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1Total hip arthroplasty for posttraumatic osteoarthritis following acetabular fracture: A systematic review of characteristics, outcomes, and complications显示文摘Robert D. Stibolt Jr. Harshadkumar A. Patel Samuel R. Huntley Eva J. Lehtonen Ashish B. Shah Sameer M. Naranje 2018Chinese Journal of Traumatology2018,21,3:28
2柑桔黄龙病的可见-近红外光谱特征显示文摘柑桔黄龙病是一种以木虱为载体的细菌病原,目前还没有行之有效的治疗方法,对世界柑桔产业构成了严重的威胁。探索快速检测柑桔黄龙病的方法,对该病的诊断、评估及进一步的控制都具有重要意义。该研究采用了快速、无损的光谱方法对该病害特征进行初步探索。实验针对健康及染病植株的叶片及冠层,分别在实验室条件及田间环境下测量了其可见-近红外光谱反射率,以分析寻找二者的光谱差异。对原始光谱数据进行了平滑、聚类平均等预处理,并求取了一阶微分以确定其红边位置(red edge position,REP)。为了应对一阶微分在REP处的多个波峰现象,采用了线性外插值法及拉格朗日插值法量化REP。研究结果显示,健康及染病样本的反射率在可见光、近红外具有明显的差异。相比于健康样本,染病样本因其呈现的黄化现象,使其反射率在可见光区较高;又因黄龙病菌会明显阻碍叶片对水分的吸收而使其反射率在近红外较低。REP同样显示了潜在的区分能力,其明显随着染病程度的加深逐渐向红波段移动。在染病程度差异较大的数据集中,REP平均值相差达20nm;而在染病程度差异较小的数据集中,阈值分割法的分类精度也高达90%以上,且线性外插值法的分类精度略高于拉格朗日插值法。本研究成果为利用光谱技术快速无损检测柑桔黄龙病提供了可靠的理论依据。李修华 李民赞 Won Suk Lee Reza Ehsani Ashish Ratn Mishra 2014光谱学与光谱分析2014,34,6:20
3Polymorphism of -765G > C COX-2 is a risk factor for gastric adenocarcinoma and peptic ulcer disease in addition to H pylori infection:A study from northern India显示文摘AIM: To investigate -765G > C COX-2 polymorphism and H pylori infection in patients with gastric adenocarcinoma, peptic ulcer disease (PUD) and non- ulcer dyspepsia (NUD). METHODS: We enrolled 348 adult patients (62 gastric adenocarcinoma, 45 PUD and 241 NUD) undergoing upper gastrointestinal endoscopy at two referral centers between September, 2002 and May, 2007. H pylori infection was diagnosed when any of the four tests (RUT, culture, histopathology and PCR) were positive. Genotyping for -765G > C polymorphism of COX-2 was performed by PCR-RFLP analysis. RESULTS: Frequency of C carrier had significantassociation with gastric adenocarcinoma as compared to NUD [77.4% vs 29%, P < 0.001, odds ratio (OR) 8.20; 95% confidence interval (95% CI), 4.08-16.47] and PUD (77.4% vs 31.1%, P < 0.001; OR 8.04; 95% CI, 3.25-19.90). Risk of gastric adenocarcinoma was significantly higher in patients having C carrier with (OR 7.83; 95% CI 3.09-19.85) and without H pylori infection (OR 7.06; 95% CI, 2.61-19.09). Patients with C carrier and H pylori infection had significant risk for the development of PUD (P < 0.001; OR 5.65; 95% CI, 2.07-15.34). CONCLUSION: -765G > C COX-2 polymorphism with or without H pylori could be a marker for genetic susceptibility to gastric adenocarcinoma. COX-2 polymorphism in presence of H pylori infection might be useful in predicting the risk of PUD.Ashish Saxena Kashi Nath Prasad Uday Chand Ghoshal Monty Roshan Bhagat Narendra Krishnani Nuzhat Husain 2008World Journal of Gastroenterology2008,14,10:18
4Targeted therapy of gastrointestinal stromal tumours显示文摘Gastrointestinal stromal tumours(GISTs) are mesen-chymal neoplasms originating in the gastrointestinal tract, usually in the stomach or the small intestine, and rarely elsewhere in the abdomen. The malignant potential of GISTs is variable ranging from small lesions with a benign behaviour to fatal sarcomas. The majo-rity of the tumours stain positively for the CD-117(KIT) and discovered on GIST-1(DOG-1 or anoctamin 1) expression, and they are characterized by the presence of a driver kinase-activating