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1完全植入式输液港上海专家共识显示文摘目前国内外尚无完全植入式输液港(TIAP)方面的指南可查询。为此,提出TIAP上海专家共识,对TIAP植入的适应证和禁忌证,对植入部位选择、术前准备、术中注意事项、围手术期和长期并发症预防与处理、TIAP维护要点进行概括说明。本共识编写以查阅文献为主,亦参考专家经验,以期能够为中心静脉通路安全发展提供有力保障,推动TIAP植入与维护的健康发展。Shanghai Cooperation Group on central venous access 2015介入放射学杂志2015,24,12:106
2Report on Childhood Obesity in China (1) Body Mass Index Reference for Screening Overweight and Obesity in Chinese School-age Children显示文摘Purpose To establish and propose a national body mass index (BMI) reference for screening overweight and obesity in Chinese school-age children and adolescents. Methods 2000 CNSSCH (Chinese National Survey on Students Constitution and Health) data, including 216 620 primary and secondary school students aged 7 to 18 years old, were used as a reference population. Compared with those of the NCHS internatioanl reference, three temporary sets of cut-off BMI were proposed by testing different combinations of P8s, P9o, and P95. When physiological and biochemical measures between and among 'obesity','overweight', and 'normal weight' groups were taken into consideration, set Ⅱ was selected to be the most appropriate one.The sex-age-specific curves were then plotted and smoothed by using B-spline method. Results Based on the samples from costal developed metropolis, the BMI curves successfully overcame the shortcomings of lower and level-off tendency of the Chinese total population. Temporary set Ⅱ, composed by cut-offs of P85 for overweight and P95 for obesity, was finally selected by its sensitivity and peculiarity. BMI 24 and 28 were used as cut-offs for overweight and obesity for both males and females aged 18 years old. These cut-offs, consistent with Chinese Adult's Reference, was proposed as the Body mass index reference for screening overweight and obesity in Chinese school-age children and adolescents. Conclusion The new reference clearly showed its superiorty in both prospectivity and actuality. The proposed reference minimized the gaps of the BMI curve between Chinese adolescents and the international reference. Most importantly was that it was consistent with the Eastern Asia ethnic characteristics of body fatness growth. It was therefore proposed by the Working Group on Obesity in China (WGOC) to use it as an nationwide reference for screening overweight and obesity of school-age children and adolescents in China.COOPERATIVE STUDY ON CHILDHOOD OBESITY WORKING GROUP ON OBESITY IN CHINA (WGOC) 2005Biomedical and Environmental Sciences2005,18,6:57
3The omentum显示文摘INTRODUCTIONThe word omentum derives from the ancientEgyptians who,when embalming human bodies,used to assess their'omens'by looking at thevariations in what we recognise today as theomentum.Galen(128-199 AD)thought that therole of the omentum was to warm the intestines.This was on the basis of a gladiator who had anomental resection after a stab injury and sufferedgreatly from cold for the rest of his life.ACameron Platell Deborah Cooper John M.Papadimitriou John C.Hall 2000World Journal of Gastroenterology2000,6,2:57
