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| 1 | 老年性痴呆病人照料者的负担及其影响因素研究显示文摘作者采用容忍度量表和照料者负担量表等工具调查老年痴呆照料者与非痴呆老人照料者各110名。结果显示:被照料者以女性(68%)丧偶者(60%)居多,文盲占半数(49.10%),多与照料者同住。而照料者多为女性(57.3%),中年(52.7%)和在婚者多(86.4%),照料者群体中,子女和婿媳是老年人主要照料者(56.4%)。在照料过程中,照料者生活诸方面受到影响,与非痴呆组老人照料者间有明显差异(P<0.0001)。且照料者负担与被照料者的性别及痴呆程度有关(P<0.0001)。女性照料者的负担明显高于男性(P<0.0001),且与直接照料时间成正比。作者指出,社会关心痴呆病人的同时也应关心其照料者,应将医疗机构照顾、社区服务及家庭护理结合起来。 | 吴文源 张明园 何燕玲 俞勤奋 IGOR GRANT | 1995 | 中国心理卫生杂志1995，9，2： | 55 |
| 2 | 东昆仑南缘早三叠世洪水川组的源区特征:来自碎屑组成、重矿物和岩石地球化学的证据显示文摘分布于东昆仑南缘的早三叠世洪水川组系一套由砾岩、砂岩、页岩和鲕粒灰岩等浅海相和河流相沉积物构成的弧前盆地沉积组合。砂岩碎屑组成、重矿物组合、岩石地球化学和古水流综合研究结果表明,洪水川组砂岩物源主要来自于北侧的岛弧带,同时南侧的阿尼玛卿蛇绿混杂带也为其形成提供了部分物源;源区主要出露长英质岩石、变质岩和硅质岩。 | 闫臻 边千韬 Oleg A. Korchagin Igor I. Pospelov 李继亮 王宗起 | 2008 | 岩石学报2008，24，5： | 46 |
| 3 | Molecular characteristics of rifampin and isoniazid resistant Mycobacterium tuberculosis strains from Beijing,China显示文摘背景中国是 Mycobacterium 的高负担国家之一肺结核(TB ) 感染全球性,与高发生和死亡。我们学习了 rifampin ( RIF )和抵抗 Mycobacterium 肺结核从中国北京拉紧的异菸肼( INH )的分子的特征,四十 pansusceptible 和 Mycobacterium 肺结核的 81 抵抗紧张从北京孤立以便为特定的药 resistance.Methods 的快速的察觉发现基因标记,中国在 2002-2005 期间被分析。修改 rifampin oligonucleotide (RIFO ) 试金基于反向的线污点杂交被用来在 rpoB 基因的 81 bp 热点区域检测变化,它与 RIF 抵抗被联系。INH 抵抗联系了基因,规章的区域 mab-inhA (-15C/T) 和结构的基因 katG S315T 被反向的线污点杂交和 PCR 限制碎片长度多型性(RFLP ) 检测方法分别地。所有紧张被 spoligotying 打,北京遗传型被 NTF 地点分析进一步细分。药抵抗的分发在上述基因联系了变化在这些 groups.Results 被比较 65 (91.5%) 抵抗的 71 RIF 并且 52 (92.9%) 56 multidrug 抵抗(MDR,对至少 RIF 和 INH 抵抗的 .e ) 紧张被发现在 rpoB 热点区域怀有变化。没有变化在 RIF 敏感紧张被检测。修改 RIFO 试金的特性和敏感是 100% 并且 91.5% 分别地。katG315 AGCACC 和 inhA-15CT 变化在 40 被发现(60.6%) 并且 10 (15.2%) 66 NH 抵抗紧张,分别地; 7.6%INH 抵抗的紧张在这两基因有变化。因此, katG315 和 inhA-15 的联合使用识别了 68.2%INH 抵抗的紧张。北京遗传型说明了 91.7% 全部的紧张并且进一步被细分进“现代”(76.6%) 并且“祖先”(23.4%) 组。在药的 prevaiance 的“祖先”、“现代”的组之间没有重要差别联系抵抗的基因 mutations.Conclusions rpoB 基因的热点区域能为 RIF 抵抗紧张的察觉被用作基因标记;katG315 和 inhA-15 的联合使用能改进 INH 抵抗紧张的察觉率;北京遗传型在中国北京是流行的;修改 RIFO 试金能是为抵抗的 RIF 的快速的察觉的一个实际工具, MDR 在平淡的诊断工作孤立。 | JIAO Wei-wei Mokrousov Igor SUN Gui-zhi LI Mo LIU Jia-wen Narvskaya Olga SHEN A-dong | 2007 | Chinese Medical Journal2007，，9： | 39 |
| 4 | 中国HIV+/AIDS患者神经心理学初步研究显示文摘目的:探讨中国HIV+/AIDS 患者神经心理功能特点及情绪状态。方法:选取年龄、性别和受教育年限方面均匹配的28例HIM+和23例HIV-被试。对被试进行包含七个认知领域(如词语流畅、抽象/执行功能、信息处理速度、工作记忆、学习、延迟回忆和运动功能)的神经心理成套测验,共18个分测验。同时选用贝克抑郁问卷(BDI)让患者进行情绪自评。结果:单个测验粗分比较,HIV+/AIDS 被试比HIV-被试在范畴流畅测验、词语发音流畅测验、连线测验A、颜色连线测验Ⅱ及霍普金斯词语学习测验显著较差(P<0.05)。基于美国常模校正的标准分(T 分)显示,HIV+/AIDS 被试比HIV-被试在整套测验、词语流畅、抽象/执行功能和学习领域神经心理操作显著较差(P<0.05)。中国HIV-被试的平均T 分与美国常模50相近,总的平均T 分为48,各认知领域的平均T 分范围46-51。BDI 自评分提示中国HIV+/AIDS 被试比HIV-被试显示出更严重的抑郁情绪(P<0.001),且与躯体状况无关。HIV+/AIDS 被试BDI 得分与总的平均T 分无显著相关(r=0.22,p=0.27)。结论: 1.本研究所选用的神经心理成套测验有较为理想的跨文化效能。2.中国HIV/AIDS 被试在词语流畅、抽象/执行功能、学习认知领域和总的神经心理功能上比HIV--试显著较差,抑郁情绪更为严重,但抑郁情绪与HIV 造成的各领域认知功能损害无显著相关,提示HIV 可能对大脑的认知功能有一定影响。 | 石川 于欣 吴尊友 Robert K.Heaton JIN Hua Thomas D.Marcotte Joseph Sadek Igor Grant | 2005 | 中国心理卫生杂志2005，19，5： | 29 |
