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Review of the Ahmed versus Baerveldt study-5-year treatment outcomes

Annals of Eye Science 2017年第1期2卷 67-71页

作者： Victor Koh Cecilia Maria Aquino paul chew Department of Ophthalmology National University HospitalSingaporeSingapore Department of Ophthalmology National University of SingaporeSingaporeSingapore

The results from the tube versus trabeculectomy(TVT)study provided the evidence to support the use of aqueous shunt surgery and its increasing popularity in the *** Ahmed versus Baerveldt(AVB)study,a randomized controlled study,compared the efficacy and safety between two of the most commonly used glaucoma drainage implants.A significant proportion of the participants had failed trabeculectomy,neovascular or uveitic *** 5-year results showed that the cumulative probability for failure is significantly lower for Baerveldt compared to Ahmed group(52.3%vs.40.0%,P=0.039).The most common reason for failure was high intraocular pressure(IOP)but 4%of the Baerveldt group has refractory *** surgeries were also effective in reducing dependency on intra-ocular pressure lowering medications but the Baerveldt group is superior in this aspect(median of 1 medication compared to 2 medications for Ahmed group).Both surgeries experienced 60-70%rate of complications but most were *** most common long-term complication was corneal decompensation(10%).Overall,the results of the AVB study mirrored the results from the Ahmed Baerveldt Comparison(ABC)*** conclusion,the 5-year report from the AVB study suggested that the Baerveldt tube is more appropriate for eyes which require much lower IOP such as eyes with advanced glaucoma or in young *** Ahmed tube would be more suitable for patients who are at risk of hypotony(such as uveitic and neovascular glaucoma)and those who require immediate IOP lowering after surgery.

关键词： Glaucoma drainage implant Ahmed glaucoma valve implant Baerveldt implant

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应用AccuMap多焦视觉诱发电位客观视野检测法观察晶状体混浊对青光眼视野检测结果的影响

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中华眼科杂志 2006年第11期42卷 972-976页

作者：才瑜 LIM Boon Ang CHI Luu POR Yongming OEN Francis 晏晓明 chew paul SEAH Steve 北京大学第一医院眼科 100034 Department of Ophthalmology Tan Tock Seng Hospital Singapore Eye Research Institute Singapore National Eye Centre Department of Ophthalmology National University Hospital

目的探讨AccuMap多焦视觉诱发电位客观视野检测法观察晶状体混浊对青光眼视野检测结果的影响及与Humphrey自动视野检测结果之间的相关性。方法观察和比较原发性青光眼伴有中等程度晶状体混浊患者白内障术前后AccuMap与Humphrey视野计检... 详细信息

目的探讨AccuMap多焦视觉诱发电位客观视野检测法观察晶状体混浊对青光眼视野检测结果的影响及与Humphrey自动视野检测结果之间的相关性。方法观察和比较原发性青光眼伴有中等程度晶状体混浊患者白内障术前后AccuMap与Humphrey视野计检测结果。术前由同一位有经验的眼科医师观察并记录(采用LOCSⅢ标准)患者晶状体的混浊程度。结果符合入选标准并完成观察者共22例。(1)AccuMap视野检测平均振幅术前为(308.0±96.6)nV,术后为(382.6±146.7)nV,术前与术后平均振幅差异有统计学意义(P=0.01)。平均视野损害严重程度指数(accumapseverityindex,ASI)术前为90.0±54.8,术后为48.6±42.4,术后比术前ASI显著下降(P<0.001)。潜伏期术前后无明显变化,术前平均为(1207.5±67.7)ms,术后为(1191.2±61.9)ms(P=0.289)。(2)晶状体混浊程度与AccuMap振幅的变化AccuMap振幅的变化与晶状体混浊程度无明显相关性(Spearman秩相关分析,P=0.09)。(3)Humphrey视野计检测结果术前平均偏差(meandeviation,MD)为-12.2±7.8,术后为-9.6±8.8,术后与术前MD差异有统计学意义(P<0.001);而模式标准差(patternstandarddeviation,PSD)术前为6.5±3.2,术后为6.3±4.0,差异无统计学意义(P=0.748)。(4)ASI与MD比较术前、术后ASI分别与MD具有相关性(Pearson相关分析,术前P=0.013,术后P<0.001);且术后与术前ASI的变化与MD的变化也具有相关性(Pearson相关分析,P=0.017)。结论AccuMap视野检测法显示晶状体混浊影响青光眼患者的视野检测结果,其中振幅受影响更明显。与Humphrey视野检测结果比较,AccuMap检测的ASI与MD具有相关性。(中华眼科杂志,2006,42972-976)

