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1尿钠排泄、血压、心血管病与死亡率的关系:社区前瞻性流行病学队列研究显示文摘WHO建议人群钠摄人<2 g/d作为预防心血管病的措施之一,但这一目标在任何国家都没有实现。该建议主要基于短期血压试验的个体水平数据,没有来自随机试验或观察性研究的关于低钠摄入与降低心血管事件的数据。前瞻性城市农村流行病学研究目前正在21个国家进行。该文对其中18个国家的数据进行分析,其中包含了临床结果数据。Mente A O'Donnell M Rangarajan S McQueen M Dagenais G Wielgosz A Lear S Ah STL Wei L Diaz R Avezum A Lopez-Jaramillo P Lanas F Mony P Szuba A Iqbal R Yusuf R Mohammadifard N Khatib R Yusoff K Ismail N Gulec S Rosengren A Yusufali A Kruger L Tsolekile LP Chifamba J Dans A Alhabib KF Yeates K Teo K Yusuf S 刘莉 叶鹏 2018中华高血压杂志2018,26,12:29
2限制性与自由输血策略对心血管疾病患者非心脏手术效果的影响:系统回顾与Meta分析显示文摘目的比较采取限制性与自由输血策略的心血管疾病患者的非心脏手术结局。数据来源搜集涉及医院红细胞输注阈值的随机控制试验。检索CENTRAL、Medline、EMBase、CINAHL、PubMed、LILACS、NHSBT输血证据库、Clinical Trials.gov、WHO国际临床试验注册平台、国际标准随机对照临床试验编号登记、欧盟临床试验登记。检索时间为2015-11-02之前。试验选择选取发表与未发表的比较限制性与自由输血阈值的随机控制试验,试验均纳入心血管疾病患者。结果检索到41项试验,其中7项试验纳入心血管疾病患者。另选取4项纳入心血管疾病患者的试验。最终共搜集11项纳入心血管疾病患者(n=3 033)的试验进行Meta分析(限制性输血1 514例,自由输血1 519例)。输血阈值与30 d死亡率之间联系的汇集风险比例为1.15〔95%CI(0.88,1.50),P=0.50〕,异质性较小(I^2=14%)。限制性输血患者的急性冠脉综合征风险与自由输血患者相比更高〔9项试验;风险比例1.78,95%CI(1.18,2.70),P=0.01,I^2=0%〕。结论对急性冠脉综合征或慢性心血管疾病患者采取80 g/L以下的限制性输血阈值可能并不安全,对病死率与其他结局的影响并不确定。这些数据可暂时支持对急性或慢性心血管疾病患者使用更加自由的输血阈值(>80 g/L),但有待更具有说服力的高质量的心血管疾病患者随机试验进行验证。Docherty AB O' Donnell R Brunskill S 本刊编辑部 2016中国全科医学2016,19,15:12
3Use of Voltage Limits for Current Limitations in Grid-forming Converters显示文摘Renewable generation interfaced through gridforming converters are proposed as a replacement for synchronous generators in power systems.However,compared to the synchronous generator,the power electronics converter has a strict limit on the current to avoid overcurrent damage.The gridforming converter acts like a voltage source,directily controlling the voltage.This conflicts with the operation of the conventional current limit control,which is applied to a current source.The switch between the voltage control and current control aimed to impose the current limit leads to synchronization instability.This paper proposes a novel control scheme which can be applied to the grid forming voltage control in order to enforce current limits.The proposed method has been verified through simulation and hardware tests in both symmetrical and asymmetrical faults to perform current suppression while maintaining synchronization stability in the voltage control mode.Junru Chen Federico Prystupczuk Terence O’Donnell 2020CSEE Journal of Power and Energy Systems2020,6,2:12
4有机物料对污染土壤微生物碳和磷的影响显示文摘施用不同的有机物料对污染土壤微生物量及其磷素的固定作用的研究发现 ,有机物料施入污染土壤之后 ,土壤微生物碳 (C)在第 3d即达到高峰 ,土壤微生物磷 (P)在第 10d达到高峰 ,腐熟的牛粪对该土壤磷的活化作用很大 ,而葡萄糖的处理显著地降低了污染土壤磷的有效性 ,并不同程度地增加了对土壤磷的生物固定。王艳 孙杰 吴金水 A.G.O’Donnell 2000植物营养与肥料学报2000,6,3:9
5Determinants of the impact of blood pressure variability on neurological outcome after acute ischaemic stroke显示文摘Introduction: Increased blood pressure variability (BPV) is detrimental after acute ischaemic stroke, but the interaction between BPV and neuroimaging factors that directly influence stroke outcome has not been explored. Methods: We retrospectively reviewed inpatients from 2007 to 2014 with acute anterior circulation ischaemic stroke, CT perfusion and angiography at hospital admission, and a modified Rankin Scale (MRS) 30- 365 days after stroke onset. BPV indices included SD, coefficient of variation and successive variation of the systolic blood pressure between 0 and 120 hours after admission. Ordinal logistic regression models were fitted to MRS with predictor variables of BPV indices. Models were further stratified by CT perfusion volumetric measurements, proximal vessel occlusion and collateral score. Results: 110 patients met the inclusion criteria. The likelihood of a 1-point rise in the MRS increased with every 10 mm Hg increase in BPV (OR for the 3 