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急性脑卒中综合性治疗模式的优越性 被引量:47
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作者 王少石 Daniel Kam Yin CHAN David gillies 《中华内科杂志》 CAS CSCD 北大核心 2002年第11期725-727,共3页
目的 探讨综合性治疗 [卒中单元 ,(strokeunit) ]模式对急性脑卒中治疗的优越性。方法 选择在澳大利亚卒中单元治疗的 2 0 7例急性脑卒中病人为A组 ,同期在我科常规治疗的 32 6例为B组。入选标准统一为经CT或MRI确诊发病 48h内的急性... 目的 探讨综合性治疗 [卒中单元 ,(strokeunit) ]模式对急性脑卒中治疗的优越性。方法 选择在澳大利亚卒中单元治疗的 2 0 7例急性脑卒中病人为A组 ,同期在我科常规治疗的 32 6例为B组。入选标准统一为经CT或MRI确诊发病 48h内的急性脑卒中 ,比较两组主要临床指标。结果 A组 1 4d内病死率为 5 3 % ,其中死于非脑内原因占 2 7 3 % ,感染发生率 1 7 9% ,而B组分别为1 0 4%、64 7%、47 9% ,差异具有显著性 (P <0 0 1 )。 2 1d神经功能评分和随访 90dRankin积分差异也有显著性 (P <0 0 1 )。结论 在综合性治疗模式下急性脑卒中患者的预后 。 展开更多
关键词 急性脑卒中 综合性治疗 疗效 预后 临床研究
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Converting TREx-RGB green-channel data to 557.7 nm auroral intensity:Methodology and initial results 被引量:2
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作者 Jun Liang D.M.gillies +1 位作者 E.Spanswick E.F.Donovan 《Earth and Planetary Physics》 EI CSCD 2024年第1期258-274,共17页
The recently deployed Transition Region Explorer(TREx)-RGB(red-green-blue)all-sky imager(ASI)is designed to capture“true color”images of the aurora and airglow.Because the 557.7 nm green line is usually the brightes... The recently deployed Transition Region Explorer(TREx)-RGB(red-green-blue)all-sky imager(ASI)is designed to capture“true color”images of the aurora and airglow.Because the 557.7 nm green line is usually the brightest emission line in visible auroras,the green channel of a TREx-RGB camera is usually dominated by the 557.7 nm emission.Under this rationale,the TREx mission does not include a specific 557.7 nm imager and is designed to use the RGB green-channel data as a proxy for the 557.7 nm aurora.In this study,we present an initial effort to establish the conversion ratio or formula linking the RGB green-channel data to the absolute intensity of 557.7 nm auroras,which is crucial for quantitative uses of the RGB data.We illustrate two approaches:(1)through a comparison with the collocated measurement of green-line auroras from the TREx spectrograph,and(2)through a comparison with the modeled green-line intensity according to realistic electron precipitation flux measurements from low-Earth-orbit satellites,with the aid of an auroral transport model.We demonstrate the procedures and provide initial results for the TREx-RGB ASIs at the Rabbit Lake and Lucky Lake stations.The RGB response is found to be nonlinear.Empirical conversion ratios or formulas between RGB green-channel data and the green-line auroral intensity are given and can be applied immediately by TREx-RGB data users.The methodology established in this study will also be applicable to the upcoming SMILE ASI mission,which will adopt a similar RGB camera system in its deployment. 展开更多
关键词 TREx RGB green-line aurora auroral transport model
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细胞因子、纤维化与青光眼滤过术的失败 被引量:5
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作者 Mark C gillies Tao Su 余克明 《国外医学(眼科学分册)》 1993年第1期27-30,共4页
目前对青光眼滤过术后滤过口瘢痕化的治疗虽有效,但常产生有害的副作用。对纤维化反应细胞学基础的研究会有助于抗纤维化治疗。伤口的修复包括血管新生和成纤维细胞的活化,它们都是在细胞因子的参与下完成的。细胞因子在这复杂的网络中... 目前对青光眼滤过术后滤过口瘢痕化的治疗虽有效,但常产生有害的副作用。对纤维化反应细胞学基础的研究会有助于抗纤维化治疗。伤口的修复包括血管新生和成纤维细胞的活化,它们都是在细胞因子的参与下完成的。细胞因子在这复杂的网络中相互作用促使成纤维细胞趋化、增殖和收缩,并刺激产生葡萄糖胺聚糖及胶原。干扰素可能会抑制上述纤维化反应的多个环节,其在眼部抗纤维化治疗中的作用尚需作进一步的评价。 展开更多
关键词 青光眼 滤过术 细胞因子 纤维化
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Storylines of family medicine Ⅴ:ways of thinking—honing the therapeutic self
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作者 William B Ventres Leslie A Stone +15 位作者 Johanna F Shapiro Cynthia Haq Jéssica R B Leao Donald E Nease Jr Liz Grant Stewart W Mercer John C M gillies Pablo González Blasco Maria Auxiliadora C De Benedetto Graziela Moreto Marcelo R Levites Jennifer E DeVoe William R Phillips Jane M Uygur Thomas R Egnew Colette S Stanley 《Family Medicine and Community Health》 2024年第S03期43-51,共9页
