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3635篇 您的检索式:作者名="bloom"
    题名 作者 年代 出处 被引量
1农户参加新型农村合作医疗项目的影响因素分析显示文摘本文以农户参与新型农村合作医疗项目的决策行为为例,探讨农户大病风险处理行为及参加新农合的影响因素。本文分析认为,农户比较购买医疗保险和自我保险的预期效用来决定是否参加'新农合';农户比较正规和非正规医疗保障成本高低实现净收益最大化。农户参与'新农合'的决策受到资源禀赋、疾病风险特征和'新农合'制度环境因素的影响。本文最后提出了相关政策建议。陈玉萍 李哲 Henry Lucas Gerald Bloom 丁士军 2010中国软科学2010,,6:21
2差别指数用于居民健康公平性评价显示文摘文章应用健康差别指数 ,从年龄、性别、就业状态、家庭类别和医疗保健制度几个方面 ,对健康公平性进行了分析。发现不同年龄、就业状态、医疗保健制度人群健康状况差别较大 ,男、女性健康差别最小 ,不同类别单位家庭健康公平性南通高于淄博。建议关注老年人群的健康需要 ,完善社会保障体制改革 ,提高医疗保健制度覆盖率 。陈家应 严非 舒宝刚 龚幼龙 张兵 Gerald Bloom 2001中国卫生资源2001,4,4:15
3Trans-arterial chemo-embolization is safe and effective for very elderly patients with hepatocellular carcinoma显示文摘AIM: To assess the safety and efficacy of trans-arterial chemo-embolization (TACE) in very elderly patients. METHODS: A prospective cohort study, from 2001 to 2010, compared clinical outcomes following TACE between patients ≥ 75 years old and younger patients (aged between 65 and 75 years and younger than 65 years) with hepatocellular carcinoma (HCC), diagnosed according to the European Association for the Study of the Liver and the American Association for the Study of Liver Diseases criteria. The decision that patients were not candidates for curative therapy was made by a multidisciplinary HCC team. Data collected included demographics, co-morbidities, liver disease etiology, liver disease severity and the number of procedures. The primary outcome was mortality; secondary outcomes included post-embolization syndrome (nausea, fever, abdominal right upper quadrant pain, increase in liver enzymes with no evidence of sepsis and with a clinical course limited to 3-4 d post procedure) and 30-d complications. Additionally, changes in liver enzyme measurements were assessed [alanine and aspartate aminotransferase (ALT and AST), gamma-glutamyl transpeptidase and alkaline phosphatase] in the week following TACE. Analysis employed both univariate and multivariate methods (Cox regression models). RESULTS: Of 102 patients who underwent TACE as sole treatment, 10 patients (9.8%) were > 80 years old at diagnosis; 13 (12.7%) were between 75 and 80 years, 45 (44.1%) were between 65 and 75 years and 34 (33.3%) were younger than 65 years. Survival analysis demonstrated similar survival patterns between the elderly patients and younger patients. Age was also not associated with the adverse event rate. Survival rates at 1, 2 and 3 years from diagnosis were 74%, 37% and 31% among patients < 65 years; 83%, 66% and 48% among patients aged 65 to 75 years; and 86%, 41% and 23% among patients ≥ 75 years. There were no differences between the age groups in the pre-procedural care, including preventive treatment for contrast nephropathy and prophylactic antibiotics. Multivariate survival analysis, controlling for disease stage at diagnosis with the Barcelona Clinic Liver Cancer score, number of TACE procedures, sex and alphafetoprotein level at the time of diagnosis, found no significant difference in the mortality hazard for elderly vs younger patients, and there were no differences in post-procedural complications. Serum creatinine levels did not change after 55% of the procedures, in all age groups. In 42% of all procedures, serum creatinine levels increased by no more than 25% above the baseline levels prior to TACE. Overall, there were 69 post-embolization events (23%). Hepatocellular enzymes often increased following TACE, with no association with prognosis. In 40% of the procedures, ALT and AST levels rose by at least 100%. The increases in hepatocellular enzymes occurred similarly in all age groups. CONCLUSION: TACE is safe and effective in very elderly patients with HCC, and is not associated with decreased survival or increased complication rates.Matan J Cohen Allan I Bloom Orly Barak Alexander Klimov Tova Nesher Daniel Shouval Izhar Levi Oren Shibolet 2013World Journal of Gastroenterology2013,19,16:13
