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Total pancreatectomy with islet cell transplantation vs intrathecal narcotic pump infusion for pain control in chronic pancreatitis

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World Journal of Gastroenterology 2016年第16期22卷 4160-4167页

作者： Mohamad Mokadem Lama Noureddine thomas howard Lee Mc Henry Stuart Sherman Evan L Fogel James L Watkins Glen A Lehman Division of Gastroenterology and Hepatology Roy J. and Lucille A. Carver College of Medicine University of Iowa Iowa IA 52242 United States Division of Nephrology and Hypertension Roy J. and Lucille A. Carver College of Medicine University of Iowa Iowa IA 52242 United States Community Health Network Indianapolis IN 46219 United States Division of Gastroenterology and Hepatology Indiana University Medical Center Indianapolis IN 46202 United States

AIM: To evaluate pain control in chronic pancreatitis patients who underwent total pancreatectomy with islet cell transplantation or intrathecal narcotic pump ***: We recognized 13 patients who underwent intrathecal narcotic pump(ITNP) infusion and 57 patients who underwent total pancreatectomy with autologous islet cell transplantation(TP + ICT) for chronic pancreatitis(CP) pain control between 1998 and 2008 at Indiana University Hospital. All patients had already failed multiple other modalities for pain control and the decision to proceed with either intervention was made at the discretion of the patients and their treating physicians. All patients were evaluated retrospectively using a questionnaire inquiring about their pain control(using a 0-10 pain scale), daily narcotic dose usage, and hospital admission days for pain control before each intervention and during their last follow-up. RESULTS: All 13 ITNP patients and 30 available TP + ICT patients were evaluated. The mean age was approximately 40 years in both groups. The median duration of pain before intervention was 6 years and 7 years in the ITNP and TP + ICT groups, respectively. The median pain score dropped from 8 to 2.5(on a scale of 0-10) in both groups on their last follow up. The median daily dose of narcotics also decreased from 393 mg equivalent of morphine sulfate to 8 mg in the ITNP group and from 300 mg to 40 mg in the TP + ICT group. No patient had diabetes mellitus(DM) before either procedure whereas 85% of those who underwent pancreatectomy were insulin dependent on their last evaluation despite ICT. CONCLUSION: ITNP and TP + ICT are comparable for pain control in patients with CP however with high incidence of DM among those who underwent TP + ICT. Prospective comparative studies and longer follow up are needed to better define treatment outcomes.

关键词： Chronic pancreatitis Intractable pain Total pancreatectomy Islet cell transplantation Intrathecal narcotic pump infusion

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Potential Use of Multipurpose <i>Paulownia elongata</i>Tree as an Animal Feed Resource

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American Journal of Plant Sciences 2018年第6期9卷 1212-1227页

作者： Whitley Marshay Stewart Brajesh Nanda Vaidya Ajit Kumar Mahapatra thomas howard Terrill Nirmal Joshee Agricultural Research Station Fort Valley State University Fort Valley GA 31030 USA

Paulownia is known as an economically important multipurpose tree genus due to its fast growth and short-rotation harvesting for timber. There is interest in growing Paulownia species as a woody biofuel crop. There are reports on its leaves being rich in nitrogen and double as good fodder, as well as fertilizer (green manure). Nutritional properties of Paulownia elongata leaves collected at monthly intervals from Paulownia Demonstration Plot, Fort Valley State University (FVSU), Fort Valley, Georgia, USA, from April to November, 2011, were studied. The leaves were dried and analyzed for crude protein (CP), neutral detergent fiber (NDF), acid detergent fiber (ADF), acid detergent lignin (ADL), fat, gross energy, and ash content. The CP, NDF, ADF, ADL, fat and ash content ranged from 14% - 23%, 29% - 55%, 18% - 42%, 10% - 22%, 2% - 4%, and 6% - 9%, respectively, indicating that Paulownia leaves have potential as a feed resource for livestock. Forage potential research was followed up by developing protocols to manufacture feed pellets with 75% and 95% leaf component and assessing their physical properties. There is an economic market potential for the by-products of Paulownia, which is usually grown for timber.

