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minimally invasive spleen-preserving distal pancreatectomy: Does splenic vessel preservation have better postoperative outcomes? A systematic review and meta-analysis

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Hepatobiliary & Pancreatic Diseases International 2015年第4期14卷 346-353页

作者： Fady Elabbasy Rahul Gadde mena m hanna Danny Sleeman Alan Livingstone Danny Yakoub Division of Surgical Oncology Department of Surgery Sylvester Comprehensive Cancer Center University of Miami-Miller School of Medicine

BACKGROUND： minimally invasive spleen-preserving distal pancreatectomy （SPDP） can be performed with either splenic vessel preservation （SVP） or resection [Warshaw procedure （WP）]. The aim of this study was to evaluate the postoperative clinical outcomes of patients undergoing both methods. DATA SOURCES： Database search of Pubmed, Embase, Scopus, Cochrane, and Google Scholar was performed （2000-2014）; key bibliographies were reviewed. Qualified studies compar- ing patients undergoing SPDP with either SVP or WP, and as- sessing postoperative complications were included. Calculated pooled risk ratio （RR） with the corresponding 95% confidence interval （CI） by random effects methods were used in the meta-analyses. RESULTS： The search yielded 215 studies, of which only 14 observational studies met our selection criteria. The studies included 943 patients in total; 652 （69%） underwent SVP and 291 （31%） underwent WP. Overall, there was a lower incidence of splenic infarction （RR=0.17; 95% Ch 0.09-0.33; P〈0.001）, gastric varices （RR=0.16; 95% Ch 0.05-0.51; P=0.002）, and intra/postoperative splenectomy （RR=0.20; 95% Ch 0.08-0.49; P〈0.001） in the SVP group. There was no difference in in- cidence of pancreatic fistula （WP vs SVP, 23.6% vs 22.9%;P=0.37）, length of hospital stay, operative time or blood loss. There was moderate cross-study heterogeneity. CONCLUSIONS： SVP is a safe, efficient and feasible technique that may be used to preserve the spleen. WP may be more suit- able for large tumors dose to the splenic hilum or those associ- ated with splenomegaly. Randomized clinical trials are justified to examine the long-term benefits of SVP-SPDP.

关键词： splenic infarction spleen-preserving distal pancreatectomy splenic vessel preservation Warshaw procedure gastric varices

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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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A Note on Extreme Points in Dual Spaces

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Acta mathematica Sinica,English Series 2013年第3期29卷 471-476页

作者： Juan Francisco mena-JURADO Juan Carlos NAVARRO-PASCUAL Departamento de Análisis matemático Facultad de Ciencias Universidad de Granada Departamento de lgebra y Análisis matemático Universidad de Almería

Given a normed space X it can be easily proven that every extreme point in Bx＊, the unit ball of X＊, is the restriction of an extreme point in Bx Our purpose is to study when the restrictions of extreme points in B... 详细信息

关键词： Extreme point Ll-predual m-ideal

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Fatty liver in hepatitis C patients post-sustained virological response with direct-acting antivirals

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World Journal of Gastroenterology 2018年第11期24卷 1269-1277页

作者： mazen Noureddin micaela m Wong Tsuyoshi Todo Shelly C Lu Arun J Sanyal Edward A mena Fatty Liver Program Cedars-Sinai Medical CenterLos AngelesCA 90048United States Division of Digestive and Liver Diseases Cedars-Sinai Medical CenterLos AngelesCA 90048United States California Liver Research Institute PasadenaCA 91105United States Comprehensive Transplant Center Department of SurgeryCedars-Sinai Medical CenterLos AngelesCA 90048United States Division of Digestive and Liver Diseases Cedars-Sinai Medical CenterLos AngelesCA 90048United States Division of Gastroenterology Hepatology and NutritionDepartment of Internal MedicineSchool of MedicineVirginia Commonwealth UniversityRichmondVA 23298United States

