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1Clinical outcome in patients with hilar malignant strictures type Ⅱ Bismuth-Corlette treated by minimally invasive unilateral versus bilateral endoscopic biliary drainage显示文摘BACKGROUND:Stenting of malignant hilar strictures remains a standard endoscopic treatment in patients with unresectable tumors.The aim of this two-center prospective study was to compare unilateral versus bilateral drainage in hilar malignant stenosis Bismuth-Corlette type II.METHODS:During a 3-year period,a total of 49 patients with hilar tumors(Bismuth-Corlette type II) were referred for endoscopic treatment,following the criteria of unresectability.Ultrasound,computed tomography scan and magnetic resonance cholangiopancreatography(MRCP) were previously performed in all patients in order to facilitate endoscopic retrograde cholangiopancreatography(ERCP).The stricture was first passed by the hydrophilic guide-wire and then contrast medium was injected.Mechanical bile duct dilation was performed,followed by plastic stent placement only in the liver lobe which was previously opacified.The procedures were performed under conscious sedation.The patients were followed up for the next 12 months with a stent exchange every 3 months.Primary outcome was assessed by patient survival in the first 12 months after the procedure.RESULTS:All 49 patients were treated with ERCP while 39(79.59%) had successful stent placement.Among these,32 had hilar cholangiocarcinoma(82%) and 7(18%) had gallbladder cancer.Two groups of patients had Bismuth II strictures:A,21 patients(54%) with unilateral contrast injection and drainage,and B,18(46%) with bilateral contrast injection and drainage.A total of 57 plastic stents were used(10 Fr,89%;11.5 Fr,11%).Group B showed a lower bilirubin level 7 days after the procedure(P=0.008).Early complications were cholangitis(3 patients,2 in group A and 1 in group B) and acute pancreatitis(2 patients,1 each in A and B) with no statistical difference between the groups.Late complications were stent migration(5 patients,1 in A and 4 in B) and stent clogging(6 patients,2 in A and 4 in B) showing a significant difference between the groups(P<0.01).The first stent replacement after 3 months was successful in 87% of patients(four died due to disease progression and one due to cardiopulmonary insufficiency) showing no statistical difference between the groups.At 6 months follow-up,72% patients survived,with no statistical difference between the groups.A final follow-up(12 months) showed the survival rate of 18%(4 patients from group A and 3 from group B)(P>0.05).CONCLUSIONS:A minimally invasive approach,based on the criterion that every bile duct being opacified needs to be drained,is associated with a lower incidence of early complications.Considering that the clinical outcome measured by bilirubin level was lower in patients with bilateral drainage 7 days after the procedure,we assumed that drainage of 50% or more of the liver volume leads to sufficient drainage effectiveness.Milutin Bulajic Nikola Panic Miodrag Radunovic Radisav Scepanovic Radoslav Perunovic Predrag Stevanovic Tatjana Ille Maurizio Zilli Mirko Bulajic 2012Hepatobiliary & Pancreatic Diseases International2012,11,2:8
2Balloon dilation itself may not be a major determinant of post-endoscopic retrograde cholangiopancreatography pancreatitis显示文摘Endoscopic retrograde cholangiopancreatography(ERCP)is the essential first modality for common bile duct(CBD)stone therapy.The conventional endoscopic treatment for CBD stones is stone removal after endoscopic sphincterotomy(EST).Stone removal after papillary stretching using balloon dilation instead of the conventional method has been widely adopted.There are many reports regarding endoscopic papillary balloon dilation(EPBD)utilizing a small balloon(<10 mm)instead of EST for the removal of small CBD stones.In contrast,two cases of mortality due to postERCP pancreatitis(PEP)were reported after an EPBD clinical trial in the Western world,and the psychological barrier caused by these incidences hinders the use