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| 1 | Changing spectrum of Budd-Chiari syndrome in India with special reference to non-surgical treatment显示文摘AIM: To evaluate patterns of obstruction, etiological spectrum and non-surgical treatment in patients with Budd-Chiari syndrome in India.METHODS: Forty-nine consecutive cases of Budd-Chiari syndrome (BCS) were prospectively evaluated. All patients with refractory ascites or deteriorating liver function were, depending on morphology of inferior vena cava (IVC) and/or hepatic vein (HV) obstruction, triaged for radiological intervention, in addition to anticoagulation therapy. Asymptomatic patients, patients with diuretic-responsive ascites and stable liver function, and patients unwilling for surgical intervention were treated symptomatically with anticoagulation.RESULTS: Mean duration of symptoms was 41.5 ± 11.2 (range = 1-240) mo. HV thrombosis (HVT) was present in 29 (59.1%), IVC thrombosis in eight (16.3%), membranous obstruction of IVC in two (4%) and both IVC-HV thrombosis in 10 (20.4%) cases. Of 35 cases tested for hypercoagulability, 27 (77.1%) were positive for one or more hypercoagulable states. Radiological intervention was technically successful in 37/38 (97.3%): IVC stenting in seven (18.9%), IVC balloon angioplasty in two (5.4%), combined IVC-HV stenting in two (5.4%), HV stenting in 11 (29.7%), transjugular intrahepatic portosystemic shunt (TIPS) in 13 (35.1%) and combined TIPS-IVC stenting in two (5.4%). Complications encountered in follow-up: death in five, re-stenosis of the stent in five (17.1%), hepatic encephalopathy in two and hepatocellular carcinoma in one patient. Of nine patients treated medically, two showed complete resolution of HVT.CONCLUSION: In our series, HVT was the predominant cause of BCS. In the last five years with the availability of sophisticated tests for hypercoagulability, etiologies weredefined in 85.7% of cases. Non-surgical management was successful in most cases. | Deepak N Amarapurkar Sundeep J Punamiya Nikhil D Patel | 2008 | World Journal of Gastroenterology2008,14,2: | 9 |
| 2 | Current and future applications of magnetic resonance imaging and spectroscopy of the brain in hepatic encepha-lopathy显示文摘肝的脑病(他) 普通 neuro 精神病学的畸形,它从肝细胞失败或 portosystemic 与肝疾病和结果复杂化病人的功课正在推延。表明他是广泛地可变的并且从温和无临床症状的骚乱包含一个系列到深昏迷。研究兴趣集中于传播导出勇气的毒素的角色,特别地氨,胀大的大脑的开发和在导致全球 CNS 消沉和混乱功能的服的 neurotransmitter 系统的变化。直到最近,服的功能的直接调查有在人是困难的。然而,当磁性的回声光谱学( 1H 太太)检测的质子在大脑生物化学变化时,新磁性的回声成像( MRI )技术在大脑体积( coregistered MRI )和损害大脑功能( fMRI )提供对变化的评价的一个非侵略的工具,包括服的 osmolytes 的直接测量,例如 myoinositol ,充斥管理对细胞的动态平衡内在的过程的使挫折和夫酸安,包括细胞内部的水的累积。这些细胞内部的 osmolytes 的集中与 hyperammonaemia 改变。有 neuropsychiatric 缺陷并且自从先生系列的严厉的检测太太的代谢物畸形相互关联向正常术后疗法回来,技术可能具有在客观耐心的监视并且在估计各种各样的治疗政体的有效性的使用。 | VP Bob Graver M Alex Dresner Daniel M Forton Serena Counsell David J Larkman Nayna Patel Howard C Thomas Simon D Taylor-Robinson | 2006 | World Journal of Gastroenterology2006,12,19: | 8 |
| 3 | 固定低剂量三联抗高血压药物与常规治疗对斯里兰卡轻度至中度高血压患者血压控制的疗效差异:一项随机临床试验显示文摘控制不良的高血压是全球领先的公共卫生问题,需要新的治疗策略。该研究评估低剂量三联抗高血压药物治疗是否能达到比常规治疗更好的血压控制。研究者纳入2016年2月至2017年5月在斯里兰卡11所城市医院诊所就诊的需要开始抗高血压治疗(未治疗的患者)或接受单药治疗的患者,进行低剂量三联降压与常规治疗比较的随机、开放性试验,随访至2017年10月。 | Web-ster R Salam A de Silva HA Selak V Stepien S Rajapakse S Amarasekara S Amarasena N Billot L de Silva AP Fernando M Guggilla R Jan S Jayawardena J Maulik PK Mendis S Munasinghe J Naik N Prabhakaran D Ranasinghe G Thom S Tisserra N Senaratne V Wijekoon S Wijeyasingam S Rodgers A Patel A 刘莉 叶鹏 | 2018 | 中华高血压杂志2018,26,12: | 7 |
