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Nutritional care in hospitalized patients with chronic liver disease

World Journal of Gastroenterology 2015年第45期21卷 12835-12842页

作者： Dep K Huynh Shane P Selvanderan hugh aj harley Richard H Holloway Nam Q Nguyen Discipline of Medicine University of Adelaide North Terrace Department of Gastroenterology and Hepatology Royal Adelaide Hospital North Terrace

AIM: To evaluate the practice of nutritional assessment and management of hospitalised patients with cirrhosis and the impact of malnutrition on their clinical ***: This was a retrospective cohort study on patients with liver cirrhosis consecutively admitted to the Department of Gastroenterology and Hepatology at the Royal Adelaide Hospital over 24 mo. Details were gathered related to the patients' demographics, disease severity, nutritional status and assessment, biochemistry and clinical outcomes. Nutritional status was assessed by a dietician and determined by subjective global assessment. Estimated energy and protein requirements were calculated by Simple Ratio Method. Intake was estimated from dietary history and/or food charts, and represented as a percentage of estimated daily requirements. Median duration of follow up was 14.9(0-41.4) mo. RESULTS: Of the 231 cirrhotic patients(167 male, age: 56.3 ± 0.9 years, 9% Child-Pugh A, 42% ChildPugh B and 49% Child-Pugh C), 131(57%) had formal nutritional assessment during their admission and 74(56%) were judged to have malnutrition. In-hospitalcaloric(15.6 ± 1.2 kcal/kg vs 23.7 ± 2.3 kcal/kg, P = 0.0003) and protein intake(0.65 ± 0.06 g/kg vs 1.01 ± 0.07 g/kg, P = 0.0003) was significantly reduced in patients with malnutrition. Of the malnourished cohort, 12(16%) received enteral nutrition during hospitalisation and only 6(8%) received ongoing dietetic review and assessment following discharge from hospital. The overall mortality was 51%, and was higher in patients with malnutrition compared to those without(HR = 5.29, 95%CI: 2.31-12.1; P < 0.001). CONCLUSION: Malnutrition is common in hospitalised patients with cirrhosis and is associated with higher mortality. Formal nutritional assessment, however, is inadequate. This highlights the need for meticulous nutritional evaluation and management in these patients.

关键词： Liver cirrhosis Nutrition assessment Mortality Mal

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AI Sentience and Socioculture

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Journal of Social Computing 2023年第3期4卷 205-220页

作者： aj Alvero Courtney Peña the Department of Sociology University of FloridaGainesvilleFL 32601USA the Stanford School of Medicine Stanford UniversityStanfordCA 94305USA

Artificial intelligence(AI)sentience has become an important topic of discourse and inquiry in light of the remarkable progress and capabilities of large language models(LLMs).While others have considered this issue from more philosophical and metaphysical perspectives,we present an alternative set of considerations grounded in sociocultural theory and ***,we focus on sociocultural perspectives on interpersonal relationships,sociolinguistics,and culture to consider whether LLMs are *** examples grounded in quotidian aspects of what it means to be sentient along with examples of AI in science fiction,we describe why LLMs are not sentient and are unlikely to ever be *** present this as a framework to reimagine future AI not as impending forms of sentience but rather a potentially useful tool depending on how it is used and built.

关键词： sentience sociology sociolinguistics culture interpersonal relationships quotidian

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Simulation Structural Properties of Ni Clusters by Transferable Tight-binding Potential

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Journal of Materials Science & Technology 1999年第4期15卷 320-322页

作者： Luo, CL Cao, aj Zhou, YH Nanjing Normal Univ Dept Phys Nanjing 210097 Peoples R China

A transferable tight-binding potential for Ni has been developed. Molecular dynamics methods and simulated annealing techniques have been used to study the structural properties of Ni clusters with this potential. We have obtained the structures of some Ni clusters. The average coordination number, ionization potentials and the stability of clusters have also been calculated.

