Magnetic resonance enterography(MRE)is a non-invasive,radiation-free imaging modality that facilitates the assessment of transmural Crohn’s disease activity.It offers advantages over ileo-colonoscopy,which is limited...Magnetic resonance enterography(MRE)is a non-invasive,radiation-free imaging modality that facilitates the assessment of transmural Crohn’s disease activity.It offers advantages over ileo-colonoscopy,which is limited to mucosal-level evaluation,cannot routinely assess small bowel segments proximal to the terminal ileum,and is unable to detect extra-luminal complications.Despite these ad-vantages,the lack of standardised criteria for defining and appraising radiologic disease activity on MRE has contributed to variability in interpretation and clinical application.In response,multiple MRE-based scoring systems have been developed to quantify radiological Crohn’s disease activity in both luminal and post-operative settings.Radiological disease activity scores specific to luminal Crohn’s disease include the magnetic resonance index of activity(MaRIA),simplified MaRIA,Nancy score,London score,Crohn’s disease magnetic reso-nance imaging(MRI)index,Clermont score,paediatric inflammatory Crohn’s MRE index,MRE global score,MRE index,and modified Clermont score.The MR score and the MRI in Crohn’s disease to predict postoperative recurrence index have been specifically developed to evaluate post-operative disease recurrence in Crohn’s disease.Nevertheless,heterogeneity in scoring parameters,variability in computational complexity,and a lack of consensus regarding optimal score selection,have impeded widespread clinical adoption of radiological disease activity scores.This narrative review aims to summarise the key imaging features of luminal Crohn’s disease,explore their integration into existing MRE scoring indices,and critically compare the structure,strengths,and clinical applicability of each.Furthermore,MRI scores specific to post-operative Crohn’s disease evaluation,and the assessment of cumulative bowel wall damage using the Lemann index will also be discussed.展开更多
Thermal management is essential in our body as it affects various bodily functions,ranging from thermal discomfort to serious organ failures,as an example of the worst-case scenario.There have been extensive studies a...Thermal management is essential in our body as it affects various bodily functions,ranging from thermal discomfort to serious organ failures,as an example of the worst-case scenario.There have been extensive studies about wearable materials and devices that augment thermoregulatory functionalities in our body,employing diverse materials and systematic approaches to attaining thermal homeostasis.This paper reviews the recent progress of functional materials and devices that contribute to thermoregulatory wearables,particularly emphasizing the strategic methodology to regulate body temperature.There exist several methods to promote personal thermal management in a wearable form.For instance,we can impede heat transfer using a thermally insulating material with extremely low thermal conductivity or directly cool and heat the skin surface.Thus,we classify many studies into two branches,passive and active thermal management modes,which are further subdivided into specific strategies.Apart from discussing the strategies and their mechanisms,we also identify the weaknesses of each strategy and scrutinize its potential direction that studies should follow to make substantial contributions to future thermal regulatory wearable industries.展开更多
The plastic flow behaviors of AA6061-T4 sheets at different temperatures(21-300°C)and strain rates(0.002-4 s^(-1))were studied.Significant nonlinear effects of temperature and strain rate on flow behaviors were r...The plastic flow behaviors of AA6061-T4 sheets at different temperatures(21-300°C)and strain rates(0.002-4 s^(-1))were studied.Significant nonlinear effects of temperature and strain rate on flow behaviors were revealed,as well as underlying micromechanical factors.Phenomenology and machine learning-based constitutive models were developed.Both models were formulated in the framework of a temperature-dependent linear combination regulated by a transition function to capture the evolution of strain-hardening behavior with increasing temperature.Novel mathematical functions for describing temperature and strain rate sensitivities were formulated for the phenomenological constitutive model.The threshold temperature related to microstructure evolution was considered in the modeling.A data-enrichment strategy based on extrapolating experimental data via classical strain hardening laws was adopted to improve neural network training.An efficient inverse identification strategy,focusing solely on the transition function,was proposed to enhance the prediction accuracy of post-necking deformation by both constitutive models.展开更多
Objectives:The aim of this study was to compare the measured physiological factors that limit running performance with real marathon results from world-class distance runners,evaluating the compatibility between measu...Objectives:The aim of this study was to compare the measured physiological factors that limit running performance with real marathon results from world-class distance runners,evaluating the compatibility between measured data and predicted results based on the previously suggested model.Methods:Four world-class East African marathon runners(three male,one female)underwent physiological running assessments to predict marathon performance times using a model based on˙V O_(2)peak,percentage of˙V O_(2)peak at the second ventilatory threshold,and running economy.Predictions were then compared to participants’best marathon times.Results:The measured˙V O_(2)peak of the world-class runners was 75.1±2.7 mL/kg/min.The second ventilatory threshold occurred at 85±3%of the peak,with a running economy of 63.7±2.4 mL/kg/min at 19.6±0.9 km/h.The predicted marathon performance time was 2:06:51±0:03:17 h:min:s for the males and 2:17:36 h:min:s for the female.Comparing these predictions to their personal best times,the average difference was 00:55±00:51 min:s(range:00:20-02:08).Conclusions:This research provides laboratory data on world-class road running athletes,reinforcing the link between marathon performance and˙V O_(2)peak,the percentage of˙VO_(2)peak at the second ventilatory threshold,and running economy.The examined athletes had lower˙V O_(2)peak compared to predicted values,highlighting the importance of running economy and fractional utilization of˙V O_(2)peak in achieving such performances.Future studies should continue to advance the field by including additional bioenergetic parameters measured during race conditions and expanding the participant cohort of elite marathoners,encompassing both sexes.展开更多
