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Serum ferritin and the risk of early-onset colorectal cancer

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World journal of Gastrointestinal Oncology 2024年第8期16卷 3496-3506页

作者： Adam L Urback Kylee Martens hannah Stowe McMurry Emerson Y Chen Caitlin Citti Anil Sharma Adel Kardosh joseph j Shatzel Division of Internal Medicine Oregon Health&Science UniversityPortlandOR 97239United States Division of Hematology and Medical Oncology Knight Cancer InstituteOregon Health&Science UniversityPortlandOR 97239United States Division of Gastroenterology&Hepatology Oregon Health&Science UniversityPortlandOR 97239United States

BACKGROUND The incidence of early-onset colorectal cancer(EO-CRC)is rising in the United States,and is often diagnosed at advanced *** serum ferritin is often incidentally discovered in young adults,however,the indication for endoscopy in EO-CRC is *** To compare serum ferritin between patients with EO-CRC and healthy controls(HCs),and examine the association of serum ferritin in EO-CRC with patient-and disease-specific *** A retrospective study of patients<50 years with newly-diagnosed EO-CRC was conducted from 1/2013-12/*** were included if serum ferritin was measured within 2 years prior to 1 year following CRC histologic *** supplement the analysis,a cohort of HCs meeting similar inclusion and exclusion criteria were identified for comparison.A sensitivity analysis including only patients with serum ferritin obtained at or before diagnosis was separately performed to minimize risk of *** Among 85 patients identified with EO-CRC(48 females),the median serum ferritin level was 26 ng/mL(range<1-2759 ng/mL).Compared to HCs(n=80211),there were a higher proportion of individuals with EO-CRC with serum ferritin<20 ng/mL(female 65%,male 40%)versus HCs(female 32.1%,male 7.2%)age 29-39 years(P=0.002 and P<0.00001,respectively).Stage IV disease was associated with significantly higher serum ferritin compared to less advanced stages(P<0.001).Serum ferritin obtained before or at the time of diagnosis was lower than levels obtained after *** findings were confirmed in the sensitivity *** Severe iron deficiency may indicate an increased risk of EO-CRC,particularly at earlier *** studies defining the optimal serum ferritin threshold and routine incorporation of serum ferritin in screening algorithms is essential to develop more effective screening strategies for EO-CRC.

关键词： Early-onset Young-onset Colorectal cancer Age Ferritin Iron deficiency

Olfaction and reaction: The role of olfactory and hypothalamic investment in the antipredator responses to chemical alarm cues by northern redbelly dace

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Current Zoology 2023年第6期69卷 738-746页

作者： Brendan j.joyce Grant E.Brown Department of Biology Concordia UniversityMontrealQuebecCanada

Neuroplasticity enables teleosts to promote or downregulate the growth of their brains *** compensate for the effects of predation pressure,teleosts may alter their brain morphology and behavioral responses to mitigate its impact on individual ***-predation environ-ments often promote specific patterns of brain growth and produce bolder and more proactive *** to the expense of maintaining neural tissue,relative size indicates the regions most relied *** northern redbelly dace Chrosomus eos,as little as 2 weeks of elevated predation pressure,resulted in increased investment in their olfactory bulbs and optic tecta,while the imposition of captivity produced smaller,less symmetric *** together,these results suggest that an individual could potentially become better able to detect a threat,and simultaneously less inclined to react to it,making the impact of either change in isolation is difficult to ***,we compared interindividual variation in gross brain morphology,risk-taking tactics in a novel arena(shy-bold personality),and responding to olfactory cues(proactive/reac-tive stress-coping style).We hypothesized that olfactory investment would positively correlate with response intensity to predator cue concen-tration and respond across a wider range of cue concentrations,while hypothalamus size would correlate with shyness and *** to heightened risk produced more bold/proactive individuals,with larger olfactory bulbs and smaller ***,the direction of the correlation between hypothalamus size and behavior varied by treatment,and olfactory investment only corresponded with response intensity amongst proactive *** findings illustrate the potential pitfalls of relating gross brain morphology to complex behavior and suggest that stress-coping style is a relevant consideration in future studies.

