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Utilizing Instilling Negative Pressure Wound Therapy with Vashe Wound Solution for an Infected Sternal Dehiscence: A Case Report

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Surgical Science 2023年第3期14卷 231-239页

作者： Linnea T. Mauro Courtney M. janowski Mariah j. janowski Adalberto C. Gonzalez Eugene j. Sidoti Luis G. Fernandez Paul j. Kim Marc R. Matthews Valleywise Medical Center Department of Surgery Phoenix Arizona Department of Surgery Division of Trauma Surgery/Surgical Critical Care University of Texas Health Science Center Tyler Texas The University of Texas Tyler School of Medicine Endowed Chair in Trauma Surgery Tyler Texas Trauma Wound Care UT Health East Tyler Texas Department of Surgery University of Texas Medical Branch Galveston Texas Medicine and Nursing University of Texas Arlington Texas Department of Medical Education Health Science Center Tyler Texas Department of Physician Assistant Studies School of Health Professions University of North Texas Fort Worth Texas ACS National Committee on Trauma Chicago USA Plastic Surgery Department of Surgery University of Texas Southwestern Dallas Texas University of Arizona & Creighton University Schools of Medicine The Arizona Burn Center Phoenix Arizona

Utilization of negative pressure wound therapy with instillation (NPWTi) for sternal dehiscence wounds secondary to sternal wound infection after surgery has become an accepted therapy. NPWTi accelerates wound healing through macrostrain, microstrain, and cyclic fluid instillation. Wounds benefit from additional superficial infection control with the removal of microorganisms, the release of proinflammatory mediators, stimulation of angiogenesis, as well as mechanical debridement. However, very few cases of utilizing NPWTi in the treatment of sternal wound infections have been reported in the literature. This case study describes the use of NPWTi with hypochlorous acid for the treatment of a sternal wound infection.

关键词： Negative Pressure Wound Therapy with Instillation NPWT NPWTi NPWT with Dwell Hypochlorous Acid Vashe Wound Solution Sternal Dehiscence

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Cover Crop and Irrigation Effects on Soil Microbial Communities and Enzymes in Semiarid Agroecosystems of the Central Great Plains of North America

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Pedosphere 2016年第2期26卷 192-205页

作者： Francisco j. CALDERON David NIELSEN Veronica ACOSTA-MARTINEZ Merle F. VIGIL Drew LYON USDA-ARS Central Great Plains Research Station Akron CO 80720 USA USDA-ARS Cropping Systems Research Laboratory Wind Erosion and Water Conservation Unit Lubbock TX 79415 USA Department of Crop and Soil Sciences Washington State University Pullman WA 99164-6420 USA

Cover crops can have beneficial effects on soil microbiology by increasing carbon （C） supply, but these beneficial effects can be modulated by precipitation conditions. The objective of this study was to compare a fallow-winter wheat （Triticum aestivum L.） rotation to several cover crop-winter wheat rotations under rainfed and irrigated conditions in the semiarid US High Plains. Experiments were carried out at two sites, Sidney in Nebraska, and Akron in Colorado, USA, with three times of soil sampling in 2012--2013 at cover crop termination, wheat planting, and wheat maturity. The experiments included four single-species cover crops, a 10-species mixture, and a fallow treatment. The variables measured were soil C and nitrogen （N）, soil community structure by fatty acid methyl ester （FAME） profiles, and soil β-glucosidase,β-glucosaminidase, and phosphodiesterase activities. The fallow treatment, devoid of living plants, reduced the concentrations of most FAMEs at cover crop termination. The total FAME concentration was correlated with cover crop biomass （R = 0.62 at Sidney and 0.44 at Akron）. By the time of wheat planting, there was a beneficial effect of irrigation, which caused an increase in myeorrhizal and protozoan markers. At wheat maturity, the cover crop and irrigation effects on soil FAMEs had subsided, but irrigation had a positive effect on the β-glucosidase and phosphodiesterase activities at Akron, which was the drier of the two sites. Cover crops and irrigation were slow to impact soil C concentration. Our results show that cover crops had a short-lived effect on soil microbial communities in semiarid wheat-based rotations and irrigation could enhance soil enzyme activity. In the semiarid environment, longer time spans may have been needed to see beneficial effects of cover crops on soil microbial community structure, soil enzyme activities, and soil C sequestration.

