维普中文期刊产品整合服务
5085篇 您的检索式:作者名="Andrew J"
    题名 作者 年代 出处 被引量
1Regulation of chromatin by histone modifications显示文摘染色质不是惰性的结构,而是能对外部暗示作出回应调整 DNA 的许多使用的有启发性的 DNA 脚手架。在这条规定起一个关键作用的染色质的一个原则部件是 histones 的修正。有这些修正的一张曾经成长的表,他们的行动的复杂性开始仅仅仅仅正在理解。然而, histone 修正在涉及 DNA 的操作和表达式的很生物的进程起基本作用,是清楚的。这里,我们描述已知的 histone 修正,定义他们在哪儿 genomically 被发现并且讨论一些他们的功能的后果,主要专注于描述的多数发生了的抄写。Andrew J Bannister Tony Kouzarides 2011Cell Research2011,21,3:178
2GRADE:证据质量和推荐强度分级的共识显示文摘GRADE工作组致中国读者:推荐分级的评估、制定与评价(GRADE)工作组已取得长足进步。我们制定了系列指南文件,除发表文章外,该非正式组织已经发展成为一个评价证据、转化卫生保健领域知识用以指导决策者的智囊团。80余位国际专家研究和制定了该评价系统。正如其他科学一样,证据评价和指南制定科学不会停滞不前。经过十年发展,GRADE的工作将借助中国Cochrane中心的推广在中国的卫生保健领域更加广为人知。GRADE工作组的成员期待与中国的指南制定组织、方法学家、临床医生和决策者合作,实现我们的共同目标:人人享有更好的卫生保健。中国Cochrane中心翻译GRADE工作组在BMJ上发表的系列文章,是朝这个方向迈出的重要一步,也是对下一步在中国推广GRADE工作的直接贡献。感兴趣的读者可登录我们的网站www.gradeworkinggroup.org和在以下网址获取我们的软件GRADEprohttp://gffzz73f9075754ca43bbhv6n6wncw5bup6cv9.ffgz.tsg.suse.edu.cn.Gordon H Guyatt Andrew D Oxman Gunn E Vist Regina Kunz Yngve Falck-Ytter Pablo Alonso-Coello Holger J Schünemann GRADE工作组 陈佩贤 陈耀龙 李幼平 2009中国循证医学杂志2009,9,1:60
3Choledocholithiasis: Evolving standards for diagnosis and management显示文摘胆石病,导致外科的干预的最普通的医药条件之一,在美国影响成年人口的约 10 % 。胆总管石病与胆囊石头在大约病人的 10%-20% 发展,文学建议至少经历胆囊炎的病人的 3%-10% 将有胆总管(CBD ) 石头。CBD 石头可以外科手术前地, intraoperatively 或手术后地被发现多重形式为包括实验室测试,超声,计算断层摄影术扫描(CT ) ,和磁性的回声 cholangiopancreatography (MRCP ) 为胆总管石病估计病人是可得到的。Intraoperative 胆管造影术能习惯性地或有选择地在胆囊炎期间被使用诊断 CBD 石头。为 CBD 石头的最普通的干预是 ERCP。另外的通常使用的干预包括 intraoperative 胆汁管探索,任何一个 laparoscopic 或 open。经皮, transhepatic 石头移动胆汁的清理的另外的新奇技术被设计了。与这些技术灵巧的设备和有技能的专业人员的可获得性在机构之中变化。预定干预被临床的状况经常支配。Marilee L Freitas Robert L Bell Andrew J Duffy 2006World Journal of Gastroenterology2006,12,20:30
4青少年家庭义务感的研究显示文摘本研究采用家庭义务感问卷对 711名高一和高三的城乡青少年进行了调查 ,考察当前青少年家庭义务感的基本特征。结果表明 ,(1)青少年总体上具有较强的家庭义务感 ;(2 )农村青少年比城市青少年更为重视“未来对家庭的支持” ;女青少年比男青少年更重视当前与未来对家庭的支持 ,以及对家人的尊敬 ;独生与非独生青少年的家庭义务感无显著差异 ;(3)在“当前对家庭的支持”与“未来对家庭的支持”方面 ,青少年的义务感高于他所感知到的父母的期望 ,但在“对家人的尊敬”上 。王美萍 张坤 张文新 Andrew J Fuligni 2001心理发展与教育2001,17,3:28
5GRADE:从证据到推荐显示文摘GRADE系统将指南中的推荐分为强弱两级。本文旨在探索这种分级的含义及对患者、临床医生、政策制定者各自的意义。Gordon H Guyatt Andrew D Oxman Regina Kunz Yngve Falck-Ytter Gunn E Vist Alessandro Liberati Holger J Schünemann 谭培勇 陈耀龙 李幼平 2009中国循证医学杂志2009,9,3:26
6喷雾助剂类型及浓度对喷头雾化效果影响显示文摘为达到农药减施增效的目的,助剂逐渐成为农药喷洒过程中必不可少的部分,其效果及浓度直接影响着施药过程中农药利用率。为探索不同助剂及浓度对喷头雾化效果的影响,该文利用激光粒度仪比较分析了IDK120-025型和LU120-015型喷头喷施不同浓度典型增效剂意欧、减量增产助剂激健、尿素时,其雾滴体积中径及雾滴分布相对跨度差异。两款喷头应用广泛,喷雾角度相同、喷腔雾化结构相异。结果表明:3种助剂溶液对IDK120-025型喷头的影响效果相比于LU120-015型喷头更为显著,但是LU120-015喷头喷雾雾滴均匀性较优于IDK120-025。激健溶液配比为1:3 000时,在0.4 MPa喷雾压力条件下,与水相比可将IDK喷头雾滴体积中径增加20.43%,粒径分布相对跨度减小1.74%;意欧溶液配比为1:2 000时,在0.4MPa喷雾压力条件下,与水相比可将IDK喷头雾滴体积中径增加11.10%,粒径分布相对跨度减小8.86%;意欧溶液配比1:3 000时,在0.2 MPa喷雾压力条件下,与水相比可将LU喷头雾滴体积中径减小5.99%,粒径分布相对跨度增大1.56%;尿素溶液在配比1:2 000时,在0.4 MPa喷雾压力条件下,与水相比可将IDK喷头雾滴体积中径增加16.92%,粒径分布相对跨度减小6.92%。该试验可为田间农药施用中助剂及喷头的选择提供依据,为进一步研究喷头及助剂提供数据基础。张瑞瑞 张真 徐刚 陈立平 Andrew J Hewitt 2018农业工程学报2018,34,20:25
