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1Laparoscopic Partial Nephrectomy With Segmental Renal Artery Clamping:Technique and Clinical Outcomes显示文摘Background:Warm ischemic injury is one of the most important factors affecting renal function in partial nephrectomy(PN).The technique of segmental renal artery clamping emerges as an alternative to conventional renal artery clamping for renal hilar control.Objective:To evaluate the feasibility and efficiency of laparoscopic PN(LPN) with segmental renal artery clamping in comparison with the conventional technique.Design,setting,and participants:A total of 75 patients underwent LPN from June 2007 to November 2009.All patients had T1a or T1b tumor in one kidney and a normal contralateral kidney.Thirty-seven patients underwent surgeries with main renal artery clamping,and 38 underwent surgeries with segmental artery clamping.Intervention:All procedures were performed by the same laparoscopic surgeon.Measurements:Blood loss,operation time,warm ischemia(WI) time,and complications affected renal function before and after operation were recorded.Results and limitations:All LPNs were completed without conversion to open surgery or nephrectomy.The novel technique slightly increased WI time(p < 0.001) and intraoperative blood loss(p = 0.006),while it provided better postoperative affected renal function(p < 0.001) compared with the conventional technique.The total complication rate was 12%.Among the 38 cases where segmental renal artery clamping was performed,7 had to convert to the conventional method.Tumor size and location influenced the number of clamped segmental arteries.Long-term postoperative renal function is still awaited.Conclusions:LPN with segmental artery clamping is safe and feasible in clinical practice.It minimizes the intraoperative WI injury and improves early postoperative affected renal function compared with main renal artery clamping.(C) 2010 European Association of Urology.Published by Elsevier B.V.All rights reserved.Shao,P.F. Qin,C. Yin,C.J. Meng,X.X. Ju,X.B. Li,J. Lü,Q.A. Zhang,W. Xu,Z.Q.Shao,Pengfei Qin,Chao Yin,Changjun Meng,Xiaoxin Ju,Xiaobing Li,Jie Lü,Qiang Zhang,Wei Xu,Zhengquan] Nanjing Med Univ,Affiliated Hosp 1,Dept Urol,Nanjing,Peoples R China.Guangzhou Rd 300,Nanjing 210029,Peoples R China. 2011南京医科大学学报(自然科学版)2011,31,7:123
2Role of antispasmodics in the treatment of irritable bowel syndrome显示文摘Irritable bowel syndrome(IBS)is a long-lasting,relapsing disorder characterized by abdominal pain/discomfort and altered bowel habits.Intestinal motility impairment and visceral hypersensitivity are the key factors among its multifactorial pathogenesis,both of which require effective treatment.Voltage-gated calcium channels mediate smooth muscle contraction and endocrine secretion and play important roles in neuronal transmission.Antispasmodics are a group of drugs that have been used in the treatment of IBS for decades.Alverine citrate,a spasmolytic,decreases the sensitivity of smooth muscle contractile proteins to calcium,and it is a selective 5-HT1A receptor antagonist.Alverine,in combination with simethicone,has been demonstrated to effectively reduce abdominal pain and discomfort in a large placebo-controlled trial.Mebeverine is a musculotropic agent that potently blocks intestinal peristalsis.Non-placebo-controlled trials have shown positive effects of mebeverine in IBS regarding symptom control;nevertheless,in recent placebo-controlled studies,mebeverine did not exhibit superiority over placebo.Otilonium bromide is poorly absorbed from the GI tract,where it acts locally as an L-type calcium channel blocker,an antimuscarinic and a tachykinin NK2receptor antagonist.Otilonium has effectively reduced pain and improved defecation alterations in placebocontrolled