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| 1 | Endoscopic stenting for inoperable malignant biliary obstruction: A systematic review and meta-analysis显示文摘AIM: To analyze through meta-analyses the benefits of two types of stents in the inoperable malignant biliary obstruction.METHODS: A systematic review of randomized clinical trials(RCT) was conducted, with the last update on March 2015, using EMBASE, CINAHL(EBSCO), MEDLINE, LILACS/CENTRAL(BVS), SCOPUS, CAPES(Brazil), and gray literature. Information of the selected studies was extracted in sight of six outcomes: primarily regarding dysfunction, complication and reintervention rates; and secondarily costs, survival, and patency time. The data about characteristics of trial participants, inclusion and exclusion criteria and types of stents were also extracted. The bias was mainly assessed through the JADAD scale. This meta-analysis was registered in the PROSPERO database by the number CRD42014015078. The analysis of the absolute risk of the outcomes was performed using the software Rev Man, by computing risk differences(RD) of dichotomous variables and mean differences(MD) of continuous variables. Data on RD and MD for each primary outcome were calculated using the MantelHaenszel test and inconsistency was qualified and reported in χ2 and the Higgins method(I2). Sensitivity analysis was performed when heterogeneity was higher than 50%, a subsequent assay was done and other findings were compiled. Student's t-test was used for the comparison of weighted arithmetic means regarding secondary outcomes.RESULTS: Initial searching identified 3660 studies; 3539 were excluded through title, repetition, and/or abstract, while 121 studies were fully assessed and were excluded mainly because they did not compare self-expanding metal stents(SEMS) and plastic stents(PS), leading to thirteen RCT selected, with 13 articles and 1133 subjects meta-analyzed. The mean age was 69.5 years old, that were affected mostly by bile duct(proximal) and pancreatic tumors(distal). The preferred SEMS diameter used was the 10 mm(30 Fr) and the preferred PS diameter used was 10 Fr. In the metaanalysis, SEMS had lower overall stent dysfunction compared to PS(21.6% vs 46.8%, P < 0.00001) and fewer re-interventions(21.6% vs 56.6%, P < 0.00001), with no difference in complications(13.7% vs 15.9%, P = 0.16). In the secondary analysis, the mean survival rate was higher in the SEMS group(182 d vs 150 d, P < 0.0001), with a higher patency period(250 d vs 124 d, P < 0.0001) and a lower cost per patient(4193.98 vs 4728.65 Euros, P < 0.0985).CONCLUSION: SEMS are associated with lower stent dysfunction, lower re-intervention rates, better survival, and higher patency time. Complications and costs showed no difference. | Leonardo Zorrón Pu Eduardo Guimaraes Hourneaux de Moura Wanderley Marques Bernardo Felipe Iankelevich Baracat Ernesto Quaresma Mendonca AndréKondo Gustavo Oliveira Luz Carlos Kiyoshi Furuya Júnior Everson Luiz de Almeida Artifon | 2015 | World Journal of Gastroenterology2015,21,47: | 10 |
| 2 | Conversion of dextrinized cassava starch into ethanol using cultures of Aspergillus awamori and Saccharomyces cerevisiae显示文摘 | Ernesto J del Rosario Roberto L Wong | 1984 | Enzyme Microb Technol1984,6,: | 1 |
| 3 | Long_ term fol-low-up of meningiomas of the cavernous sinus after sur-gical treatment along 显示文摘 | Marc S Ernesto W Emmanuel J | 2007 | J Neurosurg2007,107,: | 1 |
| 4 | Near-critical and supercritical dilute solutions viewed from macroscopic and molecular-scale perspectives显示文摘 | Femfindez-Prini R Laura J M Ernesto M | 2010 | The Journal of Supercritical Fluids2010,55,: | 1 |
| 5 | Conversion of dextrinized cassava starch into ethanol using cultures of Aspergillus awamori and Saccharomyces cerevisiae 显示文摘 | Ernesto J del Rosario Roberto L Wong | 1984 | Enzyme Microb Technol1984,6,: | 1 |
| 6 | Effect of temperature on the measurement of moisture content in schinopsis balansae显示文摘 | Maria A J JosrM P Ernesto S | 2001 | Journal of Quebracho2001,33,6: | 1 |
| 7 | Performance analysis of cross-coupled controllers for CNC machines based upon precise real-time contour error measurement 显示文摘 | Conway J R Ernesto C A Farouki R T | 2012 | International Journal of Machine Tools and Manufacture2012,52,1: | 1 |
