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Disparate outcomes in Hispanic patients with metabolic dysfunctionassociated steatotic liver disease/steatohepatitis and type 2 diabetes: large cohort study

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World Journal of Diabetes 2024年第5期15卷 886-897页

作者： Joseph Matthew Gosnell George Golovko Esteban Arroyave Akshata Moghe Michael l Kueht Omar AbdulSaldarriaga Kevin H McKinney heather l Stevenson Monique R Ferguson Department of Pathology University of Texas Medical BranchGalvestonTX 77555United States Department of Pharmacology&Toxicology University of Texas Medical BranchGalvestonTX 77555United States Department of Medicine University of Texas Health Science Center at HoustonHoustonTX 77030United States Department of Surgery University of Texas Medical BranchGalvestonTX 77555United States Center for Tropical Diseases Department of Internal MedicineUniversity of Texas Medical BranchGalvestonTX 77555United States Department of Internal Medicine University of Texas Medical BranchGalvestonTX 77555United States

BACKGROUND Metabolic dysfunction-associated steatotic liver disease(MASlD)and metabolic dysfunction-associated steatohepatitis(MASH)are a growing health burden across a significant portion of the global patient ***,these conditions seem to have disparate rates and outcomes between different ethnic *** combination of MASlD/MASH and type 2 diabetes increases the risk of hepatocellular carcinoma(HCC),and Hispanic patients experience the greatest burden,particularly those in South *** To compare outcomes between Hispanic and non-Hispanic patients in the United States,while further focusing on the Hispanic population within Southeast Texas to determine whether the documented disparity in outcomes is a function of geographical circumstance or if there is a more widespread reason that all clinicians must account for in prognostic *** This cohort analysis was conducted with data obtained from TriNetX,llC(“TriNetX”),a global federated health research network that provides access to deidentified medical records from healthcare organizations *** cohort networks were used:University of Texas Medical Branch(UTMB)hospital and the United States national database collective to determine whether disparities were related to geographic regions,like Southeast *** This study findings revealed Hispanics/latinos have a statistically significant higher occurrence of HCC,type 2 diabetes mellitus,and liver fibrosis/cirrhosis in both the United States and the UTMB Hispanic/latino *** mortality in Hispanics/latinos was lower within the United States group and not statistically elevated in the UTMB *** This would appear to support that Hispanic patients in Southeast Texas are not uniquely affected compared to the national Hispanic population.

关键词： Metabolic dysfunction-associated steatotic liver disease Metabolic dysfunction-associated steatohepatitis Hispanic Diabetes mellitus TriNetX Non-alcoholic fatty liver disease Non-alcoholic steatohepatitis Steatotic liver disease Hepatocellular carcinoma

Postphalloplasty urinary function test:an observational study of novel outcome instrument to capture urinary dysfunction and quality of life after phalloplasty

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Asian Journal of Andrology 2022年第6期24卷 570-574页

作者： James l liu lauren Eisenbeis Stephanie Preston Arthur l Burnett heather N DiCarlo Devin Coon The James Buchanan Brady Urological Institute and Department of Urology Johns Hopkins University School of MedicineBaltimoreMD 21287USA Department of Plastic and Reconstructive Surgery Johns Hopkins School of MedicineBaltimoreMD 21287USA Johns Hopkins Center for Transgender Health Johns Hopkins MedicineBaltimoreMD 21287USA Department of Surgery University of Texas SouthwesternDallasTX 75370USA

