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| 1 | 2018加拿大心境障碍与焦虑障碍治疗协作组/国际双相障碍学会指南:双相障碍的管理显示文摘加拿大心境障碍与焦虑障碍治疗协作组(Canadian Network for Mood and Anxiety Treatments,CANMAT)曾于2005年发布了第1版双相障碍管理指南,并分别于2007、2009和2013年对该指南进行了更新,其中最近的2次更新是与国际双相障碍学会(International Society for Bipolar Disorders,ISBD)合作完成。2018版CANMAT/ISBD双相障碍治疗指南(以下简称指南)反映了自2005年首版指南发表以来本领域取得的重大进展,包括疾病诊断与疾病管理的更新以及药物治疗与心理治疗的近期研究进展。这些前沿进展中综合考虑了循证证据的级别,并基于治疗疗效、临床实践经验、安全性、耐受性和药物导致的转相风险等,对一线、二线及三线治疗方案进行了简明而清晰的推荐。本指南中新增内容涵盖了双相Ⅰ型障碍(BD-Ⅰ)的躁狂发作急性期、抑郁发作急性期和双相障碍维持期的一线及二线治疗推荐等级划分。这种对治疗推荐等级的划分综合考虑了治疗方法对双相障碍不同时相的影响,将进一步帮助临床医生做出基于循证证据的治疗决策。锂盐、喹硫平、双丙戊酸盐、阿塞那平、阿立哌唑、帕利哌酮、利培酮和卡利拉嗪单药或联合使用被推荐为躁狂发作急性期的一线治疗选择。BD-Ⅰ抑郁期的一线治疗选择包括喹硫平、鲁拉西酮、锂盐、拉莫三嗪单药,鲁拉西酮联合锂盐或双丙戊酸盐或拉莫三嗪辅助治疗。尽管急性期治疗有效的药物通常应继续用于BD-Ⅰ的维持期治疗,但也存在一些特殊情况(例如抗抑郁药)。现有数据表明,锂盐、喹硫平、双丙戊酸盐、拉莫三嗪、阿塞那平和阿立哌唑单药或联合治疗应被视为维持治疗的初始或更换治疗方案时的一线选择。除了探讨BD-Ⅰ的相关问题外,本指南中还对双相Ⅱ型障碍(BD-Ⅱ)的临床管理进行了系统回顾并给予治疗推荐,同时针对特殊人群也有相关推荐,如处于各个生殖周期的女性、儿童、青少年和老年人。此外,本指南中还讨论了特定精神疾病及共病(如物质滥用、焦虑障碍和代谢性疾病)的影响。最后,本指南中概述了安全性和药物监测的相关问题。CANMAT/ISBD工作组希望本指南能够成为全球临床医生的实用工具。 | Lakshmi N Yatham Sidney H Kennedy Sagar V Parikh Ayal Sehaffer David J Bond Benicio N Frey Verinder Sharma Benjamin I Goldstein Soham Rej Serge Beaulieu Martin Alda Glenda MaeQueen Roumen V Milev Arun Ravindran Claire O'Donovan Diane Mclntosh Raymond W Lam Gustavo Vazquez Flavio Kapczinski Roger S Melntyre Jan Kozicky Shigenobu Kanba Beny Lafer Trisha Suppes Joseph R Calabrese Eduard Vieta Gin Malhi Robert M Post Michael Berk 胡晨(译) 王刚(译) | 2019 | 中华精神科杂志2019，52，1： | 25 |
| 2 | 导致儿童期肥胖的生命早期危险因素:队列研究显示文摘目的确定早年(3岁以内)导致英国儿童肥胖的危险因素。设计前瞻性队列研究。方法Avon英国父母及儿童纵向调查研究。参与者参与队列研究的8234名年龄为7岁的儿童以及亚组的909名重点儿童,后者需额外提供与早期发育有关并涉及可能导致肥胖的各种资料。诊断标准7岁儿童体重指数≥95百分位确定为肥胖,参考1990年英国人口调查的诊断标准。结果经过最终验证,在假设的25项危险因素中有8项与肥胖有关:父母肥胖(父母双方校正后的相对危险度10.44,95%可信区间5.11~21.32);最早期(43个月内)的体重指数或体重反弹升高(校正后的相对危险度15.00,95%可信区间5.32~42.30);3岁时每周看电视的时间超过8小时(校正后的相对危险度1.55,95%可信区间1.13~2.12);追赶性生长(校正后的相对危险度2.60,95%可信区间1.09~6.16);8个月(校正后的相对危险度3.13,95%可信区间1.43~6.85)和18个月(校正后的相对危险度2.65,95%可信区间1.25~5.59)时体重的标准差值;1岁时体重增加值(校正后的相对危险度1.06,95%可信区间1.02~1.10,体重每增加100g);出生体重,每100g(校正后的相对危险度1.05,95%可信区间1.03~1.07);3岁时睡眠不足(<10.5小时,校正后的相对危险度1.45,95%可信区间1.10~1.89)。结论儿童期肥胖可能与8项危险因素有关。 | John J Reilly Julie Amstrong Ahmad R Dorosty Pauline M Emmett A Ness I Rogers Colin Steer Andrea Sherriff Children Study Team 冯凯 | 2005 | 英国医学杂志中文版2005，8，5： | 8 |
| 3 | 广西地区乙型肝炎病毒无症状携带者乙型肝炎病毒前C区突变分析显示文摘目的 调查广西地区乙型肝炎病毒 (HBV)无症状携带者HBV前C区基因突变株的流行情况。方法 用套式聚合酶链反应 (nPCR)对 77例广西南部、北部地区人群HBV无症状携带者血清HBV前C区进行扩增 ,阳性者用直接测序法进行序列分析。结果 39例HBsAg无症状携带者血清HBVDNA阳性 ,阳性率为 5 0 .7% (39 77) ,突变株出现率为 2 2 .1% (17 77)。南部地区阳性率为5 5 .6 % (2 0 36 ) ,其中 6份标本出现突变株 ,占 30 % ,常见的突变类型是nt185 8位发生点突变 (T→C) ,只有一份标本在nt1896发生点突变 (G→A) ,导致终止密码产生 ,该标本同时伴有nt1837点突变(A→G) ;北部地区阳性率为 4 6 .3% (19 4 1) ,其中有 11份标本出现突变株 ,占 5 7.9% ,常见的突变类型是nt1896位发生点突变 (G→A) ,这些标本中有 4份同时在nt184 6发生点突变 (A→T) ,2份同时在nt186 2发生点突变 (G→T) ;标本 734分别在nt185 6、185 8发生点突变 (C→T、T→C)。结论 广西地区HBV无症状携带者HBV前C区突变株的流行率居全国中等水平 ,广西南部、北部是否存在主要突变类型不同值得进一步研究。 | 方钟燎 庄辉 杨进业 葛宪民 王学燕 龚健 李荣成 Roger Ling Tim J Harrison | 2002 | 中华流行病学杂志2002，23，6： | 6 |