关键词： crop rotation enzyme activity FAME profile fatty acid methyl ester winter wheat

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肉用种母鸡血浆促黄体激素浓度和初产年龄的光照反应曲线

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饲料与畜牧：新饲料 2008年第12期 63-63页

作者：李菊(译者) 雷蕾(校者) Lewis,P.D. tyler,N.C. Gous,R.M. Dunn,I.C. Sharp,P.j.

此试验目的是为了准确定义限饲条件下肉用种母鸡的光诱导促黄体激素（LH）分泌的反应曲线，并与光照反应曲线进行比较，以改进母鸡初产年龄（AFE）。选择平均体重为2．0kg的20周龄肉鸡，分别转移经受8、9、9．5、10、10．5、11、11．5... 详细信息

此试验目的是为了准确定义限饲条件下肉用种母鸡的光诱导促黄体激素（LH）分泌的反应曲线，并与光照反应曲线进行比较，以改进母鸡初产年龄（AFE）。选择平均体重为2．0kg的20周龄肉鸡，分别转移经受8、9、9．5、10、10．5、11、11．5、12、12．5、13、14、18h的光照，4d后测定血浆促黄体激素变化浓度，并记录个体的初产年龄。促黄体激素分泌最先显著增加的是转移到11．5h光照组的鸡，

关键词：肉种鸡促黄体激素光照性成熟

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脑膜瘤对AV-1451的摄取研究

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中华核医学与分子影像杂志 2018年第6期38卷 455-455页

作者：唐军 tyler j.Bruinsma Derek R.johnson Ping Fang Matthew Senjem Keith A.josephs jennifer L.Whitwell Bradley F.Boeve Mukesh K Pandey Kejal Kantarci David T.jones Prashanthi Vemuri Melissa Murray jonathan Graff-Radford Christopher G.Schwarz David S.Knopman Ronald C.Petersen Clifford R.jack Val j.Lowe 上海交通大学医学院附属苏州九龙医院核医学科 Department of Radiology Mayo Clinic

目的 AV-1451是;F标记的正电子核素显像剂,;F-AV-1451可与成对螺旋丝状的tau蛋白（PHF-tau）结合,而tau蛋白与阿尔茨海默病的病理机制有关。对650例认知正常的对象进行AV-1451显像的过程中,偶然发现1例脑膜瘤患者的病灶可显著摄取AV-145... 详细信息

目的 AV-1451是;F标记的正电子核素显像剂,;F-AV-1451可与成对螺旋丝状的tau蛋白（PHF-tau）结合,而tau蛋白与阿尔茨海默病的病理机制有关。对650例认知正常的对象进行AV-1451显像的过程中,偶然发现1例脑膜瘤患者的病灶可显著摄取AV-1451。因此,对该650例研究对象进行回顾性分析,以总结其中的脑膜瘤患者病灶对AV-1451的摄取特点。方法经回顾性分析确诊,650例研究对象中有脑膜瘤患者12例,对其PET/CT显像和MRI图像重新读片,并对PET图像进行半定量分析。本底和肿瘤组织的标准摄取值（SUV）采用配对t检验进行统计分析,AV-1451的摄取与CT图像上钙化灶的出现的关系采用确切概率法进行分析。结果 12例脑膜瘤患者中,7例（58%）经视觉分析及计算肿瘤与正常皮质比值（T/N=1.90±0.83）均发现病灶对AV-1451的摄取高于本底。t检验提示本底和肿瘤组织的SUV差异无统计学意义,但在T/N大于1的患者中,其病灶对AV-1451的摄取增高差异有统计学意义（P=0.01）。AV-1451摄取增高与钙化灶的出现明显相关。结论使用AV-1451行PET显像时,应对PET和解剖影像学图像同时读片,以避免将脑膜瘤对AV-1451的摄取误读为PHF-tau蛋白的聚集。

关键词：脑膜瘤 AV-1451显像

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An Understanding of the Corporate University Phenomenon Based on Human Capital Theory

An Understanding of the Corporate University Phenomenon Base...

