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Does an association exist between chronic pancreatitis and liver cirrhosis in alcoholic subjects?

World Journal of Gastroenterology 2008年第40期14卷 6171-6179页

作者： Luis Aparisi Luis Sabater Juan Del-Olmo Juan Sastre miguel-angel serra Ricardo Campello Daniel Bautista Abdalla Wassel José-Manuel Rodrigo Liver Unit Universitary Clinic Hospital Department of Surgery Universitary Clinic Hospital Department of Physiology University of Valencia Unit of Psiquiatry Servicio Valenciano de SaludValencia 46010Spain Department of Preventive Medicine Hospital Dr.Peset

AIM: To study the possible association between chronic pancreatitis (CP) and liver cirrhosis (LC) of alcoholic etiology,after excluding any other ***: One hundred and forty consecutive alcoholic patients were subdivided into three groups: CP (n = 53),LC (n = 57),and asymptomatic alcoholic (n = 30).Clinical,biochemical and morphological characteristics,Child-Pugh index,indocyanine green test,and fecal pancreatic elastase-1 test were ***: In patients with cirrhosis,major clinical manifestations of CP such as pancreatic pain and steatorrhea,as well as imaging alterations of CP such as calcifications,duct dilation and pseudocysts were absent; insulin-dependent diabetes was present in 5.3% of cases,and elastase-1 test was altered in only 7%,and severely altered in *** patients with CP,clinical characteristics of cirrhosis such as ascites,encephalopathy and gastrointestinal hemorrhage were present in one case,Child-Pugh grade > A in 5.7%,and altered indocyanine green test in 1.9% *** asymptomatic alcoholism,there was only a non-coincident alteration of elastase-1 test and indocyanine test in 14.8% and 10%,respectively,but other characteristics of cirrhosis or CP were *** inverse correlation (r = -0.746) between elastase-1 test and indocyanine test was found in alcoholic ***: There is a scarce coincidence in clinical and morphological alterations among patients with CP or LC of alcoholic etiology,but an inverse correlation between pancreatic and liver function *** findings support that these alcoholic diseases evolve in a different manner and have different etiopathogenesis.

关键词： Alcoholic chronic pancreatitis Alcoholicliver cirrhosis Alcoholism Pancreatic function Hepaticfunction

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Effectiveness and safety of first-generation protease inhibitors in clinical practice:Hepatitis C virus patients with advanced fibrosis

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World Journal of Gastroenterology 2015年第30期21卷 9163-9174页

作者： Javier Salmeron Carmen Vinaixa Ruben Berenguer Juan Manuel Pascasio Juan Jose Sanchez Ruano miguel angel serra Ana Gila Moises Diago Manuel Romero-Gomez Jose Maria Navarro Milagros Testillano Conrado Fernandez Dolores Espinosa Isabel Carmona Jose Antonio Pons Francisco Jorquera Francisco Javier Rodriguez Ramon Perez Jose Luis Montero Rafael Granados miguel Fernandez Ana Belen Martin Paloma Munoz de Rueda Rosa Quiles CIBERehd Instituto de Salud Carlos Ⅲ28029 MadridSpain Unit for Clinical Management of Digestive Diseases Complejo Hospitalario Universitario de Granada Instituto de Investigacion Biosanitaria de Granada University Hospital Politecnico La Fe Unit for Clinical Management of Digestive Diseases University Hospital Virgen Del Rocio Hospital Toledo University Clinic Hospital of Valencia University General Hospital of Valencia Unit for Clinical Management of Digestive Diseases University Hospital Nuestra Senora de Valme Department of Gastroenterology and Hepatology Agencia Sanitaria Costa del Sol University Hospital Cruces Gastroenterology Unit University Hospital Fundacion Alcorcon University Hospital Virgen Macarena University Hospital Virgen de la Arrixaca Hospital of Leon University General Hospital Reina Sofia Department Gastroenterology and Hepatology University Hospital Central de Asturias University Hospital Reina Sofia University Hospital De Gran Canaria Dr. Negrin Hospital San Pedro de Alcantara

AIM:To evaluates the effectiveness and safety of the first generation,NS3/4A protease inhibitors(PIs) in clinical practice against chronic C virus,especially in patients with advanced fibrosis. METHODS:Prospective study and non-experimental analysis of a multicentre cohort of 38 Spanish hospitals that includes patients with chronic hepatitis C genotype 1,treatment-na?ve(TN) or treatment-experienced(TE),who underwent triple therapy with the first generation NS3/4A protease inhibitors,boceprevir(BOC) and telaprevir(TVR),in combination with pegylated interferon and ribavirin. The patients were treatment in routine practice settings. Data on the study population and on adverse clinical and virologic effects were compiled during the treatment period and during follow ***:One thousand and fifty seven patients were included,405(38%) were treated with BOC and 652(62%) with TVR. Of this total,30%(n = 319) were TN and the remaining were TE:28%(n = 298) relapsers,12%(n = 123) partial responders(PR),25%(n = 260) null-responders(NR) and for 5%(n = 57) with prior response unknown. The rate of sustained virologic response(SVR) by intention-to-treatment(ITT) was greater in those treated with TVR(65%) than in those treated with BOC(52%)(P < 0.0001),whereas by modified intention-to-treatment(m ITT) no were found significant differences. By degree of fibrosis,56% of patients were F4 and the highest SVR rates were recorded in the non-F4 patients,both TN and TE. In the analysis by groups,the TN patients treated with TVR by ITT showed a higher SVR(P = 0.005). However,by m ITT there were no significant differences between BOC and TVR. In the multivariate analysis by m ITT,the significant SVR factors were relapsers,IL28 B CC and non-F4; the type of treatment(BOC or TVR) was not significant. The lowest SVR values were presented by the F4-NR patients,treated with BOC(46%) or with TVR(45%). 28% of the patients interrupted the treatment,mainly by non-viral response(51%):this outcome was

