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JBI循证卫生保健模式的更新及发展 被引量:106
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作者 周英凤 胡雁 +3 位作者 朱政 zachary Munn 邢唯杰 顾莺 《护理学杂志》 CSCD 2017年第3期81-83,共3页
在回顾2005年JBI循证卫生保健模式的基础上,从设计与结构、核心要素、宗旨及循证实践的步骤四个方面,详细介绍了2016年更新的JBI模式,并分析了该模式对护理人员开展循证实践的指导意义。
关键词 循证护理 JBI循证卫生保健模式 循证实践模式 更新
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Wnt/b-catenin signaling plays an ever-expanding role in stem cell self-renewal,tumorigenesis and cancer chemoresistance 被引量:76
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作者 Maryam K.Mohammed Connie Shao +16 位作者 Jing Wang Qiang Wei Xin Wang zachary Collier Shengli Tang Hao Liu Fugui Zhang Jiayi Huang Dan Guo Minpeng Lu Feng Liu Jianxiang Liu Chao Ma Lewis L.Shi Aravind Athiviraham Tong-Chuan He Michael J.Lee 《Genes & Diseases》 SCIE 2016年第1期11-40,共30页
Wnt signaling transduces evolutionarily conserved pathways which play important roles in initiating and regulating a diverse range of cellular activities,including cell proliferation,calcium homeostasis,and cell polar... Wnt signaling transduces evolutionarily conserved pathways which play important roles in initiating and regulating a diverse range of cellular activities,including cell proliferation,calcium homeostasis,and cell polarity.The role of Wnt signaling in controlling cell proliferation and stem cell self-renewal is primarily carried out through the canonical pathway,which is the best-characterized the multiple Wnt signaling branches.The past 10 years has seen a rapid expansion in our understanding of the complexity of this pathway,as many new components of Wnt signaling have been identified and linked to signaling regulation,stem cell functions,and adult tissue homeostasis.Additionally,a substantial body of evidence links Wnt signaling to tumorigenesis of cancer types and implicates it in the development of cancer drug resistance.Thus,a better understanding of the mechanisms by which dysregulation of Wnt signaling precedes the development and progression of human cancer may hasten the development of pathway inhibitors to augment current therapy.This review summarizes and synthesizes our current knowledge of the canonical Wnt pathway in development and disease.We begin with an overview of the components of the canonical Wnt signaling pathway and delve into the role this pathway has been shown to play in stemness,tumorigenesis,and cancer drug resistance.Ultimately,we hope to present an organized collection of evidence implicating Wnt signaling in tumorigenesis and chemoresistance to facilitate the pursuit of Wnt pathway modulators that may improve outcomes of cancers in which Wnt signaling contributes to aggressive disease and/or treatment resistance. 展开更多
关键词 Cancer drug resistance Cancer stem cells Canonical Wnt b-Catenin WNT
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北京市老年人健康预期寿命及其变化 被引量:40
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作者 汤哲 项曼君 +2 位作者 zachary Zimmer 方向华 Toshiko Kaneda 《中华流行病学杂志》 CAS CSCD 北大核心 2005年第12期939-942,共4页
目的 了解北京地区老年人的健康预期寿命和变化。方法 采用纵向研究方法对北京城区(宣武区)、郊区(大兴区)和山区(怀柔县)一个有代表性老年人群(3257人)进行了12年追踪,调查其健康和存活状况。用WHO的基本生活能力评估量表(ADL),评估... 目的 了解北京地区老年人的健康预期寿命和变化。方法 采用纵向研究方法对北京城区(宣武区)、郊区(大兴区)和山区(怀柔县)一个有代表性老年人群(3257人)进行了12年追踪,调查其健康和存活状况。用WHO的基本生活能力评估量表(ADL),评估老年人躯体功能健康状况及变化,采用IMaCH多状态法分析多次调查结果及不同健康状况的转变,计算老年人的健康预期寿命及不同时段的变化。结果 纵向结果显示一些基本特征在不同时段维持不变:老年人的平均预期寿命(LE)、健康预期寿命(ALE)和健康预期寿命比值(ALE/LE)在城区显著高于农村;女性平均预期寿命高于男性,但ALE/LE低于男性。纵向观察的变化表现为:老年人的平均预期寿命有所提高,增加的幅度在农村大于城区,男性大于女性;城区高龄女性老年人的健康预期寿命近年有明显下降;所有老年人的ALE/LE近年呈下降趋势,尤其是城区老年人和高龄老年人更突出。结论 北京地区老年人的健康预期寿命未与预期寿命同步增长,加强心脑血管疾病等慢性病防治,预防残疾和加强功能康复,是提高老年人健康预期寿命和生活质量的基础。 展开更多
关键词 老年人 健康预期寿命 纵向观察
