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1Current concepts on osteonecrosis of the femoral head显示文摘It is estimated that 20000 to 30000 new patients are diagnosed with osteonecrosis annually accounting for approximately 10% of the 250000 total hip arthroplasties done annually in the United States. Thelack of level 1 evidence in the literature makes it difficult to identify optimal treatment protocols to manage patients with pre-collapse avascular necrosis of the femoral head, and early intervention prior to collapse is critical to successful outcomes in joint preserving procedures. There have been a variety of traumatic and atraumatic factors that have been identified as risk factors for osteonecrosis, but the etiology and pathogenesis still remains unclear. Current osteonecrosis diagnosis is dependent upon plain anteroposterior and frog-leg lateral radiographs of the hip, followed by magnetic resonance imaging(MRI). Generally, the first radiographic changes seen by radiograph will be cystic and sclerotic changes in the femoral head. Although the diagnosis may be made by radiograph, plain radiographs are generally insufficient for early diagnosis, therefore MRI is considered the most accurate benchmark. Treatment options include pharmacologic agents such as bisphosphonates and statins, biophysical treatments, as well as joint-preserving and joint-replacing surgeries. the surgical treatment of osteonecrosis of the femoral head can be divided into two major branches: femoral head sparing procedures(FHSP) and femoral head replacement procedures(FHRP). In general, FHSP are indicated at pre-collapse stages with minimal symptoms whereas FHRP are preferred at post-collapse symptomatic stages. It is difficult to know whether any treatment modality changes the natural history of core decompression since the true natural history of core decompression has not been delineated.Joaquin Moya-Angeler Arianna L Gianakos Jordan C Villa Amelia Ni Joseph M Lane 2015World Journal of Orthopedics2015,6,8:94
2铜陵狮子山地区中酸性侵入岩锆石SHRIMP U-Pb定年及岩浆作用的深部过程显示文摘铜陵狮子山地区中酸性侵入岩锆石 SHRIMP U-Pb 定年结果表明,白茫山辉石二长闪长岩、鸡冠山和大团山石英二长闪长岩以及胡村花岗闪长岩的年龄分别为:138.21±0.82Ma、139.9±1.1Ma、139.3±1.2Ma 和140.9±1.2Ma。岩浆侵位顺序为花岗闪长岩→石英二长闪长岩→辉石二长闪长岩。根据锆石 SHRIMP U-Pb 年龄变化范围,推测该区岩浆活动持续的时间约为15Ma,且岩浆属脉动式多次侵位,后期岩浆侵位的热使早期岩体中已结晶的锆石发生熔解、重结晶,形成新的锆石。地下深部岩浆活动频繁,形成了多级岩浆房,使得本区的莫霍面界线不明显。吴才来 董树文 国和平 郭祥炎 高前明 刘良根 陈其龙 雷敏 WOODENJ L MAZADAB FK MATTINSON C 2008岩石学报2008,24,8:62
