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1.
BackgroundCalcium chloride is commonly used in emergency departments in the treatment of a variety of emergencies. Historically, administration via central venous catheters has been preferred owing to its high osmolarity and vesicant properties. Although preferred, central access may not always be available in time-sensitive, emergent situations leading to many instances of peripheral administration. The objective of this analysis was to evaluate the charted safety of peripheral venous administration of 10% calcium chloride.MethodsA single-center retrospective chart review was performed in patients who received 10% calcium chloride in the adult emergency department evaluating for the incidence of infusion-related adverse events. Patients were excluded if they were less than 18 years of age or had a lack of catheter documentation during 10% calcium chloride administration or if the 10% calcium chloride was documented as given through a central venous catheter.ResultsA total of 72 administrations were evaluated. Patients were predominantly male (67%), with a median age of 55 years and body mass index of 29.2. The primary outcome demonstrated that 4 infusion-related adverse events occurred (6%) with grade 1 (n = 1) and grade 0 (n = 3) documented incidence of infusion-related adverse events. None of the documented incidence of infusion-related adverse events resulted in permanent tissue injury, and all patients had conservative management.DiscussionThis study demonstrated that administration of 10% calcium chloride via peripheral venous catheters may be feasible and seemed to carry a low incidence of documented complications. Further prospective studies are needed to confirm study observations.  相似文献   
2.
Two-toed (Choloepus sp.) and three-toed (Bradypus sp.) sloths possess short, rounded pisiforms that are rare among mammals and differ from other members of Xenarthra like the giant anteater (Myrmecophaga tridactyla) which retain elongated, rod-like pisiforms in common with most mammals. Using photographs, radiographs, and μCT, we assessed ossification patterns in the pisiform and the paralogous tarsal, the calcaneus, for two-toed sloths, three-toed sloths, and giant anteaters to determine the process by which pisiform reduction occurs in sloths and compare it to other previously studied examples of pisiform reduction in humans and orangutans. Both extant sloth genera achieve pisiform reduction through the loss of a secondary ossification center and the likely disruption of the associated growth plate based on an unusually porous subchondral surface. This represents a third unique mechanism of pisiform reduction among mammals, along with primary ossification center loss in humans and retention of two ossification centers with likely reduced growth periods in orangutans. Given the remarkable similarities between two-toed and three-toed sloth pisiform ossification patterns and the presence of pisiform reduction in fossil sloths, extant sloth pisiform morphology does not appear to represent a recent convergent adaptation to suspensory locomotion, but instead is likely to be an ancestral trait of Folivora that emerged early in the radiation of extant and fossil sloths.  相似文献   
3.
【目的】 在媒体融合的背景下,探索高校科技期刊获得良性、可持续发展的业务流程再造方案。【方法】 通过问卷调查法和深度访谈法,对《中国有色金属学报》学术用户的实际需求进行诊断分析,并依据《中国有色金属学报》一年内的业务流程再造实践,总结和设计普适性较强的高校科技期刊业务流程再造方案。【结果】 《中国有色金属学报》在学术用户群体服务与管理、学术资源挖掘和利用、缩短出版周期和媒体融合等方面进行业务流程再造并取得了显著成效。【结论】 高校科技期刊要想谋求新的发展和突破,必须基于用户日益增长的学术需求进行业务拓展,同时基于技术和机制,与时俱进地进行业务流程再造。  相似文献   
4.
Using deep neural networks to solve PDEs has attracted a lot of attentions recently. However, why the deep learning method works is falling far behind its empirical success. In this paper, we provide a rigorous numerical analysis on deep Ritz method (DRM) [47] for second order elliptic equations with Neumann boundary conditions. We establish the first nonasymptotic convergence rate in $H^1$ norm for DRM using deep networks with ${\rm ReLU}^2$ activation functions. In addition to providing a theoretical justification of DRM, our study also shed light on how to set the hyperparameter of depth and width to achieve the desired convergence rate in terms of number of training samples. Technically, we derive bound on the approximation error of deep ${\rm ReLU}^2$ network in $C^1$ norm and bound on the Rademacher complexity of the non-Lipschitz composition of gradient norm and ${\rm ReLU}^2$ network, both of which are of independent interest.  相似文献   
5.
《Value in health》2022,25(12):1977-1985
ObjectivesEstimates on the distribution of patients with multiple myeloma (MM) by line of therapy (LOT) are scarce and get outdated quickly as new treatments become available. The objective of this study was to estimate the number of patients with MM by LOT and the number of patients who have received at least 4 previous LOTs including proteasome inhibitors, immunomodulatory agents, and anti-CD38 monoclonal antibodies (mAbs).MethodsA compartmental model was developed to calculate the number of patients by LOT. Two pathways were considered based on stem cell transplant eligibility, and at each pathway, treatments were stratified in 2 types: anti-CD38 mAbs or other. The model population was stratified into 4 subgroups based on age and cytogenetic risk. Model inputs were informed from real-world evidence.ResultsThe model estimated that, in 2020, 126 869 patients were living with MM in the United States. Of these, 105 701 received treatment in any LOT, with 56 959, 27 252, 11 258, and 5217 in lines 1 to 4, respectively, and 5015 in line 5 or beyond. The model estimated that 3497 patients received at least 4 previous LOTs including proteasome inhibitors, immunomodulatory agents, and anti-CD38 mAbs. The model overall prevalence predictions aligned well with publicly available estimates.ConclusionsThis study proposes a novel framework to estimate MM prevalence. It can assist clinicians to understand future trends in MM epidemiology, healthcare systems to plan for future resource use allocation, and payers to quantify the budget impact of new treatments.  相似文献   
6.
