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Autoimmune pancreatitis in the context of IgG4-related disease:Review of imaging findings

World Journal of Gastroenterology 2014年第41期20卷 15177-15189页

作者： leslie k lee Dushyant V Sahani Division of Abdominal Imaging and Intervention Department of RadiologyMassachusetts General HospitalHarvard Medical School

Current understanding of autoimmune pancreatitis (AIP) recognizes a histopathological subtype of the disease to fall within the spectrum of IgG4-related disease. Along with clinical, laboratory, and histopathological data, imaging plays an important role in the diagnosis and management of AIP, and more broadly, within the spectrum of IgG4-related disease. In addition to the defined role of imaging in consensus diagnostic protocols, an array of imaging modalities can provide complementary data to address specific clinical concerns. These include contrast-enhanced computed tomography (CT) and magnetic resonance (MR) imaging for pancreatic parenchymal lesion localization and characterization, endoscopic retrograde and magnetic resonance cholangiopancreatography (ERCP and MRCP) to assess for duct involvement, and more recently, positron emission tomography (PET) imaging to assess for extra-pancreatic sites of involvement. While the imaging appearance of AIP varies widely, certain imaging features are more likely to represent AIP than alternate diagnoses, such as pancreatic cancer. While nonspecific, imaging findings which favor a diagnosis of AIP rather than pancreatic cancer include: delayed enhancement of affected pancreas, mild dilatation of the main pancreatic duct over a long segment, the “capsule” and “penetrating duct” signs, and responsiveness to corticosteroid therapy. Systemic, extra-pancreatic sites of involvement are also often seen in AIP and IgG4-related disease, and typically respond to corticosteroid therapy. Imaging by CT, MR, and PET also play a role in the diagnosis and monitoring after treatment of involved sites.

关键词： Autoimmune pancreatitis IgG4-related disease Pancreatic cancer Imaging Computed tomography Magnetic resonance Positron emission tomography Review

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BYPASS1:How a Tiny Mutant Tells a Big Story about Root-to-shoot Signaling

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Journal of Integrative Plant Biology 2010年第1期52卷 77-85页

作者： leslie E. Sieburth Dong-keun lee Department of Biology University of Utah Salt Lake City

Plants coordinate their development using long-distance signaling. The vascular system provides a route for long-distance movement, and specifically the xylem for root-to-shoot signaling. Root-to-shoot signals play roles communicating soil conditions, and these signals are important for agricultural water conservation. Using genetic approaches, the Arabidopsis bypass1 （bpsl） mutant, which over-produces a root-derived signal, was identified. Although bpsl mutants have both root and shoot defects, the shoot can develop normally if the roots are removed, and the mutant root is sufficient to induce arrest of the wild-type shoot. BYPASS1 encodes a protein with no functionally characterized domains, and BPSl-like genes are found in plant genomes, but not the genomes of animals. Analyses of hormone pathways indicate that the mobile compound that arises in bpsl roots requires carotenoid biosynthesis, but it is neither abscisic acid nor strigolactone. The current model suggests that BPS1 is required to prevent the synthesis of a novel substance that moves from the root to the shoot, where it modifies shoot growth by interfering with auxin signaling.

关键词： BPS BYPASS1 root ABA

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2022年中国新生儿协作网极早产儿红细胞输注现况分析

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中华儿科杂志 2025年第1期63卷 55-61页

作者：莫艳钱爱民白瑞苗李淑涓玉小清王瑾 lee Shoo k. 蒋思远韦秋芬周文浩国家儿童医学中心复旦大学附属儿科医院新生儿科上海南京医科大学附属儿童医院新生儿医疗中心南京西北妇女儿童医院新生儿科西安广西壮族自治区妇幼保健院新生儿医疗中心南宁加拿大西奈山医院母婴健康研究中心多伦多M5GX 广州市妇女儿童医疗中心新生儿医学中心广州

目的分析2022年中国新生儿协作网(CHNN)各单位极早产儿(出生胎龄<32周)红细胞输注治疗的状况。方法基于CHNN极早产儿队列的横断面研究, 纳入2022年生后24 h内收入CHNN 89家单位的6 985例极早产儿。排除合并严重先天畸形及放弃治疗或转至... 详细信息