mutation in either KIT or platelet-derived growth factor receptor α. Although surgery is the primary modality of treatment, almost half of the patients have disease recurrence following surgery, which highlights the need for an effective adjuvant therapy. Traditionally, GISTs are considered chemotherapy and radiotherapy resistant. With the advent of targeted therapy(tyrosine kinase inhibitors), there has been a paradigm shift in the management of GISTs in the last decade. We present a comprehensive review of targeted therapy in the management of GISTs.Ashish Jakhetiya Pankaj Kumar Garg Gaurav Prakash Jyoti Sharma Rambha Pandey Durgatosh Pandey 2016World Journal of Gastrointestinal Surgery2016,8,5:14
5Deep vein thrombosis and pulmonary embolism in cirrhotic patients:Systematic review显示文摘Patients with liver cirrhosis were traditionally believed to be protected against development of blood clots.Lately,studies have shown that these patients may probably be at an increased risk of venous thrombotic complications.Although the hemostatic changes in the chronic liver disease patients and the factors that may predict bleeding vs thrombotic complications remains an area of active research,it is believed that the coagulation cascade is delicately balanced in these patients because of parallel reduced hepatic synthesis of pro and anticoagulant factors.Thrombotic state in cirrhotic patients is responsible for not only portal or non-portal thrombosis[deep vein thrombosis(DVT)and pulmonary embolism(PE)];it has also been associated with progression of liver fibrosis.The use of anticoagulants in cirrhosis patients is a challenging,and often a scary situation.This review summarizes the current literature on the prevalence of venous thrombosis(DVT and PE),risk factors and safety of prophylactic and therapeutic anticoagulation in patients with chronic liver disease.Ashish Aggarwal Kanika Puri Suthat Liangpunsakul 2014World Journal of Gastroenterology2014,20,19:14
6Preoperative therapy in locally advanced esophageal cancer显示文摘Esophageal cancer is an aggressive malignancy associated with dismal treatment outcomes. Presence of two distinct histopathological types distinguishes it from other gastrointestinal tract malignancies. Surgery is the cornerstone of treatment in locally advanced esophageal cancer(T2 or greater or node positive); however, a high rate of disease recurrence(systemic and loco-regional) and poor survival justifies a continued search for optimal therapy. Various combinations of multimodality treatment(preoperative/perioperative, or postoperative; radiotherapy, chemotherapy, or chemoradiotherapy) are being explored to lower disease recurrence and improve survival. Preoperative therapy followed by surgery is presently considered the standard of care in resectable locally advanced esophageal cancer as postoperative treatment may not be feasible for all the patients due to the morbidity of esophagectomy and prolonged recovery time limiting the tolerance of patient. There are wide variations in the preoperative therapy practiced across the centres depending upon the institutional practices, availability of facilities and personal experiences. There is paucity of literature to standardize the preoperative therapy. Broadly, chemoradiotherapy is the preferred neo-adjuvant modality in western countries whereas chemotherapy alone is considered optimal in the far East. The present review highlights the significant studies to assist in opting for the best evidence based preoperative therapy(radiotherapy, chemotherapy or chemoradiotherapy) for locally advanced esophageal cancer.Pankaj Kumar Garg Jyoti Sharma Ashish Jakhetiya Aakanksha Goel Manish Kumar Gaur 2016World Journal of Gastroenterology2016,22,39:13
