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1Historically significant events in the discovery of RANK/RANKL/OPG显示文摘After it was suggested 30 years ago that the osteoblast lineage controlled the formation of osteoclasts, methods were developed that established this to be the case, but the molecular controls were elusive. Over more than a decade much evidence was obtained for signaling mechanisms that regulated the production of a membrane- bound regulator of osteoclastogenesis, in the course of which intercellular communication in bone was revealed in its complexity. The discovery of regulation by tumor necrosis factor ligand and receptor families was made in the last few years of the twentieth century, leading since then to a new physiology of bone, and to exciting drug development.T John Martin 2013World Journal of Orthopedics2013,4,4:21
2皮质下小血管病诊断的共识声明显示文摘血管性认知损害是用于描述一组涉及大血管和小血管的散发性和遗传性异质性疾病的诊断术语。皮质下小血管病可导致腔隙性梗死和进行性白质损害。被称为宾斯旺格病(Binswanger's disease, BD)的进行性白质损害患者构成了从单纯血管性疾病到合并神经变性病变的疾病谱。BD患者是一个相对同质性的亚组,存在缺氧缺血、腔隙性梗死和炎症,它们协同作用破坏血脑屏障和髓鞘。通过临床、脑脊液、神经心理学和影像学检查获得的多模式疾病标记物能促进该亚组患者的鉴别。本共识声明确定了一系列基于基础病理学改变的潜在生物学标记物,这将有助于诊断以及将来协作性治疗试验的患者选择。Gary A Rosenberg Anders Wallin Joanna M Wardlaw Hugh S Markus Joan Montaner Leslie Wolfson Costantino Iadecola Berislav V Zlokovic Anne Joutel Martin Dichgans Marco Duering Reinhold Schmidt Amos D Korczyn Lea T Grinberg Helena C Chui Vladimir Hachinski 王训师 张劼 陈涵丰 俞娅美 徐子奇 罗本燕 2016国际脑血管病杂志2016,24,6:18
3Minimally invasive surgery for gastric cancer: A comparison between robotic, laparoscopic and open surgery显示文摘AIM To investigate the role of minimally invasive surgery for gastric cancer and determine surgical, clinical, and oncological outcomes.METHODS This is a propensity score-matched case-control study, comparing three treatment arms: robotic gastrectomy(RG), laparoscopic gastrectomy(LG), open gastrectomy(OG). Data collection started after sharing a specific study protocol. Data were recorded through a tailored and protected web-based system. Primary outcomes: harvested lymph nodes, estimated blood loss, hospital stay, complications rate. Among the secondary outcomes, there are: operative time, R0 resections, POD of mobilization, POD of starting liquid diet and soft solid diet. The analysis includes the evaluation of type and grade of postoperative complications. Detailed information of anastomotic leakages is also provided.RESULTS The present analysis was carried out of 1026 gastrectomies. To guarantee homogenous distribution of cases, patients in the RG, LG and OG groups were 1:1:2 matched using a propensity score analysis with a caliper = 0.2. The successful matching resulted in a total sample of 604 patients(RG = 151; LG = 151; OG = 302). The three groups showed no differences in all baseline patients characteristics, type of surgery(P = 0.42) and stage of the disease(P = 0.16). Intraoperative blood loss was significantly lower in the LG(95.93 ± 119.22) and RG(117.91 ± 68.11) groups compared to the OG(127.26 ± 79.50, P = 0.002). The mean number of retrieved lymph nodes was similar between the RG(27.78 ± 11.45), LG(24.58 ± 13.56) and OG(25.82 ± 12.07) approach. A benefit in favor of the minimally invasive approaches was found in the length of hospital stay(P < 0.0001). A similar complications rate was found(P = 0.13). The leakage rate was not different(P = 0.78) between groups.CONCLUSION Laparoscopic and robotic surgery can be safely performed and proposed as possible alternative to open surgery. The main highlighted benefit