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Purpose:We offer our injecting experience on a new technique with hyaluronic acid cross linked to autologous fat graft with a specific periorbital cannula. method:Retrospective study on reconstructive and aesthetic injections with hyaluronic acid or autologous fat graft in the periorbital region to treat hollow eye rings,hollow cavities and eyebrow zone. Treatments were realised regarding Coleman lipostructure same protocol using autologous fat graft or hyaluronic acid. The hyaluronic acid used in each case was the same(Restylane *by Q-med).Indications were:hollow eye rings and hollow cavities,the valley of tears,the orbital part,the temporal area and the region of the eyebrow. Results:The advantage of microplasty is due to its execution in simple office as a classic injection of hyaluronic acid for wrinkle treatment with same aseptic rules as microlipostructure. We noticed less bruise and fewer surface irregularities,a better distribution of the product,retro orbicular pre periosty and less lymphatic stasis. Conclusion:We propose hyalurostructure or microlipostructure treatment for dark circles and oculofacial rejuvenation.

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Hyalurostructure Treatment-Superior clinical outcome through new protocol:A 4 year Comparative study of two methods for tear trough treatment

Hyalurostructure Treatment-Superior clinical outcome through...

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2013年全国激光医学学术联合会议暨2013年浙江省医学会整形美容学术年会

作者： Philippe Berros m.D Ophthalmologist-Oculoplastic Surgeon Princess Grace Hospital Monaco

Running head:Tear trough management with hyalurostructure Precis:This is a comparative study of the hyalurostructure technique and its modification leading to less complication between 2009 to 2013 for tear trough treatment. Purpose:Tear troughs represent a main aesthetic characteristic within the aging process,which leads many patients to the wish for a safe and efficient rejuvenation method that will fill their eye *** this study we analyzed results and complication rates of two different methods for hollow eye ring treatment. methods & Results:In this study we used two different methods on two patient *** group A was treated according to the hyalurostructure protocol,but using the hyaluronic acid gel Restylane?(by Q-med-Sweden) and a reinforced 25g Pix’l+ micro cannula,group B received a novel method that included cooling of the periorbital area,no local anesthesia and post-interventional corticoid therapy for 48h. Our results clearly indicate that protocol B is associated with significantly less complication *** also analyzed in how far smoking,the age or skin properties may affect the clinical ***,we found out that the choice of treatment and a medical record of blepharoplasty are significant predictive factors that correlate to complications. Conclusion:Tear trough treatment by hyalurostructure shows satisfying and efficient results with few complications. Our novel technique used in group B,that includes pre-injection cooling of the periorbital area,as well as incision with displacement of the malar fat 10 mm below the orbital border,applying gentle back and forth movements while injecting and oral corticosteroid therapy 48h after intervention,proves to be more effective and safe with significantly low complication *** technique makes hyalurostructure a competent and promising treatment for tear trough management.

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甾体激素对致死剂量照射小鼠骨髓移植疗效的影响

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军事医学科学院院刊 1984年第3期 271-275页

作者：司富为曹菊荣肖蓬朱壬葆军事医学科学院放射医学研究所

近年来,临床上已广泛应用造血细胞移植治疗急性白血病、急性再生障碍性贫血等疾病,其治疗急性再生障碍性贫血的成功率约有50％。对急性白血病治疗,也有缓解病例的报告。可是,在造血细胞移植治疗之前必须采取适当措施,使造血细胞能够植... 详细信息

近年来,临床上已广泛应用造血细胞移植治疗急性白血病、急性再生障碍性贫血等疾病,其治疗急性再生障碍性贫血的成功率约有50％。对急性白血病治疗,也有缓解病例的报告。可是,在造血细胞移植治疗之前必须采取适当措施,使造血细胞能够植入而不致被排斥,在一定程度上也能减轻移植治疗后发生急性免疫反应,这就使我们想到性激素类药物,它是有效的抗辐射药物,对造血可能有一定的影响,在造血细胞移植中是否能产生良好的作用,是值得我们探索的。本文报导了3,17-β棕榈酸雌二醇(简称“棕二”)、丙酸睾丸酮(简称“丙睾”)两类性激素对致死剂量照射Laca小鼠骨髓移植疗效的影响。

关键词：小鼠骨髓移植疗效骨髓细胞骨髓移植小鼠骨髓造血细胞致死剂量相对重量辐射损伤生物辐射效应脾脏重量

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molecularly specific detection of bacterial lipoteichoic acid for diagnosis of prosthetic joint infection of the bone

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Bone Research 2018年第2期6卷 189-196页

