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Robotic management of urinary fistula

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Asian Journal of Urology 2024年第3期11卷 357-365页

作者： Luis G.Medina randall A.Lee Valeria Celis Veronica Rodriguez Jaime Poncel Aref s.sayegh Rene sotelo The Catherine and Joseph Aresty Department of Urology USC Institute of UrologyKeck School of MedicineUniversity of Southern CaliforniaLos AngelesCAUSA Division of Urology Department of SurgeryFox Chase Cancer CenterTemple University Health SystemPhiladelphiaPAUSA

Objectives:To highlight critical preoperative and intraoperative considerations in approaching fistula repair ***:A search of the literature was conducted to identify relevant articles pertaining to robotic management of urinary ***:Fistulae of the genitourinary tract can be a challenging dilemma for urologists,as definitive management may require surgical *** of both enteric and non-enteric fistulae are multifactorial,and successful repair hinges on the meticulous perioperative evaluation,planning,and *** open techniques can subject patients to increased morbidity and prolonged *** its introduction,the robotic surgical platform has continued to expand its *** three-dimensional visualization and tremor free wristed instrument movements have made the robotic platform an attractive option for genitourinary fistula ***:Robotic management of complex urinary fistulae is feasible in expert hands;more studies are needed to define its role in the treatment algorithm of this devastating conditions.

关键词： Fistula Robotic surgery Rectourethral Rectovesical Vesicovaginal

Combined Effect of Outdoor Time and Other Modifiable Factors on Myopia Incidence Among Children and Adolescents—9 PLADs,China,2020

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China CDC weekly 2024年第9期6卷 151-156,I0001,I0002页

作者： Panliang Zhong Yunfei Liu Ning Ma Jiajia Dang Di shi shan Cai Ziyue Chen Yanhui Dong Peijin Hu Jun Ma Patrick W.C Lau randall s.stafford Yi song Institute of Child and Adolescent Health School of Public HealthPeking UniversityNational Health Commission Key Laboratory of Reproductive HealthBeijingChina Department of sport Physical Education&HealthHong Kong Baptist UniversityKowloon TongHong Kong Special Administrative RegionChina Department of Medicine Stanford Prevention Research CenterStanford University School of MedicineStanfordCAUnited States

summary What is already known about this topic?Myopia has been identified as a significant emerging challenge and policy priority among children and adolescents in China by the Ministry of Education and seven other *** research has been conducted to investigate the collective impact of outdoor time and other modifiable factors on the incidence of myopia.

关键词： Incidence collective policy

Network analyses:Inhibition of androgen receptor signaling reduces inflammation in the lung through AR-MAF-IL6 signaling axes

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Genes & Diseases 2024年第3期11卷 140-143页

作者： Albert R.Wang Andrew M.Baschnagel Zijian Ni sean R.Brennan Hypatia K.Newton Darya Buehler Christina Kendziorski randall J.Kimple Gopal lyer Department of Human Oncology University of Wisconsin School of Medicine and Public HealthUniversity of WisconsinMadisonWI 53705USA Department of Biomedical Engineering University of Wisconsin-MadisonMadisonWI 53705USA University of Wisconsin Carbone Cancer Center MadisonWI 53705USA Department of Biostatistics and Medical Informatics University of Wisconsin-MadisonMadisonWI 53706USA Department of Biology Tufts UniversityMedfordMA 02155USA Department of Pathology and Laboratory Medicine University of Wisconsin School of Medicine and Public HealthUniversity of WisconsinMadisonWI 53705USA

Androgen receptor(AR)is a major transcription factor that plays a role in inflammatory response including interleukin-6(IL6)signaling.1 While AR regulation through paracrine loop signaling in prostate tissue is well-studied,its impact through an IL6 autocrine loop in the lung has not been wellstudied despite the organ's response to respiratory viral *** inhibition and RNA knockdown of AR identified a bZIP transcription factor MAF to be a common target of inflammation using these perturbations in lung cells.

