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Pre-operative visceral adipose tissue radiodensity is a potentially novel prognostic biomarker for early endoscopic post-operative recurrence in Crohn’s disease

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World journal of Gastrointestinal Surgery 2024年第3期16卷 740-750页

作者： Phillip Gu Shishir Dube Norman Gellada So Yung Choi Susan Win Yoo jin Lee Shaohong Yang Talin Haritunians Gil Y Melmed Eric A Vasiliauskas Niru Bonthala Gaurav Syal andres j yarur David Ziring Shervin Rabizadeh Phillip Fleshner Cindy Kallman Suzanne Devkota Stephan R Targan Dalin Li Dermot PB McGovern Department of Medicine Cedars-Sinai Medical CenterLos AngelesCA 90048United States Department of Imaging Cedars-Sinai Medical CenterLos AngelesCA 90048United States Department of Biostatistics Shared Resource Cedars-Sinai Medical CenterLos AngelesCA 90048United States Department of Internal Medicine Keimyung University School of MedicineDaegu 42601South Korea Department of Medicine University of California at Los AngelesLos AngelesCA 90095United States Department of Medicine University of California at San DiegoSan DiegoCA 92093United States Department of Pediatrics Cedars-Sinai Medical CenterLos AngelesCA 90048United States Department of Surgery Cedars-Sinai Medical CenterLos AngelesCA 90048United States

BACKGROUND Evidence suggests inflammatory mesenteric fat is involved in post-operative recurrence(POR)of Crohn’s disease(CD).However,its prognostic value is INTRODUCTION Crohn’s disease(CD)is a debilitating chronic immune-mediated inflammatory disease(IMID)of the gastrointestinal tract that is increasing in incidence and prevalence globally[1].CD patients often undergo surgery for disease-related complic-ations and/or medically refractory ***,surgery is not curative,and many patients develop post-operative recurrence(POR)of CD with a significant proportion eventually requiring additional *** advances in early detection and therapeutics,the contemporary 10-year risk of surgery has improved from 50%to 26%,but the risk of recurrent surgery has remained unchanged at 30%,suggesting a need to improve post-operative management strategies[2].Presently,there are two accepted strategies to mitigate POR,but each have potential ***,patients start early post-operative pharmacologic prophylaxis within 4-6 wk after *** strategy can potentially overtreat a subset of patient who may not develop long-term disease recurrence off ***,these patients are at risk of medication-related adverse events and the direct and indirect costs associated with therapy with little or no benefit[3].The second strategy is performing early colonoscopy within 6-12 months after surgery and escalating therapy based on FOOTNOTES Author contributions:Gu P is the guarantor of the article and was involved in concept and design,data collection,statistical analysis,drafting of manuscript,and final approval of manuscript;Dube S and Choi SY were involved in statistical analysis,drafting of the manuscript,and final approval of manuscript;Gellada N,Win S,Lee Yj and Yang S were involved in the data collection,drafting of the manuscript,and final approval of manuscript;Haritunians T and Li D were involved in data analysis and interpretation,drafting

关键词： Crohn’s disease Surgery Visceral adipose tissue Mesenteric adipose tissue Creeping fat Computed tomography

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Therapeutic drug monitoring in patients with inflammatory bowel disease

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World journal of Gastroenterology 2014年第13期20卷 3475-3484页

作者： andres j yarur Maria T Abreu Amar R Deshpande David H Kerman Daniel A Sussman Division of Gastroenterology University of Miami Leonard Miller School of MedicineMiamiFL 33136United States

Thiopurine analogs and anti-tumor necrosis factor(TNF)agents have dramatically changed the therapeutics of inflammatory bowel diseases(IBD),improving short and long-term *** some patients do not respond to therapy and others lose response over *** pharmacokinetic properties of these drugs are complex,with high inter-patient *** analogs are metabolized through a series of pathways,which vary according to the patients’pharmacogenetic *** profile largely determines the ratios of metabolites,which are in turn associated with likelihoods of clinical efficacy and/or *** these mechanisms allows for manipulation of drug dose,aiming to reduce the development of toxicity while improving the efficacy of *** efficacy of anti-TNF drugs is influenced by many pharmacodynamic *** factors may alter drug clearance,including the concomitant use of immunomodulators(thiopurine analogs and methotrexate),systemic inflammation,the presence of anti-drug antibodies,and body *** treatment of IBD has evolved with the understanding of the pharmacologic profiles of immunomodulating and TNF-inhibiting medications,with good evidence for improvement in patient outcomesobserved when measuring metabolic pathway *** role of routine measurement of metabolite/drug levels and antibodies warrants further prospective studies as we enter the era of personalized IBD care.

