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| 1 | 阿德福韦双酯治疗拉米夫定耐药的慢性乙肝患者时出现的耐药问题显示文摘背景:阿德福韦双酯(ADV)是一种有效治疗野生型和耐拉米夫定乙肝病毒(HBV)的核苷酸类药物。在使用核苷酸类药物治疗慢性乙肝时,当治疗时间为48、96、144周时,耐ADV变异体出现的累积发生率分别为0、0.8-3%和0-5.9%。 | Yeon JE Yoo W Hong SP | 2006 | 中国处方药2006,,3: | 80 |
| 2 | Calcium and Calmodulin-Mediated Regulation of Gene Expression in Plants显示文摘无柄的植物开发了一个很精细的系统由使用一个简单 Ca2+ 离子察觉到内长的发展暗示和外长的环境刺激的多样的类型。Calmodulin (凸轮) 是占优势的 Ca2+ 传感器并且在在优核质在各种各样的细胞的分隔空间译码 Ca2+ 签名进合适的细胞的回答起一个关键作用。证据的成长身体在对内长、外长的刺激的植物回答期间在 transcriptional 过程的规定指向 Ca2+ 和凸轮的重要性。这里,我们在 Ca2+ 和凸轮并且在对他们的功能的意义的评价响应关於生命、不能生活的压力和发展暗示在植物信号 transduction 期间调制的 transcriptional 管理者的鉴定考察最近的进步。 | Min Chul Kim Woo Sik Chung Dae-Jin Yun Moo Je Cho | 2009 | Molecular Plant2009,2,1: | 47 |
| 3 | GRADE指南:Ⅵ.证据质量评价--不精确性(随机误差)显示文摘GRADE建议通过检查95%可信区间(CI)为决定不精确性的最佳方法。在指南实际运用中,如果CI的上、下限值代表了真实效应,而临床实际情况与之不符时,必须降低证据质量级别(即对效应估计值的把握度)。除外当效应值很大且可信区间提示效应稳健,而总样本量不大且事件数很少的情况,其他应考虑因不精确性而降低证据质量级别。作此决定时,可计算有足够检验效能的单个试验所需的病例数(定义为'最优信息样本量',即optimal information size,OIS)。对连续型变量,我们建议用类似方法,首先考虑可信区间上、下限值,再计算OIS。系统评价(SR)所需方法略有不同。如果95%CI不包括相对危险度(RR)为1,且总事件发生数或病例数超过OIS标准,则精确性良好。如果95%CI包括了明显获益或危害(我们建议以RR值<0.75或>1.25作粗标准),即使达到OIS要求,因不精确性而降低证据质量级别较恰当。 | Gordon Guyatt Andrew D.Oxman Regina Kunz Jan Brozek Pablo Alonso-Coello David Rind PJ Devereaux Victor M.Montori Bo Freyschuss Gunn Vist Roman Jaeschke John W.Williams Jr. Mohammad Hassan Murad David Sinclairk Yngve Falck-Ytter Joerg Meerpohl Craig Whittington Kristian orlund Je Andrews Holger J.Schünemann 代表GRADE工作组 李幼平 王莉 陈尹 高霑 | 2011 | 中国循证医学杂志2011,11,12: | 43 |
| 4 | 心力衰竭的诊断与评估显示文摘心力衰竭是常见的临床综合征,以呼吸困难、疲乏和容量超负荷为特点,也可出现外周性水肿及肺部哕音。心力衰竭有较高的发病率和病死率,尤其是老年人。许多疾病,如冠状动脉疾病(CAD)、高血压、瓣膜性心脏病和糖尿病均可引起或导致慢性心力衰竭的失代偿。40%~50%的心力衰竭患者为左心室功能保留的舒张性心力衰竭,其总病死率与收缩性心力衰竭相似。初始评估包括病史、体检、胸部X线片、心电图(ECG)和实验室评估,以识别原因或诱因。心尖移位、第三心音和胸部X线片显示静脉充血或间质水肿常有助于识别心力衰竭。 | 周淑新 朱翠明 King M Kingery JE Casey B | 2012 | 中国全科医学2012,15,36: | 38 |
| 5 | Iron and liver fibrosis: Mechanistic and clinical aspects显示文摘Liver fibrosis is characterised by excessive deposition of extracellular matrix that interrupts normal liver functionality. It is a pathological stage in several untreated chronic liver diseases such as the iron overload syndrome hereditary haemochromatosis, viral hepatitis, alcoholic liver disease, non-alcoholic fatty liver disease, non-alcoholic steatohepatitis and diabetes. Interestingly, regardless of the aetiology, iron-loading is frequently observed in chronic liver diseases. Excess iron can feed the Fenton reaction to generate unquenchable amounts of free radicals that cause grave cellular and tissue damage and thereby contribute to fibrosis. Moreover, excess iron can induce fibrosis-promoting signals in the parenchymal and non-parenchymal cells, which accelerate