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| 1 | Clinical outcomes of isolated renal failure compared to other forms of organ failure in patients with severe acute pancreatitis显示文摘AIM To assess differences in clinical outcomes of isolated renal failure(RF) compared to other forms of organ failure(OF) in patients with severe acute pancreatitis(SAP).METHODS Using a prospectively maintained database of patients with acute pancreatitis admitted to a tertiary medical center between 2003 and 2016, those with evidence of persistent OF were classified to renal, respiratory, cardiovascular, or multi-organ(2 or more organs). Data regarding demographics, comorbidities, etiology of acute pancreatitis, and clinical outcomes were prospectively recorded. Differences in clinical outcomes after development of isolated RF in comparison to other forms of OF were determined using independent t and Mann-Whitney U tests for continues variables, and χ~2 test for discrete variables.RESULTS Among 500 patients with acute pancreatitis, 111 patients developed persistent OF: mean age was 54 years, and 75(67.6%) were male. Forty-three patients had isolated OF: 17(15.3%) renal, 25(21.6%) respiratory, and 1(0.9%) patient with cardiovascular failure. No differences in demographics, etiology of acute pancreatitis, systemic inflammatory response syndrome scores, or development of pancreatic necrosis were seen between patients with isolated RF vs isolated respiratory failure. Patients with isolated RF were less likely to require nutritional support(76.5% vs 96%, P = 0.001), ICU admission(58.8% vs 100%, P = 0.001), and had shorter mean ICU stay(2.4 d vs 15.7 d, P < 0.001), compared to isolated respiratory failure. None of the patients with isolated RF or isolated respiratory failure died.CONCLUSION Among patients with SAP per the Revised Atlanta Classification, approximately 15% develop isolated RF. This subgroup seems to have a less protracted clinical course compared to other forms of OF. Isolated RF might be weighed less than isolated respiratory failure in risk predictive modeling of acute pancreatitis. | Amir Gougol Mohannad Dugum Anwar Dudekula Phil Greer Adam Slivka David C Whitcomb Dhiraj Yadav Georgios I Papachristou | 2017 | World Journal of Gastroenterology2017，23，29： | 20 |
| 2 | 全球尺度过量氮元素输入的土壤功能响应显示文摘很少证据显示南半球大陆高度风化、低磷、酸性土壤中氮(N)循环与北美和欧洲有很大的差别。来自南半球的证据表明:不同的土地利用方式中,氮损失的形态和时间模式有相似性;不同大陆林地地表/枯枝落叶层的碳氮比(C:N)对于全球尺度上一系列过程有强烈的预示性;根据北半球增施氮对'受磷制约'的生态系统影响的归纳很可能不适用于南半球生态系统,当地植物结构上和生理上对低磷土壤的适应使得磷制约概念变得可疑;大大地增加了氮的输入和周转的土地利用变化很可能是南半球生态系统的最大威胁;局部氮施入的增加很可能与北半球观测到的效果相似。 | Mark Adams Phil Ineson Dan Binkley Georg Cadisch Naoko Tokuchi Mary Scholes Kevin Hicks 孙会首(译) | 2004 | AMBIO-人类环境杂志2004，33，B12： | 2 |
| 3 | Calibration of the torsional spring constant and the lateral photodiode response of frictional force microscopes显示文摘 | Adam F Phil A Lan L | 2000 | Review of scientific instruments2000，71，7： | 1 |
