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mental Illness Education through Stories of Lived Experience: Validation Review of the DoNOHarm Framework

International Journal of mental Health Promotion 2021年第4期23卷 455-469页

作者： Debra Rickwood Kerry Thomas Patricia m.Brown heidi Prowse Faculty of Health University of CanberraCanberra2600Australia mental Illness Education ACT Canberra2601Australia

The lived experience of people with mental illness is a powerful way to promote mental health literacy and reduce the stigma associated with mental ***,there is little guidance on how to do this *** Illness Education ACT is an Australian organisation that since 1993 has supported volunteer educators to share their individual stories of lived experience to school and community *** 2011,they developed the DoNOHarm Framework to assist volunteers to be able to talk about their experiences in a way that is safe for them and for their audience,a gap that they recognised in *** study reports a review of the Framework,considering the extent to which it is supported by the current literature and how it is being implemented and experienced by the volunteer *** research questions were addressed by a literature review and interviews with 14 volunteer educators and the staff that support *** review of published literature over the past 10 years showed strong evidence for three of the six principles of the Framework:Context and Purpose,Recovery Emphasis,and Safe *** the principle of Respectful and Inclusive Language is widely promoted in the mental healthfield,no recent studies investigated the benefits of this ***,there was no recent research into the two principles of Limits to Helping and Self *** interviews revealed strong support for the Frame-work among *** was seen to be effective to protect the safety of both presenter and audience,ensure the relevance of the presentation,give educators confidence in their message and delivery,convey a hopeful message,and make certain that presentations were engaging for the ***,this review shows that the DoNO-Harm Frameworkfills an important gap for mental health education,with a sound evidence base where there is published evidence available.

关键词： mental illness education lived experience storytelling harm safety framework

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Echocardiography in centenarians： characteristics, utility and follow-up

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Journal of Geriatric Cardiology 2018年第5期15卷 328-333页

作者： Jorge A Brenes-Salazar Jaime de la Fuente Punnaiah marella Hari Chaliki Christopher Scott heidi m Connolly Roger L Click Department of Cardiovascular Diseases Mayo Clinic Rochester USA Department of Internal medicine Mayo Clinic Rochester USA Department of Cardiovascular Diseases Mayo Clinic Arizona USA Division of Biostatistics Mayo Clinic Rochester USA

BackgroundEchocardiography 被显示了是在许多心脏的条件的诊断的一个珍贵资源，并且能在所有年龄组被使用到，从胎儿最旧旧。在一张逐渐地变老的人口的上下文，在百岁老人的 echocardiography 的影响和用途大部分是未知的。这研究是... 详细信息

BackgroundEchocardiography 被显示了是在许多心脏的条件的诊断的一个珍贵资源，并且能在所有年龄组被使用到，从胎儿最旧旧。在一张逐渐地变老的人口的上下文，在百岁老人的 echocardiography 的影响和用途大部分是未知的。这研究是决定在百岁老人的 echocardiography 是否帮助从 1986 ～ 2014 使临床的耐心的管理 *** 成为 echocardiograms 的回顾的评论，在二个隶属于的第三级的中心，在是在考试的时候的 100 岁以上的个人。病人和 echocardiogram 特征，管理决定基于 echocardiography，和死亡是 ***114 百岁老人有的 echocardiograms，与从 100 ～ 107

关键词：老人用途特征诊断信息调查结果年龄组管理上下文

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Vasopressin-induced hyponatremia in an adult normotensive trauma patient:A case report

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World Journal of Critical Care medicine 2023年第1期12卷 35-40页

作者： maulik K Lathiya Emily Pepperl Daniel schaefer Hussam Al-Sharif Adel Zurob Susan m Cullinan Antonios Charokopos Department of Emergency medicine Mayo Clinic Health SystemEau ClaireWI 54703United States Department of Pulmonary and Critical Care medicine Mayo Clinic Health SystemEau ClaireWI 54703United States