7脉宽调制变量控制喷头雾化性能及风洞环境雾滴沉积特性显示文摘脉宽调制(pulse width modulation, PWM)技术是实现变量喷雾的重要手段,其工作参数与环境条件决定着施药的精准性。为探究PWM变量喷头雾化及风洞环境沉积特性,该文研制了脉宽调制变量喷雾系统,以农业施药常用空心圆锥雾化喷头喷雾的雾化、沉积特性为研究对象,在IEA-II型常规风速风洞内,通过点阵式放置电容式雾滴沉积传感器测定计算雾滴沉积与沉积评价指数(deposition evaluation index,DEIX),并利用Spraytec雾滴粒径仪测试其雾滴体积中径(volume median diameter,VMD)和雾滴相对分布跨度(relative span,RS)。试验结果表明:占空比在10%~40%间,随占空比增大,雾滴体积中径呈减小趋势,与占空比10%时相比,占空比40%时的雾滴体积中径下降了7.9%;PWM占空比60%时分布跨度最小,较占空比20%时雾滴分布跨度下降9.52%,雾滴谱最窄,获得的雾滴粒径分布最集中。雾滴沉积方面,风速1 m/s条件下,雾滴主要沉积在距喷头3.3 m内,此范围内沉积量占总沉积量的95.7%,当风速超过3 m/s时,在气流作用下,雾滴沉降距离增大,导致雾滴运动偏离施药靶标区域。PWM占空比增加,雾滴沉积评价指数DEIX值降低,雾滴的飘移率增大;相同工况下,风速及喷头高度越大,DEIX越小,施药雾滴越易飘移。该研究可为农业田间实际生产中脉宽调制变量施药技术应用及其工况参数的选择提供依据,为PWM变量调节装置的进一步优化提供研究基础。张瑞瑞 李龙龙 付旺 陈立平 伊铜川 唐青 Andrew J Hewitt 2019农业工程学报2019,35,3:17
8酒精滥用与成瘾中枢神经递质的研究进展显示文摘陈锋 Andrew J Lawrence 梁建辉 2007中国药物依赖性杂志2007,16,1:16
9Model for end-stage liver disease score versus Child score in predicting the outcome of surgical procedures in patients with cirrhosis显示文摘AIM:To determine factors affecting the outcome of patients with cirrhosis undergoing surgery and to compare the capacities of the Child-Turcotte-Pugh(CTP) and model for end-stage liver disease(MELD)score to predict that outcome. METHODS:We reviewed the charts of 195 patients with cirrhosis who underwent surgery at two teaching hospitals over a five-year period.The combined endpoint of death or hepatic decompensation was considered to be the primary endpoint. RESULTS:Patients who reached the endpoint had a higher MELD score,a higher CTP score and were more likely to have undergone an urgent procedure.Among patients undergoing elective surgical procedures,no statistically significant difference was noted in the mean MELD(12.8±3.9 vs 12.6±4.7,P=0.9)or in the mean CTP(7.6±1.2 vs 7.7±1.7,P=0.8)between patients who reached the endpoint and those who did not.Both mean scores were higher in the patients reaching the endpoint in the case of urgent procedures(MELD:22.4± 8.7 vs 15.2±6.4,P=0.0007;CTP:9.9±1.8 vs 8.5±1.8, P=0.008).The performances of the MELD and CTP scores in predicting the outcome of urgent surgery were only fair,without a significant difference between them (AUC=0.755±0.066 for MELD vs AUC=0.696±0.070 for CTP,P=0.3). CONCLUSION:The CTP and MELD scores performedequally,but only fairly in predicting the outcome of urgent surgical procedures.Larger studies are needed to better define the factors capable of predicting the outcome of elective surgical procedures in patients with cirrhosis.Maarouf A Hoteit Amaar H Ghazale Andrew J Bain Eli S Rosenberg Kirk A Easley Frank A Anania Robin E Rutherford 2008World Journal of Gastroenterology2008,14,11:16
10Requirements for the transfer of lead-free piezoceramics into application显示文摘The recent review for the Restriction of Hazardous Substances Directive(RoHS)by the expert committee,appointed by the European Union,stated that the replacement of PZT“…may be scientifically and technologically practical to a certain degree…”,although replacement“…is scientifically and technically still impractical in the majority of applications.”Thus,two decades of sustained research and development may be approaching fruition,at first limited to a minority of applications.Therefore,it is of paramount importance to assess the viability of lead-free piezoceramics over a broad range of