Human tumors tend to activate the immune system regulatory checkpoints as a means of escaping immunosurveillance. For instance, interaction between program death-1(PD-1) and program death-ligand 1(PD-L1) will lead the...Human tumors tend to activate the immune system regulatory checkpoints as a means of escaping immunosurveillance. For instance, interaction between program death-1(PD-1) and program death-ligand 1(PD-L1) will lead the activated T cell to a state of anergy. PD-L1 is upregulated on a wide range of cancer cells. Anti-PD-1 and anti-PD-L1 monoclonal antibodies(m Abs), called immune checkpoint inhibitors(ICIs), have consequently been designed to restore T cell activity. Accumulating data are in favor of an association between PD-L1 expression in tumors and response to treatment. A PD-L1 expression is present in 30% to 50% of digestive cancers. Multiple anti-PD-1(nivolumab, pembrolizumab) and anti-PD-L1 m Abs(MPDL3280A, Medi4736) are under evaluation in digestive cancers. Preliminary results in metastatic gastric cancer with pembrolizumab are highly promising and phase Ⅱ will start soon. In metastatic colorectal cancer(CRC), a phase Ⅲ trial of MPDL3280 A as maintenance therapy will shortly be initiated. Trials are also ongoing in metastatic CRC with high immune T cell infiltration(i.e., microsatellite instability). Major challenges are ahead in order to determine how, when and for which patients we should use these ICIs. New radiologic criteria to evaluate tumor response to ICIs are awaiting prospective validation. The optimal therapeutic sequence and association with cytotoxic chemotherapy needs to be established. Finally, biomarker identification will be crucial to selection ofpatients likely to benefit from ICIs.展开更多
This paper deals with the simultaneous estimation of states and unknown inputs for a class of Lipschitz nonlinear systems using only the measured outputs. The system is assumed to have bounded uncertainties that appea...This paper deals with the simultaneous estimation of states and unknown inputs for a class of Lipschitz nonlinear systems using only the measured outputs. The system is assumed to have bounded uncertainties that appear on both the state and output matrices. The observer design problem is formulated as a set of linear constraints which can be easily solved using linear matrix inequalities (LMI) technique. An application based on manipulator arm actuated by a direct current (DC) motor is presented to evaluate the performance of the proposed observer. The observer is applied to estimate both state and faults.展开更多
Alzheimer＇s and Parkinson＇s diseases are the most common neurodegenerative diseases. They are characterized by protein aggregates and so can be considered as prion-like disease. The major components of these deposit...Alzheimer＇s and Parkinson＇s diseases are the most common neurodegenerative diseases. They are characterized by protein aggregates and so can be considered as prion-like disease. The major components of these deposits are amyloid peptide and tau for Alzheimer＇s disease, α-synuclein and synphilin-1 for Parkinson＇s disease. Drugs currently proposed to treat these pathologies do not prevent neurodegenerative processes and are mainly symptomatic therapies. Molecules inducing inhibition of aggregation or disaggregation of these proteins could have beneficial effects, especially if they have other beneficial effects for these diseases. Thus, several natural polyphenols, which have antioxidative, anti-inflammatory and neuroprotective properties, have been largely studied, for their effects on protein aggregates found in these diseases, notably in vitro. In this article, we propose to review the significant papers concerning the role of polyphenols on aggregation and disaggregation of amyloid peptide, tau, α-synuclein, synphilin-1, suggesting that these compounds could be useful in the treatments in Alzheimer＇s and Parkinson＇s diseases.展开更多
The ileal pouch anal anastomosis(IPAA)has revolutionised the surgical management of ulcerative colitis(UC)and familial adenomatous polyposis(FAP).Despite refinement in surgical technique(s)and patient selection,IPAA c...The ileal pouch anal anastomosis(IPAA)has revolutionised the surgical management of ulcerative colitis(UC)and familial adenomatous polyposis(FAP).Despite refinement in surgical technique(s)and patient selection,IPAA can be associated with significant morbidity.As the IPAA celebrated its 40th anniversary in 2018,this review provides a timely outline of its history,indications,and complications.IPAA has undergone significant modification since 1978.For both UC and FAP,IPAA surgery aims to definitively cure disease and prevent malignant degeneration,while providing adequate continence and avoiding a permanent stoma.The majority of patients experience long-term success,but“early”and“late”complications are recognised.Pelvic sepsis is a common early complication with far-reaching consequences of long-term pouch dysfunction,but prompt intervention(either radiological or surgical)reduces the risk of pouch failure.Even in the absence of sepsis,pouch dysfunction is a longterm complication that may have a myriad of causes.Pouchitis is a common cause that remains incompletely understood and difficult to manage at times.10%of patients succumb to the diagnosis of pouch failure,which is traditionally associated with the need for pouch excision.This review provides a timely outline of the history,indications,and complications associated with IPAA.Patient selection remains key,and contraindications exist for this surgery.A structured management plan is vital to the successful management of complications following pouch surgery.展开更多
Hepatitis C virus(HCV)is a blood-borne pathogen that has a worldwide distribution and infects millions of people.Care-associated HCV infections represented a huge part of hepatitis C burden in the past via contaminate...Hepatitis C virus(HCV)is a blood-borne pathogen that has a worldwide distribution and infects millions of people.Care-associated HCV infections represented a huge part of hepatitis C burden in the past via contaminated blood and unsafe injections and continue to be a serious problem of public health.The present review proposes a panorama of health care-associated HCV infections via the three mode of contamination that have been identified:(1)infected patient to non-infected patient;(2)infected patient to non-infected health careworker(HCW);and(3)infected HCW to non infected patient.For each condition,the circumstances of contamination are described together with the means to prevent them.As a whole,the more important risk is represented by unsafe practices regarding injections,notably with the improper use of multidose vials used for multiple patients.The questions of occupational exposures and infected HCWs are also discussed.In terms of prevention and surveillance,the main arm for combating care-associated HCV infections is the implementation of standard precautions in all the fields of cares,with training programs and audits to verify their good application.HCWs must be sensitized to the risk of blood-borne pathogens,notably by the use of safety devices for injections and good hygiene practices in the operating theatre and in all the invasive procedures.The providers performing exposed-prone procedures must monitor their HCV serology regularly in order to detect early any primary infection and to treat it without delay.With the need to stay vigilant because HCV infection is often a hidden risk,it can be hoped that the number of people infected by HCV via health care will decrease very significantly in the next years.展开更多
