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| 1 | Hepatocellular carcinoma: Epidemiology, risk factors and pathogenesis显示文摘Hepatocellular carcinoma (HCC) is the commonest primary malignant cancer of the liver in the world. Given that the burden of chronic liver disease is expected to rise owing to increasing rates of alcoholism, hepatitis B and C prevalence and obesity-related fatty liver disease, it is expected that the incidence of HCC will also increase in the foreseeable future. This article summarizes the international epidemiology, the risk factors and the pathogenesis of HCC, including the roles of viral hepatitis, toxins, such as alcohol and aflatoxin, and insulin resistance. | Asmaa Ibrahim Gomaa Shahid A Khan Mireille B Toledano Imam Waked Simon D Taylor- Robinson | 2008 | World Journal of Gastroenterology2008,14,27: | 78 |
| 2 | Diagnosis of hepatocellular carcinoma显示文摘Hepatocellular carcinoma (HCC) is one of the commonest cancers worldwide, particularly in parts of the developing world, and is increasing in incidence. This article reviews the current modalities employed for the diagnosis of HCC, including serum markers, radiological techniques and histological evaluation, and summarises international guidelines for the diagnostic approach to HCC. | Asmaa I Gomaa Shahid A Khan Edward LS Leen Imam Waked Simon D Taylor-Robinson | 2009 | World Journal of Gastroenterology2009,15,11: | 44 |
| 3 | 近200a来珠穆朗玛峰北坡远东绒布冰芯气候记录显示文摘1997年 5月中美联合珠穆朗玛峰地区绒布冰川考察期间,在远东绒布冰川海拔 6 500 m的北 支冰流粒雪盆内钻取到一支41m长冰芯.通过数年层法并根据β活化度的参照年(1954年和 1963 年),对远东绒布冰芯实施定年,冰芯底部为 1814年,冰芯年平均净积累量为 224 mm(冰当 量).根据远东绒布冰芯 (δ18O的变化,重建了珠穆朗玛峰北坡地区近 200 a气候变化,发现有 5次冷 期和5次暖期,且总趋势为变暖,这与本世纪北半球气候变暖的趋势相一致.远东绒布冰芯气候记 录同古里雅冰芯比较,两者的冷暖波动较为一致,说明青藏高原西北部和南部地区的气候变化具有 共性.但是,远东绒布冰芯中δ18O的变化在短时间尺度上与降水量变化存在某些反相关性,这种关 系并未影响到δ18O反映气温的长期变化趋势. | 康世昌 秦大河 Paul A. Mayewski Cameron P. Wake 任贾文 | 2000 | 冰川冻土2000,22,3: | 17 |
| 4 | Recent advances in multidisciplinary management of hepatocellular carcinoma显示文摘The incidence of hepatocellular carcinoma(HCC) is increasing, and it is currently the second leading cause of cancer-related death worldwide. Potentially curative treatment options for HCC include resection, transplantation, and percutaneous ablation, whereas palliative treatments include trans-arterial chemoembolization(TACE), radioembolization, and systemic treatments. Due to the diversity of available treatment options and patients' presentations, a multidisciplinaryteam should decide clinical management of HCC, according to tumor characteristics and stage of liver disease. Potentially curative treatments are suitable for very-early- and early-stage HCC. However, the vast majority of HCC patients are diagnosed in later stages, where the tumor characteristics or progress of liver disease prevent curative interventions. For patients with intermediate-stage HCC, TACE and radioembolization improve survival and are being evaluated in addition to potentially curative therapies or with systemic targeted therapy. There is currently no effective systemic chemotherapy, immunologic, or hormonal therapy for HCC, and sorafenib is the only approved