检索结果-南通市图书馆

Evaluation of CA125 and NT-proBNP values in patients undergoing transcatheter aortic valve implantation

Journal of Geriatric Cardiology 2015年第2期12卷 100-106页

作者： Huseyin ayhan Haca Ahmet Kasapkara Tahir Durmaz Telat Keles Cenk San Serdal Bastug Kemal Esref Erdogan Nihal Akar Bayram Emine Bilen Murat Akgay Engin Bozkurt Faculty of Medicine Department of Cardiology Ytldtrtm Beyaztt University Ankara 06800 Turkey Department of Cardiology Ankara Ataturk Education and Research Hospital Ankara 06800 Turkey Faculty of Medicine Department of Cardiovascular Surgery Yddtrtm Beyaztt University Ankara 06800 Turkey

Background Transcatheter aortic valve implantation （TAVI） is a minimally invasive, emerging therapy in surgically high risk, or in- operable patients. Parameters used for risk classification have some deficiencies in the selection of patients. The objective of this study is to evaluate the impact of TAVI on carbohydrate antigen 125 （CA125） and N-terminal pro brain-type natriuretic peptide （NT-proBNP） as biomarkers that have been used frequently in recent years, and also the relationship of these biomarkers to prognosis. Methods ＆ Results Transcatheter aortic valve implantation was practiced on 31 patients in this study. Then, CA125 and NT-proBNP levels studied in patients prior to and after the TAVI were evaluated. The patients were also grouped in accordance with their left ventrieular ejection fraction （LVEF） and CA125 levels （LVEF 〉 40% and 〈 40%; CA125 ≤ 35 U/L and 〉 35 U/L）. The TAVI operation was successfully performed in all patients. There was no in-hospital mortality and substantial improvement in functional capacity was detected at follow ups. In addition, a statistically significant decrease was detected in post-TAVI CA 125 and NT-proBNP levels of all patients （CA 125 83.8 ± 18.1 U/L vs. 64.3 ±14.2 U/L, P = 0.008; NT-proBNP： 4633.6± 627.6 pg/mL vs. 2866.3±536.8 pg/mL, P 〈 0.001）. In groups divided according to the CA125 levels, there was also statistically significant post-TAVI decline in CA125 levels. Within CA125 〉 35 U/L and LVEF 〈 40% groups, the permanent need for a pacemaker was required in one （3.2%） patient and mortality was observed in two （6.4%） patients after TAVI at follow up. Conclusions The results show that TAVI can be performed effectively and reliably in patients with high baseline levels of CA125 and NT-proBNP. These biomarkers are reduced substantially with TAVI, while high biomarker levels are associated with undesired events, and certainly, these biomarkers can be used for risk classifications in patient selection for TAVI.

关键词： B-type natriuretic peptide Biomarker Carbohydrate antigen Heart failure Transcatheter aortic valve implantation Risk score

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

交界性卵巢肿瘤的复发和预后因素

引用

国外医学（计划生育．生殖健康分册） 2006年第5期25卷 292-293页

作者： ayhan A[英] 周希亚（摘）向阳（校）

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

窄带紫外线B光线疗法治疗和维持治疗蕈样霉菌病患者

引用

世界核心医学期刊文摘（皮肤病学分册） 2005年第10期1卷 61-62页

作者： Boztepe G Sahin S ayhan M 惠海英 Hacettepe University Faculty of Medicine Department of Dermatology Sihhiye Ankara 06100 Turkey.Dr

