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| 1 | Role of Kupffer cells in the pathogenesis of liver disease显示文摘Kupffer cells, the resident liver macrophages have long been considered as mostly scavenger cells responsible for removing particulate material from the portal circu- lation. However, evidence derived mostly from animal models, indicates that Kupffer cells may be implicated in the pathogenesis of various liver diseases including viral hepatitis, steatohepatitis, alcoholic liver disease, in- trahepatic cholostasis, activation or rejection of the liver during liver transplantation and liver fibrosis. There is accumulating evidence, reviewed in this paper, suggest- ing that Kupffer cells may act both as effector cells in the destruction of hepatocytes by producing harmful soluble mediators as well as antigen presenting cells during viral infections of the liver. Moreover they may represent a significant source of chemoattractant molecules for cy- totoxic CD8 and regulatory T cells. Their role in fibrosis is well established as they are one of the main sources of TGFβ1 production, which leads to the transformation of stellate cells into myofibroblasts. Whether all these variable functions in the liver are mediated by different Kupffer cell subpopulations remains to be evaluated. In this review we propose a model that demonstrates the role of Kupffer cells in the pathogenesis of liver disease. | George Kolios Vassilis Valatas Elias Kouroumalis | 2006 | World Journal of Gastroenterology2006，12，46： | 74 |
| 2 | 皮肤表面pH值及其临床意义显示文摘皮肤表面pH值是皮肤的生理指标之一,它随机体的不同生长发育时期和皮肤的生物状态的不同而不同。老年人及新生儿皮肤表面pH值较高;某些皮肤病可导致皮肤表面pH值升高。皮肤表面pH值升高可直接或间接影响角质形成细胞的代谢,从而引起角质形成细胞增生、分化的异常,皮肤屏障功能改变,角质层致密性降低等。因此,测量皮肤表面pH值对判断表皮乃至整个机体的生物状态具有重要参考价值;皮肤表面pH值维持在最佳生理水平对延缓皮肤老化、防止和治疗某些皮肤病具有一定的指导意义。 | 蔄茂强 辛淑君 Peter M Elias | 2007 | 中国皮肤性病学杂志2007，21，8： | 47 |
| 3 | A community-derived classification for extant lycophytes and ferns显示文摘发展史长通知了蕨类植物分类。当我们推断进化的树的能力改善了,针对认出生来的组的分类变得逐渐地预兆、稳定。这里,我们为 lycophytes 和蕨纲植物提供一个现代、全面分类,在下面,利用一条基于社区的途径类水平。我们 monophyly 用作主要标准让 taxa,而且目的识别保存两个广泛地被接受的存在 taxa 和界限并且与我们蕨类植物发展史的理解一致。总共,这个分类对待一在 337 个类, 51 个家庭, 14 目,和二个班估计了 11 916 种类。这个分类没在 lycophyte 和蕨纲植物上作为最后的词被打算分类,而是当前的假设的概括陈述,源于最好的可得到的数据并且在问题由熟悉植物的那些大多数塑造了。我们希望它将在蕨类植物上为最近的文学的那些想要的参考用作一个资源发展史和分类,为指导未来调查的一个框架,和推进讲话的刺激。 | Eric Schuettpelz Harald Schneider Alan R. Smith Peter Hovenkamp Jefferson Prado Germinal Rouhan Alexandre Salino Michael Sundue Thafs Elias Almeida Barbara Parris Emily B. Sessa Ashley R. Field Andre Luis de Gasper Carl J. Rothfels Michael D. Windham Marcus Lehnert Benjamin Dauphin Atsushi Ebihara Samuli Lehtonen Pedro Bond Schwartsburd Jordan Metzgar Li-Bing Zhang Li-Yaung Kuo Patrick J. Brownsey Masahiro Kato Marcelo Daniel Arana Francine C. Assis Michael S. Barker David S. Barrington Ho-Ming Chang Yi-Han Chang Yi-Shan Chao Cheng-Wei Chen De-Kui Chen Wen-Liang Chiou Vinicius Antonio de Oliveira Dittrich Yi-Fan Duan Jean-Yves Dubuisson Donald R. Farrar Susan Fawcett Jose Maria Gabriel y Galan Luiz Armando de Araujo Goes-Neto Jason R. Grant Amanda L. Grusz Christopher Haufler Warren Hauk Hai He Sabine Hennequin Regina Yoshie Hirai Layne Huiet Michael Kessler Petra Korall Paulo H. Labiak