is a faster postoperative functional recovery.Amilcare Parisi Daniel Reim Felice Borghi Ninh T Nguyen Feng Qi Andrea Coratti Fabio Cianchi Maurizio Cesari Francesca Bazzocchi Orhan Alimoglu Johan Gagnière Graziano Pernazza Simone D'Imporzano Yan-Bing Zhou Juan-Santiago Azagra Olivier Facy Steven T Brower Zhi-Wei Jiang Lu Zang Arda Isik Alessandro Gemini Stefano Trastulli Alexander Novotny Alessandra Marano Tong Liu Mario Annecchiarico Benedetta Badii Giacomo Arcuri Andrea Avanzolini Metin Leblebici Denis Pezet Shou-Gen Cao Martine Goergen Shu Zhang Giorgio Palazzini Vito D'Andrea Jacopo Desiderio 2017World Journal of Gastroenterology2017,23,13:17
4Bacterial biota in reflux esophagitis and Barrett's esophagus显示文摘AIM: To identify the bacterial flora in conditions such as Barrett's esophagus and reflux esophagitis to determine if they are similar to normal esophageal flora.METHODS: Using broad-range 16S rDNA PCR,esophageal biopsies were examined from 24 patients [9with normal esophageal mucosa, 12 with gastroesophageal reflux disease (GERD), and 3 with Barrett's esophagus].Two separate broad-range PCR reactions were performed for each patient, and the resulting products were cloned.In one patient with Barrett's esophagus, g9 PCR clones were analyzed.RESULTS: Two separate clones were recovered from each patient (total = 48), representing 24 different species, with 14 species homologous to known bacteria,5 homologous to unidentified bacteria, and 5 were not homologous (<97% identity) to any known bacterial 16S rDNA sequences. Seventeen species were found in the reflux esophagitis patients, 5 in the Barrett's esophagus patients, and 10 in normal esophagus patients.Further analysis concentrating on a single biopsy from an individual with Barrett's esophagus revealed the presence of 21. distinct bacterial species. Members of four phyla were represented, including Bacteroidetes,Firmicutes, Proteobacteria, and Actinobacteria.Microscopic examination of each biopsy demonstrated bacteria in intimate association with the distal esophageal epithelium, suggesting that the presence of these bacteria is not transitory.CONCLUSION: These findings provide evidence for a complex, residential bacterial population in esophageal reflux-related disorders. While much of this biota is present in the normal esophagus, more detailed comparisons may help identify potential disease associations.Zhiheng Pei Liying Yang Richard M Peek Jr Steven M Levine David T Pride Martin J Blaser 2005World Journal of Gastroenterology2005,11,46:11
5亚麻籽环肽混合物抑制霉菌生长繁殖活性显示文摘选取宛氏拟青霉(AS 3.776)和黄曲霉(CICC 2476)作为试验菌株,于121℃高温灭菌前、后添加一定浓度梯度的亚麻籽环肽混合物(flaxseed cyclolinopeptides,FCLPs)到马铃薯葡萄糖琼脂培养基中。FCLPs对宛氏拟青霉孢子形成的半数抑制浓度IC50分别为0.53 mg/m L(高温灭菌)和0.34 mg/m L(未经高温灭菌);对黄曲霉孢子形成的IC50值分别为0.31 mg/m L(高温灭菌)和0.24 mg/m L(未经高温灭菌)。高温灭菌处理后,FCLPs保持了相当的抑菌活性,对宛氏拟青霉的抑制活性最低残留76.8%(菌落生长)和76.7%(孢子形成);对于黄曲霉的抑制活性,最低残留分别为61.6%(菌落生长)和41.7%(孢子形成)。FCLPs对孢子萌发率的平均抑制率为17.8%(宛氏拟青霉)和7.8%(黄曲霉)。采用高效液相色谱法分析霉菌培养后从培养基中提取的FCLPs,发现高温灭菌会降低环肽的含量,这可能是导致环肽抗菌活性下降的原因之一,但环肽中4种主要环肽的比例没有发生明显变化,且没有发现环肽霉菌代谢物产生。综上所述,FCLPs对霉菌具有一定抑制活性,对高温处理较为稳定,能耐食品的热加工,相比现有抗菌肽具有独特优势。刘尊 汪勇 MARTIN J T REANEY FIORENTY OCTAVIA SUGIWAN NANDA AYU YULISTYANITA 张宁 2018食品与发酵工业2018,44,3:11
6HPLC外标法测定亚麻籽油中4种环肽含量的研究显示文摘以环肽标准样品定性,采用外标法定量,建立了HPLC测定亚麻籽油中环肽A、环肽C、环肽D和环肽E的方法。采用固相萃取法提取亚麻籽油中的环肽,用Diamonsil C18色谱柱,以乙腈和水为流动相梯度洗脱,柱温35℃,二极管阵列检测器在波长214 nm处进行检测,30 min内完成对4种环肽的分离检测。结果表明:该方法的线性范围为10-160μg/m L,相关系数大于等于0.999 5;环肽A、环肽C、环肽D、环肽E的平均加标回收率分别为94.62%、92.25%、84.07%和100.14%。用该方法测定不同工艺制取的亚麻籽油中环肽的含量,发现未经过精炼的亚麻籽油中环肽含量高于市售亚麻籽油的,其中,冷榨工艺比热榨工艺更能保留亚麻籽油中的环肽。连莹君 江紫琦 陆学茸 滕英来 REANEY Martin J T 汪勇 2015中国油脂2015,40,5:9
