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| 1 | Gallstone-related complications after Roux-en-Y gastric bypass:a prospective study显示文摘BACKGROUND: Gastric bypass is a widespread bariatric procedure that carries a high incidence of gallstone formation postoperatively. Controversy exists regarding the importance and consequences of gallstones in these patients. There are surgeons who consider gallstone-related complications after gastric bypass important enough to require routine removal of the gallbladder during gastric bypass (prophylactic cholecystectomy). However, this can lead to increased costs and risks. This study aimed to identify complications related to cholelithiasis after Roux-en-Y gastric bypass (RYGBP). METHODS: This is a prospective observational study of 40 morbidly obese patients free of gallbladder disease. The patients underwent open RYGBP at a public hospital in Brazil from February to October 2007. They were followed up clinically and ultrasonographically at 6 months and 1, 2, and 3 years after surgery. Of the patients, 38 patients were followed up for 3 years. RESULTS: Eleven patients (28.9%) developed cholelithiasis, four (10.5%) experienced biliary pain, and 2 suffered from acute biliary pancreatitis (5.3%). These patients had their gallbladders removed laparoscopically. No patient presented with acute cholecystitis, choledocholithiasis, or bile duct dilation during the follow-up period. There were no deaths. CONCLUSIONS: Gallstone-related complications after RYGBP were relatively common. Some of these complications, like acute pancreatitis, are known to have potentially severe outcomes. It seems reasonable to perform cholecystectomy during gastric bypass in the presence of cholelithiasis or after this procedure if gallstones develop. | Rachid G Nagem Alcino Lázaro-da-Silva Rafael Morroni de Oliveira Valter Garcia Morato | 2012 | Hepatobiliary & Pancreatic Diseases International2012，11，6： | 10 |
| 2 | 大气二氧化氮与每日总死亡率、心血管和呼吸系统疾病死亡率的短期关联:398个城市的多中心分析显示文摘目的:采用统一的分析方案,评估全球多个国家/地区的二氧化氮(NO_(2))与总死亡率、心血管和呼吸系统疾病死亡率之间的短期关联。研究设计:采用两阶段的时间序列分析方法、过度离散的广义线性模型和多水平meta分析。研究地点:22个低到高收入国家/地区的398个城市。主要结局指标:1973—2018年逐日总死亡人数(6280万人)、心血管疾病死亡人数(1970万人)和呼吸系统疾病死亡人数(550万人)。结果:平均而言,NO_(2)浓度在滞后1天(前1天)每增加10μg/m^(3),会导致总死亡率、心血管和呼吸系统疾病死亡率分别增加0.46%(95%可信区间0.36%~0.57%)、0.37%(0.22%~0.51%)、0.47%(0.21%~0.72%)。在对共污染物(PM_(10)、PM_(2.5)、臭氧、二氧化硫和一氧化碳)进行调整后,这些关联仍然很稳定。所有3种死因的暴露-反应曲线几乎是线性的,没有明显的阈值。在398个城市中,可归因于高过假定零水平的NO_(2)浓度造成的死亡比例为1.23%(95%可信区间0.96%~1.51%)。结论:这项多中心研究提供了关于NO_(2)短期暴露与总死亡率、心血管和呼吸系统死亡风险之间的独立和线性关联的关键证据,说明通过加强NO_(2)的控制和监管限制标准,可获得人群水平的健康收益。 | 孟夏 刘聪(校) 陈仁杰 郑湃(译) 阚海东(校) Francesco Sera Ana Vicedo-Cabrera Ai Milojevic Maria Guo Yuming Tong Shilu Micheline de Sousa Zanotti Stagliorio Coelh Paulo Hilario Nascimento Saldiva Eric Lavigne Patricia Matus Correa Nicolas Valdes Ortega Samuel Osorio Garcia Jan Kysely Ales Urban Hans Orru Marek Maasikmets Jouni J K Jaakkola Niilo Ryti Veronika Huber Alexandra Schneider Klea Katsouyanni Antonis Analitis Masahiro Hashizume Yasushi Honda Chris Fook Sheng Ng Baltazar Nunes João Paulo Teixeira Iulian Horia Holobaca Simona Fratianni Ho Kim Aurelio Tobias Carmeníniguez Bertil Forsberg ChristoferÅström Martina S Ragettli Yue-Liang Leon Guo Shih-Chun Pan Shanshan Li Michelle L Bell Antonella Zanobetti Joel Schwartz Tangchun Wu Antonio Gasparrini | 2021 | 英国医学杂志中文版2021，24，8： | 7 |
