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Radiological biomarkers of idiopathic normal pressure hydrocephalus: new approaches for detecting concomitant Alzheimer's disease and predicting prognosis. 特发性正常压力脑积水的放射生物标志物:检测并发阿尔茨海默病和预测预后的新方法。
Pub Date : 2022-11-28 eCollection Date: 2022-12-01 DOI: 10.1093/psyrad/kkac019
Hanlin Cai, Yinxi Zou, Hui Gao, Keru Huang, Yu Liu, Yuting Cheng, Yi Liu, Liangxue Zhou, Dong Zhou, Qin Chen

Idiopathic normal pressure hydrocephalus (iNPH) is a clinical syndrome characterized by cognitive decline, gait disturbance, and urinary incontinence. As iNPH often occurs in elderly individuals prone to many types of comorbidity, a differential diagnosis with other neurodegenerative diseases is crucial, especially Alzheimer's disease (AD). A growing body of published work provides evidence of radiological methods, including multimodal magnetic resonance imaging and positron emission tomography, which may help noninvasively differentiate iNPH from AD or reveal concurrent AD pathology in vivo. Imaging methods detecting morphological changes, white matter microstructural changes, cerebrospinal fluid circulation, and molecular imaging have been widely applied in iNPH patients. Here, we review radiological biomarkers using different methods in evaluating iNPH pathophysiology and differentiating or detecting concomitant AD, to noninvasively predict the possible outcome postshunt and select candidates for shunt surgery.

特发性正常压力脑积水(iNPH)是一种以认知能力下降、步态障碍和尿失禁为特征的临床综合征。由于 iNPH 通常发生在容易合并多种疾病的老年人身上,因此与其他神经退行性疾病,尤其是阿尔茨海默病(AD)进行鉴别诊断至关重要。越来越多的已发表论文提供了放射学方法的证据,包括多模态磁共振成像和正电子发射断层扫描,这些方法可能有助于无创鉴别 iNPH 和 AD 或揭示体内并发的 AD 病理。检测形态学变化、白质微结构变化、脑脊液循环和分子成像的成像方法已广泛应用于 iNPH 患者。在此,我们回顾了使用不同方法评估 iNPH 病理生理学、区分或检测并发 AD 的放射学生物标志物,以无创预测分流术后可能出现的结果并选择分流手术的候选者。
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引用次数: 0
Distinct impact of three different statins on arteriovenous fistula outcomes: a retrospective analysis. 三种不同他汀类药物对动静脉瘘预后的不同影响:回顾性分析。
Pub Date : 2016-11-02 Epub Date: 2016-10-15 DOI: 10.5301/jva.5000612
Laisel Martinez, Juan C Duque, Luis A Escobar, Marwan Tabbara, Arif Asif, Fadi Fayad, Roberto I Vazquez-Padron, Loay H Salman

Purpose: Whether statins improve arteriovenous fistula (AVF) outcomes is still a matter of debate. Taking into consideration the existing physicochemical differences between individual drugs, this study evaluates the impact of three different statins (atorvastatin, rosuvastatin and simvastatin) on one-stage and two-stage AVF outcomes.

Methods: Using a retrospective cohort of 535 patients, we analyzed the effects of each statin on primary failure and primary patency using multivariate logistic regressions and Cox proportional hazard models.

Results: Out of the three statins analyzed, only atorvastatin improved the overall primary failure of AVF (odds ratio [OR] = 0.18, p = 0.005). Comparisons between the two AVF types demonstrated that this effect was due to a prominent reduction in primary failure of one-stage (OR = 0.03; p = 0.005), but not two-stage fistulas (OR = 0.43; p = 0.25). In contrast, primary patency of two-stage (hazards ratio [HR] = 0.51; p = 0.024), but not one-stage fistulas (HR = 0.98; p = 0.95), was improved by all statins as a group, but not by individual drugs.

Conclusions: Our results suggest that the potential benefit of statins on AVF outcomes is a drug-specific and not a class effect, and that such effect is also influenced by the type of fistula.

