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Review of screening for pancreatic cancer in high risk individuals

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World Journal of Gastroenterology 2011年第19期17卷 2365-2371页

作者： Alina Stoita Ian D Penman david b williams Department of Gastroenterology St Vincent's Hospital 390 Victoria StreetDarlinghurst2010NSWAustralia Centre for Liver and Digestive Disorders Royal Infirmary of Edinburgh51 Little France CrescentEdinburghEH16 4SAUnited Kingdom

Pancreatic cancer is difficult to diagnose at an early stage and is associated with a very poor *** percent of pancreatic cancers result from genetic susceptibility and/or familial *** from families with multiple affected first-degree relatives and those with a known cancer-causing genetic mutation have been shown to be at much higher risk of developing pancreatic *** efforts have focused on detecting disease at an earlier stage to improve survival in these high-risk *** article reviews high-risk groups,screening methods,and current screening programs and their results.

关键词：高危人群胰腺癌筛查早期阶段遗传易感性基因突变家族

Efficacy of selective laser trabeculoplasty following incisional glaucoma surgery

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International Journal of Ophthalmology(English edition) 2018年第1期11卷 71-76页

作者： Robert Allan Sharpe Leah L Kammerdiener david b.williams Sudeep K.Das Matthew J.Nutaitis Department of Ophthalmology Storm Eye InstituteMedical University of South CarolinaCharlestonSouth Carolina 29425USA Jacksonville Naval Hospital JacksonvilleFlorida 32214USA

AIM： To evaluate the efficacy of selective laser trabeculoplasty（SLT） in glaucomatous eyes with previous incisional glaucoma surgery. METHODS： A retrospective cohort of eyes that underwent SLT at a single institution from 2013-2015 were followed for 1 y. Reduction in intraocular pressure（IOP） following SLT was evaluated in eyes with prior trabeculectomy with Ex Press mini shunt（Alcon, Ft Worth, TX, USA）, Ahmed valve（New World Medical, Cucamonga, CA, USA）, or combined phacoemulsification-trabeculectomy. A control group was included with eyes without prior surgery that underwent SLT. Success was defined as 〉20% drop in IOP from pre-SLT baseline. RESULTS： One-hundred and six eyes were included with 53 in both the prior glaucoma surgery（PGS） and no prior glaucoma surgery（NPGS） groups. Mean pre-SLT IOP was 19.2±4.3 and 20.6±6.0 mm Hg for PGS and NPGS groups, respectively（P=0.17）. both groups produced statistically significant IOP reductions at 1 and 6 mo（P〈0.04）. At 6 mo, mean IOP reduction reached 7.3% and 10.8% for the PGS and NPGS groups, respectively（P=0.42）. Overall, 27.9% and 31.7% of eyes in PGS and NPGS groups met success criteria at 1 y（P=0.70）. In the PGS group, eyes with baseline IOP ≥21 mm Hg had IOP reductions of 18.1%（P〈0.001）, 16.7%（P〈0.01）, and 8.4%（P=0.31） compared to eyes with baseline IOP 〈21 mm Hg who had IOP reductions of 2.3%（P=0.39）, 3.4%（P=0.19）, and 1.1%（P=0.72） at 1, 6 mo, and 1 y, respectively. CONCLUSION： SLT is efficacious in eyes with prior incisional glaucoma surgery and results in similar IOP reductions compared to eyes without PGS. A larger IOP reduction is observed following SLT in eyes with higher pre-SLT IOP.

关键词： glaucoma selective laser trabeculoplasty trabeculectomy Ahmed glaucoma valve intraocular pressure

Model Predictive Current Control for Low-Cost Shunt Active Power Filter

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CSEE Journal of Power and Energy Systems 2024年第4期10卷 1589-1598页

作者： Ali A.Abdel-Aziz Mohamed A.Elgenedy barry W.williams the Electronic and Electrical Engineering Department Strathclyde UniversityGlasgowG11XQUK School of Computing Engineering and the Built Environment(SCEBE)Glasgow Caledonian UniversityGlasgowG40BAUK

Performance of a three-phase shunt active power filter(SAPF)relies on the capability of the controller to track the reference ***,designing an accurate current controller is crucial to guarantee satisfactory SAPF *** paper presents a model predictive current controller(MPCC)for a low-cost,four-switch,shunt active power filter for power quality improvement.A four-switch,b4,converter topology is adopted as an SAPF,hence offering a simple,robust,and low-cost *** addition,to further reduce overall cost,only two interfacing filter inductors,instead of three,are used to eliminate switching current *** proposed SAPF model MPCC is detailed for implementation,where simulation and experimental results validate effectiveness of the proposed control algorithm showing a 20%improvement in total harmonic distortion compared with a conventional hysteresis band current controller.

