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Impact of Social Determinants of Health on Self-Perceived Resilience: An Exploratory Study of Two Cohorts of Adults with Congenital Heart Disease

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Congenital Heart Disease 2024年第1期19卷 33-48页

作者： Albert Osom Krysta S.Barton Katie Sexton lyndia Brumback Joyce P.Yi-Frazier abby R.Rosenberg Ruth Engelberg Jill M.Steiner Department of Biostatistics University of WashingtonSeattleWA98195USA Biostatistics Epidemiology and Analytics for Research(BEAR)Core Seattle Children’s Research InstituteSeattleWA98101USA College of Medicine University of WashingtonSeattleWA98195USA Center for Clinical and Translational Research Seattle Children’s Research InstituteSeattleWA98101USA Department of Psychosocial Oncology and Palliative Care Dana-Farber Cancer InstituteDepartment of MedicineBoston Children’s HospitalBostonMA02215USA Department of Pediatrics Harvard Medical SchoolBostonMA02215USA Division of Pulmonary Critical Care and Sleep MedicineDepartment of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonHarborview Medical CenterSeattleWA98104USA Division of Cardiology Department of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonSeattleWA98195USA

Social determinants of health(SDOH)affect quality of *** investigated SDOH impacts on self-perceived resilience among people with adult congenital heart disease(ACHD).Secondary analysis of data from two com-plementary studies:a survey study conducted May 2021–June 2022 and a qualitative study conducted June 2020–August *** was assessed through CD-RISC10 score(range 0–40,higher scores reﬂect greater self-perceived resilience)and interview *** and SDOH(education,employment,living situa-tion,monetary stability,ﬁnancial dependency,area deprivation index)data were collected by healthcare record review and *** used linear regression with robust standard errors to analyze survey data and performed a thematic analysis of interview *** participants(N=127)mean age was 42±14 years;51%were female,87%*** was moderate(75%)or complex(25%);41%functional class C or ***(mean 30±7)varied by monetary stability:compared to people with difﬁculty paying bills,resilience was 15.0 points higher(95%CI:6.9–23.1,ple reporting having enough money and 14.2 points higher(95%CI:5.9–22.4,p=0.001)for those reporting just enough *** participants’(N=25)mean age was 32 years(range 22–44);52%were female,72%*** was moderate(56%)or complex(44%);76%functional class C or *** discussed factors affecting resilience aligned with each of the major SDOH,prominently,economic stability and healthcare access and *** stability may be important for supporting self-perceived resi-lience in *** knowledge can inform the development of resilience interventions for this population.

关键词： Social determinants of health adult congenital heart disease resilience ﬁnancial stability

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洽洽带着外国人嗑瓜子

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商界 2024年第5期 80-82页

作者： abby 不详

据说,全世界只有五个国家的人可以熟练嗑瓜子:中国、俄罗斯、美国、土耳其、西班牙。但是有这样一个瓜子品牌,却偏偏出其不意,它把带壳的瓜子卖到那些不嗑瓜子的国家,让外国人学会了嗑瓜子。这个品牌就是“洽洽”。出海16年后,如今,洽... 详细信息

据说,全世界只有五个国家的人可以熟练嗑瓜子:中国、俄罗斯、美国、土耳其、西班牙。但是有这样一个瓜子品牌,却偏偏出其不意,它把带壳的瓜子卖到那些不嗑瓜子的国家,让外国人学会了嗑瓜子。这个品牌就是“洽洽”。出海16年后,如今,洽洽瓜子远销至东南亚、欧美等近50个国家和地区,海外营收近6亿元。

关键词：出其不意俄罗斯瓜子土耳其品牌外国人营收东南亚

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Post-transcriptional regulation of vascular endothelial growth factor: Implications for tumor angiogenesis

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World Journal of Gastroenterology 2006年第31期12卷 4937-4942页

作者： Peter S Yoo abby l Mulkeen Charles H Cha Gastrointestinal Surgery and Surgical OncologyYale School of Medicine New HavenConnecticutUnited States

Vascular endothelial growth factor （VEGF） is a potent secreted mitogen critical for physiologic and tumor angiogenesis. Regulation of VEGF occurs at several levels, including transcription, mRNA stabilization, translation, and differential cellular localization of various isoforms. Recent advances in our understanding of post-transcriptional regulation of VEGF include identification of the stabilizing mRNA binding protein, HuR, and the discovery of internal ribosomal entry sites in the 5＇UTR of the VEGF mRNA. Monoclonal anti-VEGF antibody was recently approved for use in humans, but suffers from the need for high systemic doses. RNA interference （RNAi） technology is being used in vitro and in animal models with promising results. Here, we review the literature on post-transcriptional regulation of VEGF and describe recent progress in targeting these mechanisms for therapeutic benefit.

