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Frontiers of Education in China 2018年第3期13卷 346-374页

作者： Caroline m.mUSYImI joseph mALECHWANZI LUO Heng Department of Engineering Coast Institute of TechnologyVoi 80300Kenya School of Educational Information Technology Central China Normal UniversityWuhan 430079China

This study explores the impact of China’s Belt and Road Initiative on improving vocational education quality and employment rates in Kenya through a collaborative educational program known as the Kenya-China Technical and Vocational Education and Training(TVET)*** opinions and narratives of teachers and students with vibrant knowledge of the project were analyzed through the theoretical lenses of globalization and *** results show that the Kenya-China TVET Project has improved Kenyan TVET classrooms with modern equipment to meet industrial standards and allowed essential skills to be developed through various collaborative opportunities with Chinese *** minor challenges and obstacles,early evidence suggests benefits brought by the project including increased self-employment,a growth in Kenya’s manufacturing,and more mutual understanding between the two countries.

关键词： Technical and Vocational Education and Training(TVET) the Belt and Road Initiative(BRI) educational collaboration employment Kenya

Accelerated neutral atom beam(ANAB)and gas clustered ion beam(GCIB)treatment of implantable device polymers leads to decreased bacterial attachment in vitro and decreased inflammation in vivo

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再生工程(英文) 2023年第3期4卷 257-264页

作者： joseph Khoury Ti Zhang David B.Earle m.Laird Forrest Exogenesis Corporation BillericaMA 01821USA Department of Pharmaceutical Chemistry School of PharmacyThe University of KansasLawrenceKS 66047USA Surgical Services Tufts UniversityLowell General HospitalLowellMA 01854USA

Infections at the placement site of biomaterial-based devices and subsequent scar formation results in morbidity,which may require revision *** intended for permanent implantation in the body need to be biologically inert to avoid excessive foreign body response and to reduce bacterial *** this study,we show that polymeric materials commonly used in medical devices,including polyetheretherketone(PEEK)and polypropylene,treated by gas cluster ion beam(GCIB)or by accelerated neutral atom beam(ANAB)result in a nanoscale-modified surface topography that changes the ability of extracellular proteins to *** leads to decreased bacterial attachment and an attenuated inflammatory response using both in vitro and in vivo *** adsorption of extracellular proteins to the polymeric surface improved the competitive attachment of osteoblasts over bacteria,without resorting to growth factor of antibiotic use.

关键词： Biofilm formation Surgical mesh Biomaterial surface Biomedical device Inflammation

Pediatric bowel preparation: Sodium picosulfate, magnesium oxide, citric acid vs polyethylene glycol, a randomized trial

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World Journal of Gastroenterology 2020年第40期26卷 6260-6269页

作者： Carmen Cuffari Steven L Ciciora masakazu Ando mena Boules joseph m Croffie Department of Pediatrics The Johns Hopkins School of MedicineBaltimoreMD 21287United States Department of Pediatrics The Ohio State University College of MedicineColombusOH 43205United States Department of Statistics Ferring Pharmaceuticals IncParsippanyNJ 07054United States Department of medical Affairs Ferring Pharmaceuticals IncParsippanyNJ 07054United States Department of Pediatrics Indiana University School of MedicineIndianapolisIN 46202United States