| 5 | 基于自然教育功能的国家公园环境解说系统建设研究显示文摘中国将构建以国家公园为主体的自然保护地体系,自然教育是各类自然保护地的主要功能,环境解说系统是发挥自然教育功能的重要途径。本文在论述中国国家公园环境解说发展背景的基础上,结合我国生态文明建设和自然保护地建设进程,提出了符合中国国情的国家公园环境解说系统目标、三维结构、主要功能、本底要素及建设步骤,针对性地总结出了管理体系、规范体系、人才体系、设施体系和保障体系'五位一体'的重点任务,力图为中国自然保护地提升自然教育成效提供理论依据和实践参考。 | 赵敏燕 董锁成 崔庆江 李泽红 Igor Vladimiror Korytniy Leonid Inna Zlydneva | 2019 | 环境与可持续发展2019，44，3： | 24 |
| 6 | Error rate of multi-level rapid prototyping trajectories for pedicle screw placement in lumbar and sacral spine显示文摘ObjectiveFree 手小花梗螺丝钉放置有能与荧光检查,航行或一个其他的快速的原型练习指南模板被减少的小花梗穿孔的高发生。在我们为在腰部、骶的区域的小花梗螺丝钉放置的多水平模板的错误率是的学习, evaluated.MethodsA 盒子系列学习在 11 个病人上被执行。72 个螺丝钉用与选择激光 sintering 生产的 multilevel 练习指南模板被植入。根据外科手术前地定义的最佳的螺丝钉方向,螺丝钉误放的分析被执行。排水量,偏差和螺丝钉长度差别被测量。学习曲线也是 estimated.ResultsTwelve 螺丝钉(17%) 被放超过 3.125 从它在小花梗的中心的最佳的位置的公里。16 个螺丝钉(22%) 的尖端被错放超过 6.25 从预言的最佳的位置的公里。根据我们的预定义的目标, 19 个螺丝钉(26%) 不正确地被植入。在 10 种情况中,螺丝钉长度不正确地被选择:(1%) 1 拧紧太长,(13%) 9 是太短的。神经与血管的损害的临床的符号都没被观察。学习曲线是不足道显著(P = 0.129 ) 我们的学习,生产的过程和适用的多水平练习指南模板有的 .ConclusionIn 螺丝钉误放的 26% 机会。然而,那率不与小花梗穿孔发生和神经与血管的损害与一致。与到兼容研究的比较一起的这些事实使总结那可能多水平模板是令人满意地精确的并且与一个临床上无关的错误因素允许精确螺丝钉放置。因此,模板能潜在地为平淡的小花梗螺丝钉放置代表一个有用工具。 | Matjaz Merc Igor Drstvensek Matjaz Vogrin Tomaz Brajlih Tomaz Friedrich Gregor Recnik | 2014 | Chinese Journal of Traumatology2014，17，5： | 21 |
| 7 | 扁平大功率高速永磁同步电机的护套设计及其强度优化显示文摘针对扁平结构、分块式永磁体的高速永磁同步电机的碳纤维护套设计问题,给出了通用的护套参数化设计模型,能够实现护套的快速设计,并分析了护套与永磁体间的过盈量、永磁体的径向压应力、转子外径对护套设计的影响。采用三维有限元方法对转子强度的解析模型进行了验证,并结合转子温度场分析结果,针对不同温度条件下,磁极间隔导致护套弯曲应力的产生,从而威胁护套安全的问题进行了研究。对比研究了不同磁极间隔材料对护套强度的影响,得到钛合金做磁极间隔时能够有效降低护套的弯曲应力,提高护套强度。最后制作了样机,并进行了实验。 | 万援 崔淑梅 吴绍朋 Ostanin Sergei Yurievich Milyaev Igor Matveevich | 2018 | 电工技术学报2018，33，1： | 19 |
| 8 | 基于自抗扰控制原理的全电飞机用永磁同步电机转速闭环控制显示文摘采用永磁同步电机直接驱动全电飞机螺旋桨,为了抑制不稳定气流对输出转矩影响和提高螺旋桨抗扰动能力,对永磁同步电机实现基于自抗扰原理的转速闭环控制。分析不同飞行状态下螺旋桨的转速与转矩需求,建立基于自抗扰转速闭环控制模型并利用Dspace模拟飞行工况运行。仿真和实验验证了基于自抗扰转速闭环系统对负载变化具有抗扰能力,整个飞行工况下永磁同步电机转速响应平稳,转矩输出符合螺旋桨转矩需求。 | 崔淑梅 匡志 杜博超 Ostanin Sergei Yurievich Milyaev Igor Matveevich | 2017 | 电工技术学报2017，32，A01： | 17 |
| 9 | Mitochondrial dysfunction and mitochondrial DNA mutations in atherosclerotic complications in diabetes显示文摘Mitochondrial DNA(mtDNA) is particularly prone to oxidation due to the lack of histones and a deficient mismatch repair system.This explains an increased mutation rate of mtDNA that results in heteroplasmy,e.g.,the coexistence of the mutant and wild-type mtDNA molecules within the same mitochondrion.In diabetes mellitus,glycotoxicity,advanced oxidative stress,collagen cross-linking,and accumulation of lipid peroxides in foam macrophage cells and arterial wall cells may significantly decrease the mutation threshold required for mitochondrial dysfunction,which in turn further contributes to the oxidative damage of the diabetic vascular wall,endothelial dysfunc-tion,and atherosclerosis. | Dimitry A Chistiakov Igor A Sobenin Yuri V Bobryshev Alexander N Orekhov | 2012 | World Journal of Cardiology2012，4，5： | 17 |
