检索结果-南通市图书馆

The History of Traditional chinese Medicine in Britain,c.1750‑2018

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

chinese Medicine and culture 2018年第3期1卷 108-111页

作者： christopher ryan Pearse cavin Department of Humanities and Social Sciences University of StrathclydeGlasgowScotlandUK

This paper discusses the genesis and transference of Traditional chinese Medicine from china and Asia to *** looks specifically at the ways in which TcM was initially discovered and how it reach medical circles in *** also looks at the reasons why it became popular in the historical context and specifically at the presence of TcM in ***,this paper briefly traces the booms and slumps in the popularity of TcM and its place in modern medical practices in the Uk and Europe.

关键词： Acupuncture kaempfer medical discourse teale traditional chinese medicine

A flattened enantiornithine in mid-cretaceous Burmese amber:morphology and preservation

在线全文

学校读者我要写书评

暂无评论

Science Bulletin 2018年第4期63卷 235-243页

作者： Lida Xing Jingmai K.O'connor ryan c.McKellar Luis M.chiappe Ming Bai Kuowei Tseng Jie Zhang Haidong Yang Jun Fang Gang Li State Key Laboratory of Biogeology and Environmental Geology China University of GeosciencesBeijing 100083China School of the Earth Sciences and Resources China University of GensciencesBeijing 100083China Key Laboratory of Vertebrate Evolution and Human Origins of the chinese Academy of Sciences Institute of Vertebrate Paleontology and PaleoanthropologyBeijing 100044China Royal Saskatchewan Museum ReginaSaskatchewan SLIP 4W7Canada Biology Department University of ReginaReginaSaskatchewan S4S OA2Canada Department of Ecology and Evolutionary Biology University of KansasLawrence 66045USA Dinosaur Institute Natural History Museum of Los Angeles CountyLos Angeles 90007USA Key Laboratory of Zoological Systematics and Evolution Institute of ZoologyChinese Academy of SciencesBeijing 100101China Department of Exercise and Health Science University of TaipeiTaipei 11153China Institute of High Energy Physics Chinese Academy of SciencesBeijing 100049China

cretaceous amber from Myanmar(～99 Ma Burmese amber) has become a valuable supplement to the traditional skeletal record of small theropod dinosaurs preserved in sedimentary rocks, particularly for coelurosaurs and enantiornithines. The specimens recovered from this deposit preserve skeletal material and soft tissues in unmatched detail. This provides opportunities to study three-dimensional preservation of soft tissues, microstructure, and pigmentation patterns that are seldom available elsewhere in the fossil record. Ultimately, this line of research provides insights into life stages that are difficult to preserve, the ecology and appearance of the groups involved, and the evolutionarydevelopment of structures such as feathers. Here we describe the most recent discovery from Burmese amber, an articulated skeleton of an enantiornithine bird. This individual has been sectioned along the coronal plane, providing a unique view inside multiple body regions. Osteological observations and plumage patterns support placement within the Enantiornithes, and suggest that the animal may have been a juvenile at the time of death. The specimen has a complex taphonomic history that includes exposure at the surface of a resin flow prior to encapsulation, and may include scavenging by some of the insects trapped within the same amber piece. The chemical composition observed along surface exposures and shallowly buried regions of the body indicate that the specimen has not undergone significant exchange with its surroundings. High iron concentrations are present in regions that preserve soft tissues as carbon films, and calcium distribution corresponds to regions where bones breach the surface of the amber.