关键词： Hepatitis C Boceprevir Telaprevir First-generation protease inhibitors Advanced fibrosis

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Biometric and ICL-related risk factors associated to sub-optimal vaults in eyes implanted with implantable collamer lenses

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Eye and Vision 2021年第5期8卷 253-262页

作者： Santiago Cerpa Manito angel Sánchez Trancón Oscar Torrado Sierra António Manuel Baptista Pedro miguel serra Research and Development Department Ophthalmology Clinic Vista Sánchez TrancónBuilding TecnolaserRoom 14 Calle La Violeta06005 BadajozSpain Center of Physics University of MinhoBragaPortugal Optics and Optometry Department Instituto Superior de Educação e CiênciasLisbonPortugal

Background:To identify biometric and implantable collamer lens(ICL)-related risk factors associated with suboptimal postoperative vault in eyes implanted with phakic ***:This study reports a retrospective case series of the first operated eye in 360 patients implanted with myopic spherical or toric ***,white-to-white(WTW),central keratometry(Kc)and central corneal thickness(CCT)were measured using the ***-segment optical coherence tomography(AS-OCT,Visante)was applied preoperatively for measuring the horizontal anterior-chamber angle-to-angle distance(ATA),internal anterior chamber depth(ACD),crystalline lens rise(CLR),anterior-chamber angle(ACA)and postoperatively the *** were divided into three vault groups:low(LVG:≤250μm),optimal(OVG:>250 and<1000μm)and high(HVG:≥1000μm).Multinomial logistic regression(MLR)was used to find the sub-optimal vault ***:MLR showed that CLR,ICL size minus the ATA(ICL size-ATA),age,ICL spherical equivalent(ICLSE)and ICL size as contributing factors for sub-optimal vaults(pseudo-R2=0.40).Increased CLR(OR:1.01,CI:1.00-1.01)and less myopic ICLSE(OR:1.22,CI:1.07-1.40)were risk factors for low *** ICL size-ATA(OR:41.29,CI:10.57-161.22)and the 13.7mm ICL(OR:7.08,CI:3.16-15.89)were risk factors for high vaults,whereas less myopic ICLSE(OR:0.85,CI:0.76-0.95)and older age(OR:0.92,CI:0.88-0.98)were protective ***:High CLR and low ICLSE were the major risk factors in eyes presenting low *** the opposite direction,ICL size-ATA was the major contributor for high *** relationship was more critical in higher myopic ICLSE,younger eyes and when 13.7mm ICL were *** findings show that factors influencing the vault have differentiated weight of influence depending on the type of vault(low,optimal or high).

关键词： Implantable collamer lens Refractive surgery Vault Risk factors

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Catatonia in older adults:A systematic review

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World Journal of Psychiatry 2022年第2期12卷 348-367页

作者： Walter Jaimes-Albornoz angel Ruiz de Pellon-Santamaria Ayar Nizama-Vía Marco Isetta Ines Albajar Jordi serra-Mestres Psychiatry Service Hospital Universitario DonostiaBasque Health Service-OsakidetzaSan Sebastian 20014GipuzkoaSpain Psychiatry Service“Virgen del Cisne”Mental Health Community Center Regional Health DirectorateTumbes 24002Peru Library and Knowledge Services Central&North West London NHS Foundation TrustSt Charles’HospitalLondon W106DZUnited Kingdom Neurology Service Hospital Universitario DonostiaBasque Health Service-OsakidetzaSan Sebastian 20014GipuzkoaSpain Old Age Psychiatry Service Cardinal ClinicWindsor SL45ULUnited Kingdom

BACKGROUND Catatonia is a complex psychomotor syndrome that often goes unrecognized and untreated,even though its classification has evolved in recent *** and correct identification of catatonia allows for highly effective treatment and prevention of possible *** underrecognition of catatonia in older patients is also frequent,and research in this population is *** To conduct a systematic review of the literature on catatonia in older people to ascertain its clinical characteristics across *** Following the PRISMA guidelines,MEDLINE,EMBASE,and PsycINFO databases were searched from inception to December 2021,with a strategy aimed at identifying all articles published on catatonia in older *** and abstracts were scanned and selected independently by two *** investigating issues related to catatonia and/or catatonic symptoms in older people,with English abstracts available,were *** of selected articles were revised to identify other relevant *** In total,1355 articles were *** removing duplicates,879 *** the 879 identified abstracts,669 were excluded because they did not meet the inclusion criteria.A total of 210 articles underwent full text review,and 51 were eliminated for various *** more articles were selected from the ***,173 articles were reviewed:108 case reports,35 case series,11 prospective cohort studies,6 case-control studies,3 retrospective cohort studies and 10 *** found several particular aspects of catatonia in this *** in older patients is highly prevalent and tends to have a multifactorial *** patients,compared to younger patients,have a higher risk of developing catatonia with benzodiazepine(BZD)withdrawal,in bipolar disorder,and in the general ***,together with other risk factors,was significantly associated with the incidence of deep venous thrombosis,neuroleptic malig

关键词： Catatonia Older adults Etiology Phenomenology Prevalence Treatment

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