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World Journal of Gastroenterology 2007年第3期13卷 474-477页

作者： Joseph D Boujaoude Khalil Honein Cesar Yaghi Claude Ghora gerard Abadjian Raymond Sayegh Department of Gastroenterology Hotel-Dieu de France hospital Saint-Joseph University Beirut Lebanon Department of pathology Hotel-Dieu de France hospital Saint-Joseph University Beirut Lebanon

pancreatic tuberculosis is an extremely rare form of extrapulmonary disease. The diagnosis preoperatively is difficult because clinical, laboratory and radiologic findings are nonspecific. published data indicate that these lesions mimic cystic neoplasms of the pancreas and the confirmation of clinical suspicion could only be obtained by an open surgical biopsy. Recently, fine needle aspiration cytology has been shown to be a safe, reliable and cost-effective alternative. We report a new case of a peripancreatic tuberculosis in a 52 year old woman and review the relevant literature, paying special attention to the usefulness of endoscopic ultrasound guided-fine needle aspiration in the diagnosis of abdominal tuberculosis.

关键词： EUS guided-FNA pancreatic Tuberculosis

Intraocular lens power calculation following laser refractive surgery

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Eye and Vision 2015年第1期2卷 63-70页

作者： Christopher Hodge Colm McAlinden Michael Lawless Colin Chan gerard Sutton Aifric Martin Vision Eye Institute Level 3270 Avenue ChatwoodVictoriaNSWAustralia Save Sight Institute University of SydneySydneyNSWAustralia Flinders University Bedford ParkAdelaideSouth AustraliaAustralia Wenzhou Medical College WenzhouZhejiangChina School of Optometry and Vision Science University of New South WalesSydneyAustralia University College Dublin MontroseDublinIreland

Refractive outcomes following cataract surgery in patients that have previously undergone laser refractive surgery have traditionally been *** is related to several key issues including the preoperative assessment(keratometry)and intraocular lens power ***-reviewed literature is overwhelmed by the influx of methodology to manipulate the corneal or intraocular lens(IOL)powers following refractive *** would suggest that the optimal derivative formula has yet been *** review discusses the problems facing surgeons approaching IOL calculations in these post-refractive laser patients,the existing formulae and programs to address these *** published outcomes will be reviewed.

关键词： Cataract Laser refractive surgery Intraocular lens calculations

Neurotrophic factors: from neurodevelopmental regulators to novel therapies for parkinson's disease

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Neural Regeneration Research 2014年第19期9卷 1708-1711页

作者： Shane V.Hegarty gerard W.O’Keeffe Aideen M.Sullivan Department of Anatomy and Neuroscience Biosciences InstituteUniversity College Cork

Neuroprotection and neuroregeneration are two of the most promising disease-modifying ther- apies for the incurable and widespread parkinson＇s disease. In parkinson＇s disease, progressive degeneration of nigrostriatal dopaminergic neurons causes debilitating motor symptoms. Neurotrophic factors play important regulatory roles in the development, survival and maintenance of specific neuronal populations. These factors have the potential to slow down, halt or reverse the loss of nigrostriatal dopaminergic neurons in parkinsoffs disease. Several neurotrophic fac- tors have been investigated in this regard. This review article discusses the neurodevelopmental roles and therapeutic potential of three dopaminergic neurotrophic factors： glial cell line-derived neurotrophic factor, neurturin and growth/differentiation factor 5.

关键词： parkinson's disease neuroprotection neurotrophic factors nervous system development nigrostriatal dopaminergic neurons glial cell line-derived neurotrophic factor, neurturin, growth/differentiation factor 5

Implementation of length expanding inflatable penile prosthesis is not sufficient to prevent postsurgical penile shortening

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Asian Journal of Andrology 2019年第1期21卷 98-100页

作者： Jared J Wallen SriGita K Madiraju Run Wang gerard D Henry Department of Urology Florida Hospital Tampa UrologyTampaFL 3100USA Charles E Schmidt College of Medicine of FAU Boca RatonFL 33431USA Department of Urology University of Texas Health Science Center at HoustonHoustonTX 77030USA Department of Urology Ark-La-Tex UrologyBossier CityLA 71111USA.

Asingle armed,prospective,two-center study was conducted,with an aim of evaluating the effectiveness of the AMS 700 LGX cylinders in maintaining or increasing penile length *** LGX has the unique ability to expand in length with *** 23.1%(6)of the patients were able to maintain stretched penile *** now recommend leaving the implant inflated 60%-80%in the immediate postoperative setting for approximately 6 *** we teach pump training with deflation at around 6 weeks,prior to a maximum inflation *** studies would be required to validate if these interventions have significantly increased the number of patients who maintain or gain stretched penile length.