| 4 | Physical activity after total knee arthroplasty: A critical review显示文摘Total knee arthroplasty(TKA) is the most commonly performed elective surgery in the United States. TKA typically improves functional performance and reduces pain associated with knee osteoarthritis. Little is known about the influence of TKA on overall physical activity levels. Physical activity, defined as 'any bodily movement produced by skeletal muscles that results in energy expenditure', confers many health benefits but typically decreases with endstage osteoarthritis. The purpose of this review is to describe the potential benefits(metabolic, functional, and orthopedic) of physical activity to patients undergoing TKA, present results from recent studies aimed to determine the effect of TKA on physical activity, and discuss potential sources of variability and conflicting results for physical activity outcomes. Several studies utilizing self-reported outcomes indicate that patients perceive themselves to be more physically active after TKA than they were before surgery. Accelerometry-based outcomes indicate that physical activity for patients after TKA remains at or below pre-surgical levels. Several different factors likely contributed to these variable results, including the use of different instruments, duration of follow-up, and characteristics of the subjects studied. Comparison to norms, however, suggests that daily physical activity for patients following TKA may fall short of healthy agematched controls. We propose that further study of the relationship between TKA and physical activity needs to be performed using accelerometry-based outcome measures at multiple post-surgical time points. | Roger J Paxton Edward L Melanson Jennifer E Stevens-Lapsley Cory L Christiansen | 2015 | World Journal of Orthopedics2015，6，8： | 5 |
| 5 | Apical Root Resorption in Maxillary Incisors When Employing Micro-implant and J-hook Headgear Anchorage: A 4-month Radiographic Study显示文摘This study evaluated,over a 4-month study period,the amount of apical root resorption occurring in maxillary central incisors following their retraction when employing either micro-implant or J-hook headgear anchorage.The prospective randomised clinical trial was conducted in Orthodontic Clinic,College of Stomatology,China from 2008-2009.Subjects are patients requiring fixed appliances on waiting list (n=20).In female Han Chinese patients