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| 1 | 循证实践指南的制定:国际经验与中国实践显示文摘随着指南定义的更新及方法学的发展,国内外发布的指南数量不断增多,但其质量良莠不齐,各个国际指南组织也针对这一问题制定了高质量循证指南的原则和标准,同时出版指南制定手册阐述严谨透明的步骤和方法。本文基于国内外经验,总结了中国指南制定面临的机遇和挑战,并提出改进建议:政府、协会/学会层面倡导循证实践指南的制定;加强指南的研究与合作;注重指南的注册与评审。 | 陈耀龙 杨克虎 田金徽 Amir Qaseem | 2016 | 兰州大学学报(医学版)2016，42，1： | 50 |
| 2 | Abstract from: Pharmacologic treatment of hypertension in adults aged 60 years or older to higher versus lower blood pressure targets: A clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians显示文摘Description: The American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) jointly developed this guideline to present the evidence and provide clinical recommendations based on the benefits and harms of higher versus lower blood pressure targets for the treatment of hypertension in adults aged 60 years or older. | Amir Qaseem Timothy J. Wilt Robert Rich Linda L. Humphrey Jennifer Frost Mary Ann Forciea | 2017 | Chinese Nursing Research2017，4，4： | 43 |
| 3 | Percutaneous endoscopic gastrostomy:Indications,technique,complications and management显示文摘Percutaneous endoscopic gastrostomy(PEG)is the preferred route of feeding and nutritional support in patients with a functional gastrointestinal system who require long-term enteral nutrition.Besides its wellknown advantages over parenteral nutrition,PEG offers superior access to the gastrointestinal system over surgical methods.Considering that nowadays PEG tube placement is one of the most common endoscopic procedures performed worldwide,knowing its indications and contraindications is of paramount importance in current medicine.PEG tubes are sometimes placed inappropriately in patients unable to tolerate adequate oral intake because of incorrect and unrealistic understanding of their indications and what they can accomplish.Broadly,the two main indications of PEG tube placement are enteral feeding and stomach decompression.On the other hand,distal enteral obstruction,severe uncorrectable coagulopathy and hemodynamic instability constitute the main absolute contraindications for PEG tube placement in hospitalized patients.Although generally considered to be a safe procedure,there is the potential for both minor and major complications.Awareness of these potential complications,as well as understanding routine aftercare of the catheter,can improve the quality of care for patients with a PEG tube.These complications can generally be classified into three major categories:endoscopic technical difficulties,PEG procedure-related complications and late complications associated with PEG tube use and wound care.In this review we describe a variety of minor and major tube-related complications as well as strategies for their management and avoidance.Different methods of percutaneous PEG tube placement into the stomach have been described in the literature with the'pull'technique being the most common method.In the last section of this review,the reader is presented with a brief discussion of these procedures,techniques and related issues.Despite the mentioned PEG tube placement complications,this procedure has gained worldwide popularity as a safe enteral access for nutrition in patients with a functional gastrointestinal system. | Ata A Rahnemai-Azar Amir A Rahnemaiazar Rozhin Naghshizadian Amparo Kurtz Daniel T Farkas | 2014 | World Journal of Gastroenterology2014，20，24： | 38 |
| 4 | Rubber band ligation for 750 cases of symptomatic hemorrhoids out of 2200 cases显示文摘AIM: To study the results for the treatment of symptomatic hemorrhoids using rubber band ligation (RBL) method. METHODS: A retrospective study for 750 patients who came to the colorectal unit from June, 1998 to September, 2006, data was retrieved from archived fi les. RBL was performed using the Mc Gown applicator on an outpatient basis. The patients were asked to return to out-patient clinic for follow up at 2 wk, 1 mo, 6 mo and through telephone call every 6 mo for 2 years). RESULTS: After RBL, 696 patients (92.8%) were cured with