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| 1 | Radiofrequency ablation for treatment of hypersplenism: A feasible therapeutic option显示文摘We present a case of a patient with hypersplenism secondary to portal hypertension due to hepato-splenic schistosomiasis, which was accompanied by severe and refractory thrombocytopenia. We performed spleen ablation and measured the total spleen and ablated volumes with contrast-enhanced computed tomography and volumetry. No major complications occurred, thrombocytopenia was resolved, and platelet levels remained stable, which allowed for early treatment of the patient's underlying disease. Previous work has shown that splenic radiofrequency ablation is an attractive alternative treatment for hypersplenism induced by liver cirrhosis. We aimed to contribute to the currently sparse literature evaluating the role of radiofrequency ablation(RFA) in the management of hypersplenism. We conclude that splenic RFA appears to be a viable and promising option for the treatment of hypersplenism. | Guilherme Lopes P Martins Joao Paulo G Bernardes Marcello S Rovella Raphael G Andrade Publio Cesar C Viana Paulo Herman Giovanni Guido Cerri Marcos Roberto Menezes | 2015 | World Journal of Gastroenterology2015,21,20: | 17 |
| 2 | 1998年印度洋珊瑚死亡事件的生态影响和社会经济影响:是ENSO影响和未来变化的警告吗?显示文摘自大约15O年前开始有气温记录以来,1998年是所记录到的最热的一年,20世纪90年代是最热的十年。另外,1998年也是有记录以来厄尔尼诺现象最严重的一年。这一现象产生的结果是,海洋中许多地方的水温很高,尤其是位于热带的印度洋的水温常常比正常年份高3~5℃。该区域内的大量珊瑚脱色并死亡,可能是由于高的水温以及其它气象、气候因子共同作用所致。斯里兰卡、马尔代夫、印度、肯尼亚、坦桑尼亚和塞舌尔群岛的珊瑚礁中珊瑚的死亡率较高,许多浅海区甚至高达90%。在位于印度洋其它地方和距海面20米以下的珊瑚礁中,珊瑚的死亡率通常为50%。因此,1998年珊瑚的死亡情况是空前严重的。印度洋的珊瑚褪色对沿海社区的二级社会经济影响可能是长期的和严重的。除了鱼资源可能减少和对旅游造成不良影响外,侵蚀可能成为一个严重的问题,尤其是在马尔代夫和塞舌尔群岛。如果目前已经发现的全球温度升高的趋势继续下去,那么1998年印度洋珊瑚礁上发生的情况在未来一些年内极有可能加剧并在其它的热带海洋区出现。印度洋的珊瑚礁可能是反映全球气候变化潜在影响的一个重要信号,我们应当对这一警告引起注意。 | Clive Wilkinson OlofLindén Herman Cesar Gregor Hodgson Jaston Rubens Alan E.Strong 李岱青 | 1999 | 人类环境杂志1999,28,2: | 4 |
| 3 | Current status and future perspectives of radiomics in hepatocellular carcinoma显示文摘Given the frequent co-existence of an aggressive tumor and underlying chronic liver disease,the management of hepatocellular carcinoma(HCC)patients requires experienced multidisciplinary team discussion.Moreover,imaging plays a key role in the diagnosis,staging,restaging,and surveillance of HCC.Currently,imaging assessment of HCC entails the assessment of qualitative characteristics which are prone to inter-reader variability.Radiomics is an emerging field that extracts high-dimensional mineable quantitative features that cannot be assessed visually with the naked eye from medical imaging.The main potential applications of radiomic models in HCC are to predict histology,response to treatment,genetic signature,recurrence,and survival.Despite the encouraging results to date,there are challenges and limitations that need to be overcome before radiomics implementation in clinical practice.The purpose of this article is to review the main concepts and challenges pertaining to radiomics,and to review recent studies and potential applications of radiomics in HCC. | Joao Miranda Natally Horvat Gilton Marques Fonseca Jose de Arimateia Batista Araujo-Filho Maria ClaraFernandes Charlotte Charbel Jayasree Chakraborty Fabricio Ferreira Coelho Cesar Higa Nomura Paulo Herman | 2023 | World Journal of Gastroenterology2023,29,1: | 3 |
