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Instant evaluation of contrast enhanced endoscopic ultrasound helps to differentiate various solid pancreatic lesions in daily routine

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World Journal of Clinical Cases 2019年第1期7卷 19-27页

作者： Klaus Kannengiesser reiner mahlke Frauke Petersen Anja Peters Torsten Kucharzik Christian Maaser Department of General Internal Medicine and Gastroenterology University Teaching Hospital Lueneburg Department of Pathology University Teaching Hospital Lueneburg

BACKGROUND Contrast enhanced harmonic endoscopic ultrasound(CEH-EUS) is a spreading technique; some studies have shown its value in the diagnosis of pancreatic adenocarcinoma using quantitative *** To examine the value of CEH-EUS for differentiating various pancreatic lesions in everyday routine with qualitative and quantitative *** Data of 55 patients with pancreatic lesions who underwent CEH-EUS were analysed retrospectively. Perfusion characteristics were classified by the investigator qualitatively immediately upon investigation, quantitative analysis was performed later on. Samples from fine needle aspiration(EUS-FNA) or surgical specimen served as gold *** CEH-EUS showed 39 hypoenhanced lesions, 3 non-enhanced and 13 hyperenhanced lesions. Concordance of the investigators qualitative classification of peak contrast enhancement with quantitative analysis later on was 100%, while other parameters such as arrival time, time to peak or area under the curve did not show additional value. 34 of 39 hypoenhanced lesions were pancreatic adenocarcinoma; of the hyperenhanced lesions 4 were inflammatory, 3 neuroendocrine carcinomas, 1 lymphoma, 1 insulinoma and 4 metastases(2 of renal cell carcinoma, 2 of lung cancer). Non-enhanced lesions showed up as necroses. Sensitivity for the detection of pancreatic adenocarcinoma was 100%,specificity 87.2% for hypoenhancement alone; in otherwise healthy pancreatic tissue all hypoenhanced lesions were pancreatic adenocarcinoma(sensitivity and specificity 100%, PPV and NPV for adenocarcinoma 100%).CONCLUSION This study again shows the excellent value of CEH-EUS in everyday routine for diagnostics of various focal pancreatic lesions suggesting that qualitatively assessed hypoenhancement is highly predictive for adenocarcinoma. Additional quantitative analysis of perfusion parameters does not add diagnostic yield. In case of the various hyperenhanced pancreatic lesions in our data set, histologic samp

关键词： Endoscopic ultrasound Contrast enhanced endoscopic ultrasound Pancreatic adenocarcinoma Neuroendocrine carcinoma Pancreatic metastases Lymphoma

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俯冲带流体——来自(超)高压变质岩石的证据

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地质学报 2024年第3期98卷 758-782页

作者：高俊李继磊马智佩 reiner KLEMD 中国科学院地质与地球物理研究所北京100029 中国科学院地球科学研究院北京100029 中国科学院大学北京100049 Geo Zentrum Nordbayern Universität ErlangenSchlossgarten 5a91054 ErlangenGermany

俯冲带是地球上岩浆活动、高压—超高压变质作用、中深源地震、壳幔物质交换、元素循环和铜金大规模成矿的集中发生场所。富水流体不仅调控了这些地质作用,而且也深刻影响了全球C、S等挥发分的循环。当蚀变大洋岩石圈及上覆沉积物进入... 详细信息

俯冲带是地球上岩浆活动、高压—超高压变质作用、中深源地震、壳幔物质交换、元素循环和铜金大规模成矿的集中发生场所。富水流体不仅调控了这些地质作用,而且也深刻影响了全球C、S等挥发分的循环。当蚀变大洋岩石圈及上覆沉积物进入俯冲带中深部(15~300 km),伴随由葡萄石-绿纤石相至超高压榴辉岩相的递进变质作用,含水矿物在不同深度的分解造成流体释放为一连续过程。除极端高地温梯度环境之外,大多数俯冲带洋壳释放的流体为富水流体。但,俯冲带不同深度所产生的流体特征有明显差异。出露于全球造山带的高压—超高压变质地体保存了分凝体、脉体、水压致裂角砾岩等流体作用的有力证据,绿辉石、石榴子石、绿帘石等矿物中原生流体包裹体为流体的直接记录。在俯冲带中等深度(<65 km),流体是溶质含量很低的含卤化物水溶液,可含CO_(3)^(2-)、SO_(4)^(2-)、HS^(-)等组分,其所含Si、Al、Ca、Mg、Fe、Na主量元素溶质相当于海水中固化物量的2~3倍,并具大离子亲石元素(LILE)、轻元素(B、Li)富集和高场强元素(HFSE)亏损的特点。当深度≥65 km时,流体转化为类似于超临界性质的溶液,含CH_(4)、C_(2)H_(6)、H_(2)S等挥发分,其所含主量元素溶质显著增加,微量元素除LILE等外,还负载相当量的HFSE和过渡族成矿元素。俯冲带65~100 km深度,为富水流体向超临界流体转变的区间。这种流体具有“亚超临界”性质,发生了氧化还原性质和元素溶解能力的渐变,并伴随硬柱石和角闪石的最终耗尽。高压变质岩石及相关脉体的O、Sr、Nd和金属同位素示踪研究表明俯冲带流体的源区多样,有蚀变基性洋壳、地幔橄榄岩和沉积物,并保存了海底热液蚀变作用的印迹。流体以脉冲方式沿网络状裂隙呈隧道式运移和传输,规模可达千米级,时间尺度在数月至数百年。目前通过高压—超高压变质岩的研究对俯冲带流体已经有了深入的了解,但展望未来,该领域依然有诸多争议和科学问题值得探索。