关键词： EnantiornithesJuvenileOsteologySoft tissue preservation

Bisphenol A exposure alters release of immune and developmental modulators and expression of estrogen receptors in human fetal lung fibroblasts

在线全文

学校读者我要写书评

暂无评论

Journal of Environmental Sciences 2016年第10期28卷 11-23页

作者： Laziyan Mahemuti Qixuan chen Melanie c. coughlan Min Zhang Maria Florian ryan J Mailloux Xu-Liang cao Kylie A. Scoggan William G. Willmore Xiaolei Jin Regulatory Toxicology Research Division Bureau of Chemical Safety Food Directorate HPFB Health Canada Ottawa Ontario Canada Food Research Division Bureau of Chemical Safety Food Directorate HPFB Health Canada Ontario Canada Nutrition Research Division Bureau of Nutritional Sciences Food Directorate HPFB Heakh Canada Ottawa Ontario Canada Sector Strategies Division Risk Management Bureau Safe Environments Directorate HECSB Health Canada Ottawa Ontario Canada Institute of Biochemistry Departments of Biology and Chemistry Carleton University Ottawa Ontario Canada

Bisphenol A （BPA） has been shown to exert biological effects through estrogen receptor （ER）-dependent and ER-independent mechanisms. Recent studies suggest that prenatal exposure to BPA may increase the risk of childhood asthma. To investigate the underlying mechanisms in the actions of BPA, human fetal lung fibroblasts {hFLFs） were exposed to varying doses of BPA in culture for 24 hr. Effects of BPA on localization and uptake of BPA, cell viability, release of immune and developmental modulators, cellular localization and expression of ERa, ERβ and G-protein coupled estrogen receptor 30 （GPR30）, and effects of ERs antagonists on BPA-induced changes in endothelin-1 （ET-1） release were examined. BPA at 0.01-100 μmol/L caused no changes in cell viability after 24 hr of exposure, hFLFs expresses all three ERs. BPA had no effects on either cellular distribution or protein expression of ERa, however, at 100 μmol/L （or 23 μmol/L intracellular BPA） increased ERβ protein levels in the cytoplasmic fractions and GPR30 protein levels in the nuclear fractions. These paralleled with increased release of growth differentiation factor-15, decreased phosphorylation of nuclear factor kappa B p65 at serine 536, and decreased release of ET-1, interleukin-6, and interferon gamma-induced protein 10. ERs antagonists had no effects on BPA-induced decrease in ET-1 release. These data suggest that BPA at 100 μmol/L altered the release of immune and developmental modulators in hFLFs, which may negatively influence fetal lung development, maturation, and susceptibility to environmental stressors, although the role of BPA in childhood asthma remains to be confirmed in in viuo studies.

关键词： Bisphenol AHuman fetal lung fibroblastsEstrogen receptorsAntagonistscytokineschemokinesImmune and developmentalmodulators

Higher cost of arthroplasty for hip fractures in patients transferred from outside hospitals vs primary emergency department presentation

在线全文

学校读者我要写书评

暂无评论

World Journal of Orthopedics 2022年第8期13卷 725-732页

作者： Emanuel c Haug Hakan Pehlivan J ryan Macdonell Wendy Novicoff James Browne Thomas Brown Quanjun cui Department of Orthopedic Surgery University of VirginiaCharlottesvilleVA 22908United States Department of Orthopedic Surgery Preferred Pediatric Orthopedic SurgeryRidgewoodNJ 07450United States Department of Orthopedic Surgery Asheville Orthopedic AssociatesAshevilleNC 28801United States

BAcKGROUND In 2016 centers for Medicare and Medicaid Services proposed bundled payments for hip fractures to improve the quality and decrease costs of *** transferred from other facilities may be imposing a financial risk on the hospitals that accept these *** To determine the costs associated with patients that either presented to the emergency department or were transferred from another hospital or skilled nursing facility(SNF)with the diagnosis of a hip fracture requiring operative *** A retrospective single institution review was conducted for all arthroplasty patients from 2010 to *** criteria included a total or partial hip replacement for a hip *** criteria included pathologic,periprosthetic,and fracture *** was collected to compare total observed costs for patients from the emergency department,patients from skilled nursing facilities,and patients from an outside *** A total of 223 patients met the inclusion criteria.135(60.54%)of these patients presented primarily to the emergency department,58 patients(26.01%)were transferred from an outside hospital,and 30 patients(13.43%)were transferred from a *** data analysis showed that outside hospital patients demonstrated significantly greater total cost for their hospitalization($43302)compared to emergency department patients($28875,P=0.000)and SNF patients($28282,P=0.000).cONcLUSION Patients transferred from an outside hospital incurred greater costs for their hospitalization than patients presenting from an emergency department or *** is a strong argument for riskadjustment models when bundling payments for the care of hip fracture patients.

