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Associations with pancreatic exocrine insufficiency:An United Kingdom single-centre study

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World Journal of Clinical Cases 2021年第31期9卷 9469-9480页

作者： Benjamin m Shandro Joshua Chen jennifer Ritehnia Andrew Poullis Department of Gastroenterology St George's University Hospitals NHS Foundation TrustLondon SW170QTUnited Kingdom

BACKGROUND Pancreatic exocrine insufficiency(PEI)is said to be associated with numerous conditions both within and outside the gastrointestinal(GI)*** majority of research has been concerned with conditions that reduce the volume of functioning pancreatic tissue or prevent adequate drainage to the small bowel,such as chronic pancreatitis,cystic fibrosis,pancreatic cancer and pancreatic ***,the evidence base supporting an association with extrapancreatic conditions,such as coeliac disease,diabetes mellitus and congestive cardiac failure,is *** To strengthen the evidence base by studying all previously reported associations with PEI in a large cohort of *** A single-centre retrospective study was *** gastroenterology outpatients tested for PEI with faecal elastase-1(FE1)were identified and information retrieved from the electronic patient *** was defined as FE1me replacement therapy were *** imputation was used to handle missing *** logistic regression was used to study which presenting symptoms predicted *** logistic regression was used to explore the relationship between all previously reported associations and *** Of 1027 patients were included.182 patients(17.7%)were diagnosed with ***[odds ratios(OR):2.51,95%confidence intervals(CI):1.58-3.98]and weight loss(OR:1.49,95%CI:1.08-2.06)were the only presenting symptoms that predicted *** pancreatitis(OR:7.98,95%CI:3.95-16.15),pancreatic cancer(OR:6.58,95%CI:1.67-25.98),upper GI surgery(OR:2.62,95%CI:1.32-5.19),type 2 diabetes(OR:1.84,95%CI:1.18-2.87),proton pump inhibitor therapy(OR:1.87,95%CI:1.25-2.80)and Asian ethnicity(OR:2.11,95%CI:1.30-3.42)were significantly associated with PEI in the multivariable *** of the other historically reported associations with PEI were significant after adjustment for the other variable

关键词： Exocrine pancreatic insufficiency Chronic pancreatitis Pancreatic elastase Steatorrhoea Proton pump inhibitors

Investigation of Influencing Parameters for Tribological Conditions in Dry Forming Processes

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Acta metallurgica Sinica(English Letters) 2015年第12期28卷 1435-1441页

作者： jennifer Steiner marion merklein Institute of manufacturing Technology Friedrich-Alexander-Universitat Erlangen-Nürnberg

Environmental awareness and a growing demand for efficient resource utilization encourage the realization of lubricant-free forming processes. A first step in accomplishing dry sheet metal forming is to gain knowledge about the changing tribological conditions and to identify the relevant influencing parameters. The commonly used flat strip drawing test was selected to investigate the tribological conditions in the flange area of deep drawing processes. The influencing factors of contact pressure and varying drawing velocities were analyzed under dry and lubricated conditions. Additionally,the tool and workpiece surfaces were characterized. Besides lubrication, the contact pressure mainly determines the tribological conditions. In lubricated tests higher normal pressure reduces friction, whereas without lubrication higher pressure results in slightly increasing friction. A changing drawing velocity affects the friction when lubricant is applied. In dry experiments, no influence of velocity was found. Results of surface characterization reveal adhesion as main wear mechanism under dry conditions. Based on the investigated influence of the process parameters, an increase in process understanding for dry forming operations is derived.

关键词： Deep drawing Tribology Friction Dry forming

Epidemiology of ovarian cancer:a review

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Cancer Biology & medicine 2017年第1期14卷 9-32页

作者： Brett m.Reid jennifer B.Permuth Thomas A.Sellers Department of Cancer Epidemiology Division of Population SciencesMoffitt Cancer CenterTampa 33612FLUSA

Ovarian cancer(OC) is the seventh most commonly diagnosed cancer among women in the world and the tenth most common in China. Epithelial OC is the most predominant pathologic subtype, with five major histotypes that differ in origination,pathogenesis, molecular alterations, risk factors, and prognosis. Genetic susceptibility is manifested by rare inherited mutations with high to moderate penetrance. Genome-wide association studies have additionally identified 29 common susceptibility alleles for OC, including 14 subtype-specific alleles. Several reproductive and hormonal factors may lower risk, including parity, oral contraceptive use, and lactation, while others such as older age at menopause and hormone replacement therapy confer increased risks. These associations differ by histotype, especially for mucinous OC, likely reflecting differences in etiology. Endometrioid and clear cell OC share a similar, unique pattern of associations with increased risks among women with endometriosis and decreased risks associated with tubal ligation. OC risks associated with other gynecological conditions and procedures, such as hysterectomy,pelvic inflammatory disease, and polycystic ovarian syndrome, are less clear. Other possible risk factors include environmental and lifestyle factors such as asbestos and talc powder exposures, and cigarette smoking. The epidemiology provides clues on etiology,primary prevention, early detection, and possibly even therapeutic strategies.

