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Effects of contact/collision sport history on gait in early-to mid-adulthood

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Journal of Sport and Health Science 2023年第3期12卷 398-405页

作者： Katherine J.Hunzinger Jaclyn B.Caccese Rebekah Mannix William P.MeehanⅢ Jocelyn f.Hafer C.Buz Swanik thomas A.Buckley Department of Biostatistics Epidemiologyand InformaticsUniversity of Pennsylvania Perelman School of MedicinePhiladelphiaPA 19104USA Penn Injury Science Center University of PennsylvaniaPhiladelphiaPA 19104USA School of Health and Rehabilitation Sciences The Ohio State University College of MedicineColumbusOH 43210USA Division of Emergency Medicine Boston Children's HospitalBostonMA 02115USA Departments of Pediatrics and Emergency Medicine Harvard Medical SchoolBostonMA 02115USA The Micheli Center for Sports Injury Prevention WalthamMA 02453USA Division of Sports Medicine Department of OrthopedicsBoston Children's HospitalBostonMA 02453USA Department of Pediatrics and Orthopedics Harvard Medical SchoolBostonMA 02453USA Department of Kinesiology and Applied Physiology University of DelawareNewarkDE 02453USA Interdisciplinary Program in Biomechanics and Movement Science University of DelawareNewarkDE 02453USA

Background:To determine the effect of contact/collision sport participation on measures of single-task(ST)and dual-task(DT)gait among early-to middle-aged ***:The study recruited 113 adults(34.88±11.80 years,(mean±SD);53.0%female)representing 4 *** included(a)former non-contact/collision athletes and non-athletes who are not physically active(n=28);(b)former non-contact/collision athletes who are physically active(n=29);(c)former contact/collision sport athletes who participated in high-risk sports and are physically active(n=29);and(d)former rugby players with prolonged repetitive head impact exposure history who are physically active(n=27).Gait parameters were collected using inertial measurement units during ST and DT *** cost was calculated for all gait parameters(double support,gait speed,and stride length).Groups were compared first using one-way analysis of *** a multiple regression was performed for participants in the highrisk sport athletes and repetitive head impact exposure athletes groups only to predict gait outcomes from contact/collision sport career ***:There were no significant differences between groups on any ST,DT,or DT cost outcomes(p>0.05).Contact/collision sport duration did not predict any ST,DT,or DT cost gait ***:Years and history of contact/collision sport participation does not appear to negatively affect or predict neurobehavioral function in early-to mid-adulthood among physically active individuals.

关键词： Exercise Neurodegenerative disease Postural control Rugby Subconcussive impacts

A Graduated Nonconvex Regularization for Sparse High Dimensional Model Estimation

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Journal of Computer and Communications 2014年第11期2卷 1-14页

作者： thomas f. Coleman Yuying Li 不详

Sugammadex: Role in current anaesthetic practice and its safety benefits for patients

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World Journal of Anesthesiology 2015年第3期4卷 66-72页

作者： Michael V Copp thomas f Barrett Department of Anaesthesia Cheltenham General Hospital

Sugammadex has revolutionized anaesthetic management of reversal of neuromuscular block(NMB) by way of its unique mechanism of action encapsulating the amino steroid neuromuscular blocking drugs rocuroniumand vecuronium. The cholinesterase inhibitors have significant pharmacological and clinical limitations whereas sugammadex allows predictable, safe and rapid reversal from any depth of blockade. The financial cost of sugammadex is significant. Many hospitals in the United Kingdom use clinical guidelines to direct best use of sugammadex in their institutions. Auditing the use of sugammadex provides useful information on which patients are benefiting from sugammadex. The clinical benefits of sugammadex are well understood. No patient should now be subjected to the danger of post-operative residual curarization. Versatility in the ability to reverse NMB has brought opportunities to the anaesthetist in the management of rapid sequence induction using high dose rocuronium with the knowledge that safe reversal of NMB is now possible in the unlikely event of a "can't intubate can't ventilate" situation. Do we still need suxamethonium to be available? The nature of surgery continues to evolve with ever-increasing enthusiasm for minimally invasive laparoscopic techniques. There is evidence to support using a deeper level of NMB to improve the working space and operating conditions in laparoscopic surgery. It is now possible to maintain a deep level of NMB right up until the end of surgery with no concerns about the ability to effect safe reversal of NMB. Vigilance about the possibility of allergic sensitivity to sugammadex needs to be maintained. The increased usage of rocuronium has the potential for rocuroniuminduced anaphylaxis. Conversely, there is a potential role for sugammadex in the treatment of rocuronium anaphylaxis. Clinicians who have used sugammadex are struck with the quality of recovery seen in their patients. It is important that the economic implications of

关键词： Sugammadex Neuromuscular block Clinical benefits Patient safety Cost benefit

Partial overlap of anti-mycobacterial,and anti-Saccharomyces cerevisiae mannan antibodies in Crohn's disease

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World Journal of Gastroenterology 2008年第23期14卷 3650-3661页