关键词： penile prosthesis penile shortening

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日光温室热环境模拟模型的构建

农业工程学报 2009年第1期25卷 164-170页

作者：孟力力杨其长 gerard.EA.Bot 王柟中国农业科学院农业环境与可持续发展研究所北京100081 农业部农业环境与气候变化重点实验室北京100081 荷兰瓦赫宁根大学荷兰6700AA

该文建立了日光温室热环境模拟模型,定量描述了日光温室内的太阳辐射、对流换热、辐射换热、热传导、自然通风和水分相变带来的潜热对日光温室热环境的影响,根据质能平衡和传热学理论,得到一组关于覆盖物、室内空气、温室分层后墙、分... 详细信息

该文建立了日光温室热环境模拟模型,定量描述了日光温室内的太阳辐射、对流换热、辐射换热、热传导、自然通风和水分相变带来的潜热对日光温室热环境的影响,根据质能平衡和传热学理论,得到一组关于覆盖物、室内空气、温室分层后墙、分层地面土壤、分层后坡和作物热平衡的微分方程组。利用MATLAB的强大计算能力与VB的良好用户界面建立模拟计算软件,可求得温室各组成部分的温度。通过试验验证,该模型能够比较准确预测日光温室环境温度。

关键词：日光温室模拟模型热环境

Geochemistry of Middle Holocene Sediments from South Yellow Sea: Implications to provenance and Climate Change

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Journal of Earth Science 2016年第5期27卷 751-762页

作者： Xiaoxia Lii gerard J. M. Versteegh Jinming Song Xuegang Li Huamao Yuan Ning Li Faculty of Marine Sciences China University of Geosciences State Key Laboratory of Biogeology and Environmental Geology China University of Geosciences Heisenberg Group on Marine Kerogen Center for Marine Environmental Sciences (MARUM) Bremen University Institute of Oceanology Chinese Academy of Sciences

From a large number of case studies on terrestrial deposits we know that Late Holocene climate fluctuations have an important impact on the terrestrial environments. However, it is hitherto not clear how the marine sediments can be used to shed light on the environment and climate change of the catchment. To provide such insight, we used the major element, trace element and rare earth element（REE） compositions in the southern Yellow Sea（SYS） sediments to reconstruct the changes in weathering and erosion of their source regions. The sediments originate predominantly from the upper crust of East China and are transported into the basin especially by the Yellow River（Huanghe） and to a lesser extent by the Yangtze River（Changjiang）. The chemical index of alteration（CIA; 53.7–59.7） suggests low chemical weathering of the source rocks since the Middle Holocene. This is consistent with the relatively cool and arid climate in North China after the Holocene Megathermal. Comparison of element ratios, including Al/Ca, K/Ca, Al/Na, K/Na, Rb/Sr, Li/Ba and the CIA shows that we can use the latter as a robust proxy for climate change. The CIA-based mean annual precipitation and mean annual temperature show a series of climate fluctuations in the catchment. A relatively warm and humid period I（5.3–2.9 cal. ka Bp）, a relatively cool and dry period II（2.9–0.9 cal. ka Bp） and an increasingly cool and dry period III（0.9–0.3 cal. ka Bp）. These periods can be linked to climate intervals recognized elsewhere.

关键词： geochemical composition elemental ratio climate change provenance South YellowSea sediment.

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黏上田园风光——荷兰Hogeland学院

设计家 2014年第2期 94-99页

作者： gerard van Beek ADp architecten

设计灵感在广阔而开放的地形上，你会发现一排环绕着村庄的树，它们能够阻断风的方向并打破全景视线。在它上面．无尽天空里透出的光为这片粘土风光增添了一份色彩；骑上自行车．穿过风风雨雨，目光会不自觉的受到这片美丽土地的影响。... 详细信息

设计灵感在广阔而开放的地形上，你会发现一排环绕着村庄的树，它们能够阻断风的方向并打破全景视线。在它上面．无尽天空里透出的光为这片粘土风光增添了一份色彩；骑上自行车．穿过风风雨雨，目光会不自觉的受到这片美丽土地的影响。一代又一代祖先在这片土地上耕作，他们创造了一幅壮丽的图景．同时也展现了大自然的强大与持久。因此．设计这所学校时，自然而然会受到当地自然风光与地理环境的影响。

关键词：田园风光学院荷兰设计灵感地理环境自然风光大自然自行车

Evolution of the East China Sea sedimentary environment in the past 14 kyr: Insights from tetraethers-based proxies

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Science China Earth Sciences 2016年第5期59卷 927-938页

作者： GE HuangMin ZHANG ChuanLun VERSTEEGH gerard J.M. CHEN LingLing FAN DaiDu DONG Liang LIU JingJing State Key Laboratory of Marine Geology Tongji University Hadal Science and Technology Research Center (Shanghai Engineering Research Center of Hadal Science and Technology) Shanghai Ocean University Heisenberg Group on Marine Kerogen Center for Marine Environmental Sciences (MARUM) Bremen University