7Primary intestinal malignant fibrous histiocytoma:two case reports显示文摘Malignant fibrous histiocytoma (MFH) occurs most commonly in the extremities and trunk, but rarely in the intestine. Here we report two cases of primary intestinal MFH. The first case was a 70-year old man admitted for recurrent right lower quadrant abdominal pain. At laparotomy, a tumor was found originating from the cecum, with a suspicious metastatic nodule on the surface of the right lobe of the liver. A right hemicolectomy was performed followed by an ileotransverse end-to-end anastomotic reconstruction. The second case was a 43-year old man with intussusceptions of the small intestine. An emergent laparotomy revealed 4 pedunculated masses in the small bowel and a partial resection of the small intestine was performed. Though the symptoms were not typical, based on histological and immunohistochemical studies, the patients were diagnosed as MFH of the intestine. They were not treated with chemotherapy or radiotherapy and both died within 3 mo. MFH of the intestine is an extremely rare neoplasm with an aggressive biological behavior. The pathogenesis of this disease has not been clarified to date. Complete surgical excision is preferred, adjuvant chemotherapy or radiotherapy may be advisable.De-Liang Fu Feng Yang Ashish Maskay Jiang Long Chen Jin Xian-Jun Yu Jin Xu Zhong-Wen Zhou Quan-Xing Ni 2007World Journal of Gastroenterology2007,13,8:13
8MicroRNA: a new and promising potential biomarker for diagnosis and prognosis of ovarian cancer显示文摘Epithelial ovarian cancer(EOC) is the leading cause of death among all gynecological malignancies. Despite the technological and medical advances over the past four decades, such as the development of several biological markers(mRNA and proteins biomarkers), the mortality rate of ovarian cancer remains a challenge because of its late diagnosis, which is specifically attributed to low specificities and sensitivities. Under this compulsive scenario, recent advances in expression biology have shifted in identifying and developing specific and sensitive biomarkers, such as micro RNAs(miRNAs) for cancer diagnosis and prognosis. MiRNAs are a novel class of small non-coding RNAs that deregulate gene expression at the posttranscriptional level, either by translational repression or by mRNA degradation. These mechanisms may be involved in a complex cascade of cellular events associated with the pathophysiology of many types of cancer. MiRNAs are easily detectable in tissue and blood samples of cancer patients. Therefore, miRNAs hold good promise as potential biomarkers in ovarian cancer. In this review, we attempted to provide a comprehensive profile of key miRNAs involved in ovarian carcinoma to establish mi RNAs as more reliable non-invasive clinical biomarkers for early detection of ovarian cancer compared with protein and DNA biomarkers.Manish K.Pal Shyam P.Jaiswar Vinaya N.Dwivedi Amit K.Tripathi Ashish Dwivedi Pushplata Sankhwar 2015Cancer Biology & Medicine2015,12,4:12