The chestnuts genus(Castanea spp.)is comprised of economically important trees native to the Northern hemisphere that are used as food and hardwood timber.Here,a very efficient method for micropropagation of European&...The chestnuts genus(Castanea spp.)is comprised of economically important trees native to the Northern hemisphere that are used as food and hardwood timber.Here,a very efficient method for micropropagation of European×Japanese chestnut hybrids(Castanea sativa×C.crenata)is described.Woody Plant Medium was used as the basal medium.In vitro shoots of four rootstock cultivars were micropropagated without shoot-tip necrosis on multiplication medium containing 5.7 or 11.4μmol·L^(−1)zeatin riboside,and were rooted on rooting medium containing 2.46μmol·L^(−1)indolebutyric acid.Monthly shootmultiplication rates for each cultivarwere 2–5 folds.In vitro rooting percentages for four cultivars were 87%for‘Maraval’,67%for‘Marigoule’,93%for‘Marsol’,and 97%for‘Précoce Migoule’.Within a 5 week period,80%–95%of rooted shoots were successfully acclimated under high humidity conditions after they were planted in either soil or rockwool.展开更多
BACKGROUND In press-fit total hip arthroplasty(THA)ceramic-on-ceramic(CoC)bearings are a potential for overcoming the wear that is seen in ceramic-on-polyethylene(CoPE)bearings,and can lead to wear-induced osteolysis,...BACKGROUND In press-fit total hip arthroplasty(THA)ceramic-on-ceramic(CoC)bearings are a potential for overcoming the wear that is seen in ceramic-on-polyethylene(CoPE)bearings,and can lead to wear-induced osteolysis,resulting in loosening of the implant.However,CoC bearings show disadvantages as well,such as squeaking sounds and being more fragile,which can cause ceramic head or liner fracture.Because comparative long-term studies are limited,the objective of this study was to determine the long-term difference in wear,identify potential predictive factors for wear,investigate radiological findings such as osteolysis,and evaluate clinical functioning and complications between these bearings.AIM To determine 10-year differences in wear,predictive factors for wear,and investigate radiological findings and clinical functioning between CoC and CoPE.METHODS This observational prospective single-center cohort study with a 10-year followup includes a documented series of elective THAs.Primary outcome was wear measured by anteroposterior(AP)radiographs.Secondary outcomes were potential predictive factors for wear,complications during follow-up,Harris hip score(HHS),and radiological findings such as presence of radiolucency,osteolysis,atrophy,and hypertrophy around the cup.Due to the absence of wear in the CoC group,stratified analysis to identify risk factors for wear was only performed in the CoPE group by use of univariate linear regression analysis.HHS was expressed as a change from baseline and the association with bearing type was assessed by use of multivariate linear regression analysis,adjusted for potential confounders.RESULTS A total of 17 CoPE(63.0%)and 25 CoC(73.5%)cases were available for follow-up and showed a linear wear of respectively 0.130 mm/year(range 0.010;0.350)and 0.000 mm/year(range 0.000;0.005),which was significant(P<0.001)between both groups.Wear always occurred in the cranial direction.Cup inclination was the only predictive factor for polyethylene(PE)wear.No dislocations,ceramic head,or liner fractures were seen.The HHS showed a mean change from baseline of 37.1 points(SD 18.5)in the CoPE group and 43.9(SD 17.0)in the CoC group.This crude difference of 6.8(range-5.2;18.7)in favor of the CoC group was not significant(P=0.26)and was not significant when adjusted for age,gender,and diagnosis either(P=0.99).No significant differences in complications and radiological findings were seen between groups.CONCLUSION CoC bearing shows lower wear rates compared to CoPE at 10-year follow-up with cup inclination as a predictive factor for wear and no differences in complications,HHS,and radiological findings.展开更多
Influenza,a highly contagious respiratory infectious disease caused by an influenza virus,is a threat to public health worldwide.Avian influenza viruses(AIVs)have the potential to cause the next pandemic by crossing t...Influenza,a highly contagious respiratory infectious disease caused by an influenza virus,is a threat to public health worldwide.Avian influenza viruses(AIVs)have the potential to cause the next pandemic by crossing the species barrier through mutation of viral genome.Here,we investigated the pathogenicity of AIVs obtained from South Korea and Mongolia during 2018–2019 by measuring viral titers in the lungs and extrapulmonary organs of mouse models.In addition,we assessed the pathogenicity of AIVs in ferret models.Moreover,we compared the ability of viruses to replicate in mammalian cells,as well as the receptor-binding preferences of AIV isolates.Genetic analyses were finally performed to identify the genetic relationships and amino acid substitutions between viral proteins during mammalian adaptation.Of the 24 AIV isolates tested,A/Mallard/South Korea/KNU2019-34/2019(KNU19-34;H1N1)caused severe bodyweight loss and high mortality in mice.The virus replicated in the lungs,kidneys,and heart.Importantly,KNU19-34-infected ferrets showed high viral loads in both nasal washes and lungs.KNU19-34 replicated rapidly in A549 and bound preferentially to human likeα2,6-linked sialic acids rather than to avian-likeα2,3-linked sialic acids,similar to the pandemic A/California/04/2009(H1N1)strain.Gene segments of KNU19-34 were distributed in Egypt and Asia lineages from 2015 to 2018,and the virus had several amino acid substitutions compared to H1N1 AIV isolates that were non-pathogenic in mice.Collectively,the data suggest that KNU19-34 has zoonotic potential and the possibility of new mutations responsible for mammalian adaptation.展开更多
AIM:To evaluate whether crypt abscesses frominflammatory bowel disease(IBD)patients containbacteria and to establish their nature.METHODS:We studied 17 ulcerative colitis patients,11 Crohn's disease patients,7 pat...AIM:To evaluate whether crypt abscesses frominflammatory bowel disease(IBD)patients containbacteria and to establish their nature.METHODS:We studied 17 ulcerative colitis patients,11 Crohn's disease patients,7 patients with acute selflimited colitis(ASLC)and normal colonic biopsies from5 subjects who underwent colonoscopy for colon cancer screening.A fluorescent in situ hybridization techniquewas applied to colonic biopsies to assess the microbiotacomposition of the crypts and crypt abscesses.RESULTS:Crypts colonized by bacteria were observedin 42.9%and 3.6%of ASLC and IBD patients,respectively(P=0.019).Crypt abscesses colonized bybacteria were observed in 28.6%and 0.0%of ASLCand IBD patients,respectively(P=0.035).CONCLUSION:These results do not support thehypothesis that crypt abscesses in IBD are the resultof localized dysbiosis arising from persistence of livingbacteria colonizing the crypts.展开更多
