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Selective embolization for bleeding visceral artery pseudoaneurysms in patients with pancreatitis

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Hepatobiliary & Pancreatic Diseases International 2010年第6期9卷 634-638页

作者： Harsheet Sethi Praveen Peddu Andreas Prachalias pauline Kane John Karani Mohamed Rela Nigel Heaton Department of Hepatobiliary Surgery Institute ofLiver Studies Kings College London School of Medicine at Kings College Hospital Department of Hepatobiliaryand Interventional Radiology Institute ofLiver StudiesKings College London School of Medicine at Kings College Hospital

BACKGROUND:Pancreatitis is associated with arterial complications in 4%-10%of patients,with untreated mortality approaching 90%.Timely intervention at a specialist center can reduce the mortality to 15%.We present a single institution experience of selective embolization as first line management of bleeding pseudoaneurysms in pancreatitis. METHODS:Sixteen patients with pancreatitis and visceral artery pseudoaneurysms were identified from searches of the records of interventional angiography from January 2000 to June *** visceral artery aneurysms and pseudoaneurysms arising as a result of post-operative pancreatic or biliary leak were excluded from the study. RESULTS:In 50%of the patients,bleeding complicated the initial presentation of *** was the offending agent in 10 patients,gallstones in 3,trauma,drug-induced and idiopathic pancreatitis in one *** 16 patients had a contrast CT scan and 15 underwent coeliac axis angiography. The pseudoaneurysms ranging from 0.9 to 9.0 cm affected the splenic artery in 7 patients:hepatic in 3,gastroduodenal and right gastric in 2 each,and left gastric and pancreatico-duodenal in 1 *** patient developed spontaneous thrombosis of the *** patients had effective coil embolization of the *** patient needed surgical exclusion of the pseudoaneurysm following difficulty in accessing the coeliac axis *** were no episodes of re-bleeding and no in-hospital mortality. CONCLUSIONS:Pseudoaneurysms are unrelated to the severity of pancreatitis and major hemorrhage can occur irrespective of their ***-existent portal hypertension and sepsis increase the risk of *** and selective coil embolization is a safe and effective way to arrest the hemorrhage.

关键词： pseudoaneurysm embolization acute pancreatitis chronic pancreatitis vascular complications

Hospital management in China in a time of change

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Chinese Medical Journal 2002年第11期115卷 1716-1726页

作者：裴丽昆 David Legge pauline Stanton School of Public Health La Trobe University Bundoora Victoria 3083 Australia

Chinese hospitals face complex challenges: allocating resources equitably and efficiently whilst moving to greater reliance on market mechanisms; maintaining quality despite declining government funding; exercising responsibility in some areas whilst tight government controls remain in others; and generating more revenue from user charges whilst ensuring access to care for the poor.

关键词： Hospital Administration China Financial Management, Hospital Health Policy Hospital Information Systems Humans Problem Solving Quality of Health Care

Vlouse sperm acquire a new structure on the apical hoo Juring epididymal maturation

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Asian Journal of Andrology 2013年第4期15卷 523-528,I0009页

作者： Yi-Wen Lin Tzu-Han Hsu pauline H Yen lnstitute of Biomedical Sciences Academia Sinica Taipei 11529 China and lnstitute of Cellular and Organismic Biology Academia Sinica Taipei 11529 China

Spermatozoa emerging from the testis undergo a maturation process in the epididymis during which they change morphologically, biochemically and physiologically to gain motility and the ability to fertilize ova. We examined mouse epididymal sperm with immunostaining and transmission electron microscopy （EM） and identified a previously unknown structure on the apical hook. The structure has a coiled configuration around 11 nm in thickness and is present at the tip of each corner of the triangular-rod shaped perforatorium. Surveying sperm isolated from various regions of the epididymis indicated that mouse sperm acquire the hook rim （HR） structure during its passage through the proximal two-thirds of the caput epididymidis. The structure withstands vigorous sonication and harsh chemical treatments and remains intact after the acrosome reaction. Its location and sturdiness suggest a function in protecting the apical hook from mechanical wear during fertilization. Our EM images of epididymal sperm also revealed additional novel structures as well as lateral asymmetry of the sperm head, indicating that mouse sperm head has a structure more complex than previously recognized.