关键词： Feed Pellets Fodder Forage Analysis Nutritional Properties

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Insights into carbon dioxide sequestration into coal seams through coupled gas flow-adsorption-deformation modelling

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Journal of Rock Mechanics and Geotechnical Engineering 2024年第1期16卷 26-40页

作者： Hywel thomas Min Chen Geoenvironmental Research Centre Cardiff School of EngineeringCardiff UniversityQueen’s BuildingsThe ParadeNewport RoadCardiffCF243AAUK Key Laboratory of Marine Geology Tongji UniversityShanghai200092China

Injecting carbon dioxide(CO_(2))into coal seams may unlock substantial carbon sequestration *** the coal acts like a carbon filter,it can preferentially absorb significant amounts of CO_(2).To explore this further,desorption of the adsorbed gas due to pressure drop is investigated in this paper,to achieve an improved understanding of the long-term fate of injected CO_(2) during post-injection *** paper presents a dual porosity model coupling gas flow,adsorption and geomechanics for studying coupled processes and effectiveness of CO_(2) sequestration in coals.A new adsorption?desorption model derived based on thermodynamics is incorporated,particularly,the desorption hysteresis is *** reliability of the proposed adsorption-desorption isotherm is examined via validation *** is indicated that occurrence of desorption hysteresis is attributed to the adsorption-induced pore *** injection ceases,the injected gas continues to propagate further from the injection well,while the pressure in the vicinity of the injection well experiences a significant *** the adsorbed gas near the well also decreases,this decrease is less compared to that in pressure because of desorption *** unceasing spread of CO_(2) and drops of pressure and adsorbed gas depend on the degree of desorption hysteresis and heterogeneity of coals,which should be considered when designing CO_(2) sequestration into coal seams.

关键词： CO_(2)geological storage Coal seam Adsorption Desorption hysteresis

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CLASSIFICATIONS OF DUPIN HYPERSURFACES IN LIE SPHERE GEOMETRY

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Acta Mathematica Scientia 2024年第1期44卷 1-36页

作者： thomas E.CECIL Department of Mathematics and Computer Science College of the Holy CrossWorcesterMA01610USA

This is a survey of local and global classification results concerning Dupin hypersurfaces in S^(n)(or R^(n))that have been obtained in the context of Lie sphere *** emphasis is on results that relate Dupin hypersurfaces to isoparametric hypersurfaces in *** with these classification results,many important concepts from Lie sphere geometry,such as curvature spheres,Lie curvatures,and Legendre lifts of submanifolds of S^(n)(or R^(n)),are described in *** paper also contains several important constructions of Dupin hypersurfaces with certain special properties.

关键词： Dupin hypersurfaces isoparametric hypersurfaces Lie sphere geometry Lie sphere transformations Lie curvatures

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Influence of water evaporation on elastohydrodynamic lubrication with water-containing polyalkylene glycols

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Friction 2024年第10期12卷 2370-2388页

作者： Stefan HOFMANN thomas LOHNER Karsten STAHL Technical University of Munich School of Engineering and DesignDepartment of Mechanical EngineeringGear Research Center(FZG)Boltzmannstraße 1585748 Garching near MunichGermany

The reduction of frictional power losses in power transmitting gears takes a crucial role in the design of energy-and resource-efficient ***-containing lubricants like glycerol and polyalkylene glycols have shown great potential in achieving friction within the superlubricity regime with coefficients of friction lower than 0.01 under elastohydrodynamic ***,a bio-based production of the base stocks can lead to the development of green ***,one challenge associated with the application of water-containing lubricants to gearboxes is the evaporation of water and its impact on the lubricant *** this study,the influence of water evaporation on elastohydrodynamic friction and film thickness was investigated for three water-containing polyalkylene *** nominal water contents of 20 wt%and 40 wt%and two viscosities were *** results show that the friction increases continuously with higher evaporated water content,while the overall friction level remains low in nearly water-free states.A similar trend is observed for film thickness,where the strong increase in viscosity results in a notable increase in film ***,the sensitivity of friction and film thickness to water evaporation is low for small amounts of evaporated *** allows generous thresholds for permissible variations in water content.

