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Innovative endoscopic alternatives for the conservative management of recurrent/refractory esophageal strictures in children:A case series
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作者 Chiara Imondi Maria Elisabetta Bartoli +4 位作者 Filippo Torroni Simona Faraci Tamara Caldaro Paola De Angelis Valerio Balassone 《World Journal of Gastrointestinal Endoscopy》 2025年第8期67-78,共12页
BACKGROUND Refractory esophageal strictures(ES)are defined an anatomical restriction without an active endoscopic inflammation resulting in dysphagia after a minimum of five seriated dilatations in a 4-weeks interval.... BACKGROUND Refractory esophageal strictures(ES)are defined an anatomical restriction without an active endoscopic inflammation resulting in dysphagia after a minimum of five seriated dilatations in a 4-weeks interval.Recurrent ES(REES)refer to the inability to maintain a satisfactory luminal diameter for four weeks once an ageappropriate feeding diameter was achieved.Seriated endoscopic dilations are the reference maintenance for ES in pediatric age.Iterative dilations increase the risk of complications and may cause significant organic and psychological consequences in children and excessive costs for families and health systems.Furthermore,fibrotic modifications can make the surgery even more challenging.The surgical approach is burdened by high morbidity,with prolonged hospitalization and delayed oral refeeding in fragile patients with comorbidities.AIM To evaluate the efficacy and safety of the most recent adjuvant treatments,with the aim of avoiding or,at least,postponing surgery.METHODS Intralesional steroids or mitomycin C injections with antiproliferative and antifibroblastic properties have been attempted,but have been abandoned because of systemic adsorption,local complications,or lack of efficacy.Self-expanding metal stents are generally designed for the palliation of neoplastic strictures in adults and rarely employed in pediatrics because of the high risk of complications,in terms of stent migration,local pain and perforation.Our group developed a customized dynamic esophageal stent to stabilize esophageal patency and promote continuous dilatation determined by the food passage between the stent and the REES wall,but it requires an appropriate diameter for placement.RESULTS Recently peroral endoscopic tunneling for restoration of the esophagus has been employed to treat esophageal obstructions exploiting the submucosal space.Re-absorbable self-expanding stents(like SX-ELLA Stent Esophageal Degradable BD-BD stent)and energy-delivering surgical devices(HARMONIC ACE^(TM)+7 Laparoscope)have also been proposed.CONCLUSION After an overview about the historically applied adjuvant therapies,we aim to update the common knowledge with our recent experience of these new minimally invasive options for pediatric REES and refractory ES in three exemplary cases,focusing on their mid-term effectiveness and safety for the purpose of maintain the patency after standard endoscopic dilations and avoiding or,at least,postponing an invasive replacement surgery. 展开更多
关键词 Refractory esophageal strictures Recurrent esophageal strictures Mini-invasive treatment Adjuvant therapies Pediatric case series
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Role of signaling pathways in age-related orthopedic diseases:focus on the fibroblast growth factor family
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作者 Heng-Zhen Li Jing-lve Zhang +4 位作者 Dong-Liang Yuan Wen-Qing Xie Christoph H.Ladel Ali Mobasheri Yu-Sheng Li 《Military Medical Research》 2025年第5期764-787,共24页
Fibroblast growth factor(FGF)signaling encompasses a multitude of functions,including regulation of cell proliferation,differentiation,morphogenesis,and patterning.FGFs and their receptors(FGFR)are crucial for adult t... Fibroblast growth factor(FGF)signaling encompasses a multitude of functions,including regulation of cell proliferation,differentiation,morphogenesis,and patterning.FGFs and their receptors(FGFR)are crucial for adult tissue repair processes.Aberrant FGF signal transduction is associated with various pathological conditions such as cartilage damage,bone loss,muscle reduction,and other core pathological changes observed in orthopedic degenerative diseases like osteoarthritis(OA),intervertebral disc degeneration(IVDD),osteoporosis(OP),and sarcopenia.In OA and IVDD pathologies specifically,FGF1,FGF2,FGF8,FGF9,FGF18,FGF21,and FGF23 regulate the synthesis,catabolism,and ossification of cartilage tissue.Additionally,the dysregulation of FGFR expression(FGFR1 and FGFR3)promotes the pathological process of cartilage degradation.In OP and sarcopenia,endocrine-derived FGFs(FGF19,FGF21,and FGF23)modulate bone mineral synthesis and decomposition as well as muscle tissues.FGF2 and other FGFs also exert regulatory roles.A growing body of research has focused on understanding the implications of FGF signaling in orthopedic degeneration.Moreover,an increasing number of potential targets within the FGF signaling have been identified,such as FGF9,FGF18,and FGF23.However,it should be noted that most of these discoveries are still in the experimental stage,and further studies are needed before clinical application can be considered.Presently,this review aims to document the association between the FGF signaling pathway and the development and progression of orthopedic diseases.Besides,current therapeutic strategies targeting the FGF signaling pathway to prevent and treat orthopedic degeneration will be evaluated. 展开更多
