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| 1 | 阻塞性睡眠呼吸暂停综合征的诊断及治疗显示文摘一、概述睡眠呼吸暂停的发生与呼吸控制功能异常有关,伴有睡眠呼吸暂停的疾病也很常见。在美国的威斯康星州,2%~4%的职员夜间睡眠时频发呼吸暂停,白天有中重度的嗜睡史,符合阻塞性睡眠呼吸暂停综合征(OSAS)的最低治疗标准。另外,在肥胖者及高血压、慢性阻... | Stro.,KP 韩芳 | 1998 | 中华结核和呼吸杂志1998，21，8： | 68 |
| 2 | Use of second generation contrast-enhanced ultrasound in the assessment of focal liver lesions显示文摘Ultrasound (US) is often the first imaging modality employed in patients with suspected focal liver lesions. The role of US in the characterisation of focal liver lesions has been transformed with the introduction of specific contrast media and the development of specialized imaging techniques. Ultrasound now can fully characterise the enhancement pattern of hepatic lesions, similar to that achieved with contrast enhanced multiphasic computed tomography (CT) and magnetic resonance imaging (MRI). US contrast agents are safe, well-tolerated and have very few contraindications. Furthermore, real-time evaluation of the vascularity of focal liver lesions has become possible with the use of the newer microbubble contrast agents. This article reviews the enhancement pattern of the most frequent liver lesions seen, using the second generation US contrast media. The common pitfalls for each type of lesion are discussed. The recent developments in US contrast media and specific imaging techniques have been a major advance and this technique, in view of the intrinsic advantages of US, will undoubtedly gain popularity in the years to come. | Stanislas HX Morin Adrian KP Lim eremy FL Cobbold Simon D Taylor-Robinson | 2007 | World Journal of Gastroenterology2007，13，45： | 16 |
| 3 | Proteomic analysis of roots growth and metabolic changes under phosphorus deficit in maize (Zea mays L.) plants显示文摘 | Li, KP Xu, CZ Zhang, KW Yang, AF Zhang, JR | 2007 | 中国生物学文摘2007，21，11： | 16 |
| 4 | 缺血性脑损伤机制的研究进展显示文摘在美国,中风是致死第三大因素,致残的首要因素。中风引起的脑损伤由有着复杂相互作用的多个通路引起,包括兴奋性神经毒性,酸中毒,电解质失衡,围梗死去极化,氧化和硝化应激,炎症反应和细胞凋亡。对于中风而言,现在有效的治疗途径很少。那么,探索新的治疗方法就需要对各种脑缺血损伤机制的全面了解。本文讨论基本的中风的病理生理过程,揭示治疗干预可靶向复杂通路。 | Doyle KP Simon RP Stenztl-Peore MP 王竞 杜俊蓉 | 2008 | 国际药学研究杂志2008，35，4： | 14 |
| 5 | Medically unexplained dyspnea:psychophysiological characteristics and role of breathing therapy显示文摘Background Medically unexplained dyspnea occurs commonly in medical settings and remains poorly understood. This study was conducted to investigate the psychophysiological characteristics of medically unexplained dyspnea and the efficacy of breathing retraining for these patients. Methods A group of patients with medically unexplained dyspnea were compared to patients with a variety of organic lung diseases and healthy subjects. In another group of patients,the influence of breathing therapy on complaints,anxiety, and breath-holding was evaluated for an average of 1.5 years. Results Patients with medically unexplained dyspnea reported more intense dyspnea than patients with a variety of organic lung diseases. Additionally,they were anxious and presented a broad range of symptoms in daily life and under challenge,for instance voluntary hyperventilation. More than one third of them qualified for panic disorder. They had shorter breath-holding time at rest,less increase in breath-holding time and higher chances of showing a “paradoxical” decrease of breath-holding time after hyperventilation. A combination of PaO2,forced expiratory volume in one second (FEV1),and anxiety measures distinguished them from organic dyspnea. Breathing retraining profoundly improved their symptoms and decreased the level of state and trait anxiety. Moreover,they better tolerated the voluntary hyperventilation and the symptoms induced were also markedly decreased after therapy. Breath-holding time was prolonged and PetCO2 in a