关键词： apical hook epididymal maturation mouse sperm sperm head ultrastructure

Multiple color patches and parasites in Sceloporus occidentalis:differential relationships by sex and infection

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Current Zoology 2018年第6期64卷 703-711页

作者： Rodrigo MEGIA-PALMA Dhanashree PARANJPE Senda REGUERA Javier MARTINEZ Robert D COOPER pauline BLAIMONT Santiago MERINO Barry SINERVO Department of Ecologia Evolutiva Museo Nacional de Ciencias Naturales-CSICJose Gutierrez Abascal 2.Madrid E-28006Spain Departrnent of Ecology and Evolutionary Biology University of CaliforniaSanta Cruz1156High StSanta CruzCA 95064USA Department of Zoologia Facultad de CienciasUniversidad de GranadaGranada E-18071Spain Area Parasitologia Department of Biomedicina y BiotecnologiaArea de ParasitologiaFacultad de FarmaciaUniversidad de Alcala de HenaresAlcala de HenaresMadrid E-28871Spain

Parasites generally have a negative influence on the color expression of their *** selection theory predicts resistant high-quality individuals should show intense coloration,whereas susceptible low-quality individuals would show poor ***,intensely colored males of different species of Oid and New World lizards were more often infected by *** results suggest that high-quality males,with intense coloration,would suffer higher susceptibility to *** hypothesis remains poorly understood and contradicts general theories on sexual *** surveyed a population of Sceloporus occidentalis for parasites and found infections by the parasite genera Lankesterella and *** this population,both males and females express ventral blue and yellow color *** was almost exclusively infecting *** body size of the males significantly predicted the coloration of both blue and yellow *** males showed darker (lower lightness)blue ventral patches and more saturated yellow patches that were also ***,these males were more often infected by Lankesterella than smaller *** intestinal parasite Acroeimeria infected both males and *** infection by intestinal parasites of the genus Acroeimeria was the best predictor for the chroma in the blue patch of the males and for hue in the yellow patch of the *** males infected by Acroeimeria expressed blue patches with significantly lower chroma than the uninfected ***,the hue of the yellow patch was not significantly different between infected and uninfected *** results suggest a different effect of Lankesterella and Acroeimeria on the *** the one hand,the intense coloration of male lizards infected by Lankesterella suggested high-quality male lizards may tolerate *** the other hand,the low chroma of the blue coloration of the infected males suggested that this coloration could honest

关键词： animal communication coloration Hamilton and Zuk parasites sexual selection

Deployment of Soft Skills for Effective Customer Service in the 21<sup>st</sup>Century Library

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Journal of Computer and Communications 2018年第3期6卷 43-50页

作者： Adeniran pauline Oghenekaro Tekena Tamuno Library Redeemer’s University Osun State Nigeria

The advent of information communication technology in the information environment has brought dramatic changes in the way information is being handled and managed today. This wind of change engineered by ICT has also changed the information seeking behavior of users making them to place more demands on libraries. There is a need for libraries to strive to be effective in their services to customers in order to remain relevant in the information age. The paper considered the deployment of soft skills expressed in terms of staff appearance, approachability, effective communication, positive attitude, ability to cope in difficult situation, and so on, for more effective customer services in the 21st century library. The paper concluded that, effective customer service in libraries is imperative in the 21st century library as it will make library users feel important, improves learning, increases patronage, and promotes library and university image. The outcome of this paper will help the management of libraries irrespective of the type to be more effective in the services they render to their clients. This will ultimately increase patronage and clients retention.

关键词： Modern Library Customer Service Soft Skills Effective Library Services User Satisfaction

Striking City Squares

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英语画刊（高三·社会综合版） 2012年第2期 28-29页

作者： pauline Frommer

城市广场未必都是方形的，但它们有着共同的社会功能。它们是当地人见面、交际的场所；它们还是游客了解一座城市的历史和文化氛围的中心。

关键词：高中英语教学教学方法阅读教学

选择实验的理论和应用——以中国退耕还林为例

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北京大学学报（自然科学版） 2007年第2期43卷 235-239页

作者：翟国梁张世秋 Kontoleon Andreas Grosjean pauline 北京大学环境学院北京100871 剑桥大学土地经济系伦敦大学学院经济系

选择实验的理论基础来自于要素价值理论和随机效用理论,既是一种对环境资源进行价值评估的重要方法,也是揭示研究对象政策偏好的重要手段。利用该方法不仅可以通过对支付意愿或接受赔偿意愿进行评估,进而对一项政策的各个要素的相对重... 详细信息