Early childhood growth and development is conditioned by the consecutive events belonging to perinatal programming. This critical window of life will be very sensitive to any event altering programming of the main bod...Early childhood growth and development is conditioned by the consecutive events belonging to perinatal programming. This critical window of life will be very sensitive to any event altering programming of the main body functions.Programming of gut function, which is starting right after conception, relates to a very well-established series of cellular and molecular events associating all types of cells present in this organ, including neurons, endocrine and immune cells. At birth, this machinery continues to settle with the establishment of extra connection between enteric and other systemic systems and is partially under the control of gut microbiota activity, itself being under the densification and the diversification of microorganisms’ population. As thus, any environmental factor interfering on this pre-established program may have a strong incidence on body functions. For all these reasons, pregnant women, fetuses and infants will be particularly susceptible to environmental factors and especially food contaminants. In this review, we will summarize the actual understanding of the consequences of repeated low-level exposure to major food contaminants on gut homeostasis settlement and on brain/gut axis communication considering the pivotal role played by the gut microbiota during the fetal and postnatal stages and the presumed consequences of these food toxicants on the individuals especially in relation with the risks of developing later in life non-communicable chronic diseases.展开更多
Botrytis cinerea is a necrotrophic fungusth at a ffects various plant species.Chemical control is an ecessity and as much as possible,eco-friendly conditions and bioresources to obtain these chemicals should be used.I...Botrytis cinerea is a necrotrophic fungusth at a ffects various plant species.Chemical control is an ecessity and as much as possible,eco-friendly conditions and bioresources to obtain these chemicals should be used.In this context,a series of products w as obtained from salicylaldehyde using zinc as a powerful reagent and tested for antifungal activity against Botrytis cinerea.展开更多
Identifying changes in coal permeability with gas pressure and accurately codifying mean efective stresses in laboratory samples are crucial in predicting gas-fow behavior in coal reservoirs. Traditionally, coal perme...Identifying changes in coal permeability with gas pressure and accurately codifying mean efective stresses in laboratory samples are crucial in predicting gas-fow behavior in coal reservoirs. Traditionally, coal permeability to gas is assessed using the steady-state method, where the equivalent gas pressure in the coal is indexed to the average of upstream and downstream pressures of the coal, while ignoring the nonlinear gas pressure gradient along the gas fow path. For the fow of a compressible gas, the traditional method consistently underestimates the length/volume-averaged pressure and overestimates mean efective stress. The higher the pressure diferential within the sample, the greater the error between the true mean pressure for a compressible fuid and that assumed as the average between upstream and downstream pressures under typical reservoir conditions. A correction coefcient for the compressible fuid pressure asymptotes to approximately 1.3%, representing that the error in mean pressure and efective stress can be on the order of approximately 30%, particularly for highly pressure-sensitive permeabilities and compressibilities, further amplifying errors in evaluated reservoir properties. We utilized this volume-averaged pressure and efective stress to correct permeability and compressibility data reported in the literature. Both the corrected initial permeability and the corrected pore compressibility were found to be smaller than the uncorrected values, due to the underestimation of the true mean fuid pressure, resulting in an overestimation of reservoir permeability if not corrected. The correction coefcient for the initial permeability ranges from 0.6 to 0.1 (reservoir values are only approximately 40% to 90% of laboratory values), while the correction coefcient for pore compressibility remains at approximately 0.75 (reservoir values are only approximately 25% of laboratory value). Errors between the uncorrected and corrected parameters are quantifed under various factors, such as confning pressure, gas sorption, and temperature. By analyzing the evolutions of the initial permeability and pore compressibility, the coupling mechanisms of mechanical compression, adsorption swelling, and thermal expansion on the pore structure of the coal can be interpreted. These fndings can provide insights that are useful for assessing the sensitivity of coal permeability to gas pressure as truly representative of reservoir conditions.展开更多
Autoimmune pancreatitis(AIP) is a rare cause of recurrent acute pancreatitis or chronic pancreatitis in middleaged patients,and is characterised by a marked infiltration of lymphocytes and plasma cells in pancreatic t...Autoimmune pancreatitis(AIP) is a rare cause of recurrent acute pancreatitis or chronic pancreatitis in middleaged patients,and is characterised by a marked infiltration of lymphocytes and plasma cells in pancreatic tissue.Diagnosis of focal forms can be diff icult as AIP may mimic pancreatic adenocarcinoma.Pediatric cases of AIP are exceptional.We report the case of a 15-yearold girl who had a focal AIP and associated cholangitis,with a very unusual vascularized mass that mimicked a pancreatic endocrine tumor.The diagnosis was obtained by a pancreatic biopsy,thus avoiding surgical resection,and all the clinical,biological and radiological abnormalities resolved after steroid therapy with 6 mo of follow-up.展开更多
Alzheimer’s disease is one of the most frequent neurodegenerative diseases.This pathology is characterized by protein aggregates,mainly constituted by amyloid peptide and tau,leading to neuronal death and cognitive i...Alzheimer’s disease is one of the most frequent neurodegenerative diseases.This pathology is characterized by protein aggregates,mainly constituted by amyloid peptide and tau,leading to neuronal death and cognitive impairments.Drugs currently proposed to treat this pathology do not prevent neurodegenerative processes and are mainly symptomatic therapies.However,stilbenes presenting multiple pharmacological effects could be good potential therapeutic candidates.The aim of this review is to gather the more significant papers among the broad literature on this topic,concerning the beneficial effects of stilbenes (resveratrol derivatives) in animal models of Alzheimer’s disease.Indeed,numerous studies focus on cellular models,but an in vivo approach remains of primary importance since in animals (mice or rats,generally),bioavailability and metabolism are taken into account,which is not the case in in vitro studies.Furthermore,examination of memory ability is feasible in animal models,which strengthens the relevance of a compound with a view to future therapy in humans.This paper is addressed to any researcher who needs to study untested natural stilbenes or who wants to experiment the most effective natural stilbenes in largest animals or in humans.This review shows that resveratrol,the reference polyphenol,is largely studied and seems to have interesting properties on amyloid plaques,and cognitive impairment.However,some resveratrol derivatives such as gnetin C,trans-piceid,or astringin have never been tested on animals.Furthermore,pterostilbene is of particular interest,by its improvement of cognitive disorders and its neuroprotective role.It could be relevant to evaluate this molecule in clinical trials.展开更多