关键词： Ovarian cancer epidemiology risk factors histology reproductive history

Vulnerability of premyelinating oligodendrocytes to white-matter damage in neonatal brain injury

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Neuroscience Bulletin 2013年第2期29卷 229-238页

作者： Xiao-Bo Liu Yan Shen jennifer m.Plane Wenbin Deng Department of Biochemistry and molecular medicine Institute for Pediatric Regenerative MedicineSchool of MedicineUniversity of California at Davis

Premature birth is a significant economic and public health burden, and its incidence is rising. Periventricular leukomalacia （PVL） is the predominant form of brain injury in premature infants and the leading cause of cerebral palsy. PVL is characterized by selective white-matter damage with prominent oligodendroglial injury. The maturation-dependent vulnerability of developing and premyelinating oligodendrocytes to excitotoxic, oxidative, and inflammatory forms of injury is a major factor in the pathogenesis of PVL. Recent studies using mouse models of PVL reveal that synapses between axons and developing oligodendrocytes are quickly and profoundly damaged in immature white matter. Axon-glia synapses are highly vulnerable to white-matter injury in the developing brain, and the loss of synapses between axons and premyelinating oligodendrocytes occurs before any cellular loss in the immature white matter. microglial activation and astrogliosis play important roles in triggering white-matter injury. Impairment of white-matter development and function in the neonatal period contributes critically to functional and behavioral deficits. Preservation of the integrity of the white matter is likely key in the treatment of PVL and subsequent neurological consequences and disabilities.

关键词： prematurity neonatal brain injury white matter oligodendrocyte myelin periventricular leukomalacia

The Effect of Natural Hazard Damage on manufacturing Value Added and the Impact of Spatiotemporal Data Variations on the Results

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International Journal of Disaster Risk Science 2022年第5期13卷 691-704页

作者： Douglas Thomas jennifer Helgeson National Institute of Standards and Technology GaithersburgMD 20899USA

This study examined the effect of natural hazards on manufacturing industry value added and the sensitivity of the results from changes to spatiotemporal resolution of the *** measured the negative effects of hazards,rather than the net *** models were developed with varying spatio temporal units for the continental United States:annual/county units;annual/state units;and quarterly/state *** simulations were run using each model to estimate the negative effect of damage from all natural hazards on value added across spatiotemporal ***,an investment analysis was conducted to examine the return from public investments in hazard *** results do not demonstrate that,locally,natural hazards reduce value ***,the evidence suggests that natural hazards in the upstream supply chain have statistically significant impact when modeled at the annual/county scale and at the quarterly/state *** local nor supply chain hazards have a statistically significant effect when modeled at the annual/state scale,suggesting that broader spatiotemporal units may obscure the true downstream effects of natural *** investment analysis,utilizing model results,suggests that an investment of USD 100 billion or less is economical if it results in a reduction in losses of 10% or more.

关键词： manufacturing Natural hazards Spatiotemporal impacts United States Value added

Klotho and neurons: mutual crosstalk between autophagy, endoplasmic reticulum, and inflammatory response

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Neural Regeneration Research 2021年第8期16卷 1542-1543页

作者： jennifer mytych Department of Animal Physiology and Reproduction Institute of Biology and BiotechnologyCollegium Scientarium NaturaliumUniversity of RzeszowWerynia 236-100 KolbuszowaPoland

Klotho is one of a number of well-known longevity-associated *** depletion in aging or disease may promote several neuropathologies associated with the central nervous system,including hypomyelination and phosphorylat... 详细信息

关键词： Klotho inflammation reticulum

Fever as the only manifestation of hypersensitivity reactions associated with oxaliplatin in a patient with colorectal cancer Oxaliplatin-induced hypersensitivity reaction

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World Journal of Gastroenterology 2007年第39期13卷 5277-5281页

作者： m Wasif Saif Shailja Roy Leslie Ledbetter jennifer madison Kostas Syrigos Yale University School of medicine New Haven CT 06520 United States University of Alabama at Birmingham Birmingham AL United States Athens medical School Sotiria General HospitalAthens Greece

