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Takotsubo Syndrome:Does the Octopus Trap Hide Dangers?

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Cardiovascular Innovations and Applications 2017年第B5期2卷 311-324页

作者： Maria Bergami peter louis amaduzzi Raffaele Bugiardini Department of Specialistic Diagnostic and Experimental Medicine(DIMES)Alma Mater UniversityBolognaItaly

Takotsubo syndrome(TTS)is a recently identified acute heart syndrome,characterized by regional wall motion abnormalities not justified by the presence of significant coronary artery ***,TTS closely resembles acute coronary syndromes(ACS)and therefore differential diagnosis may be an important obstacle for its correct clinical *** prevalence of TTS is estimated to be around2%of acute myocardial infarctions,and the number of diagnoses has increased in recent years,possibly reflecting our growing understanding of this *** the similarities between TTS and ACS,clinical presentation in these patients is ***,numerous peculiar traits have been observed,such as the greater prevalence in postmenopausal women and the presence of stressful *** pathogenetic hypotheses for TTS,such as catecholamine overload and microvascular dysfunction,have been *** of these have been capable of independently explaining the underlying *** diagnostic criteria proposed by the Heart Failure Association of the European Society of Cardiology represent a novel attempt to introduce semiquantitative parameters,yet further scientifi c validation is *** to previous opinions,TTS is not always benign,considering the relatively high prevalence of acute complications,an estimated in-hospital mortality similar to that of acute myocardial infarction(1-8%),and a signifi cant rate of recurrences and persistence of *** management of TTS has been largely based on empirical experience related to ACS,and therefore pharmacological strategies are partially *** issue of the utmost importance is the lack of randomized prospective data validating diagnostic criteria,risk stratification,and specifi c therapeutic approaches.

关键词： Takotsubo syndrome stress cardiomyopathy broken-heart syndrome sex-related myocardial diseases

Volcanic Risk Perception and Coping Strategies from Mounts Cameroon and Nyiragongo Eruptions, Central Africa: A Comparative Analysis

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Journal of Geoscience and Environment Protection 2024年第6期12卷 161-189页

作者： Mabel N. Wantim Innocent Bradriyo Asong F. Zisuh louis M. Balgawa Mero Yannah Katcho Karume Nde-Fon peter Bih Amban Nchini L. Wayih Emmanuel V. Yenshu Samuel N. Ayonghe Unit of Disaster Risk Management Department of Environmental Science University of Buea Buea Cameroon Observatoire Volcanologique de Goma (OVG) Goma Democratic Republic of the Congo Institute of Geological and Mining Research (IRGM) Yaounde Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Faculty of Social and Management Sciences University of Buea Buea Cameroon

Approximately 2,000,000 people are exposed to volcanic risks in communities situated at the flanks of Mounts Cameroon (MC) and Nyiragongo (MN) volcanoes in Central Africa. This study therefore sought to investigate risk perception from four previous eruptions of MC, namely the 1959, 1982, 1999, and 2000 eruptions;and two previous eruptions of MN: 1977 and 2002. The study was initiated with co-design workshops held with major stakeholders in the cities of Buea and Goma at the flanks of MC and MN, respectively, in 2017, to develop the research objectives for the study. A non-random questionnaire survey was later conducted within 14 and 15 communities in Buea and Goma respectively, on the effects, perceived risks, and coping strategies for the chosen eruptions. Three age groups (18 - 30, 31 - 45 and >45 years) and gender (male and female) were considered. The population at the flanks of both volcanoes cited scientific and indigenous factors to be responsible for eruptions from these volcanoes. At MC and MN, ≥45% of the sampled participants (with a higher female population) perceived that the sampled eruptions posed a very high risk to the population. In terms of the effects, the age group of 18 - 30 was the least knowledgeable. In terms of direct effect on persons, over 90% of participants at MC and MN attested that they were overcome by fear/panic. On measures to cope with any likely eruption, the following order was established at the flanks of both volcanoes: sensitization of population, use of religious (prayers) and of traditional/indigenous strategies. In terms of future coping strategies, while the males at MC maintained sensitization as the favourite option, 62% of the males at MN opted for traditional/indigenous strategies. The female population at both MC and MN showed a higher preference for religious strategies like prayers.

