检索结果-南通市图书馆

2020中国结缔组织病相关肺动脉高压诊治专家共识

在线全文

学校读者我要写书评

暂无评论

中华内科杂志 2021年第5期60卷 406-420页

作者：中国医师协会风湿免疫科医师分会风湿病相关肺血管/间质病学组国家风湿病数据中心国家皮肤与免疫疾病临床医学研究中心曾小峰不详中国医学科学院北京协和医学院北京协和医院风湿免疫科国家皮肤与免疫疾病临床医学研究中心疑难重症及罕见病国家重点实验室风湿免疫病学教育部重点实验室100730

肺动脉高压是结缔组织病(CTD)的严重并发症之一,起病隐匿,早期诊断困难,治疗效果不佳,亦是当前CTD患者死亡的重要因素之一。中国医师协会风湿免疫科医师分会风湿病相关肺血管/间质病学组、国家风湿病数据中心、国家皮肤与免疫疾病临床... 详细信息

肺动脉高压是结缔组织病(CTD)的严重并发症之一,起病隐匿,早期诊断困难,治疗效果不佳,亦是当前CTD患者死亡的重要因素之一。中国医师协会风湿免疫科医师分会风湿病相关肺血管/间质病学组、国家风湿病数据中心、国家皮肤与免疫疾病临床医学研究中心联合,针对临床实践中一线医师关注的9个临床问题提出了较为详细的推荐意见,旨在提高CTD相关肺动脉高压诊疗的科学性与规范性,改善患者预后,提高生活质量,降低病死率。

关键词：结缔组织病高血压,肺性早期筛查危险分层达标治疗共识

中国儿童及青少年初次创伤性髌骨脱位诊疗指南(2024年版)

在线全文

学校读者我要写书评

暂无评论

中华骨科杂志 2024年第2期44卷 65-69页

作者：首都医科大学附属北京积水潭医院(国家骨科医学中心) 中华医学会小儿外科分会小儿骨科学组中华医学会骨科分会小儿创伤与矫形学组杨征冯超黄林中华医学会小儿外科分会小儿骨科学组中华医学会骨科分会小儿创伤与矫形学组

初次创伤性髌骨脱位(first-time traumatic patellar dislocation,FTPD)是一种常见的儿童及青少年运动损伤,近年来发病率有逐渐升高的趋势。国内骨科医生对儿童及青少年FTPD的诊疗水平也有了长足的进步,但尚未达成一致的共识。本指南由... 详细信息

初次创伤性髌骨脱位(first-time traumatic patellar dislocation,FTPD)是一种常见的儿童及青少年运动损伤,近年来发病率有逐渐升高的趋势。国内骨科医生对儿童及青少年FTPD的诊疗水平也有了长足的进步,但尚未达成一致的共识。本指南由首都医科大学附属北京积水潭医院(国家骨科医学中心)、中华医学会小儿外科分会小儿骨科学组及中华医学会骨科分会小儿创伤与矫形学组发起,采用推荐意见分级的评估、制订及评价分级体系和国际实践指南报告标准,基于文献证据评估形成8条推荐意见。推荐条目1~2为儿童及青少年FTPD发生的危险因素及病理解剖特点,条目3.8为FTPD手术治疗的原则。指南旨在提高儿童及青少年FTPD诊疗的科学性,最终提升以患者为中心的医疗服务质量。

关键词：髌骨脱位儿童青少年中国诊疗指南

Analysis of CD8^+CD28^-T-suppressor cells in living donor liver transplant recipients

在线全文

学校读者我要写书评

暂无评论

Hepatobiliary & Pancreatic diseases International 2009年第3期8卷 241-246页

作者： Yi-Xin Lin,Lan-Lan Wang,Lu-Nan Yan,Pei Cai,Bo Li,Tian-Fu Wen and Yong Zeng center of Liver Transplantation and Department of Surgery,Division of clinical Immunology and Department of Laboratory Medicine,West China Hospital,Sichuan University,Chengdu610041,China center of Liver Transplantation and Department of Surgery West China Hospital Sichuan University Chengdu China.

