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| 1 | Herbal traditional Chinese medicine and its evidence base in gastrointestinal disorders显示文摘Herbal traditional Chinese medicine(TCM) is used to treat several ailments, but its efficiency is poorly documented and hence debated, as opposed to modern medicine commonly providinge ffective therapies. The aim of this review article is to present a practical reference guide on the role of herbal TCM in managing gastrointestinal disorders, supported by systematic reviews and evidence based trials. A literature search using herbal TCM combined with terms for gastrointestinal disorders in Pub Med and the Cochrane database identified publications of herbal TCM trials. Results were analyzed for study type, inclusion criteria, and outcome parameters. Quality of placebo controlled, randomized, double-blind clinical trials was poor, mostly neglecting stringent evidence based diagnostic and therapeutic criteria. Accordingly, appropriate Cochrane reviews and meta-analyses were limited and failed to support valid, clinically relevant evidence based efficiency of herbal TCM in gastrointestinal diseases, including gastroesophageal reflux disease, gastric or duodenal ulcer, dyspepsia, irritable bowel syndrome, ulcerative colitis, and Crohn's disease. In conclusion, the use of herbal TCM to treat various diseases has an interesting philosophical background with a long history, but it received increasing skepticism due to the lack of evidence based efficiency as shown by high quality trials; this has now been summarized for gastrointestinal disorders, with TCM not recommended for most gastrointestinal diseases. Future studies should focus on placebo controlled, randomized, double-blind clinical trials, herbal product quality and standard criteria for diagnosis, treatment, outcome, and assessment of adverse herb reactions. This approach will provide figures of risk/benefit profiles that hopefully are positive for at least some treatment modalities of herbal TCM. Proponents of modern herbal TCM best face these promising challenges of pragmaticmodern medicine by bridging the gap between the two medicinal cultures. | Rolf Teschke Albrecht Wolff Christian Frenzel Axel Eickhoff Johannes Schulze | 2015 | World Journal of Gastroenterology2015，21，15： | 19 |
| 2 | Use of neuron-specific enolase to predict mild brain injury in motorcycle crash patients with maxillofacial fractures: A pilot study显示文摘Purpose: Mild traumatic brain injury (TBI) is common but accurate diagnosis and its clinical consequences have been a problem. Maxillofacial trauma does have an association with TBI. Neuron-specific enolase (NSE) has been developed to evaluate neuronl damage. The objective of this study was to investigate the accuracy of NSE serum levels to detect mild brain injury of patients with sustained maxillofacial fractures during motor vehicle accidents. Methods: Blood samples were drawn from 40 healthy people (control group) and 48 trauma patients who has sustained isolated maxillofacial fractures and mild brain injury in motor vehicle accidents. Brain injuries were graded by Glasgow Coma Scale. In the trauma group, correlations between the NSE serum value and different facial fracture sites were also