aged from 16-26 years,standardized periapical radiographs from 10 randomly assigned patients with maxillary protrusions comprising the micro-implant group,and from 10 similar patients comprising the J-hook headgear group,were assessed for maxillary central incisor apical root resorption.Measurements before and after orthodontic therapy were also obtained from lateral cephalometric radiographs to calculate incisor horizontal retraction and vertical intrusion distances.Estimated retraction force vectors were calculated in horizontal and vertical directions for both treatment groups.Data analysis employed t-tests and the Pearson correlation test,with α=0.05 for statistical significance.The results showed that when compared with the J-hook group,significantly more apical root resorption shortening of the maxillary central incisors was observed in the micro-implant group (1.27 mm difference,95% CI=0.70-1.84,P<0.001),which was associated with a significantly larger retraction distance (P=0.004) and a smaller vertical force component (P<0.0001).We are led to conclude that continuous activation of the nickel-titanium coil springs used in the micro-implant group resulted in significantly more apical root resorption shortening and maxillary central incisor retraction than when intermittent J-hook retraction was employed.The employment of continuous duration orthodontic forces presents a risk for increased apical root resorption that requires careful radiographic monitoring. | 王晴竹 陈文静 Roger J Smales 彭辉 胡小坤 尹璐 | 2012 | Journal of Huazhong University of Science and Technology(Medical Sciences)2012，32，5： | 5 |
| 6 | Dyslipidemia management in primary prevention of cardiovascular disease:Current guidelines and strategies显示文摘Cardiovascular disease is the leading cause of death in the United States. In 2010, the Centers for Disease Control and Prevention estimated that $444 billion was spent on cardiovascular diseases alone, about $1 of every $6 spent on health care. As life expectancy continues to increase, this annual cost will also increase, making costeffective primary prevention of cardiovascular disease highly desirable. Because of its role in development of atherosclerosis and clinical events, dyslipidemia management is a high priority in cardiovascular prevention. Multiple major dyslipidemia guidelines have been published around the world recently, four of them by independent organizations in the United States alone. They share the goal of providing clinical guidance on optimal dyslipidemia management, but guidelines differ in their emphasis on pharmacotherapy, stratification of groups, emphasis on lifestyle modification, and use of a fixed target or percentage reduction in low density