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454篇 您的检索式:作者名="Marschall"
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1对骨折内固定术后早期感染者保留内固定物的策略显示文摘背景:开放复位内固定术后,在内固定物存在的情况下治疗伤口深部感染极为棘手,关于治疗方案的使用,文献报道甚少。本研究旨在探讨骨折内固定术后6周内发生感染后保留内固定物直至骨性愈合的可能性。方法:通过回顾3个I级创伤中心以往的病历和创伤登记表,共纳入121例新鲜骨折患者,这些患者术中细菌培养均为阳性,内固定术后6周内共123处创口发生感染。统计保留内固定物并获骨折愈合者的比率,评价预测其治疗成败的指标。结果:86例患者(87处骨折;71%)经手术清创、保留内固定物和敏感抗生素治疗获得骨折愈合。治疗失败的有关因素包括开放性骨折(p=0.03)和髓内钉固定(p=0.01)。其他非明显相关但有相关倾向的变量包括吸烟、假单胞菌感染以及累及股骨、胫骨、踝部或足部的骨折。结论:骨折内固定术后深部感染者可通过手术清创、敏感抗生素治疗及保留内固定物成功获得骨折愈合。这些结果可通过基于危险基因、特定菌种和有关的内固定种类对患者进行选择而获得改善。Marschall Berkes, MD William T. Obremskey, MD MPH, Brian Scannell, MD J. Kent Ellington, MD Robert A. Hymes, MD Michael Bosse, MD, and the Southeast Fracture Consortium 黄哲元(译) 丁真奇(译) 2010中华骨科杂志2010,30,9:21
2Genetics of coronary artery disease and myocardial infarction显示文摘Atherosclerotic coronary artery disease(CAD) comprises a broad spectrum of clinical entities that include asymptomatic subclinical atherosclerosis and its clinical complications, such as angina pectoris, myocardial infarction(MI) and sudden cardiac death. CAD continues to be the leading cause of death in industrialized society. The long-recognized familial clustering of CAD suggests that genetics plays a central role in its development, with the heritability of CAD and MI estimated at approximately 50% to 60%. Understanding the genetic architecture of CAD and MI has proven to be difficult and costly due to the heterogeneity of clinical CAD and the underlying multi-decade complex pathophysiological processes that involve both genetic and environmental interactions. This review describes the clinical heterogeneity of CAD and MI to clarify the disease spectrum in genetic studies, provides a brief overview of the historical understanding and estimation of the heritability of CAD and MI, recounts major gene discoveries of potential causal mutations in familial CAD and MI, summarizes CAD and MIassociated genetic variants identified using candidate gene approaches and genome-wide association studies(GWAS), and summarizes the current status of the construction and validations of genetic risk scores for lifetime risk prediction and guidance for preventive strategies. Potential protective genetic factors against the development of CAD and MI are also discussed. Finally, GWAS have identified multiple genetic factors associated with an increased risk of in-stent restenosis following stent placement for obstructive CAD. This review will also address genetic factors associated with in-stent restenosis, which may ultimately guide clinical decision-making regarding revascularization strategies for patients with CAD and MI.Xuming Dai Szymon Wiernek James P Evans Marschall S Runge 2016World Journal of Cardiology2016,8,1:15
3踝关节脱位是导致旋后外旋型踝关节骨折预后不良的危险因素显示文摘旋后外旋型骨折是踝关节骨折中最为常见的类型。其中SER四型骨折由于造成踝关节不稳,所以需要手术治疗。SER四型骨折部分会造成踝关节脱位。踝关节骨折脱位意味着关节软骨和关节周围软组织的严重损伤,但目前还缺乏脱位对围手术期并发症、放射学及临床疗效影响的研究。本研究的目的是探讨脱位是否会增加SER四型踝关节骨折(内踝骨折或三角韧带断裂)切口并发症或深部感染发生率、是否会增加骨折复位不良的风险、是否与经过至少随访1年后的关节功能不良有关。2004-2010年由同一医生治疗的SER四型旋后外旋型踝关节骨折共178例,经过选择后共有108例纳入本研究中。Peter K.Sculco Lionel E.Lazaro Milton M.Little Marschall B.Berkes Stephen J.Warner David L.Helfet Dean G.Lorich 王勇卓(整理) 张民(整理) 2016实用骨科杂志2016,22,10:12
4Three-dimensional FDEM numerical simulation of failure processes observed in Opalinus Clay laboratory samples显示文摘This study presents the first step of a research project that aims at using a three-dimensional(3D) hybrid finite-discrete element method(FDEM) to investigate the development of an excavation damaged zone(EDZ) around tunnels in a clay shale formation known as Opalinus Clay. The 3D FDEM was first calibrated against standard laboratory experiments, including Brazilian disc test and uniaxial compression test. The effect of increasing confining pressure on the mechanical response and fracture propagation of the rock was quantified under triaxial compression tests. Polyaxial(or true triaxial) simulations highlighted the effect of the intermediate principal stress(s2) on fracture directions in the model: as the intermediate principal stress increased, fractures tended to align in the direction parallel to the plane defined by the major and intermediate principal stresses. The peak strength was also shown to vary with changing σ2.Omid Mahabadi Patrick Kaifosh Paul Marschall Tim Vietor 2014Journal of Rock Mechanics and Geotechnical Engineering2014,6,6:10
