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Small bowel MRI enteroclysis or follow through:Which is optimal?

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World Journal of Gastroenterology 2009年第42期15卷 5300-5306页

作者： Ian C Lawrance Christopher J Welman Peter Shipman Kevin murray School of Medicine and Pharmacology University of Western AustraliaFremantle HospitalWA 6160Australia Centre for Inflammatory Bowel Disease Fremantle HospitalWA 6160Australia Department of Radiology Fremantle HospitalWA 6160Australia Statistical Consulting Group School of Mathe-matics and StatisticsUniversity of Western AustraliaWA 6009Australia

AIM： TO determine if a nasojejunal tube （NJT） is required for optimal examination of enteroclysis and if patients can be examined only in the supine position. METHODS： Data were collected from all patients undergoing small bowel （SB） magnetic resonance imaging （MRI） examination over a 32-mo period. Patients either underwent a magnetic resonance （MR） follow-through （MRFT） or a MR enteroclysis （MRE） in the supine position. The quality of proximal and distal SB distension as well as the presence of motion artefact and image quality were assessed by 2 radiologists. RESULTS： One hundred and fourteen MR studies were undertaken （MRFT-49, MRE-65） in 108 patients in the supine position only. Image artefact was more frequent in MRE than in MRFT （29.2% vs 18.4%）, but was not statistically significant （P = 0.30）. Adequate distension of the distal SB was obtained in 97.8% of MRFT examinations and in 95.4% of MRE examinations, respectively. Proximal SB distension was, however, less frequently optimal in MRFT than in MRE （P = 0.0036）, particularly in patients over the age of 50 years （P = 0.0099）. Image quality was good in all examinations. CONCLUSION： All patients could be successfully iraaged in the supine position. MRE and MRFT are equivalent for distal SB distension and artefact effects. Proximal SB distension is frequently less optimal in MRFT than in MRE. MRE is, therefore, the preferred MR examination method of the SB.

关键词： Magnetic resonance enteroclysis Magnetic resonance enterography Magnetic resonance follow through Artefact

Impact of source tissue and ex vivo expansion on the characterization of goat mesenchymal stem cells

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Journal of Animal Science and Biotechnology 2015年第2期6卷 230-251页

作者： Nuradilla Mohamad-Fauzi Pablo J Ross Elizabeth A Maga James D murray Department of Animal Science University of California Institute of Ocean and Earth Sciences University of Malaya Department of Population Health and Reproduction University of California

Background： There is considerable interest in using goats as models for genetically engineering dairy animals and also for using stem cells as therapeutics for bone and cartilage repair. Mesenchymal stem cells （MSCs） have been isolated and characterized from various species, but are poorly characterized in goats. Results： Goat MSCs isolated from bone marrow （BM-MSCs） and adipose tissue （ASCs） have the ability to undergo osteogenic, adipogenic and chondrogenic differentiation. Cytochemical staining and gene expression analysis show that ASCs have a greater capacity for adipogenic differentiation compared to BM-MSCs and fibroblasts. Different methods of inducing adipogenesis also affect the extent and profile of adipogenic differentiation in MSCs. Goat fibroblasts were not capable of osteogenesis, hence distinguishing them from the MSCs. Goat MSCs and fibroblasts express CD90, CD105, CD73 but not CD45, and exhibit cytoplasmic localization of OCT4 protein. Goat MSCs can be stably transfected by Nucleofection, but, as evidenced by colony-forming efficiency （CFE）, yield significantly different levels of progenitor cells that are robust enough to proliferate into colonies of integrants following G418 selection. BM-MSCs expanded over increasing passages in vitro maintained karyotypic stability up to 20 passages in culture, exhibited an increase in adipogenic differentiation and CFE, but showed altered morphology and amenability to genetic modification by selection. Conclusions： Our findings provide characterization information on goat MSCs, and show that there can be significant differences between MSCs isolated from different tissues and from within the same tissue. Fibroblasts do not exhibit trilineage differentiation potential at the same capacity as MSCs, making it a more reliable method for distinguishing MSCs from fibroblasts, compared to cell surface marker expression.

关键词： Adipose Bone marrow Characterization Differentiation Goat Mesenchymal stem cells

Psychosocial factors and their association with reflux oesophagitis,Barrett's oesophagus and oesophageal adenocarcinoma

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World Journal of Gastroenterology 2013年第11期19卷 1770-1777页

作者： Paul Denver Michael Donnelly Liam J murray Lesley A Anderson Centre for Public Health Queen's University BelfastBelfast BT12 6BJNorthern IrelandUnited Kingdom