选择实验的理论基础来自于要素价值理论和随机效用理论,既是一种对环境资源进行价值评估的重要方法,也是揭示研究对象政策偏好的重要手段。利用该方法不仅可以通过对支付意愿或接受赔偿意愿进行评估,进而对一项政策的各个要素的相对重要性进行排序,还可以得到因多个政策要素同时改变时导致的价值变化,从而有助于政策制订者对政策进行调整。本文在评述选择实验的基本理论和方法的基础上,以中国正在实施的退耕还林工程为例,利用选择实验方法对该政策进行了评估,并且基于研究结果对未来的政策改进提出了相关建议。

关键词：退耕还林选择模型选择实验环境政策

Calcium potentiates the effect of estradiol on PGF2α production in the bovine endometrium

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Journal of Animal Science and Biotechnology 2015年第2期6卷 215-221页

作者： Claudia Maria Bertan Membrive pauline Martins da Cunha Flávio Vieira Meirelles Mario Binelli S?o Paulo State University Department of Animal Reproduction School of Veterinary Medicine and Animal Science University of S?o Paulo Department of Veterinary Medicine School of Animal Sciences and Food Engineering University of S?o Paulo

Background： Estradiol （E2） is required for luteolysis in cows and its injection stimulates prostaglandin F2α （PGF2α） release. The main goal of our study was to investigate the ability of endometrial explants and cells treated with E2 and the calcium ionophore （CI） A23187 to synthesize PGF2α. Results： Treatment with E2 in vivo resulted in a 48.4% increase of PGF2α production by endometrial explants treated in vitro with A23187. Production of PGF20 was better stimulated with A23187 at concentrations of 10^-6 and 10^-5 mol/L compared with other concentrations used. The concentration of PGF2α for untreated bovine endometrial cell cultures was 33.1 pg/mL, while for cultures treated with E2, A23187, or a combination of E2 and A23187, the PGF2α concentration was 32.5, 92.4 and 145.6 pg/mL, respectively. Conclusions： Treatment with A23187 tended to stimulate PGF20 production. In the presence of E2, A23187 significantly stimulated PGF20 synthesis. It appears that A23187 potentiates the effects of E2 with respect to synthesis of endometrial PGF2α in cattle.

关键词： Animal reproduction Cattle Estradiol Luteolysis PGF2α synthesis Reproductive physioloqy

Tunneled tubularized bladder mucosal graft for long urethral reconstruction:is it a reliable option in selected complex cases in children and adolescents?

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Plastic and Aesthetic Research 2022年第1期9卷 585-595页

作者： Alaa El-Ghoneimi Amane-Allah Lachkar pauline Lopez Annabel Paye-Jaouen Matthieu Peycelon Department of Pediatric Surgery and Urology University Hospital Robert-DebréAPHPUniversitéParis CitéParis 75019France National Reference Center for Rare Urinary Tract Malformations(MARVU) Paris 75019France

Aim:We analyzed the use of tubularized tunneled bladder mucosa graft(TBMG)and its application as a salvage procedure or as primary surgery for long urethroplasty in children and *** attention was given to a new method to harvest a long bladder mucosa graft through a minimal ***:We analyzed the files of 10 patients who underwent TBMG urethroplasty at median age of 105 months(range 20-195 months).The indications were perineal hypospadias cripple in two,masculinizing genitoplasty for ovotesticular Ovotesticular Disorder of Sex Development(DSD)in two,perineal hypospadias in four,duplicated urethra in one,and complications of circumcision in *** reconstruction was performed in all *** first stage was removal of all fibrous tissues and efficient treatment of curvature and skin *** a minimal delay of one year,a free bladder mucosa graft was harvested through a minimal detrusotomy and *** of the graft was proceeded from the perineal urethrostomy to the ***:The graft was successfully harvested through the minimal detrusotomy approach for variable lengths of urethroplasty;the median length was 10.5 cm(range 8-16 cm).The median follow up was 61.7 months(range 18-160 months).TBMG was the last surgery with no redo in five cases(50%).Long stricture occurred in one case of primary perineal hypospadias and needed a redo staged *** patients performed self-dilatation for distal ***:The tunneled bladder mucosa tube graft technique represents a good alternative for a long urethroplasty in patients with a paucity of healthy *** minimal detrusotomy technique for graft retrieval may reduce graft harvesting morbidity.

关键词： Hypospadias bladder mucosa graft hypospadias cripples urethra reconstruction