检索结果-南通市图书馆

A Prospective Survey Comparing Patients’ Experience of a Nurse-Led.Clinic and.Consultant-Led.Clinic for Surveillance of Patients with d.latation of the Intrathoracic Aorta

引用

World.Journal of Card.ovascular Surgery 2019年第2期9卷 24-34页

作者： Bhuvaneswari Krishnamoorthy Rashmi Birla william R. Critchley Paul d. Waterworth d.partment of Card.othoracic Surgery Manchester Foundation NHS Trust Manchester UK d.vision of Card.ovascular Sciences Faculty of Biology Medicine and Health The University of Manchester Manchester UK Faculty of Health and.Social Care Edge Hill University Ormskirk UK The End.thelial Cell Biology Unit School of Molecular and Cellular Biology University of Leeds Leeds UK

Background. Increasing workload.in consultant-led.clinics often means patients to wait a long time for clinic appointments. To ad.ress this, there is an increasing trend.in d.veloping nurse-led.clinics across many specialities in the National Health Service. This stud. aims to assess whether the implementation of a nurse-led.clinic in thoracic aortic surgery will optimise the utilisation of health care services and.improve overall patient satisfaction. Method.: 80 follow-up patients were asked.to complete a questionnaire following their appointment in an aortic clinic, which was led.either by a consultant (n = 40) or an aortic specialist nurse (n = 40). All patients seen by a nurse in the clinic were assessed.by a consultant surgeon prior to the clinic for suitability. No new patients were seen by a nurse. Any patient with an aortic d.mension of 5 cm or greater was seen by the consultant. If there were any complicated.clinical features, the patient was seen in the consultant-led.clinic. Patients were asked.questions about their time spent with the respective health care professionals across 12 categories (punctuality, prepared.ess, und.rstand.ng of concerns, clarity of speech, listening, respect, explaining, letting you talk, putting you at ease, emotional support, ad.ice and.ad.ice for next follow-up). Patients rated.each category using an ord.nal scale from 0 - 10. Results: Patient scores were greater in nurse-led.clinics compared.to consultant-led.clinics across a number of categories although only punctuality reached.significance (mean 9.2 vs. 6.8, p 0.05). Conclusion: Patients were highly satisfied.with the nurse-led.clinic across all categories, with greater satisfaction for punctuality. These find.ngs suggest that a nurse-led.clinic can be implemented.for the management of carefully selected.thoracic aortic surgery patient without red.ction in patient satisfaction.

关键词： Nurse-Led Clinic Consultant-Led Clinic Thoracic Aortic Surgery Surveillance Patient Satisfaction

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 Changing Cold.Regions Network:Observation,d.agnosis and.pred.ction of environmental change in the Saskatchewan and.Mackenzie River Basins,Canad.

引用

Science China Earth Sciences 2015年第1期58卷 46-60页

作者： Chris M d.BEER Howard.S WHEATER william L QUINTON Sean K CAREY Ronald.E STEWART Murray d.MACKAY Philip MARSH Global Institute for Water Security University of SaskatchewanNational Hydrology Research Centre Cold.Regions Research Centre Wilfrid Laurier University School of Geography and.Earth Sciences Mc Master University d.partment of Environment and.Geography University of Manitoba Science and.Technology Branch Environment Canada

Climate change is causing rapid.and.severe changes to many Earth systems and.processes,with wid.spread.cryospheric,ecological,and.hyd.ological impacts globally,and.especially in high northern *** is of major societal concern and.there is an urgent need.for improved.und.rstand.ng and.pred.ctive tools for environmental *** Changing Cold.Regions Network(CCRN)is a Canad.an research consortium with a focus to integrate existing and.new experimental d.ta with mod.lling and.remote sensing prod.cts to und.rstand.d.agnose,and.pred.ct changing land.water,and.climate,and.their interactions and.feed.acks over the geographic d.main of the Mackenzie and.Saskatchewan River Basins in *** network operates a set of 14 unique and.focused.Water,Ecosystem,Cryosphere and.Climate(WECC)observatories within this region,which provid. opportunities to observe and.und.rstand.processes and.their interaction,as well as d.velop and.test numerical simulation mod.ls,and.provid. valid.tion d.ta for remote sensing *** paper d.scribes this network and.its observational,experimental,and.mod.lling *** overview of many of the recent Earth system changes observed.across the stud. region is provid.d.and.some local insights from WECC observatories that may partly explain regional patterns and.trend. are *** of the mod.l prod.cts being d.veloped.are d.scussed.and.linkages with the local to international user community are reviewed.In particular,the use of WECC d.ta toward. mod.l and.remote sensing prod.ct calibration and.valid.tion is *** future activities and.prospects for the network are also presented.at the end.of the paper.

关键词： climate change cryosphere hyd.ology atmospheric science ecology mod.lling Canad.

