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Oncologic outcomes with and without amniotic membranes in robotic-assisted radical prostatectomy:A propensity score matched analysis

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Asian Journal of Urology 2024年第1期11卷 19-25页

作者： Jonathan Noël Daniel Stirt Marcio Covas Moschovas Sunil Reddy Abdel Rahman Jaber Marco Sandri Seetharam Bhat Travis Rogers Subuhee Ahmed Anya Mascarenhas Ela patel Vipul patel Advent Health Global Robotics Institute CelebrationFLUSA University of Central Florida College of Medicine OrlandoFLUSA Big and Open Data Innovation Laboratory University of BresciaItaly SUNY Upstate Medical University SyracuseNYUSA Kansas City University College of Medicine Kansas CityMOUSA Harvard University CambridgeMAUSA

Objective:placement of human placenta derived grafts during robotic-assisted radical prostatectomy(RARp)hastens the return of continence and *** long-term impact on the oncologic outcomes remains to be *** objective was to determine the oncologic outcomes of patients with dehydrated human amnion chorion membrane(dHACM)at RARp compared to a matched ***:In a referral centre,from August 2013 to October 2019,599 patients used dHACM in bilateral nerve-sparing *** excluded patients with less than 12 months follow-up,simple prostatectomy,and unilateral *** with dHACM(amnio group)were 529,and were propensity score matched 1:1 to 2465 patients without dHACM(non-amnio group)and a minimum follow-up of 36 *** the time of RARp,dHACM was placed around the neurovascular bundle in the amnio *** and categorical variables in matched groups was tested by two-sample Kolmogorov-Smirnov test and Fisher's exact test *** measured were biochemical recurrence(BCR),adjuvant and salvage therapy ***:propensity score matching resulted in two groups of 444 *** incidence functions for BCR did not show a difference between the groups(p=0.3).patients in the non-amnio group required salvage therapy more frequently than the amnio group,particularly after partial nerve-sparing RARp(6.3%vs.2.3%,p=0.001).Limitations are the absence of prospective ***:The data suggest that using dHACM does not have a negative impact on BCR in *** of cancer specific and overall survival will require follow-up study to increase our understanding of these grafts’impact on prostate cancer biology.

关键词： prostatectomy prostatecancer Robotic Oncology Outcome Allograft Biomaterial Dehydrated human amnionchorion membrane

Defect mediated losses and degradation of perovskite solar cells:Origin impacts and reliable characterization techniques

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Journal of Energy Chemistry 2024年第7期94卷 217-253页

作者： Himangshu Baishy Ramkrishna Das Adhikari Mayur Jagdishbhai patel Deepak Yadav Tapashi Sarmah Mizanur Alam Manab Kalita parameswar Krishnan lyer Centre for Nanotechnology Indian Institute of Technology GuwahatiGuwahati 781039AssamIndia Department of Chemistry Indian Institute ofTechnology GuwahatGuwahati739AssamIndi

The rapid advancement of halide-based hybrid perovskite materials has garnered significant research attention,particularly in the domain of photovoltaic *** to their exceptional optoelec-tronic properties,they demonstrated power conversion efficiency(pcE)of over 25%in single junction solar *** the notable progress in pCE over the past decade,the inherent high defect density pre-senting in perovskite materials gives rise to several loss mechanisms and associated ion migration in per-ovskite solar cells(psCs)during operational *** factors collectively contribute to a significant stability challenge in psCs,placing their longevity far behind for *** numerous reports have explored defects,ion migration,and their impacts on device performance,a com-prehensive correlation between the types of defects and the degradation kinetics of perovskite materials and psCs has been *** this context,this review aims to provide a comprehensive overview of the origins of defects and ion migration,emphasizing their correlation with the degradation kinetics of per-ovskite materials and psCs,leveraging reliable characterization ***,these charac-terization techniques are intended to comprehend loss mechanisms by different passivation approaches to enhance the durability and pCE of pSCs.

