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Pathogenic mechanisms of pancreatitis

World Journal of Gastrointestinal Pharmacology and Therapeutics 2017年第1期8卷 10-25页

作者： Murli Manohar Alok Kumar Verma Sathisha Upparahalli Venkateshaiah nathan l sanders Anil Mishra Department of Medicine Section of Pulmonary DiseasesTulane Eosinophilic Disorders CenterTulane University School of MedicineNew OrleansLA 70112United States

Pancreatitis is inflammation of pancreas and caused by a number of factors including pancreatic duct obstruction, alcoholism, and mutation in the cationic trypsinogen gene. Pancreatitis is represented as acute pancreatitis with acute inflammatory responses and; chronic pan-creatitis characterized by marked stroma formation with a high number of infiltrating granulocytes(such as neutrophils, eosinophils), monocytes, macrophages and pancreatic stellate cells(PSCs). These inflammatory cells are known to play a central role in initiating and promoting inflammation including pancreatic fibrosis, i.e., a major risk factor for pancreatic cancer. A number of inflammatory cytokines are known to involve in pro-moting pancreatic pathogenesis that lead pancreatic fibrosis. Pancreatic fibrosis is a dynamic phenomenon that requires an intricate network of several autocrine and paracrine signaling pathways. In this review, we have provided the details of various cytokines and molecular mechanistic pathways(i.e., Transforming growth factor-β/SMAD, mitogen--activated protein kinases, Rho kinase, Janus kinase/signal transducers and activators, and phosphatidylinositol 3 kinase) that have a critical role in the activation of PSCs to promote chronic pancreatitis and trigger the phenomenon of pancreatic fibrogenesis. In this review of literature, we discuss the involvement of several pro-inflammatory and anti-inflammatory cytokines, such as in interleukin(Il)-1, Il-1β, Il-6, Il--8 Il-10, Il-18, Il--33 and tumor necrosis factor-α, in the pathogenesis of disease. Our review also highlights the significance of several experimental animal models that have an important role in dissecting the mechanistic pathways operating in the development of chronic pancreatitis, including pancreatic fibrosis. Additionally, we provided several intermediary molecules that are involved in major signaling pathways that might provide target molecules for future therapeutic treatment strategies for pancreatic p

关键词： Pancreatitis Pancreatic stellate cells Transforming growth factor-β/SMAD Janus kinase/signal transducers and activators Mitogen-activated protein kinases

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Appendectomy and Clostridium difficile colitis:Relationships revealed by clinical observations and immunology

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World Journal of Gastroenterology 2013年第34期19卷 5607-5614页

作者： nathan l sanders R Randal Bollinger Ryan lee Steven Thomas William Parker Department of Surgery Duke University Medical Center

Advances in understanding the interaction between the human immune system and the microbiome have led to an improved understanding of the function of the vermiform appendix as a safe-house for beneficial bacteria in the *** advances have been made despite long standing clinical observations that the appendectomy is a safe and effective ***,more recent clinical data show that an appendectomy puts patients at increased risk for recurrent Clostridium difficile(***)-associated colitis,and probably other diseases associated with an altered *** the same time,appendectomy does not apparently put patients at risk for an initial onset of ***-associated *** clinical observations point toward the idea that the vermiform appendix might not effectively protect the microbiome in the face of broad spectrum antibiotics,the use of which precedes the initial onset of ***-associated ***,these observations point to the idea that historically important threats to the microbiome such as infectious gastrointestinal pathogens have been supplanted by other threats,particularly the use of broad spectrum antibiotics.

关键词： Appendectomy Clostridium difficile Colitis Diarrheal illness Vermiform appendix

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Use of donepezil for neurocognitive recovery after brain injury in adult and pediatric populations:a scoping review

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Neural Regeneration Research 2024年第8期19卷 1686-1695页

作者： Avery l.Miller nathan K.Evanson J.Michael Taylor University of Cincinnati College of Medicine CincinnatiOHUSA Department of Pediatrics University of CincinnatiCincinnatiOHUSA Department of Neurology and Rehabilitation Medicine University of CincinnatiCincinnatiOHUSA Division of Pediatric Rehabilitation Medicine Cincinnati Children’s Hospital Medical CenterCincinnatiOHUSA Division of Neurology Cincinnati Children’s Hospital Medical CenterCincinnatiOHUSA