| 4 | The knowns, known unknowns and unknowns of sequestration of soil organic carbon显示文摘 | Uta Stockmann Mark A. Adams John W. Crawford Damien J. Field Nilusha Henakaarchchi Meaghan Jenkins Budiman Minasny Alex B. McBratney Vivien de Remy de Courcelles Kanika Singh Ichsani Wheeler Lynette Abbott Denis A. Angers Jeffrey Baldock Michael Bird Phil | 2013 | Agriculture Ecosystems and Environment2013，，： | 1 |
| 5 | Accretion in strong field gravity with eXTP显示文摘In this paper we describe the potential of the enhanced X-ray Timing and Polarimetry(eXTP) mission for studies related to accretion flows in the strong field gravity regime around both stellar-mass and supermassive black-holes. eXTP has the unique capability of using advanced 'spectral-timing-polarimetry' techniques to analyze the rapid variations with three orthogonal diagnostics of the flow and its geometry, yielding unprecedented insight into the inner accreting regions, the effects of strong field gravity on the material within them and the powerful outflows which are driven by the accretion process. | Alessandra De Rosa Phil Uttley LiJun Gou Yuan Liu Cosimo Bambi Didier Barret Tomaso Belloni Emanuele Berti Stefano Bianchi Ilaria Caiazzo Piergiorgio Casella Marco Feroci Valeria Ferrari Leonardo Gualtieri Jeremy Heyl Adam Ingram Vladimir Karas FangJun Lu Bin Luo Giorgio Matt Sara Motta Joseph Neilsen Paolo Pani Andrea Santangelo XinWen Shu JunFeng Wang Jian-Min Wang YongQuan Xue YuPeng Xu WeiMin Yuan YeFei Yuan Shuang-Nan Zhang Shu Zhang Ivan Agudo Lorenzo Amati Nils Andersson Cristina Baglio Pavel Bakala Altan Baykal Sudip Bhattacharyya Ignazio Bombaci NiccolóBucciantini Fiamma Capitanio Riccardo Ciolfi Wei K.Cui Filippo D'Ammando Thomas Dauser Melania Del Santo Barbara De Marco Tiziana Di Salvo Chris Done Michal Dovciak Andrew C.Fabian Maurizio Falanga Angelo Francesco Gambino Bruce Gendre Victoria Grinberg Alexander Heger Jeroen Homan Rosario Iaria JiaChen Jiang ChiChuan Jin Elmar Koerding Manu Linares Zhu Liu Thomas J.Maccarone Julien Malzac Antonios Manousakis Frédéric Marin Andea Marinucci Missagh Mehdipour Mariano Méndez Simone Migliari Cole Miller Giovanni Miniutti Emanuele Nardini Paul T.O'Brien Julian P.Osborne Pierre Olivier Petrucci Andrea Possenti Alessandro Riggio Jerome Rodriguez Andrea Sanna LiJing Shao Malgosia Sobolewska Eva Sramkova Abigail L.Stevens Holger Stiele Giulia Stratta Zdenek Stuchlik Jiri Svoboda Fabrizio Tamburini Thomas M.Tauris Francesco Tombesi Gabriel Torok Martin Urbanec Frederic Vincent QingWen Wu Feng Yuan Jean J.M.in't Zand Andrzej A.Zdziarski XinLin Zhou | 2019 | Science China(Physics,Mechanics & Astronomy)2019，62，2： | 1 |