目的:他汀类药物是否能改善动静脉瘘(AVF)的预后仍存在争议。考虑到不同药物之间存在的理化差异,本研究评估了三种不同他汀类药物(阿托伐他汀、罗苏伐他汀和辛伐他汀)对一期和二期动静脉瘘预后的影响:我们使用多变量逻辑回归和 Cox 比例危险模型,分析了每种他汀类药物对初次失败和初次通畅率的影响:结果:在分析的三种他汀类药物中,只有阿托伐他汀能改善动静脉瘘的总体初次失败率(几率比 [OR] = 0.18,P = 0.005)。两种动静脉瘘类型之间的比较表明,这种效应主要是由于一级瘘管(OR = 0.03;p = 0.005)的初次失败率显著降低,而不是二级瘘管(OR = 0.43;p = 0.25)。与此相反,所有他汀类药物作为一个群体,而不是单个药物,都能改善两段式瘘管的初次通畅率(危险比 [HR] = 0.51;p = 0.024),但不能改善一段式瘘管的初次通畅率(HR = 0.98;p = 0.95):我们的研究结果表明,他汀类药物对动静脉瘘预后的潜在益处是药物特异性效应,而不是类药物效应,而且这种效应还受到瘘管类型的影响。
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引用次数: 0
Prostate brachytherapy seed localization with Gaussian blurring and camera self-calibration. 利用高斯模糊和相机自校准进行前列腺近距离放射治疗种子定位。
Junghoon Lee, Xiaofeng Liu, Jerry L Prince, Gabor Fichtinger

A tomosynthesis-based prostate brachytherapy seed localization method is described. Gaussian-blurred images are computed from a limited number of X-ray images, and a 3-D volume is reconstructed by backprojection. Candidate seed locations are extracted from the reconstructed volume and false positive seeds are removed by optimizing a local cost function. In case where the estimated pose error is large, a self-calibration process corrects the estimation error of the intrinsic camera parameters and the translation of the pose in order to improve the reconstruction. Simulation and phantom experiment results imply that the implanted seed locations can be estimated from four or five images depending on the number of seeds. The algorithm was also validated using patient data, successfully localizing the implanted seeds.

本文介绍了一种基于断层扫描的前列腺近距离放射粒子定位方法。从数量有限的 X 射线图像中计算出高斯模糊图像,然后通过反投影重建三维体积。从重建的体积中提取候选种子位置,并通过优化局部成本函数去除假阳性种子。在估计姿势误差较大的情况下,自校准过程可纠正相机固有参数的估计误差和姿势的平移,从而改善重建效果。模拟和模型实验结果表明,根据种子的数量,植入种子的位置可以通过四到五幅图像估算出来。该算法还利用患者数据进行了验证,成功定位了植入的种子。
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引用次数: 0
International Electronic Commerce: Definitions and Policy Implications By Loren Yager, Director, International Affairs and Trade. Report to the Ranking Senate Minority Member of the Joint Economic Committee. United Sates General Accounting Office, GAO-02-404. March 2002. Pages 1–98 国际电子商务:定义与政策含义,作者:国际事务与贸易主任Loren Yager。向参议院少数党联合经济委员会高级成员报告。美国会计总署,高02-404。2002年3月。1 - 98页
T. Read
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引用次数: 2
Computerized and networked government information columnDevelopments in U.S. Federal E-Government Efforts 计算机化和网络化政府信息专栏:美国联邦电子政务工作的发展
Juri Stratford
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引用次数: 6
The international geophysical year in Antarctica: Uncommon collaborations, unprecedented results 南极国际地球物理年:不同寻常的合作,前所未有的成果
Pub Date : 2004-01-01 Epub Date: 2004-11-11 DOI: 10.1016/j.jgi.2004.09.007
Dian Olson Belanger

When 1 July 1957 “dawned” in the dark of the south polar night, Americans at seven scientific stations scattered across Antarctica officially began systematic, synoptic observations of the air above and ice below. Joining scientists from 11 other countries on the polar continent, they were part of the International Geophysical Year, an 18-month worldwide effort to understand the earth and its environment. The Navy and other military services provided the transportation, construction, and maintenance to make life and work possible on the ice. The scientific success and value of the IGY inspired a mechanism—the Antarctic Treaty of 1959—for a peaceful future focused on the cooperative pursuit of scientific knowledge. While imperfect and fragile, the treaty is still in force and, with continuing military and civilian support, scientific research in Antarctica prospers. All this was achieved in a remarkably short time, by disparate, thinly acquainted, mutually wary cultures—military, scientific, and diplomatic. All the more astonishing is that it happened within the tense context of the Cold War, as statesmen and warriors were wise enough to allow “apolitical” scientists to lead where they could not.