关键词 Fibroblast growth factor(FGF) Fibroblast growth factor receptor(FGFR) Osteoarthritis(OA) Intervertebral disc degeneration(IVDD) Orthopedic degeneration Osteoporosis(OP) SARCOPENIA
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Searching for the best post-land abandonment management to enhance long-term carbon storage in Mediterranean mountain areas
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作者 Melani Cortijos-López Teodoro Lasanta +1 位作者 Erik Cammeraat Estela Nadal-Romero 《Geography and Sustainability》 2025年第2期80-96,共17页
The abandonment of rural activities in the Mediterranean mid-mountains has led to the activation of revegetation processes,as well as the subsequent implementation of various management measures to mitigate the associ... The abandonment of rural activities in the Mediterranean mid-mountains has led to the activation of revegetation processes,as well as the subsequent implementation of various management measures to mitigate the associated ecosystem disservices.Focusing on soil environment and its growing importance in a climate change scenario,it is of great interest to study how land management and landscape changes can affect,not only the soil carbon storage process,but also its dynamics.A study was conducted in La Rioja(Iberian System,Spain),comparing three post-abandonment management strategies:secondary succession,forest management,and shrub clearing and extensive grazing.These strategies were analysed in two types of soil environments(acid and alkaline)and for two depth ranges(0–20 cm and 20–40 cm).Laboratory analyses were performed on aggregate stability and soil organic carbon fractionation with regard to three aggregate sizes(<2 mm,2–5 mm,>5 mm)and three density fractions(free labile,occluded,and heavy fraction).The results showed that:1)SOC content in aggregates<2 mm(relative to total SOC)increases with shrub clearing and grazing strategy in acid environments;2)aggregate stability benefits from the implementation of afforestation in acid environments and from all three study strategies in alkaline ones;3)in acid environments,the percentage of labile fractions(free and occluded)in afforested sites is significantly higher compared with shrubland,while in alkaline environments,recalcitrant SOC is significantly higher in shrub clearing sites.Thus,land management should be focused on SOC storage after land abandonment in Mediterranean mountainous environments. 展开更多
关键词 Mediterranean mountain Soil organic carbon AFFORESTATION PASTURES Natural revegetation
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Magnetic resonance imaging-based radiomics signature for predicting preoperative staging of esophageal cancer
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作者 Ri-Hui Yang Zhi-Ping Lin +4 位作者 Ting Dong Wei-Xiong Fan Hao-Dong Qin Gui-Hua Jiang Hai-Yang Dai 《World Journal of Radiology》 2025年第8期55-63,共9页
BACKGROUND Esophageal cancer(EC)is one of the most prevalent malignant gastrointestinal tumors;accurate prediction of EC staging has high significance before treatment.AIM To explore a rational radiomic approach for p... BACKGROUND Esophageal cancer(EC)is one of the most prevalent malignant gastrointestinal tumors;accurate prediction of EC staging has high significance before treatment.AIM To explore a rational radiomic approach for predicting preoperative staging of EC based on magnetic resonance imaging(MRI).METHODS This retrospective study included 210 patients with pathologically confirmed EC,randomly divided into a primary cohort(n=147)and a validation cohort(n=63)in a ratio of 7:3.All patients underwent a preoperative MRI scan from the neck to the abdomen.High-throughput and quantitative radiomics features were extracted from T2-weighted imaging(T2WI)and gadolinium contrast-enhanced T1-weighted imaging(T1WI)-Gd images.Radiomics signatures were selected using minimal redundancy maximal relevance and the least absolute shrinkage and selection operator.Then a logistic regression model was built to predict the EC stages.The diagnostic performance of the radiomics model for discriminating between stages Ⅰ-Ⅱ and Ⅲ-Ⅳ was evaluated using the area under the curve(AUC),sensitivity(SEN),and specificity(SPE).RESULTS A total of 214 radiomics features were extracted.Following feature dimension reduction,the T1WI and T2WI sequences were retained,and 14 features from the T1WI sequence and 3 features from the T2WI sequence were selected to construct radiomics signatures.The radiomics signature combining T2WI with T1WI-Gd demonstrated superior discrimination of stages in the validation cohort(AUC:0.851;SEN:0.697;SPE:0.793),which outperformed single-sequence models(AUC:0.779,0.844;SEN:0.667,0.636;SPE:0.8,0.8).CONCLUSION MRI-based radiomics signatures could identify EC stages before treatment,which could serve as a noninvasive and quantitative approach aiding personalized treatment planning. 展开更多
