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Resection of isolated liver oligometastatic disease in pancreatic ductal adenocarcinoma:Is there a survival benefit?A systematic review

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World Journal of Gastrointestinal Surgery 2023年第7期15卷 1512-1521页

作者： James M Halle-Smith sarah powell-brett Keith Roberts Nikolaos A Chatzizacharias Department of HPB and Liver Transplant Queen Elizabeth HospitalUniversity of BirminghamBirmingham B152GWUnited Kingdom

BACKGROUND Presence of liver metastatic disease in pancreatic ductal adenocarcinoma(PDAC),either synchronous or metachronous after pancreatic resection,is a terminal diagnosis that warrants management with palliative intent as per all international practice ***,there is an increasing interest on any potential value of surgical treatment of isolated oligometastatic disease in selected *** To present the published evidence on surgical management of PDAC liver metastases,synchronous and metachronous,and compare the outcomes of these treatments to the current standard of *** A systematic review was performed in line with the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines to compare the outcomes of both synchronous and metachronous liver metastases resection to standard *** 356 studies were identified,31 studies underwent full-text review and of these 10 were suitable for *** synchronous resection of liver metastases was compared to standard care,most studies did not demonstrate a survival benefit with the exception of one study that utilised neoadjuvant ***,resection of metachronous disease appeared to confer a survival advantage when compared to treatment with chemotherapy *** A survival benefit may exist in resection of selected cases of metachronous liver oligometastatic PDAC disease,after disease biology has been tested with time and systemic *** survival benefit is less clear in synchronous cases;however an approach with neoadjuvant treatment and consideration of resection in some selected cases may confer some *** studies should focus on pathways for selection of cases that may benefit from an aggressive approach.

关键词： Pancreas cancer Liver metastases Surgical resection Systematic review

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Pancreatic exocrine insufficiency after pancreaticoduodenectomy: Current evidence and management

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World Journal of Gastrointestinal Pathophysiology 2020年第2期11卷 20-31页

作者： Adithya M Pathanki Joseph A Attard Elizabeth Bradley sarah powell-brett Bobby V M Dasari John R Isaac Keith J Roberts Nikolaos A Chatzizacharias Department of HPB and Liver Transplantation Queen Elizabeth HospitalUniversity Hospitals BirminghamBirmingham B152THUnited Kingdom Department of Nutrition and Dietetics Queen Elizabeth HospitalUniversity Hospitals BirminghamBirmingham B152THUnited Kingdom

Pancreaticoduodenectomy(PD)is the commonest procedure performed for pancreatic *** exocrine insufficiency(PEI)may be caused or exacerbated by surgery and remains underdiagnosed and *** aim of this review was to ascertain the incidence of PEI,its consequences and management in the setting of PD for indications other than chronic pancreatitis.A literature search of databases(MEDLINE,EMBASE,Cochrane and Scopus)was carried out with the MeSH terms“pancreatic exocrine insufficiency”and“Pancreaticoduodenectomy”.Studies that analysed PEI and its complications in the setting of PD for malignant and benign disease were *** reporting PEI in the setting of PD for chronic pancreatitis,conference abstracts and reviews were *** incidence of PEI approached 100%following PD in some *** pre-operative incidence varied depending on the characteristics of the patient cohort and it was higher(46%-93%)in series where pancreatic cancer was the predominant indication for *** was also recorded with regards to the method used for the diagnosis and evaluation of pancreatic function and *** enzyme replacement therapy is the mainstay of the *** is common and remains undertreated after *** studies are required for the identification of a welltolerated,reliable and reproducible diagnostic test in this setting.

