scispace - formally typeset
Search or ask a question
Institution

University of Nevada, Reno

EducationReno, Nevada, United States
About: University of Nevada, Reno is a education organization based out in Reno, Nevada, United States. It is known for research contribution in the topics: Population & Poison control. The organization has 13561 authors who have published 28217 publications receiving 882002 citations. The organization is also known as: University of Nevada & Nevada State University.


Papers
More filters
Journal ArticleDOI
TL;DR: An early increased VT risk is associated with use of estrogen, especially within the first 2 years, but this risk increase is less than that for estrogen plus progestin.
Abstract: Background: Postmenopausal hormone therapy has been associated with a 2- to 3-fold increased risk of venous thromboembolism (VT) (including deep vein thrombosis and pulmonary embolism) in observational studies and secondary prevention clinical trials. Clinical trial data on the effects of estrogen alone on VT are limited. Methods: The Women’s Health Initiative estrogen trial enrolled 10 739 women aged 50 to 79 years without a uterus. Participants were randomly assigned to receive conjugated equine estrogen (0.625 mg/d) or placebo. Results: During a mean of 7.1 years, VT occurred in 111 women randomly assigned to receive estrogen (3.0 per 1000 person-years) and 86 randomly assigned to receive placebo (2.2 per 1000 person-years; hazard ratio, 1.32; 95% confidence interval, 0.99-1.75). Deep venous thrombosis was reported in 85 women randomly assigned to receive estrogen (2.3 per 1000 person-years) and 59 randomly assigned to receive placebo (1.5 per 1000 person-years; hazard ratio, 1.47; 95% confidence interval, 1.06-2.06). The VT risk was highest in the first 2 years. There were no significant interactions between estrogen use and age, body mass index, or most other VT risk factors. Comparison of Women’s Health Initiative VT findings for estrogen and previous Women’s Health Initiative findings for estrogen plus progestin showed that the hazard ratios for estrogen plus progestin were significantly higher than those for estrogen alone (P=.03), even after adjusting for VT risk factors. Conclusion: An early increased VT risk is associated with use of estrogen, especially within the first 2 years, but this risk increase is less than that for estrogen plus progestin. Arch Intern Med. 2006;166:772-780

184 citations

Journal ArticleDOI
TL;DR: Overall, therapists with limited training in both models got better results with ACT and the processes of change fit with the ACT model, compared with CBT, which remained predictive when controlling for self-confidence but not vice versa.
Abstract: The present study compares the impact of individualized treatment provided by trainee therapists based on a traditional cognitive behavior therapy (CBT) and acceptance and commitment therapy (ACT) model. Fourteen therapists were given initial training in CBT and ACT. Outpatients (N = 28) were randomized to either approach, with each therapist treating one client within each model, linked to a functional analysis. Clients treated within an ACT model showed better symptom improvement than the CBT clients, despite the fact that students felt initially less knowledgeable about ACT and were more fearful throughout when it was used. CBT improved client self-confidence more rapidly than ACT, and ACT improved acceptance more than CBT. Both processes predicted better outcomes; acceptance remained predictive when controlling for self-confidence but not vice versa. Overall, therapists with limited training in both models got better results with ACT and the processes of change fit with the ACT model.

184 citations

Journal ArticleDOI
TL;DR: Data suggest that either the post‐junctional mechanisms responsible for receiving and transducing neurotransmitter signals are specifically expressed by ICC, or that the large extracellular spaces typically between nerve terminals and smooth muscle cells may not allow effective concentrations of neurotransmitters to reach receptors expressed by smoother muscle cells.
Abstract: For many years morphologists have noted the close relationship between interstitial cells of Cajal (ICC) and nerve fibers within the tunica muscularis of gastrointestinal (GI) organs. These observations led to speculations about a role for ICC in mediating neural inputs to the GI tract. Immunohistochemical and functional studies demonstrated the presence of receptors for the neurotransmitters utilized by enteric motor neurons, and changes in second messengers in ICC after field stimulation of intrinsic enteric neurons showed that ICC were functionally innervated in GI muscles. Recent double labeling experiments have shown that both excitatory and inhibitory enteric motor neurons are closely associated with ICC in the deep muscular plexus (IC-DMP) of the small intestine and intramuscular ICC (IC-IM) of the proximal and distal GI tract. Enteric motor neurons form synaptic-like structures with IC-IM and IC-DMP. Far fewer close contacts are found between enteric motor neurons and smooth muscle cells. Experiments on W/W(V) mutants that lack IC-IM in the stomach, lower esophageal sphincter, and pylorus have shown that these ICC are critical components of the neuromuscular junction. Cholinergic excitatory and nitrergic inhibitory neurotransmission are severely decreased in tissues lacking IC-IM, yet there is no loss of cholinergic or nitrergic neurons in W/W(V) mutants. These data suggest that either the post-junctional mechanisms responsible for receiving and transducing neurotransmitter signals are specifically expressed by ICC, or that the large extracellular spaces typically between nerve terminals and smooth muscle cells may not allow effective concentrations of neurotransmitters to reach receptors expressed by smooth muscle cells. These findings indicate an important role for certain classes of ICC in enteric neurotransmission and predict that loss of ICC in human motor disturbances may significantly compromise neural regulation of GI motility.

