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Barrett’s esophagus following treatment of achalasia with botulinum toxin

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Open Journal of Gastroenterology 2012年第4期2卷 168-171页

作者： Christopher D. Wells Susanne Carpenter Kevin l. Huguet Daniel J. Krochmal David E. Fleischer kristi l. harold Department of Surgery Mayo Clinic Rochester USA Division of Gastroenterology Mayo Clinic Rochester USA

Achalasia is an uncommon primary motor disorder of the esophagus with an annual incidence of 0.8/100,000. Very few cases of coexistent Barrett’s esophagus (BE) and achalasia in patients without prior surgical myotomy or pneumatic dilation have been reported. We report the case of a 65 year old female who was diagnosed with achalasia in June 2002. Endoscopy at that time revealed biopsy-confirmed normal esophageal mucosa. The patient subsequently underwent two trials of botox injection with progressively worsening dysphagia. A repeat endoscopy two years later showed a short segment of salmon-colored mucosa in the distal esophagus which was biopsy-confirmed Barrett’s epithelium with no dysplasia. The patient eventually underwent laparoscopic Heller myotomy and Toupet fundoplication. Postoperatively, she recovered well and with significant alleviation of her dysphagia. This study reviews reported cases of coexistent achalasia and BE, and discusses possible etiologies of concurrent BE and achalasia, and implications for treatment.

关键词： Barrett’s Esophagus Achalasia Botulinum Toxin

Modelling Regional land Change Scenarios to Assess land Abandonment and Reforestation Dynamics in the Pyrenees(France)

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Journal of Mountain Science 2015年第4期12卷 905-920页

作者： laure A.VACQUIE Thomas HOUET Terry l.SOHl Ryan REKER kristi l.SAYlER GEODE laboratory Toulouse Jean Jaurès University U.S.Geological Survey Earth Resources Observation and Science (EROS) Center ASRC Federal – Inu Teq Contractor to U.S.Geological Survey Earth Resources Observation and Science (EROS) Center

Over the last decades and centuries,European mountain landscapes have experienced substantial *** and anthropogenic lUlC changes(land use and land cover changes), especially agro-pastoral activities,have directly influenced the spatial organization and composition of European mountain *** the past sixty years, natural reforestation has been occurring due to a decline in both agricultural production activities and rural ***, to better anticipate future changes,need spatially and temporally explicit models to identify areas at risk of land change and possible *** paper presents an integrated approach combining forecasting scenarios and a lUlC changes simulation model to assess where lUlC changes may occur in the Pyrenees Mountains,based on historical lUlC trends and a range of future socio-economic *** proposed methodologyconsiders local specificities of the Pyrenean valleys,sub-regional climate and topographical properties,and regional economic *** indicate that some regions are projected to face strong abandonment, regardless of the scenario ***, high rates of change are associated with administrative regions where land productivity is highly dependent on socio-economic drivers and climatic and environmental conditions limit intensive(agricultural and/or pastoral) production and *** combination of the results for the four scenarios allows assessments of where encroachment(*** by shrublands) and reforestation are the most *** assessment intends to provide insight into the potential future development of the Pyrenees to help identify areas that are the most sensitive to change and to guide decision makers to help their management decisions.

关键词： Pyrenees land use change land cover change land abandonment Mountain landscapeReforestation lUlC Model

Oxide-on-graphene field effect bio-ready sensors

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Nano Research 2014年第9期7卷 1263-1270页

作者： Bei Wang kristi l. liddell Junjie Wang Brandon Koger Christine D. Keating Jun Zhu Department of Physics The Pennsylvania State University University Park Pennsylvania 16802 USA Department of Chemistry The Pennsylvania State University University Park Pennsylvania 16802 USA Materials Research Institute The Pennsylvania State University University Park Pennsylvania 16802 USA

Electrical detection schemes using nanoscale devices offer fast and label-free alternatives to biosensing techniques based on chemical and optical interactions. Here we report on the design, fabrication, and operation of oxide-on-graphene ion-sensitive field effect sensor arrays using large-area graphene sheets synthesized by chemical vapor deposition. In this scheme, HfO2 and SiO2 thin films are deposited atop the graphene sheet and play the dual role of the sensing interface, as well as the passivation layer protecting the channel and electrodes underneath from direct contact with the electrolyte. We further demonstrate the functionalization of the SiO2 surface with 3-aminopropyltrimethoxysilane （APTMS）. The oxide-on-graphene sensors operate in solution with high stability and a high average mobility of 5,000 cm2/（V＇s）. As a proof of principle, we demonstrate pH sensing using the bare or the APTMS-functionalized SiO2 as the sensing surface. The measured sensitivities, 46 mV/pH and 43 mV/pH, respectively, agree well with existing studies. We further show that by applying the solution gate voltage in pulse, the hysteresis in the transfer curve of the graphene transducer can be eliminated, greatly improving the ionic potential resolution of the sensor. These experiments demonstrate the potential of oxide-on-graphene ion-sensitive field effect sensors in on-chip, label-free and real-time biosensing applications.