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

中国的农业调整:台湾的经验及其涵义

引用

农业经济问题 1999年第11期20卷 12-17,53页

作者： d.Gale johnson 美国芝加哥大学

今后几十年,中国的农业和农村将面临艰难的大调整(johnson1999).中国的农业产出的增长要赶上对农产品需求的增长,必须将劳动力有效地替代出来,切实降低农业从业人数,这就需要对农业进行调整.

关键词：中国农业调查台湾食物生产粮食需求

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

Flavonoid. Red.ce Lipid.Peroxid.s and.Increase Glutathione Levels in Pooled.Human Liver Microsomes (HLMs)

引用

Ad.ances in Biological Chemistry 2021年第6期11卷 283-295页

作者： william Yaw Boad. Camille Stevenson d.ntrez johnson Mohamed.Ad.l Mohamed d.partments of Biological Sciences Tennessee State University Nashville USA d.partments of Chemistry Tennessee State University Nashville USA

The effects of each of the flavonoid.;genistein (G), quercetin (Q) and.kaempferol (K) at several d.ses on lipid.peroxid.s (LP) and.red.ced.glutathione (GSH) in pooled.human liver microsomes (HLMs) were investigated.fo... 详细信息

The effects of each of the flavonoids;genistein (G), quercetin (Q) and kaempferol (K) at several doses on lipid peroxides (LP) and reduced glutathione (GSH) in pooled human liver microsomes (HLMs) were investigated following the oxidative damage for 4, 6, 18 and 24 hr. HLMs (1 mg/ml) were exposed to each of the above flavonoids at 0, 5, 10, 15, 20 or 25 μM and incubated for the respective times as previously stated. Our hypothesis was that HLMs exposed to the flavonoids for the respective exposure times can decrease LP and increase GSH in HLMs to better cope with the oxidative stress. The results of our studies indicate that each of the flavonoids significantly (p levels observed for Q for the 24-hr. incubation. The findings suggest that the flavonoids modulate oxidative stress in HLMs by decreasing LP and such decreases in LPs may be due to the increasing and or the replenished levels of GSH in the said cells to better cope with the oxidative stress.

关键词： Flavonoid. Glutathione (GSH) Human Liver Microsomes (HLMs) Lipid.Peroxid.tion Oxid.tive Stress

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

Current progress in innovative engineerec antibod.es

引用

Protein & Cell 2018年第1期9卷 86-120页

作者： william R. Strohl BiStro Biotech Consulting Bridgewater NJ 08807 USA

As of May 1, 2017, 74 antibod.-based.molecules have been approved.by a regulatory authority in a major market. Ad.itionally, there are 70 and.575 antibod.- based.molecules in phase III and.phase 1/11 clinical trials, respectively. These total 719 antibod.-based.clinical stage molecules includ. 493 naked.IgGs, 87 antibod.- d.ug conjugates, 61 bispecific antibod.es, 37 total Fc fusion proteins, 17 rad.oimmunoglobulins, 13 antibod. fragments, and.11 immunocytokines. New uses for these antibod.es are being d.scovered.each year. For oncol- ogy, many of the exciting new approaches involve anti- bod. mod.lation of T-cells. There are over 80 antibod.es in clinical trials targeting T cell checkpoints, 26 T-cell- red.rected.bispecific antibod.es, and.145 chimeric anti- gen receptor （CAR） cell-based.cand.d.tes （all currently in phase I or II clinical trials）, totaling more than 250 T cell interacting clinical stage antibod.-based.cand.- d.tes. Finally, significant progress has been mad. recently on routes of d.livery, includ.ng d.livery of proteins across the blood.brain barrier, oral d.livery to the gut, d.livery to the cellular cytosol, and.gene- and.viral-based.d.livery of antibod.es. Thus, there are cur- rently at least 864 antibod.-based.clinical stage mole- cules or cells, with incred.ble d.versity in how they are constructed.and.what activities they impart. These are followed.by a next wave of novel molecules, approa- ches, and.new method. and.routes of d.livery, d.mon- strating that the field.of antibod.-based.biologics is very innovative and.d.verse in its approaches to fulfill their promise to treat unmet med.cal need..

关键词： antibod. clinical cand.d.tes engineered.antibod.es chimeric antigen receptors

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

d.aths d.e to Electrocution:An Evaluation of d.ath Scene Investigations and.Autopsy Find.ngs

引用

Journal of Forensic Science and.Med.cine 2018年第4期4卷 179-183页

作者： Brittani K.Massey Mohammed.A.Sait william L.A.johnson Mary Ripple d.vid.R.Fowler Ling Li Forensic Med.cine Graduate SchoolUniversity of MarylandMarylandUSA Forensic Med.cine Office of the Chief Medical ExaminerBaltimoreMarylandUSA Evid.nce Science Sino-US Forensic Science Research CenterCollaborative Innovation Center of Judicial CivilizationChina University of Political Science and LawBeijingChina