作者： Julie E.Pickett John m.Thompson Agnieszka Sadowska Christine Tkaczyk Bret R.Sellman Andrea minola Davide Corti Antonio Lanzavecchia Lloyd S.miller Daniel LJ Thorek Division of Nuclear medicine and molecular Imaging Department of Radiology and Radiological ScienceJohns Hopkins University School of MedicineGaithersburgMDUSA Department of Orthopaedic Surgery Johns Hopkins University School of MedicineBaltimoreMD 21205USA Department of Infectious Disease MedImmune LLCGaithersburgMDUSA Humabs Bio med SA BellinzonaSwitzerland Institute for Research in Biomedicine Universitàdella Svizzera italianaBellinzonaSwitzerland Department of Dermatology Johns Hopkins University School of MedicineBaltimoreMD 21205USA Division of Infectious Disease Department of MedicineJohns Hopkins University School of MedicineBaltimoreMDUSA Cancer molecular and Functional Imaging Program Department of OncologySidney Kimmel Comprehensive Cancer CenterJohns Hopkins University School of MedicineBaltimoreMD 21205USA

Discriminating sterile inflammation from infection, especially in cases of aseptic loosening versus an actual prosthetic joint infection, is challenging and has significant treatment implications. Our goal was to evaluate a novel human monoclonal antibody（mAb） probe directed against the Gram-positive bacterial surface molecule lipoteichoic acid（LTA）. Specificity and affinity were assessed in vitro. We then radiolabeled the anti-LTA mAb and evaluated its effectiveness as a diagnostic imaging tool for detecting infection via immuno PET imaging in an in vivo mouse model of prosthetic joint infection（PJI）. In vitro and ex vivo binding of the anti-LTA mAb to pathogenic bacteria was measured with Octet, ELISA, and flow cytometry. The in vivo PJI mouse model was assessed using traditional imaging modalities, including positron emission tomography（PET） with [^（18）F]FDG and [^（18）F]Na F as well as X-ray computed tomography（CT）, before being evaluated with the zirconium-89-labeled antibody specific for LTA（[^（89）Zr]SAC55）.The anti-LTA mAb exhibited specific binding in vitro to LTA-expressing bacteria. Results from imaging showed that our model could reliably simulate infection at the surgical site by bioluminescent imaging, conventional PET tracer imaging, and bone morphological changes by CT. One day following injection of both the radiolabeled anti-LTA and isotype control antibodies, the anti-LTA antibody demonstrated significantly greater（P 〈 0.05） uptake at S. aureus-infected prosthesis sites over either the same antibody at sterile prosthesis sites or of control non-specific antibody at infected prosthesis sites. Taken together, the radiolabeled anti-LTA mAb, [^（89）Zr]SAC55, may serve as a valuable diagnostic molecular imaging probe to help distinguish between sterile inflammation and infection in the setting of PJI. Future studies are needed to determine whether these findings will translate to human PJI.

关键词： Zr molecularly specific detection bacterial lipoteichoic acid diagnosis prosthetic infection bone LTA SAC PET FDG tracer

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mechanistic insights on immunosenescence and chronic immune activation in HIV-tuberculosis co-infection

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World Journal of Virology 2015年第1期4卷 17-24页

作者： Esaki m Shankar Vijayakumar Velu Adeeba Kamarulzaman marie Larsson Tropical Infectious Disease Research and Education Center Department of Medical MicrobiologyFaculty of MedicineUniversity of Malaya Department of microbiology and Immunology Emory Vaccine CenterYerkes National Primate Research Center Center of Excellence for Research in AIDS University of Malaya Division of molecular Virology Department of Clinical and Experimental MedicineLink?ping University

Immunosenescence is marked by accelerated degradation of host immune responses leading to the onset of opportunistic infections, where senescent T cells show remarkably higher ontogenic defects as compared to healthy T cells. The mechanistic association between T-cell immunosenescence and human immunodeficiency virus(HIV) disease progression, and functional T-cell responses in HIV-tuberculosis(HIV-TB) co-infection remains to be elaborately discussed. Here, we discussed the association of immunosenescence and chronic immune activation in HIV-TB co-infection and reviewed the role played by mediators of immune deterioration in HIV-TB coinfection necessitating the importance of designing therapeutic strategies against HIV disease progression and pathogenesis.

关键词： Cluster of differentiation 38 Human immunodeficiency virus-tuberculosis co-infection Immunosenescence

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Interventions to improve treatment adherence among adolescents: A meta-analysis

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World Journal of meta-Analysis 2014年第3期2卷 71-77页

作者： Tricia A miller Brittany L Bannon m Robin Di matteo Department of Psychology University of CaliforniaRiverside

