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Open Journal of Gastroenterology 2013年第1期3卷 1-4页

作者： Ch.istoph.r M. Moore George Beh.ens h.ctor Ferral david h. van thiel Section of h.patology Department of Medicine Rush University Medical Center Chicago USA Section of Interventional Radiology Department of Radiology Rush University Medical Center Chicago USA

A transjugular intrah.patic portal-systemic sh.nt (TIPS) is a standard way to decompress th. portal system in cirrh.tic patients as a bridge to orth.topic liver transplantation (OLT). Traditionally, TIPS h.s been indicated for certain portal h.pertensive sequelae such.as refractory ascites, varices treatment and even h.pato-h.droth.rax. h.rein is a case report on th. efficacy of TIPS in an OLT ineligible patient with.primary biliary cirrh.sis and aplastic anemia wh. h.d developed refractive ascites requiring serial paracentesis and esoph.geal varices. h. survived 2.5 years post-TIPS placement and died from complications related to severe leucopenia and th. development of sepsis.

关键词： Aplastic Anemia Ascites Liver Transplantation Paracentesis TIPS

Colonic perforation with.duodenal-colic fistula formation by a biliary stent in a liver transplant recipient

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Open Journal of Gastroenterology 2012年第2期2卷 91-92页

作者： Ch.istoph.r M. Moore Raza h.mdani h.ctor Ferral david h. van thiel Advanced Gastroenterology Yorkville USA Section of h.patology Rush University Medical Center Chicago USA Section of Radiology Rush University Medical Center Chicago USA

Endoscopic retrograde ch.langio-pancreatograph. (ERCP) is increasing utilized in th. setting of liver transplantation for a number of post-operative related biliary issues. Alth.ugh.ERCP represents an excellent tech.ology, it is not with.ut attendant risk including sepsis, bleeding and perforation. In th.s case report, th. first of its kind, is described th. occurrence of a migrated biliary stent induced duodenal-colic fistula formation in a liver transplantation patient wh. h.d required dual biliary stenting given post-operative biliary structuring. Th. placement of dual stents and th.ir size are likely implicated in th. cause of perforation. Th. enteric anatomy and th. medical immunosuppression likely contributed to a delay in diagnosis and worse outcome.

关键词： Biliary Stent Colonic Perforation Duodenal-Colic Fistula h.patitis C Virus Orth.topic Liver Transplant

h.gh.Dose Intra-Dermal h.patitis B Vaccine in a Liver Transplant Patient Wh. Failed Prior Intramuscular Vaccination: A Brief Case Report

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World Journal of Vaccines 2013年第1期3卷 16-18页

作者： Sonu Dh.llon Kartik Sampath.Ch.istoph.r M. Moore Anil Dosanjh.david h. van thiel Division of Gastroenterology and h.patology Saint Francis Medical Center Peoria USA Divison of Digestive Diseases Rush University Medical Center Chicago USA University of California Davis USA

h.patitis B virus (h.V) ch.onic infection represents a significant cause of morbidity and mortality worldwide. Wh.le traditional intramuscular (IM) h.V vaccination is an excellent meth.d for robust and sustained seroconversion in h.alth. individuals, its efficacy in ch.onic liver disease is sub-optimal and scant data exists in th. post-liver transplant state. Importantly, h.V complications are even more severe in th.se same immunocompromised populations. Intra-dermal (ID) vaccination h.s sh.wn initial promise as a successful alternative to ach.eving h.V seroconversion in patients refractory to standard vaccination protocols. h.rein is a case report of a 61 year-old female wh. underwent liver transplantation for ch.onic h.V infection and ach.eved h.sAg seroconversion with.a robust h.sAb titer with.ID vaccination after h.ving failed both.standard and double dose IM vaccination.

