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| 1 | 肺炎链球菌呼吸道感染分离株的耐药性显示文摘目的 :研究肺炎链球菌呼吸道感染分离株的耐药性及其传播情况。方法 :肺炎链球菌分离株进行药物敏感试验和血清学分型 ,并结合BOXPCR、脉冲场电泳 (pulse-fieldgelelectrophoresis,PFGE)和青霉素结合蛋白基因 (penicillinbindingpro teingene,pbp)指纹等分子生物学方法分析菌株间亲缘关系。 结果 :呼吸道感染分离株 1 2 8株中有青霉素低度耐药株 (peni cillinintermediatedStreptococcuspneumoniae,PISP) 1 0株 ,未发现青霉素高度耐药株 (penicillinresistantStreptococcuspneumoni ae,PRSP)。 1 1 1株存活菌株分属 2 5种血清型 ,主要为 2 3F、3、1 9F、1 4、9V、6A、6B等。 9株存活PISP中有 6种PFGE谱型 ,2株PFGE谱型相同菌株的耐药谱和血清型相仿 ;2株不同PFGE谱型菌株pbp指纹相似 ,对青霉素和头孢曲松敏感性相似 ;上述呼吸道感染分离PISP中未发现与世界主要流行耐药克隆代表株DNA指纹或 pbp基因相似菌株。 结论 :上述肺炎链球菌呼吸道感染分离株青霉素耐药率尚低 ,存在青霉素耐药克隆和基因的传播 ,其中尚未发现世界主要流行耐药克隆。 | 杨帆 张婴元 Lesley McGee Avril Wasas Keith Klugman 吴卫红 周乐 朱德妹 汪复 | 2001 | 中国抗感染化疗杂志2001，1，1： | 26 |
| 2 | 引导式教育与整体护理相结合的护理模式在脑瘫患儿康复中的应用显示文摘目的研究引导式教育与整体护理相结合的护理模式在脑瘫患儿康复中的作用。方法随机选取98例脑瘫患儿进行分组比较研究,研究组(n=50)采用整体护理模式与引导式教育的原理和方法对患儿进行护理;对照组(n=48)采用常规护理方法,研究前后均对患儿进行疗效评价以及向患儿家长进行4项问卷调查。结果研究组与常规组相比能显著提高疗效,差异有统计学意义(P<0.05)。结论引导式教育与整体护理相结合的护理模式有利于脑瘫患儿更好地康复和回归社会,值得临床推广应用。 | 吕复莉 王良红 谢晓凤 Lesley Cannings 吴德 唐久来 | 2010 | 安徽医学2010，31，4： | 20 |
| 3 | Perioperative thromboprophylaxis in liver transplant patients显示文摘Improvements in surgical and anesthetic procedures have increased patient survival after liver transplantation(LT). However, the perioperative period of LT can still be affected by several complications. Among these, thromboembolic complications(intracardiac thrombosis, pulmonary embolism, hepatic artery and portal vein thrombosis) are relatively common causes of increased morbidity and mortality. The benefit of thromboprophylaxis in general surgical patients has already been established, but it is not the standard of care in LT recipients. LT is associated with a high bleeding risk, as it is performed in a setting of already unstable hemostasis. For this reason, the role of routine perioperative prophylactic anticoagulation is usually restricted. However, recent data have shown that the bleeding tendency of cirrhotic patients is not an expression of an acquired bleeding disorder but rather of coexisting factors(portal hypertension, hypervolemia and infections). Furthermore, in cirrhotic patients, the new paradigm of ‘‘rebalanced hemostasis' ' can easily tip towards hypercoagulability because of the recently described enhanced thrombin generation, procoagulant changes in fibrin structure and platelet hyperreactivity. This new coagulation balance, along with improvements in surgical techniques and critical support, has led to a dramatic reduction in transfusion requirements, and the intraoperative thromboembolic-favoring factors(venous stasis, vessels clamping, surgical injury) have increased the awareness of thrombotic complications and led clinicians to reconsider the limited use of anticoagulants or antiplatelets in the postoperative period of LT. | Lesley De Pietri Roberto Montalti Daniele Nicolini Roberto Ivan Troisi Federico Moccheggiani Marco Vivarelli | 2018 | World Journal of Gastroenterology2018，24，27： | 9 |
| 4 | Abigaille-Ⅲ: A Versatile, Bioinspired Hexapod for Scaling Smooth Vertical Surfaces显示文摘 | Michael Henrey Ausama Ahmed Paolo Boscariol Lesley Shannon Carlo Menon | 2014 | Journal of Bionic Engineering2014，11，1： | 8 |