关键词： Inflammatory bowel disease Anti-tumor necrosis fac

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Muscle strength deficits are associated with low bone mineral density in young pediatric cancer survivors:The iBoneFIT project

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journal of Sport and Health Science 2024年第3期13卷 419-427页

作者： andres Marmol-Perez jose j.Gil-Cosano Esther Ubago-Guisado Francisco j.Llorente-Cantarero juan Francisco Pascual-Gázquez Kirsten K.Ness Vicente Martinez-Vizcaino jonatan R.Ruiz Luis Gracia-Marco Department of Physical Education and Sports Faculty of Sport SciencesSport and Health University Research Institute(iMUDS)University of GranadaGranada 18011Spain Department of Epidemiology and Cancer Control St.Jude Children's Research HospitalMemphisTN 38105USA Department of Communication and Education Loyola University AndalusiaSeville 41704Spain Biosanitary Research Institute ibs.GranadaGranada 18012Spain Maimonides Biomedical Research Institute of Cordoba(IMIBIC) Cordoba 14004Spain CIBEROBN Biomedical Research Networking Center for Physiopathology of Obesity and NutritionCarlos III Health InstituteMadrid 28029Spain Department of Specific Didactics Faculty of EducationUniversity of CordobaCordoba 14071Spain Pediatric and adolescent hematology and oncology service Pediatrics and Pediatric Surgery Clinical Management UnitVirgen de las Nieves University HospitalGranada 18014Spain Health and Social Research Center Universidad de Castilla-La ManchaCuenca 13001Spain

Background Pediatric cancer survivors are at increased risk of muscle weakness and low areal bone mineral density(aBMD).However,the prevalence of muscle strength deficits is not well documented,and the associations of muscle strength with aBMD are unknown in this ***,this study aimed to investigate the prevalence of upper-and lower-body muscle strength deficits and to examine the associations of upper-and lower-body muscle strength with age-,sex,and race-specific aBMD Z-scores at the total body,total hip,femoral neck,and lumbar *** This cross-sectional study included 116 pediatric cancer survivors(12.1±3.3 years old,mean±SD;42.2%female).Upper-and lower-body muscle strength were assessed by handgrip and standing long jump test,***‑energy X‑ray absorptiometry was used to measure aBMD(g/cm2).Associations between muscle strength and aBMD were evaluated in multivariable linear regression *** regression was used to evaluate the contribution of muscle strength(1-decile lower)to the odds of having low aBMD(Z-score≤1.0).All analyses were adjusted for time from treatment completion,radiotherapy exposure,and body mass *** More than one-half of survivors were within the 2 lowest deciles for upper-(56.9%)and lower-body muscle strength(60.0%)in comparison to age-and sex-specific reference *** strength deficits were associated with lower aBMD Z-scores at all sites(B=0.133–0.258,p=0.001–0.032).Each 1-decile lower in upper-body muscle strength was associated with 30%–95%higher odds of having low aBMD Z-scores at all *** 1-decile lower in lower-body muscle strength was associated with 35%–70%higher odds of having low aBMD Z-scores at total body,total hip,and femoral *** Muscle strength deficits are prevalent in young pediatric cancer survivors,and such deficits are associated with lower aBMD Z-scores at all *** results suggest that interventions designed to improve muscle strength in t

关键词： Bone health Childhood cancer DXA Lean mass Resistance training

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SARS-CoV-2 variants are associated with different clinical courses in children with MIS-C

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World journal of Pediatrics 2024年第2期20卷 143-152页