| 6 | 美国2001年9月11日世贸中心被攻击后的环境研究显示文摘本文主要介绍了2001年9月11日世界贸易中心(WTC)被攻击之后在各学科领域的环境特征研究结果。文中提交的信息被世界贸易中心应急小组在2001年9月18日(热点信息)和2001年9月27日(制图和组成成分结果研究)使用。实验数据由喷气推进实验室/美国航空航天局(JPL/NASA)于2001年9月16、18、22、23日在世界贸易中心(WTC)通过机载可见光/红外成像光谱仪(AVIRIS)的高光谱遥感仪器获得。2001年9月17日和18日晚上,由两人组成的美国地质勘探局小组在世界贸易中心方圆1km之内收集了超过35个位置点的粉尘和空降碎片样品,其中为了避免受9月14日的暴雨影响选择了两个室内样本收集点,另外还收集到了两个有钢梁涂层的世贸残骸样品。美国地质勘探局地面工作人员在白天进行了实地反射光谱测量,用于现场校准AVIRIS遥感数据。AVIRIS数据的辐射定标和校正工作在喷气推进实验室/美国航空航天局(JPL/NASA)完成;表面反射率校准、光谱测图和解译工作在位于丹佛市的美国地质调查局成像光谱实验室完成;灰尘/碎屑和钢梁涂层样品的各种矿物学和化学参数的分析工作,在位于科罗拉多州丹佛市的美国地质调查局实验室完成,分析中使用了反射光谱法(RS)、扫描电子显微镜检查法(SEM)以及X射线衍射法(XRD)等。通过分析研究得出以下几个重要结论:(1)世贸中心大楼倒塌释放的粉尘主要有:玻璃纤维、石膏、混凝土、纸张以及其他建筑施工中常用的混合材料。(2)在实验室用RS、SEM和XRD方法分析发现,在三分之二以上的灰尘和空降碎片样本中只检测到微量的温石棉(小于总重量的1%),而到目前为止在所有粉尘样品中还没有检测到角闪石类石棉矿物。(3)对钢梁涂层样品分析发现,在世贸中心碎片中检测到的温石棉(蛇纹石矿物)占涂层材料总体积的比例高达20%,同样在这些钢梁涂层样品中也没有检测到角闪石类石棉矿物。(4)在地面仪器低百分比检测的限制下,AVIRIS矿物图主要是用来检测可能存在的石棉状矿物,图中并没有显示温石棉或闪石类石棉的大范围分布。从图中的孤立像素点或像素群(像素大小约2m×2m)可以看出,世贸中心周围地区的石棉状矿物含量变化范围大,从百分之几到百分之几十都有可能。由于AVIRIS数据中的某些光谱吸收强度和温石棉钢梁涂层的光谱相似,因此吸收特征图只显示出了蛇纹石矿物的存在,而不能说明蛇纹石是石棉状的,因为非石棉状蛇纹石矿物在建筑材料中也是非常常见的。AVIRIS矿物图可以显示含石棉量较高的区域和小范围非石棉状矿物的区域,但需要通过现场采样和实验分析来验证石棉的存在。另外,AVIRIS矿物图只能检测地表矿物,而不能检测地下掩埋的矿物。(5)AVIRIS矿物图中角闪石类矿物是几个孤立像素点,而不是像温石棉那样的像素群。少数几个世贸中心地区的角闪石像素点和整个城市的角闪石像素统计噪声水平相似。AVIRIS吸收特征图只显示了角闪石矿物的存在,而这些在非石棉状建筑材料中也是非常常见的,所以需要进行现场采样来确认石棉的存在。野外样品的实验室分析结果与矿物图上的蛇纹石温石棉和角闪石矿物是一致的。(6)实验分析和AVIRIS矿物图结果表明,无论是小尺度的个别样品,还是世贸中心一定方向和距离范围的大空间尺度,粉尘的成分都是多变的。通过对同一样品多次重复进行矿物学和化学物质分析发现,多变性可能是因为粉尘是由不同材料的不均匀混合造成的,这种空间差异是在几十米的大尺度到厘米甚至更小尺度范围下观测到的。AVIRIS矿物图还显示了位于东南偏南的2号大楼倒塌中心的物质铁含量较高,温石棉的分布主要(但并不唯一)呈向西和北方向不连续的放射状,也可能分布在超过世贸大厦遗址四分之三公里的东方向。(7)迄今为止,在粉尘和空降样品中只检测到微量的温石棉,但在有钢梁涂层的世贸中心碎片中温石棉含量达到总体积的20%之多,而且AVIRIS矿物图中温石棉可能存在的区域也表明在局部点可能发现石棉。(8)2001年9月16日收集到的AVIRIS数据显示,世贸中心大楼倒塌区域有若干热点存在,在核心区就有超过36个不同大小和温度的热点。分析数据发现,这些热点的温度都高于800°F,有些甚至超过了1300°F。截止到9月23日,从飞机上观察到的火灾点大部分已经消除或者减弱。(9)我们通过实验发现的灰尘样品有微量石棉的结论与美国环保署(www.epa.gov)进行的其他研究结果一致。我们的研究结果也进一步说明:①高含量石棉可能存在于钢梁涂层和AVIRIS矿物图中显示的局部区域;②粉尘和钢梁涂层中的石棉只含有温石棉,而不含有角闪石类石棉。根据毒理学专家、流行病学专家和矿物学专家近20年分析研究的主要成果表明,闪石类石棉矿物比温石棉更易致癌(Ross,1999;Skinner等,1988;Van Oss等,1999:McDonald,2001)。但是,这一结论还没有被科学界普遍接受。Nolan等(2001)的文献中对这些问题有最新的深入探讨。(10)利用矿物学特性研究AVIRIS矿物图得出以下结论:温石棉占世贸中心残骸中有钢梁涂层材料总体积的20%之多,这些温石棉可能是在清理过程中作为灰尘无意释放到空气中的;AVIRIS矿物图显示石棉可能出现在粉尘的局部小范围集中区。这些为美国环保署和纽约公共卫生局清理粉尘和世贸中心残骸的工作提供了有用的建议,即在清理时应该采取合适的呼吸保护和防尘措施。 | Roger N.Clark Robert O.Green Gregg A.Swayze Greg Meeker Steve Sutley Todd M.Hoefen K.Eric Livo Geoff Plumlee Betina Pavri Chuck Sarture Steve Wilson Phil Hageman Paul Lamothe J.Sam Vance Joe Boardman Isabelle Brownfield Carol Gent Laurie C.Morath Joseph Taggart Peter M.Theodorakos Monique Adams 李强 | 2013 | 地壳构造与地壳应力2013，，2： | 0 |
| 7 | 心肌梗死后患者的二级预防:MCE指南更新概要显示文摘这是BMJ在可得到的最佳证据基础上制定的一系列新指南的总结之一;这些指南强调了对临床实践的重要推荐,特别是当有不确定性或存在争论时. | Katie Jones Leanne Saxon William Cunningham PHil Adams 杨旭(译) 高润霖(校) | 2014 | 英国医学杂志中文版2014，，1： | 0 |
| 8 | KING'S CROSS——重建古老的伦敦车站显示文摘新King's Cross火车站西广场已于2012年3月19日正式对公众开放。”由John McAslan+Partner事务所设计的King’s Cross火车站重建项目是在伦敦当地举足轻重的项目。西广场是全欧洲最大的单跨结构广场,整个项目规划十分复杂通过国际问的通力协作完成了这个卓越的交通枢纽工程.它满足甚至超越了二十一世纪对交通空间的需求。” | Hufton and Crow John Sturrock Phil Adams | 2013 | 中国建筑装饰装修2013，，1： | 0 |