AIM:To investigate the role of psychological characteristics as risk factors for oesophageal adenocarcinoma(OAC),as well as the reflux-mediated precursor ***:An all-Ireland population-based case-control study recruited 230 reflux oesophagitis(RO),224 Barrett's oesophagus(BO) and 227 OAC patients and 260 *** case/control group completed measures of stress,depression,self-efficacy,self-esteem,repression and social support.A comparative analysis was undertaken using polytomous logistic regression adjusted for potential ***:Compared to controls,OAC patients were almost half as likely to report high stress levels over their lifetime(P = 0.010,OR 0.51;95%CI:0.29-0.90)and 36% less likely to report having experienced depression(OR 0.64;95%CI:0.42-0.98).RO patients reported significantly higher stress than controls particularly during middle-and senior-years(P for trends < 0.001).RO patients were 37% less likely to report having been highly emotionally repressed(OR 0.63;95%CI:0.41-0.95).All case groups(OAC,RO and BO) were more likely than controls to report having had substantial amounts of social support(OR 2.84;95%CI:1.63-4.97;OR 1.97;95%CI:1.13-3.44 and OR 1.83;95%CI:1.03-3.24,respectively).CONCLUSION:The improved psychological profile of OAC patients may be explained by response *** role of psychological factors in the development of OAC requires further investigation.

关键词： Reflux oesophagitis Barrett’s oesophagus Oesophageal adenocarcinoma Adjustment Psychological Psychosocial factors

Development of drugs for celiac disease:review of endpoints for Phase 2 and 3 trials

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Gastroenterology Report 2015年第2期3卷 91-102页

作者： Klaus Gottlieb Jill Dawson Fez Hussain Joseph A.murray Immunology Internal Medicine-Medical Strategy&ScienceQuintilesDurhamNCUSA Corporate Communications QuintilesDurhamNCUSA Division of Gastroenterology and Hepatology Mayo ClinicRochesterMNUSA

Celiac disease is a lifelong disorder for which there is currently only one known,effective treatment:a gluten-free *** treatment approaches have recently emerged;several drugs are in Phase 2 trials and results appear promising;however,discussion around regulatory endpoints is in its *** will briefly discuss the drugs that are under development and then shift our attention to potential trial endpoints,such as patient-reported outcomes,histology,serology,gene expression analysis and other *** will outline the differing requirements for proof-of-concept Phase 2 trials and Phase 3 registration trials,with a particular emphasis on current thinking in regulatory *** conclude our paper with recommendations and a glossary of regulatory terms,to enable readers who are less familiar with regulatory language to take maximum advantage of this review.

关键词： celiac disease clinical trials endpoints

The Sendai Framework for Disaster Risk Reduction: Renewing the Global Commitment to People’s Resilience, Health,and Well-being

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International Journal of Disaster Risk Science 2015年第2期6卷 164-176页

作者： Amina Aitsi-Selmi Shinichi Egawa Hiroyuki Sasaki Chadia Wannous Virginia murray Public Health Strategy Division Public Health England Research Department of Epidemiology and Public Health University College London Division of International Cooperation for Disaster Medicine International Research Institute of Disaster Science(IRIDeS)Tohoku University The United Nations Office for Disaster Risk Reduction(UNISDR) The United Nations Office for Disaster Risk Reduction(UNISDR)Scientific and Technical Advisory Group

The Sendai Framework for Disaster Risk Reduction 2015–2030(SFDRR) is the first global policy framework of the United Nations’ post-2015 agenda. It represents a step in the direction of global policy coherence with explicit reference to health, development, and climate change. To develop SFDRR, the United Nations Office for Disaster Risk Reduction(UNISDR) organized and facilitated several global, regional, national, and intergovernmental negotiations and technical meetings in the period preceding the World Conference on Disaster Risk Reduction(WCDRR) 2015 where SFDRR was adopted. UNISDR also worked with representatives of governments, UN agencies, and scientists to develop targets and indicators for SFDRR and proposed them to member states for negotiation and adoption as measures of progress and achievement in protecting lives and livelihoods. The multiple efforts of the health community in the policy development process, including campaigning for safe schools and hospitals, helped to put people’s mental and physicalhealth, resilience, and well-being higher up the disaster risk reduction(DRR) agenda compared with the Hyogo Framework for Action 2005–2015. This article reviews the historical and contemporary policy development process that led to the SFDRR with particular reference to the development of the health theme.

关键词： Disaster risk reduction Global health Health policy Public health Safe hospitals

Agglomerate behavior in a recirculating fluidized bed with sheds： Effect of ring baffles

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Particuology 2018年第3期16卷 143-151页

作者： Francisco J. Sanchez Careaga Cedric Briens Franco Berruti Jennifer McMillan murray Gray Institute for Chemicals and Fuels from Alternative Resources Western University 22312 Wonderland Rd. Hderton ON NO M2AO Canada Edmonton Research Centre Syncrude Canada Ltd 9421 17th Ave Edmonton AB T6N 1H4 Canada The Petroleum Institute PO Box 2533 Abu Dhabi UAE

The radioactive particle tracking technique was used to study the effect of internal ring baffles on wet agglomerate motion inside a cold flow recirculating fluidized bed. The study found that using such a baffle on its own or above the regular sheds helps reduce the fouling of the stripper section by increasing the residence time that the agglomerates spend above the baffle, thereby reducing the release of the vapors below the baffles that cause fouling of the sheds. Adding down-comers, or flux tubes, to the ring baffles degrades the performance of the baffles, Reducing the length of the flux tubes, so that they do not reach the bottom of the baffle lip results in a further degradation in baffle performance.

