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Primary parahiatal hernias:A case report and review of the literature

World Journal of Clinical Cases 2019年第23期7卷 4020-4028页

作者： Silviu Daniel Preda Stefan Patrascu Bogdan Silviu Ungureanu Daniel Cristian Vasile Bintintan Cristian M Nica Valentin Calu Victor Strambu Konstantinos Sapalidis Valeriu Marin Surlin 1^(st) Clinic of Surgery Clinical Emergency Hospital of CraiovaUniversity of Medicine and Pharmacy of CraiovaCraiova 200642DoljRomania Gastroenterology Clinic Clinical Emergency Hospital of CraiovaUniversity of Medicine and Pharmacy of CraiovaCraiova 200642DoljRomania departament of General Surgery “Coltea”Clinical HospitalCarol Davilla University of Medicine and PharmacyBucharest 030171Romania 1^(st) Clinic of Surgery of Cluj Napoca Iuliu Hatieganu University of Medicine and Pharmacy Cluj NapocaCluj Napoca 400006ClujRomania 3^(rd) Clinic of Surgery Timisoara Emergency Clinical County Hospital“Victor Babes”University of Medicine and Pharmacy of TimisoaraTimisoara 300723Romania Clinic of Surgery “Elias”Emergency University Hospital BucharestUniversity of Medicine and Pharmacy“Carol Davila”Bucharest 011461Romania Clinic of Surgery of“Dr.Carol Davila”Nephrology Clinical Hospital University of Medicine and Pharmacy“Carol Davila”Bucharest 010731Romania 3^(rd) Surgery Clinic University General Hospital of ThessalonikiAristotle University of ThessalonikiSalonic 54636Greece

BACKGROUND Parahiatal hernias(PHHs)are rare occurring disease,with a reported incidence of 0.2%-0.35%in patients undergoing surgery for hiatal hernia.We found only a handful of cases of primary PHHs in the literature.The aim of this paper is to present a case of a primary PHH and perform a systematic review of the literature.CASE SUMMARY We report the case of a 60-year-old Caucasian woman with no history of thoracoabdominal surgery or trauma,which accused epigastric pain,starting 2 years prior,pseudo-angina and bloating.Based on imagistic findings the patient was diagnosed with a PHH and an associated type I hiatal hernia.Patient underwent laparoscopic surgery and we found an opening in the diaphragm of 7 cm diameter,lateral to the left crus,through which 40%-50% of the stomach had herniated in the thorax,and a small sliding hiatal hernia with an anatomically intact hiatal orifice but slightly enlarged.We performed closure of the defect,suture hiatoplasty and a“floppy”Nissen fundoplication.Postoperative outcome was uneventful,with the patient discharged on the fifth postoperative day.We performed a review of the literature and identified eight articles regarding primary PHH.All data was compiled into one tabled and analyzed.CONCLUSION Primary PHHs are rare entities,with similar clinical and imagistic findings with paraesophageal hernias.Treatment usually includes laparoscopic approach with closure of the defect and the esophageal hiatus should be dissected and analyzed.Postoperative outcome is favorable in all cases reviewed and no recurrence is cited in the literature.

关键词： Parahiatal Hernia Review Literature Case report

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Influence of soil and elevation on roadside cryptogam diversity in the tropical Andes

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Forest Ecosystems 2022年第5期9卷 639-646页

作者： Paul Salinas Marina Mazon Vinicio Carrion-Paladines Nixon Cumbicus Patricio Guzman Paolo Giordani Angel Benítez Maestría en Biología de la Conservacion y Ecología Tropical Universidad Tecnica Particular deLojaSan Cayetano Alto s/nLoja1101608Ecuador Centro de Investigaciones Tropicales del Ambiente y Biodiversidad–CITIAB Universidad Nacional de LojaCiudadela Universitariasector La ArgeliaEC 110101LojaEcuador Biodiversidad de Ecosistemas Tropicales-BIETROP Herbario HUTPLDepartamento de Ciencias Biologicas y AgropecuariasUniversidad Tecnica Particular de LojaSan Cayetano Alto s/nLoja1101608Ecuador Departament of Pharmacy University of GenoaViale Cembrano 416148GenoaItaly