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前交叉韧带解剖重建理念与方法 被引量:34
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作者 周敬滨 zachary Working +1 位作者 Carola F.van Eck Freddie H.Fu 《中国运动医学杂志》 CAS CSCD 北大核心 2011年第6期511-518,共8页
前交叉韧带(Anterior Cruciate Ligament,ACL)解剖重建技术是基于ACL解剖理论发展起来的一项手术技术。ACL解剖重建是根据ACL的解剖特点进行功能重建,恢复ACL原有的尺寸、韧带胶原走行方向和止点位置。解剖重建不仅包括双束和单束重建,... 前交叉韧带(Anterior Cruciate Ligament,ACL)解剖重建技术是基于ACL解剖理论发展起来的一项手术技术。ACL解剖重建是根据ACL的解剖特点进行功能重建,恢复ACL原有的尺寸、韧带胶原走行方向和止点位置。解剖重建不仅包括双束和单束重建,而且包括以此理论为基础的ACL重建术后的翻修与加固。本文对ACL的解剖重建技术进行介绍,针对在关节镜下如何观察原ACL的止点位置,测量止点长宽,选择骨道位置,如何利用影像学进行评价进行了详细的阐述和解释,并介绍了该技术目前的临床评价结果。同时,本文对ACL解剖重建和传统"经典"重建方法的区别进行了重点说明与解释,为提高国内医师对ACL解剖重建技术的认识提供参考和帮助。 展开更多
关键词 前交叉韧带 解剖重建 双束 单束
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北京市55岁以上人群1992年和2000年脑卒中患病率和残疾率情况及变动趋势 被引量:28
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作者 方向华 汤哲 +5 位作者 项曼君 zachary Z 陈彪 吴晓光 刘宏军 刁丽君 《中华老年心脑血管病杂志》 CAS 北大核心 2007年第1期32-35,共4页
目的评价北京市55岁以上中老年人脑卒中患病和脑卒中后残疾状况和变化趋势。方法分别于1992年(3 257人)和2000年(2 838人)采用同样方法在北京市区和近郊区平原和远郊山区,各随机抽取1个区/县,在所抽取的区/县采取分层、分段及整群抽样... 目的评价北京市55岁以上中老年人脑卒中患病和脑卒中后残疾状况和变化趋势。方法分别于1992年(3 257人)和2000年(2 838人)采用同样方法在北京市区和近郊区平原和远郊山区,各随机抽取1个区/县,在所抽取的区/县采取分层、分段及整群抽样的方法抽取55岁以上中老年人进行横断面调查。结果1992年调查结果显示55岁以上、60岁以上和65岁以上人群脑卒中粗患病率分别是7.2%、7.9%和8.0%,到2000年分别提高到12.2%、12.7%和13.7%。1992年调查显示城市脑卒中患病率高于农村(8.0%vs4.8%),2000年城乡差异消失。1992年和2000年脑卒中患者残疾率分别是30.8%和31.2%,残疾率随年龄而增加,80岁组残疾率高达57.3%。以北京市同期人口数推算脑卒中患病人数:1992年约97 000人,2000年约228 000人。推算脑卒中残疾人数:1992年约29 915人,2000年约71 261人。结论从1992年到2000年北京市55岁以上居民脑卒中患病率和患病人数大幅度增长,尽管在此期间脑卒中患者的残疾率处于稳定水平,但是由于脑卒中患者人数急剧增加使残疾人数激增。 展开更多
关键词 脑血管意外 患病率 残疾人 年龄因素
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北京市不同社会经济状况老年人的预期寿命和健康预期寿命 被引量:17
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作者 汤哲 Toshiko Kaneda +2 位作者 项曼君 方向华 zachary Zimmer 《中国临床康复》 CSCD 2004年第30期6569-6571,共3页
目的:了解北京老年群体中社会经济状况对人群预期寿命和健康预期寿命的影响。方法:样本来自北京老龄化纵向研究,对象为北京市城区(宣武)、近郊(大兴)、远郊(怀柔)55岁以上的人群,1992年基线调查3257例,由经过培训的调访员入户作问卷调查... 目的:了解北京老年群体中社会经济状况对人群预期寿命和健康预期寿命的影响。方法:样本来自北京老龄化纵向研究,对象为北京市城区(宣武)、近郊(大兴)、远郊(怀柔)55岁以上的人群,1992年基线调查3257例,由经过培训的调访员入户作问卷调查。1994,1997年对该样本随访,了解存活和健康状况。根据能否独立完成日常生活活动(ADL)认定功能健康与否。社会经济状况(socioeconomicstatus,SES)的指标选用教育、收入、职业和家庭拥有财物4项,并均按两分法分为高、低两水平,根据基线调查结果区分每人的各指标所在的高、低位置。利用IMaCH软件多状态生命表法计算预期寿命(lifeexpectancy,LE)、健康预期寿命(activelifeexpectancy,ALE)。结果:老年人LE和ALE男性均低与于女性,但男性ALE/LE高于女性。按不同指标计算,SES高水平者较低水平者男性LE增加20%~52%(延长2.1~5.77年)、女性增加4%~25%(延长0.6~4.3年),ALE男性增加30%~77%(延长2.1~4.0年)、女性增加5%~73%(延长0.6~5.6年)。不同指标与寿命相关的程度不同,男性中收入和财物拥有与ALE/LE的关系最大,女性以家庭财物拥有影响明显。高、低组间的差距随增龄加大。结论:北京市老年人中SES高水平的人较低SES水平的人,有更长的预期寿命和健康预期寿命和较高的ALE/LE? 展开更多
关键词 老年人 健康 男性 预期寿命 社会经济状况 女性 基线调查 高水平 北京 结论
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Nature-inspired chiral metasurfaces for circular polarization detection and full-Stokes polarimetric measurements 被引量:20
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作者 Ali Basiri Xiahui Chen +5 位作者 Jing Bai Pouya Amrollahi Joe Carpenter zachary Holman Chao Wang Yu Yao 《Light(Science & Applications)》 SCIE EI CAS CSCD 2019年第1期494-504,共11页
The manipulation and characterization of light polarization states are essential for many applications in quantum communication and computing,spectroscopy,bioinspired navigation,and imaging.Chiral metamaterials and me... The manipulation and characterization of light polarization states are essential for many applications in quantum communication and computing,spectroscopy,bioinspired navigation,and imaging.Chiral metamaterials and metasurfaces facilitate ultracompact devices for circularly polarized light generation,manipulation,and detection.Herein,we report bioinspired chiral metasurfaces with both strong chiral optical effects and low insertion loss.We experimentally demonstrated