作者： Stefan Müller thomas Schaffer Alain M Schoepfer Annamarie Hilty thomas Bodmer frank Seibold Department of Clinical Research Division of GastroenterologyUniversity of BernBern CH-3010 Switzerland Institute for Infectious Diseases University of Bern Bern CH-3010Switzerland

AIM： To test whether humoral immune reaction against mycobacteria may play a role in anti- Saccharomyces cerevisiae antibodies （ASCA） generation in Crohn＇s disease （CD） and/or whether it correlates with clinical subtypes. METHODS： The dominant ASCA epitope was detected by Galanthus nivalis lectin （GNL）-binding assay. ASCA and IgG against mycobacterial lysates （M avium, M smegmatis, M chelonae, M bovis BCG M avium ssp. paratuberculosis （MAP）] or purified lipoarabinomannans （LAM） were detected by ELISA. ASCA and anti-mycobacterial antibodies were affinity purified to assess cross-reactivities. Anti-mycobacterial IgG were induced by BCG-infection of mice. RESULTS： GNL bound to different extents to mycobacterial lysates, abundantly to purified mannosecapped （Man） LAM from M tuberculosis, but not to uncapped LAM from M srnegrnatis. fifteen to 45% of CD patients but only 0%-6% of controls were seropositive against different mycobacterial antigens. Anti-mycobacterial IgG correlated with ASCA （r = 0.37-0.64; P = 0.003-P 〈 0.001）. ASCA-positivity and deficiency for mannan-binding lectin synergistically associated with anti-mycobacterial IgG. In some patients, anti-mycobacterial antibodies represent crossreactive ASCA. Vice-versa, the predominant fraction of ASCA did not cross-react with mycobacteria. finally, fistulizing disease associated with antibodies against M avium, M smegmatis and MAP （P = 0.024, 0.004 and 0.045, respectively）. CONCLUSION： Similar to ASCA, seroreactivity against mycobacteria may define CD patients with complicated disease and a predisposition for immune responses against ubiquitous antigens. While in some patients anti-mycobacterial antibodies strongly cross-react with yeast mannan; these cross-reactive antibodies only represent a minor fraction of total ASCA. Thus, mycobacterial infection unlikely plays a role in ASCA induction.

关键词： Crohn's disease Anti-mycobacterial antibodies Anti-Saccharomyces cerevisiae antibodies Cross-reactivity Mannan Lipoarabinomannan

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铁基粉末冶金材料烧结程度的判定

粉末冶金技术 2010年第2期28卷 150-154页

作者： thomas f. Murphy 韩凤麟(译) Scientist Laboratory Services Hoeganaes Corporation 1001 Taylors Lane CinnaminsonNJ 08077 USA 不详

烧结过程可改进压制-烧结的铁基材料的物理-力学性能。烧结时因扩散产生颗粒结合与合金化;随着烧结时间增长,强化材料性能。烧结的作用通过显微组织特征(诸如颗粒边界与孔隙边缘)的变化可以看出。烧结的一些改进表现为颗粒边界消失,孔... 详细信息

烧结过程可改进压制-烧结的铁基材料的物理-力学性能。烧结时因扩散产生颗粒结合与合金化;随着烧结时间增长,强化材料性能。烧结的作用通过显微组织特征(诸如颗粒边界与孔隙边缘)的变化可以看出。烧结的一些改进表现为颗粒边界消失,孔隙边缘变得较平滑和颗粒间尖角特征数量减少。一般将这些特征与特性的外观和它们发生的频率一起当做是烧结程度。用众所周知的体视技术(Stereological practies)与适当制备的金相试样,可以判定烧结程度。关于判定与区分烧结程度不同的材料,将讨论3种试验方法。另外,将用烧结时间不同的铁-铜-碳预混合粉材料的图像来说明这些显微组织的变化。

关键词：铁基粉末冶金材料烧结烧结程度判定

Dynamic Modeling, Testing, and Stability Analysis of an Ornithoptic Blimp

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Journal of Bionic Engineering 2011年第4期8卷 375-386页

作者： John Dietl thomas Herrmann Gregory Reich Ephrahim Garcia Sibley School of Mechanical and Aerospace Engineering Cornell University Ithaca New York USA Air force Research Laboratory Wright-Patterson AFB OH 45433-7542 USA

In order to study omithopter flight and to improve a dynamic model of flapping propulsion, a series 0f tests are conducted on a flapping-wing blimp. The blimp is designed and constructed from mylar plastic and balsa wood as a test platform for aerodynamics and flight dynamics. The blimp, 2.3 meters long and 420 gram mass, is propelled by its flapping wings. Due to buoyancy the wings have no lift requirement so that the distinction between lift and propulsion can be analyzed in a flight platform at low flight speeds. The blimp is tested using a Vicon motion tracking system and various initial conditions are tested including accelerating flight from standstill, decelerating from an initial speed higher than its steady state, and from its steady-state speed but disturbed in pitch angle. Test results are used to estimate parameters in a coupled quasi-steady aerodynamics/Newtonian flight dynamics model. This model is then analyzed using floquet theory to determine local dynamic modes and stability. It is concluded that the dynamic model adequately describes the vehicle＇s nonlinear behavior near the steady-state velocity and that the vehicle＇s linearized modes are akin to those of a fixed-wing aircraft.