| 10 | 不同VNTR位点组合用于北京基因型结核分枝杆菌基因分型的研究显示文摘目的评价不同串联重复序列(VNTR)位点组合在北京地区北京基因型结核分枝杆菌基因分型中的应用。方法采用多位点数目可变串联重复序列分析(MLVA)技术对72株北京地区北京基因型菌株的24个VNTR位点进行分析,基因多态性分析采用BioNumerics软件。结果24个位点的多态性差异较大,位点QUB-11b(HGI 0.651)、Mtub 21(HGI0.556)和QUB-26(HGI 0.518)的多态性较高,有两个位点(MIRU 2和MIRU 24)则不具有多态性;不同VNTR位点组合(12位点,15位点,24位点)在北京基因型菌株中的分辨指数依次升高,分别为0.788,0.990,0.992,后两个组合的差异仅是由位点Mtub 29引起的。结论不同的VNTR位点在北京地区北京基因型菌株中的分辨力存在差异;推荐的基础VNTR 15位点与Mtub 29组合可作为北京地区结核分枝杆菌分子流行病学研究的一线方法。 | 李墨 焦伟伟 孙桂芝 Igor Mokrousov 郭雅洁 申阿东 | 2008 | 中国人兽共患病学报2008，24，6： | 16 |
| 11 | Acute abdominal obstruction:Colon stent or emergency surgery? An evidence-based review显示文摘According to the American Cancer Society and Colorectal Cancer Statistics 2017,colorectal cancer(CRC) is one of the most common malignancies in the United States and the second leading cause of cancer death in the world in 2018.Previous studies demonstrated that 8%-29% of patients with primary CRC present malignant colonic obstruction(MCO). In the past, emergency surgery has been the primary treatment for MCO, although morbidity and surgical mortality rates are higher in these settings than in elective procedures. In the 1990 s, selfexpanding metal stents appeared and was a watershed in the treatment of patients in gastrointestinal surgical emergencies. The studies led to high expectations because the use of stents could prevent surgical intervention, such as colostomy, leading to lower morbidity and mortality, possibly resulting in higher quality of life. This review was designed to provide present evidence of the indication, technique, outcomes, benefits, and risks of these treatments in acute MCO through the analysis of previously published studies and current guidelines. | Igor Braga Ribeiro Diogo Turiani Hourneaux de Moura Christopher C Thompson Eduardo Guimaraes Hourneaux de Moura | 2019 | World Journal of Gastrointestinal Endoscopy2019，11，3： | 15 |
| 12 | Metal-containing nanomaterials as lubricant additives: State-of-the-art and future development显示文摘This review focuses on the effect of metal-containing nanomaterials on tribological performance in oil lubrication. The basic data on nanolubricants based on nanoparticles of metals, metal oxides, metal sulfides, nanocomposities, and rare-earth compounds are generalized. The influence of nanoparticle size, morphology, surface functionalization, and concentration on friction and wear is analyzed. The lubrication mechanisms of nanolubricants are discussed. The problems and prospects for the development of metal-containing nanomaterials as lubricant additives are considered. The bibliography includes articles published during the last five years. | Igor E.UFLYAND Vladimir A.ZHINZHILO Victoria E.BURLAKOVA | 2019 | Friction2019，7，2： | 15 |