application-relevant properties.These are identified and discussed in turn:1.Cost,2.Reproducibility,3.Mechanical and Thermal Properties,4.Electrical Conductivity,and 5.Lifetime.It is suggested that the worldwide efforts into the development of lead-free piezoceramics now require a broader perspective to bring the work to the next stage of development by supporting implementation into real devices.Guidelines about pertinent research requirements into a wide range of secondary properties,measurement techniques,and salient literature are provided.Jurij Koruza Andrew J.Bell Till Fromling Kyle G.Webber Ke Wang Jürgen Rodel 2018Journal of Materiomics2018,4,1:14
11Diffusion-weighted magnetic resonance imaging to predict response of hepatocellular carcinoma to chemoembolization显示文摘AIM: To investigate whether intra-procedural diffusion- weighted magnetic resonance imaging can predict response of hepatocellular carcinoma (HCC) during trans- catheter arterial chemoembolization (TACE). METHODS: Sixteen patients (15 male), aged 59 ±11 years (range: 42-81 years) underwent a total of 21 separate treatments for unresectable HCC in a hybrid magnetic resonance/interventional radiology suite. Ana- tomical imaging and diffusion-weighted imaging (b = 0, 500 s/mm2) were performed on a 1.5-T unit. Tumor enhancement and apparent diffusion coefficient (ADC, mm2/s) values were assessed immediately before and at 1 and 3 mo after TACE. We calculated the percent change (PC) in ADC values at all time points. We compared follow-up ADC values to baseline values using a paired t test (α = 0.05). RESULTS: The intra-procedural sensitivity, specificity, and positive and negative predictive values (%) for detecting a complete or partial 1-mo tumor response using ADC PC thresholds of ±5%, ±10%, and ±15% were 77, 67, 91, and 40; 54, 67, 88, and 25; and 46, 100, 100, and 30, respectively. There was no clear predictive value for the 3-mo follow-up. Compared to baseline, the immediate post-procedure and 1-mo mean ADC values both increased; the latter obtaining statistical significance (1.48 ± 0.29 mm2/s vs 1.65 ± 0.35 × 10-3 mm2/s, P < 0.014). CONCLUSION: Intra-procedural ADC changes of > 15% predicted 1-mo anatomical HCC response with the greatest accuracy, and can provide valuable feedback at the time of TACE.Johnathan C Chung Neel K Naik Robert J Lewandowski Mary F Mulcahy Laura M Kulik Kent T Sato Robert K Ryu Riad Salem Andrew C Larson Reed A Omary 2010World Journal of Gastroenterology2010,16,25:13
12S100A8/A9 induces autophagy and apoptosis via ROS-mediated cross-talk between mitochondria and lysosomes that involves BNIP3显示文摘建筑群由 S100 钙绑定蛋白质家庭,的二个成员形成了 S100A8/A9,在不同起源的各种各样的房间施加导致 apoptosis 活动。这里,我们内在的分子的机制包含的现在的证据两个都规划了房间死亡我(PCD 我, apoptosis ) 并且象死亡一样的 PCD II (autophagy ) 。有 S100A8/A9 的房间的处理引起了 Beclin-1 表示以及 Atg12-Atg5 形成的增加。S100A8/A9-induced 房间死亡被特定的 PI3-kinase 班 III 禁止者部分禁止, 3-methyladenine (3 麻省) ,并且由液泡 H+-ATPase 禁止者, bafilomycin-A1 (Baf-A1 ) 。S100A8/A9 挑起了 BNIP3 的 translocation, BH3 仅仅 pro-apoptotic Bcl2 家庭成员,到线粒体。与这发现一致,螖 T M-BNIP3 overexpression 部分禁止了 S100A8/A9-induced 细胞死亡,减少的反应的氧种(ROS ) 产生,并且部分在 S100A8/A9-treated 细胞在 mitochondrial transmembrane 潜力免于减少。另外,任何一个螖 T M-BNIP3 overexpression 或 N-acetyl-L-cysteine 合作处理减少了在与 S100A8/A9 对待的房间的 lysosomal 激活。我们的数据显示 S100A8/A9-promoted 房间死亡通过线粒体的串音发生,经由 ROS 和这个过程的 lysosomes 包含 BNIP3。Saeid Ghavami Mehdi Eshragi Sudharsana R Ande Walter J Chazin Thomas Klonisch Andrew J Halayko Karol D Mcneill Mohammad Hashemi Claus Kerkhoff Marek Los 2010Cell Research2010,20,3:13
