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Delayed gastric emptying following pancreaticoduodenectomy:Incidence,risk factors,and healthcare utilization

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World journal of Gastrointestinal Surgery 2017年第3期9卷 73-81页

作者： Somala Mohammed George Van Buren II Amy Mc Elhany eric j Silberfein William E Fisher Elkins Pancreas Center Michael E DeBakey Department of SurgeryBaylor College of MedicineHoustonTX 77030United States

AIM To characterize incidence and risk factors for delayed gastric emptying(DGE) following pancreaticoduodenectomy and examine its implications on healthcare utilization. METHODS A prospectively-maintained database was reviewed. DGE was classified using International Study Group of Pancreatic Surgery criteria. Patients who developed DGE and those who did not were compared. RESULTS Two hundred and seventy-six patients underwent pancreaticoduodenectomy(PD)(> 80% pyloruspreserving, antecolic-reconstruction). DGE developed in 49 patients(17.8%): 5.1% grade B, 3.6% grade C. Demographic, clinical, and operative variables were similar between patients with DGE and those without. DGE patients were more likely to present multiplecomplications(32.6% vs 4.4%, ≥ 3 complications, P < 0.001), including postoperative pancreatic fistula(POPF)(42.9% vs 18.9%, P = 0.001) and intra-abdominal abscess(IAA)(16.3% vs 4.0%, P = 0.012). Patients with DGE had longer hospital stay(median, 12 d vs 7 d, P < 0.001) and were more likely to require transitional care upon discharge(24.5% vs 6.6%, P < 0.001). On multivariate analysis, predictors for DGE included POPF [OR = 3.39(1.35-8.52), P = 0.009] and IAA [OR = 1.51(1.03-2.22), P = 0.035].CONCLUSION Although DGE occurred in < 20% of patients after PD, it was associated with increased healthcare utilization. Patients with POPF and IAA were at risk for DGE. Anticipating DGE can help individualize care and allocate resources to high-risk patients.

关键词： Delayed gastric emptying Pancreaticoduodenectomy Post-operative pancreatic fistula

Assessing vulnerability to panic:a systematic review of psychological and physiological responses to biological challenges as prospective predictors of panic attacks and panic disorder

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General Psychiatry 2019年第6期32卷 297-303页

作者： Donald j Robinaugh Meredith j Ward Emma R Toner Mackenzie L Brown Olivia M Losiewicz eric Bui Scott P Orr Department of Psychiatry Massachusetts General HospitalBostonMassachusettsUSA Department of Psychiatry Harvard Medical SchoolBostonMassachusettsUSA

Background Cognitive-behavioural theories of panic disorder posit that panic attacks arise from a positive feedback loop between arousal-related bodily sensations and perceived *** a recently develope computational model formalising these theories of pani attacks,it was observed that the response to a simulate perturbation to arousal provided a strong indicator of vulnerability to panic attacks and panic *** this/review,we evaluate whether this observation is borne o in the empirical literature that has examined responses biological challenge(eg,C02 inhalation)and their relatio to subsequent panic attacks and panic *** We searched PubMed,Web of Science and PsycINFO using keywords denoting provocation agents(eg,sodium lactate)and procedures(eg,infusion)combined with keywords relevant to panic disorder(eg,panic).Articles were eligible if they used response to a biologic challenge paradigm to prospectively predict panic attac or panic *** We identified four eligible *** effect sizes suggest that there is biological challenge response a moderate prospective association with subsequent pani attacks,but no prospective relationship with panic disorde Conclusions These findings provide support for the prediction derived from cognitive-behavioural theories an some preliminary evidence that response to a biological challenge may have clinical utility as a marker of vulnerab to panic attacks pending further research and developme Trial registration number 135908.

关键词： behaviour subsequent sizes

Practical Applications of Cosmology to Human Society

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Natural Science 2014年第10期6卷 767-796页

作者： eric j. Chaisson Harvard-Smithsonian Center for Astrophysics Harvard University Cambridge USA

Complex systems throughout Nature display structures and functions that are built and maintained, at least in part, by optimal energies flowing through them—not specific, ideal values, rather ranges in energy rate density below which systems are starved and above which systems are destroyed. Cosmic evolution, as a physical cosmology that notably includes life, is rich in empirical findings about many varied systems that can potentially help assess global problems facing us here on Earth. Despite its grand and ambitious objective to unify theoretical understanding of all known complex systems from big bang to humankind, cosmic evolution does have useful, practical applications from which humanity could benefit. Cosmic evolution’s emphasis on quantitative data analyses might well inform our attitudes toward several serious issues now challenging 21st-century society, including global warming, smart machines, world economics, and cancer research. This paper comprises one physicist’s conjectures about each of these applied topics, suggesting how energy-flow modeling can guide our search for viable solutions to real-world predicaments confronting civilization today.

