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1QUADAS的制定:用于系统评价中评价诊断性研究质量的工具显示文摘背景在以系统评价为基石的循证医学时代,需要有恰当的质量评价工具。对诊断性研究的评价目前尚缺乏系统开发且经过验证的评价工具。本研究的目的是采用共识决策法整合经验证据和专家意见,制定在系统评价时用于评价原始诊断性研究质量的工具。方法按照循证原则,我们在之前发表的3篇诊断性研究文献的综述的基础上,初选出一些条目形成列表,然后通过Delphi流程逐步调整列表,形成质量评价工具。参与Delphi流程的都是诊断性研究领域的专家。结果共有9位诊断学领域的专家参与Delphi流程。经过4轮Delphi流程后,专家们对哪些条目应纳入评价工具达成共识,我们把这个评价工具命名为QUADAS。纳入条目从最初的28个减少到14个,涵盖了疾病谱、金标准、疾病进展偏倚(disease progression bias)、证实偏倚(verification bias)、评价偏倚、临床评价偏倚、合并偏倚、试验的实施、病例退出以及不确定结果。QUADAS工具中的每个条目都配有评分细则。结论本研究项目开发出了用于诊断性试验系统评价的循证质量评价工具。下一步工作是确定其适用性和有效性。Penny Whiting Anne WS Rutjes Johannes B Reitsma Patrick MM Bossuyt Jos Kleijnen 刁骧(译) 艾昌林(译) 秦莉(审校) 姚巡(审校) 2007中国循证医学杂志2007,7,4:67
2QUADAS评价:一种用于诊断性研究的质量评价工具(修订版)显示文摘背景 QUADAS是一种新近发展起来的诊断性研究的质量评价工具。虽然已有系统评价采用了QUADAS,但尚未得以正式确证。本研究的目的是评价QUADAS的有效性和实用性。方法3位评价者采用QUADAS独立评价30项研究的质量。比较每位评价者的评分与最终结论之间的意见一致度。这主要是通过比较所有QUADAS条目的总分和每个单项的得分来实现的。20位曾在其系统评价中使用过QUADAS的评价者就其使用经验完成一份简短的问卷。结果就所有条目而言,每位评价者的评分与最终结论之间的意见一致度分别达到了91%、90%和85%。就单项QUADAS条目而言,一致度在50%至100%之间,中位值是90%。与难以解释的试验结果和退出病例相关的条目,评分结果差异最大。有关QUADAS内容的反馈意见普遍较好,仅少数评价者提出了有关QUADAS涵盖面、使用便利性、评分说明的清晰度及有效性方面的问题。结论QUADAS内容本身无需作大的修改。评价过程的主要困难出现在难以解释的试验结果和退出病例这2个条目的评分上。对这些条目的评分指南提出了修改意见。评价者必需根据其系统评价制定相应的评分指南,并确保所有评价者都清楚如何评分。评价者还应考虑是否所有的QUADAS条目都与其系统评价相关,以及其他质量条目是否应作为其系统评价的评价部分。Penny F Whiting Marie E Weswood Anne WS Rutjes Johannes B Reitsma Patrick NM Bossuyt Jos Kleijnen 马章淳 钱楠 2007中国循证医学杂志2007,7,7:64
3迷走神经磁调制治疗脑卒中后吞咽困难显示文摘中风涉及脑干引起广泛的神经系统缺陷,包括口腔咽部吞咽困难(OD)。随着迷走神经刺激在脑卒中动物中的研究显示运动功能的改善,本研究探讨重复经颅磁刺激(rTMS)在人类卒中后吞咽功能恢复中的作用。这项假对照,双盲,平行研究包括30例缺血性或出血性中风,所有患者均表现为慢性延髓表现。在干预组中,TMS线圈放置在左侧乳突刺激迷走神经,2个星期内每天10次。柏和风 顾旭东 Lin WS Chou CL Chang MH 2018中国康复2018,33,3:30
4MicroRNAs in the prognosis and therapy of colorectal cancer: From bench to bedside显示文摘MicroRNAs(miRNAs) are small, single-stranded, noncoding RNAs that can post-transcriptionally regulate the expression of various oncogenes and tumor suppressor genes. Dysregulated expression of many miRNAs have been shown to mediate the signaling pathways critical in the multistep carcinogenesis of colorectal cancer(CRC). MiR NAs are stable and protected from RNase-mediated degradation, thereby enabling its detection in biological fluids and archival tissues for biomarker studies. This review focuses on the role and application of miRNAs in the prognosis and therapy of CRC. While stage Ⅱ CRC is potentially curable by surgical resection, a significant percentage of stage Ⅱ CRC patients do develop recurrence. MiRNA biomarkers may be used to stratify such high-risk population for adjuvant chemotherapy to provide better prognoses. Growing evidence also suggests that miRNAs are involved in the metastatic process of CRC. Certain of these miRNAs may thus be used as prognostic biomarkers to identify patients more likely to have micro-metastasis, who could be monitored more closely after surgery and/or given more aggressive adjuvant chemotherapy. Intrinsic and acquired resistance to chemotherapy severely hinders successful chemotherapy in CRC treatment. Predictive miRNA