作者： andres F.Moreno Rojas Emelia Bainto Helen Harvey Adriana H.Tremoulet jane C.Burns Kirsten B.Dummer Department of Pediatrics Division of Pediatric CardiologyUniversity of California San Diegoand Rady Children’s Hospital3020 Children’s Way MC 5004San DiegoCA 92123USA Kawasaki Disease Research Center La JollaCAUSA Department of Pediatrics Division of Pediatric Critical CareUniversity of California San Diegoand Rady Children’s HospitalSan DiegoCAUSA Department of Pediatrics University of California San Diegoand Rady Children’s HospitalSan DiegoCAUSA

Background Recent infection with SARS‑CoV-2 in children has been associated with multisystem inflammatory syndrome in children(MIS-C).SARS‑CoV-2 has undergone different *** publications exist about specific variants and their correlation with the severity of *** This was a single-center,retrospective study including all patients admitted with MIS-C at Rady Children’s Hospital-San Diego between May 2020 and March *** epidemiologic data,including viral genomic information,were obtained from public ***,clinical presentation,laboratory values,and outcomes were obtained from electronic medical *** The analysis included 104 pediatric *** MIS-C waves were *** variants in San Diego during the first wave included clades 20A to *** the second wave,there were variants from clades 20A to C,20G,21C(Epsilon),20I(Alpha),and 20j(Gamma).The third wave had Delta strains(clades 21A,21I,and 21j),and the fourth had Omicron variants(clades 21K,21L,and 22C).MIS-C presented with similar symptoms and laboratory findings across all *** patients were admitted to the pediatric intensive care unit(PICU)(74%)and required inotropic support(63%)during the second *** of the patients required mechanical circulatory support,and only two required invasive ventilatory *** was no *** The various strains of SARS-CoV-2 triggered MIS-C with differing severities,with the second wave having a more severe clinical *** the differences in disease severity across variants were due to changes in the virus or other factors remains unknown.

关键词： Complications COVID-19 MIS-C SARS-CoV-2 variants

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The parallel-plate resonator:An RF probe for MR and MRI studies over a wide frequency range

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Magnetic Resonance Letters 2023年第4期3卷 306-318页

作者： andres Ramírez Aguilera Kevin j.Sanders Gillian R.Goward Bruce *** UNB MRI Centre Department of PhysicsUniversity of New BrunswickFrederictonNew BrunswickE3B 5A3Canada Department of Chemistry McMaster UniversityHamiltonOntarioL8S 4L8Canada

We explore the use of the parallel-plate resonator for the study of thin cuboid samples over a wide range of magnetic resonance *** parallel-plate resonator functions at frequencies from tens to hundreds of *** parallel-plate resonators are presented and discussed in a frequency range from 8 to 500 *** resonance experiments were performed on both horizontal and vertical bore magnet systems with lithium and hydrogen ***-plate radiofrequency(RF)probes are easy to build and easy to *** and simulations showed good sensitivity of the parallel-plate RF probe geometry with a small decrease in sensitivity at higher frequencies.

关键词： Parallel-plate resonator Optimization Magnetic resonance/magnetic resonance imaging(MR/MRI) Batteries

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Planarized THz quantum cascade lasers for broadband coherent photonics

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Light(Science & Applications) 2022年第12期11卷 3098-3108页

作者： Urban Senica andres Forrer Tudor Olariu Paolo Micheletti Sara Cibella Guido Torrioli Mattias Beck jerome Faist Giacomo Scalari Quantum Optoelectronics Group Institute of Quantum ElectronicsETH Zurich8093 ZürichSwitzerland Istituto di Fotonica e Nanotecnologie CNRVia del Fosso del Cavaliere 10000133 RomeItaly

Recently,there has been a growing interest in integrated THz photonics for various applications in communications,spectroscopy and *** present a new integrated photonic platform based on active and passive elements integrated in a double-metal,high-confinement waveguide layout planarized with a low-loss *** extended top metallization keeps waveguide losses low while improving dispersion,thermal and RF properties,as it enables to decouple the design of THz and microwave ***-running on-chip quantum cascade laser combs spanning 800 GHz,harmonic states with over 1.1 THz bandwidth and RF-injected broadband incoherent states spanning over nearly 1.6 THz are observed using a homogeneous quantum-cascade active *** a strong external RF drive,actively mode-locked pulses as short as 4.4 ps can be produced,as measured by *** demonstrate as well passive waveguides with low insertion loss,enabling the tuning of the laser cavity boundary conditions and the cointegration of active and passive elements on the same THz photonic chip.

