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Takotsubo triggered by acute myocardial infarction：a common but overlooked syndrome？

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Journal of Geriatric Cardiology 2014年第2期11卷 171-173页

作者： Bj orn Redfors Wallenberg Laboratory Department of Molecular and Clinical Medicine Sahlgrenska Academy at University of Gothenburg Bruna Straket 16 413 45 Go-thenburg Sweden Department of Cardiology Sahlgrenska University Hospital Bruna Straket 16 413 45 Gothenburg Sweden

Takotsubo cardiomyopathy （TCM） is an acute cardiac syndrome characterized by extensive, but potentially reversible, left ventricular dysfunction in the absence of an explanatory coronary obstruction. Thus, TCM is distinct from coronary artery disease （CAD） and acute myocardial infarction （AMI）. However, substantial evidence for co-existing CAD in some TCM patients exist. Herein, we take this associa-tion one step further and present a case in which the patient simultaneously suffered from AMI and TCM, and in which we believe that a primary coronary event triggered TCM. An 88-year-old female presented with chest pain. Echocardiography revealed apical akinesia with hypercontractile bases. An occluded diagonal branch with suspected acute plaque rupture was identified on the angiogram, but could not explain the extent of akinesia. Cardiac function recovered completely. Thus, this patient adhered to current diagnostic criteria for TCM. TCM is a well-known complication for other conditions associated with somatic stress. It is therefore intuitive to assume that AMI, which also associates with somatic stress and elevated catecholamine, can cause TCM. Our case illustrates that TCM and AMI may occur simulta-neously. Although causality cannot be conclusively inferred from this association, the somatic stress associated with AMI may have caused TCM in this patient.

关键词： Acute myocardial infaction Catecholamine Coronary artery disease Somatic stress Takotsubo cardiomyopathy

泰国护理专业本科学生循证实践水平的现状调查

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International Journal of Nursing Sciences 2023年第3期10卷 367-372页

作者： Apiradee Nantsupawat orn-anong Wichaikhum Kulwadee Abhicharttibutra Kedsaraporn Udkunta Lusine Poghosyan Shefaly Shorey Faculty of Nursing Chiang Mai University Chiang MaiThailand Columbia University School of Nursing New YorkUnited States Alice Lee Centre for Nursing Studies Yong Loo Lin School of MedicineNational University of SingaporeSingapore

目的旨在调查泰国护理专业本科学生循证实践(evidence-based practice,EBP)水平的现状。方法采用横断面研究设计。于2021年1一3月选取泰国5所公立大学的470名三年级和四年级的护理本科学生进行调查。采用学生循证实践问卷(the Student E... 详细信息

目的旨在调查泰国护理专业本科学生循证实践(evidence-based practice,EBP)水平的现状。方法采用横断面研究设计。于2021年1一3月选取泰国5所公立大学的470名三年级和四年级的护理本科学生进行调查。采用学生循证实践问卷(the Student Evidence-Based Practice Questiomnaire,S-EBPQ)进行调查。结果S-EBPQ总均分为(5.29+0.71)分,4个分量表均分从高到低分别为态度(5.50+0.93)分、分享和应用EBP(5.37±0.87)分、实践(5.18+0.84)分、检索和回顾证据(5.10+0.81)分。有较多的EBP学习经历、熟悉研究方法、对临床决策有信心、对实践有准备及通过查阅期刊获取实践证据的护理专业学生EBP水平较高(P<0.05)。结论本研究可以为提高护理专业本科生在临床环境中的EBP水平提供策略,并可以应用到现有的护理课程中。

关键词：态度循证实践知识护理专业学生泰国

Nest site tenacity and mate fidelity in the Black-headed Gull(Chroicocephalus ridibundus)

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Avian Research 2021年第4期12卷 664-670页

作者： Simon Piro Angela Schmitz ornés Vogelwarte Zoological Institute and MuseumUniversity of GreifswaldSoldmannstr.23GreifswaldGermany

Breeding philopatry is well known in the Black-headed Gull(Chroicocephalus ridibundus).Using a capture-markrecapture method,we studied if Black-headed Gulls show nest site tenacity and mate fidelity as well,and investigated if there are differences between a stable,and a newly established and fast-growing colony,as well as for differences between the center and edges of these colonies located in north-eastern *** found a high level of nest site tenacity in the center of the stable colony on B?hmke Island,and lower degrees of nest site tenacity at the edge of the same colony and in the newly established and fast-growing colony on Riether *** fidelity was very strong in all individuals which returned to their previous breeding place,regardless of the nest site location.

