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1Mechanisms underlying feed intolerance in the critically ill: Implications for treatment显示文摘Malnutrition is associated with poor outcomes in critically ill patients. Although nutritional support is yet to be proven to improve mortality in non-malnourished critically ill patients, early enteral feeding is considered best practice. However, enteral feeding is often limited by delayed gastric emptying. The best method to clinically identify delayed gastric emptying and feed intolerance is unclear. Gastric residual volume (GRV) measured at the bedside is widely used as a surrogate marker for gastric emptying, but the value of GRV measurement has recently been disputed. While the mechanisms underlying delayed gastric emptying require further investigation, recent research has given a better appreciation of the pathophysiology. A number of pharmacological strategies are available to improve the success of feeding. Recent data suggest a combination of intravenous metoclopramide and erythromycin to be the most successful treatment, but novel drug therapies should be explored. Simpler methods to access the duodenum and more distal small bowel for feed delivery are also under investigation. This review summarises current understanding of the factors responsible for, and mechanisms underlying feed intolerance in critical illness, together with the evidence for current practices. Areas requiring further research are also highlighted.Adam Deane Marianne J Chapman Robert J Fraser Laura K Bryant Carly Burgstad Nam Q Nguyen 2007World Journal of Gastroenterology2007,13,29:18
2手术及镇痛方式对肠道手术后功能恢复的影响显示文摘目的探讨腹腔镜微创手术以及硬膜外镇痛方式对结直肠手术术后胃肠道功能以及功能性运动能力恢复的影响。方法55例拟行择期肠道手术的病人,按照手术方式和术后镇痛方式分为三组:A组(n=12)为腹腔镜手术+病人静脉自控镇痛(PCIA);B组(n=10)为开腹手术+PCIA;C组(n=33)为开腹手术+硬膜外镇痛。于术前、术后3周和6周观察功能性运动能力(6min行走试验,6MWT)的变化;住院期间观察胃肠道功能(恶心呕吐发生率、首次排气和排便时间)、镇痛质量以及住院时间等指标。结果与术前相比,术后3周6MWT呈显著减退(P<0.05),术后6周则基本恢复接近术前水平,各时点三组间比较差异无显著意义;胃肠道功能(首次排气和排便时间)的恢复A组快于B组(P<0.05);A组住院时间显著短于B、C组(P<0.05)。结论单凭手术方式或镇痛方式无法改善肠道手术后的功能性运动能力受损,但腹腔镜微创手术可以促进胃肠道功能的恢复,缩短住院时间。洪溪 Francesco Carli 黄宇光 叶铁虎 任洪智 罗爱伦 2006临床麻醉学杂志2006,22,5:12
3Liver iron transport显示文摘肝在铁新陈代谢起一个中央作用。它是为铁的主要存储地点并且也表示涉及铁运输和铁动态平衡的规定的分子的一个复杂范围。与肝的铁运输或规定联系的越来越多的基因被识别了。这些包括转铁蛋白受体(TFR1 并且 2 ) , ferrireductase (STEAP3 ) ,运输 ers 二价的金属 transporter-1 (DMT1 ) 和象 haemochromatosis 蛋白质, HFE 和 haemojuvelin (HJV ) 一样的 ferroportin (FPN ) ,它正在表明分子。许多也这些基因参予铁集中于肝的肽 hepcidin 的规章的小径。然而,我们开始仍然仅仅正在理解在肝之间的复杂相互作用熨运输和铁动态平衡。这评论在铁运输和铁动态平衡的规定构画出我们铁新陈代谢和他们的角色的分子的当前的知识。Ross M Graham Anita CG Chua Carly E Herbison John K Olynyk Debbie Trinder 2007World Journal of Gastroenterology2007,13,35:12
4Review of nonalcoholic fatty liver disease in women with polycystic ovary syndrome显示文摘Polycystic ovary syndrome(PCOS) is the most common endocrine disorder in reproductive-aged women. Women with PCOS frequently have metabolic complications including insulin resistance(IR), early diabetes, hypertension and dyslipidemia. Recent studies have demonstrated an association between PCOS and another metabolic complication: nonalcoholic fatty liver disease(NAFLD). NAFLD occurs as a result of abnormal lipid handling by the liver, which sensitizes the liver to injury and inflammation. It can progress to nonalcoholic steatohepatitis(NASH), which is characterized by hepatocyte injury and apoptosis. With time and further inflammation, NASH