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Missed Pancreaticobiliary Malignancy: The Flaw of the Expedited Cholecystectomy

surgical science 2024年第7期15卷 451-464页

作者： Dylan s. goto Larissa Fujii-Lau Linda L. Wong Department of surgery John A. Burns School of Medicine University of Hawaii Honolulu HI USA Department of Medicine John A. Burns School of Medicine University of Hawaii Honolulu HI USA

Background: Early cholecystectomy has been recommended for patients with acute cholecystitis and gallstone pancreatitis. However, patients with pancreaticobiliary malignancy may present acutely with similar symptoms. We hypothesize that the diagnoses of these malignancies may potentially be delayed as an unintended consequence of expedited cholecystectomies. This study reviews a cohort of patients who underwent pancreaticoduodenectomy (PD) to identify those who underwent a separate cholecystectomy before their PD. Methods: We retrospectively reviewed 162 PDs performed between 2012 and 2022. Data collected included: demographics, disease etiology and the presence of cholelithiasis. We identified patients who had a previous cholecystectomy and the time elapsed before PD as well as procedures done during the interval. We reported detailed case summaries on those patients who had a cholecystectomy within 1 year of PD. Results: In the entire cohort, mean age was 65 years, 54% were males, and 83% had a malignant reason for PD. Thirty-one patients had cholelithiasis with 23 (14%) patients having had previous cholecystectomy. six patients had cholecystectomy within 1 year of PD. They had the following malignancies: ampullary—3, pancreas—1, cholangiocarcinoma—1 and neuroendocrine—1. Four of these patients had expedited cholecystectomy on their index hospital admission and were later found to have a periampullary malignancy with further work up. Conclusions: Pancreaticobiliary malignancies can be difficult to diagnose, and surgeons should not overlook these potential diagnoses when considering expedited cholecystectomy. Future studies in large cohorts are needed to identify high risk candidates who should undergo more detailed testing to exclude malignancy before proceeding with cholecystectomy.

关键词： Cholecystectomy Periampullary Malignancy Pancreas Malignancy Pancreaticoduodenectomy

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Missed Pancreaticobiliary Malignancy: The Flaw of the Expedited Cholecystectomy

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surgical science（外科学） 2024年第7期 451页

作者： Dylan s.goto Larissa Fujii-Lau Linda L.Wong

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Application of cold drawn lamellar microstructure for developing ultra-high strength wires

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中国有色金属学会会刊：英文版 2007年第6期17卷 1129-1138页

作者： s. goto R. Kirchheim T . Al-Kassab C. Borchers Faculty of Engineering and Resource science Akita University Tegata Gakuencho Akita 010-8502 Japan Institute fuer Materialphysik University of Goettingen Friedrich-Hund-Platz 1 D-37077 Goettingen Germany

Composite materials having lamellar structure are known to have a good combination of high strength and ductility. They are widely used in the fields of automobiles, civil engineering and construction, machines and many other industries. An application of lamellar microstructure for developing ultra-high strength steel wires was studied and discussed. Based on the experimental results, the relationships between the strength increase and microstructure development during the cold wire drawing were studied to reveal the strengthening mechanism. As cold drawing proceeds, the wire strength extremely increases, the microstructure changes from large single crystal lamellar structure to very fine polycrystalline lamellar one which has nano-sized grains, high dislocation density and amorphous regions. From the results obtained, it is concluded that heavy cold drawing technique is an effective method for lamellar composite to get high strength wires. Furthermore, formation process of the best microstructure for producing the ultra-high strength wires was also discussed.

关键词：薄片复合物金属丝加固装置机械性质

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THE ROLE AND BEHAVIOUR OF ALKALINE ACTIVATORs IN THE sLAG-ALKALINE CEMENT BAsED ON THE sOLUBLE sILICATE GLAss

THE ROLE AND BEHAVIOUR OF ALKALINE ACTIVATORS IN THE SLAG-AL...

