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Prostate cancer upgrading or downgrading of biopsy Gleason scores at radical prostatectomy:prediction of"regression to the mean"using routine clinical features with correlating biochemical relapse rates

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Asian Journal of Andrology 2019年第6期21卷 598-604页

作者： Muammer Altok Patricia Troncoso Mary f Achim Surena f Matin Graciela N Gonzalez john W Davis Department of Urology University of Texas MD Anderson Cancer CenterHoustonTX 77030USA Department of Pathology University of Texas MD Anderson Cancer CenterHoustonTX 77030USA Department of Biostatistics University of Texas MD Anderson Cancer CenterHoustonTX 77030USA.

Recommendations for managing clinically localized prostate cancer are structured around clinical risk criteria,with prostate biopsy(PB)Gleason score(GS)being the most important *** to radical prostatectomy(RP)specimen upgrading/downgrading is welldescribed,and is often the ratio nale for costly imaging or genomic *** prese nt simple,no-cost an a lyses of clinical parametersto predict which GS 6 and GS 8 patients will change to GS 7 at *** May 2006 to December 2012,1590 patientsunderwent robot-assisted radical prostatectomy(RARP).After exclusions,we identified a GS 6 cohort of 374 patients and a GS 8cohort of 91 *** this era,>1000 additional patients were enrolled in an active surveillanee(AS)*** GS 6,265(70.9%)of 374 patients were upgraded,and the cohort included 183(48.9%)patients eligible for AS by the Prostate Cancer ResearchInternational Active Surveillance Study(PRIAS)standards,of which 57.9%were *** features that predicted a>90%chanceof upgrading included≥7 cores positive,maximum foci length≥8 mm in any core,and total tumor involvement≥30%.for GS 8,downgrading occurred in 46(50.5%),which was significantly higher for single core versus multiple cores(80.4%vs 19.6%,P=0.011).Biochemical recurre nee(BCR)occurred in 3.4%of GS 6 upgraded versus 0%non upgraded,and in GS 8,19.6%downgraded versus42.2%nondown *** coun seling men with clin ically localized prostate can cer,the odds of GS cha nge should be presented,andcertain men with high-volume GS 6 or low-volume GS 8 can be counseled with GS 7-based recommendations.

关键词： biopsy down grade Gleas on score prostate cancer upgrade

Overprescription of opioid analgesia is common following ambulatory Otolaryngology—Head and Neck surgery procedures: A multicenter study

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2022年第2期8卷 145-151页

作者： Amr f.Hamour frederick Laliberte Jordan Levy Jason Xu Edward Park Vincent Lin john de Almeida Julie Strychowsky Antoine Eskander Eric Monteiro Department of Otolaryngology-Head and Neck Surgery University of TorontoTorontoOntarioCanada Department of Otolaryngology-Head and Neck Surgery London Health Sciences CentreLondonOntarioCanada Department of Otolaryngology-Head and Neck Surgery Mount Sinai HospitalTorontoOntarioCanada

Background: The rise in the use of prescription opioids for postoperative analgesia within surgery has mirrored an increased trend of opioid-related morbidity within Canada and the United States. This study prospectively studied daily pain levels and medication requirements postoperatively in patients undergoing elective Otolaryngology—Head and Neck surgery ***: Patients were asked to prospectively document their pain level and medication use daily for 7 days postoperatively. A final survey was used to quantify unused medication left at home and clarify each patient's disposal plan. We included patients undergoing elective outpatient or short stay surgeries from three tertiary care centers in Toronto, Ontario from September 2016 to September 2017. Previous opioids users or patients suffering from chronic pain were ***: A final cohort of 56 eligible adult patients were included in the study. The most common procedures were thyroidectomy (n = 19), endoscopic sinus surgery (n= 10), tympanoplasty/ossiculoplasty (n= 7), and cochlear implant (n = 5). Most patients received a prescription for acetaminophen/codeine (n = 29, 51.8%) or acetaminophen/oxycodone (n = 22, 39.3%) and used on average 29% of their initial prescription. Patients most commonly opted to keep their unused narcotics at home (n = 23, 41%). A total of 710 tablets of narcotics were overprescribed in our study population, 351 of which were kept in patients'' home for future ***: There is a clear tendency to overestimate postoperative pain resulting in significant overprescription of opioids among Otolaryngologists.

