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Right versus left fully robotic live donor nephrectomy and open kidney transplantation:Does the laterality of the donor kidney really matter?

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Asian Journal of Urology 2023年第4期10卷 453-460页

作者： Brianna Ruch Deki Tsering Chandra Bhati Dhiren Kumar Muhammad Saeed Seung Duk lee Aamir Khan Daisuke Imai david Bruno Marlon Levy Adrian Cotterell Amit Sharma Hume-lee Transplant Center Virginia Commonwealth UniversityRichmondVAUSA Division of Transplant Surgery University of MarylandBaltimoreMDUSA

Objective Robotic-assisted live donor nephrectomy(LDN)is being gradually adopted across transplant *** left donor kidney is preferred over right due to anatomical factors and ease of *** aimed to study donor and recipient outcomes after robotic procurement and subsequent open implantation of right and left *** All fully robotic LDNs and their corresponding open kidney transplants performed at our center between February 2016 and December 2021 were retrospectively *** Out of 196 robotic LDN(49[right]vs.147[left]),10(5.1%)donors had intra-operative events(6.1%[right]vs.4.8%[left],p=0.71).None of the LDN required conversion to open *** operative times were comparable for the two ***(13.3%)was the most common post-operative *** was no mortality in either LDN ***,we report our outcomes on 156 recipients(39 right and 117 left allografts)excluding robotic implants,exports,and pediatric *** were no significant differences between right and left kidney recipients with respect to 1-year post-transplant patient survival(100.0%vs.98.1%,p=0.45)or graft survival(93.9%vs.97.1%,p=0.11),or delayed graft function(7.7%vs.5.1%,p=0.55).Conclusion Non-hand-assisted robotic live donor nephrectomies can be safely performed with excellent *** LDN was not associated with higher incidence of complications compared to left *** implantation of robotically procured right renal allografts was not associated with higher risk of recipient complications.

关键词： Robotics Laparoscopy Donor nephrectomy Complication Renal transplant Outcome

Neuron-to-vessel signaling is a required feature of aberrant stem cell commitment after soft tissue trauma

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Bone Research 2022年第3期10卷 615-626页

作者： Qizhi Qin Mario Gomez-Salazar Masnsen Cherief Chase A.Pagani Seungyong lee charles Hwang Robert J.Tower Sharon Onggo Yuxiao Sun Abhinav Piplani Zhao Li Sowmya Ramesh Thomas L.Clemens Benjamin Levi Aaron W.James Department of Pathology Johns Hopkins UniversityBaltimoreMD 21205USA Center for Organogenesis and Trauma Department of SurgeryUniversity of TexasSouthwesternTXUSA Department of Plastic Surgery HarvardCambridgeMA 02138USA Department of Orthopaedics Johns Hopkins UniversityBaltimoreMD 21205USA Baltimore Veterans Administration Medical Center BaltimoreMD 21201USA

The functional interdependence of nerves and blood vessels is a well-established concept during tissue morphogenesis, yet the role of neurovascular coupling in proper and aberrant tissue repair is an emerging field of interest. Here, we sought to define the regulatory relationship of peripheral nerves on vasculature in a severe extremity trauma model in mice, which results in aberrant cell fate and heterotopic ossification(HO). First, a high spatial degree of neurovascular congruency was observed to exist within extremity injury associated heterotopic ossification. Vascular and perivascular cells demonstrate characteristic responses to injury,as assessed by single cell RNA sequencing. This vascular response to injury was blunted in neurectomized mice, including a decrease in endothelial proliferation and type H vessel formation, and a downregulation of key transcriptional networks associated with angiogenesis. Independent mechanisms to chemically or genetically inhibit axonal ingrowth led to similar deficits in HO site angiogenesis, a reduction in type H vessels, and heterotopic bone formation. Finally, a combination of single cell transcriptomic approaches within the dorsal root ganglia identified key neural-derived angiogenic paracrine factors that may mediate neuron-to-vascular signaling in HO. These data provide further understanding of nerve-to-vessel crosstalk in traumatized soft tissues, which may reflect a key determinant of mesenchymal progenitor cell fate after injury.