assessed. Results: The NSE serum level (mean ± SD, ng/ml) in the 48 patients with maxillofacial fractures and mild TBI was 13.12 ± 9.68, significantly higher than that measured in the healthy control group (7.72 ± 1.82, p < 0.001). The mean NSE serum level (ng/ml) in the lower part of the facial skeleton (15.44 with SD 15.34) was higher than that in the upper facial part (12.42 with SD 7.68);and the mean NSE level (ng/ml) in the middle-and lower part (11.97 with SD 5.63) was higher than in the middle part (7.88 with SD 2.64). Conclusion: An increase in NSE serum levels can be observed in patients sustained maxillofacial fractures and mild brain injury. | Muhammad Ruslin Jan Wolff Harmas Yazid Yusuf Muhammad Zaifullah Arifin Paolo Boffano Tymour Forouzanfar | 2019 | Chinese Journal of Traumatology2019，22，1： | 17 |
| 3 | Disruption of the Sugar Transporters AtSWEET11 and AtSWEET12 Affects Vascular Development and Freezing Tolerance in Arabidopsis显示文摘Dear Editor, In plants,the transport of sugars from the site of biosynthesis to the site of utilization or storage relies on sugar transporters located in different subcellular compartments and different vascular cell types.The SWEET sugar transporter family is one such class and is represented by 17 members in Arabidopsis.AtSWEET1 was the first plant SWEET transporter to be characterized;it acts as a glucose uniporter in multiple systems (Chen et al.,2010). | Rozenn Le Hir Lara Spinner Patrick A. W. Klemens Dipankar Chakraborti Federica de Marco Francoise Vilaine Nelly Wolff Remi Lemoine Benoit Porcheron Carine Gery Evelyne Teoule Salem Chabout Gregory Mouille H. Ekkehard Neuhaus Sylvie Dinant Catherine Bellini | 2015 | Molecular Plant2015，8，11： | 16 |
| 4 | 上海市大气质量与国内外城市的比较研究显示文摘为确定上海市中长期环境目标,采用对比法开展了国内外城市环境经济综合实力的比较。结果显示,1990年到2000年上海城市年均大气污染物浓度呈现出普遍的下降趋势,2000年上海城区SO2及NO2年均浓度为45μg·m-3和61μg·m-3,达到国家环境空气质量二级标准,但是欧洲城市平均水平的4.5和1.5倍。PM10的年均浓度达108μg·m-3,将近欧洲城市平均水平的3倍。进一步改善上海环境空气质量的关键在于实施能源、产业结构调整,降低本地污染物排放强度,加强长江三角洲地区的合作,实施环境综合整治。 | 黄成 王冰妍 陈长虹 Folke Wolff 陈国海 | 2003 | 能源研究与信息2003，19，3： | 13 |
| 5 | Drug and herb induced liver injury: Council for International Organizations of Medical Sciences scale for causality assessment显示文摘Causality assessment of suspected drug induced liver injury(DILI) and herb induced liver injury(HILI) is hampered by the lack of a standardized approach to be used by attending physicians and at various subsequent evaluating levels. The aim of this review was to analyze the suitability of the liver specific Council for International Organizations of Medical Sciences(CIOMS) scale as a standard tool for causality assessment in DILI and HILI cases. PubMed database was searched for the following terms: drug induced liver injury; herb induced liver injury; DILI causality assessment; and HILI causality assessment. The strength of the CIOMS lies in its potential as a standardized scale for DILI and HILI causality assessment. Other advantages include its liver specificity and its validation for hepatotoxicity with excellent sensitivity, specificity and predictive validity, based on cases with a positive reexposure test. This scale allows prospective collection of all relevant data required for a valid causality assessment. It does not require expert knowledge in hepatotoxicity and its results may subsequently be refined. Weaknesses of the CIOMS scale include the limited exclusion of alternative causes and qualitatively graded risk factors. In conclusion, CIOMS appears to be suitable as a standard scale for attending physicians, regulatory agencies, expert panels and other scientists to provide a standardized, reproducible causality assessment in suspected DILI and HILI cases, applicable primarily at all assessing levels involved. 