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2434篇 您的检索式:作者名="MCNAMARA"
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1Antimicrobial susceptibility testing for Helicobacter pylori in times of increasing antibiotic resistance显示文摘The gram-negative bacterium Helicobacter pylori(H.pylori)causes chronic gastritis,gastric and duodenal ulcers,gastric cancer and mucosa-associated lymphoid tissue lymphoma.Treatment is recommended in all symptomatic patients.The current treatment options for H.pylori infection are outlined in this review in light of the recent challenges in eradication success,largely due to the rapid emergence of antibiotic resistant strains of H.pylori.Antibiotic resistance is a constantly evolving process and numerous studies have shown that the prevalence of H.pylori antibiotic resistance varies significantly from country to country,and even between regions within the same country.In addition,recent data has shown that previous antibiotic use is associated with harbouring antibiotic resistant H.pylori.Local surveillance of antibiotic resistance is warranted to guide clinicians in their choice of therapy.Antimicrobial resistance is assessed by H.pylori culture and antimicrobial susceptibility testing.Recently developed molecular tests offer an attractive alternative to culture and allow for the rapid molecular genetic identification of H.pylori and resistance-associated mutations directly from biopsy samples or bacterial culture material.Accumulating evidence indicates that surveillance of antimicrobial resistance by susceptibility testing is feasible and necessary to inform clinicians in their choice of therapy for management of H.pylori infection.Sinéad M Smith Colm O’Morain Deirdre McNamara 2014World Journal of Gastroenterology2014,20,29:40
2Retrospective study on mixed neuroendocrine non-neuroendocrine neoplasms from five European centres显示文摘BACKGROUND Mixed neuroendocrine non-neuroendocrine neoplasm(MiNEN)is a rare diagnosis,mainly encountered in the gastro-entero-pancreatic tract.There is limited knowledge of its epidemiology,prognosis and biology,and the best management for affected patients is still to be defined.AIM To investigate clinical-pathological characteristics,treatment modalities and survival outcomes of a retrospective cohort of patients with a diagnosis of MiNEN.METHODS Consecutive patients with a histologically proven diagnosis of MiNEN were identified at 5 European centres.Patient data were retrospectively collected from medical records.Pathological samples were reviewed to ascertain compliance with the 2017 World Health Organisation definition of MiNEN.Tumour responses to systemic treatment were assessed according to the Response Evaluation Criteria in Solid Tumours 1.1.Kaplan-Meier analysis was applied to estimate survival outcomes.Associations between clinical-pathological characteristics and survival outcomes were explored using Log-rank test for equality of survivors functions(univariate)and Cox-regression analysis(multivariable).RESULTS Sixty-nine consecutive patients identified;Median age at diagnosis:64 years.Males:63.8%.Localised disease(curable):53.6%.Commonest sites of origin:colon-rectum(43.5%)and oesophagus/oesophagogastric junction(15.9%).The neuroendocrine component was;predominant in 58.6%,poorly differentiated in 86.3%,and large cell in 81.25%,of cases analysed.Most distant metastases analysed(73.4%)were occupied only by a poorly differentiated