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Prevention of post-operative recurrence of Crohn's disease

World Journal of Gastroenterology 2014年第5期20卷 1147-1154页

作者： byron philip vaughn Alan Colm Moss Division of Gastroenter-ology Beth-Israel Deaconess Medical CenterBoston MA 02115 United States

Endoscopic and clinical recurrence of Crohn’s disease(CD)is a common occurrence after surgical resection.Smokers,those with perforating disease,and those with myenteric plexitis are all at higher risk of recurrence.A number of medical therapies have been shown to reduce this risk in clinical trials.Metronidazole,thiopurines and anti-tumour necrosis factors(TNFs)are all effective in reducing the risk of endoscopic or clinical recurrence of CD.Since these are preventative agents,the benefits of prophylaxis need to be weighed-against the risk of adverse events from,and costs of,therapy.Patients who are high risk for post-operative recurrence should be considered for early medical prophylaxis with an anti-TNF.Patients who have few to no risk factors are likely best served by a three-month course of antibiotics followed by tailored therapy based on endoscopy at one year.Clinical recurrence rates are variable,and methods to stratify patients into high and low risk populations combined with prophylaxis tailored to endoscopic recurrence would be an effective strategy in treating these patients.

关键词： Inflammatory bowel disease Crohn’s dis-ease Postop

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Seeds as a Source of Carbon, Nitrogen, and Phosphorus for Seedling Establishment in Temperate Regions: A Synthesis

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American Journal of Plant Sciences 2013年第5期4卷 30-40页

作者： byron B. Lamont philip K. Groom Department of Environment and Agriculture Curtin University Perth Australia.

Seeds are a source of organic (carbon, C) and mineral (nitrogen, N and phosphorus, P) nutrients for the growing seedling. There is much information on seed mass and N and P contents, and the relationship between these and seedling mass. Within the world’s temperate regions, these collectively show that N and P concentrations remain constant or rise with increase in seed mass and that seeds are larger and more nutrient-enriched in poorer soils. Seed N and P were more important than seed C in accounting for seedling mass in 85% of studies we assessed. In nutrient- and water-limited environments that are not light-limited, large seeds routinely provision the seedling with N and P that enhance C-fixation and thus general growth in the first wet season. This system is so efficient that growth response to soil nutrients may be negligible in first-year seedlings arising from seeds > 15 mg mass, N content > 5 mg and P content > 1.6 mg. The elongating taproot system absorbs nutrients and maintains water uptake as soil water retreats, enhancing the chances of survival in the first dry season. We outline an interpretative scenario for the special role of large seeds (>15 mg) in nutrient- and water-limited environments that recognizes the critical role of N and P for photosynthesis in ensuring sufficient C-supply to the rapidly descending roots for effective drought-avoidance by the young plant.

关键词： Cotyledons Drought-Avoidance Nutrient Transport Photosynthesis Root Elongation Seed Mass Seed Nutrient Content Seedling Growth

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