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    题名 作者 年代 出处 被引量
1脑静脉血栓形成的诊断和处理 美国心脏协会/美国卒中协会对医疗专业人员的声明显示文摘背景本指南旨在对脑静脉窦血栓形成(cerebral venous sinus thrombosis,CVT)进行概述,并提供其诊断、处理和治疗的推荐意见,目标读者为涉及CVT患者诊断和处理的临床医生和其他医疗工作者。方法和结果作为不同专业领域的代表,专家小组成员由美国心脏协会(American Heart Association,AHA)卒中委员会科学声明监督委员会任命。专家小组回顾了相关文献,重点为1966年以来公开发表的报道,并使用AHA证据水平分级方案对证据进行评定并制定推荐意见。本指南经专家小组认可后,由AHA科学咨询和协调委员会进行同行评议并批准。结论本指南为CVT的诊断、处理和复发的预防提供了循证推荐,同时还提供了妊娠期妇女和儿童CVT评估和处理的推荐意见,对临床并发症(痫性发作、脑积水、颅内压增高和神经功能恶化)的处理进行了总结,并描述了CVT患者诊断和治疗的流程图。Gustavo Saposnik Femando Barinagarrementeria Robert D. Brown Cheryl D. Bushnell Brett Cucchiara Mary Cushman Gabrielle deVeber Jose M. Ferro Fong Y. Tsai 张沈阳(译) 韩丽娟(译) 叶丹(译) 徐运(译) 2011国际脑血管病杂志2011,19,10:197
2Transition-metal doped edge sites in vertically aligned MoS2 catalysts for enhanced hydrogen evolution显示文摘为象氢进化反应那样的电气化学的反应的高度活跃、便宜的催化剂(她的) 为有效精力的发展是关键的变换和存储技术。理论模拟在揭示在材料和他们的催化活动的电子结构之间的关联是有帮助的,并且指导改进催化剂的预言和发展。然而,在精确地设计需要的原子地点的困难在做在试验性、理论的结果之间的直接比较导致挑战。在瞬间 < 潜水艇 class= “ a-plus-plus ” > 2 , 而薹是惰性的,瞬间边被表明了为她活跃。用一条计算基于描述符的途径,我们预言由合并转变金属原子(Fe,公司, Ni,或 Cu ) ,薹地点应该也成为她活跃。垂直地站的、终止边的瞬间 < 潜水艇 class= “ a-plus-plus ” > 2 nanofilms 为验证这些预言提供一个明确的模型系统。转变金属做了瞬间 < 潜水艇 class= “ a-plus-plus ” > 2 nanofilms 表演交换水流密度由的增加至少双重,与理论计算一致。这个工作为由把倡导者合并到特别原子地点改进电气化学的催化剂,并且为使用明确的系统以便理解提升效果的起源开创进一步的机会。Haotian Wang Charlie Tsai Desheng Kong Karen Chan Frank Abild-Pedersen Jens K. Norskov Yi Cui 2015Nano Research2015,8,2:41
3The Dongcaohe ophiolite from the North Qilian Moun-tains: A fossil oceanic crust of the Paleo-Qilian ocean显示文摘The Dongcaohe ophiolite, located at the south of the North Qilian subduction complexes, is a tectonic block with an exposed area of about 3 km×6 km. It consists of an intrusive section overlain by an ex- trusive section. The lower part of the intrusive section consists of cyclic layers of cumulate dunites, troctolites, anorthosites, anorthositic gabbros, and gabbros with small discordant dunite and troctolite bodies. This layered sequence grades upward to isotropic gabbros and gabbronorites, which are overlain by the extrusive sequence of diabasic sheeted dikes and basaltic lavas. The overall mineral crystallization sequence was olivine±Cr-spinel, plagioclase, clinopyroxene, orthopyroxene, and Fe-Ti oxides. The Cr-spinel (Mg#: 42-66, Cr#: 41-57) in these layered cumulates and present-day abyssal peridotites have similar compositions. Also, the compositional variations of the plagioclase and cli- nopyroxene in the intrusive section reflect crystallization from melts compositionally similar to the present-day ocean basalts. Moreover, the rare earth element (REE) and multi-element distribution pat- terns of the intrusive and extrusive lithologies in the Dongcaohe ophiolite are consistent with crystal- lization of mid-ocean ridge basalts. The zircon grains separated from the gabbronorite have an SHRIMP average 206Pb/238U weighted age of 497 ± 7 Ma, which is considered as the tectonic emplacement age of the Dongcaohe ophiolite. The field occurrence, mineral and whole-rock compositions indicate that the Dongcaohe ophiolite represents a well-persevered oceanic crustal fragment composed of a complete oceanic crustal section of layered cumulates at bottom upgrading through isotropic cumulates to sheeted dikes and lava flows.Chien-Yuan TSENG Huai-Jen YANG Houng-Yi YANG LIU DunYi Ching-Lang TSAI WU HanQuan ZUO GuoChao 2007Chinese Science Bulletin2007,52,17:38
