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Combination treatment of inflammatory bowel disease:Present status and future perspectives

World Journal of Gastroenterology 2024年第15期30卷 2068-2080页

作者： John k Triantafillidis Constantinos G Zografos Manousos M konstadoulakis Apostolos E Papalois Inflammatory Bowel Disease Unit "Metropolitan General"HospitalHolargos 15562AtticaGreece Hellenic Society for Gastrointestinal Oncology 354 Iera OdosChaidari 12461AtticaGreece The 2^(nd)Department of Surgery University of AthensSchool of MedicineAretaieion HospitalAthens 11528Greece Unit of Surgical Research and Training The 2^(nd)Department of SurgeryUniversity of AthensSchool of MedicineAretaieion HospitalAthens 11528Greece

The treatment of patients with inflammatory bowel disease(IBD),especially those with severe or refractory disease,represents an important challenge for the clinical *** seems to be no exaggeration to say that in these patients,not only the scientific background of the gastroenterologist is tested,but also the abundance of“gifts”that he should possess(insight,intuition,determ-ination,ability to take initiative,etc.)for the successful outcome of the *** daily clinical practice,depending on the severity of the attack,IBD is treated with one or a combination of two or more pharmaceutical *** combin-ations include not only the first-line drugs(e.g.,mesalazine,corticosteroids,antibiotics,etc)but also second-and third-line drugs(immunosuppressants and biologic agents).It is a fact that despite the significant therapeutic advances there is still a significant percentage of patients who do not satisfactorily respond to the treatment ***,a part of these patients are going to *** recent years,several small-size clinical studies,reviews,and case reports have been published combining not only biological agents with other drugs(e.g.,immunosuppressants or corticosteroids)but also the combination of two biologi-cal agents simultaneously,especially in severe *** our opinion,it is at least a strange(and largely unexplained)fact that we often use combinations of drugs in a given patient although studies comparing the simultaneous administration of two or more drugs with monotherapy are very *** mentioned above,there is a timid tendency in the literature to combine two biological agents in severe cases unresponsive to the applied treatment or patients with severe extraintestinal *** appropriate dosage,the duration of the administration,the suitable timing for checking the clinical and laboratory outcome,as well as the treatment side-effects,should be the subject of intense clinical research *** this

关键词： Biologics for immune-mediated conditions Dual-targeted treatment Combination treatment Inflammatory bowel disease Crohn’s

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The first mitogenome of Lauraceae(Cinnamomum chekiangense)

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Plant Diversity 2024年第1期46卷 144-148页

作者： Changwei Bi Ning Sun Fuchuan Han kewang Xu Yong Yang David k.Ferguson State key Laboratory of Tree Genetics and Breeding Co-Innovation Center for Sustainable Forestry in Southern ChinaKey Laboratory of Tree Genetics and Biotechnology of Educational Department of ChinaKey Laboratory of Tree Genetics and Silvicultural Sciences of Jiangsu ProvinceNanjing Forestry UniversityNanjing 210037China College of Information Science and Technology Nanjing Forestry UniversityNanjing 210037China Research Institute of Subtropical Forestry Chinese Academy of ForestryHangzhou 311400China Co-Innovation Center for Sustainable Forestry in Southern China College of Life SciencesNanjing Forestry UniversityNanjing 210037China Department of Paleontology University of ViennaViennaAustria

There are three distinct genetic systems in higher plants,the dominant nuclear genome and the semi-autonomous organelle genomes(plastids and mitochondria).In contrast to the conserved plastid genome(plastome),the plant mitochondrial genome(mitogenome)is characterized by an intriguing“evolutionary paradox”distinguished by a remarkably low mutation rate but with a significantly high rearrangement rate(Palmer and Herbon,1988;Lai et al.,2022).

