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Effectiveness of Musculoskeletal Emergency Physiotherapy Practitioners

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Open Journal of Therapy and Rehabilitation 2016年第3期4卷 146-149页

作者： emma salt Physiotherapy Department Queen’s Hospital Foundation Trust Burton on Trent UK

Relevance and Method: The purpose of this project was to evaluate the effectiveness of the Emergency Physiotherapy Practitioner (EPP) service against quality care indicators identified as part of the “gold standard” for emergency care in England. The study was prospective and evaluated time to initial assessment, total time in the emergency department and un-planned re-attendance rate within a seven-day period for all patients seen by the EPP’s over a period of one year. Outcomes: One thousand and seven patients were seen by EPPs in the emergency department. The median wait time for treatment by an EPP was 34.5 minutes (95th percentile = 122). Regional median wait time was 45 minutes (95th percentile = 138). National median wait time was 55 minutes (95th percentile = 192). Median total time spent in ED for patients seen by EPPs was 99 minutes (95th percentile = 224). Regional median total time in ED was 223 (95th percentile = 239). Nationally median total time in ED was 136 minutes (95th percentile = 336). Three percent of patients seen by an EPP returned to the ED, compared to 6% regionally and 7.5% nationally. Conclusions: EPPs excelled in all three indicators and exceeded regional and national figures. The re-return rate met the current standard of being less than 5%. It could be justified that the addition of the EPPs to the emergency department was an efficient and effective service development.

关键词： Musculoskeletal Physiotherapy Emergency Care

Novel hybrid biocomposites for tendon grafts:The addition of silk to polydioxanone and poly(lactide-co-caprolactone)enhances material properties,in vitro and in vivo biocompatibility

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Bioactive Materials 2023年第7期25卷 291-306页

作者： Behzad shiroud Heidari emma Muiños Lopez emma Harrington Rui Ruan Peilin Chen seyed Mohammad Davachi Benjamin Allardyce Rangam Rajkhowa Rodney Dilley Froilán Granero-Moltó Elena M.De-Juan-Pardo Minghao Zheng Barry Doyle Harry Perkins Institute of Medical Research QEII Medical CentreNedlands and the UWA Centre for Medical ResearchThe University of Western AustraliaPerthAustralia school of Engineering The University of Western AustraliaPerthAustralia Australian Research Council Centre for Personalised Therapeutics Technologies Australia Cell Therapy Area Centro de Investigaci´on M´edica AplicadaIDISNAUniversidad de NavarraPamplonaSpain Centre for Orthopaedic Research Faculty of Health and Medical SciencesThe University of Western AustraliaPerthAustralia Department of Biology and Chemistry Texas A&M International UniversityLaredoTXUSA Institute for Frontier Materials Deakin UniversityGeelongVIC3216Australia Perron Institute for Neurological and Translational science NedlandsWestern AustraliaAustralia

Biopolymers play a critical role as scaffolds used in tendon and ligament(TL)*** advanced biopolymer materials have been proposed with optimised mechanical properties,biocompatibility,degradation,and processability,it is still challenging to find the right balance between these ***,we aim to develop novel hybrid biocomposites based on poly(p-dioxanone)(PDO),poly(lactide-co-caprolactone)(LCL)and silk to produce high-performance grafts suitable for TL tissue *** containing 1-15%of silk were studied through a range of characterisation *** then explored biocompatibility through in vitro and in vivo studies using a mouse *** found that adding up to 5%silk increases the tensile properties,degradation rate and miscibility between PDO and LCL phases without agglomeration of silk inside the ***,addition of silk increases surface roughness and *** vitro experiments show that the silk improved attachment of tendon-derived stem cells and proliferation over 72 h,while in vivo studies indicate that the silk can reduce the expression of pro-inflammatory cytokines after six weeks of ***,we selected a promising biocomposite and created a prototype TL graft based on extruded *** found that the tensile properties of both individual fibres and braided grafts could be suitable for anterior cruciate ligament(ACL)repair applications.

关键词： Biocomposite Tendon graft silk Fibre extrusion Biodegradable scaffolds Anterior cruciate ligament

Climate Change:Losing Ground?

