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Sarcopenia, obesity and postoperative outcomes after hepatectomy for hepatocellular carcinoma

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Hepatobiliary Surgery and Nutrition 2020年第2期9卷 198-201页

作者： Michele molinari Department of Surgery University of Pittsburgh Medical CenterPittsburghPAUSA

Over the last few decades,we have learned that the composition of our body is directly related to our *** second and equally important lesson is that when we define a healthy body,we have to go beyond the ratio between the weight and the height of a *** third lesson is that even though a"normal"balance between body fat and muscle is associated with good health and longevity,we still do not know what a"normal body composition"*** bodies can be classified in three main phenotypes based on the work of William Sheldon(1),a constitutional psychologist who worked at Harvard University in the *** three phenotypes are:ectomorphic,mesomorphic and *** we have certain tendency toward one group or the other,the level or physical activity,diet,age,gender or the presence of diseases have a profound impact that can make us migrate from one phenotype to another over time(2).

关键词： obesity diseases migrate

350°C - Thermal Stability of Austempered Ductile Iron

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材料热处理学报 2004年第5期25卷 195-200页

作者： M. Pellizzari M. Zadra A. molinari Department of Materials Engineering and Industrial Technologies University ofTrento ItalyDepartment of Materials Engineering and Industrial Technologies University ofTrento ItalyDepartment of Materials Engineering and Industrial Technologies University ofTrento Italy

The thermal stability of an ADI has been studied by isothermal aging at 350°C for 150 hours, measuring the amount of retained austenite and its carbon content by X-ray diffractometry. The influence of different austempering treatments, carried out at temperatures between 300 and 450°C (300, 330, 360, 410 and 450°C) and holding times between 15 and 60 minutes (15, 30, 45, 60), was considered. Thermal stability depends on whether austempering temperature is higher or lower than the ageing one. Thermal stability increases by increasing austempering temperatures, from 300° to 410°C. Samples treated at 410° and 450° show a lower austenite decomposition than samples at 300-330-360°C. A drop in stability is shown by increasing the austempering temperature from 410° to 450°C. The results have been interpreted on the basis of the austenite stability out of the processing window, which in turn depends on the austempering parameters.

关键词：热稳定性 ADI 等温淬火奥氏体延性铁

Biomechanical modeling of metal screw loadings on the human vertebra

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Acta Mechanica Sinica 2021年第2期37卷 307-320页

作者： Leonardo molinari Cristina Falcinelli Alessio Gizzi Alberto Di Martino Department of Engineering Campus Bio-Medico University of RomeVia A.del Portillo 21Rome 00128Italy Department of Biomedical and Neuromotor Science DIBINEM University of BolognaBolognaItaly 1st Orthopaedic and Traumatologic Clinic IRCCS Istituto Ortopedico RizzoliBolognaItaly

During spinal fusion surgery,angled screw insertion can provide a more favorable stress distribution reducing failure events(screw breakage and loosening).Finite element(FE)analysis can be employed for identifying the optimal insertion path,preventing stress concentrations,and ensuring a lower failure *** this work,a patient-specific FE model of L4 vertebra,virtually implanted with two pedicle screws,was obtained from diagnostic images and numerically *** elastic,inhomogeneous,and isotropic material properties were assigned to bone based on density distributions reconstructed from the medical *** mechanical response of the screws-vertebra system was analyzed through a progressive damage procedure,considering a stress-based *** screws insertion angles were simulated,as well as physiological loading *** each loading case,screw orientation influences the fracture mechanism(i.e.,brittle or ductile one),as well as the fracture pattern and ***,stresses in trabecular bone and pedicle screws are significantly affected by the screw *** caudomedial trajectory indicates the most safe case,significantly reducing the stress concentrations in both trabecular bone and *** findings aim to furnish a useful indication to surgeons regarding the screws insertion angle,further reducing the failure risk and improving the clinical outcome of the fixation procedure.

关键词： Fracture mechanics Patient-specific FE modeling Vertebra mechanics Screw orientation Stress analysis

Multi-family therapy for veteran and refugee families: a Delphi study

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Military Medical Research 2019年第1期6卷 39-44页

作者： elisa van Ee Psychotraumacentrum Zuid Nederland Behavioural Science Institute Radboud University

Background: Research indicates that Posttraumatic stress disorder(PTSD) has an extensive impact on family relationships. Nevertheless, there is a dearth of empirically supported interventions addressing family functioning and PTSD. In the Netherlands, it is considered good clinical practice to offer multi-family therapy(MFT) to veteran and refugee families. MFT for traumatized families aims to address the dysfunctional family patterns that have evolved to address the consequences with ***: The aim of this study is to generate a common framework for the practical impact and active ingredients of MFT in families confronted with trauma. The Delphi method was used to study the expert opinion of 11 therapists in Dutch expert trauma ***: The results indicate that MFT is a promising treatment for families dealing with the consequences of trauma. According to experts, positive outcomes include an increased understanding between family members,particularly visible in the de-escalation of conflicts within the family, and improved parenting. One explanation for the effectiveness of MFT with these target groups is its defining feature of therapy with several ***: The findings support the importance of considering family relationships and the family context in interventions for traumatized individuals.

