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| 1 | 糖耐量低减和空腹血糖受损:定义及干预的现状显示文摘由国际糖尿病联盟 (IDF)召集的本次研讨会是为了考察有关糖耐量低减 (IGT)和空腹血糖受损 (IFG)相关的糖尿病和心血管疾病 (CVD)风险的最新文献 ,力图回答三个问题 :(1 )目前的IGT和IFG的定义是否合适 ;(2 )IFG和IGT是危险因子 (riskfactor)、危险标志 (riskmarker)还是疾病 (disease) ;(3)对 :IFG和IGT人群应该采取怎样的干预措施 (如果有的话 ) ?①引起空腹血糖 (FPG)和口服葡萄糖耐量试验(OGTT) 2h血糖 (2hPG)升高的因素并不相同 ,肝脏葡萄糖输出增加和早期胰岛素释放缺陷是前者的特点 ,而外周胰岛素抵抗是后者的显著特征。因此 ,IFG和IGT之间的一致性是有限的。迄今所有的患病率调查发现 ,只有不到一半的IFG人群有IGT ,更少的IGT人群 (2 0 %~ 30 % )有IFG。②大多数的人群研究表明 ,IGT的患病率远高于IFG ,二者的临床表现和性别分布也有差异。IFG在男性更为常见 ,IGT在女性稍微增多。IFG的患病率倾向在中年达到高峰 ,而IGT的患病率逐渐增加直到老龄。③IFG和IGT都与发生糖尿病的风险显著增加有关 ,而最大的风险在于同时具有IFG和IGT的人群。由于在多数人群IGT比IFG更常见 ,所以对于筛查糖尿病高危人群 ,IGT的敏感性较高 (特异性稍差 )。在多数人群 ,60 %的糖尿病人大约 5年前已有IGT或IFG ,另外 | Unwin N Shaw J Zimmet P Alberti KGMM 金文胜 潘长玉 | 2003 | 中华内分泌代谢杂志2003,19,1: | 92 |
| 2 | Non invasive fibrosis biomarkers reduce but not substitute the need for liver biopsy显示文摘长期的肝疾病全球是很普通的,特别地,那些连接了到病毒的肝炎并且到含酒精、非酒精的脂肝。他们的自然科学是可变的,长期的进化在单个病人不同。补偿的长期的肝疾病的优化临床的管理要求肝纤维变性的阶段的精确定义,预后并且很治疗学的决定的主要决定因素。肝活体检视是为对肝的纤维变性的评价的标准答案。然而,它与可能的复杂并发症是侵略的,对抽样误差昂贵、容易。肝纤维变性的许多非侵略的标记最近作为肝活体检视的代理人在临床的背景被建议了并且估计。当间接标记使用与肝纤维变性阶段相关的简单或更复杂的参数时,直接标记基于直接连接到纤维发生的生物化学的参数。肝纤维变性的非侵略的标记在长期的肝疾病的不同形式被测试了并且很少显示出可变诊断性能,而是精确性在 75%-80% 上面。当标记被联合时,更好的结果被获得。在这根线上,我们最近建议了联合肝纤维变性的顺序间接的非侵略的标记的一套算法,到达 90%-95% 有在对肝的需要的重要减小的诊断精确性活体检视。基于可得到的证据,肝纤维变性的非侵略的标记和他们的联合使用将很快在长期的肝的许多形式的临床的管理成为一个很有用的工具,这能被期望疾病。然而,他们的实现被期望减少,然而并非完全消除,对肝的需要活体检视。 | Giada Sebastiani Alfredo Alberti | 2006 | World Journal of Gastroenterology2006,12,23: | 32 |
| 3 | Sequential algorithms combining non-invasive markers and biopsy for the assessment of liver fibrosis in chronic hepatitis B显示文摘AIM: To assess the performance of several non- invasive markers and of our recently proposed stepwise combination algorithms to diagnose significant fibrosis (F ≥ 2 by METAVIR) and cirrhosis (F4 by METAVIR) in chronic hepatitis B (CHB). METHODS: One hundred and ten consecutive patients (80 males, 30 females, mean age: 42.6 ± 11.3) with CHB undergoing diagnostic liver biopsy were included. AST- to-Platelet ratio (APRI), Forns’ index, AST-to-ALT Ratio, Goteborg University Cirrhosis Index (GUCI), Hui’s model and Fibrotest were measured on the day of liver biopsy. The performance of these methods and of sequential algorithms combining Fibrotest, APRI and biopsy was defined by positive (PPV) and negative (NPV) predictive values, accuracy and area under the curve (AUC). RESULTS: PPV for significant fibrosis was excellent (100%) with Forns and high (> 92%) with APRI, GUCI, Fibrotest and Hui. However, significant fibrosis could not be excluded by any marker (NPV < 65%). Fibro- test had the best PPV and NPV for cirrhosis (87% and 90%, respectively). Fibrotest showed the best AUC for both significant fibrosis and cirrhosis (0.85 and 0.76, respectively). Stepwise combination algorithms of APRI, Fibrotest and biopsy showed excellent performance (0.96 AUC, 100% NPV) for significant fibrosis and 0.95 AUC, 98% NPV for cirrhosis, with 50%-80% reduced need for liver biopsy. CONCLUSION: In CHB sequential combination of APRI, Fibrotest and liver biopsy greatly improves the diagnostic performance of the single non-invasive markers. Need for liver biopsy is reduced by 50%-80% but cannot be completely avoided. Non-invasive markers and biopsy should be considered as agonists and not antagonists towards the common goal of estimating liver fibrosis. | Giada Sebastiani Alessandro Vario Maria Guido Alfredo Alberti | 2007 | World Journal of Gastroenterology2007,13,4: | 26 |