2014 Baishideng Publishing Group Co., Limited. All | Rolf Teschke Albrecht Wolff Christian Frenzel Alexander Schwarzenboeck Johannes Schulze Axel Eickhoff | 2014 | World Journal of Hepatology2014，6，1： | 11 |
| 6 | p53's mitochondrial translocation and MOMP action is independent of Puma and Bax and severely disrupts mitochondrial membrane integrity显示文摘p53 的 apoptotic 节目由抄写依赖者和抄写无关的小径组成。在后者,在 mitochondrial p53 和 anti-apoptotic 和 mitochondrial 渗透管理者的 Bcl2 家庭的 pro-apoptotic 成员之间的物理相互作用是中央的。用有定义缺乏的 isogenic 房间系统,我们详细描绘 mitochondrial p53 怎么贡献 mitochondrial permeabilization,到什么程度,它的行动依靠另外的关键 Bcl2 家庭成员并且定义它的版本活动。我们证明 mitochondrial p53 在由严重地破坏外部、内部的 mitochondrial 膜正直导致可溶、不可溶解的 apoptogenic 因素的版本是高度有效的。这个行动与 Bax, Bak 和 VDAC 和在 p53 和 cyclophilin D 之间的导致压力的内长的建筑群的形成的野类型的导致 p53 的 oligomerization 被联系,通常在内部膜定位了。导出肿瘤的 p53 异种在激活 Bax/Bak 类脂化合物毛孔是缺乏的。这些行动独立于美洲狮和 Bax。重要地,后者把 mitochondrial 与 cytosolic p53 死亡小径区分开来。 | Sonja Wolff Susan Erster Gustavo Palacios Ute M Moll | 2008 | Cell Research2008，18，7： | 9 |
| 7 | Pancreaticoduodenectomy with vascular resection: margin status and survival duration显示文摘 | Jennifer F. Tseng M.D. Chandrajit P. Raut M.D. Jeffrey E. Lee M.D. Peter W. T. Pisters M.D. Jean-Nicolas Vauthey M.D. Eddie K. Abdalla M.D. Henry F. Gomez M.D. Charlotte C. Sun Dr.P.H. Christopher H. Crane M.D. Robert A. Wolff M.D. Douglas B. Evans M.D | 2004 | Journal of Gastrointestinal Surgery2004，，8： | 6 |
| 8 | Levothyroxine therapy and impaired clearance are the strongest contributors to small intestinal bacterial overgrowth: Results of a retrospective cohort study显示文摘AIM To identify a set of contributors, and weight and rank them on a pathophysiological basis.METHODS Patients who have undergone a lactulose or glucose hydrogen breath test to rule out small intestinal bacterial overgrowth(SIBO) for various clinical symptoms, including diarrhoea, weight loss, abdominal pain, cramping or bloating, were seen as eligible for inclusion in a retrospective single-centre study. Clinical data such as co-morbidities, medication, laboratory parameters and other possible risk factors have been identified from the electronic data system. Cases lacking or with substantially incomplete clinical data were excluded from the analysis. Suspected contributors were summarised under four different pathophysiological pathways(impaired gastric acid barrier, impaired intestinal clearance, immunosuppression and miscellaneous factors including thyroid gland variables) and investigated using the χ2 test, Student's t-test and logistic regression models.RESULTS A total of 1809 patients who had undergone hydrogen breath testing were analysed. Impairment of the gastric acid barrier(gastrectomy, odds ratio: OR = 3.5, PPI therapy OR = 1.4), impairment of intestinal clearance(any resecting gastric surgery OR = 2.6, any