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Delayed healing is common in in-situ urethroplasty patients after artificial sphincter cuff erosion

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Uroprecision 2024年第3期 95-99页

作者： Ethan L.matz Banahene K.Glover aaron m.krug Brian T.Langford Bryce P.Franzen Steven Hudak maia Van Dyke Allen F.morey Department of Urology University of Texas Southwestern Urology Clinical of North Texas

Introduction: Urethral erosion is a known complication of artificial urinary sphincter(AUS) surgery. We performed an in-situ urethroplasty(ISU) to reduce the healing time and time to reimplantation of the AUS. We sought to assess urethral integrity one month after ISU and to identify factors associated with delayed healing in our high-volume tertiary referral center ***: A retrospective review of our AUS database from 2009 to 2023 was conducted to identify all ISU cases. Patients were stratified as healed or nonhealed based on the absence of extravasation on voiding cystourethrogram(VCUG) obtained 4 weeks postoperatively. Background characteristics were evaluated including age, body mass index, diabetes, hypogonadism and smoking history. Operative variables included degree of erosion, location of defect, and the number of stitches required for ***: Among 98 patients undergoing an ISU, 61 underwent VCUG at one month. Of these, 34.4%(21/61) had evidence of delayed healing on VCUG requiring prolonged catheterization. Although a higher average number of repair sutures were used in ISU, this was not significant(p = 0.381). The most common complication in both groups was urinary tract infection(UTI). Nonhealed patients had a higher rate of UTI, without significant predilection towards fistula, stricture or diverticulum. No other patient or operative characteristic was significantly different between ***: Despite an aggressive approach to management via ISU, many patients still require prolonged catheterization after AUS erosion to ensure complete healing of the defect.

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Treatment of unresectable malignant pleural mesothelioma in 2021: emerging standards in immunotherapy

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Journal of Cancer metastasis and Treatment 2021年第1期7卷 737-747页

作者： Bailey G.Fitzgerald Lee m.krug Tisch Cancer Institute Icahn School of Medicine at Mount SinaiNew YorkNY 10029USA AstraZeneca GaithersburgMD 20878USA

Patients with unresectable malignant pleural mesothelioma(mPm)have historically poor outcomes and treatment,and their treatments have been limited to palliative *** efforts to improve prognosis for these patients by adding angiogenesis inhibitors to chemotherapy led to significant ***,the emergence of immunotherapy combinations for the front-line treatment has upended the standard of care and has led to the first new FDA approvals for the treatment of mPm in nearly two *** review aims to cover the main clinical trials in unresectable mPm with VEGF inhibitors and immunotherapy which have led to paradigm shifts in current *** clinical trials exploring the combination of chemo and immunotherapies show a great deal of promise,and continued support for ambitious,large-scale well-designed trials remain vital for defining the future outcomes of patients diagnosed with mPm.

关键词： malignant pleural mesothelioma VEGF chemotherapy immunotherapy PD-L1 CTLA-4

The role of estradiol in male reproductive function

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Asian Journal of Andrology 2016年第3期18卷 435-440,I0009页

作者： michael Schulster aaron m Bernie Ranjith Ramasamy Department of Urology New York-Presbyterian Hospital Weill Cornell Medical College New York USA Department of Urology Miller School of Medicine University of Miami Miami FL USA.

Traditionally, testosterone and estrogen have been considered to be male and female sex hormones, respectively. However, estradiol, the predominant form of estrogen, also plays a critical role in male sexual function. Estradiol in men is essential for modulating libido, erectile function, and spermatogenesis. Estrogen receptors, as well as aromatase, the enzyme that converts testosterone to estrogen, are abundant in brain, penis, and testis, organs important for sexual function. In the brain, estradiol synthesis is increased in areas related to sexual arousal. In addition, in the penis, estrogen receptors are found throughout the corpus cavernosum with high concentration around neurovascular bundles. Low testosterone and elevated estrogen increase the incidence of erectile dysfunction independently of one another. In the testes, spermatogenesis is modulated at every level by estrogen, starting with the hypothalamus-pituitary-gonadal axis, followed by the Leydig, Sertoli, and germ cells, and finishing with the ductal epithelium, epididymis, and mature sperm. Regulation of testicular cells by estradiol shows both an inhibitory and a stimulatory influence, indicating an intricate symphony of dose-dependent and temporally sensitive modulation. Our goal in this review is to elucidate the overall contribution of estradiol to male sexual function by looking at the hormone＇s effects on erectile function, spermatogenesis, and libido.