| 5 | Radiofrequency ablation for early oesophageal squamous neoplasia:Outcomes form United Kingdom registry显示文摘AIM:To report outcomes on patients undergoing radiofrequency ablation(RFA)for early oesophageal squamous neoplasia from a National Registry.METHODS:A Prospective cohort study from 8 tertiary referral centres in the United Kingdom.Patients with squamous high grade dysplasia(HGD)and early squamous cell carcinoma(ESCC)confined to the mucosa were treated.Visible lesions were removed by endoscopic mucosal resection(EMR)before RFA.Following initial RFA treatment,patients were followed up 3monthly.Residual flat dysplasia was treated with RFA until complete reversal dysplasia(CR-D)was achieved or progression to invasive Squamous cell cancer defined as infiltration into the submucosa layer or beyond.The main outcome measures were CR-D at 12 mo from start of treatment,long term durability,progression to cancer and adverse events.RESULTS:Twenty patients with squamous HGD/ESCC completed treatment protocol.Five patients(25%)had EMR before starting RFA treatment.CR-D was 50%at12 mo with a median of 1 RFA treatment,mean 1.5(range 1-3).Two further patients achieved CR-D with repeat RFA after this time.Eighty per cent with CR-D remain dysplasia free at latest biopsy,with median follow up 24 mo(IQR 17-54).Six of 20 patients(30%)progressed to invasive cancer at 1 year.Four patients(20%)required endoscopic dilatations for symptomatic structuring after treatment.Two of these patients have required serial dilatations thereafter for symptomatic dysphagia with a median of 4 dilatations per patient.The other 2 patients required only a single dilatation to achieve an adequate symptomatic response.One patient developed cancer during follow up after end of treatment protocol.CONCLUSION:The role of RFA in these patients re-mains unclear.In our series 50%patients responded at12 mo.These figures are lower than limited published data. | Rehan J Haidry Mohammed A Butt Jason Dunn Matthew Banks Abhinav Gupta Howard Smart Pradeep Bhandari Lesley Ann Smith Robert Willert Grant Fullarton Morris John Massimo Di Pietro Ian Penman Marco Novelli Laurence B Lovat | 2013 | World Journal of Gastroenterology2013，19，36： | 7 |
| 6 | Panitumumab and irinotecan versus irinotecan alone for patients with KRAS wild-type, fluorouracil-resistant advanced colorectal cancer (PICCOLO): a prospectively stratified randomised trial显示文摘 | Matthew T Seymour Sarah R Brown Gary Middleton Timothy Maughan Susan Richman Stephen Gwyther Catherine Lowe Jennifer F Seligmann Jonathan Wadsley Nick Maisey Ian Chau Mark Hill Lesley Dawson Stephen Falk Ann O’Callaghan Kim Benstead Philip Chambers Alfred | 2013 | Lancet Oncology2013，，8： | 6 |
| 7 | Intraoperative thromboelastography as a tool to predict postoperative thrombosis during liver transplantation显示文摘BACKGROUND Thromboembolic complications are relatively common causes of increased morbidity and mortality in the perioperative period in liver transplant patients.Early postoperative portal vein thrombosis(PVT,incidence 2%-2.6%)and early hepatic artery thrombosis(HAT,incidence 3%-5%)have a poor prognosis in transplant patients,having impacts on graft and patient survival.In the present study,we attempted to identify the predictive factors of these complications for early detection and therefore monitor more closely the patients most at risk of thrombotic complications.AIM To investigate whether intraoperative thromboelastography(TEG)is useful in detecting the risk of early postoperative HAT and PVT in patients undergoing liver transplantation(LT).METHODS We retrospectively collected thromboelastographic traces,in addition to known risk factors(cold ischemic time,intraoperative requirement for red blood cells and fresh-frozen plasma transfusion,prolonged operating time),in 27 patients,selected among 530 patients(≥18 years old),who underwent their first LT from January 2002 to January 2015 at the Liver