3中美花生收获机械化技术现状与发展分析显示文摘收获是花生生产关键环节,用工量占整个生产过程60%以上,机械化收获是一个国家花生生产水平的重要体现。中国和美国同是世界重要的花生生产与出口大国,但因花生生产水平特别是收获机械化水平差距悬殊,从而导致花生出口的国际竞争力不同。美国两段式机械化收获方式及其先进的花生收获机械化技术,使花生生产高产优质高效、国际市场竞争优势明显,而中国多种花生机械化收获方式并存,收获机械化水平相对较低,从而制约了花生生产效益和出口竞争力。基于大量文献的系统分析、中国花生生产实地调研以及美国花生生产和收获机械化的实地考察与综合分析,综述了中国和美国花生生产及其收获机械化发展现状,分别阐述了中国和美国最新花生起收机、捡拾收获机等机器的类型、总体结构型式和主要性能参数等;分析了花生收获机械关键装置的结构原理与特点;综合分析了美国花生收获机械化发展历程以及快速发展的主要动因,中国花生收获机械化发展的主要制约因素;提出了中国花生收获机械化发展动态。对深入了解中国和美国花生收获机械化技术现况及其发展历程,进行中国花生收获机械化发展总结,在借鉴美国成功经验基础上因地制宜地采取措施,加速发展我国花生收获机械化,具有一定的参考价值。陈中玉 高连兴 CHEN Charles BUTTS C L 2017农业机械学报2017,48,4:64
4代谢产物右旋羟戊二酸抑制FTO/m6A/Myc/CEBPA通路的抗肿瘤作用显示文摘贝克曼研究所陈建军教授、芝加哥大学生化研究所何川教授、浙江大学附属第一医院血液科金洁教授及其研究团队合作发现:异柠檬酸脱氢酶(ISOdehydrogenase,IDH)突变造成的代谢产物右旋羟戊二酸(R-2-hydroxyglutarate,R-2HG)通过抑制FTO/m6A/Myc/CEBPA信号发挥抗白血病的作用。2011年,何川教授实验室证实肥胖相关蛋白(obesity-associated protein,FTO)是m6A去甲基转移酶。m6A是一种广泛存在的RNA修饰,参与RNA的剪接、转位、衰减、翻译等过程,参与维持机体稳态,并与疾病的发生发展密切相关,如肿瘤、炎症相关疾病等。FTO调节肿瘤的具体机制需要进一步被揭示。朱哈 刘娟 Su R Dong L Li C 2018中国肿瘤生物治疗杂志2018,25,2:62
5Reconstruction of chemically burned rat corneal surface by bone marrow-derived human mesenchymal stem cells显示文摘Ma Y Xu Y Xiao Z Yang W Zhang C Song E Du Y Li L 2006中国生物学文摘2006,20,5:58
6MicroRNA-34a inhibits glioblastoma growth by targeting multiple oncogenes显示文摘Li Y Guessous F Zhang Y Dipierro C Kefas B Johnson E Marcinkiewicz L Jiang J Yang Y Schmittgen TD Lopes B Schiff D Purow B Abounader R 2009中国神经肿瘤杂志2009,7,4:56
7初级保健中原发性醛固酮增多症的患病率和临床表现显示文摘原发性醛固酮增多症(primaryaldosteronism,PA)是一种异质性疾病,以高血压和相对自主于肾素血管紧张素系统产生过量醛固酮为特征。与心血管病风险相似的原发性高血压患者相比,PA患者发生心脑血管并发症的风险以及代谢综合征患病率增加,提示正确诊断PA的重要性。Monticone S Burrello J Tizzani D Bertello C Viola A Buffolo F Gabetti L Mengozzi G Williams TA Rabbia F Veglio F Mulatero P 练桂丽 叶鹏 2017中华高血压杂志2017,25,5:58
8GPC3在鉴别小肝癌与肝硬化、异型增生结节和局灶性结节性增生中的作用显示文摘Louis L Tamara S David C 潘敏鸿(摘译) 饶秋(摘译) 周晓军(审校) 2006临床与实验病理学杂志2006,22,6:44
9甘肃大地湾遗址距今6万年来的考古记录与旱作农业起源显示文摘报道了中国北方早期旱作农业起源地之一的甘肃秦安大地湾遗址Dadiwan06探方的最新发掘成果,根据黄土-古土壤序列、绝对测年(AMS 14C和光释光测年)、气候事件年龄和考古分析,为Dadiwan06探方的地层沉积建立了6.5万年的年代框架.考古材料分析显示,Dadiwan06探方完整记录了石英打制技术制品、细石器技术制品、大地湾一期文化以及仰韶文化陶器制品等分别代表中国北方原始采集狩猎经济、先进采集狩猎经济、早期栽培经济与成熟农业经济的4个不同发展阶段,反映了大地湾遗址距今6.0万年以来由采集狩猎经济逐步向农业经济过渡的持续人类活动历史。张东菊 陈发度 BETTINGER R L BARTON L 吉笃学 MORGAN C 王辉 程晓钟 董广辉 GUILDERSON T P 赵晖 2010科学通报2010,55,10:42
10乳腺囊内型乳头状癌显示文摘Collins L C Carlo V P Hwang H 魏兵(摘译) 步宏(审校) 2006临床与实验病理学杂志2006,22,5:38
11Tight junctions in inflammatory bowel diseases and inflammatory bowel disease associated colorectal cancer显示文摘Inflammatory bowel diseases are characterised by inflammation that compromises the integrity of the epithelial barrier. The intestinal epithelium is not only a static barrier but has evolved complex mechanisms to control and regulate bacterial interactions with the mucosal surface. Apical tight junction proteins are critical in the maintenance of epithelial barrier function and control of paracellular permeability. The characterisation