There are few pharmacologic options for the treatment of cognitive deficits associated with traumatic brain injury in pediatric *** inhibitors such as donepezil have been evaluated in adult patients after traumatic brain injury,but relatively less is known about the effect in pediatric *** goal of this review is to identify knowledge gaps in the efficacy and safety of acetylcholinesterase inhibito rs as a potential a djuvant treatment fo r neurocognitive decline in pediatric patients with traumatic brain *** queried PubMed to identify literature published from database inception thro ugh June 2023 desc ribing the use of donepezil in young adult traumatic brain injury and pediatric patients with predefined *** on preselected search criteria,340 unique papers we re selected for title and abstra ct ***-two reco rds were reviewed in full after eliminating preclinical studies and pape rs outside the scope of the *** adult traumatic brain injury,we review results from 14 papers detailing 227 subjects where evidence suggests donepezil is well tole rated and shows both objective and patient-reported efficacy for reducing cognitive *** children,3 pape rs report on 5 children recovering from traumatic brain injury,showing limited *** additional 15 pediatric studies conducted in populations at risk for cognitive dysfunction provide a broader look at safety and efficacy in 210 patients in the pediatric age *** its promise for efficacy in adults with traumatic brain injury and tole rability in pediatric patients,we believe further study of donepezil for children and adolescents with traumatic brain injury is warranted.

关键词： acetylcholinesterase inhibitor adult cognition donepezil pediatrics traumatic brain injury

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Are there sex-based disparities in cataract surgery?

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International Journal of Ophthalmology(English edition) 2024年第1期17卷 137-143页

作者： Matthew D.Geiger Anne M.lynch Alan G.Palestine nathan C.Grove Karen l.Christopher Richard S.Davidson Michael J.Taravella Naresh Mandava Jennifer l.Patnaik Department of Ophthalmology University of Colorado School of MedicineAuroraCO 80045USA

AIM:To investigate sex-based differences in the occurrence of intra-operative and post-operative complications and associated visual outcomes following cataract ***:This was a retrospective study of patients who had phacoemulsification cataract surgery at the University of Colorado School of *** collected included the patient’s health history,ocular comorbidities,operative and post-operative complications,and the post-operative best corrected visual acuity(BCVA).The data were analyzed using univariate and multivariable logistic regression with generalized estimating equations to account for the correlation of some patients having two eyes included in the ***:A total of 11977 eyes from 7253 patients were included in the *** comorbidities differed by sex,with males having significantly higher percentages of traumatic cataracts(males 0.7%vs females 0.1%),prior ocular surgery(6.7%vs 5.5%),and mature cataracts(2.8%vs 1.9%).Conversely,females had significantly higher rates of pseudoexfoliation(2.0%vs 3.2%).In unadjusted analysis,males had higher rates of posterior capsular rupture(0.8%vs 0.4%)and vitreous loss(1.0%vs 0.6%),but this difference was not significant after adjustment for *** had a significantly increased risk of post-operative retinal detachment,but in multivariable analysis this was no longer *** were significantly less likely to undergo post-operative neodymium-doped yttrium aluminum garnet(Nd:YAG)laser capsulotomy for posterior capsule opacification(OR=0.8,95%CI=0.7-0.9,P=0.0005).The BCVA was slightly worse for males pre-operatively;but post-operatively,both sexes exhibited similar visual acuity of Snellen equivalent 20/***:The study finds that in a cohort of patients presenting for cataract surgery,sex differences exist in pre-operative comorbidities and surgical characteristics that contribute to higher rates of some complications for ***,observed surgical complicatio

关键词： cataract surgery sex-based disparity phacoemulsification outcomes

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Multinuclear MR and MRI study of lithium-ion cells using a variable field magnet and a fixed frequency RF probe

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Magnetic Resonance letters 2024年第1期4卷 10-20页

作者： Andrés Ramírez Aguilera Florin Marica Kevin J.sanders Md Al Raihan C.Adam Dyker Gillian R.Goward Bruce *** UNB MRI Centre Department of PhysicsUniversity of New BrunswickFrederictonNew BrunswickE3B 5A3Canada Department of Chemistry McMaster UniversityHamiltonOntarioL8S 4L8Canada Department of Chemistry University of New BrunswickFrederictonNew BrunswickE3B 5A3Canada

An exploratory multinuclear magnetic resonance(MR)and magnetic resonance imaging(MRI)study was performed on lithium-ion battery cells with ^(7)li,^(19)F,and ^(1)H measurements.A variable field superconducting magnet with a fixed frequency parallel-plate radiofrequency(RF)probe was employed in the *** magnetic field was changed to set the resonance frequency of each nucleus to the fixed RF probe frequency of 33.7 *** cartridge-like lithium-ion cells,with graphite anodes and liNi_(0.5)Mn_(0.3)Co_(0.2)O_(2)(NMC)cathodes,were *** cell was pristine,and one was charged to a cell voltage of 4.2 *** results presented demonstrate the great potential of the variable field magnet approach in multinuclear measurement of lithium-ion *** methods open the door for developing faster and simpler methods for detecting,quantifying,and interpreting MR and MRI data from lithium-ion and other batteries.