University Transplant Center and developed an early PVT or HAT(case group).Analyses of the TEG traces were performed before anesthesia and 120 min after reperfusion.We retrospectively compared these patients with the same number of nonconsecutive control patients who underwent LT in the same study period without developing these complications(1:1 match)(control group).The chosen matching parameters were:Patient graft and donor characteristics[age,sex,body mass index(BMI)],indication for transplantation,procedure details,United Network for Organ Sharing classification,BMI,warm ischemia time(WIT),cold ischemia time(CIT),the volume of blood products transfused,and conventional laboratory coagulation analysis.Normally distributed continuous data are reported as the mean±SD and compared using one-way Analysis of Variance(ANOVA).Nonnormally distributed continuous data are reported as the median(interquartile range)and compared using the Mann-Whitney test.Categorical variables were analyzed with Chi-square tests with Yates correction or Fisher’s exact test depending on best applicability.IBM SPSS Statistics version 24(SPSS Inc.,Chicago,IL,United States)was employed for statistical analysis.Statistical significance was set at P<0.05.RESULTS Postoperative thrombotic events were identified as early if they occurred within 21 d postoperatively.The incidence of early hepatic artery occlusion was 3.02%,whereas the incidence of PVT was 2.07%.A comparison between the case and control groups showed some differences in the duration of surgery,which was longer in the case group(P=0.032),whereas transfusion of blood products,red blood cells,fresh frozen plasma,and platelets,was similar between the two study groups.Thromboelastographic parameters did not show any statistically significant difference between the two groups,except for the G value measured at basal and 120’postreperfusion time.It was higher,although within the reference range,in the case group than in the control group(P=0.001 and P<0.001,respectively).In addition,clot lysis at 60 min(LY60)measured at 120’postreperfusion time was lower in the case group than in the control group(P=0.035).This parameter is representative of a fibrinolysis shutdown(LY60=0%-0.80%)in 85%of patients who experienced a thrombotic complication,resulting in a statistical correlation with HAT and PVT.CONCLUSION The end of surgery LY60 and G value may identify those recipients at greater risk of developing early HAT or PVT,suggesting that they may benefit from intense surveillance and eventually anticoagulation prophylaxis in order to prevent these serious complications after LT. | Lesley De Pietri Roberto Montalti Giuliano Bolondi Valentina Serra Fabrizio Di Benedetto | 2020 | World Journal of Transplantation2020，10，11： | 5 |
| 8 | Psychosocial factors and their association with reflux oesophagitis,Barrett's oesophagus and oesophageal adenocarcinoma显示文摘AIM:To investigate the role of psychological characteristics as risk factors for oesophageal adenocarcinoma(OAC),as well as the reflux-mediated precursor pathway.METHODS:An all-Ireland population-based case-control study recruited 230 reflux oesophagitis(RO),224 Barrett's oesophagus(BO) and 227 OAC patients and 260 controls.Each case/control group completed measures of stress,depression,self-efficacy,self-esteem,repression and social support.A comparative analysis was undertaken using polytomous logistic regression adjusted for potential confounders.RESULTS:Compared to controls,OAC patients were almost half as likely to report high stress levels over their lifetime(P = 0.010,OR 0.51;95%CI:0.29-0.90)and 36% less likely to report having experienced depression(OR 0.64;95%CI:0.42-0.98).RO patients reported significantly higher stress than controls particularly during middle-and senior-years(P for trends < 0.001).RO patients were 37% less likely to report having been highly emotionally repressed(OR 0.63;95%CI:0.41-0.95).All case groups(OAC,RO and BO) were more likely than controls to report having had substantial amounts of social support(OR 2.84;95%CI:1.63-4.97;OR 1.97;95%CI:1.13-3.44 and OR 1.83;95%CI:1.03-3.24,respectively).CONCLUSION:The improved psychological profile of OAC patients may be explained by response shift.The role of psychological factors in the development of OAC requires further investigation. | Paul Denver Michael Donnelly Liam J Murray Lesley A Anderson | 2013 | World Journal of Gastroenterology2013，19，11： | 5 |
| 9 | Predictive factors of short term outcome after liver transplantation: A review显示文摘Liver transplantation represents a fundamental therapeutic solution to end-stage liver disease. The need for liver allografts has extended the set of criteria for organ acceptability, increasing the risk of adverse outcomes. Little is known about the early postoperative parameters that can be used as valid predictive indices for early graft function, retransplantation or surgical reintervention, secondary complications, long intensive care unit stay or death. In this review, we present state-of-the-art knowledge regarding the early posttransplantation tests and scores that can be applied during the first postoperative week to predict liver allograft function and patient outcome, thereby guiding the therapeutic and surgical decisions of the medical staff. Post-transplant clinical and biochemical assessment of patients through laboratory tests(platelet count, transaminase and bilirubin levels, INR, factor V, lactates, and Insulin Growth Factor 1) and scores(model for end-stage liver disease, acute physiology and chronic health evaluation, sequential organ failure assessment and model of early allograft function have been reported to have good performance, but they only allow late evaluation of patient status and graft function, requiring days to be quantified. The indocyanine green plasma disappearance rate has long been used as a liver function assessment technique and has produced interesting, although not univocal, results when performed between the 1th and the 5th day after transplantation. The liver maximal function capacity test is a promising method of metabolic liver activity assessment, but its use is limited by economic cost and extrahepatic factors. To date, a consensual definition of early allograft dysfunction and the integration and validation of the above-mentioned techniques, through the development of numerically consistent multicentric prospective randomised trials, are necessary. The medical and surgical management of transplanted patients could be greatly improved by using clinically reliable tools to predict early graft function. | Giuliano Bolondi Federico Mocchegiani Roberto Montalti Daniele Nicolini Marco Vivarelli Lesley De Pietri | 2016 | World Journal of Gastroenterology2016，22，26： | 5 |
