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1Visceral hypersensitivity and electromechanical dysfunction as therapeutic targets in pediatric functional dyspepsia显示文摘Functional gastrointestinal disorders(FGID) are common clinical syndromes diagnosed in the absence of biochemical,structural,or metabolic abnormalities. They account for significant morbidity and health care expenditures and are identifiable across variable age,geography,and culture. Etiology of abdominal pain associated FGIDs,including functional dyspepsia(FD),remains incompletely understood,but growing evidence implicates the importance of visceral hypersensitivity and electromechanical dysfunction. This manuscript explores data supporting the role of visceral hypersensitivity and electromechanical dysfunction in FD,with focus on pediatric data when available,and provides a summary of potential therapeutic targets.John M Rosen Jose T Cocjin Jennifer V Schurman Jennifer M Colombo Craig A Friesen 2014World Journal of Gastrointestinal Pharmacology and Therapeutics2014,5,3:16
2Hematological disorders and pulmonary hypertension显示文摘Pulmonary hypertension(PH),a serious disorder with a high morbidity and mortality rate,is known to occur in a number of unrelated systemic diseases.Several hematological disorders such as sickle cell disease,thalassemia and myeloproliferative diseases develop PH which worsens the prognosis.Associated oxidant injury and vascular inflammation cause endothelial damage and dysfunction.Pulmonary vascular endothelial damage/dysfunction is an early event in PH resulting in the loss of vascular reactivity,activation of proliferative and antiapoptotic pathways leading to vascular remodeling,elevated pulmonary artery pressure,right ventricular hypertrophy and premature death.Hemolysis observed in hematological disorders leads to free hemoglobin which rapidly scavenges nitric oxide(NO),limiting its bioavailability,and leading to endothelial dysfunction.In addition,hemolysis releases arginase into the circulation which converts L-arginine to ornithine,thus bypassing NO production.Furthermore,treatments for hematological disorders such as immunosuppressive therapy,splenectomy,bone marrow transplantation,and radiation have been shown to contribute to the development of PH.Recent studies have shown deregulated iron homeostasis in patients with cardiopulmonary diseases including pulmonary arterial hypertension(PAH).Several studies have reported low iron levels in patients with idiopathic PAH,and iron deficiency is an important risk factor.This article reviews PH associated with hematological disorders and its mechanism:and iron homeostasis and its relevance to PH.Rajamma Mathew Jing Huang Joseph M Wu John T Fallon Michael H Gewitz 2016World Journal of Cardiology2016,8,12:6
3Clinical outcomes following salvage Gamma Knife radiosurgery for recurrent glioblastoma显示文摘Glioblastoma multiforme(GBM) is the most common malignant primary brain tumor with a survival prognosis of 14-16 mo for the highest functioning patients. Despite aggressive, multimodal upfront therapies, the majority of GBMs will recur in approximately six months. Salvage therapy options for recurrent GBM(r GBM) are an area of intense research. This study compares recent survival and quality of life outcomes following Gamma Knife radiosurgery(GKRS) salvage therapy. Following a Pub Med search for studies usingGKRS as salvage therapy for malignant gliomas, nine articles from 2005 to July 2013 were identified which evaluated rG BM treatment. In this review, we compare overall survival following diagnosis, overall survival following salvage treatment, progression-free survival, time to recurrence, local tumor control, and adverse radiation effects. This report discusses results for rG BM patient populations alone, not for mixed populations with other tumor histology grades. All nine studies reported median overall survival rates(from diagnosis, range:16.7-33.2 mo; from salvage, range:9-17.9 mo). Three