4农户处理大病风险及其经济损失的策略--基于湖北贫困县的研究显示文摘疾病尤其是大病对农户的影响深远。在与疾病风险抗争的过程中,农户形成了一系列处理疾病风险冲击的策略。对湖北省两个贫困县的实证研究表明,贫困地区预防和缓解大病策略的作用有限,农户主要依赖自身资源、扩展家庭和社区资源形成的非正式机制应对大病冲击;贫困农户更需要来自正式机制的帮助。李哲 陈玉萍 丁士军 Henry Lucas Gerald Bloom 2009管理评论2009,21,10:11
5城市居民疾病直接经济负担分析显示文摘文章通过对不同医疗保健制度人群和不同类别家庭两周患病就诊和一年住院费用的分析 ,发现公费 /医保病人的次均门诊和住院费用均高于其他类别人群 ,而家庭类别则以机关 /事业单位职工家庭的门诊和住院费用较高。比较不同人群的疾病经济负担则发现 ,南通和淄博的年人均医药费水平为 5 83元和 4 2 0元 ,分别占人均收入的 8.6%和 7.3 %。南通市自费人群卫生资源利用较低 ,而淄博市自费人群的经济负担最重 ,年人均医药费用支出占收入的比例达 11.8% ;不同类别家庭中以国有企业职工家庭的经济负担较重。建议建立和完善职工医疗保险制度的建设 ,合理减轻城市居民的疾病经济负担 ,改善卫生服务的利用。汤胜蓝 陈家应 龚幼龙 Gerald Bloom 缪宝迎 2001中国卫生资源2001,4,5:10
6Levofloxacin/amoxicillin-based schemes vs quadruple therapy for Helicobacter pylori eradication in second-line显示文摘Worldwide prevalence of Helicobacter pylori(H.pylori) infection is approximately 50%,with the highest being in developing countries.We compared cure rates and tolerability(SE) of second-line anti-H.pylori levofloxacin/amoxicillin(LA)-based triple regimens vs standard quadruple therapy(QT).An English language literature search was performed up to October 2010.A meta-analysis was performed including randomized clinical trials comparing 7-or 10-d LA with 7-d QT.In total,10 articles and four abstracts were identified.Overall eradication rate in LA was 76.5%(95% CI:64.4%-97.6%).When only 7-d regimens were included,cure rate was 70.6%(95% CI:40.2%-99.1%),whereas for 10-d combinations,cure rate was significantly higher(88.7%;95% CI:56.1%-109.9%;P < 0.05).Main eradication rate for QT was 67.4%(95% CI:49.7%-67.9%).The 7-d LA and QT showed comparable efficacy [odds ratio(OR):1.09;95% CI:0.63-1.87],whereas the 10-d LA regimen was significantly more effective than QT(OR:5.05;95% CI:2.74-9.31;P < 0.001;I 2 = 75%).No differences were reported in QT eradication rates among Asian and European studies,whereas LA regimens were more effective in European populations(78.3% vs 67.7%;P = 0.05).Incidence of SE was lower in LA therapy than QT(OR:0.39;95% CI:0.18-0.85;P = 0.02).A higher rate of side effects was reported in Asian patients who received QT.Our findings support the use of 10-d LA as a simple second-line treatment for H.pylori eradication with an excellent eradication rate and tolerability.The optimal second-line alternative scheme might differ among countries depending on quinolone resistance.Simona Di Caro Lucia Fini Yayha Daoud Fabio Grizzi Antonio Gasbarrini Antonino De Lorenzo Laura Di Renzo Sara McCartney Stuart Bloom 2012World Journal of Gastroenterology2012,18,40:9
7Effect of low versus high frequency stimulation on freezing of gait and other axial symptoms in Parkinson patients with bilateral STN DBS:a mini-review显示文摘Some studies have shown that low frequency stimulation(LFS,most commonly 60 Hz),compared to high frequency stimulation(HFS,most commonly 130 Hz),has beneficial effects,short-term or even long-term,on improving freezing of gait(FOG)and other axial symptoms,including speech and swallowing function,in Parkinson disease(PD)patients with bilateral subthalamic nucleus deep brain stimulation(STN DBS).However,other studies failed to confirm this.It seems not clear what determines the difference in response to LFS.Differences in study design,such as presence or absence of FOG,exact LFS used(60 Hz versus 80 Hz),study size,open label