colonicresection OR = 1.9, stenosis OR = 3.4, gastroparesis OR = 3.4, neuropathy 2.2), immunological factors(any drug-induced immunosuppression OR = 1.8), altered thyroid gland metabolism(hypothyroidism OR = 2.6, levothyroxine therapy OR = 3.0) and diabetes mellitus(OR = 1.9) were associated significantly to SIBO. Any abdominal surgery, ileocecal resection, vagotomy or Ig A-deficiency did not have any influence, and a history of appendectomy decreased the risk of SIBO. Multivariate analysis revealed gastric surgery, stenoses, medical immunosuppression and levothyroxine to be the strongest predictors. Levothyroxine therapy was the strongest contributor in a simplified model(OR = 3.0).CONCLUSION The most important contributors for the development of SIBO in ascending order are immunosuppression, impairment of intestinal clearance and levothyroxine use, but they do not sufficiently explain its emergence. | Thorsten Brechmann Andre Sperlbaum Wolff Schmiegel | 2017 | World Journal of Gastroenterology2017，23，5： | 6 |
| 9 | Gastric stump carcinoma – Epidemiology and current concepts in pathogenesis and treatment显示文摘 | C. Sinning N. Schaefer J. Standop A. Hirner M. Wolff | 2006 | European Journal of Surgical Oncology2006，，2： | 5 |
| 10 | C-reactive protein is a prognostic indicator in patients with perihilar cholangiocarcinoma显示文摘AIM: To evaluate prognostic indicators for the outcome of patients with perihilar extrahepatic cholangiocarcinoma in an unselected cohort. METHODS: We retrospectively analyzed 98 patients with perihilar cholangiocarcinoma. Twenty-three patients (23.5%) underwent tumor resection. Patients with non- resectable tumors underwent either transpapillary or percutaneous transhepatic biliary drainage. Additionally, 32 patients (32.7%) received photodynamic therapy (PDT) and 18 patients (18.4%) systemic chemotherapy. Predefined variables at the time of diagnosis and characteristics considering the mode of treatment were entered into a Cox’s proportional hazards model. Included in the analysis were age, tumor stage following the modified Bismuth-Corlette classification, bilirubin, prothrombin time (PT), C-reactive protein (CRP), carbohydrate antigen 19-9 (CA19-9), history of weight loss, surgical resection, chemotherapy and PDT. RESULTS: The Kaplan-Meier estimate of overall median survival was 10.5 (95%CI: 8.4-12.6) mo. In the univariate analysis, low Bismuth stage, low CRP and surgical resection correlated significantly with better survival. In the multivariate analysis, only CRP (P = 0.005) and surgical resection (P = 0.029) were found to be independently predictive of survival in the cohort. Receiver operating characteristic (ROC) analysis identified a CRP level of 11.75 mg/L as the value associated with the highest sensitivity and specificity predicting a survival > 5 mo. Applying Kaplan-Meier analysis, patients with a CRP < 12 mg/L at the time of diagnosis had a signifi cantly longer median survival than patients with higher values (16.2 vs 7.6 mo; P = 0.009).CONCLUSION: This retrospective analysis identif ied CRP level at the time of diagnosis as a novel indicator for the prognosis of patients with perihilar cholangiocarcinoma. It should be evaluated in future prospective trials on this entity. | Thomas Gerhardt Sabine Milz Michael Schepke Georg Feldmann Martin Wolff Tilman Sauerbruch Franz Ludwig Dumoulin | 2006 | World Journal of Gastroenterology2006，12，34： | 5 |