no difference in outcome for second or third degree hemorrhoids (P = 0.31). Symptomatic recurrence was detected in 11.04% after 2 years. A total of 52 patients (6.93%) had 77 complications from RBL which required no hospitalization. Complications were pain, rectal bleeding and vaso-vagal symptoms(4.13%, 4.13% and 1.33% of patients, respectively). At 1 mo there were a significant improvement in mean SF-36 scores over baseline in five items, while after 2 years there were improvement in all items over baseline, but not significant. No significant manometeric changes after band ligation. CONCLUSION: RBL is a simple, safe and effective method for treating symptomatic second and third degree hemorrhoids as an out patient procedure with signifi cant improvement in quality of life. RBL doesn't alter ano-rectal functions. | Ayman M El Nakeeb Amir A Fikry Waleed H Omar Elyamani M Fouda Tito A El Metwally Hosam E Ghazy Sabry A Badr Mohmed Y Abu Elkhar Salih M Elawady Hisham H Abd Elmoniam Waiel W Khafagy Mosaad M Morshed Ramadan E El Lithy Mohamed E Farid | 2008 | World Journal of Gastroenterology2008，14，42： | 24 |
| 5 | Machine learning in geosciences and remote sensing显示文摘Learning incorporates a broad range of complex procedures. Machine learning(ML) is a subdivision of artificial intelligence based on the biological learning process. The ML approach deals with the design of algorithms to learn from machine readable data. ML covers main domains such as data mining, difficultto-program applications, and software applications. It is a collection of a variety of algorithms(e.g. neural networks, support vector machines, self-organizing map, decision trees, random forests, case-based reasoning, genetic programming, etc.) that can provide multivariate, nonlinear, nonparametric regression or classification. The modeling capabilities of the ML-based methods have resulted in their extensive applications in science and engineering. Herein, the role of ML as an effective approach for solving problems in geosciences and remote sensing will be highlighted. The unique features of some of the ML techniques will be outlined with a specific attention to genetic programming paradigm. Furthermore,nonparametric regression and classification illustrative examples are presented to demonstrate the efficiency of ML for tackling the geosciences and remote sensing problems. | David J.Lary Amir H.Alavi Amir H.Gandomi Annette L.Walker | 2016 | Geoscience Frontiers2016，7，1： | 24 |
| 6 | Clinical outcomes of isolated renal failure compared to other forms of organ failure in patients with severe acute pancreatitis显示文摘AIM To assess differences in clinical outcomes of isolated renal failure(RF) compared to other forms of organ failure(OF) in patients with severe acute pancreatitis(SAP).METHODS Using a prospectively maintained database of patients with acute pancreatitis admitted to a tertiary medical center between 2003 and 2016, those with evidence of persistent OF were classified to renal, respiratory, cardiovascular, or multi-organ(2 or more organs). Data regarding demographics, comorbidities, etiology of acute pancreatitis, and clinical outcomes were prospectively recorded. Differences in clinical outcomes after development of isolated RF in comparison to other forms of OF were determined using independent t and Mann-Whitney U tests for continues variables, and χ~2 test for discrete variables.RESULTS Among 500 patients with acute pancreatitis, 111 patients developed persistent OF: mean age was 54 years, and 75(67.6%) were male. Forty-three patients had isolated OF: 17(15.3%) renal, 25(21.6%) respiratory, and 1(0.9%) patient with cardiovascular failure. No differences in demographics, etiology of acute pancreatitis, systemic inflammatory response syndrome scores, or development of pancreatic necrosis were seen between patients with isolated RF vs isolated respiratory failure. Patients with isolated RF were less likely to require nutritional support(76.5% vs 96%, P = 0.001), ICU admission(58.8% vs 