关键词： friction superlubricity aqueous lubrication elastohydrodynamic lubrication(EHL) evaporation polyalkylene glycol

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Theory and classification of mass extinction causation

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National Science Review 2024年第1期11卷 16-36页

作者： thomas J.Algeo Jun Shen State Key Laboratory of Biogeology and Environmental Geology China University of Geosciences—Wuhan State Key Laboratory of Geological Processes and Mineral Resources China University of Geosciences—Wuhan Department of Geosciences University of Cincinnati

Theory regarding the causation of mass extinctions is in need of systematization, which is the focus of this contribution. Every mass extinction has both an ultimate cause, i.e. the trigger that leads to various climato-environmental changes, and one or more proximate cause(s), i.e. the specific climato-environmental changes that result in elevated biotic mortality. With regard to ultimate causes, strong cases can be made that bolide(i.e. meteor) impacts, large igneous province(LIP) eruptions and bioevolutionary events have each triggered one or more of the Phanerozoic Big Five mass extinctions, and that tectono-oceanic changes have triggered some second-order extinction events. Apart from bolide impacts, other astronomical triggers(*** flares, gamma bursts and supernova explosions) remain entirely in the realm of speculation. With regard to proximate mechanisms, most extinctions are related to either carbon-release or carbon-burial processes, the former being associated with climatic warming, ocean acidification, reduced marine productivity and lower carbonate δ13C values, and the latter with climatic cooling, increased marine productivity and higher carbonate δ13C values. Environmental parameters such as marine redox conditions and terrestrial weathering intensity do not show consistent relationships with carbon-cycle *** this context, mass extinction causation can be usefully classified using a matrix of ultimate and proximate factors. Among the Big Five mass extinctions, the end-Cretaceous biocrisis is an example of a bolide-triggered carbon-release event, the end-Permian and end-Triassic biocrises are examples of LIP-triggered carbon-release events, and the Late Ordovician and Late Devonian biocrises are examples of bioevolution-triggered carbon-burial events. Whereas the bolide-impact and LIP-eruption mechanisms appear to invariably cause carbon release, bioevolutionary triggers can result in variable carbon-cycle changes, e.g. carbon burial durin

关键词： biocrisis ultimate cause proximate cause bolide large igneous province bioevolutionary event

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How to enhance agricultural plastic waste management in China?Insights from public participation

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Journal of Integrative Agriculture 2024年第6期23卷 2127-2143页

作者： Aibo Hao thomas Dogot Changbin Yin State Key Laboratory of Efficient Utilization of Arid and Semi-arid Arable Land in Northern China Institute of Agricultural Resources and Regional PlanningChinese Academy of Agricultural SciencesBeijing 100081China Economics and Rural Development Laboratory TERRA Teaching and Research CentreGembloux Agro-Bio TechUniversity of LiègeGembloux B-5030Belgium Research Center for Agricultural Green Development in China Beijing 100081China

Agricultural plastics play a pivotal role in agricultural ***,due to expensive costs,agricultural plastic waste management(APWM)encounters a vast funding *** one of the crucial stakeholders,the public deserves to make appropriate efforts for ***,identifying whether the public is willing to pay for APWM and clarifying the decisions’driving pathways to explore initiatives for promoting their payment intentions are essential to address the dilemma confronting *** this end,by applying the extended theory of planned behavior(TPB),the study conducted an empirical analysis based on 1,288 residents from four provinces(autonomous regions)of northern *** illustrate that:1)respondents hold generally positive and relatively strong payment willingness towards APWM;2)respondents’attitude(AT),subjective norm(SN),and perceived behavioral control(PBC)are positively correlated with their payment intentions(INT);3)environmental cognition(EC)and environmental emotion(EE)positively moderate the relationships between AT and INT,and between SN and INT,posing significant indirect impacts on *** study’s implications extend to informing government policies,suggesting that multi-entity cooperation,specifically public payment for APWM,can enhance agricultural non-point waste management.