studies identified median progression-free survival(range:4.6-14.9 mo). Two showed median time to recurrence of GBM. Two discussed local tumor control. Six studies reported adverse radiation effects(range:0%-46% of patients). The greatest survival advantages were seen in patients who received GKRS salvage along with other treatments, like resection or bevacizumab, suggesting that appropriately tailored multimodal therapy should be considered with each rG BM patient. However, there needs to be a randomized clinical trial to test GKRS for rG BM before the possibility of selection bias can be dismissed.Erik W Larson Halloran E Peterson Wayne T Lamoreaux Alexander R MacKay Robert K Fairbanks Jason A Call Jonathan D Carlson Benjamin C Ling John J Demakas Barton S Cooke Christopher M Lee 2014World Journal of Clinical Oncology2014,5,2:5
4Mechanical and cellular processes driving cervical myelopathy显示文摘Cervical myelopathy is a well-described clinical syndrome that may evolve from a combination of etiological mechanisms. It is traditionally classified by cervical spinal cord and/or nerve root compression which varies in severity and number of levels involved. The vast array of clinical manifestations of cervical myelopathy cannot fully be explained by the simple concept that a narrowed spinal canal causes compression of the cord, local tissue ischemia, injury and neurological impairment. Despite advances in surgical technology and treatment innovations, there are limited neuro-protective treatments for cervical myelopathy, which reflects an incomplete understanding of the pathophysiological processes involved in this disease. The aim of this review is to provide a comprehensive overview of the key pathophysiological processes at play in the development of cervical myelopathy.Roisin T Dolan Joseph S Butler John M O'Byrne Ashley R Poynton 2016World Journal of Orthopedics2016,7,1:5
5Efficacy and safety of liquid nitrogen cryotherapy for treatment of Barrett's esophagus显示文摘AIM To evaluate the efficacy and safety of liquid nitrogen cryotherapy as a primary or rescue treatment for BE,with and without dysplasia,or intramucosal adenocarcinoma (IMC).METHODS This was a retrospective,single-center study carried out in a tertiary care center including 45 patients with BE who was treatment-na?ve or who had persistent intestinal metaplasia(IM),dysplasia,or IMC despite prior therapy.Barrett's mucosa was resected via EMR when clinically appropriate,then patients underwent cryotherapy until eradication or until deemed to have failed treatment.Surveillance biopsies were taken at standard intervals.RESULTS From 2010 through 2014,33 patients were studied regarding the efficacy of cryotherapy.Overall,29 patients (88%) responded to cryotherapy,with 84% having complete regression of all dysplasia and cancer.Complete eradication of cancer and dysplasia was seen in 75% of subjects with IMC; the remaining two subjects did not respond to cryotherapy.Following cryotherapy,15 patients with high-grade dysplasia (HGD) had 30% complete regression,50% IM,and 7% low-grade dysplasia (LGD); one subject had persistent HGD.Complete eradication of dysplasia occurred in all 5 patients with LGD.In 5 patients with IM,complete regression occurred in 4,and IM persisted in one.In 136 cryotherapy sessions amongst 45 patients,adverse events included chest pain (1%),stricture (4%),and one gastrointestinal bleed in a patient on dual antiplatelet therapy who had previously undergone EMR.CONCLUSION Cryotherapy is an efficacious and safe treatment modality for Barrett's esophagus with and without dysplasia or intramucosal adenocarcinoma.Kristen Suchniak-Mussari Charles E Dye Matthew T Moyer Abraham Mathew Thomas J McGarrity Eileen M Gagliardi Jennifer L Maranki John M Levenick 2017World Journal of Gastrointestinal Endoscopy2017,9,9:4