Storylines of Family Medicine is a 12-part series of thematically linked essays with accompanying illustrations that explore the many dimensions of family medicine,as interpreted by individual family physicians and me... Storylines of Family Medicine is a 12-part series of thematically linked essays with accompanying illustrations that explore the many dimensions of family medicine,as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world.In‘Ⅴ:ways of thinking—honing the therapeutic self’,authors present the following sections:‘Reflective practice in action’,‘The doctor as drug—Balint groups’,‘Cultivating compassion’,‘Towards a humanistic approach to doctoring’,‘Intimacy in family medicine’,‘The many faces of suffering’,‘Transcending suffering’and‘The power of listening to stories.’May readers feel a deeper sense of their own therapeutic agency by reflecting on these essays. 展开更多
关键词 ILLUSTRATION dimensions SUFFERING
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Enrichment of retinal ganglion and Müller glia progenitors from retinal organoids derived from human induced pluripotent stem cells-possibilities and current limitations 被引量:3
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作者 Kristine Karla Freude Sarkis Saruhanian +7 位作者 Alanna McCauley Colton Paterson Madeleine Odette Annika Oostenink Poul Hyttel Mark gillies Henriette Haukedal Miriam Kolko 《World Journal of Stem Cells》 SCIE CAS 2020年第10期1171-1183,共13页
BACKGROUND Retinal organoids serve as excellent human-specific disease models for conditions affecting otherwise inaccessible retinal tissue from patients.They permit the isolation of key cell types affected in variou... BACKGROUND Retinal organoids serve as excellent human-specific disease models for conditions affecting otherwise inaccessible retinal tissue from patients.They permit the isolation of key cell types affected in various eye diseases including retinal ganglion cells(RGCs)and Müller glia.AIM To refine human-induced pluripotent stem cells(hiPSCs)differentiated into threedimensional(3D)retinal organoids to generate sufficient numbers of RGCs and Müller glia progenitors for downstream analyses.METHODS In this study we described,evaluated,and refined methods with which to generate Müller glia and RGC progenitors,isolated them via magnetic-activated cell sorting,and assessed their lineage stability after prolonged 2D culture.Putative progenitor populations were characterized via quantitative PCR and immunocytochemistry,and the ultrastructural composition of retinal organoid cells was investigated.RESULTS Our study confirms the feasibility of generating marker-characterized Müller glia and RGC progenitors within retinal organoids.Such retinal organoids can be dissociated and the Müller glia and RGC progenitor-like cells isolated via magnetic-activated cell sorting and propagated as monolayers.CONCLUSION Enrichment of Müller glia and RGC progenitors from retinal organoids is a feasible method with which to study cell type-specific disease phenotypes and to potentially generate specific retinal populations for cell replacement therapies. 展开更多
关键词 Human induced pluripotent stem cells Retinal organoids Retinal ganglion cells Müller glia Progenitors Cell-type enrichment
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黄斑囊样水肿患者自发荧光与黄斑色素密度的关系 被引量:3
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作者 张新媛 Mark gillies +5 位作者 朱晓青 王鑫 肖媛媛 顼晓琳 申令 高飞 《眼科》 CAS 2010年第5期357-360,共4页