disease progression and exacerbate liver pathology. Fibrosis regression is achievable following treatment, but if untreated or unsuccessful, it can progress to the irreversible cirrhotic stage leading to organ failure and hepatocellular carcinoma, where resection or transplantation remain the only curative options. Therefore,understanding the role of iron in liver fibrosis is extremely essential as it can help in formulating iron-related diagnostic, prognostic and treatment strategies. These can be implemented in isolation or in combination with the current approaches to prepone detection, and halt or decelerate fibrosis progression before it reaches the irreparable stage. Thus, this review narrates the role of iron in liver fibrosis. It examines the underlying mechanisms by which excess iron can facilitate fibrotic responses. It describes the role of iron in various clinical pathologies and lastly,highlights the significance and potential of iron-related proteins in the diagnosis and therapeutics of liver fibrosis. | Kosha J Mehta Sebastien Je Farnaud Paul A Sharp | 2019 | World Journal of Gastroenterology2019,25,5: | 39 |
| 6 | 辣椒素与P物质显示文摘阐述了 P 物质在皮肤病病理机理中的作用及辣椒素的药理作用.辣椒素可抑制 P 物质的合成,从而阻止感觉神经对疼痛和瘙痒的传导,故对神经痛和瘙痒有治疗作用.临床试用于带状疱疹后遗性神经痛及糖尿病性神经病疼痛有良好效果,并可用于一些瘙痒性皮肤病.对银屑病,经少量试验治疗证明有效,有希望成为该病的有效治疗药物. | Bernstein JE 李军霞 | 1993 | 国外医学(皮肤性病学分册)1993,19,3: | 31 |
| 7 | 颅内动脉瘤显微外科手术163例分析显示文摘目的 总结颅内动脉瘤显微外科手术的治疗经验。方法 统计近年 2年来显微外科手术夹闭的 16 3例颅内动脉瘤患者的临床资料、手术方式及术后转归。结果 成功夹闭 16 2例 ,5例为栓塞失败后改为手术夹闭。术中过早破裂 31例 ,其中 1例在切开脑膜前破裂 ,未予夹闭。 112例恢复正常工作 (6 9 6 % ) ,轻残 19例 ,重度残废 2 1例 ,死亡 8例 (4 9% ) ,术后脑积水 32例。结论 颅内动脉瘤一旦诊断明确 ,即应积极处理 ,Hunt和Hess 4~ 5级者入院后延迟手术可能减少手术死亡率 ,但在等待期间可能增加再破裂出血的危险 ,因而总死亡率不减少。颅底外科入路及精细的显微操作可减少术中过早破裂。前循环和后循环动脉瘤的术中处理有不同 ,脑积水为最常见的远期并发症 。 | 陈建良 吴耀晨 陈锦伦 陈旭东 赵永阳 陈洪 Je Hyuk Lee Soo Han Kim | 2000 | 中华神经外科杂志2000,16,4: | 24 |
| 8 | 专著《几何不等式新进展》的补遗(Ⅰ)(英文)显示文摘本文综述了专著 AGI 出版后几何不等式的最新进展,尽可能全面地收集了1987—1990年间的有关文献,更多地反映了中国数学家的工作成果。 | Mitrinovic D S Pecaric JE Volenec V 陈计 | 1991 | 宁波大学学报(理工版)1991,4,2: | 23 |
| 9 | 人类血压测量方法:美国心脏协会科学声明显示文摘准确的血压测量对高血压诊断与治疗至关重要。该文是美国心脏协会关于人类血压测量的最新科学声明。业已证实,在诊室许多电子血压计可以准确测量血压,同时减少与听诊法有关的人为误差。即使没有一个观察者在场,全自动电子血压计也可以通过多次测量提供较听诊法更准确的血压测量值。研究表明诊室外所测血压与诊室血压比较存在实质性差别。目前认为动态血压监测是诊室外血压评估的参考标准,当动态血压监测不可行或患者不能耐受时,家庭血压监测则是一个替代方法。 | 赵狄(摘译) 练桂丽(审校) Muntner P Shimbo D Carey RM Charleston JB Gaillard T Misra S Myers MG Ogedegbe G Schwartz JE Townsend RR Urbina EM Viera AJ White WB Wright JT Jr | 2019 | 中华高血压杂志2019,27,6: | 16 |
| 10 | Burden of Gastrointestinal Disease in the United States: 2012 Update显示文摘 | Anne F. Peery Evan S. Dellon Jennifer Lund Seth D. Crockett Christopher E. McGowan William J. Bulsiewicz Lisa M. Gangarosa Michelle T. Thiny Karyn Stizenberg Douglas R. Morgan Yehuda Ringel Hannah P. Kim Marco Dacosta DiBonaventura Charlotte F. Carroll Je | 2012 | Gastroenterology2012,,5: | 15 |