关键词： Risk Perception Mount Cameroon Mount Nyiragongo Indigenous Buea Goma

Microsphere-assisted quantitative phase microscopy:a review

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Light(Advanced Manufacturing) 2024年第1期5卷 131-150页

作者： Vahid Abbasian Tobias Pahl Lucie Hüser Sylvain Lecler Paul Montgomery peter Lehmann Arash Darafsheh Department of Radiation Oncology Washington University School of Medicine in St.LouisSt.LouisMO 63110USA Imaging Science Program McKelvey School of EngineeringWashington University in St.LouisSt.LouisMO 63130USA Measurement Technology Group Faculty of Electrical Engineering and Computer ScienceUniversity of KasselWilhelmshöher Allee 7134121 KasselGermany ICube Research Institute INSA StrasbourgUniversitéde StrasbourgCNRS67000 StrasbourgFrance

Light microscopes are the most widely used devices in life and material sciences that allow the study of the interaction of light with matter at a resolution better than that of the naked *** microscopes translate the spatial differences in the intensity of the reflected or transmitted light from an object to pixel brightness differences in the digital ***,a phase microscope converts the spatial differences in the phase of the light from or through an object to differences in pixel *** microscopy,a phase-based approach,has found application in various *** interferometry has brought nanometric axial resolution,the lateral resolution in quantitative phase microscopy(QPM)has still remained limited by diffraction,similar to other traditional microscopy *** the resolution has been the subject of intense investigation since the invention of the microscope in the 17th *** the past decade,microsphere-assisted microscopy(MAM)has emerged as a simple and effective approach to enhance the resolution in light *** can be integrated with QPM for 3D label-free imaging with enhanced ***,we review the integration of microspheres with coherence scanning interference and digital holographic microscopies,discussing the associated open questions,challenges,and opportunities.

关键词： Phase microscopy Digital holographic microscopy Microsphere Resolution

Model-based estimation of above-ground biomass in the miombo ecoregion of Zambia

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Forest Ecosystems 2016年第4期3卷 258-274页

作者： James Halperin Valerie LeMay Emmanuel Chidumayo louis Verchot peter Marshall Department of Forest Resources Management The University of British Columbia 2424 Main Mall Vancouver BC V6T 1Z4 Canada Makeni Savanna Research Project P.O. Box 50323 Ridgeway Lusaka Zambia International Center for Tropical Agriculture Km 17 Recta Cali-Palmira Apartado Aereo 6713 Cali 763537. Colombia

Background：Information on above-ground biomass（AGB） is important for managing forest resource use at local levels,land management planning at regional levels,and carbon emissions reporting at national and international *** many tropical developing countries,this information may be unreliable or at a scale too coarse for use at local *** is a vital need to provide estimates of AGB with quantifiable uncertainty that can facilitate land use management and policy development ***-based methods provide an efficient framework to estimate ***：Using National Forest Inventory（NFI） data for a^1,000,000 ha study area in the miombo ecoregion,Zambia,we estimated AGB using predicted canopy cover,environmental data,disturbance data,and Landsat 8 OLI satellite *** assessed different combinations of these datasets using three models,a semiparametric generalized additive model（GAM） and two nonlinear models（sigmoidal and exponential）,employing a genetic algorithm for variable selection that minimized root mean square prediction error（RMSPE）,calculated through *** compared model fit statistics to a null model as a baseline estimation *** bootstrap resampling methods,we calculated 95% confidence intervals for each model and compared results to a simple estimate of mean AGB from the NFI ground plot ***：Canopy cover,soil moisture,and vegetation indices were consistently selected as predictor *** sigmoidal model and the GAM performed similarly;for both models the RMSPE was -36.8 tonnes per hectare（i.e.,57% of the mean）.However,the sigmoidal model was approximately 30% more efficient than the GAM,assessed using bootstrapped variance estimates relative to a null *** selecting the sigmoidal model,we estimated total AGB for the study area at 64,526,209 tonnes（＋/- 477,730）,with a confidence interval 20 times more precise than a simple designbased ***：Our findings demonstrate that NFI

关键词： National Forest Inventory Above-ground biomass Miombo REDD+ Generalized additive model Nonlinear model Landsat 8 OLI