4Variability in rainfall threshold for debris flow after the Chi-Chi earthquake in central Taiwan,China显示文摘The purpose of this study is to analyze variability in rainfall threshold for debris flow(critical rainfall for debris flow triggering) after the ML 7.3 Chi-Chi earthquake in central Taiwan in 1999. Two study sites with different geological conditions were surveyed in the earthquake area. Streambed surveys were conducted to continuously monitor debris flows between 1999 and 2006. During the 7-year study period,every debris flow event was identified,and the streambed characterized. Results show that the rainfall threshold for debris flow was remarkably lower just after the Chi-Chi Earthquake,but gradually recovered. To date,this rainfall threshold is still lower than the original level prior to the earthquake. This variability in rainfall threshold is closely related to the amount of sediment material in the initiation area of debris flow,which increased rapidly due to landslides resulting from the earthquake. With the increase in sediment material,the rainfall threshold was lowered severely during the first year following the Chi-Chi earthquake. However,heavy rainfalls mobilized the sediment material,causing debris flows and transporting sediment downstream. With the decrease in sediment material,the rainfall threshold recovered gradually over time. Furthermore,debris flows occurred only in the subbasins that had sufficient sediment material to cause significant movement. Hence,these results confirm that the sediment material in the initiation area of debris flow is a crucial component of the rainfall threshold for debris flow.C. L. SHIEH Y. S. CHEN Y. J. TSAI J. H. WU 2009International Journal of Sediment Research2009,24,2:35
5Hot water-extracted Lycium barbarum and Rehmannia glutinosa inhibit proliferation and induce apoptosis of hepatocellular carcinoma cells显示文摘瞄准:在老鼠或人的肝细胞癌(HCC ) 在房间增长和 apoptosis 上调查热提取水的 Lycium 倒刺海芋属植物(LBE ) 和 Rehmannia glutinosa (RGE ) 的效果房间。方法:老鼠(H-4-II-E ) 和 HCC (HA22T/VGH ) 房间衬里的人与热提取水的 LBE 和 RGE 的各种各样的集中(0-10 g/L ) 被孵化。在 6-24 h 孵化以后,房间增长(n = 6 ) 被比色法测量。apoptotic 房间(n = 6 ) 被流动血细胞计数检测。p53 蛋白质的表示(n = 3 ) 被 SDS 页并且西方的弄污决定。结果:粗略的 LBE (2-5 g/L ) 和 RGE (2-10 g/L ) dose-dependently 在 11% 禁止了 H-4-II-E 房间的增长(P < 0.05 ) 到 85%(P < 0.01 ) 在 6-24 h 处理以后。在 5 g/L 的剂量的粗略的 LBE 在 6-24 h 孵化以后比粗略的 RGE 更有效地压制了 H-4-II-E 房间的房间增长(P < 0.01 ) 。粗略的 LBE (2-10 g/L ) 和 RGE (2-5 g/L ) dose-dependently 也由 14%-43% 禁止了 HA22T/VGH 房间的增长(P < 0.01 ) 在 24 h 以后。在 10 g/L 的剂量的粗略的 LBE 比粗略的 RGE 更有效地禁止了 HA22T/VGH 房间的增长(56.8%+/-1.6% 对 70.3%+/-3.1% 控制, P = 0.0003 < 0.01 ) 。apoptotic 房间显著地与粗略的 LBE (2-5 g/L ) 和 RGE (5-10 g/L ) 的更高的剂量在 24 h 处理以后在 H-4-II-E 房间增加了(P < 0.01 ) 。在 H-4-II-E 房间的 p53 蛋白质的表达式是 119% 控制组和 143% 与相比对待 LBE (2, 5 g/L ) 组,和 110% 控制和 132% 组与 RGE 相比对待(5, 10 g/L ) 在 24 h 以后的组。结论:热提取水的粗略的 LBE (2-5 g/L ) 和 RGE (5-10 g/L ) 禁止增长并且在 HCC 房间刺激调停 p53 的 apoptosis。Jane C-J Chao Shih-Wen Chiang Ching-Chiung Wang Ya-Hui Tsai Ming-Shun Wu 2006World Journal of Gastroenterology2006,12,28:30
6Pyogenic liver abscess caused by Klebsiella pneumoniae:analysis of the clinical characteristics and outcomes of 84 patients显示文摘pyogenic 肝脓肿的增加的发生由 Klebsiella pneumoniae 引起了的背景(K。pneumoniae ) 在最近的文学被报导。这研究回顾地被进行调查这些病人的临床的特征和结果。方法 Microbiological 和一个医学中心的医药数据库从 2000 年 1 月被寻找到 2003 年 6 月。有肝脓肿的 84 个病人由 K 引起了。pneumoniae 被分析。在 84 个病人, 52 个男人和 32 个女人的结果变老(58.2 吗?CHAN Khee-siang YU Wen-liang TSAI Chi-lun CHENG Kuo-chen HOU Ching-cheng LEE Meng-chih TAN Che-kim 2007Chinese Medical Journal2007,,2:27