关键词： graphene biosensor pH sensor ISFET APTMS label-free

Role of seed size, phenology, oogenesis and host distribution in the specificity and genetic structure of seed weevils (Curculio spp.) in mixed forests

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Integrative Zoology 2018年第3期13卷 267-279页

作者： harold ARIAS-lEClAIRE Raúl BONAl Daniel GARCÍA-lÓPEZ Josep Maria ESPElTA CREAF Centre for Ecological Research and Forestry ApplicationsCerdanyola del Vallès08193Spain Exact and Natural Sciences School State Distance University of Costa RicaUNEDMercedes de Montes de OcaSan JoséCosta Rica Forest Research Group INDEHESAUniversity of ExtremaduraPlasenciaSpain DITEG Research Group University of Castilla-La ManchaToledoSpain Zoology Department Autonomous University of BarcelonaCerdanyola del VallèsSpain

Synchrony between seed growth and oogenesis is suggested to largely shape trophic breadth of seed-feeding insects and ultimately to contribute to their co-existence by means of resource partitioning or in the time when infestation *** we investigated:(i)the role of seed phenology and sexual maturation of females in the host specificity of seed-feeding weevils(Curculio spp.)predating in hazel and oak mixed forests;and(ii)the consequences that trophic breadth and host distribution have in the genetic structure of the weevil *** analyses were used to establish unequivocally host specificity and to determine the population genetic *** identified 4 species with different specificity,namely Curculio nucum females matured earlier and infested a unique host(hazelnuts,Corylus avellana)while 3 species(Curculio venosus,Curculio glandium and Curculio elephas)predated upon the acorns of the 2 oaks(Quercus ilex and Quercus pubescens).The high specificity of *** coupled with a more discontinuous distribution of hazel trees resulted in a significant genetic structure among *** addition,the presence of an excess of local rare haplotypes indicated that *** populations went through genetic expansion after recent ***,these effects were not observed in the more generalist Curculio glandium predating upon ***,co-existence of weevil species in this multi-host-parasite system is influenced by both resource and time *** what extent the restriction in gene flow among *** populations may have negative consequences for their persistence in a time of increasing disturbances(*** in Mediterranean areas)deserves further research.

关键词： Corylus avellana Curculio spp. genetic structure Quercus spp. trophic breadth

Pancreatic ductal adenocarcinoma: Risk factors, screening, and early detection

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World Journal of Gastroenterology 2014年第32期20卷 11182-11198页

作者： Andrew E Becker Yasmin G Hernandez harold Frucht Aimee l lucas Henry D. Janowitz Division of Gastroenterology Icahn School of Medicine at Mount Sinai New York NY 10029 United States Division of Digestive and liver Diseases Columbia University College New York NY 10032 United States

Pancreatic cancer is the fourth most common cause of cancer-related deaths in the United States, with over 38000 deaths in 2013. The opportunity to detect pancreatic cancer while it is still curable is dependent on our ability to identify and screen high-risk populations before their symptoms arise. Risk factors for developing pancreatic cancer include multiple genetic syndromes as well as modifiable risk factors. Genetic conditions include hereditary breast and ovarian cancer syndrome, lynch Syndrome, familial adenomatous polyposis, Peutz-Jeghers Syndrome, familial atypical multiple mole melanoma syndrome, hereditary pancreatitis, cystic fibrosis, and ataxia-telangiectasia; having a genetic predisposition can raise the risk of developing pancreatic cancer up to 132-fold over the general population. Modifiable risk factors, which include tobacco exposure, alcohol use, chronic pancreatitis, diet, obesity, diabetes mellitus, as well as certain abdominal surgeries and infections, have also been shown to increase the risk of pancreatic cancer development. Several largevolume centers have initiated such screening protocols, and consensus-based guidelines for screening high-riskgroups have recently been published. The focus of this review will be both the genetic and modifiable risk factors implicated in pancreatic cancer, as well as a review of screening strategies and their diagnostic yields.

关键词： Pancreatic neoplasms Pancreas cancer screening Genetic predisposition to disease Hereditary breast and ovarian cancer syndrome lynch syndrome Peutz-Jeghers BRCA PAlB2 p16 Pancreatitis

Context-free Grammars for Triangular Arrays

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Acta Mathematica Sinica,English Series 2015年第3期31卷 445-455页

作者： Robert X.J.HAO larry X.W.WANG harold R.l.YANG Center for Combinatorics LPMC-TJKLC Nankai University

We consider context-free grammars of the form G = {f → f^b1＋b2＋1g^a1＋a2, g → f^b1 g^a1＋1},where ai and bi are integers sub ject to certain positivity conditions. Such a grammar G gives rise to triangular arrays {T（n, k）}0≤k≤n satisfying a three-term recurrence relation. Many combinatorial sequences can be generated in this way. let Tn （x） =∑k=0^n T（n, k）x^k. Based on the differential operator with respect to G, we define a sequence of linear operators Pn such that Tn＋1（x） = Pn（Tn（x））. Applying the characterization of real stability preserving linear operators on the multivariate polynomials due to Borcea and Br？ndén, we obtain a necessary and sufficient condition for the operator Pn to be real stability preserving for any n. As a consequence, we are led to a sufficient condition for the real-rootedness of the polynomials defined by certain triangular arrays, obtained by Wang and ***, as special cases we obtain grammars that lead to identities involving the Whitney numbers and the Bessel numbers.