目的探讨黄斑囊样水肿(CME)眼底自发荧光与黄斑色素密度的相关性,以提供对其预后有临床价值的技术参数。设计回顾性病例系列。研究对象2009年8月至2010年7月于北京同仁医院确诊CME的视网膜中央静脉阻塞、视网膜分支静脉阻塞及糖尿病视... 目的探讨黄斑囊样水肿(CME)眼底自发荧光与黄斑色素密度的相关性,以提供对其预后有临床价值的技术参数。设计回顾性病例系列。研究对象2009年8月至2010年7月于北京同仁医院确诊CME的视网膜中央静脉阻塞、视网膜分支静脉阻塞及糖尿病视网膜病变的患者18例(24眼)。24只正常眼选自年龄及性别相匹配者。方法对所有患眼及正常对照眼行彩色眼底照相、荧光素眼底血管造影(FFA)及相干光断层扫描(OCT)确诊CME。采用海德堡公司HRA-2共焦激光扫描系统的IR(infrared)及FA(不注入荧光素钠)模式进行眼底自发荧光及黄斑色素密度的检测。黄斑色素密度按Zhang等分期法分为完整的黄斑色素、部分黄斑色素及黄斑色素缺失三级。采用Monte Carlo精确检验说明不同分级的黄斑色素密度与自发荧光的相关性,线性相关卡方检验分析两个变量之间的变化趋势。主要指标眼底自发荧光的分布及形态、黄斑色素的分布及密度。结果 24只CME眼自发荧光均为阳性(100%),并在黄斑区呈花瓣样表现,而正常对照眼的黄斑自发荧光均为阴性。CME眼中黄斑色素缺失22眼(91.7%),部分黄斑色素2眼(8.3%);正常对照眼黄斑色素密度均为完整的黄斑色素(100%)。黄斑色素密度与自发荧光的出现在本次研究中呈现负相关(χ2=45.123,P=0.0001)。结论 CME患者中黄斑色素密度大小与黄斑区自发荧光呈负相关,黄斑区自发荧光可做为其随诊的临床评价指标。 展开更多
关键词 黄斑囊样水肿 眼底自发荧光 黄斑色素
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玻璃体内注射曲安西龙导致眼内压升高及后囊下白内障
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作者 gillies M.C. Kuzniarz M. +1 位作者 Craig J. 邢咏新 《世界核心医学期刊文摘(眼科学分册)》 2005年第5期57-58,共2页
To investigate the association between elevated intraocular pressure (IOP) and accelerated cataract formation in patients treated with intravitreal triamcinol one. Analysis of longitudinal data from a randomized, doub... To investigate the association between elevated intraocular pressure (IOP) and accelerated cataract formation in patients treated with intravitreal triamcinol one. Analysis of longitudinal data from a randomized, double-masked, placebo-c ontrolled trial of intravitreal triamcinolone for age-related macular degenerat ion (the Intravitreal Triamcinolone Study). Patients with phakic eyes who partic ipated in a randomized clinical trial of intravitreal triamcinolone for age-rel ated macular degeneration were studied. There were 57 phakic eyes in the treatme nt group and 54 phakic eyes in the control group. One eye per patient was studie d. Four milligrams of intravitreal triamcinolone or 1 ml subconjunctival saline. Intraocular pressure rise of at least 5 mmHg (IOP responders) and progression o f posterior subcapsular cataract by 2 or more grades using photographic standard s from the Age Related Eye Disease Study. Progression of posterior subcapsular c ataract (PSC) by 2 or more grades in the treatment group was significantly highe r among 16 IOP responders (51%after 2 years) than among 37 nonresponders (3%; P < 0.0001, log-rank test). There was no significant progression of PSC in the placebo group or the opposite eye of the treatment group. Progression of cortica l cataracts also was significantly higher among responders than nonresponders (1 5%vs. 3%; P=0.015, log-rank test). The progression of nuclear cataracts (13% vs. 3%) was not significantly different between IOP responders and nonresponders (P=0.3, log-rank test). Although steroid-relate d cataracts are unlikely to develop in eyes that do not experience elevated IOP after intravitreal triamcinolone, those eyes that do also have a very high risk of rapidly experiencing posterior subcapsular lens opacification. This strong as sociation suggests that the mechanism responsible for the development of steroid -induced PSC cataract and raised IOP may be similar. 展开更多
关键词 玻璃体内注射 囊下白内障 眼内压 曲安西龙 老年性黄斑变性 皮质性白内障 结膜下注射 后囊 核性白内障 对侧眼
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Relationships between soil moisture and dust emissions in a bare sandy soil of Mongolia 被引量:3
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作者 Erdenebayar Munkhtsetseg Masato Shinoda +3 位作者 John A. gillies Reiji Kimura James King George Nikolich 《Particuology》 SCIE EI CAS CSCD 2016年第5期131-137,共7页
