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12018加拿大心境障碍与焦虑障碍治疗协作组/国际双相障碍学会指南:双相障碍的管理显示文摘加拿大心境障碍与焦虑障碍治疗协作组(Canadian Network for Mood and Anxiety Treatments,CANMAT)曾于2005年发布了第1版双相障碍管理指南,并分别于2007、2009和2013年对该指南进行了更新,其中最近的2次更新是与国际双相障碍学会(International Society for Bipolar Disorders,ISBD)合作完成。2018版CANMAT/ISBD双相障碍治疗指南(以下简称指南)反映了自2005年首版指南发表以来本领域取得的重大进展,包括疾病诊断与疾病管理的更新以及药物治疗与心理治疗的近期研究进展。这些前沿进展中综合考虑了循证证据的级别,并基于治疗疗效、临床实践经验、安全性、耐受性和药物导致的转相风险等,对一线、二线及三线治疗方案进行了简明而清晰的推荐。本指南中新增内容涵盖了双相Ⅰ型障碍(BD-Ⅰ)的躁狂发作急性期、抑郁发作急性期和双相障碍维持期的一线及二线治疗推荐等级划分。这种对治疗推荐等级的划分综合考虑了治疗方法对双相障碍不同时相的影响,将进一步帮助临床医生做出基于循证证据的治疗决策。锂盐、喹硫平、双丙戊酸盐、阿塞那平、阿立哌唑、帕利哌酮、利培酮和卡利拉嗪单药或联合使用被推荐为躁狂发作急性期的一线治疗选择。BD-Ⅰ抑郁期的一线治疗选择包括喹硫平、鲁拉西酮、锂盐、拉莫三嗪单药,鲁拉西酮联合锂盐或双丙戊酸盐或拉莫三嗪辅助治疗。尽管急性期治疗有效的药物通常应继续用于BD-Ⅰ的维持期治疗,但也存在一些特殊情况(例如抗抑郁药)。现有数据表明,锂盐、喹硫平、双丙戊酸盐、拉莫三嗪、阿塞那平和阿立哌唑单药或联合治疗应被视为维持治疗的初始或更换治疗方案时的一线选择。除了探讨BD-Ⅰ的相关问题外,本指南中还对双相Ⅱ型障碍(BD-Ⅱ)的临床管理进行了系统回顾并给予治疗推荐,同时针对特殊人群也有相关推荐,如处于各个生殖周期的女性、儿童、青少年和老年人。此外,本指南中还讨论了特定精神疾病及共病(如物质滥用、焦虑障碍和代谢性疾病)的影响。最后,本指南中概述了安全性和药物监测的相关问题。CANMAT/ISBD工作组希望本指南能够成为全球临床医生的实用工具。Lakshmi N Yatham Sidney H Kennedy Sagar V Parikh Ayal Sehaffer David J Bond Benicio N Frey Verinder Sharma Benjamin I Goldstein Soham Rej Serge Beaulieu Martin Alda Glenda MaeQueen Roumen V Milev Arun Ravindran Claire O'Donovan Diane Mclntosh Raymond W Lam Gustavo Vazquez Flavio Kapczinski Roger S Melntyre Jan Kozicky Shigenobu Kanba Beny Lafer Trisha Suppes Joseph R Calabrese Eduard Vieta Gin Malhi Robert M Post Michael Berk 胡晨(译) 王刚(译) 2019中华精神科杂志2019,52,1:25
2Microwave Synthesis of Large Few-Layer Graphene Sheets in Aqueous Solution of Ammonia显示文摘Few-layer graphene (FLG) sheets with sizes exceeding several micrometers have been synthesized by exfoliation of expanded graphite in aqueous solution of ammonia under microwave irradiation, with an overall yield approaching 8 wt.%. Transmission electron microscopy (in bright-field and dark-field modes) together with electron diffraction patterns and atomic force microscopy confirmed that this graphene material consisted mostly of mono-, bi- or few-layer graphene (less than ten layers). The high degree of surface reduction was confirmed by X-ray photoelectron and infrared spectroscopies. In addition, the high stability of the FLG in the liquid medium facilitates the deposition of the graphene material onto several substrates via low-cost solution-phase processing techniques, opening the way to subsequent applications of the material.Izabela Janowska Kambiz Chizari Ovidiu Ersen Spyridon Zafeiratos Driss Soubane Victor Da Costa Virginie Speisser Christine Boeglin Matthieu Houllé Dominique Bégin Dominique Plee Marc-Jacques Ledoux Cuong Pham-Huu 2010Nano Research2010,3,2:22
3A new approach for visual identification of orange varieties using neural networks and metaheuristic algorithms显示文摘Accurate classification of fruit varieties in processing factories and during post-harvesting applications is a challenge that has been widely studied.This paper presents a novel approach to automatic fruit identification applied to three common varieties of oranges(Citrus sinensis L.),namely Bam,Payvandi and Thomson.A total of 300 color images were used for the experiments,100 samples for each orange variety,which are publicly available.After segmentation,263 parameters,including texture,color and shape features,were extracted from each sample using image processing.Among them,the 6 most effective features were automatically selected by using a hybrid approach consisting of an artificial neural network and particle swarm optimization algorithm(ANN-PSO).Then,three different classifiers were applied and compared:hybrid artificial neural network–artificial bee colony(ANN-ABC);hybrid artificial neural network–harmony search(ANN-HS);and k-nearest neighbors(kNN).The experimental results show that the hybrid approaches outperform the results of kNN.The average correct classification rate of ANN-HS was 94.28%,while ANN-ABS achieved 96.70%accuracy with the available data,contrasting with the 70.9%baseline accuracy of kNN.Thus,this new proposed methodology provides a fast and accurate way to classify multiple fruits varieties,which can be easily implemented in processing factories.The main contribution of this work is that the method can be directly adapted to other use cases,since the selection of the optimal features and the configuration of the neural network are performed automatically using metaheuristic algorithms.Sajad Sabzi Yousef Abbaspour-Gilandeh Ginés García-Mateos 2018Information Processing in Agriculture2018,5,1:8