| 4 | 人类与自然耦合系统显示文摘人类与自然系统不断地相互作用促使人类与自然耦合系统(CHANS)的形成与发展。近期的研究揭示了人类与自然耦合系统在组织、空间以及时间上耦合的复杂性。这些耦合在相互作用方面从直接演化到更间接;在联结方面从邻近演化到更远距离;在尺度上,从局部演化到全球;在模式和过程上,从简单演化到复杂。解开如相互影响和突发属性的复杂性,能够导致新的科学发现,并且对于开发生态和社会经济可持续性的有效政策是非常重要的。以解决关于人类与自然耦合系统的基本问题和迎接社会的空前挑战为目的的,真正整合不同学科的机会正显现出来。 | 刘建国 Thomas Dietz Stephen R.Carpenter Carl Folke Marina Alberti Charles L.Redman Stephen H.Schneider Elinor Ostrom Alice N.Pell Jane Lubchenco William W.Taylor 欧阳志云 Peter Deadman Timothy Kratz William Provencher 张淑敏 | 2007 | AMBIO-人类环境杂志2007,36,B12: | 13 |
| 5 | Association between hepatocellular carcinoma and type 2 diabetes mellitus in Italy:Potential role of insulin显示文摘AIM: To investigate the relationships between Type 2 diabetes mellitus (DM2) and the risk of hepatocellular carcinoma (HCC). METHODS: We studied the association between DM2 and HCC in a large case-control study that enrolled 465 consecutive Caucasian patients with HCC (78.3% males, mean age 68.5 ± 8.9 years) compared with an age and sex matched control group of 490 subjects. RESULTS: Prevalence of DM2 was significantly higher in HCC patients (31.2% vs 12.7%; OR = 3.12, 95% CI: 2.22-4.43) and in HCC cases with alcohol abuse. DM2 has been diagnosed before the appearance of HCC in 84.1% of diabetic HCC subjects with mean duration of 141.5 mo, higher in cases treated with insulin than in those with oral antidiabetic agents (171.5 vs 118.7 mo). Compared to controls, males DM2 with HCC were more frequently treated with insulin (38.1% vs 17.6%, P = 0.009) and with sulfonylurea with or without metformin than with diet with or without metformin (84% vs 68.3%, P = 0.049). CONCLUSION: DM2 in our patients is associated with a 3-fold increase risk of HCC. In most of our cases DM2 pre-existed to HCC. Patients with DM2 and chronic liver disease, particularly insulin treated males, should be considered for HCC close surveillance programs. | Valter Donadon Massimiliano Balbi Pietro Casarin Alessandro Vario Alfredo Alberti | 2008 | World Journal of Gastroenterology2008,14,37: | 11 |
| 6 | Extraordinary evanescent field confinement waveguide sensor for mid-infrared trace gas spectroscopy显示文摘Nanophotonic waveguides are at the core of a great variety of optical sensors.These structures confine light along defined paths on photonic chips and provide light-matter interaction via an evanescent field.However,waveguides still lag behind free-space optics for sensitivity-critical applications such as trace gas detection.Short optical pathlengths,low interaction strengths,and spurious etalon fringes in spectral transmission are among the main reasons why on-chip gas sensing is still in its infancy.In this work,we report on a mid-infrared integrated waveguide sensor that successfully addresses these drawbacks.This sensor operates with a 107%evanescent