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世界核心医学期刊文摘（胃肠病学分册） 2006年第4期2卷 42-42页

作者： Albert J.G Martiny F Krummenerl A. w.e. fleig 郑世成 First Department of Medicine Martin-Luther-University Hospital and Clinics D-06097Halle (Saale) GermanyDr.

Background and aims: The diagnostic yield of capsule endoscopy (Ce) compared with magnetic resonance imaging (MRI) in small bowel Crohn‘s disease is not well established. we prospectively investigated Ce, MRI, and double contrast fluoroscopy in patients with suspected small bowel Crohn‘s disease. Methods: Fifty two consecutive patients (39 females, 13 males) were investigated by MRI, fluorosco py and if bowel obstruction could be excluded-by Ce. In 25, Crohn‘s disease wa s newly suspected while the diagnosis of Crohn‘s disease (non-small bowel) had been previously established in 27. Results: Small bowel Crohn‘s disease was di agnosed in 41 of 52 patients (79%). Ce was not accomplished in 14 patients due to bowel strictures. Of the remaining 27 patients, Ce, MRI, and fluoroscopy dete cted small bowel Crohn‘s disease in 25 (93%), 21 (78%), and 7 (of 21; 33%) c ases, respectively. Ce was the only diagnostic tool in four patients. Ce was sli ghtly more sensitive than MRI (12 v 10 of 13 in suspected Crohn‘s disease and 1 3 v 11 of 14 in established Crohn‘s disease). MRI detected inflammatory conglom erates and enteric fistulae in three and two cases, respectively. Conclusion: Ce and MRI are complementary methods for diagnosing small bowel Crohn‘s disease. Ce is capable of detecting limited mucosal lesions that may be missed by MRI, bu t awareness of bowel obstruction is mandatory. In contrast, MRI is helpful in id entifying transmural Crohn‘s disease and extraluminal lesions, and may exclude strictures.

关键词：克罗恩病胶囊内镜磁共振成像透视检查黏膜病变诊断方法

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Diversity and Structure of Miombo woodlands in Mozambique Using a Range of Sampling Sizes

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Journal of Agricultural Science and Technology(B) 2015年第10期5卷 679-690页

作者： Noe dos Santos Ananias Hofigo Frederico Dimas fleig Department of Forest engineering Faculty of Agronomic Engineering and Forestry Zambeze University P.O. Box 49 MocubaDistrict Zamb~zia Province Mozambique Department of Forest Sciences Centre of Rural Sciences Federal University of Santa Maria Santa Maria Rio Grande do SulP.O. Box 97105-900 Brazil

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上消化道出血的内镜治疗

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德国医学 2001年第4期18卷 215-217页

作者： w.e.fleig e.Lotterer G.Kleber G.Hübner 姚辉 Klinik 武汉市儿童医院

尽管通过幽门螺杆菌的根治降低了消化性溃疡及其并发症的发生率,但和从前一样,上消化道出血仍是最常见的胃肠急症.90年代初美国的回顾性研究显示其发病率为30～102/10万,从30～90年代间提高了30倍,男性发病率是女性的2倍,90%以上的出血... 详细信息

尽管通过幽门螺杆菌的根治降低了消化性溃疡及其并发症的发生率,但和从前一样,上消化道出血仍是最常见的胃肠急症.90年代初美国的回顾性研究显示其发病率为30～102/10万,从30～90年代间提高了30倍,男性发病率是女性的2倍,90%以上的出血发生在院外.英国的发病率为103～170/10万.在德国引起上消化道出血的原因这些年来变化不大,在最近发表的多中心研究中,1?139例上消化道出血的出血原因是:十二指肠溃疡27%、胃溃疡24%、胃食管静脉曲张19%、胃十二指肠粘膜糜烂13%、反流性食管炎10%、食管贲门粘膜撕裂7%、肿瘤3%、血管发育不良1%.仅有6%的病人在急诊胃镜中找不到出血源,这与过去许多研究及同期英国的研究结果一致.上消化道出血的总死亡率很难判断,因为大多数回顾性和前瞻性研究存在着或多或少的对病人的选择性.此外各研究组对肝硬化门脉高压引起的食管胃底静脉曲张出血和非静脉曲张性上消化道出血的看法之间存在较大差别.