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Engineering 2019年第4期5卷 600-602页

作者： emma Hiolski senior Technology Writer

Climate change carries with it the prediction of warming global temperatures and increasingly variable weather,plus associated detrimental impacts around the *** from 2018,and the events of that year,continue to support this *** the National Aeronautics and space Administration(NAsA)and the Us National Oceanic and Atmospheric Administration(NOAA)identified 2018 as the fourth hottest year on record(Fig.1)[1,2].In addition,despite world-wide efforts undertaken to reduce greenhouse gas emissions,energy-related carbon dioxide emissions in 2018 reached a historic high[3].On 11 May 2019,the amount of carbon dioxide in the Earth’s atmosphere surpassed 415 parts per million for the first time in at least 800 000 years[4].

关键词： prediction. greenhouse weather

Ventilation strategies in burn intensive care:A retrospective observational study

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Burns & Trauma 2014年第1期2卷 29-35页

作者： stefano Palazzo emma James-Veldsman Caroline Wall Michelle Hayes Marcela Vizcaychipi Magill Department of Anaesthesia Intensive Care Medicine and Pain ManagementChelsea and Westminster HospitalLondonUK

Consensus regarding optimal burns intensive care(BICU)patient management is *** study aimed to assess whether ventilation strategies,cardiovascular support and sedation in BICU patients have changed over time,and whether this affects outcome.A retrospective observational study comparing two 12-patient BICU cohorts(2005/06 and 2010/11)was *** and admission characteristics,ventilation parameters,sedation,fluid resuscitation,cardiovascular support and outcome(length of stay,mortality)data were collected from patient *** was analysed using T-tests,Fisher’s exact and Mann-Whitney U *** our study cohort groups were equivalent in demographic and admission *** were equal ventilator-free days in the two cohorts 10±12.7 vs.13.3±12.2 ventilator free days;(P=0.447).The 2005/06 cohort were mechanically ventilated more often than in 2010/11 cohort(568 ventilator days/1000 patient BICU days vs.206 ventilator days/1000 patient BICU days;P=0.001).The 2005/06 cohort were ventilated less commonly in tracheostomy group/endotracheal tube spontaneous(17.8%vs.26%;P=0.001)and volumecontrolled modes(34.4%vs.40.8%;P=0.001).Patients in 2010/11 cohort were more heavily sedated(P=0.001)with more long-acting sedative drug use(P=0.001)than the 2005/06 cohort,fluid administration was *** outcome did not *** injury patients were ventilated in volume-controlled(44.5%vs.28.1%;P=0.001)and pressure-controlled modes(18.2%vs.9.5%;P=0.001)more frequently than those *** did not *** study showed there has been shift away from mechanical ventilation,with increased use of tracheostomy/tracheal tube airway spontaneous *** injury patients require more ventilatory support though patient outcomes do not *** trials are required to establish which strategies confer benefit.

关键词： Burns intensive care ventilation inhalation injury

LEs MIsERABLEs Chinese beggars recount how they came to the streets

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城市漫步（GBA版） 2015年第1期 10-11页

作者： emma GUO 不详

At 12pm on a Monday,Dongnien in shenzhen is packed with people.A gray-haired woman in an ill-fitting dark blue coat,black trousers and shabby cloth shoes carries a bag on her shoulder and an empty plastic cup in her *... 详细信息

关键词： black packed passing

Pharmacologic inhibition of mTORC1 mimics dietary protein restriction in a mouse model of lactation

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Journal of Animal science and Biotechnology 2021年第2期12卷 729-738页

作者： Virginia L.Pszczolkowski steven J.Halderson emma J.Meyer Amy Lin sebastian I.Arriola Apelo Department of Animal and Dairy sciences University of Wisconsin-MadisonMadisonWIUSA Endocrinology and Reproductive Physiology Graduate Training Program University of Wisconsin-MadisonMadisonWIUSA