关键词 Esophageal cancer Tumor staging Magnetic resonance imaging Radiomics Logistic regression
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Bridging climate refuges for climate change adaptation:A spatio-temporal connectivity network approach
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作者 Dongmei Xu Jian Peng +4 位作者 Menglin Liu Hong Jiang Hui Tang Jianquan Dong Jeroen Meersmans 《Geography and Sustainability》 2025年第2期157-165,共9页
Enhancing the spatio-temporal connectivity of dynamic landscapes is crucial for species to adapt to climate change.However,the spatio-temporal connectivity network approach considering climate change and species movem... Enhancing the spatio-temporal connectivity of dynamic landscapes is crucial for species to adapt to climate change.However,the spatio-temporal connectivity network approach considering climate change and species movement is often overlooked.Taking Tibetan wild ass on the Qinghai-Xizang Plateau as an example,we simulated species distribution under current(2019)and future scenarios(2100),constructed spatio-temporal connectivity networks,and assessed the spatio-temporal connectivity.The results show that under the current,SSP2–4.5 and SSP3–7.0 scenarios,suitable habitats for the Tibetan wild ass account for 21.11%,21.34%,and 20.95%of the total area,respectively,with increased fragmentation projected by 2100.78.35%of the habitats which are predicted to be suitable under current conditions will remain suitable in the future,which can be regarded as stable climate refuges.With the increase in future emission intensity,the percentage of auxiliary connectivity corridors increases from 27.65%to 33.57%.This indicates that more patches will function as temporary refuges and the auxiliary connectivity corridors will gradually weaken the dominance of direct connectivity corridors.Under different SSP-RCP scenarios,the internal spatio-temporal connectivity is always higher than direct connectivity and auxiliary connectivity,accounting for 42%–43%.Compared with the spatio-temporal perspective,the purely spatial perspective overestimates network connectivity by about 28%considering all current and future patches,and underestimates network connectivity by 16%–21%when only considering all current or future patches.In this study,a new approach of spatio-temporal connectivity network is proposed to bridge climate refuges,which contributes to the long-term effectiveness of conservation networks for species’adaptation to climate change. 展开更多
关键词 Species distribution Minimum cumulative resistance model Connectivity corridor Future climate change scenarios Tibetan wild ass
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Efficacy of electro-acupuncture at “Weizhong” (BL40) on macrophage polarization in rats with injured lumbar multifidus
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作者 TIAN Yuan BU He +5 位作者 WANG Tieshan YANG Dongliang ZHANG Wei LIU Tong ZHANG Li HUO Zejun 《Journal of Traditional Chinese Medicine》 2025年第2期335-347,共13页
OBJECTIVE:To investigate the anti-inflammatory effect of electroacupuncture in rats with bupivacaine-induced lumbar multifidus injury and its underlying regulatory mechanism on macrophage polarization.METHODS:A total ... OBJECTIVE:To investigate the anti-inflammatory effect of electroacupuncture in rats with bupivacaine-induced lumbar multifidus injury and its underlying regulatory mechanism on macrophage polarization.METHODS:A total of seventy-two Sprague-Dawley male rats were randomly divided into control,model,and electroacupuncture groups.Forty-eight rats categorized in model groups were injected 0.5% bupivacaine(BPVC) into the lumbar multifidus at the L4-L5 segment.Rats in the electroacupuncture groups received the intervention for 1,2,3 and 5 d,respectively.The degree of macrophage infiltration and change of M1/M2 polarization were observed based on hematoxylin and eosin staining,immunohistochemistry and immunofluorescence to evaluate the anti-inflammatory effect of electroacupuncture.Meanwhile,exosomal miRNAsequencing and bioinformatics analysis predicted the pathways and biological processes related to inflammatory response and macrophage polarization regulated by electroacupuncture intervention.RESULTS:BPVC injection induced the infiltration of local macrophages at the L4-L5 segment of lumbar multifidus.Comparison of mean IOD values with 2 d and 5 d post injury revealed the highest expression of CD68+ macrophages on day 3 post injury by immunohistochemistry.(P < 0.001,P < 0.001,respectively).Compared with the model group,the cell counts of iNOs+ CD68+ M1-macrophages were lower in the electroacupuncture group,while the positive percent of CD163+ CD206+ M2-macrophages was higher in the electroacupuncture group,on day 3 after BPVC injection(P < 0.001,P < 0.001,respectively).Moreover,the results of sequencing and bioinformatic analysis suggested that exosomal miRNAs were involved in the EA regulating macrophage polarization.CONCLUSIONS:Electroacupuncture can promote macrophage polarization to reduce inflammation following lumbar multifidus muscular injury. 展开更多
关键词 ELECTRO-ACUPUNCTURE muscle repair macrophage polarization INFLAMMATION
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EMS-Mediated Mutagenesis in Marigold Seeds and Its Effects on Seedling Growth and Physiology 被引量:1