文摘Magnetic resonance enterography(MRE)is a non-invasive,radiation-free imaging modality that facilitates the assessment of transmural Crohn’s disease activity.It offers advantages over ileo-colonoscopy,which is limited to mucosal-level evaluation,cannot routinely assess small bowel segments proximal to the terminal ileum,and is unable to detect extra-luminal complications.Despite these ad-vantages,the lack of standardised criteria for defining and appraising radiologic disease activity on MRE has contributed to variability in interpretation and clinical application.In response,multiple MRE-based scoring systems have been developed to quantify radiological Crohn’s disease activity in both luminal and post-operative settings.Radiological disease activity scores specific to luminal Crohn’s disease include the magnetic resonance index of activity(MaRIA),simplified MaRIA,Nancy score,London score,Crohn’s disease magnetic reso-nance imaging(MRI)index,Clermont score,paediatric inflammatory Crohn’s MRE index,MRE global score,MRE index,and modified Clermont score.The MR score and the MRI in Crohn’s disease to predict postoperative recurrence index have been specifically developed to evaluate post-operative disease recurrence in Crohn’s disease.Nevertheless,heterogeneity in scoring parameters,variability in computational complexity,and a lack of consensus regarding optimal score selection,have impeded widespread clinical adoption of radiological disease activity scores.This narrative review aims to summarise the key imaging features of luminal Crohn’s disease,explore their integration into existing MRE scoring indices,and critically compare the structure,strengths,and clinical applicability of each.Furthermore,MRI scores specific to post-operative Crohn’s disease evaluation,and the assessment of cumulative bowel wall damage using the Lemann index will also be discussed.
基金supported by the National Research Foundation of Korea(NRF)Grant funded through Basic Science Research Program(2021M3H4A1A02050237).
文摘Thermal management is essential in our body as it affects various bodily functions,ranging from thermal discomfort to serious organ failures,as an example of the worst-case scenario.There have been extensive studies about wearable materials and devices that augment thermoregulatory functionalities in our body,employing diverse materials and systematic approaches to attaining thermal homeostasis.This paper reviews the recent progress of functional materials and devices that contribute to thermoregulatory wearables,particularly emphasizing the strategic methodology to regulate body temperature.There exist several methods to promote personal thermal management in a wearable form.For instance,we can impede heat transfer using a thermally insulating material with extremely low thermal conductivity or directly cool and heat the skin surface.Thus,we classify many studies into two branches,passive and active thermal management modes,which are further subdivided into specific strategies.Apart from discussing the strategies and their mechanisms,we also identify the weaknesses of each strategy and scrutinize its potential direction that studies should follow to make substantial contributions to future thermal regulatory wearable industries.
文摘The plastic flow behaviors of AA6061-T4 sheets at different temperatures(21-300°C)and strain rates(0.002-4 s^(-1))were studied.Significant nonlinear effects of temperature and strain rate on flow behaviors were revealed,as well as underlying micromechanical factors.Phenomenology and machine learning-based constitutive models were developed.Both models were formulated in the framework of a temperature-dependent linear combination regulated by a transition function to capture the evolution of strain-hardening behavior with increasing temperature.Novel mathematical functions for describing temperature and strain rate sensitivities were formulated for the phenomenological constitutive model.The threshold temperature related to microstructure evolution was considered in the modeling.A data-enrichment strategy based on extrapolating experimental data via classical strain hardening laws was adopted to improve neural network training.An efficient inverse identification strategy,focusing solely on the transition function,was proposed to enhance the prediction accuracy of post-necking deformation by both constitutive models.
基金supported by adidas AG.MJ was not compensated for his contribution to this work.
文摘Objectives:The aim of this study was to compare the measured physiological factors that limit running performance with real marathon results from world-class distance runners,evaluating the compatibility between measured data and predicted results based on the previously suggested model.Methods:Four world-class East African marathon runners(three male,one female)underwent physiological running assessments to predict marathon performance times using a model based on˙V O_(2)peak,percentage of˙V O_(2)peak at the second ventilatory threshold,and running economy.Predictions were then compared to participants’best marathon times.Results:The measured˙V O_(2)peak of the world-class runners was 75.1±2.7 mL/kg/min.The second ventilatory threshold occurred at 85±3%of the peak,with a running economy of 63.7±2.4 mL/kg/min at 19.6±0.9 km/h.The predicted marathon performance time was 2:06:51±0:03:17 h:min:s for the males and 2:17:36 h:min:s for the female.Comparing these predictions to their personal best times,the average difference was 00:55±00:51 min:s(range:00:20-02:08).Conclusions:This research provides laboratory data on world-class road running athletes,reinforcing the link between marathon performance and˙V O_(2)peak,the percentage of˙VO_(2)peak at the second ventilatory threshold,and running economy.The examined athletes had lower˙V O_(2)peak compared to predicted values,highlighting the importance of running economy and fractional utilization of˙V O_(2)peak in achieving such performances.Future studies should continue to advance the field by including additional bioenergetic parameters measured during race conditions and expanding the participant cohort of elite marathoners,encompassing both sexes.