5Efficacy and Safety of the Farnesoid X Receptor Agonist Obeticholic Acid in Patients With Type 2 Diabetes and Nonalcoholic Fatty Liver Disease显示文摘Sunder Mudaliar Robert R. Henry Arun J. Sanyal Linda Morrow Hanns-Ulrich Marschall Mark Kipnes Luciano Adorini Cathi I. Sciacca Paul Clopton Erin Castelloe Paul Dillon Mark Pruzanski David Shapiro 2013Gastroenterology2013,,:7
6Galectin-3-centered paracrine network mediates cardiac inflammation and fibrosis upon β-adrenergic insult显示文摘Rapid over-activation of β-adrenergic receptors (β-AR) following acute stress initiates cardiac inflammation and injury by activating interleukin-18 (IL-18),however,the process of inflammation cascades has not been fully illustrated.The present study aimed to determine the mechanisms of cardiac inflammatory amplification following acute sympathetic activation.With bioinformatics analysis,galectin-3 was identified as a potential key downstream effector of β-AR and IL-18 activation.The serum level of galectin-3 was positively correlated with norepinephrine or IL-18 in patients with chest pain.In the heart of mice treated with β-AR agonist isoproterenol (ISO,5 mg kg^(-1)),galectin-3 expression was upregulated markedly later than IL-18 activation,and Nlrp3^(-/-)and Il18^(-/-)mice did not show ISO-induced galectin-3 upregulation.It was further revealed that cardiomyocyte-derived IL-18 induced galectin-3 expression in macrophages following ISO treatment.Moreover,galectin-3deficiency suppressed ISO-induced cardiac inflammation and fibrosis without blocking ISO-induced IL-18 increase.Treatment with a galectin-3 inhibitor,but not a β-blocker,one day after ISO treatment effectively attenuated cardiac inflammation and injury.In conclusion,galectin-3 is upregulated to exaggerate cardiac inflammation and injury following acute β-AR activation,a galectin-3 inhibitor effectively blocks cardiac injury one day after β-AR insult.Guomin Hu Jimin Wu Huijun Gu Xiangning Deng Wenli Xu Shan Feng Shuaixing Wang Yao Song Zhengda Pang Xiuling Deng Aleksandr E.Vendrov Nageswara R.Madamanchi Marschall S.Runge Xinyu Wang Youyi Zhang Han Xiao Erdan Dong 2023Science China(Life Sciences)2023,66,5:3
7Gut Microbiota Regulates Bile Acid Metabolism by Reducing the Levels of Tauro-beta-muricholic Acid, a Naturally Occurring FXR Antagonist显示文摘Sama I. Sayin Annika Wahlstr?m Jenny Felin Sirkku J?ntti Hanns-Ulrich Marschall Krister Bamberg Bo Angelin Tuulia Hy?tyl?inen Matej Ore?i? Fredrik B?ckhed 2013Cell Metabolism2013,,2:3
8High-temperature investigation of mould slag crystallization by single and double hot thermocouple techniques显示文摘Methods for the characterization of mould slag crystallization with special emphasis on the single/double hot thermocouple technique(SHTT/DHTT)are reviewed.In the continuous casting process of steels,horizontal heat transfer is mainly influenced by the crystallization behaviour of the mould flux film.Here,both precipitation of crystals out of a liquid phase and devitrification of the glassy film in contact with the mould are of main interest.Therefore,various investigation methods are implemented to characterize different slag properties related to crystallization:a viscometer for determining the break temperature,differential thermal analysis(DTA),confocal scanning laser microscopy,and the water-cooled copper finger test.For near-service conditions,DHTT reveals the most detailed information,including not only the crystallization or devitrification temperature but also the morphology as well as the crystallization velocity.Due to improvements in the device and the representation of the results,a comparison of different samples is possible.Nevertheless,the application field of SHTT/DHTT is restricted to slag systems with low contents of evaporating components.Furthermore,the time required for data analysis is significantly longer than that required for other methods,e.g.DTA.Therefore,the application of DHTT is mainly advisable for mould slag research and development,whereas DTA can also be used for incoming inspections.Nathalie Kolbl Irmtraud Marschall Harald Harmuth 2019Journal of Iron and Steel Research(International)2019,26,4:3