关键词： Pancreatic exocrine insufficiency Pancreaticoduodenectomy Pancreatic enzyme replacement therapy Pancreatic cancer Malabsorption Steatorrhoea

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Suppression of mature TAU isoforms prevents Alzheimer's disease-like amyloid-beta oligomer-induced spine loss in rodent neurons

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Neural Regeneration Research 2024年第8期19卷 1655-1657页

作者： sarah Buchholz Hans Zempel Institute of Human Genetics Faculty of Medicine and University Hospital CologneUniversity of CologneCologneGermany Center for Molecular Medicine Cologne(CMMC) Faculty of Medicine and University Hospital CologneUniversity of CologneCologneGermany

Introduction:TAU isoforms as disease mediators:The microtubule-associated protein TAU is predominantly present in the axons of neurons under physiological *** Alzheimer’s disease(AD)and related tauopathies,TAU also mislocalizes("TAU missorting")to the soma and the dendrites,where it eventually forms aggregates,the so-called neurofibrillary tangles(for review see Zimmer-Bensch and Zempel,2021;Zempel,2023).

关键词： Alzheimer Zimmer tau

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Guillaume Broux-Quemerais,sarah Kaakai, Anis Matoussi,Wissal Sabbagh

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Probability, Uncertainty and Quantitative Risk 2024年第2期9卷 149-180页

作者： Guillaume Broux-Quemerais sarah Kaakarl Anis Matoussi Wissal Sabbagh Laboratoire Manceau de Mathematiques&FR CNRS No 2962 Institut du Risque et de I'AssuranceLeMansUniversityFrance Centre de Mathématiques Appliquees(CMAP) CNRSEcole polytechniqueInstitut Polytechnique de Paris91120 PalaiseauFrance

In this paper,we present a probabilistic numerical method for a class of forward utilities in a stochastic factor *** this purpose,we use the representation of forward utilities using the ergodic Backward Stochastic Differential Equations(eBSDEs)introduced by Liang and Zariphopoulou in[27].We establish a connection between the solution of the ergodic BSDE and the solution of an associated BSDE with random terminal time T,defined as the hitting time of the positive recurrent stochastic *** viewpoint based on BSDEs with random horizon yields a new characterization of the ergodic cost^which is a part of the solution of the *** particular,for a certain class of eBSDEs with quadratic generator,the Cole-Hopf transformation leads to a semi-explicit representation of the solution as well as a new expression of the ergodic cost>.The latter can be estimated with Monte Carlo *** also propose two new deep learning numerical schemes for ***,we present numerical results for different examples of eBSDEs and forward utilities together with the associated investment strategies.

关键词： Deep leaming scheme Forward utilities Ergodic BSDEs Markovian solution Deep learning algorithm

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Psychological consequences of a diagnosis of infertility in men:a systematic analysis

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Asian Journal of Andrology 2024年第1期26卷 10-19页

作者： sarah N Biggs Jane Halliday Karin Hammarberg Reproductive Epidemiology Murdoch Children's Research InstituteMelbourne 3052Australia Department of Paediatrics University of MelbourneMelbourne 3052Australia Public Health and Preventative Medicine Monash UniversityMelbourne 3004Australia Victorian Assisted Reproductive Treatment Authority Melbourne 3000Australia

Almost half of infertility cases involve male *** the consequence of a diagnosis of male infertility,as a sole or partial contributor to the couples'infertility,to the mental health of men is required to ensure clinical care meets their psychological *** aim of this systematic analysis was to synthesize the evidence regarding whether men diagnosed with male factor infertility experience greater psychological distress than(1)men described as fertile and(2)men in couples with other infertility *** databases were searched using a combination of Medical Subject Headings(MeSH)headings and keywords relating to male infertility and psychological *** search yielded 1016 unique publications,of which 23 were included:8 case-control,14 prospective cohort,and 1 data linkage *** aspects of psychological distress were identified depression,anxiety,self-esteem,quality of life,fertility-related stress,general psychological stress or well-being,and psychiatric ***-control studies reported that men with male factor infertility have more symptoms of depression,anxiety and general psychological distress,worse quality of some aspects of life,and lower self-esteem than *** men with male factor infertility were compared to men in couples with other causes of infertility,there were few differences in the assessed aspects of psychological *** methodological limitations within the studies,this systematic analysis suggests that the experience of infertility,irrespective of its cause,negatively affects men's mental health and demonstrates the need for assisted reproduction technology(ART)providers to consider men undergoing assisted reproduction as individuals with their own unique support needs.

