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Joseph U. Boroda,Benjamin De Leon,Lakshay Khosla,Muchi D. Chobufo,Syed N. Rahman,Jason M. Lazar,Jeffrey P. Weiss,Thomas F. Monaghan 대한배뇨장애요실금학회 2024 International Neurourology Journal Vol.28 No.-
Purpose: Nocturia significantly impacts patients’ quality of life but remains insufficiently evaluated and treated. The “Sleep C.A.L.M.” system categorizes the factors thought to collectively reflect most underlying causes of nocturia (Sleep disorders, Comorbidities, Actions [i.e., modifiable patient behaviors such as excess fluid intake], Lower urinary tract dysfunction, and Medications). The purpose of this study was to assess the association of nocturia with the Sleep C.A.L.M. categories using a nationally representative dataset. Methods: Retrospective analysis of the National Health and Nutrition Examination Survey from 2013/14–2017/18 cycles was conducted. Pertinent questionnaire, laboratory, dietary, and physical examination data were used to ascertain the presence of Sleep C.A.L.M. categories in adults ≥20 years of age. Nocturia was defined as ≥2 nighttime voids. Results: A total of 12,274 included subjects were included (51.6% female; median age, 49.0 years [interquartile range, 34.0–62.0 years]; 27.6% nocturia). Among subjects with nocturia, the prevalence of 0, ≥1, and ≥2 Sleep C.A.L.M. categories was 3.5% (95% confidence interval [CI], 2.8%–4.4%), 96.5% (95% CI, 95.6%–97.2%), and 81.2% (95% CI, 78.9%–83.3%), respectively. Compared to those with 0–1 Sleep C.A.L.M. categories, the adjusted odds of nocturia in subjects with 2, 3, and 4–5 Sleep C. A.L.M. categories were 1.77 (95% CI, 1.43–2.21), 2.33 (1.89–2.87), and 3.49 (2.81–4.35), respectively (P<0.001). Similar trends were observed for most age and sex subgroups. When assessed individually, each of the 5 Sleep C.A.L.M. categories were independently associated with greater odds of nocturia, which likewise persisted across multiple age and sex subgroups. Conclusions: Sleep C.A.L.M. burden is associated with increased odds of nocturia in a dose-dependent fashion, and potentially a relevant means by which to organize the underlying etiologies for nocturia among community-dwelling adults.
Joseph M. Fisher,Thomas M.S. Wolever,Janice E. Campbell,Adish Ezatagha,Jarvis C. Noronha,Alexandra L. Jenkins 한국식품영양과학회 2020 Journal of medicinal food Vol.23 No.4
Alcohol intoxication impairs judgment and reaction times and the level of blood alcohol concentration (BAC) is highly correlated with accidents and injury. We hypothesized that a food optimized to delay gastric emptying, a reduced alcohol bioavailability bar (RABB), would decrease postprandial BAC and alcohol bioavailability with greater caloric-efficiency than control foods. Therefore, we evaluated the RABB in a randomized, crossover trial in 21 overnight fasted healthy adults (10 male, 11 female). Just before consuming a moderate dose of alcohol (0.3–0.35 g/kg body weight), participants ate either (1) no food (NF, 0 kcal), (2) the RABB (210 kcal), (3) a savory snack mix (SSM, 210 kcal), or (4) a multicomponent meal (MCM, 635 kcal) and their BAC was measured over 90 minutes using a breathalyzer, the primary endpoint being peak BAC (pBAC). pBACs were analyzed by repeated measures analysis of variance (ANOVA) (F = 107.5, P < .0001) with the differences between means assessed using Tukey's honestly significant difference test. The pBAC of each group was different (P < .001) from all other groups (NF = 0.064 ± 0.003, SSM = 0.047 ± 0.002, RABB = 0.031 ± 0.002, MCM = 0.020 ± 0.002%; mean ± standard error of the mean). Furthermore, the bioavailability of alcohol over 90 minutes (BA90) was reduced compared to the NF group by similar margins (SSM = 22.0 ± 2.2, RABB = 45.0 ± 3.8, MCM = 67.9 ± 3.1%) with the mean BA90 of each group different from all other groups (P < .001). Compared to the NF condition, the average reduction of pBAC per 100 calories of food consumed was higher for the RABB (24.0%) than either the SSM (11.8%) or the MCM (10.7%). This study demonstrates that the RABB can reduce both pBAC and alcohol bioavailability with high caloric-efficiency.