100%, P = 0.001), and had shorter mean ICU stay(2.4 d vs 15.7 d, P < 0.001), compared to isolated respiratory failure. None of the patients with isolated RF or isolated respiratory failure died.CONCLUSION Among patients with SAP per the Revised Atlanta Classification, approximately 15% develop isolated RF. This subgroup seems to have a less protracted clinical course compared to other forms of OF. Isolated RF might be weighed less than isolated respiratory failure in risk predictive modeling of acute pancreatitis. | Amir Gougol Mohannad Dugum Anwar Dudekula Phil Greer Adam Slivka David C Whitcomb Dhiraj Yadav Georgios I Papachristou | 2017 | World Journal of Gastroenterology2017，23，29： | 20 |
| 7 | 政府与社会资本合作项目利益相关者影响力分析——基于美国州立高速公路项目的实证研究显示文摘为探索政府与社会资本合作(Public-Private-Partnership,PPP)项目中存在哪些重要的利益相关者以及哪些因素决定了利益相关者的影响力,本文以两个高速公路PPP项目为例进行了如下研究。根据项目过程交流、工作和合同关系建立了社会网络模型,从而分析项目利益相关者的社会影响力、职权影响力和经济影响力;采用多元回归分析方法来探究利益相关者影响力与利益相关者在不同类型的网络所处的位置之间的关系。结果表明,社会网络模型可以有效地寻找出PPP项目中核心或是边缘的利益相关者,利益相关者的影响力可以通过各类网络的中心度指标来反映。利益相关者在交流关系网络、工作关系网络和合同关系网络的位置极大地影响了它所拥有的社会影响力、职权影响力和经济影响力。研究最后提出PPP项目利益相关者管理的针对性建议。 | 彭为 陈建国 伍迪 申良法 Cui Qingbin Amir Ghorban | 2017 | 管理评论2017，29，5： | 19 |
| 8 | Current status of adoption of no-till farming in the world and some of its main benefits显示文摘In 1999 no-tillage farming,synonymous of zero tillage farming or conservation agriculture,was adopted on about 45 million ha world wide,growing to 72 million ha in 2003 and to 111 million ha in 2009,corresponding to an growth rate of 6 million ha per annum.Fastest adoption rates have been experienced in South America where some countries are using no-tillage farming on about 70%of the total cultivated area.Opposite to countries like the USA where often fields under no-tillage farming are tilled every now and then,more than two thirds of the area under no-tillage systems in South America is permanently not tilled;in other words once adopted,the soil is never tilled again.The spread of no-tillage systems on more than 110 million ha world-wide shows the great adaptability of the systems to all kinds of climates,soils and cropping conditions.No-tillage is now being practiced from the artic circle over the tropics to about 50ºlatitude south,from sea level to 3,000 m altitude,from extremely rainy areas with 2,500 mm a year to extremely dry conditions with 250 mm a year.No-till farming offers a way of optimizing productivity and ecosystem services,offering a wide range of economic,environmental and social benefits to the producer and to the society.At the same time,no-till farming is enabling agriculture to respond to some of the global challenges associated with climate change,land and environmental degradation,and increasing cost of food,energy and production inputs.The wide recognition of no-till farming as a truly sustainable system should ensure the spread of the no-till technology and the associated practices of organic soil cover and crop rotation,as soon as the barriers to its adoption have been overcome,to areas where adoption is currently still low.The widespread adoption globally also shows that no-tillage farming cannot any more be considered a temporary fashion or a craze;instead largely through farmers’own effort,the system has established itself as a farming practice and a different way of thinking about sustainable agro-ecosystem management that can no longer be ignored by scientists,academics,extension workers,farmers at large as well as equipment and machine manufacturers and politicians. | Rolf Derpsch Theodor Friedrich Amir Kassam Li Hongwen | 2010 | International Journal of Agricultural and Biological Engineering2010，3，1： | 18 |