This study presents experimental results of the change in threshold friction velocity and dust emission strength as a function of soil moisture content. The dust and soil moisture data were obtained from irrigated plo... This study presents experimental results of the change in threshold friction velocity and dust emission strength as a function of soil moisture content. The dust and soil moisture data were obtained from irrigated plots of a bare, sandy soil (no vegetation) situated in the Mongolian steppe. Dust flux was measured using the PI-SWERL^(R) device, while soil moisture was measured using gravimetric methods. Our results demonstrate the strong controlling effects of soil moisture on both the threshold friction velocity and dust emission strengths. Threshold friction velocity increased from 0.44 m/s for dry soil (0.002 g/g) to 0.67 m/s for wet soil (0.06 g/g), confirming the importance of soil moisture for controlling dust events. Dust emission strength was significantly depressed for wet soils, starting at a soil moisture value of 0.02 g/g. From these results, we developed a simple dust diagram that may be useful as part of a warning system to identify initial sensitivity to threshold conditions as well as conditions that could lead to potentially significant dust emissions. Overall, the research findings in this study could be used to provide foreknowledge of conditions that would be conducive to high dust emissions for this area of Mongolia. 展开更多
关键词 Threshold friction velocity Simple dust diagram Dust emission Absence of vegetation Mini wind tunnel
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Ophthalmologic complications of antiviral therapy in hepatitis C treatment 被引量:1
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作者 Roderick O'Day Mark C gillies Golo Ahlenstiel 《World Journal of Gastroenterology》 SCIE CAS 2013年第45期8227-8237,共11页
Antiviral therapy consisting of interferon-alpha and ribavirin for chronic hepatitis C infection is associated with multi-system side-effects.Ophthalmologic complications are common and can be classified into two grou... Antiviral therapy consisting of interferon-alpha and ribavirin for chronic hepatitis C infection is associated with multi-system side-effects.Ophthalmologic complications are common and can be classified into two groups:interferon-associated retinopathy and atypical adverse events.Interferon-associated retinopathy has been investigated by multiple observational studies that have found widely divergent results.The clinical importance of this complication is,consequently,controversial.This review examines the literature with the specific goal of identifying the most important ophthalmologic issues facing the hepatologist prescribing antiviral therapy.Accordingly,it assesses the incidence of interferon-associated retinopathy,as well as its risk factors,pathogenesis,clinical manifestations and options for management using data from the observational studies.The likely benefit of a screening program,especially one targeting patients with the highest risk of developing interferon-associated retinopathy,is analysed.Atypical ophthalmologic adverse events occur less frequently than interferon-associated retinopathy during antiviral therapy for chronic hepatitis C infection.They often,however,lead to irreversible vision loss.We examine the reports of these adverse events-in individual case reports or case series and in the observational studies investigating interferon-associated retinopathy-to describe the spectrum of these adverse events,the likely outcome for patients and to highlight the most important areas of future clinical research. 展开更多
关键词 INTERFERON HEPATITIS C OCULAR COMPLICATIONS RETINOPATHY
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成人2型糖尿病不同筛查及预防策略成本效益分析 被引量:1
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作者 Clare L gillies Paul C Lambert Keith R Abrams Alex J Sutton Nicola J Cooper Ron T Hsu Melanie J Davies Kamlesh Khunti 张晓梅(译) 纪立农(校) 《英国医学杂志中文版》 2008年第5期278-282,共5页