can progress to cirrhosis. Thus, given the young age at which NAFLD may occur in PCOS, these women may be at significant risk for progressive hepatic injury over the course of their lives. Many potential links between PCOS and NAFLD have been proposed, most notably IR and hyperandrogenemia. Further studies are needed to clarify the association between PCOS and NAFLD. In the interim, clinicians should be aware of this connection and consider screening for NAFLD in PCOS patients who have other metabolic risk factors. The optimal method of screening is unknown. However, measuring alanine aminotransferase and/or obtaining ultrasound on high-risk patients can be considered. First line treatment consists of lifestyle interventions and weight loss, with possible pharmacologic interventions in some cases.Carly E Kelley Ann J Brown Anna Mae Diehl Tracy L Setji 2014World Journal of Gastroenterology2014,20,39:11
5肥胖患者的冠状动脉微血管功能障碍和心血管病风险显示文摘全世界有〉5亿的肥胖人群,其心血管病风险增加的病理生理机制是复杂的,并且可能涉及脂肪细胞相关因子的过量分泌,导致血管氧化应激增加,神经激素活性上调,以及低度全身炎症,可能导致交感神经系统激活增加,血管张力改变,冠状动脉微血管功能障碍(coronary microvascular dysfunction, CMD) 。Bajaj NS Osborne MT Gupta A Tavakkoli A Bravo PE Vita T Bibbo CF Hainer J Dorbala S Blankstein R Bhatt DL Di Carli MF Taqueti VR 刘青 叶鹏 2018中华高血压杂志2018,26,9:11
6为 Budd-Chiari 症候群的 caval 自体移植片由于劣等的静脉 cava 阻塞显示文摘 Transjugular intrahepatic portosystemic shunt (TIPS) is the standard treatment of Budd-Chiari syndrome (BCS) non responsive to medical therapy. However, patients with inferior vena cava (IVC) obstruction proximal to the atrium do not benefit from TIPS and a surgical approach is mandatory. We report the case of BCS due to intrapericardial IVC obstruction. We describe a novel surgical approach using a fresh caval homograft. An attempt to balloon dilatation of the IVC obstruction was complicated by right atrial disruption with tamponade and ventricular fibrillation. Lately, the patient successfully underwent a reconstruction of the cavo-atrial continuity by the interposition of a fresh caval homograft, a novel surgical approach never described before for BCS. Further follow-up revealed progressive reduction and resolution of ascites, and overall clinical improvement. IVC obstruction near to the atrium can be surgically approached with a new technique consisting in inferior vena cava resection and replacement with a caval homograft.Andrea Mancuso Luigi Martinelli Luciano De Carlis Antonio Gaetano Rampoldi Giovanni Magenta Aldo Cannata Luca Saverio Belli 2013World Journal of Hepatology2013,5,5:9
7Nitrogen deposition and reduction of terrestrial biodiversity:Evidence from temperate grasslands显示文摘Biodiversity is thought to be essential for ecosystem stability, function and long-term sustainability. Since nitrogen is the limiting nutrient for plant growth in many terrestrial ecosystems, reactive nitrogen has the potential to reduce the diversity of terrestrial vegetation and associated biota through favouring species adapted to quickly exploiting available nutrients. Although the potential has long been recognised, only recently has enough evidence come together to show beyond reasonable doubt that these changes are already occurring. Linked together, experimental, regional/e.rnpirical, and time-series research provide a powerful argument that enhanced deposition of reactive nitrogen across Great Britain, and potentially the rest of Europe, has resulted in a significant and ongoing decline in grassland species richness and diversity.Nancy B.Dise Carly J.Stevens 2005Science China(Life Sciences)2005,48,z2:8