BACKGROUND Bowel preparation in children can be *** To describe the efficacy, safety, and tolerability of sodium picosulfate, magnesium oxide, and citric acid(SPmC) bowel preparation in *** Phase 3, randomized, assessor-blinded, multicenter study of low-volume, divided dose SPmC enrolled children 9-16 years undergoing elective colonoscopy. Participants 9-12 years were randomized 1:1:1 to SPmC ? dose × 2, SPmC 1 dose × 2, or polyethylene glycol(PEG). Participants 13-16 years were randomized 1:1 to SPmC 1 dose × 2 or PEG. PEG-based bowel preparations were administered per local protocol. Primary efficacy endpoint for quality of bowel preparation was responders(rating of ‘excellent' or ‘good') by modified Aronchick Scale. Secondary efficacy endpoint was participant's tolerability and satisfaction from a 7-item questionnaire. Safety assessments included adverse events(AEs) and laboratory *** 78 participants were randomized, 48 were 9-12 years, 30 were 13-16 years. For the primary efficacy endpoint in 9-12 years, 50.0%, 87.5%, and 81.3% were responders for SPmC ? dose × 2, SPmC 1 dose × 2, and PEG groups, respectively. Responder rates for 13-16 years were 81.3% for SPmC 1 dose × 2 and 85.7% for PEG. Overall, 43.8% of participants receiving SPmC 1 dose × 2 reported it was ‘very easy' or ‘easy' to drink, compared with 20.0% receiving PEG. Treatment-emergent AEs were reported by 45.5% of participants receiving SPmC 1 dose × 2 and 63.0% receiving *** SPmC was an efficacious and safe for bowel preparation in children 9-16 years, with comparable efficacy to PEG. Tolerability for SPmC was higher compared to PEG.

关键词： Children Colonoscopy Colon cleansing Sodium picosulfate magnesium oxide and citric acid Polyethylene glycol

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Erythema nodosum

World Journal of Pediatrics 2018年第6期14卷 548-554页

作者： Alexander K.C.Leung Kin Fon Leong joseph m.Lam Department of Pediatrics The Alberta Children's HospitalThe University of Calgary#200233-16th Avenue NWCalgaryAB T2M 0H5Canada Pediatric Institute Kuala Lumpur General HospitalKuala LumpurMalaysia Department of Pediatrics and Department of Dermatology and Skin Sciences University of British ColumbiaVancouverBCCanada

Background Erythema nodosum can be associated with a number of systemic diseases. There is, however, a paucity of information in the pediatric literature on this condition. The purpose of this article is to familiarize pediatricians with the evaluation, diagnosis, and treatment of erythema nodosum. Data sources A Pubmed search was completed in Clinical Queries using the key terms 'erythema nodosum'. Results Clinically, erythema nodosum presents with a sudden onset of painful, erythematous, subcutaneous nodules mainly localized to the pretibial areas. Lesions are usually bilateral and symmetrical, ranging from 1 to 5 cm in diameter. Erythema nodosum may be associated with a variety of conditions such as infection, medications, sarcoidosis, pregnancy, inflamma-tory bowel disease, vaccination, autoimmune disease, malignancy, and miscellaneous causes. The condition is idiopathic in approximately 50% of cases. The diagnosis is mainly clinical with biopsy reserved for atypical cases. To evaluate for the underlying cause, some basic laboratory screening studies are worthwhile in most cases and include a complete blood cell count, erythrocyte sedimentation rate and/or C-reactive protein, throat swab culture, antistreptococcal O titers, and a chest radiograph. Other tests should be individualized, guided by the history and physical examination results. most cases of ery-thema nodosum are self-limited and require no treatment. Bed rest and leg elevation are generally recommended to reduce the discomfort. Nonsteroidal anti-inflammatory drugs are the first-line treatment for pain management. Conclusions As erythema nodosum is often a cutaneous manifestation of a systemic disease, a thorough search should be performed to reveal the underlying cause.

关键词： Drug-induced Group A β-hemolytic streptococcal infection Sarcoidosis Subcutaneous pretibial nodules Tuberculosis Yersinia infection

Simultaneous pancreas-kidney transplantation for end-stage renal failure in type 1 diabetes mellitus: Current perspectives

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World Journal of Transplantation 2023年第5期13卷 208-220页