4极低出生体质量早产儿院内营养现状多中心调查显示文摘目的了解不同地区出生体质量<1 500 g早产儿院内营养状况以及出生后生长发育迟缓(EUGR)的相关影响因素。方法采用回顾性调查方法,收集2012年1月1日至2012年12月31日在全国15所医院新生儿科住院时间>2周、出生体质量<1 500 g的早产儿临床资料,包括住院期间的喂养方式、营养状况、并发症及诊断和治疗,并对早产儿住院期间的肠内外营养、体质量增长情况进行描述性分析,并分析EUGR的相关因素。结果入选572例早产儿,出生胎龄(30.6±2.0)周,出生体质量(1 255.7±164.8)g;开始肠道喂养的时间为(68.2±85.4)h,口服能量达到100 kcal/(kg·d)(1cal=418.68J)的日龄为(29.9±14.1)d;住院期间在恢复至出生体质量后其体质量增长速度为(11.8±5.5)g/(kg·d)。住院时间(42.2±20.8)d,出院时校正胎龄(36.6±2.7)周。出生时,出生体质量小于第十百分位(P1 0)者占5 2.6%、The National Cooperation Group on Nutrition,The Chinese Neonatologist Association, China 2015临床儿科杂志2015,33,1:51
5Effect of Body Mass Index on All-cause Mortality and Incidence of Cardiovascular Diseases─Report for Meta-Analysis of Prospective Studies on Optimal Cut-off Points of Body Mass Index in Chinese Adults显示文摘Objective To verify the optimal cut-off points for overweight and obesity in Chinese adults based on the relationship of baseline body mass index (BMI) to all-cause mortality, and incidence of cardiovascular diseases from pooled data of Chinese cohorts. Methods The prospective study data of existing cohort studies in China were collected, and the age-adjusted all-cause mortality stratified by BMI were estimated. The similar analysis was repeated after excluding deaths within the first three years of follow-up and after excluding smokers. The incidence of age-adjusted coronary heart disease (CHD) and stroke stratified by BMI were also analyzed. Multiple Cox regression coefficients of BMI for the incidence of CHD and stroke after controlling other risk factors were pooled utilizing the methods of weighting by inverse of variance to reveal whether BMI had independent effect and its strength on the incidence of CHD and stroke. Results The data of 4 cohorts including 76 227 persons, with 745 346 person-years of follow-up were collected and analyzed. The age-adjusted all-cause mortality stratified by BMI showed a U-shaped curve, even after excluding deaths within the first three years of follow-up and excluding smokers. Age-adjusted all-cause mortality increased when BMI was lower than 18.5 and higher than 28. The incidence of CHD and stroke, especially ishemic stroke increased with increasing BMI, this was consistent with parallel increasing of risk factors. Cox regression analysis showed that BMI was an independent risk factor for both CHD and stroke. Each amount of 2 kg/m2 increase in baseline BMI might cause 15.4%, 6.1% and 18.8 % increase in relative risk of CHD, total stroke and ischemic stroke. Reduction of BMI to under 24 might prevent the incidence of CHD by 11% and that of stroke by 15 % for men, and 22 % of both diseases for women. Conclusion BMI ≤18.5, 24-27.9 and ≥28 (kg/m2) is the appropriate cut-off points for underweight, overweight and obesity in Chinese adults.ZHOU BEI-FAN Cooperative Meta-Analysis Group of the Working Group on Obesity in China* 2002Biomedical and Environmental Sciences2002,15,3:58