关键词： autonomous distinguished Palmer

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Climate bonds toward achieving net zero emissions and carbon neutrality:Evidence from machine learning technique

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Journal of Management Science and Engineering 2024年第1期9卷 1-15页

作者： Hermas Abudu Presley k.Wesseh Jr. Boqiang Lin College of Overseas Education Chengdu UniversityChengdu610106SichuanChina School of Management China Institute for Studies in Energy PolicyCollaborative Innovation Center for Energy Economics and Energy PolicyXiamen UniversityFujian361005China Center for African Development Strategy(CFADS) MonroviaLiberia

The Conference of the Parties(COP26 and 27)placed significant emphasis on climate financing policies with the objective of achieving net zero emissions and carbon ***,studies on the implementation of this policy proposition are *** address this gap in the literature,this study employs machine learning techniques,specifically natural language processing(NLP),to examine 77 climate bond(CB)policies from 32 countries within the context of climate *** findings indicate that“sustainability”and“carbon emissions control”are the most outlined policy objectives in these CB ***,the study highlights that most CB funds are invested toward energy projects(i.e.,renewable,clean,and efficient initiatives).However,there has been a notable shift in the allocation of CB funds from climate-friendly energy projects to the construction sector between 2015 and *** shift raises concerns about the potential redirection of funds from climate-focused investments to the real estate industry,potentially leading to the greenwashing of climate ***,policy sentiment analysis revealed that a minority of policies hold skeptical views on climate change,which may negatively influence climate ***,the findings highlight that the effective implementation of CB policies depends on policy goals,objectives,and ***,this study contributes to the literature by employing NLP techniques to understand policy sentiments in climate financing.

关键词： Climate bonds funds utilization Climate bonds policy text mining Machine learning technique Net zero emissions Policy sentiment analysis

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Joint Rain Streaks & Haze Removal Network for Object Detection

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Computers, Materials & Continua 2024年第6期79卷 4683-4702页

作者： Ragini Thatikonda Prakash kodali Ramalingaswamy Cheruku Eswaramoorthy k.V Department of Electronics and Communication Engineering National Institute of TechnologyWarangal506004India Department of Computer Science and Engineering National Institute of TechnologyWarangal506004India Department of Electronics and Communication Engineering Indian Institute of Information TechnologyDesign and ManufacturingKurnool518008India

In the realm of low-level vision tasks,such as image deraining and dehazing,restoring images distorted by adverse weather conditions remains a significant *** emergence of abundant computational resources has driven the dominance of deep Convolutional Neural Networks(CNNs),supplanting traditional methods reliant on prior ***,the evolution of CNN architectures has tended towards increasing complexity,utilizing intricate structures to enhance performance,often at the expense of computational *** response,we propose the Selective kernel Dense Residual M-shaped Network(SkDRMNet),a flexible solution adept at balancing computational efficiency with network accuracy.A key innovation is the incorporation of an M-shaped hierarchical structure,derived from the U-Net framework as M-Network(M-Net),within which the Selective kernel Dense Residual Module(SDRM)is introduced to reinforce multi-scale semantic feature *** methodology employs two sampling techniques-bilinear and pixel unshuffled and utilizes a multi-scale feature fusion approach to distil more robust spatial feature map *** the reconstruction phase,feature maps of varying resolutions are seamlessly integrated,and the extracted features are effectively merged using the Selective kernel Fusion Module(SkFM).Empirical results demonstrate the comprehensive superiority of SkDRMNet across both synthetic and real rain and haze datasets.

关键词： Image deraining Selective Dense Residual Module(SDRM) Selective kernel Fusion Module(SkFM) Selective kernelDense Residual M-Shaped Network(SkDRMNet)

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Aggresome-aggrephagy transition process: geting closer to the functional roles of HDAC6 and BAG3

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Neural Regeneration Research 2024年第6期 1181-1182页

作者： Hagen k?rschgen Christian Behl The Autophagy Lab Institute of Pathobiochemistry University Medical Center of the Johannes Gutenberg University Mainz

Misfolding of proteins as well as their aggregation is a major driver of age-related neurodegenerative diseases. Hence, cells have evolved sophisticated protein quality control mechanisms. Mainly the ubiquitin-proteasome-system(UPS) and the autophagosome-lysosome-system, specifically a macroautophagy pathway called “aggrephagy”, govern the disposal of aggregates. However,

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Pancreatic surgery and tertiary pancreatitis services warrant provision for support from a specialist diabetes team

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World Journal of Diabetes 2024年第4期15卷 598-605页

作者： Vasileios k Mavroeidis Jennifer knapton Francesca Saffioti Daniel L Morganstein Department of HPB Surgery Bristol Royal InfirmaryUniversity Hospitals Bristol and Weston NHS Foundation TrustBristol BS28HWUnited Kingdom Department of Gastrointestinal Surgery Southmead HospitalNorth Bristol NHS TrustBristol BS105NBUnited Kingdom Department of Academic Surgery Royal Marsden NHS Foundation TrustLondon SW36JJUnited Kingdom Department of Gastroenterology and Hepatology Oxford University Hospitals NHS Foundation TrustOxford OX39DUUnited Kingdom UCL Institute for Liver and Digestive Health University College LondonLondon NW32PFUnited Kingdom Department of Endocrinology Chelsea and Westminster Hospital NHS Foundation TrustLondon SW109NHUnited Kingdom Department of Gastrointestinal Unit Royal Marsden NHS Foundation TrustLondon SW36JJUnited Kingdom