Anders Larsson Blanca Leen Chun-Xiang Li Fay-Wei Li Melanie Link-Perez Hong-Mei Liu Ngan Thi Lu Esteban I. Meza-Torres Xin-Yuan Miao Robbin Moran Claudine Massi Mynssens Nathalie Nagalingum Benjamin Ollgaard Alison M. Paul Jovani B. de S. Pereira Leon R. Perrie Monica Ponce Tom A. Ranker Christian Schulz Wataru Shinohara Alexander Shmakov Erin M. Sigel Filipe Soares de Souza Lana da Silva Sylvestre Weston Testo Luz Amparo Triana-Moreno Chie Tsutsumi Hanna Tuomisto IvAn A. Valdespino Alejandra Vasco Raquel Stauffer Viveros Alan Weakley Ran Wei Stina Weststrand Paul G. Wolf George Yatskievych Xiao-Gang Xu Yue-Hong Yan Liang Zhang Xian-Chun Zhang Xin-Mao Zhou | 2016 | Journal of Systematics and Evolution2016，54，6： | 44 |
| 4 | 我国正常人皮肤表面皮脂和水分含量的研究显示文摘目的:了解我国不同年龄、不同性别正常人皮肤角质层含水量、皮肤表面皮脂含量及皮肤皮脂的分泌速度。方法:利用皮肤表面皮脂测量仪和皮肤水分含量测量仪对我国北方325名正常人的前额及前臂屈侧皮肤皮脂量和皮肤含水量进行测量。结果:12岁以前,男女前额皮脂量无差异;13岁以后,男性前额的皮脂量明显高于女性。除36~50岁年龄组外,女性前额的皮脂分泌快于男性。男女前臂的皮脂量无差异。除男性13~35岁组的前额皮肤含水量高于女性外,其他各年龄组各部位男、女皮肤含水量无显著差别。13~35岁组男、女性前额的含水量均高于前臂。其他各年龄组前额和前臂皮肤含水量无明显部位差异。13~35岁组男性前额皮肤含水量最高。结论:正常人皮肤表面含水量和皮脂含量因性别、年龄和部位的不同而有差异。 | 辛淑君 刘之力 史月君 Kenneth R Feingold Peter M Elias 蔄茂强 | 2007 | 临床皮肤科杂志2007，36，3： | 26 |
| 5 | Hypoalbuminemia in colorectal cancer prognosis:Nutritional marker or inflammatory surrogate?显示文摘Albumin is the single most abundant protein in the human serum. Its roles in physiology and pathology are diverse. Serum albumin levels have been classically thought to reflect the nutritional status of patients. This concept has been challenged in the last two decades as multiple factors, such as inflammation, appeared to affect albumin levels independent of nutrition. In general, cancer patients have a high prevalence of hypoalbuminemia. As such, the role of hypoalbuminemia in patients with colorectal cancer has received significant interest. We reviewed the English literature on the prognostic value of pretreatment albumin levels in colorectal cancer. We also consolidated the evidence that led to the current understanding of hypoalbuminemia as an inflammatory marker rather than as a nutritional one among patients with colorectal cancer. | Bassel Nazha Elias Moussaly Mazen Zaarour Chanudi Weerasinghe Basem Azab | 2015 | World Journal of Gastrointestinal Surgery2015，7，12： | 22 |
| 6 | 尿毒症瘙痒显示文摘尿毒症病人中瘙痒的发病率很高,严重影响了病人的生活质量,随着病人存活时间延长发病率增加,且透析疗法不能使瘙痒缓解。尿毒症瘙痒的病因目前尚不十分清楚,治疗方法也多种多样。本文综述了157篇文章中的主要论点,临床和实验证据,以及治疗经验,系统地对尿毒症瘙痒的病因和治疗方法进行了探讨。 | Elias V.Balaskas 胡家胜 | 1993 | 国外医学(泌尿系统分册)1993，13，2： | 18 |
| 7 | Vitamin D:A new player in non-alcoholic fatty liver disease?显示文摘Vitamin D through its active form 1a-25-dihydroxyvtamin D[1,25(OH)2D]is a secosteroid hormone that plays a key role in mineral metabolism.Recent years have witnessed a significant scientific interest on vitamin D and expanded its actions to include immune modulation,cell differentiation and proliferation and inflammation regulation.As our understanding of the many functions of vitamin D has grown,the presence of vitamin D deficiency has become one of the most prevalent micronutrient deficiencies worldwide.Concomitantly,non-alcoholic fatty liver disease(NAFLD)has become the most common form of chronic liver disease in western countries.NAFLD and vitamin D deficiency often coexist and epidemiologic evidence has shown that both of these conditions share several cardiometabolic risk factors.In this article we provide an overview of the epidemiology and pathophysiology linking NAFLD and vitamin D deficiency,as well as the available evidence on the clinical utility of vitamin D supplementation in NAFLD. | Myrto Eliades Elias Spyrou | 2015 | World Journal of Gastroenterology2015，21，6： | 18 |
