检索结果-南通市图书馆

Changing paradigms in lower extremity reconstruction in war-related injuries

Journal of Medical Colleges of PLA(China) 2016年第2期31卷 104-109页

作者： margaret connolly Zuhaib R.Ibrahim Owen N.Johnson III Department of Surgery University of Maryland Medical Center 22 S Greene St Baltimore MD 21201 USA Department of Plastic and Reconstructive Surgery Johns Hopkins University School of Medicine 601 N Caroline St. Baltimore MD 21287 USA Johns Hopkins University School of Medicine 601 N Caroline St. Baltimore MD 21287 USA

Background: Ballistic high-energy trauma has substantially increased the severity of non-fatal extremity injuries incurred in modern warfare. Expedient medical care, refinement in surgical techniques, and soft tissue coverage have brought about a paradigm shift in the management of lower extremity wounds during the last decade with an increased emphasis on limb ***: A literature-based study was conducted to analyze reconstructive modalities based on the location, depth, and severity of wounds, as well as mechanism of injury, concomitant vascular injuries and open fractures, choice of flap, timing of definitive reconstruction, and ***: Extremity injuries account for over 60% of injuries in the recent conflicts in Iraq and Afghanistan, with the majority secondary to explosive devices. The severity of these injuries is profound compared with civilian registries, and conventional injury scoring systems have failed to accurately predict outcomes in combat trauma. The mainstay of treatment is serial debridement, negative pressure therapy, fracture stabilization, and treatment of concomitant injuries by the forward medical teams with subsequent definitive reconstruction after transport to an advanced military treatment facility. Autologous reconstruction with free tissue transfer and pedicled flaps remains the primary modality for soft tissue coverage in limb salvage. Adjunct innovative modalities, such as external tissue expansion, dermal substitutes, and regenerative matrices, have also been successfully utilized for limb ***: Lower extremity injuries account for the vast majority of injuries in modern warzones. Explosive devices represent the most common mechanism of injury, with blast impact leading to extensive soft tissue injuries necessitating complex reconstructive strategies. Serial debridement, negative pressure therapy, and autologous reconstruction with free tissue transfer and pedicled flaps remain the mainstay of t

关键词： Limb salvage Free flap Pedicled flap Lower extremity Blast injury Combat Battlefield Reconstruction

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

不管怎样都是宝——中西合璧双宝养成记

引用

时尚育儿 2012年第3期 168-169页

作者： margaret Ma-connolly

家庭基本资料妈妈margaret Ma-connolly/马颖爸爸Michael connolly/马可辉宝宝Aidan ***/马翌杰,2007年11月10日生。天真顽皮,但做事十分专注,很喜欢各种小动物(很有爱心)。Lan ***/马翌轩,2010年11月23日生。外向爱笑,天不怕地不怕,很... 详细信息

家庭基本资料妈妈margaret Ma-connolly/马颖爸爸Michael connolly/马可辉宝宝Aidan ***/马翌杰,2007年11月10日生。天真顽皮,但做事十分专注,很喜欢各种小动物(很有爱心)。Lan ***/马翌轩,2010年11月23日生。外向爱笑,天不怕地不怕,很喜欢尝试各种食物。弟弟Lan还很小,所以从能力和爱好方面主要分享哥哥Aidan的点点滴滴。

关键词：花生酱小动物终结者数字兴趣尝试蔬菜学习豆腐责任感

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The autophagy protein Atg9 functions in glia and contributes to parkinsonian symptoms in a Drosophila model of Parkinson’s disease

引用

Neural Regeneration Research 2024年第5期19卷 1150-1155页

作者： Shuanglong Yi Linfang Wang margaret S.Ho Shiping Zhang School of Life Science and Technology ShanghaiTech UniversityShanghaiChina College of Life Sciences University of Chinese Academy of SciencesBeijingChina

Parkinson’s disease is a progressive neurodegenerative disease characterized by motor deficits,dopaminergic neuron loss,and brain accumulation ofα-synuclein aggregates called Lewy *** in protein degradation pathways,such as autophagy,has been demonstrated in neurons as a critical mechanism for eliminating protein aggregates in Parkinson’s ***,it is less well understood how protein aggregates are eliminated in glia,the other cell type in the *** the present study,we show that autophagy-related gene 9(Atg9),the only transmembrane protein in the autophagy machinery,is highly expressed in Drosophila glia from adult *** from immunostaining and live cell imaging analysis reveal that a portion of Atg9 localizes to the trans-Golgi network,autophagosomes,and lysosomes in ***9 is persistently in contact with these *** glial atg9 reduces the number of omegasomes and autophagosomes,and impairs autophagic substrate *** suggests that glial Atg9 participates in the early steps of autophagy,and hence the control of autophagic ***,loss of glial atg9 induces parkinsonian symptoms in Drosophila including progressive loss of dopaminergic neurons,locomotion deficits,and glial *** findings identify a functional role of Atg9 in glial autophagy and establish a potential link between glial autophagy and Parkinson’s *** results may provide new insights on the underlying mechanism of Parkinson’s disease.