moleculartargeted treatment for advanced HCC. Other targeted agents are under investigation; trials comparing new agents in combination with sorafenib are ongoing. Combinations of systemic targeted therapies with local treatments are being evaluated for further improvements in HCC patient outcomes. This article provides an updated and comprehensive overview of the current standards and trends in the treatment of HCC. | Asmaa I Gomaa Imam Waked | 2015 | World Journal of Hepatology2015,7,4: | 15 |
| 5 | Platelet-albumin-bilirubin score - a predictor of outcome of acute variceal bleeding in patients with cirrhosis显示文摘BACKGROUND The albumin-bilirubin(ALBI)score was validated as a prognostic indicator in patients with liver disease and hepatocellular carcinoma.Incorporating platelet count in the platelet-albumin-bilirubin(PALBI)score improved validity in predicting outcome of patients undergoing resection and ablation.AIM To evaluate the PALBI score in predicting outcome of acute variceal bleeding in patients with cirrhosis.METHODS The data of 1517 patients with cirrhosis presenting with variceal bleeding were analyzed.Child Turcotte Pugh(CTP)class,Model of End-stage Liver Disease(MELD),ALBI and PALBI scores were calculated on admission,and were correlated to the outcome of variceal bleeding.Areas under the receivingoperator characteristic curve(AUROC)were calculated for survival and rebleeding.RESULTS Mean age was 52.6 years;1176 were male(77.5%),69 CTP-A(4.5%),434 CTP-B(29.2%),1014 CTP-C(66.8%);306 PALBI-1(20.2%),285 PALBI-2(18.8%),and 926 PALBI-3(61.1%).Three hundred and thirty-two patients died during hospitalization(21.9%).Bleeding-related mortality occurred in 11%of CTP-B,28%of CTP-C,in 21.8%of PALBI-2 and 34.4%of PALBI-3 patients.The AUROC for predicting survival of acute variceal bleeding was 0.668,0.689,0.803 and 0.871 for CTP,MELD,ALBI and PALBI scores,respectively.For predicting rebleeding the AUROC was 0.681,0.74,0.766 and 0.794 for CTP,MELD,ALBI and PALBI scores,respectively.CONCLUSION PALBI score on admission is a good prognostic indicator for patients with acute variceal bleeding and predicts early mortality and rebleeding. | Omar Elshaarawy Naglaa Allam Eman Abdelsameea Asmaa Gomaa Imam Waked | 2020 | World Journal of Hepatology2020,12,3: | 13 |
| 6 | 芍药苷促进糖尿病创面愈合显示文摘目的 研究芍药苷(paeoniflorin,PA)对糖尿病创面愈合作用及作用机制。方法 采用糖尿病小鼠全层皮肤切除夹板模型,HE染色及Masson染色观察创面组织形态改变;免疫荧光法检测血管新生。PA干预人脐静脉内皮细胞(human umbilical vein endothelial cells,HUVECs)和小鼠成纤维细胞(fibroblast,FB),MTS、BrdU和划痕实验检测细胞增殖和迁移能力;Matrigel实验检测HUVECs成管能力,qPCR检测FB中Collagen Ⅲ、Fibronectin、α-SMA mRNA的变化;免疫荧光法观察α-SMA在FB中的表达部位及表达量的变化。结果 与db/db模型组相比,PA组创面肉芽组织,胶原形成和新生毛细血管密度明显增加(P<0.01)。PA对HUVECs增殖无影响,可明显促进HUVECs迁移和成管的能力(P<0.05 ,P <0.01)。PA可明显增加FB增殖和迁移的能力,明显增加Collagen Ⅲ、α-SMA mRNA的表达(P<0.05 ,P <0.01),对Fibronectin mRNA的表达无影响,同时可增加α-SMA的荧光强度。结论 芍药苷可能通过促进细胞外基质生成和血管新生,促进糖尿病创面愈合。 | 房志锐 陈璐 李春晓 宋敏 张璐莎 Joel Wake Coffie 张丽媛 马璐璐 王虹 | 2019 | 中国药理学通报2019,35,8: | 12 |
