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Rui Azevedo Guerreiro,Paula Fazendas,Ana Rita Pereira,Ana Marques,João Pais,Sofia Alegria,Kisa Hyde Congo,Ana Catarina Gomes,João Carvalho,Gonçalo Morgado,Inês Cruz,Ana Rita Almeida,Isabel João,Hélder 한국심초음파학회 2020 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.28 No.2
BACKGROUND: Stress echocardiography has a 72%–85% sensitivity and an 80%–95% specificity. In this study, we characterized patients who received a false-positive stress echocardiogram result. METHODS: A total of 5,256 patients underwent a stress echocardiogram (induced by exercise, dobutamine, or dipyridamole) between 2009 to 2018, and 405 patients (7.7%) received a positive result. Among the positive patients, 300 underwent coronary angiography within 12 months, and these patients were included in this study (mean age = 64.9 ± 9.4 years, 230 men [76.7%]). Coronary artery disease was diagnosed by stenosis ≥50% in any epicardial coronary artery. Clinical and echocardiographic variables were compared between patients with true- and false-positive stress echocardiogram results. RESULTS: Seventy-two patients (24%) had a false-positive stress echocardiogram, with similar rates across stressor types (p = 0.574). Patients with false positives were less frequently men (63.9% vs. 80.7%, p = 0.003), had lower diabetes mellitus prevalence (15.3% vs. 45.6%, p = 0.001), were similar to true positive patients with regard to body-mass index, arterial hypertension prevalence, hyperlipidemia and smoking, and had lower pre-test probability of coronary artery disease (23% vs. 32%, p = 0.016). The wall motion score index (WMSI) was higher in the true-positive stress group, and wall motion abnormalities were more frequent in the apical segments (70.5% vs. 56.7%, p = 0.034). In a multivariable predictive model, men (odds ratio [OR] = 2.994), diabetes (OR = 5.440), and peak WMSI (OR = 10.690) were associated with a true-positive result. CONCLUSIONS: Twenty-four percent of our study population received a false-positive stress echocardiogram result, with similar rates across stressor types. Patients with true-positive stress echocardiogram results are more likely to be men, diabetic, and have a high peak WMSI.
Salvador Israel Macías-Hernández,Juan Daniel Morones-Alba,Irene Tapia-Ferrusco,Oscar Benjamín Vélez-Gutiérrez,Cristina Hernández-Diaz,Tania Inés Nava-Bringas,Eva Cruz-Medina,Lya Contreras-del Toro,Ma. 대한구강악안면외과학회 2022 대한구강악안면외과학회지 Vol.48 No.1
Objectives: Osteoarthritis (OA) is the most prevalent and disabling joint disease in the world. Temporomandibular joint (TMJ) exercise is a widely used treatment and could be a beneficial and long-term tool for treating TMJ OA. The present study aims to evaluate the effects of therapeutic exercise in the conservative treatment of TMJ OA. Materials and Methods: A single-group experimental pre-post test was performed. We included patients who met the diagnostic criteria for TMJ OA. Outcome variables were pain intensity (visual analogue scale), functionality (Helkimo index), and structural changes (ultrasound). Follow-up peri-ods were at months 1, 3, and 6. The intervention included a home-based program with thermotherapy, manual therapy, and therapeutic exercise during the entire follow-up period. Results: We included 15 patients and 26 joints, all women with a median age of 57 years (range, 49-62 years). Median change in pain intensity on joint palpation, mouth opening, and at rest at the first month was 47.5 mm, 51 mm, and 60 mm, respectively, and 48 mm, 49.5 mm, and 42.5 mm, at six months (P=0.001). The Helkimo index showed significant improvement in medians from baseline severe dysfunction (17 points) to minimal dys-function at three and six months (2 points) (P=0.001). Ultrasound showed improved disc position. Conclusion: This study demonstrated significant improvements in pain, function, and joint disc position and represents a valuable tool for the long-term treatment of patients with TMJ OA.
Dela Cruz, Ma. Ivy S.,Thongsai, Nichaphat,de Luna, Mark Daniel G.,In, Insik,Paoprasert, Peerasak Elsevier 2019 Colloids and surfaces. A, Physicochemical and engi Vol.568 No.-
<P><B>Abstract</B></P> <P>In this study, novel carbon dots were synthesized from polyurethane foam via a one-step pyrolysis method. Polyurethane foam is an interesting precursor for carbon dot synthesis because: (1) polyurethane foam waste generation is alarmingly high and (2) polyurethane is rich in nitrogen content which is important for producing highly photoluminescent carbon dots. The carbon dot synthesis parameters namely acid concentration, reaction time, and reaction temperature were modeled and optimized using Box-Behnken design (BBD) of response surface methodology (RSM). Temperature was found to be the most important parameter affecting the photoluminescence quantum efficiency of the carbon dots. The as-prepared carbon dots in aqueous solution showed a blue-green emission under UV light with a relatively high quantum yield of 33%, agreeing well with the value predicted using the RSM. The carbon dots exhibited distinct selectivity toward silver ion (Ag<SUP>+</SUP>) with a limit of detection of 2.8 μM. The Ag<SUP>+</SUP> contents in real water samples were accurately determined with acceptable repeatability. Based on these results, the RSM is a useful tool for investigating the effects of reaction parameters on the quantum efficiency of carbon dots. Furthermore, pyrolysis was proved to be an effective means for producing label-free, highly photoluminescent carbon dots from polyurethane, enabling new, effective recycling strategy and various potential sensing applications.</P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>