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Efficacy and Safety of Uninterrupted Periprocedural Edoxaban in Patients Undergoing Catheter Ablation for Atrial Fibrillation - The Prospective KYU-RABLE Study. 心房颤动导管消融术患者围手术期不间断服用埃多沙班的有效性和安全性--前瞻性 KYU-RABLE 研究。
IF 3.1 Pub Date : 2019-09-25 Epub Date: 2019-09-12 DOI: 10.1253/circj.CJ-19-0535
Naohiko Takahashi, Yasushi Mukai, Tetsuya Kimura, Keita Yamaguchi, Takuyuki Matsumoto, Hideki Origasa, Ken Okumura

Background: The KYU-RABLE study, a prospective, multicenter, single-arm interventional study, evaluated the efficacy and safety of uninterrupted oral edoxaban in patients undergoing catheter ablation (CA) for atrial fibrillation (AF).

Methods and results: We enrolled patients with AF from 23 centers in Japan. Edoxaban 60 mg (30 mg in patients indicated for dose adjustment) was administered uninterrupted, once daily in the morning for ≥4 weeks before CA and 4 weeks ±7 days after CA with one dose delayed on the procedural day. The primary endpoint was a composite of thromboembolism and major bleeding during 4 weeks from the procedural day. Among the 513 eligible patients who underwent CA, 63.5% received edoxaban 60 mg/day and 36.1% received 30 mg/day. For the primary endpoint, no thromboembolism and 1 major bleeding event (0.2%, cardiac tamponade) were observed. The plasma edoxaban concentration decreased depending on the time from the last administration to the CA procedure. However, plasma levels of coagulative biomarkers were within appropriate ranges regardless of the interval from the last administration of edoxaban.

Conclusions: The present study provided evidence of the efficacy and safety of uninterrupted edoxaban administered once daily in the morning, with one dose delayed on procedural day, in patients with AF undergoing CA. Edoxaban was associated with a low risk of periprocedural thromboembolic and bleeding complications.

研究背景KYU-RABLE 研究是一项前瞻性、多中心、单臂介入研究,评估了接受导管消融术(CA)治疗的房颤(AF)患者不间断口服埃多沙班的疗效和安全性:我们从日本的 23 个中心招募了房颤患者。在导管消融术前≥4周和导管消融术后4周±7天内,每天早晨一次不间断服用埃多沙班60毫克(有剂量调整指征的患者服用30毫克),并在手术日延迟一次服药。主要终点是自手术日算起 4 周内血栓栓塞和大出血的综合结果。在 513 名符合条件的 CA 患者中,63.5% 的患者接受了埃多沙班 60 毫克/天的治疗,36.1% 的患者接受了埃多沙班 30 毫克/天的治疗。在主要终点方面,未观察到血栓栓塞和1例大出血事件(0.2%,心脏填塞)。血浆中依多沙班浓度的下降取决于从最后一次给药到 CA 手术的时间。然而,无论距离最后一次服用埃多沙班的时间间隔有多长,血浆中凝血生物标志物的水平都在适当的范围内:本研究为接受CA治疗的房颤患者每天早上不间断服用一次埃多沙班,并在手术当天延迟服用一次的疗效和安全性提供了证据。埃多沙班与围手术期血栓栓塞和出血并发症的低风险相关。
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引用次数: 0
Models of health behaviour predict intention to use long acting reversible contraception use. 健康行为模型预测使用长效可逆避孕药的意向。
Pub Date : 2016-11-18 DOI: 10.1177/1745505716678231
Gareth Roderique-Davies, Christine McKnight, Bev Jonn, Susan Faulkner, Deborah Lancastle
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引用次数: 0
Internal Consistency and Convergent Validity of the Portuguese Versions of the Global Appraisal of Individual Needs-Initial and Short Screener: Validity of the Portuguese GAIN-I and SS. 葡萄牙语版个人需求全面评估初筛和短筛的内部一致性和收敛有效性:葡萄牙语 GAIN-I 和 SS.
IF 1.5 Pub Date : 2016-10-01 DOI: 10.1097/JAN.0000000000000143
Heloísa Garcia Claro, Márcia Aparecida Ferreira de Oliveira, Ivan Filipe de Almeida Lopes Fernandes, Janet C Titus, Rosana Ribeiro Tarifa, Thais Fernandes Rojas, Paula Hayasi Pinho

The goal of this article is to present evidence on the internal consistency and convergent validity of the Brazilian Portuguese versions of the Global Appraisal of Individual Needs-"Initial" and "Short Screener" versions.

