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Imperative for long-term management and surveillance in Kawasaki disease
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作者 Yan Pan Fu-Yong Jiao 《World Journal of Clinical Cases》 SCIE 2025年第4期61-63,共3页
Kawasaki disease(KD)is a significant pediatric vasculitis known for its potential to cause severe coronary artery complications.Despite the effectiveness of initial treatments,such as intravenous immunoglobulin,KD pat... Kawasaki disease(KD)is a significant pediatric vasculitis known for its potential to cause severe coronary artery complications.Despite the effectiveness of initial treatments,such as intravenous immunoglobulin,KD patients can experience long-term cardiovascular issues,as evidenced by a recent case report of an adult who suffered a ST-segment elevation myocardial infarction due to previous KD in the World Journal of Clinical Cases.This editorial emphasizes the critical need for long-term management and regular surveillance to prevent such complications.By drawing on recent research and case studies,we advocate for a structured approach to follow-up care that includes routine cardiac evaluations and preventive measures. 展开更多
关键词 Kawasaki disease long-term management Coronary artery aneurysm SURVEILLANCE Preventive care
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Long-term outcomes of endoscopic resection for small(≤4.0cm) gastric gastrointestinal stromal tumors originating from the muscularis propria layer 被引量:20
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作者 Yu Zhang Xin-Li Mao +4 位作者 Xian-Bin Zhou Hai Yang Lin-Hong Zhu Guang Chen Li-Ping Ye 《World Journal of Gastroenterology》 SCIE CAS 2018年第27期3030-3037,共8页
AIM To evaluate the long-term efficacy of endoscopic resection(ER) for small(≤ 4.0 cm) gastric gastrointestinal stromal tumors(GISTs) originating from the muscularis propria layer.METHODS Between June 2005 and Februa... AIM To evaluate the long-term efficacy of endoscopic resection(ER) for small(≤ 4.0 cm) gastric gastrointestinal stromal tumors(GISTs) originating from the muscularis propria layer.METHODS Between June 2005 and February 2015, we retrospectively analyzed 229 consecutive patients with gastric MP-GISTs who underwent ER with a follow-up at least 36 mo. The main outcome measurements included complete resection rate, complications, and long-term follow-up outcomes.RESULTS ER included endoscopic muscularis excavation in 179 cases, endoscopic full-thickness resection in 32 cases, and submucosal tunneling endoscopic resection in 18 cases. The median size of GISTs was 1.90 cm. Of the 229 GISTs, 147 were very low risk, 72 were low risk, 8 were intermediate risk, and 2 were high risk. Shortterm outcomes showed the complete resection rate was 96.5%, and 8 patients(3.5%) had complications. Of the 8 patients with complications, only one patient required surgical intervention. Long-term outcomes showed 225 patients were actively followed-up until composition of this manuscript. The remaining 4 patients were lost because of unrelated death. During the follow-up period(median, 57 mo), no residual, recurrent lesions, or distant metastasis were detected in any patients. Binary logistic regression analysis showed tumor size was a risk factor associated with a high mitotic index(≥ 5/50 HPF) of GISTs(P = 0.002).CONCLUSION ER seems to be an effective and safe method for gastric MP-GISTs ≤ 4.0 cm, and, for some intermediate or high risk GISTs, adjuvant therapy and/or additional surgery might be required to reduce the risk of recurrence or metastasis. 展开更多
关键词 ENDOSCOPIC RESECTION ENDOSCOPIC fullthickness RESECTION SUBMUCOSAL tunneling ENDOSCOPIC RESECTION GASTRIC gastrointestinal STROMAL tumors long-term outcomes
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Long-term survival after enucleation of a giant esophagea gastrointestinal stromal tumor 被引量:2
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作者 Zhi-Min Mu Yuan-Cai Xie +7 位作者 Xu-Xing Peng Hai Zhang Gang Hui Hao Wu Ji-Xian Liu Bao-Kun Chen Da Wu Yi-Wang Ye 《World Journal of Gastroenterology》 SCIE CAS 2014年第37期13632-13636,共5页
Gastrointestinal stromal tumors(GISTs) are rare mesenchymal neoplasms of the gastrointestinal tract. Less than 1% occurs in the esophagus. Surgery is the primary treatment for patients with GISTs. We report a29-year-o... Gastrointestinal stromal tumors(GISTs) are rare mesenchymal neoplasms of the gastrointestinal tract. Less than 1% occurs in the esophagus. Surgery is the primary treatment for patients with GISTs. We report a29-year-old male was admitted after the detection of a posterior mediastinal mass during work-up with routine examination. He did not have any disease-related symptoms. The physical examination was unremarkable. Chest computed tomographic scan, the barium esophagogram and endoscopic esophageal ultrasound showed benign neoplasm. The patient was performed an enucleation surgery through the right posterolateral thoracotomy. The pathology revealed a 13.0 cm × 12.0cm × 5.0 cm mass. The tumor was CD117(C-kit), PDGFRA and DOG1 positive. These findings were consistent with a GIST of the esophagus. So the diagnosis of GIST of esophagus was confirmed. The pathological diagnosis of low grade of GIST of esophagus was confirmed. The patient has no evidence of recurrence and is in good clinical conditions up-to date, five years after surgery. 展开更多
