian temporal profile of different *** show that for the laser intensity(≈1014W/cm2)and the target design considered in this paper we need to have laser pulses with rise-time less than 150 ps.

关键词： equation of state(EOS) high pressures impedance mismatch technique

Current protective strategies in liver surgery

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World Journal of Gastroenterology 2010年第48期16卷 6098-6103页

作者： Kurinchi S Gurusamy Hector d Gonzalez Brian r davidson HPB and Liver Transplantation Royal Free CampusUniversity College London Medical SchoolRoyal Free Hospital

during liver resection surgery for cancer or liver transplantation,the liver is subject to ischaemia (reduction in blood flow) followed by reperfusion (restoration of blood flow),which results in liver injury [ischemiareperfusion (Ir) or Ir injury]. Modulation of Ir injury can be achieved in various ways. These include hypothermia,ischaemic preconditioning (IPC) (brief cycles of ischaemia followed by reperfusion of the organ before the prolonged period of ischaemia i.e. a conditioning response),ischaemic postconditioning (conditioning after the prolonged period of ischaemia but before the reperfusion),pharmacological agents to decrease Ir injury,genetic modulation of Ir injury,and machine perfusion (pulsatile perfusion). Hypothermia decreases the metabolic functions and the oxygen consumption of organs. Static cold storage in University of Wisconsin solution reduces Ir injury and has prolonged organ storage and improved the function of transplanted grafts. There is currently no evidence for any clinical advantage in the use of alternate solutions for static cold storage. Although experimental data from animal models suggest that IPC,ischaemic postconditioning,various pharma-cological agents,gene therapy,and machine perfusion decrease Ir injury,none of these interventions can be recommended in clinical practice. This is because of the lack of randomized controlled trials assessing the safety and efficacy of ischaemic postconditioning,gene therapy,and machine perfusion. randomized controlled trials and systematic reviews of randomized controlled trials assessing the safety and efficacy of IPC and various pharmacological agents have demonstrated biochemical or histological improvements but this has not translated to clinical benefit. Further well designed randomized controlled trials are necessary to assess the various new protective strategies in liver resection.

关键词： Liver Hepatectomy Liver transplantation Ischemia-reperfusion injury Hypothermia Ischaemic preconditioning

Time-dependent Early-age Behaviors of Concrete under restrained Condition

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Journal of Wuhan University of Technology(Materials Science) 2007年第2期22卷 350-353页

作者：马新伟 r d Hooton H Lam School of Materials Science and Engineering Harbin Institute of Technology department of Civil Engineering University of Toronto

To investigate the early-age behaviors of concrete under a restrained condition, a set of apparatus was developed. In this way, the tensile creep and other early-age properties can be investigated in depth. By measuring the modulus of elasticity of concrete, synchronous shrinkage of concrete and steel rings and free shrinkage of concrete, the deformations of concrete ring can be quantified respectively. The experimental results show the tensile stress in concrete is time-dependent, and the stress at cracking is much lower than the tensile strength at that age; the tensile creep plays an important role in relaxing the tensile stress and postponing the cracking of concrete.

关键词： shrinkage restrained shrinkage elastic strain tensile creep time-dependent behaviors

Optimal Solution of Fuzzy Transportation Problem Using Octagonal Fuzzy Numbers

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Computer Systems Science & Engineering 2021年第6期37卷 415-421页

作者： d.Gurukumaresan C.duraisamy r.Srinivasan department of Mathematics Kongu Engineering CollegeErode638060India department of Ancient Science Faculty of ScienceTamil UniversityThanjavur613010India

In this paper a fuzzy transportation problem under a fuzzy environment is solved using octagonal fuzzy *** transportation problem is significant and has been widely studied in the field of applied mathematics to solve a system of linear equations in many applications in *** of concurrent linear equations play a vital major role in operational *** main perspective of this research paper is to find out the minimum amount of transportation cost of some supplies through a capacitated network formerly the availability and the demand notes are octagonal fuzzy *** fuzzy numbers are used and showed a membership *** illustrate this method,a fuzzy transportation problem is solved by using octagonal fuzzy numbers using the ranking *** is shown that it is the best optimal solution and it is demonstrated with a numerical example.

关键词： Linear equation transportation problem fuzzy transportation problem ranking technique trapezoidal fuzzy numbers

Interpretation of tangential and radial pressure cells in and on sprayed concrete tunnel linings

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Underground Space 2021年第5期6卷 516-527页

作者： Benoit d.Jones Chris r.I.Clayton Inbye Engineering Limited Coventry CV12NPUK department of Engineering University of SouthamptonSouthampton SO171BJUK

It is important to be able to measure stresses in tunnel linings to verify design assumptions and validate numerical *** sprayed concrete-lined tunnels,continuous monitoring of stresses from the time of spraying onwards is desirable,and this can only be achieved using pressure cells installed on and in the sprayed concrete *** there has been some success in using radial pressure cells between the ground and the lining,a method for obtaining reliable absolute values of stress from tangential pressure cells embedded in the sprayed concrete has not been *** paper describes numerical and experimental studies of the behavior of pressure cells for monitoring stresses in a sprayed concrete lining and describes an original methodology to achieve reliable *** particular,data from tangential pressure cells require careful interpretation,as they are sensitive to temperature,and this temperature sensitivity is found in parametric numerical analyses to vary as the stiffness of the concrete and its coefficient of thermal expansion evolve at early *** pressure cells are also sensitive to shrinkage strains in the concrete,and a methodology for removing this effect is *** the approach described in this paper,it is now possible to use pressure cells to measure absolute values of stresses in and on sprayed concrete tunnel linings from early age into the *** example of radial and tangential pressure cells installed in the Heathrow Terminal 4 concourse tunnel is used to illustrate the methodology.

关键词： Lining stresses Sprayed concrete Shotcrete Monitoring Pressure cells

Long-term administration of large doses of paracetamol impairs the reproductive competence of male rats

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Asian Journal of Andrology 2000年第4期2卷 247-255页

作者： W.d.ratnasooriya J.r.A.C.Jayakody department of Zoology University of Colombo Colombo 3 Sri Lanka.Department of Zoology University of Colombo Colombo 3 Sri Lanka.

Aim: To evaluate the antireproductive effect of paracetamol in male rats. Methods: Male rats were orally adminis-tered daily with 500 mg/kg or 1000 mg/kg of paracetamol for 30 consecutive days. Their sexual behaviour and fertilitywere evaluated using receptive females. results: At 2 h after treratment, sexual behaviour was not inhibited but onday 30 both doses of paracetamol caused marked impairment of libido (assessed by % mounting, % intromission and% ejaculation), sexual vigour (number of mounts and intromissions and copulatory efficiency) or sexual performance(intercopulatory interval). In mating experiments, the fertility (in terms of quantal pregnancy, fertility index, implan-tation index and number of implants) was significantly reduced. All these effects were reversible. The antireproductiveeffect was not due to a general toxicity but due to an increase in pre-implantation losses resulting from oligozoospermia,impairments of normal and hyper-activated sperm motility, and reduction in the fertilizing potential of ***: Long-term use of high doses of paracetamol may be detrimental to male reproductive competence.( Asian J Andro12000 dec; 2: 247-255 )

关键词： paracetamol fertility sexual behaviour oligozoospermia pre-implantation loss capacitation sperm motility