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Evaluation of renal function in patients with cirrhosis:Where are we now?

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World Journal of Gastroenterology 2014年第10期20卷 2533-2541页

作者： nicolas Rognant Sandrine Lemoine Nephrology Department Hospices Civils de Lyon France and University Claude Bernard Lyon I F-69008 Lyon France School of Biochemistry University of BristolUniversity Walk Medical Sciences Building Bristol BS8 1TDUnited Kingdom

In the clinical context of the patients with liver cirrhosis, accurate evaluation of the renal function is potentially crucial. Indeed, it can lead to early diagnosis of both acute kidney injury and chronic kidney disease and to reliable characterization of the renal status of the patient before performing a liver transplantation. Despite some limitations, the assay of serum creatinine (SCr) is universally used to estimate glomerular filtration rate (GFR) because of its wide availability, its simplicity and because it is inexpensive. Nevertheless, several reports show that the value of this assay to estimate GFR is strongly challenged in cirrhotic patients, especially in patients with liver failure and/or severely impaired renal function. This has led to seek new alternatives to estimate more reliably the GFR in these patients. Although the reference methods, based on the utilization of exogenous markers, allow measuring GFR and thereby constitute the “gold standard” to evaluate renal function, they are not feasible in routine clinical practice. Several studies have shown that a cystatin C (CysC) based formula perform better than the SCr-based estimates in cirrhotic patients and the estimation of GFR by these formulas could therefore lead to optimize the management of the patients. A new estimate based on CysC has been recently developed using a large number of patients and the first results regarding the evaluation of its performance are promising, making this new formula the best candidate for a reference estimate of the renal function in cirrhotic patients.

关键词： Cirrhosis Glomerular filtration rate Formula Estimation Agreement Plasma creatinine Cystatin C

Wright-Fisher-like models with constant population size on average

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International Journal of Biomathematics 2017年第6期10卷 51-72页

作者： nicolas Grosjean Thierry Huillet Laboratoire de Physique Theorique et Modelisation CNRS-UMR 8089 et Universite de Cergy-Pontoise 2 Avenue Adolphe Chauvin 95302 Cergy-Pontoise France

We first recall some basic facts from the theory of discrete-time Markov chains arising from two types neutral and non-neutral evolution models of population genetics with constant size. We then define and analyze a version of such models whose fluctuating total population size is conserved on average only. In our model, the population of interest is seen as being embedded in a frame process which is a critical Galton Watson process. In this context, we address problems such as extinction, fixation, size of the population at fixation and survival probability to a bottleneck effect of the environment.

关键词： Markov chain population dynamics Wright-Fisher-like models constant pop-ulation size on average critical Galton-Watson process extinction/fixation.

Association of colorectal cancer with pathogenic Escherichia coli: Focus on mechanisms using optical imaging

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World Journal of Clinical Oncology 2016年第3期7卷 293-301页

作者： Julie Veziant Johan Gagnière Elodie Jouberton Virginie Bonnin Pierre Sauvanet Denis Pezet nicolas Barnich Elisabeth Miot-Noirault Mathilde Bonnet UMR1071 Inserm/Université d’Auvergne and INRA USC2018 Clermont Université Service de Chirurgie Digestive Centre Hospitalier Universitaire UMR990 Inserm/Université d’Auvergne Clermont Université Service de Médecine Nucléaire Centre Jean Perrin

