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Hypokalemia Havoc: Unraveling the Mystery of Unexplained Potassium Depletion
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作者 Justin David Tse Maryam Shams +1 位作者 Mushgan Nassiri Jackson Wang 《Case Reports in Clinical Medicine》 2024年第8期292-296,共5页
Hypokalemia, defined as serum potassium below 3.5 mEq/L, can lead to severe complications such as arrhythmias and muscle paralysis, potentially resulting in rhabdomyolysis. The etiology of hypokalemia is often multifa... Hypokalemia, defined as serum potassium below 3.5 mEq/L, can lead to severe complications such as arrhythmias and muscle paralysis, potentially resulting in rhabdomyolysis. The etiology of hypokalemia is often multifactorial, involving but not limited to gastrointestinal losses, renal losses, medication effects, and inadequate dietary intake. Chronic heavy alcohol use, obstructive sleep apnea (OSA), and the use of diuretics such as hydrochlorothiazide (HCTZ) are also significant contributing factors. Effective management requires thorough evaluation and investigation to effectively treat a patient. This case report aims to illustrate the diagnostic challenges and comprehensive treatment approach required in a patient with multiple comorbidities and severe hypokalemia, emphasizing the need for a multidisciplinary and comprehensive approach to address all underlying causes. 展开更多
关键词 Severe Hypokalemia Electrolyte derangements Thiazide Diuretic Complications Potassium Repletion
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关于错排数的两个等式的注记(英文) 被引量:1
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作者 陈晓静 刘其群 《苏州大学学报(自然科学版)》 CAS 2007年第1期1-5,共5页
利用反演技巧与生成函数,把Vinh关于错排数的两个恒等式推广到更一般的情况.
关键词 错排数 矩阵反演 生成函数 第二类STIRLING数
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概率论方法在组合数学中的应用 被引量:1
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作者 刘立士 曲铁平 国一兵 《沈阳理工大学学报》 CAS 2006年第6期41-43,共3页
给出Bernoulli数和错位排列数的概率解释,利用概率论方法得到相应的递推公式.
关键词 半不变量 BERNOULLI数 错位排列数
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非酮症高血糖性偏侧舞蹈症临床及影像分析 被引量:1
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作者 刘慧勤 姚勇 +1 位作者 张杰文 张健 《医药论坛杂志》 2013年第12期49-51,54,共4页
目的探讨非酮症高血糖性偏侧舞蹈症的临床特征及影像学表现。方法对2011年1月—2013年3月连续住院的4例非酮症高血糖性偏侧舞蹈症患者的临床及影像学资料进行回顾性分析。结果 4例非酮症高血糖性偏侧舞蹈症患者均为绝经期女性;1例临床... 目的探讨非酮症高血糖性偏侧舞蹈症的临床特征及影像学表现。方法对2011年1月—2013年3月连续住院的4例非酮症高血糖性偏侧舞蹈症患者的临床及影像学资料进行回顾性分析。结果 4例非酮症高血糖性偏侧舞蹈症患者均为绝经期女性;1例临床表现为四肢舞蹈样症状,但影像学未见异常;1例单侧舞蹈样症状,但影像学见双侧基底节受累;各例MRI序列间表现出不匹配现象。结论高血糖渗透性所致代谢紊乱可能较血管功能不全在非酮症高血糖性偏侧舞蹈症病理机制中起更重要作用。 展开更多
关键词 非酮症高血糖性偏侧舞蹈症 影像学 不匹配 代谢紊乱
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基于MATLAB错排数的输出程序探讨
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作者 刘丹 李金娜 武靖千 《无线互联科技》 2016年第22期98-99,共2页
错排数是组合数学中的一种重要的特殊数,它与概率论有着密切的关系,文章主要基于MATLAB的基础之上讨论错排数的计算。
关键词 错排数 递推关系 MATLAB输出程序
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错排数的概率表示的新应用
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作者 毛俊超 赵熙强 王鹏 《中国海洋大学学报(自然科学版)》 CAS CSCD 北大核心 2010年第12期159-160,共2页
利用孙平和王天明给出的错排数的概率表示,得到有关错排数的递推公式新的证明方法,并得到有关错排数的一些新结果。
关键词 错排数 概率方法 递推公式
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Impact of hepatitis B virus infection on hepatic metabolic signaling pathway 被引量:10
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作者 Yi-Xian Shi Chen-Jie Huang Zheng-Gang Yang 《World Journal of Gastroenterology》 SCIE CAS 2016年第36期8161-8167,共7页
A growing body of epidemiologic research has demonstrated that metabolic derangement exists in patients with hepatitis B virus(HBV) infection, indicating that there are clinical associations between HBV infection and ... A growing body of epidemiologic research has demonstrated that metabolic derangement exists in patients with hepatitis B virus(HBV) infection, indicating that there are clinical associations between HBV infection and host metabolism. In order to understand the complex interplay between HBV and hepatic metabolism in greater depth, we systematically reviewed these alterations in different metabolic signaling pathways due to HBV infection. HBV infection interfered with most aspects of hepatic metabolic responses, including glucose, lipid, nucleic acid, bile acid and vitamin metabolism. Glucose and lipid metabolism is a particular focus due to the significant promotion of gluconeogenesis, glucose aerobic oxidation, the pentose phosphate pathway, fatty acid synthesis or oxidation, phospholipid and cholesterol biosynthesis affected by HBV. These altered metabolic pathways are involved in the pathological process of not only hepatitis B, but also metabolic disorders, increasing the occurrence of complications, such as hepatocellular carcinoma and liver steatosis. Thus, a clearer understanding of the hepatic metabolic pathways affected by HBV and its pathogenesis is necessary to develop more novel therapeutic strategies targeting viral eradication. 展开更多