关键词： boldness brainmorphology neuroplasticity predation proactivity stress-coping style

Lipid nanoparticles deliver mRNA to the blood-brain barrier

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Nano Research 2024年第10期17卷 9126-9134页

作者： Yanina Kuzminich Avraham Shakked Randi Calkins Sebastian Rudden Camille jones jessie Doan Bora jang Elisa Schrader Echeverri Ryan Zenhausern Liming Lian David Loughrey hannah E.Peck Rachelle Wiese Dorothy Koveal Philip j.Santangelo james E.Dahlman George C.Woodruff School of Mechanical Engineering Georgia Institute of TechnologyAtlantaGA 30332USA Parker H.Petit Institute for Bioengineering and Biosciences Georgia Institute of TechnologyAtlantaGA 30332USA Wallace H.Coulter Department of Biomedical Engineering Emory University School of Medicine and Georgia Institute of TechnologyAtlantaGA 30332USA

Lipid nanoparticles(LNPs)have delivered RNA to hepatocytes in patients after intravenous *** clinical data support efforts to design LNPs that transfect cells in the central nervous system(CNS).However,delivery to the CNS has been difficult,in large part because quantifying on-target delivery alongside common off-target cell types in adult mice remains *** we report methods to isolate different cell types from the CNS,and subsequently present mRNA delivery readouts using a liver-detargeted *** data suggest that LNPs without targeting ligands can transfect cerebral endothelial cells in mice after intravenous *** the difficulty of crossing the blood-brain barrier,they also underscore the value of quantifying delivery in the CNS with cell-type resolution instead of whole-tissue resolution.

关键词： lipid nanoparticle mRNA nanomedicine central nervous system blood-brain barrier

Continuity of care by a primary midwife(caseload midwifery):a cost analysis using results from the COSMOS randomised controlled trial

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Gynecology and Obstetrics Clinical Medicine 2024年第2期4卷 94-101页

作者： Emily j Callander hannah jackson Helen L McLachlan Mary-Ann Davey Della A Forster University of Technology Sydney SydneyNew South WalesAustralia The Royal Women's Hospital MelbourneVictoriaAustralia Faculty of Health University of Technology SydneyBroadwayNew South WalesAustralia judith Lumley Centre La Trobe UniversityMelbourneVictoriaAustralia School of Nursing and Midwifery a Trobe UniversityMelbourneVictoriaAustralia Department of Obstetrics and Gynaecology Monash UniversityClaytonVictoriaAustralia

Introduction Caseload midwifery(continuity of midwifery carer)offers benefits including lower caesarean section rates,lower risks of preterm birth and stilbirth,and improved maternal satisfaction of *** these advantages,concerns about additional costs hinder widespread *** study examinesthecost of caseload midwifery compared with standard maternity care from the perspective of both public hospitals and public *** A cost analysis was conducted using data from a randomised controlled trial of 2314 low-risk pregnant women in Melbourne,*** randomised to caseload care received antenatal,intrapartum and postpartum care from a primary midwife,with some care provided by a‘back-up'*** in standard care received midwifery-led care with varying levels of continuity,junior obstetric care or community-based medical *** cost analysis compared differences in mean costs of health resources to public hospitals and to public ***,a budget impact analysis estimated total costs to the health system between 2023 and *** For public hospitals,there was no significant difference in overall costs between women receiving caseload midwifery(n=1146)versus standard care(n=1151)($SA12363(SD:$A4967)vs$A12323(SD:$A7404);p=0.85).Conversely,public funders incurred lower expenditures for women receiving caseload midwifery($A20330(SD:$A8312))versus standard care($A21637(SD:$A11818);p<0.001).The budget impact analysis estimated savings of sA625million to the health system over the next 5 years with expanded access to caseloadmidwifery *** Caseloadmidwifery in low-risk women is cost-neutral to public hospitals and cost-saving to public *** abstract Continuity of midwifery for low-risk women reduces costs to public funders,with no additional costs to hospitals.