6慢性阻塞性肺病稳定期吸入治疗的最新进展显示文摘C B Cooper D P Tashkin 王同德(译) 代华平(校) 2005英国医学杂志中文版2005,8,5:37
7The control of syndepositional faulting on the Eogene sedimentary basin fills of the Dongying and Zhanhua sags, Bohai Bay Basin显示文摘The Dongying and Zhanhua sags are the major hydrocarbon exploration and produc- tion subbasins in the Bohai Bay Basin. Integrated analysis of the sedimentary basin fills has shown that the syndepositional faults and their arrangement styles exerted an important influ- ence on the development and distribution of the Eogene depositional systems. The sedimentary filling evolution of the subbasins reflects the general control of the episodic rifting process. The major long-term active normal faults formed a series of paleogeomorphic accident or slopebreak zones that commonly delineated the subsidiary palaeostructural units and the depositional facies tracts and constrained the general distribution of sedimentary facies zones. The central sag boundary fault slopebreak zones usually determined the distribution of the depocenters of ter- restrial clastic depositional systems, particularly the lowstand fans or deltaic depositional sys- tems, and have proven to be the economically important targets for the exploration of subtle sandstone reservoirs. A variety of syndepositional fault arrangement patterns, including the par- allel, en echelon, combo-like, broom-like fault systems and the fault overlap or transfer zones, have been recognized in the subbasins. They generated distinctive geomorphic features and exerted a direct influence on sediment dispersal and sandbody distribution during the Eogene synrift stage. It is the key for the prediction of depositional systems tracts and reservoir sand- stones to investigate the activity and distribution of the fault slopebreak zones and reconstruct the structural paleogeomorphy in different basin filling stages of the basin evolution.LIN Changsong1, ZHENG Herong2, REN Jianye1, LIU Jingyan1 & Qiu Yigang1 1. Department of Energy Geology, China University of Geosciences, Beijing 100083, China 2. Petroleum Exploration and Production Institute, Sino-Petroleum and Chemistry Cooperation, Beijing 100083, China 2004Science China Earth Sciences2004,47,9:33
8高白细胞性急性白血病 244 例临床分析显示文摘为了解高白细胞性急性白血病(HAL)的临床规律和预后因素。对244例HAL和同期非HAL进行回顾性对照分析。结果显示:发现HAL构成比为8.5%,HAL中急性淋巴细胞白血病(ALL)较多,在急性髓细胞白血病(AML)中M5占的比例最多,为40.5%。HAL发病时肝、脾、淋巴结肿大,DIC,中枢神经系统白血病(CNSL)较非HAL为多。完全缓解(CR)率为41.4%,低于非HAL的54.2%,早期病死率是23.8%。早期死亡的主要原因是颅内出血,占50%。早期死亡的高危因素有发病时Hb≤40g/L,血小板≤30×109/L,DIC,感染,CNSL。结果显示:HAL完全缓解率低,早期死亡率高,预后差,特别是HAL-AML的早期死亡率明显高于HAL-ALL,要重视其早期处理。Shanghai Leukemia Cooperation Group Wang Xiaoqin, Lin Guowei, Wang Jun, et al. Shanghai Huashan Hospital, Shanghai 200040 1997中华内科杂志1997,36,8:27