作者： Lakshmi Nagendra Cornelius James Fernandez joseph m Pappachan Department of Endocrinology JSS Medical CollegeJSS Academy of Higher Education and ResearchMysore 570015India Department of Endocrinology&metabolism Pilgrim HospitalUnited Lincolnshire Hospitals NHS TrustBoston PE219QSUnited Kingdom Department of Endocrinology and metabolism Lancashire Teaching Hospitals NHS TrustPreston PR29HTUnited Kingdom Faculty of Science Manchester Metropolitan UniversityManchester M156BHUnited Kingdom Faculty of Biology Medicine and HealthThe University of ManchesterManchester M139PLUnited Kingdom

Type 1 diabetes mellitus(T1Dm)is one of the important causes of chronic kidney disease(CKD)and end-stage renal failure(ESRF).Even with the best available treatment options,management of T1Dm poses significant challenges for clinicians across the world,especially when associated with CKD and *** increases in morbidity and mortality along with marked rise in treatment costs and marked reduction of quality of life are the usual consequences of onset of CKD and progression to ESRF in patients with *** pancreas-kidney transplant(SPK)is an attractive and promising treatment option for patients with advanced CKD/ESRF and T1Dm for potential cure of these diseases and possibly several ***,limited availability of the organs for transplantation,the need for long-term immunosuppression to prevent rejection,peri-and post-operative complications of SPK,lack of resources and the expertise for the procedure in many centers,and the cost implications related to the surgery and postoperative care of these patients are major issues faced by clinicians across the *** clinical update review compiles the latest evidence and current recommendations of SPK for patients with T1Dm and advanced CKD/ESRF to enable clinicians to care for these diseases.

关键词： Type 1 diabetes mellitus Chronic kidney disease End-stage renal failure Simultaneous pancreas-kidney transplantation Perioperative complications Immunosuppression

management of borderline and locally advanced pancreatic cancer:Where do we stand?

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World Journal of Gastroenterology 2014年第9期20卷 2255-2266页

作者： Jin He Andrew J Page matthew Weiss Christopher L Wolfgang joseph m Herman Timothy m Pawlik Department of Surgery Johns Hopkins Hospital Baltimore MD 21287 United States Department of Radiation Oncology Johns Hopkins Hospital Baltimore MD 21287 United States

many patients with pancreas cancer present with locally advanced pancreatic cancer(LAPC).The principle tools used for diagnosis and staging of LAPC include endoscopic ultrasound,axial imaging with computed tomography and magnetic resonance imaging,and diagnostic *** definition of resectability has historically been vague,as there is considerable debate and controversy as to the definition of *** the patient with LAPC,there is some level of involvement of the surrounding vascular structures,which include the superior mesenteric artery,celiac axis,hepatic artery,superior mesenteric vein,or portal *** feasible,most surgeons would recommend possible surgical resection for patients with borderline LAPC,with the goal of an R0 *** initially unresectable LAPC,neoadjuvant should be strongly ***,these patients should be offered neoadjuvant therapy,and the tumor should be assessed for possible response and eventual *** efficacy of neoadjuvant therapy with this approach as a bridge to potential curative resection is broad,ranging from 3%-79%.The different modalities of neoadjuvant therapy include sin-gle or multi-agent chemotherapy combined with radiation,chemotherapy alone,and chemotherapy followed by chemotherapy with *** review focuses on patients with LAPC and addresses recent advances and controversies in the field.

关键词： Pancreas Locally advanced Chemotherapy Radiation Irreversible electroporation Pancreatic cancer

Electro-acupuncture to prevent prolonged postoperative ileus:A randomized clinical trial

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World Journal of Gastroenterology 2010年第1期16卷 104-111页

作者： m Kay Garcia joseph S Chiang Bob Thornton J Lynn Palmer Jennifer mcQuade Lorenzo Cohen Department of Anesthesiology and Pain medicine/Integrative medicine M.D.Anderson Cancer CenterThe University of Texas Department of Anesthesiology and Pain medicine M.D.Anderson Cancer CenterThe University of Texas Department of Palliative Care and Rehabilitation medicine M.D.Anderson Cancer CenterThe University of Texas Department of Behavioral Science M.D.Anderson Cancer CenterThe University of Texas Department of GI medical Oncology M.D. Anderson Cancer CenterThe University of Texas

