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Advances in the management of infertility in men with spinal cord injury

Asian Journal of Andrology 2016年第3期18卷 382-390,I0007,I0008页

作者： Emad Ibrahim nancy l brackett Charles M lynne The Miami Project to Cure Paralysis University of Miami Miller School of Medicine Miami FL USA Department of Urology University of Miami Miller School of Medicine Miami FL USA.

Couples with a spinal cord injured male partner require assisted ejaculation techniques to collect semen that can then be further used in various assisted reproductive technology methods to achieve a pregnancy. The majority of men sustaining a spinal cord injury regardless of the cause or the level of injury cannot ejaculate during sexual intercourse. Only a small minority can ejaculate by masturbation. Penile vibratory stimulation and electroejaculation are the two most common methods used to retrieve sperm. Other techniques such as prostatic massage and the adjunct application of other medications can be used, but the results are inconsistent. Surgical sperm retrieval should be considered as a last resort if all other methods fail. Special attention must be paid to patients with T6 and rostral levels of injury due to the risk of autonomic dysreflexia resulting from stimulation below the level of injury. Bladder preparation should be performed before stimulation if retrograde ejaculation is anticipated. Erectile dysfunction is ubiquitous in the spinal cord injured population but is usually easily managed and does not pose a barrier to semen retrieval in these men. Semen analysis parameters of men with spinal cord injury are unique for this population regardless of the method of retrieval, generally presenting as normal sperm concentration but abnormally low sperm motility and viability. When sperm retrieval is desired in this population, emphasis should be placed on initially trying the simple methods of penile vibratory stimulation or electroejaculation before resorting to more advanced and invasive surgical procedures.

关键词： assisted reproductive technology ejaculation electroejaculation male infertility paraplegia penile vibratory stimulation semen sperm spinal cord injury surgical sperm retrieval

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Vlale sexual dysfunction and infertility associated with neurological disorders

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Asian Journal of Andrology 2012年第1期14卷 61-68,176页

作者： Mikkel Fode Sheila Krogh-Jespersen nancy l brackett Dana A Ohl Charles M lynne Jens Sonksen Department of Urology Herlev Hospital University of Copenhagen DK-2770 Herlev Denmark Department of Psychology Florida International University Miami FL 33199 USA The Miami Project to Cure Paralysis University of Miami Miller School of Medicine Miami FL 33136 USA Department of Urology University of Michigan Ann Arbor M I 48108 USA Department of Urology University of Miami Miller School of Medicine Miami FL 33101 USA

Normal sexual and reproductive functions depend largely on neurological mechanisms. Neurological defects in men can cause infertility through erectile dysfunction, ejaculatory dysfunction and semen abnormalities. Among the major conditions contributing to these symptoms are pelvic and retroperitoneal surgery, diabetes, congenital spinal abnormalities, multiple sclerosis and spinal cord injury, Erectile dysfunction can be managed by an increasingly invasive range of treatments including medications, injection therapy and the surgical insertion of a penile implant. Retrograde ejaculation is managed by medications to reverse the condition in mild cases and in bladder harvest of semen after ejaculation in more severe cases. Anejaculation might also be managed by medication in mild cases while assisted ejaculatory techniques including penile vibratory stimulation and eiectroejaculation are used in more severe cases. If these measures fail, surgical sperm retrieval can be attempted. Ejaculation with penile vibratory stimulation can be done by some spinal cord injured men and their partners at home, followed by in-home insemination if circumstances and sperm quality are adequate. The other options always require assisted reproductive techniques including intrauterine insemination or in vitrofertilization with or without intracytoplasmic sperm injection. The method of choice depends largely on the number of motile sperm in the ejaculate.

关键词： assisted reproductive techniques ejaculation electroejaculation erectile dysfunction infertility nervous system diseases penile vibratory stimulation retrograde ejaculation surgical sperm retrieval

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Autoantibodies against beta cells to predict early insulin requirements in pediatric patients with clinically diagnosed type 2 diabetes

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World Journal of Diabetes 2024年第8期15卷 1717-1725页

作者： Jorge M Molina Patricia G Medina Rita A Gomez Julia R Herrera nancy l Martínez Brenda Hernández Yesenia García Department of Endocrinology Children’s Hospital Federico GomezMexico 06720Mexico National Medical Center"Siglo XXI" UMAE Hosp EspecialidadesUnidad Invest Med Epidemiol ClinMexican Social Security InstituteMexico 06720Mexico Research Division UMAE Hospital de EspecialidadesCentro Médico Nacional Siglo XXIMexican Institute of Social SecurityMexico 06720Mexico Epidemiology Research Unit in Endocrinology and Nutrition Federico Gómez Children’s HospitalMexico 06720Mexico Department of Endocrinology Comprehensive Health Unit for Trans PersonsMexico 11340Mexico