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作者 Chao Meng Ikram Ullah +8 位作者 Wenjin Wu Yiping Zhang Ruixue Shi Shaodan Luo Cuixia Luo Satyabrata Nanda Mahmoud FSeleiman Yalian Jiang Wangqi Huang 《Phyton-International Journal of Experimental Botany》 SCIE 2024年第11期3029-3038,共10页
Marigolds(Tagetes spp.)are popular horticultural plants worldwide.The current study aimed to investigate the optimal mutagenic conditions for marigold seeds using EMS(ethyl methanesulfonate)mutagenesis.Different con-c... Marigolds(Tagetes spp.)are popular horticultural plants worldwide.The current study aimed to investigate the optimal mutagenic conditions for marigold seeds using EMS(ethyl methanesulfonate)mutagenesis.Different con-centrations and treatment times of EMS were applied to investigate their effects on the marigold seed germination rate,growth traits,antioxidant enzyme activities(i.e.,SOD and POD),and malondialdehyde(MDA)contents.Results indicated that with increasing the EMS treatment duration and concentration,the seed germination rate and growth treatments were reduced,accompanied by elevated MDA content.In addition,SOD and POD activ-ities initially correlated positively with the growth tratis at the lowest concentrations and shortest durations of EMS,but such relationship diminished beyond certain thresholds.The comprehensive analysis identified the opti-mal mutagenic conditions as 1%EMS treatment for 12 h,achieving a semi-lethal dose and enhancing stress-resis-tant components in seedlings.Thesefindings are pivotal for advancing genetic enhancement and germplasm innovation in marigolds. 展开更多
关键词 Marigolds seed germination EMS mutagenesis genetic enhancement
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Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL-IQ) for evaluation of early bone mass changes in ageing osteoporosis patients
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作者 Yonggui Yang Fang Chen +2 位作者 Xiufen Wu Xinyu Xu Pu-Yeh Wu 《Magnetic Resonance Letters》 2025年第2期11-18,共8页
This study explored the application value of iterative decomposition of water and fatwith echo asymmetry and least-squares estimation(IDEAL-IQ)technology in the early diagnosis of ageing osteoporosis(OP).172 participa... This study explored the application value of iterative decomposition of water and fatwith echo asymmetry and least-squares estimation(IDEAL-IQ)technology in the early diagnosis of ageing osteoporosis(OP).172 participants were enrolled and underwentmagnetic resonance imaging(MRI)examinations on a 3.0T scanner.100 cases were included in the normal group(50 males and 50 females;mean age:45 years;age range:20e84 years).33 cases were included in the osteopenia group(17 males and 16 females;mean age:55 years;age range:43e83 years).39 caseswere includedintheOP group(19males and20females;meanage:58years;age range:48 e82 years).Conventional T1WI and T2WI were first obtained,followed by 3D-IDEAL-IQ-acqui-sition.Fat fraction(FF)and apparent transverse relaxation rate(R2*)resultswere automatically calculated from IDEAL-IQ-images on the console.Based on T1Wand T2W-images,300 ROIs for each participantweremanually delineated in L1-L5 vertebral bodies of five middle slices.In each age group of all normal subjects,each parameter was significantly correlated with gender.In male participants from the normal,osteopenia,and OP groups,statistical analysis revealed F values of 11319.292 and 180.130 for comparisons involving FF and R2*values,respectively(all p<0.0001).The sensitivity and specificity of FF values were 0.906 and 0.950,0.994 and 0.997,0.865 and 0.820,respectively.For R2*,they were 0.665 and 0.616,0.563 and 0.519,0.571 and 0.368,respectively.In female participants from the normal,osteopenia,and OP-groups,statis-tical analysis revealed F values of 12461.658 and 548.274 for comparisons involving FF and R2*values,respectively(all p<0.0001).The sensitivity and specificity of FF values were 0.985 and 0.991,0.996 and 0.996,0.581 and 0.678,respectively.For R2*,they were 0.698 and 0.730,0.603 and 0.665,0.622 and 0.525,respectively.Significant differences were indicated in the quanti-tative values among the three groups.FF value had good performance,while R2*value had poor performance indiscriminatingosteopenia andOP-groups.Overall,the IDEAL-IQ techniqueoffers specific reference indices that enable noninvasive and quantitative assessment of lumbar vertebrae bone metabolism,thereby providing diagnostic information for OP. 展开更多
关键词 Magnetic resonance imaging Iterative decomposition of water and fat with echo asymmetry and least-squares estimation Bone mineral density OSTEOPOROSIS Osteopenia
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No change over three decades in the realized spatial niche of a salamander population living in a subterranean habitat
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作者 Sebastiano Salvidio Andrea Costa +2 位作者 Fabrizio Oneto Giacomo Rosa Mauro Valerio Pastorino 《Current Zoology》 2025年第5期678-681,共4页
