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1面向21世纪的卒中新定义:美国心脏病学会和美国卒中学会声明显示文摘尽管脑血管病有着全球性影响且对其病理生理学的认识有了很多进步,但是'卒中'这一术语在临床实践、临床研究或公共卫生评估中的定义却不一致。传统的定义依据于临床,却没有考虑到科学技术的进步。美国心脏协会(AHA)和美国卒中协会(ASA)卒中分会组织了写作小组,为21世纪卒中新定义撰写专家共识性声明。中枢神经系统(CNS)梗死,指由缺血所导致的脑、脊髓或视网膜的细胞死亡,是基于持续性损害的神经病理学、神经影像学和(或)临床证据。CNS梗死表现为一个临床谱:缺血性卒中特指伴有明显症状的CNS梗死,而静息性梗死根据定义指未引起已知的症状的梗死。卒中也还包括脑出血和蛛网膜下腔出血。新定义的卒中结合了临床和组织学标准,可被用于实践、研究和公共卫生评估。俞羚 董荃 宋叶平 江静雯 李卉 刘亮贤 苏爱萍 李焰生 Sacco RL Kasner SE Broderick JP Caplan LR Connors JJ Culebras A Elkind MS George MG Hamdan AD Higashida RT Hoh BL Janis LS Kase CS Kleindorfer DO Lee JM Moseley ME Peterson ED Turan TN Valderrama AL Vinters HV 2013神经病学与神经康复学杂志2013,10,2:188
2循证指南:弥散和灌注MRI在急性缺血性卒中诊断中的作用美国神经病学学会治疗和技术评价委员会的报告显示文摘目的 评价弥散加权成像(diffusion-weighted imaging,DWI)和灌注加权成像(perfusionweighted imaging PWI)在急性缺血性卒中患者诊断中应用的证据.方法 对1966年至2008年1月期间有关DWI和PWI诊断和预后价值的文献进行系统分析.结果和推荐 对于发病12 h内的急性缺血性卒中的诊断,DWI已被确认为有效的评价手段,且其诊断价值应高于非增强CT.为了最准确地诊断急性缺血性卒中,应进行DWI(A级推荐);然而,在疑似急性卒中患者的总体样本中,DWI诊断缺血性卒中的敏感性并不完美.DWI诊断脑出血的准确性不在本指南的范围之内.根据Ⅱ级和Ⅲ级证据,基线DWI体积可预测前循环卒中的基线卒中严重程度(B级推荐),但不能预测椎基底动脉系统卒中的基线卒中严重程度(C级推荐).基线DWI病变体积可预测(最终)梗死体积(B级推荐),并且有可能预测早期和远期临床转归(C级推荐).与DWI相比,基线PWI体积预测基线卒中严重程度的价值较小(C级推荐).尚无足够的证据支持或反对PWI在急性缺血性卒中诊断中的价值(U级推荐).P.D. Schellinger R.N. Bryan L.R. Caplan J.A. Detre R.R. Edelman C. Jaigobin C.S. Kidwell J.P. Mohr M. Sloan A.G. Sorensen S. Warach 章娟娟(译) 王国颖(译) 汪凯(译) 2010国际脑血管病杂志2010,18,11:38
3Blood glucose changes surrounding initiation of tumor-necrosis factor inhibitors and conventional disease-modifying anti-rheumatic drugs in veterans with rheumatoid arthritis显示文摘AIM To determine the scope of acute hypoglycemic effects for certain anti-rheumatic medications in a large retrospective observational study. METHODS Patients enrolled in the Veterans Affairs Rheumatoid Arthritis (VARA) registry were selected who, during follow-up, initiated treatment with tumor necrosis factor inhibitors (TNFi's, including etanercept, adalimumab, infliximab, golimumab, or certolizumab), prednisone, or conventional disease-modifying anti-rheumatic drugs(DMARDs), and for whom proximate random blood glucose (RBG) measurements were available within a window 2-wk prior to, and 6 mo following, medication initiation. Similar data were obtained for patients with proximate values available for glycosylated hemoglobin A1C values within a window 2 mo preceding, and 12 mo following, medication initiation. RBG and A1C measurements were compared before and after initiation events using paired t-tests, and multivariate regression analysis was performed including established comorbidities and demographics.RESULTS Two thousands one hundred and eleven patients contributed at least one proximate measurement surrounding the initiation of any examined medication. A significant decrease in RBG was noted surrounding 653 individual hydroxychloroquine-initiation events(-3.68 mg/dL, P = 0.04), while an increase was noted for RBG surrounding 665 prednisone-initiation events(+5.85 mg/d L, P < 0.01). A statistically significant decrease in A1C was noted for sulfasalazine initiation, as measured by 49 individual initiation events(-0.70%, P < 0.01). Multivariate regression analyses, using methotrexate as the referent, suggest