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Early postoperative feeding in resectional gastrointestinal surgical cancer patients

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World Journal of Gastrointestinal Oncology 2010年第4期2卷 187-191页

作者： emma J Osland Muhammed Ashraf Memon Department of Surgery and Nutrition Ipswich HospitalIpswichQueensland 4305Australia Department of Mathematics and Computing Australian Centre for Sustainable CatchmentsUniversity of Southern QueenslandToowoombaQueensland 4305Australia Department of Surgery University of QueenslandBrisbaneQueensland 4305Australia Faculty of Health Sciences and Medicine Bond UniversityGold CoastQueensland 4305Australia School of Health and Social Sciences University of BoltonBoltonLancashire BL3 5ABUnited Kingdom

Malnutrition is present in the majority of patients presenting for surgical management of gastrointestinal malignancies,due to the effects of the tumour and preoperative anti-neoplastic *** traditional practice of fasting patients until the resumption of bowel function threatens to further contribute to the malnutrition experienced by these ***,the rationale behind this traditional practice has been rendered obsolete through developments in anaesthetic agents and changes to postoperative analgesia ***,there is a growing body of literature that consistently demonstrates that providing oral or tube feeding proximal to the anastomosis within 24 h postoperatively,is not only safe,but might be associated with significant benefits to the postoperative *** post operative feeding should therefore be adopted as a standard of care in oncology patients undergoing gastrointestinal resections.

关键词： Early feeding Surgery Meta-analysis Randomised controlled trials

Long-Distance Signaling in bypass1 Mutants： Bioassay Development Reveals the bps Signal to Be a Metabolite

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Molecular Plant 2013年第1期6卷 164-173页

作者： emma Adhikari Dong-Keun Lee Patrick Giavalisco Leslie E. Sieburth Department of Biology University of Utah Salt Lake City UT 84112 USA Max Planck Institute of Molecular Plant Physiology 14476 Potsdam-Golm Germany

Root-to-shoot signaling is used by plants to coordinate shoot development with the conditions experienced by the roots. A mobile and biologically active compound, the bps signal, is over-produced in roots of an Arabidopsis thaliana mutant called bypass1 （bpsl）, and might also be a normally produced signaling molecule in wild-type plants. Our goal is to identify the bps signal chemically, which will then allow us to assess its production in normal plants. To identify any signaling molecule, a bioassay is required, and here we describe the development of a robust, simple, and quantitative bioassay for the bps signal. The developed bioassay follows the growth-reducing activity of the bps signal using the pCYCB1;I：：GUS cell cycle marker. Wild-type plants carrying this marker, and provided the bps signal through either grafts or metabolite extracts, showed reduced cell division. By contrast, control grafts and treatment with control extracts showed no change in pCYCB1;I：：GUS expression. To determine the chemical nature of the bps signal, extracts were treated with RNase A, Proteinase K, or heat. None of these treatments diminished the activity of bpsl extracts, sug- gesting that the active molecule might be a metabolite. This bioassay will be useful for future biochemical fractionation and analysis directed toward bps signal identification.

关键词： hormone biology metabolic regulation physiology of plant growth secondary metabolism/natural prod-ucts signaling, organismal level development.

Review of primary sclerosing cholangitis with increased IgG4 levels

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World Journal of Gastroenterology 2020年第23期26卷 3126-3144页

作者： Charis D Manganis Roger W Chapman emma L Culver Translational Gastroenterology Unit and Oxford NIHR Biomedical Research Centre John Radcliffe HospitalOxford OX39DUUnited Kingdom

Primary sclerosing cholangitis(PSC) is a chronic progressive liver disease. Subtypes of PSC have been described, most recently PSC with elevated serum and/or tissue IgG4 subclass. We aim to summarise the clinical phenotype,disease associations, differential diagnosis, response to therapy and pathogenic mechanisms underlying PSC-high IgG4 subtype. We reviewed Pub Med,MEDLINE and Embase with the search terms "primary sclerosing cholangitis","IgG4", and "IgG4-related sclerosing cholangitis(IgG4-SC)". Elevated serum IgG4 are found in up-to one-quarter, and abundant IgG4-plasma cell infiltrates in the liver and bile ducts are found in up-to one-fifth of PSC patients. This group have a distinct clinical phenotype, with some studies reporting a more aggressive course of liver and associated inflammatory bowel disease, compared to PSCnormal IgG4 and the disease mimic IgG4-SC. Distinguishing PSC-high IgG4 from IgG4-SC remains challenging, requiring careful assessment of clinical features,organ involvement and tissue morphology. Calculation of serum IgG4:IgG1 ratios and use of a novel IgG4:IgG RNA ratio have been reported to have excellent specificity to distinguish IgG4-SC and PSC-high IgG4 but require validation in larger cohorts. A role for corticosteroid therapy in PSC-high IgG4 remains unanswered, with concerns of increased toxicity and lack of outcome data. The immunological drivers underlying prominent IgG4 antibodies in PSC are incompletely defined. An association with PSC-high IgG4 and HLA class-II haplotypes(B*07, DRB1*15), T-helper2 and T-regulatory cytokines(IL4, IL10,IL13) and chemokines(CCL1, CCR8) have been described. PSC-high IgG4 have a distinct clinical phenotype and need careful discrimination from IgG4-SC,although response to immunosuppressive treatments and long-term outcome remains unresolved. The presence of IgG4 likely represents chronic activation to persistent antigenic exposure in genetically predisposed individuals.

