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Delphi study for developing a checklist of adverse events associated with acupotomy

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Journal of Integrative Medicine 2024年第5期22卷 579-587页

作者： Hyungsun Jun Haebeom lee Sang-Hoon Yoon Chan-Young Kwon Damin Jeon Jun-Hwan lee Jungtae leem Department of Diagnostics College of Korean Medicine Wonkwang University 7Days Inc. Chung-Yeon Korean Medicine Clinic Department of Oriental Neuropsychiatry Dong-Eui University College of Korean Medicine Chonnam National University Hwasun Hospital km Science Research Division Korea Institute of Oriental Medicine Department of Korean Convergence Medical Science KIOM School University of Science & Technology (UST) Department of Physical Medicine and Rehabilitation Spaulding Rehabilitation Hospital Harvard Medical School Research Center of Traditional Korean Medicine College of Korean Medicine Wonkwang University

Background: Acupotomy, a more invasive procedure than acupuncture, involves the use of a thicker needle with an integrated knife at the tip, necessitating safety research. We aimed to define relevant adverse events(AEs) and create a standardized form of the ACUPOtomy-related AEs CHECKlist(ACUPOCHECK).Methods: Before conducting the Delphi process, a systematic review and pilot prospective study were conducted to gather information on previously reported AEs. Using these data, pilot versions of the ACUPOCHECK and Delphi questionnaires were developed. The Delphi questionnaire involved selecting types of AE for inclusion, establishing separate criteria for acupotomy-related AEs, and achieving a consensus on AE assessment. Thirteen Korean doctors with experience in acupotomy or AE research were recruited to participate in each Delphi round. Consensus was considered to have been reached if the critical value for the content validity ratio met or exceeded ***: The final ACUPOCHECK was developed using four rounds of the Delphi method and one face-toface consensus meeting. It included 12 local AEs(pain, hemorrhage, bruise, hematoma, edema, pruritus,rash, infection, nerve damage, dysesthesia, movement impairment, and pneumothorax) and 14 systemic AEs(disease aggravation, needle fatigue, sleepiness, procedural nausea, procedural vomiting, procedural headache, procedural dizziness, sweating, procedural shock, syncope, dyspnea, procedural pain, sleep disorder, and postprocedural infection). Separate criteria were established for pain, hemorrhage and bruising: pain was defined as pain that occurrs during daily activities and persists for longer than 72 h,hemorrhage as bleeding that continues for ≥ 3 min despite pressure application, and bruising as having a bruise with a diameter of ≥ 3 cm. Open-ended descriptions were allowed for AEs not covered by the checklist, and severity and causality were assessed using the Common Terminology Criteria for Adverse Events and modif

关键词： Acupotomy Delphi technique Patient safety Safety management Adverse event

RUFY4 deletion prevents pathological bone loss by blocking endo-lysosomal trafficking of osteoclasts

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Bone Research 2024年第2期12卷 407-420页

作者： Minhee Kim Jin Hee Park Miyeon Go Nawon lee Jeongin Seo Hana lee Doyong Kim Hyunil Ha Taesoo Kim Myeong Seon Jeong Suree Kim Taesoo Kim Han Sung Kim Dongmin Kang Hyunbo Shim Soo Young lee Department of Life Science Ewha Womans UniversitySeoul 03760South Korea The Research Center for Cellular Homeostasis Ewha Womans UniversitySeoul 03760South Korea Department of Biomedical Engineering Yonsei UniversityWonju 26493South Korea km Convergence Research Division Korea Institute of Oriental MedicineDaejeon 34054South Korea Chuncheon Center Korea Basic Science InstituteChuncheon 24341South Korea Fluorescence Core Imaging Center and Bioimaging Data Curation Center Ewha Womans UniversitySeoul 03760South Korea Multitasking Macrophage Research Center Ewha Womans UniversitySeoul 03760South Korea

Mature osteoclasts degrade bone matrix by exocytosis of active proteases from secretory lysosomes through a ruffled ***,the molecular mechanisms underlying lysosomal trafficking and secretion in osteoclasts remain largely ***,we show with GeneChip analysis that RUN and FYVE domain-containing protein 4(RUFY4)is strongly upregulated during *** lacking Rufy4 exhibited a high trabecular bone mass phenotype with abnormalities in osteoclast function in ***,deleting Rufy4 did not affect osteoclast differentiation,but inhibited bone-resorbing activity due to disruption in the acidic maturation of secondary lysosomes,their trafficking to the membrane,and their secretion of cathepsin K into the extracellular ***,RUFY4 promotes late endosome-lysosome fusion by acting as an adaptor protein between Rab7 on late endosomes and LAMP2 on primary ***,Rufy4-deficient mice were highly protected from lipopolysaccharide-and ovariectomy-induced bone ***,RUFY4 plays as a new regulator in osteoclast activity by mediating endo-lysosomal trafficking and have a potential to be specific target for therapies against bone-loss diseases such as osteoporosis.