关键词： perovskite solar cells Defects lon migration Degradation Stability

Outcomes of endoscopic submucosal dissection in cirrhotic patients: First American cohort

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World Journal of Hepatology 2024年第5期16卷 784-790页

作者： Robert Luke pecha Fares Ayoub Ankur patel Abdullah Muftah Michael W Wright Mai A Khalaf Mohamed O Othman Department of Gastroenterology and Hepatology UC DavisSacramentoCA 95817United States Department of Gastroenterology and Hepatology Baylor College of MedicineHoustonTX 77030United States Internal Medicine Baylor College of MedicineHoustonTX 77030United States Department of Gastroenterology and Hepatology University of Texas Medical Branch at GalvestonGalvestonTX 77550United States Medical School Baylor College of MedicineHoustonTX 77030United States Department of Tropical Medicine Tanta UniversityTanta 31527Egypt

BACKGROUND Among patients with cirrhosis and pre-malignant or early malignant mucosal lesions,surgical intervention carries a much higher bleeding *** such lesions are discovered,endoscopic submucosal dissection(ESD)may offer curative therapy with lower risks than surgery and improved outcomes compared to traditional endoscopic *** To evaluate the outcomes of ESD in patients with *** patients with cirrhosis undergoing ESD between July 2015 and August 2022 were retrospectively matched in 1:2 fashion to controls based on lesion location,size,and anticoagulation *** outcomes were compared between *** A total of 64 Lesions from 59 patients were included(16 cirrhosis,43 control).There were no differences in patient or lesion characteristics between *** bloc and curative resection was achieved in 84.21%,78.94%of the cirrhosis group and 88.89%,68.89%of controls,respectively,with no significant *** patients had significantly higher rates of intra-procedural coagulation grasper use for control of bleeding(47.37%vs 20%;p=0.02).There were otherwise no significant differences in adverse event *** the 29 patients with follow up,we found higher rates of recurrence in the cirrhosis group compared to controls(40%vs 5.26%;p=0.019),however this effect did not persist on multivariable analysis controlling for known *** ESD may be safe and effective in patients with *** procedure related outcomes were not significantly different between ***-procedural bleeding requiring use of the coagulation grasper use was expectedly higher in the cirrhosis group given the known effects of liver disease on hemostasis.

关键词： Endoscopic aubmucosal dissection Cirrhosis Advanced polypectomy Intraprocedural bleeding Colon cancer

Sex and racial disparities in non-alcoholic fatty liver disease-related cardiovascular events: National inpatient sample analysis (2019)

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World Journal of Cardiology 2024年第3期16卷 137-148页

作者： Rupak Desai Ali Tariq Alvi Advait Vasavada Yashwitha Sai pulakurthi Bhavin patel Adil Sarvar Mohammed Shreyans Doshi Ikechukwu Ogbu Independent Researcher AtlantaGA 30079United States Department of Internal Medicine HCA Florida Westside HospitalPlantationFL 33324United States Department of Internal Medicine M.P.Shah Medical CollJamnagar 361008India Department of Internal Medicine Saint Michael Medical CenterNewarkNJ 07102United States Department of Internal Medicine Trinity Health Oakland HospitalPontiacMI 48341United States Department of Internal Medicine Central Michigan University College of MedicineSaginawMI 48602United States Department of Internal Medicine UCF College of Medicine HCA GME ConsortiumGainesvilleFL 32605United States Department of Internal Medicine Mountainview HospitalLas VegasNV 89108United States