关键词： aberrant trauma nerves

Downscaling and Disaggregating NAO-conflict Nexus in Pre-industrial Europe

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Chinese Geographical Science 2016年第5期26卷 609-622页

作者： Harry Fung lee ZHANG david Dian PEI Qing FEI Jie Department of Geography and the International Centre of China Development Studies University of Hong Kong School of Environment and Natural Resources Renmin University of China Centre for Historical Geographical Studies Fudan University

Recently, the desiccation effect of the North Atlantic Oscillation(NAO) is found to be positively correlated with violent conflict in pre-industrial Europe, with agricultural shrinkage and its subsequent economic shocks to be their causal link. However, it remains unexplored whether the correlation persists if the study period is extended backward in time, a different definition of violent conflict is applied, or the relationship is examined at lower geographic levels. In this study, we based on 835 internal disturbance incidents in Europe during 1049–1800 to conduct long-temporal and multi-scalar examination on the NAO-conflict nexus. ′Time-series′ and ′panel data′ disaggregation approaches, together with Granger Causality, Multiple Regression, and Survival Analyses were applied to verify the nexus quantitatively. Results show that the positive NAO-conflict correlation was significant at the continent and physiographic zone levels. During the positive NAO phases, the annual probability of internal disturbance outbreak increased by 70.0% in the southern Europe and the Mediterranean, a zone most affected by the NAO-induced desiccation effect. Yet, the NAO-conflict correlation was rather inconsistent when it was downscaled to the sub-regional level. Moreover, the NAO-conflict correlation was inflated under the time-series approach, while the panel data approach demonstrated the region-specific nature of the NAO forcing more clearly. The associated implications in examining climate-conflict nexus are discussed. Our findings may be crucial in examining violent conflict in the northwestern Africa, a highly agricultural region affected by the NAO.

关键词：冲突关系工业化欧洲时间序列方法北大西洋涛动干燥效果显著水平 NAO

Mesenchymal stem cell tracking in the intervertebral disc

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World Journal of Stem Cells 2015年第1期7卷 65-74页

作者： charles Handley Tony Goldschlager david Oehme Peter Ghosh Graham Jenkin The Ritchie Centre Monash Institute of Medical Research Monash University Clayton VIC 3168 Australia Department of Neurosurgery Monash Medical Centre Clayton VIC 3168 Australia Department of Neurosurgery St Vincent’s Hospital Fitzroy VIC 3065 Australia Proteobioactives Research Laboratories Brookvale NSW 2100 Australia

Low back pain is a common clinical problem, which leads to significant social, economic and public health costs. Intervertebral disc(IVD) degeneration is accepted as a common cause of low back pain. Initially, this is characterized by a loss of proteoglycans from the nucleus pulposus resulting in loss of tissue hydration and hydrostatic pressure. Conservative management,including analgesia and physiotherapy often fails and surgical treatment, such as spinal fusion, is required. Stem cells offer an exciting possible regenerative approach to IVD disease. Preclinical research has demonstrated promising biochemical, histological and radiological results in restoring degenerate IVDs. Cell tracking provides an opportunity to develop an in-depth understanding of stem cell survival, differentiation and migration, enabling optimization of stem cell treatment. Magnetic Resonance Imaging(MRI) is a non-invasive, non-ionizing imaging modality with high spatial resolution, ideally suited for stem cell tracking. Furthermore, novel MRI sequences have the potential to quantitatively assess IVD disease, providing an improved method to review response to biological treatment. Superparamagnetic iron oxide nanoparticles have been extensively researched for the purpose of cell tracking. These particles are biocompatible, non-toxic and act as excellent MRI contrast agents. This review will explore recent advances and issues in stem cell tracking and molecular imaging in relation to the IVD.

关键词： Intervertebral disc Stem cells Cell tracking Magnetic resonance imaging Intervertebral disc degeneration

Regeneration patterns of key pine species in a mixed-pine forest indicate a positive effect of variable retention harvesting and an increase in recruitment with time

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Forest Ecosystems 2020年第4期7卷 659-671页

作者： Priscilla A.Nyamai P.charles Goebel R.Gregory Corace III david M.Hix Natural Resources Management Program Grand Valley State University1 Campus DrAllendaleMI 49401USA. Department of Forest Rangelandand Fire SciencesUniversity of Idaho875 Perimeter Drive MS 1133MoscowID 83844USA. Alpena-Montmorency Conservation District 1900 M-32 WAlpenaMI 49707USA. School of Environment and Natural Resources The Ohio State University2021 Coffey RoadColumbusOH 43210USA.