BACKGROUND:Human CD8 + CD28 - T-suppressor(Ts) cells have been considered to indicate a reduced need for immunosuppression in pediatric liver-intestine transplant recipients and recipients of deceased heart-kidney ***,in adult-to-adult living donor liver transplantation(A-A LDLT)little information is available and the clinical significance is still unknown. METHODS:Flow cytometry was used to detect the population of CD8+CD28 -Ts cells present in peripheral blood in A-A LDLT recipients(n=3.),patients with end- stage liver disease(n=24)and healthy controls(n=19). Meanwhile,we tested the graft function and trough levels of immunosuppression in *** clinical and follow- up data of 3. transplant recipients were analyzed. RESULTS:Compared with diseased controls(P=0.007) and healthy individuals(P=0.000),a notable expansion of CD8 + CD28 - Ts cells was found in recipients of A-A *** was associated with graft function,levels of immunosuppression and rejection episodes. CONCLUSIONS:To monitor the CD8 + CD28 - Ts cells levels is important to evaluate the immune state of recipients. Meanwhile,it is also important to promote expansion of CD8+CD28 -Ts cells in recipients of A-A LDLT,not only to sustain good graft function and decrease the dosage of immunosuppressants,but also to reduce the occurrence of rejection.

关键词： T-suppressor cells CD8-positive living donor liver transplantation clinical analysis

Plasma transforming growth factor-β_1 levels in patients with erectile dysfunction

在线全文

学校读者我要写书评

暂无评论

Asian Journal of Andrology 2004年第4期6卷 349-353页

作者： Ji-Kan Ryu Sun U.Song Hyung-Ki Choi Do-Hwan Seong Sang-Min Yoon Seong-Jin Kim Jun-Kyu Suh Department of Urology Clinical Research CenterDepartment of UrologyDepartment of UrologyDepartment of UrologyNational Cancer InstituteDepartment of Urology Inha University School of Medicine Incheon Korea Yonsei University School of Medicine Seoul Korea National Institutes of Health Bethesda MD USA

Aim: To evaluate the plasma TGF-β1 level in erectile dysfunction (ED) patients of various causes. Methods: Sixty-two patients with ED and 26 potent men were subjected to the study. Based on multidisciplinary work-ups, including medical history, physical examinations, blood tests with lipid profile and hormones, penile duplex Doppler ultrasonogram and neurophysiological tests, causes for ED were classified as psychogenic (n=15), neurogenic (n=16) and vasculogenic (n=3.). The plasma TGF-β1 level was measured by the ELISA method. Results: The plasma TGF-β1 level was significantly increased in the ED group (6.7 ± 4.9 ng/mL), compared to the control (4.0±2.1 ng/mL) (P 3.8 ± 1.8 ng/mL) and neurogenic groups (4.8 ± 3.2 ng/mL) (P<0.01). Of the vascular risk factors, both the smoking (7.5 ± 4.7 ng/mL) and dyslipidemia groups (7.4 ± 4.4 ng/mL) showed significantly increased plasma TGF-β1 levels, compared to the non-smokers (5.5 ± 2.8 ng/mL), and those without dyslipidemia (4.8 ?2.8 ng/mL) (P<0.05). Conclusion: Vascular risk factors are associated with an elevated plasma TGF-β1 level, which may contribute to cavernous fibrosis and ED.