BACKGROUND Autoimmunity has emerged as a probable disease modifier in patients with clinically diagnosed type 2 diabetes mellitus(T2DM),that is,patients who have insulin resistance,obesity,and other cardiovascular risk factors,suggesting that the presence of glutamic acid decarboxylase(anti-GAD65),islet antigen 2(anti-IA2),and zinc transporter 8(anti-Zn8T)antibodies could have deleterious effects on beta cell function,causing failure and earlier requirement for insulin *** To evaluate anti-GAD65,anti-IA2 and anti-Zn8T as predictors of early insulin requirement in adolescents with a clinical diagnosis of *** This was a case–control study in patients with clinically diagnosed with T2DM(68 cases and 64 controls with and without early insulin dependence respectively),male and female,aged 12–18 ***,blood pressure,glucose,insulin,C-peptide,glycated hemoglobin A1c,and lipid profiles were *** was used to measure anti-GAD65,anti-IA2,and anti-Zn8T *** statistics,Pearson'sχ2 test,Student's t test,and logistic regression was performed.Plly *** There were 132 patients(53.8%female),with a mean age was 15.9±1.3 years,and there was a disease evolution time of 4.49±0.88 *** presence of anti-GAD65,anti-IA2,and anti-Zn8T positivity was found in 29.5%,18.2%,and 15.9%,*** the groups by early or no insulin dependence showed that the group with insulin had a higher frequency of antibody positivity:anti-GAD65 odds ratio(OR):2.42(1.112–5.303,P=0.026);anti-IA2:OR:1.55(0.859–2.818,P=0.105);and anti-Zn8T:OR:7.32(2.039–26.279,P=0.002).CONClUSION Anti-GAD65 positivity was high in our ***-GAD65 and anti-Zn8T positivity showed a significantly depleted beta cell reserve phenotype,leading to an increased risk of early insulin dependence.

关键词： Diabetes Obesity Adolescents Autoimmunity Beta cell Insulin requirements

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Provenance and Paleoclimate of the Triassic to Middle Jurassic Adigrat Sandstone,Blue Nile Basin,Central Ethiopia

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Acta Geologica Sinica(English Edition) 2024年第4期98卷 1007-1020页

作者： Bekele BARSISA Ayalew DEREJE Kidanemariam GIlAMICHAEl Atnafu BAlEMWAl Raphaël PIK Department of Earth Sciences Wollega UniversityNekemteEthiopia Department of Earth Sciences Addis Ababa UniversityAddis AbabaEthiopia Departments of Anthropology Geography and GeologyEast Los Angeles CollegeLos AngelesCaliforniaUSA CRPG(UMR 7358 CNRS&Universitéde lorraine) 15 rue ND des pauvres BP2054501 Vandoeuvre-Lès-Nancy CedexFrance

Mineralogical and geochemical studies have been undertaken on the Triassic to lower Jurassic Adigrat Sandstone of the Blue Nile Basin of central Ethiopia to infer its source rock type,paleoweathering,and paleoclimatic *** Adigrat Sandstone occurs at the basal section of the Mesozoic sedimentary formation and unconformably overlays the Neoproterozoic–Paleozoic crystalline rocks,or locally,the Karroo sediments in the northern Blue Nile Basin.A mineralogical study reveals that quartz(Q),feldspars(F),and lithic fragments(l)are the framework grains of the *** the QFl diagram,the plot of the modal composition of the sandstone mainly falls within the feldspathic arenite and quartzose arenite *** geochemical data of the lower section of the sandstone mainly falls within the arkose and subarkose fields,whereas the upper section data falls within the quartzose and sublithic arenite *** and geochemical weathering indices indicate that the provenances of the Adigrat Sandstone were exposed to pronounced weathering intensity,where the lower part of the sandstone was controlled by arid to semi-arid conditions,whereas the upper section was linked to humid to semi-humid(tropical to subtropical)climatic *** and geochemical data also indicate that mafic to intermediate basement rocks were the primary source rocks of the *** the sediment was assumed to have been reworked by multi-cyclic sedimentary *** discriminant function diagram,the REE pattern,la/Th ***/Yb,and the Th–Hf–Co plot are consistent.A comparison of provenance studies for the Adigrat Sandstone in the Blue Nile Basin and the Mekele outlier of northern Ethiopia indicates that the sediment of the former is highly sorted,experienced higher weathering intensity,and compositionally derived from mafic to intermediate crystalline *** the other hand,the sediment of the latter is essentially a weathering product of felsic rocks.