AIm To determine steatosis and fibrosis prevalence in hepatitis C patients after a sustained virological response achieved with direct-acting *** Transient elastography with controlled attenuation parameter(CAP) was used to assess hepatic steatosis post-sustained virological response(SVR);the CAP technology was not available in the United States at study *** stiffness/fibrosis was measured before and 47 wk after treatment *** with genotype 3 and patients with cirrhosis were *** One hundred and one patients were included in the ***-SVR there were decreases from baseline in alanine aminotransferase(ALT)(63.1 to 17.8 U/L),aspartate aminotransferase(51.8 to 21.5 U/L) and fibrosis score(7.4 to 6.1 k Pa)(P mass index(29.0 vs 26.1 kg/m2),glucose(107.8 vs 96.6 mg/d L),ALT(20.4 vs 15.3 mg/d L),CAP score(296.3 vs 212.4 d B/m) and fibrosis score(7.0 vs 5.3 k Pa);P mpared to baseline,both patients with and without steatosis had change in fibrosis score post-SVR(7.7 k Pa vs 7.0 k Pa and 7.0 k Pa vs 5.3 k Pa);alternatively,(P mmon in hepatitis C virus(HCV) patients *** patients continue to have elevated mean fibrosis score(≥ 7 k Pa) compared to those without fatty liver;some have advanced *** term follow up is needed to assess steatosis and fibrosis in HCV patients post-SVR.

关键词： Nonalcoholic fatty liver disease Hepatitis C Fibrosis Steatosis Sustained virological response Direct-acting antivirals

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A new physical simulation tool to predict the interface of dissimilar aluminum to steel welds performed by friction melt bonding

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Journal of materials Science & Technology 2019年第9期35卷 2048-2057页

作者： T.Sapanathan N. Jimenez-mena I. Sabirov m.A. monclus J.m. molina-Aldaregui P. Xia L. Zhao A. Simar Institute of mechanics Materials and Civil EngineeringUCLouvain1348 Louvain-la-NeuveBelgium ImDEA materials Institute Calle Eric Kandel 228906 GetafeMadridSpain Universidad Politicnica de madrid E.T.S. de Ingenieros de Caminos28040 MadridSpain

Optimization of the intermetallic layer thickness and the suppression of interfacial defects are key elements to improve the load bearing capacity of dissimilar joints. However, till date we do not have a systematic tool to investigate the dissimilar joints and the intermetallic properties produced by a welding condition. Friction melt Bonding (FmB) is a recently developed technique for joining dissimilar metals that also does not exempt to these challenges. The FmB of DP980 and A16061-T6 was investigated using a new physical simulation tool, based on Gleeble thermo-mechanical simulator, to understand the effect of individual parameter on the intermetallic formation. The proposed method demonstrates its capability in reproducing the intermetallic characteristics, including the thickness of intermetallic bonding layer, the morphology and texture of its constituents (Fe2AU and Fe4Ali3), as well as their nanohardness and reduced modulus. The advantages of physical simulation tool can enable novel developing routes for the development of dissimilar metal joining processes and facilitate to reach the requiring load bearing capacity of the joints.

关键词： Physical simulation Interface Intermetallics Nanoindentation Joining

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Perceptions of Climate Change in Puerto Rico before and after Hurricane maria

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American Journal of Climate Change 2021年第2期10卷 153-166页

作者： méndez-Tejeda Rafael maría Santos-Corrada mena Sandra Natural Science Department Atmospherical Science Laboratory University of Puerto Rico at Carolina Puerto Rico USA School of Business and Entrepreneurship University of Ana G. Méndez Gurabo Puerto Rico USA

This article analyzes the perceptions of Puerto Rican citizens of global climate change (GCC) before and after an extreme weather event, specifically Hurricane maria (Hm). The purpose of the current article is to evaluate Puerto Ricans’ perceptions of the impact of extreme meteorological phenomena and of GCC before and after Hm. This tropical cyclone entered the island as a category IV hurricane on September 17, 2017, causing enormous destruction, loss of life, and economic damage. In this study, two data samples were collected before and after Hm struck Puerto Rico (PR) (the second sample was collected approximately six months after the hurricane). Surveyed citizens with general knowledge of GCC increased from 43% to 62%, which the researchers consider a small increase, considering the severe destruction caused by Hm. This study also found that Puerto Ricans trust non-profit institutions and the scientific community more than state authorities. Furthermore, 85% of citizens believe that public policies on GCC should be directed by the state (federal, state, and municipal governments);this did not change after Hm. In addition, this study found that the poor response of the federal and state governments to the destruction caused by Hm increased citizens’ trust in the scientific community.

