检索结果-南通市图书馆

Hepatic grooves:An observational study at laparoscopic surgery

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Experimental Medicine 2024年第2期14卷 97-102页

作者： Shamir O Cawich Dexter A Thomas Fawwaz Mohammed Michael T Gardner Marlene Craigie shaneeta johnson Ramnanand S Kedambady Department of Surgery University of the West IndiesSt Augustine 000000Trinidad and Tobago Department of Surgery Port of Spain General HospitalPort of Spain 000000Trinidad and Tobago Section of Anatomy Basic Medical SciencesUniversity of the West IndiesKingston 000000Jamaica Department of Radiology University of the West IndiesKingston 000000Jamaica Department of Surgery Morehouse School of MedicineAtlantaGA 30310United States Section of Anatomy Department of Basic Medical SciencesUniversity of the West IndiesKingston KIN7Jamaica

BACKGROUND In traditional descriptions,the upper surface of the liver is smooth and convex,but deep depressions are variants that are present in 5%-40%of *** sought to determine the relationship between surface depressions and the *** To use exploratory laparoscopy to determine the relationship between surface depressions and the *** An observational study was performed in all patients undergoing laparoscopic upper gastro-intestinal operations between January 1,2023 and January 20,2024.A thirty-degree laparoscope was used to inspect the liver and *** surface depressions were present,we recorded patient demographics,presence of diaphragmatic bands,rib protrusions and/or any other source of compression during *** Of 394 patients,343 had normal surface anatomy,and 51(12.9%)had prominent surface depressions on the *** was no significant relationship between the presence of surface depressions and gender nor the presence of rib ***,there was significant association between the presence of surface depressions and diaphragmatic muscular bands(P<0.001).CONCLUSION With these data,the diaphragmatic-band theory has gained increased importance over other theories for surface *** studies are warranted using cross sectional imaging to confirm relationships with intersectional planes as well as beta-catenin assays in the affected liver parenchyma.

关键词： Liver Variant Vein Hepatic Surgery

Rescue from complications after pancreaticoduodenectomies at a low-volume Caribbean center:Value of tailored peri-pancreatectomy protocols

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2024年第3期16卷 681-688页

作者： Shamir O Cawich Elijah Dixon Parul J Shukla Shailesh V Shrikhande Rahul R Deshpande Fawwaz Mohammed Neil W Pearce Wesley Francis shaneeta johnson Johann Bujhawan Department of Surgery University of the West IndiesSt Augustine 000000Trinidad and Tobago Department of Surgery Faculty of MedicineUniversity of CalgaryCalgaryAlberta T2N2T9Canada Department of Surgery Weill Cornell Medical CollegeNew YorkNY 10065United States Department of Surgical Oncology Tata Memorial CenterHomi Bhabha National UniversityMumbai 400012India Department of Surgery Manchester Royal InfirmaryManchester M139WLUnited Kingdom University Surgical Unit Southampton General HospitalSouthampton SO166YDUnited Kingdom Department of Surgery University of the West IndiesNassau N-1184Bahamas Department of Surgery Morehouse School of MedicineAtlantaGA 30310United States Department of Surgery General Hospital in Port of SpainPort of Spain 000000Trinidad and Tobago

BACKGROUND Pancreaticoduodenectomy(PD)is a technically complex operation,with a re-latively high risk for *** ability to rescue patients from post-PD complications is as a recognized quality *** protocols were instituted at our low volume facility in the year *** To document the rate of rescue from post-PD complications with tailored protocols in place as a measure of *** A retrospective audit was performed to collect data from patients who experienced major post-PD complications at a low volume pancreatic surgery unit in Trinidad and Tobago between January 1,2013 and June 30,***-dardized definitions from the International Study Group of Pancreatic Surgery were used to define post-PD complications,and the modified Clavien-Dindo classification was used to classify post-PD *** Over the study period,113 patients at a mean age of 57.5 years(standard deviation[SD]±9.23;range:30-90;median:56)underwent PDs at this *** complications were recorded in 33(29.2%)patients at a mean age of 53.8 years(SD:±7.9).Twenty-nine(87.9%)patients who experienced major morbidity were salvaged after aggre-ssive treatment of their ***(3.5%)died from bleeding pseudoaneurysm(1),septic shock secondary to a bile leak(1),anastomotic leak(1),and myocardial infarction(1).There was a significantly greater salvage rate in patients with American Society of Anesthesiologists scores≤2(93.3%vs 25%;P=0.0024).CONCLUSION This paper adds to the growing body of evidence that volume alone should not be used as a marker of quality for patients requiring *** low volumes at our facility,we demonstrated that 87.9%of patients were rescued from major *** attributed this to several factors including development of rescue protocols,the competence of the pancreatic surgery teams and continuous,and adaptive learning by the entire institution,cul-minating in the development of tailored peri-pancreatectomy protoc