关键词： anxiety depression infertility male mental health quality of life

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Virus-like nanoparticle vaccines for inducing long-lasting immunity against infectious diseases

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National Science Review 2024年第4期11卷 13-15页

作者： Yi-Nan Zhang sarah Auclair Jiang Zhu Department of Integrative Structural and Computational Biology The Scripps Research Institute Department of Immunology and Microbiology The Scripps Research Institute

Prophylactic vaccines that can generate long-lasting protective immune responses are needed for many infectious diseases. Efficient vaccination requires vaccine antigens to be retained and presented to B cells in lymp...

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Free-ranging dogs match a human’s preference in a foraging task

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Current Zoology 2024年第3期70卷 343-349页

作者： Giulia Cimarelli Magdelena Juskaite Friederike Range sarah Marshall-Pescini Domestication Lab Konrad Lorenz Institute of EthologyDepartment of Interdisciplinary Life SciencesUniversity of Veterinary Medicine ViennaVeterinärplatz 11210ViennaAustria Department of Biology Education Stockholm UniversityStockholmSweden

Social learning is a mechanism used by many species to effciently gain information about their *** many animals live in an environment where members of other species are present,little is known about interspecifc social *** and urbanized species provide the opportunity to investigate whether nonhuman animals can learn from heterospecifcs such as humans,who are integral parts of their social *** domestic dogs Canis familiaris have been intensively researched for their ability to learn from humans,most studies have focused on dogs living as ***,free-ranging dogs represent the majority of the world’s dog population,they live alongside humans,scavenge on human refuse,and are subject to natural and sexual ***,free-ranging dogs with extensive exposure to humans and their artifacts provide the opportunity to investigate interspecifc social learning in a naturalistic setting,where learning from humans might be a beneft for *** we tested individual free-ranging dogs in a between-subject design:Dogs in the control group could spontaneously choose between two novel and differently patterned food-delivering *** the experimental group,instead,dogs could frst observe an unfamiliar human approaching and eating from 1 of the 2 *** provide the frst evidence that free-ranging dogs match the choice of an unfamiliar *** results show that at least simple forms of interspecifc social learning might be involved in dogs’success in living alongside humans in a complex urbanized environment.

关键词： Canis familiaris dogs domestication foraging free-ranging dogs social learning urbanization.

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Spatial dynamics and Palestinian resilience:The lifestyle of Al-Kurshan Bedouins in Bethlehem District

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Frontiers of Architectural Research 2024年第3期13卷 439-458页

作者： Maha Samman sarah Mitwassi Abdel Rahman Kaloti Department of Architecture Faculty of EngineeringAl-Quds UniversityJerusalemPalestine

This study explores the role of Bedouins in preserving Palestinian land through their own means of community resilience through the concept of“Art of being”and its entailed“Arts of presence and persistence”.This is examined through the correlation between Bedouin lifestyle and the spatial distribution of structures within“Al-Kurshan”Bedouin clan in Area C in the West *** on a mixed qualitative and spatial methodologies,information was gathered through semi-structured interviews with Al-Kurshan Bedouins and employees of organizations supporting Bedouins,on-site observation,and analyses of maps and photos,in addition to drawings and *** spatial distribution of Bedouin built structures is analyzed in relation to landscape and climate,social aspects within the families,and available service and sectorial *** analyses give insight on how Bedouins struggle against adopting other *** study shows that the Bedouins are slowly forced to negotiate their semi-nomadic lifestyle,but resist giving up their right to exist against the threat of forced *** maintain their“Art of being”which partly represents their own way of safeguarding Palestinian lands from *** study contributes to the wider discussion of spatial dynamics of Bedouins and their community resilience within the Palestinian geopolitical context.