关键词： osteoclast inhibited traffic

NOVEL ANTI-ANGIOGENIC ACTIVITIES OF A TRITERPENOID DEOXYACTEIN FROM CIMICIFUGA FOETIDA

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World Journal of Traditional Chinese Medicine 2015年第4期1卷 95-95页

作者： GraceGL Yue julia km lee Hin-Fai Kwok Yin Nian Ming-Hua Qiu Clara BS Lau Institute of Chinese Medicine State Key Laboratory of Phytochemistry and Plant Resources in West China The Chinese University of Hong Kong Institute of Chinese Medicine The Chinese University of Hong Kong State Key Laboratory of Phytochemistry and Plant Resources in West China Kunming Institute of BotanyChinese Academy of Sciences

Deoxyactein(DA)is a triterpenoid isolated from the root of Cimicifuga foetida which is a source of traditional Chinese herb'shengma'and is traditionally used as an antipyretic and analgesic *** studies showed that DA ... 详细信息

关键词： NOVEL ANTI-ANGIOGENIC ACTIVITIES OF A TRITERPENOID DEOXYACTEIN FROM CIMICIFUGA FOETIDA

COMBINED EFFECTS OF METRONOMIC ZOLEDRONATE WITH CORIOLUS VERSICOLOR IN A METASTATIC BREAST TUMOR MOUSE MODEL

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World Journal of Traditional Chinese Medicine 2015年第4期1卷 94-94页

作者： Grace GL Yue Chun-Hay Ko Si Gao julia km lee Hin-Fai Kwok Jeng-Sum Kung Lin Li Kwok-Pui Fung Ping-Chung Leung Gang Li Andreas Evdokiou Clara BS Lau Institute of Chinese Medicine State Key Laboratory of Phytochemistry and Plant Resources in West China (CUHK) Institute of Chinese Medicine The Chinese University of Hong Kong Department of Surgery School of Biomedical Sciences Department of Orthopaedics and Traumatology The Chinese University of Hong Kong Discipline of Surgery and Orthopaedics Basil Hetzel Institute University of Adelaide

Incidence of breast cancer is high in women worldwide and mortality usually results from tumor *** chemotherapeutic,such as zoledronate(ZOL),has been used in metastatic breast cancer mainly for skeletal *** previous s... 详细信息

关键词： CV COMBINED EFFECTS OF METRONOMIC ZOLEDRONATE WITH CORIOLUS VERSICOLOR IN A METASTATIC BREAST TUMOR MOUSE MODEL

Cold-temperature deformation of nano-sized tungsten and niobium as revealed by in-situ nano-mechanical experiments

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Science China(Technological Sciences) 2014年第4期57卷 652-662页

作者： lee Seok-Woo CHENG YinTong RYU Ill GREER julia R. Division of Engineering and Applied Science California Institute of Technology School of Engineering Brown University

We constructed and developed an in-situ cryogenic nanomechanical system to study small-scale mechanical behavior of materials at low temperatures. Uniaxial compression of two body-centered-cubic （bcc） metals, Nb and W, with diameters between 400 and 1300 rim, was studied at room temperature and at 165 K. Experiments were conducted inside of a Scanning Electron Microscope （SEM） equipped with a nanomechanical module, with simultaneous cooling of sample and diamond tip. Stress-strain data at 165 K exhibited higher yield strengths and more extensive strain bursts on average, as compared to those at 298 K. We discuss these differences in the framework of nano-sized plasticity and intrinsic lattice resistance. Dislocation dynamics simulations with surface-controlled dislocation multiplication were used to gain insight into size and temperature effects on deformation of nano-sized bcc metals.

