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Recent advances in the diagnosis and treatment of acute myocardial infarction

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World journal of Cardiology 2015年第5期7卷 243-276页

作者： Koushik Reddy Asma Khaliq robert j henning Department of Medicine James A Haley Veterans Administration Hospital and the University of South Florida College of Medicine

The Third Universal Definition of Myocardial Infarction(MI) requires cardiac myocyte necrosis with an increase and/or a decrease in a patient's plasma of cardiac troponin(cT n) with at least one cT n measurement greater than the 99 th percentile of the upper normal reference limit during:(1) symptoms of myocardialischemia;(2) new significant electrocardiogram(ECG) ST-segment/T-wave changes or left bundle branch block;(3) the development of pathological ECG Q waves;(4) new loss of viable myocardium or regional wall motion abnormality identified by an imaging procedure; or(5) identification of intracoronary thrombus by angiography or *** infarction,when diagnosed,is now classified into five *** of a rise and a fall of troponin are essential to the diagnosis of acute ***,high sensitivity troponin assays can increase the sensitivity but decrease the specificity of MI *** ECG remains a cornerstone in the diagnosis of MI and should be frequently repeated,especially if the initial ECG is not diagnostic of *** have been significant advances in adjunctive pharmacotherapy,procedural techniques and stent technology in the treatment of patients with *** routine use of antiplatelet agents such as clopidogrel,prasugrel or ticagrelor,in addition to aspirin,reduces patient morbidity and *** coronary intervention(PCI) in a timely manner is the primary treatment of patients with acute ST segment elevation *** eluting coronary stents are safe and beneficial with primary coronary *** with direct thrombin inhibitors during PCI is non-inferior to unfractionated heparin and glycoprotein Ⅱb/Ⅲa receptor antagonists and is associated with a significant reduction in *** intra-coronary use of a glycoprotein Ⅱb/Ⅲa antagonist can reduce infarct ***- and post-conditioning techniques can provide additional ***,the incidence and mortality due to MI continues to be high d

关键词： Myocardial necrosis Type 1-5 myocardial infarctions Troponin assays Percutaneous coronary intervention Fibrinolytic therapy Thienopyridines Cardioprotection Bone marrow stem cells Cardiac stem cells

Sleep as a window to understand and regulate Alzheimer's disease:emerging roles of thalamic reticular nucleus

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Neural Regeneration Research 2025年第6期20卷 1711-1712页

作者： Haoqi Sun Shiqian Shen robert j.Thomas M.Brandon Westover Can Zhang Department of Neurology Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMAUSA Center for Translational Pain Research Department of AnesthesiaCritical Care and Pain MedicineMassachusetis General HospitalHarvard Medical SchoolBostonMAUSA Division of Pulmonary Critical Care and Sleep MedicineDepartment of MedicineBeth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMAUSA Genetics and Aging Research Unit McCance Center for Brain HealthMass General Institute for Neurodegenerative DiseaseDepartment of NeurologyMassachusetts General HospitalHarvard Medical SchoolBostonMAUSA

Introduction:Alzheimer 's disease(AD) is a common neurodegenerative disorder and the primary cause of dementia. Considerable evidence supports the “amyloid hypothesis,” stating that the pathogenesis of AD is primarily caused by the deposition of amyloid-β(Aβ), which drives tau phosphorylation, neuroinflammation, and neurodegeneration in the brain. The amyloid hypothesis is strengthened by the significant and moderate benefit of lecanemab, a humanized antibody through an anti-amyloid mechanism,showing slowed clinical decline(van Dyck et al.,2023). The recent positive results of anti-amyloid trials have brought back focus on the amyloid hypothesis through biochemical, genetic, and pharmacological approaches(Zhang, 2023).

关键词： Alzheimer inflammation hypothesis

Organotypic hippocampal slices,an emerging tool to model synucleinopathies

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Neural Regeneration Research 2021年第5期16卷 999-1000页

作者： Sara Elfarrash Poul henning jensen Department of Physiology Faculty of MedicineMansoura UniversityMansouraEgypt DANDRITE‑Danish Research Institute of Translational Neuroscience and Department of Biomedicine Aarhus UniversityAarhusDenmark

Parkinson’s disease(PD)is the second most common neurodegenerative disease after Alzheimer’s *** has been traditionally considered a motoric disorder characterized by tremor,rigidity and bradykinesia,however it is now settled that PD also comprises a range of non-motor symptoms like hyposmia,sleep disturbances and cognitive impairments(Tysnes and Storstein,2017).