| 4 | Role of microbubble ultrasound contrast agents in the non-invasive assessment of chronic hepatitis C-related liver disease显示文摘长期地感染丙肝病毒的病人经常得长期的肝疾病,对肝损伤的严厉的评价在认为病毒的根除是治疗以前被要求。这篇文章检验从标准答案肝活体检视当前可得到的各种各样的评价方法到血清学的标记和成像。超声是在临床的实践的最广泛地使用的成像形式之一并且已经是为肝疾病的一个首要的诊断工具。Microbubble 超声对比代理人允许更高的分辨率要获得的图象和对要执行的微脉管的变化的功能的评价。在确定的这些代理人的角色肝的损害的状态作为与丙肝在病人决定肝疾病的阶段和等级的一个可行方法被讨论。尽管当前限制了到专家中心,提高对比的超声将不可避免地在临床的背景增加的微水泡的可获得性。 | Scott Grier Adrian KP Lim Nayna Patel Jeremy FL Cobbold Howard C Thomas Isobel J Cox Simon D Taylor-Robinson | 2006 | World Journal of Gastroenterology2006,12,22: | 2 |
| 5 | Fusion neutron and ion emission from deuterium and deuterated methane cluster plasmas显示文摘 | K W Madison P K Patel D Price A Edens, M Allen, T E Cowan, J Zweiback, T Ditmire | | 0,,: | 2 |
| 6 | Clustering sensors in wireless ad hoe networks operating in a threat environment显示文摘 | Patel D J Batta R Nagi R | 2005 | Operations Research2005,53,3: | 1 |
| 7 | A Novel Approach To Investigate the Uptake and Internalization of Escherichia coli O157:H7 in Spinach Cultivated in Soil and Hydroponic Medium 显示文摘 | Sharma M Ingram D T Patel J R | 2009 | J Food Protection2009,72,7: | 1 |
| 8 | Activation of peroxisome proliferator-activated receptors in human airway smooth muscle cells has a superior anti-inflammatory profile to corticosteroids: relevance for chronic obstructive pulmonary disease therapy 显示文摘 | Patel H J Belvisi MG Bishop-Bailey D | 2003 | J Immunol2003,170,5: | 1 |
| 9 | The Incidence of Venous Throm- boembolism (VTE)-Mter Hip Arthroscopy显示文摘 | Alaia M J Patel D Levy A | 2014 | Bull Hosp Jt Dis2014,72,2: | 1 |
| 10 | Walking the tight-rope : An assessment of the relationship between high performance work systems and organizational ambidexterity in high-tecb SMEs 显示文摘 | PATEL P MESSERSMITH J LEPAK D | 2013 | Academy of Management Journal2013,56,5: | 1 |
| 11 | Studies on the GH/SL gene family: cloning of African lungfish ( Protopterus annectens )growth hormone and somatolactin and Toad (Bufo mar/nus ) growth hormone 显示文摘 | May D Alrubaian J Patel S | 1999 | Gen Comp Endocrinol1999,113,: | 1 |
| 12 | Electrically tunable optical filter for infrared wavdength using liquid crystals in a FabryPemt etalon显示文摘 | Saifi M A Berreman D W | 1990 | Appl Phys Lett1990,57,17: | 1 |
| 13 | Van- comycin-resistant Staphylococcus aureus in the United States, 2002-2006 显示文摘 | SIEVERT D M RUDRIK J T PATEL J B | 2008 | Clin Infect Dis2008,,5: | 1 |
| 14 | Cardiac T2* Magnetic Resonance for Prediction of Cardiac Complications in Thalassemia Major显示文摘 | P Kirk M Roughton J B. Porter J M. Walker M A. Tanner J Patel D Wu J Taylor M A. Westwood L J. Anderson D J. Pennell | 2009 | Circulation2009,,20: | 1 |
| 15 | Cell signaling by reactive nitrogen and oxygen species in atherosclerosis 显示文摘 | Moellering D Murphy-Ullrich J | 2000 | Free Radic Biol Med2000,28,: | 1 |
| 16 | Adaptive recognition by nucleic acidaptamers显示文摘 | Hermann T Patel D -J | 2000 | Science2000,287,: | 1 |
| 17 | CT-guided lung biopsy:factors influencing diagnostic yield and complication rate 显示文摘 | Anderson JM Murchison J Patel D | 2003 | Clin Radiol2003,58,: | 1 |
| 18 | Fastdissolving films (FDFs) as a newer venture in fast dissolvingdosage forms 显示文摘 | Patel A R Prajapati D S Raval J A | 2010 | lnt J Drug Dev Res2010,2,2: | 1 |
| 19 | Relationship between interdialytic weight gain and blood pressure among pre-alent hemodialysis patients显示文摘 | Inrig J K Patel U D Gillespie B S | 2007 | Am J Kidney Dis2007,50,1: | 1 |
| 20 | Measurement of gas holdup and mean bubble diameter in bubble column reactors by dynamic gas disengagement method显示文摘 | Daly J G Patel S A Bukur D B | | 0,,13: | 1 |