关键词 long-term SURVIVAL ENUCLEATION SURGERY FOLLOW-UP
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Laboratory Test on Long-Term Deterioration of Cement Soil in Seawater Environment 被引量:8
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作者 杨俊杰 闫楠 +1 位作者 刘强 张玥宸 《Transactions of Tianjin University》 EI CAS 2016年第2期132-138,共7页
Laboratory tests were conducted to study the effects of curing time, cement ratio and seawater pressure on cement soil deterioration formed at simulative marine soft clay sites. Deterioration depth was determined on t... Laboratory tests were conducted to study the effects of curing time, cement ratio and seawater pressure on cement soil deterioration formed at simulative marine soft clay sites. Deterioration depth was determined on the basis of characteristics of penetration resistance and penetration depth curves, and the deterioration depth of cement soil with the cement ratio of 7%, reached 31.8 mm after 720 d. Results of research indicated that deterioration extended quickly under seawater environment and the deterioration depth increased with the prolonging curing time. In addition, the water pressure could speed up deterioration. With the increase of cement content, the strength of cement soil increased obviously. At the same time, the deterioration depth decreased significantly. The concentration of calcium ion in the cement stabilized soil increased with the increase of depth, while that of magnesium ion gradually decreased. The variations were consistent with energy dispersive spectrometer(EDS)analysis results, and the calcium concentration with depth was in a good consistency with strength distribution at long term. The results showed that the deterioration became more serious with the curing time, and it was related to calcium leaching. 展开更多
关键词 cement soil marine clay deterioration depth micro-cone penetration test seawater environment
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Model Test and Numerical Analysis on Long-Term Mechanical Properties of Stepped Reinforced Retaining Wall 被引量:5
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作者 WANG Chengzhi LUAN Maotian ZHU Zeqi 《Transactions of Tianjin University》 EI CAS 2012年第1期62-68,共7页
Model tests and numerical analyses of stepped reinforced retaining wall were performed to investigate the effects of rheology of backfill and creep of geogrids on the long-term performance of the structure.The geogrid... Model tests and numerical analyses of stepped reinforced retaining wall were performed to investigate the effects of rheology of backfill and creep of geogrids on the long-term performance of the structure.The geogrid tensions,soil pressures,wall deformations and foundation pressure were measured during model construction and loading.A visco-elasto-plastic model and an empirical nonlinear visco-elastic model were utilized to simulate the stresses and deformations of geogrid-reinforced earth-retaining wall under long-term loads.By comparing test data with numerical results,it is shown that the foundation pressure distribution is nonlinear,and the lateral constraint of geogrids for backfill can cause a redistribution of foundation pressure.The curve of soil pressure is outside convex at each step initially,and it is close to the distribution for the case of vertical wall subsequently.The variation trend of geogrid tensions at different heights is obtained.Moreover,the failure mechanism and development mode of potential slip surface in retaining wall are proposed. 展开更多
关键词 model test GEOGRID stepped reintbrced retaining wall finite element method visco-elasto-plasticity model
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Long-term culture-induced phenotypic difference and efficient cryopreservation of small intestinal organoids by treatment timing of Rho kinase inhibitor 被引量:1
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作者 Sung-Hoon Han Sehwan Shim +7 位作者 Min-Jung Kim Hye-Yun Shin Won-Suk Jang Sun-Joo Lee Young-Woo Jin Seung-Sook Lee Seung Bum Lee Sunhoo Park 《World Journal of Gastroenterology》 SCIE CAS 2017年第6期964-975,共12页
