AIM： To determine the effects of the calcineurin inhibitors, cyclosporine and tacrolimus, on hepatitis C virus （HCV） replication and activity of recurrent hepatitis C in patients post liver transplantation. METHODS...AIM： To determine the effects of the calcineurin inhibitors, cyclosporine and tacrolimus, on hepatitis C virus （HCV） replication and activity of recurrent hepatitis C in patients post liver transplantation. METHODS： The data of a cohort of 107 patients who received liver transplantation for HCV-associated liver cirrhosis between 1999 and 2003 in our center were retrospectively analyzed. The level of serum HCV-RNA and the activity of recurrent hepatitis were compared between 47 patients who received either cyclosporine or tacrolimus as the primary immunosuppressive agent and an otherwise similar immunosuppressive regimen which did not lead to biliary complications within the first 12 mo after transplantation. RESULTS： HCV-RNA increased within 3 mo after transplantation but the differences between the cyclosporine group and the tacrolimus group were insignificant （P=0.49 at 12 too）. In addition, recurrent hepatitis as determined by serum transarninases and histological grading of portal inflammation and fibrosis showed no significant difference after 12 mo （P= 0.34）.CONCLUSION： Cyclosporine or tacrolimus as a primary immunosuppressive agent does not influence the induction or severity of recurrent hepatitis in HCV- infected patients after liver transplantation.展开更多
This review aims to outline the most up-to-date knowledge of pancreatic adenocarcinoma risk, diagnostics, treatment and outcomes, while identifying gaps that aim to stimulate further research in this understudied mali...This review aims to outline the most up-to-date knowledge of pancreatic adenocarcinoma risk, diagnostics, treatment and outcomes, while identifying gaps that aim to stimulate further research in this understudied malignancy. Pancreatic adenocarcinoma is a lethal condition with a rising incidence, predicted to become the second leading cause of cancer death in some regions. It often presents at an advanced stage, which contributes to poor five-year survival rates of 2%-9%, ranking firmly last amongst all cancer sites in terms of prognostic outcomes for patients. Better understanding of the risk factors and symptoms associated with this disease is essential to inform both health professionals and the general population of potential preventive and/or early detection measures. The identification of high-risk patients who could benefit from screening to detect pre-malignant conditions such as pancreatic intraepithelial neoplasia, intraductal papillary mucinous neoplasms and mucinous cystic neoplasms is urgently required, however an acceptable screening test has yet to be identified. The management of pancreatic adenocarcinoma is evolving, with the introduction of new surgical techniques and medical therapies such as laparoscopic techniques and neo-adjuvant chemoradiotherapy, however this has only led to modest improvements in outcomes. The identification of novel biomarkers is desirable to move towards a precision medicine era, where pancreatic cancer therapy can be tailored to the individual patient, while unnecessary treatments that have negative consequences on quality of life could be prevented for others. Research efforts must also focus on the development of new agents and delivery systems. Overall, considerable progress is required to reduce the burden associated with pancreatic cancer. Recent, renewed efforts to fund large consortia and research into pancreatic adenocarcinoma are welcomed, but further streams will be necessary to facilitate the momentum needed to bring breakthroughs seen for other cancer sites展开更多
目的这份更新版指南旨在为未破裂颅内动脉瘤患者的管理提供全面的循证建议。方法写作组采用系统文献回顾（1977年1月至2014年6月），参考同期已发表的循证指南、个人文件和专家意见来总结现有的证据，指出现有知识的差距；如果合适，则...目的这份更新版指南旨在为未破裂颅内动脉瘤患者的管理提供全面的循证建议。方法写作组采用系统文献回顾（1977年1月至2014年6月），参考同期已发表的循证指南、个人文件和专家意见来总结现有的证据，指出现有知识的差距；如果合适，则根据美国心脏协会（ American Heart Association, AHA）标准做出推荐。本指南经过了包括卒中委员会领导层以及AHA科学声明监督委员会在内的广泛同行评议，然后由AHA科学咨询和协调委员会审批通过。结果本指南对未破裂颅内动脉瘤患者的医疗诊治提出了循证建议，涉及临床表现、自然史、流行病学、危险因素、筛查、诊断、影像学以及手术和血管内治疗的转归。展开更多