Background and purpose:Narrowband ultraviolet B (UVB)phototherapy for early-stage mycosis fungoides (MF) has been found to be beneficial in some reports. Although rapid recurrences after discontinuation of therapy appear to interfere with its efficacy, optimal maintenance schedules for prolonged relapse-free intervals are not discussed in the literature. The purpose of this study was to review our experience with narrowband UVB in patients with MF. Patients and Methods:All available data that belong to 14 patients (10 male, 4 female; age range, 28-74 years) with histologically proven MF, at disease stages IA-IB (n=10) and IIA (n=4) who received narrowband UVB were retrospectively evaluated. Results:Complete response (CR) was achieved in 11 of 14 cases (78%) after a mean of 25 treatments. Ten of 11 patients were followed up for a median of 22 months (range, 7-43 months) after CR; one patient was lost to follow-up immediately after CR. Eight patients completed the recommended maintenance narrowband UVB therapy protocol. The median duration of maintenance was 18 months (range, 12-30 months). No patient had relapse during maintenance. Mean relapse-free duration was 26.0±9.9 months. Limitations:The number of patients in the study group was relatively few. Conclusion:This study provides evidence that narrowband UVB might be an efficient treatment option for MF patients at stages IA and IB, as well as at stage IIA. Results suggest that using maintenance phototherapy after CR is a logical approach, which may prolong the duration of remission in MF.

关键词：蕈样霉菌病光线疗法组织学确诊患者例数维持时间失访间隔期

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

A Double-Sided View to Adult Vaccination:The Opinions and Attitudes of Patients and Health Workers

引用

Health 2018年第12期10卷 1697-1713页

作者： Raziye Sule Gümüstakim Pinar Bilgili Murat Cevik Duygu ayhan Baser Adem Doganer Selda Handan Karahan Saper Zuhal Kanevetci Ergül Ozcelebi Medical Faculty Sutcu Imam UniversityKahramanmarasTurkey Department of Family Medicine Medical SchoolHacettepe UniversityAnkaraTurkey

Objective: Although there are adult vaccination schemes in our country, there are serious deficiencies in the way that doctors direct the patients to this vaccination, but also patients have to make and demand these vaccinations. The aim of our study is to identify the shortcomings in this area and draw a roadmap for what arrangements should be made in terms of physicians and patients in order to increase adult immunization rates in primary care. Method: We conducted a two-phase, multicentered, descriptive clinical trial between October and December 2017. The first phase of the trial was carried out with patients from 3 Family Health Centers in Antalya, Istanbul and Osmaniye. Patients to be interviewed were selected voluntarily among Family Health Center’s applicants. The second phase of the trial was carried out with health workers, who were participated to trial from 26 different provinces of Turkey. In the process, a questionnaire of 19 questions was applied to primary health care workers by the internet. Results: 490 patients were included in the study. There was a significant difference between gender, age, education level and guideline follow-up and vaccination status of patients [p Conclusion: As a result of the studies including our study about adult vaccination, only 10% - 20% of the targeted groups in adults can be vaccinated. However, just like in childhood during adulthood, vaccinations protect individuals from diseases and provide economic benefits. Firstly, the knowledge level of physicians on adult immunization should be updated with in-service trainings, they should first be convinced to vaccinate because they are in risk group and then they should be recommended vaccination to patient to increase the vaccination rates.

关键词： Adult Vaccination Health Workers Patients

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Facile Synthesis Route of Au-Ag Nanostructures Soaked in PEG

引用

Advances in Nanoparticles 2018年第2期7卷 37-45页

作者： Essy Kouadio Fodjo Ali Canlier Cong Kong ayhan Yurtsever Pohan Lemeyonouin Aliou Guillaume Fato Tano Patrice Masayuki Abe Tetsuya Tohei Akira Sakai Laboratoire de Chimie Physique Université Felix Houphouet-Boigny Abidjan Cote d’Ivoire Department of Materials Science and Nanotechnology Engineering Abdullah Gul University Kayseri Turkey Department of Chemical Engineering and Applied Chemistry College of Engineering Chungnam National University Daejeon Republic of Korea Key Laboratory of East China Sea Fishery Resources Exploitation Ministry of Agriculture East China Sea Fisheries Research Institute Chinese Academy of Fishery Sciences Shanghai China Graduate School of Engineering Science Osaka University Toyonaka Osaka Japan UFR Sciences Biologiques Peleforo-Gon-Coulibaly University Korhogo Cote d’Ivoire Key Laboratory for Advanced Materials and Department of Chemistry East China University of Science and Technology Shanghai China

A nanostructured gold-silver soaked in polyethylene glycol 400 (Au-Ag@PEG) is designed using gold(I) chloride and silver nitrate (AgNO3) as precursors and, polyethylene glycol 400 (PEG) as capping agent. The result of the structure characterization using Selected Area Electron Diffraction (SAED) has showed that the synthesized nanomaterial has a good crystallinity while Transmission Electron Microscopy (TEM), energy dispersive X-ray spectrometry (EDX) and Dynamic Light Scattering (DLS) measurements suggest mixed Au-Ag nanoparticles with an average diameter size of around 7 nm and 30 nm for Au and Ag respectively.