关键词： Total hip arthroplasty cost Transfer Outside hospital Hip fracture

Targeting an oncogenic kinase/phosphatase signaling network for cancer therapy

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Acta Pharmaceutica Sinica B 2018年第4期8卷 511-517页

作者： Xiao-Mei Qi Fang Wang Matthew Mortensen ryan Wertz Guan chen Department of Pharmacology and Toxicology Medical College of Wisconsin Zablocki Veterans Affairs Medical center Medical College of Wisconsin

Protein kinases and phosphatases signal by phosphorylation and dephosphorylation to precisely control the activities of their individual and common substrates for a coordinated cellular outcome. In many situations, a kinase/phosphatase complex signals dynamically in time and space through their reciprocal regulations and their cooperative actions on a substrate. This complex may be essential for malignant transformation and progression and can therefore be considered as a target for therapeutic intervention. p38γ is a unique MAPK family member that contains a PDZ motif at its c-terminus and interacts with a PDZ domain-containing protein tyrosine phosphatase PTPH1. This PDZcoupled binding is required for both PTPH1 dephosphorylation and inactivation of p38γ and for p38γ phosphorylation and activation of PTPH1. Moreover, the p38γ/PTPH1 complex can further regulate their substrates phosphorylation and dephosphorylation, which impacts Ras transformation, malignant growth and progression, and therapeutic response. This review will use the p38γ/PTPH1 signaling network as an example to discuss the potential of targeting the kinase/phosphatase signaling complex for development of novel targeted cancer therapy.

关键词： Kinase/phosphatase signaling network PDZ-coupled protein-protein complex Phosphorylation and dephosphorylation cancer development and progression Targeted cancer therapy

clinical classification of symptomatic heterotopic pancreas of the stomach and duodenum:A case series and systematic literature review

在线全文

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2022年第14期28卷 1455-1478页

作者： Michael T Le compte Brandon Mason Keenan J Robbins Motoyo Yano Deyali chatterjee ryan c Fields Steven M Strasberg William G Hawkins Department of Surgical Oncology University of North CarolinaRaleighNC 27608United States Department of Radiology Stillwater Medical CenterStillwaterOK 74074United States Department of General Surgery Washington University St.LouisSt.LouisMO 63110-8109United States Department of Radiology Mayo ClinicPhoenixAZ 8505United States Department of Pathology and Immunology MD Anderson Cancer CenterHoustonTX 77030United States Department of Surgical Oncology Washington University School of MedicineSt.LouisMO 63110-8109United States Section of Hepatobiliary-Pancreatic and GI Surgery Washington University St.LouisSt.LouisMO 63110United States

BAcKGROUND Heterotopic pancreas(HP)is an aberrant anatomic malformation that occurs most commonly in the upper gastrointestinal *** the majority of heterotopic pancreatic lesions are asymptomatic,many manifest severe clinical symptoms which require surgical or endoscopic *** of the clinical manifestations and symptoms of HP is limited due to the lack of large volume studies in the *** purpose of this study is to review symptomatic cases at a single center and compare these to a systematic review of the literature in order to characterize common clinical manifestations and treatment of this *** To classify the common clinical manifestations of heterotopic *** A retrospective review was conducted of pathologic samples containing heterotopic pancreas from *** was limited to HP of the upper gastrointestinal tract due to the frequency of presentation in this *** patients were identified from review of the medical records and clinical symptoms were *** were compared to a systematic review of the literature utilizing Pub Med and Embase searches for papers pertaining to heterotopic *** describing symptomatic presentation of HP were selected for *** including demographics,symptoms,presentation and treatment were compiled and *** Twenty-nine patient were identified with HP at a single center,with six of these identified has having clinical *** manifestations included,gastrointestinal bleeding,gastric ulceration with/without perforation,pancreatitis,and gastric outlet *** review of the literature yielded 232 publications detailing symptomatic cases with only 20 studies describing ten or more *** and multi-patient studies were combined to form a cohort of 934 symptomatic *** majority of patients presented with abdominal pain(67%)combined with one of the following clinical catego