关键词： estrogen testosterone spermatogenesis erectile function estrogen receptor aromatase

Experimental Analysis of Atypically Long Finned Oscillating Heat Pipe for Ventilation Waste Heat Recovery Application

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Journal of Thermal Science 2020年第3期29卷 667-675页

作者： mAHAJAN Govinda CHO Heejin SmITH aaron THOmPSON Scott m. Rheem manufacturing MontgomeryAL 36109USA Department of mechanical Engineering Mississippi State UniversityMsissippi StateMS 39762USA Department of mechanical Engineering Auburn UniversityAubumnAL 36849USA

Oscillating heat pipes(OHP)which are constructed from a serpentine-arranged capillary tube possess a desirable aerodynamic form factor and provide for relatively high heat transfer rates via cyclic evaporation and condensation of an encapsulated working fluid with no internal wicking structure *** last two decades,OHP has been extensively investigated for its potential application in thermal management of various *** study presents an experimental investigation on the heat transfer performance of an atypically long finned *** heat transfer performance of the proposed OHP was analyzed and compared with a bare tube OHP with similar overall *** show that a unit row of finned OHP filled with n-pentane with fill ratio of 70%can recover up to(400±40)W of heat from a typical waste exhaust air *** additional pressure drop due to fins was estimated to be(6.8±2)Pa resulting in an increase of 1–2 W of fan power *** average heat recovery rate via finned OHP was found to be almost 80%more than bare tube OHP filled with same working fluid with same fill ratio.

关键词： oscillating heat pipe waste heat recovery ventilation

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Cytokinin-mediated nuclear shuttling of mYB3R4 regulates cell division

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molecular Plant 2021年第5期14卷 720-721页

作者： m.Arif Ashraf aaron m.Rashotte Department of Biology University of Massachusetts AmherstAmherstMA 01003USA Department of Biological Sciences Auburn UniversityAuburnAL 36849USA

The plant hormone cytokinin,an N6-substituted adenine derivative,was first discovered by Carlos miller and Folke Skoog nearly 70 years ago as being able to promote cell *** then,there have been great advances in our understanding of cytokinin biosynthesis,perception and signaling,and expanded roles across plant growth and development(Schaller et al.,2014).However,the molecular mechanism underlying cytokinin-mediated cell division for which this hormone was first identified is still poorly *** ***-mediated nuclear import of mYB3R4.

关键词： Figure expanded mediated

Validation of a novel animal model for sciatic nerve repair with an adipose-derived stem cell loaded fibrin conduit

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Neural Regeneration Research 2018年第5期13卷 854-861页

作者： maximilian m.Saller Rosa-Eva Huettl Julius m.mayer Annette Feuchtinger Christian krug Thomas Holzbach Elias Volkmer Experimental Surgery and Regenerative medicine (Experimed) Department of General Trauma and Reconstructive SurgeryLudwig-Maximilians-University (LMU) max-Planck-Institute of Psychiatry Department of Stress Neurobiology and Neurogenetics Department of Hand- Plastic-and Aesthetic Surgery Ludwig-Maximilians-University (LMU) Research Unit Analytical Pathology Munich Helmholtz Zentrum Muenchen-German Research Center for Environmental Health (GmbH) Department of Hand and Plastic Surgery Spital Thurgau AG

Despite the regenerative capabilities of peripheral nerves, severe injuries or neuronal trauma of critical size impose immense hurdles for proper restoration of neuro-muscular circuitry. Autologous nerve grafts improve re-establishment of connectivity, but also comprise substantial donor site morbidity. We developed a rat model which allows the testing of different cell applications, i.e., mesenchymal stem cells, to improve nerve regeneration in vivo. To mimic inaccurate alignment of autologous nerve grafts with the injured nerve, a 20 mm portion of the sciatic nerve was excised, and sutured back in place in reversed direction. To validate the feasibility of our novel model, a fibrin gel conduit containing autologous undifferentiated adipose-derived stem cells was applied around the coaptation sites and compared to autologous nerve grafts. After evaluating sciatic nerve function for 16 weeks postoperatively, animals were sacrificed, and gastrocnemius muscle weight was determined along with morphological parameters（g-ratio, axon density ＆ diameter） of regenerating axons. Interestingly, the addition of undifferentiated adipose-derived stem cells resulted in a significantly improved re-myelination, axon ingrowth and functional outcome, when compared to animals without a cell seeded conduit. The presented model thus displays several intriguing features： it imitates a certain mismatch in size, distribution and orientation of axons within the nerve coaptation site. The fibrin conduit itself allows for an easy application of cells and, as a true critical-size defect model, any observed improvement relates directly to the performed intervention. Since fibrin and adipose-derived stem cells have been approved for human applications, the technique can theoretically be performed on humans. Thus, we suggest that the model is a powerful tool to investigate cell mediated assistance of peripheral nerve regeneration.

关键词： critical-size nerve defect fibrin conduit autologous nerve transplant peripheral nerve regeneration adipose-derived stem/progenitor cells sciatic function index sciatic nerve re-innervation axon guidance peripheral circuitry

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Importance of being Nernst: Synaptic activity and functional relevance in stem cell-derived neurons

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World Journal of Stem Cells 2015年第6期7卷 899-921页

作者： aaron B Bradford Patrick m mcNutt Cell/molecular Biology Branch US Army Medical Research Institute of Chemical DefenseAberdeen Proving Grounds-EAMD 21010United States