Pancreatic surgery units undertake several complex operations,albeit with consi-derable morbidity and mortality,as is the case for the management of complicated acute pancreatitis or chronic *** centralisation of pancreatic surgery services,with the development of designated large-volume centres,has contribu-ted to significantly improved *** this editorial,we discuss the complex associations between diabetes mellitus(DM)and pancreatic/periampullary disease in the context of pancreatic surgery and overall management of complex pancreatitis,highlighting the consequential needs and the indispensable role of specialist diabetes teams in support of tertiary pancreatic *** 3c pan-creatogenic DM,refers to DM developing in the setting of exocrine pancreatic disease,and its identification and management can be challenging,while the glycaemic control of such patients may affect their course of treatment and *** preoperative diabetes assessment is warranted to aid identification of patients who are likely to need commencement or escalation of glucose lowering therapy in the postoperative *** incidence of new onset diabetes after pancreatic resection is widely variable in the literature,and depends on the type and extent of pancreatic resection,as is the case with pancreatic parenchymal loss in the context of severe *** involvement of a specialist diabetes team is essential to ensure a holistic *** the current era,large volume pancreatic surgery services commonly abide by the principles of enhanced recovery after surgery,with inclusion of provisions for optimisation of the perioperative glycaemic control,to improve *** various guidelines are available to aid perioperative management of DM,auditing and quality improvement platforms have highlighted deficiencies in the perioperative management of diabetic patients and areas of required *** need for perioperative support of diabetic

关键词： Pancreatectomy Pancreatoduodenectomy Whipple’s Pancreatitis Diabetes specialist Type 3c pancreatogenic diabetes mellitus

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Understanding the mechanism of environmental, social, and governance impact on enterprise performance in the context of sustainable development

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Corporate Social Responsibility and Environmental Management 2024年第2期31卷 784-800页

作者： Shi X.k. Zhang Q.M. School of Finance Zhejiang Gongshang University Zhejiang Hangzhou China

In transitional economies characterized by digital finance and uncertainty, the environmental, social, and governance (ESG) impact on enterprise performance has become a core issue in the sustainable development of enterprises. The existing literature does not pay attention to the simultaneous existence of digital finance and economic policy uncertainty in transition countries such as China. This paper introduces ESG as intangible capital into the Cobb–Douglas production function, considers the impact of digital finance and economic policy uncertainty, establishes a theoretical analysis framework, and empirically tests the impact of ESG on enterprise performance using panel data of 1688 listed companies in China from 2011 to 2020. The results reveal that ESG promotes enterprise performance; digital finance strengthens the positive impact of ESG on enterprise performance, and increased economic policy uncertainty strengthens the positive moderating effect of digital finance. Heterogeneity analysis reveals that the impact of ESG on enterprise performance and the moderating effect of digital finance are significant in both the eastern region and the central and western regions, but the former performs better when economic policy uncertainty increases. The research conclusion provides a policy reference for selecting appropriate digital finance policies to promote the sustainable development of enterprises with ESG as the core. © 2023 ERP Environment and John Wiley & Sons Ltd.

关键词： digital finance economic policy uncertainty enterprise performance ESG

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Effect of Ta_(2)O_(5)nanoparticles on bioactivity,composition,structure,in vitro and in vivo behavior of PEO coatings on Mg-alloy

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Journal of Magnesium and Alloys 2024年第6期12卷 2360-2379页

作者： D.V.Mashtalyar I.M.Imshinetskiy V.V.kashepa k.V.Nadaraia M.A.Piatkova A.I.Pleshkova k.A.Fomenko A.Yu.Ustinov S.L.Sinebryukhov S.V.Gnedenkov Institute of Chemistry Far Eastern BranchRussian Academy of SciencesVladivostok690022Russia Far Eastern Federal University Vladivostok690950Russia Regional Clinical Dermatovenerological Dispensary Vladivostok690033Russia