BPV indices ranged from 2.27 to 5.54), which was more pronounced in patients with larger ischaemic core volumes (OR 8.37 to 18.0) and larger hypoperfused volumes (OR 6.02 to 15.4). This association also held true for patients with larger mismatch volume, proximal vessel occlusion and good collateral vessels. Conclusions: These results indicate that increased BPV is associated with worse neurological outcome after stroke, particularly in patients with a large lesion core volume, concurrent viable ischaemic penumbra, proximal vessel occlusion and good collaterals. This subset of patients, who are often not candidates for or fail acute stroke therapies such as intravenous tissue plasminogen activator or endovascular thrombectomy, may benefit from interventions aimed at reducing BPV.Adam de Havenon Alicia Bennett Gregory J Stoddard Gordon Smith Lee Chung Steve O’Donnell J Scott McNally David Tirschwell Jennifer J Majersik 2017Stroke & Vascular Neurology2017,2,1:6
6否思“后真相”:基于李普曼舆论学视角显示文摘当前西方后真相研究涵盖哲学、政治学、传播学、舆论学等学科,触及当代哲学中有关“真理”“客观事实”等诸多理论讨论。“后真相”的定义强调“客观事实”在舆论形成过程中的作用被大大削弱了,但“舆论”作为这个定义中的关键词却没有引起西方学界的足够重视。借鉴李普曼的舆论学理论视角对后真相的定义进行批判性反思发现:舆论形成的最大动因是“虚构”,而不是“客观事实”;并且,基于李普曼对人类语言主观性的思考,有必要指出“客观事实”和“事实的客观性”的区别。研究认为西方的价值观、偏见及思维方式使得后真相研究的局限性十分突出。后真相研究需要从客观事实回到完整的人,他们不是为某种假定的“真相”所制约的人,而是在解蔽过程中不断开放的人。Elliot O’Donnell 刘学蔚 2020新闻与传播评论2020,73,3:6
7阿司匹林及氯吡格雷双抗与阿司匹林单药治疗急性轻度缺血性卒中及高危短暂性脑缺血发作的比较:系统综述及meta分析显示文摘目的为了评估对于急性轻度缺血性卒中及短暂性脑缺血发作(TIA)患者应用联合阿司匹林及氯吡格雷双抗治疗,相较于单用阿司匹林,预防血栓再发及出血事件的有效性及安全性。研究设计对随机、安慰剂对照研究进行系统综述及meta分析。Qiukui Hao Malavika Tampi Martin O' Donnell Farid Foroutan Reed AC Siemieniuk Gordon Guyatt 李洁(译) 毛晨晖(校) 2019英国医学杂志中文版2019,22,5:5
8New models for chronic disease management in the United States and China显示文摘In the United States(US)the role of the general practitioner in primary care is changing rapidly as the team leader in the new“Patient-centered Medical Home”model of care that is designed to improve the management of chronic disease.The“Collaborative Care Model”is an integrated model of treating multiple medical and behavioral conditions.These new approaches include a nurse case manager who serves as the key point of contact to provide education,facilitate treatment adherence,and guide the patient to improvements in nutrition and physical activity that cause obesity and chronic disease.A gap analysis was conducted comparing the US and Chinese general practitioner models for providing care to patients with chronic diseases.The results of the analysis were used to make recommendations for adding components of these models that are feasible and effective for Chinese general practitioners in community health centers.Ronald R.O’Donnell 2014Family Medicine and Community Health2014,2,4:5
9卫生技术评估:全球经验综述显示文摘一、《健康价值》特刊中的卫生技术评估综述近来,在药物发展和卫生管理领域中,卫生技术评估(Health Technology Assessment,HTA)引发了较多的关注和争议。这是由于HTA带来的高风险收益引起了人们的兴趣。对HTA结果的理解很大程度上取决于各主体的视角。评论家认为,目前HTA的应用还仅限于对新医疗技术进行评估以设置其使用上的限制,但更应提倡运用HTA技术达到促进资源的有效配置及改善群体健康的目的。John C.O'Donnell PhD Sissi V.Pham PharmD Chris L.Pashos DavidW.Miller Marilyn Dix Smith BPharm 刘庆婧 吴晶 2010中国药物经济学2010,,1:4
10The contribution of botanic gardens to ex situ conservation through seed banking显示文摘Target 8 of the Global Strategy for Plant Conservation calls for 'at least 75 per cent of threatened plant species in ex situ collections, preferably in the country of origin, and at least 20 per cent available for recovery and restoration programmes by 2020'.Botanic gardens make a significant contribution to ex situ conservation of wild species with more than a third of plant species represented in botanic gardens collections. These collections are a combination of living collection and seed banked material. Seed banking can provide an efficient form of conservation for wild plant genetic diversity.Information from Botanic Gardens Conservation International's(BGCI) databases(GardenSearch,PlantSearch, ThreatSearch and GlobalTreeSearch) has been analysed as well as survey data to report on global, regional and national seed banking trends.Information from BGCI's databases indicates that there are at least 350 seed banking botanic gardens in 74 countries. In total 56,987 taxa have been banked including more than 9000 taxa that are threatened with extinction. 