biomarkers for response to chemotherapy may identify patients who will benefit the most from a particular regimen and also spare the patients from unnecessary side effects. Selection of patients to receive the new targeted therapy is becoming possible with the use of predictive miRNA biomarkers. Lastly, forced expression of tumor suppressor miRNA or silencing of oncogenic miRNA in tumors by gene therapy can also be adopted to treat CRC alone or in combination with other chemotherapeutic drugs.Kenneth KW To Christy WS Tong Mingxia Wu William CS Cho 2018World Journal of Gastroenterology2018,24,27:29
5Recent developments and future prospects of Vitreoscilla hemoglobin application in metabolic engineering显示文摘Zhang, L Li, YJ Wang, ZN Xia, Y Chen, WS Tang, KX 2007中国生物学文摘2007,21,10:25
6Inclusion Modification with Mg Treatment for 35CrNi3MoV Steel显示文摘The effects of Mg on the inclusion characteristics of 35CrNi3MoV steel have been studied. The results show that Mg treatment reduces obviously the amount of inclusion in the steel.Magnesiurn and oxygen in liquid steel form dispersed fine particles of MgO, to which other oxides or sulphides nucleated at heterogeneity and grown during solidification. In this way the inclusions are modified. The small spherical inclusions containing MgO have been observed in the Mg treated steel in contrast to the large angular inclusions with Al2O3 in the conventional steel. Especially the elongated MnS inclusion is replaced by small MgS·MgO or MgS. MnS·MgO complex inclusion. The formation of inclusions have been discussed.Fu, J Yu, YG Wang, AR Chen, BP Sun, WS 1998Journal of Materials Science & Technology1998,14,1:22
7稀土离子与伴清蛋白结合的光谱研究显示文摘在pH=7.4和25℃下,用紫外吸收差光谱进行Eu3+对脱铁伴清蛋白的滴定.Eu3+与脱铁伴清蛋白结合后其差光谱在245nm和296nm处出现吸收峰,在245nm处Eu3+-脱铁伴清蛋白配合物的摩尔吸光系数是(2.1±0.1)×104cm-1·L·mol-1,Eu3+可占据脱铁伴清蛋白的2个金属离子结合部位,条件平衡常数lgKN=8.21±0.20,lgKC=4.60±0.11.脱铁伴清蛋白、N-端单铁伴清蛋白的紫外差光谱及荧光光谱滴定均表明,稀土离子优先占据脱铁伴清蛋白的N-端结合部位.杨斌盛 Harr.,WS 1998高等学校化学学报1998,19,7:13
8Effect of music on procedure time and sedation during colonoscopy:A meta-analysis显示文摘AIM:To integrate results from different studies in examining the effectiveness of music in reducing the procedure time and the amount of sedation used during colonoscopic procedure. METHODS: An electronic search in various databases was performed to identify related articles. Study quality was evaluated by the Jadad’s scale. The random effect model was used to pool the effect from individual trials and the Cohen Q-statistic was used to determine heterogeneity. Egger’s regression was used to detect publication bias. RESULTS: Eight studies with 722 subjects were included in this meta-analysis. The combined mean difference for the time taken for the colonoscopy procedure between the music and control groups was -2.84 with 95% CI (-5.61 to -0.08), implying a short time for the music group. The combined mean difference for the use of sedation was -0.46 with 95%CI (-0.91 to -0.01), showing a significant reduction in the use of sedation in the music group. Heterogeneity was observed in both analyses but no publication bias was detected. CONCLUSION: Listening to music is effective in reducing procedure time and amount of sedation during colonoscopy and should be promoted.Wilson WS Tam Eliza LY Wong Sheila F Twinn 2008World Journal of Gastroenterology2008,14,34:12