目的 比较针对2型糖尿病预防及治疗的4种筛查策略及随后予以的干预措施:(a)筛查2型糖尿病患者使其能接受早期检查及治疗,(b)筛查2型糖尿病和糖耐量受损患者,对糖耐量受损的人群予以生活方式干预以延缓或预防糖尿病的发生,(c)... 目的 比较针对2型糖尿病预防及治疗的4种筛查策略及随后予以的干预措施:(a)筛查2型糖尿病患者使其能接受早期检查及治疗,(b)筛查2型糖尿病和糖耐量受损患者,对糖耐量受损的人群予以生活方式干预以延缓或预防糖尿病的发生,(c)同(b)但予以药物干预措施,(d)不筛查。 设计 成本效益决策分析建立在对概率的发展和评估基础上,是从筛查到死亡的综合性经济决策分析模型。 研究对象 一组假设人群,筛查时年龄45岁,高于平均糖尿病风险水平。 数据来源 电子书目数据库收录的已发表的临床试验和流行病学研究;补充数据分别来自英国和威尔士健康统计署、风险筛查(STAR)研究和ADDITION研究的Leicester部分。 方法 建立一种决策树/Markov混合模型,以模拟每一种筛查策略的长期效用,包括临床和成本效益终点。该模型假设水平跨度为50年时间,其成本效益折损率为3.5%。采用敏感度分析以验证模型假设及确定哪种模型数据输入对结果的影响最大。 结果 与不筛查策略比较,筛查2型糖尿病、筛查糖尿病和糖耐量受损并予以生活方式干预、筛查糖尿病和糖耐量受损并予以药物干预治疗3种策略,每获得一个质量调整生命年(QALY)估计所需成本分别为(每年成本效益贴现率为3.5%)14150英镑(17560欧元;27860美元)、6242英镑和7023英镑。在支付意愿阈值为20000英镑时,各主动筛查策略通过干预产生的成本效益概率分别为49%,93%和85%。 结论 对年龄45岁、高于平均风险水平的人群进行2型糖尿病和糖耐量受损的筛查,并对糖耐量受损人群予以适当的干预似乎具有很好的成本效益。单独筛查糖尿病而不对糖耐量受损人群予以干预的策略具有的成本效益仍不确定,需要进一步研究确定早期检测糖尿病的作用。 展开更多
关键词 成本效益分析 2型糖尿病 预防策略 筛查 药物干预治疗 糖耐量受损 生活方式干预 质量调整生命年
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Factors controlling the spatial and temporal variability of dust emissions
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作者 John A. gillies William G. Nickling +2 位作者 Vicken Etyemezian James King Mark Sweeney 《Chinese Journal Of Geochemistry》 EI CAS 2006年第B08期219-220,共2页
关键词 灰尘 散发 表面特征 大气污染 时空变化
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Use of booster fans in underground coal mining to advantage
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作者 Habibi A gillies A D S 《西安科技大学学报》 CAS 北大核心 2011年第6期760-765,775,共7页
A booster fan is an underground main fan which is installed in series with a main surface fan and used to boost the air pressure of the ventilation to overcome mine resistance.Currently booster fans are used in severa... A booster fan is an underground main fan which is installed in series with a main surface fan and used to boost the air pressure of the ventilation to overcome mine resistance.Currently booster fans are used in several major coal mining countries including the United Kingdom,Australia,Poland and China.In the United States booster fans are prohibited in coal mines although they are used in several metal and non-metal mines.A study has been undertaken to examine alternatives for ventilating an underground room and pillar coal mine system.A feasibility study of a hypothetical situation has shown that current ventilation facilities are incapable of fulfilling mine air requirements in the future due to increased seam methane levels.A current ventilation network model has been prepared and projected to a mine five years plan."Ventsim visual" software simulations of different possible ventilation options have been conducted in which varying methane levels are found at working faces.The software can also undertake financial simulations and project present value total costs for the options under study.Several scenarios for improving the ventilation situation such as improving main surface fans,adding intake shafts,adding exhaust shafts and utilizing booster fans have been examined.After taking into account the total capital and operating costs for the five years mine plan the booster fan scenarios are recommended as being the best alternatives for further serious consideration by the mine.The optimum option is a properly sized and installed booster fan system that can be used to create safe work conditions,maintain adequate air quantity with lowest cost,generate a reduction in energy consumption and decrease mine system air leakage. 展开更多
关键词 booster fan mine ventilation optimization design ventsim simulation
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不再“爱妥协”
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作者 Barrie gillies 《父母世界》 2011年第2期114-115,共2页
即使身为美国Parents杂志的编辑.Barrie仍会不由自主地与自己一贯宣扬的教育方针背道而驰.比如无原则地向儿子Will妥协。幸好.心中早已隐隐不安的Barrie开始学着站定立场,把自己修炼成孩子更好的而不是更喜欢的妈妈。一起来分享她... 即使身为美国Parents杂志的编辑.Barrie仍会不由自主地与自己一贯宣扬的教育方针背道而驰.比如无原则地向儿子Will妥协。幸好.心中早已隐隐不安的Barrie开始学着站定立场,把自己修炼成孩子更好的而不是更喜欢的妈妈。一起来分享她的故事吧! 展开更多
