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1Essential hypertension and oxidative stress:New insights显示文摘Essential hypertension is a highly prevalent pathological condition that is considered as one of the most relevant cardiovascular risk factors and is an important cause of morbidity and mortality around the world. Despite the fact that mechanisms underlying hypertension are not yet fully elucidated,a large amount of evidence shows that oxidative stress plays a central role in its pathophysiology. Oxidative stress can be defined as an imbalance between oxidant agents,such as superoxide anion,and antioxidant molecules,and leads to a decrease in nitric oxide bioavailability,which is the main factor responsible for maintaining the vascular tone. Several vasoconstrictor peptides,such as angiotensin Ⅱ,endothelin-1 and urotensin Ⅱ,act through their receptors to stimulate the production of reactive oxygen species,by activating enzymes like NADPH oxidase andxanthine oxidase. The knowledge of the mechanism described above has allowed generating new therapeutic strategies against hypertension based on the use of antioxidants agents,including vitamin C and E,N-Acetylcysteine,polyphenols and selenium,among others. These substances have different therapeutic targets,but all represent antioxidant reinforcement. Several clinical trials using antioxidants have been made. The aim of the present review is to provide new insights about the key role of oxidative stress in the pathophysiology of essential hypertension and new clinical attempts to demonstrate the usefulness of antioxidant therapy in the treatment of hypertension.Jaime González Nicolás Valls Roberto Brito Ramón Rodrigo 2014World Journal of Cardiology2014,6,6:20
2多重血栓预防方案在髋关节置换中的应用显示文摘目的:评价多重血栓预防方案在髋关节置换运用的有效性和安全性。方法:收集从2006年1月到2010年5月在纽约特种外科医院(Hospital for Special Surgery,HSS)行全髋关节置换手术患者共993例,其中男473例,女529例。通过针对血栓形成的各种原因和不同时相,采用多重血栓预防方案。结果:13例发生血栓性疾病(VTE),发生率1.3%。确诊为DVT的10例,发生率为1%。诊断为PE的有3例,发生率为0.3%。没有一个为致命性的PE。接受阿司匹林的患者中7例发生VTE,占接受阿司匹林治疗患者的0.9%,其中下肢深静脉血栓4例,有症状的肺栓塞3例;接受华法林的患者中6个发生VTE,占接受华法林治疗患者的2%,其中下肢深静脉血栓5,有症状肺栓塞1例。结论:人工髋关节置换患者采用此多重血栓预防方案,血栓(包括深静脉血栓和肺栓塞)的发生率很低,安全可靠,抗凝药口服与此相关的并发症也很低。鲁宁 杨阳 Alejandro González Della Valle Eduardo A.Salvati 2013实用医学杂志2013,29,14:8
3多重方法预防髋膝关节置换术后的血栓性疾病显示文摘髋、膝关节置换术后有较高的发生血栓性疾病的危险。我们研究了一种多重预防方法,于1995年在纽约特种外科医院(Hospital for Special Surgery,HSS)开始运用。它包括术前对患者患血栓性疾病(VTE)的风险进行评估,然后根据评估结果在术前、术中、术后应用一系列安全有效的预防措施,以降低术后血栓和出血的风险。这些措施包括术前停用促凝血药物及患者的自体血采集;使用硬膜外低压麻醉,在全髋关节置换手术(THA)中股骨侧处理之前,静脉给予肝素;术后使用充气加压装置,患肢穿戴弹力袜并强有力地主动背伸和跖屈踝关节,同时尽早下床活动,以降低血液淤滞。如果这些措施能够很好地实施,对于术前没有VTE诱发因素且术后能早期活动的患者,不需要术后使用强效的抗凝药物,从而减少常规使用抗凝药物导致的并发症发病率和死亡率以及医疗费用。此方法已在近万例髋、膝关节置换术患者中应用,结果显示血栓、出血发生率以及总死亡率均很低。Alejandro González Della Valle Francis Jeshira Reynoso Judith Ben Ari Eduardo Salvati 鲁宁 2011中华关节外科杂志(电子版)2011,5,2:7
4硬膜外低压麻醉在髋关节置换中预防血栓性疾病的作用显示文摘目的研究全髋关节置换术中使用硬膜外低压麻醉的有效性和安全性。方法对993例全髋关节置换术采用硬膜外低压麻醉(平均动脉压维持在45~55 mm Hg)。处理股骨侧髓腔之前2~3 min,静脉给予肝素10~15 U/kg。结果本组平均手术时间83 min(35~268 min),平均失血量183 ml(50~1 400 ml)。术后随访3个月,共有13例发生血栓性疾病,占总数的1.3%,其中确诊为下肢深静脉血栓(DVT)的有10例,发生率为1.0%。无心血管疾病、硬膜外血肿发生。随访期间无死亡病例。结论全髋关节置换术中使用硬膜外低压麻醉安全,术中出血少,术后血栓发生率低,术后无相关的并发症。鲁宁 杨阳 思永玉 Nigel E Sharrock Alejandro González Della Valle Eduardo A.Salvati 2012中国骨与关节损伤杂志2012,27,12:5
5术前自体血采集预防髋关节置换术后血栓性疾病的作用显示文摘目的:研究术前自体血采集对预防髋关节置换术后血栓性疾病的有效性。方法:收集2007年1月年至2010年3月收集在纽约特种外科医院(Hosptal for Special Surgery,HSS)医院行全髋关节置换术912例患者的临床资料,其中男428例,女484例。排除标准为有出血体质及不能行硬膜外麻醉的患者。患者年龄24~93岁,平均(65.28±11.90)岁。骨性关节炎835例(91.3%),股骨头坏死32例(3.6%),髋关节发育不良20例(2.3%),类风湿性关节炎20例(2.2%),其他诊断5例(0.6%)。手术采用硬膜外低压麻醉(平均动脉压维持在45~55mmHg),手术采用后外侧切口,尽量减少股静脉扭曲的时间,反复冲洗和吸引出股骨髓腔内容物。当处理髋臼侧的时候,下肢处于中立位置。处理股骨侧髓腔之前1~2min,静脉给予肝素(10~15U/kg)。所有患者随访至少3个月,无一例失访。结果:752例术前进行了自体血捐献,160例没有捐献自体血。共11例发生血栓性疾病,占患者总数的1.3%,其中5例术前捐献自体血,6例术前未捐献自体血,两者血栓性疾病发病率差异有统计学意义(P=0.021)。所有血栓患者中8例确诊为深静脉血栓形成,发生率为0.8%;所有血栓患者中有症状并且诊断为肺栓塞的3例,发生率为0.5%,无致命性的肺栓塞PE。结论:髋关节置换术前捐献自体血能降低术后血栓性疾病的发生率。鲁宁 杨阳 Alejandro González Della Valle Eduardo A.Salvati 2013中国骨伤2013,26,1:4