Subterranean environments are buffered from external climatic fluctuations due to the absence of light and a delayed thermal response to surface conditions(Mammola 2019).Terrestrial salamanders are often found in subt... Subterranean environments are buffered from external climatic fluctuations due to the absence of light and a delayed thermal response to surface conditions(Mammola 2019).Terrestrial salamanders are often found in subterranean habitats,but few studies have assessed the influence of climatic effects on their long-term spatial distribution and niche breadth.In this study,we investigated the variability over 29 consecutive years of the spatial niche in a terrestrial salamander population inhabiting an artificial subterranean habitat.We hypothesized that juvenile salamanders,which are typically active near cave entrances and more exposed to climatic variability and dehydration(Peterman et al.2013),would exhibit an earlier and more variable behavioral adaptation to increasing external temperatures compared to adults. 展开更多
关键词 long-term ecological research niche breadth PLETHODONTIDAE Speleomantes subterranean habitat
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Psychological impact of minimally invasive approaches in the management of pelvic fractures with lumbosacral plexus injury
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作者 Osvaldo Mazza Giuseppe Marano Marianna Mazza 《World Journal of Psychiatry》 2025年第8期424-428,共5页
Pelvic fractures are rare but severe injuries that severely affect patients’quality of life.Treatment of these fractures often involves invasive approaches with high risk of injuries to nervous structures,particularl... Pelvic fractures are rare but severe injuries that severely affect patients’quality of life.Treatment of these fractures often involves invasive approaches with high risk of injuries to nervous structures,particularly lumbosacral plexus.The introduction of minimally invasive surgical approaches,such as the lateral rectus approach,not only contributes to preserving lumbar plexus integrity in operated patients but also positively impacts their psychological well-being.Patients treated by surgical reduction of pelvic fractures with lumbosacral plexus injury often experience states of anxiety and depression.The lateral rectus approach is associated with lower levels of anxiety and depression compared to more invasive surgical techniques used for similar fractures. 展开更多
关键词 Pelvic fractures ANXIETY DEPRESSION Lumbosacral plexus Minimally invasive approach
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First regional consensus on the management of Helicobacter pylori infection in the Middle East
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作者 Ala I Sharara Fahad I Alsohaibani +5 位作者 Ahmad Alsaegh Khalid Al Ejji Sameer Al Awadhi Peter Malfertheiner Sherif A Karam Talal Al-Taweel 《World Journal of Gastroenterology》 2025年第27期15-41,共27页
Helicobacter pylori(H.pylori),a widespread gram-negative bacterium that colonizes the stomach,causes chronic gastritis,which may progress to peptic ulcer,mucosa-associated lymphoid tissue lymphoma,and gastric cancer.H... Helicobacter pylori(H.pylori),a widespread gram-negative bacterium that colonizes the stomach,causes chronic gastritis,which may progress to peptic ulcer,mucosa-associated lymphoid tissue lymphoma,and gastric cancer.H.pylori infection affects over 50%of people in developing countries and 10%-20%in developed countries.The Kyoto consensus classifies H.pylori gastritis as an infectious disease in the International Classification of Disease 11th Revision.The Maastricht/Florence consensus recommends treatment for all infected individuals,introducing a shift in the management strategies.The prevalence of H.pylori infection is high in the Middle East,with infection rates of 40%-70%and 85%-90%being reported among children and adults,respectively.The increasing resistance to antibiotics,including macrolides and fluoroquinolones,is a major challenge in the management of H.pylori.Clarithromycin resistance,which is associated with reduced effectiveness of standard triple therapy regimens,leading to higher rates of treatment failure,impacts the eradication rates.This emphasizes the need for routine antibiotic susceptibility testing at the national level,the use of alternative therapies,including new molecular methods,and antibiotic stewardship.An online panel of experts from the Middle East,along with an international expert,developed this consensus to provide comprehensive guidelines on the diagnosis,treatment,prevention,and role of gut microbiota in H.pylori infection,with the goal of improving clinical decision-making and reducing the impact of antibiotic resistance in the region.These guidelines are intended to support healthcare professionals involved in the diagnosis and management of H.pylori,including primary care physicians,gastroenterologists,and other specialists.They may also inform future clinical research aimed at optimizing treatment strategies and addressing regional challenges. 展开更多
关键词 Helicobacter pylori Antibiotic resistance Consensus guidelines Gastric cancer Gut microbiota
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Emergence of taurine as a therapeutic agent for neurological disorders 被引量:3