关键词： SAED Pattern Au-Ag Nanomaterials Soaked in PEG Nanoparticle Synthesis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

世界巨变五十年

引用

金融发展研究 2015年第5期 29-30页

作者：阿汉.科斯王宇世界银行发展前景组中国人民银行研究局

战后重建带来了欧洲和亚洲经济蓬勃发展,在此后50中,世界发生了翻天覆地的变化:科技进步和经济全球化改变了整个世界,一些中低收入国家开始加速,成为全球经济增长引擎,世界格局已由"两极"转为"多极",发展中国家异军突起。

关键词：科技进步全球化新兴市场经济体经济周期

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Marked elevation of troponin I without wall motion abnormality in a patient with myocarditis: Cardiac enzymes may not predict the outcome in myocarditis

引用

Open Journal of Internal Medicine 2013年第2期3卷 50-52页

作者： Abdullah Ozkok ayhan Atakan Goksel Acar Riza Atas Omer Kaya Bahtiyar Toz Murat Kose Timur Selcuk Akpinar Fatih Tufan Huseyin Oflaz Department of Cardiology Istanbul Faculty of Medicine Istanbul University Istanbul Turkey Department of Cardiology Kartal Kosuyolu Heart and Research Hospital Istanbul Turkey Department of Internal Medicine Istanbul Faculty of Medicine Istanbul University Istanbul Turkey

A seventeen-year-old male presented with severe substernal chest pain after an episode of upper respiratory tract infection. On clinical grounds, a diagnosis of myocarditis was established. He had a peak troponin I level as high as 40.4 ng/dl but interestingly with no abnormal wall motion and normal ejection fraction in echocardiography. Coronary artery disease was excluded with normal coronary angiography. Diagnosis of myocarditis was confirmed with cardiac MRI. After one month, patient had no complaint and ejection fraction were still normal. Our case emphasizes that the troponin levels predict neither the early nor the late outcome of the left ventricular functions in myocarditis, therefore serum troponin I may not be helpful in determining the prognosis of patients with myocarditis.

关键词： Myocarditis Troponin Prognosis Cardiac Enzymes

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

两种不同胶结剂膏体充填试样的长期强度变化

引用

矿业研究与开发 2004年第Z1期24卷 215-218页

作者： Erol yilmaz ayhan Kesimal Bayram Ercikdi 姚必鸿 Department of Mining Engineering Karadeniz Technical University 61080 Trabzon Turkey Department of Mining Engineering Karadeniz Technical University 61080 Trabzon Turkey Department of Mining Engineering Karadeniz Technical University 61080 Trabzon Turkey 　

为确定胶结剂对膏体充填长期强度变化的影响,对选厂尾砂进行了取样(尾砂试样T1和T2),并用PKC(波特兰水泥)/A32.5-R和PKC/B32.5-R两种胶结剂制备了膏体充填混合物.尾砂试样T1和T2选择了16.5 mm的坍落度和5%(按重量计)的胶结剂用量制备一... 详细信息

为确定胶结剂对膏体充填长期强度变化的影响,对选厂尾砂进行了取样(尾砂试样T1和T2),并用PKC(波特兰水泥)/A32.5-R和PKC/B32.5-R两种胶结剂制备了膏体充填混合物.尾砂试样T1和T2选择了16.5 mm的坍落度和5%(按重量计)的胶结剂用量制备一组膏体充填混合物试样,这些试样经过不同的养护期(3～360 d)后再进行单轴抗压试验.两种膏体试样早期显示出高强度,但用PKC/B32.5-R胶结剂的膏体充填试样T2在养护28 d以后强度逐渐下降,使用PKC/A32.5-R胶结剂的膏体充填试样Tl的28 d强度比用PKC/B32.5-R胶结剂的膏体充填试样T1要高0.15倍.尽管膏体充填试样T1的强度在养护期28d和90 d之间普遍是提高的,但在养护期90 d和360 d之间观测到的强度则有下降.后期强度下降的原因在于它们的矿物学的、化学的和流变学的特征,水合作用的方式和对膏体充填强度有直接影响的火山灰产品的含量.

