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Biologics:how far can they go in Crohn’s disease?

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Gastroenterology Report 2022年第1期10卷 155-170页

作者： Katie A.Dunleavy darrell S.Pardi Division of Gastroenterology and Hepatology Mayo ClinicRochesterMNUSA

Crohn’s disease is a chronic gastrointestinal inflammatory disorder,characterized by episodes of relapsing and remitting *** the disease mechanism becomes better elucidated,there is a significant increase in the number of available biologic *** article summarizes and synthesizes current Food and Drug Administration-approved biological therapy for Crohn’s disease and examines the positioning of medical therapy as emerging biologics break onto the market.

关键词： Crohn’s disease medical treatment biologics anti-TNFs anti-integrins anti-interleukins JAK inhibitors S1Pinhibitors

Primary epithelial tumours of the appendix in a black population:A review of cases

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World Journal of Gastroenterology 2009年第12期15卷 1472-1474页

作者： Rondell Patrell darrell Graham Nadia Patricia Williams Kamille Aisha West Department of Pathology University Hospital of the West Indies MonaKingston 7JamaicaWest Indies

AIM： To determine the and clinical features of prevalence, histologic types primary epithelial tumours of the vermiform appendix in a predominantly black population.METHODS： All cases of primary tumours of the appendix identified by review of the histopathology records at the University of the West Indies between January 1987 and June 2007 were selected. Relevant pathologic and clinical data were extracted with supplementation from patient charts where available. Non-epithelial tumours were excluded. The total number of appendectomy specimens over the period was also ascertained.RESULTS： Forty-two primary epithelial tumours were identified out of 6 824 appendectomies yielding a prevalence rate of approximately 0.62%. Welldifferentiated neuroendocrine cell tumours （carcinoids, 47.6%） and benign non-endocrine cell tumours （adenomas, 45.2%） were most common with nearly equal frequency. The median age was 43 years, with no sex predilection. Carcinoid tumours occurred in younger patients （mean age 32 years）, with a male-to-female ratio of 1.2：1. A clinical diagnosis of acute appendicitis was the most common reason for appendectomy （57.1%） and was histologically confirmed in 75% （18 of 24） of cases. In total, 16.7% of cases were diagnosed after incidental appendectomy.CONCLUSION： Appendiceal epithelial tumours are rare in our experience, and are represented principally by carcinoid turnours and adenornas. Carcinoid tumours occurred in younger patients but were slightly more common in men than women. Tumours were not suspected clinically and were diagnosed incidentally in specimens submitted for acute appendicitis supporting the need for histological evaluation in all resection specimens.

关键词： Epithelial tumours Appendiceal tumours Carcinoid Adenoma Appendicitis

Outcomes in children with Clostridium difficile infection:results from a nationwide survey

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Gastroenterology Report 2016年第4期4卷 293-298,I0002页

作者： Arjun Gupta darrell S Pardi Larry M Baddour Sahil Khanna Divisions of Infectious Diseases Mayo ClinicRochesterMNUSA Divisions of Gastroenterology and Hepatology Mayo ClinicRochesterMNUSA Department of Internal Medicine University of Texas Southwestern Medical CenterDallasTXUSA

Objective:Hospital-and population-based studies demonstrate an increasing incidence of Clostridium difficile infection(CDI)in adults and children;although pediatric CDI outcomes are incompletely *** analysed United States National Hospital Discharge Survey(NHDS)data to study CDI in hospitalized ***:NHDS data for 2005–2009(demographics,diagnoses and discharge status)were obtained;cases and comorbidities were identified using ICD-9 *** univariate and multivariate analyses were performed to ascertain incidence of CDI;associations between CDI and outcomes[length of stay(LOS),colectomy,all-cause in-hospital mortality and discharge to a care facility(DTCF)].Results:Of an estimated 13.8 million pediatric inpatients;46176 had CDI;median age was 3 years;overall incidence was 33.5/10000 *** annual frequency of CDI did not vary from 2005 to 2009(0.24–0.43%;P=0.64).On univariate analyses,children with CDI had a longer median LOS(6 vs 2 days),higher rates of colectomy[odds ratio(OR)2.0;95%confidence interval(CI)1.7–2.4],mortality(OR 2.5;95% CI 2.3–2.7),and DTCF(OR 1.6;95% CI 1.6–1.7)(all P<0.0001).After adjusting for age,sex and comorbidities,CDI was an independent and the strongest predictor of increased LOS(adjusted mean difference,6.4 days;95% CI 5.4–7.4),higher rates of colectomy(OR 2.1;95% CI 1.8–2.5),mortality(OR 2.3;95% CI 2.2–2.5),and DTCF(OR 1.7;95% CI 1.6–1.8)(all P<0.0001).On excluding infants from the analysis,children with CDI had higher rates of mortality,DTCF and longer LOS than children without ***:Despite increased awareness and advancements in management,CDI remains a significant problem and is associated with increased LOS,colectomy,in-hospital mortality and DTCF in hospitalized children.