关键词 HEPATITIS B virus infection Nucleic ACID METABOLISM METABOLIC derangement METABOLIC signaling pathway Glucose METABOLISM Lipid METABOLISM BILE ACID METABOLISM VITAMIN METABOLISM
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欧拉对经典组合学的贡献 被引量:8
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作者 刘建军 刘芹英 《自然科学史研究》 CSSCI CSCD 北大核心 2003年第4期361-367,共7页
评述欧拉在组合学上的成就———对整数分拆、错位排列、欧拉方阵和计数函数所作的奠基性工作 ,分析他解决这些问题的数学思维方法以及对后人的启发 ,简介这些问题后来的发展情况 ,对欧拉数学成就的研究从学科分支的角度给出补充。
关键词 欧拉 分拆 错位排列 欧拉方阵 CATALAN数
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<i>“Withered Tree” Concept Host</i>, Achieved by Global Contraception and Abortion, Secondary to Fragmented Germ Cells, Agonizingly Reduced Endogenous Estrogen/Androgen, Defaulted Genomic Repertoire, Deranged Cell Metabolism, Metabolic Syndrome, <i>Result in Failure of Pharmacological Therapeutics with Advanced Technologies</i> 被引量:4
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作者 Elizabeth Jeya Vardhini Samuel Nagarajan Natarajan Sri Kumar 《Open Journal of Preventive Medicine》 2015年第4期186-195,共10页
Background: In spite of advanced technologies and drug discoveries, morbidity and mortality were undoubtedly increasing in the era of contraception and abortion. Aims: Altruistic correlation of increasing morbidity, m... Background: In spite of advanced technologies and drug discoveries, morbidity and mortality were undoubtedly increasing in the era of contraception and abortion. Aims: Altruistic correlation of increasing morbidity, mortality, with contraception, abortion was planned for. Methods: In 2012, a retrospective analysis of prevalence of mortality in 350 patients of 20 - 35 years, 35 - 50 years and >50 years from data collected between 2003 and 2012 by convenient, stratified random sampling, from community, hospital, and its association with contraception and abortion status was undertaken;simultaneously, serum estrogen levels obtained from 105 patients were analyzed. In 2014, randomly chosen 8 males, of the 3 age groups, from a different community, whose life partners had undergone sterilization, were assessed for their serum testosterone levels. Results: Contraception users exhibited 3 - 4 fold increased mortality [p 50 years [p < 0.0005]. Endogenous estrogen was reduced in 75% [p < 0.0005] of contraceptive users. Plasma testosterone was reduced in males observing contraception, to less than 50% of normal, e.g. 1.3 ng/ml;66.6% contraception users aged 20 - 35 years had reduced [p < 0.0005] testosterone;100% of male contraception users aged 36 - 70 years showed reduced testosterone [p < 0.0005]. Conclusion: The “withered tree akin host” concept is contraception, abortion, with smashed fragmentation of germ cells. Reduced endogenous estrogen, androgen [dried up, destroyed life factors] result in deranged cell metabolism, cell cycle, and defaulted genomic repertoire, leading to failure of all established pharmacological therapeutics, including advanced technologies which yield gratifying results in non contracepted people today and in every one, before the era of contraception;subsets of people, host with contraception, with destroyed life factors, behave helplessly, concerning therapeutic applications, compared with subsets of people, host without contraception, with intact genomic repertoire, God ordained Life fact 展开更多
关键词 “Withered Tree” Concept Host Achieved by Global CONTRACEPTION and ABORTION Secondary to Fragmented Germ Cells Agonizingly Reduced Endogenous Estrogen/Androgen Defaulted Genomic REPERTOIRE deranged Cell Metabolism Metabolic Syndrome Result in Failure of Pharmacological Therapeutics with Advanced Technologies
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MRI Evaluation of Acute Internal Derangement of Knee 被引量:2
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作者 Venkateshwaran Arumugam Ganesan Ram Ganesan Paarthipan Natarajan 《Open Journal of Radiology》 2015年第2期66-71,共6页