submicron-thick circularly polarized light filters with peak extinction ratios up to 35 and maximum transmission efficiencies close to 80% at near-infrared wavelengths(the best operational wavelengths can be engineered in the range of 1.3-1.6μm).We also monolithically integrated the microscale circular polarization filters with linear polarization filters to perform full-Stokes polarimetric measurements of light with arbitrary polarization states.With the advantages of easy on-chip integration,ultracompact footprints,scalability,and broad wavelength coverage,our designs hold great promise for facilitating chip-integrated polarimeters and polarimetric imaging systems for quantum-based optical computing and information processing,circular dichroism spectroscopy,biomedical diagnosis,and remote sensing applications. 展开更多
关键词 POLARIZATION CIRCULAR POLAR
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The joint automated repository for various integrated simulations (JARVIS) for data-driven materials design 被引量:18
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作者 Kamal Choudhary Kevin F.Garrity +25 位作者 Andrew C.E.Reid Brian DeCost Adam J.Biacchi Angela R.Hight Walker zachary Trautt Jason Hattrick-Simpers A.Gilad Kusne Andrea Centrone Albert Davydov Jie Jiang Ruth Pachter Gowoon Cheon Evan Reed Ankit Agrawal Xiaofeng Qian Vinit Sharma Houlong Zhuang Sergei V.Kalinin Bobby G.Sumpter Ghanshyam Pilania Pinar Acar Subhasish Mandal Kristjan Haule David Vanderbilt Karin Rabe Francesca Tavazza 《npj Computational Materials》 SCIE EI CSCD 2020年第1期234-246,共13页
The Joint Automated Repository for Various Integrated Simulations(JARVIS)is an integrated infrastructure to accelerate materials discovery and design using density functional theory(DFT),classical force-fields(FF),and... The Joint Automated Repository for Various Integrated Simulations(JARVIS)is an integrated infrastructure to accelerate materials discovery and design using density functional theory(DFT),classical force-fields(FF),and machine learning(ML)techniques.JARVIS is motivated by the Materials Genome Initiative(MGI)principles of developing open-access databases and tools to reduce the cost and development time of materials discovery,optimization,and deployment. 展开更多
关键词 automated JAR DATABASES
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Scavenging of reactive oxygen and nitrogen species with nanomaterials 被引量:16
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作者 Carolina A. Ferreira Dalong Ni +1 位作者 zachary T. Rosenkrans Weibo Cai 《Nano Research》 SCIE EI CAS CSCD 2018年第10期4955-4984,共30页
Reactive oxygen and nitrogen species (RONS) are essential for normal physiological processes and play important roles in cell signaling, immunity, and tissue homeostasis. However, excess radical species are implicat... Reactive oxygen and nitrogen species (RONS) are essential for normal physiological processes and play important roles in cell signaling, immunity, and tissue homeostasis. However, excess radical species are implicated in the development and augmented pathogenesis of various diseases. Several antioxidants may restore the chemical balance, but their use is limited by disappointing results of clinical trials. Nanoparticles are an attractive therapeutic alternative because they can change the biodistribution profile of antioxidants, and possess intrinsic ability to scavenge RONS. Herein, we review the types of RONS, how they are implicated in several diseases, and the types of nanoparticles with inherent antioxidant capability, their mechanisms of action, and their biological applications. 展开更多
关键词 mnanomaterials reactive oxygen species(ROS) reactive nitrogen species ROS scavenging antioxidant nanoparticles