| 11 | Bone marrow-derived pancreatic stellate cells in rats显示文摘胰腺的星形的房间(PSC ) 在前,在期间并且在胰腺的损害以后的起源和命运是争论的一件事。在胰腺的纤维变性的致病的 PSC 的关键角色通常被接受。然而,房间的周转仍然保持阴暗。现在的学习处理了潜在的骨头髓(BM ) 的问题 PSC 的起源。我们由 grafting 使用了稳定的造血的 chimerism 的一个模型在领受人老鼠的照耀以后表示 BM 房间的提高的绿荧光蛋白质(eGFP ) 。Chimerism 被 eGFP 积极的房间的 FACS 分析在外部血检测。Dibutyltin 二氯化物(DBTC ) 被用来超过 4 个星期与随后的恢复导致尖锐胰腺的发炎。调查集中于孤立的房间检测休息 PSC 人口。从妄想的老鼠的胰获得的 eGFP 积极的 PSC 的发生在健康胰腺的织物是约 7% 并且 4 个星期在导致 DBTC 的尖锐发炎以后在恢复的胰显著地增加了到 18% 的一个平均数。我们的结果建议导出 BM 的祖先房间在胰代表可更新的星形的房间的来源。在新生以后放松 PSC 的增加的数字在导致发炎的激活以后向导出 BM 的房间的提高的招募指向一个静止状态的胰或重新获得。 | Gisela Sparmann Marie-Luise Kruse Nicole Hofmeister-Mielke Dirk Koczan Robert Jaster Stefan Liebe Daniel Wolff Joerg Emmrich | 2010 | Cell Research2010，20，3： | 4 |
| 12 | Borderline Resectable Pancreatic Cancer: Definitions, Management, and Role of Preoperative Therapy显示文摘 | Gauri R. Varadhachary MD Eric P. Tamm MD James L. Abbruzzese MD Henry Q. Xiong MD Christopher H. Crane MD Huamin Wang MD Jeffrey E. Lee MD Peter W. T. Pisters MD Douglas B. Evans MD Robert A. Wolff MD | 2006 | Annals of Surgical Oncology2006，，8： | 4 |
| 13 | 子宫内膜异位症患者自然周期卵泡液中细胞因子研究显示文摘目的观察子宫内膜异位症(EMs)患者自然周期卵泡液中细胞因子的表达情况,探讨其与EMs的相关性。方法收集2013~2016年间在瑞士伯尔尼大学妇女医院生殖中心因EMs行自然周期IVF-ET或卵胞浆内单精子注射(ICSI)助孕治疗的17例患者为研究对象(EMs组),其中轻度EMs患者7例,中重度EMs患者10例。同时收集同期17例年龄匹配,因输卵管因素或男方因素在该中心行自然周期IVF/ICSI-ET助孕的患者做为对照组。在自然周期采卵日收集卵泡液,通过Bio-Plex技术检测卵泡液中白介素(IL)-1β、IL-6、IL-8、IL-15、IL-18、调节活化正常T细胞表达与分泌的趋化因子(RANTES)、肿瘤坏死因子(TNF)-α、血管内皮生长因子(VEGF)、白血病抑制因子(LIF)等9种细胞因子的浓度;ELISA法检测单核细胞趋化因子-1(MCP-1)和瘦素(Leptin)的浓度,分析两组间细胞因子浓度的差异及其与EMs的相关性。结果IL-1β和IL-6在EMs患者卵泡液中的浓度显著高于对照组(中位数比较分别为0.8pg/mlvs.0pg/ml和9.1pg/mlvs.6.1pg/ml,P均<0.05)。中重度EMs患者卵泡液中IL-1β浓度(1.44pg/ml)显著高于轻度EMs及对照组(分别为0.26pg/ml、0pg/ml),VEGF浓度(2464pg/ml)亦显著高于轻度EMs及对照组(分别为1268pg/ml、1560pg/ml,P均<0.05)。通过Spearman相关分析发现卵泡液中只有IL-1β和IL-6的浓度与EMs相关,大部分细胞因子相互之间存在较强的相关性。结论EMs患者自然周期卵泡液中细胞因子微环境发生了变化,IL-1β和IL-6的浓度均异常增高,且大部分细胞因子相互之间存在较强的相关性,可能与EMs患者生育力降低有关。 | 吴庚香 Nick Bersinger Michael Mueller Michael von Wolff | 2019 | 生殖医学杂志2019，28，9： | 4 |
| 14 | Successful treatment of life-threatening bleeding from a duodenal posterior bulb peptic ulcer by an over-the-scope-clip显示文摘Bleeding of peptic ulcer at the posterior duodenal bulb still is a particular endoscopic challenge with increased risk of treatment failure and worse outcome.In this article,we report successful treatment of an actively bleeding peptic ulcer located at the posterior duodenal wall,using an over-the-scope-clip in the case of a 54-year-old male patient with hemorrhagic shock.Incident primary hemostasis was achieved and no adverse events occurred during a follow-up of 60 d. | Thorsten Brechmann Wolff Schmiegel | 2015 | World Journal of Gastroenterology2015，21，5： | 4 |
| 15 | 地下闭式循环地热交换发电系统简介显示文摘为解决能源问题而提出了地下闭式循环地热交换发电系统。该系统地下部分通过全井下套管形成一个封闭系统,克服了传统地热发电和干热岩发电受地质条件制约、对环境造成危害等缺点,是一种新型的不依赖位置、环境友好的地热发电系统。采用大位移技术进行钻井,应用悬链线技术对井身剖面结构进行了优化,提出了地下连接技术要求,应用分支井和膨胀套管技术固井,设计了水泥配方并进行了相关试验,优化了载热流体,计算了有机工质朗肯循环(ORC)的发电效率。 | 周刚 李金锋 Helmut Wolff 汤凤林 | 2006 | 地质科技情报2006，25，4： | 4 |
| 16 | JAK/STAT/SOCS‐signaling pathway and colon and rectal cancer显示文摘 | Martha L. Slattery Abbie Lundgreen Susan A. Kadlubar Kristina L. Bondurant Roger K. Wolff | 2011 | Carcinog2011，，2： | 4 |