| 13 | Invariant natural killer T cells contribute to chronic-plus-binge ethanol-mediated liver injury by promoting hepatic neutrophil infiltration显示文摘嗜中性的渗入是含酒精的 steatohepatitis 的一个特点;然而,内在的机制仍然保持不清楚。我们以前报导 synergistically 喂的 chronic-plus-binge 乙醇导致 neutrophils 的肝的招募,它贡献肝损害。在这份报纸,我们在 chronic-plus-binge 乙醇喂导致调查了不变的自然漂亮 T (iNKT ) 房间的角色肝的嗜中性的渗入和肝损害。野类型并且 iNKT 的二紧张房间缺乏的老鼠(CD1d 缺乏并且 Jα 18-deficient 老鼠) 受到喂的 chronic-plus-binge 乙醇。肝损害和发炎被检验。synergistically 喂的 Chronic-plus-binge 乙醇增加了肝的 iNKT 房间的数字并且导致了他们的激活,与独自的长期的喂或饮酒作乐相比。iNKT 房间缺乏的老鼠被保护免受 chronic-plus-binge 的伤害导致乙醇的肝的嗜中性的渗入和肝损害。而且,显著地喂几基因的肝的表示在野类型的老鼠与发炎和嗜中性的招募联系了的 upregulated 的 chronic-plus-binge 乙醇,而是这些基因的正式就职在 iNKT 被废除房间缺乏的老鼠。重要地,几 cytokines 和 chemokines (例如, MIP-2, MIP-1, IL-4, IL-6 和 osteopontin ) 在嗜中性的渗入包含了在肝的 NKT 房间的 upregulated 从 chronic-plus-binge 被孤立与喂对的老鼠相比的喂乙醇的老鼠。最后,有堵住抗体的 CD1d 的处理,堵住 iNKT 房间激活,部分阻止了 chronic-plus-binge 导致乙醇的肝损害和发炎。喂的 Chronic-plus-binge 乙醇激活肝的 iNKT 房间,它在早含酒精的肝损害的发展起一个关键作用,部分地由释放招募的调停人 neutrophils 到肝,并且这样, iNKT 房间为含酒精的肝的治疗代表一个潜在的治疗学的目标疾病。 | Stephanie Mathews Dechun Feng Igor Maricic Cynthia Ju Vipin Kumar Bin Gao | 2016 | Cellular & Molecular Immunology2016，13，2： | 14 |
| 14 | Extended surgical resection for xanthogranulomatous cholecystitis mimicking advanced gallbladder carcinoma: A case report and review of literature显示文摘Xanthogranulomatous 胆汁(XGC ) 是胆囊的破坏煽动性的疾病,很少包含邻近的机关并且模仿国王先进胆囊癌。诊断在病理学的检查以后仅仅通常是可能的。46 42 岁的女人被指我们包含肝核,正确的肝脑叶,恰好结肠的弯曲,和十二指肠的怀疑的胆囊癌症的中心。刷细胞学获得了由内视镜后退胆管造影术(ERC ) 出现了高级发育异常。病人经历了团的在团体切除术,由正确叶切除术,正确的半结肠切除术,和部分十二指肠的切除术组成。出人意料地揭示的病理学的检查一 XGC.Only,为有邻近的机关的直接参与的 XGC 的扩大外科的切除术的六个案例到目前为止被报导了。在这些情况中,与癌给 XGC 的可能的共存,恶意不能被排除,甚至在细胞学和 intraoperative 冰冻切片调查以后。在结论,由于源于在另外的方面上包围机关的高度好攻击的煽动性的侵略的一个方面和可能的复杂并发症上的胆囊癌的差的预后,它似乎这些案例应该被当作恶性瘤直到不那样证明。临床医生们应该包括 XGC 在之中可能微分在肝核群众诊断。 | Antonino Spinelli Guido Schumacher Andreas Pascher Enrique Lopez-Hanninen Hussain Al-Abadi Christoph Benckert Igor M Sauer Johann Pratschke Ulf P Neumann Sven Jonas Jan M Langrehr Peter Neuhaus | 2006 | World Journal of Gastroenterology2006，12，14： | 13 |
| 15 | Optical metasurfaces: new generation building blocks for multi-functional optics显示文摘Optical metasurfaces(OMs)have emerged as promising candidates to solve the bottleneck of bulky optical elements.OMs offer a fundamentally new method of light manipulation based on scattering from resonant nanostructures rather than conventional refraction and propagation,thus offering efficient phase,polarization,and emission control.This perspective highlights state of the art OMs and provides a roadmap for future applications,including active generation,manipulation and detection of light for quantum technologies,holography and sensing. | Dragomir Neshev Igor Aharonovich | 2018 | Light(Science & Applications)2018，7，1： | 13 |