关键词： Four-switch converter harmonic distortion model predictive current control power quality shunt active power filter

生长阻滞特异性转录因子5剪接变异体GAS5_O1增强慢性髓系白血病细胞对伊马替尼的敏感性

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中国生物化学与分子生物学报 2024年第3期40卷 348-361页

作者：张斯玮 Gwyn T.williams 西安医学院基础医学部生物化学与分子生物学教研室西安710021 西安医学院西安市病原微生物与肿瘤免疫重点实验室西安710021 School of Life Sciences Keele UniversityStaffordshireUK

在多种肿瘤中,生长阻滞特异性转录因子5(growth-arrest specific transcript 5,GAS5)高表达与患者的良好生存期相关。GAS5存在多种剪接变异体,本研究探讨GAS5部分剪接变异体在髓系白血病细胞系中的表达模式。并基于对凋亡诱导敏感的慢... 详细信息

在多种肿瘤中,生长阻滞特异性转录因子5(growth-arrest specific transcript 5,GAS5)高表达与患者的良好生存期相关。GAS5存在多种剪接变异体,本研究探讨GAS5部分剪接变异体在髓系白血病细胞系中的表达模式。并基于对凋亡诱导敏感的慢性髓系白血病(chronic myeloid leukemia,CML)细胞系K562,研究GAS5部分剪接变异体对K562细胞自身增殖、凋亡以及对靶向药物伊马替尼(imatinib,IM)的敏感性的影响。反转录PCR结果显示,GAS5剪接模式在髓系白血病细胞系HL-60、K562、Nb4和KASUMI-1之间未见明显差异。相较于指数增长期,GAS5_AE表达水平在细胞密度引起的生长停滞期有一定程度的累积。通过核转染,将GAS5剪接变异体(pcDNA3-GAS5_1b、-GAS5_2b、-GAS5_3A、-GAS5_4A、-GAS5_O1或-GAS5_AE)转入K562细胞的单克隆株中。通过台盼蓝染色、吖啶橙染色后进行细胞计数,克隆形成实验检测细胞集落形成能力。结果与对照组相比,瞬时转染GAS5剪接变异体并无抑制细胞的基础增殖或增强细胞对药物的敏感性。建立GAS5_O1的稳定转染株,延长培养时程并计算倍增时间,发现GAS5_O1的表达水平和倍增时间成正比(R^(2)=0.5692)。在稳转株O1-C8中观察到GAS5_O1可促进IM引起的细胞生长抑制(56.94%±2.84%vs.36.07%±2.32%,P<0.05)和凋亡(29.33%±1.30%vs.52.00%±2.52%,P<0.05)。上述结果表明,GAS5_O1的上调可能增加CML细胞的倍增时间,并使CML细胞对IM处理敏感。

关键词：生长阻滞特异性转录因子5 剪接变异体慢性髓系白血病凋亡

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Assessment of the effectiveness of weight-adjusted antibiotic administration,for reduced duration,in surgical prophylaxis of primary hip and knee arthroplasty

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World Journal of Orthopedics 2024年第2期15卷 170-179页