BACKGROUND Non-alcoholic fatty liver disease(NAFLD)increases cardiovascular disease(CVD)risk irrespective of other risk ***,large-scale cardiovascular sex and race differences are poorly *** To investigate the relationship between NAFLD and major cardiovascular and cerebrovascular events(MACCE)in subgroups using a nationally representative United States inpatient *** We examined National Inpatient Sample(2019)to identify adult hospitalizations with NAFLD by age,sex,and race using ICD-10-CM *** and demographic characteristics,comorbidities,and MACCE-related mortality,acute myocardial infarction(AMI),cardiac arrest,and stroke were compared in NAFLD cohorts by sex and *** regression analyses were adjusted for sociodemographic characteristics,hospitalization features,and *** We examined 409130 hospitalizations[median 55(IQR 43-66)years]with *** was more common in females(1.2%),Hispanics(2%),and Native Americans(1.9%)than *** often reported non-elective admissions,Medicare enrolment,the median age of 55(IQR 42-67),and poor *** had higher obesity and uncomplicated diabetes but lower hypertension,hyperlipidemia,and complicated diabetes than *** had a median age of 48(IQR 37-60),were Medicaid enrollees,and had non-elective *** had greater diabetes and obesity rates than whites but lower hypertension and ***,all-cause mortality,AMI,cardiac arrest,and stroke were all greater in elderly individuals(pppacific Islanders(aOR 1.18)had higher all-cause death risks than *** Increasing age and male sex link NAFLD with adverse MACCE outcomes;Native Americans and Asian pacific Islanders face higher mortality,highlighting a need for tailored interventions and care.

关键词： Non-alcoholic fatty liver disease Cardiovascular disease Major cardiovascular and cerebrovascular events Sex/gender disparities Mortality

Association between acute peripancreatic fluid collections and early readmission in acute pancreatitis:A propensity-matched analysis

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World Journal of Experimental Medicine 2024年第2期14卷 75-88页

作者： Hassam Ali Faisal Inayat Waqas Rasheed Arslan Afzal Ahtshamullah Chaudhry pratik patel Attiq Ur Rehman Muhammad Sajeel Anwar Gul Nawaz Muhammad Sohaib Afzal Amir H Sohail Subanandhini Subramanium Dushyant Singh Dahiya Deepa Budh Babu p Mohan Douglas G Adler Department of Gastroenterology and Hepatology East Carolina University Brody School of MedicineGreenvilleNC 27834United States Department of Internal Medicine Allama Iqbal Medical CollegeLahorePunjab 54550Pakistan Department of Internal Medicine Texas Tech University Health Sciences CenterLubbockTX 79430United States Department of Internal Medicine St.Dominic’s HospitalJacksonMS 39216United States Department of Gastroenterology Mather Hospital and Hofstra University Zucker School of MedicinePort JeffersonNY 11777United States Department of Hepatology Geisinger Wyoming Valley Medical CenterWilkes-BarrePA 18711United States Department of Internal Medicine UHS Wilson Medical CenterJohnson CityNY 13790United States Department of Internal Medicine Louisiana State University HealthShreveportLA 71103United States Department of Surgery University of New Mexico School of MedicineAlbuquerqueNM 87106United States Division of Gastroenterology Hepatologyand MotilityThe University of Kansas School of MedicineKansas CityKS 64108United States Department of Internal Medicine St.Barnabas Hospital and Albert Einstein College of MedicineBronxNY 10457United States Department of Gastroenterology and Hepatology University of Utah School of MedicineSalt Lake CityUT 84132United States Center for Advanced Therapeutic Endoscopy Porter Adventist HospitalCentura HealthDenverCO 80210United States

BACKGROUND patients with acute pancreatitis(Ap)frequently experience hospital readmissions,posing a significant burden to healthcare *** peripancreatic fluid collection(ApFC)may negatively impact the clinical course of *** could worsen symptoms and potentially lead to additional ***,clinical evidence regarding the specific association between ApFC and early readmission in Ap remains *** the link between ApFC and readmission may help improve clinical care for Ap patients and reduce healthcare *** To evaluate the association between ApFC and 30-day readmission in patients with *** This retrospective cohort study is based on the Nationwide Readmission Database for *** with a primary diagnosis of Ap were *** were categorized into those with and without ApFC.A 1:1 propensity score matching for age,gender,and Elixhauser comorbidities was *** primary outcome was early readmission *** outcomes included the incidence of inpatient complications and healthcare *** analyses used Mann-Whitney U andχ2 tests,while Cox regression models assessed 30-day readmission risks and reported them as adjusted hazard ratios(aHR).Kaplan-Meier curves and log-rank tests verified readmission *** A total of 673059 patients with the principal diagnosis of Ap were *** these,5.1%had ApFC on initial *** propensity score matching,each cohort consisted of 33914 *** with ApFC showed a higher incidence of inpatient complications,including septic shock(3.1%vs 1.3%,pportal venous thrombosis(4.4%vs 0.8%,pppFC patients[4(3-7)vs 3(2-5)days,ppital charges($29451 vs$24418,ppFC patients had a higher rate(15.7%vs 6.5%,pppF