关键词： mineralogical geochemical paleoweathering humid provenance Adigrat Sandstone

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Associations of accelerometry-measured and self-reported physical activity and sedentary behavior with skeletal muscle energetics:The Study of Muscle,Mobility and Aging(SOMMA)

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Journal of Sport and Health Science 2024年第5期13卷 621-630页

作者： Yujia(Susanna)Qiao Terri l.Blackwell Peggy M.Cawthon Paul M.Coen Steven R.Cummings Giovanna Distefano Samaneh Farsijani Daniel E.Forman Bret H.Goodpaster Stephen B.Kritchevsky Theresa Mau Frederico G.S.Toledo Anne B.Newman nancy W.Glynn Department of Epidemiology School of Public HealthUniversity of PittsburghPittsburghPA 15261USA San Francisco Coordinating Center California Pacific Medical Center Research InstituteSan FranciscoCA 94143USA Department of Epidemiology and Biostatistics University of CaliforniaSan FranciscoCA 94143USA Translational Research Institute AdventHealthOrlandoFL 32804USA Department of Medicine(Geriatrics and Cardiology) University of Pittsburghand GeriatricsResearchEducationand Clinical Center(GRECC)VA Pittsburgh Healthcare SystemPittsburghPA 15261USA Department of Internal Medicine Section on Gerontology and Geriatric MedicineWake Forest School of MedicineWinston-SalemNC 27109USA Division of Endocrinology and Metabolism Department of MedicineUniversity of PittsburghPittsburghPA 15261USA

Background:Skeletal muscle energetics decline with age,and physical activity(PA)has been shown to offset these declines in older ***,many studies reporting these effects were based on self-reported PA or structured exercise ***,we examined the associations of accelerometry-measured and self-reported PA and sedentary behavior(SB)with skeletal muscle energetics and explored the extent to which PA and sedentary behavior would attenuate the associations of age with muscle ***:As part of the Study of Muscle,Mobility and Aging,enrolled older adults(n=879),810(age=76.4±5.0 years old,mean±SD;58%women)had maximal muscle oxidative capacity measured ex vivo via high-resolution re spirometry of permeabilized myofibers(maximal oxidative phosphorylation(maxOXPHOS))and in vivo by ^(31)phosphorus magnetic resonance spectroscopy(maximal adenosine triphosphate(ATP_(max))).Accelerometry-measured sedentary behavior,light activity,and moderate-to-vigorous PA(MVPA)were assessed using a wrist-worn ActiGraph GT9X over 7 ***-reported sedentary behavior,MVPA,and all PA were assessed with the Community Healthy Activities Model Program for Seniors(CHAMPS)*** regression models with progressive covariate adjustments evaluated the associations of sedentary behavior and PA with muscle energetics,as well as the attenuation of the age/muscle energetics association by MVP A and sedentary *** a sensitivity analysis,we also examined activPAl-measured daily step count and time spent in sedentary behavior and their associations with muscle ***:Every 30 min/day more of ActiGraph-measured MVPA was associated with 0.65 pmol/(s×mg)higher maxOXPHOS and 0.012 mM/s higher ATP_(max)after adjusting for age,site/technician,and sex(plight activity was not associated with maxOXPHOS or ATP_(max).Meanwhile,every 30 min/day spent in ActiGraph-measured sedentary behavior was associated with 0.39 pmol/s×mg lower maxOXPHOS and0.

关键词： Aging Exercise Mitochondria

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Selective deletion of the soluble Colony-Stimulating Factor 1 isoform in vivo prevents estrogen-deficiency bone loss in mice

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Bone Research 2017年第4期5卷 367-374页

作者： Gang-Qing Yao nancy Troiano Christine A Simpson Karl l Insogna Department of Internal Medicine Yale University School of MedicineNew HavenUSA Department of Orthopaedics Yale University School of MedicineNew HavenUSA

Neutralizing CSF1 in vivo completely prevents ovariectomy （OVX）-induced bone loss in mice. There are two isoforms of CSF1, soluble （sCSF1）, and membrane-bound （mCSF1）, but their individual biological functions are unclear. It had been previously reported that mCSF1 knockout （K/O） and wild type （Wt） female mice experience the same degree of bone loss following OVX. In Wt mice the expression of sCSF1 was elevated fourfold in skeletal tissue following OVX while expression of mCSF1 was unchanged. To examine the role of sCSF1 in OVX-induced bone loss, mice were engineered in which sCSF1 was not expressed but expression of mCSF1 was unaffected （sCSF1 K/O）. Isoform-specific reverse transcription PCR confirmed the absence of transcripts for sCSF1 in bone tissue isolated from these animals and no circulating CSF1 was detected by ElISA. Surprisingly, there were no significant differences in bone mineral density （BMD） between sCSF1 K/O mice and Wt controls as assessed by dual-energy X-ray absorptiometry and micro-CT. However, one month after OVX, femoral, spinal and total BMD had declined by 11.2%, 8.9%, and 8.7% respectively in OVX-Wt animals as compared to Sham-OVX. In contrast OVX sCSF1 K/O mice showed changes of ＋0.1%, - 2.4%, and ＋2.3% at the same 3 sites compared to Sham-OVX sCSF1 K/O mice. These data indicate important non-redundant functions for the two isoforms of CSF1 and suggest that sCSF1, but not mCSF1, plays a key role in estrogen-deficiency bone loss.