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作者 Ashok Jangra Priyanka Gola +13 位作者 Jiten Singh Pooja Gond Swarnabha Ghosh Mahesh Rachamalla Abhijit Dey Danish Iqbal Mehnaz Kamal Punya Sachdeva Saurabh Kumar Jha Shreesh Ojha Dinesh Kumar Niraj Kumar Jha Hitesh Chopra Shing Cheng Tan 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第1期62-68,共7页
Taurine is a sulfur-containing,semi-essential amino acid that occurs naturally in the body.It alternates between inflammation and oxidative stress-mediated injury in various disease models.As part of its limiting func... Taurine is a sulfur-containing,semi-essential amino acid that occurs naturally in the body.It alternates between inflammation and oxidative stress-mediated injury in various disease models.As part of its limiting functions,taurine also modulates endoplasmic reticulum stress,Ca^(2+)homeostasis,and neuronal activity at the molecular level.Taurine effectively protects against a number of neurological disorders,including stro ke,epilepsy,cerebral ischemia,memory dysfunction,and spinal cord injury.Although various therapies are available,effective management of these disorders remains a global challenge.Approximately 30 million people are affected worldwide.The design of taurine fo rmation co uld lead to potential drugs/supplements for the health maintenance and treatment of central nervous system disorders.The general neuroprotective effects of taurine and the various possible underlying mechanisms are discussed in this review.This article is a good resource for understanding the general effects of taurine on various diseases.Given the strong evidence for the neuropharmacological efficacy of taurine in various experimental paradigms,it is concluded that this molecule should be considered and further investigated as a potential candidate for neurotherapeutics,with emphasis on mechanism and clinical studies to determine efficacy. 展开更多
关键词 antioxidant EPILEPSY γ-amino butyric acid neurodegenerative disorders NEUROPROTECTION oxidative stress spinal cord injury TAURINE
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Noise suppression in photon-counting computed tomography using unsupervised Poisson flow generative models
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作者 Dennis Hein Staffan Holmin +4 位作者 Timothy Szczykutowicz Jonathan S.Maltz Mats Danielsson Ge Wang Mats Persson 《Visual Computing for Industry,Biomedicine,and Art》 2024年第1期98-111,共14页
Deep learning(DL)has proven to be important for computed tomography(CT)image denoising.However,such models are usually trained under supervision,requiring paired data that may be difficult to obtain in practice.Diffus... Deep learning(DL)has proven to be important for computed tomography(CT)image denoising.However,such models are usually trained under supervision,requiring paired data that may be difficult to obtain in practice.Diffusion models offer unsupervised means of solving a wide range of inverse problems via posterior sampling.In particular,using the estimated unconditional score function of the prior distribution,obtained via unsupervised learning,one can sample from the desired posterior via hijacking and regularization.However,due to the iterative solvers used,the number of function evaluations(NFE)required may be orders of magnitudes larger than for single-step samplers.In this paper,we present a novel image denoising technique for photon-counting CT by extending the unsupervised approach to inverse problem solving to the case of Poisson flow generative models(PFGM)++.By hijacking and regularizing the sampling process we obtain a single-step sampler,that is NFE=1.Our proposed method incorporates posterior sampling using diffusion models as a special case.We demonstrate that the added robustness afforded by the PFGM++framework yields significant performance gains.Our results indicate competitive performance compared to popular supervised,including state-of-the-art diffusion-style models with NFE=1(consistency models),unsupervised,and non-DL-based image denoising techniques,on clinical low-dose CT data and clinical images from a prototype photon-counting CT system developed by GE HealthCare. 展开更多
关键词 Deep learning Photon-counting CT DENOISING Diffusion models Poisson flow generative models
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How to enhance agricultural plastic waste management in China?Insights from public participation 被引量:1
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作者 Aibo Hao Thomas Dogot Changbin Yin 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第6期2127-2143,共17页
Agricultural plastics play a pivotal role in agricultural production.However,due to expensive costs,agricultural plastic waste management(APWM)encounters a vast funding gap.As one of the crucial stakeholders,the publi... Agricultural plastics play a pivotal role in agricultural production.However,due to expensive costs,agricultural plastic waste management(APWM)encounters a vast funding gap.As one of the crucial stakeholders,the public deserves to make appropriate efforts for APWM.Accordingly,identifying whether the public is willing to pay for APWM and clarifying the decisions’driving pathways to explore initiatives for promoting their payment intentions are essential to address the dilemma confronting APWM.To this end,by applying the extended theory of planned behavior(TPB),the study conducted an empirical analysis based on 1,288 residents from four provinces(autonomous regions)of northern China.Results illustrate that:1)respondents hold generally positive and relatively strong payment willingness towards APWM;2)respondents’attitude(AT),subjective norm(SN),and perceived behavioral control(PBC)are positively correlated with their payment intentions(INT);3)environmental cognition(EC)and environmental emotion(EE)positively moderate the relationships between AT and INT,and between SN and INT,posing significant indirect impacts on INT.The study’s implications extend to informing government policies,suggesting that multi-entity cooperation,specifically public payment for APWM,can enhance agricultural non-point waste management. 展开更多