关键词： Simulation Structural Properties of Ni Clusters by Transferable Tight-binding Potential Rev Ni

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Mechanics of a Grip System of Three-Key-Board Hydraulic Tongs Developed for Offshore Oil Pipe Lines

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China Ocean Engineering 1999年第1期14卷 101-108页

作者： Zhao, JY Guo, aj Ding, KQ Liu, CT Petr Univ China Shangdong 257012 Peoples R China Chinese Acad Sci Inst Mech Beijing 100080 Peoples R China

This paper carries out the analysis of mechanics of a grip system of three-key-board hydraulic tongs developed for offshore oil pipe lines which has been successfully used in oil fields in China. The main improvement of this system is that a lever frame structure is used in the structural design, which reduces greatly the stresses of the major components of the oil pipe tongs. Theoretical analysis and numerical calculation based on thirteen basic equations developed Show that the teeth board of the tongs is not easy to slip as frequently happens to other systems and is of higher reliability.

关键词： grip system three-key-board hydraulic tongs offshore oil pipe lines stress analysis

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Eucaglobulin, A New Complex of Gallotannin and Monoterpene from Eucalyptus globulus

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Chinese Chemical Letters 1998年第6期9卷 541-543页

作者： Hou, aj Liu, YZ Lin, ZW Sun, HD Acad Sinica Kunming Inst Bot Lab Phytochem Kunming 650204 Peoples R China Henan Coll Tradit Chinese Med Phytochem Dept Zhengzhou 450003 Peoples R China

Eucaglobulin 1, a new complex of gallotannin and monoterpene, was isolated from the leaves of Eucalyptus globulus. Its structure was determined by spectral methods.

关键词： Eucalyptus globulus Myrtaceae gallotannin-monoterpene complex eucaglobulin

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The　Molecular　Shape　Effect　in　the　Separation　of　Ionic　Isomers　by　Capillary　Zone　Electrophoresis

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Chinese Chemical Letters 1996年第12期7卷 1105-1108页

作者： Qi, SZ Fang, XH Huang, aj Sun, YL BEIJING UNIV DEPT CHEMBEIJING 100871PEOPLES R CHINA

The present understanding of electrophoretic mobility cannot satisfactorily be used to explain the separation capebility of capillary zone electrophoresis for isomeric anions. A molecular shape effect concept was proposed to describe the separation mechanism for isomeric anoins with om. p-hydroxybenzoates and two food colorants. amaranth and ponceau 4R as examples.

关键词： Isomers Capillary Effect the

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Diabetic foot attack:Managing severe sepsis in the diabetic patient

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World Journal of Critical Care Medicine 2025年第1期14卷 1-13页

作者： Kisshan Raj Balakrishnan Dharshanan Raj Selva Raj Sabyasachi Ghosh Gregory aj Robertson Department of Trauma and Orthopaedics Wrexham Maelor HospitalWrexham LL137TDUnited Kingdom Department of Trauma and Orthopaedics The Robert Jones and Agnes Hunt Orthopaedic HospitalOswestry SY107AGUnited Kingdom

Diabetic foot attack(DFA)is the most severe presentation of diabetic foot disease,with the patient commonly displaying severe sepsis,which can be limb or life *** can be classified into two main categories:Typical and atypical.A typical DFA is secondary to a severe infection in the foot,often initiated by minor breaches in skin integrity that allow pathogens to enter and *** form often progresses rapidly due to the underlying diabetic pathophysiology of neuropathy,microvascular disease,and hyperglycemia,which facilitate infection spread and tissue *** form of DFA can present as one of a number of severe infective pathologies including pyomyositis,necrotizing fasciitis,and myonecrosis,all of which can lead to systemic sepsis and multiorgan *** atypical DFA,however,is not primarily *** can occur secondary to either ischemia or Charcot *** of the typical DFA involves prompt diagnosis,aggressive infection control,and a multidisciplinary *** can be guided by the current International Working Group on the Diabetic Foot/Infectious Diseases Society of America guidelines on diabetic foot infections,and the combined British Orthopaedic Foot and Ankle Society-Vascular Society *** article highlights the importance of early recognition,comprehensive management strategies,and the need for further research to establish standardized protocols and improve clinical outcomes for patients with DFA.