| 9 | Deep Learning Based Single Image Super-resolution:A Survey显示文摘Single image super-resolution has attracted increasing attention and has a wide range of applications in satellite imaging, medical imaging, computer vision, security surveillance imaging, remote sensing, objection detection, and recognition. Recently, deep learning techniques have emerged and blossomed, producing ' the state-of-the-art” in many domains. Due to their capability in feature extraction and mapping, it is very helpful to predict high-frequency details lost in low-resolution images. In this paper, we give an overview of recent advances in deep learning-based models and methods that have been applied to single image super-resolution tasks. We also summarize, compare and discuss various models from the past and present for comprehensive understanding and finally provide open problems and possible directions for future research. | Viet Khanh Ha Jin-Chang Ren Xin-Ying Xu Sophia Zhao Gang Xie Valentin Masero Amir Hussain | 2019 | International Journal of Automation and computing2019，16，4： | 17 |
| 10 | Adenoviral gene therapy in gastric cancer: A review显示文摘Gastric cancer is one of the most common malignancies worldwide. With current therapeutic approaches the prognosis of gastric cancer is very poor, as gastric cancer accounts for the second most common cause of death in cancer related deaths. Gastric cancer like almost all other cancers has a molecular genetic basis which relies on disruption in normal cellular regulatory mechanisms regarding cell growth, apoptosis and cell division. Thus novel therapeutic approaches such as gene therapy promise to become the alternative choice of treatment in gastric cancer. In gene therapy, suicide genes, tumor suppressor genes and anti-angiogenesis genes among many others are introduced to cancer cells via vectors. Some of the vectors widely used in gene therapy are Adenoviral vectors. This review provides an update of the new developments in adenoviral cancer gene therapy including strategies for inducing apoptosis, inhibiting metastasis and targeting the cancer cells. | Nima Khalighinejad Hesammodin Hariri Omid Behnamfar Arash Yousefi Amir Momeni | 2008 | World Journal of Gastroenterology2008，14，2： | 16 |
| 11 | Fluid overload as a major target in management of cardiorenal syndrome:Implications for the practice of peritoneal dialysis显示文摘Congestion is an integral component of cardiorenal syndrome and portends an adverse impact on the outcomes.Recent studies suggest that congestion has the ability of modulating the interactions between the kidney and the heart in this setting.Peritoneal dialysis(PD) is a homebased therapeutic modality that is not only offered to patients with end-stage renal disease to provide solute clearance and ultrafiltration,but it has also been used in patients with refractory heart failure and fluid overload to help optimize volume status.Several uncontrolled studies and case series have so far evaluated the role of PD in management of hypervolemia for patients with heart failure.They have generally reported favorable results in this setting.However,the data on the outcomes of patients with end-stage renal disease and concomitant heart failure is mixed,and the proposed theoretical advantages of PD might not translate into improved clinical endpoints.Congestion is prevalent in this patient population and has a significant effect on their survival.As studies suggest that a significant subset of patients with end-stage renal disease who receive PD therapy are hypervolemic,suboptimal management of congestion could at least in part explain these conflicting results.PD is a highly flexible therapeutic modality and the choice of techniques,regimens,and solutions can affect its ability for optimization of fluid status.This article provides an overview of the currently available data on the role and clinical relevance of congestion in patients with cardiorenal syndrome and reviews potential options to enhance decongestion in these patients. | Amir Kazory | 2017 | World Journal of Nephrology2017，6，4： | 16 |