BACKGROUND Arginine vasopressin is a neuropeptide produced in the hypothalamus and released by the posterior pituitary *** addition to maintaining plasma osmolarity,under hypovolemic or hypotensive conditions,it helps maintain plasma volume through renal water reabsorption and increases systemic vascular *** synthetic analogues are widely used in the intensive care unit as a continuous infusion,in addition to hospital floors as an intravenous or intranasal dose.A limited number of cases of hyponatremia in patients with septic or hemorrhagic shock have been reported previously with *** report for the first time a normotensive patient who developed vasopressin-induced *** SUmmARY A 39-year-old man fell off a forklift and sustained an axial load injury to his *** had no history of previous *** was normal except for motor and sensory *** Imagine test showed endplate fracture at C7 and acute traumatic disc at C7 with cortical *** underwent cervical discectomy and fusion,laminectomy,and posterior instrumented *** intensive care unit admission post-surgery,he developed hyponatremia of 121-124 mEq/L post phenylephrine and vasopressin infusion to maintain blood pressure *** was evaluated for syndrome of inappropriate secretion of antidiuretic hormone,hypothyroid,adrenal-induced,or diuretic-induced *** the end of extensive evaluation for the underlying cause of hyponatremia,vasopressin was *** was also put on fluid restriction,given exogenous desmopressin,and a dextrose 5%in water infusion to prevent osmotic demyelination syndrome caused by sodium overcorrection which improved his sodium level to 135 mmol/*** The presentation of vasopressin-induced hyponatremia is uncommon in normotensive patients,and the most difficult aspect of this condition is determining the underlying cause of *** case illustrates that,considering the vast diffe

关键词： Hyponatremia Vasopressin Normotensive Therapy Case report

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Dietary mitigation of enteric methane emissions from ruminants:A review of plant tannin mitigation options

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Animal Nutrition 2020年第3期6卷 231-246页

作者： Byeng R.min Sandra Solaiman heidi m.Waldrip David Parker Richard W.Todd David Brauer United States Department of Agriculture(USDA) Agricultural Research Service(ARS)BushlandTX79012USA Tuskegee University TuskegeeAL36088USA

methane gas from livestock production activities is a significant source of greenhouse gas(GHG)emissions which have been shown to influence climate *** technologies offer a potential to manipulate the rumen biome through genetic selection reducing CH4 *** production may also be mitigated to varying degrees by various dietary intervention *** to reduce GHG emissions need to be developed which increase ruminant production efficiency whereas reducing production of CH4 from cattle,sheep,and *** emissions may be efficiently mitigated by manipulation of natural ruminal microbiota with various dietary interventions and animal production efficiency *** some CH4 abatement strategies have shown efficacy in vivo,more research is required to make any of these approaches pertinent to modern animal production *** objective of this review is to explain how anti-methanogenic compounds(e.g.,plant tannins)affect ruminal microbiota,reduce CH4 emission,and the effects on host ***,this review provides information relevant to understanding the impact of tannins on methanogenesis,which may provide a cost-effective means to reduce enteric CH4 production and the influence of ruminant animals on global GHG emissions.

关键词： Feed efficiency Greenhouse gas(GHG)emission methanogenesis Tannin Ruminant

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Treatment of refractory diabetic macular edema with a fluocinolone acetonide implant in vitrectomized and non-vitrectomized eyes

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International Journal of Ophthalmology(English edition) 2018年第12期11卷 1951-1956页

作者： Alberto La mantia Alan Hawrami heidi Laviers Sudeshna Patra Hadi Zambarakji Eye Treatment Centre Whipps Cross University Hospital Barts Health National Health System Foundation Trust