关键词： Black-headed Gull Croicocephalus ridibundus Mate fidelity Nest site tenacity Philopatry

Study of the safety of oral Triphala aqueous extract on healthy volunteers

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Journal of Integrative Medicine 2020年第1期18卷 35-40页

作者： Pratya Phetkate Tanawan Kummalue Prasob-orn Rinthong Somboon Kietinun Kusuma Sriyakul Graduate Program in Integrative Medicine Chulabhorn International College of MedicineThammasat UniversityPathum Thani 12120Thailand Department of Clinical Pathology Faculty of Medicine Siriraj HospitalMahidol UniversityBangkok 10700Thailand Pharmaceutical Chemistry and Natural Products Research Unit Faculty of PharmacyMahasarakham UniversityMaha Sarakham 44150Thailand

Background:Triphala extract is a well known medicinal herbal formula which is usually prescribed by Thai traditional doctors to adjust the physiological functions of the *** studies have reported that Triphala has antioxidant,anti-inflammatory,antihypercholesterolemia and anticancer *** this herbal recipe is commonly used in Thailand,its human safety,especially in the oral form,has not been *** therefore conducted a clinical trial(Phase I).Objective:This study evaluated the safety of administering the aqueous extract of Triphala to healthy volunteers at 2500 mg/***,setting,participants and interventions:An open-label,single-arm trial was conducted at Chulabhorn International College of Medicine,Thammasat University,Pathum Thani,Thailand,between July 2017 and July *** study enrolled 10 male and 10 female healthy volunteers;all were given Triphala(water extract;five capsules of 500 mg each)orally,once a day,at bedtime,for four consecutive *** outcome measures:Signs and symptoms,physical examinations,hematology and blood chemistry were assessed at the beginning of the trial and every week thereafter,for four consecutive *** finishing the trial,on day 28,all volunteers were invited to a follow-up session on day 35 to evaluate the safety of the herbal recipe using the same ***:At the oral dose of 2500 mg/d,Triphala had no serious adverse effects in healthy ***,it was found to have significantly improved the volunteers’high-density lipoprotein cholesterol(HDL-C)levels on day 35 and also reduced their blood sugar levels on days 14 and ***:We conclude that aqueous extract of Triphala is safe for healthy volunteers and that it elevates HDL-C levels and lowers blood *** clinical study should investigate its effects on HDL-C and blood sugar levels among the dyslipidemic and prediabetic *** registration:This trial was registered in the Thai Clinical Trial Regis

关键词： Triphala Clinical trial Safety Healthy volunteers

护士长情绪智力与变革型领导行为的相关性研究

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卫生软科学 2012年第1期26卷 34-37页

作者：李燕 orn-anong Wichaikhum Raymou Nantsupawat 昆明医学院第一附属医院云南昆明650032 泰国清迈大学护理学院泰国清迈50200

[目的]调查目前护士长的情绪智力、变革型领导行为的情况,探讨情绪智力与变革型领导行为之间的关系。[方法]采用问卷调查法对昆明医学院8所教学医院的216名护士长进行调查。[结果]护士长的整体的情绪智力处于高水平,但是她们对他人的情... 详细信息