9中国部分农村地区6~23月龄婴幼儿贫血患病率及其与膳食多样性的关系显示文摘目的了解中国部分农村地区6~23月龄婴幼儿贫血情况及影响因素。方法利用2016—2017年中国10个省、自治区的20个县进行的“母子健康综合项目”基线调查资料,对1736名6~23月龄婴幼儿及看护人数据进行统计分析。结果6~23月龄婴幼儿贫血患病率为58.1%,其中轻、中度贫血比例较高,分别为24.7%和30.1%。多因素分析显示,相比于18~23月龄婴幼儿,6~11月龄(OR=2.10,95%CI:1.61~2.74),12~17月龄(OR=1.64,95%CI:1.28~2.11)婴幼儿患贫血的风险增加。非独生子女(OR=1.26,95%CI:1.03~1.56)、看护人民族为彝族(OR=1.64,95%CI:1.11~2.43)或其它少数民族(OR=1.72,95%CI:1.33~2.21)、未达到最低膳食多样性(OR=1.40,95%CI:1.10~1.77)是婴幼儿贫血的危险因素;过去1个月服用营养包是婴幼儿贫血的保护因素(OR=0.68,95%CI:0.54~0.86)。结论中国部分农村地区婴幼儿贫血问题属于重度公共卫生问题,关注小月龄、非独生子女及少数民族婴幼儿,为其提供种类丰富的辅食是改善婴幼儿贫血的关键。陈春屹 Ashish KC 黄玥 王银平 高雅晴 周虹 2020中国生育健康杂志2020,31,3:11
10Polymethylmethacrylate bone cements and additives: A review of the literature显示文摘Polymethylmethacrylate(PMMA) bone cement technology has progressed from industrial Plexiglass administration in the 1950 s to the recent advent of nanoparticle additives. Additives have been trialed to address problems with modern bone cements such as the loosening of prosthesis, high post-operative infection rates, and inflammatory reduction in interface integrity. This review aims to assess current additives used in PMMA bone cements and offer an insight regarding future directions for this biomaterial. Low index(< 15%) vitamin E and low index(< 5 g) antibiotic impregnated additives significantly address infection and inflammatory problems, with only modest reductions in mechanical strength. Chitosan(15% w/w PMMA) and silver(1% w/w PMMA) nanoparticles have strong antibacterial activity with no significant reduction in mechanical strength. Future work on PMMA bone cements should focus on trialing combinations of these additives as this may enhance favourable properties.Manit Arora Edward KS Chan Sunil Gupta Ashish D Diwan 2013World Journal of Orthopedics2013,4,2:10
11Neuroendocrine neoplasms of liver-A 5-year retrospective clinico-pathological study applying World Health Organization 2010 classification显示文摘AIM To study the clinicopathological characteristics of neuroendocrine neoplasms(NEN) on liver samples and apply World Health Organization(WHO) 2010 grading of gastroenteropancreatic(GEP) NEN.METHODS Clinicopathological features of 79 cases of NEN of the liver diagnosed between January 2011 to December 2015 were analyzed. WHO 2010 classification of GEP NEN was applied and the tumors were graded as G1, G2 or G3. Two more categories, D1/2(discordant 1/2) and D2/3(discordant 2/3) were also applied. The D1/2 grade tumors had a mitotic count of G1 and Ki-67 index of G2. The D2/3 tumors had a mitotic count of G2 and Ki-67 index of G3. The follow up details which were available till the end of the study period(December 2015) were collected.RESULTS Of the 79 tumors, 16 each were G1 and G2, and 18 were G3 tumors. Of the remaining 29 tumors, 13 were assigned to D1/2 and 16 were D2/3 grade. Male preponderance was noted in all tumors except for G2 neoplasms, which showed a slight female predilection. The median age at presentation was 47 years(range 10-82 years). The most common presentation was abdominal