| 8 | 精子DNA损伤的机制和临床应用显示文摘在男性配子各种不同的DNA异常中,DNA断裂最为常见,尤其是在不育症患者中。目前越来越多的研究表明,DNA断裂并不显著影响精子细胞的存活率、活动率、形态以及与卵细胞的结合能力。研究还证明,卵母细胞在一定程度上可以修复受损的DNA,其修复程度依赖于精子细胞DNA的损伤类型和卵母细胞的质量。因此,研究精子DNA断裂(SDF)在自然分娩或辅助生殖技术助孕中对胚胎发育、胚胎着床、妊娠结果、子代健康的影响变得非常重要。至今,针对SDF对生殖的影响的研究极少,且研究报道的结论很不一致。导致这种不一致的原因可能与检测SDF的手段不同、实验设计不同和精液标本选择标准不同有关。因此,目前还不能确定是否将SDF检测拽术砬用于受精评估和ART技术中。这表明,制定SDF检测技术的标准化方法势在必行,另外关于SDF对ART的影响有必要进行进一步的临床研究。 | Lara Tamburrino Sara Marchiani Margarita Montoya Francesco Elia Marino Ilaria Natali Marta Cambi Gianni Forti Elisabetta Baldi Monica Muratori | 2012 | Asian Journal of Andrology2012，14，1： | 16 |
| 9 | 贵州紫云石炭纪叶状藻礁:藻类繁盛的标志显示文摘紫云晚石炭世叶状藻礁发育在碳酸盐台地边缘。叶状藻礁体具有多样性,有叶状藻点礁、多层迭置叶状藻礁和大型叶状藻礁体。叶状藻礁体的建造过程是由叶状藻群落的发展和沉积环境所决定的,叶状藻具有主动建造礁体的能力,构成骨架礁灰岩。礁体建造过程大体上分为三个阶段①生物碎屑滩的形成;②叶状藻生长及礁体建造;③造礁结束。多层迭置叶状藻礁为以上三个阶段的多次重复;大型叶状藻礁是在礁体发育过程的第二阶段由连续生长的叶状藻五次集中发育建造而成。 | 张永利 巩恩普 关长庆 Elias Samankassou 孙宝亮 | 2007 | 沉积学报2007，25，2： | 16 |
| 10 | 影响男性参与计划生育的因素:中国定性研究的发现显示文摘本项目于1993~1994年在中国开展。为达到研究的预期目的,在方法学方面采用定性研究技术,即通过集体访谈(FGDs)和个人深入访谈的方式来获取各类访谈对象的观念和行为方面的广泛信息,以探究影响男性参与的深层原因。访谈现场确定在四川、云南和吉林三省。本项目集体访谈对象类型主要包括避孕套使用者及其妻子,五年内男扎接受者及其妻子,采用女性方法的妇女及其丈夫等;个人访谈对象类型主要包括政策制定者、项目管理者、节育技术提供者和宗教领袖等。各省现场调查结束后,研究者使用统一拟定的提纲对集体访谈资料进行观点归类,并以个人访谈获取的关键信息加以补充,进而找出研究之主要发现。研究结果提示,影响男性参与计划生育的因素主要涉及政策与宣传、服务与技术、地理与文化和社会与心理等相互联系的诸多方面。根据主要发现提出的建议要点主要包括改善决策者男扎方面的知识,制定出有利于男性参与的鼓励性政策;加强避孕套提供过程的全面质量管理;进一步提高男扎服务质量并制定切实可行的规范;通过各种渠道宣传男扎知识,改进服务提供者的人际交流技巧,为广大群众提供咨询服务,进一步改善男性参与计划生育的意识并分担责任。 | 刘云嵘 吴世仲 罗琳 郭建 唐莉莎 彭林 李长华 苏兰芬 吴亚平 任涛 兰育智 周连福 李季 赫欣 陈昆 李南伊 Elias Wells Joan Haffy Elaine Douglas | 1995 | 中国计划生育学杂志1995，3，1： | 15 |
| 11 | Role of antibiotics for treatment of inflammatory boweldisease显示文摘Inflammatory bowel disease is thought to be caused by an aberrant immune response to gut bacteria in a genetically susceptible host. The gut microbiota plays an important role in the pathogenesis and complications of the two main inflammatory bowel diseases: Crohn's disease(CD) and ulcerative colitis. Alterations in gut microbiota, and specifically reduced intestinal microbial diversity, have been found to be associated with chronic gut inflammation in these disorders. Specific bacterial pathogens, such as virulent Escherichia coli strains, Bacteroides spp, and Mycobacterium avium subspecies paratuberculosis, have been linked to the pathogenesis of inflammatory bowel disease. Antibiotics may influence the course of these diseases by decreasing concentrations of bacteria in the gut lumen and altering the composition of intestinal microbiota. Different antibiotics, including ciprofloxacin, metronidazole, the combination of both, rifaximin, and anti-tuberculous regimens have been evaluated in clinical trials for the treatment of inflammatory bowel disease. For the treatment of active luminal