关键词：视野检查法诱发电位,视觉青光眼白内障

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Integrated microalgae culture with food processing waste for wastewater remediation and enhanced biomass productivity

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Chinese Chemical Letters 2023年第2期34卷 636-643页

作者： Angela paul Peter Kit Wayne chew Apurav Krishna Koyande Heli Siti Halimatul Munawaroh Amit Bhatnagar Yang Tao Chihe Sun Fubao Sun Zengling Ma Pau Loke Show Department of Chemical and Environmental Engineering Faculty of Science and EngineeringUniversity of Nottingham MalaysiaJalan Broga43500 SemenyihSelangor Darul EhsanMalaysia Zhejiang Provincial Key Laboratory for Subtropical Water Environment and Marine Biological Resources Protection Wenzhou UniversityWenzhou 325035China Study Program of Chemistry Department of Chemistry EducationFaculty of Mathematics and Science EducationUniversitas Pendidikan IndonesiaBandung 40154Indonesia Department of Separation Science LUT School of Engineering ScienceLUT UniversitySammonkatu 12FI 50130MikkeliFinland College of Food Science and Technology Nanjing Agricultural UniversityNanjing 210095China Key Laboratory of Industrial Biotechnology Ministry of EducationSchool of BiotechnologyJiangnan UniversityWuxi 214122China Department of Sustainable Engineering Saveetha School of EngineeringSIMATSChennai 602105India

Waste generation from food manufacturing facilities poses a serious hazard like environmental degradation, water pollution, and land pollution due to its high nutrient composition. Specifically, solid waste(powder) disposal requires additional energy sources in terms of scientific treatment, structured collection, and disposal packaging according to the safety regulation. Thus, this research discusses the viewpoint of integrating food processing waste as an organic carbon source with BG-11 medium for Chlorella vulgaris(FSP-E) growth. The food processing waste powders investigated in this study were obtained from milk, and biscuit manufacturing facilities. The culture medium was modified by combining both BG-11 and food processing waste powders to identify the optimal algal growth and biochemical *** to the microalgae grown in BG-11 alone(IBG), the combination of biscuit waste and IBG produced higher biomass concentration(44%), with increased lipid(11%), protein(20%), and carbohydrate(57%) contents. Chlorella vulgaris was able to uptake nutrients from the culture medium with combination of food processing waste and IBG thus enhancing its growth. The results obtained also indicate that an integrated culture system using food processing waste and synthetic sources can generate energy out of waste by improving the bio-composition of the microalgae biomass.

关键词： Medium contamination Food processing Waste powder Organic medium Waste remediation

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Reduction of Enteric Methane Emission in a Commercial Dairy Farm by a Novel Feed Supplement

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Open Journal of Animal Sciences 2019年第3期9卷 286-296页

作者： Hilde Vrancken Maria Suenkel paul R. Hargreaves Lynette chew Edward Towers Mootral SA Rolle Switzerland SRUC Dairy Research and Innovation Centre Dumfries UK InQpharm Group Sdn Bhd Kuala Lumpur Malaysia Brades Farm Lancaster UK

Several in vitro fermentation studies had demonstrated the efficacy of Mootral, a patent-pending natural feed supplement, in reducing methane gas production. In order to test the supplement’s application in a commercial farm, Jersey (n = 121) and Holstein-Friesian (HF, n = 275) lactating cows received 500 g of pellets containing 3% Mootral powder for 12 weeks. Their enteric methane gas production was monitored using a hand-held laser methane detector. During 7 weeks of pre-Mootral supplementation period, dry matter intake (DMI), milk yield and milk quality (fat, protein, urea, pH, bulk tank somatic cell count (BTSCC)) were monitored for both herds and continued during 12 weeks of Mootral supplementation (Mootral period), and 4 weeks after withdrawal of Mootral (post-Mootral period). Feed samples were analysed during each period, and feed efficiencies (FE) for each herd were calculated. Compared to the baseline, the methane gas produced by the Jersey and HF cows during the Mootral period were lower by 38.3% and 20.7% (p < 0.05), respectively. DMI for Jerseys were greatest during the pre-Mootral period (p < 0.05), while no difference was recorded for the HF cows. Milk yield increased significantly (p < 0.05) for both herds during Mootral supplementation. FE increased significantly for the Jersey herd during the Mootral and post-Mootral periods (p < 0.05). Statistically significant changes were detected for urea in both herds, and BTSCC for HF cows, but these did not adversely affect milk quality. Results demonstrated Mootral reduces enteric methane production in lactating cows while increasing milk yield without affecting milk quality.