关键词： Heterotopic pancreas Ectopic pancreas Aberrant pancreas Pancreatic rest Groove pancreatitis

The Effects of Dexmedetomidine on Airway Reflexes and Hemodynamic Responses to Tracheal Extubation

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 Effects of Dexmedetomidine on Airway Reflexes and Hemody...

作者： SEON ryan HUTSON 重庆医科大学

学位级别：硕士

主要目标:比较两种剂量右美托咪啶在全身麻醉苏醒期:1.气管导管拔管期间的咳嗽反应。2.睁眼时间和气管导管拔管时间。3.拔管期间血流动力学反应次要目标:1.拔管30分钟后疼痛VAS评分,Ramsay镇静评分。***和谵妄等术后不良反应。3.术后24... 详细信息

主要目标:比较两种剂量右美托咪啶在全身麻醉苏醒期:1.气管导管拔管期间的咳嗽反应。2.睁眼时间和气管导管拔管时间。3.拔管期间血流动力学反应次要目标:1.拔管30分钟后疼痛VAS评分,Ramsay镇静评分。***和谵妄等术后不良反应。3.术后24小时患者VAS疼痛评分和满意度评分。方法:选择(ASA)Ⅰ-Ⅱ级全麻下行择期腹腔镜胆囊切除术(Lc)患者(年龄:18-65岁)72例,随机分成A、B、c三组,每组24例。A组(对照组):舒芬太尼0.1μg/kg;B组:舒芬太尼0.1 μg/kg+右美托咪定0.25μg/kg;c组:舒芬太尼0.1μg/kg+右美托咪定0.5μg/kg。在胆囊切除后,各组药品用生理盐水稀释为10ml,泵注,速度1ml/***.。手术结束转送PAcU,记录并比较三组拔管前,即刻,拔管后30分钟内血压、心率;呛咳程度;睁眼时间;拔管时间;拔管后30分钟Ramsay镇静评分,VAS疼痛评分;以及术后喉痉挛,支气管痉挛,恶心呕吐等并发症;术后24 hr的VAS疼痛评分与围麻醉期舒适度评分。结果:与对照组A相比,B组和c组的咳嗽发生率明显降低,差异有统计学意义。(p=0.046,p=0.003)。睁眼和气管导管拔管时间 c 组(23.45±7.551,23.55±7.520)与 A 组和 B 组比较(p=0.004,p=0.004)差异有统计学意义,A组(16.73±4.300,16.73±4.300)和 B组(18.21±5.429)的睁眼和气管导管拔管时间相近,统计学差异不明显(p=0.398,p=0.334)。气管拔管期间A组HR和MAP明显高于c组差异有统计学意义(p=0.009,p=0.027)。与A组相比,c组的Ramsay镇静评分更高,差异有统计学意义(p=0.005)。术后VAS疼痛评分在拔管后30分钟,病房24小时,c组明显低于A组,差异有统计学意义(p=0.013,p=0.028)。术后24小时,B组和c组较对照组A满意度评分更高,差异有统计学意义(p=0.001,p=0.001)。结论:两种剂量右美托咪定0.25 mcg/kg,0.5 mcg/kg均能明显降低气管导管拔管期间的咳嗽发生率,提高患者的术后满意度。c组(0.5 mcg/kg)明显减轻气管导管拔管期间循环激惹,并具有更好的术后镇静和缓解疼痛。但明显延长了睁眼及气管导管的拔管时间。