关键词 agricultural plastic waste extended theory of planned behavior public payment environmental cognition environmental emotion
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GE 2100-IQ型DSA机故障分析与维修2例 被引量:5
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作者 谭亚军 赵晓辉 +2 位作者 陈伟 张邑 瞿平 《医疗卫生装备》 CAS 2017年第4期162-163,共2页
0引言GE大型数字减影血管造影(digital subtraction angiography,DSA)机是目前临床应用的主流产品,因其使用量大和使用频率高,因此出现故障的概率也较高,特别是在冠状动脉造影的过程中治疗床和C臂的使用频率相当高,出现故障的风险增... 0引言GE大型数字减影血管造影(digital subtraction angiography,DSA)机是目前临床应用的主流产品,因其使用量大和使用频率高,因此出现故障的概率也较高,特别是在冠状动脉造影的过程中治疗床和C臂的使用频率相当高,出现故障的风险增加。部分医院在没有配备工作站的情况下,DSA机的图像存储空间有限。 展开更多
关键词 GE 2100-IQ型DSA机 电磁体 图像存储 故障分析 故障维修
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GE aw2100型DSA故障分析与维修2例 被引量:3
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作者 谭亚军 林春梅 +2 位作者 陈伟 宋耀明 陶春蓉 《医疗卫生装备》 CAS 2014年第12期151-152,共2页
0引言大型数字减影血管造影技术(digital subtraction angiogrography,DSA)是介入手术治疗的重要设备,在医院属大型贵重设备,需定期进行维护保养。维护保养做得好,出现故障的机会就少。在维护过程中及时发现问题并处理,能够避免大故... 0引言大型数字减影血管造影技术(digital subtraction angiogrography,DSA)是介入手术治疗的重要设备,在医院属大型贵重设备,需定期进行维护保养。维护保养做得好,出现故障的机会就少。在维护过程中及时发现问题并处理,能够避免大故障的发生。工程师应在设备安装时或维修过程中充分了解设备结构,通过学习DSA相关知识和医疗设备的原理对设备进行维护保养和维修[1]。 展开更多
关键词 故障分析 维修过程 DSA 数字减影血管造影技术 设备结构 维护保养 GE 0型
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Gene expression,transcription factor binding and histone modification predict leaf adaxial-abaxial polarity related genes
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作者 Wei Sun Zhicheng Zhang +2 位作者 Guusje Bonnema Xiaowu Wang Aalt Dirk Jan van Dijk 《Horticultural Plant Journal》 SCIE CAS CSCD 2024年第4期971-982,共12页
Leaf adaxial-abaxial(ad-abaxial)polarity is crucial for leaf morphology and function,but the genetic machinery governing this process remains unclear.To uncover critical genes involved in leaf ad-abaxial patterning,we... Leaf adaxial-abaxial(ad-abaxial)polarity is crucial for leaf morphology and function,but the genetic machinery governing this process remains unclear.To uncover critical genes involved in leaf ad-abaxial patterning,we applied a combination of in silico prediction using machine learning(ML)and experimental analysis.A Random Forest model was trained using genes known to influence ad-abaxial polarity as ground truth.Gene expression data from various tissues and conditions as well as promoter regulation data derived from transcription factor chromatin immunoprecipitation sequencing(ChIP-seq)was used as input,enabling the prediction of novel ad-abaxial polarity-related genes and additional transcription factors.Parallel to this,available and newly-obtained transcriptome data enabled us to identify genes differentially expressed across leaf ad-abaxial sides.Based on these analyses,we obtained a set of 111 novel genes which are involved in leaf ad-abaxial specialization.To explore implications for vegetable crop breeding,we examined the conservation of expression patterns between Arabidopsis and Brassica rapa using single-cell transcriptomics.The results demonstrated the utility of our computational approach for predicting candidate genes in crop species.Our findings expand the understanding of the genetic networks governing leaf ad-abaxial differentiation in agriculturally important vegetables,enhancing comprehension of natural variation impacting leaf morphology and development,with demonstrable breeding applications. 展开更多
关键词 Machine learning Leaf polarity Arabidopsis thaliana Brassica rapa Transcription factor
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Biomimetic natural biomaterials for tissue engineering and regenerative medicine:new biosynthesis methods,recent advances,and emerging applications 被引量:5
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作者 Shuai Liu Jiang-Ming Yu +11 位作者 Yan-Chang Gan Xiao-Zhong Qiu Zhe-Chen Gao Huan Wang Shi-Xuan Chen Yuan Xiong Guo-Hui Liu Si-En Lin Alec McCarthy Johnson V.John Dai-Xu Wei Hong-Hao Hou 《Military Medical Research》 SCIE CAS CSCD 2024年第1期50-79,共30页