关键词： dislocation plasticity metal nanopillar cryogenics

Effect of long-acting testosterone undecanoate treatment on quality of life in men with testosterone deficiency syndrome： a double blind randomized controlled trial

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Asian Journal of Andrology 2012年第4期14卷 604-611页

作者： Seng-Fah Tong Chirk-Jenn Ng Boon-Cheok lee Verna-km lee Ee-Ming Khoo Eng-Giap lee Hui-Meng Tan Universiti Kebangsaan Malaysia Kuala Lumpur 56000Malaysia University of Malaya Lumpur 56000Malaysia Sime Darby Medical Centre Selangor 47500Malaysia International Medical University Kuala Lumpur 57000Malaysia

This study aimed to investigate the effect of intramuscular injection of testosterone undecanoate on overall quality of life （QoL） in men with testosterone deficiency syndrome （TDS）. A randomized controlled trial over a 12-month period was carried out in 2009. One hundred and twenty men aged 40 years and above with a diagnosis of TDS （serum total testosterone 〈12 nmol 1-1 and total Aging Male Symptom （AMS） scores ≥ 27） were invited to participate. Interventions comprised intramuscular injection of either placebo or 1000 mg testosterone undecanoate, given at weeks O, 6, 18, 30 and 42. This paper presents the secondary analysis of QoL changes measured in the scores of Short-Form-12 （SF-12） scale at baseline, weeks 30 and 48 after the first injection. A total of 56/60 and 58/60 men from the active treatment and placebo group, respectively, completed the study. At week 48, before adjusting for baseline differences, the QoL of men in the treatment group improved significantly in five out of the eight domains on SF-12. The physical health composite scores improved 4.0 points from a baseline of 41.9±7.0 in the treatment group compared to 0.8 point from a baseline of 43.7--7.1 in the placebo group （F=3.652, P=0.027）. The mental health composite scores improved 4.4 points from a baseline of 37.1±9.0 in the treatment group compared to 1.0 points from a baseline of 37.6±7.9 in the placebo group （F=4.514, P=-0.018）. After adjusting for baseline differences, significant improvement was observed in mental health composite scores, but not in physical health composite scores. LQng-acting testosterone undecanoate significanUy improved the mental health component of QoL in men with TDS.

关键词： hypogonadism randomized controlled trial quality of life testosterone deficiency syndrome (TDS) testosterone therapy

Characteristics of Biopellets Manufactured from Various Lignocellulosic Feedstocks as Alternative Renewable Energy Sources

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Journal of Renewable Materials 2024年第6期12卷 1103-1123页

作者： Anggara Ridho Putra Apri Heri Iswanto Arif Nuryawan Saptadi Darmawan ElvaraWindra Madyaratri Widya Fatriasari lee Seng Hua Petar Antov Harisyah Manurung Ade Pera Amydha Sudrajat Herawati Pendi Department of Forest Products Faculty of ForestryUniversitas Sumatera Utara.Kampus USU Padang BulanMedan20155Indonesia Research Center for Biomass and Bioproducts National Research and Innovation Agency(BRIN)Jl Raya Bogor KM 46 CibinongBogor16911Indonesia Department of Wood Industry Faculty of Applied SciencesUniversiti Teknologi MARA(UiTM)Cawangan Pahang Kampus JengkaShah Alam26400Malaysia Faculty of Forest Industry University of ForestrySofia1797Bulgaria

The increased valorization of renewable and cost-effective lignocellulosic feedstocks represents a viable,sustainable,and eco-friendly approach toward the production of biopellets as alternative energy *** aim of this research work was to investigate and evaluate the feasibility of using various lignocellulosic raw materials,i.e.,raru(Cotylelobium melanoxylon),mangrove(Rhizophora spp.),sengon(Paraserianthes falcataria),kemenyan toba(Styrax sumatrana),oil palm(Elaeis guineensis),manau rattan(Calamus manan),and belangke bamboo(Gigantochloa pruriens)for manufacturing biopellets with different particle *** raw materials used were tested for their moisture content,specific gravity,ash,cellulose,and lignin *** addition,thermal analyses,i.e.,calorific values,thermogravimetric analysis(TGA),and differential scanning calorimetry(DSC),were *** following properties of the biopellets produced were investigated:moisture content,volatile matter,ash content,fixed carbon,density,and thermal *** on an analysis of the raw materials,raru had the lowest moisture content(12%)and ash content(1.5%)and the highest specific gravity(1.2).Markedly,palm oil stem had the highestα-cellulose(55%)and lignin(37%)*** accordance with the SNI 8675:2018 standard requirements,biopellets with optimal properties(moisture content of 1.4%,ash content of 0.79%,density of 1.09 g/m^(3),calorific value of 4672 cal/g,and TGA residue of 13.9%),were manufactured from raru wood.