of alterations in tight junction proteins as key players in epithelial barrier function in inflammatory bowel diseases is rapidly enhancing our understanding of critical mechanisms in disease pathogenesis as well as novel therapeutic opportunities. Here we give an overview of recent literature focusing on the role of tight junction proteins, in particular claudins, in inflammatory bowel diseases and inflammatory bowel disease associated colorectal cancer.Jonathan Landy Emma Ronde Nick English Sue K Clark Ailsa L Hart Stella C Knight Paul J Ciclitira Hafid Omar Al-Hassi 2016World Journal of Gastroenterology2016,22,11:39
12利用AFLP进行“甘蔗属复合体”系统演化和亲缘关系研究显示文摘采用AFLP分子标记技术,对“甘蔗属复合体”中4个属16个种的6 9份来自中国和澳大利亚的甘蔗种质资源材料进行系统演化和亲缘关系分析。2对AFLP引物共检测到173个标记,其中172个为多态标记,多态率达99 4 % ;通过计算Jaccard相似性系数,用UPGMA和PCA法构建了分子系统树和效应图。结果表明:(1)属间亲缘关系中,甘蔗属与芒属较近,与河八王属和蔗茅属较远,而河八王属与蔗茅属较近;(2 )甘蔗属内,细茎野生种与其他种关系较远,其中,栽培品种与热带种关系较近,中国种和印度种关系较近,而大茎野生种自聚为一族,与上述4种分离;(3)蔗茅属内,除蔗茅种和滇蔗茅种外,无论是中国斑茅(云南、海南)还是印度尼西亚斑茅,都与蔗茅属其他种聚在一起,其中与E procerus的关系最近,与E bengalense和E sarpet种次之;由斑茅与这3个种构成的群体与由E elephantinus和E ravennae构成的群体相对分离,形成了明显的2个组群。再次表明斑茅应列入蔗茅属,建议我国甘蔗学者采纳国外分类命名(E arundinaceus) ,以能更好地开展斑茅的研究和杂交育种利用并与国际接轨;(4)蔗茅和滇蔗茅均没有聚类到蔗茅属类群中,而分别独立位于系统树2大枝系上。蔗茅与甘蔗属亲缘关系较近,与芒属亲缘关系次之,与蔗茅属和河八王属关系较远;滇蔗茅与河八王属亲缘关系?蔡青 范源洪 Aitken K Piperidis G McIntyre C L Jackson P 2005作物学报2005,31,5:33
13Abnormal activation of the synuclein-gamma gene in hepatocellular carcinomas by epigenetic alteration.显示文摘Zhao W Liu H Liu W Wu Y Chen W Jiang B Zhou Y Xue R Luo C Wang L Jiang JD Liu J 2006中国生物学文摘2006,20,4:31
14Estrogen enhances the functions of CD4^(+)CD25^(+)Foxp3^(+) regulatory T cells that suppress osteoclast differentiation and bone resorption in vitro显示文摘Cross-talk has been shown to occur between the immune system and bone metabolism pathways.In the present study,we investigated the impact of CD4^(+)CD25^(+)Foxp3^(+) regulatory T(Treg)cells on osteoclastogenesis and bone resorption.Treg cells that were isolated and purified from peripheral blood mononuclear cells(PBMCs)of healthy adults inhibited both the differentiation of osteoclasts(OCs)from human embryo bone marrow cells(BMCs)and the pit formation in a dose-dependent manner.In cell cocultures,the production levels of both interleukin-10(IL-10)and transforming growth factor-beta 1(TGF-β1)were proportionally upregulated as the ratio of Treg cells to BMCs was increased,and the inhibition of OC differentiation and bone resorption by Treg cells was completely reversed by anti-IL-10 and anti-TGF-β1 antibodies.Treatment of BMC and Treg cell cocultures with 17β-estradiol(E2)at concentrations between 10^(-7) and 10^(-9) mol/l suppressed OC differentiation