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Isolated traumatic orbital floor fracture: An analysis of the National Trauma Data Bank

世界耳鼻咽喉头颈外科杂志英文版 2024年第3期10卷 187-192页

作者： De Ravin emma Xu Katherine Fritz Christian S. Parhar Harman Rajasekaran Karthik Department of Otorhinolaryngology Head and Neck Surgery University of Pennsylvania Philadelphia Pennsylvania USA Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA Leonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA

Objectives: To date, no study provides a comprehensive analysis of traumatic orbital floor fractures across the United States. We aimed to characterize patient demographics, injury-related variables, and operative management in this ***: The National Trauma Data Bank was queried for open or closed orbital floor fractures from 2008 to 2016. Clinical data were ***: Overall, 148,592 orbital floor fractures were identified, with 142,577 (95.9%) closed- and 6158 (4.1%) open-type fractures. A total of 106,243 (71.5%) patients were male and the median patient age was 41 years. The majority of patients (79.2%) had abbreviated injury scale scores of ≤2, indicating minor/moderate injury. Fracture mechanism of injury (MOI) differed by gender, with the most frequent being unarmed fights in men (34.3%) and falls in women (14.0%). There were 29,600 patients (19.9%) with isolated orbital floor (I-OF) fractures. The MOI most strongly associated with operative intervention of with I-OF fractures were penetrating injuries caused by a firearm (odds ratio [OR]: 2.91; 95%confidence interval [CI]: 1.62–5.20) and cuttings/piercings (OR: 2.17; 95%CI: 1.29–3.65).Conclusion: This large epidemiological study reveals that orbital floor fractures tend to present with minor or moderate injuries and are more likely to require operative intervention in setting of firearm or cut/pierce injuries.

关键词： epidemiology National Trauma Data Bank orbital fracture risk factors trauma

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血红素氧化酶基因启动子GT序列变化与冠状动脉支架术后再狭窄

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中国循环杂志 2006年第2期21卷 113-116页

作者：李萍 MohamedA.Elrayess AbuzeidH.Gomma JuttaPalmen emmahawe KimM.Fox SteveE.Humphries 南昌大学第二附属医院心内科江西省南昌市330006 CentreforCardiovascularGeneticsBHFlaboratories UniversityCollegeLondon HeartandLungInstituteandRoyalBromptonHospital

目的:观察I型血红素氧化酶(HO-1)基因启动子GT重复长短对冠状动脉支架置入术后再狭窄的影响。方法:187例行冠状动脉支架置入术者,6个月时随访再狭窄情况。PCR和DNA测序仪确定HO-1启动子GT重复次数。高敏法测术前及术后24h、48h血浆白介... 详细信息

目的:观察I型血红素氧化酶(HO-1)基因启动子GT重复长短对冠状动脉支架置入术后再狭窄的影响。方法:187例行冠状动脉支架置入术者,6个月时随访再狭窄情况。PCR和DNA测序仪确定HO-1启动子GT重复次数。高敏法测术前及术后24h、48h血浆白介素-6(IL-6)和C反应蛋白(CRP)值。结果:各基因型间术后IL-6和CRP水平及再狭窄发生率无差异,携较短GT者术前血浆IL-6水平比非短GT序列携带者低约33．3％(P=0．0008)。结论:HO-1基因多态性不影响支架置入术后炎症介质水平及再狭窄,但可能影响动脉粥样硬化形成的炎症过程。

关键词：血红素氧化酶 GT重复序列再狭窄

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Conducting Polymer-Based e-Refinery for Sustainable Hydrogen Peroxide Production

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Energy & Environmental Materials 2024年第2期7卷 334-342页

作者： Zhixing Wu Penghui Ding Viktor Gueskine Robert Boyd Eric Daniel G■owacki Magnus Odén Xaνier Crispin Magnus Berggren emma M.Björk Mikhail Vagin Nanostructured Materials Department of PhysicsChemistry and Biology(IFM)Linköping UniversitySE 58183LinköpingSweden Laboratory of Organic Electronics Department of Science and Technology(ITN)Linköping UniversitySE 60174NorrköpingSweden

Electrocatalysis enables the industrial transition to sustainable production of chemicals using abundant precursors and electricity from renewable ***-centralized production of hydrogen peroxide(H_(2)O_(2))from water and oxygen of air is highly desirable for daily life and *** report an effective electrochemical refinery(e-refinery)for H_(2)O_(2)by means of electrocatalysis-controlled comproportionation reaction(2_(H)O+o→2HO),feeding pure water and oxygen *** nickel(Ⅱ)oxide(NiO)was used as electrocatalyst for oxygen evolution reaction(OER),producing oxygen at the *** polymer poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate)(PEDOT:PSS)drove the oxygen reduction reaction(ORR),forming H_(2)O_(2)on the *** reactions were evaluated in both half-cell and device *** performance of the H_(2)O_(2)e-refinery,assembled on anion-exchange solid electrolyte and fed with pure water,was limited by the unbalanced ionic *** of the operation conditions allowed a conversion efficiency of 80%.