CD, antibiotics may have a modest effect in decreasing disease activity and achieving remission, and are more effective in patients with disease involving the colon. Rifamixin, a non absorbable rifamycin has shown promising results. Treatment of suppurative complications of CD such as abscesses and fistulas, includes drainage and antibiotic therapy, most often ciprofloxacin, metronidazole, or a combination of both. Antibiotics might also play a role in maintenance of remission and prevention of post operative recurrence of CD. Data is more sparse for ulcerative colitis, and mostly consists of small trials evaluating ciprofloxacin, metronidazole and rifaximin. Most trials did not show a benefit for the treatment of active ulcerative colitis with antibiotics, though 2 meta-analyses concluded that antibiotic therapy is associated with a modest improvement in clinical symptoms. Antibiotics show a clinical benefit when used for the treatment of pouchitis. The downsides of antibiotic treatment, especially with recurrent or prolonged courses such as used in inflammatory bowel disease, are significant side effects that often cause intolerance to treatment, Clostridium dificile infection, and increasing antibiotic resistance. More studies are needed to define the exact role of antibiotics in inflammatory bowel diseases. | Orna Nitzan Mazen Elias Avi Peretz Walid Saliba | 2016 | World Journal of Gastroenterology2016，22，3： | 14 |
| 12 | 氧化应激与表皮通透屏障功能降低性皮肤病显示文摘很多伴有表皮通透屏障功能降低的皮肤病的发生和发展与氧化应激有关。氧化产物的量与皮肤病的严重程度呈正相关性;表皮通透屏障功能的异常程度与皮肤病的严重程度呈正相关性;抗氧化剂在缓解皮肤病的同时,表皮通透屏障功能也得以改善。而增强表皮通透屏障功能可使这些皮肤病得到缓解。此外,皮肤衰老也与氧化应激有关,老年的皮肤的抗氧化能力和表皮通透屏障功能的恢复能力均降低。外用抗氧化剂具有抗皮肤衰老的作用。由此提示,抗氧化或改善表皮通透屏障功能可能有助于防治与其相关的皮肤病。抗氧化剂可用于延缓皮肤衰老。 | 蔄茂强 Peter M. Elias | 2013 | 中国皮肤性病学杂志2013，27，4： | 13 |
| 13 | Patients with primary biliary cirrhosis have increased serum total antioxidant capacity measured with the crocin bleaching assay显示文摘AIM: The balance between oxidants and antioxidants can play an important role in the initiation and development of liver diseases. Recently, we have described a new automated method for the determination of total antioxidant capacity (TAC) in human serum and plasma.METHODS: We measured TAC and corrected TAC (CTAC -abstraction of interactions due to endogenous uric acid,bilirubin and albumin) in 52 patients with chronic liver diseases (41 patients with primary biliary cirrhosis (PBC),10 patients with chronic hepatitis C and 13 patients with viral HCV cirrhosis) as well as in 10 healthy controls. In 23 PBC patients measurement were also done 6 mo after treatment with ursodeoxycholic acid (UDCA). The TAC assay was based on a modification of the crocin bleaching assay. The results were correlated with routine laboratory measurements and the histological stage of PBC.RESULTS: There were no significant differences in TAC between the various groups. However, CTAC was considerably increased in the PBC group compared to controls and cirrhotics. Analysis of these patients according to disease stages showed that this increase was an early phenomenon observed only in stages Ⅰ and Ⅱ compared to controls, cirrhotics and patients with chronic hepatitis C).After 6 mo of treatment with