关键词： h.patitis B Virus Intra-Dermal Vaccination Orth.topic Liver Transplant

Impact of pre- and peri-operative risk factors on length.of stay and h.spital readmission following minimally-invasive partial neph.ectomy

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Asian Journal of Urology 2024年第1期11卷 72-79页

作者： vanessa A.Lukas Rah.l Dutta Ash.k K.h.mal Matvey Tsivian Timoth. E.Craven Nich.las A.Deebel david D.thiel Ram Anil Path.k Brigh.m and Women's h.spital Division of UrologyDepartment of Surgery75 Francis StreetBostonMAUSA Atrium h.alth.Wake Forest Baptist Medical Center Department of Urology1 Medical Center BlvdWinston-SalemNCUSA Mayo Clinic Florida Department of Urology4500 San Pablo RoadJacksonvilleFLUSA

Objective:We conducted an analysis of th. American College of Surgeons National Surgical Quality Improvement Program database for minimally-invasive partial neph.ectomy cases reported with.th. goal to identify pre-and peri-operative variables associated with.length.of stay(LOS)greater th.n 3 days and readmission with.n 30 ***:Records from 2008 to 2018 for“laparoscopy,surgical;partial neph.ectomy”for prolonged LOS and readmission coh.rts were *** analysis with.Ch.-square,t-tests,and multivariable logistic regression analysis with.odds ratios(ORs),p-values,and 95%confidence intervals assessed statistical ***:Totally,20306 records for LOS greater th.n 3 days and 15854 for readmission with.n 30 days were *** and multivariable analysis exh.bited similar *** LOS greater th.n 3 days,undergoing non-elective surgery(OR=5.247),transfusion of greater th.n four units with.n 72 h.prior to surgery(OR=5.072),pre-operative renal failure or dialysis(OR=2.941),and poor pre-operative functional status(OR=2.540)exh.bited th. strongest statistically significant *** h.spital readmission with.n 30 days,loss in body weigh. greater th.n 10%in 6 month. prior to surgery(OR=2.227)and bleeding disorders(OR=2.081)exh.bited strongest statistically significant ***:Multiple pre-and peri-operative risk factors are independently associated with.prolonged LOS and h.spital readmission with.n 30 days of surgery using th. American College of Surgeons National Surgical Quality Improvement Program *** th. risks factors th.t can potentially be improved prior to minimally-invasive partial neph.ectomy is crucial to informing patient selection,optimization strategies,and patient education.

关键词： Minimally-invasive partial neph.ectomy Th. American College of Surgeons National Surgical Quality Improvement Program Length.f stay h.spital readmission

h.patitis B virus genotypes in precision medicine of h.patitis Brelated h.patocellular carcinoma:Wh.re we are now

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World Journal of Gastrointestinal Oncology 2024年第4期16卷 1097-1103页

作者： Caecilia h.C Sukowati Sri Jayanti Turyadi Turyadi david h.Muljono Claudio Tiribelli Eijkman Research.Center for Molecular Biology Research Organization for HealthNational Research and Innovation Agency of IndonesiaJakarta 10340Indonesia Liver Cancer Unit Fondazione Italiana Fegato ONLUSTrieste 34149Italy Faculty of Medicine Hasanuddin UniversityMakassar 90245South SulawesiIndonesia Faculty of Medicine and h.alth University of SydneySydney 2050Australia

h.patitis B virus(h.V)infection is a major player in ch.onic h.patitis B th.t may lead to th. development of h.patocellular carcinoma(h.C).h.V genetics are diverse wh.re it is classified into at least 9 genotypes(A to I)and 1 putative genotype(J),each.with.specific geograph.cal distribution and possible different clinical outcomes in th. *** diversity may be associated with.th. precision medicine for h.V-related h.C and th. success of th.rapeutical approach.s against h.C,related to different path.genicity of th. virus and h.st *** Editorial discusses recent updates on wh.th.r th. classification of h.V genetic diversity is still valid in terms of viral oncogenicity to th. h.C and its precision medicine,in addition to th. recent advances in cellular and molecular biology tech.ologies.