关键词： conducting polymer hydrogen peroxide nickel(Ⅱ)oxide oxygen evolution reaction oxygen reduction reaction

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Evaluation of a complex couplet care intervention in a neonatal intensive care unit:A mixed methods study protocol

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Pediatric Investigation 2024年第2期8卷 139-148页

作者： Michella Bjerregaard Anna Axelin emma Louise Malchau Carlsen Hans Okkels Birk Ingrid Poulsen Patrick Palisz Thomas Kallemose Anne Brødsgaard Department of Paediatric and Adolescent Medicine Copenhagen University Hospital Amager HvidovreHvidovreDenmark Department of Public Health Faculty of HealthResearch Unit for Nursing and HealthcareUniversity of AarhusAarhusDenmark Department of Nursing Science University of TurkuTurkuFinland Department of Clinical Medicine Faculty of Health and Medical ScienceUniversity of CopenhagenCopenhagenDenmark Department of Public Health Section of Health Service ResearchUniversity of CopenhagenCopenhagenDenmark Department of People and Technology Roskilde UniversityRoskildeDenmark Department of Clinical Research Copenhagen University Hospital Amager HvidovreHvidovreDenmark Department of Gynaecology and Obstetrics Copenhagen University Hospital Amager HvidovreHvidovreDenmark

Background:Families with an infant in need of intensive care most often experience a harmful separation after *** is due to a division of medical specialties into neonatal care and maternal ***,a couplet care intervention is implemented for mother-infant dyads in a neonatal intensive care *** study protocol provides a comprehensive evaluation of the *** aim is to evaluate the effect and implementation of a complex couplet care intervention to promote zero separation between mother and ***:The couplet care intervention is a family-centered model of care,where treatment-requiring mother-infant dyads will be admitted together and receive couplet care by neonatal *** study adheres to the framework of the Medical Research Council and will use a mixed methods embedded design comprising a quasi-experimental trial and a qualitative process ***,a health economic evaluation will be conducted to assess the cost-effectiveness of this complex couplet care ***:Separation of mother-infant dyads after birth has an adverse impact on family health and *** study protocol evaluates a complex couplet care *** this study,a first step is taken to help bridge the gap between current practices and a new care model to prevent the separation of mothers and their infants.

关键词： Complex interventions Couplet care Family-centered care Neonatology Zero separation

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Endoscopic push through tragal cartilage tympanoplasty: A 10-year retrospective review of our technique and outcomes

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World Journal of Otorhinolaryngology 2024年第2期11卷 18-24页

作者： K M Abidur Rahman Khalid Majeed emma Finnegan Ivan Keogh Ear Noseand Throat/Head and Neck SurgeryGalway University HospitalGalway H91 YR71Ireland Academic Department of Otorhinolaryngology and Head and Neck Surgery University of GalwayGalway H91 TK33Ireland

BACKGROUND Endoscopic ear surgery(EES)provides a magnified,high-definition view of the otological surgical *** allows otologists to avoid surgical incisions and associated postoperative *** is an ideal technique for the perfor-mance and teaching of *** To examine the efficacy of total Endoscopic Push Through Tragal Cartilage Tympanoplasty(EPTTCT),at our institution over a 10-year *** A retrospective analysis of 168 cases of EPTTCT for closure of small to medium tympanic membrane perforations from 2013-2023 was *** sex,age range(pediatric vs adult),etiology of injury,success rate,complications,and postoperative hearing status were *** Graft uptake results indicated success in 94%of patients,with less than a 2%complication *** pure tone audiometry demonstrated hearing status improvement in 69%of *** EPTTCT has been shown to be effective in tympanic membrane perforation closures with minimal *** study further demonstrates the efficacy and safety of these procedures in a single-center review.