| 11 | 改善高血压患者的药物依从性:一项随机研究显示文摘治疗高血压和血脂异常能显著降低心血管事件和脑卒中风险,但服用降压药和降脂药的依从性差及没有持续性的现象仍很常见。数十年来已经对改善药物依从性的干预措施进行了较深入研究,即使采用了复杂的干预措施,其作用也很有限。一个可能的解释是不依从性受多因素影响。目前药物依从性研究的范围应倾向于个体化的治疗策略,而不是标准化干预,例如临床药师干预着重于关注患者药物相关问题和依从性行为。 | Hedegaard U Kjeldsen LJ Pottegard A Henriksen JE Lambrechtsen J Hangaard J Hallas J | 2015 | 中华高血压杂志2015,23,12: | 15 |
| 12 | Diagnostic value of maximal-outer-diameter and maximal-mural-thickness in use of ultrasound for acute appendicitis in children显示文摘AIM: To evaluate the maximal-outer-diameter (MOD) and the maximal-mural-thickness (MMT) of the appendix in children with acute appendicitis and to determine their optimal cut-off values to diagnose acute appendicitis. METHODS: In total, 164 appendixes from 160 children between 1 and 17 years old (84 males, 76 females; mean age, 7.38 years) were examined by high-resolution abdominal ultrasound for acute abdominal pain and the suspicion of acute appendicitis. We measured the MOD and the MMT at the thickest point of the appendix. Patients were categorized into two groups according to their medical records: patients who had surgery (surgical appendix group) and patients who did not have surgery (non-surgical appendix group). Data were analyzed by MedCalc v.9.3. The rank sum test (Mann-Whitney test) was used to evaluate the difference in the MOD and the MMT between the two groups. ROC curve analysis was used to determine the optimal cut-off value of the MOD and the MMT on diagnosis of acute appendicitis. RESULTS: There were 121 appendixes (73.8%) in the non-surgical appendix group and 43 appendixes (26.2%) in the surgical appendix group. The median MOD differed significantly between the two groups (0.37 cm vs 0.76 cm, P < 0.0001), and the median MMT also differed (0.15 cm vs 0.33 cm, P < 0.0001). The optimal cut-off value of the MOD and the MMT for diagnosis of acute appendicitis in children was > 0.57 cm (sensitivity 95.4%, specificity 93.4%) and > 0.22 cm (sensitivity 90.7%, specificity 79.3%), respectively. CONCLUSION: The MOD and the MMT are reliable criteria to diagnose acute appendicitis in children. An MOD > 0.57 cm and an MMT > 0.22 cm are the optimal criteria. | Bo-Kyung Je Sung-Bum Kim Seung Hwa Lee Ki Yeol Lee Sang Hoon Cha | 2009 | World Journal of Gastroenterology2009,15,23: | 14 |
| 13 | 一些植物提取物对烟草甲虫生物活性的影响显示文摘测定了不同浓度的植物提取物在244、8和72 h后对烟草甲成虫的触杀毒力和驱避毒力。初步研究结果表明,筛选出的巴豆乙醇提取物、巴豆丙酮提取物、巴豆乙酸乙酯提取物、巴豆石油醚提取物、草乌丙酮提取物、草乌乙酸乙酯提取物、草乌石油醚提取物、驱虫草乙醇提取物、驱虫草丙酮提取物、川乌石油醚提取物、百部乙醇提取物、百部丙酮提取物、百部乙酸乙酯提取物、百部石油醚提取物、茵陈蒿乙醇提取物、茵陈蒿丙酮提取物等对烟草甲成虫有较好的触杀毒力;巴豆乙酸乙酯提取物、巴豆石油醚提取物、天南星科植物乙酸乙酯提取物、天南星科植物石油醚提取物、百部乙酸乙酯提取物、高良姜石油醚提取物、山鸡椒乙醇提取物、山鸡椒石油醚提取物等对烟草甲成虫有较好的驱避毒力。 | 赵海刚 宋纪真 谢剑平 Je Yeon Ho Jin Byung Rae 李建洪 | 2005 | 烟草科技2005,38,9: | 12 |