关键词 妥协 WILL 教育方针
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Effective Interaction Force between an Electric Charge and a Magnetic Dipole and Locality (or Nonlocality) in Quantum Effects of the Aharonov–Bohm Type
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作者 Gianfranco Spavieri George T.gillies +1 位作者 Miguel Rodriguez Maribel Perez 《Chinese Physics Letters》 SCIE CAS CSCD 2021年第3期39-43,共5页
Classical electrodynamics foresees that the effective interaction force between a moving charge and a magnetic dipole is modified by the time-varying total momentum of the interaction fields. We derive the equations o... Classical electrodynamics foresees that the effective interaction force between a moving charge and a magnetic dipole is modified by the time-varying total momentum of the interaction fields. We derive the equations of motion of the particles from the total stress-energy tensor, assuming the validity of Maxwell’s equations and the total momentum conservation law. Applications to the effects of Aharonov–Bohm type show that the observed phase shift may be due to the relative lag between interfering particles caused by the effective local force. 展开更多
关键词 force. MOMENTUM interaction
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Real-time Diesel Particulate Matter ambient monitoring in underground mines
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作者 gillies A D S 《Journal of Coal Science & Engineering(China)》 2011年第3期225-231,共7页
A real-time Diesel Particulate Matter (DPM) monitor has been developed on the base of the successful National In- stitute of Occupational Health and Safety (NIOSH) designed Personal Dust Monitor (PDM) unit. The ... A real-time Diesel Particulate Matter (DPM) monitor has been developed on the base of the successful National In- stitute of Occupational Health and Safety (NIOSH) designed Personal Dust Monitor (PDM) unit. The objectives of a recently completed Australian Coal Association Research Program (ACARP) study was to modify the PDM to measure the submicrometre fraction of the aerosol in a real-time monitoring underground instrument. Mine testing focused on use of the monitor in engineering evaluations of Longwall (LW) moves demonstrated how DPM concentrations from vehicles fluctuate under varying ventilation and operational conditions. The strong influence of mine ventilation systems is reviewed. Correlation between the current SKC DPM measurement system and real-time DPM monitors were conducted and results from eight mines show a correlation between elemental carbon (EC) and the new monitor DPM mass ranging from 0.45 to 0.82 with R2〉0.86 in all but two cases. This differences in suspected to be due to variations from mine to mine in aspects such as mine atmospheric contamination, vehicle fleet variations, fuel type, engine maintenance, engine combustion efficiency, engine behavior or interference from other submicrometre aerosol. Real-time monitoring clearly reflects the movement of individual diesel vehicles and allows pin-pointing of high exposure zones such as those encountered where various vehicles engage in intense work in areas of constrained or difficult ventilation. DPM shift average monitoring approaches do not readily allow successful engineering evaluation exercises to determine acceptability of pollution levels. Identification of high DPM concentration zones allows efficient modification of mine ventilation, operator positioning and other work practices to reduce miners' exposures without waiting for laboratory analysis results. 展开更多
关键词 real-time diesel particulate matter total carbon elemental carbon