关键词： Pancreas Complication Rescue Failure Morbidity Mortality Pancreaticoduodenectomy

Biodiversity and interactions of acidophiles:Key to understanding and optimizing microbial processing of ores and concentrates

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中国有色金属学会会刊：英文版 2008年第6期18卷 1367-1373页

作者： D.B.johnson School of Biological Sciences Bangor University

采矿公司为从低档矿石恢复贱、宝贵的金属，并且为重新调停变得逐渐地知道 microbiological 途径的潜力从操作和放弃的矿地点排干的酸的、充满金属的废水。生物系统出现很多环境并且(有时) 超越常规途径的节俭的优点尽管他们的申请是，... 详细信息

采矿公司为从低档矿石恢复贱、宝贵的金属，并且为重新调停变得逐渐地知道 microbiological 途径的潜力从操作和放弃的矿地点排干的酸的、充满金属的废水。生物系统出现很多环境并且(有时) 超越常规途径的节俭的优点尽管他们的申请是，例如热冶学，别处于每种状况拨出。矿物质用微生物处理为提取黄金，铜，铀和钴被利用了，并且当前的开发正在指向另外的贱金属。最近，我们 biomining 环境，并且微生物怎么与对方一起交往的微生物学的差异的知识和理解有大增加。从模仿了搅动的坦克和堆生物反应器系统的实验室实验的结果证明了微生物引起的协会比氧化矿物质的 acidophiles 的纯文化更柔韧，并且也趋于在 bioleaching 和氧化简历的矿石更有效并且专注。纸论述了性质的简明评论和涉及硫化物矿物质的氧化的微生物引起的协会的相互作用，并且这些怎么可能被改编在 biomining 操作遇见未来挑战。

关键词：嗜酸细胞生物采矿生物多样性微生物加工

Experimental Modelling of Transverse Oscillations in Aquaculture Netting Parallel to the Flow – Sounds Baffling

在线全文

学校读者我要写书评

暂无评论

China Ocean Engineering 2015年第3期29卷 391-400页

作者： Andrew johnson Cheslav BALASH National Centre for Maritime Engineering and Hydrodynamics Australian Maritime CollegeUniversity of Tasmania Launceston

Numerous studies have been undertaken to improve the viability, durability and suitability of materials and methods used for aquaculture enclosures. While many of the previous studies considered macro-deformation of nets, there is a paucity of information on netting micro-deformation. When aquaculture pens are towed, industry operators have observed the motion described as ＂baffling＂ – the transverse oscillation of the net planes parallel and near parallel to the flow. The difficulty to observe and assess baffling motion in a controlled experimental environment is to sufficiently reproduce netting boundary conditions and the flow environment experienced at sea. The focus of the present study was to develop and assess experimental methods for visualisation and quantification of these transverse oscillations. Four netrig configurations with varied boundary conditions and model-netting properties were tested in a flume tank. While the Reynolds number was not equivalent to full-scale, usage of the pliable and fine mesh model netting that enabled baffling to develop at low flow velocities was deemed to be of a larger relevance to this initial study. Baffling was observed in the testing frame that constrained the net sheet on the leading edge, similarly to a flag attachment onto a pole. Baffling motion increased the hydrodynamic drag of the net by 35%–58% when compared to the previously developed formula for taut net sheets aligned parallel to the flow. Furthermore, it was found that the drag due to baffling decreased with the increasing velocity over the studied Reynolds numbers（below 200）; and the drag coefficient was non-linear for Reynolds numbers below 120. It is hypothesised that baffling motion is initially propagated by vortex shedding of the netting twine which causes the netting to oscillate; there after the restoring force causes unstable pressure differences on each side of the netting which excites the amplitude of the netting oscillations.

