检索结果-南通市图书馆

Nonsteroidal anti-inflammatory drug effectivity in preventing postendoscopic retrograde cholangiopancreatography pancreatitis: A systematic review and meta-analysis

引用

World Journal of Gastrointestinal Endoscopy 2020年第11期12卷 469-487页

作者： Juan Pablo Román Serrano JoséJukemura Samuel Galante Romanini Paúl Fernando Guamán Aguilar Juliana Silveira Lima de Castro Isabela Trindade Torres JoséAndres Sanchez Pulla Otavio Micelli Neto Eloy Taglieri Josécelso Ardengh Department of Gastroenterology University of Sao PauloSão Paulo 05403-000São PauloBrazil Department of Gastrointestinal Endoscopy Service Hospital 9 de JulhoSão Paulo 01409002São PauloBrazil Department of Gastroinestinal Catholic University of CuencaCuenca 010101Ecuador Department of General Surgery Servidor Municipal HospitalSão Paulo 01532-001Brazil

BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is the primary therapeutic procedure for the treatment of diseases affecting the biliary tree and pancreatic *** the therapeutic success rate of ERCP is high,the procedure can cause complications,such as acute pancreatitis[post-ERCP pancreatitis(PEP)],bleeding and *** To assess the efficacy of non-steroidal anti-inflammatory drugs(NSAIDs)in preventing PEP during *** Databases such as MEDLINE,EMBASE and Cochrane Central Library were *** randomized controlled trials(RCTs)comparing the efficacy of NSAIDs and placebo for the prevention of PEP were *** evaluated included the incidence of PEP,severity of pancreatitis,route of administration,types,dose,and timing of administration of *** Twenty-six RCTs were considered eligible with a total of 8143 patients ***,4020 patients used NSAIDs before ERCP and 4123 did not use NSAIDs(control group).Ultimately,298 cases of post-ERCP acute pancreatitis were diagnosed in the NSAID group and 484 cases in the placebo *** risk of PEP was lower in the NSAID group risk difference(RD):-0.04;95%confidence interval(CI):-0.07 to-0.03;number needed to treat(NNT),25;P<*** use effectively prevented mild pancreatitis compared to placebo use(2.5%vs 4.1%;95%CI:-0.05 to-0.01;NNT,33;P<0.05),but information on moderate PEP and severe PEP could not be fully *** rectal administration reduced the incidence of PEP with RD:-0.06;95%CI:-0.08 to-0.04;NNT,17;P<0.05).Furthermore,only the use of diclofenac or indomethacin was effective in preventing PEP,at a dose of 100 mg,which must be administered before performing *** Rectal administration of diclofenac and indomethacin significantly reduced the risk of developing mild *** RCTs are needed to compare the efficacy between NSAID routes of administration in preventing PEP.

关键词： Pancreatitis Endoscopic retrograde cholangiopancreatography Diclofenac Indomethacin Rectal

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

A potential clinical based score in hepatitis C viruscirrhotic patients to exclude small hepatocellular carcinoma

引用

Hepatoma Research 2018年第4期4卷 14-24页

作者： Denise Cerqueira Paranaguá-Vezozzo celso Eduardo Lourenco Matielo Daniel Ferraz de Campos Mazo Lucas Souto Nacif Mario Guimaraes Pessoa Gleicy Luz Reinoso Pereira Roque Gabriel Rezende de Lima Patricia Momoyo Yoshimura Zitelli Suzane Kioko Ono Flair JoséCarrilho Division of Gastroenterology and Hepatology Department of GastroenterologyUniversity of Sao Paulo School of MedicineSao Paulo 05403-900Brazil Sao Paulo Clínicas Liver Cancer Group Sao PauloCancer Institute of Sao PauloUniversity of Sao Paulo School of MedicineSao Paulo 01246-000Brazil Division of Gastroenterology(Gastrocentro) School of Medical SciencesUniversity of CampinasCampinas 13083-878Brazil

Aim: Hepatitis C virus (HCV) cirrhosis is an important cause of hepatocellular carcinoma (HCC). This study aimed to identify factors of HCC presence among HCV cirrhotic patients with and without small diameter HCC (≤ 3 cm). Methods: A case control transversal study between 1998 and 2003 including 93 patients: 31 with small diameter HCC and 62 without HCC. Groups were matched by age and gender. Multiple logistic regression analysis using Akaike Information Criteria to estimate the probability of HCC was performed. A model score was generated and bootstrap analysis was performed for internal validation. Results: Three significant laboratorial variables for HCC presence were found: alanine aminotransferase > 37 U/L [odds ratio (OR): 7.43 (1.61-34.19),P = 0.01], alpha-fetoprotein > 20 ng/mL [OR: 16.2 (4.17-63.01),P < 0.001] and platelet count < 100,000/mm3 (OR: 3.62 (1.43-9.14),P = 0.007)A model score with an area under curve of 0.79 (95% CI: 0.7-0.89) was built based on these variables. The negative predictive value of those classified as at low risk of HCC was 99.1%. Conclusion: An easy and practical model score was generated. It may be an auxiliary tool for identification of HCV patients with low probability of small diameter HCC at initial evaluation composed of three serum examinations used in routine outpatient clinical practice.

