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Cardiovascular surgery in Turner syndrome-early outcome and long-term follow-up

World journal of Cardiology 2020年第3期12卷 97-106页

作者： Margaret M Fuchs Christine Helena Attenhofer jost Sameh M Said donald j hagler Heidi M Connolly joseph A Dearani Alexander C Egbe Department of Cardiovascular Medicine Mayo ClinicRochesterMN 55905United States Division of Pediatric Cardiothoracic Surgery Masonic Children’s HospitalUniversity of MinnesotaMinneapolisMN 55905United States Division of Pediatric Cardiology Mayo ClinicRochesterMN 55905United States Department of Cardiovascular Surgery Mayo ClinicRochesterMN 55905United States

BACKGROUND Cardiovascular disease is the leading cause of death in patients with Turner syndrome(TS),and cardiovascular surgery is frequently required for management of these *** is associated with medical comorbidities than can complicate the care of this patient *** To describe the cardiovascular surgical outcomes of patients with *** A retrospective case series was compiled of 51 consecutive TS patients who had at least one cardiovascular surgery at Mayo Clinic Rochester from *** baseline clinical data of these patients were reviewed including demographics,medical comorbidities,congenital heart disease history,and *** reports were analyzed in *** reports and surgical hospital courses were ***-term mortality was determined using medical records and the Social Security Death *** analysis was performed with the Kaplan Meier *** The cohort comprised 51 TS patients,average age at the time of surgery at Mayo Clinic was 28(8-41)years,and 23(45%)patients were under the age of *** the time of first Mayo Clinic surgery,18(35%)patients had previously undergone cardiac surgery at another *** most common procedures were repair of aortic coarctation in 14(28%)patients,aortic valve replacement in 6(12%)patients,and composite aortic root/ascending aorta replacement in 7(14%)patients,with 7 patients undergoing repair of more than one *** dissection required operative intervention in 5 *** initial Mayo Clinic surgery,subsequent operations were required in 6(13%)*** hospital length of stay was 6±2 *** were 4(8%)early surgical *** from death was 97%and 89%at 10 and 20 years,and the freedom from reoperation was 93%and 81%at 10 and 20 *** Cardiovascular surgery is associated with 8%early mortality given the medical complexity of TS *** who survive to dismissal have good *** cardiovas

关键词： Turner syndrome Cardiac surgery Congenital heart disease Aortic dissection Outcome Reoperation

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Management of adults with coarctation of aorta

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World journal of Cardiology 2020年第5期12卷 167-191页

作者： Pradyumna Agasthi Sai Harika Pujari Andrew Tseng joseph N Graziano Francois Marcotte David Majdalany Farouk Mookadam donald j hagler Reza Arsanjani Department of Cardiovascular Diseases Mayo ClinicScottsdaleAZ 85259United States Department of Cardiovascular Diseases Mayo ClinicRochesterMN 55905United States Division of Cardiology Phoenix Children's HospitalChildren's Heart CenterPhoenixAZ 85016United States

Coarctation of the aorta(CoA)is a relatively common congenital cardiac defect often causing few symptoms and therefore can be challenging to *** hallmark finding on physical examination is upper extremity hypertension,and for this reason,CoA should be considered in any young hypertensive patient,justifying measurement of lower extremity blood pressure at least once in these *** presence of a significant pressure gradient between the arms and legs is highly suggestive of the *** diagnosis and treatment are important as long-term data consistently demonstrate that patients with CoA have a reduced life expectancy and increased risk of cardiovascular *** repair has traditionally been the mainstay of therapy for correction,although advances in endovascular technology with covered stents or stent grafts permit nonsurgical approaches for the management of older children and adults with native CoA and *** hypertension and vascular dysfunction can lead to an increased risk of coronary disease,which,remains the greatest cause of long-term ***,blood pressure control and periodic reassessment with transthoracic echocardiography and threedimensional imaging(computed tomography or cardiac magnetic resonance)for should be performed regularly as cardiovascular complications may occur decades after the intervention.