Background: The deforestation caused by road construction is one of the main drivers for both biodiversity and function loss in tropical ecosystems. Terricolous cryptogams are pioneers in colonizing roadside and they are limited by environmental and edaphic factors, thus, cryptogams may act as pioneers for ecosystem rehabilitation at roadside.Methods: This research was aimed at determining the diversity and composition of terricolous cryptogams, as well as their relationship with elevation and soil properties among roadside of the tropical Andes of Ecuador, in order to establish indicator species of this anthropized ecosystems. Five elevations were selected and in each one 50grids of 20 cm×30 cm were sampled(250 in total along the road), where occurrence, cover and identification of every cryptogam species were recorded. To evaluate the effect of elevation and soil properties on cryptogam richness, a linear model was conducted. Species composition among elevations was compared by non-metric multidimensional scaling(NMDS), and their relationship with the environmental variables through a correlation with adjusted axes was performed. A total of 72 species were recorded, those being 44 bryophytes and 28lichens. Species richness and composition of terricolous cryptogams were influenced by elevation and soil properties, thus the richness is higher at elevations E1, E2 and E3(2600, 2200 and 1800 m a.s.l.), differing from low elevations E4 and E5(1400 and 1000 m a.s.l.). Higher elevations with specific soil conditions(e.g bulk density, nitrogen and silt) harbored different cryptogam communities than those in lower elevations.Conclusions: A combination of both elevation and soil properties are shaping the colonization by terricolous cryptogams commnunities. As such, 18 species were identified as the best indicators for all sets of environmental conditions at the roadside, which can therefore be considered for monitoring ecological processes in tropical areas. Use of biocrusts for restoration is an emerging field. If impl

关键词： Bryophytes Indicator species Beta diversity Lichens Richness Ecuador

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Designing a High-Performance Deep Learning Theoretical Model for Biomedical Image Segmentation by Using Key Elements of the Latest U-Net-Based Architectures

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Journal of Computer and Communications 2021年第7期9卷 8-20页

作者： Andreea Roxana Luca Tudor Florin Ursuleanu Liliana Gheorghe Roxana Grigorovici Stefan Iancu Maria Hlusneac Cristina Preda Alexandru Grigorovici Faculty of General Medicine “Grigore T. Popa” University of Medicine and Pharmacy Iasi Romania departament Obstetrics and Gynecology Integrated Ambulatory of Hospital “Sf. Spiridon” Iasi Romania Department of Surgery VI “Sf. Spiridon” Hospital Iasi Romania Iasi Departament of Surgery I Regional Institute of Oncology Iasi Romania Department of Radiology “Sf. Spiridon” Hospital Iasi Romania Department of Endocrinology “Sf. Spiridon” Hospital Iasi Romania

Deep learning (DL) has experienced an exponential development in recent years, with major impact in many medical fields, especially in the field of medical image and, respectively, as a specific task, in the segmentation of the medical image. We aim to create a computer assisted diagnostic method, optimized by the use of deep learning (DL) and validated by a randomized controlled clinical trial, is a highly automated tool for diagnosing and staging precancerous and cervical cancer and thyroid cancers. We aim to design a high-performance deep learning model, combined from convolutional neural network (U-Net)-based architectures, for segmentation of the medical image that is independent of the type of organs/tissues, dimensions or type of image (2D/3D) and to validate the DL model in a randomized, controlled clinical trial. We used as a methodology primarily the analysis of U-Net-based architectures to identify the key elements that we considered important in the design and optimization of the combined DL model, from the U-Net-based architectures, imagined by us. Secondly, we will validate the performance of the DL model through a randomized controlled clinical trial. The DL model designed by us will be a highly automated tool for diagnosing and staging precancers and cervical cancer and thyroid cancers. The combined model we designed takes into account the key features of each of the architectures Overcomplete Convolutional Network Kite-Net (Kite-Net), Attention gate mechanism is an improvement added on convolutional network architecture for fast and precise segmentation of images (Attention U-Net), Harmony Densely Connected Network-Medical image Segmentation (HarDNet-MSEG). In this regard, we will create a comprehensive computer assisted diagnostic methodology validated by a randomized controlled clinical trial. The model will be a highly automated tool for diagnosing and staging precancers and cervical cancer and thyroid cancers. This would help drastically minimize the time and effort that specialists put into

关键词： Combined Model of U-Net-Based Architectures Medical Image Segmentation 2D/3D/CT/RMN Images

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Skeletal muscle myogenesis is regulated by G protein-coupled receptor kinase 2

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Journal of Molecular Cell Biology 2014年第4期8卷 299-311页