sulfasalazine (β =-0.58, P = 0.01) and hydroxychloroquine(β =-5.78, P = 0.01) use as predictors of lower post-medicationinitiation RBG and A1C values, respectively. Analysis by drug class suggested prednisone (or glucocorticoids) as predictive of higher medication-initiation event RBG among all start events as compared to DMARDs, while this analysis did not show any drug class-level effect for TNFi. A diagnosis of congestive heart failure(β = 4.69, P = 0.03) was predictive for higher post-initiation RBG values among all medication-initiation events.CONCLUSION No statistically significant hypoglycemic effects surrounding TNFi initiation were observed in this large cohort. Sulfasalazine and hydroxychloroquine may have epidemiologically significant acute hypoglycemic effects.Patrick R Wood Evan Manning Joshua F Baker Bryant England Lisa Davis Grant W Cannon Ted R Mikuls Liron Caplan 2018World Journal of Diabetes2018,9,2:8
421世纪的卒中新定义:美国心脏协会/美国卒中协会对医疗专业人员的声明显示文摘尽管脑血管病的影响广泛且对其病理生理学的理解已取得一些进展,但“卒中”一词在临床实践、临床研究和公共卫生评价中的定义并不统一。经典的卒中定义主要是临床定义,不能反映科学技术的进步。因此,美国心脏协会卒中委员会/美国卒中协会召集了一个写作组,旨在对21世纪的卒中新定义制定一份专家共识文件。中枢神经系统(centralnervoussystem,CNS)梗死被定义为缺血导致的脑、脊髓或视网膜细胞死亡,并且具有永久性损伤的神经病理学、神经影像学和(或)临床证据。CNS梗死具有一系列临床表现:缺血性卒中特指伴有明显症状的CNS梗死,而无症状梗死则顾名思义不引起明显症状。广义的卒中还包括脑出血和蛛网膜下腔出血。卒中的新定义结合了临床和组织学标准,因此能被融入临床实践、研究和公共卫生评价。Ralph L. Sacco Scott E. Kasner Joseph P. Broderick Louis R. Caplan J.J. (Buddy) Connors Antonio Culebras Mitchell S.V. Elkind Mary G. George Allen D. Hamdan Randall T. Higashida Brian L. Hoh L. Scott Janis Carlos S. Kase Dawn O. Kleindorfer Jin-Moo Lee Michael E. Moseley Eric D. Peterson Tanya N. Turan Amy L. Valderrama Harry V. Vinters 王胜男(译) 吴齐恒(译) 邓镇(译) 周晓(译) 袁超(译) 潘速跃(译) 2014国际脑血管病杂志2014,22,1:7
5The dependences of osteocyte network on bone compartment, age, and disease显示文摘Osteocytes, the most abundant bone cells, form an interconnected network in the lacunar-canalicular pore system(LCS) buried within the mineralized matrix, which allows osteocytes to obtain nutrients from the blood supply, sense external mechanical signals, and communicate among themselves and with other cells on bone surfaces. In this study, we examined key features of the LCS network including the topological parameter and the detailed structure of individual connections and their variations in cortical and cancellous compartments, at different ages, and in two disease conditions with altered mechanosensing(perlecan deficiency and diabetes).LCS network showed both topological stability, in terms of conservation of connectivity among osteocyte lacunae(similar to the ‘‘nodes' ' in a computer network), and considerable variability the pericellular annular fluid gap surrounding lacunae and canaliculi(similar to the ‘‘bandwidth'' of individual links in a computer network). Age, in the range of our study(15–32 weeks), affected only the pericellular fluid annulus in cortical bone but not in cancellous bone. Diabetes impacted the spacing of the lacunae, while the perlecan deficiency had a profound influence on the pericellular fluid annulus. The LCS network features play important roles in osteocyte signaling and regulation of bone growth and adaptation.Xiaohan Lai Christopher Price Shannon Modla William R Thompson Jeffrey Caplan Catherine B Kirn-Safran Liyun Wang 2015Bone Research2015,3,2:6