关键词： Acute pancreatitis Acute peripancreatic fluid collections Readmission predictors Inpatient complications Healthcare utilization and costs

Endoscopic full-thickness plication along with argon plasma coagulation for treatment of proton pump inhibitor dependent gastroesophageal reflux disease

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World Journal of Gastrointestinal Endoscopy 2024年第5期16卷 250-258页

作者： Yogesh Harwani Shreya Butala Balaji More Varun Shukla Anand patel Department of Gastroenterology Nobel Gastro HospitalAhmedabad 408409GujaratIndia Department of Gastroenterology Sanjay Gandhi Post Graduate Institute of Medical SciencesLucknow 226014Uttar PradeshIndia Department of pharmacology Mahatma Gandhi Medical College and Research InstitutePuducherry 607402PuducherryIndia Department of Gastroenterology Noble Institute of GastroenterologyAhmedabad 380009GujratIndia

BACKGROUND Most endoscopic anti-reflux interventions for gastroesophageal reflux disease(GERD)management are technically challenging to practice with inadequate data to support it ***,this study was carried to evaluate the effectiveness and safety newer endoscopic full-thickness fundoplication(EFTp)device along with Argon plasma Coagulation to treat individuals with *** To evaluate the effectiveness and safety newer EFTp device along with Argon plasma Coagulation to treat individuals with *** This study was a single-center comparative analysis conducted on patients treated at a Noble Institute of Gastroenterology,Ahmedabad,hospital between 2020 and *** research aimed to retrospectively analyze patient data on GERD symptoms and proton pump inhibitor(ppI)dependence who underwent EFTp using the GERD-X system along with argon plasma coagulation(ApC).The primary endpoint was the mean change in the total gastroesophageal reflux disease health-related quality of life(GERD-HRQL)score compared to the baseline measurement at the 3-month *** endpoints encompassed enhancements in the overall GERD-HRQL score,improvements in GERD symptom scores at the 3 and changes in ppI usage at the 3 and 12-month time *** In this study,patients most were in Hill Class II,and over half had ineffective esophageal *** the EFTp procedure,there were significant improvements in heartburn and regurgitation scores,as well as GERDHRQL scores(pppI use significantly decreased,with 82.6%not needing ppIs or prokinetics at end of 1 *** significant adverse events related to the procedures were observed in either *** The EFTp along with ApC procedure shows promise in addressing GERD symptoms and improving patients'quality of life,particularly for suitable ***,the application of a lone clip with ApC yielded superior outcomes and exhibited greater cost-effectiveness.

关键词： Gastroesophageal reflux disease Endoscopy Quality of life Endoscopic antireflux interventions Retrospective data analysis Gastroesophageal reflux disease symptom scores proton pump inhibitor

Elevated cardiovascular risk and acute events in hospitalized colon cancer survivors:A decade-apart study of two nationwide cohorts

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World Journal of Clinical Oncology 2024年第4期15卷 548-553页

作者： Rupak Desai Avilash Mondal Vivek patel Sandeep Singh Shaylika Chauhan Akhil Jain Independent Researcher AtlantaGA 30079United States Department of Internal Medicine Nazareth HospitalPhiladelphiaPA 19152United States Department of Clinical Epidemiology Biostatistics and Bio-informaticsAmsterdam UMCAmsterdam 7057Netherlands Department of Internal Medicine Geisinger Health SystemWikes-BarrePA 18702United States Division of Leukemia The University of Texas MD Anderson Cancer CenterHoustonTX 77079United States