neuroendocrine component.Ninety-four percent of patients with localised disease underwent curative surgery;53%also received perioperative treatment,most often in line with protocols for adenocarcinomas from the same sites of origin.Chemotherapy was offered to most patients(68.1%)with advanced disease,and followed protocols for pure neuroendocrine carcinomas or adenocarcinomas in equal proportion.In localised cases,median recurrence free survival(RFS);14.0 months(95%CI:9.2-24.4),and median overall survival(OS):28.6 months(95%CI:18.3-41.1).On univariate analysis,receipt of perioperative treatment(vs surgery alone)did not improve RFS(P=0.375),or OS(P=0.240).In advanced cases,median progression free survival(PFS);5.6 months(95%CI:4.4-7.4),and median OS;9.0 months(95%CI:5.2-13.4).On univariate analysis,receipt of palliative active treatment(vs best supportive care)prolonged PFS and OS(both,P<0.001).CONCLUSION MiNEN is most commonly driven by a poorly differentiated neuroendocrine component,and has poor prognosis.Advances in its biological understanding are needed to identify effective treatments and improve patient outcomes.Melissa Frizziero Xin Wang Bipasha Chakrabarty Alexa Childs Tu V Luong Thomas Walter Mohid S Khan Meleri Morgan Adam Christian Mona Elshafie Tahir Shah Annamaria Minicozzi Wasat Mansoor Tim Meyer Angela Lamarca Richard A Hubner Juan W Valle Mairéad G McNamara 2019World Journal of Gastroenterology2019,25,39:13
3Molecular detection of Helicobacter pylori antibiotic resistance in stool vs biopsy samples显示文摘AIM To compare(1) demographics in urea breath test(UBT) vs endoscopy patients; and(2) the molecular detection of antibiotic resistance in stool vs biopsy samples.METHODS Six hundred and sixteen adult patients undergoing endoscopy or a UBT were prospectively recruited to the study. The Geno Type Helico DR assay was used to detect Helicobacter pylori(H. pylori) and antibiotic resistance using biopsy and/or stool samples from CLOpositive endoscopy patients and stool samples from UBT-positive patients. RESULTS Infection rates were significantly higher in patients referred for a UBT than endoscopy(overall rates: 33% vs 19%; treatment-na?ve patients: 33% vs 14.7%, respectively). H. pylori-infected UBT patients were younger than H. pylori-infected endoscopy patients(41.4 vs 48.4 years, respectively, P < 0.005), with a higher percentage of H. pylori-infected males in the endoscopy-compared to the UBT-cohort(52.6% vs 33.3%, P = 0.03). The Geno Type Helico DR assay was more accurate at detecting H. pylori infection using biopsy samples than stool samples [98.2%(n = 54/55) vs 80.3%(n =53/66), P < 0.005]. Subset analysis using stool and biopsy samples from CLO-positive endoscopy patients revealed a higher detection rate ofresistance-associated mutations using stool samples compared to biopsies. The concordance rates between stool and biopsy samples for the detection of H. pylori DNA, clarithromycin and fluoroquinolone resistance were just 85%, 53% and 35%, respectively. CONCLUSION Differences between endoscopy and UBT patients provide a rationale for non-invasive detection of H. pylori antibiotic resistance. However, the Geno Type Helico DR assay is an unsuitable approach.Denise E Brennan Joseph Omorogbe Mary Hussey Donal Tighe Grainne Holleran Colm O'Morain Sinéad M Smith Deirdre McNamara 2016World Journal of Gastroenterology2016,22,41:6