关键词： PTSD Veteran Refugee Multi-family therapy Parenting Expert opinion

Over-specialization versus synergy in neuroscience:professionals’integration is more than the sum of its parts

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Neural Regeneration Research 2021年第11期16卷 2232-2233页

作者： elisa Cainelli Luca Vedovelli Department of General Psychology University of PadovaPadovaItaly Unit of Biostatistics Epidemiology and Public HealthDepartment of CardiacThoracicVascular Sciencesand Public HealthUniversity of PadovaPadovaItaly

Health care systems in industrialized countries are built around acute health problems(Etzwiler,1997).This approach is successful when the goal is to improve or overcome pathologies that result in severe health issues or *** the recent tremendous improvement of the treatments of life-threatening conditions,the clinical focus has moved from short term results to the overall expected quality of life and longterm ***,the new objectives imply to consider a multitude of interacting processes and *** fact,a complex interplay of biological systems(nervous,immune,and endocrine)works together in an integrated and synergistic way to deal with a constantly evolving environment,determining our physical,behavioral,and psychological/subjective *** interplay is the mechanism that allows us to adapt promptly and appropriately to circumstances,the key feature for successful living.

关键词： overcome synergistic determining

How do stream processes affect hazard exposure on alluvial fans? Insights from an experimental study

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Journal of Mountain Science 2020年第4期17卷 753-772页

作者： Bruno MAZZORANA elisa GHIANDONI Lorenzo PICCO Universidad Austral de Chile Faculty of SciencesInstituto de Ciencias de la Tierra5090000 ValdiviaChile Universidad Austral de Chile RINA–Natural and Anthropogenic Risks Research Center5090000 ValdiviaChile Universidad Austral de Chile Laboratory of HydromorphologyFaculty of Forest Sciences and Natural Resources5090000 ValdiviaChile University of Padova Department of LandEnvironmentAgriculture and Forestry35020 LegnaroItaly

Alluvial fans are among the most privileged settlement areas in many mountain regions. These landforms are particularly dynamic being episodically affected by distributary processes generated by extreme flood events. Addressing risk assessment entails determining hazard exposure and unravelling how it might be related to process loading and to process dynamics once the flow becomes unconfined on the surface of alluvial fans. By following a ‘similarity of process concept’, rather than by attempting to scale a real-world prototype, we performed a set of 72 experimental runs on an alluvial fan model. Thereby, we considered two model layouts, one without a guiding channel and featuring a convex shape and the other one with a guiding channel, a bridge, and inclined but planar overland flow areas as to mirror an anthropic environment. Process magnitude and intensity parameters were systematically varied, and the associated biphasic distributary processes video recorded. For each experiment, the exposure was detected by mapping the exposed area in a GIS, thereby discerning between areas exposed to biphasic flows and the associated depositional phenomena or to the liquid flow phase only. Our results reveal that total event volume, sediment availability and stream power in the feeding channel, as well as depositional effects, avulsion, and channelization on the alluvial fan concur to determine the overall exposure. Stream process loading alone, even when rigorously defined in terms of its characterizing parameters, is not sufficient to exhaustively determine exposure. Hence, further developing reliable biphasic simulation models for hazard assessment on settled alluvial fans is pivotal.

关键词： Alluvial fan Hazard Exposure Flood risk Experimental model Process similarity

Biomarkers for pancreatic cancer:Recent achievements in proteomics and genomics through classical and multivariate statistical methods

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World Journal of Gastroenterology 2014年第37期20卷 13325-13342页

作者： Emilio Marengo elisa Robotti Department of Sciences and Technological Innovation University of Piemonte Orientale