Methods: One hundred sixty-eight individuals from an inpatient service and/or a community-based outpatient service located in São Paulo were interviewed using the Brazilian Portuguese versions of the instruments. The internal consistency of the instruments scales was computed, along with evidence for the convergent validity between corresponding subscales of the Initial and Short Screener instruments.

Results: Cronbach's alpha values for both instruments' total scale scores were greater than .7. The Short Screener scales showed strong-to-moderate correlations with corresponding subscales of the Initial. The General Individual Severity Scale from the Initial and Total Disorder Screener from the Short Screener have convergent validity with each other (ρ = 0.801).

Conclusions: The Brazilian Portuguese instrument scales showed evidence for internal consistency and convergent validity performing similarly to the American English versions.

本文旨在证明巴西葡萄牙语版《个人需求全面评估》--"初始 "和 "简短筛查 "版本的内部一致性和收敛有效性:使用巴西葡萄牙语版工具对圣保罗一家住院服务机构和/或社区门诊服务机构的 168 名患者进行了访谈。计算了工具量表的内部一致性,以及初始工具和简短筛查工具相应分量表之间的收敛效度:结果:两种工具总分的 Cronbach's alpha 值均大于 0.7。简短筛查量表与初始量表的相应分量表显示出很强到中等程度的相关性。初始量表中的一般个体严重程度量表和简易筛查量表中的总障碍筛查量表之间具有收敛效度(ρ = 0.801):结论:巴西葡萄牙语工具量表的内部一致性和收敛有效性与美国英语版本相似。
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引用次数: 0
p21 induction plays a dual role in anti-cancer activity of ursolic acid. p21 诱导在熊果酸的抗癌活性中发挥着双重作用。
IF 3.2 Pub Date : 2016-03-01 Epub Date: 2015-11-17 DOI: 10.1177/1535370215616195
Xudong Zhang, Xinhua Song, Shutao Yin, Chong Zhao, Lihong Fan, Hongbo Hu

Previous studies have shown that induction of G1 arrest and apoptosis by ursolic acid is associated with up-regulation of cyclin-dependent kinase inhibitor (CDKI) protein p21 in multiple types of cancer cells. However, the functional role of p21 induction in G1 cell cycle arrest and apoptosis, and the mechanisms of p21 induction by ursolic acid have not been critically addressed. In the current study, we demonstrated that p21 played a mediator role in G1 cell cycle arrest by ursolic acid, whereas p21-mediated up-regulation of Mcl-1 compromised apoptotic effect of ursolic acid. These results suggest that p21 induction plays a dual role in the anti-cancer activity of ursolic acid in terms of cell cycle and apoptosis regulation. p21 induction by ursolic acid was attributed to p53 transcriptional activation. Moreover, we found that ursolic acid was able to inhibit murine double minute-2 protein (MDM2) and T-LAK cell-originated protein kinase (TOPK), the two negative regulator of p53, which in turn contributed to ursolic acid-induced p53 activation. Our findings provided novel insights into understanding of the mechanisms involved in cell cycle arrest and apoptosis induction in response to ursolic acid exposure.

以往的研究表明,熊果酸诱导 G1 停滞和细胞凋亡与多种类型癌细胞中细胞周期蛋白依赖性激酶抑制剂(CDKI)蛋白 p21 的上调有关。然而,熊果酸诱导 p21 在 G1 细胞周期停滞和细胞凋亡中的功能作用,以及熊果酸诱导 p21 的机制尚未得到深入研究。在目前的研究中,我们证实了熊果酸在 G1 细胞周期停滞过程中 p21 起着介导作用,而 p21 介导的 Mcl-1 上调则削弱了熊果酸的凋亡效应。这些结果表明,在熊果酸的抗癌活性中,p21诱导在细胞周期和细胞凋亡调控方面起着双重作用。此外,我们还发现熊果酸能够抑制小鼠双分化-2蛋白(MDM2)和T-LAK细胞源性蛋白激酶(TOPK)这两种p53的负调控因子,进而促进熊果酸诱导的p53活化。我们的研究结果为了解熊果酸暴露导致的细胞周期停滞和细胞凋亡诱导机制提供了新的见解。
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引用次数: 20
Brain Potentials as Indices of Orthographic and Phonological Interaction During word Matching 脑电位作为单词匹配过程中正字法和音系相互作用的指标
Pub Date : 1987-01-01 DOI: 10.1037/0278-7393.13.1.76
A. Kramer, E. Donchin
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引用次数: 57
Attention and the detection of signals. 注意和检测信号。
Pub Date : 1980-06-01
M I Posner, C R Snyder, B J Davidson