UDCA, levels of CTAC decreased to those similar to that of controls.CONCLUSION: Patients in the early stages of PBC present with high levels of corrected total antioxidant capacity and this maybe related to the pathophysiology of the disease. UDCA treatment restores the levels of CTAC to control levels. | George Notas Niki Miliaraki Marilena Kampa Fillipos Dimoulios Erminia Matrella Adam Hatzidakis Elias Castanas Elias Kouroumalis | 2005 | World Journal of Gastroenterology2005，11，27： | 13 |
| 14 | Specific CD8^+ T cell response immunotherapy for hepatocellular carcinoma and viral hepatitis显示文摘Hepatocellular carcinoma(HCC), chronic hepatitis B(CHB) and chronic hepatitis C(CHC) are characterized by exhaustion of the specific CD8^+ T cell response. This process involves enhancement of negative costimulatory molecules, such as programmed cell death protein-1(PD-1), cytotoxic T-lymphocyte antigen-4(CTLA-4), 2B4, Tim-3, CD160 and LAG-3, which is linked to intrahepatic overexpression of some of the cognate ligands, such as PD-L1, on antigen presenting cells and thereby favouring a tolerogenic environment. Therapies that disrupt these negative signalling mechanisms represent promising therapeutic tools with the potential to restore reactivity of the specific CD8^+ T cell response. In this review we discuss the impressive in vitro and in vivo results that have been recently achieved in HCC, CHB and CHC by blocking these negative receptors with monoclonal antibodies against these immune checkpoint modulators. The article mainly focuses on the role of CTLA-4 and PD-1 blocking monoclonal antibodies, the first ones to have reached clinical practice. The humanized monoclonal antibodies against CTLA-4(tremelimumab and ipilimumab) and PD-1(nivolumab and pembrolizumab) have yielded good results in testing of HCC and chronic viral hepatitis patients. Trelimumab, in particular, has shown a significant increase in the time to progression in HCC, while nivolumab has shown a remarkable effect on hepatitis C viral load reduction. The research on the role of ipilimumab, nivolumab and pembrolizumab on HCC is currently underway. | Elia Moreno-Cubero Juan-Ramón Larrubia | 2016 | World Journal of Gastroenterology2016，22，28： | 13 |
| 15 | Clostridium difficile and inflammatory bowel disease: Role in pathogenesis and implications in treatment显示文摘Clostridium difficile(C.difficile)is the leading cause of antibiotic associated colitis and nosocomial diarrhea.Patients with inflammatory bowel disease(IBD)are at increased risk of developing C.difficile infection(CDI),have worse outcomes of CDI-including higher rates of colectomy and death,and experience higher rates of recurrence.However,it is still not clear whether C.difficile is a cause of IBD or a consequence of the inflammatory state in the intestinal environment.The burden of CDI has increased dramatically over the past decade,with severe outbreaks described in many countries,which have been attributed to a new and more virulent strain.A parallel rise in the incidence of CDI has been noted in patients with IBD.IBD patients with CDI tend be younger,have less prior antibiotic exposure,and most cases of CDI in these patients represent