关键词： Context-free grammar stable polynomials real-rootedness Bessel numbers Whitneynumbers

Simultaneous biodegradation of nitrogen-containing aromatic compounds in a sequencing batch bioreactor

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Journal of Environmental Sciences 2007年第5期19卷 530-535页

作者： lIU Xing-yu WANG Bao-jun JIANG Cheng-ying ZHAO Ke-xin harold l. Drake lIU Shuang-Jiang State Key lab of Microbial Resources at Institute of Microbiology Chinese Academy of Sciences Beijing 100080 China Graduate University of Chinese Academy of Sciences Beijing 100049 China Department of Ecological Microbiology University of Bayreuth 95445 Bayreuth Germany

Many nitrogen-containing aromatic compounds （NACs）, such as nitrobenzene （NB）, 4-nitrophenol （4-NP）, aniline （AN）, and 2,4-dinitrophenol （2,4-DNP）, are environmentally hazardous, and their removal from contaminated water is one of the main challenges facing wastewater treatment plants. In this study, synthetic wastewater containing NB, 4-NP, 2,4-DNP, and AN at concentrations ranging from 50 to 180 mg/l was fed into a sequencing batch reactor （SBR）. Analyses of the SBR system indicated that it simultaneously removed more than 99% of the NACs at loading rates of 0.36 kg NB/（m^3·d）, 0.3 kg 4-NP/（m^3·d）, 0.25 kg AN/（m^3·d）, and 0.1 kg 2,4-DNP/（m^3·d）. Bacterial groups of Bacteriodetes, Candidate division TM7, α-Proteobacteria, and β-Proteobacteria were dominant in the clone libraries of 16S rRNA genes retrieved from the microbial communities in the SBR system. ＂Cycle tests＂ designed to alter feeding and aeration parameters of the SBR system demonstrated that the resident microbial biome of the SBR system responded rapidly to changing conditions. Consumption of O2 was concomitant with the apparent mineralization of NACs. Aromatic ring-cleaving dioxygenase activities suggested that （1） AN and NB were degraded via catechol 2,3-dioxygenase; （2） 4-NP was degraded via 1,2,4-benzentriol 1,2-dioxygenase; and （3） 2,4-DNP was degraded via an unresolved pathway.

关键词： nitrogen-containing aromatic compounds biodegradation sequencing batch reactor Candidate division TM7

Perceptions of the effectiveness of Advanced Practice Nurses on a neurosurgery unit in a Canadian Tertiary Care Centre:A pre-and-post implementation design

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International Journal of Nursing Sciences 2018年第2期5卷 138-143页

作者： Alanna M.Keenan Erin E.Mutterback kristi M.Velthuizen Monika E.Pantalone Kira l.Gossack-Keenan The Ottawa Hospital OttawaOntarioCanada University of Ottawa OttawaOntarioCanada McMaster University HamiltonOntarioCanada

Objectives:A framework for the advanced practice nurse(APN)role was developed in our Canadian Tertiary Care Centre,delineating five domains of advanced nursing practice:clinical practice,consultation,research,education and *** goal of this study was to evaluate perceptions of the effectiveness of the implementation of an innovative APN role on an in-patient Neurosurgery ***:A pre-and-post implementation design,incorporating both qualitative and quantitative data,was *** innovative APN role was implemented within the Neurosurgery program focusing on the clinical domain and required the successful candidates to be NP *** APN role was designed to improve patient flow,documentation,communication and patient and staff *** primary outcomes were measured:pre-implementation questionnaire(nurses),post-implementation questionnaire(nurses and residents)and number of pages to the on-call ***:Survey scores by nurses and residents indicated improvement across all aspects *** scores increased from 1.1 to 2.6,reflecting an overall statistically significant *** number of pages to the on-call resident also showed a ***:Perceptions of patient care delivery and professional collaboration improved following implementation of the APN *** indicated that APNs significantly impacted patient care and improved nurses and residents'job satisfaction.

关键词： Advanced practice nursing Delivery of health care Patient care team Pre-post tests Professional practice gaps

Attachment Styles Among Bullies, Victims and Uninvolved Adolescents

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Psychology Research 2012年第3期2卷 160-165页

作者： kristi Koiv University ofTartu Tartu Estonia