| 8 | Dissectionof the pathway of molecular recognition by calmodulin 显示文摘 | JAMES K K PETER F F ERNESTO J F | 2002 | Biochemistry2002,41,8: | 1 |
| 9 | Rhegmatogenous retinal detachment in myopic eyes after laser in situ keratomileusis:Frequency,characteristics,and mechanism显示文摘 | J Fernando A Ernesto R Enrique S | 2001 | International Ophthalmology Clinics2001,27,5: | 1 |
| 10 | Enhanced spinal cord regeneration in lamprey by applied electric fields显示文摘 | RICHARD B B ERNESTO R MELVIN J C | 1981 | Science1981,213,7: | 1 |
| 11 | Electrostatic interactions at serf-assembled molecular films or charged thiols on gold显示文摘 | VALERIA M ERNESTO J C | 1998 | Journal of electroanalytical chemistry1998,445,: | 1 |
| 12 | Differences in U root-to-shoot translocation between plant species explained by U distribution in roots 显示文摘 | Straczek A Duquene L Wegrzynek D Ernesto C C Wannijn J etal | 2010 | Journal of Environmental Radioactivity2010,101,: | 1 |
| 13 | Heat Island Development in Mexico City 显示文摘 | ERNESTO J | 1997 | Atmospheric Environment1997,31,22: | 1 |
| 14 | Urban effects on convective precipitation in Mexico City 显示文摘 | Emesto J Ernesto R | 1996 | Atmospheric Environment1996,30,20: | 1 |
| 15 | The influence of soil on vegetation structure and plant diversity in different tropical savannic and forest habitats显示文摘Aims Soil plays an important role in the formation and heterogene-ity of habitats and thus can cause changes in vegetation struc-ture and plant diversity.The differentiation between Cerrado/savanna and forest is well known,but the relationship between soil and habitats from savannic or forest formations still needs to be better understood,particularly in tropical ecotonal areas.We studied the association between attributes of plant com-munities,namely structure and diversity,and physicochemical characteristics of soils in the Caatinga domain at the transition to Cerrado in Brazil.Methods Chemical and physical analyses of soils were performed in samples of 38 plots from savannic formations and 30 plots from forest forma-tions.Vegetation was characterized floristically and structurally in all plots,five habitats being assessed in each plant formation.Soil features and vegetation parameters were highly distinct among the different habitats.Important Findingsin general,forest habitats were more nutrient rich than savannic formation.Furthermore,soil variables showed effects both on vegetation structure and on its species diversity,more pronouncedly in the savannic formations.Habitats were structurally distinct,and diversity differed between savannic and forest communities;however,a higher differentiation occurred when the savannic formation habitats were compared among them.Although plant diversity did not differ among forest formation habitats,soil attributes showed a close relationship with edaphic factors and can contribute for similar vegetation.The soil-vegetation relationship in highly diverse ecotonal landscapes is important from the conservation biology point of view and aid in the execution of proactive plans for the maintenance of biodiversity.Thus,we noticed that diversity and soil behaves distinctly between savannic and forest communities. | Priscyla Maria Silva Rodrigues Carlos Ernesto Gonçalves Reynaud Schaefer Jhonathan de Oliveira Silva Walnir Gomes Ferreira Júnior Rubens Manoel dos Santos Andreza Viana Neri | 2018 | Journal of Plant Ecology2018,11,2: | 1 |
| 16 | Organizational Integration and Process Innovation显示文摘 | Ettlie J Reza Ernesto M | 1992 | Academy of Management Journal1992,35,4: | 1 |
| 17 | Enhanced spinal cord regeneration in lamprey by applied elect ric fields显示文摘 | RICHARD B B ERNESTO R MELVIN J C | 1981 | Science1981,213,7: | 1 |
| 18 | Neural network approach to fault detection in electric power systems显示文摘 | Vazquez Ernesto Altuve Hector J Chacon | 1996 | IEEE International Conference on Neural Networks-Con ferenee Proceedings1996,,: | 1 |
| 19 | Arene carbonylation in acidic chloroaluminate ionic liquids显示文摘 | Ernesto J | 2005 | Journal of Molecular Catalysis A : Chemical2005,227,12: | 1 |
| 20 | Nutrient enrichment and zooplankton effects on the phytoplankton community in microcosms from El Andino reservoir (Venezuela)显示文摘 | GONZALEZ ERNESTO J | 2000 | Hydrobiologia2000,434,: | 1 |