关键词：上消化道出血内镜治疗静脉曲张出血非静脉曲张

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Membrane and Subcellular Muscle Injury Are Induced by Single or Multiple exposure to Cigarette Smoke

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Open Journal of Pathology 2014年第3期4卷 125-137页

作者： Ana Maria fleig-Mayer Alba Ramirez-Sarmiento Amanda Iglesias Montserrat Morla Carlos Coronell Diego Rodríguez Simona Pichinni Josep Lloreta Piergiorgio Zuccaro Xavier Busquets Joaquim Gea Jose R.Jardim Mauricio Orozco-Levi Centro Universitario do Triangulo(UNITRI) Avenida nicomedes Alves Dos Santos4545-GaveaUberlandiaPulmonary Rehabilitation CenterRespiratory DivisionFederal University of Sao PauloSao PauloBrazil Group of Research in Injury Immune Response and Function(LIF)Municipal Institute of Medical Research(IMIM)Carrer Dr.Aiguader 88BarcelonaE-08003Spain Servei de Pneumologia Hospital del MarPasseig Maritim 25BarcelonaE-08003Spain Centro en Red de Investigacion de enfermedades Respiratorias(CIBeReS) Recinto Hospital Joan March Carretera Soller Km.1207110BunyolaMallorcaIlles BalearsSpain Institut Universitari d’Investigacio en Ciencies de la Salut(IUNICS)and Department de Biologia Universitat Illes Balears(UIB)Cra de ValldemossaKm 7.5PalmaIlles BalearsSpain Laboratorio Di Biochimica Clinica Istituto Superiore Di Sanita.Viale Regina Elena 29900161RomaItaly Respiratory Department Fundacion Cardiovascular de ColombiaCalle 155A 23-58FloridablancaSantanderColombia Servei d’Anatomia Patologica Hospital del MarPasseig Maritim 25BarcelonaE-08003Spain

Cigarette smoking is the main cause of chronic obstructive pulmonary disease (COPD). Diaphragm injury is observed in patients with COPD. However, the potential role of smoking in triggering or perpetuating muscle injury is unknown. The present study was aimed at evaluating the potential role of commercial tobacco smoke as a direct cause of skeletal muscle injury in experimental conditions. Seventy wistar rats (170 - 250 g) were assigned to smoking (n = 49) or non-smoking (n = 21) groups. The smoking groups were submitted to a single or multiple (i.e., five or thirty) daily sessions of cigarette smoking in an inhalatory chamber (time length: 2 h each session). The level of exposure was constant and assessed by CO concentrations (50 ppm) and serum cotinine analysis. Animals submitted to a single smoke exposure and the corresponding controls were euthanized in groups at 0 h, 2 h, 4 h, 24 h or 48 h after completing the exposure. Animals submitted to multiple exposures were euthanized at 0 h after smoking. Samples from vastus lateralis muscle were obtained and processed for assessing cell injury and selected protein expression. Monoclonal anti-albumin antibodies were used to identify muscle fibers with sarcolemmal (membrane) injury. Subcellular muscle injury was assessed using transmission electron microscopy (eM). MyoD, myogenin and α-tubulin were immunodetected using western blot techniques. exposure to cigarette smoke associated with significant membrane damage (mean relative difference (MRD) with controls: +181%, p = 0.004) and sarcomere disruptions (MRD: +226%, p = 0.001). expression of MyoD and myogenin (normalized to α-tubulin) were significantly increased at 4 h and remained increased at 48 h post-exposure. we conclude that not only a single but also consecutive exposure to tobacco smoke have acute deleterious effects on peripheral muscle structure. A rapid induction of subrogate markers of skeletal muscle stress and repair processes associates to sarcolemmal and

关键词： Skeletal Muscle Muscle Injury Muscle Regeneration Quadriceps Cigarette Smoking

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