AIm:To examine whether acupuncture can prevent prolonged postoperative ileus(PPOI)after intraperitoneal surgery for colon cancer. mETHODS:Ninety patients were recruited from the Fudan University Cancer Hospital,Shanghai,China. After surgery,patients were randomized to receive acupuncture(once daily,starting on postoperative day 1, for up to six consecutive days)or usual *** was defined as an inability to pass flatus or have a bowel movement by 96 h after *** main outcomes were time to first flatus,time to first bowel movement, and *** outcomes were quality of life(QOL)measures,including pain, nausea,insomnia,abdominal distension/fullness,and sense of well-being. RESULTS:No significant differences in PPOI on day 4 (P=0.71)or QOL measures were found between the *** were also no group differences when the data were analyzed by examining those whose PPOI had resolved by day 5(P=0.69)or day 6(P= 0.88).No adverse events related to acupuncture were reported. CONCLUSION:Acupuncture did not prevent PPOI andwas not useful for treating PPOI once it had developed in this population.

关键词： Acupuncture Gastrointestinal motility Gastrointestinal disorders Gastrointestinal neoplasms

Gianotti-Crosti syndrome(papular acrodermatitis of childhood)in the era of a viral recrudescence and vaccine opposition

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World Journal of Pediatrics 2019年第6期15卷 521-527页

作者： Alexander K.C.Leung Consolato maria Sergi joseph m.Lam Kin Fon Leong Department of Pediatrics The University of CalgaryCalgaryCanada The Alberta Children's Hospital #200233-16th Avenue NWCalgaryAB T2M OH5Canada The University of Alberta EdmontonABCanada Departments of Pediatrics Dermatology and Skin SciencesUniversity of British ColumbiaVancouverBCCanada Pediatric Institute Kuala Lumpur General HospitalKuala LumpurMalaysia

Background Gianotti-Crosti syndrome is characterized by an acute onset of a papular or papulovesicular eruption with a symmetrical *** sources A Pubmed search was conducted using Clinical Queries with the key terms"Gianotti-Crosti syndrome"OR"papular acrodermatitis".The search strategy included meta-analyses,randomized controlled trials,clinical trials,observa-tional studies,and *** paper is based on,but not limited to,the search *** The eruption of Gianotti-Crosti syndrome is found predominantly on the cheeks,extensor surfaces of the extremities,and *** is a sparing of antecubital and popliteal fossae as well as palms,soles,and mucosal *** often asymptomatic,the lesions may be mildly to moderately ***-Crosti syndrome is most common in children between 1 and 6 years of *** Epstein-Barr virus and the hepatitis B virus are the most common pathogens associated with Gianotti-Crosti *** treatment for Gianotti-Crosti syndrome is necessary because it is *** an era of vaccine hesitancy and refusal,Gianotti-Crosti syndrome may be important to mention to parents,because it can occur and trigger *** Gianotti-Crosti syndrome is mainly a disease of early childhood,characterized by an acute onset of a papular or papulovesicular eruption with a symmetrical *** the advent of more universal vaccination against hepatitis B virus,Epstein-Barr virus has become the most common etiologic agent of Gianotti-Crosti *** cases of post-vaccination Gianotti-Crosti syndrome have been ***,the emphasis should be placed on its self-limiting attribution.