Background:Understanding the mechanisms of N utilization for lactation can lead to improved requirement estimates and increased efficiency,which modern dairy diets currently fail to *** mechanistic target of rapamycin complex 1(mTORC1)is a central hub of translation regulation,processing extra-and intra-cellular signals of nutrient availability and physiological state,such as amino acids and *** hypothesized that dietary amino acids regulate lactation through mTORC1,such that inhibition of mTORC1 will lead to decreased lactation performance when amino acids are not *** objectives were to assess lactation performance in lactating mice undergoing dietary and pharmacologic interventions designed to alter mTORC1 ***:First lactation mice(N=18;n=6/treatment)were fed an adequate protein diet(18%crude protein),or an isocaloric protein-restricted diet(9%crude protein)from the day after parturition until lactation day 13.A third group of mice was fed an adequate protein diet and treated with the mTORC1 inhibitor rapamycin(4 mg/kg every other day)intraperitoneally,with the first two groups treated with vehicle as *** and pups were weighed daily,and feed intake was recorded every other *** production was measured every other day beginning on lactation day 4 by the weigh-suckle-weigh *** were collected after fasting and ***:Milk production and pup weight were similarly decreased by both protein restriction and rapamycin treatment,with final production at 50%of control(P=0.008)and final pup weight at 85%of control(Psphorylation of mTORC1’s downstream targets were decreased by protein restriction and rapamycin treatment(Ps observed in the liver of rapamycin treated mice,and none by protein ***:Overall,sufficient supply of dietary amino acids was unable to maintain lactation performance status in mice with pharmacologically reduced mam

关键词： Amino acids Lactation Mammary Mouse model mTORC1 Rapamycin

Is big team research fair in national research assessments? The case of the UK Research Excellence Framework 2021

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Journal of Data and Information science 2023年第1期8卷 9-20页

作者： Mike Thelwall Kayvan Kousha Meiko Makita Mahshid Abdoli emma stuart Paul Wilson Jonathan Levitt statistical Cybermetrics and Research Evaluation Group University of WolverhamptonUK

Collaborative research causes problems for research assessments because of the difficulty in fairly crediting its *** splitting the rewards for an article amongst its authors has the greatest surface-level fairness,many important evaluations assign full credit to each author,irrespective of team *** underlying rationales for this are labour reduction and the need to incentivise collaborative work because it is necessary to solve many important societal *** article assesses whether full counting changes results compared to fractional counting in the case of the UK’s Research Excellence Framework(REF)*** this assessment,fractional counting reduces the number of journal articles to as little as 10%of the full counting value,depending on the Unit of Assessment(UoA).Despite this large difference,allocating an overall grade point average(GPA)based on full counting or fractional counting gives results with a median Pearson correlation within UoAs of *** largest changes are for Archaeology(r=0.84)and Physics(r=0.88).There is a weak tendency for higher scoring institutions to lose from fractional counting,with the loss being statistically significant in 5 of the 34 ***,whilst the apparent over-weighting of contributions to collaboratively authored outputs does not seem too problematic from a fairness perspective overall,it may be worth examining in the few UoAs in which it makes the most difference.

关键词： Collaboration Research assessment REF REF2021 Research quality scientometrics

sHENZHEN UNDERGROUND A tour of MTR station shopping

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城市漫步（GBA版） 2015年第5期 12-13页

作者： emma GUO 不详

Tired of fancy shopping malls where sales staff tail you throughout the store,introducing everything you so much as glance at?Been on a waiting list for weeks to fix your phone's screen?Bored of your usual restaurants?If your answer's"yes"to any of these queries,it's time to go *** who commute to work by metro may already be familiar with the commercial areas in some of the stations,such as Fashion Time in Chegoncmiao and Link City between shopping Park and Convention a Exhibition *** boutiques,groceries,local eateries and international products,these underground districts are micro-communities where shoppers can easily spend a *** are some of our favorite finds.

关键词： shopping underground favorite

sWAPPING sERVICEs A more casual way to learn

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城市漫步（GBA版） 2015年第8期 44-45页

作者： emma GUO 不详

Thinking of trying to cook your favorite sichuan dishes?Want to learn a song on the guitar for a friend's surprise birthday?Interested in mastering the daily phrases of a foreign language but don't feel like paying high tuition fees?We all have the desire to learn new abilities,but perhaps our desire isnt strong enough to make us sign up for ***;many in China have come up with a casual,fun way to learn:skills exchange.

关键词： favorite learn dis