关键词： Puerto Rico Hurricane maria Perception Climatechange

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Development and assessment of a multifunctional chitosan-based coating applied on AZ31 magnesium alloy: Corrosion resistance and antibacterial performance against Klebsiella Pneumoniae

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Journal of magnesium and Alloys 2021年第6期9卷 2133-2144页

作者： Emmanuel mena-morcillo Lucien Veleva mariana Cerda-Zorrilla montserrat Soria-Castro Juan C.Castro-Alcátara Rosa C.Canul-Puc Applied Physics Department Center for Research and Advanced Study(CINVESTAV-IPN)Carr.Ant.a Progreso Km.697310MeridaYucatanMexico marine Resources Department Center for Research and Advanced Study(CINVESTAV-IPN)Carr.Ant.a Progreso Km.697310MeridaYucatanMexico

This work presents a simple method to functionalise the surface of AZ31 magnesium alloy by applying a duplex mgF_(2)/chitosan coating,which improves its corrosion resistance and provides it with some antibacterial ***,the effect of three chitosan solutions with different concentrations on the growth of the bacteria Klebsiella pneumoniae in nutritive medium(TSB)was evaluated by absorbance kinetics experiments,where the chitosan solution at 2%(m/V)was selected for the coating *** coating application,the AZ31 substrate was pretreated with hydrofluoric acid for 48 hours in order to form a mgF_(2)conversion ***,the coating was applied to the pretreated substrate through the dry-casting *** of the alloy in each surface condition(bare,pretreated,and pretreated+coated with chitosan)were exposed to simulated body fluid(SBF)for 21 days at 37°C,with the solution renewed every 24 hours and the wastes *** surfaces were characterised by SEm-EDS,and XPS after the immersion tests,whereas the stored solutions were employed to measure the change in the mg-ions *** impedance spectroscopy and potentiodynamic polarisation were performed in each surface condition to compare their corrosion resistance in *** antibacterial activity of the functionalised surfaces was evaluated by the plate counting method and compared with bare *** results were correlated and demonstrate that the modified surface of AZ31 achieved a higher corrosion resistance when it was exposed to SBF,as well as a reduction of the bacterial growth during in vitro tests.

关键词： AZ31 Chitosan coating Simulated body fluid Corrosion Antibacterial activity

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Effect of Lactose on Acid Tolerance of Yogurt Culture Bacteria

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Food and Nutrition Sciences 2020年第6期11卷 457-462页

作者： Behannis mena Kayanush Aryana School of Agriculture and Food Faculty of Veterinary and Agricultural Sciences The University of Melbourne Melbourne Australia School of Nutrition and Food Sciences Louisiana State University Agricultural Center Baton Rouge LA USA

Lactose, the sugar naturally present in milk, provides energy to lactic acid bacteria used in fermented dairy foods. Increasing concentrations of lactose may improve survivability of lactic acid bacteria in the dairy foods and in human gut enhancing their probiotic benefits. Acid tolerance is an important probiotic characteristic. The objective was to determine the influence of lactose on acid tolerance of yogurt starter culture Streptococcus thermophiles ST-M5 and Lactobacillus bulgaricus LB-12. The M 17 broth was used for Streptococcus thermophiles ST-M5 and MRS broth was used for Lactobacillus bulgaricus LB-12. Lactose was added to both broths at 0% (control), 1%, 3%, and 5% (wt/vol). Both broths were acidified to pH 2.0. Upon sterilizing and tempering, both broths were inoculated. Acid tolerance was mily:Verdana;">determined as viable counts in acidified broths after 120 minutes of incubations. In an incubation period of 2 hours, dilutions

关键词： Lactose Acid Tolerance Lactic Acid Bacteria

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URBAN PHOTOVOLTAIC POTENTIAL OF INCLINED ROOFING FOR BUILDINGS IN HERITAGE CENTERS IN EQUATORIAL AREAS

