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| 1 | Innovation of endoscopic management in difficult common bile duct stone in the era of laparoscopic surgery显示文摘Common bile duct(CBD)stone is a common biliary problem,which often requires endoscopic approach as the initial treatment option.Roughly,7%-12%of the subjects who experience cholecystectomy were subsequently referred to biliary endoscopist for further management.In general,there are three classifications of difficult CBD stone,which are based on the characteristics of the stone(larger than 15 mm,barrel or square-shaped stones,and hard consistency),accessibility to papilla related to anatomical variations,and other clinical conditions or comorbidities of the patients.Currently,endoscopic papillary large balloon dilation(EPLBD)of a previous sphincterotomy and EPLBD combined with limited sphincterotomy performed on the same session is still recommended by the European Society of Gastrointestinal Endoscopy as the main approach in difficult CBD stones with history of failed sphincterotomy and balloon and/or basket attempts.If failed extraction is still encountered,mechanical lithotripsy or cholangioscopy-assisted lithotripsy or extracorporeal shockwave lithotripsy can be considered.Surgical approach can be considered when stone extraction is still failed or the facilities to perform lithotripsy are not available.To our knowledge,conflicting evidence are still found from previous studies related to the comparison between endoscopic and surgical approaches.The availability of experienced operator and resources needs to be considered in creating individualized treatment strategies for managing difficult biliary stones. | Cosmas Rinaldi Adithya Lesmana Maria Satya Paramitha Laurentius Adrianto Lesmana | 2021 | World Journal of Gastrointestinal Endoscopy2021，13，7： | 9 |
| 2 | Diversity and distribution pattern of riparian plant species in the Wami River system, Tanzania显示文摘Aims The Wami River system is among the most important rivers for ripar-ian plant biodiversity conservation but it is potentially threatened by anthropogenic activities.This study was aimed to determine riparian plant species diversity and distribution patterns in relation to the anthropogenic disturbances.Methods The transect method was used to collect vegetation data.Transects were established perpendicular to the river at intervals of 50 m downstream and five plots were systematically established,sepa-rated by 5-m distance along each transect.Important Findings A total of 261 plant species in 68 families were recorded in the Wami River system with a Shannon diversity index in the range of 1.63-2.94 and a significantly decreasing trend downstream.Using the two-way indicator species analysis(TWiNSPAN),three plant communities(A,B and C)emerged based on variations in riparian plant species composition among sites.Canonical correspondence analysis(CCA)indicated that the spatial pattern of riparian plant species was significantly influenced by environmental variables.This implies that the plant species composition gradients and spatial assemblages of vegetation communities are a result of human disturbances.Because of the fragile nature of the riparian system,some species are more vulnerable than others and hence there is an urgent need for better land use planning to conserve riparian plant biodiversity in the sub-basin of Wami River. | Cosmas Mligo | 2017 | Journal of Plant Ecology2017，10，2： | 5 |
| 3 | Meta分析法研究亚麻籽对蛋黄中多不饱和脂肪酸的影响显示文摘为研究蛋鸡日粮中添加亚麻籽对蛋黄中多不饱和脂肪酸富集的影响,根据相关标准,采用人工和系统的检索方法检索相关文章,并用荟萃分析(Meta-analysis)的方法分析计算合并标准均数差(SMD)及95%置信区间(95%CI)。通过检索与筛选,共有8篇文章21个试验被纳入,共包括1390个研究对象。Meta分析的结果显示:蛋黄中亚麻酸(ALA)、二十二碳六烯酸(DHA)、亚油酸(LA)、总n-3多不饱和脂肪酸(n-3PUFA)、花生四烯酸(AA)、总n-6多不饱和脂肪酸(n-6PUFA)、n-6PUFA/n-3PUFA的SMD和95%CI分别为17.51(13.34,21.69)、5.39(4.22,6.55)、0.42(-0.39,1.23)、8.86(7.59,10.14)、-1.62(-2.54,-0.70)、-0.44(-0.97,0.08)和-5.22(-6.62,-3.82);混合线性模型的结果显示:DHA和n-3PUFA的异质性来源为亚麻籽添加剂量,蛋黄中ALA、AA、LA和n-6PUFA/n-3PUFA的异质性来源为亚麻籽的添加剂量和蛋鸡产蛋周龄。由分析结果可知,蛋鸡日粮中添加亚麻籽能显著提高蛋黄中的ALA、DHA及n-3PUFA的含量并能显著降低AA和n-6PUFA/n-3PUFA的水平,且富集水平受到亚麻籽添加剂量和蛋鸡产蛋周龄的影响。 | 岳巧娴 黄晨轩 Chola Cosmas 许颖珏 锡建中 陈辉 许利军 王德贺 郝二英 周荣艳 | 2019 | 中国饲料2019，，1： | 4 |
| 4 | Hepatic lipid metabolism and non-alcoholic fatty liver disease显示文摘 | P. Tessari A. Coracina A. Cosma A. Tiengo | 2009 | Nutrition, Metabolism and Cardiovascular Diseases2009，，4： | 2 |