| 7 | Validation of modified albumin-bilirubin-TNM score as a prognostic model to evaluate patients with hepatocellular carcinoma显示文摘BACKGROUND An ideal staging system for hepatocellular carcinoma(HCC)should rely on the hepatic reserve function and tumor burden.With the improvement in diagnostic and treatment strategies for HCC,in addition to recent treatment of viral hepatitis,finding a suitable assessment tool for hepatic reserve has become mandatory.AIM To validate a recently proposed modified albumin-bilirubin-TNM(mALBI-T)grade as a prognostic model for patients with HCC in Egypt.METHODS For patients diagnosed with HCC,Child-Turcotte-Pugh(CTP)score,Barcelona Clinic Liver Cancer(BCLC)stage,albumin-bilirubin(ALBI),plateltetalbumin– bilirubin(PALBI),ALBI-based BCLC,ALBI-T and mALBI-T grades were estimated.Patients were followed from time of diagnosis to date of death or date of data collection if they remained alive.Overall survival and received treatments were determined.Survival data were analyzed.RESULTS A total of 1910 patients were included(mean age,57 years;1575 males).At presentation,50.6%had CTP A,36.1%had CTP B and 13.4%had CTP C;12%had ALBI grade 1,62.3%had ALBI grade 2 and 24.7%had ALBI grade 3.Overall median survival was 13 mo;survival was better in patients with ALBI 1 than in those with ALBI 2 and 3(28.6 vs 14 and 5.8 mo,respectively,P<0.001).Patients with ALBI-T grades 0 and 1 had better survival than those with ALBI-T grades 2,3,4 and 5(P<0.001).The modified ALBI-T showed better stratification and significant improvement in prediction of survival.CONCLUSION ALBI-T grade is a superior prognostic tool that selects patients with HCC who have better liver reservoir and tumor stage.mALBI-T is a better prognostic model in patients with HCC. | Omar Elshaarawy Alzhraa Alkhatib Mostafa Elhelbawy Asmaa Gomaa Naglaa Allam Ayman Alsebaey Eman Rewisha Imam Waked | 2019 | World Journal of Hepatology2019,11,6: | 7 |
| 8 | 脑心通胶囊对Ⅱ型糖尿病小鼠伤口愈合的作用显示文摘[目的]研究脑心通胶囊(NaoXinTong,NXT)对Ⅱ型糖尿病小鼠伤口愈合的作用和作用机制。[方法]将8-12周db/+小鼠db/db小鼠适应性喂养1周后,按体质量随机分组db/+Saline组、db/db Saline、db/db NXT(0.7 g/kg)组,建立切除伤口夹板模型,每天灌胃给药并记录小鼠体质量,每两天监测空腹血糖并对伤口拍照测量伤口面积,分别在术后7、16 d取小鼠伤口处皮肤组织,小鼠伤口处皮肤组织进行切片或立即冷冻保存。HE染色观察伤口边缘肉芽组织的面积和上皮化,Lectin免疫荧光检测伤口周围毛细血管的密度,新鲜组织用来提取蛋白并用Western Blotting检测VEGF、PI3K/p-PI3K、AKT/p-AKT、eNOS/p-eNOS在伤口边缘的表达。[结果]与db/db Saline组相比,db/db NXT组小鼠伤口愈合率增加,肉芽组织面积和上皮化增加,伤口周围的血管密度和VEGF的表达增加,PI3K/AKT/eNOS的磷酸化增加,但在伤口愈合过程中糖尿病小鼠的体质量和空腹血糖没有变化。[结论]脑心通胶囊通过激活PI3K/AKT/eNOS信号通路增加VEGF表达促进血管新生,增加肉芽组织的形成和上皮化,加速Ⅱ型糖尿病小鼠伤口愈合。 | 宋敏 陈璐 李春晓 房志锐 张璐莎 Joel Wake Coffie 张丽媛 马璐璐 王虹 | 2019 | 天津中医药大学学报2019,38,4: | 4 |
| 9 | Normal liver stiffness: a study in living donors with normal liver histology显示文摘AIM: To define the normal range of liver stiffness(LS) values using transient elastography in living-related liver transplantation candidate donors with normal liver histology. METHODS: LS was measured using Fibroscan in 50(16 women, 34 men) healthy potential donors(mean age 28.4 ± 5.9 years) who were being evaluated for liver donation for their relatives at the National Liver Institute, Menoufeya University, Egypt. All potential donors had normal liver tests and were negative for hepatitis B or C virus infection. Abdominal ultrasounds showed normal findings. None of the subjects had diabetes, hypertension, renal