pain(81%). Pancreas(49%) was the most common site of primary followed by gastrointestinal tract(24.4%) and lungs(18%). Radiologically, 87% of the patients had multiple liver lesions. Histopathologically, necrosis was seen in only D2/3 and G3 tumors. Microvascular invasion was seen in all grades. Metastasis occurred in all grades of primary NEN and the grades of the metastatic tumors and their corresponding primary tumors were similar in 67% of the cases. Of the 79 patients, 36 had at least one follow up visit with a median duration of follow up of 8.5 mo(range: 1-50 mo). This study did not show any impact of the grade of tumor on the short term clinical outcome of these patients.CONCLUSION Liver biopsy is an important tool for clinicopathological characterization and grading of NEN, especially when the primary is not identified. Eighty-seven percent of the patients had multifocal liver lesions irrespective of the WHO grade, indicating a higher stage of disease at presentation. Follow up duration was inadequate to derive any meaningful conclusion on long term outcome in our study patients.Deepak Kalyansingh Burad Thomas Alex Kodiatte Sayd Mohamed Rajeeb Ashish Goel Chundamannil Eapen Eapen Banumathi Ramakrishna 2016World Journal of Gastroenterology2016,22,40:10
12欧-亚-非大陆季风:超级大陆与超级季风的雏形显示文摘欧洲-亚洲-非洲大陆聚集在一起,占地球陆地面积的一半以上(约56%),整体上可以近似看作是超级大陆的'雏形';相应地,广泛分布的亚洲-非洲季风-干旱气候系统也可以近似为超级季风-干旱系统的'雏形'。对这一巨大气候体系的研究不仅本身有十分重要的理论和实际意义,同时也能够为研究潘基亚超级大陆-超级季风系统及其演化提供现代或第四纪的'相似型'。晚更新世-全新世地质记录和气候模拟结果表明亚洲-非洲夏季风气候变化主要响应北半球夏季太阳辐射变化;南北半球季风变化在岁差尺度上的相位关系近于相反;西风环流影响下的中亚干旱-半干旱区气候变化在岁差尺度上与亚洲季风也接近同相位变化;亚洲-非洲季风-干旱气候系统的这些变化在岁差尺度上领先于全球冰量的变化。总体上,似乎可以提出这样一种假说:受到地球轨道偏心率幅度调谐的太阳辐射在岁差尺度的周期波动可能是季风-干旱气候在轨道尺度上的主导'韵律',包括潘基亚超级大陆季风气候在轨道尺度上的变化。第四纪欧洲-亚洲-非洲'超级大陆'及其季风-干旱系统本质上与潘基亚超级大陆的季风-干旱系统有着一定程度的相似性,因此研究前者是理解后者(所谓将今论古)的重要途径之一,对解译深时'碎片'化的地质记录有实际意义。程海 李瀚瑛 张旭 张海伟 易亮 蔡演军 胡永云 石正国 彭友兵 赵景耀 Gayatri Kathayat Ashish Sinha 2020第四纪研究2020,40,6:10
13Mechanical Properties of ZnO Nanowires Under Different Loading Modes显示文摘A systematic experimental and theoretical investigation of the elastic and failure properties of ZnO nanowires (NWs) under different loading modes has been carried out. In situ scanning electron microscopy (SEM) tension and buckling tests on single ZnO NWs along the polar direction [0001] were conducted. Both tensile modulus (from tension) and bending modulus (from buckling) were found to increase as the NW diameter decreased from 80 to 20 nm. The bending modulus increased more rapidly than the tensile modulus, which demonstrates that the elasticity size effects in ZnO NWs are mainly due to surface stiffening. Two models based on continuum mechanics were able to fit the experimental data very well. The tension experiments showed that fracture strain and strength of ZnO NWs increased as the NW diameter decreased. The excellent resilience of ZnO NWs is advantageous for their applications in nanoscale actuation, sensing, and energy conversion.Feng Xu Qingqun Qin Ashish Mishra Yi Gu Yong Zhu 2010Nano Research2010,3,4:8