Introduction: Internal derangement of the knee is a blanket term used to cover a group of disorders involving destruction of the normal functioning of the ligaments or cartilages. MRI provides excellent soft tissue co... Introduction: Internal derangement of the knee is a blanket term used to cover a group of disorders involving destruction of the normal functioning of the ligaments or cartilages. MRI provides excellent soft tissue contrast and is capable of evaluating the soft tissue and bony structures in multiple imaging planes which provide significant advantage in IDK. Methods and Materials: A prospective study of hundred twenty patients who underwent MRI for the diagnosis of internal derangement of knee between the period January 2013 and January 2015 was conducted. All the patients gave a history of knee joint pain following trauma and clinically suspected to have meniscal and ligament tears. Patients were evaluated using Philips intera R 11 1.5 T with pulsar gradient system using a sensor extremity coil. Results: Commonest lesion detected in our study was ACL tear followed by meniscal tear and medial collateral ligament injury. The most common sign of cruciate ligament injury was hyper intensity in the ligament. Grade 3 was the most common grade of meniscal tear. Conclusion: MRI is unique in its ability to evaluate the internal structure as well as the surface of the meniscus. Many anatomical variants can mimic a tear on MRI. MRI is an excellent non invasive modality for imaging the knee. 展开更多
关键词 ANTERIOR CRUCIATE POSTERIOR CRUCIATE MENISCUS Internal derangement KNEE
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Strenuous Exercise—An Unusual Cause of Deranged Liver Enzymes 被引量:2
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作者 Nicholas-Paul Delicata Julian Delicata Lara-Anne Delicata 《Case Reports in Clinical Medicine》 2018年第3期177-181,共5页
Liver enzymes and function tests are routinely taken in clinical practice. Deranged liver enzymes however, do not always necessarily imply an underlying liver pathology. The standard liver enzymes measured include ala... Liver enzymes and function tests are routinely taken in clinical practice. Deranged liver enzymes however, do not always necessarily imply an underlying liver pathology. The standard liver enzymes measured include alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl-transpeptidase (GGT) and alanine phosphatase (ALP). These enzymes, especially ALT and AST, can be released by other organs in the body. We report an unusual case of a 48-year-old patient with deranged enzymes related exclusively to intensive exercise that resolved on discontinuing such exercise. 展开更多
关键词 deranged Liver ENZYMES ALANINE AMINOTRANSFERASE ASPARTATE AMINOTRANSFERASE Detailed History INTENSIVE Exercise
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Double Derangement Permutations
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作者 Pooya Daneshmand Kamyar Mirzavaziri Madjid Mirzavaziri 《Open Journal of Discrete Mathematics》 2016年第2期99-104,共6页
Let n be a positive integer. A permutation a of the symmetric group  of permutations of  is called a derangement if   for each . Suppose that x and y are two arbitrary permutations of . We say that... Let n be a positive integer. A permutation a of the symmetric group  of permutations of  is called a derangement if   for each . Suppose that x and y are two arbitrary permutations of . We say that a permutation a is a double derangement with respect to x and y if  and  for each . In this paper, we give an explicit formula for , the number of double derangements with respect to x and y. Let  and let  and  be two subsets of  with  and . Suppose that  denotes the number of derangements x such that . As the main result, we show that if  and z is a permutation such that  for  and  for , then  where . 展开更多
关键词 Symmetric Group of Permutations derangement Double derangement
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Increased Prevalence of Severe Rheumatic Heart Disease Requiring Early Valve Replacement Surgery and Fragmented Germ Cells 被引量:1
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作者 Elizabeth Jeya Vardhini Samuel Ramesh   +3 位作者 K. B. Latha K. V. Lalitha Peter Prashanth Bosco Emmanuel 《International Journal of Clinical Medicine》 2014年第21期1392-1399,共8页