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国际人力资源开发研究会第六届亚洲年会

作者： Greg G.Wang jessica j.Li judy Y.Sun The University of Texas at tyler North Texas University

This study investigates the corporate university(CU) phenomenon based on human capital research through a comprehensive review of literatures in economics and *** from existing CU literature,the study finds that,as HRD operational entities,CUs and traditional universities are rooted in different skills contexts,and that theorizing the CU phenomenon is to theorizing *** study explores an alternative model to understand the CU *** to HRD research are also discussed.

关键词： Corporate Universities Human Capital theory Specific and General Skills

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The Use of the V.A.C. RX-4 for Multiple Soft Tissue Wound Application in the Single Patient: A Case Report

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Surgical Science 2022年第3期13卷 155-163页

作者： Emily R. Kindal Kaitlin j. Larson Luis G. Fernandez Sean F. O’Keefe Marc R. Matthews Medical Student IV Royal College of Surgeons in Ireland Dublin Ireland Surgical Resident The Arrowhead Surgical Residency Glendale Arizona Department of Surgery University of Texas Health Science Center Tyler USA Trauma Wound Care UT Health East Tyler USA Department of Surgery University of Texas Medical Branch Galveston USA Business Development Manager Saint Paul US University of Arizona & Creighton University Schools of Medicine The Arizona Burn Center Phoenix Arizona

Contact burn injuries account for a considerable proportion of admissions that frequently require debridement. Such debridements of these multiple open wounds might benefit from the application of negative pressure wound therapy (NPWT) for the removal of proinflammatory mediators and to promote granulation tissue with macrostrain and microstrain. Having four or more Vacuum Assist Closure (V.A.C.) Ulta devices connected to the same patient for adequate wound coverage is cumbersome in the management of the patient’s wound care and tethers the patient to the bed. The V.A.C. RX-4 is a multichannel device that can deliver NPWT with a smaller footprint. In addition, the V.A.C. RX-4 has a weight of 16 lbs. versus one V.A.C Ulta which is 7.4 lbs. Therefore, collectively, four V.A.C. Ultas would equal 29.6 lbs. or almost double the weight of a single V.A.C. RX-4. Use of the V.A.C. RX-4 by healthcare providers can mean greater mobility for the patient and easier transport between patient destinations within the hospital. This case report demonstrates the utility of the V.A.C. RX-4 for open and freshly debrided, large soft tissue wounds in a burn patient.

关键词： V.A.C. RX-4 Negative Pressure Wound Therapy Wounds V.A.C. Ulta Footprint Burns

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Intercultural Competence Development of Chinese Students After a Short-Term Study Abroad Experience

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Sino-US English Teaching 2019年第5期16卷 177-196页

作者： Shuangmei Gao Teresa j. Kennedy Qujing Normal University Qujing China University of Texas at tyler Tyler USA

This study investigated Chinese students’ intercultural competence and linguistic growth during a six-week study abroad program. The students and their professor participated in pre- and post-tests covering written and oral language competency as well as intercultural competence. The Global Scale of English assessed student language development to determine linguistic growth and the Assessment of Intercultural Competence of Chinese College Students (AIC-CCS) was used to determine student growth of intercultural competence skills, specifically related to cultural knowledge, skills, attitudes, and awareness as a result of their experiences in a non-Western context. Results indicated that students experienced a change in the salience of intercultural knowledge themes over their period abroad, as well as improved their individual language abilities. This study provides suggestions for future programming focused on the development of Chinese student intercultural competencies during short-term study abroad experiences in Western university environments.