关键词： waveguide passive tuning

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Scalable and low-cost fabrication of flexible WS_(2) photodetectors on polycarbonate

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npj Flexible Electronics 2022年第1期6卷 226-234页

作者： jorge Quereda Sruthi Kuriakose Carmen Munuera Federico j.Mompean Abdullah M.Al-Enizi Ayman Nafady Enrique Diez Riccardo Frisenda andres Castellanos-Gomez GISC Departamento de Física de MaterialesUniversidad Complutense de MadridMadridSpain Materials Science Factory Instituto de Ciencia de Materiales de Madrid(ICMMCSIC)28049 MadridSpain Department of Chemistry College of ScienceKing Saud UniversityRiyadh 11451Saudi Arabia Nanotechnology Group USAL–NanolabUniversidad de Salamanca37008 SalamancaSpain

We present a low-cost and easy-to-implement technique to fabricate large-area WS_(2) photodetector devices onto transparent and flexible polycarbonate *** method relies on the deposition of large-area(in the cm scale)thin films(~30 nm thick)of WS_(2) by a recently introduced abrasion-induced *** electrical contacts are then deposited by thermal evaporation through a shadow *** photodetectors present well-balanced performances with an good trade-off between responsivity(up to 144 mA/W at a source-drain voltage of 10 V and illumination power of 1μW)and response time(down to~70µs)and a detectivity value of 10^(8) *** found that the devices perform very reversibly upon several illumination and straining cycles and we found a moderate device-to-device variation.

关键词： drain illumination cost

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Effects on physiologic measures of appetite from intragastric balloon and endoscopic sleeve gastroplasty: results of a prospective study

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Chinese Medical journal 2022年第10期135卷 1234-1241页

作者： Babusai Rapaka Daniel B.Maselli Gontrand Lopez-Nava Inmaculada Bautista-Castano Reem Matar Veeravich jaruvongvanich Eric j.Vargas Andrew C.Storm andres Acosta Barham K.Abu Dayyeh Division of Gastroenterology and Hepatology Mayo ClinicRochesterMN 55905USA Madrid Sanchinarro University Hospital MadridSpain

Background: Endoscopic bariatric therapies can help address widening management gaps in obesity. Their ability to facilitate weight loss is largely tied to influences on appetite through perturbations of gastric emptying and accommodation. As these tools gain traction in obesity therapy, their physiologic underpinnings require exploration, which may enhance efficacy, tolerance, and patient-tailored ***: We prospectively assessed consecutive subjects with fluid-filled intragastric balloons (IGBs) (n = 18) placed between October 2016 and june 2017 or underwent endoscopic sleeve gastroplasty (ESG) (n = 23) from March 2018 to june 2018. Patients underwent physiologic appraisal at 3 months with13C-spirulina-based gastric emptying breath test to determine time to half emptying (T50), as well as maximum tolerated volume (MTV) of a standard nutrient drink test. Changes in T50 and MTV at 3 months were compared with percent total body weight loss (%TBWL) at 3 and 6 months using best-fit linear ***: The change in T50 at 3 months correlated with %TBWL at 3 months for IGB (P = 0.01) and ESG (P = 0.01) but with greater impact on %TBWL in IGB compared to ESG (R2 = 0.42vs. 0.26). Change in T50 at 3 months was predictive of weight loss at 6 months for IGB (P = 0.01) but not ESG (P = 0.11). ESG was associated with greater decrease in MTV compared to IGB (340.25 ± 297.97 mLvs. 183.00 ± 217.13 mL,P = 0.08), indicting an enhanced effect on satiation through decreased gastric accommodation. Changes in MTV at 3 months did not correlate with %TBWL for either IGB (P = 0.26) or ESG (P = 0.49) but trended toward significance for predicting %TBWL at 6 months for ESG (P = 0.06) but not IGB (P = 0.19).Conclusion: IGB and ESG both induce weight loss but likely through distinct gastric motor function phenotypes, and gastric emptying may predict future weight loss in patients with IGB.