6美国国家卒中协会短暂性脑缺血发作处理指南显示文摘目的:短暂性脑缺血发作(TIA)是常见和重要的卒中先兆。其处理方法多样,大多数发表的指南在近年来均未被更新。我们试图制定一个全面的、无偏倚的、循证的TIA处理指南。方法:根据一种客观标准(可以预测在该研究领域中执业医师对专家提名的文献测量学方法)挑选出15名专家组成员。通过系统回顾检索到过去发表的指南,由专家对其中的推荐意见的质量进行独立评价。选择出质量最高的推荐意见,然后让专家组采用改良Delphi法通过多次问卷调查的方式进行修订,从而对新的修改达成共识。给专家们提供近期临床研究的系统评价,要求专家根据新的证据判断措辞修改的合理性并且根据证据等级和质量对最终的推荐意见进行评定。不允许专家在预期有可能存在任何利益冲突的专题方面提出推荐意见。结果:通过系统回顾检索到257个指南,其中有13篇文献包括的137条推荐意见符合所有纳入标准。需要6次重复的问卷调查对53条最终推荐意见的措辞达成共识。最终的推荐意见涉及TIA的初步处理、评价、内科治疗、外科治疗和危险因素控制。结论:对TIA患者医疗诊治的最终推荐意见强调了紧急评价和治疗的重要性。这种用于制定本指南的新方法是可行的,考虑到了快速更新并能减少偏倚。S. Claiborne Johnston Mai N. Nguyen-Huynh Miriam E. Schwarz Kate Fuller Christina Williams S. Andrew Josephsort Graeme J. Hankey Robert G. Hart Steven R. Levine Jose Biller Robert D. Brown Ralph L. Sacco L. Jaap Kappelle Peter J. Koudstaal Julien Bogousslavsky Louis R. Caplan Jan van Gijn Ale Algra Peter M. Rothwell Harold P. Adams Gregory W. Albers 李海峰(译) 2007国际脑血管病杂志2007,15,3:5
7Practice Guidelines for Management of the Difficult Airway: An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway显示文摘Jeffrey L. Apfelbaum Carin A. Hagberg Robert A. Caplan Casey D. Blitt Richard T. Connis David G. Nickinovich Carin A. Hagberg Robert A. Caplan Jonathan L. Benumof Frederic A. Berry Casey D. Blitt Robert H. Bode Frederick W. Cheney Richard T. Connis Orin F 2013Anesthesiology2013,,2:4
8The MSC: An Injury Drugstore显示文摘Arnold I. Caplan Diego Correa 2011Cell Stem Cell2011,,1:3
9In vitro chondrogenesis of bone marrow-derived mesenchymal progenitor cells显示文摘Johnstone B Hering TM Caplan AI 0,,:3
10An Updated Definition of Stroke for the 21st Century: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association显示文摘Ralph L. Sacco Scott E. Kasner Joseph P. Broderick Louis R. Caplan J.J. (Buddy) Connors Antonio Culebras Mitchell S.V. Elkind Mary G. George Allen D. Hamdan Randall T. Higashida Brian L. Hoh L. Scott Janis Carlos S. Kase Dawn O. Kleindorfer Jin-Moo Lee Mi 2013Stroke2013,,7:3
11Mechanisms involved in the therapeutic properties of mesenchymal stem cells显示文摘Lindolfo da Silva Meirelles Aparecida Maria Fontes Dimas Tadeu Covas Arnold I. Caplan 2009Cytokine and Growth Factor Reviews2009,,5:3
12Posterior Circulation Ischemia: Then, Now, and Tomorrow: The Thomas Willis Lecture—2000显示文摘Louis Caplan 2000Stroke: Journal of the American Heart Association2000,,8:2
13Important relationships between Rab and MICAL proteins in endocytic trafficking显示文摘The internalization of essential nutrients,lipids and receptors is a crucial process for all eukaryotic cells.Accordingly,endocytosis is highly conserved across cell types and species.Once internalized,small cargocontaining vesicles fuse with early endosomes(also known as sorting endosomes),where they undergo segregation to distinct membrane regions and are sorted and transported on through the endocytic pathway.Although the mechanisms that regulate this sorting are still poorly understood,some receptors are directed to late endosomes and lysosomes for degradation,whereas other receptors are recycled back to the plasma membrane;either directly or through recycling endosomes.The Rab family of small GTP-binding