Detection of a visual signal requires information to reach a system capable of eliciting arbitrary responses required by the experimenter. Detection latencies are reduced when subjects receive a cue that indicates where in the visual field the signal will occur. This shift in efficiency appears to be due to an alignment (orienting) of the central attentional system with the pathways to be activated by the visual input. It would also be possible to describe these results as being due to a reduced criterion at the expected target position. However, this description ignores important constraints about the way in which expectancy improves performance. First, when subjects are cued on each trial, they show stronger expectancy effects than when a probable position is held constant for a block, indicating the active nature of the expectancy. Second, while information on spatial position improves performance, information on the form of the stimulus does not. Third, expectancy may lead to improvements in latency without a reduction in accuracy. Fourth, there appears to be little ability to lower the criterion at two positions that are not spatially contiguous. A framework involving the employment of a limited-capacity attentional mechanism seems to capture these constraints better than the more general language of criterion setting. Using this framework, we find that attention shifts are not closely related to the saccadic eye movement system. For luminance detection the retina appears to be equipotential with respect to attention shifts, since costs to unexpected stimuli are similar whether foveal or peripheral. These results appear to provide an important model system for the study of the relationship between attention and the structure of the visual system.

对视觉信号的检测需要信息到达一个系统,该系统能够引起实验者所要求的任意反应。当受试者接收到提示信号将在视野的哪个位置出现时,检测延迟就会减少。这种效率的转变似乎是由于中央注意力系统与视觉输入激活的路径对齐(定向)。也有可能将这些结果描述为由于预期目标位置的标准降低。然而,这种描述忽略了期望提高性能的方式的重要约束。首先,当受试者在每次试验中都得到提示时,他们表现出比在一个区域内保持可能位置不变时更强的期望效应,这表明期望的主动性。第二,虽然空间位置信息能提高表现,但刺激形式信息却不能。第三,期望可以在不降低准确性的情况下改善延迟。第四,在空间上不相邻的两个位置,降低标准的能力似乎很小。一个涉及使用有限能力注意机制的框架似乎比标准设定的更一般的语言更好地捕捉到这些约束。利用这一框架,我们发现注意力转移与眼动系统并不密切相关。对于亮度检测,视网膜似乎在注意转移方面具有等电位,因为意外刺激的成本无论是中央凹还是外周都是相似的。这些结果似乎为研究注意与视觉系统结构之间的关系提供了一个重要的模型系统。
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引用次数: 0
Persistence: the role of partial reinforcement in psychotherapy. 坚持:部分强化在心理治疗中的作用。
Pub Date : 1980-06-01
J R Nation, D J Woods

Persistence, which refers to the ability of a learned behavior to survive protracted nonreinforcement (extinction), has been an overlooked dimension of clinical intervention. While persistence of newly acquired coping behavior is desired (and possibly assumed) by all psychotherapeutic procedures, few treatment programs possess features that operate to sustain responding in the face of a nonsupportive, nonreinforcing environment. The present article presents a treatment strategy designed to foster persistence based on the laboratory findings that partial reinforcement schedules produce greater resistance to extinction than continuous reinforcement schedules--a phenomenon referred to as the partial reinforcement extinction effect. The two major theories of persistence (Amsel's general theory of persistence and Capaldi's sequential theory) are discussed, and the basic principles of these models are extended to a number of therapeutic modalities including depression therapies, systemic desensitization, assertiveness training, and aversion therapy. In addition, procedural considerations including generalized and discriminated persistence are discussed.

