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Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

為了解決Sheep的問題，作者 這樣論述：

Eduardo M. da Cruz is the Associate Medical Director of the Heart Institute, Head of the Pediatric Cardiac Critical Care Program and Director of the Cardiac Intensive Care Section and Inpatient Services at Children’s Hospital Colorado, University of Colorado Denver, School of Medicine. He has had an

international life career in Portugal, Costa Rica, France, United Kingdom, Switzerland and the United States of America. He trained in Medicine and then in Pediatrics at the Universidad de Costa Rica and the Hospital Nacional de Niños in San José, Costa Rica, and then pursued a fellowship in pediat

ric cardiology and intensive care in Paris, France (Hôpital Necker-Enfants Malades, Université René Descartes-Paris V- La Sorbonne). After completing his training, Eduardo stayed in Europe as an attending physician until 2007, when he joined the cardiovascular team at Children’s Hospital Colorado in

Denver, USA, where he currently holds the title of Tenured Professor of Pediatrics, Pediatric Cardiology & Intensive Care. He has close to 30 years of experience in the medical and perioperative management of neonates, children and young adults with complex congenital or acquired heart disease, inc

luding heart transplant, mechanical assistance and quality improvement, safety, clinical effectiveness, stewardship, and crew resource management. He is actively involved in clinical and translational research and teaching in the fields of pediatric cardiology and cardiac intensive care, has deliver

ed close to 300 international lectures, and is a reviewer for 28 peer-reviewed journals, and the Editor or Co-Editor of eight CICU textbooks, including the reference entitled Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care (Springer-Verlag UK), a major textbook and e-book/e-r

eference with 6 volumes and close to 4000 pages (Editor-in-Chief) and the first Textbook dedicated to the Intensive Care of Adults with Congenital Heart Disease (Editor-in-Chief). He has published 80 book chapters and more than 100 manuscripts in peer-reviewed journals. He is the Emeritus Founder of

the Working Group on Pediatric Cardiac Intensive Care of the Association for the European Pediatric and Congenital Cardiology (AEPC), Past-Chair and founder of the Section on Pediatric and Congenital Cardiac Intensive Care & Mechanical Circulatory Support of the European Society of Pediatric and Ne

onatal Intensive Care (ESPNIC), a former Board Member of the Congenital Domain of the European Association for Cardio-Thoracic Surgery (EACTS), member of the Society of Pediatric Research (SPR), the European Society of cardiology (ESC) and of multiple other international Societies. Eduardo da Cruz i

s also an Expert Reviewer for the European Commission Horizon 2020 Project, and the President and Chair of the Board of Surgeons of Hope Foundation, a United Nations-affiliated Non-Governmental Organization based in New York, USA. In 2019, he was the recipient of the American College of Cardiology D

istinguished Service Award.Dr. Dunbar Ivy began his medical career at Tulane University School of Medicine following his premedical studies at Davidson College. While at Tulane, he became excited about a career in Pediatric Cardiology under the mentorship of Dr Arthur Pickoff. He then obtained train

ing in General Pediatrics at the University of Colorado School of Medicine in Denver, Colorado. Early mentors in Pediatric Cardiology included Drs. Michael Schaffer and Henry Sondheimer. Interest in altitude related illness and pulmonary hypertension in congenital heart disease were fostered by Dr R

obert Wolfe on the clinical side and Drs Steve Abman and John Kinsella in the fetal sheep laboratory while a fellow in Pediatric Cardiology at the University of Colorado. Following fellowship, he became a research instructor under the guidance of Dr Mark Boucek, who encouraged him to pursue a career

as a clinician scientist. During his time as a Bugher fellow, he obtained early grants from the March of Dimes and American Heart Association regarding the role of endothelin in the perinatal pulmonary circulation. This work transitioned into a National Institutes of Health K-08 award to continue t

o study molecular derangements in the endothelin pathway in models of pulmonary hypertension. In 2003 Dr Ivy took the position of Chief of Pediatric Cardiology and Selby’s Chair of Pediatric Cardiology. His research focus became more clinical and translational. As Director of the Pediatric Pulmonary

Hypertension Program, he began early clinical studies of medical therapy in children, including the use of intravenous epoprostenol, subcutaneous treprostinil, and oral bosentan. He began to work with Dr Robin Shandas regarding measurement of right ventricular afterload in children with pulmonary h

ypertension in an NIH sponsored Specialized Centers of Clinically Oriented Research grant headed by Dr Kurt Stenmark. Further work on ventricular vascular coupling has continued with NIH funding. Dr Ivy was the inaugural Chairman of the first Pediatric Pulmonary Hypertension taskforce at the World S

ymposium of Pulmonary Hypertension in Nice, France in 2013. Dr. Ivy is a member of multiple societies, and has published over 250 peer reviewed manuscripts.Dr. James Jaggers was born and raised in Western Nebraska. He completed medical school at the University of Nebraska Medical Center in Omaha Neb

raska. He then completed General Surgery at the Oregon Health Sciences University in Portland Oregon and Thoracic Surgery training at the University of Colorado Health Sciences Center in Denver, where he also completed a Pediatric Cardiac Surgery Fellowship at The Childrens Hospital In Denver. From

there, his first Faculty position was as assistant professor of Surgery at Duke University Medical Center where he rose to the rank of Associate Professor with tenure and Chief of Pediatric Cardiac Surgery and Director of the Duke Pediatric Heart Institute. During his time as chief of Pediatric Card