关键词： agricultural plastic waste extended theory of planned behavior public payment environmental cognition environmental emotion

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Effects of the urban landscape on heatwave-mortality associations in Hong Kong: comparison of different heatwave definitions

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Frontiers of Environmental Science & Engineering 2024年第1期18卷 145-156页

作者： Jinglu Song Yi Lu thomas Fischer Kejia Hu Department of Urban Planning and Design Xi’an Jiaotong-Liverpool UniversitySuzhou 215123China Department of Architecture and Civil Engineering City University of Hong KongKowloon TongHong Kong 999077China Environmental Assessment and Management Research Centre School of Environmental SciencesUniversity of LiverpoolLiverpool L35TRUK Research Unit for Environmental Sciences and Management Faculty of Natural and Agricultural SciencesNorth West UniversityPotchefstroom 31750South Africa Institute of Big Data in Health Science School of Public HealthZhejiang UniversityZijingang CampusHangzhou 310058China

Despite increased attention given to potential modifiers of temperature-mortality associations, evidence for variations between different urban landscape characteristics remains limited. It is in this context that in this paper effect modifications of multiple urban landscape characteristics are explored under different heatwave definitions for different age groups and gender in Hong Kong, China. Daily meteorological data and heatwave-related mortality counts from 2008 to 2017 were collected from the Hong Kong Census and Statistics Department, China. A case-only design was adopted, combined with logistic regression models to examine the modification effects of five urban landscape characteristics under six heatwave definitions. Stratified analyses were conducted to investigate age- and gender-specific effect modifications. It is found that individuals living in greener areas experienced lower levels of mortality during or immediately after heatwaves. In contrast, a higher building density and nighttime land surface temperature (LST) were associated with a higher heatwave-related mortality risk. Pronounced effect modifications of these urban landscape characteristics were observed under hotter and longer heatwaves, and in older adults (age ≥ 65 years) and males. The findings provide a scientific basis for policymakers and practitioners when considering measures for coping with hotter, longer, and more frequent heatwaves in the context of global climate change.

关键词： Urban landscape Heatwave Mortality Effect modification Intra-urban differences Health risk reduction

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Utilizing blockchains in opportunistic networks for integrity and confidentiality

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Blockchain(Research and Applications) 2024年第1期5卷 31-38页

作者： Samaneh Rashidibajgan thomas Hupperich Cyber Security Department of Information SystemsUniversity of Münster80539 MünsterGermany

Opportunistic networks(OppNets)are usually a set of smart,wearable,and portable devices or entities with mobility that connect wirelessly without requiring *** a network is of great importance in data transmission,particularly in incidents and disasters,whether man-made or ***,message integrity and confidentiality are of concern when dealing with vital and physiological data transmission under strict privacy *** this work,we propose a structure to classify messages based on their priority in different ***,due to the decentralized architecture of OppNets,we propose a blockchain-based structure for providing security for high-priority *** contains three sequences of functional blocks with a light and simplified implementation that make it suitable for battery-powered wearable devices that are limited in energy consumption and computational *** simulation results show that by increasing the number of nodes in the network,the average of the changes in block sizes is neglectable,which addresses the computation ***,we analyze the performance of the proposed structure in terms of message delivery and network overhead compared with the Epidemic and Prophet routing *** results indicate advancing the overall performance of the proposed algorithm.

关键词： Opportunistic networks Blockchain Message integrity Message confidentiality

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Aulacaspis yasumatsui infestations accelerate Cycas leaf litter decomposition and nutrient release

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Pedosphere 2024年第3期34卷 681-684页

作者： thomas E.MARLER Bagong Kaalaman Botanikal Institute 15 Rizal StreetBarangay MalabañasAngeles City 2009(Philippines)

Dear Editor,Numerous aspects of ecosystem ecology are influenced by insects(Prasad,2022).Herbivory of plant organs by insects may influence the biogeochemistry of forests by changing the speed of litter decomposition(Schowalter,2022).Cycas micronesica *** is the only native gymnosperm in the Mariana *** once-abundant tree experienced no known lethal threats prior to the 2003 invasion of Guam by the scale Aulacaspis yasumatsui Takagi(Marler,2012).This insular case study has been the subject of abundant research(Marler et al.,2021).Changes to leaf litter chemistry improved litter quality following *** infestations(Marler and Dongol,2016),but the prediction of increased decomposition speed has not been confirmed with experimental incubations.

关键词： litter fir release

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