Due to growing social acceptance,there has been an increasing number of gender-affirmation surgeries performed in North *** research in this patient population focuses on surgical outcomes and advancing ***,little work has been done to study functional *** better evaluate urinary dysfunction in the postphalloplasty trans men patient population,our group developed a novel patient-reported outcome instrument-the postphalloplasty urinary function test(PP UFT)and protocol to measure postvoid urethral volume(PVUR),and we present our preliminary *** conducted a cross-sectional pilot study in a cohort of 15 adult trans men who had undergone phalloplasty with urethral lengthening surgery between 2018 and *** had stable urinary function via the neophallus at the time of *** filled out the PP UFT and were asked to record their PVUR as per our *** average PP UFT score was 8.9 out of 40 and the average quality-of-life(QOl)score was *** dribbling constituted the major complaint and on average comprised 63.2%of the reported PP UFT *** average PVUR was 2.2 ml(range:0.5-5.6 ml).There was a positive correlation between higher PP UFT and worse-reported quality of life(Ple urology have limitations for accurately capturing urinary dysfunction in this specific patient *** combination of PP UFT and PVUR measurement offers potential for quantifying urinary function and quality of life in patients who undergo *** studies will validate these instruments.

关键词： gender affirmation gender surgery phalloplasty postvoid urethral residual urethral lengthening urinary dysfunction

An examination of the population dynamics of syngnathid fishes within Tampa Bay,Florida,USA

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Current Zoology 2010年第1期56卷 118-133页

作者： heather D.MASONJONES Emily ROSE lori Benson McRAE Danielle l.DIXSON Biology Department University of Tampa Biology Department Texas A & M University School of Marine and Tropical Biology James Cook University

Seagrass ecosystems worldwide have been declining, leading to a decrease in associated fish populations, especially those with low mobility such as syngnathids （pipefish and seahorses）. This two-year pilot study investigated seasonal patterns in density, growth, site fidelity, and population dynamics of Tampa Bay （Fl） syngnathid fishes at a site adjacent to two marinas under construction. Using a modified mark-recapture technique, fish were collected periodically from three closely located sites that varied in seagrass species （Thalassia spp., Syringodium spp., and mixed-grass sites） and their distance from open water, but had consistent physical/chemical environmental characteristics. Fish were marked, photographed for body size and gender measurements, and released the same day at the capture site. Of the 5695 individuals surveyed, 49 individuals were recaptured, indicating a large, flexible population. Population density peaks were observed in July of both years, with low densities in late winter and late summer. Spatially, syngnathid densities were highest closest to the mouth of the bay and lowest near the shoreline. Seven species of syngnathid fishes were observed, and species-specific patterns of seagrass use emerged during the study. However, only two species, Syngnathus scovelli and Hippoeampus zosterae, were observed at high frequencies. For these two species, body size decreased across the study period, but while S. scovelli＇s population density decreased, H. zosterae＇s increased. Across six of the seven species, population size declined over the course of this preliminary study; however, seasonal shifts were impossible to distinguish from potential anthropogenic effects of construction [Current Zoology 56 （1）： 118-133, 2010].

关键词： Syngnathids Habitat-use Seahorse Pipefish Population density Mark-recapture

Protecting health facilities:design options for armed conflict and climate change disasters

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Emergency and Critical Care Medicine 2023年第1期3卷 1-3页

作者： heather Groves Adam l.Kushner Shailvi Gupta University ofMaryland School of Medicine BaltimoreMDUSA Surgeons OverSeas New YorkNYUSA Bloomberg School of Public Health Johns Hopkins UniversityBaltimoreMDUSA

Hospital facility designs are essential to maintaining function during times of *** hospitals to remain open during emergencies,their structuresmust resist forces frommany types of hazards such as earthquakes,hurricanes,flooding,and even societal hazards,such as *** disasters are becomingmore dangerous with the advent of global climate *** this article,we investigate health care building design interventions to protect ***,amulti-hazard approach is the best way to prepare hospitals for resiliency in the face of disaster.