关键词： Multinuclear MR/MRI Variable field magnet lithium-ion battery Parallel-plate rf probe

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Differential effects of two dominant plant species on community structure and invasibility in an old-field ecosystem

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Journal of Plant Ecology 2011年第3期4卷 123-131页

作者： lara Souza Jake F.Weltzin nathan J.sanders Department of Ecology and Evolutionary Biology University of Tennessee1416 Circle DriveKnoxvilleTN 37996USA USA National Phenology Network National Coordinating Office1955 East 6th StreetTucsonAZ 85719USA

Aims In this study,we examined the effects of Solidago altissima(hereafter Solidago)and two species in the genus Verbesina,Verbesina virginica and Verbesina occidentalis(hereafter Verbesina),on the structure of an old-field plant community and establishment by an invasive plant species,lespedeza cuneata(hereafter lespedeza).Methods We removed Solidago,Verbesina and both Solidago and Verbesina from 4m^(-2)plots in an intact old-field community during two growing *** then quantified the effects of these removals on richness,evenness,diversity and composition of the subdominant plant *** also measured the total aboveground biomass and the aboveground biomass of the subdominant *** assess how these removals affected establishment by lespedeza,we planted 20 seeds in each plot and tracked seedling emergence and survival for one growing *** Findings Subdominant community evenness and Shannon diversity were higher in plots from which Solidago and Verbesina were removed relative to control ***,there were no effects of dominant species removal on species richness or composition of the subdominant *** aboveground biomass was not affected by dominant species removal,suggesting that the community of subdominant species exhibited *** fact,subdominant community biomass was greater when Solidago,but not Verbesina,was *** availability was also greater in plots where Solidago was removed relative to control plots throughout the growing *** addition,removal of dominant species,in particular Solidago,indirectly reduced the emergence,but not survival,of lespedeza seedlings by directly promoting subdominant community *** together,our results suggest that dominant old-field plant species affect subdominant community structure and indirectly promote establishment by lespedeza.

关键词： compensation establishment invasive lespedeza cuneata Solidago Verbesina

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A Cross-Sectional Study on the Impact of Operation Triple Zero (OTZ) Program on Viral load Suppression amongst Members of the Adolescent Club in 68 Nigerian Army Reference Hospital Yaba lagos, Nigeria

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World Journal of AIDS 2024年第2期14卷 35-44页

作者： Nkechinyere Harrison Ismail lawal Yakubu Adamu Kehinde Aribisala Adegbenga Olarinoye Uzoamaka Agbaim Funmilayo Owolabi Dooshima Okonkwo laura Chittenden nathan Okeji Centre for Infectious Disease Clinic 68 Nigerian Army Reference Hospital Lagos Nigeria United States Army Medical Research Directorate-Africa Abuja Nigeria Henry Jackson Foundation Medical Research International lTD/GTE Abuja Nigeria Nigerian Ministry of Defence Health Implementation Program Abuja Nigeria

Background: In Nigeria, adolescents and young people (AYP) aged 10 - 24, comprise 22.3% of the population and with HIV prevalence of 3.5%. The AYP living with HIV enrolled at the 68 NARHY, lagos reflects the national challenges with poor viral suppression. The OTZ program aligns with the UNAIDS 95-95-95 goals. It seeks to empower AYPlHIV to be in charge of their treatment and commit to triple zero outcomeszero missed appointments, zero missed drugs, and zero viral loads. The purpose of the study was to assess the impact of the OTZ program on viral load suppression among members of the adolescent club in 68 NARHY, lagos. Method: A cross-sectional retrospective study to evaluate the impact of the OTZ program on the viral load of 53 AYP enrolled in the OTZ program between March 2019 to December 2019 was analyzed. The Percentage of viral load suppression before enrollment compared with 6 and 12 months after enrollment into the OTZ program. The AYP is grouped into 10 - 14, 15 - 19, and 20 - 24 years. Activities conducted were peer driven monthly meetings with the AYP during which the adolescents interacted on issues relating to improving their treatment outcomes, healthcare workers reviewed their clinical status, viral load result, provider peer counseling, and caregivers engagement to support adherence to medication and ARV refills. Results: Before OTZ, 81% aged 10 - 14 years, 75% aged 15 - 19 years, and 25% aged 20 - 24 years were virally suppressed (Vl less than 1000 copies/ml). Six months after enrollment, 94% were virally suppressed95% aged 10 - 14 years, 96% aged 15 - 19 years, and 66% aged 20-24 years. Twelve months after enrollment, 96% of AYP were virally suppressed100% aged 10-14 years, 93% aged 15 - 19 years, and 100% aged 20 - 24 years. Males viral load (Vl) suppression improved from 79% to 96% and 92%, while females Vl suppression improved from 69% to 93% and 100% at 6 and 12 months respectively. Conclusion: The OTZ activities contributed to improved viral l

关键词： Impact Operation Triple Zero Adolescent Viral load Nigeria

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Aboveground resilience to species loss but belowground resistance to nitrogen addition in a montane plant community