关键词： Atg9 autophagy glia Parkinson’s disease

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Hypothesis and Thought Experiment: Comparing Cognitive Competition of Neandertals and Early Humans, to Our Coming Contest with AIs

引用

Journal of Social Computing 2024年第2期5卷 122-131页

作者： margaret Boone Rappaport Christopher J.Corbally The Human Sentience Project LLC TucsonAZ 85704USA the Department of Astronomy Steward ObservatoryUniversity of ArizonaTucsonAZ 85719USA

The history of how Homo sapiens out-survived the Neanderthals is recalled here with the goal of conceiving an edge in our coming competition with a faster, stronger artificial intelligence (AI) who has far greater capacity for information storage. The social and cognitive differences between the two hominid species, Homo sapiens and Homo neanderthalensis, are described. Based on findings from genomics, neuroscience, archaeology, and paleobiology, it appears possible that the capacities of Homo sapiens could outreach those of AIs in some ways. Especially important are human visuospatial, cultural, and, oddly enough, theological capacities, and the interaction of these capacities in group problem-solving. While communication between AIs is fast and can be widespread, the authors ask whether this is the right kind of communication for solving problems of survival. An important question is explored throughout: Is it ethical to withhold from AIs human-like capacities that may become possible to install? Finally, a worrisome question is broached: Is it the best course to create AIs in our own image to safeguard our existence in unknown future interactions with extraterrestrial species, both organic and inorganic?

关键词： cognitive evolution neuroscience genomics visuospatial capacity family structure navigation ethics extraterrestrials

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

A Natural Catalytic Converter^® for Continuously Inactivating Air and Surface Pathogens with More Effect than Ventilation and Filtration

引用

Open Journal of Applied Sciences 2024年第5期14卷 1353-1363页

作者： margaret Scarlett Brett Duffy CAPT. (Ret.) US Public Health Service Centers for Disease Control and Prevention Atlanta GA United States of America ASHRAE (62.1 Standard Committee) Atlanta GA United States of America

Study Objective: The purpose of the study is to present independent laboratory testing for a novel technology in air and on surfaces. Since 2020, public health goals have focused on improving indoor air quality. This includes protection from airborne pathogens, such as tuberculosis, RSV, SARS-CoV-2, common cold or influenza viruses, measles, and others. Engineering controls are highly effective at reducing hazardous pathogens found in indoor air and from recontamination of surfaces. This occurs from a continuous cycle of settling of small, sustained airborne pathogens, which may become dehumidified, becoming airborne again, carried by room air currents around indoor spaces, then repeating the cycle. Methods: The novel technology utilizes a catalytic process to produce safe levels of hydrogen peroxide gas that are effective in reducing pathogens in the air and on surfaces. Air testing was performed with the MS2 bacteriophage, the test organism for ASHRAE standard 241, and methicillin-Resistant Staphylococcus aureus (MRSA). Surface testing was performed with SARS-COV-2 (Coronavirus COVID-19) and H1N1 (Influenza). Typical ventilation and filtration does not effectively remove disbursed pathogens from the entire facility, due to inconsistent air circulation and surface deposits of pathogens. Results: MS2 was reduced by 99.9%;MRSA was reduced by 99.9%;SARS-CoV-2 was reduced by 99.9%;H1N1 was reduced by 99.9%. Conclusion: This novel catalytic converter reduces a variety of pathogens in the air (99%) and on surfaces (99%), by actively disinfecting with the introduction of gaseous hydrogen peroxide. This active disinfection provides a strong solution for protecting the entire facility and its occupants.