关键词： Alzheimer impairment settled

Targeting cell death signaling in colorectal cancer:Current strategies and future perspectives

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World journal of Gastroenterology 2014年第8期20卷 1923-1934页

作者： Bruno Christian Koehler Dirk jger henning Schulze-Bergkamen National Center for Tumor Diseases University Hospitals Heidelberg69120 HeidelbergGermany

The evasion from controlled cell death induction has been considered as one of the hallmarks of cancer cells. Defects in cell death signaling are a fundamental phenomenon in colorectal cancer. Nearly any non-invasive cancer treatment finally aims to induce cell death. However, apoptosis resistance is the major cause for insufficient therapeutic success and disease relapse in gastrointestinal oncology. Various compounds have been developed and evaluated with the aim to meet with this obstacle by triggering cell death in cancer cells. The aim of this review is to illustrate current approaches and future directions in targeting cell death signaling in colorectal cancer. The complex signaling network of apoptosis will be demonstrated and the “druggability” of targets will be identified. In detail, proteins regulating mitochondrial cell death in colorectal cancer, such as Bcl-2 and survivin, will be discussed with respect to potential therapeutic exploitation. Death receptor signaling and targeting in colorectal cancer will be outlined. Encouraging clinical trials including cell death based targeted therapies for colorectal cancer are under way and will be demonstrated. Our conceptual understanding of cell death in cancer is rapidly emerging and new types of controlled cellular death have been identified. To meet this progress in cell death research, the implication of autophagy and necroptosis for colorectal carcinogenesis and therapeutic approaches will also be depicted. The main focus of this topic highlight will be on the revelation of the complex cell death concepts in colorectal cancer and the bridging from basic research to clinical use.

关键词： Colorectal cancer Apoptosis Necroptosis Autophagy Clinical trial Bcl-2 proteins BH-3 mimetics Inflammatory bowel disease

Necrotic enteritis and antibiotic-free production of broiler chickens:Challenges in testing and using alternative products

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Animal Nutrition 2024年第1期16卷 288-298页

作者： robert j.Moore School of Science RMIT UniversityBundooraVictoria 3083Australia

The global trend towards raising broiler chickens without the use of in-feed antibiotics(IFAs)means that there is an ongoing need to develop alternative treatments capable of delivering the benefits that IFAs previously *** supported the productivity performance of chickens and played a key role in maintaining their *** enteritis(NE)is an important disease of broilers that affects health,productivity,and welfare,and was previously well controlled by ***,with the reduction in IFA use,NE is resurgent in some *** and various feed additives,including pre-,pro-,and postbiotics,phytobiotics,fatty acids,and phage therapies have been introduced as alternative methods of NE *** some of these feed additives have specific activity against the NE pathogen,Clostridium perfringens,most have the more general goal of reinforcing gut *** reviews of the effects of many of these feed additives on gut health have been published ***,rather than cover previously well reviewed areas of research this review focuses on the challenges and pitfalls in undertaking experimental assessment of alternative NE treatments and translating laboratory research to real world commercial production *** review is based on the author's particular experience,reading,thoughts,and analysis of the available information and inevitably presents a particular understanding that is likely to be at odds with others thinking on these *** is put forward to stimulate thinking and discussion on the issues covered.

关键词： Necrotic enteritis Clostridium perfringens Vaccines Feed additive Farm management

The Orosirian(1800–2050 Ma)plate tectonic episode:Key for reconstructing the Proterozoic tectonic record

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Geoscience Frontiers 2023年第3期14卷 1-9页

作者： robert j.Stern Geosciences Dept. U Texas at DallasRichardsonTX 75083-0688United States

Eight lines of evidence indicate that the Orosirian Period in mid-Paleoproterozoic time was characterized by plate tectonics:ophiolites,low T/P metamorphism including eclogites,passive margin formation,tall mountains,paleomagnetic constraints,ore deposits,abundant S-type granites,and seismic images of paleo-subduction *** plate tectonic episode occurred about 1 billion years earlier than the present plate tectonic episode began in Neoproterozoic *** two plate tectonic episodes bracket the‘Boring Billion’,which may have been a protracted single lid tectonic episode that began when the supercontinent Nuna or Columbia *** of multiple lines of evidence for Orosirian plate tectonics demonstrates that Earth’s tectonic style can be reconstructed with some confidence back to at least Early Paleoproterozoic time,and thus the absence of compelling evidence for Mesoproterozoic plate tectonics is not obvious due to poor preservation.A tectono-magmatic lull2.3 Ga suggests an earlier episode of single lid *** for two episodes of plate tectonics and two episodes of single lid tectonics indicates that Earth switched between single lid and plate tectonics multiple times during the last 2.4 Ga.

