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Hélène Meillat,Cloé Magallon,Clément Brun,Cécile de Chaisemartin,Laurence Moureau-Zabotto,Julien Bonnet,Marion Faucher,Bernard Lelong 대한대장항문학회 2021 Annals of Coloproctolgy Vol.37 No.4
Purpose: Enhanced Recovery After Surgery (ERAS) programs advocate early urinary catheter removal after rectal cancer surgery; however, the optimal duration remains unclear. This study assessed the feasibility of the early urinary catheter removal protocol after rectal cancer surgery within an ERAS pathway and identified predictive factors for failure of this strategy.Methods: Between March 2017 and October 2018, all unselected and consecutive patients who underwent rectal cancer resection and benefited from our ERAS program were included. Urinary complications (infection and retention) were prospectively recorded. Success was defined as catheter removal on postoperative day (POD) 3 without urinary complications.Results: Of 135 patients (male, 63.7%; neoadjuvant chemoradiation, 57.0%; urology history, 17.8%), 120 had early urinary catheter removal with no complications (success rate, 88.9%), 8 did not have urinary catheter removal on POD 3 due to clinical judgment or prescription error, 5 experienced a urinary tract infection, and 2 had acute urinary retention. Obesity (odds ratio [OR], 0.16; P = 0.003), American Society of Anesthesiologists physical status classification > II (OR, 0.28; P = 0.048), antiaggregant platelet medication (OR, 0.12; P < 0.001), absence of anastomosis (OR, 0.1; P = 0.003), and prolonged operative time (OR, 0.21; P = 0.020) were predictive factors for failure. Conversely, optimal compliance with the ERAS program (OR, 7.68; P < 0.001), postoperative nonsteroidal anti-inflammatory drug use (OR, 21.71; P < 0.001), and balanced intravenous fluid therapy (OR, 7.87; P = 0.001) were associated with increased strategy success.Conclusion: Withdrawal of the urinary catheter on POD 3 was successfully achieved after laparoscopic rectal resection and can be safely implemented in the ERAS program.
Measurements of Inelastic Neutron Scattering at 96 MeV from Carbon, Iron, Yttriumand Lead
A. Ohrn,C. Gustavsson,M. Blann,V. Blideanu,J. Blomgren,S. Chiba,H. Duarte,F. Haddad,C. Kalbach,J. Klug,A. Koning,C. Le brun,C. Lebrun,F. -R. Lecolley,X. Ledoux,N. Marie-noury,P. Mermod,L. Nilsson,M. O 한국물리학회 2011 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.59 No.23
Inelastic neutron scattering for ^(12)C, ^(56)Fe, ^(89)Y and ^(208)Pb have been measured at 96 MeV at the The Svedberg Laboratory in Uppsala and double-differential cross sections are reported. Data cover an excitation energy range of 0-45 MeV and the angular intervals are 28 - 58˚ for ^(12)C, 26 - 65˚ for ^(56)Fe and 26 - 52˚ for ^(89)Y and ^(208)Pb. In this experiment, neutron detection is based on conversion to protons in an active scintillator converter. An analysis technique in which the neutron spectra have been obtained through a folding procedure using the response of the detector system has been used. The results are compared to and are in reasonable agreement with several model predictions and with inelastic neutron scattering data at 65 MeV from University of California, Davis, USA.
Vitamin D Is Required for IFN- -Mediated Antimicrobial Activity of Human Macrophages
Fabri, M.,Stenger, S.,Shin, D.-M.,Yuk, J.-M.,Liu, P. T.,Realegeno, S.,Lee, H.-M.,Krutzik, S. R.,Schenk, M.,Sieling, P. A.,Teles, R.,Montoya, D.,Iyer, S. S.,Bruns, H.,Lewinsohn, D. M.,Hollis, B. W.,Hew American Association for the Advancement of Scienc 2011 Science translational medicine Vol.3 No.104
<P>Control of tuberculosis worldwide depends on our understanding of human immune mechanisms, which combat the infection. Acquired T cell responses are critical for host defense against microbial pathogens, yet the mechanisms by which they act in humans remain unclear. We report that T cells, by the release of interferon-γ (IFN-γ), induce autophagy, phagosomal maturation, the production of antimicrobial peptides such as cathelicidin, and antimicrobial activity against Mycobacterium tuberculosis in human macrophages via a vitamin D-dependent pathway. IFN-γ induced the antimicrobial pathway in human macrophages cultured in vitamin D-sufficient sera, but not in sera from African-Americans that have lower amounts of vitamin D and who are more susceptible to tuberculosis. In vitro supplementation of vitamin D-deficient serum with 25-hydroxyvitamin D3 restored IFN-γ-induced antimicrobial peptide expression, autophagy, phagosome-lysosome fusion, and antimicrobial activity. These results suggest a mechanism in which vitamin D is required for acquired immunity to overcome the ability of intracellular pathogens to evade macrophage-mediated antimicrobial responses. The present findings underscore the importance of adequate amounts of vitamin D in all human populations for sustaining both innate and acquired immunity against infection.</P>