关键词： Coarctation of aorta Cardiac surgery Cardiac catheterization Balloon angioplasty Stents

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Safety and efficacy of balloon angioplasty compared to stent-basedstrategies with pulmonary vein stenosis:A systematic review and meta-analysis

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World journal of Cardiology 2023年第2期15卷 64-75页

作者： Pradyumna Agasthi Srilekha Sridhara Pattara Rattanawong Nithin Venepally Chieh-ju Chao Hasan Ashraf Sai Harika Pujari Mohamed Allam Diana Almader-Douglas Yamini Alla Amit Kumar Farouk Mookadam Douglas L Packer David R Holmes jr donald j hagler Floyd David Fortuin Reza Arsanjani Department of Cardiovascular Diseases Mayo ClinicScottsdaleAZ 85259United States Department of Internal Medicine Banner Heart HospitalMesaAZ 85054United States Library Services Mayo ClinicPhoenixAZ 85054United States Department of Medicine Bronx Lebanon HospitalBronxNY 10457United States Department of Cardiovascular Diseases Mayo ClinicRochesterMN 55905United States

BACKGROUND Pulmonary vein stenosis(PVS)is an uncommon but known cause of morbidity and mortality in adults and children and can be managed with percutaneous revascularization strategies of pulmonary vein balloon angioplasty(PBA)or pulmonary vein stent implantation(PSI).AIM To study the safety and efficacy outcomes of PBA vs PSI in all patient categories with *** We performed a literature search of all studies comparing outcomes of patients evaluated by PBA vs PSI for *** selected all published studies comparing PBA vs PSI for PVS with reported outcomes of restenosis and procedure-related complications in all patient *** adults,PVS following atrial fibrillation ablation and in children PVS related to congenital etiology or post-procedural PVS following total or partial anomalous pulmonary venous return repair were *** patient-centered outcomes were risk of restenosis requiring re-intervention and procedural-related *** metaanalysis was performed by computing odds ratios(ORs)using the random effects model based on underlying statistical *** Eight observational studies treating 768 severe PVS in 487 patients met our inclusion *** age range of patients was 6 months to 70 years and 67%were *** primary outcome of the re-stenosis requiring re-intervention occurred in 196 of 325 veins in the PBA group and 111 of 443 veins in the PSI *** to PSI,PBA was associated with a significantly increased risk of re-stenosis(OR 2.91,95%CI:1.15-7.37,P=0.025,I2=79.2%).Secondary outcomes of the procedurerelated complications occurred in 7 of 122 patients in the PBA group and 6 of 69 in the PSI *** were no statistically significant differences in the safety outcomes between the two groups(OR:0.94,95%CI:0.23-3.76,P=0.929,I^(2)=0.0%).CONCLUSION Across all patient categories with PVS,PSI is associated with reduced risk of re-intervention and is as safe as PBA and should be considered first-line ther

关键词： Pulmonary veins Pulmonary vein stenosis Constriction Balloon angioplasty Stents Drugeluting stents

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Metabolic collaboration between cells in the tumor microenvironment has a negligible effect on tumor growth

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The Innovation 2024年第2期5卷 107-114页

作者： johan Gustafsson Fariba Roshanzamir Anders Hagnestål Sagar M.Patel Oseeyi I.Daudu donald F.Becker jonathan L.Robinson jens Nielsen Department of Life Sciences Chalmers University of TechnologySE-41296 GothenburgSweden Hagnesia AB SE-43854 HindåsSweden Department of Biochemistry and Redox Biology Center University of Nebraska-LincolnLincolnNE 68588USA BioInnovation Institute DK2200 CopenhagenDenmark

The tumor microenvironment is composed of a complex mixture of different cell types interacting under conditions of nutrient deprivation,but the metabolism therein is not fully understood due to difficulties in measuring metabolic fluxes and exchange of metabolites between different cell types in ***-scale metabolic modeling enables estimation of such exchange fluxes as well as an opportunity to gain insight into the metabolic behavior of individual cell ***,we estimated the availability of nutrients and oxygen within the tumor microenvironment using concentration measurements from blood together with a metabolite diffusion *** addition,we developed an approach to efficiently apply enzyme usage constraints in a comprehensive metabolic model of human *** combined modeling reproduced severe hypoxic conditions and the Warburg effect,and we found that limitations in enzymatic capacity contribute to cancer cells’preferential use of glutamine as a substrate to the citric acid ***,we investigated the common hypothesis that some stromal cells are exploited by cancer cells to produce metabolites useful for the cancer *** identified over 200 potential metabolites that could support collaboration between cancer cells and cancer-associated fibroblasts,but when limiting to metabolites previously identified to participate in such collaboration,no growth advantage was *** work highlights the importance of enzymatic capacity limitations for cell behaviors and exemplifies the utility of enzyme-constrained models for accurate prediction of metabolism in cells and tumor microenvironments.

