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1米非司酮与米索前列醇用于催经的研究显示文摘目的 评估应用米非司酮联合米索前列醇催经的效果及副反应。 方法 在全国 8个研究中心共接收了 72 0名妇女 ,平均预期月经延迟 ( 4.9± 1 .7) d。接纳当天给予 1 50 mg米非司酮 ,3 6~ 48h后门诊阴道放置 40 0μg米索前列醇 ,并留院观察 1 h。嘱服药后 1 0 d内随诊。观察指标主要为妊娠、月经来潮。测定血清雌二醇 ( E2 )及孕酮 ( P) ,以分析月经延迟时的周期时相。 结果 在 72 0名妇女中失访 1人。在 71 9名妇女中 ,就诊时已经妊娠 492人 ,其中完全和不完全流产 46 7例 ( 95.0 % ) ;妊娠继续 2 4例 ( 4.9% ) ;异位妊娠 1例 ,作进一步处理。月经延迟 2 2 7名妇女 ,其中月经来潮 2 2 2例 ( 97.8% ) ;月经延迟>45d或停经者 5例 ( 2 .2 % )。服药后副反应中有恶心 9%、呕吐 3 .1 %。血清 E2 与 P显示 ,月经延迟者有 6 0 %仍处于卵泡期水平 ,仅 3 0 %处于黄体期 ;在妊娠组 ,6 0 %血清 P和E2 的水平相当于黄体期水平 ,说明已有极早期妊娠。 结论 米非司酮与米索前列醇联合应用是有效和安全的催经止孕方法 ,对解决妇女担忧非意愿妊娠有利 。肖碧莲 赵珩 吴尚纯 Helena von Hertzen Gilda Piaggio 翁梨驹 经小平 程利南 任芳明 贺昌海 桂幼伦 雷贞武 朱明辉 曹小明 汪蓉芬 丁婉华 梅庆明 2003生殖医学杂志2003,12,3:17
2Cytomegalovirus frequency in neonatal intrahepatic cholestasis determined by serology, histology, immunohistochemistry and PCR显示文摘AIM: To determine cytomegalovirus (CMV) frequency in neonatal intrahepatic cholestasis by serology, histological revision (searching for cytomegalic cells), immunohistochemistry, and polymerase chain reaction (PCR), and to verify the relationships among these methods.METHODS: The study comprised 101 non-consecutive infants submitted for hepatic biopsy between March 1982 and December 2005. Serological results were obtained from the patient's f iles and the other methods were performed on paraffin-embedded liver samples from hepatic biopsies. The following statistical measures were calculated: frequency, sensibility, specif ic positive predictive value, negative predictive value, and accuracy.RESULTS: The frequencies of positive results were as follows: serology, 7/64 (11%); histological revision, 0/84; immunohistochemistry, 1/44 (2%), and PCR, 6/77 (8%). Only one patient had positive immunohistochemical fi ndings and a positive PCR. The following statistical measures were calculated between PCR and serology: sensitivity, 33.3%; specificity, 88.89%; positive predictive value, 28.57%; negative predictive value, 90.91%; and accuracy, 82.35%. CONCLUSION: The frequency of positive CMV varied among the tests. Serology presented the highest positive frequency. When compared to PCR, the sensitivity and positive predictive value of serology were low.Maria Angela Bellomo-Brandao Paula D Andrade Sandra CB Costa Cecilia AF Escanhoela Jose Vassallo Gilda Porta Adriana MA De Tommaso Gabriel Hessel 2009World Journal of Gastroenterology2009,15,27:8
3两种单剂量米非司酮用于紧急避孕的随机双盲比较研究显示文摘目的 探讨无保护性生活后一定时间内采用低剂量米非司酮 (10mg与 2 5mg)紧急避孕是否具有相同的避孕效果。方法 在中国各地 10个计划生育研究中心和医院中进行双盲、随机的比较研究。符合条件并在无保护性生活 12 0h内要求紧急避孕的 30 5 2例妇女被随机分配于米非司酮 10mg或 2 5mg两组。 结果 在 30 5 2例妇女中失访 2 2例 ,有明确结果者 30 30例 ,服米非司酮 10mg者 15 16例 ,服米非司酮 12 5mg者 15 14例。每组各有 17例妊娠 ,妊娠率为 1 1%。与 10mg米非司酮的妊娠率相比 ,2 5mg组的相对危险度为 1 0 ,双侧检验 95 %可信限为 (0 5 11 95 )。两种剂量均可预防 85 % 86 %未经治疗的预期妊娠。若服药后再有无保护性生活 ,妊娠率几乎增加一倍。随着服药时间的延迟 ,效果有下降趋势。副反应不常见 ,并且很轻。结论 米非司酮 10mg用于 5d内紧急避孕是一种安全有效的方法。越早使用效果越好。肖碧莲 Hvon Hertzen 赵珩 Gilda Piaggio 吴尚纯 黄俊 翁梨驹 张莉嘉 程利南 任芳明 贺昌海 桂幼伦 黄真嘉 雷贞武 朱明辉 宋丽娟 曹小明 汪蓉芬 丁婉华 梅庆明 倪凤贤 郑宁 2003中华医学杂志2003,83,10:5
4Early gastric cancer:A challenge in Western countries显示文摘Early gastric cancer(EGC)is an invasive carcinoma involving only the stomach mucosa or submucosa,independently of lymph node status.EGC represents over 50%of cases in Japan and in South Korea,whereas it accounts only for approximately 20%of all newly diagnosed gastric cancers in Western countries.The main classification systems of EGC are the Vienna histopathologic classification and the Paris endoscopic classification of polypoid and non-polypoid lesions.A careful endoscopic assessment is fundamental to establish the best treatment of EGC.Generally,EGCs are curable if the lesion is completely removed by endoscopic resection or surgery.Some types of EGC can be resected endoscopically;for others the most appropriate treatment is surgical resection and D2 lymphadenectomy,especially in Western countries.The favorable oncological prognosis,the extended lymphadenectomy and the reconstruction of the intestinal continuity that excludes the duodenum make the prophylactic cholecystectomy mandatory to avoid the onset of biliary complications.Maria Michela Chiarello Valeria Fico Gilda Pepe Giuseppe Tropeano Neill James Adams Gaia Altieri Giuseppe Brisinda 2022World Journal of Gastroenterology2022,28,7:3