8Current status and perspectives in split liver transplantation显示文摘Growing experience with the liver splitting technique and favorable results equivalent to those of whole liver transplant have led to wider application of split liver transplantation(SLT) for adult and pediatric recipients in the last decade. Conversely, SLT for two adult recipients remains a challenging surgical procedure and outcomes have yet to improve. Differences in organ shortages together with religious and ethical issues related to cadaveric organ donation have had an impact on the worldwide distribution of SLT. Despite technical refinements and a better understanding of the complex liver anatomy, SLT remains a technically and logistically demanding surgical procedure. This article reviews the surgical and clinical advances in this field of liver transplantation focusing on the role of SLT and the issues that may lead a further expansion of this complex surgical procedure.Andrea Lauterio Stefano Di Sandro Giacomo Concone Riccardo De Carlis Alessandro Giacomoni Luciano De Carlis 2015World Journal of Gastroenterology2015,21,39:8
9家庭责任是女性职业晋升道路上的绊脚石吗?显示文摘过去,人们习惯用'玻璃天花板'一词形容女性在晋升过程中遭受的性别歧视。位高权重且报酬丰厚的高层领导职位似乎近在咫尺,但'玻璃天花板'却横亘在女性面前,成了她们无法跨越的障碍。现在,随着越来越多的女性开始担任高级领导职务,'玻璃天花板'所代表的那些无法逾越的障碍已经不复存在,但就整个就业层次结构来看,女性就业仍然呈现出典型的金字塔结构,能够高居金字塔顶端者依然是凤毛麟角。于是,人们开始用一个新的比喻——'迷宫'来描述女性在获取领导权的蜿蜒崎岖、险象环生的道路上遇到的各种挑战。本文将从家庭内部劳动分工的角度入手,分析家庭责任给女性职场生涯带来的负面影响。Alice H. Eagly Linda L. Carli 王丽(译) 2012经济资料译丛2012,,3:7
10瞬态诱发耳声发射在农村学龄儿童听力筛查中的应用显示文摘目的探讨瞬态诱发耳声发射(transient evoked otoaeoustic emission,TEOAE)应用于中国农村学龄儿童听力筛查的意义和可行性。方法用Madsen Celesta 503耳声发射仪对317例(634耳)正常农村小学1-6年级学生进行听力筛查,并用耳镜、纯音测听和鼓室导抗图系列检查作为“金标准”,验证其结果。结果317例(634耳)儿童TEOAE的通过率为94.64%(600/634),金标准的通过率为94.48%(599/634)。TEOAE测试中,一致百分率为96.69%±0.71%,灵敏度为0.69±0.078(69%±7.8%),特异度为0.98±0.0052(98%±0.52%),漏诊率β=0.31,误诊率α=0.02,Youden指数J=0.67±0.078,阳性似然比LR+=34.5,阴性似然比LR_=0.32,阳性预报值PV+=0.71(71%),阴性预报值PV_=0.98(98.%),AZ=0.8。结论TEOAE测试具有方便、快速、无创、灵敏、客观等优点,是较好的中国农村学龄儿童听力筛查的方法。李晓璐 卜行宽 Carlie Driscoll 2006听力学及言语疾病杂志2006,14,2:7
11Decentralized Control for Residential Energy Management of a Smart Users' Microgrid with Renewable Energy Exchange显示文摘This paper presents a decentralized control strategy for the scheduling of electrical energy activities of a microgrid composed of smart homes connected to a distributor and exchanging renewable energy produced by individually owned distributed energy resources. The scheduling problem is stated and solved with the aim of reducing the overall energy supply from the grid, by allowing users to exchange the surplus renewable energy and by optimally planning users' controllable loads. We assume that each smart home can both buy/sell energy from/to the grid taking into account time-varying non-linear pricing signals. Simultaneously, smart homes cooperate and may buy/sell locally harvested renewable energy from/to other smart homes. The resulting optimization problem is formulated as a non-convex non-linear programming problem with a coupling of decision variables in the constraints. The proposed solution is based on a novel heuristic iterative decentralized scheme algorithm that suitably extends the Alternating Direction Method of Multipliers to a non-convex and decentralized setting. We discuss the conditions that guarantee the convergence of the presented algorithm. Finally, the application of the proposed technique to a case study under several scenarios shows its effectiveness.Raffaele Carli Mariagrazia Dotoli 2019IEEE/CAA Journal of Automatica Sinica2019,6,3:6