关键词： Rumen Fermentation Enteric Methane Mitigation Milk Yield Laser Methane Detector Dairy Farm

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2021亚太心脏病学会P2Y12受体拮抗剂应用于亚太特殊人群的共识

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中华心血管病杂志 2023年第1期51卷 19-31页

作者： Jack Wei Chieh Tan Derek P chew Kin Lam Tsui Doreen Tan Dmitry Duplyakov Ayman Hammoudeh 张波李毅徐凯 paul J Ong DoniFirman Habib Gamra Wael Almahmeed Jamshed Dalal Lihua Tan Gabriel Steg Quang N Nguyen Junya Ako Jassim Al Suwaidi Mark Chan Mohamed Sobhy Abdulla Shehab Wacin Buddhari 王祖禄 Alan Yean Yip Fong Bilgehan Karadag Byeong-Keuk Kim Usman Baber Chee Tang Chin 韩雅玲新加坡国立心脏中心新加坡盛港综合医院澳大利亚弗林德斯大学医学与公共卫生学院香港特别行政区东区尤德夫人那打素医院新加坡国立大学理学院药学系俄罗斯萨马拉地区心脏病医院约旦安曼Istishari医院心脏病科大连医科大学第一附属医院心内科大连116000 北部战区总医院心内科沈阳110840 新加坡伊丽莎白诺维娜医院新加坡陈笃生医院印度尼西亚Harapan Kita国家心血管中心、印度尼西亚大学医学院心脏病学和血管医学系突尼斯Fattouma Bourguiba大学医院/莫纳斯提尔大学心脏病科阿拉伯联合酋长国阿布扎比克利夫兰诊所印度孟买Kokilaben Dhirubhai Ambani医院心脏中心香港特别行政区广华医院法国巴黎比夏医院心脏病科越南河内医科大学心脏病科日本神奈川县相模原市北里大学医学院心血管内科卡塔尔多哈哈马德医疗公司成人心脏病科新加坡国立大学心脏中心埃及亚历山大大学医学院阿拉伯联合酋长国阿联酋大学医学与健康科学学院泰国曼谷朱拉隆功国王纪念医院马来西亚砂拉越哥打三马拉汉心脏中心土耳其伊斯坦布尔大学-Cerrahpasa医学院韩国首尔延世大学医学院Severance心血管医院心脏病科美国俄克拉荷马大学健康科学中心

高龄、糖尿病(DM)和慢性肾脏疾病(CKD)不仅会增加慢性冠状动脉综合征(CCS)患者缺血事件的风险,还会增加其接受抗血小板治疗期间的出血风险。此类特殊人群可能需要调整治疗方案,尤其是亚洲的特殊人群,往往表现出与西方人群不同的临床特... 详细信息

高龄、糖尿病(DM)和慢性肾脏疾病(CKD)不仅会增加慢性冠状动脉综合征(CCS)患者缺血事件的风险,还会增加其接受抗血小板治疗期间的出血风险。此类特殊人群可能需要调整治疗方案,尤其是亚洲的特殊人群,往往表现出与西方人群不同的临床特征。关于亚洲人群CCS高风险的分类和急性冠状动脉综合征(ACS)后使用新一代强效P2Y12受体抑制剂(如替格瑞洛和普拉格雷)的国际指南已相继发表。本共识总结了在特殊人群中使用强效P2Y12受体抑制剂的相关证据,提出了在冠状动脉疾病(CAD)特殊人群中应用标准疗程双联抗血小板治疗(DAPT)、短期DAPT和单一抗血小板治疗的推荐意见。本共识的特殊人群包括从ACS过渡至CCS,老年,或患有CKD、DM、多血管CAD和治疗期间发生出血并发症等特征的患者。

关键词：血小板聚集抑制剂亚洲心肌缺血共识双联抗血小板治疗

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