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玻璃体腔内注射强的松龙治疗激光治疗后持续性糖尿病性黄斑水肿:一项前瞻、随机、双盲、安慰剂对照临床试验的3个月安全性和有效性
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作者 Sutter F.K.P. Simpson J.M. +1 位作者 gillies M.C. 黎黎 《世界核心医学期刊文摘(眼科学分册)》 2005年第3期56-57,共2页
To determine whether an intravitreal injection of triamcinolone acetonide for persistent diabetic macular edema after adequate laser treatment improves visual acuity. Prospective, double masked, placebo controlled, ra... To determine whether an intravitreal injection of triamcinolone acetonide for persistent diabetic macular edema after adequate laser treatment improves visual acuity. Prospective, double masked, placebo controlled, randomized clinical t rial. Sixty nine eyes of 43 patients were entered into the study, with 34 eyes randomized to receive active treatment and 35 randomized to receive a placebo in jection. Sixty five of 69 eyes (94%) completed the 3 month study visit. Using a 27 gauge needle, 0.1 ml of triamcinolone acetonide was injected through the pars plana. The procedure was performed in a minor procedures area in the outpat ient clinic under sterile conditions and using topical and subconjunctival anest hesia. Eyes randomized to placebo received a subconjunctival saline injection us ing the identical procedure for preparation. The main outcome measures were impr ovement of best corrected logarithm of the minimum angle of resolution visual a cuity by 5 or more letters and incidence of moderate or severe adverse events. E ighteen of 33 eyes (55%) treated with triamcinolone gained 5 or more letters of best corrected visual acuity compared with 5 of 32 eyes (16%) treated with pl acebo (P=0.002). Macular edema was reduced by 1 or more grades as determined by masked semiquantitative contact lens examination in 25 of 33 treated eyes (75%) versus 5 of 32 untreated eyes (16%; P < 0.0001). Optical coherence tomography showed a mean reduction of central retinal thickness of 152 μm in the 21 treate d eyes that were examined compared with a reduction of 36 μm in 20 placebo tre ated eyes. Infectious endophthalmitis developed in 1 triamcinolone treated eye that was treated adequately without loss of visual acuity. In the short term, in travitreal triamcinolone is an effective and relatively safe treatment for eyes with diabetic macular edema that have failed laser treatment. Although it will b e essential to study longer term outcomes, the use of intravitreal triamcinolon e may be considered in 1 eye of patients who continu 展开更多
关键词 腔内注射 强的松龙 双盲法 持续性 结膜下注射 黄斑水肿 感染性眼内炎 临床试验研究 对数视力表 安慰剂对照
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体外银屑病模型的发展和特性
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作者 Barker C.L. McHale M.T. +2 位作者 gillies A.K. J.H. Pringle 崔荣 《世界核心医学期刊文摘(皮肤病学分册)》 2005年第4期20-21,共2页
In this study, the phenotype of psoriatic keratinocytes and fibroblasts in reconstructed skin models was compared to those constructed from normal cells. Characterization of this model by immunohistochemistry showed t... In this study, the phenotype of psoriatic keratinocytes and fibroblasts in reconstructed skin models was compared to those constructed from normal cells. Characterization of this model by immunohistochemistry showed that classical markers of keratinocyte differentiation exhibited similar patterns of distribution in the psoriatic models to those derived from normal cells and generally reflected in vivo observations. Some crucial differences, however, were observed between normal and psoriatic models when pro-inflammatory gene expression and keratinocyte proliferation were investigated. Notably, the chemokine receptor CXCR2 was overexpressed in the psoriatic models, and, moreover, was localized to the granular layer of keratinocytes as seen in psoriasis in