Load Carriage Effects on a Robotic Transtibial Prosthesis
Joseph Hitt,Thomas Sugar 제어로봇시스템학회 2010 제어로봇시스템학회 국제학술대회 논문집 Vol.2010 No.10
The purpose of this study was to investigate the kinetic and kinematic effects of load carriage while wearing a robotic transtibial prosthesis. Nine separate tests were conducted with a unilateral transtibial amputee test subject wearing the robotic foot-ankle prosthesis. The subject walked on a treadmill at 1.3 m/s with a back pack weighing 0 kg, 4.5 kg and 9 kg. Direct measurement of the kinematics and kinetics of the robotic prosthesis at varying loads and ankle joint stiffness using embedded sensors is presented. The test data suggest that the coping strategy for load carriage is one of kinetic variance and kinematic invariance for subjects using a powered, computer controlled foot-ankle prosthesis. The finding suggests that modulation of the spring stiffness as a function of load condition may reduce system energy expenditure by 10%.
Bioinspired Electrochemically Tunable Block Copolymer Full Color Pixels
Walish, Joseph J.,Kang, Youngjong,Mickiewicz, Rafal A.,Thomas, Edwin L. WILEY-VCH Verlag 2009 Advanced materials Vol.21 No.30
<B>Graphic Abstract</B> <P>A variety of fish and cephalopods use tunable 1D photonic crystals to signal and display information. These animals control the color of the reflectors through chemical secretion by the sympathetic nervous system, which reduces the distance between platelets in reflective cells. This control can be mimicked by a bioinspired, 1D photonic block copolymer that is made tunable (see figure) by the production of chemical species through electrochemistry. <img src='wiley_img/09359648-2009-21-30-ADMA200900067-content.gif' alt='wiley_img/09359648-2009-21-30-ADMA200900067-content'> </P>
Christopher Thomas Plastaras,Seth Schran,Joseph Constantino 셀메드 세포교정의약학회 2014 TANG Vol.4 No.4
Neck pain is an extremely common symptom with a variety of potential etiologies. A significant number of patients are turning to complementary and alternative medicine therapies. In particular, chiropractic and osteopathic manipulation techniques are discussed. “Low quality evidence”, as per the GRADE system criteria used by the Cochrane Review, supports the beneficial effects of these treatments Complications are generally benign and self-limited although occasional catastrophic consequences have been documented. Medical practitioners should familiarize themselves and their patients with the risks and benefits of complementary and alternative medicine in order to make informed decisions.
Siju Joseph,Naicy Thomas,E. Thangapandian,Vijendra P Singh,Rishendra Verma,S. K. Srivastava 대한수의학회 2012 Journal of Veterinary Science Vol.13 No.1
21-kDa leptospiral lipoprotein (LipL21) was evaluated for its diagnostic potential to detect bovine leptospirosis by ELISA. Both native LipL21 (nLipL21) and recombinant LipL21 (rLipL21) proteins were tested and compared regarding diagnostic efficiency, and no statistically significant difference was observed. The sensitivity of rLipL21 ELISA for 62 microscopic agglutination test (MAT) positive sera was 100% and the specificity with 378 MAT negative sera was 97.09%. Thus, rLipL21 protein-based ELISA could be used as an alternative to MAT for the diagnosis of bovine leptospirosis.
Characterization of Forest Fire Emissions and Their Possible Toxicological Impacts on Human Health
Joshua Kibet,Josephate Bosire,Thomas Kinyanjui,Moses Lang’at,Nicholas Rono 강원대학교 산림과학연구소 2017 Journal of Forest Science Vol.33 No.2
In flight particulate matter particularly emissions generated by incomplete combustion processes has become a subject of global concern due to the health problems and environmental impacts associated with them. This has compelled most countries to set standards for coarse and fine particles due to their conspicuous impacts on environment and public health. This contribution therefore explores forest fire emissions and how its particulates affects air quality, damage to vegetation, water bodies and biological functions as architects for lung diseases and other degenerative illnesses such as oxidative stress and aging. Soot was collected from simulated forest fire using a clean glass surface and carefully transferred into amber vials for analysis. Volatile components of soot were collected over 10 mL dichloromethane and analyzed using a QTOF Premier-Water Corp Liquid Chromatography hyphenated to a mass selective detector (MSD), and Gas Chromatograph coupled to a mass spectrometer (GC-MS). To characterize the size and surface morphology of soot, a scanning electron microscope (SEM) was used. The characterization of molecular volatiles from simulated forest fire emissions revealed long chain compounds including octadec-9-enoic acid, octadec-6-enoic acid, cyclotetracosane, cyclotetradecane, and a few aromatic hydrocarbons (benzene and naphthalene). Special classes of organics (dibenzo-p-dioxin and 2H-benzopyran) were also detected as minor products. Dibenzo-p-dioxin for instance in chlorinated form is one of the deadliest environmental organic toxins. The average particulate size of emissions using SEM was found to be 11.51±4.91 m. This study has shown that most of the emissions from simulated forest fire fall within PM10 particulate size. The molecular by-products of forest fire and particulate emissions may be toxic to both human and natural ecosystems, and are possible precursors for various respiratory ailments and cancers. The burning of a forest by natural disasters or man-made fires results in the destruction of natural habitats and serious air pollution.