| 17 | Triggers of histologically suspected drug-induced colitis显示文摘BACKGROUND Drug toxicity is a common and even serious problem in the gastrointestinal tract that is thought to be caused by a broad spectrum of agents.Although withdrawal of the causative agent would cure the disease knowledge is scarce and mostly derives from case reports and series.AIM To investigate potential triggers of drug-induced colitis(DiC).METHODS We conducted a retrospective,observational case control study.Patients were assigned to DiC or one of two age-and gender-matched control groups(noninflammatory controls and inflammatory colitis of another cause)based on histopathological findings.Histopathology was reassessed in a subset of patients(28 DiC with atherosclerosis,DiC without atherosclerosis and ischaemic colitis each)for validation purposes.Medical history was collected from the electronic database and patient records.Statistical analysis included chi-squared test,t-test,logistic and multivariate regression models.RESULTS Drug-induced colitis was detected in 211 endoscopically sampled biopsy specimens of the colon mucosa(7%of all screened colonoscopic biopsy samples);a total of 633 patients were included equally matched throughout the three groups(291 males,mean age:62.1±16.1 years).In the univariate analysis,DiC was associated with diuretics,dihydropyridines,glycosides,ASS,platelet aggregation inhibitors,nonsteroidal anti-inflammatory drugs(NSAIDs),statins and fibrates,and with atherosclerosis,particularly coronary heart disease,and hyperlipoproteinaemia.Echocardiographic parameters did not show substantial differences.In the multivariate analysis only fibrates[odds ratio(OR)=9.1],NSAIDs(OR=6.7)and atherosclerosis(OR=2.1)proved to be associated with DiC.Both DiC reassessment groups presented milder inflammation than ischaemic colitis.The DiC patients with atherosclerosis exhibited histological features from both DiC without atherosclerosis and ischaemic colitis.CONCLUSION Several drugs indicated for the treatment of cardiovascular and related diseases are associated with DiC.Atherosclerosis and microcirculatory disturbances seem to play an important pathogenetic role. | Thorsten Brechmann Katharina Günther Matthias Neid Wolff Schmiegel Andrea Tannapfel | 2019 | World Journal of Gastroenterology2019，25，8： | 3 |
| 18 | The Cost-Effectiveness of Neoadjuvant Chemoradiation is Superior to a Surgery-First Approach in the Treatment of Pancreatic Head Adenocarcinoma显示文摘 | Daniel E. Abbott Ching-Wei David Tzeng Ryan P. Merkow Scott B. Cantor George J. Chang Matthew Harold Katz David J. Bentrem Karl Y. Bilimoria Christopher H. Crane Gauri R. Varadhachary James L. Abbruzzese Robert A. Wolff Jeffrey E. Lee Douglas B. Evans Jas | 2013 | Annals of Surgical Oncology2013，，3： | 3 |
| 19 | Efficacy of a Nationwide Screening Colonoscopy Program for Colorectal Cancer显示文摘 | Christian P. Pox Lutz Altenhofen Hermann Brenner Arno Theilmeier Dominik Von Stillfried Wolff Schmiegel | 2012 | Gastroenterology2012，，7： | 3 |
| 20 | Pancreatic cancer显示文摘 | Donghui Li Keping Xie Robert Wolff James L Abbruzzese | 2004 | The Lancet . 2004 (9414)2004，，： | 3 |
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