Geodynamics of oceanic plateau and plume head accretion and their role in Phanerozoic orogenic systems of China

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Geoscience Frontiers 2015年第1期6卷 49-59页

作者： peter G.Betts louis Moresi Meghan S.Miller David Willis School of Earth Atmosphere and EnvironmentMonash UniversityClayton Campus School of Mathematical Sciences Monash UniversityClayton Campus Department of Earth Sciences University of Melbourne Department of Earth Sciences University of Southern California

We present three 3D numerical models of deep subduction where buoyant material from an oceanic plateau and a plume interact with the overriding plate to assess the influence on subduction dynamics, trench geometry, and mechanisms for plateau accretion and continental growth. Transient instabilities of the convergent margin are produced, resulting in： contorted trench geometry; trench migration parallel with the plate margin; folding of the subducting slab and orocline development at the convergent margin; and transfer of the plateau to the overriding plate. The presence of plume material beneath the oceanic plateau causes fiat subduction above the plume, resulting in a ＂bowed＂ shaped subducting slab. In plateau-only models, plateau accretion at the edge of the overriding plate results in trench migration around the edge of the plateau before subduction is re-established directly behind the trailing edge of the plateau. The plateau shortens and some plateau material subducts. The presence of buoyant plume material beneath the oceanic plateau has a profound influence on the behaviour of the convergent margin. In the plateau ~ plume model, plateau accretion causes rapid trench advance. Plate convergence is accommodated by shearing at the base of the plateau and shortening in the overriding plate. The trench migrates around the edge of the plateau and subduction is re-established well behind the trailing edge of the plateau, effectively embedding the plateau into the overriding plate. A slab window forms beneath the accreted plateau and plume material is transferred from the subducting plate to the over- riding plate through the window. In all of the models, the subduction zone maintains a relatively stable configuration away from the buoyancy anomalies within the downgoing plate. The models provide a dynamic context for plateau and plume accretion in Phanerozoic accretionary orogenic systems such as the East China Orogen and the Central Asian Orogen （Altiads）, which ar

关键词： Subduction Accretion Plateau Plume Central Asian Orogen Geodynamics

Delirium after emergency hip surgery-common and serious, but rarely consented for

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World Journal of Orthopedics 2019年第6期10卷 228-234页

作者： louis J Koizia Faye Wilson peter Reilly Michael B Fertleman Geriatric Medicine Imperial College NHS TrustLondon W2 1NYUnited Kingdom Geriatric Medicine City Hospitals SunderlandSunderland SR4 7TPUnited Kingdom Department of Trauma and Orthopaedics Imperial College Healthcare NHS TrustLondon W2 1NYUnited Kingdom

A quarter of patients admitted with a proximal femoral fracture suffer from an acute episode of delirium during their hospital *** it is often unrecognised,poorly managed,and rarely discussed by *** is important not only to the affected individuals and their families,but also socioeconomically to the broader *** increases mortality and morbidity,leads to lasting cognitive and functional decline,and increases both length of stay and dependence on *** should be routinely and openly discussed by all members of the clinical team,including surgeons when gaining *** to do so may expose surgeons to claims of *** we present a concise review of the literature and discuss the epidemiology,causative factors,potential consequences and preventative strategies in the perioperative period.

关键词： Delirium Proximal femoral fractures Consent Hip surgery Montgomery Medicolegal

Orchestration of occludins, claudins, catenins and cadherins as players involved in maintenance of the blood-epididymal barrier in animals and humans

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Asian Journal of Andrology 2007年第4期9卷 463-475页

作者： Daniel G. Cyr Mary Gregory Evemie Dube Julie Dufresne peter T. K. Chan louis Hermo INRS-Institut Armand Frappier Universite du Quebec 245 Hymus Boulevard Pointe Claire QC H9R 1G6 Canada Department of Urology Royal Victoria Hospital McGill University Montreal QC H3A 1A1 Canada Department of Anatomy and Cell Biology McGill University Montreal QC H3A 2B2 Canada