7亚洲流行性乙型脑炎的控制显示文摘Theodore F Tsai 2005中国计划免疫2005,11,5:26
8Endoscopic findings in a patient with Henoch-Schonlein purpura显示文摘Hcnoch Schoenlein purpura (HSP) is a systemic vasculitis of the small vessels of the skin,joints,GI tract, and kidney.It preferentially affects children but may also occur in adults.We report a 60-rear-old man with HSP who presented with colicky abdominal pain,blondy diarrhea,arthralgia,and skin rash.The gastrointestinal tract was viewed by upper endoscopy and colonoscopy.We found characterislic endoscopic findings in the stomach,cecum and sigmoid colon,the combination of which has rarely been demonstrated in one patient.Histologic examination of skin biopsy specimens revealed leukocytoclastic vasculitis with positive staining for IgA in the capillaries.Endoscopy appears to have substantial diagnostic utility in patients suspected of having HSP,especially when abdominal symptoms precede the cutaneous lesions.Ming-Jen Chen Tsang-En Wang Wen-Hsiung Chang Shu-Jung Tsai 2005World Journal of Gastroenterology2005,11,15:24
9Reappraisal of endoscopic papillary balloon dilation for the management of common bile duct stones显示文摘Although endoscopic sphincterotomy(EST) is still considered as a gold standard treatment for common bile duct(CBD) stones in western guideline, endoscopic papillary balloon dilation(EPBD) is commonly used by the endoscopists in Asia as the first-line treatment for CBD stones. Besides the advantages of a technical easy procedure, endoscopic papillary large balloon dilation(EPLBD) can facilitate the removal of large CBD stones.The indication of EPBD is now extended from removal of the small stones by using traditional balloon, to removal of large stones and avoidance of lithotripsy by using large balloon alone or after EST. According to the reports of antegrade papillary balloon dilatation, balloon dilation itself is not the cause of pancreatitis. On the contrary, adequate dilation of papillary orifice can reduce the trauma to the papilla and pancreas by the basket or lithotripter during the procedure of stone extraction. EPLBD alone is as effective as EPLBD with limited EST. Longer ballooning time may be beneficial in EPLBD alone to achieve adequate loosening of papillary orifice. The longer ballooning time does not increase the risk of pancreatitis but may reduce the bleeding episodes in patients with coagulopathy. Slowly inflation of the balloon, but not exceed the diameter of bile duct and tolerance of the patients are important to prevent the complication of perforation. EPBLD alone or with EST are not the sphincter preserved procedures, regular follow up is necessary for early detection and management of CBD stones recurrence.Kwok-Hung Lai Hoi-Hung Chan Tzung-Jiun Tsai Jin-Shiung Cheng Ping-I Hsu 2015World Journal of Gastrointestinal Endoscopy2015,7,2:24
10Fault tolerant two-step quantum secure direct communication protocol against collective noises显示文摘This work proposes two fault tolerant quantum secure direct communication (QSDC) protocols which are robust against two kinds of collective noises: the collective-dephasing noises and the collective-rotation noises, respectively. The two QSDC protocols are constructed from four-qubit DF states which consist of two logical qubits. The receiver simply performs two Bell state measurements (rather than four-qubit joint measurements) to obtain the secret message. The protocols have qubit effciency twice that of the other corresponding fault tolerant QSDC protocols. Furthermore, the proposed protocols are free from Trojan horse attacks.TSAI ChiaWei HWANG Tzonelih 2011Science China(Physics,Mechanics & Astronomy)2011,54,3:22