9华为公司专利产学研合作:特征、网络演化及其启示显示文摘华为公司作为中国通信行业的领军者,在专利活动与技术创新方面非常活跃,也开展了大量的专利产学研合作。通过统计华为公司产学研合作的发明专利数据,采用专利计量和社会网络分析方法,分析了华为公司专利产学研合作的基本特征,并采用UCINET软件进行可视化描述,揭示出专利产学研合作的阶段演化特征和网络属性,得出企业专利产学研合作的有益规律和启示,为我国企业开展专利产学研合作以及专利合作网络的发展与管理提供参考和借鉴。王珊珊 邓守萍 Sarah Yvonne Cooper 王宏起 2018科学学研究2018,36,4:27
10REASSESSMENT OF DEFIBRASE IN TREATMENT OF ACUTE CEREBRA LINFARCTION :A MULTICENTER ,RANDOMIZED ,DOUBLE-BLIND ,PLACEBO-CONTROLLED TRIAL显示文摘Objective To evaluate the efficacy and safety of defibrase in patients with acute cerebral infarction by a large sample, multicenter, randomized, double-blind, placebo-controlled clinical trial. Methods Patients with acute cerebral infarction within 12 hours of stroke onset were randomly assigned to receive either an initial intravenous infusion of defibrase 15 U plus normal saline 250 mL or 250 mL of normal saline only. Subsequent infusions of defibrase 5 U or placebo (normal saline) were given on the 3rd, 5th, 7th, and 9th day, respectively. Both groups received standard care of acute cerebral infarction. The primary efficacy outcome was functional status (Barthel Index) at 3 months after treatment. Safety outcome were bleeding events and mortality rate. Secondary outcome included Chinese Stroke Scale (CSS) score at 14 days and recurrence rate of stroke at 1 year. Results A total of 1053 patients were enrolled at 46 centers from September 2001 to July 2003, and 527 patients were randomly assigned to receive defibrase and 526 to receive placebo. A similar proportion of patients in both groups completed a full course of treatment. There was a significantly greater proportion of favorable functional status (Barthel Index ≥95) in defibrase group than in placebo group at 3 months (52.2% vs. 42.8%, P < 0.01), and the proportion of dependent functional status (Barthel Index ≤60) was a little lower in defibrase group compared with placebo group (27.7% vs. 32.4%). These differences were more obvious among patients who were treated within 6 hours of stroke onset. Patients in defibrase group had better improvement with respect to CSS score than those in placebo group at 14 days (P < 0.05). Recurrence rate of stroke at 1 year was lower in the defibrase group compared with placebo group (6.2% vs. 10.1%, P = 0.053). Patients in defibrase group had higher risk of extracranial bleeding events (4.7% vs. 1.5%, P < 0.01) and a tendency of higher risk of symptomatic intracranial hemorrhage. The hemorrhage incidence was higher in patients with fibrinogen level < 130 mg/dL than ≥130 mg/dL (10.6% vs. 3.8%, P < 0.05). Mortality rate at 3 months were slightly higher in defibrase group than placebo group (5.9% vs. 4.2%). Conclusions The defibrase is effective to improve neurological function and function of daily living for patients with acute cerebral infarction within 12 hours of symptom onset. The efficacy was even better for acute cerebral infarction within 6 hours of onset. The increased risks of intra- and extracranial hemorrhage during defibrase administration were related to the plasma fibrinogen level.The Cooperative Group for Reassessment of Defibrase,* China 2005Chinese Medical Sciences Journal2005,20,3:25