文摘Human tumors tend to activate the immune system regulatory checkpoints as a means of escaping immunosurveillance. For instance, interaction between program death-1(PD-1) and program death-ligand 1(PD-L1) will lead the activated T cell to a state of anergy. PD-L1 is upregulated on a wide range of cancer cells. Anti-PD-1 and anti-PD-L1 monoclonal antibodies(m Abs), called immune checkpoint inhibitors(ICIs), have consequently been designed to restore T cell activity. Accumulating data are in favor of an association between PD-L1 expression in tumors and response to treatment. A PD-L1 expression is present in 30% to 50% of digestive cancers. Multiple anti-PD-1(nivolumab, pembrolizumab) and anti-PD-L1 m Abs(MPDL3280A, Medi4736) are under evaluation in digestive cancers. Preliminary results in metastatic gastric cancer with pembrolizumab are highly promising and phase Ⅱ will start soon. In metastatic colorectal cancer(CRC), a phase Ⅲ trial of MPDL3280 A as maintenance therapy will shortly be initiated. Trials are also ongoing in metastatic CRC with high immune T cell infiltration(i.e., microsatellite instability). Major challenges are ahead in order to determine how, when and for which patients we should use these ICIs. New radiologic criteria to evaluate tumor response to ICIs are awaiting prospective validation. The optimal therapeutic sequence and association with cytotoxic chemotherapy needs to be established. Finally, biomarker identification will be crucial to selection ofpatients likely to benefit from ICIs.
文摘This paper deals with the simultaneous estimation of states and unknown inputs for a class of Lipschitz nonlinear systems using only the measured outputs. The system is assumed to have bounded uncertainties that appear on both the state and output matrices. The observer design problem is formulated as a set of linear constraints which can be easily solved using linear matrix inequalities (LMI) technique. An application based on manipulator arm actuated by a direct current (DC) motor is presented to evaluate the performance of the proposed observer. The observer is applied to estimate both state and faults.
文摘Alzheimer＇s and Parkinson＇s diseases are the most common neurodegenerative diseases. They are characterized by protein aggregates and so can be considered as prion-like disease. The major components of these deposits are amyloid peptide and tau for Alzheimer＇s disease, α-synuclein and synphilin-1 for Parkinson＇s disease. Drugs currently proposed to treat these pathologies do not prevent neurodegenerative processes and are mainly symptomatic therapies. Molecules inducing inhibition of aggregation or disaggregation of these proteins could have beneficial effects, especially if they have other beneficial effects for these diseases. Thus, several natural polyphenols, which have antioxidative, anti-inflammatory and neuroprotective properties, have been largely studied, for their effects on protein aggregates found in these diseases, notably in vitro. In this article, we propose to review the significant papers concerning the role of polyphenols on aggregation and disaggregation of amyloid peptide, tau, α-synuclein, synphilin-1, suggesting that these compounds could be useful in the treatments in Alzheimer＇s and Parkinson＇s diseases.
基金the Mitchell J.Notaras Fellowship in Colorectal Surgery
文摘The ileal pouch anal anastomosis(IPAA)has revolutionised the surgical management of ulcerative colitis(UC)and familial adenomatous polyposis(FAP).Despite refinement in surgical technique(s)and patient selection,IPAA can be associated with significant morbidity.As the IPAA celebrated its 40th anniversary in 2018,this review provides a timely outline of its history,indications,and complications.IPAA has undergone significant modification since 1978.For both UC and FAP,IPAA surgery aims to definitively cure disease and prevent malignant degeneration,while providing adequate continence and avoiding a permanent stoma.The majority of patients experience long-term success,but“early”and“late”complications are recognised.Pelvic sepsis is a common early complication with far-reaching consequences of long-term pouch dysfunction,but prompt intervention(either radiological or surgical)reduces the risk of pouch failure.Even in the absence of sepsis,pouch dysfunction is a longterm complication that may have a myriad of causes.Pouchitis is a common cause that remains incompletely understood and difficult to manage at times.10%of patients succumb to the diagnosis of pouch failure,which is traditionally associated with the need for pouch excision.This review provides a timely outline of the history,indications,and complications associated with IPAA.Patient selection remains key,and contraindications exist for this surgery.A structured management plan is vital to the successful management of complications following pouch surgery.
文摘Hepatitis C virus(HCV)is a blood-borne pathogen that has a worldwide distribution and infects millions of people.Care-associated HCV infections represented a huge part of hepatitis C burden in the past via contaminated blood and unsafe injections and continue to be a serious problem of public health.The present review proposes a panorama of health care-associated HCV infections via the three mode of contamination that have been identified:(1)infected patient to non-infected patient;(2)infected patient to non-infected health careworker(HCW);and(3)infected HCW to non infected patient.For each condition,the circumstances of contamination are described together with the means to prevent them.As a whole,the more important risk is represented by unsafe practices regarding injections,notably with the improper use of multidose vials used for multiple patients.The questions of occupational exposures and infected HCWs are also discussed.In terms of prevention and surveillance,the main arm for combating care-associated HCV infections is the implementation of standard precautions in all the fields of cares,with training programs and audits to verify their good application.HCWs must be sensitized to the risk of blood-borne pathogens,notably by the use of safety devices for injections and good hygiene practices in the operating theatre and in all the invasive procedures.The providers performing exposed-prone procedures must monitor their HCV serology regularly in order to detect early any primary infection and to treat it without delay.With the need to stay vigilant because HCV infection is often a hidden risk,it can be hoped that the number of people infected by HCV via health care will decrease very significantly in the next years.
基金the Michigan State University-Ernie and Mabel Rogers Endowment.