4Residential electrical vehicle charging strategies:the good,the bad and the ugly显示文摘In recent years,a wide variety of centralised and decentralised algorithms have been proposed for residential charging of electric vehicles(EVs).In this paper,we present a mathematical framework which casts the EV charging scenarios addressed by these algorithms as optimisation problems having either temporal or instantaneous optimisation objectives with respect to the different actors in the power system.Using this framework and a realistic distribution network simulation testbed,we provide a comparative evaluation of a range of different residential EV charging strategies,highlighting in each case positive and negative characteristics.Mingming LIU Paul MCNAMARA Robert SHORTEN Sean MCLOONE 2015Journal of Modern Power Systems and Clean Energy2015,3,2:5
5Helicobacter pylori resistance rates for levofloxacin, tetracycline and rifabutin among Irish isolates at a reference centre显示文摘A. O’Connor I. Taneike A. Nami N. Fitzgerald B. Ryan N. Breslin H. O’Connor D. McNamara P. Murphy C. O’Morain 2013Irish Journal of Medical Science2013,,4:4
6纳米金/单壁碳纳米管复合物的制备、表征及其多相催化的潜力(英文)显示文摘制备了一种单壁碳纳米管担载金纳米颗粒复合材料,利用X射线衍射、扫描透射显微镜、能量色散X射线分析、比表面积分析、激光拉曼光谱和紫外-可见分光光度计等对其结构进行了表征。结果表明:纳米金粒为微晶体,其平均直径为7nm且直径分布范围较窄。研究了该单壁碳纳米管担载金颗粒对仲醇的无溶剂氧化的活性和选择性,发现其转化效率可达95%。Anne E.Shanahan James A.Sullivan Mary McNamara Hugh J.Byrne 2011新型炭材料2011,26,5:4
7Can bacterial virulence factors predict antibiotic resistant Helicobacter pylori infection?显示文摘AIM To evaluate the association between virulence factor status and antibiotic resistance in Helicobacter pylori(H. pylori)-infected patients in Ireland. METHODS DNA was extracted from antral and corpus biopsies obtained from 165 H. pylori-infected patients. Genotyping for clarithromycin and fluoroquinolone-mediating mutations was performed using the Genotype Helico DR assay. cag A and vac A genotypes were investigated using PCR. RESULTS Primary, secondary and overall resistance rates for clarithromycin were 50.5%(n = 53/105), 78.3%(n = 47/60) and 60.6%(n = 100/165), respectively. Primary, secondary and overall resistance rates for fluoroquinolones were 15.2%(n = 16/105) and 28.3%(n = 17/60) and 20%(n = 33/165), respectively. Resistance to both antibiotics was 12.4%(n = 13/105) in treatment-na?ve patients, 25%(n = 15/60) in those previously treated and 17%(n = 28/165) overall. A cag A-positive genotype was detected in 22.4%(n = 37/165) of patient samples. The dominant vac A genotype was S1/M2 at 44.8%(n = 74/165), followed by S2/M2 at 26.7%(n = 44/165), S1/M1 at 23.6%(n = 39/165) and S2/M1 at 4.8%(n = 8/165). Primary clarithromycin resistance was significantly lower in cag A-positive strains than in cag A-negative strains [32%(n = 8/25) vs 56.3%(n = 45/80); P = 0.03]. Similarly, in patients infected with more virulent H. pylori strains bearing the vac A s1 genotype, primary clarithromycin resistance was significantly lower than in those infected with less virulent strains bearing the vac A s2 genotype, [41%(n = 32/78) vs 77.8%(n = 21/27); P = 0.0001]. No statistically significant association was found between primary fluoroquinolone resistance and virulence factor status.CONCLUSION Genotypic H. pylori clarithromycin resistance is high and cag A-negative strains are dominant in our population. Less virulent(cag A-negative and vac A S2-containing) strains of H. pylori are associated with primary clarithromycin resistance.Denise E Brennan Colin Dowd Colm O'Morain Deirdre McNamara Sinéad M Smith 2018World Journal of Gastroenterology2018,24,9:4