12Current cancer therapies and their influence on glucose control显示文摘This review focuses on the development of hyperglycemia arising from widely used cancer therapies spanning four drug classes.These groups of medications were selected due to their significant association with new onset hyperglycemia,or of potentially severe clinical consequences when present.These classes include glucocorticoids that are frequently used in addition to chemotherapy treatments,and the antimetabolite class of 5-fluorouracil-related drugs.Both of these classes have been in use in cancer therapy since the 1950s.Also considered are the phosphatidyl inositol-3-kinase(PI3K)/AKT/mammalian target of rapamycin(mTOR)-inhibitors that provide cancer response advantages by disrupting cell growth,proliferation and survival signaling pathways,and have been in clinical use as early as 2007.The final class to be reviewed are the monoclonal antibodies selected to function as immune checkpoint inhibitors(ICIs).These were first used in 2011 for advanced melanoma and are rapidly becoming widely utilized in many solid tumors.For each drug class,the literature has been reviewed to answer relevant questions about these medications related specifically to the characteristics of the hyperglycemia that develops with use.The incidence of new glucose elevations in euglycemic individuals,as well as glycemic changes in those with established diabetes has been considered,as has the expected onset of hyperglycemia from their first use.This comparison emphasizes that some classes exhibit very immediate impacts on glucose levels,whereas other classes can have lengthy delays of up to 1 year.A comparison of the spectrum of severity of hyperglycemic consequences stresses that the appearance of diabetic ketoacidosis is rare for all classes except for the ICIs.There are distinct differences in the reversibility of glucose elevations after treatment is stopped,as the mTOR inhibitors and ICI classes have persistent hyperglycemia long term.These four highlighted drug categories differ in their underlying mechanisms driving hyperglycemia,with clinical presentations ranging from potent yet transient insulin resistant states[type 2 diabetes mellitus(T2DM)-like]to rare permanent insulin-deficient causes of hyperglycemia.Knowledge of the relative incidence of new onset hyperglycemia and the underlying causes are critical to appreciate how and when to best screen and treat patients taking any of these cancer drug therapies.Carly Yim Kerry Mansell Nassrein Hussein Terra Arnason 2021World Journal of Diabetes2021,12,7:5
13Predicting survival after liver transplantation in patients with hepatocellular carcinoma beyond the Milan criteria: a retrospective, exploratory analysis显示文摘Vincenzo Mazzaferro Josep M Llovet Rosalba Miceli Sherrie Bhoori Marcello Schiavo Luigi Mariani Tiziana Camerini Sasan Roayaie Myron E Schwartz Gian Luca Grazi René Adam Peter Neuhaus Mauro Salizzoni Jordi Bruix Alejandro Forner Luciano De Carlis Umberto 2009Lancet Oncology2009,,1:4