outpatient acquired infections.The clinical presentation of CDI in these patients can be unique-including diversion colitis,enteritis and pouchitis,and typical findings on colonoscopy are often absent.Due to the high prevalence of CDI in patients hospitalized with an IBD exacerbation,and the prognostic implications of CDI in these patients,it is recommended to test all IBD patients hospitalized with a disease flare for C.difficile.Treatment includes general measures such as supportive care and infection control measures.Antibiotic therapy with either oral metronidazole,vancomycin,or the novel antibiotic-fidaxomicin,should be initiated as soon as possible.Fecal macrobiota transplantation constitutes another optional treatment for severe/recurrent CDI.The aim of this paper is to review recent data on CDI in IBD:role in pathogenesis,diagnostic methods,optional treatments,and outcomes of these patients. | Orna Nitzan Mazen Elias Bibiana Chazan Raul Raz Walid Saliba | 2013 | World Journal of Gastroenterology2013，19，43： | 12 |
| 16 | Investigations into the corrosive environments contributing to premature failure of Australian coal mine rock bolts显示文摘University of New South Wales(UNSW Australia) had been involved in the study of premature failure of rock bolts in Australia coal mines from the initial identification of the problem in 1999. Rock bolt steel changes over the last decade appear to have not reduced the incidence of failures. A broadened UNSW research project funded by the Australian Research Council(ARC) and Industry has targeted finding the environmental causes through extensive field and laboratory experiments. This paper describes the field studies conducted in underground coal mines,in particular attempts to measure the contribution to corrosion from groundwater,mineralogy and microbial activity. Various underground survey techniques were used to determine the extent of broken bolts,with the presence of both stress corrosion cracking(SCC) and localized deep pitting making no single technique suitable on their own.Groundwater found dripping from bolts across various coalfields in Australia were found to be not aggressive and known groundwater corrosivity classification systems did not correlate to where broken bolts were found. In-hole coupon bolts placed in roof strata containing claystone bands confirmed the clay as being a major contributor to corrosion. Microbes capable of contributing to steel corrosion were found to be present in groundwater,and culturing of the microbes taken from in-situ coupon bolts proved that the bacteria was present on the bolt surface. An ‘in-hole bolt corrosion coupon' development by the project may have multiple benefits of (1) helping quantify newly developed corrosivity classification systems,(2) providing an in-situ ground support corrosion monitoring tool,and (3) for testing possible corrosion protection solutions. | Craig P. Serkan S. Hagan P. Hebblewhite B. Vandermaat D. Crosky A. Elias E. | 2016 | International Journal of Mining Science and Technology2016，26，1： | 12 |