关键词： h.patitis B virus h.patocellular carcinoma Genotypes Path.genesis Precision medicine

Foam rolling and stretch.ng do not provide superior acute flexibility and stiffness improvements compared to any oth.r warm-up intervention: A systematic review with.meta-analysis

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Journal of Sport and h.alth.Science 2024年第4期13卷 509-520页

作者： Konstantin Warneke Gerit Plösch.erger Lars h.Loh.ann Eric Lich.enstein Daniel Joch.m Stanislav D.Siegel Astrid Zech.david G.Beh. Institute of Sport Science University of KlagenfurtKlagenfurt am Wörthersee 9020Austria Department of h.man Motion Science and Exercise Ph.siology Friedrich Schiller UniversityJena 07749Germany Department Sport Exercise and HealthUniversity of BaselBasel 4052Switzerland Department of h.alth.Sciences and Tech.ology ETH ZurichZurich 8092Switzerland Sch.ol of h.man Kinetics and Recreation Memorial University of NewfoundlandSt.JohnsNL A1C 5S7Canada

Background:Acute improvement in range of motion(ROM)is a widely reported effect of stretch.ng and foam rolling,wh.ch.is commonly explained by ch.nges in pain th.esh.ld and/or musculotendinous ***,th.se effects were also reported in response to various oth.r active and passive interventions th.t induce responses such.as enh.nced muscle ***,we h.poth.sized th.t acute ROM enh.ncements could be induced by a wide variety of interventions oth.r th.n stretch.ng or foam rolling th.t promote an increase in muscle ***:After a systematic search.in PubMed,Web of Science,and SPORTDiscus databases,38 studies comparing th. effects of stretch.ng and foam rolling with.several oth.r interventions on ROM and passive properties were *** studies h.d 1134 participants in total,and th. data analysis resulted in 140 effect sizes(ESs).ES calculations were performed using robust variance estimation model with.***:Study quality of th. included studies was classified as fair(PEDro score=4.58)with.low to moderate certainty of *** sh.wed no significant differences in ROM(ES=0.01,p=0.88),stiffness(ES=0.09,p=0.67),or passive peak torque(ES=-0.30,p=0.14)between stretch.ng or foam rolling and th. oth.r identified *** plots revealed no publication ***:Based on current literature,our results ch.llenge th. establish.d view on stretch.ng and foam rolling as a recommended component of warm-up *** lack of significant difference between interventions suggests th.re is no need to emph.size stretch.ng or foam rolling to induce acute ROM,passive peak torque increases,or stiffness reductions.

关键词： Range of motion Passive properties Muscletendon unit Muscle tissue

Enh.nced h.ek-Brown(h.B)criterion for rocks exposed to ch.mical corrosion

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International Journal of Mining Science and Tech.ology 2024年第5期34卷 609-630页

作者： h.o Li Leo Pel Zh.njiang You david Smeulders Department of Mech.nical Engineering Eindhoven University of TechnologyEindhoven 5600 MBthe Netherlands Department of Applied Ph.sics Eindhoven University of TechnologyEindhoven 5600 MBthe Netherlands Center for Sustainable Energy and Resources School of EngineeringEdith Cowan UniversityJoondalupWA 6027Australia Sch.ol of Ch.mical Engineering The University of QueenslandBrisbaneQLD 4072Australia Gas and Energy Transition Research.Centre The University of QueenslandBrisbaneQLD 4072Australia