目的分析2022年中国新生儿协作网(CHNN)各单位极早产儿(出生胎龄kruskal-WallisH检验及Mann-WhitneyU检验等进行组间比较, 采用Cochran-Armitage和Jonckheere-Terpstra趋势检验进行不同出生胎龄及不同呼吸支持水平间的趋势检验。结果 6 985例极早产儿中男3 865例(55.3%), 出生胎龄为30.0(28.6, 31.0)周, 出生体重为(1 302±321)g。红细胞输注组3 617例(51.8%), 未输注组3 368例(48.2%)。出生胎龄<28、28～31周的极早产儿红细胞输注率分别为77.7%(893/1 150)、46.7%(2 724/5 835)。红细胞输注组极早产儿共接受9 616次红细胞输注, 输注时需有创呼吸支持的有2 459次(25.6%), 无创呼吸支持4 934次(51.3%), 无呼吸支持的有2 223次(23.1%)。因632次红细胞输注输血前血红蛋白未记录, 8 984次红细胞输注纳入分析。红细胞输注组母亲合并妊娠期高血压比例高于未输注组(χ2=10.73, P=0.001), 剖宫产出生、母亲产前激素应用比例均低于未输注组(χ2=12.00、12.93, 均P<0.001);与未输注组相比, 红细胞输注组患儿出生胎龄更小、出生体重更低, 小于胎龄、多胎以及第5分钟Apgar评分≤3分比例均更高, 女性、本院出生以及延迟脐带结扎比例均更低, 入院时生理稳定性转运风险指数评分更高(均P<0.05)。红细胞输注组极早产儿红细胞输注次数为2(1, 3)次, 首次红细胞输注时为18(8, 29)日龄, 首次红细胞输注前血红蛋白为97(86, 109)g/L。红细胞输注时≤7日龄的极早产儿有创呼吸支持、无创呼吸支持和无呼吸支持组接受红细胞输注前的血红蛋白水平差异无统计学意义(H=5.59, P=0.061);8～21以及≥22日龄的极早产儿不同呼吸支持状况下接受红细胞输注前的血红蛋白水平差异均有统计学意义(H=10.91、39.19, 均P<0.01)。8～21日龄、≥22日龄无呼吸支持的极早产儿阈值上红细胞输注分别为90.1%(264/293)、91.1%(1 578/1 732)。阈值上输血组极早产儿相比阈值下输血组发生坏死性小肠结肠炎的比例更高(χ2=10.59, P=0.001), 住院时间更长(Z=4.67, P<0.001)。结论 2022年CHNN纳入的极早产儿红细胞输注率较高, 接受红细胞输注前的血红蛋白水平普遍高于现有证据推荐的输注阈值。

关键词：婴儿, 早产红细胞输注重症监护病房, 新生儿

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Long-Distance Signaling in bypass1 Mutants： Bioassay Development Reveals the bps Signal to Be a Metabolite

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Molecular Plant 2013年第1期6卷 164-173页

作者： Emma Adhikari Dong-keun lee Patrick Giavalisco leslie E. Sieburth Department of Biology University of Utah Salt Lake City UT 84112 USA Max Planck Institute of Molecular Plant Physiology 14476 Potsdam-Golm Germany

Root-to-shoot signaling is used by plants to coordinate shoot development with the conditions experienced by the roots. A mobile and biologically active compound, the bps signal, is over-produced in roots of an Arabidopsis thaliana mutant called bypass1 （bpsl）, and might also be a normally produced signaling molecule in wild-type plants. Our goal is to identify the bps signal chemically, which will then allow us to assess its production in normal plants. To identify any signaling molecule, a bioassay is required, and here we describe the development of a robust, simple, and quantitative bioassay for the bps signal. The developed bioassay follows the growth-reducing activity of the bps signal using the pCYCB1;I：：GUS cell cycle marker. Wild-type plants carrying this marker, and provided the bps signal through either grafts or metabolite extracts, showed reduced cell division. By contrast, control grafts and treatment with control extracts showed no change in pCYCB1;I：：GUS expression. To determine the chemical nature of the bps signal, extracts were treated with RNase A, Proteinase k, or heat. None of these treatments diminished the activity of bpsl extracts, sug- gesting that the active molecule might be a metabolite. This bioassay will be useful for future biochemical fractionation and analysis directed toward bps signal identification.