[目的]调查目前护士长的情绪智力、变革型领导行为的情况,探讨情绪智力与变革型领导行为之间的关系。[方法]采用问卷调查法对昆明医学院8所教学医院的216名护士长进行调查。[结果]护士长的整体的情绪智力处于高水平,但是她们对他人的情绪评估和情绪的调整仅为中度水平。护士长的整体变革领导型行为水平处于高水平,但是她们对共启前景和挑战过程仅为中度水平。两变量之间呈正相关。[结论]在医疗卫生体制改革和公立医院改革背景下,护理管理者应该加强对护士长的情绪智力的培训,进一步提高护士长变革型领导行为。

关键词：护士长情绪智力变革型领导教学医院

Exposure to conspiracy theories in the lab

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Economic and Political Studies 2021年第1期9卷 90-112页

作者： Loukas Balafoutas Alexander Libman Vasileios Selamis Bjöorn Vollan Department of Public Finance University of InnsbruckInnsbruckAustria Institute of Sociology Ludwig Maximilian University of MunichMunichGermany School of Business and Economics University of MarburgMarburgGermany

Conspiracy theories are widespread in the modern information *** exposed to conspiracy theories may affect behaviour,for example,by spreading mistrust among people and within organisations,even if it does not necessarily generate widespread beliefs in the conspiracy *** paper investigates the effect of exposure to conspiracy theories on strategic *** present evidence from a laboratory experiment,in which we prime half of our participants with exposure to a conspiracy *** find that such exposure leads to increased strategic *** a causal mediation analysis we confirm that the effect on sophistication arises independently of whether people believe in the content or not.

关键词： Conspiracy theory k-level reasoning trust priming

MIS TLIF与PLIF术治疗单节段腰椎管狭窄症的围手术期护理成本比较

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系统医学 2019年第3期4卷 138-140,143页

作者：吴海芸杨开舜 Thitinut Akkadechanunt orn-anong Wichaikhum 大理大学第一附属医院脊柱外科云南大理671000 泰国清迈大学护理学院

目的比较采用双侧椎弓根螺钉固定的微创经椎间孔腰椎椎间融合术(minimally invasive transforaminallumbar interbody fusion,MIS TLIF)和开放式经后路椎间融合术(posterior lumbar interbody fusion,PLIF)治疗单节段腰椎管狭窄症的临床效果及围手术期护理成本。方法回顾性分析从2016年1月—2017年12月,由该科同一组医生完成的,共30例单节段腰椎管狭窄症患者行MIS TLIF双侧固定治疗,设为MIS TLIF组;共20例行PLIF双侧固定治疗,设为PLIF组。所有患者均随访至术后6个月。对比分析两组临床效果及围手术期护理成本相关指标:术中出血量,术后引流量,术后住院日,并发症发生率(%),术后6个月融合率(%);一级护理时数(h),使用阵痛药物次数(%),血费,护理费,一般治疗操作费。结果 MIS TLIF组术中出血量、术后引流量、术后住院日分别为(118.67±68.06)mL、(83.87±57.50)mL、(9.60±2.65)d均少于PLIF组(218.50±83.68)mL、(381.40±169.61)m L、(12.00±4.13)d(P0.05)。两组术后6个月融合率均为100%。关于血费及护理费用,MIS TLIP组分别为(64.40±122.01)元、(607.9±161.10)元低于PLIF组(318.25±470.86)元、(818.90±351.09)元(t=2.873,P0.05)。结论 MIS TLIP技术相比较于开放PLIF技术,前者可以有效减少术中出血量,术后住院日,术后引流量,血费和护理费用。这些临床效果和围手术期护理指标的减少,可以有效转变为减低医院成本。MIS TLIP术在临床效果及围手术期护理成本上的优势,可以为医院提供减少资源利用和增加手术病例数量的机会。

关键词：微创经椎间孔腰椎椎间融合术单节段腰椎管狭窄症护理成本

Antioxidant activities and phytochemical constituents of Antidesma thwaitesianum Müll. Arg. leaf extracts

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Journal of Integrative Medicine 2017年第4期15卷 310-319页