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第三届北京国际水泥与混凝土学术会议

作者： I.V.Belitsky A.sakata T.Kado s.goto Kiev Civil Engineering Institute KievUkraine Yamaguchi University UbeJapan

The hydration rate of slag in the slag-alkaline cement system was measured by means of chemical shrinkage, QXRD and the amount of non-evaporable water. Compressive strength, pore size distribution by means of nitrogen gas adsorption and the amount of leaching out elements from sAC pastes were also measured. As the results, it was concluded that the disintegration of slag carcass occurred owing to cation exchange reaction between calcium ions of slag and sodium ion of sodium silicate in the sAC based on the soluble silicate glass. The rate of hydration of slag, especially in the initial stage, was affected by the silica content in the sodium silicate used (Ms=1-2). Alkalinity of soluble silicate glass did not influence so much on the initial hydration of slag. The rate of Na2O leaching from sAC pastes decrease in the course of time and with decreasing of the silicate modulus and alkalinity of soluble glass in the early stage.

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Detection and clearance in Alzheimer’s disease: leading with illusive chemical, structural and morphological features of the targets

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Neural Regeneration Research 2024年第3期19卷 497-498页

作者： Luís Gales i3s−Instituto de Investigação e Inovação em saúde Rua Alfredo AllenPortoPortugal(Gales L)IBMC−Instituto de Biologia Molecular e CelularUniversidade do PortoRua Alfredo AllenPortoPortugal ICBAs−Instituto de Ciências Biomédicas Abel salazar Rua de Jorge Viterbo FerreiraPortoPortugal

Highly specific interactions between biomolecules,such as antigen-antibody,protein-ligand,or nucleic acid base pair complementary are on the basis of the organization of complex *** same principles may be tentatively used in molecular medicine for diagnosis and therapeutics.A molecule can be designed to selectively bind a protease and thereby inhibit the production of a peptide that forms toxic aggregates in the brain or an antibody may be produced to bind specifically to that peptide for detection or clearance ***,interference in biological systems is not that *** a start there is the inhibition of the physiological role of the protease;moreover,several cleavage fragments may be produced,which may continue to diverge due to putative post-translational modification and self-assembly processes,hiding the toxic target in a“soup”of peptide species varying in size,structure and chemical composition.A perspective of the current status and challenges in targeting peptide species for diagnosis and treatment in the context of Alzheimer’s disease is given.

关键词： Alzheimer diagnosis thereby

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氧浓差电池在日本炼钢中的应用

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钢铁 1982年第2期17卷 47-53页

作者：后藤和弘韩其勇东京工业大学冶金工程系

引言在日本,固体电解质定氧探头广泛地用于炼钢过程控制.只要钢液中氧含量大于50ppm就能可靠地测定其氧含量.最近的研究集中于改善定氧探头,以便能可靠地测出低于50ppm的氧含量.目前所用的定氧探头是自耗型的,在连铸的中间包中正在试验长

关键词：定氧探头氧压转炉氧含量 LD 固体电解质钢液酸溶铝日本

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连续两次胚胎移植的有效性

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实用妇产科杂志 2004年第1期 75-75页

作者： goto s 龚军

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Astrophysical s-factor and reaction rate for 15N(p,γ)16O within the modified potential cluster model

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Chinese Physics C 2024年第4期48卷 130-145页

作者： s.B.Dubovichenko A.s.Tkachenko R.Ya.Kezerashvili N.A.Burkova B.M.Yeleusheva Fesenkov Astrophysical Institute 050020 AlmatyKazakhstan New York City College of Technology City University of New YorkBrooklyn11201 New YorkUSA Graduate school and University Center City University of New York10016 New YorkUSA al-Farabi Kazakh National University 050040 AlmatyKazakhstan