and bone resorption more efficiently than it did in cultures of BMCs alone;this enhanced suppression occurred via the stimulation of Treg cell IL-10 and TGF-b1 expression.These data suggest that Treg cells suppress OC differentiation and bone resorption by secreting IL-10 and TGF-β1.E2 enhances the suppressive effects of Treg cells on OC differentiation and bone resorption by stimulating IL-10 and TGF-β1 secretion from these cells.Therefore,Treg cell-derived IL-10 and TGF-b1 are likely involved in the regulation of E2 on bone metabolism and represent potential therapeutic targets for the treatment of postmenopausal osteoporosis(PMO).CY Luo L Wang C Sun DJ Li 2011Cellular & Molecular Immunology2011,8,1:33
15帕博利珠单抗治疗伴脑转移NSCLC患者的一项非随机、开放Ⅱ期试验的长期随访结果和生物标志物分析显示文摘背景与目的我们开展了一项帕博利珠单抗用于伴未治疗脑转移的非小细胞肺癌(non-small cell lung cancer,NSCLC)或黑色素瘤患者的疗效和安全性的II期试验,旨在评估程序性死亡受体1(programmed cell death 1,PD-1)抑制剂在中枢神经系统(central nervous system,CNS)中的疗效。中期结果已发表,现报道对NSCLC队列的更新分析结果。方法这是一项开放性、单中心、II期试验。纳入标准:年龄≥18岁,诊断为晚期NSCLC并伴有≥1个5 mm-20 mm脑转移病灶,既往从未治疗或之前放疗后进展,无神经系统症状,不需要激素治疗且美国东部肿瘤协作组(Eastern Cooperative Oncology Group,ECOG)<2分。患者每2周接受一次帕博利珠单抗(10 mg/kg)治疗。队列1为程序性死亡配体1(programmed cell death ligand 1,PD-L1)≥1%的患者,队列2为PD-L1<1%或未评估的患者。主要终点是脑转移患者缓解比例。所有经治患者均纳入疗效与安全性终点的分析。该研究已结束入组,并于Clinicaltrials.gov登记注册,注册号为NCT02085070。结果2014年3月31日-2018年5月21日,共42例患者接受治疗。中位随访时间为8.3个月(IQR:4.5个月-26.2个月)。队列1的37例患者中11例有脑转移缓解[29.7%(95%CI:15.9%-47.0%)]。队列2未观察到缓解。治疗相关的3级-4级不良事件(adverse events,AEs)包括2例肺炎、1例全身症状、1例结肠炎、1例肾上腺皮质功能不全、1例高血糖症和1例低钾血症。6例(14%)患者发生了治疗相关的严重不良事件,包括肺炎、急性肾损伤、低钾血症和肾上腺皮质功能不全。没有观察到治疗相关死亡病例。结论帕博利珠单抗治疗PD-L1≥1%的NSCLC伴脑转移患者有效,且对所有纳入的未经治疗的脑转移患者安全。需要进一步探索免疫治疗用于NSCLC合并CNS转移。Sarah B GOLDBERG Kurt A SCHALPER Scott N GETTINGER Amit MAHAJAN Roy S HERBST Anne C CHANG Rogerio LILENBAUM Frederick H WILSON Sacit Bulent OMAY James B YU Lucia JILAVEANU Thuy TRAN Kira PAVLIK Elin ROWEN Heather GERRSH Annette KOMLO Richa GUPTA Hailey WYATT Matthew RIBEIRO Yuval KLUGER Geyu ZHOU Wei WEI Veronica L CHANG Harriet M KLUGER 董晓荣(翻译/校对) 2021中国肺癌杂志2021,24,9:34
16最新AD研究用诊断标准:IWG-2标准显示文摘在过去的8年中,国际工作组织(IWG)和美国国立老化研究院-阿尔茨海默协会(NIA-AA)建立了阿尔茨海默病(AD)诊断标准,它能更好地定义AD的临床表型,整合了生物标记物于诊断流程中,并覆盖了疾病的全程。本意见书充分地权衡了IWG标准的优缺点,建议改进诊断框架。依据这些改进,AD的诊断变得简单,只要有恰当的AD临床表型(典型或不典型)和与AD的病理相一致的病理生理学生物标志物出现。我们认为疾病的下游的定位性生物标志,如容积性磁共振成像(MRI)和氟脱氧葡萄糖-正电子发射型计算机断层成像(FDG-PET)等,适合更好地测量和监测疾病过程。本文还详述了非典型性AD、混合性AD和AD临床前期的特异诊断标准。陈刚 曹雯炜 俞羚 糜建华 Dubois B Feldman HH Jacova C Hampel H Molinuevo JL Blennow K DeK osky ST Gauthier S Selkoe D Bateman R Cappa S Crutch S Engelborghs S Frisoni GB Fox NC Galasko D Habert MO Jicha GA Nordberg A Pasquier F Rabinovici G Robert P Rowe C Salloway S Sarazin M Epelbaum S de Souza LC Vellas B Visser PJ Schneider L Stern Y Scheltens P Cummings JL 2014神经病学与神经康复学杂志2014,11,3:31