| 14 | 隐性低血糖显示文摘隐性低血糖作为严重的低血糖发作一潜在危险因素已被广泛认识,但其发生频率及机制不清楚。作者从其定义内涵出发,回顾了其历史背景,综述了数十年来关于隐性低血糖的研究报道,提出低血糖所致中枢神经系统某种适应使得逆调激素和自主神经递质反应减弱,进而导致机体对胰岛素敏感性增加而对低血糖的感觉减弱,从而患者发生了频发的低血糖或严重的低血糖发作。 | Gerich JE 毛健 | 1992 | 国外医学(儿科学分册)1992,19,4: | 11 |
| 15 | 苏云金芽孢杆菌防治烟草害虫研究进展显示文摘综述了苏云金芽孢杆菌的发展概况、杀虫机理、在烟草害虫防治上的应用等,并讨论了苏云金芽孢杆菌在防治烟草害虫中存在的问题及其发展前景。 | 齐绪峰 宋纪真 JE YEON HO JIN BYUNG RAE 李建洪 | 2006 | 烟草科技2006,39,4: | 10 |
| 16 | Is there a correlation between the outcome of transurethral resection of prostate and preoperative degree of bladder outlet obstruction?显示文摘在病人在症状分数和最大的流动率( Qmax )上把前列腺( TURP )的经尿道的切除术的影响与暖昧的膀胱插头阻塞(嘘声)和明确的嘘声作比较并且估计在外科的结果和度之间的关系外科手术前的嘘声,我们有希望地与更低的尿道症状和膀胱插头阻塞索引( BOOI )评估了人比 20 大,对常规医疗倔强并且经历了 TURP 。Urodynamic 评估,国际前列腺症状分数(IPSS ) , uroflowmetry,虚空以后的剩余体积(PVR ) 检查和 transrectal 超声被执行。20 < BOOI< 40 被定义为暖昧的嘘声和 BOOI≥ 40 是明确的嘘声。IPSS, Qmax, PVR 和关联分析的变化在 Qmax 的改进的度之间被执行, IPSS 和 BOOI 的子域。54 个病人证明暖昧的嘘声和 80 个病人显示出明确的嘘声。外科手术前地暖昧的嘘声组和明确的嘘声在最大的膀胱能力和 detrusor overactivity 的流行组织显示出的重要差别,而没有差别在前列腺体积被注意。手术后地,两个组在 Qmax 显示出改进,妨碍(IPSSO ) 并且刺激性(IPSSI ) IPSS 的子域和 IPSSI 子域是统计上在明确的嘘声组显著地更大。Qmax 和 IPSSI 的改进的度与外科手术前的 BOOI 显示出弱关联。当弱关联在嘘声的外科手术前的度和 TURP 的结果之间被识别,除象病人的症状的严厉那样的 BOOI 以外的另外的因素应该在决定治疗形式被考虑。 | Mi Mi Oh Jin Wook Kim Je long Kim Du Geon Moon | 2012 | Asian Journal of Andrology2012,14,4: | 10 |
| 17 | Tailoring strength-ductility balance of caliber-rolled AZ31 Mg alloy through subsequent annealing显示文摘Recently,multi-pass caliber rolling has been shown to be effective for Mg alloys.This study investigated the effect of subsequent annealing on the mechanical properties of a caliber-rolled AZ31 Mg alloy to modulate the strength-ductility relationship.This annealing gave rise to different trends in mechanical properties depending on the temperature regime.Low-temperature annealing(T≤473 K)exhibited a typical trade-off relationship,where an increase in annealing temperature resulted in increased ductility but decreased strength and hardness.Such a heat treatment did not degrade the high strength-ductility balance of the caliber-rolled alloy,suggesting that the mechanical properties could be tailored for different potential applications.In contrast,high-temperature annealing(T>473 K)caused a simultaneous deterioration in strength,hardness,and ductility with increasing annealing temperature.These differences are discussed in terms of the varying microstructural features under the different investigated annealing regimes. | Taein Kong Byung Je Kwak Jonghyun Kim Jeong Hun Lee Sung Hyuk Park Ji Hoon Kim Young Hoon Moon Hyun Sik Yoon Taekyung Lee | 2020 | Journal of Magnesium and Alloys2020,8,1: | 10 |
