检索结果-南通市图书馆

Split liver transplantation: Current developments

在线全文

学校读者我要写书评

暂无评论

World journal of Gastroenterology 2018年第47期24卷 5312-5321页

作者： Christina Hackl Katharina M Schmidt Caner Süsal Bernd Dohler martin Zidek hans j Schlitt Department of Surgery University Hospital RegensburgRegensburg 93053Germany Collaborative Transplant Study (CTS) Institute of ImmunologyHeidelberg UniversityHeidelberg 69120Germany

In 1988, Rudolf Pichlmayr pioneered split liver transplantation(SLT), enabling the transplantation of one donor liver into two recipients-one pediatric and one adult patient. In the same year, Henri Bismuth and colleagues performed the first full right/full left split procedure with two adult recipients. Both splitting techniques were rapidly adopted within the transplant community. However, a SLT is technically demanding, may cause increased perioperative complications, and may potentially transform an excellent deceased donor organ into two marginal quality grafts. Thus, crucial evaluation of donor organs suitable for splitting and careful screening of potential SLT recipients is warranted. Furthermore, the logistic background of the splitting procedure as well as the organ allocation policy must be adapted to further increase the number and the safety of SLT. Under defined circumstances, in selected patients and at experienced transplant centers, SLT outcomes can be similar to those obtained in full organ LT. Thus, SLT is an important tool to reduce the donor organ shortage and waitlist mortality, especially for pediatric patients and small adults. The present review gives an overview of technical aspects, current developments, and clinical outcomes of SLT.

关键词： Liver transplantation organ shortage in situ split extended right lobe left lateral lobe living donor

Magnetic resonance imaging in children and adolescents with chronic inflammatory bowel disease

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World journal of Gastroenterology 2014年第5期20卷 1180-1191页

作者： hans-joachim Mentzel Steffen Reinsch Monika Kurzai martin Stenzel Section of Pediatric Radiology Department of Radiology University Hospital Jena- Friedrich-Schiller-University Jena Section of Pediatric Gastro-enterology Department of Pediatrics University Hospital Jena Friedrich-Schiller-University Jena

Inflammatory bowel diseases(IBD) represent challenges, both from a diagnostic, and therapeutic point of view. Deep-seated anatomic structures are difficult to assess by ultrasound technique alone. As radiation-free alternative cross-sectional imaging method, magnetic resonance imaging of the intestinal structures is costly and time-consuming. Examination of pediatric patients imply additional considerations: reduction of body motions in younger children and consideration of the most appropriate preparation, and examination technique. The demanding Sellink technique is the only means for appropriately distending the lesser intestine in order to detect small bowel strictures. Oral intake of contrast medium(CM) alone shows its limitations regarding distensibility. The need for intravenous contrast media application needs to be considered, too. Active inflammation of both intestinal wall, and mesentery can be demonstrated accurately. Nevertheless, viable alternatives to CM application is desirable, considering non-negligible adverse reactions. Recent data suggest diffusion weighted imaging might fill this diagnostic gap. Irrespective of sequence technique chosen, bowel movement remains a major obstacle. Antispasmolytics in their function as smooth muscle relaxants help in improving image quality, however, their use in children might be off-label. Optimal preparation for the examination and appropriate imaging technique allow for diagnosing typical patterns of changes in IBD, such as bowel wall thickening, ulcers, mural stratification, strictures, creeping fat, and comb sign, and lymphadenopathy. The article gives a detailed overview of current significance of magnetic resonance imaging pediatric patients suffering from IBD, considering indications, limitations, and safety aspects.

关键词： Children, Adolescents, Inflammatory bowel disease, Crohn’ s disease, Ulcerative colitis, Magnetic resonance imaging, Enterography

Discrete particle modeling of granular temperature distribution in a bubbling fluidized bed

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Particuology 2012年第4期10卷 428-437页

作者： Yurong He Tianyu Wang Niels Deen martin van Sint Annaland hans Kuipers Dongsheng Wen Department of Power Engineering College of Energy Science and Engineering Harbin Institute of TechnologyHarbin 150001China Department of Chemical Engineering and Chemistry Eindhoven University of TechnologyPO Box 5135600 MB EindhovenThe Netherlands School of Engineering and Materials Science Queen Mary University of LondonMile End RoadLondon El 4NSUK