BACKGROUND Over the years,strides in colon cancer detection and treatment have boosted survival rates;yet,post-colon cancer survival entails cardiovascular disease(CVD)*** on CVD risks and acute cardiovascular events in colorectal cancer survivors has been *** To compare the CVD risk and adverse cardiovascular outcomes in current colon cancer survivors compared to a decade *** We analyzed 2007 and 2017 hospitalization data from the National Inpatient Sample,studying two colon cancer survivor groups for CVD risk factors,mortality rates,and major adverse events like pulmonary embolism,arrhythmia,cardiac arrest,and stroke,adjusting for confounders via multivariable regression *** Of total colon cancer survivors hospitalized in 2007(n=177542)and 2017(n=178325),the 2017 cohort often consisted of younger(76 vs 77 years),male,African-American,and Hispanic patients admitted non-electively vs the 2007 ***,the 2017 cohort had higher rates of smoking,alcohol abuse,drug abuse,coagulopathy,liver disease,weight loss,and renal *** in the 2017 cohort also had higher rates of cardiovascular comorbidities,including hypertension,hyperlipidemia,diabetes,obesity,peripheral vascular disease,congestive heart failure,and at least one traditional CVD(ppulmonary embolism(pE)(OR:1.47,95%CI:1.37-1.48),arrhythmia(OR:1.41,95%CI:1.38-1.43),atrial fibrillation/flutter(OR:1.61,95%CI:1.58-1.64),cardiac arrest including ventricular tachyarrhythmia(OR:1.63,95%CI:1.46-1.82),and stroke(OR:1.28,95%CI:1.22-1.34)with comparable all-cause mortality and fewer routine discharges(48.4%vs 55.0%)(ppitalized 10 years apart in the United States showed an increased CVD risk with an increased risk of acute cardiovascular events(stroke 28%,pE 47%,arrhythmia 41%,and cardiac arres

关键词： Colon cancer Colorectal cancer Cardiovascular diseases Cardiovascular disease risk Cardiac events Stroke

透明质酸填充剂HYC-24/HYC-24+治疗中国中、重度鼻唇沟皱褶患者满意度的真实世界研究

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中华整形外科杂志 2024年第4期40卷 436-443页

作者：曹令宋为民徐士亮隋志甫 Joy Maglambayan Vaishali patel 北京丽都医疗美容医院整形外科北京100101 杭州颜术悦容医疗美容诊所美容皮肤科杭州州310008 广州粤秀整形外科医院整形外科广州1510600 Allergan Aesthetics(艾伯维旗下公司) 新加坡117439 AllerganAesthetics(艾伯维旗下公司) 美国加利福尼亚州尔湾市92612

目的评估中国中度至重度鼻唇沟皱褶(NLF)患者在真实的临床实践环境中接受HYC-24/HYC-24+治疗后的结局满意度。方法本研究是一项前瞻性、观察性、多中心、真实世界队列研究。纳入2018年8月至2020年8月于北京丽都医疗美容医院、杭州颜术... 详细信息