5Multimodal teaching,learning and training in virtual reality:a review and case study显示文摘It is becoming increasingly prevalent in digital learning research to encompass an array of different meanings,spaces,processes,and teaching strategies for discerning a global perspective on constructing the student learning experience.Multimodality is an emergent phenomenon that may influence how digital learning is designed,especially when employed in highly interactive and immersive learning environments such as Virtual Reality(VR).VR environments may aid students'efforts to be active learners through consciously attending to,and reflecting on,critique leveraging reflexivity and novel meaning-making most likely to lead to a conceptual change.This paper employs eleven industrial case-studies to highlight the application of multimodal VR-based teaching and training as a pedagogically rich strategy that may be designed,mapped and visualized through distinct VR-design elements and features.The outcomes of the use cases contribute to discern in-VR multimodal teaching as an emerging discourse that couples system design-based paradigms with embodied,situated and reflective praxis in spatial,emotional and temporal VR learning environments.Stéphanie PHILIPPE Alexis DSOUCHET Petros LAMERAS Panagiotis PETRIDIS Julien CAPORAL Gildas COLDEBOEUF Hadrien DUZAN 2020Virtual Reality & Intelligent Hardware2020,2,5:3
6Minimally invasive surgical treatment of intrahepatic cholangiocarcinoma:A systematic review显示文摘BACKGROUND Intrahepatic cholangiocarcinoma(ICC)is the second most common primary liver cancer and is characterized by an aggressive behavior and a dismal prognosis.Radical surgical resection represents the only potentially curative treatment.Despite the increasing acceptance of laparoscopic liver resection for surgical treatment of malignant liver diseases,its use for ICC is not commonly performed.In fact,to achieve surgical free margins a major resection and/or vascular and/or biliary reconstructions is often needed,as well as an associated lymph node dissection.AIM To review and summarize the current evidences on the minimally invasive resection of ICC.METHODS A systematic review of the literature based on the criteria predetermined by the investigators was performed from the 1st of January 2009 up to the 1st of January2021 in 4 databases(PubMed,Scopus,Google Scholar,and Cochrane databases).All retrospective and prospective studies reporting on the comparative outcomes of open vs minimally invasive treatment of ICC were included.An evaluation of manuscripts quality was achieved using Methodological Index for Non-Randomized Studies criteria and Newcastle-Ottawa Scale.RESULTS After a systematic search 9 studies fulfilled the inclusion criteria.Among the all 3012 included patients,2450 were operated by an open approach and 562 by a minimally invasive(laparoscopic)approach.Baseline characteristics,tumor characteristics,surgical outcomes and oncological outcomes were collected and analyzed,highlighting values with a statistical significant difference between patients treated with open or laparoscopic approach.Shorter hospital stay and lower intraoperative blood losses were reported by some Authors in minimally invasive surgery,on the contrary,in the open group there was a higher number of lymphadenectomies and a higher percentage of major hepatectomies.CONCLUSION Minimally invasive resection of ICC has some short-term benefits and it is safe and feasible only in selected centers with a high experience in laparoscopic approach for liver surgery.Minimally invasive surgery,actually,was considered mainly in patients with a tumor with a diameter<5 cm,without invasion of main biliary duct or main vessel and no vascular or biliary reconstructions were planned.Further studies are needed to elucidate its impact on long term oncologic outcomes.Renato Patrone Francesco Izzo Raffaele Palaia Vincenza Granata Guglielmo Nasti Alessandro Ottaiano Gilda Pasta Andrea Belli 2021World Journal of Gastrointestinal Oncology2021,13,12:3