impairment, heart disease, or body mass index > 30 kg/m2. All subjects had normal liver histology upon liver biopsy. They all donated the right lobe of their liver with successful outcomes.RESULTS: The mean LS was 4.3 ± 1.2 k Pa(range: 1.8-7.1 k Pa). The 5th and 95 th percentiles of normal LS were 2.6 k Pa and 6.8 k Pa, respectively, with a median of 4 k Pa; the interquartile range was 0.6 ± 0.4. LS measurements were not significantly different between men and women(4.4 ± 1.1 k Pa vs 3.9 ± 1.3 k Pa) and did not correlate with age. However, stiffness values were significantly lower in subjects with a body mass index < 26 kg/m2 compared to those with an index ≥ 26 kg/m2(4.0 ± 1.1 k Pa vs 4.6 ± 1.2 k Pa; P <0.05). There were no differences in hospital stay or postoperative bilirubin, albumin,alanine and aspartate transaminases, or creatinine levels(at discharge) between donors with livers stiffness ≤ 4 k Pa and those with stiffness > 4 k Pa. CONCLUSION: Healthy donors with normal liver histology have a median LS of 4 k Pa. Stiffness values are elevated relative to increase in body mass index. | Ayman Alsebaey Naglaa Allam Khalid Alswat Imam Waked | 2015 | World Journal of Hepatology2015,7,8: | 3 |
| 10 | Ascites and alpha-fetoprotein improve prognostic performance of Barcelona Clinic Liver Cancer staging显示文摘AIM: To assess how ascites and alpha-fetoprotein(AFP) added to the Barcelona Clinic Liver Cancer(BCLC) staging predict hepatocellular carcinoma survival.METHODS: The presence of underlying cirrhosis, ascites and encephalopathy, Child-Turcotte-Pugh(CTP) score, the number of nodules, and the maximum diameter of the largest nodule were determined at diagnosis for 1060 patients with hepatocellular carcinoma at a tertiary referral center for liver disease in Egypt. Demographic information, etiology of liver disease, and biochemical data(including serum bilirubin, albumin, international normalized ratio, alanine and aspartate aminotransferases, and AFP) were evaluated. Staging of the tumor was determined at the time of diagnosis using the BCLC staging system; 496 patients were stage A and 564 patients were stage B. Patients with mild ascites on initial ultrasound, computed tomography, or clinical examination, and who had a CTP score ≤ 9 were included in this analysis. All patients received therapy according to the recommended treatment based on the BCLC stage, and were monitored from the time of diagnosis to the date of death or date of data collection. The effect of the presence of ascites and AFP level on survival was analyzed.RESULTS:At the time the data were censored,123/496(24.8%)and 218/564(38.6%)patients with BCLC stages A and B,respectively,had died.Overall mean survival of the BCLC A and B patients during a three-year follow-up period was 31 mo[95%confidence interval(95%CI):29.7-32.3]and 22.7mo(95%CI:20.7-24.8),respectively.The presenceof ascites,multiple focal lesions,large tumor size,AFP level and CTP score were independent predictors of survival for the included patients on multivariate analysis(P<0.001).Among stage A patients,18%had ascites,33%had AFP≥200 ng/m L,and 8%had