关键词： hormone biology metabolic regulation physiology of plant growth secondary metabolism/natural prod-ucts signaling, organismal level development.

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Susceptibility to Hot Cracking and Weldment Heat Treatment of Haynes 230 Superalloy

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Journal of Materials Science & Technology 2006年第5期22卷 685-690页

作者： I.k.lee Department of Mechatronic Technology National Taiwan Normal University TaipeiTaiwanChina

This study investigates the susceptibility of hot cracking and weldment heat treatment of Haynes 230 superalloy. The Varestriant test was conducted to evaluate this susceptibility. Welding was performed by gas tungsten arc welding （GTAW） and plasma arc welding （PAW） with stress relief heat treatment and solid solution heat treatment. A tensile test is then performed to measure the changes in the mechanical properties of the heattreated material. The results indicate that the number of thermal cycles does not affect the susceptibility of Haynes 230 superalloy to hot cracking. However, it does increase the strain. In weldment of heat treatment, stress relief annealing increases the yield strength and tensile strength of the welded parts. The section of the tensile specimens shows fibrous fractures on the welded parts, regardless of whether they are heat-treated.

关键词： Haynes 230 super alloy Varestriant test Hot cracking Susceptibility Stress relief annealing

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Distortion Analysis of Single V-groove Butt Welding on Heat Treatable Aluminum Alloys

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Journal of Materials Science & Technology 2005年第5期21卷 738-742页

作者： I.k.lee Department of Mechanical Engineering National Chiao Tung UniversityHsinchu TaiwanChina

In this study we conducted single V-groove butt welding （GTAW） on three types of heat treatable aluminum alloys 2024-T351, 6061-T6 and 7075-T6 and compared the angular distortion levels of the three aluminum alloys at different Vee preparation angles with or without restraint. Experimental results demonstrated that when the Vee preparation angle was 0° （I-shaped groove）, the angular distortion level of the restrained weldment can exceed that of the unrestrained weldments. Moreover, when the Vee preparation angle was 45°, 60° or 90°, the restrained weldment had lower angular distortion than the unrestrained weldments. The single Vee preparation angle （amount of filler metal） in butt welding affected the angular distortion of the weldment. Without restraint, the angular distortion tended to increase with the single Vee preparation angle. Meanwhile, the angular distortion tended to decrease when the single Vee preparation angle was 60% Additionally, a restrained weldment had high angular distortion when the single Vee preparation angle was 0°. Notably, the angular distortion tended to reduce with increasing single Vee preparation angle. The angular distortion of the weldment was minimized at an angle of 60°. However, the angular distortion increased when the Vee preparation angle exceeded 60% The high-temperature yield strength of a material also affected its angular distortion. Angular distortion increased with high-temperature yield strength. Experimental results also showed that, from the strongest to the weakest, the high-temperature yield strength of the three types of aluminum alloys followed the order 6061-T6 and 2024-T351〉7075-T6.

关键词： Angular distortion Aluminum alloy Single-V-groove

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Biofuel-driven trigeneration systems for non-residential building applications:A holistic assessment from the energy,environmental and economic perspectives

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Building Simulation 2023年第4期16卷 557-576页

作者： k.F.Fong C.k.lee Division of Building Science and Technology College of EngineeringCity University of Hong KongTat Chee AvenueKowloonHong KongChina

In the metropolises,it is unlikely to use merely solar and wind energy to pursue zero carbon building ***,it would become possible if biofuel-driven trigeneration systems(BDTS)are *** is thus essential to assess the application opportunity of BDTS in a holistic *** this study,BDTS offered definite primary energy saving of up to 15%and carbon emissions reduction of at least 86%in different types of non-residential buildings as compared to the conventional *** 24/7 operation for the hotel and hospital buildings,the corresponding BDTS could even achieve zero carbon *** the BDTS primed with compression-ignition internal combustion engine were not economically viable even in running cost due to the high local biodiesel price *** BDTS primed with spark-ignition engine and fueled by biogas,however,would have economic merit when carbon price was considered for the conventional systems that fully utilize fossil *** of carbon tax and social cost could have the payback ceilings of 8 years and 2 years respectively for most of building ***,the results could reflect the application potential of BDTS for non-residential buildings,leading the pathway to carbon neutrality for sustainable sub-tropical cities.