of this technique in Western countries.Endoscopic papillar large balloon dilation(EPLBD),which is used to treat large CBD stones,was not widely adopted when firstintroduced due to concerns about perforation and severe pancreatitis from the use of a large balloon(12-20mm).However,as experience with this procedure accumulates,the occurrence of PEP with EPLBD is confirmed to be much lower than with EPBD.This report reviews whether EPBD and EPLBD,two procedures that use balloon dilation but differ in terms of indications and concept,contribute to the occurrence of PEP.Sung Ill Jang Gak Won Yun Dong Ki Lee 2014World Journal of Gastroenterology2014,20,45:6
3Anxiety and depression propensities in patients with acute toxic liver injury显示文摘AIM:To investigate anxiety and depression propensities in patients with toxic liver injury.METHODS:The subjects were divided into three groups:a healthy control group(Group 1,n=125),an acute non-toxic liver injury group(Group 2,n=124),and a group with acute toxic liver injury group caused by noncommercial herbal preparations(Group 3,n=126).These three groups were compared and evaluated through questionnaire surveys and using the Hospital Anxiety-Depression Scale(HADS),Beck Anxiety Inventory(BAI),Beck Depression Inventory(BDI),and the hypochondriasis scale.RESULTS:The HADS anxiety subscale was 4.9±2.7,5.0±3.0 and 5.6±3.4,in Groups 1,2,and 3,respectively.The HADS depression subscale in Group 3 showed the most significant score(5.2±3.2,6.4±3.4 and 7.2±3.4in Groups 1,2,and 3,respectively)(P<0.01 vs Group 1,P<0.05 vs Group 2).The BAI and BDI in Group 3showed the most significant score(7.0±6.3 and 6.9±6.9,9.5±8.6 and 8.8±7.3,10.7±7.2 and 11.6±8.5in Groups 1,2,and 3,respectively)(BAI:P<0.01 vs Group 1,P<0.05 vs Group 2)(BDI:P<0.01 vs Group1 and 2).Group 3 showed a significantly higher hypochondriasis score(8.2±6.0,11.6±7.5 and 13.1±6.5in Groups 1,2,and 3,respectively)(P<0.01 vs Group 1,P<0.05 vs Group 2).CONCLUSION:Psychological factors that present vulnerability to the temptation to use alternative medicines,such as herbs and plant preparations,are important for understanding toxic liver injury.Jeong Ill Suh Jeong Kyu Sakong Kwan Lee Yong Kook Lee Jeong Bae Park Dong Joon Kim Yeon Seok SeoDepartment of Internal Medicine Korea University Anam Hospital Korea University College of Medicine Seoul 136-705 South Korea Jae Dong Lee Soon Young Ko Byung Seok Lee Seok Hyun Kim Byung Seok Kim Young Seok Kim Heon Ju Lee In Hee Kim Joo Hyun Sohn Tae Yeob Kim Byung Min Ahn 2013World Journal of Gastroenterology2013,19,47:5
4Determination of glycated hemoglobin in patients with advanced liver disease显示文摘AIM: To evaluate the glycated hemoglobin (HbA1c) determination methods and to determine fructosamine in patients with chronic hepatitis, compensated cirrhosis and in patients with chronic hepatitis treated with ribavirin.METHODS: HbA1c values were determined in 15 patients with compensated liver cirrhosis and in 20 patients with chronic hepatitis using the ion-exchange high performance liquid chromatography and the immunoassay methods. Fructosamine was determined using nitroblue tetrazolium.RESULTS: Forty percent of patients with liver cirrhosis had HbA1c results below the non-diabetic reference range by at least one HbA1c method, while fructosamine results were either within the reference range or elevated. Twenty percent of patients with chronic hepatitis (hepatic fibrosis) had HbA~ results below the non-diabetic reference range by at least one HbA~ method. In patients with chronic hepatitis treated with ribavirin, 50% of HbA^c results were below the non-diabetic reference using at least one of the HbA1c methods.CONCLUSION: Only evaluated in context with all liverfunction parameters as well as a red blood count includingreticulocytes, HbA1c results should be used in patients withadvanced liver disease. HbA1c and fructosamine measurements should be used with caution when evaluating long-term glucose control in patients with hepatic cirrhosis or in patients with chronic hepatitis and ribavirin treatment.Theresa Lahousen Karin Hegenbarth Rottraut Ille Rainer W.Lipp Robert Krause Randie R. Little Wolfgang J.Schnedl 2004World Journal of Gastroenterology2004,10,15:5