关键词： omithopter blimp flight dynamics stability analysis

Intrahepatic cholestasis without jaundice

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Hepatobiliary & Pancreatic Diseases International 2009年第1期8卷 103-105页

作者： thomas Namdar Andreas Raffel Stefan Andreas Topp Jan Schulte am Esch Günther fürst Wolfram Trudo Knoefel Claus ferdinand Eisenberger Department of General Visceral and Pediatric Surgery Heinrich-Heine University Institute of Diagnostic Radiology Heinrich-Heine University

BACKGROUND:Cholangiocarcinoma(CC),the most common biliary tract malignancy,is frequently seen in advanced unresectable stages and is typically localized *** diagnosis is unusual because of nonspecific *** jaundice is usually the first sign of tumor. METHOD:We present a patient with a CC(Klatskin tumor) with a complete biliary drainage by an aberrant bile duct without jaundice. RESULTS:A 67-year-old woman presented with persisting elevation of liver *** tests showed a Klatskin tumor typeⅡ.A curative right hepatic trisegmentectomy was performed after liver volume augmentation by preoperative vein embolization. CONCLUSIONS:A direct drainage of the right posterior bile duct into the common bile duct as an aberrant hepatic duct is a rare variation and is present in less than 5%of the *** case of persistently perturbed liver function tests,an aberrant bile duct can cover up severe intrahepatic cholestasis and even obscure the diagnosis of a Klatskin *** to now it has not been described in the literature.

关键词： Klatskin tumor hyperbilirubinemia cholangiocarcinoma

Importance of Viral Disease in Dairy Cow fertility

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Engineering 2020年第1期6卷 26-33页

作者： D.Claire Wathes Chike f.Oguejiofor Carole thomas Zhangrui Cheng Royal Veterinary College Hatfield AL97TAUK faculty of Veterinary Medicine University of NigeriaNsukka 410001Nigeria

Many viral diseases are endemic in cattle populations worldwide. The ability of many viruses to cross the placenta and cause abortions and fetal malformations is well understood. There is also significant evidence that viral infections have additional actions in dairy cows, which are reflected in reduced conception rates. These effects are, however, highly dependent on the time at which an individual animal first contracts the disease and are less easy to quantify. This paper reviews the evidence relating to five viruses that can affect fertility, together with their potential mechanisms of action. Acute infection with non-cytopathic bovine viral diarrhea virus (BVDV) in mid-gestation increases abortion rates or causes the birth of persistently infected calves. BVDV infections closer to the time of breeding can have direct effects on the ovaries and uterine endometrium, which cause estrous cycle irregularities and early embryo mortality. fertility may also be reduced by BVDV-induced immunosuppression, which increases the susceptibility to bacterial infections. Bovine herpesvirus (BHV)-1 is most common in pre-pubertal heifers, and can slow their growth, delay breeding, and increase the age at first calving. Previously infected animals subsequently show reduced fertility. Although this may be associated with lung damage, ovarian lesions have also been reported. Both BHV-1 and BHV-4 remain latent in the host following initial infection and may be reactivated later by stress, for example associated with calving and early lactation. While BHV-4 infection alone may not reduce fertility, it appears to act as a co-factor with established bacterial pathogens such as Escherichia coli and Trueperella pyogenes to promote the development of endometritis and delay uterine repair mechanisms after calving. Both Schmallenberg virus (SBV) and bluetongue virus (BTV) are transmitted by insect vectors and lead to increased abortion rates and congenital ***-8 also impairs t

关键词： Bovine viral diarrhea virus Bovine herpesvirus-1 Bovine herpesvirus-4 Schmallenberg virus Bluetongue virus Immunosuppression Embryo mortality

Predictive power of statistical significance

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World Journal of Methodology 2017年第4期7卷 112-116页

作者： thomas f Heston Jackson M King Department of family Medicine University of Washington Department of Medical Education and Clinical Sciences Elson S. Floyd College of Medicine Washington State University

A statistically significant research finding should not be defined as a P-value of 0.05 or less, because this definition does not take into account study power. Statistical significance was originally defined by fisher RA as a P-value of 0.05 or less. According to fisher, any finding that is likely to occur by random variation no more than 1 in 20 times is considered significant. Neyman J and Pearson ES subsequently argued that fisher's definition was incomplete. They proposed that statistical significance could only be determined by analyzing the chance of incorrectly considering a study finding was significant(a Type Ⅰ?error) or incorrectly considering a study finding was insignificant(a Type Ⅱ error). Their definition of statistical significance is also incomplete because the error rates are considered separately, not together. A better definition of statistical significance is the positive predictive value of a P-value, which is equal to the power divided by the sum of power and the P-value. This definition is more complete and relevant than fisher's or Neyman-Peason's definitions, because it takes into account both concepts of statistical significance. Using this definition, a statistically significant finding requires a P-value of 0.05 or less when the power is at least 95%, and a P-value of 0.032 or less when the power is 60%. To achieve statistical significance, P-values must be adjusted downward as the study power decreases.

关键词： Statistical significance Positive predictive value Biostatistics Clinical signifcance Powe