We reconstruct the environmental evolution of the East China Sea in the past 14 kyr based on glycerol dialkyl glycerol tetraethers(GDGTs) in a sediment core from the subaqueous Yangtze River Delta. Two primary phases are recognized. phase I(13.8–8 cal kyr Bp) reflects a predominantly continental influence, showing distinctly higher concentrations of branched GDGTs(averaged 143 ng/g dry sediment weight, dsw) than isoprenoid GDGTs(averaged 36 ng/g dsw), high BIT index(branched vs. isoprenoid tetraethers) values(>0.78) and a fluctuating GDGT-0/crenarchaeol ratio(R_(0/5), varied from 0.52 to 3.81). Within this interval, temporal increases of terrestrial and marine influence are attributed to Younger Dryas(YD)(ca. 12.9–12.2 cal kyr Bp) cold event and melt-water pulse(MWp)-1B(11.5–11.1 cal kyr Bp), respectively. The prominent transition from 8 to 7.9 cal kyr Bp shows a sharp decrease in BIT index value(phase II. Afterwards, the proxies remain relatively constant, which indicates that phase II(7.9 cal kyr Bp-present) is a shelf sedimentary environment with high stand of sea level. Overall, the BIT index in our record serves as a good marker for terrestrial influence at the site, and likely reflects the flooding history of the region. The TEX_(86)(Tetra Ether Index of tetraethers consisting of 86 carbons) proxy is not applicable in phase I because of an excess terrestrial influence; but it seems to be valid for revealing the annual SST in phase II(21.6±0.9°C, n=49). In contrast, the MBT'/CBT(Methylation of Branched Tetraethers and Cyclization of Branched Tetraethers) proxy appears to faithfully record the annual mean air temperature(MAT)(14.3±0.63°C, n=68) and presents an integrated signal over the middle and lower Yangtze River drainage basin.

关键词： GDGTs proxies Sedimentary environment evolution Holocene East China Sea

The Australian emergency medical system

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中华急诊医学杂志 2008年第7期17卷 771-775页

作者： gerard Joseph FitzGerald Xiang-Yu Hou Huang Hang School of public Health Queensland University of Technology QCD 4059 Australia

澳大利亚的急救医疗体系在过去的30年经历了本质性的转变，包括院前急救的发展，院内急诊科的发展，以及急诊专科医师和急救师作为新的职业的发展。这一本质性的转变在其他很多国家也同时存在，并缘于卫生体系提供高质量的急救医疗服务... 详细信息

澳大利亚的急救医疗体系在过去的30年经历了本质性的转变，包括院前急救的发展，院内急诊科的发展，以及急诊专科医师和急救师作为新的职业的发展。这一本质性的转变在其他很多国家也同时存在，并缘于卫生体系提供高质量的急救医疗服务的义务和不断增加的职业责任。本文的目的是回顾描述澳大利亚急救医疗体系的这一转变，以供正在建设现代化的急救医疗体系的其它国家，借鉴我们的经验教训，以面对他们可能会经历的挑战。澳大利亚的急救医疗体系并不完美，本文也没有希望其他国家照搬澳大利亚的体系，只是希望和读者分享我们自己发展的经验教训。

关键词：澳大利亚急救医疗体系医生医疗卫生事业

Experimental models of metabolic and alcoholic fatty liver disease

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World Journal of Gastroenterology 2021年第1期27卷 1-18页

作者： Delfin gerard Buyco Jasmin Martin Sookyoung Jeon Royce Hooks Chelsea Lin Rotonya Carr Division of Gastroenterology University of PennsylvaniaPhiladelphiaPA 19104United States

Non-alcoholic fatty liver disease(NAFLD)is a multi-systemic disease that is considered the hepatic manifestation of metabolic syndrome(MetS).Because alcohol consumption in NAFLD patients is common,there is a significant overlap in the pathogenesis of NAFLD and alcoholic liver disease(ALD).Indeed,MetS also significantly contributes to liver injury in ALD ***“syndrome of metabolic and alcoholic steatohepatitis”(SMASH)is thus expected to be a more prevalent presentation in liver patients,as the obesity epidemic *** pre-clinical experimental models that couple alcohol consumption with NAFLDinducing diet or genetic obesity have been developed to better understand the pathogenic mechanisms of *** models indicate that concomitant MetS and alcohol contribute to lipid dysregulation,oxidative stress,and the induction of innate immune *** are significant limitations in the applicability of these models to human disease,such as the ability to induce advanced liver injury or replicate patterns in human food/alcohol ***,there remains a need to develop models that accurately replicate patterns of obesogenic diet and alcohol consumption in SMASH patients.

关键词： Non-alcoholic fatty liver disease Alcoholic liver disease Non-alcoholic steatohepatitis Animal models Insulin resistance Oxidative stress