14Impact of the COVID-19 pandemic on liver donation and transplantation:A review of the literature显示文摘The coronavirus disease 2019(COVID-19)pandemic has upended healthcare systems worldwide and led to an inevitable decrease in liver transplantation(LT)activity.During the first pandemic wave,administrators and clinicians were obliged to make the difficult decision of whether to suspend or continue a lifesaving procedure based on the scarce available evidence regarding the risk of transmission and mortality in immunosuppressed patients.Those centers where the activity continued or was heavily restricted were obliged to screen donors and recipients,design COVID-safe clinical pathways,and promote telehealth to prevent nosocomial transmission.Despite the ever-growing literature on COVID-19,the amount of high-quality literature on LT remains limited.This review will provide an updated view of the impact of the pandemic on LT programs worldwide.Donor and recipient screening,strategies for waitlist prioritization,and posttransplant risk of infection and mortality are discussed.Moreover,a particular focus is given to the possibility of donor-to-recipient transmission and immunosuppression management in COVID-positive recipients.Riccardo De Carlis Ivan Vella NiccolòIncarbone Leonardo Centonze Vincenzo Buscemi Andrea Lauterio Luciano De Carlis 2021World Journal of Gastroenterology2021,27,10:4
15Population-standardized genetic risk score: the SNP-based method of choice for inherited risk assessment of prostate cancer显示文摘几条不同途径对为决定前列腺癌症(PCa ) 风险的临床医生可得到。利用单个核苷酸多型性(SNP ) 的各种各样的 PCa 风险评价方法的临床的有效性被建立了;然而,这些基于 SNP 的方法没被比较。这研究的目的是为 PCa 风险评价比较三个最通常使用的基于 SNP 的方法。参加者是人(n = 1654 ) 在 PCa 开发的未来的研究注册了。59 PCa 联系风险的 SNP 的遗传型在这个队是可得到的。精明的基于 SNP 的基因风险分数(GRS ) 的三个方法被用于象风险等位基因计数那样的单个疾病风险的评估(GRS 皇家装甲兵) ,加权的风险等位基因计数(GRS-wRAC ) ,和标准化人口的基因风险得分(GRS-PS ) 。吝啬的 GRS 被计算,并且表演在操作典型曲线(AUC ) 和积极预兆的价值(PPV ) 的接收装置下面用区域被比较。所有基于 SNP 的方法被发现独立地与 PCa 被联系(所有 P <0.05;因此他们的临床的有效性) 。分别地,在人与或没有 GRS 皇家装甲兵使用的 PCa 的吝啬的 GRS 用 GRS-wRAC 是 55.15 和 53.46 分别地,是 7.42 和 6.97,使用的 GRS-PS 是 1.12 和 0.84,分别地(所有 P <0.05 为病人与或没有 PCa 之间的差别) 。在基于 AUC 从 non-PCa 区别 PCa 并且在预言 PCa 同样执行的所有三个基于 SNP 的方法基于 PPV 冒险(所有 P >0.05 为在三个方法之间的比较) ,并且所有三个基于 SNP 的方法比家庭历史有显著地更高的 AUC (所有 P <0.05 ) 。从这研究的结果建议当三个大多数通常使用了时, 基于SNP 的方法在在人口水平从 non-PCa 区别 PCa 同样表现了,因为, GRS-PS 是为在单个水平的风险评价的选择的方法它的价值(在 1.0 代表平均人口风险的地方)能容易不管在计算使用的联系风险的 SNP 的数字被解释。Carly A Conran Rong Na Haitao Chen Deke Jiang Xiaoling Lin S Lilly Zheng Charles B Brendler Jianfeng Xu 2016Asian Journal of Andrology2016,18,4:4
16Liver transplantation in the treatment of severe iatrogenic liver injuries显示文摘The place of liver transplantation in the treatment of severe iatrogenic liver injuries has not yet been widely discussed in the literature. Bile duct injuries during cholecystectomy represent the leading cause of liver transplantation in this setting, while other indications after abdominal surgery are less common. Urgent liver transplantation for the treatment of severe iatrogenic liver injury may-represent a surgical challenge requiring technically difficult and time consuming procedures. A debate is ongoing on the need for centralization of complex surgery in tertiary referral centers. The early referral of patients with severe iatrogenic liver injuries to a tertiary center with experienced hepato-pancreatobiliary and transplant surgery has emerged as the best