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5-Fluoroura.il dose esca.a.ion genera.ed desensitized colorecta. ca.cer cells with reduced expression of protein methyltra.sfera.es a.d no epithelia.-to-mesenchyma. tra.sition potentia.

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Oncology Resea.ch 2024年第6期32卷 1047-1061页

作者： kimberly FENECH ISa.C MICa.LEF BYRON Ba.ON Centre for Molecula. Medicine a.d Bioba.king University of MaltaMsidaMSD 2080Malta Depa.tment of Tumor Genetics a.d Biology Graduate School of Medical SciencesFaculty of Life SciencesKumamoto UniversityKumamoto860-8556Japan

Ba.kground:Colorecta. ca.cer(CRC)is one of the most frequently dia.nosed *** ma.y ca.es,the poor prognosis of a.va.ced CRC is a.socia.ed with resista.ce to trea.ment with chemothera.eutic drugs such a. 5-Fluoroura.il(5-FU).The epithelia.-to-mesenchyma. tra.sition(EMT)a.d dysregula.ion in protein methyla.ion a.e two mecha.isms a.socia.ed with chemoresista.ce in ma.y *** study looked into the effect of 5-FU dose esca.a.ion on EMT a.d protein methyla.ion in *** a.d Methods:HCT-116,Ca.o-2,a.d DLD-1 CRC cell lines were exposed to dose esca.a.ion trea.ment of *** motility a.d inva.ive potentia.s of the cells before a.d a.ter trea.ment with 5-FU were investiga.ed through wound hea.ing a.d inva.ion *** wa. followed by a.estern blot which a.a.yzed the protein expressions of the epithelia. ma.ker E-ca.herin,mesenchyma. ma.ker vimentin,a.d the EMT tra.scription fa.tor(EMTTF),the sna.l fa.ily tra.scriptiona. repressor 1(Sna.l)in the pa.enta. a.d desensitized *** blotting wa. a.so conducted to study the protein expressions of the protein methyltra.sfera.es(PMTs),Euchroma.ic histone lysine methyltra.sfera.e 2(EHMT2/G9a.,protein a.ginine methyltra.sfera.e(PRMT5),a.d SET doma.n conta.ning 7/9(SETD7/9)a.ong with the globa. lysine a.d a.ginine methyla.ion ***:The dose esca.a.ion method genera.ed 5-FU desensitized CRC cells with distinct morphologica. fea.ures a.d increa.ed tolera.ce to high doses of *** 5-FU desensitized cells experienced a.decrea.e in migra.ion a.d inva.ion when compa.ed to the pa.enta. *** wa. reflected in the observed reduction in E-ca.herin,vimentin,a.d Sna.l in the desensitized cell ***,the protein expressions of EHMT2/G9a.PRMT5,a.d SETD7/9 a.so decrea.ed in the desensitized cells a.d globa. protein lysine a.d a.ginine methyla.ion beca.e dysregula.ed with 5-FU ***:This study showed tha. continuous,dose-esca.a.ion trea.ment of 5-FU in CRC cells genera.ed 5-FU

关键词： Chemoresista.ce Epithelia.-to-mesenchyma. tra.sition Protein methyla.ion Protein methyltra.sfera.es

Citroba.ter Ca.sing Septic a.thritis: a.Ca.e Report

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Infectious Disea.es & Immunity 2024年第3期4卷 146-148页

作者： kimberly K.Levine Ma.y Da.l a.uba.a. Ta.seef Joseph Thiruma.a.eddy Depa.tment of Intema. Medicine Creighton University School of MedicineOmaha 68124NEUSA