Lawrence E. Murr is Mr.J Mrs. Macintosh Murehison Professor and Chairman of the Department of Metallurgical and Materials Engineering and Ph.D. Program Director in the Materials Research Technology Institute at The Un...Lawrence E. Murr is Mr.J Mrs. Macintosh Murehison Professor and Chairman of the Department of Metallurgical and Materials Engineering and Ph.D. Program Director in the Materials Research Technology Institute at The University of Texas at El Paso. Dr. Murr received his B.Sc. in physical science from Albright College, and his B.S.E.E. in electronics, his M.S. in engineering mechanics, and his Ph.D. in solidstate science, all from the Pennsylvania State University. Dr. Murr has published 20 books, over 750 scientific and technical articles in a wide range of research areas in materials science and engineering, environmental science and engineering, manufacturing science and engineering （especially rapid prototype/layered manufacturing）,展开更多
The conceptions of the knowledge screen generated by S-rough sets are given: f- screen and - screen , and then puts forward - filter theorem, - filter theorem of knowledge. At last, the applications of knowledge separ...The conceptions of the knowledge screen generated by S-rough sets are given: f- screen and - screen , and then puts forward - filter theorem, - filter theorem of knowledge. At last, the applications of knowledge separation are given according to - screen and - screen.展开更多
The term adakite was originally pro- posed to define silica-rich, high Sr/Y and La/Yb vol- canic and plutonic rocks derived from melting of the basaltic portion of oceanic crust subducted beneath volcanic arcs. It was...The term adakite was originally pro- posed to define silica-rich, high Sr/Y and La/Yb vol- canic and plutonic rocks derived from melting of the basaltic portion of oceanic crust subducted beneath volcanic arcs. It was also initially believed that ada- kite only occurs in convergent margins where young and thus still hot oceanic slabs are being subducted, but later studies have proposed that it also occurs in other arc settings where unusual tectonic conditions can lower the solidus of older slabs. Currently, ada- kite covers a range of arc rocks ranging from pristine slab melt, to adakite-peridotite hybrid melt, to melt derived from peridotite metasomatized by slab melt. Adakite studies have generated some confusions because (1) the definition of adakite combines com- positional criteria with a genetic interpretation (melt- ing of subducted basalt), (2) the definition is fairly broad and relies on chemistry as its distinguishing characteristic, (3) the use of high pressure melting experiment results on wet basalts as unequivocal proofs of slab melting and (4) the existence of ada- kitic rocks with chemical characteristics similar to adakites but are clearly unrelated to slab melting. Other studies have shown that adakitic rocks and a number of the previously reported adakites are pro- duced through melting of the mafic lower crust or ponded basaltic magma, high-pressure crystal frac- tionation of basaltic magma and low-pressure crystal fractionation of basaltic magma plus magma mixing processes in both arc or non-arc tectonic environ- ments. Despite the confusing interpretations on the petrogenesis of adakite and adakitic rocks, their in- vestigations have enriched our understanding of material recycling at subduction zones, crustal evolu- tionary processes and economic mineralization.展开更多
文摘AIM： To determine the effects of the calcineurin inhibitors, cyclosporine and tacrolimus, on hepatitis C virus （HCV） replication and activity of recurrent hepatitis C in patients post liver transplantation. METHODS： The data of a cohort of 107 patients who received liver transplantation for HCV-associated liver cirrhosis between 1999 and 2003 in our center were retrospectively analyzed. The level of serum HCV-RNA and the activity of recurrent hepatitis were compared between 47 patients who received either cyclosporine or tacrolimus as the primary immunosuppressive agent and an otherwise similar immunosuppressive regimen which did not lead to biliary complications within the first 12 mo after transplantation. RESULTS： HCV-RNA increased within 3 mo after transplantation but the differences between the cyclosporine group and the tacrolimus group were insignificant （P=0.49 at 12 too）. In addition, recurrent hepatitis as determined by serum transarninases and histological grading of portal inflammation and fibrosis showed no significant difference after 12 mo （P= 0.34）.CONCLUSION： Cyclosporine or tacrolimus as a primary immunosuppressive agent does not influence the induction or severity of recurrent hepatitis in HCV- infected patients after liver transplantation.