both.Their median survival in the presence of ascites was shorter if AFP was≥200 ng/m L(19 mo vs 24 mo),and in the absence of ascites,patients with AFP≥200 ng/m L had a shorter survival(28mo vs 39 mo).For stage B patients,survival for the corresponding groups was 12,18,19 and 22 mo.The one-,two-,and three-year survival rates for stage A patients without ascites and AFP<200 ng/m L were94%,77%,and 71%,respectively,and for patients with ascites and AFP≥200 ng/m L were 83%,24%,and 22%,respectively(P<0.001).Adding ascites and AFP≥200 ng/m L improved the discriminatory ability for predicting prognosis(area under the curve,0.618vs 0.579 for BCLC,P<0.001).CONCLUSION:Adding AFP and ascites to the BCLC staging classification can improve prognosis prediction for early and intermediate stages of hepatocellular carcinoma. | Asmaa I Gomaa Alzhraa Al-Khatib Wael Abdel-Razek Mohammed Saad Hashim Imam Waked | 2015 | World Journal of Gastroenterology2015,21,18: | 3 |
| 11 | 脑心通胶囊对小鼠后下肢急性缺血模型抗炎作用研究显示文摘目的脑心通胶囊(Naoxintong capsule, NXT)可以有效改善组织缺血症状,但NXT对缺血组织炎性反应的影响及作用机制尚不明确。方法本研究采用小鼠后下肢缺血模型,研究NXT对缺血组织炎症作用的影响。采用流式细胞术检测给药后3 d,中性粒细胞、巨噬细胞的阳性细胞比例;采用qRT-PCR检测Emr1、IL-1β、TNF-α的表达;采用蛋白芯片探究炎症相关蛋白的变化,并对差异蛋白进行生物信息学分析。结果术后3 d,与模型组相比,NXT组中性粒细胞、巨噬细胞数量明显下调(P<0.01);Emr1 mRNA基因表达明显下调(P<0.01);炎症因子IL-1β、TNF-α表达明显下调(P<0.05,P<0.01);与模型组相比,NXT上调M2a型巨噬细胞诱导剂IL-4,以及标志物CCL17、CCL22的表达;同时下调M1型巨噬细胞标志物CCL5、CXCL9的表达。结论 NXT在一定程度上可以降低外周动脉疾病伴随的炎症反应,为NXT抗炎的分子机制研究提供了潜在的生物标志物。 | 张璐莎 陈璐 李春晓 尤星宇 房志锐 宋敏 Joel Wake Coffie 张丽媛 王虹 | 2018 | 中国药理学通报2018,34,12: | 3 |
| 12 | Biodegradable polymer scaffolds to regenerate organs显示文摘 | Thomson RC Wake MC Yaszemski MJ | 1995 | Advances in Polymer Science1995,122,3: | 2 |
| 13 | Nonsurgical therapy to preserve oviduct function in pations with tubal pregnancies显示文摘 | Ichinoe K wake N Shinkai N | 1995 | Am J Obstet Gynecol1995,38,: | 1 |
| 14 | Oil ref ineries: A review of their ecological impacts on theaquatic environment显示文摘 | Wake H | 2005 | Estuarine Coastal and Shelf Science2005,62,12: | 1 |
| 15 | High-grade urotheli- al carcinoma of the renal pelvis: clinicopathologic study of 108 cases with emphasis on unusual morphologic variants 显示文摘 | Perez-Montiel D Wakely PE Hes O | 2006 | Mod Pathol2006,19,: | 1 |
| 16 | Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopictechniques for inguinal hernia repair 显示文摘 | Wake BL McCormack K Fraser C | 2005 | Cochrane Database SystRev2005,,00: | 1 |
| 17 | Microglia: ac- tively surveying and shaping neuronal circuit structure and function显示文摘 | Wake H Moorhouse AJ Miyamoto A | 2013 | Trends Neurosci2013,36,4: | 1 |
| 18 | Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation 显示文摘 | McCormack K Wake B Perez J | 2005 | Health Technol Assess2005,9,14: | 1 |
| 19 | Resting microglia directly monitor the functional state of synapses in vivo and determine the fate of ischemic terminals 显示文摘 | Wake H Moorhouse AJ Jinno S | 2009 | J Neurosci2009,29,13: | 1 |
| 20 | Heparan sulfate proteoglycan on leukemic cells is primarily involved in integrin triggering and its mediated adhesion to endothelial cells显示文摘 | Tanaka Y Kimata K Wake A | 1996 | J Exp Med1996,184,5: | 1 |