| 3 | Fluid and electrolyte overload in critically ill patients: An overview显示文摘Fluids are considered the cornerstone of therapy for many shock states, particularly states that are associated with relative or absolute hypovolemia. Fluids are also commonly used for many other purposes, such as renalprotection from endogenous and exogenous substances, for the safe dilution of medications and as 'maintenance' fluids. However, a large amount of evidence from the last decade has shown that fluids can have deleterious effects on several organ functions, both from excessive amounts of fluids and from their non-physiological electrolyte composition. Additionally, fluid prescription is more common in patients with systemic inflammatory response syndrome whose kidneys may have impaired mechanisms of electrolyte and free water excretion. These processes have been studied as separate entities(hypernatremia, hyperchloremic acidosis and progressive fluid accumulation) leading to worse outcomes in many clinical scenarios, including but not limited to acute kidney injury, worsening respiratory function, higher mortality and higher hospital and intensive care unit lengthof-stays. In this review, we synthesize this evidence and describe this phenomenon as fluid and electrolyte overload with potentially deleterious effects. Finally, we propose a strategy to safely use fluids and thereafter wean patients from fluids, along with other caveats to be considered when dealing with fluids in the intensive care unit. | Bruno Adler Maccagnan Pinheiro Besen André Luiz Nunes Gobatto Lívia Maria Garcia Melro Alexandre Toledo Maciel Marcelo Park | 2015 | World Journal of Critical Care Medicine2015，4，2： | 5 |
| 4 | Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial显示文摘 | Surya SAY Biere Mark I van Berge Henegouwen Kirsten W Maas Luigi Bonavina Camiel Rosman Josep Roig Garcia Suzanne S Gisbertz Jean HG Klinkenbijl Markus W Hollmann Elly SM de Lange H Jaap Bonjer Donald L van der Peet Miguel A Cuesta | 2012 | The Lancet . 2012 (9829)2012，，： | 3 |
| 5 | 梅毒IgA快速检测试剂诊断早期现症梅毒的应用性评估显示文摘目的评估Burnet研究所自制的IgA快速检测试剂(POC)对早期梅毒的诊断性能。方法利用性病中心参比实验室库存的455份血清标本进行梅毒IgA-POC应用性评估,标本根据梅毒螺旋体血球凝集试验(TPHA)、快速血浆反应素环状卡片试验(RPR)及IgM酶联免疫吸附试验(IgM-ELISA)结果分为未感染组、既往感染组和早期现症组。对3组标本进行IgA—POC盲样检测,评估其对现症梅毒的诊断能力。结果IgA—POC对早期现症组的诊断灵敏度为92.6%(147/163),对既往感染组的排除诊断特异性为72.22%(104/144);对未感染的排除诊断特异性为97.97%(145/148),总特异性为85.27%,达到了WHO对梅毒快速诊断试剂的最低要求。IgA—POC对早期现症梅毒诊断灵敏度高于IgM—ELISA(59.51%)(Z=6.88,P〈0.05),但其对既往感染的排除诊断特异性低于lgM-ELISA(98.61%)(Z=6.18,P〈0.05),两种方法对未感染的排除诊断特异性差异无统计学意义(Z=1.16,P=0.25)。结论IgA—POC对早期现症梅毒的发现能力较IgM—ELISA强,可以应用于早期现症梅毒的筛查。 | 韩燕 魏万惠 尹跃平 David Anderson 王红春 Mary L Garcia Huy Van 朱小宇 陈凯 陈祥生 | 2018 | 中华皮肤科杂志2018，51，5： | 2 |