We study radiative p^(15)N capture on the ground state of ^(16)O at stellar energies within the framework of a modified potential cluster model(MPCM)with forbidden states,including low-lying *** investigation of the ^(15)N(p,γ0)^(16)O reaction includes the consideration of ^(3)s_(1) resonances due to E1 transitions and the contribution of the ^(3)P_(1) scattering wave in the p+^(15)N channel due to the ^(3)P_(1)→^(3)P_(0)M1 *** calculated the astrophysical low-energy s-factor,and the extrapolated s(0)turned out to be within 34.7−40.4 keV·*** important role of the asymptotic constant(AC)for the ^(15)N(p,γ0)16O process with interfering ^(3)s_(1)(312)and ^(3)s_(1)(962)resonances is elucidated.A comparison of our calculation for the s-factor with existing experimental and theoretical data is addressed,and a reasonable agreement is *** reaction rate is calculated and compared with the existing *** has negligible dependence on the variation of AC but shows a strong impact of the interference of ^(3)s_(1)(312)and ^(3)s_(1)(962)resonances in reference to the CNO Gamow windows,especially at low *** estimate the contribution of cascade transitions to the reaction rate based on the exclusive experimental data from ***.C.85,065810(2012).The reaction rate enhancement due to the cascade transitions is observed from T_(9)>0.3 and reaches the maximum factor~1.3 at T_(9)=*** present the Gamow energy window and a comparison of rates for radiative proton capture reactions ^(12)N(p,γ)^(13)O,^(13)N(p,γ)^(14)O,^(14)N(p,γ)^(15)O,and ^(15)N(p,γ)^(16)O obtained in the framework of the MPCM and provide the temperature windows,prevalence,and significance of each process.

关键词： low and astrophysical energies p^(15)N system thermonuclear reaction rate potential cluster model CNO-cycle

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The autophagy protein Atg9 functions in glia and contributes to parkinsonian symptoms in a Drosophila model of Parkinson’s disease

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Neural Regeneration Research 2024年第5期19卷 1150-1155页

作者： shuanglong Yi Linfang Wang Margaret s.Ho shiping Zhang school of Life science and Technology ShanghaiTech UniversityShanghaiChina College of Life sciences University of Chinese Academy of SciencesBeijingChina

Parkinson’s disease is a progressive neurodegenerative disease characterized by motor deficits,dopaminergic neuron loss,and brain accumulation ofα-synuclein aggregates called Lewy *** in protein degradation pathways,such as autophagy,has been demonstrated in neurons as a critical mechanism for eliminating protein aggregates in Parkinson’s ***,it is less well understood how protein aggregates are eliminated in glia,the other cell type in the *** the present study,we show that autophagy-related gene 9(Atg9),the only transmembrane protein in the autophagy machinery,is highly expressed in Drosophila glia from adult *** from immunostaining and live cell imaging analysis reveal that a portion of Atg9 localizes to the trans-Golgi network,autophagosomes,and lysosomes in ***9 is persistently in contact with these *** glial atg9 reduces the number of omegasomes and autophagosomes,and impairs autophagic substrate *** suggests that glial Atg9 participates in the early steps of autophagy,and hence the control of autophagic ***,loss of glial atg9 induces parkinsonian symptoms in Drosophila including progressive loss of dopaminergic neurons,locomotion deficits,and glial *** findings identify a functional role of Atg9 in glial autophagy and establish a potential link between glial autophagy and Parkinson’s *** results may provide new insights on the underlying mechanism of Parkinson’s disease.

关键词： Atg9 autophagy glia Parkinson’s disease

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The Ca^(2+)-sensing receptor and the pocketome:comparing nature's complexity with human intervention in receptor modulation

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signal Transduction and Targeted Therapy 2024年第8期9卷 3153-3154页

作者： Edda s.F.Matthees Carsten Hoffmann Institut fur Molekulare Zellbiologie CMB-Center for Molecular BiomedicineUniversitatsklinikum JenaHans-Knoll StraBe 2D-07745 JenaGermany Friedrich-schiller-Universitat Jena Hans-KnollStraBe2D-07745 JenaGermany

In a recent paper published in Nature,the relatively understudied Ca^(2+)-sensing,receptor(CasR)within the Gprotein-coupled receptor(GPCR)family C,gained attention due to pioneering research led by Georgios skiniotis ... 详细信息

关键词： stanford gained skin

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