13GRADE:什么是“证据质量”?为什么它对临床医生重要?显示文摘指南制定者们利用各式各样的系统对证据质量进行分级,并据此给出他们的推荐意见。但这些分级系统有些过于简单,有的不易理解,还有的尽管详细却很复杂。Gordon H Guyatt Andrew D Oxman Regina Kunz Gunn E Vist Yngve Falck-Ytter Holger J Schünemann 陈柳 陈耀龙 李幼平 2009中国循证医学杂志2009,9,2:12
14Management of borderline and locally advanced pancreatic cancer:Where do we stand?显示文摘Many patients with pancreas cancer present with locally advanced pancreatic cancer(LAPC).The principle tools used for diagnosis and staging of LAPC include endoscopic ultrasound,axial imaging with computed tomography and magnetic resonance imaging,and diagnostic laparoscopy.The definition of resectability has historically been vague,as there is considerable debate and controversy as to the definition of LAPC.For the patient with LAPC,there is some level of involvement of the surrounding vascular structures,which include the superior mesenteric artery,celiac axis,hepatic artery,superior mesenteric vein,or portal vein.When feasible,most surgeons would recommend possible surgical resection for patients with borderline LAPC,with the goal of an R0 resection.For initially unresectable LAPC,neoadjuvant should be strongly considered.Specifically,these patients should be offered neoadjuvant therapy,and the tumor should be assessed for possible response and eventual resection.The efficacy of neoadjuvant therapy with this approach as a bridge to potential curative resection is broad,ranging from 3%-79%.The different modalities of neoadjuvant therapy include sin-gle or multi-agent chemotherapy combined with radiation,chemotherapy alone,and chemotherapy followed by chemotherapy with radiation.This review focuses on patients with LAPC and addresses recent advances and controversies in the field.Jin He Andrew J Page Matthew Weiss Christopher L Wolfgang Joseph M Herman Timothy M Pawlik 2014World Journal of Gastroenterology2014,20,9:11
15Intentional ingestions of foreign objects among prisoners: A review显示文摘The intentional ingestion of foreign objects(IIFO) is described more commonly in prison populations than in the general population, with an estimated annual incidence of 1 in 1900 inmates in our state correctional facilities. Incidents often involve ingestion of small metal objects(e.g., paperclips, razor blades) or other commonly available items like pens or eating utensils. Despite ingestion of relatively sharp objects, most episodes can be clinically managed with either observation or endoscopy. Surgery should be reserved for those with signs or symptoms of gastrointestinal perforation or obstruction. For those with a history of IIFO, efforts should focus on prevention of recurrenceas subsequent episodes are associated with higher