lipoprotein cholesterol. This review summarizes eight major guidelines for dyslipidemia management and considers the basis for their recommendations. Our primary aim is to enhance understanding of dyslipidemia management guidelines in patient care for primary prevention of future cardiovascular risk. | Aditya D Hendrani Tolulope Adesiyun Renato Quispe Steven R Jones Neil J Stone Roger S Blumenthal Seth S Martin | 2016 | World Journal of Cardiology2016，8，2： | 5 |
| 7 | Ionotropic receptors and ion channels in ischemic neuronal death and dysfunction显示文摘到神经原的精力供应的损失在击期间导致被称为缺氧的去极的膜潜力的快速的损失。因为离子的流动的 dysregulation 和 ATP 的损失,缺氧的去极在神经原上导致巨大的生理的应力驾驶维持电气化学的坡度的离子泵。在这评论,我们在场一些被认为贡献神经原并且随后的缺氧的去极的 ionotropic 受体和离子隧道的概述,到房间死亡。为作为门 ligand 的阳离子隧道工作的 glutamate 和 ATP 的 ionotropic 受体在神经原的死亡和机能障碍是批评的。有趣地,二这些受体(P2X7 和 NMDAR ) 被显示了联合离子隧道到 pannexin-1 (Panx1 ) 。我们也讨论短暂受体潜力(TRP ) 的重要角色响应局部缺血的隧道和酸察觉到的离子隧道(ASIC ) 。从我们缺氧的去极的当前的理解出现的中央挑战是需要阐明这些离子隧道到的机械学、时间的相互关系充分在击期间在神经原上欣赏他们的影响。 | Nicholas L WEILINGER Valentyna MASLIEIEVA Jennifer BIALECKI Sarup S SRIDHARAN Peter L TANG Roger J THOMPSON | 2013 | Acta Pharmacologica Sinica2013，34，1： | 5 |
| 8 | 乙肝肝硬化患者HBV前C区和基本核心基因启动子序列分析显示文摘用套式PCR(nPCR)对 3 5例肝硬化患者血清HBV前C区和基本核心基因启动子 (BCP)进行扩增 ,阳性者用直接测序法进行序列分析。结果 2 3例HBVDNA阳性 ,阳性率为 65 7% ( 2 3 / 3 5 ) ,无正常序列标本 ,与e抗原产生有关的突变 :nt1762、1764双突变 (AT、GA) ,占 73 9% ( 17/ 2 3 ) ;nt1896点突变 (GA) ,导致终止密码产生 ,占2 1 7% ( 5 / 2 3 ) ;nt185 8点突变 (TC) ,占 2 1 7% ,其中标本 417、42 6、43 0同时在nt 185 6发生点突变 (CT)。其它的突变有nt1799点突变 (CG) ,占 47 8% ( 11/ 2 3 ) ,为无义突变 ;有 6例在nt1846发生点突变AT ,4例nt180 2 - 180 4发生突变 (TTCCGT) ;4例nt175 2位点突变 (AG) ;标本 43 2在nt175 1插入TG导致移码突变 ,并在nt1774- 1874发生缺失突变。说明HBVBCP和前C突变株在肝硬化患者中很常见 。 | 方钟燎 庄辉 杨进业 葛宪民 王学燕 龚健 李荣成 王佑春 Roger Ling Tim J Harrison | 2003 | 临床肝胆病杂志2003，19，3： | 5 |
| 9 | 放射性龋齿充填治疗的临床效果评估显示文摘目的 评估放射性龋充填治疗的临床疗效。方法 对 1 5例放射性龋患者的 1 4 6个龋洞分别采用Ketac Molar和FujiIX充填 ,各充填 73个龋洞。临床观察 2年后 ,用美国公共健康部制定的评定系统 (USPHS)进行疗效评估。结果 ①Ketac Molar和FujiIX 2年的完好率分别为 51 7%和52 3 % ,差异无显著性 (P >0 0 5)。②治疗失败及缺陷主要发生在术后 1年和 2年 ,失败的主要原因是充填体脱落 ,边缘着色是两组材料共有的缺陷。③两组材料除在固位情况方面差异极显著外 (P <0 0 1 ) ,其他项目差异均无显著性 (P >0 0 5)。结论 放射性龋使用上述两种材料充填治疗 ,完好率较高 ,有较好的实用性 ,其中FujiIX更优于Ketac Molar。 | 胡健英 李雨琴 Roger J Smales 叶克刚 | 2002 | 中华口腔医学杂志2002，37，6： | 5 |
| 10 | Effects of radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone on survival in glioblastoma in a randomised phase III study: 5-year analysis of the EORTC-NCIC trial显示文摘 | Roger Stupp Monika E Hegi Warren P Mason Martin J van den Bent Martin JB Taphoorn Robert C Janzer Samuel K Ludwin Anouk Allgeier Barbara Fisher Karl Belanger Peter Hau Alba A Brandes Johanna Gijtenbeek Christine Marosi Charles J Vecht Karima Mokhtari Piet | 2009 | Lancet Oncology2009，，5： | 4 |