To investigate a suitable long-term culture system and optimal cryopreservation of intestinal organoid to improve organoid-based therapy by acquiring large numbers of cells.METHODSCrypts were isolated from jejunum of ... To investigate a suitable long-term culture system and optimal cryopreservation of intestinal organoid to improve organoid-based therapy by acquiring large numbers of cells.METHODSCrypts were isolated from jejunum of C57BL/6 mouse. Two hundred crypts were cultured in organoid medium with either epidermal growth factor/Noggin/R-spondin1 (ENR) or ENR/CHIR99021/VPA (ENR-CV). For subculture, organoids cultured on day 7 were passaged using enzyme-free cell dissociation buffer (STEMCELL Technologies). The passage was performed once per week until indicated passage. For cryopreservation, undissociated and dissociated organoids were resuspended in freezing medium with or without Rho kinase inhibitor subjected to different treatment times. The characteristics of intestinal organoids upon extended passage and freeze-thaw were analyzed using EdU staining, methyl thiazolyl tetrazolium assay, qPCR and time-lapse live cell imaging.RESULTSWe established a three-dimensional culture system for murine small intestinal organoids using ENR and ENR-CV media. Both conditions yielded organoids with a crypt-villus architecture exhibiting Lgr5<sup>+</sup> cells and differentiated intestinal epithelial cells as shown by morphological and biochemical analysis. However, during extended passage (more than 3 mo), a comparative analysis revealed that continuous passaging under ENR-CV conditions, but not ENR conditions induced phenotypic changes as observed by morphological transition, reduced numbers of Lgr5<sup>+</sup> cells and inconsistent expression of markers for differentiated intestinal epithelial cell types. We also found that recovery of long-term cryopreserved organoids was significantly affected by the organoid state, i.e., whether dissociation was applied, and the timing of treatment with the Rho-kinase inhibitor Y-27632. Furthermore, the retention of typical morphological characteristics of intestinal organoids such as the crypt-villus structure from freeze-thawed cells was observed by live cell imaging.CONCLUSIONThe maintenance of the characteristics of intestinal organoids upon extended passage is mediated by ENR condition, but not ENR-CV condition. Identified long-term cryopreservation may contribute to the establishment of standardized cryopreservation protocols for intestinal organoids for use in clinical applications. 展开更多
关键词 intestinal organoid Rho kinase inhibitor three-dimensional culture CRYOPRESERVATION long-term culture
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Long-Term Loading Test of Reinforced Glulam Beam
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作者 Nan Guo Jing Ren +2 位作者 Ling Li Yan Zhao Mingtao Wu 《Journal of Renewable Materials》 SCIE EI 2022年第1期183-201,共19页
Due to creep characteristics of wood,long-term loading can cause a significant stress loss of steel bars in rein-forced glulam beams and high long-term deflection of the beam midspan.In this study,15 glulam beams were... Due to creep characteristics of wood,long-term loading can cause a significant stress loss of steel bars in rein-forced glulam beams and high long-term deflection of the beam midspan.In this study,15 glulam beams were subjected to a 90-day long-term loading test,and the effects of long-term loading value,reinforcement ratio and prestress level on the stress of steel bars,midspan long-term deflection,and other parameters were compared and analyzed.The main conclusions drawn from this study were that the long-term deflection of the reinforced glulam beams accounted for 22.5%,20.6%,and 18.2%of the total deflection respectively when the loading value was 20%,30%,and 40%of the estimated ultimate load under the long-term loading.The higher the loading level was,the smaller the proportion of the long-term deflection in the total deflection was.Compared with ordinary glulam beams,the long-term deflection of the reinforced glulam beam was even smaller.Under the condition of the constant loading level,the total stress value of the steel bars decreased by 17.5%,13.6%,and 9.1%,and the proportion of the long-term deflection of the beam midspan in the total deflection was 26.9%,24.2%,and 20.6%respectively when the reinforcement ratio was 2.05%,2.68%,and 3.39%.With the increase of the reinfor-cement ratio,the stress loss of the steel bars decreased,and the proportion of the long-term deflection decreased as well.When other conditions remained constant and the prestress level of the steel bars was 0 MPa,30 MPa,and 60 MPa,the total stress value of the steel bars decreased by 9.1%,9.4%,and 10.2%,respectively,and the propor-tion of the long-term deflection in the total deflection was 20.6%,26.1%,and 64.9%,respectively.With the increase of the prestress value,the stress loss of the steel bars increased,and the proportion of the long-term deflection increased as well. 展开更多
关键词 Reinforced glulam beams long-term loading tests creep characteristics PRESTRESS total stress of steel bars
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Changes in reaction time, coefficient of variance of reaction time, and autonomic nerve function in the mental fatigue state caused by long-term computerized Kraepelin test workload in healthy volunteers 被引量:1
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作者 Daisuke Kuratsune Seiki Tajima +10 位作者 Junichi Koizumi Kouzi Yamaguti Tetsuya Sasabe Kei Mizuno Masaaki Tanaka Naoko Okawa Hideki Mito Hirokazu Tsubone Yasuyoshi Watanabe Masayasu Inoue Hirohiko Kuratsune 《World Journal of Neuroscience》 2012年第2期113-118,共6页