morbidity, significant healthcare and security costs. The pattern of IIFO is often repetitive, with escalation both in frequency of ingestions and in number of items ingested. Little is known about successful prevention strategies, but efforts to monitor patients and provide psychiatric care are potential best-practice strategies. This article aims to provide state-of-the art review on the topic, followed by a set of basic recommendations.David C Evans Thomas R Wojda Christian D Jones Andrew J Otey Stanislaw P Stawicki 2015World Journal of Gastrointestinal Endoscopy2015,7,3:10
16Management of adults with coarctation of aorta显示文摘Coarctation of the aorta(CoA)is a relatively common congenital cardiac defect often causing few symptoms and therefore can be challenging to diagnose.The hallmark finding on physical examination is upper extremity hypertension,and for this reason,CoA should be considered in any young hypertensive patient,justifying measurement of lower extremity blood pressure at least once in these individuals.The presence of a significant pressure gradient between the arms and legs is highly suggestive of the diagnosis.Early diagnosis and treatment are important as long-term data consistently demonstrate that patients with CoA have a reduced life expectancy and increased risk of cardiovascular complications.Surgical repair has traditionally been the mainstay of therapy for correction,although advances in endovascular technology with covered stents or stent grafts permit nonsurgical approaches for the management of older children and adults with native CoA and complications.Persistent hypertension and vascular dysfunction can lead to an increased risk of coronary disease,which,remains the greatest cause of long-term mortality.Thus,blood pressure control and periodic reassessment with transthoracic echocardiography and threedimensional imaging(computed tomography or cardiac magnetic resonance)for should be performed regularly as cardiovascular complications may occur decades after the intervention.Pradyumna Agasthi Sai Harika Pujari Andrew Tseng Joseph N Graziano Francois Marcotte David Majdalany Farouk Mookadam Donald J Hagler Reza Arsanjani 2020World Journal of Cardiology2020,12,5:8
17Evolution of surgical skills training显示文摘外科的训练正在变化:100 年传统被法律、道德的担心为耐心的安全,工作小时限制,手术室时间的费用,和复杂并发症正在质问。训练的外科的模拟和技巧提供一个机会在在生活病人上尝试他们前在手术室环境外面教并且练习先进技巧。当使用真实仪器和录像设备操作在一个盒子训练员模仿了“织物”,模拟训练能向前是同样直的。更先进的、虚拟现实模拟器现在为普遍使用可得到、准备好了。早系统表明了他们的有效性和歧视的能力。更新的系统启用全面课程和完整的程序的模拟的开发。医药教育是的毕业生的认证委员会(ACGME ) 要求了训练和评估的新奇方法的发展。外科的组织正在打电话让方法保证技巧的维护,并且,进展 surgical 训练信任外科医生作为技术上能干。在他们的当前的形式的模拟器被表明了改进外科的居民的手术室表演。训练课程标准化的开发仍然是一个迫切、重要的议程,特别地为最小的侵略外科。一条创新、进步的途径,从航空的域借经验,能为外科的训练的下一个世纪提供基础,保证产品的质量。当技术发展,我们练习的方法将继续演变,到医生和病人的利益。Kurt E Roberts Robert L Bell Andrew J Duffy 2006World Journal of Gastroenterology2006,12,20:8
18诊断性试验和策略的证据质量和推荐强度的分级显示文摘GRADE系统能对诊断性试验或策略的证据质量和推荐强度进行分级。本文旨在阐释在此过程中如何考虑患者的重要结局,Holger J Schünemann Andrew D Oxman Jan Brozek Paul Glasziou Roman Jaeschke Gunn E Vist John W Williams Jr Regina Kunz Jonathan Craig Victor M Montori Patrick Bossuyt Gordon H Guyatt 李晓 黄程 陈耀龙 李幼平 2009中国循证医学杂志2009,9,5:7