8ACE与AT1R基因多态性及其相互作用对心衰预后的影响显示文摘郑茵 方壮伟 Barry London Dennis M. McNamara 2005中国热带医学2005,5,3:4
9风洞模拟建筑物对大气污染物扩散影响的若干问题讨论显示文摘通过相似性分析,得到了大气污染建筑物影响风洞试验应满足的基本相似条件。由一个实例研究了利用常规风洞模拟装置和测试仪器进行大气污染建筑物影响风洞试验在技术上的可行性。结果显示:由于模拟装置和仪器条件的限制,在大多数风洞试验中存在大气边界层不完全模拟和仪器响应过慢等问题,但通过合理模拟来流的主要湍流特征和改进采样方法,可以在风洞中较真实地模拟建筑物对大气扩散的影响。汪新 McNamara K F 2006实验流体力学2006,20,3:3
10Assessment of serum angiogenic factors as a diagnostic aid for small bowel angiodysplasia in patients with obscure gastrointestinal bleeding and anaemia显示文摘AIM To assess the use of serum levels of angiopoietin-1(Ang1), Ang2 and tumor necrosis factor-α(TNFα) as predictive factors for small bowel angiodysplasia(SBA).METHODS Serum samples were collected from patients undergoing capsule endoscopy for any cause of obscure gastrointestinal bleeding(OGIB) or anaemia. Based on small bowel findings patients were divided into 3 groups:(1) SBA;(2) other bleeding causes; and(3) normal, according to diagnosis. Using ELISA technique we measured serum levels of Ang1, Ang2 and TNFα and compared mean and median levels between the groups based on small bowel diagnosis. Using receiver operator curve analysis we determined whether any of the factors were predictive of SBA.RESULTS Serum samples were collected from a total of 120 patients undergoing capsule endoscopy for OGIB or anaemia: 40 with SBA, 40 with other causes of small bowel bleeding, and 40 with normal small bowel findings. Mean and median serum levels were measured and compared between groups; patients with SBA had significantly higher median serum levels of Ang2(3759 pg/mL) compared to both other groups, with no significant differences in levels of Ang1 or TNFα based on diagnosis. There were no differences in Ang2 levels between the other bleeding causes(2261 pg/mL) and normal(2620pg/mL) groups. Using Receiver Operator Curve analysis, an Ang2 level of > 2600 pg/mL was found to be predictive of SBA, with an area under the curve of 0.7. Neither Ang1 or TNFα were useful as predictive markers.CONCLUSION Elevations in serum Ang2 are specific for SBA and not driven by other causes of bleeding and anaemia. Further work will determine whether Ang2 is useful as a diagnostic or prognostic marker for SBA.Grainne Holleran Mary Hussey Sinead Smith Deirdre McNamara 2017World Journal of Gastrointestinal Pathophysiology2017,8,3:3
11空间情境模型的更新:认知方式的影响显示文摘采用前照应解决(anaphora resolution)与学习探测相结合的实验范式以及移动窗口技术探讨不同认知方式个体的空间情境模型更新能力的差异。实验1发现,场依存性被试在高预见性条件下表现出空间距离效应,低预见性条件下则没有;而场独立性被试刚好相反。实验2通过在关键句中提示路径房间的一个物品深入探讨更新过程中不同认知方式个体更新模式的差异,结果发现,两类被试在低预见性记叙文中都表现出了明显的空间距离效应。这表明,场独立性个体的空间情境模型更新能力高于场依存性个体的更新能力。何先友 杨惠 李惠娟 魏玉兵 Danielle McNamara 2011心理学报2011,43,11:3
12血管紧张素Ⅱ1型受体基因多态性与心力衰竭预后的相关性研究显示文摘目的评价血管紧张素Ⅱ1型受体(AngiotensinⅡtype 1 receptor,AT1R)基因1166位点A/C基因多态性对心力衰竭预后的影响。方法432例患者来源于美国匹兹堡大学医疗中心的心血管事件基因危险性评价研究组,均有收缩功能障碍性心力衰竭〔射血分数(EF)<0.45〕。入选时间为1996年4月至2001年1月,前瞻性随访患者(26.43±18.19)月,随访终点是死亡或心脏移植。用聚合酶链式反应(PCR)方法鉴定AT1R基因A1166C位点基因型,分析AT1R A1166C基因多态性对心力衰竭患者生存率的影响。结果AT1R纯合子CC型8.6%,纯合子AA型50.0%,杂合子AC型41.4%。三组基因型在年龄、性别、种族、病因、血压和治疗方面无显著性差异,而在NYHA心功能分级的比例有显著性差异,AT1R C等位基因与较低心功能分级密切相关(P=0.04),但随访三组基因型的三年生存率并无显著性差异。结论在本组收缩功能障碍性心力衰竭患者中,AT1R C等位基因仅与较低心功能分级密切相关,并不影响未行心脏移植心力衰竭患者的预后。郑茵 方壮伟 吴智勇 Barry London Dennis M McNamara 2005中国心血管杂志2005,10,6:3
13A prospective 52week mucosal healing assessment of small bowel Crohn’s disease as detected by capsule endoscopy显示文摘Barry Hall Grainne Holleran Jun-Liong Chin Sinead Smith Barbara Ryan Nasir Mahmud Deirdre McNamara 2014Journal of Crohn’s and Colitis2014,,:3