The discrete hard sphere particle model （DPM） is applied in this work to study numerically the distribu- tions of particle and bubble granular temperatures in a bubbling fluidized bed. The dimensions of the bed and other parameters are set to correspond to those of Miuller et al（2008）. Various drag models and oper- ational parameters are investigated to find their influence on particle and bubble granular temperatures. Various inlet superficial gas velocities are used in this work to obtain their effect on flow characteristics. It is found that the superficial gas velocity has the most important effect on granular temperatures including bubble granular temperature, particle translational granular temperature and particle rotational granular temperature. The drag force model affects more seriously the large scale variables such as the bubble gran- ular temperature. Restitution coefficient influences all granular temperatures to some degree. Simulation results are compared with experimental results by Muller et al. （2008） showing reasonable agreement.

关键词： Bubbling fluidized bedDiscrete hard sphere modelParticle and bubble granular temperature

Interaction of the α2A domain of integrin with small collagen fragments

在线全文

学校读者我要写书评

暂无评论

Protein & Cell 2010年第4期1卷 393-405页

作者： hans-Christian Siebert Monika Burg-Roderfeld Thomas Eckert Sabine Stötzel Ulrike Kirch Tammo Diercks martin j.Humphries martin Frank Rainer Wechselberger Emad Tajkhorshid Steffen Oesser Institut für Biochemie und Endokrinologie Veterinärmedizinische FakultätJustus-Liebig-Universität GießenFrankfurter Str.10035392 GießenGermany CiC bioGUNE Parque Tecnológico de BizkaiaEdificio 80048160 DerioSpain Utrecht Facility for High-resolution NMR Bijvoetcenter for Biomolecular Research Utrecht UniversityPadualaan 83584CH UtrechtThe Netherlands Wellcome Trust Centre for Cell-Matrix Research School of Biological SciencesUniversity of Manchester2.205 Stopford BuildingOxford RoadManchester M139PTUK Molecular Structure Analysis Core Facility Deutsches KrebsforschungszentrumIm Neuenheimer Feld 28069120 HeidelbergGermany Department of Biochemistry Beckman Instituteand Center for Biophysics and Computational BiologyUniversity of Illinois at Urbana-ChampaignUrbanaILUSA Collagen Research Institute Schauenburgerstr.116D-24118 KielGermany

We here present a detailed study of the ligand-receptor interactions between single and triple-helical strands of collagen and the α2A domain of integrin(α2A),providing valuable new insights into the mechanisms and dynamics of collagen-integrin binding at a sub-molecular *** occurrence of single and triple-helical strands of the collagen fragments was scrutinized with atom force microscopy(AFM)*** interactions of the triple-stranded fragments comparable to those of collagen can only be detected for the 42mer triple-helical collagen-like peptide under study(which contains 42 amino acid residues per strand)by solid phase assays as well as by surface plasmon resonance(SPR)***,changes in NMR signals during titration and characteristic saturation transfer difference(STD)NMR signals are also detectable whenα2A is added to a solution of the 21mer single-stranded collagen *** dynamics(MD)simulations employing different sets of force field parameters were applied to study the interaction between triple-helical or single-stranded collagen fragments withα*** is remarkable that even single-stranded collagen fragments can form various complexes withα2A showing significant differences in the complex stability with identical *** results of MD simulations are in agreement with the signal alterations in our NMR experiments,which are indicative of the formation of weak complexes between single-stranded collagen andα2A in *** results provide useful information concerning possible interactions ofα2A with small collagen fragments that are of relevance to the design of novel therapeutic A-domain inhibitors.