关键词： inflammation lung respiratory

Prehospital transdermal glyceryl trinitrate for ultra- acute ischaemic stroke: data from the RIGHT- 2 randomised sham- controlled ambulance trial

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stroke & Vascular Neurology 2024年第1期9卷 38-49,I0035-I0046页

作者： Jason Philip Appleton Lisa J Woodhouse Craig s Anderson sandeep Ankolekar Lesley Cala Mark Dixon Timothy J England Kailash Krishnan Grant Mair Keith W Muir John Potter Christopher I Price Marc randall Thompson G Robinson Christine Roffe Else C sandset Jeffrey L saver Angela shone Aloysius Niroshan siriwardena Joanna M Wardlaw Nikola sprigg Philip M Bath stroke University Hospitals Birmingham NHS Foundation TrustBirminghamUK Institute of Applied HealthResearch University of Birmingham College of Medical and Dental SciencesBirminghamUK stroke Trials Unit Mental Health and Clinical NeurosciencesUniversity of NottinghamNottinghamUK Faculty of Medicine The George Institute for Global HealthSydneyNew South WalesAustralia The George Institute China at Peking University Health science Center BeijingChina Neurology Royal Prince Alfred HospitalSydney Health PartnersSydneyNew South WalesAustralia Department of Neurology King's College Hospital NHS Foundation TrustLondonUK Faculty of Health and Medical sciences University of Western AustraliaCrawleyWestern AustraliaAustralia East Midlands Ambulance service NHs Trust NottinghamUK stroke Queen's Medical CentreNottingham University Hospitals NHS TrustNottinghamUK Centre for Clinical Brain sciences Dementia Research InstituteUniveristy of EdinburghEdinburghUK Institute of Neurology and Psychology University of GlasgowGlasgowUK Bob Champion Research and Education Building University of East AngliaNorwichUK Institute of Neuroscience Newcastle UniversityNewcastle upon TyneUK Department of Neurology Leeds Teaching Hospitals NHS TrustLeedsUK Department of Cardiovascular sciences and NIHR Leicester Biomedical Research Centre University of LeicesterLeicesterUK stroke Research in stoke Institute for Science and Technology in MedicineKeele UniversityStoke-on TrentUK Department of Neurology Oslo University HospitalOsloNorway Research and Development Norwegian Air Ambulance FoundationOsloNorway Department of Neurology and Comprehensive stroke Center David Geffen School of MedicineUCLALos AngelesCaliforniaUSA Research and Graduate services University of NottinghamNottinghamUK Community and Health Research Unit University of LincolnLincolnUK

Background The effect of transdermal glyceryl trinitrate(GTN,a nitrovasodilator)on clinical outcome when administered before hospital admission in suspected stroke patients is ***,we assess the safety and efficacy of GTN in the prespecified subgroup of patients who had an ischaemic stroke within the Rapid Intervention with Glyceryl trinitrate in Hypertensive stroke Trial-2(RIGHT-2).Methods RIGHT-2 was an ambulance-based multicentre sham-controlled blinded-endpoint study with patients randomised within 4hours of *** primary outcome was a shift in scores on the modified Rankin scale(mRs)at day *** outcomes included death;a global analysis(Wei-Lachin test)containing Barthel Index,EuroQol-5D,mRs,telephone interview for cognitive status-modified and Zung depression scale;and neuroimaging-determined‘brain frailty’*** were reported as n(%),mean(sD),median[IQR],adjusted common OR(acOR),mean difference or Mann-Whitney difference(MWD)with 95%*** 597 of 1149(52%)patients had a final diagnosis of ischaemic stroke;age 75(12)years,premorbid mRs>2107(18%),Glasgow Coma scale 14(2)and time from onset to randomisation 67[45,108]***‘brain frailty’was common:median score 2[2,3](range 0–3).At day 90,GTN did not influence the primary outcome(acOR for increased disability 1.15,95%CI 0.85 to 1.54),death or global analysis(MWD 0.00,95%CI-0.10 to 0.09).In subgroup analyses,there were non-significant interactions suggesting GTN may be associated with more death and dependency in participants randomised within 1hour of symptom onset and in those with more severe *** In patients who had an ischaemic stroke,ultra-acute administration of transdermal GTN in the ambulance did not improve clinical outcomes in a population with more clinical and radiological frailty than seen in previous in-hospital *** Is ALREADY KNOWN ON THIs TOPIC⇒Transdermal glyceryl trinitrate(GTN)was associat-ed with less death and dependency in those w