关键词： Clinical score hepatocellular carcinoma hepatitis C

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

Device-associated infection rates, mortality, length of stay and bacterial resistance in intensive care units in Ecuador: International Nosocomial Infection Control Consortium's findings

引用

World Journal of Biological Chemistry 2017年第1期8卷 95-101页

作者： Estuardo Salgado Yepez Maria M Bovera Victor D Rosenthal Hugo A González Flores Leonardo Pazmino Francisco Valencia Nelly Alquinga Vanessa Ramirez Edgar Jara Miguel Lascano Veronica Delgado Cristian Cevallos Gasdali Santacruz Cristian Pelaéz celso Zaruma Diego Barahona Pinto Clínica la Merced Hospital de los Valles International Nosocomial Infection Control Consortium

AIM To report the results of the International Nosocomial Infection Control Consortium(INICC) study conducted in Quito, *** A device-associated healthcare-acquired infection(DAHAI) prospective surveillance study conducted from October 2013 to January 2015 in 2 adult intensive care units(ICUs) from 2 hospitals using the United States Centers for Disease Control/National Healthcare Safety Network(CDC/NHSN) definitions and INICC methods. RESULTS We followed 776 ICU patients for 4818 bed-days. The central line-associated bloodstream infection(CLABSI) rate was 6.5 per 1000 central line(CL)-days, the ventilator-associated pneumonia(VAP) rate was 44.3 per 1000 mechanical ventilator(MV)-days, and the catheterassociated urinary tract infection(CAUTI) rate was 5.7 per 1000 urinary catheter(UC)-days. CLABSI and CAUTI rates in our ICUs were similar to INICC rates [4.9(CLABSI) and 5.3(CAUTI)] and higher than NHSN rates [0.8(CLABSI) and 1.3(CAUTI)]- although device use ratios for CL and UC were higher than INICC and CDC/NSHN's ratios. By contrast, despite the VAP rate was higher than INICC(16.5) and NHSN's rates(1.1), MV DUR was lower in our ICUs. Resistance of A. baumannii to imipenem and meropenem was 75.0%, and of Pseudomonas aeruginosa to ciprofloxacin and piperacillin-tazobactam was higher than 72.7%, all them higher than CDC/NHSN rates. Excess length of stay was 7.4 d for patients with CLABSI, 4.8 for patients with VAP and 9.2 for patients CAUTI. Excess crude mortality in ICUs was 30.9% for CLABSI, 14.5% for VAP and 17.6% for CAUTI. CONCLUSION DA-HAI rates in our ICUs from Ecuador are higher than United States CDC/NSHN rates and similar to INICC international rates.

关键词： Ventilator-associated pneumonia Catheter-associated urinary tract infection Healthcare-associated infection Antibiotic resistance Developing countries Intensive care unit Surveillance Central line-associated bloodstream infections Hospital infection

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

混沌：对科学和社会的冲击第1版

混沌：对科学和社会的冲击

引用

2001年

作者：（美）C.格里博格（celso Grebogi）（美）J.A.约克（James A.Yorke）编杨立刘巨斌等译

本书关于混沌现象的经验和思想是基于生动激烈的、国际跨学科的交流而产生的。它总结了专家们所交流的混沌对自然科学和社会科学在过去和将来可能的冲击影响。书中集中评述了混沌对科学的引导作用以及对社会认识的影响。

关键词：混沌学(学科: 研究) 混沌学

来源：汇雅图书（南通市图书馆... 评论

在线全文

汇雅图书（南通市图书馆）

学校读者我要写书评

暂无评论

先天性无痛无汗症患者接受腰麻的一例报道

引用

麻醉与镇痛 2008年第5期4卷 23-24页

作者： Carlos R. D. Oliveira Fulvio A. dos Santos celso S. Nogueira Emerson J. Mainardes 谢鹏(译) 喻田(校) Department of Anesthesiology Irmandade da Santa Casa de Miseric6rdia de Santos CET em Anestesiologia da Santa Casa de Santos Santos Sao Paulo Brazil 不详

