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439篇 您的检索式:作者名="Keith H"
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1Cancer risk in primary sclerosing cholangitis: Epidemiology,prevention, and surveillance strategies显示文摘Primary sclerosing cholangitis(PSC) is a rare cholestatic liver disease characterized by progressive fibroinflammatory destruction of the intra-and/or extrahepatic biliary ducts. While its features and disease course can be variable,most patients with PSC have concurrent inflammatory bowel disease and will eventually develop liver cirrhosis and end-stage liver disease, with liver transplantation representing the only potentially curative option. Importantly,PSC is associated with a significantly increased risk of malignancy compared to the general population, mainly cholangiocarcinoma, gallbladder carcinoma,hepatocellular carcinoma, and colorectal cancer, with nearly 50% of deaths in patients with PSC being due to cancer. Therefore, robust surveillance strategies are needed, though uncertainty remains regarding how to best do so. In this review, we discuss the epidemiology, prevention, and surveillance of cancers in patients with PSC. Where evidence is limited, we present pragmatic approaches based on currently available data and expert opinion.Brian M Fung Keith D Lindor James H Tabibian 2019World Journal of Gastroenterology2019,25,6:15
2No difference in mortality among ALPPS,two-staged hepatectomy,and portal vein embolization/ligation:A systematic review by updated traditional and network meta-analyses显示文摘Background:There is an ongoing debate on the feasibility,safety,and oncological efficacy of the associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)technique.The aim of this study was to compare ALPPS,two-staged hepatectomy(TSH),and portal vein embolization(PVE)/ligation(PVL)using updated traditional meta-analysis and network meta-analysis(NMA).Data sources:Electronic databases were used in a systematic literature search.Updated traditional metaanalysis and NMA were performed and compared.Mortality and major morbidity were selected as primary outcomes.Results:Nineteen studies including 1200 patients were selected from the pool of 436 studies.Of these patients,315(31%)and 702(69%)underwent ALPPS and portal vein occlusion(PVO),respectively.Ninetyday mortality based on updated traditional meta-analysis,subgroup analysis of the randomized controlled trials(RCTs),and both Bayesian and frequentist NMA did not demonstrate significant differences between the ALPPS cohort and the PVE,PVL,and TSH cohorts.Moreover,analysis of RCTs did not demonstrate significant differences of major morbidity between the ALPPS and PVO cohorts.The ALPPS cohort demonstrated significantly more favorable outcomes in hypertrophy parameters,time to operation,definitive hepatectomy,and R0 margins rates compared with the PVO cohort.In contrast,1-year disease-free survival was significantly higher in the PVO cohort compared to the ALPPS cohort.Conclusions:This study is the first to use updated traditional meta-analysis and both Bayesian and frequentist NMA and demonstrated no significant differences in 90-day mortality between the ALPPS and other hepatic hypertrophy approaches.Furthermore,two high quality RCTs including 147 patients demonstrated no significant differences in major morbidity between the ALPPS and PVO cohorts.Paschalis Gavriilidis Robert P Sutcliffe Keith J Roberts Madhava Pai Duncan Spalding Nagy Habib Long R Jiao Mikael H Sodergren 2020Hepatobiliary & Pancreatic Diseases International2020,19,5:6
3Novel role of phosphodiesterase inhibitors in the management of end-stage heart failure显示文摘In advanced heart failure(HF), chronic inotropic therapy with intravenous milrinone, a phosphodiesterase Ⅲ inhibitor, is used as a bridge to advanced management that includes transplantation, ventricular assist device implantation, or palliation. This is especially true when repeated attempts to wean off inotropic support result in symptomatic hypotension, worsened symptoms, and/or progressive organ dysfunction. Unfortunately, patients in this clinical predicament are considered hemodynamically labile and may escape the benefits of guidelinedirected HF therapy. In this scenario, chronic milrinone infusion may be beneficial as a bridge to introduction of evidence based HF therapy. However, this strategy is not well studied, and in general, chronic inotropic infusion is discouraged due to potential cardiotoxicity that accelerates disease progression and proarrhythmic effects that increase sudden death. Alternatively, chronic inotropic support with milrinone infusion is a unique opportunity in advanced HF. This review discusses evidence that long-term intravenous milrinone support may allow introduction of beta blocker(BB) therapy. When used together, milrinone does not attenuate the clinical benefits of BB therapy while BB mitigates cardiotoxic effects of milrinone. In addition, BB therapy decreases the risk of adverse arrhythmias associated with milrinone. We propose that advanced HF patients who are intolerant to BB therapy may benefit from a trial of intravenous milrinone as a bridge to BB initiation. The discussed clinical scenarios demonstrate that concomitant treatment with milrinone infusion and BB therapy does not adversely impact standard HF therapy and may improve left ventricular function and morbidity associated with advanced HF.Abhishek Jaiswal Vinh Q Nguyen Thierry H Le Jemtel Keith C Ferdinand 2016World Journal of Cardiology2016,8,7:4