6Sofosbuvir with pegylated interferon alfa-2a and ribavirin for treatment-naive patients with hepatitis C genotype-1 infection (ATOMIC): an open-label, randomised, multicentre phase 2 trial显示文摘Kris V Kowdley Eric Lawitz Israel Crespo Tarek Hassanein Mitchell N Davis Michael DeMicco David E Bernstein Nezam Afdhal John M Vierling Stuart C Gordon Jane K Anderson Robert H Hyland Hadas Dvory-Sobol Di An Robert G Hindes Efsevia Albanis William T Symo 2013The Lancet2013,,9883:3
7钆特醇及钆喷替酸葡甲胺在1.5、3.0 TMR下鼠脑胶质瘤模型增强扫描中的应用比较研究显示文摘目的 对比钆特醇及Gd-DTPA在1.5及3.0 T MR下的增强效果,比较两者在增强扫描中的应用价值.方法 42只CDF Fisher 344雄性大鼠,采用经皮导管脑内接种胶质瘤细胞,培育1周,制作鼠脑胶质瘤模型.将大鼠采用数字表法随机分为4组,分别为12、10、10、10只,进行1.5及3.0 T MR下注射钆特醇及Gd-DTPA增强效果对比、注射钆特醇在1.5及3.0 T两种场强下增强效果对比、1.5 T MR下使用标准剂量钆特醇与3.0 T下使用半剂量增强效果对比.两次扫描间隔24 h.选取注射对比剂前及注射后第1、3、5、7、9分钟时间点的T1加权图像,利用影像工作站分析计算各图像的信噪比(signal to noise ratio,SNR),对比噪声比(contrast to noise ratio,CNR)及对比增强比(contrast enhancement,CE),所得数据选用Student配对双尾t检验行统计学分析.结果 1.5 T MR下,注射Gd-DTPA后各时间点图像SNR、CNR和CE平均值分别为54.4±3.2、17.0±3.3、20.8±3.4;注射钆特醇后各值分别为53.2±3.2、17.2±3.1、20.8±3.2,两者差异无统计学意义(t值分别为2.247、0.403、0.076,P值均>0.05).3.0 T MR下,注射Gd-DTPA后各时间点图像SNR、CNR和CE平均值分别为94.8±7.1、38.0±6.0、45.0±6.3;注射钆特醇后各值分别为95.5±2.9、37.2±2.7、45.6±2.8,两者差异亦无统计学意义(t值分别为0.303、0.573、0.357,P值均>0.05).注射钆特醇在1.5 T MR下增强扫描后各时间点图像SNR、CNR和CE平均值分别为51.9±3.0、15.6±3.0、18.6±3.0;在3.0 T MR下图像各值分别为86.1±4.9、27.4±5.0、37.3±5.3,均高于1.5 T MRI图像,差异有统计学意义(t值分别为36.227、11.977、17.106,P值均<0.05).1.5 T MR下注射标准剂量钆特醇增强扫描后,各时间点图像SNR、CNR和CE平均值分别为53.8±1.6、17.7±1.7、20.3±1.6;3.0 T MR下注射半剂量钆特醇增强图像各值分别为72.2±2.4、15.4±2.4、21.1±2.4,两者SNR、CNR均值差异有统计学意义(t值分别为31.503、5.137,P值均<0.05),而两者CE均值差异无统计学意义(t=2.033,P>0.05).结论 利用鼠脑胶质瘤模型,在1.5及3.0 T MR下注射钆特醇和Gd-DTPA行增强扫描,两者增强效果无明显差异;3.0 T MR下注射钆特醇行增强扫描,效果明显优于在1.5 T条件下使用;3.0 T MR下使用半剂量钆特醇与在1.5 T下使用标准剂量增强效果相仿,同样能取得满意的增强效果.因此,使用钆特醇可在保证增强效果的同时,在一定程度上降低使用MRI对比剂的风险,增加安全性.艾飞 Val M Runge John N Morelli Lan.Vu Jeremy Cannel Alan T Loynachan 漆剑频 李小明 2010中华放射学杂志2010,44,11:2
8Survival after inflammatory bowel disease-associated colorectal cancer in the Colon Cancer Family Registry显示文摘AIM: To investigate the survival of individuals with colorectal cancer (CRC) with inflammatory bowel disease (IBD-associated CRC) compared to that of individuals without IBD diagnosed with CRC. METHODS: Epidemiologic, clinical, and follow-up data were obtained from the Colon Cancer Family Registry (Colon CFR). IBD-associated cases were identified from self-report of physician diagnosis. For a subset of participants, medical records were examined to confirm self-report of IBD. Cox proportional hazards regression was applied to estimate adjusted hazard ratios (aHR) and 95%CI of mortality, comparing IBD-associated to non-IBD-associated CRC, adjusted for age at CRC diagnosis, sex, Colon CFR phase, and number of prior endoscopies. Following imputation to complete CRC stage information, adjustment for CRC stage was examined. RESULTS: A total of 7202 CRC cases, including 250 cases of IBD-associated CRC, were analyzed. Over a twelve year follow-up period following CRC diagnosis, 2013 and 74 deaths occurred among non-IBD associated CRC and IBD-associated CRC patients, respectively. The difference in survival between IBD-associated and non-IBD CRC cases was not statistically significant (aHR = 1.08; 95%CI: 0.85-1.36). However, the assumption of proportional hazards necessary for valid inference from Cox regression was not met over the entire follow-up period, and we therefore limited analyses to within five years after CRC diagnosis when the assumption of proportional hazards was met. Over this period, there was evidence of worse prognosis for IBD-associated CRC (aHR = 1.36; 95%CI: 1.05-1.76). Results were similar when adjusted for CRC stage, or restricted to IBD confirmed in medical records. CONCLUSION: These results support the hypothesis that IBD-associated CRC has a worse prognosis than non-IBD-associated CRC.Scott V Adams Dennis J Ahnen John A Baron Peter T Campbell Steven Gallinger William M Grady Loic LeMarchand Noralane M Lindor John D Potter Polly A Newcomb 2013World Journal of Gastroenterology2013,19,21:2