Background:Many fire-dependent forests have experienced significant declines in species,structural,and functional *** changes are attributed in part to traditional management approaches that were dominated by even-aged regeneration methods such as *** retention harvesting(VRH)is an ecologically based forestry practice that involves retention of some mature overstory trees and other biological structures in the postharvest stand to emulate the effects of natural disturbance *** this study,we examined the effect of a VRH treatment on recruitment of historically dominant pine species and understory vegetation twoand six years after its implementation in a naturally regenerated mixed pine forest in the Upper Peninsula of Michigan,***:We found greater regeneration of red pine(Pinus resinosa L.)and eastern white pine(Pinus strobus L.)in VRH stands compared to the unharvested *** red pine recruitment was very low during the first 2 years,both species increased significantly from year two to year *** responses for the two species did not differ significantly between the aggregated and dispersed retention *** also found high recruitment of deciduous tree species,consisting primarily of sprouts,and red pine exhibited a negative correlation with these ***,time,and the interaction of treatment and time were significant factors in red pine *** had a strong effect on the understory vegetation,with significant decreases in shrubs and ferns over ***:The results suggest that VRH enhanced recruitment of red pine and eastern white pine and that this recruitment increased with *** identify competition from sprouts and unfavorable seedbed conditions as the main factors that limited recruitment of red pine during the first 2 *** reduce competing vegetation and improve seedbed conditions,we suggest following the VRH with a prescribed fire,mechanically removing s

关键词： Variable retention harvesting Aggregated retention Dispersed retention Mixed-pine forest Pinus resinosa Pinus strobus

A cluster-randomized trial comparing two SWITCH implementation support strategies for school wellness intervention effectiveness

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Journal of Sport and Health Science 2023年第1期12卷 87-96页

作者： Richard R.Rosenkranz Philip M.Dixon david A.Dzewaltowski Gabriella M.McLoughlin Joey A.lee Senlin Chen Spyridoula Vazou Lorraine M.Lanningham-Foster Doug A.Gentile Gregory J.Welk Department of Food NutritionDietetics&HealthKansas State UniversityManhattanKS 66506USA Department of Statistics Snedecor HallIowa State UniversityAmesIA 50011-1210USA Department of Health Promotion University of NebraskaOmahaNE 68198-4365USA Implementation Science Center for Cancer Control and Prevention Research Center Brown SchoolWashington University in St.LouisSt.LouisMO 63130USA Division of Public Health Sciences(Department of Surgery) Washington University School of MedicineWashington University in St.LouisSt.LouisMO 63130USA Department of Health Sciences University of Colorado Colorado SpringsColorado SpringsCO 80918USA Department of Kinesiology Iowa State UniversityAmesIA 50011-4008USA Department of Food Science&Human Nutrition Iowa State UniversityAmesIA 50011USA Department of Psychology Iowa State UniversityAmesIA 50011-1041USA

Background:The School Wellness Integration Targeting Child Health(SWITCH)intervention has demonstrated feasibility as an implementation approach to help schools facilitate changes in students’physical activity(PA),sedentary screen time(SST),and dietary intake(DI).This study evaluated the comparative effectiveness of enhanced(individualized)implementation and standard(group-based)***:Twenty-two Iowa elementary schools participated,with each receiving standardized training(wellness conference and webinars).Schools were matched within region and randomized to receive either individualized or group implementation *** PA,SST,and DI outcomes of 1097 students were assessed at pre-and post-intervention periods using the Youth Activity *** mixed models evaluated differential change in outcomes by condition,for comparative effectiveness,and by ***:Both implementation conditions led to significant improvements in PA and SST over time(p<0.01),but DI did not improve commensurately(p value range:0.02‒0.05).There were no differential changes between the group and individualized conditions for PA(p=0.51),SST(p=0.19),or DI(p=0.73).There were no differential effects by gender(i.e.,non-significant condition-by-gender interactions)for PA(p_(for interaction)=0.86),SST(p_(for interaction)=0.46),or DI(p_(for interaction)=0.15).Effect sizes for both conditions equated to approximately 6 min more PA per day and approximately 3 min less sedentary ***:The observed lack of difference in outcomes suggests that group implementation of SWITCH is equally effective as individualized implementation for building capacity in school wellness ***,the lack of interaction by gender suggests that SWITCH can be beneficial for both boys and *** research is needed to understand the school-level factors that influence implementation(and outcomes)of SWITCH.

关键词： Children Implementation science Obesity prevention Physical activity School health

Micromolded honeycomb scaffold design to support the generation of a bilayered RPE and photoreceptor cell construct

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Bioactive Materials 2023年第12期30卷 142-153页

作者： In-Kyu lee Ruosen Xie Agustin Luz-Madrigal Seunghwan Min Jingcheng Zhu Jiahe Jin Kimberly L.Edwards M.Joseph Phillips Allison L.Ludwig david M.Gamm Shaoqin Gong Zhenqiang Ma Department of Electrical and Computer Engineering University of Wisconsin-MadisonMadisonWI53706USA Wisconsin Institute for Discovery University of Wisconsin-MadisonMadisonWI53715USA Department of Ophthalmology and Visual Sciences University of Wisconsin-MadisonMadisonWI53705USA Department of Biomedical Engineering University of Wisconsin-MadisonMadisonWI53706USA McPherson Eye Research Institute University of Wisconsin-MadisonMadisonWI53705USA Waisman Center University of Wisconsin-MadisonMadisonWI53705USA Department of Comparative Biomedical Sciences University of Wisconsin–MadisonMadisonWI53706USA Department of Materials Science and Engineering University of Wisconsin-MadisonMadisonWI53706USA Department of Engineering Physics University of Wisconsin-MadisonMadisonWI53706USA Grainger Institute for Engineering University of Wisconsin-MadisonMadisonWI53706USA