Fatigue is a common sense caused by crushing labor, stressful social events and various illnesses. It is usually judged by their subjective symptoms, but it should be evaluated in an objective perspective. Here we sho... Fatigue is a common sense caused by crushing labor, stressful social events and various illnesses. It is usually judged by their subjective symptoms, but it should be evaluated in an objective perspective. Here we show that the decrease of working efficiency and sympathetic hyperactivity are associated with mental fatigue state caused by prolonged mental workload. Recently we made a new mental fatigue model of healthy volunteers caused by long-term computerized Kraepelin test (CKT) workload. CKT is our new software for automatically checking the calculation capability, with which it is easy to determine the reaction time (RT), coefficient of variance of reaction time (CV), and accuracy of the answers (AC) during tasks. We put 24 healthy volunteers into the fatigue state by subjecting them to 120 minutes’ CKT workload, and then studied the changes in fatigue sensation, RT, CV, and AC before and after the CKT workload. The fatigue sensation, RT, and CV were clearly increased by the fatigue-inducing task and recovered during the resting period. We also studied the changes in autonomic nerve activity by using heart rate variability analysis. The low/high frequency component ratio (LF/HF) was signifi-cantly increased by the fatigue-inducing task and decreased by resting, suggesting that mental stress causes a relatively sympathetic nerve activity-dominant state. Therefore, our new fatigue model involving a long-term CKT workload is a good mental fatigue model to provide much information about the fatigue state simultane-ously, and the increase of RT, CV, and proportion of sympathetic activity (LF/HF) are associated with mental fatigue state. These might be useful objective biomarkers or evaluating a mental fatigue state. 展开更多
关键词 Fatigue COMPUTERIZED Kraepelin test Reaction Time Accuracy of the ANSWERS AUTONOMIC NERVE Activity
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Energy and long-term hygrothermal performance of building enclosures based on dynamic environmental simulation test 被引量:1
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作者 Shi Xing 《Engineering Sciences》 EI 2010年第1期92-96,共5页
Dynamic environmental testing is an effective means to study the energy and long-term hygrothermal performance of building enclosures. Southeast University is designing and building a large-scale dynamic environment s... Dynamic environmental testing is an effective means to study the energy and long-term hygrothermal performance of building enclosures. Southeast University is designing and building a large-scale dynamic environment simulation testing facility. It can simuhaneously and dynamically simulate temperature, relative humidity, infrared solar radiation, UV radiation, and precipitation. A transformation is needed to predict the energy and long-term hygrothermal performance of building enclosures under real service conditions using data obtained from accelerated tests. 展开更多
关键词 environmental simulation hygrothermal performance long-term performance heat box environmental acceleration
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昆明烟区土壤线虫数量与环境因子的Mantel Test分析
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作者 施锘 李恩星 +9 位作者 陈江政 蒋碧霞 吴思昊 贺艳杰 王戈 王娜 白羽祥 周鹏 杜宇 李杰 《山东农业科学》 北大核心 2024年第10期153-158,共6页
为进一步明确昆明烟区影响线虫的环境因素,于2022年采集云南昆明烟区8个县(市、区)64个乡镇的320个植烟土壤样品,调查与测定样品采集地的海拔、土壤线虫数量以及土壤理化性质(pH值及有机质、水解性氮、速效钾和有效磷含量),并探讨土壤... 为进一步明确昆明烟区影响线虫的环境因素,于2022年采集云南昆明烟区8个县(市、区)64个乡镇的320个植烟土壤样品,调查与测定样品采集地的海拔、土壤线虫数量以及土壤理化性质(pH值及有机质、水解性氮、速效钾和有效磷含量),并探讨土壤线虫数量与植烟土壤环境因子之间的潜在关系。结果表明,昆明烟区土壤线虫数量一定程度上受到海拔及土壤理化性质的影响,海拔与有机质、水解性氮和速效钾呈显著正相关,pH值与有效磷呈极显著负相关,相关系数为-0.850;土壤线虫数量与土壤有效磷呈正相关,与海拔、pH值、有机质、水解性氮、速效钾呈负相关,其中与海拔、有机质和水解性氮的相关系数较大,分别为-0.751、-0.651和-0.568。通过Mantel test分析确定海拔、有机质和水解性氮含量是影响昆明烟区土壤线虫数量的重要因子。本结果可为有效防治土壤线虫提供科学依据。 展开更多
关键词 土壤线虫 海拔 土壤理化特性 Mantel test分析
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Theoretical analyses of testing efficiency in long-term breeding of poplar
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作者 LI Huo-gen Dag Lindgren +1 位作者 Darius Danusevicius CUI Jian-guo 《Journal of Forestry Research》 SCIE CAS CSCD 2005年第4期275-280,共6页
The major goal for long-term poplar breeding can be formulated as maximizing annual progress in Group Merit Gain at a given annual budget (GMG/Y*). To evaluate different breeding scenarios, a deterministic simulato... The major goal for long-term poplar breeding can be formulated as maximizing annual progress in Group Merit Gain at a given annual budget (GMG/Y*). To evaluate different breeding scenarios, a deterministic simulator BREEDING CYCLE ANALYZER covering the most important aspects (gain, cost, time, technique, and gene diversity) of a full breeding cycle was used. The breeding strategies considered was based on pairwise crossing of the selected breeding population and balanced within family selection for the next breeding population. A main scenario and a number of alternative scenarios within these