17国家的新角色显示文摘各个民族国家的公民无不要求各自的政府提供种种服务。国家担任的角色在今后十年内将会发生变化但不会削弱。政府必须想方设法更有效地完成传统的职能 ,包括调节私营部门、制定政策以促进经济增长、保障最贫困的公民维持最低限度的生活水平、保障国防和国内司法 ,以及提高国民道德水平。有些政府 ,尤其是拥有高水平的人力和财经资源的政府 ,很可能把这些任务完成得更见成效。而不那么幸运的政府也可以向成就较高的政府学习政策经验。各国政府也将与市民社会和私营部门形成新的关系。随着公有企业的私有化 ,这些企业的行为需要仔细监测 :对获得原国有资产的多国公司 ,这一点尤其必要。通过教育及公私合作以提供更好的工作职位和就业培训 ,而使人力资源最大化的法律和计划特别重要。对给予公私大学捐赠的免税减税可为一例 ,但要使此举发挥作用 ,就必需把腐败和逃税压制到最低限度。弗雷德里克·C·特纳 亚历杭德罗·L·科尔巴乔 陈思 2001国际社会科学杂志(中文版)2001,18,1:29
18急性缺血性卒中的血管内治疗:神经介入外科学学会实践标准委员会的报告显示文摘目的总结采用血管内技术治疗急性缺血性卒中的有关证据并等级分类。方法对美国心脏协会(American Heart Association,AHA)以前发表的推荐意见进行审查并作为当前流程的基础。在此这基础上,进行系统的文献回顾以评估支持急性缺血性卒中血管内治疗的证据。根据AHA卒中委员会和牛津大学循证医学中心提出的循证医学证据分级指南进行评估。对操作安全性、技术效果以及对临床转归的影响进行特别审核。K A Blackham P M Meyers T A Abruzzo F C Alberquerque D Fiorella J Fraser D Frei C D Gandhi D V Heck J A Hirsch D P Hsu M Jayaraman S Narayanan C Prestigiacomo J L Sunshine 包元飞(译) 李永坤(译) 刘新峰(译) 2012国际脑血管病杂志2012,20,12:28
19Laparoscopic and robot-assisted laparoscopic digestivesurgery:Present and future directions显示文摘Laparoscopic surgery is applied today worldwide to most digestive procedures. In some of them, such as cholecystectomy, Nissen's fundoplication or obesity surgery, laparoscopy has become the standard in practice. In others, such as colon or gastric resection, the laparoscopic approach is frequently used and its usefulness is unquestionable. More complex procedures, such as esophageal, liver or pancreatic resections are, however, more infrequently performed, due to the high grade of skill necessary. As a result, there is less clinical evidence to support its implementation. In the recent years, robot-assisted laparoscopic surgery has been increasingly applied, again with little evidence for comparison with the conventional laparoscopic approach. This review will focus on the complex digestive procedures as well as those whose use in standard practice could be more controversial. Also novel robot-assisted procedures will be updated.Juan C Rodríguez-Sanjuán Marcos Gómez-Ruiz Soledad Trugeda-Carrera Carlos Manuel-Palazuelos Antonio López-Useros Manuel Gómez-Fleitas 2016World Journal of Gastroenterology2016,22,6:27
20血管内超声去肾交感神经术治疗高血压:一项多中心,国际,单盲,随机,假手术对照试验显示文摘早期研究表明,基于射频的去肾交感神经术可降低中度高血压患者的血压。研究者研究了在没有使用抗高血压药物的情况下,使用血管内超声去。肾交感神经术是否会降低高血压患者的动态血压。刘青 叶鹏 Azizi M Schmieder RE Mahfoud F Weber MA Daemen J Davies J Basile J Kirtane AJ Wang Y Lobo MD Saxena M Feyz L Rader F Lurz P Sayer J Sapoval M Levy T Sanghvi K Abraham J Sharp ASP Fisher NDL Bloch MJ Reeve-Stoffer H Coleman L Mullin C Mauri L 2018中华高血压杂志2018,26,10:27
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