关键词： analgesia health policy opioid quality improvement quality of life

Superior antibody and membrane protein‑specific T‑cell responses to CoronaVac by intradermal versus intramuscular routes in adolescents

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World Journal of Pediatrics 2024年第4期20卷 353-370页

作者： Jaime S.Rosa Duque Samuel M.S.Cheng Carolyn A.Cohen Daniel Leung Xiwei Wang Xiaofeng Mu Yuet Chung Tsun Ming Lau Manni Wang Wenyue Zhang Yanmei Zhang Howard H.W.Wong Leo C.H.Tsang Sara Chaothai Tsz Chun Kwan john K.C.Li Karl C.K.Chan Leo L.H.Luk Jenson C.H.Ho Wing Yan Li Amos M.T.Lee Jennifer H.Y.Lam Sau Man Chan Wilfred H.S.Wong Issan Y.S.Tam Masashi Mori Sophie A.Valkenburg Malik Peiris Wenwei Tu Yu Lung Lau Department of Paediatrics and Adolescent Medicine The University of Hong KongHong KongChina School of Public Health The University of Hong KongHong KongChina HKU‑Pasteur Research Pole School of Public HealthThe University of Hong KongHong KongChina Research Institute for Bioresources and Biotechnology Ishikawa Prefectural UniversityNonoichiJapan Department of Microbiology and Immunology Peter Doherty Institute for Infectionand ImmunityUniversity of MelbourneMelbourneVICAustralia Center for Immunology and Infection C2i Hong KongChina

Background Optimising the immunogenicity of COVID-19 vaccines to improve their protection against disease is *** dosing by intradermal(ID)administration has been shown to be equally immunogenic as intramuscular(IM)administration for several vaccines,but the immunogenicity of ID inactivated whole severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)at the full dose is *** study(NCT04800133)investigated the superiority of antibody and T-cell responses of full-dose CoronaVac by ID over IM administration in *** Participants aged 11–17 years received two doses of IM or ID vaccine,followed by the 3rd dose 13–42 days *** and cellular immunogenicity outcomes were measured post-dose 2(IM-CC versus ID-CC)and post-dose 3(IMCCC versus ID-CCC).Doses 2 and 3 were administered to 173 and 104 adolescents,*** Spike protein(S)immunoglobulin G(IgG),S-receptor-binding domain(RBD)IgG,S IgG fcγreceptor IIIa(fcγRIIIa)-binding,SNM[sum of individual(S),nucleocapsid protein(N),and membrane protein(M)peptide pool]-specific interleukin-2(IL-2)+CD4^(+),SNM-specific IL-2^(+)CD8^(+),S-specific IL-2^(+)CD8^(+),N-specific IL-2^(+)CD4^(+),N-specific IL-2^(+)CD8^(+)and M-specific IL-2^(+)CD4^(+)responses fulfilled the superior and non-inferior criteria for ID-CC compared to IM-CC,whereas IgG avidity was *** ID-CCC,S-RBD IgG,surrogate virus neutralisation test,90%plaque reduction neutralisation titre(PRNT90),PRNT50,S IgG avidity,S IgG fcγRIIIa-binding,M-specific IL-2^(+)CD4^(+),interferon-γ+CD8^(+)and IL-2^(+)CD8^(+)responses were superior and non-inferior to *** estimated vaccine efficacies were 49%,52%,66%and 79%for IM-CC,ID-CC,IM-CCC and ID-CCC,*** ID groups reported more local,mild adverse *** This is the first study to demonstrate superior antibody and M-specific T-cell responses by ID inactivated SARSCoV-2 vaccination and serves as the basis for future research to improve the

关键词： CoronaVac Coronavirus disease 2019 Immunity Intradermal Vaccine

Magnetic resonance studies of a gas-solids fluidised bed:Jet-jet and jet-wall interactions

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Particuology 2010年第6期8卷 617-622页