constraints were evaluated using estimates of the best available inputs for poplars. In focus was a comparison between three different testing scenarios for selecting the parents mated to create future breeding generations, thus selecting based on phenotype, clone test or progeny test. For the main scenario, the highest GMG/Y, and the optimal selection age for clone, phenotype and progeny strategies were 0.7480 %, 0.6989% and 0.4675%; 7, 6, and 11 years respectively. Clone test was best except when heritability was high, plant price was high or total budget was low; phenotype strategy was the second except for the case of extremely low narrow-sense heritability, for which the progeny strategy was a little more efficient than phenotype strategy. GMG/Y was markedly affected by narrow-sense heritability, additive variance at mature age, rotation age, plant-dependent cost, total budget and the time needed to produce the test plants, while diversity loss and recombination cost had rather weak effect on GMG/Y. Short rotation age and cheap testing cost favoured all three testing strategies. Comparably short rotation age, low plant-dependent cost and high total budget seem to promote early selection for progeny strategy. 展开更多
关键词 POPLAR Group merit gain testing efficiency Breeding strategy Clonal testing Progeny testing
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Clinical Significance of Pulmonary Function Tests in Long-Term Survivors after Myeloablative Allogeneic Hematopoietic Stem Cell Transplantation
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作者 Kenji Matsumoto Satomi Ito +4 位作者 Wataru Yamamoto Eriko Ogusa Atsuo Maruta Yoshiaki Ishigatsubo Heiwa Kanamori 《Open Journal of Blood Diseases》 2013年第1期6-12,共7页
We retrospectively assessed long-term pulmonary function in adults surviving for ≥5 years after myeloablative allogeneic hematopoietic stem cell transplantation and identified risk factors for late-onset noninfectiou... We retrospectively assessed long-term pulmonary function in adults surviving for ≥5 years after myeloablative allogeneic hematopoietic stem cell transplantation and identified risk factors for late-onset noninfectious pulmonary complications. Among 174 patients undergoing transplantation for hematologic malignancies between May 1994 and December 2004, 81 long-term survivors were evaluated. Pulmonary function tests (PFTs) were performed before conditioning, 3 months and 1 year after transplantation, and then annually. Eight patients (10%) had abnormal pulmonary function before transplantation, but this was not associated with late changes in PFTs. Patients with chronic graft-versus-host disease (GVHD) showed a significant decline of lung function after 3 years when compared with patients without chronic GVHD. Abnormal pretransplantation lung function was associated with pulmonary chronic GVHD according to National Institutes of Health criteria (score 0, n = 58;score 1, n = 14;score 2, n = 6;score 3, n = 3). Five patients with late-onset noninfectious pulmonary complications showed a decline of lung function at 1 year after transplantation. Only chronic GVHD was significantly related to late-onset noninfectious pulmonary complications. In conclusion, abnormal lung function before transplantation may be associated with a decline in pulmonary function within 1 year after transplantation, but late-onset noninfectious pulmonary complications could not be predicted from pretransplantation lung function. 展开更多
关键词 long-term SURVIVOR PULMONARY Function tests LATE-ONSET Noninfectious PULMONARY COMPLICATIONS MYELOABLATIVE ALLOGENEIC Stem Cell Transplantation
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Clinical manifestations,diagnosis and long-term prognosis of adult autoimmune enteropathy:Experience from Peking Union Medical College Hospital 被引量:2
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作者 Mu-Han Li Ge-Chong Ruan +9 位作者 Wei-Xun Zhou Xiao-Qing Li Sheng-Yu Zhang Yang Chen Xiao-Yin Bai Hong Yang Yu-Jie Zhang Peng-Yu Zhao Ji Li Jing-Nan Li 《World Journal of Gastroenterology》 SCIE CAS 2024年第19期2523-2537,共15页
BACKGROUND Autoimmune enteropathy(AIE)is a rare disease whose diagnosis and long-term prognosis remain challenging,especially for adult AIE patients.AIM To improve overall understanding of this disease’s diagnosis an... BACKGROUND Autoimmune enteropathy(AIE)is a rare disease whose diagnosis and long-term prognosis remain challenging,especially for adult AIE patients.AIM To improve overall understanding of this disease’s diagnosis and prognosis.METHODS We retrospectively analyzed the clinical,endoscopic and histopathological characteristics and prognoses of 16 adult AIE patients in our tertiary medical center between 2011 and 2023,whose diagnosis was based on the 2007 diagnostic criteria.RESULTS Diarrhea in AIE patients was characterized by secretory diarrhea.The common endoscopic manifestations were edema,villous blunting and mucosal hyperemia in the duodenum and ileum.Villous blunting(100%),deep crypt lymphocytic infiltration(67%),apoptotic bodies(50%),and mild intraepithelial