6881 tree species are stored in ex situ seed bank collections. More than half(3562) of these tree species are single country endemics and represent species from more than 166 countries.This study suggests that institutions are increasingly conserving plant species via seed banking.However the majority of species in collections that have a conservation assessment are not threatened with extinction. This disjunction between species that are threatened and those conserved in seed banks needs to be addressed. Data from BGCI's databases can be used to enable prioritisation of threatened plant species for collection and conservation in seed banks. Further recommendations for botanic gardens involved in seed conservation are presented.Katherine O'Donnell Suzanne Sharrock 2017Plant Diversity2017,39,6:4
11Decreased expression of hyperpolarisation-activated cyclic nucleotide-gated channel 3 in Hirschsprung's disease显示文摘AIM: To determine if hyperpolarisation-activated nucleotide-gated(HCN) channels exist in human colon, and to investigate the expression of HCN channels in Hirschsprung's disease.METHODS:We investigated HCN1,HCN2,HCN3 and HCN4 protein expression in pull-through specimens from patients with Hirschsprung’s disease(HSCR,n=10)using the proximal-most ganglionic segment and distalmost aganglionic segment,as well as in healthy control specimens obtained at the time of sigmoid colostomy closure in children who had undergone anorectoplasty for imperforate anus(n=10).Fluorescent immunohistochemistry was performed to assess protein distribution,which was then visualized using confocal microscopy.RESULTS:No HCN1 channel expression was observed in any of the tissues studied.Both HCN2 and HCN4proteins were found to be equally expressed in the aganglionic and ganglionic bowel in HSCR and controls.HCN3 channel expression was found to be markedly decreased in the aganglionic colon vs ganglionic colon and controls.HCN2-4 channels were seen to be expressed within neurons of the myenteric and submucosal plexus of the ganglionic bowel and normal controls,and also co-localised to interstitial cells of Cajal in all tissues studied.CONCLUSION:We demonstrate HCN channel expression in human colon for the first time.Reduced HCN3expression in aganglionic bowel suggests its potential role in HSCR pathophysiology.Anne Marie O’Donnell David Coyle Prem Puri 2015World Journal of Gastroenterology2015,21,18:4
12HLA-Haploidentical Bone Marrow Transplantation for Hematologic Malignancies Using Nonmyeloablative Conditioning and High-Dose, Posttransplantation Cyclophosphamide显示文摘Leo Luznik Paul V. O'Donnell Heather J. Symons Allen R. Chen M. Susan Leffell Marianna Zahurak Ted A. Gooley Steve Piantadosi Michele Kaup Richard F. Ambinder Carol Ann Huff William Matsui Javier Bola?os-Meade Ivan Borrello Jonathan D. Powell Elizabeth Ha 2008Biology of Blood and Marrow Transplantation2008,,6:4
13尿钠和钾排泄与血压的关系显示文摘高血压影响着全球10亿人口,是死亡、脑卒中、心肌梗死、充血性心力衰竭和慢性肾损伤的主要原因。钠摄入是高血压一个可调控的决定因素。盐和血压国际性研究(international study of salt and blood pressure,INTERSALT)结果显示钠摄入和血压呈中等程度正相关[1]。然而INTERSALT不是一个足够大型的研究,其钠摄入和血压的相关性是否受地区、参与人群特征和钠或钾摄入水平影响还有待于进一步研究。Mente A O'Donnell MJ Rangarajan S 练桂丽 叶鹏 2014中华高血压杂志2014,22,9:4