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Cyclooxygenase-2 and the inflammogenesis of breast cancer 被引量:14
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作者 Randall E Harris Bruce C Casto zachary M Harris 《World Journal of Clinical Oncology》 CAS 2014年第4期677-692,共16页
Cohesive scientific evidence from molecular, animal, and human investigations supports the hypothesis that constitutive overexpression of cyclooxygenase-2(COX-2) is a ubiquitous driver of mammary carcinogenesis, and r... Cohesive scientific evidence from molecular, animal, and human investigations supports the hypothesis that constitutive overexpression of cyclooxygenase-2(COX-2) is a ubiquitous driver of mammary carcinogenesis, and reciprocally, that COX-2 blockade has strong potential for breast cancer prevention and therapy. Key findings include the following:(1) COX-2 is constitutively expressed throughout breast cancer development and expression intensifies with stage at detection, cancer progression and metastasis;(2) essential features of mammary carcinogenesis(mutagenesis, mitogenesis, angiogenesis, reduced apoptosis, metastasis and immunosuppression) are linked to COX-2-driven prostaglandin E2(PGE-2) biosynthesis;(3) upregulation of COX-2 and PGE-2 expression induces transcription of CYP-19 and aromatase-catalyzed estrogen biosynthesis which stimulates unbridled mitogenesis;(4) extrahe-patic CYP-1B1 in mammary adipose tissue converts paracrine estrogen to carcinogenic quinones with mutagenic impact; and(5) agents that inhibit COX-2 reduce the risk of breast cancer in women without disease and reduce recurrence risk and mortality in women with breast cancer. Recent sharp increases in global breast cancer incidence and mortality are likely driven by chronic inflammation of mammary adipose and upregulation of COX-2 associated with the obesity pandemic. The totality of evidence clearly supports the supposition that mammary carcinogenesis often evolves as a progressive series of highly specific cellular and molecular changes in response to induction of constitutive overexpression of COX-2 and the prostaglandin cascade in the "inflammogenesis of breast cancer". 展开更多
关键词 BREAST Cancer CYCLOOXYGENASE-2 NONSTEROIDAL ANTI-INFLAMMATORY drugs Inflammogenesis ESTROGEN AROMATASE
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全透明高压反应釜甲烷水合物动力学实验 被引量:11
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作者 黄婷 李长俊 +2 位作者 李清平 丁麟 AMAN zachary M 《化工进展》 EI CAS CSCD 北大核心 2020年第7期2624-2631,共8页
水合物的生长和分解规律对开发海洋天然气水合物资源,实现深水天然气水合物气液固多相管道输送都具有重要意义。为了进一步揭示水合物的生长和分解特性,本文采用高压全透明反应釜装置,进行了温度0~30℃、压力3.35~8.16MPa和搅拌速率200~... 水合物的生长和分解规律对开发海洋天然气水合物资源,实现深水天然气水合物气液固多相管道输送都具有重要意义。为了进一步揭示水合物的生长和分解特性,本文采用高压全透明反应釜装置,进行了温度0~30℃、压力3.35~8.16MPa和搅拌速率200~1000r/min范围内的16组甲烷水合物生长和分解动力学实验研究。结果表明:实验过程可分为水合物诱导期、快速生长期、缓慢生长期以及分解期这4个阶段。在水合物快速生长阶段,获得了温度、压力、搅拌电机扭矩和水合物生长速率随时间的变化规律,观察到了水合物颗粒的均相和非均相分布状态。通过加热促使水合物分解,揭示了分解阶段温度、压力和分解速率等关键参数的变化规律以及水合物块的分解形态。分析表明,水合物颗粒的分布状态与水合物浆液的流动性直接相关;水合物块的静态分解过程受到分解气传质控制。 展开更多
关键词 水合物 动力学 生长 分解 甲烷 扭矩
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Effective mass and Fermi surface complexity factor from ab initio band structure calculations 被引量:12
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作者 zachary M.Gibbs Francesco Ricci +6 位作者 Guodong Li Hong Zhu Kristin Persson Gerbrand Ceder Geoffroy Hautier Anubhav Jain G.Jeffrey Snyder 《npj Computational Materials》 SCIE EI 2017年第1期417-423,共7页