| 6 | Racial differences in effectiveness of α-fetoprotein for diagnosis of hepatocellular carcinoma in hepatitis C virus cirrhosis显示文摘 | Mindie H Nguyen Ruel T Garcia Peter W Simpson Teresa L Wright Emmet B Keeffe | 2002 | Hepatology2002，，2： | 2 |
| 7 | Gastric cancer in young people under 30 years of age: worse prognosis, or delay in diagnosis?显示文摘 | Horacio N López-Basave Diaz Romero C Alejandro Padilla Rosciano Melchor Ruan J Silvio A. ?amendys-Silva Vela Sarmiento I Ruiz Molina JM Calderillo Ruiz G Flavia Morales-Vásquez Abelardo Meneses Garcia Angel Herrera-Gomez | 2013 | Cancer Management and Research (default)2013，，： | 2 |
| 8 | Genetic algorithms for optimal placement of phasor measurement units in electrical networks 显示文摘 | MARIN F J GARCIA L | 2003 | Eleetronies Letters2003，39，19： | 1 |
| 9 | Effect of No-Tillage on Some Soil Physical Properties of a Structural Degraded Petrocalcic Paleudoll of the Southern 'Pampa' of Argentina显示文摘 | Costa J L Garcia F O | 2000 | Soil & tillage research2000，54，： | 1 |
| 10 | Measurement of leaf and canopy photosynthetic C02 exchange in the field显示文摘 | Farageand P K Garcia R L | 1996 | Journal of Experimental Botany1996，47，304： | 1 |
| 11 | Evaluation of a pooling method for routine anti-HCV screening of blood donors to lower the cost burden on blood banks in countries under development显示文摘 | GARCIA Z TAYLOR L RUANO A | 1998 | Journal of Medical Virology1998，49，3： | 1 |
| 12 | Sebaceous trichofolliculoma显示文摘 | Garcia e Silva L | 1982 | Med Cutan Ibero Lat Am1982，10，1： | 1 |
| 13 | Risk of uncomplicated peptic ulcer among users of aspirin and nonaspirin nonsteroidal antiinflammatory drugs 显示文摘 | Garcia Rodriguez L A Hernandez Diaz S | 2004 | Am J Epidemiol2004，159，1： | 1 |
| 14 | A cortical neuropeptide with neuronal depressant and sleep - modulating properties 显示文摘 | DELECEA L CRIADO J R PROSPERO - GARCIA O | 1996 | Nature1996，381，6579： | 1 |
| 15 | Determination of food authenticity by enzyme-linked immunosorbent assay (ELISA)显示文摘 | ASENSIO L GONZALEZ I GARCIA T | 2008 | Food Control2008，19，1： | 1 |
| 16 | The Demise of the High Fru- ctose Corn Syrup Futures Contract :A Case Study显示文摘 | THOMPSON S GARCIA P WILDMAN L D | 1996 | Futures Markets1996，16，6： | 1 |
| 17 | Determination of sulfur release and its kinetics in rapid pyrolysis of coal显示文摘 | Garcia L F Hampartsoumian E Williams A | 1995 | Fuel1995，74，7： | 1 |
| 18 | Acupuncture for radiation-induced xerostomia in patients with cancer: a pilot study 显示文摘 | GARCIA M K CHIANG J S COHEN L | 2009 | Head Neck2009，31，10： | 1 |
| 19 | Parenteral and oral immunization with a plasmid DNA expressing the human papillomavirus 16-L1 gene induces systemic and mucosal antibodies and cytotoxic T lymphocyte responses显示文摘 | Rocha Zavaleta L Alejandre JE Garcia Carranca A | 2002 | J Med Virol2002，66，1： | 1 |
| 20 | Residents' Attitudes Towards an Instant Resort Enclave显示文摘 | Hemandez S A J Cohen H L Garcia | 1996 | Annals of Tourism Research1996，23，4： | 1 |
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