作者： Bhanuz Dechayont Arunporn Itharat Pathompong Phuaklee Jitpisute Chunthorng-orn Thana Juckmeta Nuntika Prommee Nitra Nuengchamnong Pintusorn Hansakul Department of Applied Thai Traditional Medicine Faculty of Medicine Thammasat University Center of Excellence in Applied Thai Traditional Medicine Research Thammasat University Division of Applied Thai Traditional Medicine Faculty of Public Health Naresuan University Science Laboratory Centre Faculty of Science Naresuan University Department of Preclinical Science Faculty of Medicine Thammasat University

OBJECTIVE： To investigate the antioxidant activities as well as phytochemical constituents of Antidesma thwaitesianum Mull. Arg. leaf extracts. METHODS： The leaves of A. thwaitesianum were extracted using three different methods： blending with distilled water, maceration with ethanol and decoction. The chemical antioxidant activity of the plant leaf extracts was evaluated using 2,2-diphenyl-1-picryhydrazyl （DPPH） radical and 2,2＇-azinobis（3- ethylbenzo-thiazoline-6-sulfonic acid） diammonium salt （ABTS＊） radical scavenging assays, as well as the ferric reducing antioxidant power assay. Cellular antioxidant activity was determined by superoxide and nitric oxide scavenging assays. The cytotoxicity of the leaf extracts in RAW 264.7 and differentiated HL-60 cells was tested in parallel using 3-（4,5-dimethyl-2-thiazolyl）-2,5-diphenyl-2H-tetrazolium bromide and 3-（4,5-dimethylthiazol-2-yl）-5-（3-carboxymethoxyphenyl）-2-（4-sulfophenyl）-2H-tetrazolium assays, respectively. The total phenolic and flavonoid contents were also assessed by spectrophotometric analysis Phytochemical constituents of the most potent extract were investigated by liquid chromatography with an electrospray ionization quadrupole time-of-flight mass spectrometer （LC-ESI-QTOF-MS/MS）. RESULTS： The ethanolic （ME） and decoction （LW） extracts of dried leaves had the highest chemical scavenging activity against DPPH and ABTS＋ free radicals with half maximal effective concentration （EC50） values ranging from 3.54 to 6.44 μg/mL. ME and LW exerted moderate ferric reducing activity, with ferric reducing antioxidant power values of 847.41 and 941.26 mg Fe2＋/g extract, respectively. Similarly, ME showed potent cellular scavenging activity against superoxide and nitric oxide radicals with EC50 values of 58.12 and 71.90 μg/mL, respectively. However, LW exhibited only strong nitric oxide scavenging activity with an EC50 value of 91.20 μg/mL. The cell viability of RAW 264.7 and HL-60 cells was greater than 70% in all tes

关键词： Antidesma thwaitesianum Mull. Arg. antioxidants phytochemicals spectrometry, mass,electrospray ionization chromatography, liquid

Aging and Migration： Micro and Macro Evidence from China

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Frontiers of Economics in China-Selected Publications from Chinese Universities 2016年第4期11卷 548-580页

作者： orn B. Bodvarsson Jack W. Hou Kailing Shen College of Social Sciences & Interdisciplinary Studies California State University Sacramento California 95819 6109 USA Department of Economics California State University-Long Beach Long Beach CA 90840USA Henan University Wang Yanan Institute for Studies in Economics (WISE) Xiamen University Xiamen 361005 China Research School of Economics College of Business and Economics Australian National University Canberra 0200 Australia IZA Bonn Germany

Post-reform China has been experiencing two major demographic changes： an increasingly aging population and an extraordinary surge of rural-urban migrants. The question we ask is： are these two demographic changes related？ If yes, then, how？ The standard view in the migration literature is that the older the migrant, the lower the likelihood of migration. This paper proposes a simple theory of temporary migration for unskilled labor to fit the context of China Motivated by our model, we then use both cross-sectional micro data and panel macro data to examine the potential impacts of aging on migration. We find that shifts in China＇s age distribution have generated significant changes in the country＇s migration patterns： migration will shift to closer provinces （probably switching from interprovincial migration to intra-provincial migration） and will concentrate to a few destination provinces.

关键词： internal migration age distribution reform