关键词：右美托咪定气管导管拔管期间咳嗽反应血流动力学反应全身麻醉

Developmental and Feedforward control of the Expression of Folate Biosynthesis Genes in Tomato Fruit

同方学位论文库评论

在线全文

同方学位论文库

学校读者我要写书评

暂无评论

Molecular Plant 2010年第1期3卷 66-77页

作者： Jeffrey c. Wallera Tariq A. Akhtar Aurora Lara-Nunez Jesse F. Gregory lli ryan R McQuinn James J. Giovannoni Andrew D. Hanson Horticultural Sciences Department University of Florida Gainesville FL 32611 USA Food Science and Human Nutrition Department University of Florida Gainesville FL 32611 USA United States Department of Agriculture-Agricultural Research Service and Boyce Thompson Institute for Plant Research Ithaca NY 14853 USA

Little is known about how plants regulate their folate content, including whether the expression of folate biosynthesis genes is orchestrated during development or modulated by folate levels. Nor is much known about how folate levels impact the expression of other genes. These points were addressed using wild-type tomato fruit and fruit engineered for high folate content. In wild-type fruit, the expression of genes specifying early steps in folate biosynthesis declined during development but that of other genes did not. In engineered fruit overexpressing foreign GTP cyclohy- drolase I and aminodeoxychorismate synthase genes, the expression of the respective endogenous genes did not change, but that of three downstream pathway genes--aminodeoxychorismate lyase, dihydroneopterin aldolase, and mitochondrial folylpolyglutamate synthase--respectively increased by up to 7.8-, 2.8-, and 1.7-fold, apparently in response to the build-up of specific folate pathway metabolites. These results indicate that, in fruit, certain folate pathway genes are developmentally regulated and that certain others are subject to feedforward control by pathway intermediates. Micro- array analysis showed that only 14 other transcripts （of 11 000 surveyed） increased in abundance by two-fold or more in high-folate fruit, demonstrating that the induction of folate pathway genes is relatively specific.

关键词： Folate biosynthesis fruit development metabolic engineering transcript profiling.

Ultrasound-Guided Greater Occipital Nerve Hydrodissection for Treatment of cervicogenic Headache: A case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Pain Studies and Treatment 2023年第1期11卷 1-8页

作者： Paul J. ryan Dominic c. Harmon Department of Anaesthesia and Pain Medicine University Hospital Limerick Dooradoyle Limerick Ireland

We describe an innovative technique of ultrasound-guided greater occipital nerve (GON) hydrodissection for treatment of cervicogenic headache and occipital neuralgia. A 35-year-old female presented to the pain clinic with severe chronic cervicogenic headache impacting her sleep, work and activities of daily living. conservative management had failed to adequately resolve her pain. Ultrasound-guided suboccipital hydrodissection of the greater occipital nerve was performed with the patient in the prone position. After skin sterilization, the linear ultrasound transducer was oriented in a transverse orientation at the level of the c2-c3 vertebrae. The needle was advanced from medial to lateral “in-plane” under direct ultrasound visualization, until the needle was positioned at the c2 lamina. After confirming the needle tip position, 10 ml of hydrodissection fluid was injected with good visualization of distribution of the solution. The patient described immediate and significant improvement in her symptoms. She reported a sustained decrease in pain scores when followed up in the pain clinic at six and twelve weeks respectively. To the best of our knowledge this is the first application of ultrasound-guided hydrodissection of the GON for cervicogenic headache. It offers a novel, safe and effective technique to aid in the diagnosis and treatment of a common pain condition.

关键词： cervicogenic Headache Neck Pain Occipital Nerve Hydrodissection Ultrasound