The effective mass is a convenient descriptor of the electronic band structure used to characterize the density of states and electron transport based on a free electron model.While effective mass is an excellent firs... The effective mass is a convenient descriptor of the electronic band structure used to characterize the density of states and electron transport based on a free electron model.While effective mass is an excellent first-order descriptor in real systems,the exact value can have several definitions,each of which describe a different aspect of electron transport.Here we use Boltzmann transport calculations applied to ab initio band structures to extract a density-of-states effective mass from the Seebeck Coefficient and an inertial mass from the electrical conductivity to characterize the band structure irrespective of the exact scattering mechanism.We identify a Fermi Surface Complexity Factor:N_(v)^(*)K^(*) from the ratio of these two masses,which in simple cases depends on the number of Fermi surface pockets eN_(v)^(*) T and their anisotropy K^(*),both of which are beneficial to high thermoelectric performance as exemplified by the high values found in PbTe.The Fermi Surface Complexity factor can be used in high-throughput search of promising thermoelectric materials. 展开更多
关键词 MECHANISM materials FERMI
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若尔盖高寒湿地高原林蛙繁殖后期运动、家域和微生境选择 被引量:9
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作者 齐银 zachary FELIX +4 位作者 戴强 王勇 杨勇 王波 王跃招 《动物学报》 SCIE CAS CSCD 北大核心 2007年第6期974-981,共8页
我们于2006年7月对分布于青藏高原东部若尔盖高寒湿地的7只高原林蛙(Rana kukunoris)进行了追踪研究。Monte-Carlo模拟表明:在研究期内高原林蛙的运动是随机的,还没有开始迁移。高原林蛙的平均运动距离为7.1m,雌雄运动距离没有差异。95%... 我们于2006年7月对分布于青藏高原东部若尔盖高寒湿地的7只高原林蛙(Rana kukunoris)进行了追踪研究。Monte-Carlo模拟表明:在研究期内高原林蛙的运动是随机的,还没有开始迁移。高原林蛙的平均运动距离为7.1m,雌雄运动距离没有差异。95%和50%Kernel家域分别为796.2m2±704.0m2和119.9m2±94.6m2,MCP家域为157.9m2±119.5m2。雌雄高原林蛙生境选择存在差异,雄性倾向于在洞穴较多的生境中运动和隐蔽,而雌性倾向于在草丛中运动和藏匿;早晨高原林蛙选择地面温度较高、相对湿度较大的微生境活动,雌雄活动点的空气温度、相对湿度和植被高度没有显著差异。追踪个体的微生境利用表明:高原林蛙和哺乳类洞穴具有很强的相关性。 展开更多
关键词 两栖动物 高原林蛙 无线电遥测 家域 若尔盖
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Effects of exergaming on motor skill competence,perceived competence,and physical activity in preschool children 被引量:11
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作者 Zan Gao Nan Zeng +2 位作者 zachary C.Pope Ru Wang Fang Yu 《Journal of Sport and Health Science》 SCIE 2019年第2期106-113,共8页
Background: Few school settings offer opportunities for preschool children to engage in structured physical activity, and only a few studies have been conducted examining exergaming's effectiveness on health outco... Background: Few school settings offer opportunities for preschool children to engage in structured physical activity, and only a few studies have been conducted examining exergaming's effectiveness on health outcomes in this age group. This study's purpose, therefore, was to examine a school-based exergaming intervention's effect on preschool children's perceived competence(PC), motor skill competence(MSC), and physical activity versus usual care(recess), as well as to examine gender differences for these outcomes.Methods: A total of 65 preschool children from 2 underserved urban schools were assigned to 1 of 2 conditions, with the school as the experimental unit:(1) usual care recess group(8 weeks of 100 min of recess/week(5 days £ 20 min)) and(2) exergaming intervention group(8 weeks of100 min of exergaming/week(5 days £ 20 min) at school). All children underwent identical assessments of PC, MSC, and moderate-to-vigorous physical activity(MVPA) at baseline and at the end of the 8 th week.Results: A significant Group £ Time effect was observed for MVPA, F(1, 52) = 4.37, p = 0.04, h2 p= 0.04, but not for PC, F(1, 52) = 0.83, p = 0.37,h2 p= 0.02, or MSC, F(1, 52) = 0.02, p = 0.88, h2 p= 0.00. Specifically, the intervention children displayed significantly greater increased MVPA after8 weeks than the comparison children. Additionally, there was a significant time effect for MSC, F(1, 52) = 15.61, p < 0.01, h2 p= 0.23, and gender effect for MVPA, F(1, 52) = 5.06, p = 0.02, h2 p= 0.09. Although all preschoolers' MSC improved across time, boys demonstrated greater MVPA than girls at both time points.Conclusion: Exergaming showed a positive effect in promoting preschool children's MVPA at school and has the potential to enhance PC and MSC. More research with larger sample sizes and longer study durations are warranted. 