| 18 | 贮烟仓库中苏云金芽孢杆菌对烟草甲的杀灭活性显示文摘为研究苏云金芽孢杆菌(&)防治贮烟害虫的可行性,从全国7个主要卷烟厂的不同贮烟仓库中采集到不同类型的样品521份,采用醋酸钠抑制选择法从其中的225份样品中分离获得Bt952株,其分布率为100%,检出率为43.19%,用其中600株的发酵液对2~3龄烟草甲幼虫进行了初步毒力测定。结果表明,有18株分离株对烟草甲幼虫具有较高的生物活性,药后9d烟草甲幼虫的校正死亡率均达73%以上。 | 齐绪峰 宋纪真 谢剑平 JE YEON HO JIN BYUNG RAE 李建洪 | 2006 | 烟草科技2006,39,5: | 10 |
| 19 | Management of lumbar zygapophysial (facet) joint pain显示文摘AIM: To investigate the diagnostic validity and therapeutic value of lumbar facet joint interventions in managing chronic low back pain.METHODS: The review process applied systematic evidence-based assessment methodology of controlled trials of diagnostic validity and randomized controlled trials of therapeutic efficacy. Inclusion criteria encompassed all facet joint interventions performed in a controlled fashion. The pain relief of greater than 50% was the outcome measure for diagnostic accuracy assessment of the controlled studies with ability to perform previously painful movements, whereas, for randomized controlled therapeutic efficacy studies, the primary outcome was significant pain relief and the secondary outcome was a positive change in functional status. For the inclusion of the diagnostic controlled studies, all studies must have utilized either placebo controlled facet joint blocks or comparative local anesthetic blocks. In assessing therapeutic interventions, short-term and long-term reliefs were defined as either up to 6 mo or greater than 6 mo of relief. The literature search was extensive utilizing various types of electronic search media including Pub Med from 1966 onwards, Cochrane library, National Guideline Clearinghouse, clinicaltrials.gov, along with other sources includingprevious systematic reviews, non-indexed journals, and abstracts until March 2015. Each manuscript included in the assessment was assessed for methodologic quality or risk of bias assessment utilizing the Quality Appraisal of Reliability Studies checklist for diagnostic interventions, and Cochrane review criteria and the Interventional Pain Management Techniques- Quality Appraisal of Reliability and Risk of Bias Assessment tool for therapeutic interventions. Evidence based on the review of the systematic assessment of controlled studies was graded utilizing a modified schema of qualitative evidence with best evidence synthesis, variable from level Ⅰ to level Ⅴ.RESULTS: Across all databases, 16 high quality diagnostic accuracy studies were identified. In addition, multiple studies assessed the influence of multiple factors on diagnostic validity. In contrast to diagnostic validity studies, therapeutic efficacy trials were limited to a total of 14 randomized controlled trials, assessing the efficacy of intraarticular injections, facet or zygapophysial joint nerve blocks, and