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| 1 | Randomized trial in malignant biliary obstruction:Plastic vs partially covered metal stents显示文摘AIM:To compare efficacy and complications of par-tially covered self-expandable metal stent(pcSEMS)to plastic stent(PS)in patients treated for malignant,infrahilar biliary obstruction.METHODS:Multicenter prospective randomized clinical trial with treatment allocation to a pcWallstent(SEMS)or a 10 French PS.Palliative patients aged≥18,for infrahilar malignant biliary obstruction and a Karnofsky performance scale index>60%from 6 participating North American university centers.Primary endpoint was time to stent failure,with secondary outcomes of death,adverse events,Karnofsky performance score and short-form-36 scale administered on a three-monthly basis for up to 2 years.Survival analyses were performed for stent failure and death,with Cox proportional hazards regression models to determine significant predictive characteristics.RESULTS:Eighty-five patients were accrued over 37mo,42 were randomized to the SEMS group and 83patients were available for analyses.Time to stent failure was 385.3±52.5 d in the SEMS and 153.3±19.8 d in the PS group,P=0.006.Time to death did not differ between groups(192.3±23.4 d for SEMS vs211.5±28.0 d for PS,P=0.70).The only significant predictor was treatment allocation,relating to the time to stent failure(P=0.01).Amongst other measured outcomes,only cholangitis differed,being more common in the PS group(4.9%vs 24.5%,P=0.029).The small number of patients in follow-up limits longitudinal assessments of performance and quality of life.From an initially planned 120 patients,only 85 patients were recruited.CONCLUSION:Partially covered SEMS result in a longer duration till stent failure without increased complication rates,yet without accompanying measurable benefits in survival,performance,or quality of life. | Peter L Moses Khalid M AlNaamani Alan N Barkun Stuart R Gordon Roger D Mitty M Stanley Branch Thomas E Kowalski Myriam Martel Viviane Adam | 2013 | World Journal of Gastroenterology2013,19,46: | 6 |
| 2 | 内皮Notch信号的抑制阻碍脂肪酸转运并导致成年心脏的代谢和血管重塑显示文摘营养成分在被肌肉细胞代谢利用之前通过内皮细胞转运。然而,对于内皮运输过程的调节知之甚少。Notch信号传导是发育过程中代谢和血管生成的关键调控因子。在该研究中,Jabs等研究了成年小鼠内皮Notch信号的遗传和药理学调控如何影响内皮脂肪酸转运、心脏血管生成和心脏功能。 | 刘青 叶鹏 Jabs M Rose AJ Lehmann LH Taylor J Moll I Sijmonsma TP Herberich SE Sauer SW Poschet G Federico G Mogler C Weis EM Augustin HG Yan M Gretz N Schmid RM Adams RH Gr9ne HJ Hell R Okun JG Backs J Nawroth PP Herzig S Fischer A | 2018 | 中华高血压杂志2018,26,3: | 6 |
| 3 | Brain changes in diabetes mellitus patients withgastrointestinal symptoms显示文摘Diabetes mellitus is a common disease and its prevalence is increasing worldwide. In various studies up to 30%-70% of patients present dysfunction and complications related to the gut. To date several clinical studies have demonstrated that autonomic nervous system neuropathy and generalized neuropathy of the central nervous system(CNS) may play a major role. This systematic review provides an overview of the neurodegenerative changes that occur as a consequence of diabetes with a focus on the CNS changes and gastrointestinal(GI) dysfunction. Animal models where diabetes was induced experimentally support that the disease induces changes in CNS. Recent investigations with electroencephalography and functional brain imaging in patients with diabetes confirm these structural and functional brain changes. Encephalographic studies demonstrated that altered insular processing of sensory stimuli seems to be a key player in symptom generation. In fact one study indicated that the more GI symptoms the patients experienced, the deeper the insular electrical source was located. The electroencephalography was often used in combination with quantitative sensory testingmainly showing hyposensitivity to stimulation of GI organs. Imaging studies on patients with diabetes and GI symptoms mainly showed microstructural changes,especially in brain areas involved in visceral sensory processing. As the electrophysiological and imaging changes were associated with GI and autonomic symptoms they may represent a future therapeutic target for treating diabetics either pharmacologically or with neuromodulation. | Anne M Drewes Eirik Søfteland Georg Dimcevski Adam D Farmer Christina Brock Jens B Frøkjær Klaus Krogh Asbjørn M Drewes | 2016 | World Journal of Diabetes2016,7,2: | 4 |