Age-related macular degeneration(AMD)causes blindness due to loss of retinal pigment epithelium(RPE)and photoreceptors(PRs),which comprise the two outermost layers of the *** the small size of the macula and the importance of direct contact between RPE and PRs,the use of scaffolds for targeted reconstruction of the outer retina in later stage AMD and other macular dystrophies is particularly *** developed microfabricated,honeycomb-patterned,biodegradable poly(glycerol sebacate)(PGS)scaffolds to deliver organized,adjacent layers of RPE and PRs to the subretinal ***,an optimized process was developed to photocure PGS,shortening scaffold production time from days to *** resulting scaffolds robustly supported the seeding of human pluripotent stem cell-derived RPE and PRs,either separately or as a dual celllayered *** advanced,economical,and versatile scaffolds can accelerate retinal cell transplantation efforts and benefit patients with AMD and other retinal degenerative diseases.

关键词： Microfabrication Retina Scaffolds Stem cells Tissue engineering

Cluster size distribution of cancer cells in blood using stopped-flow centrifugation along scale-matched gaps of a radially inclined rail

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Microsystems & Nanoengineering 2015年第1期1卷 97-105页

作者： Macdara Glynn charles Nwankire Kate Lemass david J.Kinahan Jens Ducrée Biomedical Diagnostics Institute National Centre for Sensor ResearchSchool of Physical SciencesDublin City UniversityIreland

There is increasing evidence that,in addition to their presence,the propensity of circulating tumour cells to form multi-cellular clusters bears significant information about both cellular resistance to chemotherapy and overall *** present a novel two-stage,stopped-flow,continuous centrifugal sedimentation strategy to measure the size distributions of events(defined here as cells or clusters thereof)in a blood *** off-chip removal of red blood cells,healthy white blood cells are sequestered by *** purified events are then resolved along a radially inclined rail featuring a series of gaps with increasing width,each connected to a designated outer collection *** isolation of candidate events independent of targetspecific epitopes is successfully demonstrated for HL60(EpCAM positive)and sk-mel28(EpCAM negative)cells using identical protocols and *** propensity to form clusters was quantified for a number of cell lines,showing a negligible,moderate or elevated tendency towards cluster *** show that the occupancy distribution of the collection bins closely correlates with the range of cluster sizes intrinsic to the specific cell line.

关键词： centrifugal microfluidics lab-on-a-disc cancer diagnostics cellular clustering

Hepatobiliary scintigraphy for detecting biliary strictures after living donor liver transplantation

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World Journal of Gastroenterology 2011年第21期17卷 2626-2631页

作者： Yu Jin Kim Kyu Taek lee Young Cheol Jo Kwang Hyuck lee Jong Kyun lee Jae-Won Joh Choon Hyuck david Kwon Department of Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Department of Surgery Samsung Medical CenterSungkyunkwan University School of Medicine

AIM:To investigate the diagnostic accuracy of hepatobiliary scintigraphy(HBS) in detecting biliary strictures in living donor liver transplantation(LDLT) ***:We retrospectively reviewed 104 adult LDLT recipients of the right hepatic lobe with duct-toduct anastomosis,who underwent HBS and *** HBS results were categorized as normal,parenchymal dysfunction,biliary obstruction,or bile leakage without *** presence of biliary strictures was determined by percutaneous cholangiography or endoscopic retrograde cholangiopancreatography(ERCP).RESULTS:In 89 patients with biliary strictures,HBS showed biliary obstruction in 50 and no obstruction in 39,for a sensitivity of 56.2%.Of 15 patients with no biliary strictures,HBS showed no obstruction in 11,for a specificity of 73.3%.The positive predictive value(PPV) was 92.6%(50/54) and the negative predictive value(NPV) was 22%(11/50).We also analyzed the diagnostic accuracy of the change in bile duct *** sensitivity,NPV,specificity,and PPV were 65.2%,27.9%,80% and 95%,***:The absence of biliary obstruction on HBS is not ***,when post-LDLT biliary strictures are suspected,early ERCP may be considered.

关键词：肝移植胆道狭窄肝脏活体检测显像功能障碍