11五个月短程化疗及六个月全程间歇方案治疗菌阳肺结核的临床对照研究显示文摘目的考核利福喷丁(L)的疗效;缩短疗程或全程间歇以减少用药次数;观察全程应用吡嗪酰胺(Z)对疗效及毒副反应的影响。方法以利福平(R)为对照,采用5个月疗程方案(Ⅰ组2SHRZ/3R2H2Z2,Ⅱ组2SHRZ/3L1H2Z2)、6个月全间歇方案(Ⅲ组2S3H3R3Z3/4L1H2Z2,Ⅳ组2S3H3R3Z3/4L1H2E2),观察Z的全程应用结果,巩固期以乙胺丁醇(E)为对照。366例初治菌阳肺结核随机分入以上4组。结果(1)339例完成疗程者中329例治疗成功,满疗程时痰菌阴转率Ⅰ~Ⅳ组分别为970%、941%、1000%、972%。X线病灶有效率依序为960%、976%、1000%和944%。5个月组与6个月组空洞关闭率分别为77%及76%。各组相互比较均无显著性差异(P>0.05),未见严重副作用。(2)305例完成3年随访,Ⅰ、Ⅱ、Ⅲ、Ⅳ组细菌学加X线复发分别为2、3、6和3例。结论本研究结果进一步证明L是长效、高效、安全、便于督导的新药;巩固期用Z无必要;现有基本药物合理联用有可能缩短疗程为5个月,值得进一步研究。National Cooperative Group On Clinical Study of Pulmonary Tuberculosis (Report prepared by Chu Naihui , Yan Biya, Zhu Lizhen). Beijing Tuberculosis and Thoracic Tumor Institute, Beijing 101149 1998中华结核和呼吸杂志1998,21,7:26
12一项中断时间序列研究与集群随机试验:减少耐药细菌在重症监护室中定植和传播的干预措施显示文摘背景 重症监护室(ICU)是耐药细菌传播的高危科室,在设置标准预防措施时缺乏对"全面筛查和隔离携带或感染耐药细菌者"效果评估的对照研究,本研究评估此干预措施对减少ICU中耐药细菌的定植与传播的效果.曾翠 吴安华 Derde L P G Cooper B S Goossens H 2014中国感染控制杂志2014,13,1:23
13全间歇短程化疗方案治疗新发涂阳肺结核的远期疗效分析显示文摘目的世界银行贷款中国结核病控制项目首次将全间歇短程化疗(短化)方案[2H3R3Z3S3(E3)/4H3R3]应用于国家结核病控制规划,取得了满意的近期疗效。为评价方案的有效性,特进行远期效果观察。方法对12个项目省、自治区56个示范县1992年全年登记的新发涂阳患者,在治愈后2年进行了结核分支杆菌涂片检查,以了解细菌学复发情况。结果4400例治愈患者经痰涂片检查,发现135例痰菌复阳,复发率为3.1%。结论本研究与国内外短化每日疗法与继续期间歇的6个月短化方案相比,其复发率相近。证明本方案治愈率高(复发率在3%左右),不失为一个可优先推广应用于国家结核病规划的化疗方案之一。Tuberculosis Control Project Cooperation Group.Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149 1997中华结核和呼吸杂志1997,20,3:21
14欧洲骨质疏松和骨关节炎临床及经济学协会(ESCEO)和中国骨关节炎领域专家联合发表声明:ESCEO膝骨关节炎治疗规则应同样适用于中国患者显示文摘2014年12月,欧洲骨质疏松和骨关节炎临床及经济学协会(ESCEO)发布了膝骨关节炎(OA)治疗规则。此篇论文提供了中国OA专家将治疗规则应用于中国临床所做的评估和认可,目的是就如何为膝关节OA患者制定治疗流程提出切实可行的建议。在治疗的第1步,建议采用对症的缓慢起效骨关节炎治疗药物(SYSADOA)作为药物维持疗法,关于SYSADOA只有处方药结晶型硫酸氨基葡萄糖(p CGS)和处方药硫酸软骨素提供了高质量的证据。同时可合并扑热息痛等非甾体抗炎药物(NSAIDs),但只能作为紧急镇痛药物。外用非甾体抗炎药(NSAIDs)也可对症治疗。口服NSAIDs在第2步持续症状的高级治疗中维持核心作用。但是,口服NSAIDs在胃肠道和心血管安全性方面存在较大差异性。关节内注射透明质酸可产生持续临床益处,接受一个治疗疗程后,效应可持续长达6个月。作为手术之前的最后一步,缓释型曲马多(一种较弱的阿片类物质)可产生持续镇痛作用,且耐受性较好。张志毅 段新旺 古洁若 黄慈波 姜林娣 林进 刘湘源 李泽光 马丽 齐文成 钱先 王吉波 王美美 武丽君 伍沪生 肖卫国 郑毅 张卓莉 Olivier Bruyère Jean-Yves Reginster Cyrus Cooper 2016中国实用内科杂志2016,36,9:20
15Dextran sulfate sodium-induced colitis-associated neoplasia:a promising model for the development of chemopreventive interventions显示文摘与 ulcerative 大肠炎诊断的个人面对开发颜色的显著地增加的风险表面的发育异常和癌症在他们的一生期间。迄今为止,注意为葡聚糖硫酸盐钠(决策支持系统)的这个 high-riskpopulation.The 鼠标模型被给了 chemopreventive 干预的开发的很少导致了大肠炎代表两个都描绘面对发炎为肿瘤形成要求的分子的事件并且估计精选代理人的能力到的一个优秀现出症状之前的潜的系统在在长期的大肠炎的建立和颜色的开发喝水结果禁止决策支持系统的 thisprocess.Cyclic 管理有人的联系大肠炎的瘤形成类似于那些的病理学的特征的表面的发育异常和癌症。