| 12 | Factors affecting healing after arthroscopic rotator cuff repair显示文摘Rotator cuff repair has been shown to have good longterm results. Unfortunately, a significant proportion of repairs still fail to heal. Many factors, both patient and surgeon related, can influence healing after repair. Older age, larger tear size, worse muscle quality, greater muscle-tendon unit retraction, smoking, osteoporosis, diabetes and hypercholesterolemia have all shown to negatively influence tendon healing. Surgeon related factors that can influence healing include repair construct-single vs double row, rehabilitation, and biologics including platelet rich plasma and mesenchymalstem cells. Double-row repairs are biomechanically stronger and have better healing rates compared with single-row repairs although clinical outcomes are equivalent between both constructs. Slower, less aggressive rehabilitation programs have demonstrated improved healing with no negative effect on final range of motion and are therefore recommended after repair of most full thickness tears. Additionally no definitive evidence supports the use of platelet rich plasma or mesenchymal stem cells regarding improvement of healing rates and clinical outcomes. Further research is needed to identify effective biologically directed augmentations that will improve healing rates and clinical outcomes after rotator cuff repair. | Amir M Abtahi Erin K Granger Robert Z Tashjian | 2015 | World Journal of Orthopedics2015，6，2： | 16 |
| 13 | Textural characteristics,surface chemistry and oxidation of activated carbon显示文摘Numerous researches were reviewed and interpreted to depict a comprehensive illustration of activated carbon and its behavior towards oxidation.Activated carbon as one of the most important adsorbents is tried to be described in this review paper by terms of its'Textural Characteristics'and'Surface Chemistry'.These two terms,coupled with each other,are responsible for behavior of activated carbon in adsorption processes and in catalytic applications.Although as-prepared activated carbons are usually nonselective and their surfaces suffer from lack of enough reactive groups,their different aspects may be improved and developed by diverse types of modifications.Oxidation is one of the most conventional modifications used for activated carbons.It may be used as a final modification or as a pre-modification followed by further treatment.In this paper,methods of oxidation of activated carbon and other graphene-layer carbon materials are introduced and wet oxidation as an extensively-used category of oxidation is discussed in more detail. | Wan Mohd Ashri Wan Daud Amir Hossein Houshamnd | 2010 | Journal of Natural Gas Chemistry2010，19，3： | 16 |
| 14 | 活性氮和人类健康:眼前和长远的意义显示文摘活性氮对人类健康的影响表现在许多有益和不利的方面。有益方面,最为重要的是活性氮不断增加全球和区域性的食物供给,并提高了可利用食物的营养质量。在贫困、干旱、洪涝、战争以及难民涌入等因素造成食物紧缺时,膳食中氨基酸和蛋白质的摄入量不足是引起营养不良的主要原因。已掌握的大量数据即便还是有限的,也足以表明环境中活性氮流通量的增加通过其他一些作用途径对人类健康产生了显著的影响。职业原因和广大人群室内和户外生活所接触到的空气污染中的活性氮对人类的健康产生了不良影响。活性氮还可通过水污染和全球变暖影响人类健康,其产生的水污染包括地下水污染产生的高铁血红蛋白血症以及使鱼类死亡和对人体有毒的赤潮富营养化。环境中活性氮类的污染物普遍存在,因此,很难界定活性氮对人们健康产生特定影响的程度。鉴于活性氮影响到全人类,为了确定氮相关污染物及其衍生物对人类健康产生的有利和不良影响的程度和性质,需要多学科合作,进行长期的研究。 | Amir H.Wolfe Jonathan A.Patz 葛继志 | 2002 | AMBIO-人类环境杂志2002，31，2： | 15 |
| 15 | Formation-Containment Control Using Dynamic Event-Triggering Mechanism for Multi-Agent Systems显示文摘The paper proposes a novel approach for formationcontainment control based on a dynamic event-triggering mechanism for multi-agent systems.The leader-leader and follower-follower communications are reduced by utilizing the distributed dynamic event-triggered framework.We consider two separate sets of design parameters:one set comprising control and dynamic event-triggering parameters for the leaders and a second set similar to the first one with different values for the followers.The proposed algorithm includes two novel stages of codesign optimization to simultaneously compute the two sets of parameters.The design optimizations are convex and use the weighted sum approach to enable a structured trade-off between the formation-containment convergence rate and associated communications.Simulations based on non-holonomic mobile robot multi-agent systems quantify the effectiveness of the proposed approach. | Amir Amini Amir Asif Arash Mohammadi | 2020 | IEEE/CAA Journal of Automatica Sinica2020，7，5： | 15 |