先天性无痛无汗症（CIPA）是一种极其罕见的自身常染色体隐性遗传病。由于缺乏伤害性感受传入而不能感知疼痛，无汗症是因为汗腺缺失神经支配造成的。痛觉不敏感及智力发育迟缓易导致自身损伤、角膜撕裂伤、无痛性骨折、慢性骨髓炎并发... 详细信息

先天性无痛无汗症（CIPA）是一种极其罕见的自身常染色体隐性遗传病。由于缺乏伤害性感受传入而不能感知疼痛，无汗症是因为汗腺缺失神经支配造成的。痛觉不敏感及智力发育迟缓易导致自身损伤、角膜撕裂伤、无痛性骨折、慢性骨髓炎并发关节变形、脓毒性关节炎等。关于先天性无痛无汗症患者围手术期麻醉管理的报道极少。本文中我们报道1例先天性无痛无汗症女性接受双侧踝关节固定手术的麻醉管理。

关键词：先天性无痛无汗症围手术期麻醉管理常染色体隐性遗传病腰麻智力发育迟缓伤害性感受失神经支配角膜撕裂伤

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

Seroprevalence of hepatitis E in adults in Brazil:a systematic review and metaanalysis

引用

Infectious Diseases of Poverty 2019年第1期8卷 97-97页

作者： Fatima Mitiko Tengan Gerusa M.Figueiredo Arielle K.S.Nunes Carol Manchiero Bianca P.Dantas Mariana C.Magri Thamiris V.G.Prata Marisa Nascimento celso C.Mazza Edson Abdala Antonio A.Barone Wanderley M.Bernardo Department of Infeaious and Parasitic Diseases School of MedicineUniversity of Sao Paulo(Universidade de Sao Paulo-USP)Sao PauloSPBrazil Laboratory of Viral Medical Research in Hepatology(Laboratorio de Investigagao Medica em Hepatologia por virus-LIM-47) Clinics HospitalSchool of MedicineUSPSao PauloSPBrazil 不详

Background:Hepatitis E virus(HEV)is a member of the Hepeviridae family;it has four main genotypes and one *** genotypes 1 and 2 cause epidemic hepatitis and are transmitted via water and the fecal-oral route,genotypes 3 and 4 are zoonotic In the various seroprevalence studies of hepatitis E in Brazil,the numbers reported vary widely and are difficult to *** aim of this study was to analyze existing seroprevalence studies of hepatitis E in adults in *** text:We searched the PubMed,Latin American and Caribbean Health Sciences and Embase databases for studies published from inception to May 12,2018 concerning infection by HEV in Brazil without time period or language *** included studies that presented data concerning hepatitis E seroprevalence in adults in Brazil,had a sample size>50 patients and whose method used for the detection of anti-HEV was standardized and *** also evaluated the quality of the articles using a list of criteria that totalized 9 *** the 20 studies ultimately analyzed,10(50%)were from the southeast region of Brazil,3(15%)were from the central-west region,3(15%)were from the northern region,2(10%)were from the northeast region and 2(10%)were from the southern *** the quality evaluation of the studies,the mean score was 5.6(range:4-8).The estimated overall seroprevalence of HEV infection in the adult population was 6.0%(95%CI:5.0-7.0);in subgroup analyses,we observed that the prevalence of anti-HEV antibodies in blood donors was 7.0%(95%CI:5.0-8.0),whereas in the general population,it was 3.0%(95%CI:2.0-4.0).Conclusions:The results of this systematic review indicate that there should be national investment in the prevention of hepatitis E virus infection in Brazil,including the implementation of improvements in basic sanitation and guidance regarding the appropriate handling of animal waste and the optimal cooking of vegetables,meat and their derivatives.

关键词： Hepatitis E Hepatitis E virus Brazil Prevalence Systematic review

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

Refining the Stratigraphy of the Taghdout Group by Using the U-Pb Geochronology of the Taghdout Sill(Zenaga inlier,Anti-Atlas,Morocco)

引用

Acta Geologica Sinica(English Edition) 2016年第S1期90卷 1-页

作者： Abdelhak AIT LAHNA Colombo celso Gaeta TASSINARI Nasrrddine YOUBI Hassan ADMOU Joao MATA El Hafid BOUOUGRI Latifa CHAIB Richard E.ERNST Ulf SODERLUND Moulay Ahmed BOUMEHDI Mohamed Khalil BENSALAH El Mostapha AARAB Department of Geology Faculty of Sciences-SemlaliaCadi Ayyad University Centro de Pesquisas Geocronológicas(CPGeo) Instituto de Geociencias(IG)Universidade de Sao Paulo-USP Instituto Dom Luiz Faculdade de CiênciasUniversidade de Lisboa Department of Earth Sciences Carleton University Department of Geology Lund University