关键词： Glasgow nitrate random

Examination of literature on colloidal dispersion gels for oil recovery

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Petroleum science 2021年第4期18卷 1097-1114页

作者： Dongmei Wang randall s.seright University of North Dakota United States New Mexico Tech United States

This paper examines literature that claims,suggests,or implies that floods with"colloidal dispersion gels"(CDGs)are superior to polymer floods for oil *** motivation for this report is *** CDGs can propagate deep into the porous rock of a reservoir,and at the same time,provide resistance factors or residual resistance factors that are greater than those for the same polymer formulation without the crosslinker,then CDGs should be used in place of polymer solutions for most/all polymer,surfactant,and AsP *** contrast,if the claims are not valid,(1)money spent on crosslinker in the CDG formulations was wasted,(2)the mobility reduction/mobility control for CDG field projects was under-designed,and(3)reservoir performance could have been damaged by excessive loss of polymer,face-plugging by gels,and/or excessive fracture *** this review,the clear answer is that there is no credible evidence that colloidal dispersion gels can propagate deep into the porous rock of a reservoir,and at the same time,provide resistance factors or residual resistance factors that are greater than those for the same polymer formulation without the *** have been sold using a number of misleading and invalid *** commonly,Hall plots are claimed to demonstrate that CDGs provide higher resistance factors and/or residual resistance factors than normal polymer ***,because Hall plots only monitor injection pressures at the wellbore,they reflect the composite of face plugging/formation damage,in-situ mobility changes,and fracture *** plots cannot distinguish between these effects-so they cannot quantify in situ resistance factors or residual resistance *** studiesdwhere CDG gelants were forced through short cores during 2-3 h-have incorrectly been cited as proof that CDGs will propagate deep(hundreds of feet)into the porous rock of a reservoir over the course of *** contrast,most legitimate laboratory s

关键词： Conformance improvement Colloidal dispersion gels Polymer flooding Mobility control

security breach:peripheral nerves provide unrestricted access for toxin delivery into the central nervous system

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中国神经再生研究：英文版 2023年第1期18卷 64-67页

作者： Igor Lupinski Allison sLiang randall D.McKinnon Department of Neurosurgery and Member The Cancer Institute of New JerseyRutgers-Robert Wood Johnson Medical SchoolPiscatawayNJUSA

We explore the hypothesis that a potential explanation for the initiation of motor neuron disease is an unappreciated vulnerability in central nervous system defense,the direct delivery of neurotoxins into motor neurons via peripheral nerve retrograde *** further suggests a mechanism for focal initiation of neuro-degenerative diseases in general,with subsequent spread by network degeneration as suggested by the Frost-Diamond *** propose this vulnerability may be a byproduct of vertebrate evolution in a benign aquatic environment,where external surfaces were not exposed to concentrated neurotoxins.

关键词： amyotrophic lateral sclerosis bioaccumulation neurodegeneration neuropathology neurotoxins peripheral nerves retrograde transport retrotoxicity suicide transport

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《社区再投资法》和近期抵押贷款危机

西部金融 2009年第12期 15-17页

作者： randall kroszner 孙天琦芝加哥大学布斯商学院中国人民银行西安分行金融研究处

美国19美联储和其他联邦金融监管当局以《社区再投资法》为指导，在解决欠发达地区信贷需求方面已经积累了不少经验。《社区再投资法》鼓励金融机构面向低收入社区和居民，提供抵押贷款、小额贷款以及其他形式的信贷，而且还应向低收入... 详细信息

美国19美联储和其他联邦金融监管当局以《社区再投资法》为指导，在解决欠发达地区信贷需求方面已经积累了不少经验。《社区再投资法》鼓励金融机构面向低收入社区和居民，提供抵押贷款、小额贷款以及其他形式的信贷，而且还应向低收入地区和居民进行投资和提供服务，以此作为促进这些地区发展的总体努力的一部分。《社区再投资法》的一些批评者认为，该法鼓励银行满足那些低收入借款人和社区的信贷需求，