| 17 | 正常人皮肤表面酸碱度的研究显示文摘皮肤是人类机体的重要组成部分.皮肤表面的酸碱度不仅是皮肤的生理指标.同时也反映了整个机体的状态。迄今为止,关于正常人皮肤表面pH值的报道不尽相同。据报道,婴儿出生时,皮肤表而的pH较高。数天后则逐渐降低。Wilhelm等曾对29例成人皮肤表面的pH进行了研究,结果发现,皮肤表而的pH囚皮肤解剖部位的不同而不同:老年人的前额和踝部皮肤表而的pH值高于年轻者。Zlotogorski的研究也证实了Wilhelm等的结果.但是也有报道,皮肤表面的pH因性别的差异而不同。这种差异性有多种因素,可能与研究组别的大小和分组的条件等有关。关于我国正常人皮肤表面pH的研究报道较少,笔者根据人体生长发育期的生理特点进行年龄分组;根据皮肤的生理特点进行部位分组。对我国正常人不同年龄、不同性别和不同部位的皮肤pH进行检测,为临床工作提供参考。 | 辛淑君 刘之力 史月君 Kenneth R Feingold Peter M Elias 蔄茂强 | 2007 | 临床皮肤科杂志2007，36，5： | 11 |
| 18 | Peri-nuclear antibodies correlate with survival in Greek primary biliary cirrhosis patients显示文摘AIM:To investigate possible associations of anti-nuclear envelope antibody(ANEA)with disease severity and survival in Greek primary biliary cirrhosis(PBC)patients.METHODS:Serum samples were collected at diagnosis from 147 PBC patients(85%female),who were followed-up for a median 89.5 mo(range 1-240).ANEA were detected with indirect immunofluorescence on 1% formaldehyde fixed Hep2 cells,and anti-gp210 antibodies were detected using an enzyme linked immunosorbent assay.Findings were correlated with clinical data,histology,and survival.RESULTS:ANEA were detected in 69/147(46.9%) patients and 31/147(21%)were also anti-gp210 positive.The ANEA positive patients were at a more advanced histological stage(Ⅰ-Ⅱ/Ⅲ-Ⅳ56.5%/43.5% vs 74.4%/25.6%,P=0.005)compared to the ANEA negative ones.They had a higher antimitochondrial antibodies(AMA)titer(≤1:160/>1:160 50.7%/49.3%vs 71.8%/28.2%,P=0.001)and a lower survival time(91.7 ±50.7 mo vs 101.8±55 mo,P=0.043).Moreover,they had more advanced fibrosis,portal inflammation,interface hepatitis,and proliferation of bile ductules(P =0.008,P=0.008,P=0.019,and P=0.027,respectively).They also died more frequently of hepatic failure and/or hepatocellular carcinoma(P=0.016).ANEA positive,anti-gp210 positive patients had a difference in stage(Ⅰ-Ⅱ/Ⅲ-Ⅳ54.8%/45.2%vs 74.4%/25.6%,P= 0.006),AMA titer(≤1:160/>1:160 51.6%/48.4%vs 71.8%/28.2%,P=0.009),survival(91.1±52.9 mo vs 101.8±55 mo,P=0.009),and Mayo risk score(5.5 ±1.9 vs 5.04±1.3,P=0.04)compared to the ANEA negative patients.ANEA positive,anti-gp210 negative patients had a difference in AMA titer(≤1:160/>1:160 50%/50%vs 71.8%/28.2%,P=0.002),stage(Ⅰ-Ⅱ/Ⅲ -Ⅳ57.9%/42.1%vs 74.4%/25.6%,P=0.033),fibrosis(P=0.009),portal inflammation(P=0.018),interface hepatitis(P=0.032),and proliferation of bile ductules(P=0.031).Anti-gp210 positive patients had a worse Mayo risk score(5.5±1.9 vs 4.9±1.7,P=0.038)than the anti-gp210 negative ones.CONCLUSION:The presence of ANEA and anti-gp210 identifies a subgroup of PBC patients with advanced disease severity and poor prognosis. | Ourania Sfakianaki Meri Koulentaki Maria Tzardi Elena Tsangaridou Panayotis A Theodoropoulos Elias Castanas Elias A Kouroumalis | 2010 | World Journal of Gastroenterology2010，16，39： | 11 |
| 19 | 特应性皮炎患者皮肤的水通透屏障功能改变及其临床意义显示文摘皮肤的生理指标包括皮肤的水通透屏障功能、角质层的水分含量以及皮肤表面的pH值等,这些生理指标反映了机体和皮肤局部的生理状态。除角质层的水分含量降低以及皮肤表面的pH值升高外,特应性皮炎(AD)患者皮肤屏障功能明显降低。这一变化是AD表皮病变所致,其可影响表皮和真皮的功能。皮肤生理的改变程度与病情有关,通过改善皮肤屏障功能可以缓解AD病情。因此,正确地了解AD患者皮肤屏障功能的改变对于病情的判断和疾病的防治有一定的临床指导意义。 | 蔄茂强 Peter M Elias | 2007 | 临床皮肤科杂志2007，36，10： | 11 |
| 20 | ESPEN Guidelines for Nutrition Screening 2002显示文摘 | J Kondrup S.P Allison M Elia B Vellas M Plauth | 2003 | Clinical Nutrition2003，，4： | 11 |
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