4Down-regulation of SDFI-α expression in tumor microenvironment is associated with aspirin- mediated suppression of the pro-metastasis effect of sorafenib in hepatocellular carcinoma显示文摘Lu Lu Ming Lu Yuan Pei Jinhong Chen Lunxiu Gin Wenwei Zhu Huliang Jia 2015Acta Biochimica et Biophysica Sinica2015,47,12:6
5Tolvaptan, an oral vasopressin antagonist, in the treatment of hyponatremia in cirrhosis显示文摘Andrés Cárdenas Pere Ginès Paul Marotta Frank Czerwiec John Oyuang Mónica Guevara Nezam H Afdhal 2011Journal of Hepatology2011,,3:6
6Adjuvant therapy sparing in rectal cancer achieving complete response after chemoradiation显示文摘AIM:To evaluate the long-term results of conventional chemoradiotherapy and laparoscopic mesorectal excision in rectal adenocarcinoma patients without adjuvant therapy.METHODS:Patients with biopsy-proven adenocarcinoma of the rectum staged cT3-T4 by endoscopic ultrasound or magnetic resonance imaging received neoadjuvant continuous infusion of 5-fluorouracil for five weeks and concomitant radiotherapy.Laparoscopic surgery was planned after 5-8 wk.Patients diagnosed with ypT0N0 stage cancer were not treated with adjuvant therapy according to the protocol.Patients with ypT1-2N0 or ypT3-4 or N+were offered 5-fluorouracil-based adjuvant treatment on an individual basis.An external cohort was used as a reference for the findings.RESULTS:One hundred and seventy six patients were treated with induction chemoradiotherapy and 170underwent total mesorectal excision.Cancer staging of ypT0N0 was achieved in 26/170(15.3%)patients.After a median follow-up of 58.3 mo,patients withypT0N0 had five-year disease-free and overall survival rates of 96%(95%CI:77-99)and 100%,respectively.We provide evidence about the natural history of patients with localized rectal cancer achieving a complete response after preoperative chemoradiation.The inherent good prognosis of these patients will have implications for clinical trial design and care of patients.CONCLUSION:Withholding adjuvant chemotherapy after complete response following standard neoadjuvant chemoradiotherapy and laparoscopic mesorectal excision might be safe within an experienced multidisciplinary team.Xabier García-Albéniz Rosa Gallego Ralf Dieter Hofheinz Gloria Fernández-Esparrach Juan Ramón Ayuso-Colella Josep Antoni Bombí Carles Conill Miriam Cuatrecasas Salvadora Delgado Angels Ginés Rosa Miquel Mario Pagés Estela Pineda Verónica Pereira Aarón Sosa Oscar Reig Iván Victoria Luis Feliz Antonio María de Lacy Antoni Castells Iris Burkholder Andreas Hochhaus Joan Maurel 2014World Journal of Gastroenterology2014,20,42:5
7Endoscopic and oncologic outcomes after endoscopic resection for early gastric cancer: 1370 cases of absolute and extended indications显示文摘Ji Yong Ahn Hwoon-Yong Jung Kee Don Choi Ji Young Choi Mi-Young Kim Jeong Hoon Lee Kwi-Sook Choi Do Hoon Kim Ho June Song Gin Hyug Lee Jin-Ho Kim Young Soo Park 2011Gastrointestinal Endoscopy2011,,3:5
8Prevalence and risk factors of infections by multiresistant bacteria in cirrhosis: A prospective study显示文摘Javier Fernández Juan Acevedo Miriam Castro Orlando Garcia Carlos Rodríguez de Lope Daria Roca Marco Pavesi Elsa Sola Leticia Moreira Anibal Silva Tiago Seva‐Pereira Francesco Corradi Jose Mensa Pere Ginès Vicente Arroyo 2012Hepatology2012,,:4
9Factors related to quality of life in patients with cirrhosis and ascites: Relevance of serum sodium concentration and leg edema显示文摘Elsa Solà Hugh Watson Isabel Graupera Fanny Turón Rogelio Barreto Ezequiel Rodríguez Marco Pavesi Vicente Arroyo Mónica Guevara Pere Ginès 2012Journal of Hepatology2012,,6:3