184 citations

Journal ArticleDOI
TL;DR: In this article, the authors used HMM spectra to identify monohydrated and polyhydrated sulfate (PHS) outcrops of layered material on the bright mounds.
Abstract: [1] Juventae Chasma contains four light-toned sulfate-bearing mounds (denoted here as A–D from west to east) inside the trough, mafic outcrops at the base of the mounds and in the wall rock, and light-toned layered deposits of opal and ferric sulfates on the plateau. Hyperspectral visible/near-infrared Compact Reconnaissance Imaging Spectrometer for Mars (CRISM) spectra were used to identify monohydrated and polyhydrated sulfate (PHS) outcrops of layered material on the bright mounds. Most of the monohydrated sulfate signatures closely resemble those of szomolnokite (FeSO4·H2O), characterized by a water band near 2.08 μm, while some areas exhibit spectral features more similar to those of kieserite (MgSO4·H2O), with a band centered closer to 2.13 μm. The largest PHS outcrops occur on the top of mound B, and their spectral features are most consistent with ferricopiapite, melanterite, and starkeyite, but a specific mineral cannot be uniquely identified at this time. Coordinated analyses of CRISM maps, Mars Orbiter Laser Altimeter elevations, and High Resolution Imaging Science Experiment images suggest that mounds A and B may have formed together and then eroded into separate mounds, while mounds C and D likely formed separately. Mafic minerals (low-Ca pyroxene, high-Ca pyroxene, and olivine) are observed in large ∼2–10 km wide outcrops in the wall rock and in smaller outcrops ∼50–500 m across at the floor of the canyon. Most of the wall rock is covered by at least a thin layer of dust and does not exhibit strong features characteristic of these minerals. The plateau region northwest of Juventae Chasma is characterized by an abundance of light-toned layered deposits. One region contains two spectrally unique phases exhibiting a highly stratified, terraced pattern. CRISM spectra of one unit eroded into swirling patterns with arc-like ridges exhibit a narrow 2.23-μm band assigned to hydroxylated ferric sulfate. A thin layer of a fractured material bearing an opaline silica phase is observed at the contact between the older plateau unit and the younger hydroxylated ferric sulfate-bearing light-toned layered deposits. Hydrothermal processes may have produced an acidic environment that fostered formation of the hydrated silica and hydroxylated ferric sulfate units.

184 citations

Journal ArticleDOI
TL;DR: The traditional emphasis in training has been to immerse trainees in linical environments for a prolonged period of time, but the doctrine of learning primarily through supervised care experiences has been superseded by efforts to teach in onclinical environments.

184 citations


Authors

Showing all 13726 results

NameH-indexPapersCitations
Robert Langer2812324326306
Thomas C. Südhof191653118007
David W. Johnson1602714140778
Menachem Elimelech15754795285
Jeffrey L. Cummings148833116067
Bing Zhang121119456980
Arturo Casadevall12098055001
Mark H. Ellisman11763755289
Thomas G. Ksiazek11339846108
Anthony G. Fane11256540904
Leonardo M. Fabbri10956660838
Gary H. Lyman10869452469
Steven C. Hayes10645051556
Stephen P. Long10338446119
Gary Cutter10373740507
Network Information
Related Institutions (5)
Pennsylvania State University
196.8K papers, 8.3M citations

95% related

University of Minnesota
257.9K papers, 11.9M citations

94% related

University of Florida
200K papers, 7.1M citations

94% related

Rutgers University
159.4K papers, 6.7M citations

94% related

Texas A&M University
164.3K papers, 5.7M citations

94% related

Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
202368
2022222
20211,756
20201,743
20191,514
20181,397