作者： Tosan Okoro Michael Wan Takura Darlington Mukabeta Ella Malev Marketa Gross Claudia williams Muhammad Manjra Jan Herman Kuiper John Murnaghan Department of Arthroplasty Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation TrustOswestry SY107AGUnited Kingdom School of Medicine Keele UniversityStaffordshire ST55BGUnited Kingdom St Joseph’s Health Centre Unity Health TorontoToronto M6R 1B5Canada Department of Arthroplasty The Royal London HospitalBarts Health NHS TrustLondon E11BBUnited Kingdom Department of Arthroplasty Sunnybrook Holland Orthopaedic and Arthritis CentreToronto M4Y 1H1Canada Institute for Science and Technology in Medicine Keele UniversityStaffordshire ST51BGUnited Kingdom

bACKGROUND Prophylactic antibiotics have significantly led to a reduction in the risk of postoperative surgical site infections(SSI)in orthopaedic *** aim of using antibiotics for this purpose is to achieve serum and tissue drug levels that exceed,for the duration of the operation,the minimum inhibitory concentration of the likely organisms that are *** antibiotics reduce the rate of SSIs in lower limb arthroplasty from between 4%and 8%to between 1%and 3%.Controversy,however,still surrounds the optimal frequency and dosing of antibiotic *** To evaluate the impact of introduction of a weight-adjusted antibiotic prophylaxis regime,combined with a reduction in the duration of administration of post-operative antibiotics on SSI incidence during the 2 years following primary elective total hip and knee arthroplasty METHODS Following ethical approval,patients undergoing primary total hip arthroplasty(THA)/total knee arthroplasty(TKA)with the old regime(OR)of a preoperative dose[cefazolin 2 g intravenously(IV)],and two subsequent doses(2 h and 8 h),were compared to those after a change to a new regime(NR)of a weight-adjusted preoperative dose(cefazolin 2 g IV for patients120 kg)and a post-operative dose at 2 *** primary outcome in both groups was SSI rates during the 2 years *** A total of n=1273 operations(THA n=534,TKA n=739)were performed in n=1264 *** was no statistically significant difference in the rate of deep(OR 0.74%(5/675)vs NR 0.50%(3/598);fishers exact test P=0.72),nor superficial SSIs(OR 2.07%(14/675)vs NR 1.50%(9/598);chi-squared test P=0.44)at 2 years *** propensity score weighting and an interrupted time series analysis,there was also no difference in SSI rates between both groups[RR 0.88(95%CI 0.61 to 1.30)P=0.46].CONCLUSION A weight-adjusted regime,with a reduction in number of post-operative doses had no adverse impact on S

关键词： Antibiotics Weight-adjusted Hip and knee arthroplasty Surgical site infection

A CHAIR FOR MY MOTHER

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阅读 2022年第36期 14-19页

作者： Vera b.williams

绘本导读一场突如其来的火灾烧光了家里的一切,乐观的外婆、勤劳的妈妈和懂事的女儿一起,开始了努力攒钱、重建家园的过程。最后,她们攒够了钱,买回了心心念念的红沙发。妈妈用自己的勇敢、勤俭和自信,为女儿打造了心中的家园,成为女儿...

绘本导读一场突如其来的火灾烧光了家里的一切,乐观的外婆、勤劳的妈妈和懂事的女儿一起,开始了努力攒钱、重建家园的过程。最后,她们攒够了钱,买回了心心念念的红沙发。妈妈用自己的勇敢、勤俭和自信,为女儿打造了心中的家园,成为女儿的榜样。绘本中充满了令人感动的勇气、信心和团结向上的力量,一家人为共同目标而努力的样子是多么美好!

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A vaccination model for COVID-19 in Gauteng,South Africa

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Infectious Disease Modelling 2022年第3期7卷 333-345页

作者： Christina J.Edholm benjamin Levy Lee Spence Folashade b.Agusto Faraimunashe Chirove C.williams Chukwu david Goldsman Moatlhodi Kgosimore Innocent Maposa K.A.Jane White Suzanne Lenhart Department of Mathematics Scripps CollegeClaremontCAUSA Mathematics Department Fitchburg State UniversityFitchburgMAUSA Department of Mathematics University of TennesseeKnoxvilleTNUSA Department of Ecology and Evolutionary biology University of KansasLawrenceKSUSA Department of Mathematics and Applied Mathematics University of JohannesburgSouth Africa H.Milton Stewart School of Industrial and Systems Engineering Georgia Institute of TechnologyAtlantaGAUSA biometry and Mathematics Department Botswana University of Agriculture and Natural ResourcesGaboroneBotswana Division of Epidemiology and biostatistics School of Public HealthFaculty of Health SciencesUniversity of the WitwatersrandJohannesburgSouth Africa Department of Mathematical Sciences University of BathBathUK