9Thiazolidinedione increases serum soluble receptor for advanced glycation end-products in type 2 diabetes显示文摘Tan, KCB Chow, WS Tso, AWK Xu, A Tse, HF Hoo, RLC Betteridge, DJ Lam, KSL 2007中国生物学文摘2007,21,11:7
10Reduction of atherosclerosis in cholesterol-fed rabbits and decrease of expressions of intracellular adhesion molecule-1 and vascular endothelial growth factor in foam cells by a water-soluble fraction of Polygonum multiflorum显示文摘Yang PY Almofti MR Lu L Kang H Zhang J Li TJ Rui YC Sun LN Chen WS 2006第二军医大学学报2006,27,6:7
11腹腔镜下止血设备新进展显示文摘目的为提高血管闭合性能、手术效果和临床结局,市场上研发了许多新式的血管闭合系统。在微创手术中,爆破压、横向热扩散、闭合率和故障率是选择器备并获得最理想手术效果的重要考虑参数。本文详细介绍多种新式止血设备的物理学原理和基本运行机制,并回顾相关文献评价各个设备的优缺点。Eric Lee WS Felix Wong 黄倩 应小燕 2011中国微创外科杂志2011,11,5:6
12Cryopreservation for delayed circulating tumor cell isolation is a valid strategy for prognostic association of circulating tumor cells in gastroesophageal cancer显示文摘AIM To demonstrate the feasibility of cryopreservation of peripheral blood mononuclear cells(PBMCs) for prognostic circulating tumor cell(CTC) detection in gastroesophageal cancer.METHODS Using 7.5 m L blood samples collected in EDTA tubes from patients with gastroesopheagal adenocarcinoma, CTCs were isolated by epithelial cell adhesion molecule based immunomagnetic capture using the Iso Flux platform. Paired specimens taken during the same blood draw(n = 15) were used to compare number of CTCs isolated from fresh and cryopreserved PBMCs. Blood samples were processed within 24 h to recover the PBMC fraction, with PBMCs used for fresh analysis immediately processed for CTC isolation. Cryopreservation of PBMCs lasted from 2 wk to 25.2 mo(median 14.6 mo). CTCs isolated from pre-treatment cryopreserved PBMCs(n = 43) were examined for associations with clinicopathological variables and survival outcomes.RESULTS While there was a significant trend to a decrease in CTC numbers associated with cryopreserved specimens(mean number of CTCs 34.4 vs 51.5, P = 0.04), this was predominately in samples with a total CTC count of > 50, with low CTC count samples less affected(P = 0.06). There was no significant association between the duration of cryopreservation and number of CTCs. In cryopreserved PBMCs from patient samples prior to treatment, a high CTC count(> 17) was associated with poorer overall survival(OS)(n = 43, HR = 4.4, 95%CI: 1.7-11.7, P = 0.0013). In multivariate analysis, after controlling for sex, age, stage, ECOG performance status, and primary tumor location, a high CTC count remained significantly associated with a poorer OS(HR = 3.7, 95%CI: 1.2-12.4, P = 0.03). CONCLUSION PBMC cryopreservation for delayed CTC isolation is a valid strategy to assist with sample collection, transporting and processing.Daniel Brungs David Lynch Alison WS Luk Elahe Minaei Marie Ranson Morteza Aghmesheh Kara L Vine Martin Carolan Mouhannad Jaber Paul de Souza Therese M Becker 2018World Journal of Gastroenterology2018,24,7:5