关键词： Vascular endothelial growth factor Vascular endothelial growth hormone Post-transcriptional regulation mRNA stability HuR ElAVl Internal ribosomal entry IRES siRNA RNAi Bevacizumab

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Oesophageal and gastric varices:historical aspects,classification and grading:everything in one place

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Gastroenterology Report 2016年第3期4卷 186-195,I0001页

作者： Cyriac abby Philips Amrish Sahney Department of Hepatology Institute of Liver and Biliary SciencesNew DelhiDelhiIndia

Variceal disease and its management are of the utmost importance in the treatment of portal *** guidelines are universal for management of variceal disease in portal *** and grading systems are numerous and differ according to geographical *** this exhaustive review,the historical aspects of variceal disease,its classification and the grading systems in use are discussed,with self-explanatory tables and timelines.A better and clear understanding of the evolution of portal hypertension and variceal disease is provided.

关键词： oesophageal varices gastric varices classification portal hypertension

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Still'dwelling in the possibility'-critical update on stem cell therapy for acute on chronic liver failure

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World Journal of Stem Cells 2020年第10期12卷 1124-1132页

作者： Cyriac abby Philips Philip Augustine The liver Unit and Monarch liver lab Cochin Gastroenterology GroupErnakulam Medical CenterKochi 682025KeralaIndia Department of Gastroenterology and Advanced GI Endoscopy Cochin Gastroenterology GroupErnakulam Medical CenterKochi 682025KeralaIndia

Stem cells therapy could improve survival in patients with liver *** on stem cell therapy and related growth factors in decompensated cirrhosis has been on the forefront but has shown heterogenous *** high-quality studies have shown a lack of efficacy and *** with acute-on-chronic liver failure(AClF)are a unique group with high mortality in the short-term associated with rapid onset extrahepatic organ *** these patients,there is an urgent need to identify treatments that can improve liver cell function and mass,prevent sepsis/organ failure,ameliorate systemic inflammation,and increase transplant-free *** cells are a novel treatment in AClF but with unclear efficacy and *** this narrative review,we discuss the basics of liver regeneration in patients with AClF and update current clinical status of stem cell use in patients with AClF for improving our understanding of future directions.

关键词： Portal hypertension Regenerative therapy Mesenchymal stem cells liver failure Sepsis

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An interferometric ex vivo study of corneal biomechanics under physiologically representative loading,highlighting the role of the limbus in pressure compensation

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Eye and Vision 2020年第5期7卷 412-422页

作者： abby Wilson John Jones John RTyrer John Marshall Wolfson School of Mechanical Manufacturing and Electrical EngineeringLoughborough UniversityLoughboroughUK laser Optical Engineering ltd. DerbyshireUK Institute of Ophthalmology UCLLondonUK

Background:The mechanical properties of the cornea are complex and regionally *** paper uses an original method to investigate the biomechanics of the cornea in response to hydrostatic loading over the typical physiological range of intra-ocular pressure(IOP)fluctuations thereby increasing understanding of clinically relevant corneal biomechanical properties and their contributions to the refractive properties of the ***:Displacement speckle pattern interferometry(DSPI)was used to measure the total surface displacement of 40 porcine and 6 human corneal-scleral specimens in response to pressure variations up to 1 mmHg from a baseline of 16.5 *** specimens were mounted in a modified artificial anterior chamber(AAC)and loaded *** of high strain in response to loading were identified by comparing the displacements across different ***:The nature of the response of the corneal surface to loading demonstrated high regional topographic *** properties were shown to be asymmetrical,and deformation of the limbal and pre-limbal regions dominated these responses respectively with over 90%(N-T)and 60%(S-I)of the total maximum displacement occurring in these regions indicating *** contrast,the curvature of the central cornea remained relatively unchanged merely translating in ***:The limbal and pre-limbal regions of the cornea appear to be fundamental to the absorption of small pressure fluctuations facilitating the curvature of the central cornea to remain relatively *** differential mechanical properties of this region could have important implications for the application of corneal surgery and corneal crosslinking,warranting further investigation.

关键词： Cornea Biomechanics Interferometry limbus Topography

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Potent antiviral therapy improves survival in acute on chronic liver failure due to hepatitis B virus reactivation

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World Journal of Gastroenterology 2014年第43期20卷 16037-16052页

作者： Cyriac abby Philips Shiv Kumar Sarin Department of Hepatology Institute of Liver and Biliary SciencesNew Delhi 110070India

Acute on chronic liver failure(AClF)is a disease entity with a high mortality *** acute event arises from drugs and toxins,viral infections,bacterial sepsis,interventions(both surgical and non-surgical)and vascular events on top of a known or occult chronic liver *** secondary to reactivation of chronic hepatitis B virus is a distinct condition;the high mortality of which can be managed in the wake of new potent antiviral *** example,lamivudine and entecavir use has shown definite short-term survival benefits,even though drug resistance is a concern in the *** renoprotective effects of telbivudine have been shown in a few studies to be useful in the presence of renal *** with newer agents such as tenofovir and a combination of nucleos(t)ides is promising for improving survival in this special group of liver disease *** review describes the current status of potent antiviral therapy in patient with acute on chronic liver failure due to reactivation of chronic hepatitis B,thereby providing an algorithm in management of such patients.