The present study investigates the physical and chemical characteristics,behavior in vitro and in vivo,and biocompatibility of coatings containing Ta_(2)O_(5),which are obtained by plasma electrolytic oxidation(PEO)on MA8 magnesium *** obtained coatings demonstrate in vivo biocompatibility and in vitro *** to the base PEO coating,the layers containing Ta_(2)O_(5)facilitate the development of apatite in simulated body fluid,suggesting that the inclusion of nanoparticles improves bioactivity of the *** was found that incorporation of Ta_(2)O_(5)nanoparticles increases roughness and porosity of the formed layers by increasing particle concentration in electrolytes for the PEO process contributing to sufficient soft tissue ingrowth in *** on in vivo studies,these coatings also provide favorable tissue response and minimal inflammatory reaction in comparison with the bare magnesium alloy due to protection of living tissues from deleterious corrosion events of magnesium implant such as local alkalization and intense hydrogen *** results obtained in the present study concluded biocompatibility,tissue integration of the PEO coatings containing Ta_(2)O_(5)nanoparticles making them a promising protective layer for biodegradable magnesium implants.

关键词： Plasma electrolytic oxidation Bioactive coatings Tantalum pentoxide Simulated body fluid(SBF) Apatite formation Histology

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Attitude and willingness on gamete donation among medical students:An experience from a state university in Sri Lanka

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Asian pacific Journal of Reproduction 2024年第3期13卷 120-125页

作者： S.Raguraman k.Muhunthan R.Niroje Department of Obstetrics and Gynaecology Faculty of MedicineUniversity of JaffnaJaffnaSri Lanka Teaching Hospital Jaffna JaffnaSri Lanka

Objective:To assess the attitude and willingness of medical students of the Faculty of Medicine,University of Jaffna,regarding gamete ***:An institutional-based descriptive cross-sectional study was conducted at the Faculty of Medicine,University of Jaffna,from September 2022 to May 2023 among undergraduate medical students who gave their voluntary participation.A self-administered questionnaire was used as a study instrument to collect data regarding their attitude and willingness toward gamete ***:A total of 345 participants were recruited and their sociodemographic data revealed that 56.8%of the participants were female,62.3%aged between 26 and 30 years,and 92.2%were *** of them received information regarding gamete donations during their clinical *** half(67.8%)of them showed a negative attitude towards gamete *** willingness,only 39.7%of participants had a positive approach for being a gamete donor;among them,84.7%preferred anonymous *** and ethnicity had a significant influence on their attitudes and *** addition,male was also found to be more willing to donate ***:Most medical students have negative views about gamete *** awareness and knowledge of assisted reproductive technology and gamete donation within medical students'sociocultural and ethical backgrounds might facilitate a change in attitude towards gamete donation amongst future medical practitioners.

关键词： Medical students Gamete donation Assisted reproductive technology Attitude Viewpoint

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Free-standing microscale photonic lantern spatial mode(De-)multiplexer fabricated using 3D nanoprinting

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Light(Science & Applications) 2024年第6期13卷 1170-1185页

作者： Yoav Dana Yehudit Garcia Aleksei kukin Lauren Dallachiesa Sterenn Guerrier Nicolas k.Fontaine Dan M.Marom Institute of Applied Physics Hebrew University of JerusalemJerusalemIsrael Nokia Bell Labs 600 Mountain AveNew ProvidenceNJ07974USA

Photonic lantern(PL)spatial multiplexers show great promise for a range of applications,such as future high-capacity mode division multiplexing(MDM)optical communication networks and free-space optical *** enable efficient conversion between multiple single-mode(SM)sources and a multimode(MM)waveguide of the same *** multiplexers operate by facilitating adiabatic transitions between the SM arrayed space and the single MM ***,current fabrication methods are forcing the size of these devices to multi-millimeters,making integration with micro-scale photonic systems quite *** advent of 3D micro and nano printing techniques enables the fabrication of freestanding photonic structures with a high refractive index contrast(photopolymer-air).In this work we present the design,fabrication,and characterization of a 6-mode mixing,375µm long PL that enables the conversion between six single-mode inputs and a single six-mode *** PL was designed using a genetic algorithm based inverse design approach and fabricated directly on a 7-core fiber using a commercial two-photon polymerization-based 3D printer and a *** the waveguides exhibit high index contrast,low insertion loss(−2.6 dB),polarization dependent(−0.2 dB)and mode dependent loss(−4.4 dB)were measured.

关键词： mode enable printing

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