iac Surgery at Duke, Dr. Jaggers directed the pediatric cardiovascular surgery laboratory and mentored many research fellows. He was principal and co-principal investigator on two basic Science NIH grants and one Pediatric Heart Network NHLBI sponsored multicenter study. In 2010, Dr. Jaggers moved t

o the University of Colorado and Children’s Hospital Colorado where he is now the Barton Elliman Chair of Congenital Cardiac Surgery and Professor of Surgery. Dr. Jaggers’s Clinical focus is in all areas of Congenital Cardiac Surgery including complex neonatal repairs, single ventricle surgery, hear

t transplantation and surgery for connective tissue disorders. He has special interest in quality, safety and effective care for children. He is also the program director for the University of Colorado’s Congenital cardiac surgery training program. His research interests include Stem cell delivery t

o improve heart function in children with complex congenital heart disease, and laboratory research in investigation into the protein signaling of aortic stenosis and uncompensated cardiac hypertrophy and myocardial dysfunction. Dr. Jaggers is a member of multiple Societies, and has published over 1

40 peer reviewed manuscripts, published 30 book chapters and is a reputed national and international educator and lecturer.

Sheep進入發燒排行的影片

有限元素法模擬醫療元件周圍之細胞行為：以骨釘與水膠為例

為了解決Sheep的問題，作者鄭厚雍 這樣論述：

近年來，牙釘和水膠在臨床醫療上被廣泛地研究與討論，故本論文選擇這兩種醫療元件作為研究對象。(1) 牙釘：牙釘的幾何結構經研究證實會大幅地影響骨整合與骨癒合。然而，尋找一個具最佳幾何結構的牙釘是十分費時的。因此，本論文提出一套結合深度學習網路、細胞分化理論、隨機森林演算法與基因演算法的牙釘結構最佳化設計系統。其能夠在2.5秒內預測牙釘周圍的細胞分化情形，並基於螺紋間骨釘和骨頭的接觸長度以及骨頭長入的面積比來最佳化骨釘的骨癒合能力。經過基因演算法的多次迭代後，研究成功取得具優秀骨整合效率的最佳化牙釘，其結構的特色主要為牙釘中上段部分不具有明顯的螺紋結構。(2) 水膠：由於高生物相容性

、與天然細胞相似的材料性質，使得合成水膠被大量應用於組織工程中。但是水膠基板的外觀設計與受到之力學刺激會對其內部細胞的遷移行為有極大的影響，這使得水膠基板的細胞行為研究就顯得格外重要。本論文藉由有限元素軟體Abaqus探討水膠的拉伸應力、應變，以及觀察水膠局部區域的細胞移動行為。前者的研究成功呈現與實驗水膠基板相同的形變過程，並發現細胞的移動行為與水膠的應力分布有關。而後者的研究則利用Abaqus中的光滑粒子流體動力學模型，成功展現水膠中不同區域的細胞會有不同移動與聚散行為的現象。

Investigators: Agents of S.U.I.T. 1

為了解決Sheep的問題，作者Green, John Patrick,Hastings, Christopher 這樣論述：

The world of John Green’s kid-favorite InvestiGators series expands with the first volume of AGENTS OF S.U.I.T., a brand-new spinoff shining a light on some of Mango and Brash’s colorful coworkers.Cilantro the Chameleon finally gets what she’s been waiting for: a field assignment. Only...it’s lit

erally out in the middle of a field, and her orders are so vague, she can hardly tell what she’s supposed to be investigating. But as she begins to uncover a sheep-led worker’s rights revolt and an alien invasion conspiracy--not to mention a spooky haunting at the abandoned S.U.I.T. field outpost--C

ilantro steps into her own V.E.S.T. as a valued member of the team. Joining this series is co-writer Chris Hastings and artist Pat Lewis, with John heavily involved in guiding the Agents along this standalone but complementary saga.

L-半胱胺酸在體內和體外實驗對順鉑引起男性生殖之損傷影響

為了解決Sheep的問題，作者陳儀滋 這樣論述：

臨床常見治療癌症之化療藥物Cisplatin (CIS)造成睪丸功能障礙之副作用會影響男性生殖功能。睪丸內細胞因氧化壓力增加會促使發炎反應，細胞走向凋亡損傷，亦會發生精子生成異常，最終造成睪丸功能性受損。而L-半胱胺酸 (L-cysteine, CYS)因具有強大抗氧化、抗發炎等功效，但至今對男性生殖影響之相關機制研究尚未明確證實，故本研究目的為考慮臨床輔助治療之應用，以體內及體外模式探討CYS對CIS造成男性生殖損傷之相關改善效應。體外實驗利用TM3及TM4小鼠睪丸細胞株，以MTS試驗及結晶紫染色測定細胞存活率，以Western blot測定血睪障壁、發炎及細胞凋亡相關蛋白表現。結果顯示，

CYS可顯著恢復CIS誘導TM3及TM4細胞存活率，並減少Caspase3、PARP、Bax凋亡相關蛋白表現，同時降低TM3細胞NLRP3及COX2發炎相關蛋白表現，且增加TM4細胞ZO-1結構蛋白表現。亦以CIS建立誘導睪丸損傷之動物模式，實驗期21天後，發現CYS可顯著降低睪丸組織及精子結構損傷，維持血清睪固酮濃度，恢復精子存活狀態，並且減少睪丸PARP蛋白表現。因此，本研究表明L-cysteine可改善Cisplatin對男性生殖之不利影響，顯示L-cysteine具有輔助臨床Cisplatin藥物治療下對男性生殖功能損傷之保護潛力。