| 10 | Risk factors for Barrett’s oesophagus and oesophageal adenocarcinoma:Results from the FINBAR study显示文摘AIM:To investigate risk factors associated with Barrett's oesophagus and oesophageal adenocarcinoma.METHODS:This all-Ireland population-based case-control study recruited 224 Barrett's oesophagus patients,227 oesophageal adenocarcinoma patients and 260 controls.All participants underwent a structured interview with information obtained about potential lifestyle and environmental risk factors.RESULTS:Gastro-oesophageal reflux was associated with Barrett's [OR 12.0(95% CI 7.64-18.7)] and oesophageal adenocarcinoma [OR 3.48(95% CI 2.25-5.41)].Oesophageal adenocarcinoma patients were more likely than controls to be ex-or current smokers [OR 1.72(95% CI 1.06-2.81)and OR 4.84(95% CI 2.72-8.61)respectively] and to have a high body mass index [OR 2.69(95% CI 1.62-4.46)].No significant associations were observed between these risk factors and Barrett's oesophagus.Fruit but not vegetables were negatively associated with oesophageal adenocarcinoma [OR 0.50(95% CI 0.30-0.86)].CONCLUSION:A high body mass index,a diet low in fruit and cigarette smoking may be involved in the progression from Barrett's oesophagus to oesophageal adenocarcinoma. | Lesley A Anderson RG Peter Watson Seamus J Murphy Brian T Johnston Harry Comber Jim Mc Guigan John V Reynolds Liam J Murray | 2007 | World Journal of Gastroenterology2007，13，10： | 5 |
| 11 | Innovative hybrid reinforcement constituting conventional longitudinal steel and FRP stirrups for improved seismic strength and ductility of RC structures显示文摘纤维的使用增强的聚合物(FRP ) 加强在新结构的建设正在变得逐渐地吸引人。然而,当重要材料无弹力被要求通过 hysteretic 周期浪费输入体力时,直到破裂的 FRP 材料的固有的线性有弹性的行为在地震攻击下面被看作一个主要缺点。而且,花去考虑,包括 FRP 材料和预制 FRP 的建设配置,特别为马镫,和环氧基树脂的可能的损坏涂的纤维什么时候搬运了到这块地,是显著问题。当前的研究为实现由 FRP 表组成的所在地的制作 FRP 马镫的基础结构的下一代建议了一个新奇节俭的混合加强计划。混合加强由常规纵的钢加强和 FRP 马镫组成。建议混合加强的特色由于 FRP 马镫提供给纵的钢加强和核心水泥的可观的限制压力是提高的力量和韧性。增强的具体横梁标本和 beamcolumn 关节标本被测试实现建议混合加强。,与常规钢马镫相比建议了混合加强,被发现有更高的力量,僵硬,和精力驱散。建议混合加强的设计方法,结构的行为,和适用性在这篇论文详细被讨论。 | Mostafa FAKHARIFAR Ahmad DALVAND Mohammad K. SHARBATDAI~ Genda CHEN Lesley SNEED | 2016 | Frontiers of Structural and Civil Engineering2016，10，1： | 4 |
| 12 | Recent applications of isotope analysis to forensic anthropology显示文摘Isotope analysis has become an increasingly valuable tool in forensic anthropology case-work over the past decade. Modern-day isotopic investigations on human remains have integrated the use of multi-isotope profiles (e.g. C, N, O, H, S, Sr, and Pb) as well as iso-topic landscapes ('isoscapes') from multiple body tissues (e.g. teeth, bone, hair, and nails) to predict possible region-of-origin of unidentified human remains. Together, data from various isotope analyses provide additional lines of evidence for human identification, including a decedent's possible region-of-birth, long-term adult residence, recent travel history, and dietary choices. Here, we present the basic principles of isotope analysis and provide a brief overview of instrumentation, analytical standards, sample selection, and sample quality measures. Finally, we present case studies that reflect the diverse applications of isotope analysis to the medicolegal system before describing some future research directions. As shown herein, isotope analysis is a flexible and powerful geolocation tool that can provide new investigative leads for unidentified human remains cases. | Eric J.Bartelink Lesley A.Chesson | 2019 | Forensic Sciences Research2019，4，1： | 4 |
| 13 | 引导式教育对脑性瘫痪儿童运动发育的影响显示文摘目的探讨引导式教育疗法与Bobath疗法对脑性瘫痪儿童的运动发育的影响。方法将92例脑性瘫痪儿童,随机分为引导式教育疗法组(观察组)和Bobath疗法组(对照组),每组46例。分别在治疗前及治疗6个月采用运动发育指数和粗大运动功能测试(GMFM88项)进行综合评定。结果治疗前观察组与对照组患儿运动发育指数和GMFM88项的5个能区测试结果经统计学处理,差异无统计学意义(P>0.05);治疗6个月后观察组和对照组患儿的运动发育指数和GMFM88项测试结果均较治疗前有显著提高,差异有统计学意义(P<0.01);治疗后2组之间比较差异无统计学意义(P>0.05)。结论引导式教育疗法和Bobath疗法对脑瘫儿童运动功能的康复具有同等的疗效。 | 吴德 唐久来 许晓燕 张功纯 吕复莉 朱江英 张玲 Lesley Cannings | 2007 | 中华物理医学与康复杂志2007，29，12： | 4 |