AIm: To examine the overall effectiveness of interventions designed to improve medical treatment adherence among adolescent ***: Pub med and Psyc INFO databases were searched to retrieve and analyze empirical journal articles(from 1948-2013). Only peer-reviewed, English language journals that defined a measure of adherence(or compliance), assessed an intervention aimed at improving adherence among adolescents, and provided information to calculate an r effect size were included. Studies were excluded if they lacked assessment of the effectiveness of interventions on improving adherence in adolescents as compared to no interventions or standard care. Case studies or journal articles that examined substance abuse or psychological disorders were also excluded. Analyses were conducted with fixed and random-effects methods, and moderators of intervention efficacy were also examined. RESULTS: For each study that met the inclusion crite-ria(n = 45), an effect size r, reflecting the strength and direction of the interventions' relationship to adherence was recorded; a positive r indicated that the intervention increased adolescent adherence, whereas a negative r indicated that the intervention decreased adolescent adherence. The overall effectiveness of adolescent adherence interventions was positive and significant(unweighted mean r = 0.27, 95%CI: 0.21-0.33, P = 0.001). moderator analyses at the fixed effects level revealed that interventions were less effective when adolescents reported their adherence behaviors, when the type of adherence regimen was a medication regimen, and when the type of intervention was cognitivemodification based. CONCLUSION: These findings contribute to understanding interventions for enhancing adolescent adherence. Future research should continue to examine the specific challenges faced by adolescents and create targeted interventions.

关键词： Adolescent Adherence(compliance) Intervention meta-analysis

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Diagnosis and management challenges of in-stent restenosis in coronary arteries

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World Journal of Cardiology 2017年第8期9卷 640-651页

作者： m Chadi Alraies Fahed Darmoch Ramyashree Tummala Ron Waksman Heart and Vascular Institute Department of Interventional CardiologyGeorgetown University/Med Star Washington Hospital Center Internal medicine Department St Vincent Charity Medical Center/Case Western Reserve University

Over the course of the 3 decades, percutaneous coronary intervention(PCI) with stent implantation transformed the practice of cardiology. PCI with stenting is currently the most widely performed procedure for the treatment of symptomatic coronary disease. In large trials, drugeluting stents(DES) have led to a significant reduction in in-stent restenosis(ISR) rates, one of the major limitations of bare-metal stents. Due to these favorable findings, DES was rapidly and widely adopted enabling more complex coronary interventions. Nevertheless, ISR remains a serious concern as late stent complications. ISR mainly results from aggressive neointimal proliferation and neoatherosclerosis. DES-ISR treatment continues to be challenging complications for interventional cardiologists.

关键词： Stent In-stent Restenosis Percutaneous coronary intervention

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Towards rational use of drugs in Egypt

Towards rational use of drugs in Egypt

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第十五届国际药理学大会

作者： Khayyal m. A Khayyal m. T Ibrahim m Abdel Khalek E Nassar m Tantawy F Abdul Sayed Y BrφsenK Bergman U Rane A Gustafsson L. Sjoqvist F. Faculty of med Azhar Faculty of med Faculty of Pharmacy Cairo University Faculty of med menofia Faculty of med Shebin-El-Kom Teaching Hosp Helal Hlth.Insurance Hosp. Faculty of med Shebin-El-Kom Teaching Hosp. Faculty of med Shebin-El-Kom Teaching Hosp. Clin.Pharmacology Dept University of South Denmark Sweden. Clin.Pharmacology Dept Karolmska Inst. Sweden. Clin.Pharmacology Dept Karolmska Inst. Sweden. Clin.Pharmacology Dept Karolmska Inst. Sweden. Clin.Pharmacology Dept Karolmska Inst. Sweden.

＜正＞ A collaborative project between Egypt. Denmark and Sweden has been initiated to improve drug utilization in Egyptian hospitals （Tempus grant JEP - 31033）. Drug and therapeutics committees （DTCs） were founded from clinicians supported by pharmacological and pharmaceutical expertise. Data collected retrospectively led to identify the most commonly used drugs and their irrational use. Through consultations at the initial phase （1 year）, drug utilization of some commonly prescribed drugs fell by about 40 % . Emphasis has been put on the principles of drug evaluation in the training of DTC members. Preliminary results suggest that it is possible for DTCs to change drug utilization towards a more rational approach.

关键词： Drag rationalization Egyptian trial Tempus

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131I-CEA m cAb免疫显像诊断卵巢癌的初步研究

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山东医科大学学报 1988年第4期 20-26页

作者：胡立宽贾士铨谢天豪韩建奎康福刘清太山东医科大学核医学教研室

用131I-CEA mcAb放射免疫显像诊断10例卵巢癌患者,使用γ-闪烁显像辅以微机图像处理技术和双核素减影术获得较好效果。10例全部阳性显像,与手术及病理结果完全相符,卵巢癌RII分期与手术分期亦完全符合。31处转移灶发现30处,阳性率97%,... 详细信息

用131I-CEA mcAb放射免疫显像诊断10例卵巢癌患者,使用γ-闪烁显像辅以微机图像处理技术和双核素减影术获得较好效果。10例全部阳性显像,与手术及病理结果完全相符,卵巢癌RII分期与手术分期亦完全符合。31处转移灶发现30处,阳性率97%,最小检出病灶直径1.5cm。本法在对病灶进行定性诊断同时可直接显示病灶位置、形态、大小及数量。对早期发现、指导临床分期、估计预后有较高的临床价值。

关键词：卵巢肿瘤放射免疫显像抗体,单克隆癌胚抗原

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