文摘This review aims to outline the most up-to-date knowledge of pancreatic adenocarcinoma risk, diagnostics, treatment and outcomes, while identifying gaps that aim to stimulate further research in this understudied malignancy. Pancreatic adenocarcinoma is a lethal condition with a rising incidence, predicted to become the second leading cause of cancer death in some regions. It often presents at an advanced stage, which contributes to poor five-year survival rates of 2%-9%, ranking firmly last amongst all cancer sites in terms of prognostic outcomes for patients. Better understanding of the risk factors and symptoms associated with this disease is essential to inform both health professionals and the general population of potential preventive and/or early detection measures. The identification of high-risk patients who could benefit from screening to detect pre-malignant conditions such as pancreatic intraepithelial neoplasia, intraductal papillary mucinous neoplasms and mucinous cystic neoplasms is urgently required, however an acceptable screening test has yet to be identified. The management of pancreatic adenocarcinoma is evolving, with the introduction of new surgical techniques and medical therapies such as laparoscopic techniques and neo-adjuvant chemoradiotherapy, however this has only led to modest improvements in outcomes. The identification of novel biomarkers is desirable to move towards a precision medicine era, where pancreatic cancer therapy can be tailored to the individual patient, while unnecessary treatments that have negative consequences on quality of life could be prevented for others. Research efforts must also focus on the development of new agents and delivery systems. Overall, considerable progress is required to reduce the burden associated with pancreatic cancer. Recent, renewed efforts to fund large consortia and research into pancreatic adenocarcinoma are welcomed, but further streams will be necessary to facilitate the momentum needed to bring breakthroughs seen for other cancer sites
文摘目的这份更新版指南旨在为未破裂颅内动脉瘤患者的管理提供全面的循证建议。方法写作组采用系统文献回顾（1977年1月至2014年6月），参考同期已发表的循证指南、个人文件和专家意见来总结现有的证据，指出现有知识的差距；如果合适，则根据美国心脏协会（ American Heart Association, AHA）标准做出推荐。本指南经过了包括卒中委员会领导层以及AHA科学声明监督委员会在内的广泛同行评议，然后由AHA科学咨询和协调委员会审批通过。结果本指南对未破裂颅内动脉瘤患者的医疗诊治提出了循证建议，涉及临床表现、自然史、流行病学、危险因素、筛查、诊断、影像学以及手术和血管内治疗的转归。
基金supported in part by Mr. and Mrs.MacIntosh Murshison Endowments at the University of Texas at El Paso and Lockheed Martin Aeronautics
文摘Lawrence E. Murr is Mr.J Mrs. Macintosh Murehison Professor and Chairman of the Department of Metallurgical and Materials Engineering and Ph.D. Program Director in the Materials Research Technology Institute at The University of Texas at El Paso. Dr. Murr received his B.Sc. in physical science from Albright College, and his B.S.E.E. in electronics, his M.S. in engineering mechanics, and his Ph.D. in solidstate science, all from the Pennsylvania State University. Dr. Murr has published 20 books, over 750 scientific and technical articles in a wide range of research areas in materials science and engineering, environmental science and engineering, manufacturing science and engineering （especially rapid prototype/layered manufacturing）,
文摘The conceptions of the knowledge screen generated by S-rough sets are given: f- screen and - screen , and then puts forward - filter theorem, - filter theorem of knowledge. At last, the applications of knowledge separation are given according to - screen and - screen.
文摘The term adakite was originally pro- posed to define silica-rich, high Sr/Y and La/Yb vol- canic and plutonic rocks derived from melting of the basaltic portion of oceanic crust subducted beneath volcanic arcs. It was also initially believed that ada- kite only occurs in convergent margins where young and thus still hot oceanic slabs are being subducted, but later studies have proposed that it also occurs in other arc settings where unusual tectonic conditions can lower the solidus of older slabs. Currently, ada- kite covers a range of arc rocks ranging from pristine slab melt, to adakite-peridotite hybrid melt, to melt derived from peridotite metasomatized by slab melt. Adakite studies have generated some confusions because (1) the definition of adakite combines com- positional criteria with a genetic interpretation (melt- ing of subducted basalt), (2) the definition is fairly broad and relies on chemistry as its distinguishing characteristic, (3) the use of high pressure melting experiment results on wet basalts as unequivocal proofs of slab melting and (4) the existence of ada- kitic rocks with chemical characteristics similar to adakites but are clearly unrelated to slab melting. Other studies have shown that adakitic rocks and a number of the previously reported adakites are pro- duced through melting of the mafic lower crust or ponded basaltic magma, high-pressure crystal frac- tionation of basaltic magma and low-pressure crystal fractionation of basaltic magma plus magma mixing processes in both arc or non-arc tectonic environ- ments. Despite the confusing interpretations on the petrogenesis of adakite and adakitic rocks, their in- vestigations have enriched our understanding of material recycling at subduction zones, crustal evolu- tionary processes and economic mineralization.