14多层CT评价健康志愿者用力呼气时的气管萎陷显示文摘目的应用多层螺旋CT评价健康志愿者用力呼气时气管萎陷情况,结果与现行的气管软化症诊断标准进行对照。材料与方法本研究经学术审核委员会批准.符合健康医疗保险要求。获得知情同意书后,51例肺活量正常、无吸烟史或其他可能导致气管软化危险因素的健康志愿者(年龄25~57岁)纳入本前瞻性研究。P.M.Boiselle C.R.O’Donnell A.A.Bankier A.Ernst M.E.Millet A.Potemkin 王鹤 2009国际医学放射学杂志2009,32,5:3
15The Importance of Heparan Sulfate in Herpesvirus Infection显示文摘Herpes simplex virus type-1 (HSV-1) is one of many pathogens that use the cell surface glycosaminoglycan heparan sulfate as a receptor. Heparan sulfate is highly expressed on the surface and extracellular matrix of virtually all cell types making it an ideal receptor. Heparan sulfate interacts with HSV-1 envelope glycoproteins gB and gC during the initial attachment step during HSV-1 entry. In addition,a modified form of heparan sulfate,known as 3-O-sulfated heparan sulfate,interacts with HSV-1 gD to induce fusion between the viral envelope and host cell membrane. The 3-O-sulfation of heparan sulfate is a rare modification which occurs during the biosynthesis of heparan sulfate that is carried out by a family of enzymes known as 3-O-sulfotransferases. Due to its involvement in multiple steps of the infection process,heparan sulfate has been a prime target for the development of agents to inhibit HSV entry. Understanding how heparan sulfate functions during HSV-1 infection may not only be critical for inhibiting infection by this virus,but it may also be crucial in the fight against many other pathogens as well.Christopher D. O'Donnell Deepak Shukla 2008Virologica Sinica2008,23,6:3
16Heart Disease and Stroke Statistics—2006 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee显示文摘Thomas Thom Nancy Haase Wayne Rosamond Virginia J. Howard John Rumsfeld Teri Manolio Zhi-Jie Zheng Katherine Flegal Christopher O’Donnell Steven Kittner Donald Lloyd-Jones David C. Goff Yuling Hong Robert Adams Gary Friday Karen Furie Philip Gorelick Bret 2006Circulation2006,,6:3
17Introduction to special edition:The challenge of chronic non-communicable disease and the opportunity for transforming health care through primary care based population health management显示文摘China shares with the United States an epidemic of chronic,non-communicable disease,with rising rates of cardiovascular disease and metabolic disorders in particular.The rising prevalence of these conditions results in great human suffering,lost productivity,high utilization of medical services and associated health care costs[1].The first section of this special edition,“The Chronic Disease Challenge for General Practitioners”highlights the extent of this problem in China.The study by Wu and Jian[2]duplicated the results of other studies showing high prevalence of hypertension,low patient awareness and lack of treatment.Strand et al.[3]found high prevalence of cardiovascular and metabolic conditions in post-menopausal women.Both of these articles noted the lack of readily available preventive and community health resources,a finding echoed in the article by Huang et al.Ronald R.O’Donnell 2015Family Medicine and Community Health2015,3,1:3
18Advanced monitoring of machining operations显示文摘R. Teti K. Jemielniak G. O’Donnell D. Dornfeld 2010CIRP Annals - Manufacturing Technology2010,,2:2
19Pericardial Fat, Visceral Abdominal Fat, Cardiovascular Disease Risk Factors, and Vascular Calcification in a Community-Based Sample: The Framingham Heart Study显示文摘Guido A. Rosito Joseph M. Massaro Udo Hoffmann Frederick L. Ruberg Amir A. Mahabadi Ramachandran S. Vasan Christopher J. O’Donnell Caroline S. Fox 2008Circulation2008,,5:2
20Validation of the Capsule Endoscopy Crohn’s Disease Activity Index (CECDAI or Niv score): a multicenter prospective study显示文摘Y. Niv S. Ilani Z. Levi M. Hershkowitz E. Niv Z. Fireman S. O’Donnel C. O’Morain R. Eliakim E. Scapa N. Kalantzis C. Kalantzis P. Apostolopoulos E. Gal 2012Endoscopy2012,,01:2
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