radiofrequency neurotomy of the innervation of the facet joints. The evidence for the diagnostic validity of lumbar facet joint nerve blocks with at least 75% pain relief with ability to perform previously painful movements was level Ⅰ, based on a range of level Ⅰ to Ⅴ derived from a best evidence synthesis. For therapeutic interventions, the evidence was variable from level Ⅱ to Ⅲ, with level Ⅱ evidence for lumbar facet joint nerve blocks and radiofrequency neurotomy for long-term improvement(greater than 6 mo), and level Ⅲ evidence for lumbosacral zygapophysial joint injections for short-term improvement only.CONCLUSION: This review provides significant evidence for the diagnostic validity of facet joint nerve blocks, and moderate evidence for therapeutic radiofrequency neurotomy and therapeutic facet joint nerve blocks in managing chronic low back pain. | Laxmaiah Manchikanti Joshua A Hirsch Frank JE Falco Mark V Boswell | 2016 | World Journal of Orthopedics2016,7,5: | 9 |
| 20 | Peroxisome proliferator-activated receptor-delta agonist ameliorated inflammasome activation in nonalcoholic fatty liver disease显示文摘AIM: To evaluate the inflammasome activation and the effect of peroxisome proliferator-activated receptors(PPAR)-δ agonist treatment in nonalcoholic fatty liver disease(NAFLD) models.METHODS: Male C57BL/6J mice were classified according to control or high fat diet(HFD) with or without PPAR-δ agonist(GW) over period of 12 wk [control, HFD, HFD + lipopolysaccharide(LPS), HFD + LPS + GW group]. Hep G2 cells were exposed to palmitic acid(PA) and/or LPS in the absence or presence of GW.RESULTS: HFD caused glucose intolerance and hepatic steatosis. In mice fed an HFD with LPS, caspase-1 and interleukin(IL)-1β in the liver were significantly increased. Treatment with GW ameliorated the steatosis and inhibited overexpression of pro-inflammatory cytokines. In Hep G2 cells, PA and LPS treatment markedly increased m RNA of several nucleotide-binding andoligomerization domain-like receptor family members(NLRP3, NLRP6, and NLRP10), caspase-1 and IL-1β. PA and LPS also exaggerated reactive oxygen species production. All of the above effects of PA and LPS were reduced by GW. GW also enhanced the phosphorylation of AMPK-α.CONCLUSION: PPAR-δ agonist reduces fatty acidinduced inflammation and steatosis by suppressing inflammasome activation. Targeting the inflammasome by the PPAR-δ agonist may have therapeutic implication for NAFLD. | Hyun Jung Lee Jong Eun Yeon Eun Jung Ko Eileen L Yoon Sang Jun Suh Keunhee Kang Hae Rim Kim Seoung Hee Kang Yang Jae Yoo Jihye Je Beom Jae Lee Ji Hoon Kim Yeon Seok Seo Hyung Joon Yim Kwan Soo Byun | 2015 | World Journal of Gastroenterology2015,21,45: | 9 |