关键词： Armed conflict Climate change Disaster preparedness Hospital design

The importance of non-carbonate mineral weathering as a soil formation mechanism within a karst weathering profile in the SPECTRA Critical Zone Observatory, Guizhou Province,China

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Acta Geochimica 2017年第3期36卷 566-571页

作者： Oliver W.Moore heather l.Buss Sophie M.Green Man liu Zhaoliang Song School of Earth Sciences University of Bristol Geography College of Life and Environmental SciencesUniversity of Exeter School of Water Resources and Environment China University of Geosciences (Beijing) Institute of the Surface-Earth System Science Research Tianjin University

Soil degradation, including rocky desertification,of the karst regions in China is severe. Karst landscapes are especially sensitive to soil degradation as carbonate rocks are nutrient-poor and easily eroded. Understanding the balance between soil formation and soil erosion is critical for long-term soil sustainability, yet little is known about the initial soil forming processes on karst terrain. Herein we examine the initial weathering processes of several types of carbonate bedrock containing varying amounts of non-carbonate minerals in the SPECTRA Critical Zone Observatory, Guizhou Province, Southwest China. We compared the weathering mechanisms of the bedrock to the mass transfer of mineral nutrients in a soil profile developed on these rocks and found that soil formation and nutrient contents are strongly dependent upon the weathering of interbedded layers of more silicate-rich bedrock(marls). Atmospheric inputs from dust were also detected.

关键词： Critical zone Chemical weathering Karst Desertification Guizhou Province

A systematic review of randomized controlled trials examining the effectiveness of saffron(Crocus sativus l.) on psychological and behavioral outcomes

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Journal of Integrative Medicine 2015年第4期13卷 231-240页

作者： heather Ann Hausenblas Kacey Heekin heather lee Mutchie Stephen Anton Department of Kinesiology Jacksonville University Department of Aging & Geriatric Research University of Florida

BACKGROUND：Throughout the past three decades,increased scientifi c attention has been given to examining saffron’s（Crocus sativus l.）use as a potential therapeutic or preventive agent for a number of health conditions,including cancer,cardiovascular disease,and ***：The purpose of this systematic review is to examine and categorize the current state of scientifi c evidence from randomized controlled trials（RCTs）regarding the effi cacy of saffron on psychological/behavioral *** STRATEGY：Electronic and non-electronic systematic searches were conducted to identify all relevant human clinical research on *** search strategy was extensive and was designed according to the＂Preferred Reporting Items for Systematic Reviews and Meta-Analyses（PRISMA）.＂Reference lists of articles that met the inclusion criteria were *** English language studies were *** CRITERIA：Saffron trials in combination with other substances and saffron safety studies were considered,in accordance with the PRISMA *** studies must have a control *** studies must measure a physiological and/or a behavioral *** EXTRACTION AND ANAlYSIS：The methodological quality of all included studies was independently evaluated by two reviewers using the Jadad *** scores and P-values of measures were compared both inter-and intra-study for each parameter（i.e.,depression）.RESUlTS：Twelve studies met our inclusion *** studies examined the effects of saffron on psychological/behavioral outcomes of：major depressive disorder（n=6）,premenstrual syndrome（n=1）,sexual dysfunction and infertility（n=4）,and weight loss/snacking behaviors（n=1）.The data from these studies support the effi cacy of saffron as compared to placebo in improving the following conditions：depressive symptoms（compared to anti-depressants and placebo）,premenstrual symptoms,and sexual *** addition,saffron use was also effective in reducing exce

关键词： Crocus health-rela ted outcomes systematic review

Influence of longwall mining on the stability of gas wells in chain pillars

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International Journal of Mining Science and Technology 2020年第1期30卷 3-9页

作者： Peter Zhang heather Dougherty Daniel Su Jack Trackemas Berk Tulu CDC NIOSH Pittsburgh Mining Research Division(PMRD)PittsburghPA 15236USA Department of Mining Engineering West Virginia UniversityMorgantownWV 26505USA