6Imaging response predictors following drug eluting beads chemoembolization in the neoadjuvant liver transplant treatment of hepatocellular carcinoma显示文摘BACKGROUND Drug-eluting bead transarterial chemoembolization(DEB-TACE)is an endovascular treatment to release chemotherapeutic agents within a target lesion,minimizing systemic exposure and adverse effects to chemotherapeutics.Therefore,identifying which patient characteristics may predict imaging response to DEB-TACE can improve treatment results while selecting the best candidates.Predictors of the response after DEB-TACE still have not been fully elucidated.This is the first prospective study performed with standardized DEBTACE technique that aim to identify predictors of radiological response,assessing patients clinical and laboratory characteristics,diagnostic imaging and intraprocedure data of the hepatocellular carcinoma treated in the neoadjuvant context for liver transplantation.AIM To identify pre-and intraoperative clinical and imaging predictors of the radiological response of drug-eluting bead transarterial chemoembolization(DEB-TACE)for the neoadjuvant treatment of hepatocellular carcinoma(HCC).METHODS This is prospective,cohort study,performed in a single transplant center,from 2011 to 2014.Consecutive patients with HCC considered for liver transplant who underwent DEB-TACE in the first session for downstaging or bridging purposes were recruited.Pre and post-chemoembolization imaging studies were performed by computed tomography or magnetic resonance.The radiological response of each individual HCC was evaluated by objective response using mRECIST and the percentage of necrosis.RESULTS Two hundred patients with 380 HCCs were examined.Analysis of the objective response(nodule-based analysis)demonstrated that HCC with pseudocapsules had a 2.01 times greater chance of being responders than those without pseudocapsules(P=0.01),and the addition of every 1mg of chemoembolic agent increased the chance of therapeutic response in 4%(P<0.001).Analysis of the percentage of necrosis through multiple linear regression revealed that the addition of each 1mg of the chemoembolic agent caused an average increase of 0.65%(P<0.001)in necrosis in the treated lesion,whereas the hepatocellular carcinoma with pseudocapsules presented 18.27%(P<0.001)increased necrosis compared to those without pseudocapsules.CONCLUSION The presence of a pseudocapsule and the addition of the amount of chemoembolic agent increases the chance of an objective response in hepatocellular carcinoma and increases the percentage of tumor necrosis following drug-eluting bead chemoembolization in the neoadjuvant treatment,prior to liver transplantation.Francisco Leonardo Galastri Felipe Nasser Breno Boueri Affonso Leonardo Guedes Moreira Valle Bruno Calazans Odísio Joaquim Mauricio Motta-Leal Filho Paolo Rogério Salvalaggio Rodrigo Gobbo Garcia Márcio Dias de Almeida Ronaldo Hueb Baroni Nelson Wolosker 2020World Journal of Hepatology2020,12,1:2
7Role of serum cytokine profile in ulcerative colitis assessment显示文摘Manuel Luis Rodríguez‐Perlvárez Valle García‐Sánchez Carlos Manuel Villar‐Pastor Raál González Eva Iglesias‐Flores Jordi Muntane Federico Gómez‐Camacho 2012Inflamm Bowel Dis2012,,10:2
8Laparoscopy-assisted versus open colectomy for treatment of colon cancer in the elderly: morbidity and mortality outcomes in 545 patients显示文摘Francesc Vallribera Valls Filippo Landi Eloy Espín Basany José Luis Sánchez García Luis Miguel Jiménez Gómez Marc Martí Gallostra Luis Salgado Cruz Manuel Armengol Carrasco 2014Surgical Endoscopy2014,,12:2