field confinement factor in air,which not only matches but also outperforms free-space beams in terms of the per-length optical interaction.Furthermore,negligible facet reflections result in a flat spectral background and record-low absorbance noise that can finally compete with free-space spectroscopy.The sensor performance was validated at 2.566μm,which showed a 7 ppm detection limit for acetylene with only a 2 cm long waveguide. | Marek Vlk Anurup Datta Sebastián Alberti Henock Demessie Yallew Vinita Mittal Ganapathy Senthil Murugan Jána Jagerská | 2021 | Light(Science & Applications)2021,10,2: | 9 |
| 7 | Adenomyomatosis of the gallbladder in childhood: A systematic review of the literature and an additional case report显示文摘AIM: To investigate the diagnostic and therapeutic assessment in children with adenomyomatosis of the gallbladder(AMG).METHODS: AMG is a degenerative disease characterized by a proliferation of the mucosal epithelium which deeply invaginates and extends into the thickened muscular layer of the gallbladder, causing intramural diverticula. Although AMG is found in up to 5% of cholecystectomy specimens in adult populations, this condition in childhood is extremely uncommon. Authors provide a detailed systematic review of the pediatric literature according to PRISMA guidelines, focusing on diagnostic and therapeutic assessment. An additional case of AMG is also presented. RESULTS:Five studies were finally enclosed, encompassing 5 children with AMG. Analysis was extended to our additional 11-year-old patient, who presented diffuse AMG and pancreatic acinar metaplasia of the gallbladder mucosa and was successfully managed with laparoscopic cholecystectomy. Mean age at presentation was 7.2 years. Unspecific abdominal pain was the commonest symptom. Abdominal ultrasound was performed on all patients, with a diagnostic accuracy of 100%. Five patients underwent cholecystectomy, and at follow-up were asymptomatic. In the remaining patient, completely asymptomatic at diagnosis, a conservative approach with monthly monitoring via ultrasonography was undertaken. CONCLUSION: Considering the remote but possible degeneration leading to cancer and the feasibility of laparoscopic cholecystectomy even in small children, evidence suggests that elective laparoscopic cholecystectomy represent the treatment of choice. Preoperative evaluation of the extrahepatic biliary tree anatomy with cholangio-MRI is strongly recommended. | Filippo Parolini Giuseppe Indolfi Miguel Garcia Magne Marianna Salemme Maurizio Cheli Giovanni Boroni Daniele Alberti | 2016 | World Journal of Clinical Pediatrics2016,5,2: | 6 |
| 8 | 无先兆偏头痛患者颈内静脉血中的促炎细胞因子、黏附分子和淋巴细胞整合素在头痛发作时的表达显示文摘Objective. -The aim of the present research was to verify the levels of the soluble adhesion molecules sL-and sE-selectins, intercellular adhesion molecule (sICAM)-1, and vascular cell adhesion molecule-1 in serial samples of internal jugular venous blood taken from migraine patients without aura (MWoA) during attacks. The expression of leukocyte function antigen (LFA)-1 and very late activation antigen (VLA)-4 was also assessed on lymphocytes obtained from