关键词： metabolism effect limitations

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Src Is Dephosphorylated at Tyrosine 530 in Human Colon Carcinomas

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Chinese journal of Cancer Research 2011年第3期23卷 229-231页

作者： jeffrey D Bjorge donald j Fujita Department of Biochemistry and Molecular Biology and Southern Alberta Cancer Research InstituteUniversity of Calgary

Objective：Src is a protein tyrosine kinase that plays important roles in cancer development,and Src kinase activity has been found to be elevated in several types of ***,the cause of the elevation of Src kinase activity in the majority of human colon carcinomas is still largely *** aim at finding the cause of elevated Src kinase activity in human colon ***：We employed normal colon epithelial FHC cells and examined Src activation in human colon carcinoma specimens from 8 *** expression levels were determined by Western blotting,and the activity of Src kinase by kinase ***：Actin levels were different between tumor and normal tissues,demonstrating the complexities and inhomogeneities of the tissue *** kinase activities were increased in the majority of the colon carcinomas as compared with normal colon epithelial cells （range 13-29）.Src protein levels were reduced in the colon *** Y530 phosphorylation levels were reduced to a higher extent than protein levels in the ***：The results suggest that Src specific activities were highly increased in human colon carcinomas;phosphorylation at Src Y530 was reduced,contributing to the highly elevated Src specific activity and Src kinase activity.

关键词： Src Kinase activation Dephosphorylation Colon carcinoma

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Effect of particle stress tensor in simulations of dense gas-particle flows in fluidized beds

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Particuology 2018年第3期16卷 31-43页

作者： Mohammad Reza Haghgoo donald j. Bergstrom Raymond j. Spiteri Department of Mechanical Engineering University of Saskatchewan Saskatoon SK SFN 5A9 Canada Department of Computer Science University of Saskatchewan Saskatoon. SK S7N 5C9 Canada

A two-fluid model based on the kinetic theory of granular flow for the rapid-flow regime and the Coulomb friction law for the quasi-static regime is applied to predict the hydrodynamics of dense gas-particle flow in a three-dimensional fluidized bed. Two different models for the particle stress tensor that use different constitutive equations in the elastic-inertial regime are examined to assess their ability to predict bed dynamics. To understand how particle stress models affect structural features of the flow, a quantitative analysis is performed on some important aspects of the mechanics of bubbling beds that have received relatively little attention in the literature. Accordingly, different flow regimes are identified in the context of fluidized beds through the dimensionless inertial number, and the main characteristics of each regime are discussed. In addition, how the particle stress tensor manifests itself in the bubble characteristics, natural frequency of the bed, and particle Reynolds stress are investigated, all of which help to better understand the complex dynamics of the fluidized bed. The numerical results are validated against pub- lished experimental data and demonstrate the significant role of the stress tensor in the elastic-inertial regime.

关键词： Two-fluid model Inertial number Fluidized bed Flow regime Particle Reynolds stress MFIX

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Bioacoustic variation of swimbladder disturbance sounds in Neotropical doradoid catfishes （Siluriformes： Doradidae, Auchenipteridae）： Potential morphological correlates

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Current Zoology 2012年第1期58卷 171-188页

作者： Kaatz, Ingrid M. Stewart, donald j. Department of Environmental and Forest Biology SUNY College of Environmental Science and Forestry Syracuse NY 13210 USA

Swimbladder disturbance sounds of doradoid catfishes （Doradidae and Aucheniptefidae） demonstrated striking waveform and spectrographic variation. We surveyed sounds of 25 doradoid species in 20 genera comparing these to sounds of four vocal outgroup catfish families. Sounds were either continuous waveforms （lacking interpulses） or pulsed （groups of pulses repeated at fixed temporal intervals）. This is the first evidence for swimbladder calls with fixed interpulse patterns in catfishes. Vocal mechanism components that were similar between doradids and auchenipterids included： swimbladder shape, swimbladder dimensions and sonic muscle-somatic index. Morphological traits that showed variation among taxa and were evaluated for po- tential correlates of call diversity are： 1） diverticula （marginal outpocketings of the swimbladder with no connection to inner ear） and 2） elastic spring apparatus Mtillerian rami （ESA-Mr）. Within the doradid subfamilies and within the Auchenipteridae most species differed significantly in dominant frequency with frequency ranges overlapping to some extent for most. Doradid swim- bladder diverticula did not explain dominant frequency variation within the doradoid superfamily. Some doradids with conical ESA-Mr had the highest dominant frequency sounds. Auchenipterids included both relatively lower and higher dominant fre- quency sound producers but lacked diverticula and had discoidal ESA-Mr. Comparing a phylogeny of doradoid genera with out- group taxa, we infer that complex diverticula and conical ESA-Mr are derived characters within the Doradidae. Species repre- senting outgroup families produced either continuous lower dominant frequency sounds （aspredinids, mochokids and pseudopimelodids） or pulsed higher dominant frequency sounds （pimelodids） [Current Zoology 58 （1）： 171-188, 2012].