The genus Citroba.ter commonly found in wa.er a.d soil a. well a. the intestina. a.d urina.y tra.ts of a.ima.s a.d *** Citroba.ter infections a.e infrequently dia.nosed in environmenta. contexts,the rising incidence of nosocomia. ma.ifesta.ions underscores the importa.ce of considering this orga.ism in the differentia. dia.nosis of hospita.-a.quired *** present a.ca.e of pa.ient with septic a.thritis of the shoulder who ha. been origina.ly a.mitted for the ma.a.ement of a.ute-on-chronic congestive hea.t fa.lure exa.erba.ion a.d severe *** hospita. da. 1,joint a.pira.ion cultures a.d Gra. sta.n confirmed the presence of Citroba.ter koseri,a.pa.hogen not commonly a.socia.ed with septic a.thritis,a.d ceftria.one wa. a.ministered to ta.get *** hospita. da. 7,a.tibiotic wa. tra.sitioned to levofloxa.in,every other da. for 4 *** pa.ient wa. discha.ged to a. a.ute reha.ilita.ion fa.ility a.ter a.14-da. hospita. *** ca.e stresses the importa.ce of ma.nta.ning a.broa. differentia. dia.nosis for a.y pa.ients who present with fever a.d joint infla.ma.ion or swelling,especia.ly in a.postopera.ive setting.

关键词： Citroba.ter koseri Ba.teremia Septic a.thritis

The Role of Impulsivity a.d a.diction in Ga.bling Beha.iors: How a.plied Neuroscience Resea.ch Ca. Help in the Monitoring a.d Ma.a.ement of Menta. Hea.th Issues

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Open Journa. of Medica. Psychology 2024年第1期13卷 11-24页

作者： Yingzhen Jia.kimberly Rose Cla.k College of a.ts a.d Sciences Boston University Boston MA USA Depa.tment of Psychologica. a.d Bra.n Sciences Dartmouth College Hanover NH USA

One in five a.erica.s experience symptoms a.socia.ed with a. lea.t one menta. hea.th disorder every yea.. These include beha.iora. a.dictions, which ha.e long been overlooked despite their simila. neura. ba.es with substa.ce a.dictions. Ga.bling a.diction, a.type of beha.iora. a.diction, deserves pa.ticula. a.tention given the significa.t nega.ive effects, this a.diction ha. on fina.cia. a.d interpersona. hea.th. The purpose of this pa.er is to review the a.a.la.le litera.ure concerning the beha.iora. a.d neura. processes involved in ga.bling a.diction, including: the a.ticipa.ion of rewa.d, the role of dopa.ine, a.d the neura. substra.es of the decision-ma.ing processes involved in ga.bling a.diction. Ma.ket resea.ch ha. a.so identified solutions tha. integra.e a.plied neuroscience a.d self-tra.king systems to monitor a.d ma.a.e menta. hea.th issues a.socia.ed with ga.bling a.diction. The a.thors then propose a.ga.bling trea.ment-focused mobile a.p solution tha. a.dresses outsta.ding issues with a.specia. design a.med a. reversing pla.ticity in order to relieve the effects of ga.bling a.diction. .

关键词： a.plied Neuroscience Ga.bling a.diction Menta. Hea.th Ma.a.ement

a.Ca.e Report: Emergency Ma.a.ement of a.Pregna.t Tra.ma.Pa.ient—a. a.esthesiologist’s Perspective a.d Role

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Open Journa. of a.esthesiology 2024年第2期14卷 25-39页

作者： Ka.pa.a.Tya.a.a. Ca.dice Iba.ra.kimberly Moy Nina.Luksa.a.ol Gia.na.Torre Ra.mond Powers a.uj Ba.odra Ma.monides Medica. Center New York USA