关键词：俯冲带流体地质证据流体相性质化学成分 C-S循环

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Propofol sedation in routine endoscopy:A case series comparing target controlled infusion vs manually controlled bolus concept

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World Journal of Gastrointestinal Endoscopy 2024年第1期16卷 11-17页

作者： Riad Sarraj Lorenz Theiler Nima Vakilzadeh Niklas Krupka reiner Wiest Department of Visceral Surgery and Medicine Inselspital University HospitalBern 3010Switzerland Clinic for Anesthesia PerioperativeEmergency&Intensive Care MedicineKantonsspital AarauAarau 5001Switzerland Department of Nephrology and Hypertension University Hospital LausanneLausanne 1011Switzerland

BACKGROUND Many studies have addressed safety and effectiveness of non-anaesthesiologist propofol sedation(NAPS)for gastrointestinal(GI)endoscopy Target controlled infusion(TCI)is claimed to provide an optimal sedation regimen by avoiding under-or *** To assess safety and performance of propofol TCI sedation in comparison with nurse-administered *** Fouty-five patients undergoing endoscopy under TCI propofol sedation were prospectively included from November 2016 to May 2017 and compared to 87 patients retrospectively included that underwent endoscopy with *** were matched for age and endoscopic *** recorded time of sedation and endoscopy,dosage of medication and adverse *** There was a significant reduction in dose per time of propofol administered in the TCI group,compared to the NAPS group(8.2±2.7 mg/min vs 9.3±3.4 mg/min;P=0.046).The time needed to provide adequate sedation levels was slightly but significantly lower in the control group(5.3±2.7 min vs 7.7±3.3 min;P<0.001),nonetheless the total endoscopy time was similar in both *** differences between TCI and bolus-sedation was observed for mean total-dosage of propofol rate as well as adverse *** This study indicates that sedation using TCI for GI endoscopy reduces the dose of propofol necessary per minute of *** may translate into less adverse ***,further and randomized trials need to confirm this trend.

关键词： Sedation Endoscopy Propofol Target controlled infusion Non-anaesthesiologist propofol sedation Adverse event

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Effects of unilateral superimposed high-frequency jet ventilation on porcine hemodynamics and gas exchange during one-lung flooding

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World Journal of Experimental Medicine 2024年第1期14卷 88-99页

作者： Thomas Lesser Frank Wolfram Conny Braun reiner Gottschall Department of Thoracic and Vascular Surgery SRH Wald Klinikum GeraGera D-07548Germany Central Experimental Animal Facility Jena University HospitalJena 07743Germany Department of Anaesthesiology and Intensive Care Jena University HospitalJena 07747Germany

BACKGROUND Superimposed high-frequency jet ventilation(SHFJV)is suitable for respiratory motion reduction and essential for effective lung tumor *** filling of the target lung wing one-lung flooding(OLF)is necessary for therapeutic ultrasound ***,whether unilateral SHFJV allows adequate hemodynamics and gas exchange is *** To compared SHFJV with pressure-controlled ventilation(PCV)during OLF by assessing hemodynamics and gas exchange in different animal *** SHFJV or PCV was used alternatingly to ventilate the non-flooded lungs of the 12 anesthetized pigs during *** animal positions were changed from left lateral position to supine position(SP)to right lateral position(RLP)every 30 *** each position,ventilation was maintained for 15 min in both *** variables and arterial blood gas levels were repeatedly *** Unilateral SHFJV led to lower carbon dioxide removal than PCV without abnormally elevated carbon dioxide *** slightly decreased oxygenation in SP and RLP compared with PCV;the lowest values of PaO_(2) and PaO_(2)/FiO_(2) ratio were found in SP[13.0;interquartile range(IQR):12.6-5.6 and 32.5(IQR:31.5-38.9)kPa].Conversely,during SHFJV,the shunt fraction was higher in all animal positions(highest in the RLP:0.30).CONCLUSION In porcine model,unilateral SHFJV may provide adequate ventilation in different animal positions during *** oxygenation and CO_(2) removal rates compared to PCV did not lead to hypoxia or *** can be safely used for lung tumor ablation to minimize ventilation-induced lung motion.