10A Secure Elliptic Curve-Based RFID Protocol显示文摘Nowadays, the use of Radio Frequency Identification (RFID) systems in industry and stores has increased. Nevertheless, some of these systems present privacy problems that may discourage potential users. Hence, high confidence and efficient privacy protocols are urgently needed. Previous studies in the literature proposed schemes that are proven to be secure, but they have scalability problems. A feasible and scalable protocol to guarantee privacy is presented in this paper. The proposed protocol uses elliptic curve cryptography combined with a zero knowledge-based authentication scheme. An analysis to prove the system secure, and even forward secure is also provided.Santi Martínez Magda Valls Concepció Roig Josep M. Miret Francesc Giné 2009Journal of Computer Science & Technology2009,24,2:3
11Hepatic Expression of CXC Chemokines Predicts Portal Hypertension and Survival in Patients With Alcoholic Hepatitis显示文摘Marlene Dominguez Rosa Miquel Jordi Colmenero Montserrat Moreno Joan–Carles García–Pagán Jaime Bosch Vicente Arroyo Pere Ginès Juan Caballería Ramón Bataller 2009Gastroenterology2009,,5:3
12Metallic stent placement in the palliative treatment of malignant gastroduodenal obstructions: prospective evaluation of results and factors influencing outcome in 213 patients显示文摘Jin Hyoung Kim Ho-Young Song Ji Hoon Shin Eugene Choi Tae Won Kim Hwoon-Yong Jung Gin Hyug Lee Sung Koo Lee Myung-Hwan Kim Min-Hee Ryu Yoon-Koo Kang Byung Sik Kim Jeong Hwan Yook 2007Gastrointestinal Endoscopy2007,,2:2
13Heavy metals in a typical city-river-reservoir system of East China:Multi-phase distribution,microbial response and ecological risk显示文摘The rapid construction of artificial reservoirs in metropolises has promoted the emergence of city-river-reservoir systems worldwide.This study investigated the environmental behaviors and risks of heavy metals in the aquatic environment of a typical system composed of main watersheds in Suzhou and Jinze Reservoir in Shanghai.Results shown that Mn,Zn and Cu were the dominant metals detected in multiple phases.Cd,Mn and Zn were mainly presented in exchangeable fraction and exhibited high bioavailability.Great proportion and high mobility of metals were found in suspended particulate matter(SPM),suggesting that SPM can greatly affect metal multi-phase distribution process.Spatially,city system(Ci S)exhibited more serious metal pollution and higher ecological risk than river system(Ri S)and reservoir system(Re S)owing to the diverse emission sources.Ci S and Re S were regarded as critical pollution source and sink,respectively,while Ri S was a vital transportation aisle.Microbial community in sediments exhibited evident spatial variation and obviously modified by exchangeable metals and nutrients.In particular,Bacteroidetes and Firmicutes presented significant positive correlations with most exchangeable metals.Risk assessment implied that As,Sb and Ni in water may pose potential carcinogenic risk to human health.Nevertheless,Re S was in a fairly safe state.Hg was the main risk contributor in SPM,while Cu,Zn,Ni and Sb showed moderate risk in sediments.Overall,Hg,Sb and Ci S were screened out as priority metals and system,respectively.More attention should be paid to these priority issues to promote the sustainable development of the watershed.Jun Yang Mingrui Zhou Kaifeng Yu Karina Yew-Hoong Gin Muhammad Hassan Yiliang He 2022Journal of Environmental Sciences2022,34,2:2
14EMR versus gastrectomy for intramucosal gastric cancer: comparison of long-term outcomes显示文摘Kwi-Sook Choi Hwoon-Yong Jung Kee Don Choi Gin Hyug Lee Ho June Song Do Hoon Kim Jeong Hoon Lee Mi-Young Kim Byung Sik Kim Sung Tae Oh Jeong Hwan Yook Se Jin Jang Sung-Cheol Yun Seon Ok Kim Jin-Ho Kim 2011Gastrointestinal Endoscopy2011,,5:2