13Cancer Immunotherapy Targeting the Telomerase Reverse Transcriptase显示文摘人的 telomerase 颠倒 transcriptase (hTERT ) 在超过 85% 肿瘤房间被表示,但是通常没在正常房间被发现,它作为理想的肿瘤伙伴抗原(TAA ) 做 hTERT 开发没有在人的癌症免疫疗法损害正常纸巾,明确地破坏癌症的潜在的疫苗。这被考察 hTERT 或它的肽和早临床的 trials using 的 immunogenicity 上的研究的基本进展在最后十年的 hTERT 疫苗途径。Longfei Huo Janice WS Tang Junjian Huang Peitang Huang Cuifen Huang Hsiang-fu Kung Marie C. Lin 2006Cellular & Molecular Immunology2006,3,1:4
14Icteric flare of chronic hepatitis B in a 95-year old patient显示文摘A 95-year old gentleman developed fatal icteric flare of chronic hepatitis B despite lamivudine treatment. This article highlights the atypical presentations of chronic hepatitis B in elderly patient and the need to consider this possibility for acute fulminant hepatitis in endemic areas.WS Wong Wai Keung Leung Henry L Y Chan 2003World Journal of Gastroenterology2003,9,12:3
15cDNA microarray analysis of differential gene expression in Candida albicans biofilm exposed to farnesolides显示文摘Cao YY Cao YB Xu Z Ying K IA Y Xie Y Zhu ZY Chen WS Jiang YY 2006第二军医大学学报2006,27,4:3
16Virtual colonoscopy-induced perforation in a patient with Crohn's disease显示文摘We report a case of sigmoid colon perforation in a patient with Crohn's disease undergoing computed-tomographic (CT) colonography. A 70-year-old patient with Crohn's disease with terminal ileitis and sigmoid stricture underwent CT colonography after incomplete conventional colonoscopy. During the procedure, the colon was inflated by air insufflation and the patient developed abdominal pain with radiological evidence of retroperitoneal and intraperitoneal free gas. Hartmann's operation was performed. This case highlights that CT colonography is not risk-free. The risk of perforation may be higher in patients with inflammatory bowel disease.Sunny H Wong Vincent WS Wong Joseph JY Sung 2007World Journal of Gastroenterology2007,13,6:3
17Cultivation-dependent and cultivation-independent characterization of the microbial community in acid mine drainage associated with acidic Pb/ Zn mine tailings at Lechang, Guangdong, China显示文摘Tan GL Shu WS Hallberg KB Li F Lan CY Huang LN 2007中国生物学文摘2007,21,7:3
18In vitro assessment of individual and interactive effects of aromatic hydrocarbons on embroyonic development of the rat显示文摘Brown-Woodman PDC Webster WS Picker K 1994Reprod Toxicol1994,8,:2
19Evidence Based Medicine: How to practice and teach EBM 显示文摘Sackett DL Richardson WS Rosenberg W 2000Churchill livingstone2000,,:2
20Hepatic adenylate energy charge levels in patients with hepatoma after hepatic artery embolization显示文摘HepaticadenylateenergychargelevelsinpatientswithhepatomaafterhepaticarteryembolizationLILi1,YANLuNan1,CHENXiaoLi1,LUWuShe...Li, L Yan, LN Chen, XL Lu, WS Xie, XD Wu, YT 1998World Journal of Gastroenterology1998,4,2:2
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