关键词： One-lung ventilation Unilateral superimposed high-frequency jet ventilation One-lung flooding

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Origin of the deep fluids in the paleosubduction zones in western Tianshan:Evidence from Pb-and Sr-isotope compositions of high-pressure veins and host rocks

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Science China Earth Sciences 2005年第10期48卷 1627-1636页

作者： reiner Klemd Mineralogisches Institut Universit?t Würzburg Am Hubland 97074 Würzburg Germany

Fluids in the deep subduction zones play an important role in crust-mantle ex-change related to the subduction process. Identification of fluids origin, internal or external, can help us to evaluate the contribution of crust materials to mantle during this process. High-pressure veins, which developed in the western Tianshan HP-metamorphic belt extensively, are the direct products of the fluids in subduction zones. In western Tianshan, high-pressure veins and host rocks have overall Pb- and Sr-isotope compositions. At t = 340 Ma, the high-pressure metamorphic time, the ratios of 206Pb/204Pb, 207Pb/204Pb, 208Pb/204Pb and 87Sr/86Sr of high pressure veins are 17.122―18.431, 15.477―15.611, 37.432―38.689 and 0.70529―0.70705, and are 17.605―17.834, 15.508―15.564, 37.080―38.145 and 0.70522―0.70685 for host rocks. However, high-pressure veins show a much larger variation in Pb-isotope composi-tions than host rocks. Plots of samples are distributed roughly along a line parallel to and far away from the Northern Hemisphere reference line (NHRL) on the plot of 206Pb/204Pb vs 207Pb/204Pb. On the plot of 206Pb/204Pb vs 208Pb/204Pb, plots of data are distributed nearby mid-ocean-ridge basalts (MORB) area or along a line parallel to and not far away from NHRL, which shows that the data plots are farther away from MORB and ocean island basalts (OIB) areas on the plot of 206Pb/204Pb vs 207Pb/204Pb than on the plot of 206Pb/204Pb vs 208Pb/204Pb. The compositions of Pb- and Sr-isotopes of these high-pressure metamorphic rocks are between that of enriched mantle 1(EMI) and of sediments or upper crust. A notable characteristic can be seen from plots of Pb-isotope ratio vs Pb-isotope ratio and 206Pb/204Pb vs 87Sr/86Sr that array of plots shows an evident tendency of mixture of two end members. Ratios of Rb/Ba, Ce/Pb, Nb/U and Ta/U of high-pressure veins and host rocks are between that of OIB or MORB and that of conti-nental crust, which indicates that continental crust materials probably

关键词： deep fluids in the subduction zones, Pb- and Sr-isotope, high pressure vein, host rock, western Tianshan.

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Darwinian selection within an individual or somatic selection: facts and models

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Journal of Molecular Cell Biology 2019年第8期11卷 719-722页

作者： reiner A.Veitia Institut Jacques Monod Universite Paris Diderot 75013 Paris France Universite Paris-Diderot 75013 Paris France

There are known cases where a cell sub-population bearing a selective advantage tends to or eventually replaces another cell subpopulation within an organism. This process is supposed to underlie the purging of the most frequent mitochon-drial DNA pathogenic variant from leuko-cytes and other tissues. It is also likely to explain the normal increase of sex chromo-some aneuploidy in human leukocytes with age or under pathological conditions and the expansion of a cell subpopulation after the spontaneous in vivo reversion to normal of an inherited pathogenic variant.

关键词： Darwinian selection facts models

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EHD friction properties of ISO VG 320 gear oils with smooth and rough surfaces

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Friction 2020年第1期8卷 164-181页

作者： Balasubramaniam VENGUDUSAMY Claus ENEKES reiner SPALLEK Klüber Lubrication München SE&Co.KG Geisenhausenerstraße 7Munich 81379Germany

The elastohydrodynamic(EHD)friction properties of seven ISO VG 320 gear oils including three polyalphaolefins(PAOs),three polyglycols(PG)and a mineral oil have been investigated in rolling/sliding conditions at six different temperatures and three *** thickness,Stribeck and traction curves have been generated using a ball‐on‐disc *** thickness results are in agreement with previous work that it is primarily controlled by pressure‐viscosity coefficient and viscosity of *** results with smooth surface show that all oils experience significant shear heating leading to friction reduction at higher strain rates or lambda ratios but only PGs reach limiting friction whereas mineral oil and PAOs do *** curves obtained at different temperatures and roughnesses enable simulating an extensive range of lubrication regimes and allow isothermal friction correction for shear *** curves with rough surfaces show an increase in friction in the lambda range of 0.5–3.5,where asperity separation varies from partial to full–indicating that roughness effects can be expected even under full film *** increase in friction is attributed to formation of a micro‐EHD region,and is seen only with mineral oil and PAOs whereas not with *** results also highlight how EHD friction properties of different family of fluids could be influenced by roughness effects,and the possible mechanisms are discussed.