关键词： Acute on chronic liver failure Chronic hepatitis B infection Reactivation of hepatitis B Flare of hepatitis B Anti-viral therapy Nucleoside analogue Nucleotide analogue

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Healthy Donor Fecal Microbiota Transplantation for Recurrent Bacterial Cholangitis in Primary Sclerosing Cholangitis-A Single Case Report

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Journal of Clinical and Translational Hepatology 2018年第4期6卷 438-441页

作者： Cyriac abby Philips Philip Augustine Nikhil Phadke The liver Unit Cochin Gastroenterology GroupP.A.A.Ernakulam Medical CentreNational Highway Bypass(NH-66)PalarivattomKochiKeralaIndia Gastroenterology Cochin Gastroenterology GroupP.A.A.Ernakulam Medical CentreNational Highway Bypass(NH-66)PalarivattomKochiKeralaIndia Molecular Cellular and Developmental BiologyGenepath DxPhadke HospitalShivajinagarPuneMaharashtraIndia

Recurrent acute bacterial cholangitis is a unique indication for liver transplantation in primary sclerosing *** present the first report on utility of healthy donor fecal transplantation for management of recurrent acute bacterial cholangitis in a primary sclerosing cholangitis *** demonstrate the striking liver biochemistry,bile acid and bacterial community changes following intestinal microbiota transplantation associated with amelioration of recurrent cholangitis.

关键词： FMT Sclerosing cholangitis Stool transplant Gut microbiome Microbiota

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less common neoplasms of the pancreas

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World Journal of Gastroenterology 2006年第20期12卷 3180-3185页

作者： abby l Mulkeen Peter S Yoo Charles Cha Department of Surgery Yale University School of Medicine New HavenCT and the VACT Healthcare SystemWest HavenCT330 Cedar StreetLH 118PO Box 208062New HavenCT06520-8062United States

Recently, there has been an increased recognition of neoplasms of the pancreas other than ductal adenocarcinorna. Although not as well studied or characterized as pancreatic adenocarcinorna there are many distinct lesions which exhibit diverse biological behaviors and varying degrees of malignancy. These lesions include： endocrine neoplasms, cystic tumors, solid pseudopapillary tumors, acinar cell carcinoma, squamous cell carcinoma, primary lymphoma of the pancreas, and metastatic lesions to the pancreas. These less common neoplasms are being diagnosed more frequently as the number and sensitivity of diagnostic imaging studies increase. This review article discusses the clinical course, diagnosis, and treatment of these less common, but quite relevant, neoplasms of the pancreas.

关键词： Pancreas Neoplasms Ductal adenocarcinoma

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Complementary and Alternative Medicine-related Drug-induced liver Injury in Asia

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Journal of Clinical and Translational Hepatology 2019年第3期7卷 263-274页

作者： Cyriac abby Philips Philip Augustine Sasidharan Rajesh Praveen Kumar Y Deepak Madhu The liver Unit and Monarch liver lab Cochin Gastroenterology GroupErnakulam Medical CentreKochiKeralaIndia Gastroenterology Cochin Gastroenterology GroupErnakulam Medical CentreKochiKeralaIndia Interventional Radiology Cochin Gastroenterology GroupErnakulam Medical CentreKochiKeralaIndia Gastroenterology Government Medical CollegeThrissurKeralaIndia Gastroenterology Aster MIMSCalicutKeralaIndia

The use of complementary and alternative medicines(CAMs)for treatment of acute and chronic diseases is on the rise world over,especially in Asian countries,and mostly in China and ***-induced liver injury(DIlI)due to CAM is increasingly reported in the literature from multiple centers all around the world and with large-number patient series published from the West,mostly based on nation-wide DIlI networks and multicenter *** DIlI networks are lacking among major Asian countries with high incidence of CAM *** medical societies dealing with drug toxicity,CAM practice and hepatobiliary disease have adopted an integrated approach to establishing identification,diagnosis and treatment of CAM-related DIlI,representing a systematic approach that could be iterated by other countries for improving patient *** this exhaustive review,we provide published data on CAM-related DIlI in Asia,with detail on incidences along with analysis of patient population and their clinical *** and clear discussion on commonly implicated CAM agents in major Asian countries and associated chemical and toxicology analyses as well as descriptions of liver biopsy findings are discussed with future directions.

关键词： CAM Herbals Ayurveda Chinese DIlI Hepatitis Cirrhosis AClF liver biopsy

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