Underground constructions often encounter water environments,wh.re water–rock interaction can increase porosity,th.reby weakening engineering ***,th. failure criterion for ch.mically corroded rocks becomes essential in th. stability analysis and design of such.*** study enh.nces th. applicability of th. h.ek-Brown(h.B)criterion for engineering structures operating in ch.mically corrosive conditions by introducing a kinetic porosity-dependent instantaneous mi(KPIM).A multiscale experimental investigation,including nuclear magnetic resonance(NMR),X-ray diffraction(XRD),scanning electron microscopy(SEM),ph.and ion ch.omatograph. analysis,and triaxial compression tests,is employed to quantify pore structural ch.nges and th.ir linkage with.th. strength.responses of limestone under coupled ch.mical-mech.nical(C-M)*** employing ion ch.omatograph. and NMR analysis,along with.incorporating th. principles of free-face dissolution th.ory accounting for both.congruent and incongruent dissolution,a kinetic ch.mical corrosion model is *** model aims to calculate th. kinetic porosity alterations with.n rocks exposed to varying h.concentrations and ***,utilizing th. generalized mixture rule(GMR),th. kinetic porositydependent mi is *** of th. KPIM-enh.nced h.B criterion using compression test data from 5 types of rocks demonstrated a h.gh.level of consistency between th. criterion and th. experimental results,with.a coefficient of determination greater th.n 0.96,a mean absolute percentage error less th.n 4.84%,and a root-mean-square deviation less th.n 5.95 ***,th. ph.sical significance of th. porosity-dependent instantaneous mi is clarified:it serves as an indicator of a rock’s capacity to leverage th. confining pressure effect.

关键词： h.ek-Brown(h.B)criterion Instantaneous mi Kinetic porosity-dependency Ch.mical corrosion Compressive strength

Predictors of th. placebo response in a nutraceutical randomized controlled trial for depression

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Journal of Integrative Medicine 2024年第1期22卷 46-53页

作者： Rosemary Arnold Jenifer Murph.-Smith.Ch.e h.Ng david Misch.ulon Gerard J.Byrne Ch.d A.Bousman Con Stough.Mich.el Berk Jerome Sarris Professorial Unit the Melbourne ClinicDepartment of PsychiatryUniversity of MelbourneRichmond 3121Australia Depression Clinical and Research.Program Department of PsychiatryMassachusetts General HospitalHarvard Medical SchoolBostonMA 02115USA Faculty of Medicine Discipline of PsychiatryCentre for Clinical ResearchRoyal Brisbane&Women’s HospitalHerstonthe University of QueenslandBrisbane 4006Australia Departments of Medical Genetics PsychiatryPhysiology&Pharmacology and Community Health SciencesUniversity of CalgaryCalgaryAB T2N 1N4Canada Department of Psych.atry the University of MelbourneMelbourne 3052Australia Centre for h.man Psych.ph.rmacology Swinburne UniversityMelbourne 3122Australia Th. Institute for Mental and Ph.sical h.alth.and Clinical Translation School of MedicineBarwon HealthDeakin UniversityGeelong 3220Australia Th. Centre of Excellence in Youth.Mental h.alth the University of MelbourneParkville 3052Australia Florey Institute of Neuroscience and Mental h.alth the University of MelbourneParkville 3052Australia NICM h.alth.Research.Institute Western Sydney UniversityWestmeadNSW 2145Australia

Objective Th. placebo response in depression studies is th. ch.nge in symptoms amongst th.se wh. receive an inactive *** well-designed randomized controlled trials(RCTs)of depression h.ve a h.gh.proportion of placebo responders,with.little understanding as to *** present study assesses ch.racteristics associated with.th. placebo response in a nutraceutical trial with.a large proportion of placebo *** Th.s is a secondary analysis of a nutraceutical depression RCT wh.ch.identified no overall treatment benefit relative to placebo(n=69 in placebo group).We investigated participant ch.racteristics such.as socio-demograph.cs,clinical features,and recruitment meth.ds,and th.ir association with.th. placebo *** genetic polymorph.sms were also *** response was measured based on ch.nge in Montgomery-Asberg Depression Rating Scale *** association of th.se h.poth.sis-driven variables of interest and th. placebo response was examined using linear mixed effects *** Greater levels of education,particularly pursuing post-h.gh.sch.ol education,better self-reported general h.alth.marriage/de facto,greater improvement in th. first trial week,and more failed antidepressant th.rapies in th. current depressive episode were associated with.greater placebo *** increased placebo response was not found in th.se recruited via social media nor in th.se with.concomitant antidepressant *** nucleotide polymorph.sms from th. tryptoph.n h.droxylase 1(TPh.)gene(A779C and A218C)were weakly associated with.greater placebo response,alth.ugh.th. evidence was attenuated after accounting for multiple *** Th.s is,to our knowledge,th. first study with.n nutraceutical research.for depression to assess th. association between participant ch.racteristics and variation in th. placebo *** variables appeared to predict th. placebo *** findings may encourage future trial design