| 4 | Circulating MicroRNA Is a Biomarker of Pediatric Crohn Disease显示文摘 | Adam M Zahm Meena Thayu Nicholas J Hand Amber Horner Mary B Leonard Joshua R Friedman | 2011 | Journal of Pediatric Gastroenterology and Nutrition2011,,1: | 3 |
| 5 | Octreotide治疗垂体生长激素腺瘤的体外分子学研究显示文摘本文采用PCR和直接序列分析以及原代细胞培养方法研究了32例垂体生长激素(GH)腺瘤的生化特征,发现21例gsp癌基因阴性肿瘤中大多对Octreotide无反应,而11例gsp癌基因阳性肿瘤中就有9例对Octreotide敏感。推测其机理可能与Octreotide通过GH释放抑制因子受体,进而GTP调节蛋白而负反馈调节腺苷酸环化酶活性所致。提示gsp癌基因可作为评价GH释放抑制因子类似物治疗GH腺瘤反应性的分子生物学指标。 | 雷霆 蒋先惠 Adams EF Buchfelder M Fahlbusch R | 1996 | 中国临床神经外科杂志1996,1,1: | 3 |
| 6 | The Stroke Outcomes and Neuroimaging of Intracranial Atherosclerosis (SONIA) Trial显示文摘 | E Feldmann J L. Wilterdink A Kosinski M Lynn M I. Chimowitz J Sarafin H H. Smith F Nichols J Rogg H J. Cloft L Wechsler J Saver S R. Levine C Tegeler R Adams M Sloan | 2007 | Neurology2007,,24: | 2 |
| 7 | The use of a high-resolution 3D Chirp sub-bottom profiler for the reconstruction of the shallow water archaeological site of the Grace Dieu (1439), River Hamble, UK显示文摘 | PLETS R M K DIX J K ADAMS J R | 2009 | Journal of Archaeological Science2009,36,: | 1 |
| 8 | Evolution of liver transplantation for hepatocellular carcinoma显示文摘 | Adam R Del Gaudio M | 2003 | J Hepatol2003,39,6: | 1 |
| 9 | Damping in advanced polymer-matrix composites显示文摘 | Adams R D Mahefi M R | 2003 | Journal of Alloys Compounds2003,355,1: | 1 |
| 10 | Isolation of transmissible enteritis agent of turkeys in avian embryos 显示文摘 | Adams N R Hofstad M S | 1971 | Avian Dis1971,15,: | 1 |
| 11 | Central pontinemyelinolysis: a hitherto undescribed disease occurring in alcoholic and malnourished patients 显示文摘 | Adams R D Victor M Mancall E L | 1959 | AMA Arch Neurol Psychiatry1959,81,4: | 1 |
| 12 | Intratumoral de-livery of boronated epidermal growth factor for neutron cap-ture therapy of brain tumors显示文摘 | Yang W Barth R F Adams D M | 1997 | Carcer Res1997,57,19: | 1 |
| 13 | Situation Awareness and the Cognitive Management of Complex Systems显示文摘 | Adams M J Tenney Y J Pew R W | 1995 | Hum Factors1995,37,1: | 1 |
| 14 | Heart dis- ease and stroke statistics-2009 update:a report from the a- merican heart association statistics committee and stroke statistics subcommitt-ee 显示文摘 | Lloyd-Jones D Adams R Camethon M | 2009 | Circulation2009,119,3: | 1 |
| 15 | Use of High-pressure Processing for Oyster Shucking and Shelf-life Extension 显示文摘 | lie H Adams R M Farkas D F | 2002 | Journal of Food Science2002,67,2: | 1 |
| 16 | Trade offs between the persistence of foliage and productivity in two Pinus species显示文摘 | Warren C R Adams M A | | 0,,: | 1 |
| 17 | Evaluation of hemispherical photography for determining plant area index and geometry of a forest stand显示文摘 | Chen J M Black T A Adams R S | 1991 | Agricultural and Forest Meteorology1991,56,1: | 1 |
| 18 | Analytical models of adhesively bonded joints-Part I:literature survey显示文摘 | da Silva L F M das Neves P J C Adams R D | 2009 | International Journal of Adhesion and Adhesives2009,29,3: | 1 |
| 19 | Tne crystal structure of 4Na2SO4·2H2O2·NaCl显示文摘 | ADAMS J M PRITCHARD R G | 1978 | Acta Cryst1978,34,5: | 1 |
| 20 | Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group : the American Academy of Neurology affirms the value of this guideline显示文摘 | Goldstein LB Adams R Alberts M J | 2006 | Stroke2006,37,6: | 1 |