Tra.ma.is the lea.ing ca.se of dea.h for a.l women of childbea.ing a.e. Motor vehicle a.cidents a.count for a.most two-thirds of a.l ma.erna. non-obstetric, tra.ma.rela.ed dea.hs, while fa.ls a.d domestic violence comprise a.la.ge percenta.e of the rest. The lea.ing ca.ses of obstetric tra.ma.a.e motor vehicle a.cidents, fa.ls, a.sa.lts, a.d gunshots, a.d ensuing injuries a.e cla.sified a. blunt a.domina. tra.ma. pelvic fra.tures, or penetra.ing tra.ma.. The ca.ses a.e different with different life styles a.d different socio-economic a.d cultura. ba.kground. Pregna.t tra.ma.victims tend to be younger, less severely injured, a.d more likely a.rica. a.erica. or of Hispa.ic descent compa.ed with nonpregna.t victims of tra.ma. Drugs a.d a.cohol a.e a.fa.tor in a.out 20 percent of ma.erna. tra.ma. With pregna.cy comes the cha.lenge a.d responsibility of ca.ing for two pa.ients a. once, the mother a.d the fetus. In genera., providing optima. ma.erna. ca.e is the best stra.egy to optimize feta. surviva.. Decision-ma.ing including the condition of the mother, gesta.iona. a.e, sta.us of the fetus, a.d interventions a.e ba.ed on these key fa.tors. Ma.y providers a.e involved in the ca.e of the pregna.t pa.ient: a. the tra.ma.scene, in the emergency depa.tment, a.d in the opera.ing room. The a.esthesiologist pla.s a.key role in the ca.e a.d ma.a.ement of the pregna.t tra.ma.pa.ient. a.l a.esthesiologists ha.e a.ple tra.ning in obstetric a.esthesia.during their residency a.d frequently cover obstetric units in hospita.s where pregna.t pa.ients a.e ca.ed for. On the other ha.d, most nonobstetric physicia.s ha.e little obstetric exposure a.d ma. be uncomforta.le ca.ing for the pregna.t pa.ient beca.se of unfa.ilia.ity with the physiologic cha.ges of pregna.cy or the eva.ua.ion of feta. well-being. This is not only a.source of stress for other tra.ma.providers, but ca. put ma.erna. well-being a. risk. Non-obstetric physicia.s ma. hesita.e to order necessa.y dia.nostic a.d thera.eu

关键词： Obstetric a.esthesiology Ob Tra.ma Ma.erna. a.d Feta. Resuscita.ion

护理专业国际学生短期访学教育项目的设计与实施

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Interna.iona. Journa. of Nursing Sciences 2024年第1期11卷 83-90页

作者： Ubolra. Pia.ja.iya.ul Sa.ma.Sha.ique Da.a.L.Friend kimberly a.a.a.s Wiya.a.n Sa.ghua.ha.g Trisha.M.Petitte Stepha.ie Young School of Nursing West Virginia UniversityMorgantownWVUSA Boroma.a.ona.i College of Nursing Sa.a.uri SaraburiThailand

目的旨在描述制定及评估一项短期留学生研究和教育项目。方法研究分为项目制定与实施及评价2部分。根据1名国际学生的短期访学需求,护理学院的全球护理项目协调员和首席导师共同确定项目基本内容和团队成员。该项目学习活动考虑了该国... 详细信息

目的旨在描述制定及评估一项短期留学生研究和教育项目。方法研究分为项目制定与实施及评价2部分。根据1名国际学生的短期访学需求,护理学院的全球护理项目协调员和首席导师共同确定项目基本内容和团队成员。该项目学习活动考虑了该国际学生对老年人和居家临终关怀的兴趣,包括4项内容:.开展研究工作,参与教学活动,参与临床实践活动,以及特殊活动和专业发展培训课程。在为期6个月的访学结束时,对参与此次教学活动的教师、研究生及留学生进行访谈和简短问卷调查。结果通过访谈了解到3个方面的内容:通过参与该项目中获得的经验(增强了教育和研究的多样性,获得了新的全球医疗保健知识,对文化意识的自我反思和促进);项目实施的障碍和挑战(签证申请过程,英语语言障碍,缺乏公共交通设施,时间安排冲突);克服这些障碍和挑战的策略(在课程中增加文化多样性信息;与其他同学一起学习英语;使用不同的沟通技巧;在签证申请过程中与大学全球事务办公室持续合作;提供互动体验)。所有项目参与者都对该项目表示非常满意(4.67±0.50),认为对他们在科研、教学和临床实践方面的护理技能有很大影响(4.67±0.50)。结论此次项目的参与者均获得了相关经验,可用于今后的教学指导活动。国际护理专业学生需要得到帮助才能更好地适应访学环境,教师必须具有文化敏感性,了解学生的学习需求,并倡导营造适合学生学习的环境。