关键词： English language development linguistic growth Global Scale of English second language (L2) intercultural communicative competence (ICC) Chinese college students Chinese context

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Troubleshooting a Difficult Trans-Tibial/Fibula Amputation: A Case Report

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Surgical Science 2023年第6期14卷 414-427页

作者： Amy C. Ross Alejandra Navarro Castaneda jared D. Stucki Katharine A. Dishner Marisse A. Lardizabal Bryan j. Roth Luis G. Fernandez Samantha A. Delapena Marc R. Matthews Department of Podiatry Valleywise Health Medical Center Phoenix Arizona USA Department of Surgery Arrowhead Medical Center Glendale Arizona USA Department of Surgery Mountain Vista Medical Center Mesa Arizona USA Valleywise Health Medical Center Phoenix Arizona USA Department of Surgery Division of Trauma Surgery/Surgical Critical Care The University of Texas Health Science Center Tyler Texas USA School of Medicine Bill Barrett Endowed Chair in Trauma Surgery The University of Texas-Tyler Tyler Texas USA Trauma Wound Care UT Health East Tyler Texas USA Department of Surgery University of Texas Medical Branch Galveston Texas USA Department of Medicine and Nursing University of Texas Arlington Texas USA Past Commanding General TXSG Medical Brigade Austin Texas USA Department of Surgery Weill Cornell Medical Center New York NY USA Department of Surgery New York Presbyterian Hospital New York NY USA Department of Surgery Banner University of Arizona/University Medical Center Tucson Arizona USA

Necrotic feet secondary to vascular compromise in the diabetic patient may require an emergent guillotine amputation. Unrecognized, retained hardware in a distal ankle years after fracture repair may complicate the intraoperative guillotine amputation at the transtibial/fibula level. Troubleshooting such an unexpected surgical problem is not necessarily straightforward depending on the clinical situation. Presented is a case report where a patient with a necrotic burned foot failed to inform the burn team that he had implanted ankle hardware, prior to his surgical intervention. A successful amputation was completed after proceeding down a specific algorithm devised for such a scenario.

关键词： Guillotine Amputation Difficult Amputation Amputation Retained Hardware Titanium Plate Trans-Tibia Amputation

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《狂人、知识分子和学术涂鸦人》

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银行家 2017年第11期 9-9页

作者：韦恩·A.雷顿爱德华·j.洛佩斯王松奇董蓓王青石

这是一本思想性很强同时又引人入胜的好书,适合所有喜欢研究在经济政治的读者阅读。——tyler Cowen.乔治梅森大学教授这本书告诉我们,任何政治变革都得经过几个必不可少的过程才能实现。人们总是将此类变革归功于惊天动地的个人主义,... 详细信息

这是一本思想性很强同时又引人入胜的好书,适合所有喜欢研究在经济政治的读者阅读。——tyler Cowen.乔治梅森大学教授这本书告诉我们,任何政治变革都得经过几个必不可少的过程才能实现。人们总是将此类变革归功于惊天动地的个人主义,但其实任何改变背后都有一套极为复杂的机

关键词：知识分子

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《狂人、知识分子和学术涂鸦人》

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银行家 2017年第3期 9-9页

作者：韦思·A.雷顿爱德华·j.洛佩斯王松奇董蓓王青石

这是一本思想性很强同时又引人入胜的好书,适合所有喜欢研究在经济政治的读者阅读。——tyler Cowen,乔治梅森大学教授这本书告诉我们,任何政治变革都得经过几个必不可少的过程才能实现。人们总是将此类变革归功于惊天动地的个人主叉,... 详细信息

这是一本思想性很强同时又引人入胜的好书,适合所有喜欢研究在经济政治的读者阅读。——tyler Cowen,乔治梅森大学教授这本书告诉我们,任何政治变革都得经过几个必不可少的过程才能实现。人们总是将此类变革归功于惊天动地的个人主叉,但其实任何改变背后都有一套极为复杂的机制,而这正是该书向我们所阐述的内容,并且它读起来相

关键词：政治经济

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