关键词： Pathogen Bacteria Virus Reduction Gaseous Hydrogen Peroxide Disinfection Indoor Air Quality Surface

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Assessment of Occupational Radiation Exposure for Radiotherapy Healthcare Workers at Kenyatta National Hospital Using Thermoluminescence Dosimeter LiF:Mg,Ti

引用

Journal of Geoscience and Environment Protection 2024年第7期12卷 14-24页

作者： Collins Omondi margaret Chege Samson Omondi Department of Physics Kenyatta University Nairobi Kenya College of Health Physics Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya

Kenyatta National Hospital (KNH) is the largest public referral hospital with a comprehensive cancer treatment facility in East and Central Africa. Occupational radiation monitoring is a significant technique for demonstrating compliance of radiation regulatory limits. The objective of the study was to carry out assessment of occupational radiation exposure among radiotherapy personnel at KNH using thermoluminescence dosimeter, TLD. KNH staff were monitored using dosimeter type TLD-100 made of LiF:Mg,Ti, on monthly basis. The reader system used for analysis was Harshaw 8800. The measurement established the average monthly accumulated occupational personnel dose for KNH to be 0.21 mSv and 0.29 mSv for Hp (10) and Hp (0.07) respectively. The accumulated dose results were within the maximum acceptable dose of 1.67 mSv/month and 41.6 mSv/month for Hp (10) and Hp (0.07) respectively. The investigation results were higher than the acceptable public limit of 0.08 mSv/month. Moreover, incidences were noted where the fetus dose limit 0.42 was also exceeded. Evaluation of statistical dose exposure among doctors, nurses and radiographers’ measurement results were within ±0.02 mSv. The study established the average KNH occupational radiation exposure levels for both Hp (10) and Hp (0.07) were within the ICRU recommendation, validating radiation protection safe practice. Data analysis of healthcare workers did not indicate exposure trend biased to any healthcare profession. Hence radiation risk cut across all professional categories. It is recommended that Radiation Monitoring program be reviewed to include non-clinical staff who access the facility. Radiation reporting should not be limited to one facility, but reflect cases where workers are involved in multiple multiple jobs.

关键词： Occupational Monitoring Exposure Thermoluminescence Dosimeter and Radiotherapy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Evaluation of Dosimetric Impact of Uncertainty of Measurement in Estimating External Radiotherapy Dose

引用

Open Journal of Applied Sciences 2024年第8期14卷 1985-1995页

作者： Collins Omondi margaret Chege Samson Omondi Physics Department Kenyatta University Nairobi Kenya College of Health Physics Jomo Kenyatta University of Agriculture and Technology Juja Kenya

Cancer is a major societal public health and economic problem, responsible for one in every six deaths. Radiotherapy is the main technique of treatment for more than half of cancer patients. To achieve a successful outcome, the radiation dose must be delivered accurately and precisely to the tumor, within ± 5% accuracy. Smaller uncertainties are required for better treatment outcome. The objective of the study is to investigate the uncertainty of measurement of external radiotherapy beam using a standard ionization chamber under reference conditions. Clinical farmers type ionization chamber measurement was compared against the National Reference standard, by exposing it in a beam 60Co gamma source. The measurement set up was carried out according to IAEA TRS 498 protocol and uncertainty of measurement evaluated according to GUM TEDDOC-1585. Evaluation and analysis were done for the identified subjects of uncertainty contributors. The expanded uncertainty associated with 56 mGy/nC ND,W was found to be 0.9% corresponding to a confidence level of approximately 95% with a coverage factor of k = 2. The study established the impact of dosimetry uncertainty of measurement in estimating external radiotherapy dose. The investigation established that the largest contributor of uncertainty is the stability of the ionization chamber at 36%, followed by temperature at 22% and positioning of the chamber in the beam at 8%. The effect of pressure, electrometer, resolution, and reproducibility were found to be minimal to the overall uncertainty. The study indicate that there is no flawless measurement, as there are many prospective sources of variation. Measurement results have component of unreliability and should be regarded as best estimates of the true value. .

关键词： Absorbed Dose to Water Radiotherapy Uncertainty of Measurement Secondary Standards Dosimetry Laboratory Ionizing Chamber

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Evaluation of Air-Kerma and Absorbed Dose to Water for External Radiotherapy Beam Using Ionization Chamber

引用

Open Journal of Radiology 2024年第3期14卷 113-124页

作者： Collins Omondi margaret Chege Samson Omondi Kenyatta University Nairobi Kenya Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya

Radiotherapy is the most widely applied oncologic treatment modality utilizing ionizing radiation. A high degree of accuracy, reliability and reproducibility is required for a successful treatment outcome. Measurement using ionization chamber is a prerequisite for absorbed dose determination for external beam radiotherapy. Calibration coefficient is expressed in terms of air kerma and absorbed dose to water traceable to Secondary Standards Dosimetry Laboratory. The objective of this work was to evaluate the level of accuracy of ionization chamber used for clinical radiotherapy beam determination. Measurement and accuracy determination were carried out according to IAEA TRS 398 protocol. Clinical farmers type ionization chamber measurement and National Reference standard from Secondary Standards Dosimetry Laboratory were both exposed to cobalt-60 beam and measurement results compared under the same environmental conditions. The accuracy level between National Reference Standard and clinical radiotherapy standard was found to be −1.92% and −2.02% for air kerma and absorbed dose to water respectively. To minimize the effect of error and maximize therapeutic dose during treatment in order to achieve required clinical outcome, calibration factor was determined for air kerma (Nk) as 49.7 mGy/nC and absorbed dose to water ND, as 52.9 mGy/nC. The study established that radiotherapy beam measurement chain is prone to errors. Hence there is a need to independently verify the accuracy of radiation dose to ensure precision of dose delivery. The errors must be accounted for during clinical planning by factoring in calibration factor to minimize the systematic errors during treatment, and thereby providing enough room to achieve ±5% dose delivery to tumor target as recommended by ICRU.

关键词： Absorbed Dose to Water Air Kerma Co-60 Source Calibration SSDL Radiotherapy Beam Metrology Accuracy and Accuracy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Defining soft skills in nursing:a concept analysis

引用

Frontiers of Nursing 2024年第3期11卷 243-252页

作者： Luke Laari Oboshie Anim-Boamah margaret Nyame Department of Public Health Nursing School of Nursing and MidwiferyCollege of Health SciencesUniversity of GhanaLegonAccraGhana Department of Research Education and AdministrationSchool of Nursing and MidwiferyCollege of Health SciencesUniversity of GhanaLegonAccraGhana Emergency Unit Holy Family HospitalNkawkawEastern RegionGhana

Objective:To define soft skills in ***:This is a concept analysis using the Walker and Avant *** electronic databases in the English language including CINAHL,Science Direct,MEDLINE on EBSCOhost,and Scopus were ***:Soft skills in nursing include the intrapersonal attributes,interpersonal skills,and creativity of the nurse,which,when combined with professionalism,teamwork,and effective communication skills,improve the quality of nursing care and client ***:Although hard and soft skills are compatible and synergetic,soft skills are to be prioritized for the success of nursing care in the healthcare *** concept analysis adds to the body of knowledge by identifying the attributes of soft skills in nursing and revealing that a good nurse needs more than just good grades to be successful.

关键词： communication hard skills individual creativity interpersonal skills intrapersonal traits nursing care soft skills

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The Impact of Physiotherapy Interventions on the Elderly Population with Mental Health Conditions at Chainama Hills College Hospital in Zambia. A Pre-Post Single Sample Study Design

引用

Open Journal of Therapy and Rehabilitation 2024年第2期12卷 160-173页

作者： Bibi Mwanatambwe Phiri Martha Banda Chalwe margaret Mweshi Loveness Anila Nkhata Department of Physiotherapy Chainama Hills Hospital Lusaka Zambia School of Health Sciences Department of Physiotherapy University of Zambia Lusaka Zambia

Background: Physical functional decline is common among elderly individuals with mental disorders, worsening their symptoms. Physiotherapy interventions have shown some evidence in improving physical function and mental health outcomes in this population. This study aimed to assess the impact of physiotherapy interventions on the elderly with mental health conditions at Chainama Hills College Hospital in Zambia. Methods: A pre-post single sample design was used to track patient progress over six weeks, with 10 physiotherapy sessions. The study population (N = 30) comprised of all elderly individuals with mental health conditions, encompassing both men and women, who were hospitalized during the research period. The Katz Index of Activities of Daily Living and the six-minute walk test were evaluated before and after the intervention. The IBM SPSS version 26 was used to analyze data and results were presented as mean ± SD with a 95% confidence interval. The variables were described in terms of their mean, SD, and range. A significance level of 0.05 was used for a paired T-test to detect changes and multiple logistic regression was used to identify factors associated with mental health. Results: Following the intervention, the percentage of participants achieving full function and independence increased significantly to 96.7% from the initial 73.3%, supported by a 95% CI = [0.82 - 0.99]. There was also a notable decrease in the proportion of individuals experiencing moderate impairment, dropping from 26.7% to just 3.3%, with a corresponding 95% CI = [0.00 - 0.17]. Conclusion: The findings derived from this study illustrate an enhancement in the aspects of participants’ overall health and functional condition, including blood pressure, heart rate, and respiratory rate. Consequently, physiotherapy exercises can be employed as a tactic to ameliorate the functional status and physical well-being of older individuals afflicted with mental disorders in Zambia.

关键词： Elderly Mental Health Conditions Physiotherapy Exercise

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：