文摘The chestnuts genus(Castanea spp.)is comprised of economically important trees native to the Northern hemisphere that are used as food and hardwood timber.Here,a very efficient method for micropropagation of European×Japanese chestnut hybrids(Castanea sativa×C.crenata)is described.Woody Plant Medium was used as the basal medium.In vitro shoots of four rootstock cultivars were micropropagated without shoot-tip necrosis on multiplication medium containing 5.7 or 11.4μmol·L^(−1)zeatin riboside,and were rooted on rooting medium containing 2.46μmol·L^(−1)indolebutyric acid.Monthly shootmultiplication rates for each cultivarwere 2–5 folds.In vitro rooting percentages for four cultivars were 87%for‘Maraval’,67%for‘Marigoule’,93%for‘Marsol’,and 97%for‘Précoce Migoule’.Within a 5 week period,80%–95%of rooted shoots were successfully acclimated under high humidity conditions after they were planted in either soil or rockwool.
文摘BACKGROUND In press-fit total hip arthroplasty(THA)ceramic-on-ceramic(CoC)bearings are a potential for overcoming the wear that is seen in ceramic-on-polyethylene(CoPE)bearings,and can lead to wear-induced osteolysis,resulting in loosening of the implant.However,CoC bearings show disadvantages as well,such as squeaking sounds and being more fragile,which can cause ceramic head or liner fracture.Because comparative long-term studies are limited,the objective of this study was to determine the long-term difference in wear,identify potential predictive factors for wear,investigate radiological findings such as osteolysis,and evaluate clinical functioning and complications between these bearings.AIM To determine 10-year differences in wear,predictive factors for wear,and investigate radiological findings and clinical functioning between CoC and CoPE.METHODS This observational prospective single-center cohort study with a 10-year followup includes a documented series of elective THAs.Primary outcome was wear measured by anteroposterior(AP)radiographs.Secondary outcomes were potential predictive factors for wear,complications during follow-up,Harris hip score(HHS),and radiological findings such as presence of radiolucency,osteolysis,atrophy,and hypertrophy around the cup.Due to the absence of wear in the CoC group,stratified analysis to identify risk factors for wear was only performed in the CoPE group by use of univariate linear regression analysis.HHS was expressed as a change from baseline and the association with bearing type was assessed by use of multivariate linear regression analysis,adjusted for potential confounders.RESULTS A total of 17 CoPE(63.0%)and 25 CoC(73.5%)cases were available for follow-up and showed a linear wear of respectively 0.130 mm/year(range 0.010;0.350)and 0.000 mm/year(range 0.000;0.005),which was significant(P<0.001)between both groups.Wear always occurred in the cranial direction.Cup inclination was the only predictive factor for polyethylene(PE)wear.No dislocations,ceramic head,or liner fractures were seen.The HHS showed a mean change from baseline of 37.1 points(SD 18.5)in the CoPE group and 43.9(SD 17.0)in the CoC group.This crude difference of 6.8(range-5.2;18.7)in favor of the CoC group was not significant(P=0.26)and was not significant when adjusted for age,gender,and diagnosis either(P=0.99).No significant differences in complications and radiological findings were seen between groups.CONCLUSION CoC bearing shows lower wear rates compared to CoPE at 10-year follow-up with cup inclination as a predictive factor for wear and no differences in complications,HHS,and radiological findings.
基金funded by grants from the National Research Foundation of Korea(NRF)grant funded by the Korea government(2018M3A9H4055203 and 2023R1A2C2003679)from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute(KHIDI),funded by the Ministry of Health&Welfare,Republic of Korea(HV23C1857)from KRIBB Research Initiative Program(KGM9942421).
文摘Influenza,a highly contagious respiratory infectious disease caused by an influenza virus,is a threat to public health worldwide.Avian influenza viruses(AIVs)have the potential to cause the next pandemic by crossing the species barrier through mutation of viral genome.Here,we investigated the pathogenicity of AIVs obtained from South Korea and Mongolia during 2018–2019 by measuring viral titers in the lungs and extrapulmonary organs of mouse models.In addition,we assessed the pathogenicity of AIVs in ferret models.Moreover,we compared the ability of viruses to replicate in mammalian cells,as well as the receptor-binding preferences of AIV isolates.Genetic analyses were finally performed to identify the genetic relationships and amino acid substitutions between viral proteins during mammalian adaptation.Of the 24 AIV isolates tested,A/Mallard/South Korea/KNU2019-34/2019(KNU19-34;H1N1)caused severe bodyweight loss and high mortality in mice.The virus replicated in the lungs,kidneys,and heart.Importantly,KNU19-34-infected ferrets showed high viral loads in both nasal washes and lungs.KNU19-34 replicated rapidly in A549 and bound preferentially to human likeα2,6-linked sialic acids rather than to avian-likeα2,3-linked sialic acids,similar to the pandemic A/California/04/2009(H1N1)strain.Gene segments of KNU19-34 were distributed in Egypt and Asia lineages from 2015 to 2018,and the virus had several amino acid substitutions compared to H1N1 AIV isolates that were non-pathogenic in mice.Collectively,the data suggest that KNU19-34 has zoonotic potential and the possibility of new mutations responsible for mammalian adaptation.
文摘AIM:To evaluate whether crypt abscesses frominflammatory bowel disease(IBD)patients containbacteria and to establish their nature.METHODS:We studied 17 ulcerative colitis patients,11 Crohn's disease patients,7 patients with acute selflimited colitis(ASLC)and normal colonic biopsies from5 subjects who underwent colonoscopy for colon cancer screening.A fluorescent in situ hybridization techniquewas applied to colonic biopsies to assess the microbiotacomposition of the crypts and crypt abscesses.RESULTS:Crypts colonized by bacteria were observedin 42.9%and 3.6%of ASLC and IBD patients,respectively(P=0.019).Crypt abscesses colonized bybacteria were observed in 28.6%and 0.0%of ASLCand IBD patients,respectively(P=0.035).CONCLUSION:These results do not support thehypothesis that crypt abscesses in IBD are the resultof localized dysbiosis arising from persistence of livingbacteria colonizing the crypts.