作者： Meenal Pore Daniel J.Holland Thusara C.Chandrasekera Christoph R.Müller Andrew J.Sederman john S.Dennis Lynn f.Gladden john f.Davidson Department of Chemical Engineering and Biotechnology University of CambridgePembroke StreetCambridgeCB2 3RAUK Department of Mechanical and Process Engineering ETH ZurichSonneggstrasse 38092 ZurichSwitzerland

Magnetic resonance imaging （MRI） gave images of air jets from orifices in the distributor plate of a bed of poppy seeds. Attention focused on two features：（1） The interaction between nearby vertical jets from two, three or four orifices; （2） Wall effects, where one or more orifices created vertical jets near the vertical wall of the cylinder containing the particle bed. The results show that nearby jets are mutually attracted. Likewise a jet near a wall bends out of the vertical, towards the wall, for multiple adjacent jets, the jet lengths show dependence on orifice layout： the lengths are in reasonable agreement with published measurements, by other methods, for single jets. The MRI gives three-dimensional images of the single jets and of multiple jets, separate or merging.

关键词： fluidised bed MRI Jets Distributor design

Carbon fluxes in soil:long-term sequestration in deeper soil horizons

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Journal of Geographical Sciences 2005年第2期15卷 149-154页

作者： john f.MCCARTHY Department of Earth and Planetary Sciences University of TennesseeKnoxvilleTennesseeUSA

Terrestrial ecosystems represent the second largest carbon reservoir, and the C balance in terrestrial ecosystems can be directly impacted by human activities such as agricultural management practices and land-use changes. This paper focuses on the C-sequestration in soil. Although many studies showed that the concentration of SOC is much higher in the shallow soils (0-30 cm), the deeper horizons represent a much greater mass of soil and represent a huge C-storage pool. The process of preferential retention of more strongly adsorbing components, along with competitive displacement of weakly binding components are the key processes that enhance the movement of organic carbon to deeper soil horizons. DOC represents the most dynamic part of organic carbon in soils, and thus can be used as a timely indicator of the short-term change of C-sequestration. Long-term experiments have demonstrated that higher SOC levels in shallow soils would lead to increased fluxes of DOC to deeper horizons, but more data on a wider range of soils and treatment strategies are needed to fully evaluate the linkages between changes in SOC in shallow soil, vertical fluxes of DOC to deeper soil horizons, and enhanced C-inventories in deeper, slow-turnover SOC pools.

关键词： carbon flux SOC DOC land use and management

Olfactory Dysfunction as an Early Biomarker in Parkinson's Disease

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Neuroscience Bulletin 2017年第5期33卷 515-525页

作者： Michelle E.fullard James f.Morley john E.Duda Parkinson's Disease Research Education and Clinical Center Corporal Michael J. Crescenz VA Medical CenterPhiladelphia PA 19104 USA Department of Neurology University of Pennsylvania School of Medicine Philadelphia PA 19104 USA

Olfactory dysfunction is common in Parkinson＇s disease （PD） and often predates the diagnosis by years, reflecting early deposition of Lewy pathology, the histo- logic hallmark of PD, in the olfactory bulb. Clinical tests are available that allow for the rapid characterization of olfactory dysfunction, including tests of odor identification, discrimination, detection, and recognition thresholds, memory, and tests assessing the build-up of odor intensity across increasing suprathreshold stimulus concentrations. The high prevalence of olfactory impairment, along with the ease and low cost of assessment, has fostered great interest in olfaction as a potential biomarker for PD. Hyposmia may help differentiate PD from other causes of parkinsonism, and may also aid in the identification of ＂pre-motor＂ PD due to the early pathologic involvement of olfactory pathways. Olfactory function is also correlated with other non-motor features of PD and may serve as a predictor of cognitive decline. In this article, we summarize the existing literature on olfaction in PD, focusing on the potential for olfaction as a biomarker for early or differential diagnosis and prognosis.