lymphocytosis(69%)were observed in the duodenal biopsies.Moreover,there were other remarkable abnormalities,including reduced or absent goblet cells(duodenum 94%,ileum 62%),reduced or absent Paneth cells(duodenum 94%,ileum 69%)and neutrophil infiltration(duodenum 100%,ileum 69%).Our patients also fulfilled the 2018 diagnostic criteria but did not match the 2022 diagnostic criteria due to undetectable anti-enterocyte antibodies.All patients received glucocorticoid therapy as the initial medication,of which 14/16 patients achieved a clinical response in 5(IQR:3-20)days.Immunosuppressants were administered to 9 patients with indications of steroid dependence(6/9),steroid refractory status(2/9),or intensified maintenance medication(1/9).During the median of 20.5 months of followup,2 patients died from multiple organ failure,and 1 was diagnosed with non-Hodgkin’s lymphoma.The cumulative relapse-free survival rates were 62.5%,55.6%and 37.0%at 6 months,12 months and 48 months,respectively.CONCLUSION Certain histopathological findings,including a decrease or disappearance of goblet and Paneth cells in intestinal biopsies,might be potential diagnostic criteria for adult AIE.The long-term prognosis is still unsatisfactory despite corticosteroid and immunosuppressant medications,which highlights the need for early diagnosis and novel medications. 展开更多
关键词 Autoimmune enteropathy Clinical manifestations Diagnostic criteria Pathological features long-term prognosis
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Failure characterization of fully grouted rock bolts under triaxial testing 被引量:1
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作者 Hadi Nourizadeh Ali Mirzaghorbanali +3 位作者 Mehdi Serati Elamin Mutaz Kevin McDougall Naj Aziz 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第3期778-789,共12页
Confining stresses serve as a pivotal determinant in shaping the behavior of grouted rock bolts.Nonetheless,prior investigations have oversimplified the three-dimensional stress state,primarily assuming hydrostatic st... Confining stresses serve as a pivotal determinant in shaping the behavior of grouted rock bolts.Nonetheless,prior investigations have oversimplified the three-dimensional stress state,primarily assuming hydrostatic stress conditions.Under these conditions,it is assumed that the intermediate principal stress(σ_(2))equals the minimum principal stress(σ_(3)).This assumption overlooks the potential variations in magnitudes of in situ stress conditions along all three directions near an underground opening where a rock bolt is installed.In this study,a series of push tests was meticulously conducted under triaxial conditions.These tests involved applying non-uniform confining stresses(σ_(2)≠σ_(3))to cubic specimens,aiming to unveil the previously overlooked influence of intermediate principal stresses on the strength properties of rock bolts.The results show that as the confining stresses increase from zero to higher levels,the pre-failure behavior changes from linear to nonlinear forms,resulting in an increase in initial stiffness from 2.08 kN/mm to 32.51 kN/mm.The load-displacement curves further illuminate distinct post-failure behavior at elevated levels of confining stresses,characterized by enhanced stiffness.Notably,the peak load capacity ranged from 27.9 kN to 46.5 kN as confining stresses advanced from σ_(2)=σ_(3)=0 to σ_(2)=20 MPa and σ_(3)=10 MPa.Additionally,the outcomes highlight an influence of confining stress on the lateral deformation of samples.Lower levels of confinement prompt overall dilation in lateral deformation,while higher confinements maintain a state of shrinkage.Furthermore,diverse failure modes have been identified,intricately tied to the arrangement of confining stresses.Lower confinements tend to induce a splitting mode of failure,whereas higher loads bring about a shift towards a pure interfacial shear-off and shear-crushed failure mechanism. 展开更多
关键词 Rock bolts Bolt-grout interface Bond strength Push test Triaxial tests
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Unbound^(28)O,the heaviest oxygen isotope observed:a cutting-edge probe for testing nuclear models 被引量:1
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作者 Jian-Guo Li Bai-Shan Hu +1 位作者 Shuang Zhang Fu-Rong Xu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第2期1-2,共2页
The beyond-dripline oxygen isotopes^(27,28)O were recently observed at RIKEN,and were found to be unbound decaying into^(24)O by emitting neutrons.The unbound feature of the heaviest oxygen isotope,^(28)O,provides an ... The beyond-dripline oxygen isotopes^(27,28)O were recently observed at RIKEN,and were found to be unbound decaying into^(24)O by emitting neutrons.The unbound feature of the heaviest oxygen isotope,^(28)O,provides an excellent test for stateof-the-art nuclear models.The atomic nucleus is a self-organized quantum manybody system comprising specific numbers of protons Z and neutrons N. 展开更多
关键词 testING QUANTUM system
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Development of a new Cox model for predicting long-term survival in hepatitis cirrhosis patients underwent transjugular intrahepatic portosystemic shunts 被引量:1