trials in IBS patients.Pinaverium bromide is also an L-type calcium channel blocker that acts locally in the GI tract.Pinaverium improves motility disorders and consequently reduces stool problems in IBS patients.Phloroglucinol and trimethylphloroglucinol are non-specific antispasmodics that reduced pain in IBS patients in a placebo-controlled trial.Antispasmodics have excellent safety profiles.T-type calcium channel blockers can abolish visceral hypersensitivity in animal models,which makes them potential candidates for the development of novel therapeutic agents in the treatment of IBS.Anita Annaházi Richárd Róka András Rosztóczy Tibor Wittmann 2014World Journal of Gastroenterology2014,20,20:15
3中国的寄生性杜鹃及其宿主多样性(英文)显示文摘通过多年的调查资料、观鸟爱好者所提供的图片和文献整理,我们对多杜鹃寄生系统下的中国寄生性杜鹃及其宿主的多样性进行了系统研究。在中国分布的17种寄生性杜鹃中,迄今已发现11种杜鹃的宿主达55种,均为雀形目鸟类,隶属于15科,其中莺科、鸫科和画眉科分别占到寄生记录总数的 22.6%、20.8% 和 17.0%。大杜鹃(Cuculus canorus)的宿主种类最多(45.5%),是中国最常见、宿主多样性最丰富的寄生性杜鹃。不同种类的寄生性杜鹃的卵色不同,而且杜鹃与其宿主之间均呈现明显的卵色多态性,为典型的卵色协同进化。基于人眼观察,大杜鹃、小杜鹃(C. poliocephalus)和八声杜鹃(Cacomantis merulinus)的卵色均与其宿主高度模拟,而鹰鹃(Cuculus sparverioides)、中杜鹃(C. saturatus)和翠金鹃(Chrysococcyx maculatus)则产非模拟的卵。目前仍有6种寄生性杜鹃的宿主不详,亟待加强研究。杨灿朝 梁伟 Anton ANTONOV 蔡燕 Brd G.STOKKE Frode FOSSφY Arne MOKSNES Eivin RφSKAFT 2012Chinese Birds2012,,1:5
4Epidemiologic characteristics of Helicobacter pylori infection in southeast Hungary显示文摘BACKGROUND Epidemiologic studies have revealed a decrease in the prevalence of Helicobacter pylori(H.pylori)infection in Western Europe.AIM To obtain data regarding the prevalence of H.pylori in Csongrád and Békés Counties in Hungary,evaluate the differences in its prevalence between urban and rural areas,and establish factors associated with positive seroprevalence.METHODS One-thousand and one healthy blood donors[male/female:501/500,mean age:40(19–65)years]were enrolled in this study.Subjects were tested for H.pylori IgG antibody positivity via enzyme-linked immunosorbent assay.Subgroup analysis by age,gender,smoking habits,alcohol consumption,and urban vs nonurban residence was also performed.RESULTS The overall seropositivity of H.pylori was 32%.It was higher in males(34.93%vs 29.2%,P=0.0521)and in rural areas(36.2%vs 27.94%,P=0.0051).Agricultural/industrial workers were more likely to be positive for infection than office workers(38.35%vs 30.11%,P=0.0095)and rural subjects in Békés County than those in Csongrád County(43.36%vs 33.33%,P=0.0015).CONCLUSION Although the prevalence of H.pylori infection decreased in recent decades in Southeast Hungary,it remains high in middle-aged rural populations.Generally accepted risk factors for H.pylori positivity appeared to be valid for the studied population.Lenke Bálint Andrea Tiszai Gábor Kozák Ilona Dóczi Veronika Szekeres Orsolya Inczefi Georgina Ollé Krisztina Helle Richárd Róka András Rosztóczy 2019World Journal of Gastroenterology2019,25,42:5
5持续气道正压通气在预防阻塞性睡眠呼吸暂停患者心血管事件中的作用显示文摘阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)导致阵发性低氧血症,夜间交感神经系统激活,血压、氧化应激和炎症指标的升高以及高凝血症。较大的胸内负压波动也会给心脏和大血管施加机械应力。基于人群和睡眠诊所的队列研究显示,OSA与心脑血管事件,特别是脑卒中相关。McEvoy RD Antic NA Heeley E Luo Y Ou Q Zhang X Mediano O Chen R Drager LF Liu Z Chen G Du B McArdle N Mukherjee S Tripathi M Billot L Li Q Lorenzi-Filho G Barbe F Redline S Wang J Arima H Neal B White DP Grunstein RR Zhong N Anderson CS 练桂丽 叶鹏 2016中华高血压杂志2016,24,11:4
6Laparoscopic resection of exocrine carcinoma in central and distal pancreas results in a high rate of radical resections and long postoperative survival显示文摘Irina Pavlik Marangos Trond Buanes B?rd I. R?sok Airazat M. Kazaryan Arne R. Rosseland Krzysztof Grzyb Olaug Villanger ?ystein Mathisen Ivar P. Gladhaug Bj?rn Edwin 2012Surgery2012,,5:3
7Detection of specific polymerase chain reaction product by utilizing the 5'-3' exonuclease activity of Thermus aquaticus DNA polymerase 显示文摘Holland PM Abramson RD Watson R 1991Proc Natl Acad Sci U S A1991,88,16:3