1957年7月1日,在南极漆黑的夜晚,美国人在分布在南极洲的7个科学站正式开始系统地、天气性地观察上面的空气和下面的冰。他们与南极大陆上其他11个国家的科学家一起参加了国际地球物理年活动,这是一个为期18个月的全球努力,旨在了解地球及其环境。海军和其他军事部门提供运输、建设和维护,使在冰上生活和工作成为可能。IGY在科学上的成功和价值激发了一种机制——1959年的《南极条约》——一个以合作追求科学知识为重点的和平未来。虽然不完善和脆弱,但该条约仍然有效,并且在持续的军事和民间支持下,南极洲的科学研究蓬勃发展。所有这一切都是在非常短的时间内实现的,依靠的是不同的、知之甚少的、相互警惕的文化——军事、科学和外交。更令人惊讶的是,它发生在冷战的紧张背景下,政治家和战士们明智地允许“非政治”科学家领导他们无法领导的领域。
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引用次数: 2
《守住底线:21世纪初美国的国防选择》,辛迪·威廉姆斯主编。麻省理工学院出版社,剑桥,马萨诸塞州(2001),289页,21.00美元(每磅),ISBN: 0-262-73140-1
Pub Date : 2004-01-01 Epub Date: 2004-11-11 DOI: 10.1016/j.jgi.2004.08.002
Bert Chapman
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引用次数: 1
Initial visions of paradise: Antebellum U.S. government documents on the South Pacific 天堂的最初景象:南北战争前美国政府关于南太平洋的文件
Pub Date : 2004-01-01 Epub Date: 2004-12-02 DOI: 10.1016/j.jgi.2004.11.005
Bert Chapman

During the first half of the 19th century, the United States grew from a nation confined to the Atlantic seaboard to a country on the verge of becoming a global power. One factor prompting this growth was the United States' growing intellectual, economic, and strategic interests in the Pacific Ocean. These growing interests were fueled by the material contained in governmental reports produced by entities such as the U.S. Exploring Expedition (1838–1842). This article examines U.S. government documents on the South Pacific ocean prior to the Civil War, how such documents contributed to the creation of the Smithsonian Institution, and how such documents enhanced American understanding of this region and helped contribute to expanded U.S. involvement in the South Pacific during the latter half of the 19th as well as the 20th century.

在19世纪上半叶,美国从一个局限于大西洋沿岸的国家成长为一个即将成为全球大国的国家。促使这种增长的一个因素是美国在太平洋地区日益增长的智力、经济和战略利益。这些日益增长的兴趣是由美国探险队(1838-1842)等实体制作的政府报告中所包含的材料所推动的。本文考察了美国政府在南北战争前关于南太平洋的文件,这些文件如何有助于史密森学会的创建,以及这些文件如何增强美国对该地区的了解,并有助于扩大美国在19世纪下半叶和20世纪参与南太平洋。
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引用次数: 3
Historical Atlas of Central America 中美洲历史地图集
Pub Date : 2004-01-01 Epub Date: 2004-06-20 DOI: 10.1016/j.jgi.2004.03.001
Marsha Selmer
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引用次数: 0
Great Britain and Northern Ireland 大不列颠和北爱尔兰
Pub Date : 2004-01-01 Epub Date: 2004-01-04 DOI: 10.1016/j.jgi.2003.12.005
Simon Brackenbury, Simon de Montfalcon
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引用次数: 0
期刊
Journal of government information : an international review of policy, issues and resources
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