关键词： Intragastric balloon Endoscopic sleeve gastroplasty Gastric emptying Gastric accommodation Obesity

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Queens remate despite traumatic mating in stingless bees

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Current Zoology 2022年第1期68卷 81-92页

作者： jamille Costa VEIGA Gustavo Rodrigo Sanches RUIZ Gislene Almeida CARVALHO-ZILSE Cristiano MENEZES Felipe andres Leon CONTRERA Bee Biology and Ecology Lab Instituto de Ciencias BiologicasUniversidade Federal do ParaBelem66075-110 ParaBrazil Biodiversity and Ecosystem Services Research Group Instituto Tecnologico Vale-Desenvolvimento SustentavelBelem66055-090 ParaBrazil Ecology and Zoology of Invertebrates Lab Instituto de Ciencias BiologicasUniversidade Federal do ParaBelem66075-110 ParaBrazil Bee Research Group Instituto Nacional de Pesquisas da AmazoniaManaus69067-375 AmazonasBrazil Research and Development Embrapa Meio AmbienteJaguariuna13820-000 Sao PauloBrazil

Males can control female reproduction using genital plugs to impede access by *** social bees,ants,and wasps,plugging may involve traumatic mating,with females being *** stingless bees,chances are that plugs may promote ovarian activan,and are thought to ensure single mating—a general tendency among the social ***,understanding on relationships between mating plugs,traumatic mating,and mating systems in stingless bees remains *** address this,we(1)compared mated queens of 7 Neotropical species to understand the patterns of copulatory marks in females and(2)compared pre-and post-mating genitalia of males and females in Melipona fasciculata to depict plug functional *** revealed an unprecedented consequence of mating in stingless bees:the characteristic marks left by mating plugs on female abdomens and the inferences that can be made from *** our surprise,in 1 species *** we found that queens retain the plug long after mating,and may carry it for the rest of their *** the other 6 species retained the plug for only a short *** queens were only found in ***,whose multiple copulatory marks match previous findings of polyandry in this *** study shows that queens can remate,and suggests that male genital morphology may determine in part the time persistence of *** conclude that traumatic mating plugs do not fully prevent remating in stingless bees and that mating systems are not uniform in this ***,exceptional cases of facultative polyandry in social insects—for example,when mating plugs fail—may confirm a general tendency for single mating in close link with efficient mating plugs.

关键词： copulatory marks facultative polyandry genital morphology male harm sexual conflict

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Hyponatraemia and cirrhosis

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Gastroenterology Report 2014年第1期2卷 21-26页

作者： Robert j.Gianotti andres Cardenas Department of Gastroenterology Beth Israel Deaconess Medical CenterBoston MA GI Unit Institut Clinic de Malalties Digestives i MetaboliquesHospital ClinicUniversity of Barcelona

Hyponatraemia is a common complication of advanced cirrhosis related to an impairment in the renal capacity for eliminating solute-free water,causing a retention of water that is disproportionate to the retention of sodium,thus leading to a reduction in serum sodium concentration and *** main pathogenic factor responsible for hyponatraemia is a non-osmotic hypersecretion of arginine vasopressin(AVP)or antidiuretic hormone from the neurohypophysis,related to circulatory *** in cirrhosis is associated with increased morbidity and *** is also associated with increased morbidity and impaired short-term survival after *** current standard of care based on restricting fluids to 1-1.5 L/day is rarely *** approaches,such as albumin infusion and the use of vaptans—which act by specifically antagonizing the effects of AVP on the V2 receptors located in the kidney tubules—have been evaluated for their role in the management of *** short-term treatment with vaptans is associated with a marked increase in renal solute-free water excretion and improvement of hyponatraemia;however their use in patients with end-stage liver disease is limited by hepatotoxic effects of some of these *** administration of vaptans seems to be effective in maintaining the improvement of serum sodium concentration,but the available information is still limited.

关键词： hyponatraemia cirrhosis end-stage liver disease vaptans

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