关键词： Primary sclerosing cholangitis IgG4 IgG4-related disease IgG4-related sclerosing cholangitis

Vertical stratification of ichneumonid wasp communities： the effects of forest structure and life-history traits

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Insect Science 2015年第5期22卷 688-699页

作者： Filippo Di Giovanni Pierfilippo Cerretti Franco Mason emma Minari Lorenzo Marini Dipartimento di Biologia e Biotecnologie 'Charles Darwin' Universita di Roma 'La Sapienza' Piazzale A. Moro 5 00185 Rome Italy Centro Nazionale per lo Studio e la Conservazione della Biodiversita Forestale Corpo Forestale dello Stato via Carlo Ederle 161A 37100 Verona Italy and DAFNAE Universit& di Padova viale dell'Universita 16 35020 Legnaro Padua Italy

Parasitoid wasp communities of the canopy of temperate forests are still largely unexplored. Very little is known about the community composition ofparasitoids between canopy and understory and how much of this difference is related to forest structure or parasitoid biological strategies. In this study we investigated upon the difference in the community composition of the parasitic wasps Ichneumonidae between canopy and understory in a lowland temperate forest in northern Italy. We used general linear models to test whether parasitic strategy modifies species vertical stratification and the effect of forest structure. We also tested differences in β-diversity between canopy and understory traps and over time within single forest layers. We found that stand basal area was positively related to species richness, suggesting that the presence of mature trees can influence local wasp diversity, providing a higher number of microhabitats and hosts. The ichneumonid community of the canopy was different from that of the understory, and theβ-diversity analysis showed higher values for the canopy, due to a higher degree of species turnover between traps. In our analyses, the vertical stratification was different between groups of ichneumonids sharing different parasitic strategies. Idiobiont parasitoids of weakly or deeply concealed hosts were more diverse in the understory than in the canopy while parasitoids of spiders were equally distributed between the two layers. Even though the ichneumonid community was not particularly species-rich in the canopy of the temperate forests, the extension of sampling to that habitat significantly increased the number of species recorded.

关键词： β-diversity biological traits canopy forest structure Ichneumonidae vertical stratification

Associations between maternal vitamin D status and porcine litter characteristics throughout gestation

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Journal of Animal Science and Biotechnology 2023年第2期14卷 806-813页

作者： Claire Stenhouse emma Hurst Richard J.Mellanby Cheryl J.Ashworth Functional Genetics and Development Division The Roslin Institute and Royal(Dick)School of Veterinary StudiesUniversity of EdinburghMidlothian EH259RGUK Current Affiliation Department of Animal ScienceTexas A&M UniversityCollege StationTexas 77843‑2471USA Clinical Sciences Division The Roslin Institute and Royal(Dick)School of Veterinary StudiesUniversity of EdinburghMidlothian EH259RGUK.

Emerging evidence suggests an important role of vitamin D in the establishment and maintenance of pregnancy,and the regulation of foetal growth across mammalian ***,the temporal changes in maternal vitamin D sta-tus throughout gestation in the pig and the relationship between maternal vitamin D status and litter characteristics of interest across gestation remain poorly understood and *** abundance of 25(OH)D in maternal plasma was quantified by HPLC–MS/MS at gestational days(GD)18,30,45,60 and 90(n=5–11 gilts/GD).Maternal plasma 25(OH)D concentrations significantly increased between GD18 and GD30(P<0.05).The relationship between maternal vitamin D metabolite concentrations and litter characteristics of interest including gilt weight,ovulation rate,mean litter weight,number of live foetuses,percentage prenatal survival,and sex ratio of the litter was *** 25(OH)D(P=0.059)concentrations tended to be positively associated with percentage prenatal survival on *** GD90,maternal 25(OH)D(P<0.05)concentrations were inversely associated with gilt *** plasma 25(OH)D concentrations were inversely associated with the percentage of male foetuses in the litter on GD90(P<0.05).This study has provided novel insights into temporal changes in maternal vitamin D status throughout ges-tation and the relationship between maternal vitamin D status and the economically important litter characteristics of gilt weight,percentage prenatal survival and percentage of male foetuses in the *** the understanding of the role of vitamin D across important developmental timepoints in relation to foetal growth is essential to improve reproductive success in livestock species.