展开更多
关键词 Active video games CHILDHOOD OBESITY GENDER differences Moderate-to-vigorous physical activity RECESS
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Update in the treatment of intracranial atherosclerotic disease 被引量:11
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作者 zachary R Barnard Michael J Alexander 《Stroke & Vascular Neurology》 SCIE 2020年第1期59-64,共6页
This review highlights the recent evolution of the imaging,medical management,surgical options and endovascular therapies for symptomatic intracranial atherosclerotic disease(ICAD).Recent imaging developments includin... This review highlights the recent evolution of the imaging,medical management,surgical options and endovascular therapies for symptomatic intracranial atherosclerotic disease(ICAD).Recent imaging developments including optical coherence tomography and other modalities to assess the intracranial arteries for symptomatic ICAD are reviewed,not only to diagnose ICAD but to determine if ICAD plaques have any high-risk features for treatment.Potential future developments in the treatment of ICAD are discussed,including the development of trackable drug-coated balloons for the cerebral circulation to treat primary or restenotic arteries,new iterations of self-expanding intracranial stents with easier delivery systems,and the re-examination of indirect surgical bypass techniques for revascularisation.In addition to these important technological developments,however,is the evolving evidence regarding the best treatment window for these techniques and additional factors in medical management which can improve patient outcomes in this devastating pathology. 展开更多
关键词 INTRACRANIAL BALLOON ARTERIES
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Associations between individual and environmental factors and habitual physical activity among older Chinese adults:A social–ecological perspective 被引量:11
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作者 Xiangren Yi zachary Pope +7 位作者 Zan Gao Shumei Wang Fang Pan Jingpeng Yan Meng Liu Peipei Wu Jingjing Xu Rui Wang 《Journal of Sport and Health Science》 SCIE 2016年第3期315-321,383,共8页
Purpose: To examine, within a social–ecological framework, associations between multifaceted individual and environmental factors and habitual physical activity(HPA) among older Chinese adults.Methods: Through a mix ... Purpose: To examine, within a social–ecological framework, associations between multifaceted individual and environmental factors and habitual physical activity(HPA) among older Chinese adults.Methods: Through a mix of qualitative and quantitative methods, a survey instrument assessing various factors underlying 3 social–ecological dimensions of intrapersonal, interpersonal, and community and environmental resources was developed. Using a cross-sectional design, older adults(n = 1580, aged 67 ± 7 years) recruited from 10 communities in Shandong province completed the social–ecological survey of HPA. Data were analyzed using Partial Least Squares Path Modeling.Results: Factors related to intrapersonal(medical knowledge, motivation, physical function, sport skills, socioeconomic