《Cancer cell》2022,40(8):835-849.e8
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7.
目的建立拆分板蓝根中(R,S)-告依春对映异构体及测定其含量的超高效合相色谱(UPC2)法。方法色谱柱为TrefoilTM AMY1柱(150 mm×3.0 mm,2.5μm),流动相为超临界CO2-甲醇(梯度洗脱),流速为1.2 mL/min,检测波长为245 nm,柱温为45℃,动态背压为1800 psi,进样量为2μL。结果R-告依春、S-告依春能达到较好分离,质量浓度分别在2.01~64.32μg/mL(r=0.9999,n=6)和1.01~32.38μg/mL(r=1.0000,n=6)范围内与峰面积线性关系良好;检测限均为0.09μg/mL,定量限分别为0.46μg/mL和0.44μg/mL;精密度、稳定性、重复性试验结果的RSD均小于3.0%;平均加样回收率分别为100.97%和101.26%,RSD分别为1.73%和2.08%(n=6)。结论该方法稳定性、重复性均较好,结果准确可靠,可用于拆分板蓝根中(R,S)-告依春对映异构体及测定其含量。  相似文献   
8.
目的 研究CD200R1对细菌脂多糖(lipopolysaccharide,LPS)诱导的小胶质细胞内吞功能的影响。方法 应用LPS激活小胶质细胞并通过荧光微球内吞实验观察小胶质细胞内吞水平的变化以及通过RT-qPCR检测CD200R1mRNA水平的表达,并在BV2-SH-SY5Y共培养模型中同样通过荧光微球内吞实验观察LPS诱导的小胶质细胞内吞功能的变化,最后利用CD200R1基因敲除小鼠提取原代培养的小胶质细胞并加LPS处理,通过荧光微球内吞实验观察其内吞功能的变化。结果 LPS激活小胶质细胞,促进了小胶质细胞内吞水平增加以及CD200R1表达下降。在BV2-SH-SY5Y共培养模型中,神经元细胞接触小胶质细胞后抑制LPS诱导的小胶质细胞内吞增加,CD200R1基因敲除的小胶质细胞加入LPS处理后,内吞水平增加更明显。结论 CD200R1基因敲除的小胶质细胞在LPS刺激后内吞水平增加更明显。  相似文献   
9.
目的 探究LncRNA ANRIL对结直肠癌HCT116细胞体外体内放射增敏作用及机制。方法 qPCR检测ANRIL表达。将阴性对照siRNA、ANRIL siRNA、miR-NC mimic、miR-195 mimic、miR-NC inhibitor、miR-195 inhibitor转染至HCT116细胞中分别记为阴性对照、沉默ANRIL、过表达miR-NC、过表达miR-195、抑制miR-NC、抑制miR-195组,以不做任何处理的HCT116细胞为空白对照组。克隆形成实验检测放射敏感性,流式细胞术检测细胞凋亡,StarBase预测ANRIL下游miRNAs,双荧光素酶报告基因实验进一步验证。裸鼠皮下移植瘤实验检测ANRIL对照射后移植瘤生长影响。结果 沉默ANRIL组细胞存活分数较阴性对照组降低(P<0.05),其放射增敏比为1.52。沉默ANRIL+4Gy组细胞凋亡率较阴性对照+4Gy组增加[(27.86±2.78)%︰(12.06±1.46)%,P<0.05]。裸鼠皮下移植瘤实验结果显示在13、16、19、22、25天时阴性对照组肿瘤体积比沉默ANRIL组降低[(234±66)、(273±63)、(296±72)、(321±85)、(403±94) mm3与(357±79)、(485±124)、(617±143)、(764±174)、(985±221) mm3,P<0.05]。miR-195是ANRIL靶基因,抑制miR-195可逆转沉默ANRIL对HCT116细胞放射增敏和凋亡促进作用及移植瘤生长抑制作用。结论 LncRNA ANRIL通过调控miR-195表达来调节HCT116细胞放射敏感性,可能为临床结直肠癌放疗提供一个新的增敏靶点。  相似文献   
10.
目的 探讨HOXC8对非小细胞肺癌A549细胞放射敏感性影响及潜在机制,以期为临床联合治疗提供新思路。方法 慢病素感染构建稳定沉默HOXC8的A549细胞,qPCR和蛋白印迹法进行验证;克隆形成实验检测A549稳转株对放射敏感性影响;蛋白印迹法检测沉默HOXC8后TGF-β1及其下游信号蛋白表达变化。结果 成功构建沉默HOXC8的A549稳转株;沉默HOXC8后A549细胞活力和克隆形成能力显著降低;沉默HOXC8后也增加了A549细胞对放射的敏感性;沉默HOXC8显著抑制了TGF-β1及其下游信号蛋白p-Smad2/3表达。结论 沉默HOXC8可能通过抑制TGF-β1信号转导增加A549细胞对放射的敏感性,HOXC8可能在其中起重要作用。  相似文献   
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