| 16 | Systematic review and meta-analysis on the prophylactic role of non-steroidal anti-inflammatory drugs to prevent post-endoscopic retrograde cholangiopancreatography pancreatitis显示文摘AIM: To critically appraise the published randomized, controlled trials on the prophylactic effectiveness of the non-steroidal anti-inflammatory drugs(NSAIDs), in reducing the risk of post-endoscopic retrograde cholangiopancreatography(ERCP) pancreatitis. METHODS: A systematic literature search(MEDLINE, Embase and the Cochrane Library, from inception of the databases until May 2015) was conducted to identify randomized, clinical trials investigating the role of NSAIDs in reducing the risk of post-ERCP pancreatitis. Random effects model of the meta-analysis was carried out, and results were presented as odds ratios(OR) with corresponding 95%CI.RESULTS: Thirteen randomized controlled trials on 3378 patients were included in the final meta-analysis. There were 1718 patients in the NSAIDs group and 1660 patients in non-NSAIDs group undergoing ERCP. The use of NSAIDs(through rectal route or intramuscular route) was associated with the reduced risk of post-ERCP pancreatitis [OR, 0.52(0.38-0.72), P = 0.0001]. The use of pre-procedure NSAIDs was effective in reducing approximately 48% incidence of post-ERCP pancreatitis, number needed to treat were 16 with absolute risk reduction of 0.05. But the risk of post-ERCP pancreattis was reduced by 55% if NSAIDs were administered after procedure. Similarly, diclofenac was more effective(55%) prophylactic agent compared to indomethacin(41%).CONCLUSION: NSAIDs seem to have clinically proven advantage of reducing the risk of post-ERCP pancreatitis. | Muhammad S Sajid Amir H Khawaja Mazin Sayegh Krishna K Singh Zinu Philipose | 2015 | World Journal of Gastrointestinal Endoscopy2015，7，19： | 14 |
| 17 | A novel correlation approach for prediction of natural gas compressibility factor显示文摘Gas compressibility factor (z-Factor) is one of the most important parameters in upstream and downstream calculations of petroleum industries.The importance of z-Factor cannot be overemphasized in oil and gas engineering calculations.The experimental measurements,Equations of State (EoS) and empirical correlations are the most common sources of z-Factor calculations.There are more than twenty correlations available with two variables for calculating the z-Factor from fitting in an EoS or just through fitting techniques.However,these correlations are too complex,which require initial value and more complicated and longer computations or have magnitude error.The purpose of this study is to develop a new accurate correlation to rapidly estimate z-Factor.Result of this correlation is compared with large scale of database and experimental data also.Proposed correlation has 1.660 of Absolute Percent Relative Error (EABS) versus Standing and Katz chart and has also 3.221 of EABS versus experimental data.The output of this correlation can be directly assumed or be used as an initial value of other implicit correlations.This correlation is valid for gas coefficient of isothermal compressibility (cg) calculations also. | Ehsan Heidaryan Amir Salarabadi Jamshid Moghadasi | 2010 | Journal of Natural Gas Chemistry2010，19，2： | 13 |
| 18 | Seismic isolation effect of lined circular tunnels with damping treatments显示文摘The Havriliak-Negami model for dynamic viscoelastic material behavior and Biot’s theory of poroelasticity are employed to develop an exact solution for three-dimensional scattering effect of harmonic plane P–SV waves from a circular cavity lined with a multilayered fluid-filled shell of infinite length containing viscoelastic damping materials and embedded within a fluid-saturated permeable surrounding soil medium. The analytical results are illustrated with numerical examples where the effects of liner/coating structural arrangement, viscoelastic material properties, liner-soil interface bonding