jugular venous blood. Levels of certain proinflammatory cytokines (tumor necrosis factor-α[TNF-α], interleukin-1β[IL-1β], IL-4, and IL6) were also determined and correlated with those of adhesion molecules. Patients and Methods. -Seven MWoA patients were admitted in the hospital during attacks and blood samples were taken immediately after catheter insertion, at 1, 2, and 4 hours after attack onset, and within 2 hours after its termination. The levels of adhesion molecules and cytokines were measured with ELISA method. The expression of LFA-1 and VLA-4 was assessed by flow cytometry. Results. -A parallel transient increase of sICAM-1, TNF-α, and IL-6 was observed in the first 2 hours after attack onset compared with the time of catheter insertion (P< .0001, < .001, and < .003, respectively). The proportion of CD4+and CD8+T-cells expressing high levels of LFA-1 showed instead a progressive down-regulation with significantly lower percentages at 2 and 4 hours after attack onset (P < .01 and < .022, respectively). No variation in the percentage of VLA-4 expressing cells was observed at any time of the study. Conclusions. -The transient increase in sICAM-1 and TNF-αfound in the internal jugular blood of MWoA patients assessed ictally can be induced by sensory neuropeptides released from activated trigeminal endings. The progressive decrease in sICAM-1 levels during attacks and the down-regulation of LFA-1 expression by lymphocytes could antagonize their transvascular migration, supporting the hypothesis of sterile inflammation in the dura mater during migraine attacks. | Sarchielli P. Alberti A. Baldi A. 张慧(译) | 2006 | 世界核心医学期刊文摘(神经病学分册)2006,2,9: | 5 |
| 9 | Inflammatory fibroid polyps in children:A new case report and a systematic review of the pediatric literature显示文摘AIM: To study that inflammatory fibroid polyps(IFPs) in children are extremely uncommon tumors that may occur throughout the gastrointestinal tract. METHODS: A systematic review of the pediatric literature and a report of a new case of IFP is also pres-ented. The Pub Med database was searched for original studies on pediatric IFPs since 1960, according to 'Preferred reporting items for systematic reviews and meta-analyses' guidelines for systematic reviews. RESULTS: Five studies were finally enclosed, encompassing 6 children with IFPs(mean age 64 mo). Tumors were located in the stomach(2 patients), in the small bowel(2 patients), in the rectum(1 patient) and in the colon(1 patient). Open surgery was performed in all patients and complete excision of the mass was achieved in all cases. All patients are alive and free of symptom. Authors described a further case of a 3-year-old boy with a large duodenal IFP, in whom the tumor was removed by 'en block resection'. The presence of IFP throughout the gastrointestinal tract and its variable clinical appearances make it difficult to diagnose. An accurate pre-operative assessment is fundamental in order to differentiate IFP from other more aggressive gastrointestinal tumor, enabling unnecessary demolitive surgery. CONCLUSION: When complete resection of the IFP is achieved, the prognosis is excellent. | Laura Righetti Filippo Parolini Paolo Cengia Giovanni Boroni Maurizio Cheli Aurelio Sonzogni Daniele Alberti | 2015 | World Journal of Clinical Pediatrics2015,4,4: | 5 |