5嘌呤信号通路对成熟神经祖细胞功能的调节显示文摘细胞外的嘌呤是胚胎发育过程中脑和脊髓原位内的信号分子,它们通过激活胚胎神经干细胞(NSCs)及成熟神经祖细胞(NPCs)表面的嘌呤受体发挥作用。虽然NSCs/NPCs内表达了能和几乎所有核苷酸敏感型P2X/P2Y受体和核酸敏感型腺苷受体相作用的m RNA和蛋白,但其中只有一部分具有功能。ATP被异位核苷酸酶依次降解为ADP,AMP和腺苷,它们都是神经激动剂并作用于不同类型的受体。核苷酸/核苷促进或抑制NSC/NPC增殖、迁移和分化。所有激动剂(特别是ATP和ADP)的最普遍的作用是促进细胞增殖,常通过P2Y1Rs,有时也通过P2X7Rs。但P2X7R的激活通常导致NPCs的坏死或凋亡。激活P2Y2R或阻断P2X7R可促进神经细胞的分化。转导机制的核心是细胞内游离钙离子浓度的升高,游离的钙离子可能来自细胞内的释放(G蛋白偶联;P2Y),或细胞外的钙离子通过被激活的受体通道进入细胞内(ATP门控离子通道;P2X)。进一步的研究将着重阐明嘌呤信号通道如何调控NSC/NPC的分化,以及静息和活化状态之间的平衡如何通过精细和动态的调节来建立。Yong Tang Peter Illes 唐颖馨(编译) 2017神经损伤与功能重建2017,12,2:4
6嘌呤信号与针灸镇痛显示文摘疼痛是针灸的优势适应症。解析针灸镇痛的机制是一个具有理论和现实意义的重要挑战。继Geoffrey Burnstock提出嘌呤信号参与针灸镇痛的假说以及Maiken Nedergaard证实穴位局部腺苷受体介导针刺镇痛之后,嘌呤信号成为近年来针灸镇痛的研究热点。因此,本文将对嘌呤信号与针灸镇痛的系列研究进行总结以及展望。黄露梅 刘娟 尹海燕 余曙光 Patrizia Rubini Peter Illes 唐勇 2016成都中医药大学学报2016,39,4:4
7Purinergic Receptors in Basal Ganglia Diseases:Shared Molecular Mechanisms between Huntington’s and Parkinson’s Disease显示文摘Huntington’s(HD)and Parkinson’s diseases(PD)are neurodegenerative disorders caused by the death of GABAergic and dopaminergic neurons in the basal ganglia leading to hyperkinetic and hypokinetic symptoms,respectively.We review here the participation of purinergic receptors through intracellular Ca^2+signaling in these neurodegenerative diseases.The adenosine A2A receptor stimulates striatopallidal GABAergic neurons,resulting in inhibitory actions on GABAergic neurons of the globus pallidus.A2A and dopamine D2 receptors form functional heteromeric complexes inducing allosteric inhibition,and A2A receptor activation results in motor inhibition.Furthermore,the A2A receptor physically and functionally interacts with glutamate receptors,mainly with the mGlu5 receptor subtype.This interaction facilitates glutamate release,resulting in NMDA glutamate receptor activation and an increase of Ca2+influx.P2X7 receptor activation also promotes glutamate release and neuronal damage.Thus,modulation of purinergic receptor activity,such as A2A and P2X7 receptors,and subsequent aberrant Ca^2+signaling,might present interesting therapeutic potential for HD and PD.Talita Glaser Roberta Andrejew Agatha Oliveira-Giacomelli Deidiane Elisa Ribeiro Lucas Bonfim Marques Qing Ye Wen-Jing Ren Alexey Semyanov Peter Illes Yong Tang Henning Ulrich 2020Neuroscience Bulletin2020,36,11:3
8Measuring financial stress in a developed country: An application to Canada显示文摘Mark Illing Ying Liu 2006Journal of Financial Stability2006,,3:2
9Early Intrapulmonary Recurrence After Pulmonary Metastasectomy Related to Colorectal Cancer显示文摘Mi Ri Hwang Ji Won Park Dae Yong Kim Hee Jin Chang Sun Young Kim Hyo Seong Choi Moon Soo Kim Jae Ill Zo Jae Hwan Oh 2010The Annals of Thoracic Surgery2010,,2:2
10Magnetic compression anastomosis is useful in biliary anastomotic strictures after living donor liver transplantation显示文摘Sung Ill Jang Jie-Hyun Kim Jong Yoon Won Kwang Hoon Lee Hee Wook Kim Jung Whan You Takao Itoi DongKi Lee 2011Gastrointestinal Endoscopy2011,,5:2
11Efficacy of a Metallic Stent Covered with a Paclitaxel-Incorporated Membrane Versus a Covered Metal Stent for Malignant Biliary Obstruction: A Prospective Comparative Study显示文摘Sung Ill Jang Jie-Hyun Kim Jung Whan You Kwangwon Rhee Se Joon Lee Ho Gak Kim Jimin Han Im Hee Shin Sang-Heum Park Dong Ki Lee 2013Digestive Diseases and Sciences2013,,3:2
12Hypokalemic myopathy in a patient with gluten-sensitive enteropathy and dermatitis herpetiformis Duhring: A case report显示文摘The case of a 22-year-old patient with symptomatic hypokalemia caused by rhabdomyolysis is presented as a rarely reported complication of gluten-sensitive enteropathy (GSE) and dermatitis herpetiformis Duhring. The patient's myopathy ceased on potassium supplementation and her other complaints resolved while on gluten-free diet.Recovery was otherwise uneventful with a rapid decline in serum CPK level. At the time of her last follow-up a few months later, she was free of symptoms and CPK remained stable. Patients with GSE may present with hypokalemia in association with diarrhea and emesis, and if potassium loss is rapid, rhabdomyolysis may occur.Zsolt Barta Zsofia Miltenyi Laszlo Toth Arpad Illes 2005World Journal of Gastroenterology2005,11,13:2