14Correlation of transient elastography with hepatic venous pressure gradient in patients with cirrhotic portal hypertension: A study of 326 patients from India显示文摘AIM To study the diagnostic accuracy of transient elastography(TE) for detecting clinically significant portal hypertension(CSPH) in Indian patients with cirrhotic portal hypertension.METHODS This retrospective study was conducted at the Institute of Liver, Gastroenterology, and Panceatico-Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, on consecutive patients with cirrhosis greater than 15 years of age who underwent hepatic venous pressure gradient(HVPG) and TE from July 2011 to May 2016. Correlation between HVPG and TE was analyzed using the Spearman's correlation test. Receiver operating characteristic ( ROC) curves were prepared for determining the utility of TE in predicting various stages of portal hypertension. The best cut-off value of TE forthe diagnosis of CSPH was obtained using the Youden index.RESULTS The study included 326 patients [median age 52(range 16-90) years; 81% males]. The most common etiology of cirrhosis was cryptogenic(45%) followed by alcohol(34%). The median HVPG was 16.0(range 1.5 to 30.5) mm Hg. Eighty-five percent of patients had CSPH. A significant positive correlation was noted between TE and HVPG(rho 0.361, P < 0.001). The area under ROC curve for TE in predicting CSPH was 0.740(95%CI: 0.662-0.818)(P < 0.01). A cut-off value of TE of 21.6 k Pa best predicted CSPH with a positive predictive value(PPV) of 93%.CONCLUSION TE has a fair positive correlation with HVPG; thus, TE can be used as a non-invasive modality to assess the degree of portal hypertension. A cut-off TE value of 21.6 k Pa identifies CSPH with a PPV of 93%.Ashish Kumar Noor Muhammad Khan Shrihari Anil Anikhindi Praveen Sharma Naresh Bansal Vikas Singla Anil Arora 2017World Journal of Gastroenterology2017,23,4:8
15Anti-HBc screening in Indian blood donors:Still an unresolved issue显示文摘AIM:To study the seroprevalence of antibody to hepatitis B core antigen (anti-HBc) in healthy blood donors negative for HBsAg and to evaluate whether anti-HBc detection could be adopted in India as a screening assay for HBV in addition to HBsAg. METHODS: A total of 1700 serum samples collected from HBsAg-negative healthy blood donors were tested for the presence of anti-HBc antibody (IgM + IgG). All samples reactive for anti-HBc antibody were then investigated for presence of anti-HBs and for liver function tests (LFTs). One hundred serum samples reactive for anti-HBc were tested for HBV DNA by PCR method. RESULTS: Out of 1700 samples tested, 142 (8.4%) blood samples were found to be reactive for anti-HBc. It was signif icantly lower in voluntary (6.9%) as compared to replacement donors (10.4%, P = 0.011). Seventy- two (50.7%) anti-HBc reactive samples were also reactive for anti-HBs with levels > 10 mIU/mL and 70 (49.3%) samples were non-reactive for anti-HBs, these units were labeled as anti-HBc-only. These 142 anti-HBc reactive units were also tested for liver function test. HBV DNA was detected in only 1 of 100 samples tested. CONCLUSION: Keeping in view that 8%-18% of donor population in India is anti-HBc reactive, inclusion of anti- HBc testing will lead to high discard rate. Anti-HBs as proposed previously does not seem to predict clearance of the virus. Cost effectiveness of introducing universalanti-HBc screening and discarding large number of blood units versus considering ID NAT (Individual donor nuclic acid testing) needs to be assessed.Hari Krishan Dhawan Neelam Marwaha Ratti Ram Sharma Yogesh Chawla Beenu Thakral Karan Saluja Sanjeev Kumar Sharma Manish K Thakur Ashish Jain 2008World Journal of Gastroenterology2008,14,34:8