关键词：胶结剂膏体充填充填体强度

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

卵巢癌二次肿瘤细胞减灭术的效果:哈斯特帕大学经验

引用

世界核心医学期刊文摘（妇产科学分册） 2006年第4期2卷 4-5页

作者： ayhan A. Gultekin M. Taskiran C. 李奎 Department of Obstetrics and Gynecology Division of Gynecologic Oncology Hacettepe University Faculty of Medicine Sihhiye Ankara Turkey Dr.

Objective: This study was undertaken to evaluate the role of secondary cytoreduction in patients with recurrent epithelial ovarian cancer. Study design: Secondarily, cytoreduced patients were retrospectively analyzed with respect to the clinicopathologic variables. Results: A total of 64 patients were evaluated in this report. Multivariable analysis revealed 3 factors to be significant: optimal cytoreduction during primary (P = .003, odds ratio [OR]: 0.30; 95%CI: 0.14-0.66), secondary cytoreduction (P = .04, OR: 0.47; 95%CI: 0.22-0.99), and the endometrioid histologic type (P = .005, OR: 0.09; 95%CI: 0.02-0.48). Intrinsic factors of the tumors (grade, stage, age), size, and number of recurrent tumors were nonsignificant. Conclusion: Secondary cytoreductive surgery should be offered in selected recurrent epithelial ovarian cancer patients. Further prospective randomized series are needed to determine specific recommendations.

关键词：复发性卵巢癌肿瘤细胞减灭哈斯多因素分析研究设计

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

子宫脱垂的曼彻斯特手术

引用

世界核心医学期刊文摘（妇产科学分册） 2006年第6期2卷 60-61页

作者： ayhan A. Esin S. Guven S. 朱亮 ONCEBECI Mahmut Esat Bozkurt Caddesi No: 69/2 Ankara Turkey

Objective: To evaluate the clinical characteristics, complications, and satisfaction scores of patients who underwent the Manchester operation. Methods: This retrospective observational study evaluated data from 204 women who underwent the Manchester operation at the Department of Obstetrics and Gynecology of Hacettepe University School of Medicine, Ankara, Turkey, from January 1985 to April 2004. Results: Mean age was 34.68± 4.24 years and parity 2.47± 0.96; 85.8% of the patients were premenopausal; 176 patients (86.28% ) had grade 3 and 28 (13.72% ) had grade 2 uterine prolapse; 95.1% of the patients had associated cystoceles and 51.3% had associated rectoceles; and 81.4% had urinary incontinence. Regarding early postoperative complications, 27 patients (13.23% ) had febrile morbidity; retroperitoneal hematoma occurred in 1 patient (0.49% ); urinary retention occurred in 45 patients (22.05% ), and cervical stenosis occurred in 23 patients (11.27% ). At 1 year, 1 patient had undergone abdominal hysterectomy because of unsuccessful cervical dilatation; and a mean of 3.6 years following the operation, 8 patients (3.9% ) had undergone the tension- free vaginal tape procedure plus a vaginal hysterectomy for recurrent stress urinary incontinence and uterine prolapse. The mean satisfaction/acceptance score for the operation was 8.52 ± 2.13 (range, 2- 10). Conclusion: A high degree of acceptance/satisfaction and a low morbidity rate show the Manchester operation to be a good option for the treatment of uterine prolapse in women who wish to keep their uterus.

关键词：曼彻斯特手术子宫脱垂早期术后并发症手术患者腹式子宫切除术平均年龄术后发热绝经前妇女腹膜后血肿临床特点

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：