关键词： aquaculture pen baffling model net testing netting drag netting micro-deformation

Speciation:genomic sequence data and the biogeography of speciation

在线全文

学校读者我要写书评

暂无评论

National Science Review 2022年第12期9卷 13-14页

作者： Norman A.johnson Department of Biology University of Massachusetts–Amherst

Two papers in this issue show how the use of genomic sequence data can illuminate the biogeography of the speciation ***,I provide a backdrop to these studies,with a brief history of the use of markers and the biogeog... 详细信息

关键词： Speciation:genomic sequence data and the biogeography of speciation

Min-Max Theory for Cell Complexes

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Algebra Colloquium 2020年第3期27卷 447-454页

作者： Lacey johnson Kevin Knudson Department of Mathematics University of FloridaGainesvilleFL 32611USA

In the study of smooth functions on manifolds,min-max theory provides a mechanism for identifying critical values of a *** introduce a discretized version of this theory associated to a discrete Morse function on a(regular)cell *** applications we prove a discrete version of the mountain pass lemma and give an alternate proof of a discrete Lusternik-Schnirelmann theorem.

关键词： discrete Morse theory min-max theory

Targeting proliferation and survival pathways in head and neck cancer for therapeutic benefit

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Journal of Cancer 2012年第7期31卷 319-326页

作者： Daniel E. johnson Departments of Medicine and Pharmacology & Chemical Biology University of Pittsburgh Cancer InstitutePittsburgh Pennsylvania 15213 USA

Head and neck squamous cell carcinomas (HNSCC) are common human malignancies with poor clinical outcomes. The 5-year survival rates for patients with advanced stage HNSCC have not changed appreciably in the past few decades, underscoring a dire need for improved therapeutic options. Recent studies have elucidated a key signaling axis, the EGFR-STAT3-Bcl-XL signaling axis, that is aberrantly activated in a majority of HNSCC and contributes to the proliferation and survival of malignant cells. Considerable effort is being placed on developing highly specific inhibitors of different components of this pathway. This review highlights the progress that is being made towards achieving potent inhibition of the EGFR-STAT3-Bcl-XL signaling axis in HNSCC and the promising therapeutic strategies that are currently under development for this disease.

关键词：治疗效果头颈部癌症存活增殖鳞状细胞癌头部恶性肿瘤

Hippo signaling and epithelial cell plasticity in mammalian liver development, homeostasis, injury and disease

在线全文

学校读者我要写书评

暂无评论

Science China(Life Sciences) 2019年第12期62卷 1609-1616页

作者： Randy L.johnson Department of Cancer Biology University of Texas MD Anderson Cancer Center

A traditional view of cellular differentiation is unidirectional: progenitor cells adopt specific fates in response to environmental cues resulting in deployment of cell-specific gene expression programs and acquisition of unique differentiated cellular properties such as production of structural and functional proteins that define individual cell types. In both development and in tissue repair stem and progenitor cells are thought to both self-renew to maintain the pool of precursors and to expand to give rise to transient amplifying and differentiated cell types. Recently, however, it has become appreciated that differentiated cell types can be reprogrammed to adopt progenitor and stem cell properties. In the case of epithelial cells in the mammalian liver, hepatocytes and biliary epithelial cells there is a significant degree of plasticity between these lineages that has been implicated in mechanisms of tissue repair and in liver pathologies such as cancer. Recent studies have highlighted the role of Hippo signaling, an emerging growth control and tumor suppressor pathway, in regulating epithelial cell plasticity in the mammalian liver and in this review, the role of cellular plasticity and Hippo signaling in regulating normal and abnormal tissue responses in the mammalian liver will be discussed.

关键词： liver homeostasis plasticity regeneration cancer Hippo pathway

Breather Dynamics of the Sine-Gordon Equation

在线全文

学校读者我要写书评

暂无评论

Communications in Theoretical Physics 2013年第6期59卷 664-670页

作者： Stephen johnson Anjan Biswas Stephen johnson and Anjan Biswas Department of Mathematical Sciences Delaware State University Department of Mathematics Faculty of Science King Abdulaziz University

This paper studies the adiabatic dynamics of the breather soliton of the sine-Gordon equation. The integrals of motion are found and then used in soliton perturbation theory to derive the differential equation governing the soliton velocity. Time-dependent functions arise and their properties are studied. These functions are found to be bounded and periodic and affect the soliton velocity. The soliton velocity is numerically plotted against time for different combinations of initial velocities and perturbation terms.

关键词： solitons phonons conservation laws perturbations numerics