8How should liver hypertrophy be stimulated?A comparison of upfront associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)and portal vein embolization(PVE)with rescue possibility显示文摘Background:The role of associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)in comparison to portal vein embolization(PVE)is debated.The aim of this study was to compare successful resection rates(RR)with upfront ALPPS vs.PVE with rescue ALPPS on demand and to compare the hypertrophy of the liver between ALPPS and PVE plus subsequent rescue ALPPS.Methods:A retrospective analysis of all patients treated with PVE for colorectal liver metastasis(CRLM)or ALPPS(any diagnosis,rescue ALPPS included)at five Scandinavian university hospitals during the years 2013-2016 was conducted.A Chi-square test and a Mann-Whitney U test were used to assess the difference between the groups.A successful RR was defined as liver resection without a 90-day mortality.Results:A total of 189 patients were included.Successful RR was in 84.5%of the patients with ALPPS upfront and in 73.3%of the patients with PVE and rescue ALPPS on demand(P=0.080).The hypertrophy of the future liver remnants(FLRs)with ALPPS upfront was 71%(48-97%)compared to 96%(82-113%)after PVE and rescue ALPPS(P=0.010).Conclusions:Upfront ALPPS offers a somewhat higher successful RR than PVE with rescue ALPPS on demand.The sequential combination of PVE and ALPPS leads to a higher overall degree of hypertrophy than upfront ALPPS.Ernesto Sparrelid Kristina Hasselgren Bård Ingvald Røsok Peter Nørgaard Larsen Nicolai Aagaard Schultz Ulrik Carling Eva Fallentin Stefan Gilg Per Sandström Gert Lindell Bergthor Björnsson 2021Hepatobiliary Surgery and Nutrition2021,10,1:2
9印度阿拉纹(Aravind)眼科医院1998-2008年白内障手术回顾显示文摘20世纪八十年代,白内障是印度的主要致盲原因,占近80%。印度政府因此实施了一项全国性的白内障防控计划,成功地将白内障患病率从1.49%降至1.1%,将白内障致盲率由80%降至62%。G Natchiar RD Thulasiraj R Meenakshi Sundaram 顾永昊 2009实用防盲技术2009,,2:2
10Long-Term Outcome of Laparoscopic Surgery for Pancreatic Neuroendocrine Tumors显示文摘Sven-Petter Haugvik Irina Pavlik Marangos B?rd Ingvald R?sok Ewa Pomianowska Ivar Prydz Gladhaug ?ystein Mathisen Bj?rn Edwin 2013World Journal of Surgery2013,,3:2
11INK4a gene expression and methylation in primary breast cancer: overexpression of p161NK4a messenger RNA is a marker of poor prognosis 显示文摘Hui R Macmillan RD Kenny FS 2000Clin cancer Res2000,6,7:1
12Right trisegmentectomy for hepatic neoplasms显示文摘Starzl TE Koep L J Weil R 3 rd 1980Surg Gynecol Obstet1980,150,2:1
13Variantsequence transthyretin(isoleucine 122)in late-onset Cardiac amyloidosis in black Americans显示文摘JJacobson DR Pastore RD Yaghoubian R 1997N Ensl J Med1997,336,7:1
14The nextgeneration ofnavigational technology显示文摘Sindwani R Bucholz RD 2005Otolaryngol Clin North Am2005,38,3:1
15NF-kappaB expression during cold ischemia correlates with postreperfusion graft function显示文摘RICCIARDI R KIM RD MCDADE TP 2000J Surg Res2000,93,1:1
16Amlodipine versus atenolol in essential hypertension显示文摘Fishman WH Brodyn R Brown RD 1994Am J Cardiol1994,73,3:1
17Relationship between steroid permea- bility across excited rabbit ornea and oetanol-water partition coefficients显示文摘Schoenwald RD Ward R 1978J Pharm Sci1978,67,:1
18Risk assessment in cancer pa- tients with fever and neutropenia:a prospective, two-center validation of a prediction rule 显示文摘Talcott JA Siegel RD Finberg R 1992J Clin O ncol1992,10,2:1
19Anticoagulant-free Genius haemodialysis using low molecular weight heparin-coated circuits.显示文摘Frank RD Muller U Lanzmich R 0,,:1
20Effects of chlorinated paraffins on rat liver microsomal activities and morphology显示文摘Nilsen O G Toftg?rd R Glaumann H 0,,01:1
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