representative group of patients increased. Conclusions Patients with medically unexplained dyspnea appear to have the feature of a “psychosomatic” patient: an anxious patient with a wide variety of symptoms of different organ systems that do not have an organic basis. They can be distinguished from organic dyspnea using a small set of physiological and psychological measures. Breathing retraining turns out to be an effective therapy for those “difficult to treat patients”. | 韩江娜 朱元珏 李舜伟 雒冬梅 胡征 Van Diest I De Peuter S Van de Woestijne KP Van den Bergh O | 2004 | Chinese Medical Journal2004，，1： | 10 |
| 6 | 应用RAPD分子标记识别苜蓿种群关系显示文摘应用RAPD分子标记识别苜蓿种群关系傅骏骅K.P.Pauls(中国农业科学院作物育种栽培研究所北京100081)(加拿大圭尔夫大学作物系)1990年美国J.G.K.Williams和J.Welsh等先后报道了PCR技术──随机扩增多态DNA(Rand... | Pauls,KP 傅骏骅 | 1995 | 作物杂志1995，，6： | 9 |
| 7 | 高通气综合征?还是惊恐障碍?显示文摘 | 韩江娜 R Schepers K Stegen O Van den Bergh KP Van de Woestijne | 2001 | 中华结核和呼吸杂志2001，24，9： | 9 |
| 8 | International guidelines for the management of pancreatic intraductal papillary mucinous neoplasms显示文摘The management of intraductal papillary mucinous neoplasms(IPMN) is presently evolving as a result of the improved understanding of the natural history and biological behavior of the different pancreatic cystic neoplasms; and better preoperative diagnosis of these neoplasms due to advancement in preoperative diagnostic tools. International consensus guidelines for the management of IPMN were first formulated in 2006 and subsequently revised in 2012. Both these guidelines were constructed based on expert opinion and not on robust clinical data. The main limitation of the original Sendai guidelines was that it had a low positive predictive value resulting in many benign neoplasms being resected. Hence,these guidelines were revised in 2012. However,although the updated guidelines resulted in an improvement in the positive predictive value over the Sendai Guidelines,the results of several studies validating these guidelines demonstrated that its positive predictive value remained low. Furthermore,although both guidelines were associated with high negative predictive values,several investigators have demonstrated that some malignant IPMNs may be missed. Finally,it is imperative to emphasize that major considerations when managing a patient with IPMN including the patient's surgical risk,life-expectancy and even cost of investigations are not taken into account in current guidelines. The management of a patient with IPMN should be individualized and tailored according to a patient's risk benefit profile for resection vs surveillance. | Brian KP Goh | 2015 | World Journal of Gastroenterology2015，21，34： | 8 |
| 9 | 动态肺量测定在支气管哮喘中的应用显示文摘目的探讨动态肺量测定技术在支气管哮喘中的应用。方法建立动态肺量测定技术,对20例支气管哮喘患者每天清晨、下午和入睡前连续14d动态监测气道功能、症状和情绪。结果白天标准肺功能检查结果正常的支气管哮喘患者,第一秒用力呼气量(FEV1)和最大呼气峰流量(PEF)在夜间和凌晨可出现明显下降。肺功能指标与支气管哮喘症状的相关分析发现,只有7例患者(35%)支气管哮喘症状与FEV1和PEF存在相关关系。4例患者(20%)肺功能基本正常,但有很多症状,症状与FEV1和PEF无相关关系,但与负面情绪相关。另外2例患者(10%)肺功能损害严重,但几乎没有症状。结论动态肺量测定技术能客观反映支气管哮喘患者气道功能的昼夜自然变化,因此可以更准确地反映支气管哮喘的严重程度。动态肺量测定技术结合症状和情绪的同步监测,可以帮助识别出特殊症状感觉类型的支气管哮喘患者。 | 尹小文 韩江娜 朱元珏 许文兵 KP Van de Woestijne O Van den Bergh | 2005 | 中国医学科学院学报2005，27，3： | 6 |
| 10 | D-二聚体预测稳定型冠状动脉性心脏病患者的长期病因特异性死亡率、心血管事件和癌症显示文摘交联纤维蛋白的降解产物D-二聚体是高凝状态和血栓形成事件的标志。D-二聚体水平中度升高与血管疾病患者静脉和动脉事件的风险相关。在缺血性疾病长期普伐他汀干预(long-term intervention with pravastatin in ischemic disease,LIPID)试验中,研究者在存在其他危险因素的背景下,评估了D-二聚体水平在预测长期血管转归、病因特异性死亡率和新发癌症中的作用。 | 刘青 叶鹏 Simes J Robledo KP White HD Espinoza D Stewart RA Sullivan DR Zeller T Hague W Nestel PJ Glasziou PP Keech AC Elliott J Blankenberg S Tonkin AM LIPID study investigators | 2018 | 中华高血压杂志2018，26，3： | 6 |
| 11 | 抽油杆磨损油管的预防措施显示文摘 | Mcca.,KP 冯耀忠 | 1990 | 油气田开发工程译丛1990，，4： | 6 |
