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WONCA研究论文摘要汇编(八)——消化道溃疡出血继续用低剂量阿司匹林:随机试验

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中国全科医学 2010年第10期13卷 1108-1108页

作者： Joseph J.y.Sung James y.W.lau jessica y.l.ching 周淑新中国石油中心医院

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消化道溃疡出血继续用低剂量阿司匹林

中国全科医学 2010年第26期13卷 2915-2915页

作者： Joseph J.y.Sung James y.W.lau jessica y.l.ching 周淑新中国石油中心医院

背景对接受低剂量阿司匹林治疗发生消化道溃疡出血患者,采取内镜下止血治疗后是否应继续使用阿司匹林。目的检验内镜下控制溃疡出血后继续采用阿司匹林与质子泵抑制剂联合治疗并不劣于停用阿司匹林治疗,基于患心血管或脑血管病的成年复... 详细信息

背景对接受低剂量阿司匹林治疗发生消化道溃疡出血患者,采取内镜下止血治疗后是否应继续使用阿司匹林。目的检验内镜下控制溃疡出血后继续采用阿司匹林与质子泵抑制剂联合治疗并不劣于停用阿司匹林治疗,基于患心血管或脑血管病的成年复发性溃疡出血的患者。设计平行随机安慰剂对照试验。试验中患者和临床医生对指定的治疗双盲,从2003—2006年,将计算机生成的编号密封。设施一家三级内镜中心。患者接受低剂量阿司匹林的消化道溃疡出血者。干预78例患者接受阿司匹林80mg/d,78例接受安慰剂8周,立即采取内镜治疗。所有患者输注泮托拉唑(pantoprazole)治疗72h,接着口服泮托拉唑。对所有患者进行跟踪随访。测量初级终点为用内镜确定30日内再发溃疡出血。次极终点为8周内所有原因和特发原因所致的死亡率。结果 56例患者纳入治疗意向分析。3例在做跟踪前退出了试验。阿司匹林组30日内再发溃疡出血的发生率为10.3%,安慰剂组为5.4%〔相差4.9%,95%CI(3.6%～13.4%)〕,所有原因死亡率,接受阿司匹林治疗的患者比用安慰剂的患者要低〔1.3%vs12.9%;相差11.6%,95%CI(3.7%～19.5%)〕。与安慰剂组患者比较,将阿司匹林组患者死亡率较低的原因归因于心血管、脑血管或胃肠道并发症较少〔1.3%vs10.3%,相差9%,95%CI(1.7%～16.3%)〕。局限性样本量相对较小;仅做了低剂量阿司匹林80mg;安慰剂组有2例再发出血患者未做进一步内镜检查。结论接受低剂量阿司匹林治疗者发生消化道溃疡性出血后,继续用阿司匹林治疗可增加再发出血的风险,但有可能减少死亡率。证实这些发现还需做大量的实验研究。

关键词：消化道溃疡出血剂量阿司匹林内镜下止血治疗随机安慰剂出血患者质子泵抑制剂对照试验胃肠道并发症

Multiple sclerosis is at a checkpoint: advancing the program

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Neural Regeneration Research 2025年第3期20卷 811-812页

作者： Brandon C.Smith jessica l.Williams Department of Neurosciences Lerner Research InstituteCleveland ClinicClevelandOHUSA Department of Biological Geologicaland Environmental SciencesCleveland State UniversityClevelandOHUSA

Multiple sclerosis(MS) is a chronic inflammatory and demyelinating disease of the central nervous system(CNS). Patients with MS experience sensory and motor function loss due to myelin and/or axon damage perpetuated b... 详细信息

关键词： Hauser sclerosis damage

Circadian rhythms in liver metabolism and disease

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Acta Pharmaceutica Sinica B 2015年第2期5卷 113-122页

作者： jessica M.Ferrell John y.l.Chiang Department of Integrative Medical Sciences Northeast Ohio Medical University

Mounting research evidence demonstrates a significant negative impact of circadian disruption on human health. Shift work, chronic jet lag and sleep disturbances are associated with increased incidence of metabolic syndrome, and consequently result in obesity, type 2 diabetes and ***, these associations are reviewed with respect to liver metabolism and disease.

关键词： Circadian rhythm liver Metabolic syndrome Type 2 diabetes

COVID-19:Reducing the risk via diet and lifestyle

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Journal of Integrative Medicine 2023年第1期21卷 1-16页

作者： jessica l.Campbell 160 Goat Island Road LeighAuckland 0985New Zealand

This review shows that relatively simple changes to diet and lifestyle can significantly,and rapidly,reduce the risks associated with coronavirus disease 2019(COVID-19)in terms of infection risk,severity of disease,and even disease-related mortality.A wide range of interventions including regular exercise,adequate sleep,plant-based diets,maintenance of healthy weight,dietary supplementation,and time in nature have each been shown to have beneficial effects for supporting more positive health outcomes with COVID-19,in addition to promoting better overall *** paper brings together literature from these areas and presents the argument that non-pharmaceutical approaches should not be overlooked in our response to *** is noted that,in several cases,interventions discussed result in risk reductions equivalent to,or even greater than,those associated with currently available *** the balance of evidence suggests benefits,and the risk is minimal to none,it is suggested that communicating the power of individual actions to the public becomes morally ***,many lives could be saved,and many harms from the vaccine mandates avoided,if we were willing to embrace this lifestyle-centred approach in our efforts to deal with COVID-19.