| 10 | Comparative analysis of Solanum stoloniferum responses to probing by the green peach aphid Myzus persicae and the potato aphid Macrosiphum euphorbiae显示文摘抽象植物由种类特定的防卫机制保护自己免于蚜虫攻击。以前,我们证明了茄属 stoloniferum Schlechtd 有抵抗因素到 Myzus persicae Sulzer (Homoptera:Aphididae ) 在 epidermal/mesophyll 水平,那不对 Macrosiphum euphorbiae 托马斯是有效的(Homoptera:Aphididae ) 。这里,我们比较 nymph 的死亡, pre 繁殖的发展时间,和 M 的探查的行为。persicae 和 M。S 上的 euphorbiae。stoloniferum 和茄属 tuberosum L。而且,我们在 S 在基因表示分析变化。stoloniferum 96 个小时由也张贴群袭蚜虫种类。尽管 M。探查蚜虫遇到更多的探查的行为表演的 euphorbiae 在韧皮部 activitieslonger 在 S 上探查和分泌唾液时间上抑制。stoloniferum 比在 S 上。tuberosum,蚜虫成功了在两植物上到达韧皮部树液的持续摄取。由 M 探查。S 上的 persicae。stoloniferum 植物导致了仅仅的有限的喂。M 的幸存。euphorbiae 和 M。persicae 在年轻叶子,然而并非在 S 的衰老的叶子被影响。stoloniferum。由 M 的群袭。euphorbiae 比 M 改变了更多的基因的表示。persicae 做了。在全身的水平,两个蚜虫得到了弱回答。S 的群袭。有很多 M 的 stoloniferum 植物。persicae 在叶子导致了词法变化,导致被破坏脉管的实质引起并且包围织物的色点的发展。相反,由 M 的群袭。euphorbiae 没有词法效果。两个都,植物种类能为 M 被认为是好主人。euphorbiae,而仅仅 S。tuberosum 是为 M 的一位好主人。persicae 和 S。stoloniferum 不是。S 的群袭。由 M 的 stoloniferum。persicae 或 M。euphorbiae 象一套普通基因一样改变了为每蚜虫特定的一套植物基因的表示。 | Adriana E. Alvarez Viviana G. Broglia Anahi M. Alberti D'Amato Doret Wouters Edwin van der Vossen Elisa Garzo W. Fred Tjallingii Marcel Dicke Ben Vosman | 2013 | Insect Science2013,20,2: | 5 |
| 11 | The metabolic syndrome显示文摘 | Robert H Eckel KGMM Alberti Scott M Grundy Paul Z Zimmet | 2010 | The Lancet2010,,9710: | 4 |
| 12 | The metabolic syndrome in children and adolescents显示文摘 | Paul Zimmet George Alberti Francine Kaufman Naoko Tajima Martin Silink Silva Arslanian Gary Wong Peter Bennett Jonathan Shaw Sonia Caprio | 2007 | The Lancet2007,,9579: | 3 |
| 13 | Association between thrombomodulin and high mobility group box 1 in sepsis patients显示文摘BACKGROUND High mobility group box 1(HMGB1)has been studied as a molecule associated with severe outcomes in sepsis and thrombomodulin(TM)seems to decrease HMGB1 activity.AIM To investigate the role of the thrombomodulin/high mobility group box 1(T/H)ratio in patients with sepsis and their association with their clinic,testing the hypothesis that higher ratios are associated with better outcomes.METHODS Twenty patients diagnosed with sepsis or septic shock,according to the 2016 criteria sepsis and septic shock(Sepsis-3),were studied.Patients were followed until they left the intensive care unit or until they achieved 28 d of hospitalization(D28).The following clinical outcomes were observed:Sequential Organ Failure Assessment(SOFA)score;Need for mechanical pulmonary ventilation;Presence of septic shock;Occurrence of sepsis-induced coagulopathy;Need for renal replacement therapy(RRT);and Death.RESULTS The results showed that patients with SOFA scores greater than or equal to 12 points had higher serum levels of TM:76.41±29.21 pg/mL vs 37.41±22.55 pg/mL among those whose SOFA scores were less than 12 points,P=0.003.The T/H ratio was also higher in patients whose SOFA scores were greater than or equal to 12 points,P=0.001.The T/H ratio