| 16 | Control of combustion area using electrical resistivity method for underground coal gasification显示文摘Underground coal gasification (UCG) is one of the clean technologies to collect heat energy and gases (hydrogen, methane, etc.) in an underground coal seam. It is necessary to further developing environ-mentally friendly UCG system construction. One of the most important UCG's problems is underground control of combustion area for efficient gas production, estimation of subsidence and gas leakage to the surface. For this objective, laboratory experiments were conducted according to the UCG model to identify the process of combustion cavity development by monitoring the electrical resistivity activity on the coal samples to setup fundamental data for the technology engineering to evaluate combustion area. While burning coal specimens, that had been sampled from various coal deposits, electrical resistivity was monitored. Symmetric four electrodes system (ABMN) of direct and low-frequency current electric resistance method was used for laboratory resistivity measurement of rock samples. Made research and the results suggest that front-end of electro conductivity activity during heating and combusting of coal specimen depended on heating temperature. Combusting coal electro conductivity has complicated multistage type of change. Electrical resistivity method is expected to be a useful geophysical tool to for evaluation of combustion volume and its migration in the coal seam. | Selivanova Tatiana Grebenyuk Igor Belov Alexey | 2012 | International Journal of Mining Science and Technology2012，22，3： | 11 |
| 17 | Video capsule endoscopy vs double-balloon enteroscopy in the diagnosis of small bowel bleeding:A systematic review and metaanalysis显示文摘AIM To compare the diagnostic accuracy of video capsule endoscopy(VCE) and double-balloon enteroscopy(DBE) in cases of obscure gastrointestinal bleeding(OGIB) of vascular origin.METHODS MEDLINE(via PubMed), LILACS(via BVS) and Cochrane/CENTRAL virtual databases were searched for studies dated before 2017. We identified prospective and retrospective studies, including observational, cohort, single-blinded and multicenter studies, comparing VCE and DBE for the diagnosis of OGIB, and data of all the vascular sources of bleeding were collected. All patients were subjected to the same gold standard method. Relevant data were then extracted from each included study using a standardized extraction form. We calculated study variables(sensitivity, specificity, prevalence, positive and negative predictive values and accuracy) and performed a meta-analysis