4光动力疗法治疗非小细胞肺癌显示文摘光动力疗法被越来越多地应用于治疗胸部恶性肿瘤。对于早期非小细胞肺癌(如支气管腔内肺癌)、X线检查阴性或同时性原发癌,光动疗法可作为主要治疗手段进行腔内根治性治疗。作为单一根治疗法,光动力疗法是治疗支气管镜可见≤1 cm且无软骨外浸润的肺部肿瘤的最有效方法。对于晚期非小细胞癌患者,光动力治疗可以作为综合根治疗法的一部分,用于减轻阻塞性支气管内病变,增加可手术性或缩小所需手术范围。本文对现有发表的应用光动力疗法治疗至少10例以上非小细胞肺癌病例的研究文献进行综述,提出了光动力疗法应用的治疗建议并进行了总结。Charles B Simone II Joseph S Friedberg Eli Glatstein James P Stevenson Daniel H Sterman Stephen M Hahn Keith A Cengel 袁光金 李金銮 朱宇熹 凌扬 2013国际病理科学与临床杂志2013,33,3:3
5Three-week neonatal hypoxia reduces blood CGRP and causes persistent pulmonary hypertension in rats 显示文摘Keith I M Tjen-A-Looi S Kraiczi H 2000Am J Physiol Heart Circ Physiol2000,279,4:2
6Esophageal lichen planus:A case report and review of the literature显示文摘Esophageal involvement by lichen planus(ELP),previously thought to be quite rare,is a disease much more common in women and frequently the initial manifestation of mucocutaneous lichen planus(LP).Considering that the symptoms of ELP do not present in a predictable manner,ELP is perhaps more under-recognized than rare.To date,four cases of squamous cell carcinoma in association with ELP have been reported,suggesting that timely and accurate diagnosis of ELP is of importance for appropriate follow-up.In this case report,a 69-year-old female presented with dysphagia and odynophagia.She reported a history of oral LP but had no active oral or skin lesions.Endoscopic examination revealed severe strictures and web-like areas in the esophagus.Histologic examination demonstratedextensive denudation of the squamous epithelium,scattered intraepithelial lymphocytes,rare eosinophils and dyskeratotic cells.Direct immunofluorescence showed rare cytoid bodies and was used to exclude other primary immunobullous disorders.By using clinical,endoscopic,and histologic data,a broad list of differential diagnoses can be narrowed,and the accurate diagnosis of ELP can be made,which is essential for proper treatment and subsequent follow-up.Jennifer A Nielsen Robert M Law Keith H Fiman Cory A Roberts 2013World Journal of Gastroenterology2013,19,14:1
7Employee performance cues in a hotel service environment: influence on perceived service quality, value, and word-of-mouth intentions显示文摘Michael D H Keith C J 1996Journal of Business Research1996,35,6:1
8Effects of soil phosphorous availability,temperature and moisture on soil respiration in Eucalyptus pauciflora forest显示文摘Keith H Jacobsen L Raison R J 1997Plant and Soil1997,190,1:1
9RolEnact:role-basedenactable models of business processes显示文摘KEITH T PETER H ROBERT J 1998Information and Soft-ware Technology1998,40,3:1
10Cloning of a delta opioid receptor by functional expression显示文摘Evans C J Keith D E Morrison H 1992Science1992,258,5090:1
11Isotopic composition and environment classification of selected limestone and fossils显示文摘Keith M H Weber J H 1964Geochemical Cosmochimica Acta1964,28,:1
12Effects of tensile loading on the properties of elastic-wave propagation in a strand显示文摘Kwun H Keith A B Hanley J J 1998Journal of the Acoustical Society of A meriea1998,103,6:1
13Characterization of inclusion complexes of betamethasone - related steroids with cy- clodextrins using high- performance liquid chromatography显示文摘Keith G F Eugene R R Nicholas H S 2000Chromatography A2000,903,12:1
14Repetition of deliberate self-half and subsequent suicide risk:long term follow-up study of 11587 patients显示文摘Daniel LZ Keith H 0,,01:1
15Effects of soil phosphorus availability, temperature and moisture on soil respiration in Eucalyptus pauciflora forest显示文摘KEITH H JACOBSEN K L RAISON R J 1997Plant and Soil1997,190,1:1
16Managing temperate forests for carbon storage:impacts of logging versus forest protection on carbon stocks显示文摘Keith H Lindenmayer D Mackey B 2014Ecosphere2014,5,6:1
17A randomized, pharmacokinetic and pharmacodynamic, cross-over study of duodenal or jejunal administration compared to nasogastric administration of omeprazole suspension in patients at risk for stress ulcers显示文摘Jeffrey O Phillips Keith M Olsen Jill A Rebuck Nick J Rangnekar Brent W Miedema Michael H Metzler 2001The American Journal of Gastroenterology2001,,:1
18Precision SAR processing using chirp scaling显示文摘R Keith Raney H Runge Richard Bamler 1994IEEE Transactions on Geosciences and Remote Sensing1994,32,4:1
19Revisions to the ORNL series of adult and pediatric computational phantoms for use with the MIRD schema显示文摘EUN Y H WESLEY E B KEITH F E 2006Health Phys2006,90,:1
20Employee performance cues in a hotelservice environment:influence on perceived service quality,value,and word-of-mouth intentions显示文摘Michael D H Keith C J 1996Journal of Business Research1996,35,6:1
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