vivo. Pro-inflammatory genes(tumor necrosis factor alpha[TNF-α], interferon gamma[IFN-γ], and interleukin 8[IL-8]) were expressed at high levels in the psoriatic models, but were only minimally expressed in the normal models. Models derived from uninvolved psoriatic skin showed the same gene expression profile as those derived from involved skinalong with an increased proliferation rate when compared to normal models. These results suggest that psoriatic individuals possess an inherent predisposition to develop the disease phenotype even in the absence of T cells. This study represents a comprehensive characterization of psoriatic human skin reconstructed in vitro, and demonstrates the potential of this model as a valuable tool in drug discovery. 展开更多
关键词 银屑病 角质形成细胞 皮损区 成纤维细胞 颗粒层 免疫组化分析 趋化因子受体 活跃期 极微量 过量表达
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短柄髋关节植入物的初始与远期稳定性(一) 被引量:1
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作者 D Dabirrahmani M Hogg +1 位作者 L Kohan M gillies 《中华骨科杂志》 CAS CSCD 北大核心 2011年第6期723-725,共3页
新一代短柄髋关节植入物的设计理念是通过促进与生理相似的加载方式将应力一应变遮挡和植人物远期松动率降至最低。至今仍缺乏远期临床研究来证明短柄植人物的优点。由于缺乏临床数据,因此可以使用数字模拟来预测其远期性能。通过有限... 新一代短柄髋关节植入物的设计理念是通过促进与生理相似的加载方式将应力一应变遮挡和植人物远期松动率降至最低。至今仍缺乏远期临床研究来证明短柄植人物的优点。由于缺乏临床数据,因此可以使用数字模拟来预测其远期性能。通过有限元研究预测短柄植入物的初始和远期稳定性,从界面微动方面对植入物的初始稳定性进行评价。结果发现,初始稳定性在允许骨整合出现的极限内。使用应变适应性骨重建法则对远期稳定性进行评估,进而在骨密度(bone mineral density,BMD)变化方面对骨的远期行为进行预测。在经典的Gruen1区和Gruen7区内未发现BMD降低,且骨重建模式与文献中髋关节表面置换的结果相似。 展开更多
关键词 骨重建 短柄髋关节植入物 有限元建模
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短柄髋关节植入物的初始与远期稳定性(二)
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作者 D Dabirrahmani M Hogg +1 位作者 L Kohan M gillies 《中华骨科杂志》 CAS CSCD 北大核心 2011年第7期820-824,共5页
(四)微动分析 在步骤1结束时获得重建模型的微动结果,这是重建步骤前的第一步,位于45%步态相。对植人物节点相对于骨节点法向(分离)和切向(滑动)运动场变量(在数量方面)的标定和评估,以此对骨一植入物接触界面进行分析。所... (四)微动分析 在步骤1结束时获得重建模型的微动结果,这是重建步骤前的第一步,位于45%步态相。对植人物节点相对于骨节点法向(分离)和切向(滑动)运动场变量(在数量方面)的标定和评估,以此对骨一植入物接触界面进行分析。所有结果均在Abaqus/CAE中显示(Simulia,Inc.,Pawtucket,RhodeIs—land,USA)。 展开更多
关键词 植入物 稳定性 髋关节 重建模型 运动场 CAE 微动 节点
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Could the 2012 Drought in Central US Have Been Anticipated?-A Review of NASA Working Group Research
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作者 S.-Y. Simon Wang Danny Barandiaran +8 位作者 Kyle Hilbum Paul Houser Bob Oglesby Ming Pan Rachel Pinker Joe Santanello Siegfried Schubert Hailan Wang Robert gillies 《Journal of Earth Science and Engineering》 2014年第7期428-437,共10页
This paper summarizes research related to the 2012 record the NEWS (NASA (National Aeronautics and Space Administration) drought in the central United States conducted by members of Energy and Water cycle Study) W... This paper summarizes research related to the 2012 record the NEWS (NASA (National Aeronautics and Space Administration) drought in the central United States conducted by members of Energy and Water cycle Study) Working Group. Past drought patterns were analyzed for signal coherency with latest drought and the contribution of long-term trends in the Great Plains low-level jet, an important regional circulation feature of the spring rainy season in the Great Plains. Long-term changes in the seasonal transition from rainy spring into dry summer were also examined. Potential external forcing from radiative processes, soil-air interactions, and ocean teleconnections were assessed as contributors to the intensity of the drought. The atmospheric Rossby wave activity was found to be a potential source of predictability for the onset of drought. A probabilistic model was introduced and evaluated for its performance in predicting drought recovery in the Great Plains. 展开更多
关键词 Drought 2012 Great Plains climate variability and trends drought prediction.
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