7Optical coherence tomography angiography in retinal cavernous hemangioma显示文摘Dear Editor,Cavernous hemangiomas of the retina are rare benign vascular tumors,commonly diagnosed in children and young adults.They are characterized by dilated blood vessels that form cavities or caverns through which the blood flow is very low or virtually absent[1].Retinal lesions mayGilda Cennamo Francesca Amoroso Domenico Solari Mariacristina Alfier Giuseppe de Crecchio 2017International Journal of Ophthalmology(English edition)2017,10,12:3
8Advances in enhanced biological phosphorus removal: From micro to macro scale显示文摘Adrian Oehmen Paulo C. Lemos Gilda Carvalho Zhiguo Yuan Jürg Keller Linda L. Blackall Maria A.M. Reis 2007Water Research2007,,11:3
9Synthesis and Characterization of Iron-Rich Glass Ceramic Materials:A Model for Steel Industry Waste Reuse显示文摘Wastes deriving from steel industry, containing large amounts of iron oxides and heavy metals, when collected in landfills are subjected to atmospheric agents, with consequent release of toxic substances in the soil and groundwater. The reuse of these wastes as raw materials for the production of advanced materials is a viable way both to overcome the environmental impact and to reduce the disposal costs,proposing new technologically advanced materials. This work aims to simulate these interesting glassceramics by using glass cullet coming from recycled municipal waste and high amount of iron(III) oxide(from 25 wt% to 50 wt%), the prevalent component of steel waste. The oxide was mixed with glass cullet and vitrified. The samples composition and the microstructure were investigated by scanning electron microscopy(SEM), and X-ray diffraction(XRD) was used to evaluate the nature of the crystalline phases.The chemical stability of the materials, in terms of ionic release into saline solution, was assessed. The electrical behavior of the samples was also investigated by varying the iron ions content and controlling the crystallization process. It is possible to obtain chemically stable materials with a nearly semiconducting behavior.Riccardo Carlini Ilaria Alfieri Gilda Zanicchi Francesco Soggia Enos Gombia Andrea Lorenzi 2016Journal of Materials Science & Technology2016,32,11:2
10无支架含铜宫内节育器(吉妮)与TCu380A宫内节育器:多中心随机比较性研究8年结果(摘要)显示文摘1前言 终止使用宫内节育器(IUD)的常见原因是出血、疼痛或出血和疼痛并存,以及脱落,这些情况可能与传统IUD的支架及大小密切相关。因此1980年天津和杰医疗器械有限公司开始研发无支架的含铜IUD。1989年,世界卫生组织(WHO)人类生殖研究与发展项目(HRP)组组织了吉妮IUD与TCu380AIUD的多中心随机临床比较性研究,评估两种IUD的妊娠率、脱落率和与IUD使用有关的终止率。Olav Meirik Patrick J. Rowe Alexandre Peregoudov Gilda Piaggio Max Petzold 2012中国计划生育学杂志2012,20,9:2
11Therapeutic strategies in Crohn’s disease in an emergency surgical setting显示文摘Crohn’s disease(CD)remains a chronic,incurable disorder that presents unique challenges to the surgeon.Multiple factors must be considered to allow development of an appropriate treatment plan.Medical therapy often precedes or complements the surgical management.The indications for operative management of CD include acute and chronic disease complications and failed medical therapy.Elective surgery comes into play when patients are refractory to medical treatment if they have an obstructive phenotype.Toxic colitis,acute obstruction,perforation,acute abscess,or massive hemorrhage represent indications for emergency surgery.These patients are generally in critical conditions and present with intra-abdominal sepsis and a preoperative status of immunosuppression and malnutrition that exposes them to a higher risk of complications and mortality.A multidisciplinary team including surgeons,gastroenterologists,radiologists,nutritional support