关键词： Epstein-Barr virus Hepatitis B virus Papular acrodermatitis Papular symmetrical eruption

Expansion of GARP-Expressing CD4^(+)CD25^(-)FoxP3^(+)T Cells and SATB1Association with Activation and Coagulation in Immune Compromised HIV-1-Infected Individuals in South Africa

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Virologica Sinica 2021年第5期36卷 1133-1143页

作者： Eman Teer Danzil E.joseph Leanne Dominick Richard H.Glashoff m.Faadiel Essop Centre for Cardio-metabolic Research in Africa(CARmA) Department of Physiological SciencesStellenbosch UniversityStellenbosch 7600South Africa Division of medical microbiology and Immunology Department of PathologyStellenbosch University and NHLSCape Town 7505South Africa

Although antiretroviral treatment lowers the burden of human immunodeficiency virus(HIV)-related disease,it does not always result in immunological *** manifests as persistent chronic inflammation,immune activation or exhaustion that can promote the onset of *** the exact function of regulatory T(Treg)cells in HIV remains unclear,this cross-sectional study investigated three expression markers(Forkhead box protein P3[FOXP3],glycoprotein A repetitions predominant[GARP],special AT-rich sequence binding protein 1[SATB1])and compared their expansion between CD4^(+)CD25^(-)and CD4^(+)CD25^(++)T ***-matched study subjects were recruited(Western Cape,South Africa)and sub-divided:HIV-negative subjects(n=12),HIV-positive na(i|")ve treated(n=22),HIV-positive treated based on CD4 count cells/μL(CD4>500 and CD4mL(VL1000)(n=34).markers of immune activation(CD38)and coagulation(CD142)on T cells(CD8)were assessed by flow cytometry together with FOXP3,GARP and SATB1 expression on CD4^(+)CD25^(-)and CD4^(+)CD25^(++)T *** levels of interleukin-10(IL-10;anti-inflammatory marker),IL-6(inflammatory marker)and D-dimer(coagulation marker)were *** study revealed three major findings in immuno-compromised patients with virological failure(CD41000):(1)the expansion of the unconventional Treg cell subset(CD4^(+)CD25^(-)FOXP3^(+))is linked with disease progression markers;(2)increased GARP expression in the CD4^(+)CD25^(-)and CD4^(+)CD25^(++)subsets;and(3)the identification of a strong link between CD4^(+)CD25^(-)SATB1+cells and markers of immune activation(CD8^(+)CD38^(+))and coagulation(CD8^(+)CD142^(+)and D-dimer).

关键词： Human immunodeficiency virus(HIV) Regulatory T cells(Treg) Immune activation Progression markers Glycoprotein A repetitions predominant(GARP) Forkhead box protein P3(FOXP3)

Pregnancy and metabolic-associated Fatty Liver Disease:A Clinical Update

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Journal of Clinical and Translational Hepatology 2022年第5期10卷 947-954页

作者： Sherouk Fouda madhu mathew Vennikandam joseph m.Pappachan Cornelius J.Fernandez School of Health and Biomedical Sciences RMIT UniversityMelbourneVICAustralia Department of Gastroenterology and Hepatology Sparrow HospitalMichigan State University College of Human MedicineLansingMIUSA Department of Endocrinology and metabolism Lancashire Teaching Hospitals NHS TrustPrestonUK Faculty of Science Manchester Metropolitan UniversityManchesterUK Faculty of Biology Medicine and HealthThe University of ManchesterManchesterUK Department of Endocrinology&metabolism Pilgrim HospitalBostonUK

The intricate relationship between metabolic-associated fatty liver disease(mAFLD)and maternal complications has rapidly become a significant health threat in pregnant *** presence of mAFLD in pregnancy increases the maternal risk of metabolic complications and comorbidities for both mother and *** preexistence or development of mAFLD in pregnancy is a complex multifactorial disorder that can lead to further complications for mother and ***,as pregnant women are severely underrepresented in clinical research,there is a great need for a fair inclusion of this group in clinical *** review aims to explore the effects of mAFLD during pregnancy in the context of maternal complications and outcomes and explore the effects of pregnancy on the development and progression of mAFLD within the context of maternal obesity,altered metabolic profiles,gestational diabetes and altered hormonal *** also addressed potential implications for the presence of mAFLD during pregnancy and its management in the clinical setting.

关键词： metabolic-associated fatty liver disease Pregnancy maternal complications Fatty liver