作者： Lucia Garcia-Guerra Rocio Vila-Bedmar Marta Carrasco-Rando Marta Cruces-Sande Mercedes Martin Ana Ruiz-Gomez Mar Ruiz-Gomez Margarita Lorenzo Sonia Fernandez-Veledo Federico Mayor Jr. Cristina Murga Iria Nieto-Vazquez Department of Biochemistry and Molecular Biology II School of Pharmacy Complutense University 28040 Madrid Spain CIBER de Diabetes y Enfermedades Metab61icas Asociadas (CIBERDEM) 08017 Barcelona Spain Instituto de Investigaciones Biomedicas Alberto Sols (CSIC-UAM) 28029 Madrid Spain CIBER de enfermedades neurodegenerativas (CIBERNED) 28049 Madrid Spain departament of Molecular Biology and Centro de Biologia Molecular Severo Ochoa (CSIC-UAM) 28049 Madrid Spain Instituto de Investigacion Sanitaria la Princesa 28006 Madrid Spain Centro de Biologia Molecular Severo Ochoa (UAM-CSIC) 28049 Madrid Spain Hospital Universitari de Tarragona Joan XXIII. IISPV. Universitat Rovira i Virgili 43007 Tarragona Spain

G 联合蛋白质的受体 kinase (GRK2 ) 2 是调整不同的膜 receptorsand 的重要 serine/threonine-kinase 细胞内部的蛋白质。在胚胎或成年苍蝇的果蝇 Gprk2 的变细导致了体的肌肉，纤维的损失，和不能飞行的 phenotype.In 的有缺点的区别... 详细信息

G 联合蛋白质的受体 kinase (GRK2 ) 2 是调整不同的膜 receptorsand 的重要 serine/threonine-kinase 细胞内部的蛋白质。在胚胎或成年苍蝇的果蝇 Gprk2 的变细导致了体的肌肉，纤维的损失，和不能飞行的 phenotype.In 的有缺点的区别脊椎动物， GRK2 hemizygous 老鼠少些，但是更包含了 hypertrophied 骨胳的肌肉纤维比野类型的 littermates.In C2C12 myoblasts ， GRK2 kinase缺乏的异种( K220R )的 overexpression 引起了房间 intoimmature myotubes 的早熟的区别，它在尺寸是更宽的并且包含了更多的熔化原子核，当时 GRK2 overexpression b 熔化事件由提高的 GRK2 层次支持了的损害 differentiationand 少数被 p38MAPK 异种概括，它能由 GRK2 模仿 p38MAPK 的 theinhibitory phosphorylation，而在表示 GRK2 观察的弄钝的区别面对 p38MAPK 小径的一个组成地活跃的在上游的激发器克隆 wasrescued。这些结果建议 thatbalanced GRK2 功能为一个及时、完全的 myogenic 过程是必要的。

关键词： G蛋白偶联受体激酶骨骼肌纤维 p38MAPK 丝氨酸/苏氨酸激酶缺失突变体偶合过度表达体细胞

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In Vitro Evaluation of Gamma Irradiation on a Gel Formulation of Cratylia Mollis: Rheological Proporties and Microbiological Control

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Journal of Cosmetics, Dermatological Sciences and Applications 2012年第2期2卷 45-50页

作者： Maria Helena Madruga Lima-Ribeiro Ralph Santos-Oliveira Mauricelia Firmino De Santana Terezinha De Jesus Andreoli Pinto Irene Satiko Kikuchi Cheila Goncalves Mothe Luana Cassandra Breitenbach Barroso Coelho Maria Tereza Dos Santos Correia Ana Maria Dos Anjos Carneiro-Leao Laboratory of Immunopathology Keizo Asami(LIKA) Federal University of PernambucoRecifeBrazil Nuclear Engineering Institute Laboratory of NanoradiopharmaceuticalsRio de JaneiroBrazil Biochemistry Department Federal University of PernambucoRecifeBrazil pharmacy Department University of Sao PauloSao PauloBrazil School of Chemistry Federal University of Rio de JaneiroRio de JaneiroBrazil departament of Morphology and Animal Physiology Federal Rural University of PernambucoRecifeBrazil

Lectin Cramoll-1,4, obtained from Cratylia mollis seeds (beans camaratu) was structurally characterized, biologically and pharmacologically, but its use as a biopharmaceutical is not well documented. The objective of this study is to propose a biopharmaceutical formulation lectin Cramoll-1,4, test their hemagglutinating properties in vitro as well as the use of gamma radiation as a continuous process of decontamination formulation. It was made of the extraction and purification Cramoll-1,4, was developed a gel formulation using Carbopol? as a vehicle, at concentrations of 50, 100, 200, 300 and 600 μg was irradiated with 60Co gamma rays in a dose of 7.549 kGy·h–1. The proposed formulation at a concentration of 300 μg produced an increase in the hemagglutinating units Cramoll-1,4 due to the synergistic effect caused by gamma radiation. Considering the diverse use of lectins, specific molecular and structural factors, as well as changes resulting from its formulation, concentration, irradiation and route of administration is of utmost importance to continue the studies in vitro, for subsequent application in vivo to characterize the physiological and molecular processes involved in the response and cellular effects.