15Implementation of 1.7 kV Silicon Carbide Metal Oxide Semiconductor Field Effect Transistors in Auxiliary Power Supplies for Industrial Applications显示文摘An auxiliary power supply(Aux-PS)has become an essential component of electronic equipment for many industrial applications,such as in motor drives,photovoltaic(PV)inverters,uninterruptible power supply(UPS)systems and modular multilevel converters.The introduction of 1700 V silicon carbide(SiC)metal oxide semiconductor field effect transistors(MOSFETs)is useful for such applications,providing benefits with respect to a low on-state resistance,smaller package,low switching loss and single-switching implementation.A single end flyback Aux-PS is designed for industrial applications with a wide input voltage range using 1.7 kV SiC MOSFETs.The special design tradeoffs involved in the usage of SiC MOSFETs are discussed in detail,such as those with regard to gate driving voltage selection,isolation transformer design considerations,and clamping circuit design details.A 60 W demonstration hardware is developed and tested under different working conditions.The results verify the higher efficiency and better thermal performance of the proposed hardware relative to those of traditional Si solutions.Xuning Zhang Gin Sheh 2020Chinese Journal of Electrical Engineering2020,6,3:2
16Renal Failure in Patients With Cirrhosis and Sepsis Unrelated to Spontaneous Bacterial Peritonitis: Value of MELD Score显示文摘Carlos Terra Mónica Guevara Aldo Torre Rosa Gilabert Javier Fernández Marta Martín-Llahí Maria E. Baccaro Miquel Navasa Conxita Bru Vicente Arroyo Juan Rodés Pere Ginès 2005Gastroenterology2005,,6:2
17Renal and circulatory dysfunction in cirrhosis: Current management and future perspectives显示文摘Elsa Solà Pere Ginès 2010Journal of Hepatology2010,,6:2
18Endoscopic submucosal dissection as alternative to surgery for complicated gastric heterotopic pancreas显示文摘BACKGROUND Gastric heterotopic pancreas(GHP)is generally asymptomatic and rarely features complications such as pancreatitis,pseudocysts,gastric outlet obstruction,bleeding,obstructive jaundice,or intussusception.However,the treatment of complicated GHP is challenging and often requires surgical resection.AIM To investigate the clinical outcomes of endoscopic submucosal dissection(ESD)as alternative to surgical resection for complicated GHP.METHODS This is a single-center,retrospective study.Between January 2013 and December 2017,a total of 5 patients underwent ESD for complicated GHP at Asan Medical Center.Patients who were diagnosed with complicated GHP were treated conservatively as with general practice for acute pancreatitis.After conservative management for resolving the acute phase of pancreatitis,ESD was performed as definitive treatment for complicated GHP.ESD was performed using the conventional method under conscious sedation.The clinical features of patients and tumors,procedure-related characteristics,and long-term outcomes were investigated.RESULTS The age of the 5 patients ranged from 28-43 years.Two of the patients were males.All lesions were located in the greater curvature of the antrum.On endoscopic ultrasonography during the pain episode,all lesions were located across the muscularis mucosa,submucosa,and proper muscle layers.The median lesion size was 20[interquartile range(IQR),18-35]during the pain episode at the time of the diagnosis of complicated GHP,and 15 mm(IQR,9-33)at the time of ESD after conservative treatment.The procedure time ranged from 15-120 min.There were no procedure-related adverse events such as perforation or bleeding.The length of hospital stay after the procedure ranged from 2-4 d.All patients were symptom free during the median follow-up period of 46.0 mo(IQR,39-60).CONCLUSION ESD appears to be a feasible and effective treatment option for complicated GHP based on the favorable clinical outcomes.Jin Hee Noh Do Hoon Kim So-Woon Kim Young Soo Park Hee Kyong Na Ji Yong Ahn Kee Wook Jung Jeong Hoon Lee Kee Don Choi Ho June Song Gin Hyug Lee Hwoon-Yong Jung 2020World Journal of Clinical Cases2020,8,20:2
19Semiconductor nanocrystals as fluorescent biological labels 显示文摘BRUCHEZ M MORONNE M GIN P 1998Science1998,281,:2
20Efficacy of transient elastography in screening for large esophageal varices in patients with suspicious or proven liver cirrhosis显示文摘Huay‐Min WANG Gin‐Ho LO Wen‐Chi CHEN Ping‐I HSU Hsien‐Chung YU Chiun‐Ku LIN Hoi‐Hung CHAN Wei‐Lun TSAI Feng‐Woei TSAY Tsan‐Ping LIU E‐Ming WANG Kwok‐Hung LAI 2012Journal of Digestive Diseases2012,,8:2
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