AIM: To investigate the molecular or cellular mechanisms related to the infection of epithelial colonic mucosa by pks-positive Escherichia coli(E. coli) using optical ***: We choose to evaluate the tumor metabolic activity using a fluorodeoxyglucose analogue as 2-deoxyglucosone fluorescent probes and to correlate it with tumoral volume(mm^3). Inflammation measuring myeloperoxidase(MPO) activity and reactive oxygen species production was monitored by a bioluminescent(BLI) inflammation probe and related to histological examination and MPO levels by enzyme-linked immunosorbent assay(ELISA) on tumor specimens. The detection and quantitation of these two signals were validated on a xenograft model of human colon adenocarcinoma epithelial cells(HCT116) in nude mice infected with a pks-positive E. coli. The inflammatory BLI signal was validated intra-digestively in the colitisCEABAC10 DSS models, which mimicked Crohn's disease. reSULTS: Using a 2-deoxyglucosone fluorescent probe, we observed a high and specific HCT116 tumor uptake in correlation with tumoral volume(P = 0.0036). Using the inflammation probe targeting MPO, we detected a rapid systemic elimination and a significant increase of the BLI signal in the pks-positive E. coli-infected HCT116 xenograft group(P re significantly higher(1556 ± 313.6 vs 234.6 ± 121.6 ng/m L P = 0.001) in xenografts infected with the pathogenic E. coli strain. Moreover, histological examination of tumor samples confirmed massive infiltration of pks-positive E. coli-infected HCT116 tumors by inflammatory cells compared to the uninfected group. These data showed that infection with the pathogenic E. coli strain enhanced inflammation and ROS production in tumors before tumor growth. Moreover, we demonstrated that the intra-digestive monitoring of inflammation is feasible in a reference colitis murine model(CEABAC10/DSS).CONCLUSION: Using BLI and fluorescence optical imaging, we provided

关键词： Colorectal carcinoma Escherichia coli Colibactin Myeloperoxidase In vivo optical imaging

Slow and steady wins the race: contrasted phylogeographic signatures in two Alpine amphibians

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Integrative Zoology 2022年第1期17卷 181-190页

作者： Christophe DUFreSNES nicolas RODRIGUES Romain SAVARY LASER College of Biology and EnvironmentNanjing Forestry UniversityNanjingChina Department of Ecology&Evolution University of LausanneLausanneSwitzerland Laboratory for Biological Geochemistry School of ArchitectureCivil and Environmental EngineeringEcole Polytechnique Fédérale de Lausanne(EPFL)LausanneSwitzerland

A deeper phylogeographic structure is expected for slow-dispersing habitat specialists compared to widespread adaptable species,especially in topographically complex *** tested this classic assumption by comparing the genomic(RAD-sequencing)phylogeographies of 2 amphibians inhabiting the Swiss Alps:the mobile,cosmopolitan common frog(Rana temporaria)against the stationary,mountain endemic Alpine salamander(Salamandra atra).Our results ran opposite of predictions:the frog displayed significantly higher genetic divergences and lower within-population variation compared to the *** implies a prominent role for their distinctive glacial histories in shaping intraspecific diversity and structure:diversification and recolonization from several circum-Alpine micro-refugia for the frog versus a single refugium for the salamander,potentially combined with better population connectivity and *** striking differences emphasize the great variability of phylogeographic responses to the Quaternary glaciations,hence the complexity to predict general patterns of genetic diversity at the regional scale,and the forces that underlie them.

关键词： Alps comparative phylogeography dispersal RAD-sequencing Rana temporaria Salamandra atra

Transversal Instability for the Thermodiffusive reaction-Diffusion System

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Chinese Annals of Mathematics,Series B 2015年第5期36卷 871-882页

作者： Michal KOWALCZYK Benoit PERTHAME nicolas VAUCHELET Departamento de Ingenieria Matematica and Centro de Modelamiento Matem'atico(UMI CNRS 2807) Universidad de Chile Sorbonne Universités UPMC Univ Paris 06UMR 7598Laboratoire Jacques-Louis LionsF-75005ParisFrance CNRS UMR 7598Laboratoire Jacques-Louis LionsF-75005ParisFrance INRIA-Paris-Rocquencourt EPC MAMBADomaine de VoluceauBP10578153 Le Chesnay CedexFrance

The propagation of unstable interfaces is at the origin of remarkable patterns that are observed in various areas of science as chemical reactions, phase transitions, and growth of bacterial colonies. Since a scalar equation generates usually stable waves, the simplest mathematical description relies on two-by-two reaction-diffusion systems. The authors' interest is the extension of the Fisher/KPP equation to a two-species reaction which represents reactant concentration and temperature when used for flame propagation,and bacterial population and nutrient concentration when used in *** authors study circumstances in which instabilities can occur and in particular the effect of dimension. It is observed numerically that spherical waves can be unstable depending on the coefficients. A simpler mathematical framework is to study transversal instability, which means a one-dimensional wave propagating in two space ***, explicit analytical formulas give explicitely the range of paramaters for instability.