| 4 | Economic valuation of the Leuser national park on Sumatra, Indonesia显示文摘 | Pieter J H van Beukering Herman S J Cesar Marco A Janssen | 2003 | Ecological Economics2003,44,: | 1 |
| 5 | Management of hepatic hemangiomas: A 14-year experience显示文摘 | Paulo Herman M.D. Ph.D. Marcelo L. V. Costa M.D. Marcel Autran Cesar Machado M.D. Ph.D. Vincenzo Pugliese M.D. Ph.D. Luis Augusto Carneiro D'Albuquerque M.D. Ph.D. Marcel Cerqueira César Machado M.D. Ph.D. Joaquim Jose Gama-Rodrigues M.D. Ph.D. Will | 2005 | Journal of Gastrointestinal Surgery2005,,6: | 1 |
| 6 | Eco- nomic valuation of the Leuser National Park on Sumatra, Indone- sia显示文摘 | Pieter J H Beukering Herman S J Cesar Marco A Janssen | 2003 | Ecological Economics2003,44,1: | 1 |
| 7 | Management of hepatic hemangiomas: A 14-year experience显示文摘 | Paulo Herman M.D. Ph.D. Marcelo L. V. Costa M.D. Marcel Autran Cesar Machado M.D. Ph.D. Vincenzo Pugliese M.D. Ph.D. Luis Augusto Carneiro D’Albuquerque M.D. Ph.D. Marcel Cerqueira César Machado M.D. Ph.D. Joaquim Jose Gama-Rodrigues M.D. Ph.D. Will | 2005 | Journal of Gastrointestinal Surgery2005,,6: | 1 |
| 8 | Effects of non-esterified fatty acids on bovine granulosa cells and deve lopmental potential of oocytes in vitro显示文摘 | JORRITSMA R CESAR M L HERMANS J T | 2004 | Anita Reprod Sci2004,81,34: | 1 |
| 9 | Does bilioenteric anastomosis impair results of liver resection in primary intrahepatic lithiasis?显示文摘AIM:To evaluate the long-term results of liver resection for the treatment of primary intrahepatic lithiasis.Prognostic factors,especially the impact of bilioenteric anastomosis on recurrence of symptoms were assessed.METHODS:Forty one patients with intrahepatic stones and parenchyma fibrosis/atrophy and/or biliary stenosis were submitted to liver resection.Resection was associated with a Roux-en-Y hepaticojejunostomy in all patients with bilateral stones and in those with unilateral disease and dilation of the extrahepatic biliary duct(>2 cm).Late results and risk factors for recurrence of symptoms or stones were evaluated.RESULTS:There was no operative mortality.After a mean follow-up of 50.3 mo,good late results were observed in 82.9% of patients;all patients submitted to liver resection alone and 58.8% of those submitted to liver resection and hepaticojejunostomy were free of symptoms(P=0.0006).Patients with unilateral and bilateral disease showed good late results in 94.1% and 28.6%,respectively(P<0.001).CONCLUSION:Recurrence of symptoms in patients with hepaticojejunostomy showed that this may not be the ideal solution.Further studies are needed to establish the best treatment for patients with bilateral stones or unilateral disease and a dilated extrahepatic duct. | Paulo Herman Marcos V Perini Vincenzo Pugliese Julio Cesar Pereira Marcel Autran C Machado William A Saad Luiz AC D'Albuquerque Ivan Cecconello | 2010 | World Journal of Gastroenterology2010,16,27: | 0 |
| 10 | 印度尼西亚的珊瑚礁——一种珍贵而受威胁的资源:经济分析显示文摘在人类活动的影响下,印度尼西亚的珊瑚礁正在迅速遭受破坏,这些破坏性的活动包括毒鱼、炸鱼、珊瑚礁开采、泥沙淤积、污染和过度捕鱼。本文叙述这些破坏性活动,并对其所导致的个人收益与社会代价进行了对比分析,结果表明社会代价远大于短期的个人收益。但是,强大的势力对维持这种破坏状况有明显利益。他们采取高风险、高代价的毒鱼行动,直至导致资源枯竭的珊瑚礁开采活动。文章结尾讨论了制定适用于上述问题的政策,如基于威赫的地方管理手段、国家管理办法、海岸带综合保护管理及海洋保护区的设立等。 | Herman Cesar Carl Gustaf Lundin Sofia Bettencourt John Dixon 曹军 | 1997 | 人类环境杂志1997,26,6: | 0 |