关键词： Bedouin everyday life Spatial distribution Community resilience Art of being Palestine Area C

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Time-consistent pension policy with minimum guarantee and sustainability constraint

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Probability, Uncertainty and Quantitative Risk 2024年第1期9卷 35-64页

作者： Caroline Hillairet sarah Kaakar Mohamed Mrad CREST UMR CNRS 9194ENSAEInstitut Polytechnique de ParisFrance LMM Institut du Risque et de I'AssuranceLe Mans UniversiteFrance LAGA UMR CNRS 7539Universite Sorbonne Paris NordFrance

This paper proposes and investigates an optimal pair investment/pension policy for a pay-as-you-go(PAYG)pension *** social planner can invest in a buffer fund in order to guarantee a minimal pension *** model aims at taking into account complex dynamic phenomena such as the demographic risk and its evolution over time,the time and age dependence of agents preferences,and financial *** preference criterion of the social planner is modeled by a consistent dynamic utility defined on a stochastic domain,which incorporates the heterogeneity of overlapping generations and its evolution over *** preference criterion and the optimization problem also incorporate sustainability,adequacy and fairness *** paper designs and solves the social planner's dynamic decision criterion,and computes the optimal investment/pension policy in a general framework.A detailed analysis for the case of dynamic power utilities is provided.

关键词： Consistent dynamic utility PAYG pension policy Sustainability and actuarial fairness Demographic and financial risk sharing Stochastic control

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Mapping the clinical practice of traditional,complementary and integrative medicine in oncology in Western countries:A multinational cross-sectional survey

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Journal of Integrative Medicine 2024年第1期22卷 64-71页

作者： Matthias Huemer Sandro Graca sarah Bitsche Guenter Hofmann Mike Armour Martin Pichler Palliative Care Unit Division of OncologyDepartment of Internal MedicineMedical University of Graz8036 GrazAustria Northern College of Acupuncture York YO16LJUnited Kingdom School of Health and Society Faculty of EducationHealth and WellbeingUniversity of WolverhamptonWolverhampton WV11LYUnited Kingdom National Institute of Complementary Medicine Health Research Institute Western Sydney UniversityPenrith NSW 2751Australia Translational Health Research Institute Western Sydney UniversityPenrith NSW 2751Australia Medical Research Institute of New Zealand Wellington 6021New Zealand Translational Oncology University Hospital of Augsburg86156 AugsburgGermany

Background Many cancer patients seek adjunctive therapies to biomedical cancer treatments at some point of their disease *** acupuncture is increasingly recommended by leading oncological associations,limited evidence exists concerning the evidence-informed practice and adherence to current guidelines of traditional complementary and integrative medicine(TCIM)practitioners treating cancer *** An international online-survey assessed the demographical data,clinical practice,and sources of information used by TCIM practitioners in Austria,Germany,United States of America,Australia,and New *** In total,404 respondents completed the survey,of which 254(62.9%)treated cancer *** practitioners were acupuncturists and herbalists(57.1%),had(16.8±9.9)years of clinical experience and see a median of 2(1,4)cancer patients per *** cancer(61.8%)is the most common cancer type seen in TCIM *** TCIM treatments are frequently concurrent with the patient’s cancer specific treatment(39.9%),which is also reflected by the main goal of a TCIM treatment to alleviate side effects(52.4%).However,only 28.0%of the respondents are in contact with the treating *** to the respondents,pain is most effectively treated using acupuncture,while herbal medicine is best for cancer-related *** practitioners mostly use certified courses(33.1%)or online databases(28.3%)but often believe that experts are more reliable to inform their practice(37.0%)than research publications(32.7%).Conclusion Acupuncturists and herbalists commonly treat cancer *** practitioners use TCIM as an adjunct to biomedicine as supportive care and use it largely in accordance with current oncological guidelines.

关键词： Integrative medicine Acupuncture Oncology Evidence-informed practice International survey

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