关键词： COVID-19 SARS-CoV-2 Exercise Sleep Diet Risk reduction behaviour

Bile acid receptors and signaling crosstalk in the liver, gut and brain

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liver Research 2021年第3期5卷 105-118页

作者： jessica M.Ferrell John y.l.Chiang Integrative Medical Sciences Northeast Ohio Medical UniversityRootstownOHUSA

Bile acids are physiological detergents derived from cholesterol that aid in digestion and nutrient ab-sorption,and they play roles in glucose,lipid,and energy metabolism and in gut microbiome and metabolic *** acids mediate crosstalk between the liver and gut through bactericidal modulation of the gut microbiome,while gut microbes influence the composition of the circulating bile acid *** research indicates bile acids may also be important mediators of neurological disease by acting as peripheral signaling molecules that activate bile acid receptors in the blood-brain barrier and in the brain *** review highlights the role of bile acids in maintaining liver and gut microbe homeostasis,as well as their function as mediators of cellular signaling in the liver-gut-brain axis.

关键词： Bile acid metabolism Farnesoid X receptor(FXR) Gut-brain axis Microbiome Neurodegenerative disease Takeda G protein-coupled receptor(TGR5)

Up to date on cholesterol 7 alpha-hydroxylase (CyP7A1) in bile acid synthesis

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liver Research 2020年第2期4卷 47-63页

作者： John y.l.Chiang jessica M.Ferrell Department of Integrative Medical Sciences Northeast Ohio Medical UniversityRootstownOHUSA

Cholesterol 7 alpha-hydroxylase(CyP7A1,EC1.14)is the first and rate-limiting enzyme in the classic bile acid synthesis *** progress has been made in understanding the transcriptional regulation of CyP7A1 gene expression and the underlying molecular mechanisms of bile acid feedback regulation of CyP7A1 and bile acid synthesis in the last three *** of bile acid-activated receptors and their roles in the regulation of lipid,glucose and energy metabolism have been translated to the development of bile acid-based drug therapies for the treatment of liver-related metabolic diseases such as alcoholic and non-alcoholic fatty liver diseases,liver cirrhosis,diabetes,obesity and hepatocellular *** review will provide an update on the advances in our understanding of the molecular biology and mechanistic insights of the regulation of CyP7A1 in bile acid synthesis in the last 40 years.

关键词： Cholesterol 7 alpha-hydroxylase(CyP7A1) Bile acid metabolism Farnesoid X receptor(FXR) Takeda G protein-coupled receptor 5(TGR5) Bile acid receptors liver metabolism

lingo-1: a novel target in therapy for Alzheimer's disease?

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Neural Regeneration Research 2016年第1期11卷 88-89页

作者： Francesca Fernandez-Enright jessica l.Andrews Illawarra Health and Medical Research Institute Centre for Medical and Molecular Bioscience Faculty of Science Medicine and Health University of Wollongong School of Psychology Faculty of Social Sciences University of Wollongong

Unraveling the causes underlying Alzheimer’s disease（AD）is certainly one of the greatest challenges of this century for *** advances in medicine and technology,the world is experiencing a demographic shift towards a growing elderly *** this increasingly ageing population,the number of individuals being affected by AD is *** has a significant negative impact on the lives of the individuals with the disorder,as well as creating a significant social andeconomic burden for society.

关键词： lives advances neuronal demographic challenges elderly creating amyloid underlying processed

The hydrologic record of karst systems: linking soil moisture to the carbon isotope signatures of soils above the Blue Spring cave system

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Acta Geochimica 2017年第3期36卷 392-395页

作者： yuchen liu jessica l.Oster Jennifer l.Druhan Department of Geology University of Illinois Urbana Champaign Department of Earth and Environmental Science Vanderbilt University

Speleothem carbonates are precipitated continuously from inorganic carbon dissolved in seepage water infiltrating from the land surface,that reflects a mixture of atmospheric CO_2,respired soil carbon,and epikarst sources,each with distinct δ^(13)C *** aid in deconvolving these signatures,soil samples were collected above the Blue Spring cave system in Sparta,Tennessee,USA and subjected to a series of incubation experiments,in order to constrain the correlation between CO_2respiration rates and soil *** relationship is used to parameterize a simple mixing model which predicts the relationship between δ^(13)C and soil moisture in fluids infiltrating into the underlying cave system.

关键词： Speleothem δ^13C CO2 respiration Soil moisture