关键词： Traveling waves Stability analysis reaction-diffusion equation Thermodiffusive system

An Immersed Method Based on Cut-Cells for the Simulation of 2D Incompressible Fluid Flows Past Solid Structures

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Computer Modeling in Engineering & Sciences 2019年第4期119卷 165-184页

作者： Francois Bouchon Thierry Dubois nicolas James Université Clermont Auvergne CNRSLMBPF-63000 CLERMONT-FERRANDFrance Laboratoire de Mathématiques et Applications UMR 7348 Universitéde PoitiersTéléport 2-B.P.30179Boulevard Marie et Pierre Curie86962 Futuroscope Chasseneuil CedexFrance

We present a cut-cell method for the simulation of 2D incompressible flows past *** consists in using the MAC scheme on cartesian grids and imposing Dirchlet boundary conditions for the velocity field on the boundary of solid structures following the Shortley-Weller *** order to ensure local conservation properties,viscous and convecting terms are discretized in a finite volume *** scheme is second order implicit in time for the linear part,the linear systems are solved by the use of the capacitance matrix method for non-moving *** results of flows around an impulsively started circular cylinder are presented which confirm the efficiency of the method,for reynolds numbers 1000 and *** example of flows around a moving rigid body at reynolds number 800 is also shown,a solver using the PETSc-Library has been prefered in this context to solve the linear systems.

关键词： Immersed boundary methods cutt-cell methods incompressible viscous flows

Epidemiological and Diagnostic Profile of Patients with Chronic Hepatitis B Virus from 2017 to 2021 in Parakou, republic of Benin

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Advances in Infectious Diseases 2024年第1期14卷 147-161页

作者： Khadidjatou Saké Cossi Angelo Attinsounon Aboudou Raϊmi Kpossou Morayo Omm Ani Salami Astrid Alexandrine Hountondji Kofi-Mensa Savi de Tovè Rhonel Ahanhanzo-Glèlè Kpémahoun rené Kèkè Sossa Edmond Gbédo Jean Sehonou nicolas Kodjoh Department of Medicine and Medical Specialties Faculty of Medicine University of Parakou Parakou Benin Department of Medicine and Medical Specialties Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin Health Program to Fight AIDS Cotonou Benin National Program for the Control of Hepatitis Cotonou Benin

Introduction: Viral hepatitis B is a public health problem worldwide. The objective of this study was to determine the epidemiological and diagnostic profile of chronic carriers of hepatitis B virus seen for gastroenterology consultations in Parakou, republic of Benin. Patients and Methods: This was a cross-sectional and descriptive study with retrospective data collection. Patients seen for gastroenterology consultations from January 1, 2017 to June 30, 2021 at the regional Teaching Hospital of Borgou/Alibori (CHUD-B/A) and having been diagnosed as chronic carriers of hepatitis B virus were included. A minimum initial assessment was required to be included. The minimum sample size was calculated with Schwartz formula. The variable of interest was the detection of HBsAg twice and at least 6 months apart. The other variables studied were sociodemographic, clinical and paraclinical data. The data collected were analyzed using SPSS 17 software. results: A total of 2786 patients were seen for gastroenterology consultations, including 1126 (40.4%) HBsAg-positive patients. Among them, 417 patients met the inclusion criteria and were the subject of the present study. The average age of the patients was 34.8 ± 10.5 years. Two hundred and forty-seven patients (65.7%) were male, representing a sex ratio of 1.9. The discovery of positive HBsAg status was made during systematic screening in 231 patients (55.4%). Scarifications were noted in 373 patients (89.4%). Asthenia was reported in 184 patients (44.1%). Co-infections with human immunodeficiency virus, hepatitis C and D viruses were 0% (0 in 92), 2.8% (4 in 146) and 14.3% (2 in 146), respectively. During the initial assessment, 274 patients (65.7%) were sero-negative for chronic HBeAg infection, 21 (5%) had clinically significant fibrosis including 16 (3.8%) at the stage of cirrhosis and 7 patients (5.4%) had hepatocellular carcinoma. Conclusion: In Parakou, chronic hepatitis B virus infection is common and affects young pe