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Journal of Green Building 2018年第3期13卷 45-69页

作者： Esteban Zalamea-León Juan mena-Campos Antonio Barragán-Escandón Diego Parra-González Pablo méndez-Santos Facultad de Arquitectura y Urbanismo Universidad de Cuenca(School of Architecture and UrbanismUniversity of Cuenca) Departamento de Ingeniería Gráfica Diseño and ProyectosUniversidad de Jaén(Department of Graphic EngineeringDesign and ProjectsUniversity of Jaén)JaénSpain.Department of Electrical EngineeringUniversidad Politécnica SalesianaCuencaEcuador Facultad de Ingeniería Universidad de Cuenca(Faculty of EngineeringUniversity of Cuenca) Departamento de Ingeniería Eléctrica Universidad Politécnica Salesiana(Department of Electrical EngineeringSalesiana Polytechnic University)

In situ renewable energy production is a favourable alternative for reducing pollu-tion and combating climate *** research area,Cuenca,Ecuador,is located in the Andes near the equator with optimal conditions for energy self-supply due to its low energy demands and low levels of irradiation *** this study,tem-porary fluctuations in consumption based on 2016 electricity consumption data are *** GIS,available roofing polygons are obtained,and the amount of usable solar radiation is estimated based on these *** available surface,orientation,and inclination information,electricity generation based on photovoltaic performance is estimated and compared for monocrystalline silica panels and pho-tovoltaic solar roof tiles,which are architectural alternatives.A potential net supply of 148%is found for monocrystalline silica photovoltaic panels in a typical format,whereas that of photovoltaic tiles is only 61%.In addition,production-demand imbalances are predicted in extreme months and average months and on extreme days due to variations in irradiation and demands.

关键词： solar energy photovoltaic on buildings photovoltaic architectural integration heritage centres energy efficiency

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Host-parasite interactions in perpetual darkness:macroparasite diversity in the cavefish Astyanax mexicanus

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Zoological Research 2023年第4期44卷 782-792页

作者： Ana Santacruz David Hernández-mena Ramses miranda-Gamboa Gerardo Pérez-Ponce De León Claudia Patricia Ornelas-García Departamento de Zoología Instituto de BiologíaUniversidad Nacional Autónoma de MéxicoMéxico City CP 04510México Departamento de Sistemas y Procesos Naturales Escuela Nacional de Estudios Superiores Unidad MéridaUcúYucatán CP 97357México Instituto de Energías Renovables Universidad Nacional Autónoma de MéxicoTemixcoMorelos CP 62580México Colección Nacional de Peces Departamento de ZoologíaInstituto de BiologíaUniversidad Nacional Autónoma de MéxicoMéxico City CP 04510México Stowers Institute for medical Research Kansas CityMO 64110USA

Astyanax mexicanus has repeatedly colonized cave environments,displaying evolutionary parallelisms in many troglobitic *** being a model system for the study of adaptation to life in perpetual darkness,the parasites that infect cavefish are practically *** this study,we investigated the macroparasite communities in 18 cavefish populations from independent lineages and compared them with the parasite diversity found in their sister surface fish populations,with the aim of better understanding the role that parasites play in the colonization of new *** the cavefish populations,we identified 13 parasite taxa,including a subset of 10 of the 27 parasite taxa known for the surface *** infecting the cavefish belong to five taxonomic groups,including trematodes,monogeneans,nematodes,copepods,and *** are the most dominant group,found in 14 *** macroparasites include species with direct life cycles and trophic transmission,including invasive ***,paired comparisons indicate higher parasite richness in the cavefish than in the surface *** variation in parasite composition across the caves suggests historical and geographical contingencies in the host-parasite colonization process and potential evolution of local *** base-line data on parasite diversity in cavefish populations of *** provides a foundation to explore the role of divergent parasite infections under contrasting ecological pressures(cave *** environments)in the evolution of cave adaptive traits.

关键词： Adaptation metazoan parasites Niche change Parasite assemblage Prevalence

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