status, and education),interpersonal(social support, social activity, and social norms), and community and physical environmental resources(safety, capacity, availability of and access to physical activity facilities) were found to be significantly associated with older adults' participation in HPA.Conclusion: The findings provide an initial validation of a social–ecological approach to the study of HPA in China, suggesting that strategies aimed at promoting physical activity in older adults should address multiple levels of factors that may contribute to the likelihood of older Chinese adults being physically active. 展开更多
关键词 Exercise INTERPERSONAL RESOURCES Intrapersonal RESOURCES OLDER ADULTS Physical activity Social–ecological
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妇科肿瘤患者术后导尿管管理的循证实践 被引量:8
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作者 勾桢楠 张晓菊 +2 位作者 陈雅琼 zachary Munn 单波儿 《护士进修杂志》 2019年第1期35-40,共6页
目的评估我院妇科肿瘤病区现有导尿管管理实践的现状,将现有导尿管管理最佳证据应用于护理实践,从而优化管理流程,改善患者结局,加强临床资源利用,提高临床护理工作质量。方法将JBI临床证据实践应用系统和临床转化系统作为审查工具,基... 目的评估我院妇科肿瘤病区现有导尿管管理实践的现状,将现有导尿管管理最佳证据应用于护理实践,从而优化管理流程,改善患者结局,加强临床资源利用,提高临床护理工作质量。方法将JBI临床证据实践应用系统和临床转化系统作为审查工具,基于现有的导尿管管理的最佳证据,制定5条审查指标,并于2017年7-11月对复旦大学肿瘤医院60例患者,30名护士和10名医生实施基线审查以及证据应用后的再审查。结果第2轮审查结果显示,有关尽早进行残余尿测定的审查指标执行依从性从10%提高到100%;其余关于导尿管清洁、拔管及医务人员年度培训的审查指标的执行依从性均从0%提高到100%。结论基于循证的质量审查可改善导尿管管理实践,提高导尿管管理的有效性以及医护人员之间的协作性,从而改善妇科肿瘤患者导尿管管理的相关结局。 展开更多
关键词 妇科肿瘤 导尿管管理 质量审查 循证护理
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Gender Prediction on Twitter Using Stream Algorithms with N-Gram Character Features 被引量:10
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作者 zachary Miller Brian Dickinson Wei Hu 《International Journal of Intelligence Science》 2012年第4期143-148,共6页
The rapid growth of social networks has produced an unprecedented amount of user-generated data, which provides an excellent opportunity for text mining. Authorship analysis, an important part of text mining, attempts... The rapid growth of social networks has produced an unprecedented amount of user-generated data, which provides an excellent opportunity for text mining. Authorship analysis, an important part of text mining, attempts to learn about the author of the text through subtle variations in the writing styles that occur between gender, age and social groups. Such information has a variety of applications including advertising and law enforcement. One of the most accessible sources of user-generated data is Twitter, which makes the majority of its user data freely available through its data access API. In this study we seek to identify the gender of users on Twitter using Perceptron and Nai ve Bayes with selected 1 through 5-gram features from tweet text. Stream applications of these algorithms were employed for gender prediction to handle the speed and volume of tweet traffic. Because informal text, such as tweets, cannot be easily evaluated using traditional dictionary methods, n-gram features were implemented in this study to represent streaming tweets. The large number of 1 through 5-grams requires that only a subset of them be used in gender classification, for this reason informative n-gram features were chosen using multiple selection algorithms. In the best case the Naive Bayes and Perceptron algorithms produced accuracy, balanced accuracy, and F-measure above 99%. 展开更多
关键词 TWITTER GENDER Identification STREAM MINING N-GRAM Feature Selection TEXT MINING
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The effects of a bike active video game on players' physical activity and motivation 被引量:9
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作者 Denis Pasco Cédric Roure +2 位作者 Gilles Kermarrec zachary Pope Zan Gao 《Journal of Sport and Health Science》 SCIE 2017年第1期25-32,127,共9页