19Advances in diagnostic testing for gastroesophageal reflux disease显示文摘Gastroesophageal reflux disease (GERD) contributes substantially to morbidity and to costs in the United States health care system. The burden of this disease has resulted in attempts at improving diagnosis and characterizing patients. Numerous research and technical advances have enhanced our understanding of both the utility and limitations of a variety of diagnostic modalities. The purpose of this review is to highlight recent advances in GERD diagnostic testing and to discuss their implications for use in clinical practice. Topics addressed include esophageal pH monitoring, impedance testing, symptom association analyses, narrow-band imaging, and histopathology.Andrew J Gawron Ikuo Hirano 2010World Journal of Gastroenterology2010,16,30:6
20It is safe to use transdermal glyceryl trinitrate to lower blood pressure in patients with acute ischaemic stroke with carotid stenosis显示文摘Background There is concern that blood pressure(BP)lowering in acute stroke may compromise cerebral perfusion and worsen outcome in the presence of carotid stenosis.We assessed the effect of glyceryl trinitrate(GTN)in patients with carotid stenosis using data from the Efficacy of Nitric Oxide in Stroke(ENOS)Trial.Methods ENOS randomised 4011 patients with acute stroke and raised systolic BP(140-220 mm Hg)to transdermal GTN or no GTN within 48 hours of onset.Those on prestroke antihypertensives were also randomised to stop or continue their medication for 7 days.The primary outcome was the modified Rankin Scale(mRS)at day 90.Ipsilateral carotid stenosis was split:<30%;30-<50%;50-<70%;≥70%.Data are ORs with 95%CIs adjusted for baseline prognostic factors.results 2023(60.5%)ischaemic stroke participants had carotid imaging.As compared with<30%,≥70%ipsilateral stenosis was associated with an unfavourable shift in mRS(worse outcome)at 90 days(OR 1.88,95%CI 1.44 to 2.44,p<0.001).Those with≥70%stenosis who received GTN versus no GTN had a favourable shift in mRS(OR 0.56,95%CI 0.34 to 0.93,p=0.024).In those with 50-<70%stenosis,continuing versus stopping prestroke antihypertensives was associated with worse disability,mood,quality of life and cognition at 90 days.Clinical outcomes did not differ across bilateral stenosis groups.Conclusions Following ischaemic stroke,severe ipsilateral carotid stenosis is associated with worse functional outcome at 90 days.GTN appears safe in ipsilateral or bilateral carotid stenosis,and might improve outcome in severe ipsilateral carotid stenosis.Jason P Appleton Lisa J Woodhouse Andrew Belcher Daniel Bereczki Eivind Berge Valeria Caso Hui Meng Chang Hanne K Christensen Ronan Collins John Gommans Ann C Laska George Ntaios Serefnur Ozturk Gillian M Sare Szabolcs Szatmari Yongjun Wang Joanna M Wardlaw Nikola Sprigg Philip M Bath for the ENOS investigators 2019Stroke & Vascular Neurology2019,4,1:6
返回顶部 每页显示:
共255页 首页 上一页 第1页 下一页 末页 /255 跳转

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1 渝公网安备 50019002500403号 违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费