| 14 | Thromboelastographic reference ranges for a cirrhotic patient population undergoing liver transplantation显示文摘AIM To describe the thromboelastography(TEG) 'reference' values within a population of liver transplant(LT) candidates that underline the differences from healthy patients.METHODS Between 2000 and 2013, 261 liver transplant patients with a model for end-stage liver disease(MELD) score between 15 and 40 were studied. In particular the adult patients(aged 18-70 years) underwent to a first LT with a MELD score between 15 and 40 were included, while all patients with acute liver failure, congenital bleeding disorders, and anticoagulant and/or antiplatelet drug use were excluded. In this population of cirrhotic patients, preoperative haematological and coagulation laboratory tests were collected, and the pretransplant thromboelastographic parameters were studied and compared with the parameters measured in a previously studied population of 40 healthy subjects. The basal TEG parameters analysed in the cirrhotic population of liver candidates were as follows: Reaction time(r), coagulation time(k), Angle-Rate of polymerization of clot(α Angle), Maximum strenght of clot(MA), Amplitudes of the TEG tracing at 30 min and 60 min after MA is measured(A30 and A60), and Fibrinolysis at 30 and 60 min after MA(Ly30 and Ly60). The possible correlation between the distribution of the reference range and the gender, age, MELD score(higher or lower than 20) and indications for transplantation(liver pathology) were also investigated. In particular, a MELD cut-off value of 20 was chosen to verify the possible correlation between the thromboelastographic reference range and MELD score. RESULTS Most of the TEG reference values from patients with end-stage liver disease were significantly different from those measured in the healthy population and were outside the suggested normal ranges in up to 79.3% of subjects. Wide differences were found among all TEG variables, including r(41.5% of the values), k(48.6%), α(43.7%), MA(79.3%), A30(74.4%) and A60(80.9%), indicating a prevailing trend to hypocoagulability. The differences between the mean TEG values obtained from healthy subjects and the cirrhotic population were statistically significant for r(P = 0.039), k(P < 0.001), MA(P < 0.001), A30(P < 0.001), A60(P < 0.001) and Ly60(P = 0.038), indicating slower and less stable clot formation in the cirrhotic patients. In the cirrhotic population, 9.5% of patients had an r value shorter than normal, indicating a tendency for faster clot formation. Within the cirrhotic patient population, gender, age and the presence of hepatocellular carcinoma or alcoholic cirrhosis were not significantly associated with greater clot firmness or enhanced whole blood clot formation, whereas greater clot strength was associated with a MELD score < 20, hepatitis C virus and cholestaticrelated cirrhosis(P < 0.001; P = 0.013; P < 0.001).CONCLUSION The range and distribution of TEG values in cirrhotic patients differ from those of healthy subjects, suggesting that a specific thromboelastographic reference range is required for liver transplant candidates. | Lesley De Pietri Marcello Bianchini Gianluca Rompianesi Elisabetta Bertellini Bruno Begliomini | 2016 | World Journal of Transplantation2016，6，3： | 4 |
| 15 | 酸化剂是解决“抗性”难题的利器之一显示文摘文章简述了膳食酸化剂的组成和作用原理,从替代促生长素类抗生素(AGPS),改善肠道菌群平衡、提高生长性能、控制沙门氏菌等肠道病原菌几个方面介绍了酸化剂的作用,并通过试验案例深入浅出地介绍了酸化剂在'减抗'和'禁抗'中所起的作用,以期引起人们对酸化剂研究及推广的重视。 | Lesley Nernberg 张振玲 | 2019 | 养猪2019，，6： | 4 |