关键词： CSF Selective deletion of the soluble Colony-Stimulating Factor 1 isoform in vivo prevents estrogen-deficiency bone loss in mice

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Almost primes in short intervals

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Science China Mathematics 2010年第9期53卷 2511-2524页

作者： WU Jie Institut Elie Cartan nancy,CNRS,nancy-Université,INRIA,Boulevard des Aiguillettes,B.P.239,54506 Vand CEuvre-lès-nancy,France Institut Elie Cartan nancy CNRS Nancy-Université INRIA VandŒuvre-lès-Nancy France

In this paper,we prove that the short interval(x-x101/232,x] contains at least an almost prime P2 for sufficiently large x,where P2 denotes an integer having at most two prime factors counted with multiplicity.

关键词： estimates on exponential sums distribution of integers with specified multiplicative constraints applications of sieve methods

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SPSS for intermediate statistics : use and interpretation / 3rd ed.

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2008年

作者： leech nancy l.

来源：畅想之星图书光盘版（南... 评论

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Does the ecological concept of disturbance have utility in urban social-ecological-technological systems?

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Ecosystem Health and Sustainability 2017年第1期3卷 19-36页

作者： nancy B.Grimm Steward T.A.Pickett Rebecca l.Hale Mary l.Cadenasso School of life Sciences and Julie Ann Wrigley Global Institute of Sustainability Arizona State UniversityTempeArizona 85287 USA Cary Institute of Ecosystem Studies Box ABMillbrookNew York 12545 USA Department of Biological Sciences Idaho State UniversityPocatelloIdaho 83209 USA Department of Plant Sciences University of California at DavisDavisCalifornia 95616 USA

The ecological concept of disturbance has scarcely been applied in urban systems except in the erroneous but commonplace assumption that urbanization itself is a disturbance and cities are therefore perennially disturbed *** evaluate the usefulness of the concept in urban ecology by exploring how a recent conceptual framework for disturbance(Peters et al.2011,Ecosphere,2,art 81)applies to these social-ecological-technological systems(SETS).Case studies,especially from the long-Term Ecological Research sites of Baltimore and Phoenix,are presented to show the applicability of the framework for disturbances to different elements of these systems at different *** find that the framework is easily adapted to urban SETS and that incorporating social and technological drivers and responders can contribute additional insights to disturbance research beyond urban systems.

关键词： cities conceptual framework disturbance economic disruption fire flood land conversion legacy model social-ecological-technological systems urban vegetation urbanization

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CCR2 enhances CD25 expression by FoxP3^(+) regulatory T cells and regulates their abundance independently of chemotaxis and CCR2^(+) myeloid cells

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Cellular & Molecular Immunology 2020年第2期17卷 123-132页

作者： Yifan Zhan nancy Wang Ajithkumar Vasanthakumar Yuxia Zhang Michael Chopin Stephen l.Nutt Axel Kallies Andrew M.lew The Walter&Eliza Hall Institute of Medical Research ParkvilleVIC 3052Australia Department of Medical Biology University of MelbourneParkvilleVIC 3010Australia Guangzhou Institute of Paediatrics Guangzhou Women and Children’s Medical CentreGuangzhou Medical University510623 GuangzhouGuangdongChina Department of Microbiology and Immunology Peter Doherty Institute for Infection and ImmunityUniversity of MelbourneParkvilleVIC 3010Australia

A wide array of chemokine receptors,including CCR2,are known to control Treg ***,we report that CCR2 regulates Tregs beyond *** found that CCR2 deficiency reduced CD25 expression by FoxP3^(+) Treg *** a change was also consistently present in irradiation chimeras reconstituted with mixed bone marrow from wild-type(WT)and CCR2−/−***,CCR2 deficiency resulted in profound loss of CD25 ^(hi) FoxP3^(+) Tregs in secondary lymphoid organs as well as in peripheral ***2−/−Treg cells were also functionally inferior to WT ***,these changes to Treg cells did not depend on CCR2+monocytes/moDCs(the cells where CCR2 receptors are most abundant).Rather,we demonstrated that CCR2 was required for TlR-stimulated,but not TCR-or Il-2-stimulated,CD25 upregulation on Treg ***,we propose that CCR2 signaling can increase the fitness of FoxP3^(+) Treg cells and provide negative feedback to counter the proinflammatory effects of CCR2 on myeloid cells.

关键词： CCR2 CD25 organs

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