关键词：《社区再投资法》抵押贷款信贷需求欠发达地区低收入金融监管金融机构小额贷款

Household perceptions and subjective valuations of indoor residual spraying programmes to control malaria in northern Uganda

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Infectious Diseases of Poverty 2016年第1期5卷 920-932页

作者： Zachary s.Brown randall A.Kramer David Ocan Christine Oryema Department of Agricultural and Resource Economics North Carolina State UniversityRaleighNCUSA Nicholas school of the Environment Duke UniversityDurhamNCUSA Duke Global Health Institute Duke UniversityDurhamNCUSA Gulu University Gulu TownUganda

Background:Insecticide-based tools remain critical for controlling vector-borne diseases in *** public support from targeted populations for such tools is an important component in sustaining their long-run *** little quantitative evidence is available on the perceived benefits and costs of vector control programmes among targeted ***:A survey was administered to a clustered random sample of 612 households in Gulu and Oyam districts of northern Uganda during a period of very high malaria transmission and following a pilot indoor residual spray(IRs)programme.A discrete choice experiment was conducted within the survey,in which respondents indicated their preferences for different IRs programmes relative to money compensation in a series of experimentally controlled,hypothetical choice *** data were analysed using conditional logit regression models to estimate respondents’willingness to accept(WTA)some amount of money compensation in lieu of foregone malaria risk *** class models were used to analyse whether respondent characteristics predicted ***:Average WTA is estimated at$8.94 annually for a 10%reduction in malaria risk,and additional co-benefits of IRs were estimated to be worth on average$54–$56(depending on insecticide type)per round of *** heterogeneity is observed:Four in five household heads in northern Uganda have high valuations for IRs programmes,while the remaining 20%experience costly side effects of IRs(valued at between$2 and$3 per round).statistically significant predictors of belonging to the high-value group include respondent gender,mean age of household members,participation in previous IRs,basic knowledge of mosquito reproduction,and the number of mosquito nets *** for household income and wealth are not found to be statistically significant predictors of ***:This study suggests that the majority of people in areas of high malaria transmission

关键词： annually programme income

suicide transport blockade of motor neuron survival generates a focal graded injury and functional deficit

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Neural Regeneration Research 2021年第7期16卷 1281-1287页

作者： Allison s.Liang Joanna E.Pagano Christopher A.Chrzan randall D.McKinnon Department of Neurosurgery Rutgers-Robert Wood Johnson Medical SchoolPiscatawayNJUSA Member The Cancer Institute of New JerseyNew BrunswickNJUSA

We describe a pre-clinical spinal cord motor neuron injury model that is minimal invasive, reproducible, focal and easily applied to small *** axonal transport of a pro-apoptotic phosphatidylinosotol 3'-kinase inhibitor, wortmannin, via the sciatic nerve results in loss of ipsilateral lumbar motor neurons proportional to the level of drug *** neuron loss was detected by choline acetyltransferase(ChAT) immunostaining and with a transgenic thy1-eGFP *** short half-life of wortmannin generates minimal wound spread, and wortmannin does not affect axon transport, as determined by co-injection of a pseudorabies virus *** quantitative transcript analysis, we found that ChAT transcripts significantly decreased at 14 days post-delivery of 1 μg wortmannin, relative to sham controls, and remained low after 90 *** effects were observed with 200 ng and 100 ng *** also generated a transient and significant increase in astrocyte Gfap transcripts after 14 days with a return to control levels at 90 *** mice had hind limb spasticity and a forced motor function defect that was quantified using a water exit *** rapidly exit a shallow water tray, and wortmannin treated animals were up to 12-fold slower, a phenotype that persisted for at least 3 *** the focal delivery of wortmannin to motor neurons generates a reproducible and scalable injury that can facilitate quantitative studies on neural regeneration and *** efficacy of sciatic nerve suicide transport can also explain neurotoxin-mediated selective loss of motor neurons in diseases such as amyotrophic lateral *** procedures were performed at Rutgers under established Institutional Animal Care and Use protocols(eIACUC_TR201800022, approved on March 20, 2018).

关键词： amyotrophic lateral sclerosis injury motor function motor neuron PI3'kinase sciatic nerve suicide transport wortmannin