关键词： Total endoscopic ear surgery Otology Tympanoplasty Hearing Perforation Tragal cartilage graft

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Exercise training improves long-term memory in obese mice

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Life Metabolism 2024年第1期3卷 37-50页

作者： Oliver K.Fuller Casey L.Egan Tina L.Robinson Nimna Perera Heidy K.Latchman Lauren V.Terry emma D.McLennan Carolina Chavez emma L.Burrows John W.Scott Robyn M.Murphy Henriette van Praag Martin Whitham Mark A.Febbraio Monash Institute of Pharmaceutical Sciences Monash UniversityMelbourneVictoria3052Australia La Trobe Institute for Molecular Science La Trobe UniversityMelbourneVictoria3086Australia Florey Institute of Neuroscience and Mental Health University of MelbourneMelbourneVictoria3052Australia Department of Biomedical Sciences Charles E.Schmidt College of Medicineand Stiles-Nicholson Brain InstituteFlorida Atlantic UniversityJupiterFL 33458United States College of Life and Environmental Sciences University of BirminghamEdgbastonBirmingham B152TTUnited Kingdom

Obesity has been linked to a range of pathologies,including *** contrast,regular physical activity is associated with the prevention or reduced progression of ***,physical activity can improve memory and spatial cognition,reduce age-related cognitive decline,and preserve brain volume,but the mechanisms are not fully ***,we investigated whether any detrimental effects of high-fat diet(HFD)-induced obesity on cognition,motor behavior,adult hippocampal neurogenesis,and brain-derived neurotrophic factor(BDNF)could be mitigated by voluntary exercise training in male C57Bl/6 ***-induced impairment of motor function was not reversed by ***,voluntary wheel running improved long-term memory and increased hippocampal neurogenesis,suggesting that regular physical activity may prevent cognitive decline in obesity.

关键词： obesity exercise cognition

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冠脉旁路搭桥术后的炎症反应:HO-1基因多态的影响

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介入放射学杂志 2003年第S1期12卷 169-页

作者：李萍 Jules Sanders emma hawe Jutta Palmen David Brull Sukhbir Dhamrait Jayshree Acharya Hugh Montgomery Steve Humphries 江西医学院第二附属医院心内科 330006

目的　观察冠状动脉旁路 (CABG)手术为刺激手段 ,研究术后炎性标记物白介素 6 (IL 6 ) ,C反应蛋白 (CRP)及纤维蛋白原 (fibrinogen ,Fb)的水平及其相关性 ,并探讨基因变量对它们的影响。方法　 2 2 0名符合入选条件的行CABG术的患者 ,用... 详细信息

目的　观察冠状动脉旁路 (CABG)手术为刺激手段 ,研究术后炎性标记物白介素 6 (IL 6 ) ,C反应蛋白 (CRP)及纤维蛋白原 (fibrinogen ,Fb)的水平及其相关性 ,并探讨基因变量对它们的影响。方法　 2 2 0名符合入选条件的行CABG术的患者 ,用PCR和DNA测序仪分析其HO 1基因启动子部位GT重复序列的长短 ;于手术前及术后 6 ,2 4 ,4 8,72 ,96和 12 0h分别测IL 6 ,CRP和Fb值。结果　术前CRP及Fb值与IL 6水平明显相关 (分别为r =0 .4 8,P <0 .0 0 0 1;r =0 .4 1,P <0 .0 0 0 1) ,术前三者均显著升高 ,CRP峰浓度与IL 6峰浓度有很强的相关性 (r =0 .34,P =0 .0 0 0 9) ,但后者的Fb峰值无关 (r=0 .15 ,P =0 .13)。基础CRP值在HO 1各基因组间存在明显差异 ,携带较长GT重复序列者较之非长GT重复序列携带者 ,CRP值较高 (3.76± 0 .79和 2 .0 7± 0 .17,P =0 .0 13) ;术后则各基因型组间水平相似。结论　炎症标志物的水平间存在相关性 ,HO 1基因多态只与术前基础的CRP和Fb值有关 ,提示它可能只影响疾病过程的慢性炎症状态 ,从而可能影响炎性疾病的发生 ,而非急性炎症反应。

关键词： CRP 术前 HO-1 基因多态 CABG

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HO基因启动子GT序列变量与冠脉支架术后再狭窄

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介入放射学杂志 2003年第S1期12卷 169-页

作者：李萍 Mohamed A.Elrayess Abuzeid H.Gomma Jutta Palmen emma hawe Kim M.Fox Steve E.Humphries 江西医学院第二附属医院心内科南昌330006 Centrefor Cardiovascular Genetics BHF laboratoriesUniversity CollegeLondon National Heart&Lung Institute and Royal Brompton Hospital National

目的　血管平滑肌细胞可表达血红素氧化酶 (HO) ,后者是降解血红素成为胆红素、亚铁及一氧化碳的限速酶。血管平滑肌来源的一氧化碳已证实能抑制血管平滑肌增殖。研究表明Ⅰ型HO基因启动子部位的GT重复序列长短变量可影响该基因的转录水... 详细信息