9利福平和熊脱氧胆酸对肝胆管转运和解毒系统的补充刺激Marschall H.-U. Wagner M. Zollner G. 陈瑜 2005世界核心医学期刊文摘(胃肠病学分册)2005,0,11:3
10Impact of gastroesophageal reflux control through tailored proton pump inhibition therapy or fundoplication in patients with Barrett's esophagus显示文摘AIM To determine the impact of upwards titration of proton pump inhibition(PPI) on acid reflux, symptom scores and histology, compared to clinically successful fundoplication.METHODS Two cohorts of long-segment Barrett's esophagus(BE) patients were studied. In group 1(n = 24), increasing doses of PPI were administered in 8-wk intervals until acid reflux normalization. At each assessment, ambulatory 24 h p H recording, endoscopy with biopsies and symptom scoring(by a gastroesophageal reflux disease health related quality of life questionnaire, GERD/HRLQ) were performed. Group 2(n = 30) consisted of patients with a previous fundoplication. RESULTS In group 1, acid reflux normalized in 23 of 24 patients, resulting in improved GERD/HRQL scores(P = 0.001), which were most pronounced after the starting dose of PPI(P < 0.001). PPI treatment reached the same level of GERD/HRQL scores as after a clinically successful fundoplication(P = 0.5). Normalization of acid reflux in both groups was associated with reduction in papillary length, basal cell layer thickness, intercellular space dilatation, and acute and chronic inflammation of squamous epithelium. CONCLUSION This study shows that acid reflux and symptom scores co-vary throughout PPI increments in long-segment BE patients, especially after the first dose of PPI, reaching the same level as after a successful fundoplication. Minor changes were found among GERD markers at the morphological level.Francisco Baldaque-Silva Michael Vieth Mumen Debel Bengt Hakanson Anders Thorell Nuno Lunet Huan Song Miguel Mascarenhas-Saraiva Gisela Pereira Lars Lundell Hanns-Ulrich Marschall 2017World Journal of Gastroenterology2017,23,17:3
11GRIMSEL现场的气体渗透试验(英文)显示文摘自 1976 年以来,日本核废料管理基金会与研究中心(RWMC)一直在进行核废料处置的研究。最近,RWMC非常关注核废料处置库的监测、遥控以及现场勘查技术等重要的社会公众与技术问题。其中,处置库溢出气体是一项重要的安全可靠性评估项目。这项名为“工程屏障的气体渗透试验”(GMT)的研究是在瑞士 Nagra 的 Grimsel现场实验室进行的。GMT 集中研究在粮仓形的处置库中由核废料产生的气体在工程屏障中的渗透问题。在 Grimsel现场,一个按比例缩小的工程屏障库由一个具有透气孔的混凝土仓和砂–膨润土缓冲材料组成,缓冲材料被放置在一个专门建造的洞室中。混凝土仓直径为 2.5 m,高为 2.5 m,放置在直径为 4 m 的从上到下开挖而成的竖井中。在工程屏障饱和及水渗透试验之后,气体分两个阶段被注入地窖中。气体第一次被注入之后,重复进行水渗透试验,以便观察工程屏障库的变化。第二次气体注入的时候,在工程屏障及岩石圈中采用一种可以多点取样的鸡尾酒气体跟踪器。在气体注入之后,小心挖掘出工程屏障库,然后用各种方法来进行鉴定,并采用实验室以及建模程序来进行现场的模拟研究。Fujiwara A Okamoto S Tsuboya T Vomvoris S Marschall P Ando K Shimura T 2006岩石力学与工程学报2006,25,4:2
12Desiccation tolerance and recovery of the leaf liverwort Porella platyphylla :hlorophyll fiuorescemeasurements 显示文摘MARSCHALL M PROCTOR M C F 1999J Bryol1999,21,4:2
13Material property requirements for a-nalysis and design of UHTC components in hypersonic applica-tions显示文摘Squire T H Marschall J 2010J Eue Ceram Soc2010,30,11:1
14Characteristics and prognosis of myocardial infarction in patients with normal coronary arteries显示文摘Ammann P Marschall S 2000Chest2000,117,:1
15Both host and pathogen factors predispose to Escherichia coli urinary-source bacteremia in hospitalized patients显示文摘Marschall J Zhang L Foxman B 2012Clin Infect Dis2012,54,12:1
16Lcysteine on Ag (111):A combined STM and X-ray spectroscopy study of anchorage and deprotonation显示文摘Fischer S Papageorgiou A C Marschall M 0,,38:1
17Intrahepatic cho- lestasis of pregnancy:Relationships between bile acid levels and fetal complication rates显示文摘Glantz A Marschall HU Mattsson LA 2004Hepatology2004,40,3:1
18The protein kinase pUL97 of human cytomegalovirus interacts with and phosphotvlatles the DNA polymerase processivity factor pUIA4 显示文摘Marschall M Freitag M Suchy P 2003Viroleoy2003,311,1:1
19Gallstone disease 显示文摘Marschall HU Einarsson C 2007J Intern Med2007,261,6:1
20Evolution of a tourmaline-bearing lawsonite eclogite from the Elekda? area (Central Pontides, N Turkey): evidence for infiltration of slab-derived B-rich fluids during exhumation显示文摘Rainer Altherr Gültekin Topuz Horst Marschall Thomas Zack Thomas Ludwig 0,,:1
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