9Optimization of an equilibrium modified atmosphere packaging(Emap)for minimally processed mandarin segments显示文摘Valle V Hernández-Mu?oz P Catalá R 0,,03:1
10An ontology-based measure to compute semantic similarity in biomedicine显示文摘Montserrat Batet David Sánchez Aida Valls 2010Journal of Biomedical Informatics2010,,1:1
11Comparison between Valdivia position and prone position in percutaneous nephrolithotomy显示文摘Amón Sesmero JH Del Valle González N Conde Redondo C 2008Actas Urol Esp2008,32,4:1
12Detection of apple juice concentrate in the manufacture of natural and sparkling cider by means of HPLC chemometric sugar analyses显示文摘Blaneo Gomis D Muro Tamayo D Suárez Valles B 2004Joumal of Agricultural and Food Chemistry2004,52,2:1
13Transcatheter aortic valve implantation in very elderly patients: immediate results and medium term follow-up显示文摘ObjectiveTo 评估立即的 transcatheter 在有严重、征兆的大动脉的狭窄的很老的病人的大动脉的阀门培植(TAVI ) 结果和中期的后续(作为).MethodsThis multicenter,观察、未来的学习在三所医院里被执行。我们包括了连续很老(>85 年) 病人与作为严重由 TAVI 对待。主要端点是在包括的二 years.ResultsThe 研究从任何原因评估死亡率有一个平均数的 160 个连续病人 87 ± 变老;2.1 年(从 85 ~ 94 年的范围) 和 18.8%± 的吝啬的逻辑 EuroSCORE;11.2% 与 57 (35.6%) 病人得分 ≥20% 。程序的成功率是 97.5% ,与 25 (15.6%) 与主要流血经历尖锐复杂并发症的病人(最经常) 。全球死亡率在住院期间是 8.8%(n = 14 ) 并且 30 天的死亡率是 10%(n = 16 ) 。中部在时期上面列在后面是 252.24 ±232.17 天。在后续时期期间, 28 (17.5%) 病人们死了(他们中的 17 个由于心脏的原因) 。估计的二年全面、心脏的幸存率使用 Kaplan-Meier 方法分别地是 71% 和 86.4% 。比例的危险回归给看了的考克斯可变 EuroSCORE ≥20 是与全面 mortality.ConclusionsTAVI 联系的唯一的变量在很老的病人的一张选择人口安全、有效。我们的调查结果支持在病人的这个复杂的组的这个新过程的采纳。Isaac Pascual Antonio J Mu oz-García Diego López-Otero Pablo Avanzas Manuel F Jimenez-Navarro Belén Cid-Alvarez Raquel del Valle Juan H Alonso-Briales Raimundo Ocaranza-Sanchez José M Hemández Ramiro Trillo-Nouche César Morís 2015Journal of Geriatric Cardiology2015,12,4:1
14Liver fibrosis assessment with semiquantitative indexes and image analysis quantification in sustained-responder and non-responder interferon-treated patients with chronic hepatitis C显示文摘Trinidad Caballero Alejandro Pérez-Milena Marco Masseroli Francisco O’Valle Francisco J Salmerón Raimundo M.G Del Moral Guillermo Sánchez-Salgado 2001Journal of Hepatology2001,,5:1
15Clinical assessment of heart-type fatty acid binding protein in early diagnosis of acute coronary syndrome显示文摘Hector Alonso Valle Luis García-Castrillo Riesgo Miguel Sántalo Bel Francisco Epelde Gonzalo Miguel Sánchez Sanchez Luis Iglesias Oliva 2008European Journal of Emergency Medicine2008,,3:1
16Synthesis,characterization and electrical properties of poly(2,5-,2,3-and 3,5-dichloroaniline)s PartⅡ:Copolymer with aniline显示文摘Díaz F Sánchez C Valle M 2001Synth Met2001,118,:1
17Perioperative outcomes after unilateral and bilateral total knee arthroplasty显示文摘Memtsoudis SG Ma Y González Della Valle A 0,,06:1
18Treatment of uterine myoma with 5 or 10mg mifepristone daily during 6 months, post-treatment evolution over 12 months: double-blind randomised clinical trial显示文摘Josep Ll. Carbonell Esteve Rita Acosta Yasmiriam Pérez Rosa Campos Aleta Valle Hernández Carlos Sánchez Texidó 2012European Journal of Obstetrics and Gynecology2012,,2:1
19Prospective randomized trial of 3 antiseptic solutions for prevention of catheter colonization in an intensive care unit for adult patients显示文摘Vallés J Fernández I Alcaraz D 2008Infect Control Hosp Epidemiol2008,29,9:1
20Heat shock protein 90 and heat shock protein 70 are components of dengue virus receptor complex in human cells显示文摘Valle JR Chávez-Salinas S Medina F 2004Virology2004,79,8:1
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