关键词： Gamma Radiation Natural Products Hemagglutinating Activity Cramoll-1 4

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Phosphate-activated glutaminase activity is enhanced in brain, intestine and kidneys of rats following portacaval anastomosis

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World Journal of Gastroenterology 2006年第15期12卷 2406-2411页

作者： Manuel Romero-Gómez María Jover Daniel Díaz-Gómez Laura Collantes de Terán Regina Rodrigo Inés Camacho Miriam Echevarría Vicente Felipo Juan D Bautista Unit for the Clinical Management of Digestive Diseases Hospital Universitario de Valme SevillaSpain Department of Biochemistry Bromatology and Toxicology Faculty of PharmacyUniversity of SevilleSpain Laboratory of Neurobiology Fundación Valenciana de Investigaciones Biomédicas ValenciaSpain Biochemistry Unit Hospital Universitario de Valme SevillaSpain Instituto de Investigaciones Biomédicas departament of Physiology University of SevilleSpain Laboratory of Neurobiology Fundación Valenciana de Investigaciones Biomédicas ValenciaSpain

瞄准：估计在老鼠的门腔静脉吻合(PCA ) 是否在肾影响蛋白质表示或谷酰胺酶的活动，肠并且在外皮的三个大脑区域，基础轧了神经胶质和小脑并且解释在肝的脑病发现的神经病学的改变(他) 。方法：称 250-350 g 的十六只男 Wistar 老鼠被... 详细信息

瞄准：估计在老鼠的门腔静脉吻合(PCA ) 是否在肾影响蛋白质表示或谷酰胺酶的活动，肠并且在外皮的三个大脑区域，基础轧了神经胶质和小脑并且解释在肝的脑病发现的神经病学的改变(他) 。方法：称 250-350 g 的十六只男 Wistar 老鼠被组织进假冒操作的控制(n=8 ) 或 portacaval (n=8 ) 。在过程以后的 28 天，动物被牺牲。十二指肠，肾和大脑被移开， homogenised 和线粒体被孤立。氨在大脑和血被测量。激活磷酸盐的谷酰胺酶(PAG ) 活动被与 O-phthalaldehyde (OPA ) 和每蛋白质(蛋白质的 mukat/g ) 的克以单位表示的特殊活动在 37 摄氏度测量氨生产追随者孵化一个小时决定。蛋白质表示被弄污的免疫测量。结果：十二指肠并且和蛋白质内容的肾 PAG 活动比在 PCA 组是显著地更高的在控制或假冒操作老鼠(十二指肠 PAG 活动是在 PCA 老鼠对在假冒操作老鼠的蛋白质的 429.19+/-126.92mukat/g 的蛋白质的 976.95+/-268.87 mukat/g；肾 PAG 活动是在 PCA 老鼠对在控制的蛋白质的 669.67+/-400.8 mukat/g 的 1259.18+/-228.79 mukat/g 蛋白质， P<0.05；十二指肠的蛋白质内容：173% 在 PCA 对假冒操作老鼠；在肾，蛋白质的内容在 PCA 对假冒操作老鼠是 152%) 。在 PCA 老鼠的 PAG 活动和蛋白质表示在外皮是更高的并且基础在假冒操作老鼠比那些轧了神经胶质(外皮：蛋白质的 6646.6+/-1870.4 mukat/g 对在控制老鼠的蛋白质的 3573.8+/-2037.4 mukat/g， P<0.01；基础轧了神经胶质， PAG 活动是在 PCA 老鼠对在假冒的操作老鼠的蛋白质的 2271.2+/-384 mukat/g 的蛋白质的 3657.3+/-1469.6 mukat/g， P<0.05；在小脑，分别地， PAG 活动是蛋白质的 2471.6+/-701.4 mukat/g 对在 PCA 和假冒的老鼠的蛋白质的 1452.9+/-567.8 mukat/g P<0.05；蛋白质的内容：大脑皮质：162%+/-40% 对 100%+/-26% ， P<0.009；并且基础轧了神经胶质：140%+/-39% 对 100%+/-14% ， P<0.05；然而并非在里面小脑：100%+/-25% 对 100%+/-16% ， P=ns ) 。结论：在肾和十二指肠的增加的 PAG 活动能在 PCA 老鼠显著地作出贡献到 hyperammonaemia，脑病的动物模型。PAG 从外皮在 non-synaptic 线粒体被增加并且基础轧了神经胶质并且能在肝的脑病的致病被含有。因此， PAG 能是为处理的一个可能的目标他或肝机能障碍。

关键词：磷酸谷氨酰胺酶酶活性脑疾病门腔静脉吻合术

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