11A new look at anti-Helicobacter pylori therapy显示文摘With the rising prevalence of antimicrobial resistance,the treatment success of standard triple therapy has recently declined to unacceptable levels (i.e.,80% or less) in most countries.Therefore,several treatment regimens have emerged to cure Helicobacter pylori (H.pylori) infection.Novel first-line anti-H.pylori therapies in 2011 include sequential therapy,concomitant quadruple therapy,hybrid (dual-concomitant) therapy and bismuth-containing quadruple therapy.After the failure of standard triple therapy,a bismuth-containing quadruple therapy comprising a proton pump inhibitor (PPI),bismuth,tetracycline and metronidazole can be employed as rescue treatment.Recently,triple therapy combining a PPI,levofloxacin and amoxicillin has been proposed as an alternative to the standard rescue therapy.This salvage regimen can achieve a higher eradication rate than bismuth-containing quadruple therapy in some regions and has less adverse effects.The best second-line therapy for patients who fail to eradicate H.pylori with first-line therapies containing clarithromycin,amoxicillin and metronidazole is unclear.However,a levofloxacin-based triple therapy is an accepted rescue treatment.Most guidelines suggest that patients requiring third-line therapy should be referred to a medical center and treated according to the antibiotic susceptibility test.Nonetheless,an empirical therapy (such as levofloxacin-based or furazolidone-based therapies) can be employed to terminate H.pylori infection if antimicrobial sensitivity data are unavailable.Seng-Kee Chuah Feng-Woei Tsay Ping-I Hsu Deng-Chyang Wu 2011World Journal of Gastroenterology2011,17,35:22
12Software-as-a-service(SaaS): perspectives and challenges显示文摘Software-as-a-service(SaaS)has received significant attention recently as one of three principal components of cloud computing,and it often deals with applications that run on top of a platform-as-a-service(PaaS)that in turn runs on top of infrastructure-as-a-service(IaaS).This paper provides an overview of SaaS including its architecture and major technical issues such as customization,multi-tenancy architecture,redundancy and recovery mechanisms,and scalability.Specifically,a SaaS system can have architecture relating to a database-oriented approach,middleware-oriented approach,service-oriented approach,or PaaS-oriented approach.Various SaaS customization strategies can be used from light customization with manual coding to heavy customization where the SaaS system and its underlying PaaS systems are customized together.Multi-tenancy architecture is an important feature of a SaaS and various trade-offs including security isolation,performance,and engineering effort need to be considered.It is important for a SaaS system to have multi-level redundancy and recovery mechanisms,and the SaaS system needs to coordinate these with the underlying PaaS system.Finally,SaaS scalability mechanisms include a multi-level architecture with load balancers,automated data migration,and software design strategies.TSAI WeiTek BAI XiaoYing HUANG Yu 2014Science China(Information Sciences)2014,57,5:22