9Neuroimaging standards for research into small vessel disease and its contribution to ageing and neurodegeneration显示文摘Joanna M Wardlaw Eric E Smith Geert J Biessels Charlotte Cordonnier Franz Fazekas Richard Frayne Richard I Lindley John T O’Brien Frederik Barkhof Oscar R Benavente Sandra E Black Carol Brayne Monique Breteler Hugues Chabriat Charles DeCarli Frank-Erik de 2013Lancet Neurology2013,,8:2
10Cancer Genome Scanning in Plasma: Detection of Tumor-Associated Copy Number Aberrations, Single-Nucleotide Variants, and Tumoral Heterogeneity by Massively Parallel Sequencing显示文摘Chan K C Allen Jiang Peiyong Zheng Yama W L Liao Gary J W Sun Hao Wong John Siu Shing Shun N Chan Wing C Chan Stephen L Chan Anthony T C Lai Paul B S Chiu Rossa W K Lo Y M D 2013Clinical Chemistry2013,,1:2
11Personalising pancreas cancer treatment:When tissue is the issue显示文摘The treatment of advanced pancreatic cancer has not moved much beyond single agent gemcitabine until recently when protocols such as FOLFIRINOX(fluorouracil,leucovorin,irinotecan and oxaliplatin)and nab-paclitaxelgemcitabine have demonstrated some improved outcomes.Advances in technology especially in massively parallel genome sequencing has progressed our understanding of the biology of pancreatic cancer especially the candidate signalling pathways that are involved in tumourogenesis and disease course.This has allowed identification of potentially actionable mutations that may be targeted by new biological agents.The heterogeneity of pancreatic cancer makes tumour tissue collection important with the aim of being able to personalise therapies for the individual as opposed to a one size fits all approach to treatment of the condition.This paper reviews the developments in this area of translational research and the ongoing clinical studies that will attempt to move this into the everyday oncology practice.Katrin M Sjoquist Venessa T Chin Lorraine A Chantrill Chelsie O'Connor Chris Hemmings David K Chang Angela Chou Marina Pajic Amber L Johns Adnan M Nagrial Andrew V Biankin Desmond Yip 2014World Journal of Gastroenterology2014,20,24:2
12C, eochemistry of major elements and trace metals in suspended matter of the Scheldt estuary,southwest Netherhmds显示文摘ZWOLSMAN John J G van ECK GUSBERTUS T M 1999Marine Chemistry1999,66,:1
13English for Specific Purposes:International in Scope,Specific in Purpose显示文摘Johns A M Dudley-Evans T 1991TESOL Quarterly1991,25,2:1
14Adaptation of HIV-1to human leukocyte antigen class I显示文摘Kawashima Y Pfafferott K Frater J Matthews P Payne R Addo M Gatanaga H Fujiwara M Hachiya A Koizumi H Kuse N Oka S Duda A Prendergast A Crawford H Leslie A Brumme Z Brumme C Allen T Brander C Kaslow R Tang J Hunter E Allen S Mulenga J Branch S Roach T John M Mallal S Ogwu A Shapiro R Prado J G Fidler S Weber J Pybus O G Klenerman P Ndung'u T Phillips R Heckerman D Harrigan P R Walker B D Takiguchi M Goulder P 2009Nature2009,458,7238:1
15The role of plants in ecologically engineered wastewater treatment systems显示文摘Susan B P John M T 1996Ecol Eng1996,6,1:1
16Desulfurization of jet fuel by π-complexation adsorption with metal halides supported on MCM-41 and SBA-15 mesoporous materials显示文摘Yuhe W Ralph T Y John M 2007Chemical engineering science2007,52,3:1
17The Impact of E-commerce on Supply Chain Relationships 显示文摘Susan L Golicic Donna F Davis Teresa M McCar-thy John T Mentzer 2002International Journal of Physical Distribution & Logistics Management2002,32,910:1
18Safety and immunogenicity of a baculovims-expressed hemagglutinin influenza vaccine: a randomized controlled trial显示文摘John J T Gillbert M S Frederick G H 2007JAMA2007,297,14:1
19Influence of lnterfacial on the Properties of PVC/Cellulosic Fiber Composites 显示文摘Laurent M Matuana Raymond T Woodhams John J Balatinecz et ol 1998Polymer Composites1998,19,4:1
20Digit ratio (2D∶4D) and physical fitness in males and females:Evidence for effects of prenatal androgens on sexually selected traits显示文摘Johannes H John T M Constanze M 2006Hormones and Behavior2006,49,4:1
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