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作者 Yi-Fan Lv Bing Zhu +8 位作者 Ming-Ming Meng Yi-Fan Wu Cheng-Bin Dong Yu Zhang Bo-Wen Liu Shao-Li You Sa Lv Yong-Ping Yang Fu-Quan Liu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第2期491-502,共12页
BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)placement is a procedure that can effectively treat complications of portal hypertension,such as variceal bleeding and refractory ascites.However,there hav... BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)placement is a procedure that can effectively treat complications of portal hypertension,such as variceal bleeding and refractory ascites.However,there have been no specific studies on predicting long-term survival after TIPS placement.AIM To establish a model to predict long-term survival in patients with hepatitis cirrhosis after TIPS.METHODS A retrospective analysis was conducted on a cohort of 224 patients who un-derwent TIPS implantation.Through univariate and multivariate Cox regression analyses,various factors were examined for their ability to predict survival at 6 years after TIPS.Consequently,a composite score was formulated,encompassing the indication,shunt reasonability,portal venous pressure gradient(PPG)after TIPS,percentage decrease in portal venous pressure(PVP),indocyanine green retention rate at 15 min(ICGR15)and total bilirubin(Tbil)level.Furthermore,the performance of the newly developed Cox(NDC)model was evaluated in an in-ternal validation cohort and compared with that of a series of existing models.RESULTS The indication(variceal bleeding or ascites),shunt reasonability(reasonable or unreasonable),ICGR15,post-operative PPG,percentage of PVP decrease and Tbil were found to be independent factors affecting long-term survival after TIPS placement.The NDC model incorporated these parameters and successfully identified patients at high risk,exhibiting a notably elevated mortality rate following the TIPS procedure,as observed in both the training and validation cohorts.Additionally,in terms of predicting the long-term survival rate,the performance of the NDC model was significantly better than that of the other four models[Child-Pugh,model for end-stage liver disease(MELD),MELD-sodium and the Freiburg index of post-TIPS survival].CONCLUSION The NDC model can accurately predict long-term survival after the TIPS procedure in patients with hepatitis cirrhosis,help identify high-risk patients and guide follow-up management after TIPS implantation. 展开更多
关键词 Transjugular intrahepatic portosystemic shunt long-term survival Predictive model
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Electrochemical biosensors for point-of-care testing 被引量:1
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作者 Jinsol Kim Juho Jeong Seung Hwan Ko 《Bio-Design and Manufacturing》 SCIE EI CAS CSCD 2024年第4期548-565,共18页
Point-of-care testing(POCT)is the practice of diagnosing and monitoring diseases where the patient is located,as opposed to traditional treatment conducted solely in a medical laboratory or other clinical setting.POCT... Point-of-care testing(POCT)is the practice of diagnosing and monitoring diseases where the patient is located,as opposed to traditional treatment conducted solely in a medical laboratory or other clinical setting.POCT has been less common in the recent past due to a lack of portable medical devices capable of facilitating effective medical testing.However,recent growth has occurred in this field due to advances in diagnostic technologies,device miniaturization,and progress in wearable electronics.Among these developments,electrochemical sensors have attracted interest in the POCT field due to their high sensitivity,compact size,and affordability.They are used in various applications,from disease diagnosis to health status monitoring.In this paper we explore recent advancements in electrochemical sensors,the methods of fabricating them,and the various types of sensing mechanisms that can be used.Furthermore,we delve into methods for immobilizing specific biorecognition elements,including enzymes,antibodies,and aptamers,onto electrode surfaces and how these sensors are used in real-world POCT settings. 展开更多
关键词 Point-of-care testing(POCT) Electrochemical sensor ENZYME ANTIBODY Health care
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Aquifer Test求群孔抽水试验水文地质参数
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作者 李红伟 《中国高新科技》 2024年第5期56-57,129,共3页
在水文地质条件复杂的地区,往往采用大型的群孔抽水试验充分揭露含水层特征,获取水文地质参数。用Aquifer Test软件求解水文地质参数,则方便实用、简捷高效,可快速输出拟合图形和求参结果。Aquifer Test提供了丰富的求参方案,求参必须... 在水文地质条件复杂的地区,往往采用大型的群孔抽水试验充分揭露含水层特征,获取水文地质参数。用Aquifer Test软件求解水文地质参数,则方便实用、简捷高效,可快速输出拟合图形和求参结果。Aquifer Test提供了丰富的求参方案,求参必须结合当地当时的水文地质条件实际情况考虑,选择适合的方案和时空数据求取水文地质参数。 展开更多
关键词 群孔抽水试验 水文地质参数 Aquifer test
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Long-term outcomes after endoscopic removal of malignant colorectal polyps:Results from a 10-year cohort 被引量:1