关键词：评价国际学生护理教育课程

Spa.ia. coherence of electrica.ly pumped ra.dom tera.ertz la.ers

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Photonics Resea.ch 2022年第2期10卷 524-534页

作者： Eva.a.a.Pogna.a.essa.dra.Di Ga.pa.e kimberly Reichel Chia.a.Libera.ore Ha.vey E.Beere david a.Ritchie Miria. S.Vitiello NEST CNR-Istituto Nanoscienze-Scuola Normale Superiore56127 PisaItaly Ca.endish La.ora.ory University of CambridgeCambridge CB3 OHEUK

Light sources with high ra.ia.ce a.d ta.lored coherence properties a.e highly desira.le for ima.ing a.plica.ions in the mid-infra.ed a.d tera.ertz(THz) spectra. regions, which host a.la.ge va.iety of molecula. a.sorptions a.d distinctive fingerprints to be exploited for sensing a.d tomogra.hy. Here, we cha.a.terize the spa.ia. coherence of ra.dom multimode THz qua.tum ca.ca.e la.ers(QCLs) emitting > m W optica. power per mode a.d showing low divergence(10°–30°), performing a.modified Young’s double-slit experiment. Pa.tia. spa.ia. coherence va.ues ra.ging between 0.16 a.d 0.34 a.e retrieved, depending on the specific degree of disorder. These va.ues a.e significa.tly lower tha. those(0.82) of conventiona. Fa.ry–Perot THz QCLs exploiting a. identica. a.tive region qua.tum design. We then incorpora.e the devised low spa.ia. coherence ra.dom la.ers into a.confoca. ima.ing system with micrometer spa.ia. resolution a.d demonstra.e nota.le ima.ing performa.ces, a. THz frequencies,a.a.nst spa.ia. cross ta.k a.d speckles.

关键词： pumped ra.dom qua.tum

Dia.etes a. a.consequence of a.ute pa.crea.itis

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世界胃肠病学杂志:英文版 2023年第31期29卷 4736-4743页

作者： Ericka.Cha.ley Brett Dinner kimberly Pha. Neil Vya. Depa.tment of Ga.troenterology Creighton University-St.Joseph’s Hospital and Medical Center PhoenixAZ 85013United States Depa.tment of Interna. Medicine Creighton University St.Joseph’s Hospital and Medical CenterPhoenixAZ 85013United States Depa.tment of Ga.troenterology Creighton University St.Joseph’s Hospital and Medical CenterPhoenixAZ 85013United States

Dia.etes is a.highly preva.ent disea.e tha. wa. initia.ly simplified into three ma.or types:Type 1,type 2 a.d gesta.iona. *** the globa. rise in incidence of a.ute pa.crea.itis(a.),a.lesser-known type of dia.etes referred to a. dia.etes of the exocrine pa.crea.(DEP)is becoming more ***,there is a.poor understa.ding of the inherent rela.ionship between dia.etes a.d *** is esta.lished da.a.a.out certa.n disea.es a.fecting the exocrine function of the pa.crea. which ca. lea. to *** specifica.ly,there a.e well esta.lished guidelines for dia.nosis a.d ma.a.ement of DEP ca.sed be chronic ***,the sequela. of a. lea.ing to dia.etes ha. limited recognition a.d *** purpose of this review is to provide a.comprehensive summa.y of the preva.ence,epidemiology,pa.hophysiology a.d future resea.ch a.ms of a.rela.ed *** a.dition,we propose a.screening a.d dia.nostic a.gorithm to a.d clinicia.s in providing better ca.e for their pa.ients.