关键词： random continuity Continuity

Update on the management of the gastrointestinal effects of radiation

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World journal of Gastrointestinal Oncology 2021年第5期13卷 400-408页

作者： hannah McCaughan Stephen Boyle john j McGoran Department of Gastroenterology Altnagelvin Area HospitalLondonderry BT476SBUnited Kingdom

Radiation therapy is a long-established and essential modality in the treatment of many *** is well known that tissue within a field of radiation can suffer indiscriminate effects,leading to acute and chronic *** gastrointestinal tract may be adversely affected by *** the mouth to the rectum,patients can experience troublesome symptoms that require the concerted input of specialist *** range from nursing care,dietetic optimization,pharmacological management,and mechanical procedures through endoscopy and *** evidence exists mainly for radiation induced effects in four distinct areas of the gastrointestinal tract:oral mucosa,esophagus,small bowel,and *** review explores the experiences of oncology and gastrointestinal teams in managing the most common conditions and some of the different practices for radiation associated morbidity.

关键词： Radiation Stricture Endoscopy

Paleoecological Response of Corals to the End-Triassic Mass Extinction： An Integrational Analysis

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journal of Earth Science 2018年第4期29卷 879-885页

作者： George D Stanley jr hannah M E Shepherd Autumn j Robinson University of Montana Paleontology Center Missoula MT 59812 USA

The end-Triassic （also Triassic-jurassic） mass extinction severely affected life on planet Earth 200 million years ago. Paleoclimate change triggered by the volcanic eruptions of the Central Atlantic Magmatic Province （CAMP） caused a great loss of marine biodiversity, among which 96% coral genera were get lost. However, there is precious little detail on the paleoecology and growth forms lost between the latest Triassic extinction and the Early jurassic recovery. Here a new pilot study was conducted by analyzing corallite integration levels among corals from the latest Triassic and Early jurassic times. Integration levels in corals from the Late Triassic and Early jurassic were determined through both the Paleobiology Database as well as from a comprehensive museum collection of fossil corals. Results suggest that in addition to a major loss of diversity following the end-Triassic mass extinction, there also was a significant loss of highly integrated corals as clearly evidenced by the coral data from the Early jurassic. This confirms our hypothesis of paleoecological selectivity for corals following the end-Triassic mass extinction. This study highlights the importance of assigning sim- ple to advanced paleoecological characters with integration levels, which opens a useful approach to understanding of mass extinction and the dynamics of the recovery.

关键词： coral loss integration level end-Triassic mass extinction paleoecology

3eciphering the protein-DNA code of bacteria Ninged helix-turn-helix transcription factors

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Frontiers of Electrical and Electronic Engineering in China 2018年第1期6卷 68-84页

作者： Adam P. joyce james j. Havranek Program in Developmental Regenerative and Stem Cell Biology Washington University in St. Louis St. Louis MO 63110 USA Department of Biochemistry and Molecular Biophysics Washington University in St. Louis St. Louis MO 63110 USA

Background： Sequence-specific binding by transcription factors （TFs） plays a significant role in the selection and regulation of target genes. At the protein：DNA interface, amino acid side-chains construct a diverse physicochemical network of specific and non-specific interactions, and seemingly subtle changes in amino acid identity at certain positions may dramatically impact TF：DNA binding. Variation of these specificity-determining residues （SDRs） is a major mechanism of functional divergence between TFs with strong structural or sequence homology. Methods： In this study, we employed a combination of high-throughput specificity profiling by SELEX and Spec-seq, structural modeling, and evolutionary analysis to probe the binding preferences of winged helix-turn-helix TFs belonging to the OmpR sub-family in Escherichia coil Results： We found that E. coli OmpR paralogs recognize tandem, variably spaced repeats composed of＂GT-A＂ or ＂GCT＂-containing half-sites. Some divergent sequence preferences observed within the ＂GT-A＂ mode correlate with amino acid similarity; conversely, ＂GCT＂-based motifs were observed for a subset of paralogs with low sequence homology. Direct specificity profiling of a subset of OmpR homologues （CpxR, RstA, and OmpR） as well as predicted ＂SDR-swap＂ variants revealed that individual SDRs may impact sequence preferences locally through direct contact with DNA bases or distally via the DNA backbone. Conclusions： Overall, our work provides evidence for a common structural code for sequence-specific wHTH：DNA interactions, and demonstrates that surprisingly modest residue changes can enable recognition of highly divergent sequence motifs. Further examination of SDR predictions will likely reveal additional mechanisms controlling the evolutionary divergence of this important class of transcriptional regulators.