14Negative capsule endoscopy in patients with obscure GI bleeding predicts low rebleeding rates显示文摘Jonathan Macdonald Victoria Porter Deirdre McNamara 2008Gastrointestinal Endoscopy2008,,6:2
15Helicobacter pylori infection and the pathogenesis of gastric cancer: A paradigm for host–bacterial interactions显示文摘D. McNamara E. El-Omar 2008Digestive and Liver Disease2008,,7:2
16Role of perinatal long-chain omega-3 fatty acids in cortical circuit maturation:Mechanisms and implications for psychopathology显示文摘Accumulating translational evidence suggests that the long-chain omega-3 fatty acid docosahexaenoic acid(DHA) plays a role in the maturation and stability of cortical circuits that are impaired in different recurrent psychiatric disorders. Specifically, rodent and cell culture studies find that DHA preferentially accumulates in synaptic and growth cone membranes and promotes neurite outgrowth, dendritic spine stability, and synaptogenesis. Additional evidence suggests that DHA may play a role in microglia-mediated synaptic pruning, as well as myelin development and resilience. In nonhuman primates n-3 fatty acid insufficiency during perinatal development leads to widespread deficits in functional connectivity in adult frontal cortical networks compared to primates raised on DHA-fortified diet. Preterm delivery in non-human primates and humans is associated with early deficits in cortical DHA accrual. Human preterm birth is associated with longstanding deficits in myelin integrity and cortical circuit connectivity and increased risk for attention deficit/hyperactivity disorder(ADHD), mood, and psychotic disorders. In general, ADHD and mood and psychotic disorders initially emerge during rapid periods of cortical circuit maturation and are characterized by DHA deficits, myelin pathology, and impaired cortical circuit connectivity. Together these associations suggest that early and uncorrected deficits in fetal brain DHA accrual may represent a modifiable risk factor for cortical circuit maturation deficits in psychiatric disorders, and could therefore have significant implications for informing early intervention and prevention strategies.Robert K McNamara Jennifer J Vannest Christina J Valentine 2015World Journal of Psychiatry2015,5,1:2
17The prognostic value of tumour regression grade following neoadjuvant chemoradiation therapy for rectal cancer显示文摘K. I. Abdul‐Jalil K. M. Sheehan J. Kehoe R. Cummins A. O’Grady D. A. McNamara J. Deasy O. Breathnach L. Grogan B. D. P. O’Neill C. Faul I. Parker E. W. Kay B. T. Hennessy P. Gillen 2014Colorectal Dis2014,,1:2
18A phase II trial of second‐line axitinib following prior antiangiogenic therapy in advanced hepatocellular carcinoma显示文摘Mairéad G. McNamara Lisa W. Le Anne M. Horgan Alex Aspinall Kelly W. Burak Neesha Dhani Eric Chen Mehrdad Sinaei Glen Lo Tae Kyoung Kim Patrik Rogalla Oliver F. Bathe Jennifer J. Knox 2015Cancer2015,,10:2
19Hard- and soft-tissue contributions to the esthetics of the posed smile in growing patients seeking orthodontic treatment显示文摘Laurie McNamara James A. McNamara Marc B. Ackerman Tiziano Baccetti 2008American Journal of Orthodontics & Dentofacial Orthopedics2008,,4:2
20A comparison of two intraoral molar distalization appliances: distal jet versus pendulum 显示文摘Chiu PP McNamara JA Jr Franchi L 2005Am J Orthod Dentofacial Orthop2005,128,3:1
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