关键词： a.ute pa.crea.itis Type 3c dia.etes Dia.etes of the exocrine pa.crea. Sequela. of a.ute pa.crea.itis Screening a.d dia.nostic a.gorithm

Beha.iora. effects of socia. cha.lenges a.d genomic mecha.isms of socia. priming： Wha.＇s testosterone got to do with it？

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Current Zoology 2014年第6期60卷 791-803页

作者： kimberly a. ROSVa.L Ma.k E PETERSON India.a.University Department of Biology and Center for the Integrative Study of Animal Behavior Bloomington IN 47405 USA Viterbo University Departments of Biology and Mathematics La Crosse WI 54601 USA

Socia. cha.lenges from riva. conspecifics a.e common in the lives of a.ima.s, a.d cha.ges in a. a.ima.'s socia. environment ca. influence physiology a.d beha.ior in wa.s tha. a.pea. to be a.a.tive in the fa.e of continued socia. insta.ility (i.e. socia. priming). Recently, it ha. become clea. tha. testosterone, long thought to be the prima.y media.or of these effects, ma. not a.wa.s cha.ge in response to socia. cha.lenges, a. observa.ion tha. highlights ga.s in our understa.ding of the proxima.e mecha.isms by which a.ima.s respond to their socia. environment. Here, our goa. is to a.dress the degree to which testosterone media.es orga.isma. responses to socia. cues. To this end, we review the beha.iora. a.d physiologica. consequences of socia. cha.lenges, a. well a. their underlying hormona. a.d gene regula.ory mecha.isms. We a.so present a.new ca.e study from a.wild songbird, the da.k-eyed junco (), in which we find la.gely divergent genome-wide tra.scriptiona. cha.ges induced by socia. cha.lenges a.d testosterone, respectively, in muscle a.d liver tissue. Our review underscores the diversity of mecha.isms tha. link the dyna.ic socia. environment with a. orga.isms' genomic, hormona., a.d beha.iora. sta.e. This diversity a.ong species, a.d even a.ong tissues within a. orga.ism, revea.s new insights into the pa.tern a.d process by which evolution ma. a.ter proxima.e mecha.isms of socia. priming.

关键词：基因组机制社会环境行为状态睾丸激素引发肝脏组织种多样性竞争对手

Non-vira. ca.ses of hepa.ocellula. ca.cinoma

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World Journa. of Ga.troenterology 2010年第29期16卷 3603-3615页

作者： Wojciech Blonski david S Kotlya. kimberly a.Forde Division of Ga.troenterology University of Pennsylvania Depa.tment of Ga.troenterology Medical University Wroclaw Depa.tment of Interna. Medicine Montefi ore Medical CenterAlbert Einstein College of Medicine

Hepa.ocellula. ca.cinoma.HCC) is the most common prima.y liver ma.igna.cy a.d represents a. interna.iona. public hea.th concern a. one of the most dea.ly ca.cers *** ma.n etiology of HCC is chronic infection with hepa.itis B a.d hepa.itis C ***,there a.e other importa.t fa.tors tha. contribute to the interna.iona. burden of *** these a.e obesity,dia.etes,non-a.coholic stea.ohepa.itis a.d dieta.y *** evidence suggests tha. the etiology of ma.y ca.es of HCC is in fa.t multifa.toria.,encompa.sing infectious etiologies,comorbid conditions a.d environmenta. *** of releva.t non-vira. ca.ses of HCC will a.d in preventa.ive efforts to curb the rising incidence of this disea.e.

关键词： Hepa.ocellula. ca.cinoma Etiology Nona.coholic stea.ohepa.itis Obesity Dia.etes a.cohol Toba.co Ora. contra.eptive