Pancreatic cancer(PC) is one of the most aggressive and lethal neoplastic diseases. A valid alternative to the usual invasive diagnostic tools would certainly be the determination of biomarkers in peripheral fluids to provide less invasive tools for early diagnosis. Nowadays, biomarkers are generally investigated mainly in peripheral blood and tissues through high-throughput omics techniques comparing control vs pathological samples. The results can be evaluated by two main strategies:(1) classical methods in which the identification of significant biomarkers is accomplished by monovariate statistical tests where each biomarker is considered as independent from the others; and(2) multivariate methods, taking into consideration the correlations existing among the biomarkers themselves. This last approach is very powerful since it allows the identification of pools of biomarkers with diagnostic and prognostic performances which are superior to single markers in terms of sensitivity, specificity and robustness. Multivariate techniques are usually applied with variable selection procedures to provide a restricted set of biomarkers with the best predictive ability; however, standard selection methods are usually aimed at the identification of the smallest set of variables with the best predictive ability and exhaustivity is usually neglected. The exhaustive search for biomarkers is instead an important alternative to standard variable selection since it can provide information about the etiology of the pathology by producing a comprehensive set of markers. In this review, the most recent applications of the omics techniques(proteomics, genomics and metabolomics) to the identification of exploratory biomarkers for PC will be presented with particular regard to the statistical methods adopted for their identification. The basic theory related to classical and multivariate methods for identification of biomarkers is presented and then, the most recent applications in this f

关键词： Pancreatic cancer Biomarker identification Multivariate analysis Principal component analysis Ranking principal component analysis

Methods to produce induced pluripotent stem cell-derived mesenchymal stem cells: Mesenchymal stem cells from induced pluripotent stem cells

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World Journal of Stem Cells 2021年第8期13卷 1094-1111页

作者： Victoria Dupuis elisa Oltra Facultédes Sciences et d’Ingénierie Sorbonne UniversitéParis 75252France Department of Pathology Universidad Católica de Valencia San Vicente MártirValencia 46001Spain Centro de Investigación Traslacional San Alberto Magno Universidad Católica de Valencia San Vicente MártirValencia 46001Spain

Mesenchymal stem cells(MSCs)have received significant attention in recent years due to their large potential for cell ***,they secrete a wide variety of immunomodulatory factors of interest for the treatment of immune-related disorders and inflammatory *** can be extracted from multiple tissues of the human ***,several factors may restrict their use for clinical applications:the requirement of invasive procedures for their isolation,their limited numbers,and their heterogeneity according to the tissue of origin or *** addition,MSCs often present early signs of replicative senescence limiting their expansion in vitro,and their therapeutic capacity in *** to the clinical potential of MSCs,a considerable number of methods to differentiate induced pluripotent stem cells(iPSCs)into MSCs have *** represent a new reliable,unlimited source to generate MSCs(MSCs derived from iPSC,iMSCs)from homogeneous and well-characterized cell lines,which would relieve many of the above mentioned technical and biological ***,the use of iPSCs prevents some of the ethical concerns surrounding the use of human embryonic stem *** this review,we analyze the main current protocols used to differentiate human iPSCs into MSCs,which we classify into five different categories:MSC Switch,Embryoid Body Formation,Specific Differentiation,Pathway Inhibitor,and Platelet *** also evaluate common and method-specific culture components and provide a list of positive and negative markers for MSC *** guidance on material requirements to produce iMSCs with these methods and on the phenotypic features of the iMSCs obtained is *** information may help researchers identify protocol options to design and/or refine standardized procedures for large-scale production of iMSCs fitting clinical demands.

关键词： Mesenchymal stem cells Induced pluripotent stem cells Mesenchymal stem cells derived from induced pluripotent stem cells Differentiation methods Culture components Mesenchymal stem cell markers

Regulation mechanisms of endocrine disruptors on vasodilation andvasoconstriction: Insights from ex vivo models

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BIOCELL 2022年第6期46卷 1383-1389页

作者： MARGARIDA LORIGO elisa CAIRRAO CICS-UBI Health Sciences Research CentreUniversity of Beira InteriorCovilhã6200-506Portugal FCS-UBI Faculty of Health SciencesUniversity of Beira InteriorCovilhã6200-506Portugal

Cardiovascular diseases (CVD) are one of the leading causes of death worldwide. The knowledge andunderstanding of CVD are based on the study of vascular physiology and how the smooth muscle cells and tissuesperform their different functions. Exposure to endocrine disruptors (EDCs), such as phytoestrogens, polycyclicaromatic hydrocarbons, flame retardants, plasticizers, pesticides, and cosmetics, is an integral and fundamental part ofhuman exposure. Humans are exposed to EDCs by multiple pathways including air, food, water, and consumerproducts. However, this exposure can lead to several adverse effects on human health, including on the cardiovascular(CV) system. The negative impact that EDC toxicity has on human CV health is a serious problem that must not beoverlooked. In this point of view, we proposed the use of the human umbilical artery as a human model to study thedirect effects of EDCs on the vascular level. Several works where these cells were directly exposed to EDC’s werepresented to highlight this well-established model as a great strategy to be used. In the future, we emphasize the needto continue to carry out different investigations using HUA to unveil and understand the vascular toxicity of EDCsand improve human CV health.

关键词： Vascular tonus Human umbilical artery Human exposome