关键词： Radioactive particle tracking Fluidized bed Fluid coker Baffles

Rethinking bioequivalence and equivalence requirements of orally inhaled drug products

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Asian Journal of Pharmaceutical Sciences 2015年第6期10卷 461-471页

作者： Dina Al-Numani Philippe Colucci murray P.Ducharme Learn and Confirm Inc. St-LaurentQCCanada Facultéde Pharmacie University of MontrealMontrealQCCanada1

Orally inhaled drug products(OIPs),such as corticosteroids and bronchodilators,are at the forefront of asthma and chronic obstructive pulmonary disease treatments,two diseases that afflict worldwide *** generics of these products is essential,as the pricing of these medications remain a barrier to adequate patient ***,there is no consensus between regulatory bodies as to the bioequivalence and equivalence requirements of OIPs that are intended for local action in the *** manuscript critically reviews these requirements and presents future directions for clinicians,scientists,and regulators to consider to optimize the development and approval of OIPs.

关键词： Inhalation products Pharmacokinetics Pharmacodynamics Bioequivalence Therapeutic equivalence Clinical endpoint studies

Demographic features and visual outcomes of patients presenting to diabetic photo-screening and treated for sight threatening retinopathy in Fiji

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International Journal of Ophthalmology(English edition) 2017年第5期10卷 790-795页

作者： Riyaz Bhikoo Neil murray Biu Sikivou Stephanie Emma Charles McGhee The Fred Hollows Foundation New Zealand Auckland 1023New Zealand Department of Ophthalmology New Zealand National Eye Centre University of Auckland Auckland 1023 New Zealand Pacific Eye Institute Suva Fiji

AIM：To describe the demographic features and visual outcomes of patients presenting to photo-screening services, and treated for sight threatening retinopathy（STR） in a low resource setting, ***：A retrospective review of all new patients who presented for diabetic photo-screening at the Diabetic Eye Clinic, Suva in 2010. Fundus images were graded using standardised guidelines. Patient demographics, retinopathy grading and visual acuity data were extracted from the database and analyzed. Patients that received laser therapy and still attending follow up in 2012 were examined for disease progressionRESULTS：Totally 2236 patients were photo-screened, 87%（3870/4472） of images were gradable. STR was observed in 26%（988/3870） with advanced STR（proliferative retinopathy/severe maculopathy） in 10%（385/3870）. Of those with STR, 59% had BCVA ≥6/18, 31% with advanced STR were 〈6/60. Male gender [odds ratio（OR） 1.59; 1.20-2.12], history of hypertension（OR 1.36; 1.03-1.80） and peripheral neuropathy（OR 1.41; 1.01-1.95） were predictive of advanced STR. In 2012, 32%（315/988） attended follow up with 69% exhibiting advanced STR compared with 53% of the same cohort in 2010. Laser photocoagulation was administered to 212 eyes（212/3870, 5%） with retinopathy and maculopathy progression observed in 52% and 33% respectively. BCVA ≥6/18 was noted in 67%（143/212） of treated eyes. Improved glycaemic control（OR 46.52; 1.50-1441.90） amongst those with advanced STR was predictive of eyes that maintained good ***：In Fiji, a quarter of new patients presenting to photo-screening have STR with a third of those with advanced STR having already loss vision. Improved glycaemic control and timely treatment of patients with sight threatening complications is important in halting disease progression.

关键词： diabetic retinopathy sight threatening photocoagulation pacific islands developing countries

Global Community of Disaster Risk Reduction Scientists and Decision Makers Endorse a Science and Technology Partnership to Support the Implementation of the Sendai Framework for Disaster Risk Reduction 2015–2030

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International Journal of Disaster Risk Science 2016年第1期7卷 108-109页

作者： Chloe Dickinson Amina Aitsi-Selmi Pedro Basabe Chadia Wannous Virginia murray Public Health England United Nations Office for Disaster Risk Reduction the UNISDR Science and Technology Conference on the Implementation of the Sendai Framework for Disaster Risk Reduction 2015–2030 the UNISDR Scientific and Technical Advisory Group(STAG)

At the first gathering of its kind on the role of science in implementing the Sendai Framework for Disaster Risk Reduction 2015–2030,over 750 scientists,policymakers,business people,and practitioners met in Geneva from January 27–29,*** UNISDR Science and Technology Conference on the Implementation of the Sendai Framework for Disaster Risk Reduction 2015–2030 fea-

关键词： work Global Community of Disaster Risk Reduction Scientists and Decision Makers Endorse a Science and Technology Partnership to Support the Implementation of the Sendai Framework for Disaster Risk Reduction 2015