services,and enterostomal therapists are required for optimal patient care and decision making.Management of each emergency should be individualized based on patient age,disease type and duration,and patient goals of care.Moreover,the recurrent nature of disease mandates that we continue searching for innovative medical therapies and operative techniques that reduce the need to repeat surgical operations.In this review,we aimed to discuss the acute complications of CD and their treatment.Maria Michela Chiarello Gilda Pepe Valeria Fico Valentina Bianchi Giuseppe Tropeano Gaia Altieri Giuseppe Brisinda 2022World Journal of Gastroenterology2022,28,18:2
12Increased hepatitis C viral load and reactivation of liver disease in HCV RNA-positive patients with onco-haematological disease undergoing chemotherapy显示文摘Nicola Coppola Mariantonietta Pisaturo Salvatore Guastafierro Gilda Tonziello Antonello Sica Valentina Iodice Caterina Sagnelli Maria Giovanna Ferrara Evangelista Sagnelli 2011Digestive and Liver Disease2011,,1:2
13HBV transmission from an occult carrier with five mutations in the major hydrophilic region of HBsAg to an immunosuppressed plasma recipient显示文摘Nicola Coppola Giovanna Loquercio Gilda Tonziello Rosa Azzaro Mariantonietta Pisaturo Gaetano Di Costanzo Mario Starace Giuseppe Pasquale Carmela Cacciapuoti Arnolfo Petruzziello 2013Journal of Clinical Virology2013,,:2
14Lamivudine-resistant HBV strain rtM204V/I in acute hepatitis B显示文摘Nicola Coppola Gilda Tonziello Piero Colombatto Mariantonietta Pisaturo Vincenzo Messina Francesco Moriconi Loredana Alessio Caterina Sagnelli Daniela Cavallone Maurizia Brunetto Evangelista Sagnelli 2013Journal of Infection2013,,:2
15Adolescent pregnancy, birth and abortion rates across countries: levels and recent trends显示文摘Gilda Sedgh Lawrence B. Finer Akinrinola Bankole Michelle A. Eilers Susheela Singh 2014Journal of Adolescent Health2014,,:2
16Drug-induced liver injury due to “natural products” used for weight loss:A case report显示文摘Taking herbal-extracts to lose weight is an underestimated health hazard.Often,these products contain active agents that can cause acute liver damage.In this case report,a 22-year-old female patient,who presented with a feature of cholestatic syndrome,was so sure that the 'natural products' were not dangerous that she did not inform her physicians that she had taken them,making their task that much more challenging.Clinical presentation mimicked acute cholecystitis and the patient underwent a cholecystectomy.Surgery was without any consequences and complications,although it did not completely cure the illness.She later admitted to having taken herbal remedies and this led to the correct diagnosis of phytotherapy-related hepatotoxicity and a successful therapeutic approach.The true incidence of phytotherapy-related hepatotoxicity and its pathogenic mechanisms are largely unknown.It is important to increase the awareness of both clinicians and patients about the potential dangers of herbal remedies.Giovanni Tarantino Martina Gilda Pezzullo Matteo Nicola Dario di Minno Francesco Milone Luigi Sossio Pezzullo Marco Milone Domenico Capone 2009World Journal of Gastroenterology2009,15,19:2
17SARAS: A Synthetic Aperture Radar Raw Signal Simulator 显示文摘Giorgio Franceschetti Maurizio Migliaccio Daniele Ric- cio and Gilda Schirinzi 1992IEEE Trans on Geosci- ence and Remote sensing1992,30,1:1
18Slructural Response of Grid-Reinforced Bituminous Pavement显示文摘Andrea Graziani Emiliano Pasquini Gilda Ferrolti 2014Materials and Struclures2014,47,8:1
19Text mining as a valuable tool in foresight exercises:A study on nanotechnology显示文摘MARCIO de MIRANDA SANTO GILDA MASSARI COELHO DALCI MARIA dos SANTOS LéLIO FELLOWS FILHO 2006Technological Forecasting & Social Change2006,73,:1
20REI equivalent design for electric power systems with genetic algorithms显示文摘Mihai G Ovidiu I Gilda G A 2008WSEAS Transactions on Circuits & Systems2008,7,10:1
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