7棕榈油甲酯制备生物润滑油三羟甲基丙烷脂肪酸三酯的工艺研究显示文摘以棕榈油脂肪酸甲酯(fatty acid methyl ester,FAME)和三羟甲基丙烷(trimethylolpropane,TMP)为原料,经酯交换反应制备可用作生物润滑油基础油的三羟甲基丙烷脂肪酸三酯(trimethylolpropane fatty acidtiester,TFATE)。通过比较FAME的转化率和TFATE在反应混合物中的含量,探讨了催化剂种类、催化剂用量、反应时间、反应温度、反应物物质的量比及真空度对反应的影响。最佳合成条件为:催化剂为三羟甲基丙烷钾(Trimethylolpropane mono potassium salt,TMP-K),催化剂添加量为TMP-K与TMP物质的量比0.02∶1,反应时间1 h,反应温度128℃,FAME与TMP物质的量比4∶1,反应压力为300 Pa,在此条件下,脂肪酸甲酯的转化率为91.78%,反应混合物中TFATE质量分数为90.11%。经分子蒸馏分离纯化后终产品TFATE质量分数为97.02%。汪勇 王尔佩 唐书泽 张震 Martin J T Reaney 2013中国粮油学报2013,28,2:8
8急性脊髓损伤患者治疗的临床操作指南:关于MRI基线在临床治疗决策与结果预测中作用的几点建议(英文)显示文摘The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI.This review focused on longitudinal studies that controlled for baseline neurologic status.A multidisciplinary Guideline Development Group(GDG) used this information,their clinical expertise,and patient input to develop recommendations on the use of MRI for SCI patients.Based on GRADE(Grading of Recommendation,Assessment,Development and Evaluation),a strong recommendation is worded as ' we recommend,' whereas a weaker recommendation is indicated by 'we suggest.' Results Based on the limited available evidence and the clinical expertise of the GDG,our recommendations were:(1) 'We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention,when feasible,to facilitate improved clinical decision-making'(quality of evidence,very low) and(2) 'We suggest that MRI should be performed in adult patients in the acute period following SCI,before or after surgical intervention,to improve prediction of neurologic outcome '(quality of evidence,low).Conclusions These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI.Fehlings MG Martin AR Tetreault LA Aarabi B Anderson P Arnold PM Brodke D Burns AS Chiba K Dettori JR Furlan JC Hawryluk G Holly LT Howley S Jeji T Kalsi-Ryan S Kotter M Kurpad S Kwon BK Marino RJ Massicotte E Merli G Middleton JW Nakashima H Nagoshi N Palmieri K Singh A Skelly AC Tsai EC Vaccaro A Wilson JR Yee A Harrop JS 2017中华神经外科疾病研究杂志2017,16,6:8
9Sporadic versus hereditary gastrinomas of the duodenum and pancreas: Distinct clinico-pathological and epidemiological features显示文摘Gastrinomas are defined as gastrin secreting tumors that are associated with Zollinger-Ellison syndrome (ZES). ZES is characterized by elevated fasting gastrin serum levels, positive secretin stimulation test and clinical symptoms such as recurrent peptic ulcer disease, gastroesophageal re?ux disease and occasional diarrhea. Genetically, nonhereditary (sporadic) gastrinomas are distinguished from hereditary gastrinomas, which are associated with multiple endocrine neoplasia type 1 (MEN1) syndrome. In general, duodenal gastrinomas are small and solitary if they are sporadic and multiple as well as hereditary. The sporadic gastrinomas occur in the duodenum or in the pancreas while the hereditary gastrinomas almost all occur in the duodenum. Our series of 77 sporadic duodenal neuroendocrine tumors (NETs) includes 18 patients (23.4%) with gastrinomas and ZES. Of 535 sporadic NETs in the pancreas collected from the NET archives of the departments of pathology in Zürich, Switzerland, and Kiel, Germany, 24 patients (4.5%) suffered from sporadic pancreatic gastrinomas and ZES. These NETs have to be distinguished fromtumors with immunohistochemical positivity for gastrin but without evidence of ZES. An additional 19 patients suffered from MEN1 and ZES. These patients showed