16Autoheated thermophilic aerobic sludge digestion and metal bioleaching in a two-stage reactor system显示文摘A two-stage process has been developed for stabilization of sludge and removal of heavy metals from the secondary activated sludge with high rate of energy and time conservation.The first stage of the process involves autoheated thermophilic aerobic digestion at 55-60°C inoculated with less-acidophilic thermophilic sulfur-oxidizing microorganisms(ATAD).The results show that it is possible to maintain the autoheated conditions(55-60°C) in the ATAD reactor up to 24 hr,leading to reduction of 21% total solids(TS),27% volatile solids(VS),27% suspended solids(SS) and 33% volatile suspended solids(VSS) from the sludge.The sludge pH also decreased from 7 to 4.6 due to the activity of less-acidophilic thermophilic microorganisms.In the second stage operation,the digested sludge(pH 4.6,TS 31.6 g/L) from stage one was subjected to bioleaching in a continuous stirred tank reactor,operated at mean hydraulic retention times(HRTs) of 12,24 and 36 hr at 30°C.An HRT of 24 hr was found to be sufficient for removal of 70% Cu,70% Mn,75% Ni,and 80% Zn from the sludge.In all,39% VSS,76% Cu,78.2% Mn,79.5% Ni and 84.2% Zn were removed from the sludge in both the stages.Rohan Jain Ashish Pathak T.R.Sreekrishnan M.G.Dastidar 2010Journal of Environmental Sciences2010,22,2:7
17盐酸小檗碱通过PI3K/Akt信号通路促进小鼠前成骨细胞MC3T3-E1的分化显示文摘目的:研究盐酸小檗碱对小鼠前成骨细胞系MC3T3-E1分化与矿化的调控作用及其机制。方法:MC3T3-E1细胞给予不同浓度(0、1、5、10和20 mg/L)的盐酸小檗碱刺激3 d,CCK-8法检测细胞活性。不同浓度的盐酸小檗碱分别干预3 d和7 d,检测细胞碱性磷酸酶(ALP)活性。进一步将实验随机分为4组:对照组、盐酸小檗碱组、盐酸小檗碱+LY249002(PI3K/Akt通路抑制剂)组及LY249002组。干预2 d后,采用real-time PCR检测成骨细胞分化相关因子ALP、骨钙素(OCN)、骨桥蛋白(OPN)及Runt相关转录因子2(Runx2)的mRNA表达情况,采用Western blot检测PI3K/Akt信号通路相关蛋白p-Akt的表达水平。将MC3TC-E1细胞用矿化培养基诱导21 d,茜素红染色检测其矿化情况。结果:与对照组相比,不同浓度的盐酸小檗碱对细胞活性的影响没有明显差异;不同浓度的盐酸小檗碱处理MC3T3-E1细胞后ALP活性有不同程度升高。Real-time PCR结果表明,盐酸小檗碱(5 mg/L)促进ALP、OCN、OPN及Runx2的mRNA表达(P <0. 01),而LY294002能抑制这些分化相关因子的表达。Western blot检测结果表明,盐酸小檗碱(5 mg/L)促进p-Akt蛋白的表达(P <0. 01),其作用被LY249002抑制。茜素红染色发现盐酸小檗碱组矿化明显,但LY294002能抑制盐酸小檗碱的促进作用。结论:盐酸小檗碱可以促进小鼠前成骨细胞的分化与矿化,其机制可能与其激活PI3K/Akt信号通路有关。江健 廖莉娅 容婵 陈捷侨 Ashish SHRESTHA 刘星琦 苏雅 舒晓春 2018中国病理生理杂志2018,34,10:7
18Screening pre-bariatric surgery patients for esophageal disease with esophageal capsule endoscopy显示文摘AIM:To determine if esophageal capsule endoscopy(ECE)is an adequate diagnostic alternative to esophagogastroduodenoscopy(EGD)in pre-bariatric surgery patients.METHODS:We conducted a prospective pilot study to assess the diagnostic accuracy of ECE(PillCam ESO2,Given Imaging)vs conventional EGD in pre-bariatric surgery patients.Patients who were scheduled for bariatric surgery and referred for pre-operative EGD were prospectively enrolled.All patients underwent ECE followed by standard EGD.Two experienced gastroenterologists blinded to the patient’s history and the findings of the EGD reviewed the ECE and documented their findings.The gold standard was the findings on EGD.RESULTS:Ten patients with an average body mass index of 50 kg/m2were enrolled and completed the