using Meta-Disc software.RESULTS In the per-patient analysis, 17 studies(1477 lesions) were included. We identified3150 exams(1722 VCE and 1428 DBE) in 2043 patients and identified 2248 sources of bleeding, 1467 of which were from vascular lesions. Of these lesions, 864(58.5%) were diagnosed by VCE, and 613(41.5%) were diagnosed by DBE. The pretest probability for bleeding of vascular origin was 54.34%. The sensitivity of DBE was 84%(95%CI: 0.82-0.86; heterogeneity: 78.00%), and the specificity was92%(95%CI: 0.89-0.94; heterogeneity: 92.0%). For DBE, the positive likelihood ratio was 11.29(95%CI: 4.83-26.40; heterogeneity: 91.6%), and the negative likelihood ratio was 0.20(95%CI: 0.15-0.27; heterogeneity: 67.3%). Performing DBE after CE increased the diagnostic yield of vascular lesion by 7%, from 83% to90%.CONCLUSION The diagnostic accuracy of detecting small bowel bleeding from a vascular source is increased with the use of an isolated video capsule endoscope compared with isolated DBE. However, concomitant use increases the detection rate of the bleeding source. | Hélcio Pedrosa Brito Igor Braga Ribeiro Diogo Turiani Hourneaux de Moura Wanderley Marques Bernardo Dalton Marques Chaves Rogério Kuga Ethan Dwane Maahs Robson Kiyoshi Ishida Eduardo Turiani Hourneaux de Moura Eduardo Guimaraes Hourneaux de Moura | 2018 | World Journal of Gastrointestinal Endoscopy2018，10，12： | 10 |
| 18 | Management of gastroesophageal reflux disease: Patient and physician communication challenges and shared decision making显示文摘Gastroesophageal reflux disease(GERD) is a common upper esophageal condition and typical symptoms can include heartburn and sensation of regurgitation while atypical symptoms include chronic cough, asthma, hoarseness, dyspepsia and nausea. Typically, diag-nosis is presumptive given the presence of typical and atypical symptoms and is an indication for empiric therapy. Treatment management can include lifestyle modifications and/or medication therapy with proton pump inhibitor(PPI) class being the preferred and most effective. Complete symptom resolution is not always achieved and long-term PPI therapy can put patients at risk for serious side effects and needless expense. The brain-gut connection and hypervigilance plays an important role in symptom resolution and treatment success, especially in the case of non-PPI responders. Hypervigilance is a combination of increased esophageal sensory sensitivity in combination with exaggerated threat perception surrounding esophageal symptoms. Hypervigilance requires a different approach to GERD managements, where continued PPI therapy and surgery are usually not recommended. Rather, helping physicians and patients understand the brain-gut connection can guide and improve care.Education