关键词： trigeneration biofuel dynamic simulation carbon tax social cost economic analysis

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Colonic gallstones:a case report

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Hepatobiliary & Pancreatic Diseases International 2007年第3期6卷 324-325页

作者： Zakir k Mohamed Shlok Balupuri leslie H Boobis Sunderland Royal Hospital SunderlandUK

BACkGROUND:Colonic gallstone is an uncommon entity with high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations,especially in the elderly population,often with multiple co-morbidities. METHOD:We present a case of 81-year-old woman who had a large bowel obstruction due to colonic gallstone. RESULTS:Immediately after a cholecysto-colonic fistula was found by laporotomy,she underwent a single stage enterolithotomy,cholecystectomy and fistula closure. CONCLUSIONS:A single stage enterolithotomy,cholecys- tectomy and fistula closure is ideal for this condition. Various other surgical options in the literature are discussed.

关键词： large bowel obstruction gallstone ileus colonic gallstone

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Cell transplantation to replace retinal ganglion cells faces challenges-the Switchboard Dilemma

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Neural Regeneration Research 2021年第6期16卷 1138-1143页

作者： Yuan Liu Richard k.lee Bascom Palmer Eye Institute University of Miami Miller School of MedicineMiamiFLUSA

The mammalian retina displays incomplete intrinsic regenerative capacities;therefore,retina degeneration is a major cause of irreversible blindness such as glaucoma,agerelated macular degeneration and diabetic *** diseases lead to the loss of retinal cells and serious vision loss in the late *** cell transplantation is a great promising novel treatment for these incurable retinal degenerative diseases and represents an exciting area of regenerative *** suitable stem cell sources for transplantation including human embryonic stem cells,induced pluripotent stem cells and adult stem cells have been identified as promising target ***,the retina is an elegant neuronal complex composed of various types of cells with different *** replacement of these different types of cells by transplantation should be addressed *** far,retinal pigment epithelium transplantation has achieved the most advanced stage of clinical trials,while transplantation of retinal neurons such as retinal ganglion cells and photoreceptors has been mostly studied in pre-clinical animal *** this review,we opine on the key problems that need to be addressed before stem cells transplantation,especially for replacing injured retinal ganglion cells,may be used practically for treatment.A key problem we have called the Switchboard Dilemma is a major block to have functional retinal ganglion cell *** use the public switchboard telephone network as an example to illustrate different difficulties for replacing damaged components in the retina that allow for visual *** ganglion cell transplantation is confronted by significant hurdles,because retinal ganglion cells receive signals from different interneurons,integrate and send signals to the correct targets of the visual system,which functions similar to the switchboard in a telephone network-therefore the Switchboard Dilemma.

关键词： cell transplantation optic nerve regeneration photoreceptors retina degeneration retinal ganglion cells stem cells

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Animal models of axon regeneration after spinal cord injury

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Neuroscience Bulletin 2013年第4期29卷 436-444页

作者： Do-Hun lee Jae k. lee University of Miami School of Medicine Miami Project to Cure Paralysis Department of Neurological Surgery

With advances in genetic and imaging techniques, investigating axon regeneration after spinal cord injury in vivo is becoming more common in the literature. However, there are many issues to consider when using animal models of axon regeneration, including species, strains and injury models. No single particular model suits all types of experiments and each hypothesis being tested requires careful selection of the appropriate animal model. In this review, we describe several commonly-used animal models of axon regeneration in the spinal cord and discuss their advantages and disadvantages.

关键词： pyramidotomy strain differences contusion injury models

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