目的　血管平滑肌细胞可表达血红素氧化酶 (HO) ,后者是降解血红素成为胆红素、亚铁及一氧化碳的限速酶。血管平滑肌来源的一氧化碳已证实能抑制血管平滑肌增殖。研究表明Ⅰ型HO基因启动子部位的GT重复序列长短变量可影响该基因的转录水平 ,较短GT重复序列能使该基因转录活性增加 ,因而对多个疾病的发生具有保护作用。本研究的目的为观察GT重复序列长短变量差异对冠脉支架置入术后再狭窄的影响。方法　 187例成功行冠脉支架置入术的患者 ,6个月随访时间 2 7.8%管腔再狭窄超过 5 0 %。用PCR和DNA测序仪确定HO基因启动子部位的GT重复次数。高敏法测定术前及术后 2 4、4 8小时血浆中的白介素 6和C反应蛋白水平。结果　各基因型组间术后IL 6和CRP水平以及再狭窄情况无差异 ,但携带较短GT序列者 (n =12 0 )术前基础IL 6值比非短GT序列携带者 (n =6 7)低大约 33.3% (P =0 .0 0 0 8)。结论　尽管未能说明HO 1基因多态能影响支架置入术后的炎性水平及再狭窄情况 ,但它和基础IL 6浓度的关系提示。

关键词：序列 HO 基因 GT

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空中英语教室（高级版．彭蒙惠英语） 2024年第4期 36-37,50页

作者： emma Fox OLIVE CHU(PAGE DESIGN) 不详

许多类型的专业人士选择在社交媒体上聚焦他们的职业,有的是为了引起人们对其职业的兴趣、更正错误观念、吸引客户、赚取额外收入,有的只是为了好玩。观众也乐于关注他们。你是否想要迈出那一步来成为线上专家?你想不想和自己领域里的... 详细信息

许多类型的专业人士选择在社交媒体上聚焦他们的职业,有的是为了引起人们对其职业的兴趣、更正错误观念、吸引客户、赚取额外收入,有的只是为了好玩。观众也乐于关注他们。你是否想要迈出那一步来成为线上专家?你想不想和自己领域里的其他专业人士产生联结,并和群众分享资源?下面是一些决窍,告诉你如何利用自己在工作上已经建立的专长来打造个人品牌。

关键词：社交媒体个人品牌专业人士额外收入兴趣更正错误专家职业

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Adding vortexing to the Maki technique provides no benefit for the diagnosis of catheter colonization or catheter-related bacteremia

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World Journal of Critical Care Medicine 2024年第1期13卷 58-64页

作者： Leonardo Lorente Maria Lecuona Fernandez Adriana González-Mesa Judith Oliveras-Roura Cristina Rosado Pablo Cabrera emma Casal Alejandro Jiménez María Luisa Mora Ana Madueño Intensive Care Unit Hospital Universitario de CanariasLa Laguna 38320Spain Microbiology and Infection Control Service Hospital Universitario de CanariasLa Laguna 38320Spain Research Unit Hospital Universitario de CanariasLa Laguna 38320Spain

BACKGROUND A previous study compared vortexing and Maki techniques for the diagnosis of catheter-related bloodstream infection(CRBSI),and concluded that vortexing was not superior to Maki *** To determine whether the combined use of vortexing and Maki techniques provides profitability versus the Maki technique for the diagnosis of catheter tip colonization(CTC)and *** Observational and prospective study carried out in an Intensive Care *** with suspected catheter-related infection(CRI)and with one central venous catheter for at least 7 days were *** area under the curve(AUC)of the Maki technique,the vortexing technique and the combination of both techniques for the diagnosis of CTC and CRBSI were *** We included 136 episodes of suspected *** found 21 cases of CTC of which 10 were also CRBSI *** the 21 CTC episodes,18(85.7%)were diagnosed by Maki technique and vortexing technique,3(14.3%)only by the technique of Maki,and none only by technique of *** the 10 CRBSI episodes,9(90.0%)were diagnosed by the techniques of Maki and vortexing,1(10.0%)was diagnosed only by the technique of Maki,and none only by the technique of *** no found differences in the comparison of AUC between the technique of Maki and the combination of Maki and vortexing techniques for the diagnosis of CTC(P=0.99)and CRBSI(P=0.99).CONCLUSION The novel finding of our study was that the combined use of vortexing and Maki techniques did not provide profitability to the technique of Maki alone to CRBSI diagnosis of.

关键词： Vortexing Maki Bloodstream infection Colonization

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