Functional synaptogenesis and network emergence are signature endpoints of neurogenesis. These behaviors provide higher-order confirmation that biochemical and cellular processes necessary for neurotransmitter release, post-synaptic detection and network propagationof neuronal activity have been properly expressed and coordinated among cells. The development of synaptic neurotransmission can therefore be considered a defining property of neurons. Although dissociated primary neuron cultures readily form functioning synapses and network behaviors in vitro, continuously cultured neurogenic cell lines have historically failed to meet these criteria. Therefore, in vitro-derived neuron models that develop synaptic transmission are critically needed for a wide array of studies, including molecular neuroscience, developmental neurogenesis, disease research and neurotoxicology. Over the last decade, neurons derived from various stem cell lines have shown varying ability to develop into functionally mature neurons. In this review, we will discuss the neurogenic potential of various stem cells populations, addressing strengths and weaknesses of each, with particular attention to the emergence of functional behaviors. We will propose methods to functionally characterize new stem cell-derived neuron(SCN) platforms to improve their reliability as physiological relevant models. Finally, we will review how synaptically active SCNs can be applied to accelerate research in a variety of areas. Ultimately, emphasizing the critical importance of synaptic activity and network responses as a marker of neuronal maturation is anticipated to result in in vitro findings that better translate to efficacious clinical treatments.

关键词： Synapses Neurotransmission In vitrotechniques Induced pluripotent stem cells Neuronalnetworks Neurogenesis Neural stem cells Embryonicstem cells Induced neurons

Cross-talk between the thyroid and liver:A new target for nonalcoholic fatty liver disease treatment

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World Journal of Gastroenterology 2013年第45期19卷 8238-8246页

作者： Yue-Ye Huang aaron m Gusdon Shen Qu Department of Endocrinology and metabolism Shanghai 10th People’s Hospital School of Medicine Tongji University Department of Neurology and Neuroscience Weill Cornell Medical College New York NY 10065 United States Department of Endocrinology and metabolism Nanjing Medical University

Nonalcoholic fatty liver disease(NAFLD)has been recognized as the most common liver metabolic disease,and it is also a burgeoning health problem that affects one-third of adults and is associated with obesity and insulin resistance *** hormone(TH)and its receptors play a fundamental role in lipid metabolism and lipid accumulation in the *** is found that thyroid receptor and its isoforms exhibit tissue-specific expression with a variety of ***β1 is predominantly expressed in the brain and adipose tissue and TRβ2 is the major isoform in the liver,kidney and *** have different functions and play important roles in lipid ***,there are many studies on the treatment of NAFLD with TH and its *** review here that thyroid hormone and TR are a potential target for pharmacologic *** metabolism and lipid accumulation can be regulated and reversed by TH and its analogues.

关键词： Thyroid hormone Thyroid hormone receptor Nonalcoholic fatty liver disease Obesity

Hypoxic pre-conditioned adipose-derived stem/progenitor cells embedded in fibrin conduits promote peripheral nerve regeneration in a sciatic nerve graft model

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Neural Regeneration Research 2023年第3期18卷 652-656页

作者： Julius m.mayer Christian krug maximilian m.Saller Annette Feuchtinger Riccardo E.Giunta Elias Volkmer Thomas Holzbach Department of Hand-and Plastic Surgery Spital ThurgauFrauenfeldSwitzerland musculoskeletal University Center munich(mUm) Department of Orthopedics and Trauma SurgeryLudwig-Maximilians-University(LMU)Planegg-MartinsriedGermany Research Unit Analytical Pathology MunichHelmholtz Zentrum München-German Research Center for Environmental Health(GmbH)NeuherbergGermany Division of Hand- Plastic-and Aesthetic SurgeryLudwig-Maximilians-University(LMU)MunichGermany Division of Hand Surgery Helios Klinikum München WestMunichGermany

Recent results emphasize the supportive effects of adipose-derived multipotent stem/progenitor cells(ADSPCs)in peripheral nerve *** under hypoxia is considered to enhance the release of the regenerative potential of *** study aimed to examine whether peripheral nerve regeneration in a rat model of autologous sciatic nerve graft benefits from an additional custom-made fibrin conduit seeded with hypoxic pre-conditioned(2%oxygen for 72 hours)autologous ADSPCs(n=9).This treatment mode was compared with three others:fibrin conduit seeded with ADSPCs cultivated under normoxic conditions(n=9);non-cell-carrying conduit(n=9);and nerve autograft only(n=9).A 16-week follow-up included functional testing(sciatic functional index and static sciatic index)as well as postmortem muscle mass analyses and morphometric nerve evaluations(histology,g-ratio,axon density,and diameter).At 8 weeks,the hypoxic pre-conditioned group achieved significantly higher sciatic functional index/static sciatic index scores than the other three groups,indicating faster functional ***,histologic evaluation showed significantly increased axon outgrowth/branching,axon density,remyelination,and a reduced relative connective tissue *** pre-conditioned ADSPCs seeded in fibrin conduits are a promising adjunct to current nerve *** studies are needed to understand the underlying cellular mechanism and to investigate a potential application in clinical practice.

关键词： adipose-derived progenitor cells adipose-derived multipotent stem/progenitor cell autologous nerve graft fibrin conduit hypoxia hypoxic pre-conditioning nerve defect nerve tissue engineering peripheral nerve regeneration regenerative medicine

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