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Journal of Plant Ecology 2018年第3期11卷 351-363页

作者： Quentin D.Read Jeremiah A.Henning Aimée T.Classen nathan J.sanders Department of Ecology and Evolutionary Biology University of Tennessee569 Dabney HallKnoxvilleTN 37996USA Rocky Mountain Biological laboratory PO Box 615Crested ButteCO 81224USA Center for Macroecology Evolutionand ClimateNatural History Museum of DenmarkUniversity of CopenhagenUniversitetsparken 152100 CopenhagenDenmark Rubenstein School of Environment and Natural Resources University of VermontBurlingtonVT 05405USA

Aims Decades of empirical work have demonstrated how dominant plant species and nitrogen fertilization can influence the structure and function of plant *** recent studies have examined the interplay between these factors,but few such studies use an explicit trait-based *** this study,we use an explicit trait-based approach to identify potential mechanisms for community-level responses and to test ecological niche *** We experimentally manipulated plant communities(control,−dom-inant species,−random biomass)and nitrogen(N)inputs(control,+organic N,+inorganic N)in a fully factorial *** predicted that traits related to plants’ability to take up different forms of soil N would differ between dominant and subordinate species,resulting in interactive effects of dominant species loss and N fertilization on plant community structure and *** study took place in a montane meadow in the Rocky Mountains,Colorado,*** Findings After four years,the plant community in removal plots converged toward a species composition whose leaf and root functional traits resembled those of the previously removed dominant *** productivity generally increased with N addition:soil carbon efflux was~50%greater when either form of N was added,while inorganic N addition increased aboveground biomass pro-duction by~60%relative to *** increase in production was mediated by increased average height,leaf mass:area ratio and leaf dry matter content in plant communities to which we added inorganic *** to our predictions,there were no interactive effects of N fertilization and dominant species loss on plant com-munity structure or ecosystem *** plant community com-position in this study exhibited resistance to soil N addition and,given the functional convergence we observed,was resilient to spe-cies ***,our results indicate that the ability of species to compensate functionally for species loss confers

关键词： dominant species fertilization functional trait removal experiment resilience

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landform type mediates compositional change in a hurricane-disturbed subtropical forest

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Ecological Processes 2020年第1期9卷 292-304页

作者： Robert l.Spicer Ariel Elugo nathan Ruhl Department of Biological Science Rowan UniversityGlassboroNJ 08028USA International Institute of Tropical Forestry United States Department of Agriculture Forest ServiceJardín Botánico SurRío PiedrasPRUSA

Background:Categorization of topographical features into landform type is a long-standing method for understanding physiographic patterns in the *** in forest composition between landform types are driven primarily by concurrent differences in soil composition and moisture,but also disturbance *** studies have focused on the interaction between fire disturbance,succession,and landforms,but the effects of hurricane disturbance on compositional differences between landforms are poorly *** the study presented here,we assess compositional and structural differences between landform types in the tree community of a young sub-tropical forest that is frequently subjected to ***,we ask whether the tree community(1)changed structurally over the study period,(2)experienced compositional change over the study period,(3)is compositionally different between landform types,and(4)exhibits compositional change mediated by landform ***:The tree community experienced significant structural change over the course of our study,but compositional change was only significant for some ***:Despite large-scale,intense,and frequent hurricane disturbance to our study system,compositional change in the tree community was localized and only significant for some landform types.

关键词： Hurricane Forest Community Composition Change Succession landform

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Data-driven models for ground and excited states for Single Atoms on Ceria

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npj Computational Materials 2022年第1期8卷 1636-1643页

作者： Julian Geiger Albert Sabadell-Rendón nathan Daelman Núria lópez Institute of Chemical Research of Catalonia(ICIQ) The Barcelona Institute of Science and Technology(BIST)Avinguda Països Catalans 1643007TarragonaSpain Universitat Rovira i Virgili Avinguda Catalunya3543002TarragonaSpain

Ceria-based single-atom catalysts present complex electronic structures due to the dynamic electron transfer between the metal atoms and the semiconductor oxide *** these materials implies retrieving all states in these electronic ensembles,which can be limiting if done via density functional ***,we propose a data-driven approach to obtain a parsimonious model identifying the appearance of dynamic charge transfer for the single atoms(SAs).We first constructed a database of(701)electronic configurations for the group 9–11 metals on CeO_(2)(100).Feature Selection based on predictive Elastic Net and Random Forest models highlights eight fundamental variables:atomic number,ionization potential,size,and metal coordination,metal–oxygen bond strengths,surface strain,and Coulomb *** these variables a Bayesian algorithm yields an expression for the adsorption energies of SAs in ground and low-lying excited *** work paves the way towards understanding electronic structure complexity in metal/oxide interfaces.

关键词： theory excited states

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