proteins plays crucial roles in regulating these trafficking pathways.Rabs cycle from inactive GDP-bound cytoplasmic proteins to active GTP-bound membraneassociated proteins,as a consequence of the activity of multiple specific GTPase-activating proteins(GAPs) and GTP exchange factors(GEFs).Once bound to GTP,Rabs interact with a multitude of effector proteins that carry out Rab-specific functions.Recent studies have shown that some of these effectors are also interaction partners for the C-terminal Eps15 homology(EHD) proteins,which are also intimately involved in endocytic regulation.A particularly interesting example of common Rab-EHD interaction partners is the MICALlike protein,MICAL-L1.MICAL-L1 and its homolog,MICAL-L2,belong to the larger MICAL family of proteins,and both have been directly implicated in regulating endocytic recycling of cell surface receptors and junctional proteins,as well as controlling cytoskeletal rearrangement and neurite outgrowth.In this review,we summarize the functional roles of MICAL and Rab proteins,and focus on the significance of their interactions and the implications for endocytic transport.Juliati Rahajeng Sai Srinivas Panapakkam Giridharan Naava Naslavsky Steve Caplan 2010World Journal of Biological Chemistry2010,1,8:2
14Myogenic cells derived from rat bone marrow mesenchymal stem cells exposed to 5-azacytidine显示文摘Wakitani S Saito T Caplan AI 0,,:2
15磁共振弥散和灌注加权成像对急性缺血性卒中诊断的循证医学指南--美国神经病学会治疗与技术评价委员会显示文摘目的评估磁共振弥散加权成像(DWI)和灌注加权成像(PWI)诊断急性缺血性卒中的临床证据。方法系统性分析1966年—2008年1月的文献,探讨DWI和PWI在急性缺血性卒中诊断和预后判断方面的价值。结果和推荐意见DWI是诊断急性缺血性卒中的有效手段。在卒中首发症状出现12 h内,DWI的诊断价值优于CT平扫。DWI能够最准确地诊断急性缺血性卒中(A级推荐);但DWI的敏感性在诊断普通人群疑似卒中时,并不是最佳。本指南并不讨论DWI对脑出血的诊断价值。Ⅱ级和Ⅲ级证据的研究显示,根据基线DWI上病灶大小,预测前循环卒中早期病情严重程度的价值较高(B级推荐),对后循环卒中似乎缺乏预测价值(C级推荐)。基线DWI上病灶大小可预测最终梗死灶的大小(B级推荐)及早期、后期的临床转归(C级推荐)。与DWI相比,基线PWI上病灶大小对病情严重程度的预测价值较低(C级推荐)。目前尚无足够的证据支持或否定PWI对急性缺血性卒中的诊断价值(U级推荐)。Schellinger PD Bryan RN Caplan LR 高丽(译) 徐俊(译) 张颖冬(译) 2010中国脑血管病杂志2010,7,12:2
16Mechanisms involved in the therapeutic properties of mesenchymal stem cells显示文摘Lindolfo da Silva Meirelles Aparecida Maria Fontes Dimas Tadeu Covas Arnold I. Caplan 2009Cytokine and Growth Factor Reviews2009,,5:2
17Practice Advisory for the Prevention and Management of Operating Room Fires: An Updated Report by the American Society of Anesthesiologists Task Force on Operating Room Fires显示文摘Jeffrey L. Apfelbaum Robert A. Caplan Steven J. Barker Richard T. Connis Charles Cowles Jan Ehrenwerth David G. Nickinovich Donna Pritchard David W. Roberson Robert A. Caplan Steven J. Barker Richard T. Connis Charles Cowles Albert L. de Richemond Jan Ehr 2013Anesthesiology2013,,2:2
18Intracranial atherosclerosis显示文摘Adnan I Qureshi Louis R Caplan 2014The Lancet . 2014 (9921)2014,,9921:2
19理性的无知与理性的非理性显示文摘有关政治和宗教的信条通常有三个令人困惑的特征:系统性的偏见、高度的确定性和信息基础薄弱。理性无知理论只能解释拥有少量信息的情况。本文则提出了'理性的非理性'综合模型,对以上三种程式化事实都可以做出解释。根据理性的非理性理论,非理性——即偏离理性预期——和其他任何商品一样,是一种商品;私人成本越低,购买它的代理人就越多。政治、宗教等信条都有一个不同寻常的特征,即错误对个人的影响几乎不存在,使非理性的个人成本为零。因此在这些领域中,非理性的看法是最显而易见的。对非理性的消费可能是最优的,但是如果非理性的个人和社会成本不同,那么它就不是最佳的,选举就是一例。Bryan Caplan 2012东岳论丛2012,33,9:2
20“Top of the basilar” syndrome显示文摘Louis R. Caplan 1980Neurology1980,,1:2
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