| 12 | 静脉输注万古霉素的住院患者中万古霉素暴露量及其肾毒性阈值的确定显示文摘采用药时曲线下面积(AUC)进行万古霉素治疗药物监测已获证据支持,但确定AUC上限的数据有限,已发表的关于肾毒性的AUC阈值范围较广。本研究的目的是建立万古霉素AUC与肾毒性的相关性。肾毒性定义为连续血清肌酐值较基线值增加0.5 mg/L或50%。万古霉素暴露量AUC0-48、AUC0-24、AUC24-48经由贝叶斯最大后验概率估算。采用分类回归树(CART)分析发现万古霉素AUC、谷浓度(Cmin)阈值与肾毒性发生率呈正相关。CART和其他候选AUC阈值的预测性通过阳性、阴性预测值和受试者工作特征曲线(ROC)评估。 | ZASOWSKI EJ MURRAY KP TRINH TD 范亚新 刘笑芬 | 2018 | 中国感染与化疗杂志2018，18，6： | 6 |
| 13 | 超冷却车削加工显示文摘以美国布拉斯加州州林肯大学特殊加工研究中心Rajurk和Wang博士为首的课题组正致力于实用低温冷却如何应用于工厂的研究。结果超人们的想象,在某些情况下,不使用低温冷却是不切合实际的。 | Raij.,KP 孙公新 | 1999 | 国外金属加工1999，，4： | 4 |
| 14 | Imaging of liver cancer显示文摘Improvements in imaging technology allow exploitation of the dual blood supply of the liver to aid in the identif ication and characterisation of both malignant and benign liver lesions. Imaging techniques available include contrast enhanced ultrasound, computed tomography and magnetic resonance imaging. This review discusses the application of several imaging techniques in the diagnosis and staging of both hepatocellular carcinoma and cholangiocarcinoma and outlines certain characteristics of benign liver lesions. The advantages of each imaging technique are highlighted, while underscoring the potential pitfalls and limitations of each imaging modality. | Ben Ariff Claire R Lloyd Sameer Khan Mohamed Shariff Andrew V Thillainayagam Devinder S Bansi Shahid A Khan Simon D Taylor-Robinson Adrian KP Lim | 2009 | World Journal of Gastroenterology2009，15，11： | 4 |
| 15 | 肺炎球菌对抗生素的耐药性显示文摘本文综述了耐药性肺炎球菌的流行和分布、与其带菌状态及感染发生的有关因素、带菌状态的治疗及其他控制措施、耐药性的发生机理、青霉素耐药性的分子生物学研究以及肺炎球菌耐药性的检定等。参考文献共283篇,概述了这一领域内的主要研究成就。 | Klugman KP 余传霖 | 1991 | 国外医学(微生物学分册)1991，14，2： | 3 |
| 16 | Seismic performance of precast shear wall-slab connection under cyclic loading: experimental test vs. numerical analysis显示文摘The structural behaviour of precast shear wall-diaphragm connection was compared with the monolithic connection under seismic loading.The monolithic connection was made by using U-bars connecting shear wall and slab,and the precast connection was made by using dowel bars in two steps.Firstly,U-shaped dowel bars from the precast shear wall lower panel and precast slab were connected by the longitudinal reinforcement,and screed concreting was done above the precast slab.Secondly,the shear wall upper panel was connected using the dowel bar protruding from the shear wall lower panel.The gap between the dowel bars and the duct was filled with non-shrink grout.The specimens were subjected to reverse cyclic loading at the ends of the slab.This study also aimed to develop a 3-D numerical model using ABAQUS software.The non-linear properties of concrete were defined by using the concrete damaged plasticity(CDP)model to analyse the response of the structure.The precast dowel connection between the shear wall and slab showed superior performance concerning ductility,strength,stiffness and energy dissipation.The developed finite element model exactly predicted the behaviour of connections as similar to that of experimental testing in the laboratory.The average difference between the results from finite element analysis and experimental testing was less than 20%.The results point to the conclusion that the shear resistance is provided by the dowel bars and the stiffness of the precast specimen is due to the diaphragm action of the precast slab.The damage parameter and the interaction between structural members play a crucial role in the modelling of precast connections. | Arthi S Jaya KP | 2020 | Earthquake Engineering and Engineering Vibration2020，19，3： | 3 |
| 17 | 少年儿童非器质性呼吸困难34例分析显示文摘目的 总结分析 1996~ 2 0 0 2年间在北京协和医院诊断的 34例少年儿童非器质性呼吸困难病例。方法 非器质性呼吸困难的临床诊断标准 :有突出的呼吸困难 ,经过询问病史、体格检查和相关的实验室检查 ,没有心肺或其他器质性病因。结果 少年儿童非器质性呼吸困难最小发病年龄 8岁 ,13~ 16岁为高峰发病年龄 ,17岁以后发病人数明显减少。大多数为慢性病程 ,伴症状急性发作。表现为呼吸困难 ,伴随明显的过度通气、低碳酸血症的症状。少年儿童患者焦虑不明显 ,与成人形成鲜明对比。多数患儿有明显的心因性诱因 ,中学阶段学习压力大为最重要的诱因。 13例患儿接受腹式呼吸训练治疗 2~ 3个月后复查 ,呼吸困难和伴随症状得到明显改善。结论 少年儿童非器质性呼吸困难呈慢性过程 ,需要引起足够的重视 ,提高医师警觉性是正确诊断处理的关键。 | 韩江娜 朱元珏 李舜伟 雒冬梅 尹小文 陈育智 O Van den Bergh KP Van de Woestijne | 2004 | 中华儿科杂志2004，42，4： | 3 |