13Transcription analysis of peloric mutants of Phalaenopsis orchids derived from tissue culture显示文摘Tissue culture has been widely used for mass propagation of Phalaenopsis. However, somaclonal variation occurred during micropropagation process posed a severe problem by affecting product quality. In this study, wild type and peloric flower buds of Phalaenopsis hybrids derived from flower stalk nodal culture were used for cDNA-RAPD and cDNA suppression subtractive hybridization analyses in order to study their genetic difference in terms of expressed sequence tags. A total of 209 ESTs from normal flower buds and 230 from mutants were sequenced. These ESTs sequences can be grouped into several functional categories involved in different cellular processes including metabolism, signal transduction, transcription, cell growth and division, protein synthesis, and protein localization, and into a subcat- egory of proteins with unknown function. Cymbidium mosaic virus transcript was surprisingly found expressed fre- quently in the peloric mutant of P. Little Mary. Real-time RT-PCR analysis on selected ESTs showed that in mutant flower buds, a bZIP transcription factor (TGA1a-like protein) was down-regulated, while up-regulated genes include auxin-regulated protein kinase, cyclophilin, and TCP-like genes. A retroelement clone was also preferentially expressed in the peloric mutant flowers. On the other hand, ESTs involved in DNA methylation, chromatin remodeling and post- transcriptional regulation, such as DNA methyltransferase, histone acetyltransferase, ERECTA, and DEAD/DEAH RNA helicase, were enriched in normal flower buds than the mutants. The enriched transcripts in the wild type indicate the down regulation of these transcripts in the mutants, and vice versa. The potential roles of the analyzed transcripts in the development of Phalaenopsis flowers are discussed.Ya Huei CHEN Yi Jung TSAI Jian Zhi HUANG Fure Chyi CHEN 2005Cell Research2005,15,8:21
142010年台湾心脏病学会高血压管理指南显示文摘高血压是心血管疾病和心血管死亡的重要危险因素。从2003年美国高血压预防、检测、评价和治疗全国联合委员会第7次报告(the seventh report of the joint national committee on prevention,detection,evaluation,and treatment of high blood pressure,JNC7)和2007年欧洲高血压协会/欧洲心脏病学会高血压防治指南发布以来,Chern-En Chiang Tzung-Dau Wang Yi-Heng Li Tsung-Hsien Lin Kuo-Liong Chien Hung-I Yeh Kou-Gi Shyu Wei-Chuen Tsai Ting-Hsing Chao Juey-Jen Hwang Fu-Tien Chiang Jyh-Hong Chen 2011中华高血压杂志2011,19,1:20
15Insulin resistance is associated with hepatocellular carcinoma in chronic hepatitis C infection显示文摘AIM:To elucidate the role of insulin resistance(IR) and serum adiponectin level in hepatocellular carcinoma(HCC) associated with chronic hepatitis C.METHODS:Clinical and biochemical characteristics were collected from 165 consecutive patients with newly diagnosed HCC.Homeostasis model assessment of IR(HOMA-IR) and serum adiponectin level were investigated in 188 patients with different stages of hepatitis C virus(HCV) infection.RESULTS:Among HCC patients,type 2 diabetics(DM) was more prevalent in HCV subjects(35.6%,n = 59) compared to hepatitis B virus(HBV;12.7%,n = 63) or non-HBV,non-HCV cases(7.1%,n = 28).In patients with chronic hepatitis C,HCC subjects had higher blood sugar(P < 0.001),insulin level(P = 0.003) and HOMAIR(P = 0.018) than those with chronic hepatitis and advanced fibrosis.Age,male sex and body mass index were significantly associated with serum adiponectin level,whereas HOMA-IR was not.Based on stepwise logistic regression analysis,age(OR:1.124,P < 0.001),serum insulin level(OR:1.585,P < 0.001),HOMA-IR(OR:0.495,P = 