The Anti-Atlas belt of southern Morocco is situated on the northern edge of the West African craton(WAC).It corresponds to a broad anticlinorium some 800 km long and 200 km wide,trending ENE-WSW,parallel to the

关键词： Pb Zenaga inlier Morocco Refining the Stratigraphy of the Taghdout Group by Using the U-Pb Geochronology of the Taghdout Sill Anti-Atlas

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

历史分析与比较政治

引用

政治学 2008年第6期

作者： James Mahoney celso M.Villegas

本文讨论了比较政治学中历史研究的主要分析方法。第一类是因果分析法，包括横截面分析法和样本内分析法。第二类是时序分析法，包括对路径依赖和发展顺序的分析。本文认为，历史分析与众不同的分析方法使它成为比较政治研究中有力的分... 详细信息

本文讨论了比较政治学中历史研究的主要分析方法。第一类是因果分析法，包括横截面分析法和样本内分析法。第二类是时序分析法，包括对路径依赖和发展顺序的分析。本文认为，历史分析与众不同的分析方法使它成为比较政治研究中有力的分析工具。

关键词：历史分析比较政治因果分析

来源：人大复印报刊资料评论

在线全文

人大复印报刊资料

学校读者我要写书评

暂无评论

An ecologically-based method for selecting ecological indicators for assessing risks to biological diversity from genetically-engineered plants

引用

生物安全学报 2013年第3期22卷 141-156页

作者： D.A.Andow Gabor L.Lvei Salvatore Arpaia Lewis Wilson Eliana M.G.Fontes Angelika Hilbeck Andreas Lang Nguyên Vǎn Tu't C.S.S.Pires E.R.Sujii Claudia Zwahlen A.N.E.Birch Deise M.F.Capalbo Kristina Prescott celso Omoto Adam R.Zeilinger Department of Entomology University of MinnesotaSt.PaulMN 55108 USA Aarhus University Department of AgroecologyFlakkebjerg Research CentreForsφgsvej 1DK-4200 Slagelse Denmark ENEA-Research Centre TrisaiaS.S.106 Jonica Km 419 5I-75026 Rotondella ( MT) Italy CSIRO Cotton Research Unit-Myall Vale Wee Waa RoadMyall Vale NSW 2390 Australia Embrapa Genetic Resources and Biotechnology Biological Control Area Parque Estao Biológica-PqEB Final W5 norte70770-900BrasiliaDF Swiss Federal Institute of Technology Institute of Integrative BiologyUniversittstrasse 16 CH-8092 ZurichSwitzerland Institute of Environmental Geosciences University of BaselBaselSwitzerland Food Crops Research InstituteMARD Hai DuongVietnam Ecological Science Group James Hutton InstituteInvergowrieDundee DD2 5DAScotlandUK Embrapa Environment Rodovia SP 340 PO Box 69 Km 127.5JaguariúnaSPBrazil 13820-000 Universidade de So Paulo-ESALQ Department of Entomology and AcarologyAv.Pádua Dias 1113418-900 PiracicabaSPBrasil

The environmental risks associated with genetically-engineered( GE) organisms have been controversial,and so have the models for the assessment of these risks. We propose an ecologically-based environmental risk assessment( ERA) model that follows the 1998 USEPA guidelines,focusing on potential adverse effects to biological diversity. The approach starts by( 1) identifying the local environmental values so the ERA addresses specific concerns associated with local biological diversity. The model simplifies the indicator endpoint selection problem by( 2) classifying biological diversity into ecological functional groups and selecting those that deliver the identified environmental values.( 3) All of the species or ecosystem processes related to the selected functional groups are identified and( 4) multi-criteria decision analysis( MCDA) is used to rank the indicator endpoint entities,which may be species or ecological processes. MCDA focuses on those species and processes that are critical for the identified ecological functions and are likely to be highly exposed to the GE organism. The highest ranked indicator entities are selected for the next step.( 5) Relevant risk hypotheses are identified. Knowledge about the specific transgene and its possible environmental effects in other countries can be used to assist development of risk hypotheses.( 6) The risk hypotheses are ranked using MCDA with criteria related to the severity of the potential risk. The model emphasizes transparent,expert-driven,ecologically-based decision-making and provides formal methods for completing a screening level-ERA that can focus ERA on the most significant concerns. The process requires substantial human input but the human capital is available in most countries and regions of the world.

关键词：生物多样性基因工程植物风险评估生态指标基础环境风险评价生态系统过程环境价值

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

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

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：