Biomimetic materials have emerged as attractive and competitive alternatives for tissue engineering(TE)and regenerative medicine.In contrast to conventional biomaterials or synthetic materials,biomimetic scaffolds bas... Biomimetic materials have emerged as attractive and competitive alternatives for tissue engineering(TE)and regenerative medicine.In contrast to conventional biomaterials or synthetic materials,biomimetic scaffolds based on natural biomaterial can offer cells a broad spectrum of biochemical and biophysical cues that mimic the in vivo extracellular matrix(ECM).Additionally,such materials have mechanical adaptability,micro-structure interconnectivity,and inherent bioactivity,making them ideal for the design of living implants for specific applications in TE and regenerative medicine.This paper provides an overview for recent progress of biomimetic natural biomaterials(BNBMs),including advances in their preparation,functionality,potential applications and future challenges.We highlight recent advances in the fabrication of BNBMs and outline general strategies for functionalizing and tailoring the BNBMs with various biological and physicochemical characteristics of native ECM.Moreover,we offer an overview of recent key advances in the functionalization and applications of versatile BNBMs for TE applications.Finally,we conclude by offering our perspective on open challenges and future developments in this rapidly-evolving field. 展开更多
关键词 Biomimic SCAFFOLD BIOSYNTHESIS Natural biomaterial Tissue engineering
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Changes of composition and antibiotic resistance of fecal coliform bacteria in municipal wastewater treatment plant
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作者 Luoyao Wen Yunwei Cui +6 位作者 Luodong Huang Chunzhong Wei Gangan Wang Junya Zhang Yanbo Jiang Yuansong Wei Peihong Shen 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2024年第12期241-250,共10页
The dynamics of the composition and antibiotic resistance of the fecal coliform bacteria(FCB)in a typical wastewater treatment plant(WWTP)were investigated concerning the seasonal changes.Results showed that WWTP coul... The dynamics of the composition and antibiotic resistance of the fecal coliform bacteria(FCB)in a typical wastewater treatment plant(WWTP)were investigated concerning the seasonal changes.Results showed that WWTP could remove the FCB concentration by 3∼5 logs within the effluent of 10^(4)∼10^(5)CFU/L,but the antibiotic resistant rate of FCB species increased significantly after WWTP.The dominant FCB changed from Escherichia coli in the influent(∼73.0%)to Klebsiella pneumoniae in the effluent(∼53.3%)after WWTP,where the Escherichia coli was removed the most,while Klebsiella pneumoniae was the most persistent.The secondary tank removed the most of FCB(by 3∼4 logs)compared to other processes,but increased all the concerned antibiotic resistant rate.The potential super bugs of FCB community showing resistance to all the target antibiotics were selected in the biological treatment unit of WWTP.The FCB showed the highest multiple antibiotic resistance(92.9%)in total which even increased to 100%in the effluent.Klebsiella has the highest antibiotic resistant rate in FCB,with a multiple antibiotic resistance rate of 98.4%.These indicated that the Klebsiella pneumoniae not just Escherichia coli should be specially emphasized after WWTP concerning the health risk associated with FCB community. 展开更多
关键词 Fecal coliform bacteria Antibiotic resistance Wastewater treatment plant Antibiotic resistant bacteria Multiple antibiotic resistance
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Surface Water Processes in Coping with Anthropogenic Impact in a Coastal Eastern Mediterranean Region
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作者 Nour Abboud Zeinab Matar +1 位作者 Elias Maatouk Véronique Kazpard 《Open Journal of Modern Hydrology》 CAS 2024年第2期69-86,共18页
Rivers are progressively being exposed to increased anthropogenic pollution stresses that are undermining their designated uses and affecting sensitive coastal areas. In this study, three adjacent eastern Mediterranea... Rivers are progressively being exposed to increased anthropogenic pollution stresses that are undermining their designated uses and affecting sensitive coastal areas. In this study, three adjacent eastern Mediterranean coastal rivers, Ibrahim, Kaleb and Beirut, were evaluated. Water quality samples were collected in dry and wet seasons from different sampling sites along the river from the source to the outlet which represent a gradient of increased urbanization. The spatiotemporal variability of the physio-chemical properties, heavy metals (Zn, Pb, Cu, Cr, and Cd) and organic matter (DOC) were statistically analyzed to better understand the contribution of point and nonpoint pollution sources. The three rivers (Beirut, Kaleb and Ibrahim) show a similar behavior in calcium and carbonate alkalinity due to the carbonate mineral weathering effect, so they are of calcium bicarbonate type due to their calcareous geological nature. The speciation of anions was affected by temporal variation. Moreover, it is obvious that the Beirut River has a different behavioral characteristic where the water is a sulfate type water with a preferable metal-OM complexation mainly with lead, zinc and copper, whereas Kaleb and Ibrahim are considered to be of a nitrate phosphate type with a preferable metal inorganic complexation, especially copper, that has a consistent behavior in both types of waters. This difference is attributed to the urbanization effect highly impacting the Beirut River. 展开更多
关键词 Anions/Cations Metals DOC COMPLEXATION Coastal Rivers Spatiotemporal Variability
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