treatment of care. Despite widespread interest in the use of liver transplantation as a treatment option for severe iatrogenic injuries, reported experiences indicate few liver transplants are performed. This review analyzes the literature on liver transplantation after hepatic injury and discusses our own experience along with surgical advances and future prospects in this uncommon transplant setting.Andrea Lauterio Riccardo De Carlis Stefano Di Sandro Fabio Ferla Vincenzo Buscemi Luciano De Carlis 2017World Journal of Hepatology2017,9,24:4
17Outcomes of Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding显示文摘AIM:To evaluate weight loss and surgical outcomes of Roux-en-Y gastric bypass(RYGB)and laparoscopic adjustable gastric band(LAGB).METHODS:Data relating to changes in body mass index(BMI)and procedural complications after RYGB(1995-2009;n=609;116M:493F;42.4±0.4 years)or LAGB(2004-2009;n=686;131M:555F;37.2±0.4years)were extracted from prospective databases.RESULTS:Pre-operative BMI was higher in RYGB than LAGB patients(46.8±7.1 kg/m2vs 40.4±4.2 kg/m2,P<001);more patients with BMI<35 kg/m2underwent LAGB than RYGB(17.1%vs 4.1%,P<0.0001).BMI decrease was greater after RYGB.There were direct relationships between weight loss and pre-operative BMI(P<0.001).Although there was no difference in weight loss between genders during the first 3-year post-surgery,male LAGB patients had greater BMI reduction than females(-8.2±4.3 kg/m2vs-3.9±1.9kg/m2,P=0.02).Peri-operative complications occurred more frequently following RYGB than LAGB(8.0%vs0.5%,P<0.001);majority related to wound infection.LAGB had more long-term complications requiring corrective procedures than RYGB(8.9%vs 2.1%,P<0.001).Conversion to RYGB resulted in greater BMI reduction(-9.5±3.8 kg/m2)compared to removal and replacement of the band(-6.0±3.0 kg/m2).Twelve months post-surgery,fasting glucose,total cholesterol and low density lipoprotein levels were significantly lower with the magnitude of reduction greater in RYGB patients.CONCLUSION:RYGB produces substantially greater weight loss than LAGB.Whilst peri-operative complications are greater after RYGB,long-term complication rate is higher following LAGB.Nam Q Nguyen Philip Game Justin Bessell Tamara L Debreceni Melissa Neo Carly M Burgstad Pennie Taylor Gary A Wittert 2013World Journal of Gastroenterology2013,19,36:3
18A Prospective Policy Development to Increase Split-Liver Transplantation for 2 Adult Recipients: Results of a 12-Year Multicenter Collaborative Study显示文摘Paolo Aseni Tullia Maria De Feo Luciano De Carlis Umberto Valente Michele Colledan Umberto Cillo Giorgio Rossi Vincenzo Mazzaferro Matteo Donataccio Nicola De Fazio Enzo Andorno Patrizia Burra 2014Annals of Surgery2014,,1:3
19Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS ? ) Society Recommendations显示文摘J. Nygren J. Thacker F. Carli K. C. H. Fearon S. Norderval D. N. Lobo O. Ljungqvist M. Soop J. Ramirez 2013World Journal of Surgery2013,,2:3
20Impact of a trimodal prehabilitation program on functional recovery after colorectal cancer surgery: a pilot study显示文摘Chao Li Francesco Carli Lawrence Lee Patrick Charlebois Barry Stein Alexander S. Liberman Pepa Kaneva Berson Augustin Mingkwan Wongyingsinn Ann Gamsa Do Jun Kim Melina C. Vassiliou Liane S. Feldman 2013Surgical Endoscopy2013,,4:3
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