| 16 | Have patients with esophagitis got an increased risk of adenocarcinoma? Results from a population-based study显示文摘AIM: To examine an increased risk of esophageal adenocarcinoma is restricted to patients who develop Barrett's esophagus or whether esophagitis per se is a risk factor for adenocarcinoma.METHODS: A population-based cohort of patients with histological evidence of esophagitis without Barrett's esophagus was constructed using electronic pathology reports relating to all esophageal biopsies in Northern Ireland between 1993 and 1996. Person-years of followup and incident cases of esophageal cancer were calculated by linking the cohort to death files and the Northern Ireland Cancer Registry records. Standardized incidence ratios (SIR) were calculated for esophageal cancers (adenocarcinoma, squamous cell carcinoma (SCC), and histologically unspecified cancers).RESULTS: A total of 2 013 patients in the cohort provided 13 559 patient-years of follow-up (mean follow-up 6.7 years). None of the patients developed adenocarcinoma. Three patients developed SCC, and six developed histologically unspecified cancers. The SIR for all esophageal cancers and for SCC were 2.73 (95%CI 1.25-5.19) and 2.93 (95%CI 0.61-8.59), respectively. In a sensitivity analysis in which all unspecified esophageal cancers were treated as adenocarcinomas, the SIR for adenocarcinoma was 2.64 (0.97-5.75).CONCLUSION: The risk of adenocarcinoma is not elevated in patients with histological evidence of esophagitis without Barrett's esophagus; however, these patients may have a moderately increased risk of SCC.Further studies are required to confirm these findings,which suggest that Barrett's esophagus, not esophagitis,is the key precursor lesion in the development of adenocarcinoma. | Seamus J Murphy Lesley A Anderson Brian T Johnston Deirdre A Fitzpatrick Peter RG Watson Pauline Monaghan Liam J Murray | 2005 | World Journal of Gastroenterology2005，11，46： | 4 |
| 17 | 上海市791名健康儿童222株肺炎链球菌携带株研究显示文摘目的 了解健康儿童肺炎链球菌携带株的流行病学特征。方法 测定来自上海 5所幼儿园 (代号分别为JR、PL、SY、WS、ZF) 791名健康儿童鼻咽部分离的 2 2 2株肺炎链球菌健康儿童携带株的耐药谱和血清型 ,并以PFGE、BOXPCR和pbp基因指纹等分子生物学方法分析菌株间亲缘关系。结果 2 2 2株携带株中有青霉素低度耐药株 32株 ,未发现青霉素高度耐药株。全部菌株包括 2 2种血清型 ,常见为 2 3F(2 5 7% )、6A(13 1% )、19F(10 8% )、6B(8 1% )等 ;青霉素低度耐药株包括 8种血清型 ,主要为 2 3F(5 0 % )、19A和 19F(各占 15 6 % )。 32株青霉素低度耐药菌株可分为 8种BOXPCR谱型和 7种PFGE谱型。PFGE谱型A菌株的耐药谱、血清型以及BOXPCR和pbp基因指纹高度一致。自幼儿园SY的儿童分离的肺炎链球菌青霉素耐药率 31 8% ,远高于平均水平 ,该园 2 1株青霉素耐药菌株中 2 0株属于PFGE谱型A或B。结论 上海 5所幼儿园健康儿童肺炎链球菌携带株青霉素耐药率总体尚较低 ,但个别幼儿园具有较高耐药率 。 | 杨帆 张婴元 Lesley McGee Avril Wasas Keith Klugman 吴卫红 周乐 朱德妹 汪复 | 2001 | 中华医学杂志2001，81，10： | 3 |
| 18 | Inter-professional Primary Care Practices Addressing Diabetes Prevention and Management显示文摘 | Lesley Beagrie | 2011 | US-China Education Review(B)2011，1，6： | 3 |
| 19 | 不同纤维增强碱矿渣胶凝材料的配合比试验研究显示文摘为节约资源,变废为宝,文中研发了一种新型绿色环保材料——植物纤维增强碱矿渣胶凝材料,并横向对比了高弹性模量纤维(聚丙烯纤维、微细钢纤维、较粗钢纤维)增强碱矿渣胶凝材料的增韧效果.综合考察了碱激发剂种类、水玻璃模数、碱含量、水用量、纤维种类、纤维处理方式对碱矿渣胶凝材料力学性能的影响.结果表明:加入钾水玻璃的试件抗折强度、抗压强度均比加入钠水玻璃的试件高.M=1.0的胶砂件抗折强度与抗压强度最高分别可以达到15.4和130 MPa,均大于相同条件下M=2.0的试件.获得了碱矿渣胶凝材料的两种较优配比;证明麦秆比稻杆和玉米杆的增强效果更佳,微细钢纤维相比麦秆、聚丙烯纤维和较粗钢纤维,增强效果最好. | 朱晶 Lesley H Sneed 黄莹 孙义强 | 2020 | 武汉理工大学学报(交通科学与工程版)2020，44，1： | 3 |
| 20 | The Combination of Ribavirin and Peginterferon Is Superior to Peginterferon and Placebo for Children and Adolescents With Chronic Hepatitis C显示文摘 | Kathleen B. Schwarz Regino P. Gonzalez–Peralta Karen F. Murray Jean P. Molleston Barbara A. Haber Maureen M. Jonas Philip Rosenthal Parvathi Mohan William F. Balistreri Michael R. Narkewicz Lesley Smith Steven J. Lobritto Stephen Rossi Alexandra Valsamaki | 2011 | Gastroenterology2011，，2： | 2 |
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