关键词： integrin-collagen interaction NMR SPR AFM molecular modeling

Near-infrared-reflection spectroscopy as measuring method to determine the state of the process for automatic control of anaerobic digestion

在线全文

学校读者我要写书评

暂无评论

International journal of Agricultural and Biological Engineering 2013年第2期6卷 63-72页

作者： Andrea Stockl Daniel Löffler hans Oechsner Thomas jungbluth Klaus Fischer martin Kranert State Institute of Agricultural Engineering and Bioenergy University of Hohenheim70593 Stuttgart-PlieningenGermany Institute for Sanitary Engineering Water Quality and Solid Waste ManagementUniversity of StuttgartBandtäle 270569 StuttgartGermany State Institute of Agricultural Engineering Livestock System EngineeringUniversity of Hohenheim70593 Stuttgart-PlieningenGermany

A recently developed control strategy for the anaerobic digestion process requires secure knowledge about the state of the *** near infrared reflection spectroscopy(NIRS),provides the possibility to determine process parameters of the anaerobic digestion process online and directly at the *** investigate if the NIRS measurements can successfully be used for the characterization of the state of the process within the control strategy the control was operated on two experimental *** NIR spectra were recorded during the *** values of the process parameters(mainly concentrations of organic acids)obtained by NIRS differ from the values of the chemical analyses during the *** the state of the process is categorized equally on the basis of both measurement *** can consequently be stated that NIRS is expected to meet the requirements of the control strategy.

关键词： near-infrared-reflection spectroscopy(NIRS) state of the process automatic process control anaerobic digestion biogas

Chapter model systems in heterogeneous catalysis at the atomic level: a personal view

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Science China Chemistry 2020年第4期63卷 426-447页

作者： hans-joachim Freund Markus Heyde Helmut Kuhlenbeck Niklas Nilius Thomas Risse Thomas Schmidt Shamil Shaikhutdinov martin Sterrer Fritz Haber Institute of the Max Planck Society Faradayweg 4-6Berlin D-14195Germany Fakultat V-Mathematik und Naturwissenschaften Carl von Ossietzky Universitat OldenburgGermany Institut fur Chemie und Biochemie Freie UniversitatBerlinGermany Institute of Physics University of GrazGrazAustria

The review presents an overview of studies in the surface science of oxide and related surfaces with an emphasis of the studies performed in the authors’ group. Novel instruments and technique developments, as well as their applications are reported, in an attempt to cover studies on model systems of increasing complexity, including some of the key ingredients of an industrially applied heterogeneous catalyst and its fabrication. The review is intended to demonstrate the power of model studies in understanding heterogeneous catalysis at the atomic level. The studies include those on supported nano-particles, both, prepared in vacuum and from solution, interaction of surfaces and the underlying bulk with molecules from the gas phase, strong metal support interaction, as well as the first attempt to include studies on reactions in confined spaces.

关键词： model catalysts oxide surfaces structure and spectroscopy supported nanoparticles reactions in the confined space

Role of soluble factors and three-dimensional culture in in vitro differentiation of intestinal macrophages

在线全文

学校读者我要写书评

暂无评论

World journal of Gastroenterology 2007年第7期13卷 1032-1041页

作者： Tanja Spoettl martin Hausmann Katrin Menzel Heidi Piberger hans Herfarth juergen Schoelmerich Frauke Bataille Gerhard Rogler Department of Internal Medicine I and Institute of Pathology University of Regensburg Regensburg 93042 Germany

AIM: To examine the factor(s) involved in differentiation of intestinal macrophages (IMACs) using a recently established in vitro model. METHODS: To test whether soluble or membrane bound factors induce IMAC-differentiation, freshly elutriated monocytes (MO) were incubated with conditioned media or cell membranes of intestinal epithelial cells (IEC) or cultured with IEC in transwell systems. To determine the importance of an active migration of MO, three- dimensional aggregates from a 1:1-mixture of MO and IEC were examined by immunohistochemistry and flow cytometry. Apoptosis was examined by caspase-3 Western blots. Extracellular matrix production in differentiation models was compared by immunohistochemistry. RESULTS: IMAC differentiation was observed in a complex three-dimensional co-culture model (multicellular spheroid, MCS) with IEC after migration of MO into the spheroids. By co-culture of MO with conditioned media or membrane preparations of IEC no IMAC differentiation was induced. Co-culture of MO with IEC in transwell- cultures, with the two cell populations separated by a membrane also did not result in intestinal-like differentiation of MO. In contrast to IEC-spheroids with immigrating MO in mixed MCS of IEC and MO only a small subpopulation of MO was able to survive the seven day culture period. CONCLUSION: Intestinal-like differentiation of MO in vitro is only induced in the complex three-dimensional MCS model after immigration of MO indicating a roleof cell-matrix and/or cell-cell interactions during the differentiation of IMACs.