关键词： Randomized controlled trial Placebo Depression Nutraceutical Psych.atry

Utilization of ph.driven meth.ds to fortify nanoemulsions with.multiple polyph.nols

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Food Science and h.man Wellness 2024年第4期13卷 1943-1950页

作者： h.alu Zh.u Bingjing Zh.ng david Julian McClements Department of Food Science and Tech.ology College of Agricultural and Environmental SciencesUniversity of GeorgiaGriffinGA 30223USA Biopolymers and Colloids Laboratory Department of Food ScienceUniversity of MassachusettsAmherstMA 01003USA Department of Food Science&Bioengineering Zhejiang Gongshang UniversityHangzhou 310018China

Simple but effective meth.ds are required to incorporate multiple bioactive polyph.nols into delivery systems to increase th.ir dispersibility,stability and *** developed and tested th.ee p h.riven protocols for creating nanoemulsions loaded with.multiple lipoph.lic *** protocols differed in h.w th. different polyph.nols were incorporated into th. *** impact of th.se th.ee meth.ds on th. formation,properties,and gastrointestinal fate of nanoemulsions loaded with.curcumin,resveratrol,and quercetin was *** th.ee meth.ds produced nanoemulsions with.similar initial particle properties:droplet diameters(0.15,0.16,and 0.15μm)and zeta-potentials(–59,–58,and–58 m V),***,th. average encapsulation efficiencies(82%,88%,and 61%),gastrointestinal stabilities(83%,97%,and 29%)and bioaccessibilities(77%,90%,and 73%)for curcumin,resveratrol,and quercetin were somewh.t *** particular,more quercetin degradation occurred using th. approach.th.t h.ld it under alkaline conditions for extended *** general,th. p h.driven meth.d provides research.rs with.a versatile approach.of incorporating multiple polyph.nols with.different ch.racteristics into functional food and beverages using a simple and inexpensive meth.d.

关键词： Polyph.nols ph.Driven encapsulation Nanoemulsions Gastrointestinal fate Functional foods

Soil security and global food security

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Frontiers of Agricultural Science and Engineering 2024年第2期11卷 297-302页

作者： david R.MONTGOMERY Department of Earth.and Space Sciences University of Washington townSeattleWA 98105USA

Over th. course of th. postglacial period h.s managed to add degrade a substantial portion of th. world's potential agricultural land. Th. soil loss and degradation th.t h.s repeatedly impacted regional societies around th. world resulted from agricultural practices th.t increased th. ph.sical loss of soil(erosion), reduced soil organic matter, ch.nged p h.acidification) or salinity,and disrupted or altered communities of soil life. In th. coming century, as continued soil degradation th.eatens global food security wh.le th. global population keeps rising it is imperative th.t farmers develop and adopt soilh.alth.building(regenerative) practices to solve a problem th.t h.s plagued societies th.ough.ut h.story. Growing evidence suggests th.t agricultural systems th.t combine cover crops, reduced tillage, and diverse crop rotations can reduce erosion, enh.nce soil h.alth.and rebuild soil organic matter to cultivate beneficial soil life and h.rvest both.economic and environmental benefits. In th. coming post-oil world, global food security would benefit from a global effort to promote soil restoration to h.lp addresses th. ch.llenge of sustainably feeding th. world, increase soil-based carbon sequestration,protect on-farm biodiversity and reduce off-farm water pollution. Because soil security sets a solid foundation for global food security, agricultural policies and subsidies sh.uld be reformed to encourage farmers to adopt regenerative,soil-building practices.

关键词： Agriculture soil security food security regenerative