Background: Patients requiring valve replacement at a younger age, for rheumatic heart disease was apparently increasing after the new age practice of contraception. Methods: In 2012, data of patients referred to tert... Background: Patients requiring valve replacement at a younger age, for rheumatic heart disease was apparently increasing after the new age practice of contraception. Methods: In 2012, data of patients referred to tertiary care hospital from two cardiology screening camps conducted in the community, were analyzed for the severity of presentation of rheumatic heart disease and associated contraception status by dividing into the three age groups—20 - 35 years, 36 - 50 years, >51 years;~400 patients attended the camps;31 female and 2 male patients were referred to the tertiary care hospital for further evaluation and categorized treatment, including valve replacement surgeries;among the 33 referred patients, belonging to the three age groups, the data were analyzed for [if any] correlation of contraception status with severe rheumatic heart disease. 8 randomly chosen males, of the 3 age groups, from a different community, whose life partners had undergone sterilization, were assessed for their serum testosterone levels. Results: Among 20 - 35 years, 7 female patients with contraception required valve replacement surgeries [p 51 years, 3 female and 2 male patients without contraception received medical treatment only 展开更多
关键词 Fragmented GERM Cells Reduced ENDOGENOUS ANDROGEN ESTROGEN deranged Cell Metabolism Defaulted Genomic REPERTOIRE Enhanced FIBROSIS
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错排指数族的一些性质
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作者 王冰岩 《山东师范大学学报(自然科学版)》 CAS 2014年第2期28-30,34,共4页
针对错排设计了一个新的指数族,结合已有的结论得到有关错排指数族的性质,同时用错排指数族讨论了有关Stirling数与错排数的某些组合恒等式.最后通过限制牌的花色得出有关错排数的一些新的恒等式.
关键词 错排 错排数 指数族 指数公式
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Subclinical hypothyroidism in atopic South Italian children
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作者 Marcella Pedullà Vincenzo Fierro +4 位作者 Pierluigi Marzuillo Ester Del Tufo Anna Grandone Laura Perrone Emanuele Miraglia del Giudice 《World Journal of Clinical Pediatrics》 2016年第3期306-310,共5页
AIM:To verify if subclinical hypothyroidism(SCH) could be associated to atopy in children.METHODS:Seven hundred and thirty-two Caucasian children from South Italy presenting symptoms of allergic disease were enrolled ... AIM:To verify if subclinical hypothyroidism(SCH) could be associated to atopy in children.METHODS:Seven hundred and thirty-two Caucasian children from South Italy presenting symptoms of allergic disease were enrolled and submitted to atopy,obesity,chronic low grade inflammation,and SCH work up.RESULTS:Four hundred and forty-five out of 705(63.12%) children affected by allergic disease were diagnosed as atopic and 260(36.88%) as not atopic.The SCH prevalence was 6.3%.Significant higher prevalence of SCH among atopic children with average(group 2) and high(group 3) low grade chronic inflammation compared to atopic children with mild(group 1)low grade chronic inflammation was present.Moreover,group 1 and group 2 presented an OR to show SCH of2.57(95%CI:1.55-6.26) and 2.96(95%CI:1.01-8.65),respectively.Both in atopic and not atopic children we found C3 serum levels significantly higher in group 3respect to group 2 and group 1.Noteworthy,among atopic patients,also total immunoglobulin E(IgE) serum levels,were significantly higher in group 3 compared to group 2 and group 1 children.In atopic children,C3 and total IgE serum values increased in parallel with the increase of C-reactive protein values,while in not atopic children this phenomenon was not evident.CONCLUSION:The possibility exists that an increasing atopic inflammation contributes to SCH occurrence.So far this is the first report in literature showing an association between SCH and atopy but further studies are needed to confirm our data. 展开更多
关键词 THYROID derangement ATOPY CHILDREN Low grade chronic inflammation SUBCLINICAL HYPOTHYROIDISM
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一个排列计数问题的一些新结果
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作者 丁川 《重庆师专学报》 2001年第2期95-97,共3页
本文对更列、准更列的条件加强 ,得到了两个类似更列、准更列中的两个新结果 ,[1][2 ]中的结果是本文结果的特殊情形。并得到了更列、准更列、次准更列等之间的关系。
关键词 更列 准更列 次准更列 计数公式