关键词： Intestinal macrophages Intestinal epithelialcells Multicellular spheroids Inflammatory boweldisease Tolerance differentiation

Testicular expression of survivin and human telomerase reverse transcriptase(hTERT)associated with spermatogenic function in infertile patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian journal of Andrology 2006年第1期8卷 95-100页

作者： Steffen Weikert Frank Christoph Wolfgang Schulze hans Krause Carsten Kempkensteffen martin Schostak Kurt Miller Mark Schrader Department of Urology Charité-Universittsmedizin BerlinCampus B.FranklinD-12200 BerlinGermany Department of Andrology University of HamburgD-20246 HamburgGermany

Aim： To characterize the coexpression of survivin, an inhibitor of apoptosis （IAF）, and human telomerase reverse transcriptase （hTERT） in human testes with varying spermatogenic function. Methods： Transcript levels of survivin mRNA and hTERT mRNA were determined in normal testes （n = 11） and testes with defective spermatogenesis （n = 28） using real-time reverse-transcription polymerase chain reaction （RT-PCR）. The histological work-up was performed according to a modified johnsen score. Results： Expressions of both survivin and hTERT were highest at median levels of 96.8 and 709 in normal spermatogenesis and dropped to 53.3 and 534 in testes with postmeiotic spermatogenic arrest （n = 10）. In severe spermatogenic failure （n = 18）, survivin expression was lacking in most specimens （n = 16）, whereas at least low levels of testicular hTERT expression were largely detectable with a normalized expression of 73 in premeiotic spermatogenic arrest （n = 7） and 45 in patients with Sertoli cell-only syndrome （SCOS）（n = 3）. Both survivin and hTERT expressions increased with a progressing johnsen score （P for trend = 0.001）. Conclusion： Although both survivin and hTERT are correlated with spermatogenic function, they show different expression patterns in testes of infertile patients. These findings substantiate results from studies in the rodent testis suggesting a predominant expression of survivin in meiotically dividing germ cells. （Asian j Andro12006 jan; 8： 95-100）

关键词： survivin human telomerase reverse transcriptase apoptosis azoospermia male infertility spermatogenesis

CT diagnosis of recurrence after pancreatic cancer:Is there a pattern?

在线全文

学校读者我要写书评

暂无评论

World journal of Gastroenterology 2011年第9期17卷 1126-1134页

作者： Tobias Heye Nicola Zausig Miriam Klauss Reinhard Singer jens Werner Gtz martin Richter hans-Ulrich Kauczor Lars Grenacher Department of Diagnostic and Interventional Radiology University Hospital Department of Surgery University Hospital Department of Diagnostic and Interventional Radiology Katharinen Hospital

AIM:To investigate predilection sites of recurrence of pancreatic cancer by computed tomography(CT)in follow-up after surgery. METHODS:Seventy seven patients with recurrence after pancreatic cancer surgery were retrospectively *** operative technique,R-status,T-stage and development of tumor markers were evaluated. Two radiologists analyzed CT scans with consensus *** of local recurrence,lymph node recurrence and organ metastases were *** and progression of findings on follow-up CT were con-sidered as reference standard. RESULTS:The mean follow-up interval was 3.9± 1.8 mo,with a mean relapse-free interval of 12.9± 10.4 *** predominant site of recurrence was local (65%),followed by lymph node(17%),liver metastasis (11%)and peritoneal carcinosis(7%).Local recurrence emerged at the superior mesenteric artery(n=28),the hepatic artery(n=8),in an area defined by the surrounding vessels:celiac trunk,portal vein,inferior vena cava(n=22),and in a space limited by the mesenteric artery,portal vein and inferior vena cava(n=17). Lymph node recurrence occurred in the mesenteric root and left lateral to the *** was confirmed by surgery(n=22)and follow-up CT(n=55).Tumor markers[carbohydrate antigen 19-9(CA19-9),carcinoembryonic antigen(CEA)]increased in accordance with signs of recurrence in most cases(86%CA19-9;79.2% CEA). CONCLUSION:Specific changes of local and lymph node recurrence can be found in the course of the cardinal peripancreatic *** superior mesenteric artery is the leading structure for recurrence.

关键词： Pancreatic cancer Recurrence Computed tomography Follow-up Tumor marker