AIm: To report real-life data on the use of an intravitreal fluocinolone acetonide implant in the treatment of refractory diabetic macular edema(DmE) in pars plana vitrectomized(PPV) and non-PPV ***: This was a comparative retrospective observational study of 23 eyes with chronic DmE. Bestcorrected visual acuity(BCVA) and central macular thickness(CmT) were recorded at baseline, 1, 4 and 12 mo. Descriptive statistics and non-parametric tests were performed to analyze and compare PPV and non-PPV eyes. RESULTS: Seven PPV and 16 non-PPV eyes were included in the study. median BCVA in the non-PPV group varied from 0.65 logmAR [Interquartile range(IQR): 0.40] at baseline to 0.42 logmAR(IQR: 0.40) at 12 mo. median CmT varied from 430 μm(IQR: 131.3) at baseline to 317 μm(IQR: 107.5) at 12 mo. median BCVA in the PPV group varied from 0.60 logmAR(IQR: 0.62) at baseline to 0.74 logmAR(IQR: 0.34) at 12 mo. median CmT varied from 483 μm(IQR: 146) at baseline to 397 μm(IQR: 132) at 12 mo. Of 0/7 eyes and 1/16 eyes in the PPV and non-PPV eyes respectively had a baseline visual acuity of 6/12 or better(0.3 logmAR). At last follow up, 1/7 and 5/16 eyes in the PPV and non-PPV group respectively achieved a visual acuity of 6/12 or ***: Visual outcomes are modest following the use of the fluocinolone acetonide implant for chronic DmE. The steroid implant is a useful treatment option in the management of refractory DmE in vitrectomized and non-vitrectmized eyes.

关键词： diabetic macular edema fluocinolone acetonide intravitreal implant steroid vitrectomy

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Outcome in neonates with necrotizing enterocolitis and patent ductus arteriosus

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世界儿科杂志:英文版 2016年第1期12卷 55-59页

作者： Ulf Kessler Franzisca Schulte Dietmar Cholewa mathias Nelle Stephan C.schaefer Peter m.Klimek Steffen Berger Department of Pediatric Surgery InselspitalBern University Hospital and University of BernSwitzerland Division of Neonatology Department of PediatricsInselspitalBern University Hospital and University of BernSwitzerland Institute of Pathology InselspitalUniversity of BernBernSwitzerland Department of Surgery HFR Fribourg-Cantonal HospitalSwitzerland

Background:There is no agreement of the influence of patent ductus arteriosus(PDA)on outcomes in patients with necrotizing enterocolitis(NEC).In this study,we assessed the infl uence of PDA on NEC ***:A retrospective study of 131 infants with established NEC was ***(death,disease severity,need for surgery,hospitalization duration),as well as multiple clinical parameters were compared between NEC patients with no congenital heart disease(n=102)and those with isolated PDA(n=29).Univariate,multivariate and stepwise logistic regression analyses were ***:Birth weight and gestational age were significantly lower in patients with PDA[median(95%CI):1120 g(1009-1562 g),28.4 wk(27.8-30.5 wk)]than in those without PDA[median(95%CI):1580 g(1593-1905 g),32.4 wk(31.8-33.5 wk);Pmultivariate OR=2.4,95%CI:0.82-2.39,P=0.111].Significant independent predictors for nonsurvival within the entire cohort were advanced disease severity stage III(OR=27.9,95%CI:7.4-105,Pmportant differences between the two study groups are controlled,only birth weight and disease severity may independently predict mortality.

关键词： congenital heart disease necrotizing enterocolitis neonatal mortality patent ductus arteriosus

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Reimagining large river management using the Resist–Accept–Direct(RAD) framework in the Upper mississippi River

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Ecological Processes 2023年第4期12卷 3-22页

作者： Nicole K.Ward Abigail J.Lynch Erik A.Beever Joshua Booker Kristen L.Bouska Holly Embke Jeffrey N.Houser John F.Kocik Joshua Kocik David J.Lawrence mary Grace Lemon Doug Limpinsel madeline R.magee Bryan m.maitland Owen mc Kenna Andrew meier John m.morton Jeffrey D.muehlbauer Robert Newman Devon C.Oliver heidi m.Rantala Greg G.Sass Aaron Shultz Laura m.Thompson Jennifer L.Wilkening National Park Service Climate Change Response Program Habitat Conservation Division NOAA Wisconsin Department of Natural Resources Aquatic Sciences Center Center for Limnology U.S. Geological Survey Northern Prairie Wildlife Research Center and Midwest Climate Adaptation Science Center U.S. Army Corps of Engineers Alaska Wildlife Alliance U.S. Geological Survey Alaska Cooperative Fish and Wildlife Research Unit University of Alaska Fairbanks University of North Dakota Great Lakes Indian Fish and Wildlife Commission (GLIFWC) minnesota Department of Natural Resources U.S. Geological Survey National Climate Adaptation Science Center and School of Natural Resources University of Tennessee U.S. Geological Survey National Climate Adaptation Science Center U.S. Geological Survey Northern Rocky Mountain Science Center Department of Ecology Montana State University U.S. Fish and Wildlife Service National Wildlife Refuge System U.S. Geological Survey Upper Midwest Environmental Sciences Center U.S. Geological Survey Midwest Climate Adaptation Science Center NOAA NEFSC Orono University of Nebraska-Lincoln