关键词： Complexity Energy Evolution Climate Machines Economics Cancer

Benchmarking graph neural networks for materials chemistry

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npj Computational Materials 2021年第1期7卷 739-746页

作者： Victor Fung jiaxin Zhang eric juarez Bobby G.Sumpter Center for Nanophase Materials Sciences Oak Ridge National LaboratoryOak RidgeTNUnited States Computer Science and Mathematics Division Oak Ridge National LaboratoryOak RidgeTNUnited States

Graph neural networks(GNNs)have received intense interest as a rapidly expanding class of machine learning models remarkably well-suited for materials *** date,a number of successful GNNs have been proposed and demonstrated for systems ranging from crystal stability to electronic property prediction and to surface chemistry and heterogeneous ***,a consistent benchmark of these models remains lacking,hindering the development and consistent evaluation of new models in the materials ***,we present a workflow and testing platform,MatDeepLearn,for quickly and reproducibly assessing and comparing GNNs and other machine learning *** use this platform to optimize and evaluate a selection of top performing GNNs on several representative datasets in computational materials *** our investigations we note the importance of hyperparameter selection and find roughly similar performances for the top models once *** identify several strengths in GNNs over conventional models in cases with compositionally diverse datasets and in its overall flexibility with respect to inputs,due to learned rather than defined *** several weaknesses of GNNs are also observed including high data requirements,and suggestions for further improvement for applications in materials chemistry are discussed.

关键词： field chemistry intense

Bacteria may contribute to distant species recognition in ant-aphid mutualistic relationships

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Insect Science 2017年第2期24卷 278-284页

作者： Christophe Y. Fischer Claire Detrain Philippe Thonart eric Haubruge Frederic Francis Francois j. Verheggen Georges C. Lognay Laboratory of Analytical Chemistry University of Liege Gembloux Agro-Bio Tech Passage des Deportes 2 5030 Gembloux Unit of Social Ecology Universite Libre de Bruxelles CP231 50 avenue F. Roosevelt B-1050 Brussels Walloon Center of Industrial Biology University of Liege B40 Sart-Tilman 4000 Liege 4Functional and Evolutionary Entomology University of Liege Gembloux Agro-Bio Tech Passage des Deportes 2 5030 Gembloux Belgium

Mutualistic interactions between ant and aphid species have been the subject of considerable historical and contemporary investigations, the primary benefits being clean- ing and protection for the aphids and carbohydrate-rich honeydew for the ants. Questions remained, however, as to the volatile semiochemical factor influencing this relationship. A recent study highlighted the role of bacterial honeydew volatile compounds in ant at- traction. Here, ant＇s ability to distantly discriminate 2 aphid species was investigated based on bacterial honeydew semiochemicals emissions using a two-way olfactometer. Both the mutualistic aphid Aphis fabae L. and the nonmyrmecophilous aphid Acyrthosiphon pisum Harris were found to be attractive for the ant Lasius niger L. The level of attraction was similar in both assays （control vs. one of the aphid species）. However, when given a choice between these 2 aphid species, ants showed a significant preference for Aphis fabae. Honeydew volatiles, mostly from bacterial origins, are known to be a key element in ant attraction. Using the same olfactometry protocol, the relative attractiveness of volatiles emitted by honeydews collected from each aphid species and by bacteria isolated from each honeydew was investigated. Again, ants significantly preferred volatiles released by Aphis fabae honeydew and bacteria. This information suggests that microbial honeydew volatiles enable ants to distantly discriminate aphid species. These results strengthen the interest of studying the occurrence and potential impact of microorganisms in insect symbioses.

关键词： ant aphid bacteria honeydew mutualism recognition VOC

Chromate and selenate hydrocalumite solid solutions and their applications in waste treatment

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Science China(Life Sciences) 2005年第Z1期48卷 165-173页

作者： eric j. Reardon Department of Earth Sciences University of Waterloo Waterloo Ontario Canada N2L 3G1

Hydrocalumite, a calcium aluminate hydrate phase, consists of positively-charged structure units, and is therefore an ideal candidate for accommodating anionic contaminants. In this study, a series of batch experiments was carried out to examine the uptake of chromate and selenate by hydrocalumite. To determine the uptake capacity and long-term stability, hydrocalumite solid solutions between chromate/selenate and hydroxyl were synthesized over a reaction time of more than one year. At a ratio of water to initial solids added (CaAl2O4+CaO) of 75: 1, the maximum uptake capacities were over 77 and 114 g/kg for Cr and Se, *** values are very close to the theoretical uptake capacities of chromate and selenate hydrocalumite end-members (81 and 118 g/kg, respectively). The oxyanion removal efficiency from solution was above 95%. Due to the high uptake capacity and anion removal efficiency of hydrocalumites, their application in wastewater treatment is promising. Hydrocalumites are also important hydration products of cementitious materials and the long-term stability of these phases is of significance for application in solidification/stabilization technology.