关键词： Olfaction · Parkinson's disease · Biomarker ·Parkinsonism · Pathology

Artificial nesting habitats as a conservation strategy for turtle populations experiencing global change

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Integrative Zoology 2013年第2期8卷 209-221页

作者： john P.WNEK Walter f.BIEN Harold W.AVERY Department of Biology Drexel UniversityPhiladelphiaPennsylvaniaUSA

Diamondback terrapins(Malaclemys terrapin)inhabit estuaries in eastern USA and may tolerate salinity of seawater for short *** North American estuaries are adversely affected by anthropogenic impacts,such as pollution,dredging and invasion by non-native *** nesting areas have been altered or destroyed,causing terrapins to nest on roadsides and artificial islands made of dredged substrate from bottom *** by non-native plants may suppress development and reduce survival of *** Barnegat Bay,New Jersey,USA,there is a mosaic of natural and degraded terrapin nesting *** investigated the effects of dredge soil and shade on the hatching success of diamondback terrapins to determine whether nesting habitat could be increased by using dredged bottom *** year 1,unshaded nests in natural loamy-sand had the highest hatching success(55.2%),while nests in dredge soil produced no *** year 2,nests in unshaded loamy-sand had a hatching success of 85.3%,whereas those in dredge soil,aged 1 year,had a hatching success of 59.4%.Dredge soil improved as an incubation substrate after aging 1 year by the washout of *** temperatures were generally cool and produced mostly male *** dredge soil may provide suitable nesting substrates for diamondback terrapins if used after one year,and may be particularly beneficial if used for constructing islands that provide new nesting sites with reduced access of mammalian predators.

关键词： dredge estuarine turtles hatching success Malaclemys terrapin nesting ecology nest temperature nest substrate shade

Optomechanical feedback cooling of a 5 mm long torsional mode

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Photonics Research 2023年第12期11卷 2179-2184页

作者： DIANQIANG SU YUAN JIANG PABLO SOLANO LUIS A.OROZCO john LAWALL YANTING ZHAO State Key Laboratory of Quantum Optics and Quantum Optics Devices Institute of Laser SpectroscopyShanxi UniversityTaiyuan 030006China Collaborative Innovation Center of Extreme Optics Shanxi UniversityTaiyuan 030006China Departamento de fı´sica Facultad de Ciencias Fı´sicas y MatemáticasUniversidad de ConcepciónConcepciónChile CIfAR Azrieli Global Scholars Program CIFARTorontoOntario M5G 1M1Canada Joint Quantum Institute Department of Physics and NISTUniversity of MarylandCollege ParkMaryland 20742USA National Institute of Standards and Technology GaithersburgMaryland 20899USA

We report three orders of magnitude optical cooling of the fundamental torsional mode of a 5 mm long,550 nm diameter optical *** rotation of the nanofiber couples to the polarization of guided laser *** use a weak laser probe to monitor the rotation and use feedback to modulate the polarization of an auxiliary drive laser providing *** results present a tool for the optomechanical control of large-scale torsional resonators,with metrological applications and potential implications for studying macroscopic objects in quantum states.

关键词： polarization laser fiber

fructose-sorbitol ingestion provokes gastrointestinal symptoms in patients with eating disorders

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World Journal of Gastroenterology 2009年第42期15卷 5295-5299页

作者： Noel friesen Ross D Hansen Suzanne f Abraham john E Kellow Department of Obstetrics and Gynaecology Royal North Shore HospitalUniversity of SydneySydney 2065Australia Department of Gastroenterology Royal North Shore HospitalUniversity of SydneySydney 2065Australia

AIM:To evaluate gastrointestinal(GI) symptoms and breath hydrogen responses to oral fructose-sorbitol(f-S) and glucose challenges in eating disorder(ED) ***:GI symptoms and hydrogen breath concentration were monitored in 26 female ED inpatients for 3 h,following ingestion of 50 g glucose on one day,and 25 g fructose/5 g sorbitol on the next day,after an overnight fast on each *** to f-S were compared to those of 20 asymptomatic healthy ***:f-S provoked GI symptoms in 15 ED patients and one healthy control(P f-S response) .A greater symptom response was observed in ED patients with a body mass index(BMI) ≤ 17.5 kg/m 2 compared to those with a BMI > 17.5 kg/m 2(P fferences in psychological scores,prevalence of functional GI disorders or breath hydrogen responses between patients with and without an f-S ***:f-S,but not glucose,provokes GI symptoms in ED patients,predominantly those with low *** findings are important in the dietary management of ED patients.

关键词：胃肠道疾病症状表现山梨糖醇饮食管理患者果糖失调摄取