关键词： Diabetic foot attack Diabetic foot infection Diabetes mellitus Sepsis Systemic sepsis

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Non habitual microscopic forms of Histoplasma capsulatum in disseminated disease

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Asian Pacific Journal of Tropical Medicine 2008年第2期1卷 28-30页

作者： Bava aj Garro S Troncoso A University of La Plata Argentina Department of Infectious Diseases "Francisco J.Mutiiz" HospitalBuenos AiresArgentina School of Medicine University of Buenos AiresArgentina

This paper communicates the presence of aberrant microscopic forms of Histoplasma capsulatum in a sample obtained by scrapping of the skin lesion and stained with a rapid modification of the Grocott *** AIDS patient was treated with cream contained corticoids and antifungal and antibacterial antibiotics by an erroneous *** the etiologic diagnosis was achieved,oral itraconazol was administrated at the daily dose of 400 mg during at least six *** non habitual forms described in the literature as " aberrant variants", can be interpreted as an "adaptive phenomenon" of this termodimorphic fungal specie,as response of the ecologic alterations produced by antibiotic on the local antagonic bacterial microbiota,the deleterous activity of antifungal on the fungal cells and the local inmunodepression produced by the corticoids.

关键词： aberrant Histoplasma capsulatum AIDS associated histoplasmosis Endemic Mycoses and AIDS

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Client views,perception and satisfaction with immunisation services at Primary Health Care Facilities in Calabar,South-South Nigeria

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Asian Pacific Journal of Tropical Medicine 2010年第4期3卷 298-301页

作者： Udonwa NE Gyuse AN Etokidem aj Ogaji DST Department of Family Medicine University of Calabar Teaching HospitalCalabarNigeria Department of Community Medicine University of Calabar Teaching HospitalCalabarNigeria

Objective:To determine the degree of client satisfaction with immunisation services at Primary Health facilities in Calabar,Cross River State,***:A semi-structured questionnaire was administered on 402 caregivers who were selected using systematic random sampling from four primary health *** four centres were randomly selected from the 19 health centres using the table of random *** obtained were analysed using Epi-Info s of tware version ***:The majority of clients were dissatisfied with most aspects of care given at the Health Care Centres including long waiting time,accessibility of immunisation services,poor respect for clients’ rights,especially to their dignity,health information and counseling on their medical ***:The study concludes that client satisfaction with immunization service in Calabar was low due to poor attitude of health care providers,long waiting time and lack of respect for clients’ rights.

关键词： Client satisfaction Immunisation services Primary health centres

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Enhanced Osteogenesis of Nanosized Cobalt-substituted Hydroxyapatite

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Journal of Bionic Engineering 2015年第4期12卷 604-612页

作者： Nenad Ignjatovic Zorica aj dukovic Jelena Rajkovic Stevo Najman Dragan Mihailovic Dragan Uskokovic Centre for Fine Particles Processing and Nanotechnologies Institute of Technical Sciences of the Serbian Academy of Science and Arts Knez Mihailova 35/4 11000 Belgrade Serbia University of Nis Faculty of Medicine Department of Prosthodontics Clinic of Stomatology Nis Serbia University of Nis Department of Biology and Ecology Faculty of Science and Mathematics Nis Serbia University of Nis Faculty of Medicine Institute of Pathology Nis Serbia

Hydroxyapatite （HAp） is an extensively studied material with known biocompatible and osteoconductive properties in bone tissue reconstruction. The improvement of the osteogenetic potential of HAp has been tested through modification of its structure, by replacing Ca2＋ ions with Co2＋ ions. In our study, we comparatively analyze the osteogenetic potential of the syn- thesized HAp and Co2＋-substituted HAp （HAp/Co） designed on the nano-scale with the aim of specifically stimulating osteo- genesis in vivo. We present a quantitative study of the microscopic organization and structure of the newly formed tissue in a bone defect after 12 weeks and 24 weeks. A quantitative analysis of the calcium, magnesium and phosphorus content in the defect and its close environment was used to determine the deposition of minerals after bone reconstruction. The defect recon- structed with HAp/Co nanoparticles （Co2＋ content 12 wt%） was filled with a new tissue matrix composed of dense collagen fibers containing centers of mineralization after 24 weeks. The mineral deposition rate was also higher when the defect was reconstructed with HAp/Co than when it was filled with pttre HAp. A histological analysis confirmed that the alveolar bone, in which osteoporosis-induced defects were repaired using HAp/Co nanoparticles, was recuperated.

关键词： advanced osteogenesis cobalt-substituted hydroxyapatite nanoparticles histomorphometry

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