exclusively duodenal gastrinomas, but not pancreatic gastrinomas. The prognosis of sporadic and MEN1- associated duodenal gastrinomas is better than that of pancreatic gastrinomas, since they progress slowly to liver metastasis. In summary, sporadic and MEN1- associated gastrinomas in the duodenum and pancreas show different clinico-pathological and genetic features. The incidence of sporadic duodenal gastrin-producing tumors is increasing, possibly due to optimized diagnostic procedures. In contrast, pancreatic MEN1- associated gastrinomas seem to be extremely rare. A considerable subset of tumors with immunohistochemical expression of gastrin but without evidence of ZES should be designated as functionally inactive NETs expressing gastrin, but not as gastrinomas.Martin Anlauf Nele Garbrecht Tobias Henopp Anja Schmitt Regina Schlenger Andreas Raffel Markus Krausch Oliver Gimm Claus F Eisenberger Wolfram T Knoefel Henning Dralle Paul Komminoth Philipp U Heitz Aurel Perren Günter Klppel 2006World Journal of Gastroenterology2006,12,34:7
10Subcycle control of terahertz waveform polarization using all-optically induced transient metamaterials显示文摘Coherent radiation with frequencies ranging from 0.3 to 30 THz has recently become accessible using femtosecond laser technology.These terahertz(THz)waves have already been applied in spectroscopy and imaging and can be manipulated using static optical elements such as lenses,polarizers and filters.However,ultrafast modulation of THz radiation is required as well,for instance,in short-range wireless communication or for preparing shaped THz transients for the coherent control of numerous material excitations.Here,we demonstrate an all-optically created transient metamaterial that allows us to manipulate the polarization of THz waveforms with subcycle switch-on times.The polarization-modulated pulses are potentially interesting for controlling elementary motions such as the vibration of crystal lattices,the rotation of molecules and the precession of spins.N Kamaraju Andrea Rubano Linke Jian Surajit Saha T Venkatesan Jan Notzold R Kramer Campen Martin Wolf Tobias Kampfrath 2014Light(Science & Applications)2014,3,1:5
11亚麻籽环肽HPLC分析和氧化还原产物研究显示文摘对从天然亚麻籽中提取的粗环肽的组分和氧化还原性质进行探讨。采用HPLC测定亚麻籽粗环肽中环肽C(CLC)、环肽E(CLE)、环肽D(CLD)、环肽A(CLA)的含量,并通过还原的方法减少粗环肽中的环肽种类,以制备环肽单体。结果表明,环肽样品峰分离度良好,线性范围10~150μg/mL(环肽A的为10~100μg/mL),相关系数0.9990~0.9997。所测4种环肽的含量分别为CLC8.10%,CLE7.66%,CLD0.58%,CLA35.18%。粗环肽经过氧化或还原反应之后,其种类均发生改变。经HPLC定性分析,氧化后剩余6种环肽,还原后的环肽仅剩下4种,通过与已知峰对比,得知4种环肽分别为环肽B、环肽L、环肽A和环肽M,在C18分析柱上分离良好,以此为理论依据,采用Microsorb100-5C18制备柱(240mm×21.4mm),柱温30℃,流速5mL/min,70%乙腈溶液等度洗脱,在50min内可有效分离制备环肽单体。左洋 陆学茸 滕英来 张宁 汪勇 REANEY Martin J T 2015中国油脂2015,40,8:4
12产β-葡萄糖苷酶乳酸菌益生特性研究显示文摘研究了3株乳酸菌在不同碳源诱导下产β-葡萄糖苷酶的能力,并评价了其益生特性。研究发现,3株乳酸菌产生的β-葡萄糖苷酶同时具有水解烷基糖苷和芳香基糖苷的能力,纤维二糖诱导能显著提高β-葡萄糖苷酶活力。坚强肠球菌(Enterococcus durans)GW18275在纤维二糖为碳源时有最大β-葡萄糖苷酶活力(16.02 U/mL)。模拟胃肠液耐受试验结果表明,3株乳酸菌活菌数保持在10^(6) CFU/mL以上。植物乳植杆菌(Lactiplantibacillus plantarum)C5在3 g/L胆盐培养3 h有最大存活率(83.70±6.21)%,对二甲苯和乙酸乙酯的表面疏水性最佳。植物乳植杆菌(Lactiplantibacillus plantarum)C1有最高的自聚集率(80.72±1.58)%。此外,3株菌均无溶血性,对头孢菌素类、β-酰胺类及氨基糖苷类抗生素有不同的药敏性,对四环素均敏感。3株乳酸菌具有较高的β-葡萄糖苷酶活性,作为功能性益生菌候选物具有良好的益生特性,可为日后开发高产β-葡萄糖苷酶益生制剂提供基础。冯程程 蔡子哲 陈琼 欧仕益 谢小冬 汪勇 MARTIN J T REANEY 张宁 2022食品与发酵工业2022,48,15:4