| 11 | 年龄>75岁成人他汀类药物的使用情况及不良反应显示文摘自2013年美国心脏病学会/美国心脏协会指南发布以来,目前常规社区治疗实践中老年人用他汀类药物情况不很清楚。研究者比较了在不考虑指南推荐的年龄标准的情况下,符合接受一级或二级预防他汀类药物使用标准年龄〉75和≤75岁成年人的他汀类药物使用和剂量状况。 | 刘青 叶鹏 Nanna MG Navar AM Wang TY Mi X Virani SS Louie MJ Lee LV Goldberg AC Roger VL Robinson J Peterson ED | 2018 | 中华高血压杂志2018，26，7： | 4 |
| 12 | Single vs dual(en bloc) kidney transplants from donors ≤ 5 years of age: A single center experience显示文摘AIM: To compare outcomes between single and dual en bloc(EB) kidney transplants(KT) from small pediatric donors. METHODS: Monocentric nonprospective review of KTs from pediatric donors ≤ 5 years of age. Dual EB KT was defined as keeping both donor kidneys attached tothe inferior vena cava and aorta, which were then used as venous and arterial conduits for the subsequent transplant into a single recipient. Donor age was less useful than either donor weight or kidney size in decision-making for kidney utilization as kidneys from donors < 8 kg or kidneys < 6 cm in length were not transplanted. Post-transplant management strategies were standardized in all patients.RESULTS: From 2002-2015, 59 KTs were performed including 34 dual EB and 25 single KTs. Mean age of donors(17 mo vs 38 mo, P < 0.001), mean weight(11.0 kg vs 17.4 kg, P = 0.046) and male donors(50% vs 84%, P = 0.01) were lower in the dual EB compared to the single KT group, respectively. Mean cold ischemia time(21 h), kidney donor profile index(KDPI; 73% vs 62%) and levels of serum creatinine(SCr, 0.37 mg/d L vs 0.49 mg/d L, all P = NS) were comparable in the dual EB and single KT groups, respectively. Actuarial graft and patient survival rates at 5-years follow-up were comparable. There was one case of thrombosis resulting in graft loss in each group. Delayed graft function incidence(12% dual EB vs 20% single KT, P = NS) was slightly lower in dual EB KT recipients. Initial duration of hospital stay(mean 5.4 d vs 5.6 d) and the one-year incidences of acute rejection(6% vs 16%), operative complications(3% vs 4%), and major infection were comparable in the dual EB and single KT groups, respectively(all P = NS). Mean 12 mo SCr and abbreviated MDRD levels were 1.17 mg/d L vs 1.35 mg/d L and 72.5 m L/min per 1.73 m^2 vs 60.5 m L/min per 1.73 m^2(both P = NS) in the dual EB and single KT groups, respectively. CONCLUSION: By transplanting kidneys from young pediatric donors into adult recipients, one can effectively expand the limited donor pool and achieve excellent medium-term outcomes. | Yousef Al-Shraideh Umar Farooq Hany El-Hennawy Alan C Farney Amudha Palanisamy Jeffrey Rogers Giuseppe Orlando Muhammad Khan Amber Reeves-Daniel William Doares Scott Kaczmorski Michael D Gautreaux Samy S Iskandar Gloria Hairston Elizabeth Brim Margaret Mangus Robert J Stratta | 2016 | World Journal of Transplantation2016，6，1： | 3 |