study.ECE identified 11 of 14(79%)positive esophageal/gastroesophageal junction(GEJ)findings and 14of 17(82%)combined esophageal and gastric findings identified on EGD.Fisher’s exact test was used to compare the findings and no significant difference was found between ECE and EGD(P=0.64 for esophageal/GEJ and P=0.66 for combined esophageal and gastric findings respectively).Of the positive esophageal/GEJ findings,ECE failed to identify the following:hiatal hernia in two patients,mild esophagitis in two patients,and mild Schatzki ring in two patients.ECE was able to identify the entire esophagus in 100%,gastric cardia in0%,gastric body in 100%,gastric antrum in 70%,pylorus in 60%,and duodenum in 0%.CONCLUSION:There were no significant differences in the likelihood of identifying a positive finding using ECE compared with EGD in preoperative evaluation of bariatric patients.Ashish Shah Erica Boettcher Marianne Fahmy Thomas Savides Santiago Horgan Garth R Jacobsen Bryan J Sandler Michael Sedrak Denise Kalmaz 2013World Journal of Gastroenterology2013,19,37:7
19西南印度洋罗德里格斯岛石笋记录的新仙女木事件显示文摘新仙女木(Younger Dryas,简称YD)事件是末次冰消期末期升温过程中北半球高纬一次剧烈的突变降温事件,主流机制为淡水注入北大西洋减缓了北大西洋翻转环流,使得北半球普遍降温、热带辐合带南移等全球范围的气候重组.虽然该事件研究程度较高,然而其在南半球、尤其在西南印度洋的气候变化模态尚不明朗.本研究利用来自罗德里格斯岛(罗岛)高分辨率、高精度定年的石笋氧同位素(δ18O)记录,重建了过去13. 3~10. 8 ka期间(对应石笋样品100~169 mm)西南印度洋亚热带地区的气候变化.结果表明,在YD事件期间罗岛石笋δ18O相对偏重,指示降水相对减少.与印度洋北岸的地质记录对比显示, YD时期罗岛石笋记录与众多亚洲季风石笋氧同位素记录共同展现出偏重的'谷状结构',并且显示出'缓进快出'的不对称特征.与印度洋东岸的地质记录对比结果显示,罗岛石笋δ18O与印太暖池南北边缘记录共同显示出偏干状态,而与近赤道记录的气候特征不同.与印度洋西岸的地质记录对比结果显示,东非热带赤道地区至南部亚热带地区呈现'北干南湿'的特征.罗岛与东非赤道地区的气候变化也具有一致性. YD时期,热带辐合带南移而罗岛降水却减少,可能原因是热带辐合带强度减弱,削弱了对流降水,使得亚洲季风从源区至下游地带水汽传输均发生减弱.李瀚瑛 Ashish Sinha 程海 Spotl Christoph 宁有丰 2019第四纪研究2019,39,4:7
20Systematic review of emergent laparoscopic colorectal surgery for benign and malignant disease显示文摘Laparoscopic surgery has become well established in the management of both and malignant colorectal disease.The last decade has seen increasing numbers of surgeons trained to a high standard in minimallyinvasive surgery.However there has not been the same enthusiasm for the use of laparoscopy in emergency colorectal surgery.There is a perception that emergent surgery is technically more difficult and may lead to worse outcomes.The present review aims to provide a comprehensive and critical appraisal of the available literature on the use of laparoscopic colorectal surgery(LCS)in the emergency setting.The literature is broadly divided by the underlying pathology;that is,inflammatory bowel disease,diverticulitis and malignant obstruction.There were no randomized trials and the majority of the studies were case-matched series or comparative studies.The overall trend was that LCS is associated with shorter hospital stay,par or fewer complications but an increased operating time.Emergency LCS can be safely undertaken for both benign and malignant disease providing there is appropriate patient selection,the surgeon is adequately experienced and there are sufficient resources to allow for a potentially more complex operation.Manish Chand Muhammed RS Siddiqui Ashish Gupta Shahnawaz Rasheed Paris Tekkis Amjad Parvaiz Alex H Mirnezami Tahseen Qureshi 2014World Journal of Gastroenterology2014,20,45:7
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