13Season of the year influences infection rates following total hip arthroplasty显示文摘AIM To research the influence of season of the year on periprosthetic joint infections.METHODS We conducted a retrospective review of the entire Medicare files from 2005 to 2014. Seasons were classified as spring, summer, fall or winter. Regional variations were accounted for by dividing patients into four geographic regions as per the United States Census Bureau(Northeast, Midwest, West and South). Acute postoperative infection and deep periprosthetic infections within 90 d after surgery were tracked. RESULTS In all regions, winter had the highest incidence of periprosthetic infections(mean 0.98%, SD 0.1%) and was significantly higher than other seasons in the Midwest, South and West(P < 0.05 for all) but not the Northeast(P = 0.358). Acute postoperative infection rates were more frequent in the summer and were significantly affected by season of the year in the West.CONCLUSION Season of the year is a risk factor for periprosthetic joint infection following total hip arthroplasty(THA). Understanding the influence of season on outcomes following THA is essential when risk-stratifying patients to optimize outcomes and reduce episode of care costs.Samuel Rosas Alvin C Ong Leonard T Buller Karim G Sabeh Tsun yee Law Martin W Roche Victor H Hernandez 2017World Journal of Orthopedics2017,8,12:4
14GOBO projection for 3D measurements at highest frame rates: a performance analysis显示文摘Aperiodic sinusoidal patterns that are cast by a GOBO(GOes Before Optics)projector are a powerful tool for optically measuring the surface topography of moving or deforming objects with very high speed and accuracy.We optimised the first experimental setup that we were able to measure inflating car airbags at frame rates of more than 50 kHz while achieving a 3D point standard deviation of~500μm.Here,we theoretically investigate the method of GOBO projection of aperiodic sinusoidal fringes.In a simulation-based performance analysis,we examine the parameters that influence the accuracy of the measurement result and identify an optimal pattern design that yields the highest measurement accuracy.We compare the results with those that were obtained via GOBO projection of phase-shifted sinusoidal fringes.Finally,we experimentally verify the theoretical findings.We show that the proposed technique has several advantages over conventional fringe projection techniques,as the easy-to-build and cost-effective GOBO projector can provide a high radiant flux,allows high frame rates,and can be used over a wide spectral range.Stefan Heist Patrick Dietrich Martin Landmann Peter Kühmstedt Gunther Notni Andreas Tünnermann 2018Light(Science & Applications)2018,7,1:4
15Long-term prognosis in patients with severe late radiation enteropathy:A prospective cohort study显示文摘AIM: To assess persistent symptoms and mortality in a cohort of patients with severe (grade 3-4) radiation enteropathy,59 patients were followed up after 15-18 years. METHODS: Fifty-nine patients were prospectively enrolled by twelve surgical departments. Primary malignant disease,radiation therapy and surgical management were recorded at inclusion. The cause of death or persistence of symptoms was examined in public death records or by interview of survivors. RESULTS: Thirty-nine patients had received radiation therapy for gynaecological cancers,twelve for urological cancers,four for gastrointestinal cancers and four for other malignancies. Forty-five patients (76%) required surgical intervention. Complications occurred in 11 (25%) operated patients. Forty-seven patients had died at the time of follow-up,seven (12%) died as a direct result of radiation enteropathy,while radiation enteropathy contributed to death in an additional seven patients. Four of the twelve surviving patients suffered from chronic debilitating symptoms of radiation enteropathy,while three had moderate symptoms. CONCLUSION: Patients with severe delayed radiation enteropathy have a high risk of persistence of symptoms after surgery. At least one in ten patients dies from radiation-induced bowel injury.Annette Larsen Jon B Reitan Steinar T Aase Martin Hauer-Jensen 2007World Journal of Gastroenterology2007,13,26:4