was,on average,three times higher in patients in need of RRT(0.38±0.14 vs 0.11±0.09),P<0.001.CONCLUSION Higher serum levels of TM and,therefore,higher T/H ratio in the first 24 h after the diagnosis of sepsis were associated with more severe disease and the need for renal replacement therapy,while those with better clinical outcomes and those who were discharged before D28 showed a tendency for lower T/H ratio values. | Adriana Teixeira Rodrigues Julia Teixeira Rodrigues Carolina Teixeira Rodrigues Caroline Maria de Oliveira Volpe Fabiana Rocha-Silva Jose Augusto Nogueira-Machado Luiz Ronaldo Alberti | 2020 | World Journal of Critical Care Medicine2020,9,4: | 3 |
| 14 | Slumping in the Upper Jurassic Baisakhi Formation of the Jaisalmer Basin, western India: Sign of synsedimentary tectonics?显示文摘A spectacularly exposed slump is described from a 120-m-long road cut between the villages of Kanod and Deva in the northeastern Jaisalmer Basin of Rajasthan,India.The Upper Jurassic part of the sediments at the outcrop was formed in a near-shore setting and belongs to the Ludharwa Member of the Baisakhi Formation.The 3-m-thick unit shows a number of asymmetric folds and thrust faults leading to an imbrication of partly lithified sandstone beds.The deformation structures allow the reconstruction of a movement towards the northwest.This agrees well with the basin configuration that shows a deepening into this direction.Although the determination of a specific trigger mechanism is difficult for soft-sediment deformation structures,an earthquake caused by synsedimentary tectonics in the basin seems to be the most likely explanation. | Matthias Alberti Dhirendra K.Pandey Jitendra K.Sharma Narendra K.Swami Alfred Uchman | 2017 | Journal of Palaeogeography2017,6,4: | 2 |
| 15 | Serum levels of soluble interleukin-2 receptors in acute and chronic viral hepatitis显示文摘 | Dr. Alfredo Alberti Liliana Chemello Giovanna Fattovich Patrizia Pontisso Giampietro Semenzato Cosimo Colletta Fabrizio Vinante Giovanni Pizzolo | 1989 | Digestive Diseases and Sciences1989,,10: | 2 |
| 16 | Non-invasive evaluation of liver fibrosis using transient elastography显示文摘 | Laurent Castera Xavier Forns Alfredo Alberti | 2008 | Journal of Hepatology2008,,5: | 2 |
| 17 | The metabolic syndrome显示文摘 | Robert H Eckel KGMM Alberti Scott M Grundy Paul Z Zimmet | 2010 | 2010 (9710)2010,,9710: | 2 |
| 18 | The metabolic syndrome—a new worldwide definition显示文摘 | K George MM Alberti Paul Zimmet Jonathan Shaw | 2005 | The Lancet2005,,9491: | 2 |
| 19 | The impact of urban patterns on aquatic ecosystems: An empirical analysis in Puget lowland sub-basins显示文摘 | Marina Alberti Derek Booth Kristina Hill Bekkah Coburn Christina Avolio Stefan Coe Daniele Spirandelli | 2006 | Landscape and Urban Planning2006,,4: | 2 |
| 20 | Analysis of Liver Repair Mechanisms in Alagille Syndrome and Biliary Atresia Reveals a Role for Notch Signaling显示文摘 | Luca Fabris Massimiliano Cadamuro Maria Guido Carlo Spirli Romina Fiorotto Michele Colledan Giuliano Torre Daniele Alberti Aurelio Sonzogni Lajos Okolicsanyi Mario Strazzabosco | 2007 | The American Journal of Pathology2007,,: | 2 |