Hypersensitivity reactions （HSR） to oxaliplatin in patients with colorectal cancer include facial flushing, erythema, pruritis, fever, tachycardia, dyspnea, tongue swelling, rash/hives, headache, chills, weakness, vomiting, burning sensations, dizziness, and edema. We report a patient with fever as the sole manifestation of initial HSR, review the literature and discuss the management of HSR. A 57-year-old female with T3N2m0 rectal adenocarcinoma received modified FOLFOX-6. She tolerated the first 8 cycles without any toxicities except grade 1 peripheral neuropathy and nausea. During 9th and 10th infusions, she developed fever to a maximum of 38.3℃ with stable hemodynamic status despite medications. During 11th infusion, she developed grade 3 HSR consisting of symptomatic bronchospasm, hypotension, nausea, vomiting, cough, and fever. On examination, she was pale, cyanotic, with a temperature of 38.8℃, BP dropped to 95/43 mm Hg, pulse of 116/min and O2 saturation of 88%-91%. She was hospitalized for management and recovered in 24 h. Fever alone is not a usual symptom of oxaliplatin HSR. It may be indicative that the patient may develop serious reactions subsequently, as did our patient who developed hypotension with the third challenge. Treatment and prevention consists of slowing the infusion rate, use of steroids and antagonists of Type 1 and 2 histamine receptor antagonists, whereas desensitization could help to provide the small number of patients who experience severe HSR with the ability to further receive an effective therapy for their colorectal cancer.

关键词： Oxaliplatin Hypersensitivity reaction Fever Colon cancer

Population increase and changes in behavior and morphology in the Critically Endangered Redonda ground lizard(Pholidoscelis atratus)following the successful removal of alien rats and goats

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Integrative Zoology 2021年第3期16卷 379-389页

作者： Colin m.DONIHUE jennifer C.DALTRY Shanna CHALLENGER Anthony HERREL UmR 7179 C.N.R.S/m.N.H.N. Département Adaptations du VivantParisFrance Department of Biology Washington University in St.LouisSt.LouisMissouriUSA Fauna&Flora International David Attenborough BuildingPembroke StreetCambridgeUK Department of Environment St.John’sAntigua Environmental Awareness Group St.John’sAntigua

Redonda is a small volcanic Caribbean island that is home to at least 4 endemic lizard species,including the Critically Endangered ground lizard(Pholidoscelis atratus).Black rats(Rattus rattus)and domestic goats(Capra hircus)were introduced to the island at some time after its discovery by Europeans in the late *** had a devastating effect on the island,resulting in the loss of nearly all trees and most of the ground *** count surveys of *** in 2012 indicated low densities,and the invasive rats were observed hunting and preying on the *** populations of rats and goats were successfully removed in 2017 as part of an ecological restoration program,and native vegetation and invertebrate populations have increased rapidly *** surveys in 2017,2018,and 2019 show the lizard population has increased by more than *** 2017,as rats and goats were being removed,we evaluated the morphology and escape behavior of this species and repeated these measurements 1 year *** observed that *** had become bolder,with a reduced flight *** also detected changes in limb morphology related to locomotion and suggest possible explanations that will need to be further investigated in the *** results show how the removal of invasive species can rapidly affect lizard population recovery and behavior,potentially restoring island ecosystems to their pre-human interference dynamics.

关键词： Antigua and Barbuda Caribbean conservation endangered species invasive alien species island biology Lesser Antilles pest removal

RISK mANAGEmENT IN ENVIRONmENTAL COmPLIANCE:WHAT HAPPENS WHEN YOUR OPERATION IS BEING CONSTRUCTED?

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Journal of Green Building 2014年第3期9卷 37-49页

作者： jennifer Hildebrand Environmental Compliance WSB and AssociatesInc

Nearly forty years after the Clean Water Act(CWA)was passed,we’ve come a long way in our understanding of the strength and fragility of our water resources and the impact that our actions or inactions can have on *** regulatory systems are in place and best management practices(BmPs)are plentiful,successfully managing risk in environmental compliance remains a constant ***,the rules to environmental compliance are simple:half of it is paperwork and the other half is *** you take an organized and balanced approach to compliance,you should be able to keep risk at bay and avoid enforcement ***,remember that no matter how thoroughly you prepare for a construction project,you may still encounter unexpected situations requiring environmental knowledge and *** you start to plan your operation,you should take the time to stop and consider the risk associated with your *** Environmental Protection Agency(EPA)considers risk to be“the chance of harmful effects to human health or to ecological systems resulting from exposure to the environmental stressor.”The“stressors”are a variety of physical,chemical,or biological activities that can cause negative reactions to ecosystems and the environment.1 In order to limit,and hopefully prevent,risky situations,the key is to assess and target the problems that could arise and then implement a system of metrics that help with prevention.

关键词： environmental compliance risk management swppp inspections erosion control ESC plans dewatering stockpiles seeding sediment control erosion prevention