关键词： Plate tectonics Single lid tectonics Urey ratio Paleoproterozoic

Weight measurement using image-based pose analysis

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Progress in Natural Science:Materials International 2008年第12期18卷 1507-1512页

作者： robert j.Sclabassi Laboratory for Computational Neuroseience Departments of NeurosurgeryElectrical & Computer Engineeringand BioengineeringUniversity of PittsburghPittsburgh 15213USA

Image-based gait analysis as a means of biometric identification has attracted much research *** of the existing methods focus on human identification,posture analysis and movement *** have been few investigations on measuring the carried load based on the carrier’s gait characteristics by automatic image ***,this measurement is very useful in a number of applications,such as the study of the carried load on the postural development of children and *** this paper,we inves- tigate how to automatically estimate the carried weight from a sequence of *** present a method to extract human gait silhouette based on an observation that humans tend to minimize the energy during *** compute several angles of body leaning and deter- mine the relationship of the carried weight,the leaning angles and the centroid location according to a human kinetic *** weight determination method has been verified successfully by experiments.

关键词： Image-based pose analysis Energy minimization Pattern recognition Load carrying measurement

Is plate tectonics needed to evolve technological species on exoplanets?

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Geoscience Frontiers 2016年第4期7卷 573-580页

作者： robert j.Stern Geoscience Department University of Texas at Dallas

As we continue searching for exoplanets, we wonder if life and technological species capable of communicating with us exists on any of them. As geoscientists, we can also wonder how important is the presence or absence of plate tectonics for the evolution of technological species. This essay considers this question, focusing on tectonically active roclw （silicate） planets, like Earth, Venus, and Mars. The development of technological species on Earth provides key insights for understanding evolution on exoplanets, including the likely role that plate tectonics may play. An Earth-sized silicate planet is likely to experience several tectonic styles over its lifetime, as it cools and its lithosphere thickens, strengthens, and becomes denser. These include magma ocean, various styles of stagnant lid, and perhaps plate tectonics. Abundant liquid water favors both life and plate tectonics. Ocean is required for early evolution of diverse single-celled organisms, then colonies of cells which specialized further to form guts, ap- pendages, and sensory organisms up to the complexity of fish （central nervous system, appendages, eyes）. Large expanses of dry land also begin in the ocean, today produced above subduction zones in juvenile arcs and by their coalescence to form continents, although it is not clear that plate tectonics was required to create continental crust on Earth. Dry land of continents is required for further evolution of technological species, where modification of appendages for grasping and manipulating, and improve- ment of eyes and central nervous system could be perfected. These bioassets allowed intelligent crea- tures to examine the night sky and wonder, the beginning of abstract thinking, including religion and science. Technology arises from the exigencies of daily living such as tool-making, agriculture, clothing, and weapons, but the pace of innovation accelerates once it is allied with science. Finally, the importance of plate tectonics for devel

关键词： Plate tectonics Exoplanets Planetary science Intelligent life

Use of A Shatter Test Vessel to Assess Propellant Safety

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火炸药学报 2015年第5期38卷 10-12页

作者： Clive WOODLEY Peter henning QinetiQ Fort Halstead

At low temperatures,gun propellant grains may become brittle and this can lead to fracture or shatter of the grains during gun *** this event occur then it will result in an increase in the burning surface of the propellant and will give rise to a change in ballistic ***,if the resultant over pressure is sufficient,a breech failure may *** the propensity of a grain to fracture or shatter is therefore important in determining its safety in *** document describes a test that may be used to derive knowledge and to quantify the physical behaviour of a gun propellant grain at the low temperatures at which fracture or shatter is most likely to occur.

关键词： closed vessel shatter test propellant safety