目的评估中国中度至重度鼻唇沟皱褶(NLF)患者在真实的临床实践环境中接受HYC-24/HYC-24+治疗后的结局满意度。方法本研究是一项前瞻性、观察性、多中心、真实世界队列研究。纳入2018年8月至2020年8月于北京丽都医疗美容医院、杭州颜术悦容医疗美容诊所和广州粤秀整形外科医院接受HYC-24/HYC-24+治疗,并随访长达1年的中国患者,年龄18至65岁、患有中度至重度NLF,且在研究入组前6个月内未接受过NLF的美容治疗。在第1、6、9和12个月进行治疗后研究访视,仅第6个月和第9个月为必须进行的访视。患者报告结局的主要终点包括:FACE-Q结局满意度问卷总分(评分范围为0~100分,分数越高表示结局越好,患者越满意),FACE-Q皱纹评估-NLF问卷总分较基线的平均变化(评分范围为0~100分,评分越高表示患者在过去1周内越不受到NLF的困扰),以及在FACE-Q患者感知年龄视觉模拟评分法(VAS)上报告比实际年龄看起来更年轻的患者比例。研究者评估终点包括整体美容效果改善量表(GAIS)评分≥1分的患者比例,以及使用鼻唇沟皱褶严重程度量表(NLFSS)评估NLF严重程度改善≥1分的患者比例。使用SAS 9.4软件进行统计分析,计量资料采用±s表示,计数资料用例数(%)表示,不同访视时间与基线的比较,采用Wilcoxon符号秩检验。结果共52例患者入组并接受治疗,其中,7例因访视时间超出访视评估窗而未被纳入第6个月有效性的分析数据集,仅9例患者完成了第12个月的访视。所有患者均为中国籍女性,年龄26~62岁,平均为40.7岁。FACE-Q结局满意度问卷总分第6个月时为(68.76±21.03)分(38~100分),第9个月时为(65.44±18.24)分(24~100分),表明患者对治疗的满意度较高。FACE-Q皱纹评估-NLF问卷总分基线时为(42.4±15.1)分(10~69分),第6个月时为(76.9±20.6)分(36~100分),第9个月时为(74.2±16.7)分(36~100分),均较基线得分明显升高(p均p<0.01)。在每次基线后访视时,所有患者的GAIS量表得分改善均≥1分,表明研究者认为患者NLF外观均有所改善。在NLFSS评价方面,分别有97.8%(44/45)和82.7%(43/52)的患者在第6个月和第9个月的NLFSS改善程度≥1分。试验期间无不良事件报告。结论在真实临床实践环境中,对中国患者施用HYC-24/HYC-24+后,使用经验证的问卷调查显示,患者对结局表示满意。患者还报告称治疗后看起来比实际年龄年轻,并且受NLF的困扰较少。临床医生报告结局与患者报告结局一致,表明NLF有所改善。

关键词：鼻唇沟,鼻唇褶透明质酸患者满意度亚裔整形手术

preoperative serum cortisone levels are associated with cognition in preschool‑aged children with tetralogy of Fallot after corrective surgery:new evidence from human populations and mice

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World Journal of pediatrics 2024年第2期20卷 173-184页

作者： Si-Yu Ma Yu-Ting Liu Yue-Shuang Cun Qiang Wang Ming-Cui Fu Ke-De Wu Xin-Yu Cai Shu-Ting Cheng Nishant patel Min Da Liang Hu Zhuoga Deqin Xue-Jun Kang Ming Yang Xu-Ming Mo Department of Cardiothoracic Surgery Children’s Hospital of Nanjing Medical University72 Guangzhou RoadNanjing 210008China Department of Radiology Children’s Hospital of Nanjing Medical University72 Guangzhou RoadNanjing 210008China Key Laboratory of Child Development and Learning Science Research Center For Learning ScienceSchool of Biological Sciences&Medical EngineeringMinistry of EducationSoutheast UniversityNanjing 210096China Medical School of Nanjing University Nanjing 210093China

Background Tetralogy of Fallot(TOF)is the most common cyanotic congenital heart *** with TOF would be confronted with neurological impairment across their *** study aimed to identify the risk factors for cerebral morphology changes and cognition in postoperative preschool-aged children with *** We used mass spectrometry(MS)technology to assess the levels of serum metabolites,Wechsler preschool and primary scale of intelligence-Fourth edition(WppSI-Ⅳ)index scores to evaluate neurodevelopmental levels and multimodal magnetic resonance imaging(MRI)to detect cortical morphological *** Multiple linear regression showed that preoperative levels of serum cortisone were positively correlated with the gyrification index of the left inferior parietal gyrus in children with TOF and negatively related to their lower visual spaces index and nonverbal ***,preoperative SpO_(2) was negatively correlated with levels of serum cortisone after adjusting for all ***,after intervening levels of cortisone in chronic hypoxic model mice,total brain volumes were reduced at both postnatal(p)11.5 and p30 *** Our results suggest that preoperative serum cortisone levels could be used as a biomarker of neurodevelopmental impairment in children with *** study findings emphasized that preoperative levels of cortisone could influence cerebral development and cognition abilities in children with TOF.

关键词： Cognition Cortisone MRI Neurodevelopment Tetralogy of Fallot