Although spermatozoa are formed during spermatogenesis in the testis, testicular spermatozoa are immature and cannot swim or fertilize. These critical spermatozoal functions are acquired in the epididymis where a specific luminal environment is created by the blood-epididymal barrier; proteins secreted by epididymal principal cells bind to maturing spermatozoa and regulate the maturational process of the spermatozoa. In the epididymis, epithelial cell-cell interactions are mediated by adhering junctions, necessary for cell adhesion, and by tight junctions, which form the blood-epididymal barrier. The regulation of these cellular junctions is thought to represent a key determinant in the process of sperm maturation within the epididymis. Tight junctions between adjacent principal cells permit the formation of a specific microenvironment in the lumen of the epididymis that is essential for sperm maturation. Although we have made significant progress in understanding epididymal function and the blood-epididymal barrier, using animal models, there is limited information on the human epididymis. If we are to understand the normal and pathological conditions attributable to human epididymal function, we must clearly establish the physiological, cellular and molecular regulation of the human epididymis, develop tools to characterize these functions and develop clinical strategies that will use epididymal functions to improve treatment of infertility. （Asian J Androl 2007 July; 9： 463- 475）

关键词： claudins cadherins catenins human rat mouse tight junction adherens junction

The Dallas Donation after Circulatory Death Transplantation Summit:expanding donation after circulatory death procedures through process improvement,broader utilization,and innovation

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Hepatobiliary Surgery and Nutrition 2024年第5期13卷 824-836,I0009页

作者： Michele Finotti Anji Wall Anthony D’Alessandro Gary Schwartz Chris Sonnenday David Goldberg Ashish Shah peter Friend Jeff P.Orlowski Greg McKenna Steve Newton Brad Adams William C.Chapman Amit Mathur Marwan Abouljoud Tim Pruett Amelia Hessheimer James F.Trotter Sumeet K.Asrani Giuliano Testa Simmons Transplant Institute Baylor University Medical CenterDallasTXUSA Hepatobiliary and General Surgery Unit Regional Hospital TrevisoDISCOGUniversity of PaduaPaduaItaly Division of Transplantation Department of SurgeryUniversity of Wisconsin School of Medicine and Public HealthMadisonWIUSA Department of Thoracic Surgery and Lung Transplantation Baylor University Medical CenterCenter for Advanced Heart and Lung DiseaseDallasTXUSA Department of Surgery University of MichiganAnn ArborMIUSA Division of Digestive Health and Liver Diseases Department of MedicineUniversity of Miami Miller School of MedicineMiamiFLUSA Department of Cardio-Thoracic Surgery Vanderbilt University Medical CenterNashvilleTNUSA Nuffield Department of Surgical Sciences University of OxfordOxfordUK LifeShare Transplant Donor Services of Oklahoma Oklahoma CityOKUSA Administration Baylor University Medical CenterDallasTXUSA Southwest Transplant Alliance DallasTXUSA Department of Surgery/Transplantation Washington UniversitySt.LouisMOUSA Division of Transplant Surgery Department of SurgeryMayo Clinic ArizonaAlix School of MedicinePhoenixAZUSA Divisions of Transplant and Hepatobiliary Surgery Henry Ford HospitalDetroitMIUSA Department of Surgery University of MinnesotaMinneapolisMNUSA General and Digestive Surgery Hospital Universitario La PazIdiPAZMadridSpain

Despite a significant increase in utilization over the past decade,the number of donation after circulatory death(DCD)organs that are procured and transplanted in the United States(US)remains well below its *** is still room for expansion,as utilizing DCD organs to the fullest extent is currently the most viable solution to the persistent mismatch between supply and demand in *** convened a multidisciplinary transplantation summit to examine various aspects of DCD,with faculty members from around the world with clinical and academic interest in DCD donation and transplantation,including abdominal and cardiothoracic surgeons,organ procurement organization directors,hepatologists,and *** conference focused on identifying barriers to DCD organ utilization and strategies to overcome these *** divide the barriers to DCD utilization into three mains categories:(Ⅰ)policy and process variation;(II)logistical and transportation challenges;and(Ⅲ)higher risk perceptions related to DCD *** each barrier,we proposed a variety of solutions,providing an overview of the status of DCD donation in the US and suggestions on how to increase the use of *** is a specific focus on ex situ machine perfusion,normothermic regional perfusion,and other opportunities to expand DCD utilization without negatively impacting recipient outcomes.

关键词： Donation after circulatory death donation(DCD donation) marginal graft donor pool machine perfusion(MP)

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