文摘Early childhood growth and development is conditioned by the consecutive events belonging to perinatal programming. This critical window of life will be very sensitive to any event altering programming of the main body functions.Programming of gut function, which is starting right after conception, relates to a very well-established series of cellular and molecular events associating all types of cells present in this organ, including neurons, endocrine and immune cells. At birth, this machinery continues to settle with the establishment of extra connection between enteric and other systemic systems and is partially under the control of gut microbiota activity, itself being under the densification and the diversification of microorganisms’ population. As thus, any environmental factor interfering on this pre-established program may have a strong incidence on body functions. For all these reasons, pregnant women, fetuses and infants will be particularly susceptible to environmental factors and especially food contaminants. In this review, we will summarize the actual understanding of the consequences of repeated low-level exposure to major food contaminants on gut homeostasis settlement and on brain/gut axis communication considering the pivotal role played by the gut microbiota during the fetal and postnatal stages and the presumed consequences of these food toxicants on the individuals especially in relation with the risks of developing later in life non-communicable chronic diseases.
基金ESCOM for fundingWallonie-Bruxelles International et le Fonds National de la Recherche Scientifique pour la communaute francaise de BelgiqueMinistere des Affaires Etrangeres et du Developpement International(MAEDI)et Ambassade de France en Belgique pour la France and by the Region of Picardie,France(cofunding of equipment under CPER 2007-2020 project)。
文摘Botrytis cinerea is a necrotrophic fungusth at a ffects various plant species.Chemical control is an ecessity and as much as possible,eco-friendly conditions and bioresources to obtain these chemicals should be used.In this context,a series of products w as obtained from salicylaldehyde using zinc as a powerful reagent and tested for antifungal activity against Botrytis cinerea.
基金support of the National Natural Science Foundation of China(1200208142102338,42202323)the Natural Science Foundation of Shandong Province(ZR2019MA009)The Technology Improvement Project of Small and Medium Enterprise in Shandong Province,China(2021TSGC1100),is also gratefully acknowledged.Derek Elsworth acknowledges support from the G.Albert Shoemaker endowment.
文摘Identifying changes in coal permeability with gas pressure and accurately codifying mean efective stresses in laboratory samples are crucial in predicting gas-fow behavior in coal reservoirs. Traditionally, coal permeability to gas is assessed using the steady-state method, where the equivalent gas pressure in the coal is indexed to the average of upstream and downstream pressures of the coal, while ignoring the nonlinear gas pressure gradient along the gas fow path. For the fow of a compressible gas, the traditional method consistently underestimates the length/volume-averaged pressure and overestimates mean efective stress. The higher the pressure diferential within the sample, the greater the error between the true mean pressure for a compressible fuid and that assumed as the average between upstream and downstream pressures under typical reservoir conditions. A correction coefcient for the compressible fuid pressure asymptotes to approximately 1.3%, representing that the error in mean pressure and efective stress can be on the order of approximately 30%, particularly for highly pressure-sensitive permeabilities and compressibilities, further amplifying errors in evaluated reservoir properties. We utilized this volume-averaged pressure and efective stress to correct permeability and compressibility data reported in the literature. Both the corrected initial permeability and the corrected pore compressibility were found to be smaller than the uncorrected values, due to the underestimation of the true mean fuid pressure, resulting in an overestimation of reservoir permeability if not corrected. The correction coefcient for the initial permeability ranges from 0.6 to 0.1 (reservoir values are only approximately 40% to 90% of laboratory values), while the correction coefcient for pore compressibility remains at approximately 0.75 (reservoir values are only approximately 25% of laboratory value). Errors between the uncorrected and corrected parameters are quantifed under various factors, such as confning pressure, gas sorption, and temperature. By analyzing the evolutions of the initial permeability and pore compressibility, the coupling mechanisms of mechanical compression, adsorption swelling, and thermal expansion on the pore structure of the coal can be interpreted. These fndings can provide insights that are useful for assessing the sensitivity of coal permeability to gas pressure as truly representative of reservoir conditions.
文摘Autoimmune pancreatitis(AIP) is a rare cause of recurrent acute pancreatitis or chronic pancreatitis in middleaged patients,and is characterised by a marked infiltration of lymphocytes and plasma cells in pancreatic tissue.Diagnosis of focal forms can be diff icult as AIP may mimic pancreatic adenocarcinoma.Pediatric cases of AIP are exceptional.We report the case of a 15-yearold girl who had a focal AIP and associated cholangitis,with a very unusual vascularized mass that mimicked a pancreatic endocrine tumor.The diagnosis was obtained by a pancreatic biopsy,thus avoiding surgical resection,and all the clinical,biological and radiological abnormalities resolved after steroid therapy with 6 mo of follow-up.
文摘Alzheimer’s disease is one of the most frequent neurodegenerative diseases.This pathology is characterized by protein aggregates,mainly constituted by amyloid peptide and tau,leading to neuronal death and cognitive impairments.Drugs currently proposed to treat this pathology do not prevent neurodegenerative processes and are mainly symptomatic therapies.However,stilbenes presenting multiple pharmacological effects could be good potential therapeutic candidates.The aim of this review is to gather the more significant papers among the broad literature on this topic,concerning the beneficial effects of stilbenes (resveratrol derivatives) in animal models of Alzheimer’s disease.Indeed,numerous studies focus on cellular models,but an in vivo approach remains of primary importance since in animals (mice or rats,generally),bioavailability and metabolism are taken into account,which is not the case in in vitro studies.Furthermore,examination of memory ability is feasible in animal models,which strengthens the relevance of a compound with a view to future therapy in humans.This paper is addressed to any researcher who needs to study untested natural stilbenes or who wants to experiment the most effective natural stilbenes in largest animals or in humans.This review shows that resveratrol,the reference polyphenol,is largely studied and seems to have interesting properties on amyloid plaques,and cognitive impairment.However,some resveratrol derivatives such as gnetin C,trans-piceid,or astringin have never been tested on animals.Furthermore,pterostilbene is of particular interest,by its improvement of cognitive disorders and its neuroprotective role.It could be relevant to evaluate this molecule in clinical trials.