condition, seismic excitation frequency, and angle of incidence on the induced dynamic stress concentrations are evaluated and discussed to obtain representative values of the parameters that characterize the system. It is demonstrated that incorporating viscoelastic damping materials with a low shear modulus in the constrained layer configuration is an efficient means of enhancing the overall seismic isolation performance, especially for near-normally incident seismic shear waves where the amplitudes of induced dynamic stresses may be reduced by up to one-third of those without isolation in a relatively wide frequency range. Some additional cases are considered and good agreements with solutions available in the literature are obtained. | Seyyed M. Hasheminejad Amir K. Miri | 2008 | Earthquake Engineering and Engineering Vibration2008，7，3： | 13 |
| 19 | TREM-1 multimerization is essential for its activation on monocytes and neutrophils显示文摘The triggering receptor expressed on myeloid cells-1(TREM-1)is a receptor expressed on innate immune cells.By promoting the amplification of inflammatory signals that are initially triggered by Toll-like receptors(TLRs),TREM-1 has been characterized as a major player in the pathophysiology of acute and chronic inflammatory diseases,such as septic shock,myocardial infarction,atherosclerosis,and inflammatory bowel diseases.However,the molecular events leading to the activation of TREM-1 in innate immune cells remain unknown.Here,we show that TREM-1 is activated by multimerization and that the levels of intracellular Ca 2+release,reactive oxygen species,and cytokine production correlate with the degree of TREM-1 aggregation.TREM-1 activation on primary human monocytes by LPS required a two-step process consisting of upregulation followed by clustering of TREM-1 at the cell surface,in contrast to primary human neutrophils,where LPS induced a rapid cell membrane reorganization of TREM-1,which confirmed that TREM-1 is regulated differently in primary human neutrophils and monocytes.In addition,we show that the ectodomain of TREM-1 is able to homooligomerize in a concentration-dependent manner,which suggests that the clustering of TREM-1 on the membrane promotes its oligomerization.We further show that the adapter protein DAP12 stabilizes TREM-1 surface expression and multimerization.TREM-1 multimerization at the cell surface is also mediated by its endogenous ligand,a conclusion supported by the ability of the TREM-1 inhibitor LR12 to limit TREM-1 multimerization.These results provide evidence for ligand-induced,receptor-mediated dimerization of TREM-1.Collectively,our findings uncover the mechanisms necessary for TREM-1 activation in monocytes and neutrophils. | Kevin Carrasco Amir Boufenzer Lucie Jolly Helene Le Cordier Guanbo Wang Albert JR Heck Adelheid Cerwenka Emilie Vinolo Alexis Nazabal Alexandre Kriznik Pierre Launay Sebastien Gibot Marc Derive | 2019 | Cellular & Molecular Immunology2019，16，5： | 13 |
| 20 | Clinical features of hepatopulmonary syndrome in cirrhotic patients显示文摘瞄准:评估频率,临床并且帕拉肝肺症候群(HPS ) 并且到的临床的特征在伊朗在病人在这症候群的诊断决定他们的预兆的价值。方法:54 个肝脏硬化症的病人经历了对比由二位心脏病专家检测肺内、心内的分流的提高的回响心动描记法。动脉的血氧, O (2 ) 坡度(A-a ) 和正统说法被气体(ABG ) 测试的动脉的血测量。为 HPS 的诊断标准积极的病人被定义为表明肺内的动脉的膨胀的临床的 HPS 盒子和那些,但是另外的标准(动脉的血血氧不足) 都没被定义为 lHPS 盒子。HPS 频率,敏感,积极、否定的预兆的价值临床并且帕拉临床的特征被学习。结果:十(18.5%) 并且七(13%) 盒子分别地有临床、无临床症状的 HPS。最普通的病原学是肝炎 B。呼吸困难(100%) 和青紫(90%) 是最流行的临床的特征。呼吸困难并且打分别地是最敏感、特定的临床的特征。没有重要关系被发现在之间 HPS 和脾大,腹水,浮肿,黄疸,尿少,和并行的静脉。HPS 在肝炎 B 是更流行的。PaO (2 )<
70 并且动脉牙槽的坡度在 HPS 病人有最高的敏感。正统说法特性是 100% 。结论:与 75% 的否定预兆的价值(NPV ) 与 75% 的积极预兆的价值(PPV ) 和呼吸困难打是在 HPS 的诊断的最好的临床的因素症候群。PaO (2 )<
70 并且 P (A-a ) O (2 )>
30 并且他们的和,是在 HPS 病人的最珍贵的否定、积极的预兆的价值。 | Amir Houshang MohammadAlizadeh Seyed Reza Fatemi Vahid Mirzaee Manoochehr Khoshbaten Bahman Talebipour Afsaneh Sharifian Ziba Khoram Mohammad Reza Zali Farhad Haj-sheikh-oleslami MasoomehGholamreza-shirazi | 2006 | World Journal of Gastroenterology2006，12，12： | 12 |
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