The COVID-19 pandemic provides an opportunity to explore the impact of government mandates on movement restrictions and non-pharmaceutical interventions on a novel infection,and we investigate these strategies in early-stage outbreak *** rate of disease spread in South Africa varied over time as individuals changed behavior in response to the ongoing pandemic and to changing government *** a system of ordinary differential equations,we model the outbreak in the province of Gauteng,assuming that several parameters vary over *** data from the time period before vaccination gives the approximate dates of parameter changes,and those dates are linked to government *** parameters are then estimated from available case data and used to assess the impact of each *** forward in time,possible scenarios give projections involving the implementation of two different vaccines at varying *** results quantify the impact of different government policies and demonstrate how vaccinations can alter infection spread.

关键词： COVID-19 Gauteng South Africa ODE epidemiology Model Vaccination Parameter estimation

Genetics of anorexia nervosa:An overview of genome-wide association studies and emerging biological links

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Journal of Genetics and Genomics 2022年第1期49卷 1-12页

作者： Clara de Jorge Martinez Gull Rukh Michael J.williams Santino Gaudio Samantha brooks Helgi bSchi oth Department of Neuroscience Functional PharmacologyUppsala UniversityUppsalaSweden Department of biomedicine and Prevention University of Rome Tor VergataRomeItaly School of Psychology Faculty of HealthLiverpool John Moores UniversityUK Department of Psychology School of Human and Community DevelopmentUniversity of the WitwatersrandJohannesburgSouth Africa Institute for Translational Medicine and biotechnology Sechenov First Moscow State Medical UniversityMoscowRussia

Anorexia nervosa(AN) is a complex disorder with a strong genetic component. Comorbidities are frequent and there is substantial overlap with other disorders. The lack of understanding of the molecular and neuroanatomical causes has made it difficult to develop effective treatments and it is often difficult to treat in clinical practice. Recent advances in genetics have changed our understanding of polygenic diseases,increasing the possibility of understanding better how molecular pathways are intertwined. This review synthetizes the current state of genetic research providing an overview of genome-wide association studies(GWAS) findings in AN as well as overlap with other disorders, traits, pathways, and imaging results. This paper also discusses the different putative global pathways that are contributing to the disease including the evidence for metabolic and psychiatric origin of the disease.

关键词： Anorexia nervosa Genome-wide association studies Genetic variants Psychiatry

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The p75 neurotrophin receptor:at the crossroad of neural repair and death

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Neural Regeneration Research 2015年第5期10卷 721-725页

作者： Rick b.Meeker Kimberly S.williams Department of Neurology University of North Carolina Curriculum in Neurobiology University of North Carolina

The strong repair and pro-survival functions of neurotrophins at their primary receptors, TrkA, Trkb and TrkC, have made them attractive candidates for treatment of nervous system injury and disease. However, difficulties with the clinical implementation of neurotrophin therapies have prompted the search for treatments that are stable, easier to deliver and allow more precise regula- tion of neurotrophin actions. Recently, the p75 neurotrophin receptor （p75wrR） has emerged as a potential target for pharmacological control of neurotrophin activity, supported in part by stud- ies demonstrating 1） regulation of neural plasticity in the mature nervous system, 2） promotion of adult neurogenesis and 3） increased expression in neurons, macrophages, microglia, astro- cytes and/or Schwann cells in response to injury and neurodegenerative diseases. Although the receptor has no intrinsic catalytic activity it interacts with and modulates the function of TrkA, Trkb, and TrkC, as well as sortilin and the Nogo receptor. This provides substantial cellular and molecular diversity for regulation of neuron survival, neurogenesis, immune responses and pro- cesses that support neural function. Upregulation of the p75^NTR under pathological conditions places the receptor in a key position to control numerous processes necessary for nervous system recovery. Support for this possibility has come from recent studies showing that small, non-pep- tide p75^NTR ligands can selectively modify pro-survival and repair functions. While a great deal remains to be discovered about the wide ranging functions of the p75^NTR, studies summarized in this review highlight the immense potential for development of novel neuroprotective and neu- rorestorative therapies.

关键词： injury plasticity neurodegenerative disease brain therapy neuron microglia neuralprogenitor

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