| 18 | 球囊压迫与射频治疗原发性三叉神经痛:一项随机对照研究显示文摘临床上有超过一半以上的三叉神经痛病人需要手术治疗,射频(radio frequency, RF)和球囊压迫(balloon compression, BC)等微创手术方法在临床上广泛应用。但关于两种手术方法的镇痛效果、并发症等方面的比较尚无正式的临床试验。该研究采用随机、双盲、头对头试验方案,评估BC和RF手术方法治疗原发性三叉神经痛的效果。病人随机分为BC组和RF组,术前和术后全程对病人进行疼痛、心理和生活质量评估,主要结果是术后6个月内的疼痛评分(0~10分)及并发症情况。研究在完成一半预估样本后,进行了预先计划的中期分析。结果显示:两组病人疼痛评分无显著性差异;同时,并发症、疼痛对日常生活的影响、神经病理性疼痛症状、情绪评分、镇痛药物使用量和生活质量评分等观察指标两组间比较均无统计学差异。唯有术后30天时点,RF组病人的面部感觉异常症状多于BC组,其他时间点无明显差异。基于以上结果,BC与RF两种手术方法的治疗效果无明显差异,根据实验设计,终止进一步研究观察。 | Sterman-Neto H Fukuda CY Duarte KP 李泓锡(译) 丁远远(译) | 2022 | 中国疼痛医学杂志2022，28，2： | 3 |
| 19 | 磺脲类的继发性失效显示文摘 | Ratz.,KP 邵丙扬 | 1992 | 德国医学1992，9，1： | 2 |
| 20 | Non-invasive splenic parameters of portal hypertension:Assessment and utility显示文摘BACKGROUND Portal hypertension is a major complication of cirrhosis that is associated with significant morbidity and mortality.The present gold-standard method to risk stratify and observe cirrhosis patients with portal hypertension is hepatic venous pressure gradient measurement or esophagogastroduodenoscopy.However,these methods are invasive,carry a risk of complications and are associated with significant patient discomfort.Therefore,non-invasive splenic parameters are of clinical interest as potential useful markers in determining the presence of portal hypertension.However,diagnostic accuracy and reproducibility remains unvalidated.AIM To assess the diagnostic accuracy of spleen stiffness,area and diameter in predicting the presence of portal hypertension.METHODS Of 50 patients with varying liver disease pathologies were prospectively recruited from the St.Mary’s Hospital Liver Unit in London;25 with evidence of portal hypertension and 25 with no evidence of portal hypertension.Liver stiffness,spleen stiffness,spleen diameter and spleen area were measured using the Philips Affiniti 70 elastography point quantification point shear wave elastography system.The aspartate aminotransferase-to-platelet-ratio-index(APRI)score was also calculated.Performance measures,univariate and multivariate logistic regression were used to evaluate demographic,clinical and elastography variables.Interclass correlation coefficient was used to determine the reproducibility of splenic area and diameter.RESULTS On univariate and individual performance,platelet count[area under the receiver operating characteristic(AUROC)0.846,P value<0.001],spleen area(AUROC 0.828,P value=0.002)and APRI score(AUROC 0.827,P value<0.001)were the most accurate variables in identifying the presence of portal hypertension.On multivariate logistic regression models constructed,the combination of spleen area greater than 57.90 cm2 and platelet count less than 126×10^9 had 63.2%sensitivity and 100%specificity,100%positive predictive value and 100%negative predictive value.An alternative combination of spleen stiffness greater than 29.99 kPa and platelet count less than 126×10^9 had 88%sensitivity,75%specificity,78.6%positive predictive value and 85.7%negative predictive value.An interclass correlation coefficient value of 0.98(95%CI:0.94-0.99,P value<0.001)and 0.96(95%CI:0.91-0.99,P value<0.001)were determined for inter-operator variability for spleen area and diameter respectively.CONCLUSION Spleen area,spleen stiffness and platelet count may be useful markers to assess the presence of portal hypertension in patients of various etiologies. | Ayesha Karim Ahmad Sebastiana Atzori James Maurice Simon D Taylor-Robinson Adrian KP Lim | 2020 | World Journal of Hepatology2020，12，11： | 2 |
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