Background Large-river decision-makers are charged with maintaining diverse ecosystem services through unprecedented social-ecological transformations as climate change and other global stressors intensify. The interconnected, dendritic habitats of rivers, which often demarcate jurisdictional boundaries, generate complex management challenges. Here, we explore how the Resist–Accept–Direct(RAD) framework may enhance large-river management by promoting coordinated and deliberate responses to social-ecological trajectories of change. The RAD framework identifies the full decision space of potential management approaches, wherein managers may resist change to maintain historical conditions, accept change toward different conditions, or direct change to a specified future with novel conditions. In the Upper mississippi River System, managers are facing social-ecological transformations from more frequent and extreme high-water events. We illustrate how RAD-informed basin-, reach-, and site-scale decisions could:(1) provide cross-spatial scale framing;(2) open the entire decision space of potential management approaches; and(3) enhance coordinated inter-jurisdictional management in response to the trajectory of the Upper mississippi River *** The RAD framework helps identify plausible long-term trajectories in different reaches(or subbasins) of the river and how the associated social-ecological transformations could be managed by altering site-scale conditions. Strategic reach-scale objectives may reprioritize how, where, and when site conditions could be altered to contribute to the basin goal, given the basin's plausible trajectories of change(e.g., by coordinating action across sites to alter habitat connectivity, diversity, and redundancy in the river mosaic).Conclusions When faced with long-term systemic transformations(e.g., > 50 years), the RAD framework helps explicitly consider whether or when the basin vision or goals may no longer be achievable,

关键词： Ecosystem management Transformation Social-ecological system Anthropocene Climate change Basin planning Cross-scale interactions

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Cardiovascular surgery in Turner syndrome-early outcome and long-term follow-up

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World Journal of Cardiology 2020年第3期12卷 97-106页

作者： margaret m Fuchs Christine Helena Attenhofer Jost Sameh m Said Donald J Hagler heidi m Connolly Joseph A Dearani Alexander C Egbe Department of Cardiovascular medicine Mayo ClinicRochesterMN 55905United States Division of Pediatric Cardiothoracic Surgery Masonic Children’s HospitalUniversity of MinnesotaMinneapolisMN 55905United States Division of Pediatric Cardiology Mayo ClinicRochesterMN 55905United States Department of Cardiovascular Surgery Mayo ClinicRochesterMN 55905United States

BACKGROUND Cardiovascular disease is the leading cause of death in patients with Turner syndrome(TS),and cardiovascular surgery is frequently required for management of these *** is associated with medical comorbidities than can complicate the care of this patient *** To describe the cardiovascular surgical outcomes of patients with *** A retrospective case series was compiled of 51 consecutive TS patients who had at least one cardiovascular surgery at mayo Clinic Rochester from *** baseline clinical data of these patients were reviewed including demographics,medical comorbidities,congenital heart disease history,and *** reports were analyzed in *** reports and surgical hospital courses were ***-term mortality was determined using medical records and the Social Security Death *** analysis was performed with the Kaplan meier *** The cohort comprised 51 TS patients,average age at the time of surgery at mayo Clinic was 28(8-41)years,and 23(45%)patients were under the age of *** the time of first mayo Clinic surgery,18(35%)patients had previously undergone cardiac surgery at another *** most common procedures were repair of aortic coarctation in 14(28%)patients,aortic valve replacement in 6(12%)patients,and composite aortic root/ascending aorta replacement in 7(14%)patients,with 7 patients undergoing repair of more than one *** dissection required operative intervention in 5 *** initial mayo Clinic surgery,subsequent operations were required in 6(13%)*** hospital length of stay was 6±2 *** were 4(8%)early surgical *** from death was 97%and 89%at 10 and 20 years,and the freedom from reoperation was 93%and 81%at 10 and 20 *** Cardiovascular surgery is associated with 8%early mortality given the medical complexity of TS *** who survive to dismissal have good *** cardiovas