关键词： Porcine Pregnancy Vitamin D

Auditory symptoms and autistic spectrum disorder:A scoping review and recommendations for future research

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Journal of Otology 2022年第4期17卷 239-246页

作者： Sara Timms Sirat Lodhi Jack Bruce emma Stapleton Department of Otolaryngology Manchester Royal InfirmaryManchesterM139WLUK The University of Manchester Medical School Oxford RoadManchesterM139PLUK

Introduction:Auditory symptoms in individuals with Autistic Spectrum Disorder(ASD)are well described within the neurodevelopmental literature,yet there is minimal mention of ASD in Otolaryngology *** is surprising considering the potential clinical and diagnostic implications of this link,and the potential for ASD to present to Otolaryngologists in the form of unexplained auditory *** aims of this literature review were to explore the intersection of auditory symptoms and ASD from the perspective of clinical Otolaryngology,and to outline a clinically focused research agenda based on emerging themes relevant to ***:We searched Pubmed,Embase,Ovid and Cochrane library for studies until November *** authors independently reviewed 227 publications identified.39 were filtered into the final *** PRISMA 2020 guidelines were *** heterogeneity of literature meant that a Systematic Review was not *** studies were therefore classified thematically,forming the basis of the scoping ***:Diagnostic theories for auditory symptoms in ASD include the entire auditory pathway and *** is a growing body of literature on auditory symptoms in ASD,suggesting that a primary diagnosis of ASD should be considered in patients presenting with otherwise unexplained auditory symptoms,and indicating a learning need for Otolaryngologists and audiologists,to whom these patients may ***:We recommend a research agenda focusing on multidisciplinary collaboration,stakeholder engagement,responsible clinical screening,and clarification of pathophysiological mechanisms and terminology.

关键词： Autistic disorder Audiology Otolaryngology Tinnitus Hyperacusis

Manufacturingartificial bone allografts:a perspective

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Biomaterials Translational 2022年第1期3卷 65-80,I0001,I0002页

作者： emma Steijvers Armaan Ghei Zhidao Xia Centre for Nanohealth Institute of Life ScienceSwansea University Medical SchoolFaculty of MedicineHealth and Life ScienceSwanseaUK

Bone grafts have traditionally come from four sources:the patients’own tissue(autograft),tissue from a living or cadaveric human donor(allograft),animal donors(xenograft)and synthetic artificial biomaterials(ceramics,cement,polymers,and metal).However,all of these have advantages and *** most commercially successful bone grafts so far are allografts,which hold 57%of the current bone graft market;however,disease transmission and scarcity are still significant drawbacks limiting their ***-engineered grafts have great potential,in which human stem cells and synthetical biomaterials are combined to produce bone-like tissue in vitro,but this is yet to be approved for widespread clinical *** is hypothesised that artificial bone allografts can be mass-manufactured to replace conventional bone allografts through refined bone tissue engineering prior to *** review article aims to review current literature on(1)conventional bone allograft preparation;(2)bone tissue engineering including the use of synthetic biomaterials as bone graft substitute scaffolds,combined with osteogenic stem cells in vitro;(3)potential artificial allograft manufacturing processes,including mass production of engineered bone tissue,osteogenic enhancement,decellularisation,sterilisation and safety assurance for regulatory *** these assessments,a practical route map for mass production of artificial allografts for clinical use is proposed.

关键词： biomaterials bone graft decellularisation stem cells tissue engineering

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

Emerging material engineering strategies for amplifying photothermal heterogeneous CO_(2)catalysis

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Journal of Energy Chemistry 2021年第8期30卷 108-125,I0004页

作者： Bingqiao Xie emma Lovell Tze Hao Tan Salina Jantarang Mengying Yu Jason Scott Rose Amal Particles and Catalysis Research Group School of Chemical EngineeringThe University of New South Wales2052 SydneyAustralia Department of Chemistry Faculty of Science Kyushu UniversityMoto-oka744 Nishi-ku819-0395 FukuokaJapan

Closing the carbon loop,through CO_(2)capture and utilization,is a promising route to mitigate climate *** energy is a sustainable energy source which can be exploited to drive catalytic reactions for utilizing CO_(2),including converting the CO_(2)into useful *** energy can be harnessed through a range of different pathways to valorize CO_(2).Whilst using solar energy to drive CO_(2)reduction has vast potential to promote catalytic CO_(2)conversions,the progress is limited due to the lack of understanding of property-performance relations as well as feasible material engineering ***,we outline the various driving forces involved in photothermal CO_(2)*** heat from solar energy can be utilized to induce CO_(2)catalytic reduction reactions via the photothermal ***,solar energy can act to modify reaction pathways through light-matter ***-induced chemical functions have demonstrated the ability to regulate intermediary reaction steps,and thus control the reaction *** catalyst structures and specific catalyst design strategies are discussed in this *** review provides a comprehensive understanding of the heat-light synergy and guidance for rational photothermal catalyst design for CO_(2)utilization.

关键词： CO_(2)reduction Photothermal catalysis Material engineering strategies Plasmonic photocatalysis