关键词： chromate, selenate, hydrocalumite, uptake capacity, stability.

Student Self-assessment for Undergraduate, Graduate and Imernational Finance Courses

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Chinese Business Review 2011年第8期10卷 640-647页

作者： eric j. McLaughlin California State Polytechnic University Pomona Pomona USA

Assessing student learning can be exceedingly challenging considering that as faculty we never really know what a student knows prior to entering our classroom and what value-added material has been assimilated during the academic quarter. This research paper introduces a self-assessment instrument that focuses on ten major finance topics and reports the results of the administration of the self-assessment tool for finance education at the undergraduate and graduate level in courses taught in the United States and abroad. Ten topics of importance to most finance curriculum design were selected as the focus topics. The research methodology employed uses a pre-/post- test comparison with ＂understanding＂ being measured on a five-point Lichert scale as implemented in five different fmanee courses. Significant measurable differences occurred in each of the courses using this finance assessment instrument with overall average improvement of understanding by the students as much as one entire point. For exarnple, 1.5 mean score for the pre-test and 2.4 mean score for the post -test for an introductory finance class at the undergraduate level in a college of business. Additional improvements were assessed in each of the courses surveyed.

关键词： survey instrument self-assessment finance education

Three colonic cancers,two sites of complete occlusion,one patient:A case report

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World journal of Gastrointestinal Surgery 2021年第9期13卷 1095-1101页

作者： eric Bergeron Thibaut Maniere Xuan Vien Do Michael Bensoussan eric De Broux Department of General Surgery Charles-LeMoyne HospitalGreenfield Park J4V2H1QuebecCanada Department of Gastroenterology Charles-LeMoyne HospitalGreenfield Park J4V2H1QuebecCanada Department of Medical Imaging Charles-LeMoyne HospitalGreenfield Park J4V2H1QuebecCanada Department of Digestive Surgery Centre Hospitalier Universitaire de MontréalMontreal H2X3E4QuebecCanada

BACKGROUND Synchronous colonic cancer incidence is uncommon,and awareness about this rare condition is improved ***,in the presence of acute colonic obstruction,investigation and management of synchronous colonic cancer can be difficult and *** SUMMARY A patient presented with acute colonic obstruction with impending rupture and complete examination of this patient revealed the presence of three colonic cancers,of which two were completely *** The presence of multiple colonic cancers must be ruled out in order to plan the best *** present the case with a review of literature and discuss the management of the case.

关键词： Colon cancer Synchronous cancers Colonoscopy Obstructive cancer Colostomy Case report

Targeted Gene Knockouts Reveal Overlapping Functions of the Five Physcomitrella patens FtsZ Isoforms in Chloroplast Division, Chloroplast Shaping, Cell Patterning, Plant Development, and Gravity Sensing

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Molecular Plant 2009年第6期2卷 1359-1372页

作者： Anja Martin Daniel Lang Sebastian T. Hanke Stefanie j.X. Mueller eric Sarnighausen Marco Vervliet-Scheebaum Ralf Reski Plant Biotechnology Faculty of Biology University of Freiburg Schaenzlestr. 1 79104 Freiburg Germany Centre for Biological Signalling Studies (bioss) University of Freiburg Alberststr. 19 79104 Freiburg Germany Spemann Graduate School of Biology and Medicine (SGBM) University of Freiburg Alberststr. 19A 79104 Freiburg Germany

Chloroplasts and bacterial cells divide by binary fission. The key protein in this constriction division is FtsZ, a self-assembling GTPase similar to eukaryotic tubulin. In prokaryotes, FtsZ is almost always encoded by a single gene, whereas plants harbor several nuclear-encoded FtsZ homologs. In seed plants, these proteins group in two families and all are exclusively imported into plastids. In contrast, the basal land plant Physcomitrella patens, a moss, encodes a third FtsZ family with one member. This protein is dually targeted to the plastids and to the cytosol. Here, we report on the targeted gene disruption of all ftsZ genes in R patens. Subsequent analysis of single and double knockout mutants revealed a complex interaction of the different FtsZ isoforms not only in plastid division, but also in chloroplast shaping, cell patterning, plant development, and gravity sensing. These results support the concept of a plastoskeleton and its functional integration into the cytoskeleton, at least in the moss R patens.

关键词： Bryophyte cell wall gravitropism GTPase chloroplast plastoskeleton P patens moss.