and reassurance should be the main pillars or treatment. However, it is important not to suggest the symptoms are due to anxiety alone, this often leads to patient dissatisfaction. Patient dissatisfaction with treatment reveals the need for a more patient-centered approach to GERD management and better communication between patients and providers. Shared decision making(SDM) with the incorporation of patient-reported outcomes(PRO) promotes patient adherence and satisfaction. SDM is a joint discussion between clinician and patient in which a mutually shared solution is explored for GERD symptoms. For SDM to work the physician needs to capture patients' perceptions which may not be obtained in the standard interview. This can be done through the use of PROs which promote a dialogue with patients about their symptoms and treatment priorities in the context of the SDM patient encounter. SDM could potentially help in the management of patient expectations for GERD treatment, ultimately positively impacting their health-related quality of life. | Scott Klenzak Igor Danelisen Grace D Brannan Melissa A Holland Miranda AL van Tilburg | 2018 | World Journal of Clinical Cases2018，6，15： | 10 |
| 19 | Endoscopic papillectomy: Data of a prospective observational study显示文摘AIM:To investigate the clinical value of endoscopic papillectomy indicated by feasibility and safety of the procedure in various diseases of the papilla in a representative number of patients in a setting of daily clinical and endoscopic practice and care by means of a systematic prospective observational study. METHODS:Through a defined time period, all consecutive patients with tumor-like lesions of the papilla, who were considered for papillectomy, were enrolled in this systematic bicenter prospective observational study, and subdivided into 4 groups according to endoscopic and endoscopic ultrasonography (EUS) findings as well as histopathological diagnosis:adenoma; carcinoma/ neuroendocrine tumor (NET)/lymphoma; papilla into which catheter can not be introduced; adenomyomatosis, respectively. Treatment results and outcome were characterized by R0 resection, complication, recurrence rates and tumor-free survival.RESULTS:Over a 7-year period, 58 patients underwent endoscopic papillectomy. Main symptoms prompting to diagnostic measures were unclear abdominal pain in 50% and cholestasis with and without pain in 44%. Overall, 54/58 patients [inclusion rate, 93.1%; sex ratio, males/females = 25/29 (1:1.16); mean age, 65 (range, 22-88) years] were enrolled in the study. Prior to papillectomy, EUS was performed in 79.6% (n = 43/54). Group 1 (adenoma, n = 24/54; 44.4%):91.6% (n = 22/24) with R0 resection; tumor-free survival after a mean of 18.5 mo, 86.4% (n = 19/22); recurrence, 