longwall mining has a significant influence on gas wells located within longwall chain *** subsidence and abutment pressure induced by longwall mining can cause excessive stresses and deformations in gas well *** the gas well casings are compromised or ruptured,natural gas could migrate into the mine workings,potentially causing a fire or *** the current safety regulations,the gas wells in the chain pillars have to be either plugged or protected by adequate coal *** current regulations for gas well pillar design are based on the 1957 Pennsylvania gas well pillar *** study provided guidelines for gas well pillars by considering their support area and overburden depth as well as the location of the gas wells within the *** the guidelines were developed for room-andpillar mining under shallow cover,they are no longer applicable to modern longwall coal mining,particularly,under deep *** well casing of failures have occurred even though the chain pillars for the gas wells met the requirements by the 1957 *** study,conducted by the National Institute for Occupational Safety and Health(NIOSH),presents seven cases of conventional gas wells penetrating through longwall chain pillars in the Pittsburgh Coal *** study results indicate that overburden depth and pillar size are not the only determining factors for gas well *** other important factors include subsurface ground movement,overburden geology,weak floor,as well as the type of the construction of gas *** modeling was used to model abutment pressure,subsurface deformations,and the response of gas well *** study demonstrated that numerical models are able to predict with reasonable accuracy the subsurface deformations in the overburden above,within,and below the chain pillars,and the potential location and modes of gas well failures,thereby providing a more quantifiable approach to assess the stability of the gas wells in l

关键词： longwall mining Gas well Chain pillar Casing stability

Foliar Dicamba Application Has No lasting Effects on Microbial Activities in the Soybean Rhizosphere

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American Journal of Plant Sciences 2020年第11期11卷 1706-1713页

作者： heather l. Tyler Crop Production Systems Research Unit U.S. Department of Agriculture Agricultural Research Service Stoneville USA

The proliferation of glyphosate-resistant weeds has resulted in significant losses in the productivity of crops such as corn, soybean, and cotton. As a result, new crop varieties with resistance genes from other herbicides, such as 2,4-D and dicamba, have been developed as part of alternative weed control cropping systems. However, little is known about how the application of these herbicides impacts the microorganisms that carry out nutrient cycling in the soil of these cropping systems, particularly in the rhizosphere, the soil compartment immediately adjacent to the root system which is pivotal to plant nutrient uptake. The purpose of the current study was to assess the effects of dicamba on soil enzyme activities linked to C, N, and P cycling in the rhizosphere of resistant soybean plants. While dicamba had no significant effects on the acle="font-family:Verdana;">tivities of enzymes linked to C or P cycling in the rhizosphere, N-acetylglucosaminidase activity was temporarily inhibited, but recovered by three days after application. These results suggest there are no long-lasting negative effects of dicamba in the rhizosphere of treated plants when applied at field rates.

关键词： Dicamba Rhizosphere Soybean Soil Microbial Activities

Small duct primary sclerosing cholangitis: A discrete variant or a bridge to large duct disease, a practical review

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World Journal of Hepatology 2022年第3期14卷 495-503页

作者： Christopher M Nguyen Kevin T Kline heather l Stevenson Kashif Khan Sreeram Parupudi Department of Internal Medicine The University of Texas Medical BranchGalvestonTX 77555United States Department of Gastroenterology and Hepatology The University of Texas Medical BranchGalvestonTX 77555United States Department of Pathology University of Texas Medical BranchGalvestonTX 77555United States

The natural history,associations with inflammatory bowel disease(IBD),and long-term outcomes of large duct primary sclerosing cholangitis(ldPSC)have been well *** duct primary sclerosing cholangitis(sdPSC)is a much less common and relatively more benign *** natural history of sdPSC has been difficult to characterize given the limited number of studies in the literature especially with regards to the subset of patients who progress to large duct *** has been unclear whether sdPSC represented a subset of ldPSC,an earlier staging of ldPSC,or a completely separate and distinct entity of its *** associations between sdPSC and IBD have been established with suspicion that concurrent sdPSC-IBD may be a key prognostic factor in determining which patients are at risk of progression to *** is known regarding the discrete circumstances that predisposes some patients with sdPSC to progress to *** has been suspected that progression to large biliary duct involvement subjects this subset of patients to potentially developing lifethreatening *** the authors conducted a thorough review of the published sdPSC literature using Pubmed searches and cross-referencing to compile all accessible studies regarding cohorts of sdPSC patients in order better characterize the subset of sdPSC patients who progress to ldPSC and the associated outcomes.

关键词： Small duct primary sclerosing cholangitis Inflammatory bowel disease Progression Primary sclerosing cholangitis Outcomes