关键词： Clostridium difficile infection children pediatric outcomes epidemiology

Recent laser upgrades at Sandia's Z-backlighter facility in order to accommodate new requirements for magnetized liner inertial fusion on the Z-machine

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High Power Laser Science and Engineering 2016年第4期4卷 1-12页

作者： Jens Schwarz Patrick Rambo darrell Armstrong Marius Schollmeier Ian Smith Jonathan Shores Matthias Geissel Mark Kimmel John Porter Sandia National Laboratories

The Z-backlighter laser facility primarily consists of two high energy, high-power laser systems. Z-Beamlet laser(ZBL)(Rambo et al., Appl. Opt. 44, 2421(2005)) is a multi-kJ-class, nanosecond laser operating at 1054 nm which is frequency doubled to 527 nm in order to provide x-ray backlighting of high energy density events on the Z-machine. Z-Petawatt(ZPW)(Schwarz et al., J. Phys.: Conf. Ser. 112, 032020(2008)) is a petawatt-class system operating at 1054 nm delivering up to 500 J in 500 fs for backlighting and various short-pulse laser experiments(see also Figure 10 for a facility overview). With the development of the magnetized liner inertial fusion(MagLIF) concept on the Z-machine, the primary backlighting missions of ZBL and ZPW have been adjusted accordingly. As a result, we have focused our recent efforts on increasing the output energy of ZBL from 2 to 4 kJ at 527 nm by modifying the fiber front end to now include extra bandwidth(for stimulated Brillouin scattering suppression). The MagLIF concept requires a well-defined/behaved beam for interaction with the pressurized fuel. Hence we have made great efforts to implement an adaptive optics system on ZBL and have explored the use of phase plates. We are also exploring concepts to use ZPW as a backlighter for ZBL driven MagLIF experiments. Alternatively, ZPW could be used as an additional fusion fuel pre-heater or as a temporally flexible high energy pre-pulse. All of these concepts require the ability to operate the ZPW in a nanosecond long-pulse mode, in which the beam can co-propagate with ZBL. Some of the proposed modifications are complete and most of them are well on their way.

关键词： adaptive optics high energy lasers MagLIF OPCPA petawatt lasers SBS suppression

Groundwater Geochemistry 2005

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Mastering the Interview

2005年

作者： Broder J. Merkel Britta Planer-Friedrich darrell K. Nordstrom

来源：畅想之星图书光盘版（南... 评论

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空中英语教室（高级版．彭蒙惠英语） 2009年第10期 15-16页

作者： darrell Smith

Association between hereditary hemochromatosis and hepatocellular carcinoma: a comprehensive review

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Hepatoma Research 2020年第3期6卷 1-14页

作者： Aparna Jayachandran Ritu Shrestha Kim R.Bridle darrell H.G.Crawford The University of Queensland Faculty of MedicineBrisbaneQLD 4006Australia Gallipoli Medical Research Institute Greenslopes Private HospitalBrisbaneQLD 4120Australia

Hepatocellular carcinoma(HCC)is a significant global health problem with high morbidity and *** incidence is increasing exponentially worldwide with a close overlap between annual incidence and death *** though significant advances have been made in HCC treatment,fewer than 20%of patients with HCC are suitable for potentially curative *** hemochromatosis(HH)is an important genetic risk factor for *** is an autosomal recessive disorder of iron metabolism,characterised by elevated iron deposition in most organs including the liver,leading to progressive organ *** is a complication of HH,nearly always occurring in patients with cirrhosis and contributes to increased mortality *** the susceptibility of development of HCC in HH patients has gained much *** review summarises the current knowledge with regard to the association of HH and HCC in order to encourage further *** this review,we focus particularly on HFE gene-related ***,we highlight and discuss emerging clinical research which addresses the prevalence of HCC in HH patients and the coincidence of HH with other risk factors for HCC *** also focus on the therapeutic tools in the management of HCC associated with HH.

关键词： Hepatocellular carcinoma hereditary hemochromatosis HFE gene C282Y mutation H63D mutation liver cirrhosis

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Friendship

语言教育 1992年第7期 28-30页

作者： darrell Sifford 李俊

A high school teacher once toldus, 'If you make one close friend inschool, you will be most fortunate. Atrue friend is someone who stays with you for life.'Experience teaches that he was right. Good friendshipsare jus... 详细信息

关键词： friend someone Friendship dreams 南卡罗来纳州 Carolina something bilateral feeling answer

Interleukin-7 Receptor Signaling Network:An Integrated Systems Perspective

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Cellular & Molecular Immunology 2008年第2期5卷 79-89页

作者： Megan J. Palmer Vinay S. Mahajan Lily C. Trajman darrell J. Irvine Douglas A.Lauffenburger Jianzhu Chen Department of Biological Engineering Koch Institute for Integrative Cancer Research and Department of Biology Massachusetts Institute of Technology Cambridge MA 02139 USA

Interleukin-7 （IL-7） is an essential cytokine for the development and homeostatic maintenance of T and B lymphocytes. Binding of IL-7 to its cognate receptor, the IL-7 receptor （IL-7R）, activates multiple pathways that regulate lymphocyte survival, glucose uptake, proliferation and differentiation. There has been much interest in understanding how IL-7 receptor signaling is modulated at multiple interconnected network levels. This review examines how the strength of the signal through the IL-7 receptor is modulated in T and B cells, including the use of shared receptor components, signaling crosstalk, shared interaction domains, feedback loops, integrated gene regulation, multimerization and ligand competition. We discuss how these network control mechanisms could integrate to govern the properties of IL-7R signaling in lymphocytes in health and disease. Analysis of IL-7 receptor signaling at a network level in a systematic manner will allow for a comprehensive approach to understanding the impact of multiple signaling pathways on lymphocyte biology. Cellular ＆ Molecular Immunology.

关键词： IL-7 receptor cytokine signaling network systems biology modeling