关键词： Biomass biopellet renewable energy particle size

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Molecular Plant 2012年第1期5卷 115-130页

作者： Stefanie Ranf julia Grimmer Yvonne P6schl Pascal Pecher Delphine Chinchilla Dierk Scheel Justin lee Leibniz Institute of Plant Biochemistry Stress and Developmental Biology Weinberg 3 D-06120 Halle Germanyb Present address： Institute of Biochemistry and Biotechnology Martin Luther University Halle-Wittenberg Weinbergweg 22 D-06120 Halle Germany Institute of Computer Science Martin Luther University Halle-Wittenberg Von-Seckendorff-Platz 1 D-06120 Halle Germany Zurich-Basel Plant Science Center Botanical Institute University of Basel Hebelstrasse 1 4056 Basel Switzerland

Calcium acts as a second messenger for signaling to a variety of stimuli including MAMPs （Microbe-Associated Molecular Patterns）, such as fig22 and elf18 that are derived from bacterial flagellin and elongation factor Tu, respectively. Here, Arabidopsis thaliana mutants with changed calcium elevation （cce） in response to fig22 treatment were isolated and characterized. Besides novel mutant alleles of the fig22 receptor, FLS2 （Flagellin-Sensitive 2）, and the receptor-associated kinase, BAK1 （Brassinosteroid receptor 1-Associated Kinase 1）, the new cce mutants can be categorized into two main groups--those with a reduced or an enhanced calcium elevation. Moreover, cce mutants from both groups show differ- ential phenotypes to different sets of MAMPs. Thus, these mutants will facilitate the discovery of novel components in early MAMP signaling and bridge the gaps in current knowledge of calcium signaling during plant-microbe interactions. Last but not least, the screening method is optimized for speed （covering 384 plants in 3 or 10 h） and can be adapted to genetically dissect any other stimuli that induce a change in calcium levels.

关键词： Calcium signaling/transport defense responses plant-microbe interactions signal transduction Arabidopsis.

The siphonic energy transfer between hot solar wind and cold martian ionosphere through open magnetic flux rope

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Fundamental Research 2024年第4期4卷 882-889页

作者： Xiaojun Xu Lou-Chuang lee Qi Xu Qing Chang Jing Wang Ming Wang Shaosui Xu Christian Mosti Charles J.Farrugia Xing Wang Yudong Ye Zilu Zhou Lei Luo Peishan He Shaoguan Cheng State Key Laboratory of Lunar and Planetary Sciences Macao University of Science and TechnologyMacao 999078China CNSA Macao Center for Space Exploration and Science Macao 999078China Institute of Earth Science Academia SinicaTaipei 115029China Institute of Space Science and Applied Technology Harbin Institute of TechnologyShenzhen 518000China Planetary Environmental and Astrobiological Research Laboratory(PEARL) School of Atmospheric SciencesSun Yat-sen UniversityZhuhai 519000China Nanjing University of Information Science and Technology Nanjing 210000China Space ScienceLaboratory Universityof CaliforniaBerkeleyCA94320USA Space Research Institute Austrian Academy of SciencesGraz 8010Austria University of New Hampshire NH 03824USA

A mechanism for energy transfer from the solar wind to the Martian ionosphere through open magnetic flux rope is proposed based on the observations by Mars Atmosphere and Volatile EvolutioN(MAVEN).The satellite was located in the dayside magnetosheath at an altitude of about 70o km above the northern *** between the hot solar wind protons and the cold heavy ions/neutrals in the subsolar region can cool the protons and heat the heavy *** a result,the magnetosheath protons are siphoned into the ionosphere due to the thermal pressure gradient of protons and the heated heavy ions escape along the open magnetic field *** direct collisions in the lower-altitude region were not detected,this physical process is demonstrated by MAVEN measurements of enhanced proton density,decreased proton temperature and oppositely directed motions of hot and cool protons within the flux rope,which are very different from the observational features of the flux transfer events near the Earth's *** mechanism could universally exist in many contexts where a collisionless plasma region is connected to a collisional plasma *** reconstructing the magnetic geometry and the cross-section of the flux rope using the Grad-Shafranov technique,the ion loss rates are quantitatively estimated to be on the order of 1023 s-l,which is much higher than previously estimated.

关键词： Mars Flux rope Solarwind Ionosphere Ion loss