13.6% (n = 3/22); minor complications, 12.5% (n = 3/24). Group 2 (carcinoma/NET/lymphoma, n = 18/54; 33.3%):75.0% (n = 10/18) with R0 resection; tumor-free survival after a mean of 18.5 (range, 1-84) mo, 88.9% (n = 8/9); recurrence, 11.1% (n = 1/9). Group 3 (adenomyomatosis, n = 4/54; 7.4%). Group 4 (primarily no introducible catheter into the papilla, n = 8; 14.8%). The overall complication rate was 18.5% (n = 10/54; 1 subject with 2 complications):Bleeding, n = 3; pancreatitis, n = 7; perforation, n = 1 (intervention-related mortality, 0%). In summary, EUS is a sufficient diagnostic tool to preoperatively clarify diseases of the papilla including suspicious tumor stage in conjunction with postinterventional histopathological investigation of a specimen. Endoscopic papillectomy with curative intention is a feasible and safe approach to treat adenomas of the papilla. In high-risk patients with carcinoma of the papilla with no hints of deep infiltrating tumor growth, endoscopic papillectomy can be considered a reasonable treatment option with low risk and an approximately 80% probability of no recurrence if an R0 resection can be achieved. In patients with jaundice and in case the catheter can not be introduced into the papilla, papillectomy may help to get access to the bile duct. CONCLUSION:Endoscopic papillectomy is a challenging interventional approach but a suitable patientand local finding-adapted diagnostic and therapeutic tool with adequate risk-benefit ratio in experienced hands. | Uwe Will Anne-Kathrin Müller Frank Fueldner Igor Wanzar Frank Meyer | 2013 | World Journal of Gastroenterology2013，19，27： | 10 |
| 20 | Differential treatment and early outcome in the interventional endoscopic management of pancreatic pseudocysts in 27 patients显示文摘瞄准:胰腺的假包囊(PPC ) 仅仅在腹的疼痛的情况中作为胰腺炎的复杂并发症被接近,感染,流血,并且压缩到胃肠道或胆汁的树上。方法:从 02/01/2002 到 05/31/2004,经历了 interventional 的有征兆的 PPC 的所有连续病人内视镜的途径在这飞行员盒子系列研究被评估:组(Gr ) 我主要经皮(外部) ,指导超声的排水。Gr。II 主要的指导 EUS 的胰囊肿胃吻合术。Gr。包括 intracystic necrosectomy 的 III-EUS-guided 胰囊肿胃吻合术。结果:( = “列在后面在上面”:n = 27 ) :Gr。我(n = 9;33.3%) :没有抱怨(n = 3 ) ;变化一进内部排水外部(n = 4 ) ;复杂并发症:(a) 流血(n = 1 ) 在 ICU 由 3 d 列在后面,在 40 d 以后的分泌物;(b) 腐败吃惊(n = 1 ) 由 ICU 和几剖腹术列在后面规划洗室年龄和 necrosectomy,在 74 d 以后的死亡。Gr。II (n = 13;48.1%) :没有抱怨(n = 11 ) ;外部排水(n = 2 ) ;从 13 个盒子的复杂并发症 / 问题:第二分开的假包囊(n = 1 ) 与外部排水(自从与主要内部排水的没有通讯) ;剩余包囊的感染(n = 1 )+ 追随者外部排水;自发的 PPC 穿孔(n = 1 ) 用片断并且随后的胰囊肿胃吻合术的开始的 + 追随者闭合为 2 d 的 ICU。Gr。III (n = 5;18.5%) :在所有病人的没有抱怨,在要求的一般水准二内视镜的过程(变化, 2-6 ) 。结论:胰腺的假包囊的 Interventional 内视镜的管理关于复杂并发症率(11.1%) 和死亡(3.7%) 是有与外科和可接受的结果相比的低侵略海角的一种合理其他的治疗选择,作为由这些证明起始的学习结果。 | Uwe Will Conrad Wegener Kai-Ivo Graf Igor Wanzar Thomas Manger Frank Meyer | 2006 | World Journal of Gastroenterology2006，12，26： | 9 |
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