16A New Troodontid Dinosaur from the Lower Cretaceous Yixian Formation of Liaoning Province,China显示文摘A new troodontid dinosaur,Daliansaurus liaoningensis gen.et sp.nov.,is erected based on a nearly complete specimen from the Lower Cretaceous Yixian Formation of Beipiao City,Liaoning Province,China.This well preserved skeleton provides important new details of the anatomy for Liaoning troodontids,and gives new insight into their phylogenetic relationships and evolution.Daliansaurus is distinguished from other troodontids by an enlarged ungual on pedal digit IV,which is approximately the same size as the sickle-shaped second ungual,and is differentiated from other Liaoning troodontids by a number of characters of the skull,manus,pelvis,and hindlimb.A phylogenetic analysis recovers Daliansaurus within a subclade of Liaoning troodontids that also includes Sinovenator,Sinusonasus,and Mei.We erect a name for this group—Sinovenatorinae—and argue that it reflects a localized radiation of small-bodied troodontids in the Early Cretaceous of eastern Asia,similar to previously recognized radiations of Liaoning dromaeosaurids and avialans.As more Liaoning theropods are discovered,it is becoming apparent that small,feathered paravians were particularly diverse during the Early Cretaceous,and future work is needed to clarify how this diversity arose,which species coexisted,and how these numerous species partitioned niches.SHEN Caizhi L Junchang LIU Sizhao Martin KUNDRT Stephen L.BRUSATTE GAO Hailong 2017Acta Geologica Sinica(English Edition)2017,91,3:3
17Electrically pumped metallic and plasmonic nanolasers显示文摘In recent years, there have been a significant number of demonstrations of small metallic and plasmonic lasers. The vast majority of these demonstrations have been for optically pumped devices. Electrically pumped devices are advantageous for applications and could demonstrate concepts not amenable for optical pumping. However, there have been relatively few demonstrations of electrically pumped small metal cavity lasers. This lack of results is due to the following reasons: there are limited types of electrically pumped gain media available; there is a significantly greater level of complexity required in the fabrication of electrically pumped devices; finally, the required components for electrical pumping restrict cavity design options and furthermore make it intrinsically more difficult to achieve lasing. This review looks at the motivation for electrically pumped nanolasers, the key issues that need addressing for them to be realized, the results that have been achieved so far including devices where lasing has not been achieved, and potential new directions that could be pursued.Martin T Hill 2018Chinese Physics B2018,27,11:3