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Graph Derangements
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作者 Pete L. Clark 《Open Journal of Discrete Mathematics》 2013年第4期183-191,共9页
We introduce the notion of a graph derangement, which naturally interpolates between perfect matchings and Hamiltonian cycles. We give a necessary and sufficient condition for the existence of graph derangements on a ... We introduce the notion of a graph derangement, which naturally interpolates between perfect matchings and Hamiltonian cycles. We give a necessary and sufficient condition for the existence of graph derangements on a locally finite graph. This result was first proved by W. T. Tutte in 1953 by applying some deeper results on digraphs. We give a new, simple proof which amounts to a reduction to the (Menger-Egerváry-K?nig-)Hall(-Hall) Theorem on transversals of set systems. We also consider the problem of classifying all cycle types of graph derangements on m × n checkerboard graphs. Our presentation does not assume any prior knowledge in graph theory or combinatorics: all definitions and proofs of needed theorems are given. 展开更多
关键词 GRAPH derangement CYCLE PERFECT MATCHING
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二重错排与拉丁矩的计数 被引量:1
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作者 李三燕 徐允庆 《宁波大学学报(理工版)》 CAS 2011年第2期51-55,共5页
错排问题是组合数学中禁位排列的重要内容.基于3行拉丁矩计数问题的考虑,提出了条件更强的错排问题,即所谓的二重错排问题,并给出二重错排的相关计数公式及其在3行拉丁矩计数问题中的应用.同时给出ménage问题的2种推广形式.
关键词 错排 置换 棋子多项式 拉丁矩
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Novel immunotherapeutic approaches in head and neck cancer 被引量:1
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作者 Molly E.Heft Neal Catherine T.Haring +3 位作者 Jacqueline E.Mann J.Chad Brenner Matthew E.Spector Paul L.Swiecicki 《Journal of Cancer Metastasis and Treatment》 2019年第11期36-46,共11页
Unresectable recurrent or metastatic head and neck cancer is an incurable disease with survival of approximately 12 months. Head and neck tumors exhibit numerous derangements in the tumor microenvironment that aid in ... Unresectable recurrent or metastatic head and neck cancer is an incurable disease with survival of approximately 12 months. Head and neck tumors exhibit numerous derangements in the tumor microenvironment that aid in immune evasion and may serve as targets for future therapies. Pembrolizumab is now approved as a first line therapy. Despite the promise of currently approved immunotherapies there continues to be low response rates and additional strategies are needed. Here, alterations in the immune microenvironment and current therapeutic strategies are reviewed with a focus on novel immunologic approaches. 展开更多
关键词 IMMUNOTHERAPY head and neck immune evasion immune derangement checkpoint inhibitors recurrent/metastatic
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Internal derangement of temporomandibular joint: role of arthocentesis with steriod
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作者 Altaf Hussain Malik 《Plastic and Aesthetic Research》 2014年第1期29-32,共4页
Aim:The aim of this study was to compare the efficacy of arthrocentesis with arthrocentesis plus steroid in the treatment of temporomandibular joint(TMJ)internal derangements.Methods:Nine males and 11 females aged 17... Aim:The aim of this study was to compare the efficacy of arthrocentesis with arthrocentesis plus steroid in the treatment of temporomandibular joint(TMJ)internal derangements.Methods:Nine males and 11 females aged 17–39 years were enrolled in the study.The patients were complaining of limited mouth opening and TMJ pain.Arthrocentesis was performed under aseptic conditions.All patients were clinically evaluated before the procedure,and 1 week and 6 months after the procedure.Intensity of TMJ pain and maximal mouth opening was recorded at each follow-up visit.Results:Both groups showed significant improvement in mouth opening and a reduction in pain scores in the postoperative period;however,the addition of steroid did not improve the overall outcome of the procedure.Conclusion:Arthrocentesis is a simple and safe procedure for patients with internal derangement of the TMJ with closed lock.However,the outcome was not improved by the addition of steroid. 展开更多
关键词 ARTHROCENTESIS internal derangement STEROID temporomandibular joint
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