Background: Players may not acquire adequate levels of moderate-to-vigorous physical activity(MVPA) when playing commercial video games.This study's goal was to evaluate the effects of an exercise bike video game ... Background: Players may not acquire adequate levels of moderate-to-vigorous physical activity(MVPA) when playing commercial video games.This study's goal was to evaluate the effects of an exercise bike video game played by using a mobile application-based exergame that was designed exclusively to promote participants' MVPA, with additional attention paid to this game's ability to promote greater situational interest.Methods: An experimental design was used with 163 students(aged 20.31 ± 1.30, 18–26 years, 61.3% male), all of whom were randomly allocated into an experimental group and a control group. Physical activity(PA) levels were assessed with Acti Graph GT3X+(Acti Graph Inc., Fort Walton Beach, FL, USA) accelerometers. The situational interest scale was used to evaluate students' situational interest in both groups.Multivariate analysis of variance was conducted to examine the differences between sedentary behavior, PA levels, and situational interest between groups. Regression analyses were also used, with the purpose being to evaluate the strength of the relationship between PA and situational interest.Results: Results revealed that the experimental group had higher degrees of sedentary behavior, light PA, total interest, instant enjoyment,exploration intention, attention demand, novelty, and challenge, whereas the control group received higher scores for MVPA(control 95.01% vs.experimental group 89.94%). Regression analysis indicated that instant enjoyment(β = 0.49, p < 0.01), exploration intention(β = 0.18, p < 0.05),and attention demand(β = 0.17, p < 0.05) were positive predictors for total interest, explaining 43% of its variance.Conclusion: A newly designed mobile application-based exergame played via an exercise bike may enhance situational interest and provide a decent level of PA for players. 展开更多
关键词 DESIGN Exergame Moderate-to-vigorous physical activity Sedentary behavior Situational interest Young adults
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Why total knees fail-A modern perspective review 被引量:9
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作者 zachary C Lum Alvin K Shieh Lawrence D Dorr 《World Journal of Orthopedics》 2018年第4期60-64,共5页
Historically, the most common mechanism of total kneearthroplasty(TKA) failures included aseptic loosening, instability and malalignment. As polyethylene production improved, modes of failure from polyethylene wear an... Historically, the most common mechanism of total kneearthroplasty(TKA) failures included aseptic loosening, instability and malalignment. As polyethylene production improved, modes of failure from polyethylene wear and subsequent osteolysis became less prevalent. Newer longitudinal studies report that infection has become the primary acute cause of failure with loosening and instability remaining as the overall greatest reasons for revision. Clinical database and worldwide national registries confirm these reports. With an increasing amount of TKA operations performed in the United States, and with focus on value-based healthcare, it is imperative to understand why total knees fail. 展开更多
关键词 TOTAL KNEE ARTHROPLASTY FAILURE mechanism TOTAL KNEE ARTHROPLASTY FAILURE mode Revision TOTAL KNEE ARTHROPLASTY PERIPROSTHETIC joint infection ASEPTIC loosening TOTAL KNEE TOTAL KNEE ARTHROPLASTY instability
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