关键词： transcription factor SELEX winged helix-turn-helix specificity detenlainants two-component signaling

Non-invasive Angiographic-based Fractional Flow Reserve:Technical Development,Clinical Implications,and Future Perspectives

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当代医学科学(英文) 2023年第3期43卷 423-433页

作者： joyce Peper Michiel L.Bots Tim Leiner Martin j.Swaans Department of Cardiology St.Antonius HospitalNieuwegein 3435 CMThe Netherlands Department of Radiology University Medical Center UtrechtUtrecht 3508 GAThe Netherlands julius Center for Health Sciences and Primary Care University Medical Center UtrechtUtrecht 3584 CGThe Netherlands

New non-and less-invasive techniques have been developed to overcome the procedural and operator related burden of the fractional flow reserve(FFR)for the assessment of potentially significant stenosis in the coronary *** FFR-techniques can obviate the need for the additional flow or pressure wires as used for FFR *** review provides an overview of the developments and validation of the virtual FFR-algorithms,states the challenges,discusses the upcoming clinical trials,and postulates the future role of virtual FFR in the clinical practice.

关键词： coronary artery disease quantitative flow ratio fractional flow reserve diagnostic accuracy physiology guided percutaneous coronary intervention

Homicidal Abuse of Young Children:A Historical Perspective

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journal of Forensic Science and Medicine 2017年第2期3卷 97-110页

作者： Rudy j Castellani joyce L dejong Carl j Schmidt Department of Pathology Western Michigan University Homer Stryker M.D.School of MedicineKalamazoo Department of Pathology Wayne County Medical ExaminerUniversity of MichiganDetroitMlUSA

The past 50 years has seen a heightened awareness of abusive injury patterns and increased concern for the plight of children victimized by their *** of the young,however,has been embedded in society since the beginning of recorded ***,nature provides abundant examples of infanticide in lower animals,raising the question of whether exploitation,apathy,and violence toward children are on some level evolutionarily *** human antiquity,selective killing of females,the illegitimate,and the malformed,killing by ritualistic sacrifice or to conserve resources was carried out with *** middle ages and later saw a decline in these practices albeit *** hundred years into the industrial revolution,with harsh child labor in public view,legal remedies were sought to protect children but with little *** domestic abuse of children was not addressed until a pivotal 19^(th)-century case,in which the rights of animals were invoked to intervene on behalf of a *** the 20th century,physicians began to look closely at anatomical findings;patterns due to trauma,especially inflicted trauma,began to emerge.“Battered child syndrome”was followed by“shaken baby syndrome”,the latter prompted by the recurrent findings of subdural hematoma,retinal hemorrhages,and brain injury with the absence of impact injuries and no plausible accidental or natural disease *** the 21st century,high-quality studies and an emphasis on evidenced-based medicine substantiated the existence ofiiijury patterns resulting from homicidal ***,progress has been uneven.A case of child abuse that reached the US Supreme Court resulted in an ill-cited dissent that seems to have amplified an already toxic medicolegal environment,perhaps *** difficulties in balancing the welfare of society with that of caregivers in the aftermath of homicidal abuse will no doubt continue.

关键词： Abusive head trauma child abuse homicide infanticide