| 5 | Chest pain caused by multiple exostoses of the ribs: A case report and a review of literature显示文摘The aim of this paper is to report an exceptional case of multiple internal exostoses of the ribs in a young patient affected by multiple hereditary exostoses(MHE) coming to our observation for chest pain as the only symptom of an intra-thoracic localization. A 16 years old patient with familiar history of MHE came to our observation complaining a left-sided chest pain. This pain had increased in the last months with no correlation to a traumatic event. The computed tomography(CT) scan revealed the presence of three exostoses located on the left third, fourth and sixth ribs, all protruding into the thoracic cavity, directly in contact with visceral pleura. Moreover, the apex of the one located on the sixth rib revealed to be only 12 mm away from pericardium. Patient underwent video-assisted thoracoscopy with an additional 4-cm mini toracotomy approach. At the last 1-year followup, patient was very satisfied and no signs of recurrence or major complication had occured. In conclusion, chest pain could be the only symptom of an intra-thoracic exostoses localization, possibly leading to serious complications. Thoracic localization in MHE must be suspected when patients complain chest pain. A chest CT scan is indicated to confirm exostoses and to clarify relationship with surrounding structures. Video-assisted thoracoscopic surgery can be considered a valuable option for exostoses removal, alone or in addiction to a mini-thoracotomy approach, in order to reduce thoracotomy morbidity. | Daniele Mazza Mattia Fabbri Cosma Calderaro Carlo Iorio Luca Labianca Camilla Poggi Francesco Turturro Antonello Montanaro Andrea Ferretti | 2017 | World Journal of Orthopedics2017，8，5： | 2 |
| 6 | Nitric oxide synthesis is re- duced in subjects with type 2 diabetes and nephropathy显示文摘 | Tessari P Cecchet D Cosma A | 2010 | Dia- betes2010，59，9： | 1 |
| 7 | Hepatic lipid metabolism and non-alcoholic fatty liver disease显示文摘 | Tessari P Coracina A Cosma A | | 0，，04： | 1 |
| 8 | Periodic Activation of Wnt/β-Catenin Signaling Enhances Somatic Cell Reprogramming Mediated by Cell Fusion显示文摘 | Frederic Lluis Elisa Pedone Stefano Pepe Maria Pia Cosma | 2008 | Cell Stem Cell2008，，5： | 1 |
| 9 | The avail- ability of soil boron fractions to olive trees and barley and their relationships to soil properties显示文摘 | Tsadilas C D Yassoglou C S Cosmas C S | 1994 | Plant and Soil1994，162，： | 1 |
| 10 | Hepatic lipid metabolism and non-alcoholic fatty liver disease显示文摘 | P. Tessari A. Coracina A. Cosma A. Tiengo | 2009 | Nutrition Metabolism and Cardiovascular Diseases2009，，4： | 1 |
| 11 | The effect of Cadmium on the formalion and properties of hydroxyapatite in vitro and its rela tion to cadmium toxicity in the skeletal system显示文摘 | Blumenlhal N C Cosma V Skyler D | 1995 | Calcified Tissue International1995，56，： | 1 |
| 12 | Enhanced HIV infectivity and changesin GP120 conformation associated with viral incorporation of human leucocyte antigen class I molecules 显示文摘 | Cosma A Blanc D Braun J | 1999 | AIDS1999，13，15： | 1 |
| 13 | Power-law distributions in empirical data 显示文摘 | Aaron Clauset Cosma Rohilla Shalizi NEWMAN M E J | 2009 | SIAM Review2009，51，： | 1 |
| 14 | Relationship between genotype and function of the human CYP1A1 gene 显示文摘 | COSMA G CROFTS F TAIOLI E | 1993 | J Toxicol Environ Health1993，40，23： | 1 |
| 15 | Exercise training alters skeletal muscle mitochondrial morphometry in heart failure patients显示文摘 | Santoro C Cosmas A Forman D | 2002 | J Cardiovasc Risk2002，9，6： | 1 |
| 16 | A novel CYP1A1 gene polymorphism in African-Americans 显示文摘 | Crofts F Cosma GN Currie D | 1993 | Carcinogenesis1993，14，9： | 1 |
| 17 | Characterization of fractured rock inthe vicinity of tunnels by the swept impact seismic tech-nique 显示文摘 | Cosma C Enescu N | 2001 | International Journal of Rock Mechanics andMining Sciences2001，38，6： | 1 |
| 18 | The secret lives of the pathogenic myeobacteria 显示文摘 | Cosma CL Sherman DR RamakrL hnan L | 2003 | Annu Rev Micrabiol2003，57，： | 1 |
| 19 | The Cpx two-component signal transduction pathway of Escherichia coil regulates transcription of the gene specifying the stress-inducible periplasmic protease, DegP显示文摘 | DANESE P N SNYDER W B COSMA C L | 1995 | Genes Dev1995，9，4： | 1 |
| 20 | Characterization of Video Codecs as Autoregressive Moving Average Processes and Related Queuing System Performance 显示文摘 | Grunenfelder R Cosmas J P Manthorpe S | 1991 | IEEE JSAC1991，9，3： | 1 |
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