关键词： ISO VG 320 gear oil roughness effect film thickness friction EHD micro‐EHD

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AFF3:a new player in maintaining XIST monoallelic expression

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Journal of Molecular Cell Biology 2019年第9期11卷 723-724页

作者： reiner A.Veitia Institut Jacques Monod Universite Paris DiderotParisFrance Universite Paris-Diderot ParisFrance

The existence of highly differentiated X and Y chromosomes in mammals raises the issue of X-linked gene dosage compensation between XX females and XY males to avoid what would be similar to a monosomy X in males(Veitia et al.,2015).Inactivation of one copy of the X chromosomes in females provides a dosage-compensation mechanism equalizing the expression of X-linked genes in males and females(Ohno et al.,1959;Lyon,1961).

关键词： dosage al. differentiated

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CFD-simulation of a circulating fluidized bed riser

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Particuology 2009年第4期7卷 283-296页

作者： Ernst-Ulrich Hartge Lars Ratschow reiner Wischnewski Joachim Werther Hamburg-University of Technology Institute of Solids Process Engineering and Particle TechnologyD-21071 HamburgGermany

In the current work, a model of the fluid mechanics in the riser of a circulating fluidized bed （CFB） has been implemented using computational fluid dynamics （CFD）. The model developed shall be used in future as the basis of 3D-reactor model for the simulation of large scale CFB combustors. The two-fluid model （TFM） approach is used to represent the fluid mechanics involved in the flow. The computational implementation is accomplished by the commercial software FLUENT. Different closure formulations are tested on a simplified geometry. Two different turbulence formulations, namely the swirl modified RNG k-e model and the Realizable k-e model, are tested in combination with two different approaches to solid phase turbulence, namely the dispersion and per phase approach. One focus of the current work is put on the study of different drag correlations. Besides the drag correlations by Syamlal et al. [Syamlal, M., Rogers, W., ＆ O＇Brien, T. J. （1993）. MFIX documentation theory guide. Technical Report DOE/METC-9411004, U.S. Department of Energy （DOE）. Morgantown Energy Technology Center： Morgantown, WV] and Gidaspow [Gidaspow, D. （1994）. Multiphaseflow andfluidization. New York： Academic Press] the EMMS model has been used to determine the momentum exchange between the two phases. The resulting formulation is then used to simulate a 1-m × 0.3-m cold CFB setup and is validated by experimental results [Schlichtharle, P. （2000）. Fluid dynamics and mixing of solids and gas in the bottom zone of circulating fluidized beds. Unoublished doctoral dissertation, Technische Universitaet Hamburg-Harburg, Shaker Verlag： Aachen].

关键词： Circulating fluidized bed Two-fuid model EMMS model Drag correlations

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Bauxite washing for the removal of clay

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International Journal of Minerals,Metallurgy and Materials 2014年第11期21卷 1045-1051页

作者： Ishaq Ahmad Ernst-Ulrich Hartge Joachim Werther reiner Wischnewski Department of Mining Engineering University of Engineering and TechnologyPeshawar-25120 Pakistan Institute of Solids Process Engineering and Particle Technology Hamburg University of Technology (TUHH)Denickestrasse 1521073 Hamburg Germany Norsk Hydro Aluminum ASA Skφyen Oslo Norway

Clay impurities associated with bauxite negatively affect the Bayer process for alumina production. These impurities should be removed as far as possible by a beneficiation technique before the ore is used as feed for the Bayer process. In this current investigation, bauxite washing was conducted in the laboratory. Bauxite washing is a physical process that causes the disintegration and deagglomeration of the clay matrix, and bauxite is liberated from the clay（mainly rich in silica）. Subsequently, separation occurs with the assistance of wet screening at a predetermined cut size. Three techniques were investigated in the laboratory： drum washing, water-jet washing, and ultrasonic washing. Various operating parameters were investigated for drum washing and water-jet washing, including materials retention time, drum rotation speed, solid concentration, water-jet spray duration, pressure, and height. We concluded that the retention time of bauxite inside the drum at a solid concentration of 55wt% and a drum rotation speed of 31 r/min is the dominant parameter for the removal of clay from the bauxite surface.

关键词： beneficiation bauxite washing clay Bayer process

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