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作者 Anna Fábián Renáta Bor +13 位作者 Béla Vasas Mónika Szűcs Tibor Tóth Zsófia Bősze Kata Judit Szántó Péter Bacsur Anita Bálint Bernadett Farkas Klaudia Farkas Ágnes Milassin Mariann Rutka Tamás Resál Tamás Molnár Zoltán Szepes 《World Journal of Gastrointestinal Endoscopy》 2024年第4期193-205,共13页
BACKGROUND Choosing an optimal post-polypectomy management strategy of malignant colorectal polyps is challenging,and evidence regarding a surveillance-only strategy is limited.AIM To evaluate long-term outcomes after... BACKGROUND Choosing an optimal post-polypectomy management strategy of malignant colorectal polyps is challenging,and evidence regarding a surveillance-only strategy is limited.AIM To evaluate long-term outcomes after endoscopic removal of malignant colorectal polyps.METHODS A single-center retrospective cohort study was conducted to evaluate outcomes after endoscopic removal of malignant colorectal polyps between 2010 and 2020.Residual disease rate and nodal metastases after secondary surgery and local and distant recurrence rate for those with at least 1 year of follow-up were invest-igated.Event rates for categorical variables and means for continuous variables with 95%confidence intervals were calculated,and Fisher’s exact test and Mann-Whitney test were performed.Potential risk factors of adverse outcomes were RESULTS In total,135 lesions(mean size:22.1 mm;location:42%rectal)from 129 patients(mean age:67.7 years;56%male)were enrolled.The proportion of pedunculated and non-pedunculated lesions was similar,with en bloc resection in 82%and 47%of lesions,respectively.Tumor differentiation,distance from resection margins,depth of submucosal invasion,lymphovascular invasion,and budding were reported at 89.6%,45.2%,58.5%,31.9%,and 25.2%,respectively.Residual tumor was found in 10 patients,and nodal metastasis was found in 4 of 41 patients who underwent secondary surgical resection.Univariate analysis identified piecemeal resection as a risk factor for residual malignancy(odds ratio:1.74;P=0.042).At least 1 year of follow-up was available for 117 lesions from 111 patients(mean follow-up period:5.59 years).Overall,54%,30%,30%,11%,and 16%of patients presented at the 1-year,3-year,5-year,7-year,and 9-10-year surveillance examinations.Adverse outcomes occurred in 9.0%(local recurrence and dissemination in 4 patients and 9 patients,respectively),with no difference between patients undergoing secondary surgery and surveillance only.CONCLUSION Reporting of histological features and adherence to surveillance colonoscopy needs improvement.Long-term adverse outcome rates might be higher than previously reported,irrespective of whether secondary surgery was performed. 展开更多
关键词 Malignant colorectal polyps T1 tumor Endoscopic removal OUTCOMES long-term SURVEILLANCE
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Micromechanical testing and property upscaling of planetary rocks:A critical review 被引量:1
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作者 Yiwei Liu Guoping Zhang +1 位作者 Jiangmei Qiao Xuhai Tang 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2024年第9期1217-1241,共25页
Knowledge of the mechanical behavior of planetary rocks is indispensable for space explorations.The scarcity of pristine samples and the irregular shapes of planetary meteorites make it difficult to obtain representat... Knowledge of the mechanical behavior of planetary rocks is indispensable for space explorations.The scarcity of pristine samples and the irregular shapes of planetary meteorites make it difficult to obtain representative samples for conventional macroscale rock mechanics experiments(macro-RMEs).This critical review discusses recent advances in microscale RMEs(micro-RMEs)techniques and the upscaling methods for extracting mechanical parameters.Methods of mineralogical and microstructural analyses,along with non-destructive mechanical techniques,have provided new opportunities for studying planetary rocks with unprecedented precision and capabilities.First,we summarize several mainstream methods for obtaining the mineralogy and microstructure of planetary rocks.Then,nondestructive micromechanical testing methods,nanoindentation and atomic force microscopy(AFM),are detailed reviewed,illustrating the principles,advantages,influencing factors,and available testing results from literature.Subsequently,several feasible upscaling methods that bridge the micro-measurements of meteorite pieces to the strength of the intact body are introduced.Finally,the potential applications of planetary rock mechanics research to guiding the design and execution of space missions are environed,ranging from sample return missions and planetary defense to extraterrestrial construction.These discussions are expected to broaden the understanding of the microscale mechanical properties of planetary rocks and their significant role in deep space exploration. 展开更多
关键词 METEORITES Planetary rock mechanics Non-destructive testing Upscaling method Extraterrestrial construction Space exploration
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