0.001),DM(OR:11.601,P = 0.002) and male sex(OR:3.877,P = 0.016) were independently associated with HCC.This result was similar even if the diabetic subjects were excluded for analysis.CONCLUSION:Insulin resistance measured by HOMAIR,regardless of the presence of diabetes,is significantly associated with HCC development in patients with chronic HCV infection.Chao-Hung Hung Jing-Houng Wang Tsung-Hui Hu Chien-Hung Chen Kuo-Chin Chang Yi-Hao Yen YuanHung Kuo Ming-Chao Tsai Chuan-Mo Lee 2010World Journal of Gastroenterology2010,16,18:18
16Cancer epigenetics: linking basic biology to clinical medicine显示文摘癌症进化根本,阶段被 epigenetic 畸形以及基因改变驾驶。epigenetic 控制事件的 Dysregulation 可以导致 DNA methylation 和染色质配置的反常模式,哪个是到癌症的致病的批评贡献者。这些 epigenetic 畸形被在他们的单个部件之间的多重蛋白质建筑群和相互影响包括 DNA methylation 机械放并且坚持说, histone 修饰词,特别地 polycomb (PcG ) 蛋白质,和染色质改变蛋白质。在染色体宽的技术的最近的进展表明了这些 dysregulated epigenetic 部件的参与看起来广泛。而且,作为为癌症的一个驱动力有关像茎的房间 subpopulations 在在癌症和概念的 epigenetic 畸形之间有一个成长连接。新兴的数据建议对正常胚胎、成年的干细胞固有的 epigenetic 风景的方面可以帮助促进在长期的发炎或积累的反应的氧种类的压力下面,恶意的 subpopulations 的进化。最后,理解在癌症的所有类型涉及 epigenetic 畸形的开始和维护的分子的机制为翻译目的有大潜力。这为 epigenetic biomarker 开发已经是明显的,并且为指向的药理学瞄准颠倒癌症特定的 epigenetic 改变。Hsing-Chen Tsai Stephen B Baylin 2011Cell Research2011,21,3:18
17TREATMENT OF METALS, POLYMER FILMS, AND FABRICS WITHA ONE ATMOSPHERE UNIFORM GLOW DISCHARGE PLASMA(OAUGDP) FOR INCREASED SURFACE ENERGY AND DIRECTIONAL ETCHING显示文摘Direct exposure of samples to the active species of air generated by a One Atmosphere Uniform Glow Discharge Plasma (OAUGDP) has been used to etch and to increase the surface energy of metallic surfaces, photoresist, polymer films, and nonwoven fab- rics. The OAUGDP is a non-thermal plasma with the classical characteristics of a DC normal glow discharge that operates in air (and other gases) at atmospheric pres- sure. Neither a vacuum system nor batch processing is necessary. A wide range of applications to metals, photoresist, films, fabrics, and polymeric webs can be accom- modated by direct exposure of the workpiece to the plasma in parallel-plate reactors. This technolopy is simple, it produces effects that can be obtained in no other way at one atmosphere; it generates minimal pollutants or unwanted by-products; and it is suitable for individual sample or online treatment of metallic surfaces, wafers, films, and fabrics. Early exposures of solid materials to the OAUGDP required minutes to produce rela- tively small increases of surface energy. These durations appeared too long for com- mercial application to fast-moving webs. Recent improvements in OAUGDP gas com- position, power density, plasma quality, recireulating gas flow, and impedance match- ing of the power supply to the parallel plate plasma reactor have made it possible to raise the surface energy of a variety of polymeric webs (PP, PET PE etc.) to levels of 60 to 70 dynes/cm with one second of exposure. In air plasmas, the high surface ener- gies are not durable, and fall to 50 dynes/cm after periods of weeks to months. Here, we report the exposure of metallic surfaces, photoresist, polymeric films, and nonwo- ven fabrics made of PP and PET to an impedance matched parallel plate OAUGDP for durations ranging from one second to several tens of seconds. Data will be re- ported on the surface energy, wettability, wickability, and aging effect of polymeric films and fabrics as functions of time of exposure, and time after exposure; the rate and uniformity of photoresist etching; and the production of sub-micron structures by OAUGDP etching at one atmosphere.J. Reece Roth and Z. Y Chen (Plasma Sciences Laboratory, Department of Electrical and Computer Engineering, University of Tennessee, Knoxville, TN 37996-2100, USA) Peter P.- Y Tsai (Textiles and Nonwovens Development Center (TANDEC), University of Tenness 2001Acta Metallurgica Sinica(English Letters)2001,14,6:18