关键词： Turner syndrome Cardiac surgery Congenital heart disease Aortic dissection Outcome Reoperation

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多/全电飞机用高速开关磁阻起动/发电机优化控制(英文)

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电工技术学报 2010年第4期25卷 44-52页

作者：宋受俊刘卫国 Uwe schaefer 西北工业大学西安710072 柏林工业大学柏林10587

介绍了开关磁阻起动/发电(SRS/G)系统的应用背景,对系统的性能要求进行了描述,并给出了一台30kW开关磁阻电机(SRm)的定、转子叠片结构及尺寸。基于以上工作,对SRm的优化控制方法进行了研究:在起动阶段,SRm运行在电动状态,以平均转矩最... 详细信息

介绍了开关磁阻起动/发电(SRS/G)系统的应用背景,对系统的性能要求进行了描述,并给出了一台30kW开关磁阻电机(SRm)的定、转子叠片结构及尺寸。基于以上工作,对SRm的优化控制方法进行了研究:在起动阶段,SRm运行在电动状态,以平均转矩最大化作为优化目标,对包括解析、数值及浮角在内的三种优化控制方法进行了深入的研究,并对它们的优化结果进行了详细的比较及分析;在发电阶段,SRm运行在发电状态,以特定输出功率下的系统效率最大化作为优化目标,得到了使主功率损耗最小的优化励磁角。

关键词：多/全电飞机(m/A EA) 集成起动/发电机(IS/G) 开关磁阻电机(SRm) 优化励磁平均转矩效率最大化

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基于多源遥感数据的植被冠层高度估算

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空间科学学报 2023年第6期43卷 1176-1193页

作者：田镇朋周维袁敬毅刘小强叶粟 POUDEL Krishna HImES Austin RENNINGER heidi 王家新马勤南京师范大学地理科学学院南京210023 南京师范大学虚拟地理环境教育部重点实验室南京210023 江苏省地理信息资源开发与利用协同创新中心南京210023 中国科学院植物研究所植被与环境变化国家重点实验室北京100093 浙江大学环境与资源学院杭州310058 密西西比州立大学林学系斯塔克维尔39762

为了大范围精确估计空间连续的森林冠层高度,研究使用随机森林回归方法,通过融合冰、云和陆地高程卫星二号(Ice,Cloud and land Elevation Satellite-2,ICESat-2)测量数据和Landsat-8影像,并结合地形、气温等数据来估算森林冠层高度,生... 详细信息

为了大范围精确估计空间连续的森林冠层高度,研究使用随机森林回归方法,通过融合冰、云和陆地高程卫星二号(Ice,Cloud and land Elevation Satellite-2,ICESat-2)测量数据和Landsat-8影像,并结合地形、气温等数据来估算森林冠层高度,生成2020年美国密西西比州30 m空间分辨率的森林冠层最大高度和平均高度图。结果表明,森林覆盖区域冠层最大高度的均值为24.14 m,标准差为4.24 m。森林覆盖区域冠层平均高度的均值为12.04 m,标准差为2.59 m。研究区冠层高度估计值与机载测量值吻合良好(冠层最大高度R2=0.486,HRmSE=4.532 m;冠层平均高度R2=0.467,HRmSE=2.848 m)。利用估算数据进一步对森林冠层垂直结构复杂度进行了分析。研究提出的森林冠层高度制图方案对中国长江三角洲地区的森林管理、物种多样性保护与碳中和评估等具有指导意义。

关键词：激光雷达 ICESat-2 冠层高度制图多源遥感密西西比森林

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