versus randomized double blind assessment,retrospective versus prospective evaluation,medication On or Off state,total electric energy delivered maintained or not with the change in frequency,and the location of active contacts could all potentially affect the results.This mini-review goes over the literature with the aforementioned factors in mind,focusing on the effect of LFS versus HFS on FOG and other axial symptoms in PD with bilateral STN DBS,in an effort to extract the essential data to guide our clinical management of axial symptoms and explore the potential underlying mechanisms as well.Overall,LFS of 60 Hz seems to be consistently effective in patients with FOG at the usual HFS in regards to improving FOG,speech,swallowing function and other axial symptoms,though LFS could reduce tremor control in some patients.Whether LFS simply addresses the axial symptoms in the context of HFS or has other beneficial effects requires further studies,along with the mechanism.Tao Xie Mahesh Padmanaban Lisa Bloom Ellen MacCracken Breanna Bertacchi Abraham Dachman Peter Warnke 2017Translational Neurodegeneration2017,6,1:5
8The increase of childhood chronic conditions in the united states显示文摘Perrin J M Bloom S R Gortmaker SL 2007JA- MA2007,297,24:4
9乡级基本生育健康服务成本及效果的测量方法显示文摘本文借鉴国内外相关研究,结合云南省一个典型农业县双柏县的大庄乡、鄂嘉乡实际,就乡级基本生育健康的成本及效果的测量方法进行了较为深入的讨论。唐松源 刘伟 张开宁 Gerald Bloom 顾杏元 Joan Kaufman 1997中国初级卫生保健1997,11,9:4
10A WebGIS and geodatabase for Florida’s wetlands显示文摘V. Mathiyalagan S. Grunwald K.R. Reddy S.A. Bloom 2004Computers and Electronics in Agriculture2004,,1:3
11Pancreatic cancer expresses adiponectin receptors and is associated with hypoleptinemia and hyperadiponectinemia: a case–control study显示文摘Maria Dalamaga Ilias Migdalis Jessica L. Fargnoli Evangelia Papadavid Erica Bloom Nicholas Mitsiades Konstantinos Karmaniolas Nicolaos Pelecanos Sofia Tseleni-Balafouta Amalia Dionyssiou-Asteriou Christos S. Mantzoros 2009Cancer Causes & Control2009,,5:3
12Diagnosis and endovascular treatment of iliocaval compression syndrome显示文摘Hurst DR Forauer AR Bloom JR Journal of Vascular Surgery0,,:2
13Does age structure forecast economic growth?显示文摘David E. Bloom David Canning Günther Fink Jocelyn E. Finlay 2007International Journal of Forecasting2007,,4:2
14Motilin and the interdigestive migrating motor complex in man显示文摘Dr. G. Vantrappen MD Agg HO J. Janssens MD Agg HO T. L. Peeters PhD S. R. Bloom MA MB MRCP N. D. Christofides BSc J. Hellemans MD Agg HO 1979Digestive Diseases and Sciences1979,,7:2
15HMG-1 as a late mediator of endotoxin lethality in mice显示文摘Wang H Bloom O Zheng M 0,,:2
16Space/time trade-offs in hash coding with allowable errors显示文摘Burton H. Bloom 1970Communications of the ACM1970,,7:2
17HER-2/neu protein overexpression and gene amplification in human transitional cell carcinoma of the bladder显示文摘Christopher L Coogan Carlos R Estrada Shiv Kapur Kenneth J Bloom 2004Urology2004,,4:2
18新生儿窒息复苏气体的临床应用研究显示文摘Ronald Bloom 刘春峰 2006中国小儿急救医学2006,13,2:2
19用水貂阿留申病毒单克隆抗体对该病毒蛋白抗原性的分析显示文摘制备的5株抗阿留申病毒(Aleutian disease virus,ADV)G株单克隆抗体(Y9、Y19、Y13、Y21和B4),都具有中和能力,都能和经乙醚处理的ADV-G发生中和反应。通过Y9与ADV-G7个基因克隆表达的抗原反应,确定了一个中和抗原决定簇编码核酸位于2750-3439碱基之间,并确定对流免疫电泳(CIEP)抗原结合蛋白位点在32k和25k蛋白上。以上工作为制备亚单位疫苗提供了理论基础。吴威 聂金珍 Bloom M.E. 1993病毒学报1993,9,3:2
20Spleen-preserving Distal Pancreatectomy with Excision of Splenic Artery and Vein: A Case-matched Comparison with Conventional Distal Pancreatectomy with Splenectomy显示文摘Nicolas Carrère MD Skander Abid MD Charles Henri Julio MD Eric Bloom MD Bernard Pradère MD 2007World Journal of Surgery2007,,2:2
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