观察的损害的发生和复合变化取决于使用的鼠标紧张(即,瑞士韦伯斯特, C57BL/6J , CBA , ICR )并且剂量(0.7%-5.0%)和瘤形成的 DSS.Theincidence 的时间表( 1-15 周期与或没有一个随后的恢复时期)能被增加,它到侵略癌症的前进由与已知的冒号致癌物在联合管理决策支持系统显著地加速了( azoxymethane ( AOM ), 2-ammo-3-methylimidazo [ 4,5-f ]喹啉( IQ ), 2-amino-l-methyl-6-phenylimidazo [ 4,5-b ] pyridine ( PhTP ))在遗传上定义的老鼠的联系大肠炎的瘤形成的最近的正式就职拉紧的 oriron.More 提供了新卓见进特定的基因的角色(即, adenomatous polyposiscoli ( Apc ), p53 ,可诱导的氮的氧化物 synthase ( i NOS ), Msh2 )在从 chemopreventive 干预的 colitis-associatedneoplasias.Emerging 数据的开发,研究在禁止导致决策支持系统的瘤形成记录几个代理人的功效并且提供 colitis-associatedcolorectal 瘤形成是可防止的疾病的大诺言。Margie Lee CLAPPER Harry Stanley COOPER Wen-Chi Lee CHANG 2007Acta Pharmacologica Sinica2007,28,9:17
16USING DISPLACED CONE REPRESENTATION IN DEA MODELS FOR NONDOMINATED SOLUTIONSIN MULTIOBJECTIVE PROGRAMMING显示文摘Concepts revolving around 'displaced cones' are used to extend the ideas of nondominated solutions in multiobjective programming. Necessary and sufficient conditions are formed around the additive models of DEA to idelltify nondominated solutions. This provdes a basis for effecting contacts with other disciplines and other parts of DEA.W. W. Cooper (Graduate School Of Business, University of Texas at Austin, Austin, Texas, USA 78712-1174)WEI Quanling (Department of Information Management, People’s University of China, Beliing 100872, China) G. Yu (Department of MSIS, University of Texas 1997Systems Science and Mathematical Sciences1997,10,1:17
17加强实施新战略 改革援助非洲医疗工作———记中国援外医疗队派出40周年显示文摘40年来 ,中国援外医疗队在非洲极其困难的条件下 ,不断创造医学奇迹 ,在对外援助方面正在形成自己的特点。当前 ,在我国社会、经济的发展 ,以及政府机构和卫生体制的改革进程中 ,中国援外医疗队的工作出现了亟待解决的“派遣难”和“管理难”等问题。在本世纪 ,面对国际、国内社会经济发展的新问题 ,必须加强实施“走出去”战略 ,改革援助非洲医疗工作。为此 ,当前的新思路是 ,中国援外医疗工作要根据援外工作的实际需要 ,因地制宜 ,积极探索多种援助方式 ,全方位。Department of International Cooperation,Ministry of Healthpp. 2003西亚非洲2003,,5:17
18甲异靛治疗慢性粒细胞白血病 Ⅲ 期临床观察显示文摘目的:进一步考察甲异靛的疗效及副作用。方法:1994年3月~1995年7月中华医学会组织全国甲异靛治疗慢性粒细胞白血病(CML)Ⅲ期临床试验协作组,包括36个省级以上医疗单位,有402例CML患者进入临床观察,可评价疗效的有374例。结果:单一用药,每日75~150mg,总有效率为90.1%,缓解率为81.3%。初治患者疗效优于复治患者,缩脾效果好。获最佳疗效的时间平均为73.3天。副作用主要为不同程度的骨、关节、肌肉的疼痛,消化道反应轻微,近期与长期观察无心、肝、肾功能的损害,所有患者均未发生骨髓抑制。结论:甲异靛是一种新型的治疗CML的药物。Cooperative Study Group of Phase Ⅲ Clinical Trial on Meisoindico,Tianjin 300020 1997中华血液学杂志1997,18,2:16
19Sperm maturation in the epididymis: a new look at an old problem显示文摘面对到他们的成熟精子和他们的回答的渗透的挑战在与精子成熟的概念的关系被讨论,定义为更远侧地恢复的附睾精子的增加的能力使肥沃卵当播种于进女道时。一解释能是更远侧的房间更好能调整他们的体积,并且到达输卵管,作为附睾 osmolytes 的举起的后果。Increasedmotility,带绑定和卵膜熔化能力也在附睾以内被获得并且为最后到达授精的地点的那些房间是必要的。Trevor G. Cooper 2007Asian Journal of Andrology2007,9,4:16
20早期干预促进窒息新生儿智能发育的观察显示文摘将64例足月窒息儿(阿氏评分5分钟≤6分)随机分为干预组(34例)和常规育儿组(30例)。另设正常对照组38例。干预组从新生儿期开始接受早期干预,三组在性别、母亲文化、环境条件及体格发育方面无明显差别。1.5岁智能测查结果,窒息干预级精神发育指数比常规育儿组平均高14.6分(F=18.86,P<0.01),达正常对照组水平(F=2.17P>0.05),而窒息常规育儿组精神发育指数比正常对照组低9.7分(F=10.14P<0.01),其中智力低下者2例(6.7%),干预组中无1例智力低下。结果显示早期干预可促进窒息儿智能发育,有利于防治其智能低下。(EarlyIntrvention of Asphyxiated Newborn Infants Cooperative Research Group, Beijing 100730) 1996中华儿科杂志1996,34,1:16
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