| 13 | 广西原发性肝癌患者HBV-DNA核心基因启动子突变的研究显示文摘用套式PCR(nestedPCR)对广西16例原发性肝癌患者血清HBVDNA核心基因启动子进行扩增,阳性者用Sanger氏DNA测序法进行序列分析。结果表明14例患者PCR阳性,阳性率为87.50%,其中除唯一的HBeAg阳性者(C23)外,均具有双突变(即第1762位A→T,1764位G→T核苷酸的点突变),而且所有的血清标本在这突变点周围均有不同部位的点突变,但在标本C23整个启动子中,未发现任何碱基突变。本文对这种突变株可能的致癌机理进行了讨论。 | 方钟燎 王树声 麦威 黄春松 Roger Ling Tim J Harrison | 1997 | 广西预防医学1997，3，4： | 3 |
| 14 | 收获沙棘振动器试验研究显示文摘该项研究的核心是研制振动器,通过振动果枝的方式来收获沙棘果实。2003到2004年间,基于我们的试验研究结果显示,沙棘品种'印度夏季'通过用频率为40Hz,振幅为15mm,10s为一振动周期的果枝振动器可有效获得果实。利用这个参数的振动可以有效获得90%的果实,且对果枝的损害很小,从果枝上下来的叶片、芽及木枝的碎片也很少。在2003年进行了最原始的研究,2004年测试发现这种方法存在一定缺陷。发电机利用机轴进行来回的旋转运动,利用这个原理进行各种振幅试验,但这对果树各部分会产生大量的压力。用1.5kW的电机可以在车间及没有农业机械的土地上进行试验,但这个过程需要人工看护。最原始的方法效率不高且过程复杂。2005年进行了设备的改进,通过凸轮产生的振动来驱动液压马达。尽管这种方法使用时间还很短,但是它的振动功能还是非常显著的。如果选在最佳采摘季节收获果实,收获的果实品质最佳,同时对果树的伤害也是最小的。如果在每个季节采摘500株或是更少果树的果实,这种振动收获果实的方法是一种最佳选择。 | 梁月 殷丽强 Roger Chagnon Jérme Boutin Sylvain Fortin | 2009 | 国际沙棘研究与开发2009，7，4： | 3 |
| 15 | 肝癌组织中HBV核心基因启动子突变的研究显示文摘为深入了解乙肝病毒 (HBV)致癌机理 ,用套式PCR对广西 14例血清HBVDNA阳性的原发性肝癌患者癌组织、10例乙型病毒性肝炎患者血清及 10例乙肝病毒无症状携带者血清HBV核心基因启动子进行扩增 ,阳性者用Sanger氏双脱氧法做序列分析 ,发现肝癌组织 10例PCR阳性 ,阳性率 71.4 % ,所有PCR阳性标本的整合体均有乙肝病毒核心基因启动子双突变序列 (nt 176 2A→T ,176 4G→A) ,并且在其周围各序列都有不同部位的点突变 ,标本C14核苷酸的缺失突变高达10个。乙肝患者 6例PCR阳性 ,其中 3例乙肝病毒核心基因启动子发生双突变。无症状携带者中 4例PCR阳性 ,其中仅 1例发生双突变。结果提示乙肝病毒核心基因启动子双突变在肝癌患者中较常见 ,肝炎患者次之 ,无症状携带者居最后。 | 方钟燎 杨进业 王学燕 庄辉 Roger Ling Tim J Harrison | 2000 | 中国病毒学2000，15，3： | 3 |
| 16 | Panitumumab versus cetuximab in patients with chemotherapy-refractory wild-type KRAS exon 2 metastatic colorectal cancer (ASPECCT): a randomised, multicentre, open-label, non-inferiority phase 3 study显示文摘 | Timothy J Price Marc Peeters Tae Won Kim Jin Li Stefano Cascinu Paul Ruff Atilli Satya Suresh Anne Thomas Sergei Tjulandin Kathy Zhang Swaminathan Murugappan Roger Sidhu | 2014 | Lancet Oncology2014，，6： | 2 |
| 17 | Alternative treatments to inhibit VEGF in age-related choroidal neovascularisation: 2-year findings of the IVAN randomised controlled trial显示文摘 | Usha Chakravarthy Simon P Harding Chris A Rogers Susan M Downes Andrew J Lotery Lucy A Culliford Barnaby C Reeves | 2013 | The Lancet2013，，： | 2 |
| 18 | Recent progresses in plastic electronics 显示文摘 | Rogers J A Bao Z Balduin K | 2001 | Proceedings of National Academy of Sciences2001，98，： | 2 |
| 19 | Selection of glass, compatibility anodic bonding conditions for silicon-glass capacitive and material sensors显示文摘 | Rogers T Kowal J | 1995 | Sensors and Actuators A1995，47，： | 2 |
| 20 | Imaging ellipsometry revisited: developments for visualization of thin transparent layers on silicon substrates显示文摘 | JIN G ROGER J HANS A | 1996 | Review of Scientific Instrument1996，67，8： | 2 |
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