关键词： Chronic Infection HBV Epidemiology Diagnosis Parakou

Multilayer optics for the EUV and soft X-rays

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光学精密工程 2005年第4期13卷 421-429页

作者： Torsten Feigl Sergiy Yulin nicolas Benoit Norbert Kaiser Fraunhofer Institut für Angewandte Optik und Feinmechanik Albert-Einstein-Str. 7 D-07745 Jena GermanyFraunhofer Institut für Angewandte Optik und Feinmechanik Albert-Einstein-Str. 7 D-07745 Jena GermanyFraunhofer Institut für Angewandte Optik und Feinmechanik Albert-Einstein-Str. 7 D-07745 Jena GermanyFraunhofer Institut für Angewandte Optik und Feinmechanik Albert-Einstein-Str. 7 D-07745 Jena Germany

The demand to enhance the optical resolution, to structure and observe ever smaller details, has pushed the way towards the EUV and soft X-rays. Induced mainly by the production of more powerful electronic circuits with the aid of projection lithography, optics developments in recent years can be characterized by the use of electromagnetic radiation with smaller wavelength. The good prospects of the EUV and soft X-rays for next generation lithography systems (λ=13.5 nm), microscopy in the “water window” (λ=2.3～4.4 nm), astronomy (λ=5～31 nm), spectroscopy, plasma diagnostics and EUV/soft X-ray laser research have led to considerable progress in the development of different multilayer optics. Since optical systems in the EUV/soft X-ray spectral region consist of several mirror elements a maximum reflectivity of each multilayer is essential for a high throughput. This paper covers recent results of the enhanced spectral behavior of Mo/Si, Cr/Sc and Sc/Si multilayer optics.

关键词： EUV X射线多层膜光学涂覆技术 Mo/Si Cr/Sc Sc/Si 光电子技术

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胆道纤维化的发生发展与治疗

中华消化外科杂志 2024年第7期23卷 989-1000页

作者：赵进玉林延延岳平姚佳米宁宁李麻图付文康高龙 Azumi Suzuki Peng F Wong Kiyohito Tanaka Rungsun rerknimitr Henrik H Junger Tan T Cheung Emmanuel Melloul nicolas Demartines Joseph W Leung 袁金秋 Hans J Schlitt 孟文勃兰州大学第一临床医学院兰州730030 兰州大学第一医院普通外科兰州730030 浜松医学中心消化科日本浜松432-8002 詹姆斯库克大学医院血管外科英国米德尔斯堡TS43BW 京都第二红十字医院消化科日本京都602-8031 朱拉隆功国王纪念医院胃肠内镜卓越中心泰国曼谷10330 雷根斯堡大学医学中心外科德国雷根斯堡93053 香港大学外科学系中国香港999077 洛桑大学医院内脏外科瑞士洛桑CH-1015 加州大学戴维斯分校医学中心和萨克拉门托退伍军人医学中心胃肠肝病科美国萨克拉门托95817 中山大学附属第七医院临床研究中心深圳518107

胆道纤维化(BF)是病理性胆道损伤修复的结果,主要表现为胆管壁的增厚硬化和管腔的进行性狭窄,最终可能导致胆道梗阻、胆汁性肝硬化、肝衰竭、肝胆恶性肿瘤等严重不良结局。目前的研究将BF描述为某些胆管病的病理特征,对其病因、病理生... 详细信息

胆道纤维化(BF)是病理性胆道损伤修复的结果,主要表现为胆管壁的增厚硬化和管腔的进行性狭窄,最终可能导致胆道梗阻、胆汁性肝硬化、肝衰竭、肝胆恶性肿瘤等严重不良结局。目前的研究将BF描述为某些胆管病的病理特征,对其病因、病理生理、分子机制和治疗缺乏系统总结。BF是胆道系统普遍存在但容易被忽略的疾病状态,可能通过病理性胆道损伤后的异常修复机制促进肝胆疾病的发生和进展,笔者结合国内外最新研究进展,综述BF的概念、临床表现、病因、发病机制和治疗策略,为临床医师提供参考。

关键词：胆道疾病纤维化胆管反应病因信号通路治疗