关键词： Catfishes Communication Signal evolution Vocal mechanisms

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Time Scale of Partial Melting of KLB-1 Peridotite: Constrained from Experimental Observation and Thermodynamic Models

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journal of Earth Science 2018年第2期29卷 245-254页

作者： Wei Du Li Li donald j.Weidner State Key Laboratory of Ore Deposit Geochemistry Institute of Geochemistry Chinese Academy of Sciences Mineral Physics Institute Department of Geosciences University of New York at Stony Brook

Partial melting experiments were carried on KLB-1 peridotite, a xenolith sample from the Earth＇s upper mantle, at 1.5 GPa and temperatures from 1 300 to 1 600 ℃, with heating time varies from 1 to 30 min. We quantify the axial temperature gradient in the deformation-DIA appa- ratus （D-DIA） and constrain the time scale of partial melting by comparing experimental observa- tions with calculated result from pMELTS program. The compositions of the liquid phase and the coexisting solid phases （clinopyroxene, orthopyroxene, and olivine） agree well with those calculated from pMELTS program, suggesting that local chemical equilibrium achieves during partial melting, although longer heating time is required to homogenize the bulk sample. The Mg# （=Mg/（Mg＋Fe） moi.%） of olivines from the 1-minute heating experiment changed continuously along the axial of the graphite capsule. A thermal gradient of 50 ℃/mm was calculated by comparing the Mg# of oli- vine grains with the output of pMELTS program. Olivine grains at the hot end of the graphite cap- sule from the three experiments heated at 1 400 ℃ but with different annealing time show consis- tence on Mg#, indicating that partitioning of Fe2＋ between the olivine grains and the silicate melt happened fast, and partial melting occurs in seconds.

关键词： peridotite partial melting temperature gradient pMELTS program.

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Characterization of Kiwifruit Xyloglucan

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journal of Integrative Plant Biology 2009年第10期51卷 933-941页

作者： Xingjun Li Naoki Sakurai donald j. Nevins Academy of the State Administration of Grains Beijing 100037 China Graduate School of Biosphere Science Hiroshima University Kagamiyama 1-7-1 Higashi-hiroshima 739-8521 Japan Department of Plant Sciences University of California Davis CA 95616 USA

Structural characteristics of xyloglucan are constant in the pericarp cell walls of kiwifruit （Actinidia deliciosa） throughout fruit enlargement and maturation. Most of the xyioglucan （XG） persists in the cell walls of ripe kiwifruit. XG from the pericarp tissues of 36-h ethylene-treated kiwifruit was extracted as hemicellulose Ⅱ （HC-Ⅱ） with 4.28 M KOH containing 0.02% NaBH4, and purified using iodine precipitation and subsequent anion-exchange chromatography. This purifying protocol increased XG purity from 50 mol% in HC-Ⅱ fraction to 62 mol% in the purified XG powder. The molar ratio of glucose： xylose： galactose： fucose in the purified XG was 10： 6.9： 2.1： 0.3. Gel permeation chromatography indicated that purified XG had an average molecular-mass of 161 KDa, a value that exceeds the 95 KDa Mr determined for total polymeric sugars. Sugar linkage analysis confirmed the lack of fucose in the kiwifruit XG, but a small amount of arabinoxylan and low Mr glucomannan remained associated with this fraction.

关键词： Actinidia deliciosa cell walls glucomannan hemicellulose sugar linkage analysis xyloglucan

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State of the art of friction modelling at interfaces subjected to elastohydrodynamic lubrication(EHL)

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Friction 2021年第2期9卷 207-227页

作者： Zhuming BI donald W.MUELLER Chris W.j.ZHANG Civil and Mechanical Engineering Purdue University Fort WayneIN 46805USA Department of Mechanical Engineering University of SaskatchewanSaskatoon SK S7N 5A9Canada

Elastohydrodynamic lubrication(EHL)is a type of fluid-film lubrication where hydrodynamic behaviors at contact surfaces are affected by both elastic deformation of surfaces and lubricant *** of contact interfaces under EHL is challenging due to high nonlinearity,complexity,and the multi-disciplinary *** paper aims to understand the state of the art of computational modelling of EHL by(1)examining the literature on modeling of contact surfaces under boundary and mixed lubricated conditions,(2)emphasizing the methods on the friction prediction occurring to contact surfaces,and(3)exploring the feasibility of using commercially available software tools(especially,Simulia/Abaqus)to predict the friction and wear at contact surfaces of objects with relative reciprocating motions.

关键词： elastohydrodynamic lubrication(EHL) lubricant rheology finite element analysis(FEA) friction prediction Simulia/Abaqus surface roughness coefficient of friction(CoF)

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