13Highly ordered lead-free double perovskite halides by design显示文摘Lead-free double perovskite halides are emerging optoelectronic materials that are alternatives to leadbased perovskite halides.Recently,single-crystalline double perovskite halides were synthesized,and their intriguing functional properties were demonstrated.Despite such pioneering works,lead-free double perovskite halides with better crystallinity are still in demand for applications to novel optoelectronic devices.Here,we realized highly crystalline Cs2AgBiBr6 single crystals with a well-defined atomic ordering on the microscopic scale.We avoided the formation of Ag vacancies and the subsequent secondary Cs3Bi2Br9 by manipulating the initial chemical environments in hydrothermal synthesis.The suppression of Ag vacancies allows us to reduce the trap density in the as-grown crystals and to enhance the carrier mobility further.Our design strategy is applicable for fabricating other lead-free halide materials with high crystallinity.Chang Won Ahn Jae Hun Jo Jong Chan Kim Hamid Ullah Sangkyun Ryu Younghun Hwang Jin San Choi Jongmin Lee Sanghan Lee Hyoungjeen Jeen Young-Han Shin Hu Young Jeong Ill Won Kim Tae Heon Kim 2020Journal of Materiomics2020,6,4:2
14Cold-temperature deformation of nano-sized tungsten and niobium as revealed by in-situ nano-mechanical experiments显示文摘We constructed and developed an in-situ cryogenic nanomechanical system to study small-scale mechanical behavior of materials at low temperatures.Uniaxial compression of two body-centered-cubic(bcc)metals,Nb and W,with diameters between400 and 1300 nm,was studied at room temperature and at 165 K.Experiments were conducted inside of a Scanning Electron Microscope(SEM)equipped with a nanomechanical module,with simultaneous cooling of sample and diamond tip.Stress-strain data at 165 K exhibited higher yield strengths and more extensive strain bursts on average,as compared to those at 298 K.We discuss these differences in the framework of nano-sized plasticity and intrinsic lattice resistance.Dislocation dynamics simulations with surface-controlled dislocation multiplication were used to gain insight into size and temperature effects on deformation of nano-sized bcc metals.LEE Seok-Woo CHENG YinTong RYU Ill GREER Julia R. 2014Science China(Technological Sciences)2014,57,4:2
15Impaired ATP Release from Brain Astrocytes May be a Cause of Major Depression显示文摘Major depressive disease(MDD)is one of the most common mental disorders and a leading cause of disability[1].Core symptoms include depressed mood,increased apathy,and a general loss of interest.In consequence,it represents not only a personal hardship for the patients themselves,but also a major socio-economic burden for society as a whole.Peter Illes Patrizia Rubini Haiyan Yin Yong Tang 2020Neuroscience Bulletin2020,36,11:2
16Effects of the central analgesic tramadol and its main metabolite, O-desmethyltramadol, on rat locus coeruleus neurones显示文摘Sevcik J Nieber K Driessen B Illes P 1993Br J Pharmacol1993,110,1:1
17A naturally occurring variant of endothelial lipase associated with ele- vated HDL exhibits impaired synthesis 显示文摘Brown ILl Edmondson AC Griffon N 2009J Lipid Res2009,50,:1
18Duration of infection and proportion of pigs persistently infected with porcine reproductive and respiratory syndrome virus显示文摘ills RW Doster AR Galeota JA 2003J Clin Microbiol2003,41,:1
19The Canadian Critical Trials Group显示文摘Heyland DK Cook DJ Griffith L et aL The attributable morbidity and mortality of ventilator-associated pneumonia in the critically ill patient 1999American Journal of Respiratory and Critical Care Medicine1999,159,41:1
20The ICAM-1 antisense oligonucleotide ISIS-3082 prevents the development of postopera- tive ileus in mice 显示文摘The FO de Jonge WJ Bennink ILl 2005Br J Pharmaco12005,146,2:1
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