| 9 | Effectiveness of an amino acid beverage formulation in diarrheapredominant irritable bowel syndrome:A pragmatic real-world study显示文摘BACKGROUND Amino-acid based medical foods have shown promise in alleviating symptoms of drug induced gastrointestinal side effects;particularly,diarrhea-predominant symptoms.Irritable bowel syndrome(IBS)is a gastrointestinal disorder that affects up to 9% of people globally,with diarrhea predominant IBS(IBS-D)being the most prevalent subtype.Further trials are needed to explore potential added benefits when integrated into standard care for IBS-D.AIM To assess the effectiveness of an amino acid-based medical food as an adjunct to standard of care for adults with IBS-D.METHODS This is a pragmatic,real world,open label,single arm study comparing a 2-week baseline assessment to a 2-week intervention period.One hundred adults,aged 18 to 65 years,with IBS-D,according to Rome IV criteria,were enrolled after completing a 2-week baseline assessment period and received a 2-week supply of an amino acid based medical food which was consumed at home twice daily on top of their standard of care.The primary outcome was an assessment of tolerability after 2-weeks of consumption,while secondary outcomes included changes in stool consistency(Bristol Stool Form Scale),severity of abdominal pain&discomfort,symptoms of urgency,Global Improvement Survey(GIS),and the IBS severity scoring system(IBS-SSS).RESULTS The test product was well-tolerated as each participant successfully completed the full 14-day trial,and there were no instances of dropouts or discontinuation of the study product reported.Forty percent of participants achieved a 50% or more reduction in the number of days with type 6-7 bowel movements(IBS-D stool consistency responders).Fifty-three percent of participants achieved a clinically meaningful reduction of 30% in mean weekly pain scores,and 55%experienced the same for mean weekly discomfort scores(IBS-D pain and discomfort responders).Participants experienced a mean-109.4(95% confidence interval:-130.1,-88.8)point reduction on the IBS-SSS and 52% experienced a minimally clinically important difference of>95 points.An IBS-SSS category shift from severe to moderate or mild occurred in 69% of participants.For functional symptoms,76% of participants reported symptom relief on the GIS.CONCLUSION The amino acid-based medical food was well-tolerated,when added to the standard of care,and demonstrated improvements in both overall IBS symptom severity and IBS-D symptoms within just 2 wk. | Samantha E Niles Phil Blazy Samuel N Cheuvront Robert W Kenefick Sadasivan Vidyasagar Adam BSmith Neil Fawkes William Denman | 2023 | World Journal of Gastrointestinal Pharmacology and Therapeutics2023，14，5： | 0 |
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