18Spatio-temporal Variability of Soil Water at Three Seasonal Floodplain Sites: A Case Study in Tarim Basin,Northwest China显示文摘The floodplain vegetation of the Tarim River in Northwest China is strongly influenced by irrigated agriculture. The abstraction of river water disturbs the natural dynamics of the floodplain ecosystem. The human impact on the hydrological system by bank dams and the irrigation of cotton plantings have caused adverse changes of the Tarim River and its floodplains, so the current stocks of the typical Tugai vegetation show significant signs of degradation. Field studies of soils and statistical analysis of soil moisture data have shown that the vitality of the Tugai vegetation is primarily determined by its position to the riverbank and the groundwater. There exist complex interactions between soil hydrological conditions and the vitality of the vegetation. But the availability of water is not only influenced by the groundwater level and seasonal flood events. The spatial distribution of stocks at different states of vitality seems also to be decisively influenced by physical soil properties. Our results show that the water supply of plant communities is strongly influenced by the soil texture. Spatial differences of soil moisture and corresponding soil water tensions may be the decisive factors for the zonation of vegetation. Physical soil properties control the water retention and rising of capillary water from deeper soil layers and the phreatic zone and may supply the root systems of the phreatophytic vegetation with water.Sven GRASHEY-JANSEN Martin KUBA Bernd CYFFKA müt HALIK Tayierjiang AISHAN 2014Chinese Geographical Science2014,24,6:3
19Anabolic steroid abuse causing recurrent hepatic adenomas and hemorrhage显示文摘Anabolic steroid abuse is common among athletes and is associated with a number of medical complications. We describe a case of a 27-year-old male bodybuilder with multiple hepatic adenomas induced by anabolic steroids. He initially presented with tumor hemorrhage and was treated with left lateral hepatic segmentectomy. Regression of the remaining tumors was observed with cessation of steroid use. However, 3 years and a half after his initial hepatic segmentectomy, he presented with recurrent tumor enlargement and intraperitoneal hemorrhage in the setting of steroid abuse relapse. Given his limited hepatic reserve, he was conservatively managed with embolization of the right accessory hepatic artery. This is the first reported case of hepatic adenoma re- growth with recidivistic steroid abuse, complicated by life-threatening hemorrhage. While athletes and bodybuilders are often aware of the legal and social ramifications of steroid abuse, they should continue to be counseled about its serious medical risks.Nicole M Martin Barham K Abu Dayyeh Raymond T Chung 2008World Journal of Gastroenterology2008,14,28:3
20Fondaparinux预防老年急性内科患者发生静脉血栓形成的效果与安全性:随机安慰剂对照研究显示文摘目的:观察 Fondaparinux 对具有中高度静脉血栓发生危险的老年急性内科住院患者的抗凝效果与安全性。设计:双盲随机安慰剂对照研究。背景:8个国家的35个中心。参与者:849例≥60岁内科患者,住院原因分别为充血性心力衰竭、慢性肺病合并急性呼吸系统疾患、急性炎症性或感染性疾病,预期至少住院4天以上。干预:2.5 mg Fondaparinux 或安慰剂,每天1次皮下注射,持续6~14天。观察指标:主要指标为静脉血栓形成(治疗后15天内采用双侧静脉造影检查)及有症状的静脉血栓;次要指标为死亡与出血。患者随访时间为1个月。结果:Fondaparinux 治疗组425例患者和安慰剂组414例患者接受了安全性分析(10例未治疗)。644例患者(75.9%)可接受主要指标分析。静脉血栓检出率在 Fondaparinux 治疗组为5.6%(18/321),安慰剂组为10.5%(34/323),相对危险减少46.7%(95% CI 7.7%~69.3%)。安慰剂组5例患者发生有症状的静脉血栓,Fondaparinux治疗组无患者发生有症状的静脉血栓(P=0.029)。两组均有1例(0.2%)患者发生严重出血。随访结束时,安慰剂组、Fondaparinux 治疗组分别死亡25(6.0%)、14(3.3%)例患者。结论:Fondaparinux 可有效预防急性内科老年患者无症状性及有症状的静脉血栓。严重出血几率两组相似。Alexander T Cohen Bruce L Davidson Alexander S Gallus Michael R Lassen Martin H Prins Witold Tomkowski Alexander G G Turpie Jan F M Egberts Anthonie W A Lensing 石汉平(译) 王深明(校) 2006英国医学杂志中文版2006,9,5:3
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