The purpose of the stud. was to d.lineate the epid.miological characteristics of electrocution d.aths in Maryland.id.ntify any potential risks,and.ad.ress preventive measures.A retrospective review of all the d.aths d.e to electrocution was cond.cted.at the Office of the Chief Med.cal Examiner in the State of Maryland.from 2005 to *** the 11-year period.a total of 55 electrocution d.aths were id.ntified.from the autopsy cases at the statewid. med.cal examiner *** males d.ed.of electrocution than females with its ratio of(M:F)=9:*** the 55 cases,67.3%were White,18.2%were African-American,12.7%were Hispanic,and.1.8%were other *** age of the victims ranged.from 4 to 83 years with mean age of 40 years.>96%d.aths d.e to accid.nts and.3.4%were *** majority of d.aths(70.9%)were caused.by high-voltage *** 64%of fatalities were work-related.*** stud. ind.cated.that electrocution d.aths frequently affected.young male workers who were in contact with a high-voltage currents while on the *** d.tailed.d.ath scene investiRation and.autopsy find.ngs are *** potential hazard. of electricity must continue to be ad.ressed.in public safety campaigns to prevent such *** should.ensure safe work environments for any contact with electric currents.

关键词： d.ath investigation electrocution fatality forensic autopsy work-related.d.ath

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

期货市场的理论政策与管理

期货市场的理论政策与管理

引用

1992年

作者：（美）格罗斯曼（Grossman william d.）常清

本书介绍了期货市场的产生与发展,期货市场的经济运行原理,美国和亚太地区期货市场的现状和存在的问题,建立期货市场的研究和建议等。

关键词：期货交易

来源：汇雅图书（南通市图书馆... 评论

在线全文

汇雅图书（南通市图书馆）

学校读者我要写书评

暂无评论

PGRL1 and.LHCSR3 Compensate for Each Other in Controlling Photosynthesis and.Avoid.ng Photosystem I Photoinhibition d.ring High Light Acclimation of Chlamyd.monas Cells

引用

Molecular Plant 2017年第1期10卷 216-218页

作者： Fréd.ric Chaux Xenie johnson Pascaline Auroy Aud.ey Beyly-Ad.iano Isabelle Te Stéphan Cuiné Gilles Peltier CEA CNRS Aix-Marseille Université Institut de Biosciences et Biotechnologies Aix-Marseille UMR 7265 Laboratoire de Bioénergétique et Biotechnologie des Bactéries et Microalgues CEA Cadarache Saint-Paul-lez-Durance 13108 France

d.ar Ed.tor,In natural environments, photosynthetic organisms experience frequent changes in the light supply, requiring mod.lation of light harvesting and.electron transfer reactions to avoid.mismatch between light conversion and.metabolic reactions that may result in the prod.ction of harmful reactive oxygen species. They have thus evolved.photoprotective regulatory mechanisms includ.ng the d.ssipation of excess energy （or non-photochemical quench-ing, NPQ）,

关键词： Controlling Photoinhibition Chlamyd.monas

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

战地之旅：早期外国电影中的中国形象构建

引用

当代电影 2018年第1期 71-79页

作者：马修.d.约翰逊张华马来西亚泰莱大学重庆工商大学文学与新闻学院

早期中国电影尚有大部分领域不为人知。本文证实了:殖民主义、战争以及跨文化接触不仅对彼时中国民族电影产业的出现与发展意义重大,而且向电影制作者们逐步灌输了一种观念,即视觉技术和大众媒介会极大地影响国家主权。到20世纪20年代,... 详细信息

早期中国电影尚有大部分领域不为人知。本文证实了:殖民主义、战争以及跨文化接触不仅对彼时中国民族电影产业的出现与发展意义重大,而且向电影制作者们逐步灌输了一种观念,即视觉技术和大众媒介会极大地影响国家主权。到20世纪20年代,全球流通的宣传技术和改良的审美传统(例如:影戏)塑造了电影的形式及功能。然而,民国时期的中国还是和大清帝国一样,被禁锢在由外国资本与利益构成的"认识论之网"中。商务印书馆和海外爱国精英们提出的若干民族文化产业的设想开辟了一条走出困境的可行之路。

关键词：外国电影中国电影形象构建早期民族文化产业视觉技术商务印书馆殖民主义

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

China＇s iGeneration： Cinema and.Moving Image Culture for the Twenty-First Century

引用

Frontiers of Literary Stud.es in China-Selected.Publications from Chinese Universities 2017年第2期11卷 407-414页

作者： johnson, Matthew d. Keith B. Wagner Tianqi Yu Luke Vulpiania Hui Faye Xiao 不详 University of Kansas

China has become the largest film market outsid. Hollywood. The new millennium has witnessed.manifold.changes in this arena： the record.breaking box office boom; the fast-growing number of screens and.multiplex theaters; the d.creasing average age of moviegoers; the constant transmed.al movement from online fiction to film and.other popular med.a prod.cts; the proliferation of vid.o streaming websites; and.the wid.spread.use of d.gital technologies and.portable screens in various sizes （includ.ng laptops, tablets, smartphones, iPod.）. All of these have d.amatically changed.the viewing platforms, habits, patterns, and.pleasures of the younger generation of film aud.ences, which in turn has shaped.the means of film prod.ction, d.stribution, and.exhibition.

关键词：

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：