18Stimulatory effect of puerarin on bone formation through co-activation of nitric oxide and bone morphogenetic protein-2/ mitogen-activated protein kinases pathways in mice显示文摘SHEU Shiow-yunn TSAI Chia-chung SUN Jui-sheng CHEN Ming-hong LIU Man-hai SUN Man-ger 2012Chinese Medical Journal2012,,20:17
19Hepatitis B virus coinfection in human immunodeficiency virus-infected patients: A review显示文摘Hepatitis B virus(HBV)infection is a leading cause of chronic hepatitis,liver cirrhosis,and hepatocellular carcinoma worldwide.Due to the shared modes of transmission,coinfection with HBV and human immunodeficiency virus(HIV)is not uncommon.It is estimatedthat 10%of HIV-infected patients worldwide are coinfected with HBV.In areas where an HBV vaccination program is implemented,the HBV seroprevalence has declined significantly.In HIV/HBV-coinfected patients,HBV coinfection accelerates immunologic and clinical progression of HIV infection and increases the risk of hepatotoxicity when combination antiretroviral therapy(cART)is initiated,while HIV infection increases the risk of hepatitis events,cirrhosis,and end-stage liver disease related to chronic HBV infection.With the advances in antiviral therapy,concurrent,successful longterm suppression of HIV and HBV replication can be achieved in the cART era.To reduce the disease burden of HBV infection among HIV-infected patients,adoption of safe sex practices,avoidance of sharing needles and diluent,HBV vaccination and use of cART containing tenofovir disoproxil fumarate plus emtricitabine or lamivudine are the most effective approaches.However,due to HIV-related immunosuppression,using increased doses of HBV vaccine and novel approaches to HBV vaccination are needed to improve the immunogenicity of HBV vaccine among HIV-infected patients.Hsin-Yun Sun Wang-Huei Sheng Mao-Song Tsai Kuan-Yeh Lee Sui-Yuan Chang Chien-Ching Hung 2014World Journal of Gastroenterology2014,20,40:17
20Clinical characteristics and prognostic factors of splenic abscess:A review of 67 cases in a single medical center of Taiwan显示文摘瞄准:在 19 年的一个时期期间在台湾的一个医学中心分析脾的脓肿的 67 个盒子。方法:从 1986 年 1 月到 2004 年 12 月,有脾的脓肿的 67 个病人的一个总数为回顾的学习被注册。临床的特征,内在的疾病,有机体系列,治疗学的方法, APACHE II 分数,和死亡率被分析。结果:与 54.1+/-14.1 年的吝啬的年龄有 41 男性和 26 女性。为 28.4% 的多重脾的脓肿(MSA ) 报道和在 71.6% 病人的独居的脾的脓肿。57 个病人(35.8%) 中的 26 个有额外的脾的脓肿,与肝(34.6%) 的领先的地点。微生物学文化在血文化在 58 个病人(86.6%) 是积极的,与 71.8% 并且 93.5% 在脓肿文化。与肺炎杆菌(22.4%) 的领先的病原体,支配的克否定杆菌(GNB ) 感染(55.2%) 由克跟随了积极球菌(GPC ) 感染(31%) 。脾切除术在 26 被执行在 21 的病人(38.8%) ,经皮的排水或渴望(31.3%) ,和在 20 个病人(29.9%) 独自一个的抗菌素治疗。最后, 67 个病人中的 12 个到期了(17.9 %) 。由统计,感染 GNB 的怒气是可能的与 GPC (P=0.036 ) 与感染相比开发多发性脓肿。有 GNB 感染(P=0.009 ) 和多发性脓肿(P=0.011 ) 的病人与 GPC 感染和独居的脓肿比病人经历了更高的死亡率。12 的吝啬的 APACHE II 分数到期了病人(16.3+/-3.2 ) 比 55 幸存(7.2+/-3.8 )(P<0.001 ) 的显著地高。结论:MSA, GNB 感染,和高 APACHE II 分数是差的预示的因素。当这些风险因素是在场的时,早外科的干预应该被鼓励。Kuo-Chin Chang Seng-Kee Chuah Chi-Sin Changchien Tung-Lung Tsai Sheng-Nan Lu Yi-Chun Chiu Yaw-Sen Chen Chih-Chi Wang Jui-Wei Lin Chuan-Mo Lee Tsung-Hui Hu 2006World Journal of Gastroenterology2006,12,3:16
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