持久性,指的是一种习得行为在长期非强化(消失)中存活的能力,一直是临床干预中被忽视的一个方面。虽然所有的心理治疗程序都希望(也可能是假设)新获得的应对行为持续存在,但很少有治疗方案具有在面对非支持性、非强化性环境时维持反应的特征。本文提出了一种旨在培养持久性的治疗策略,该策略基于实验室研究结果,即部分强化计划比连续强化计划产生更大的抗消退能力——这种现象被称为部分强化消退效应。讨论了两种主要的持久性理论(Amsel的一般持久性理论和Capaldi的顺序理论),并将这些模型的基本原理扩展到许多治疗方式,包括抑郁症治疗、系统脱敏、自信训练和厌恶治疗。此外,还讨论了包括广义持久性和判别持久性在内的程序考虑。
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引用次数: 0
Attention and the detection of signals. 注意和检测信号。
Pub Date : 1980-06-01 DOI: 10.1037/0096-3445.109.2.160
M. Posner, C. R. Snyder, B. J. Davidson
Detection of a visual signal requires information to reach a system capable of eliciting arbitrary responses required by the experimenter. Detection latencies are reduced when subjects receive a cue that indicates where in the visual field the signal will occur. This shift in efficiency appears to be due to an alignment (orienting) of the central attentional system with the pathways to be activated by the visual input. It would also be possible to describe these results as being due to a reduced criterion at the expected target position. However, this description ignores important constraints about the way in which expectancy improves performance. First, when subjects are cued on each trial, they show stronger expectancy effects than when a probable position is held constant for a block, indicating the active nature of the expectancy. Second, while information on spatial position improves performance, information on the form of the stimulus does not. Third, expectancy may lead to improvements in latency without a reduction in accuracy. Fourth, there appears to be little ability to lower the criterion at two positions that are not spatially contiguous. A framework involving the employment of a limited-capacity attentional mechanism seems to capture these constraints better than the more general language of criterion setting. Using this framework, we find that attention shifts are not closely related to the saccadic eye movement system. For luminance detection the retina appears to be equipotential with respect to attention shifts, since costs to unexpected stimuli are similar whether foveal or peripheral. These results appear to provide an important model system for the study of the relationship between attention and the structure of the visual system.
对视觉信号的检测需要信息到达一个系统,该系统能够引起实验者所要求的任意反应。当受试者接收到提示信号将在视野的哪个位置出现时,检测延迟就会减少。这种效率的转变似乎是由于中央注意力系统与视觉输入激活的路径对齐(定向)。也有可能将这些结果描述为由于预期目标位置的标准降低。然而,这种描述忽略了期望提高性能的方式的重要约束。首先,当受试者在每次试验中都得到提示时,他们表现出比在一个区域内保持可能位置不变时更强的期望效应,这表明期望的主动性。第二,虽然空间位置信息能提高表现,但刺激形式信息却不能。第三,期望可以在不降低准确性的情况下改善延迟。第四,在空间上不相邻的两个位置,降低标准的能力似乎很小。一个涉及使用有限能力注意机制的框架似乎比标准设定的更一般的语言更好地捕捉到这些约束。利用这一框架,我们发现注意力转移与眼动系统并不密切相关。对于亮度检测,视网膜似乎在注意转移方面具有等电位,因为意外刺激的成本无论是中央凹还是外周都是相似的。这些结果似乎为研究注意与视觉系统结构之间的关系提供了一个重要的模型系统。
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引用次数: 3722
Persistence: the role of partial reinforcement in psychotherapy. 坚持:部分强化在心理治疗中的作用。
Pub Date : 1980-06-01 DOI: 10.1037/0096-3445.109.2.175
J. Nation, Donald J. Woods
Persistence, which refers to the ability of a learned behavior to survive protracted nonreinforcement (extinction), has been an overlooked dimension of clinical intervention. While persistence of newly acquired coping behavior is desired (and possibly assumed) by all psychotherapeutic procedures, few treatment programs possess features that operate to sustain responding in the face of a nonsupportive, nonreinforcing environment. The present article presents a treatment strategy designed to foster persistence based on the laboratory findings that partial reinforcement schedules produce greater resistance to extinction than continuous reinforcement schedules--a phenomenon referred to as the partial reinforcement extinction effect. The two major theories of persistence (Amsel's general theory of persistence and Capaldi's sequential theory) are discussed, and the basic principles of these models are extended to a number of therapeutic modalities including depression therapies, systemic desensitization, assertiveness training, and aversion therapy. In addition, procedural considerations including generalized and discriminated persistence are discussed.
持久性,指的是一种习得行为在长期非强化(消失)中存活的能力,一直是临床干预中被忽视的一个方面。虽然所有的心理治疗程序都希望(也可能是假设)新获得的应对行为持续存在,但很少有治疗方案具有在面对非支持性、非强化性环境时维持反应的特征。本文提出了一种旨在培养持久性的治疗策略,该策略基于实验室研究结果,即部分强化计划比连续强化计划产生更大的抗消退能力——这种现象被称为部分强化消退效应。讨论了两种主要的持久性理论(Amsel的一般持久性理论和Capaldi的顺序理论),并将这些模型的基本原理扩展到许多治疗方式,包括抑郁症治疗、系统脱敏、自信训练和厌恶治疗。此外,还讨论了包括广义持久性和判别持久性在内的程序考虑。
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引用次数: 40
Facilitating Effects of a Safe Platform on Two-Way Avoidance Learning. 安全平台对双向回避学习的促进作用。
Pub Date : 1978-01-01 DOI: 10.1037//0097-7403.4.1.83
Heidar A. Modaresi
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引用次数: 20
期刊
Journal of Experimental Psychology
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