关键词： erectile dysfunction transforming growth factor fibrosis diagnosis

Detect early stage lung cancer by a LAMP microfluidic chip system with a real-time fluorescent filter processor

在线全文

学校读者我要写书评

暂无评论

Science China Chemistry 2012年第4期55卷 508-514页

作者： WANG TongZhou1, ZHANG Ye1, HUANG GuoLiang1,2,3. WANG Can2, XIE Lan1, MA Li2, LI ZhiYong2, LUO XianBo2, TIAN Hao2, LI Qiang1, LI Xin1, LV ZhouYan1 & BAO XiaoFan11Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing 100084, China 2national Engineering Research center for Beijing Biochip Technology, Beijing 102206, China 3.angtze Delta Region Institute of Tsinghua University, Hangzhou 3.0401, China Department of Biomedical Engineering School of Medicine Tsinghua University Beijing China national Engineering Research center for Beijing Biochip Technology Beijing China Yangtze Delta Region Institute of Tsinghua University Hangzhou China

This work presents a promising clinical molecular diagnostics for early stage lung cancer. This novel diagnostic method utilized the loopmediated isothermal amplification （LAMP）, micro fluidic chips and a confocal optical detector with a nonlinear fluorescent filter processor. An isothermal amplification based microfluidic chip for the early diagnostics of lung cancer was developed and a confocal optical detector was improved by a novel real-time fluorescent filter to sensitively monitor the DNA amplification procedure with high signal to noise ratio and fluorescence collecting ability. Experiment showed that a rapid diagnostic of lung cancer by detecting the existence of the CEA mRNA could be performed in only 5 laL of reaction assay in less than 45 min. While the traditional intube RTPCR set consumed more than 25 -μL of the assay and took more than 90 rain.

关键词： microfluidic chip – isothermal amplification – lung cancer – confocal detection – non linear filter

在线全文

学校读者我要写书评

暂无评论

葡萄糖激酶激活剂多格列艾汀药学专家共识

中国医院药学杂志 2024年第3期44卷 245-250页

作者：国家老年医学中心中国医药教育协会老年药学专业委员会中国药学会医院药学专业委员会胡欣金鹏飞赵紫楠史琛不详北京医院北京100005 华中科技大学同济医学院附属协和医院

葡萄糖激酶激活剂多格列艾汀是我国自主研发的新型口服降糖药物,为新诊断及二甲双胍控制不佳的2型糖尿病患者提供了新的药物选择。为规范多格列艾汀的临床应用,加深医务工作者对其适宜人群、用法用量、药物相互作用、不良反应等方面的认... 详细信息

葡萄糖激酶激活剂多格列艾汀是我国自主研发的新型口服降糖药物,为新诊断及二甲双胍控制不佳的2型糖尿病患者提供了新的药物选择。为规范多格列艾汀的临床应用,加深医务工作者对其适宜人群、用法用量、药物相互作用、不良反应等方面的认识,由北京医院牵头,国家老年医学中心、中国医药教育协会老年药学专业委员会联合中国药学会医院药学专业委员会组织相关临床医学、药学和循证专家,基于循证证据和临床实践,采用德尔菲法经过3.专家意见收集和充分研讨拟定本共识。共形成9条推荐意见,以期为多格列艾汀的临床合理使用提供参考。

关键词：糖尿病葡萄糖激酶激活剂多格列艾汀口服降糖药专家共识

Predicted secreted protein analysis reveals synaptogenic function of Clstn3.during WAT browning and BAT activation in mice

在线全文

学校读者我要写书评

暂无评论

Acta Pharmacologica Sinica 2019年第8期40卷 999-1009页

作者： Shu-qin Chen Qiang Niu Li-ping Ju Miriayi Alimujiang Han Yan Ning-ning Bai Jun Xu Qi-chen Fang Jun-feng Han Ying Yang Wei-ping Jia Shanghai Key Laboratory of Diabetes Shanghai Institute for DiabetesShanghai Clinical Medical Centre of DiabetesShanghai Key Clinical Centre of Metabolic DiseasesDepartment of Endocrinology and MetabolismShanghai Jiao Tong University Affiliated Sixth People’s Hospital national Engineering Research center of Die and Mold CAD Shanghai Jiao Tong University Department of Geriatrics Shanghai Jiao Tong University Affiliated Sixth People’s Hospital

Promoting white adipose tissue(WAT)browning and enhancing brown adipose tissue(BAT)activity are attractive therapeutic strategies for obesity and its metabolic *** sympathetic innervation in WAT and BAT represents a promising therapeutic ***,there are few reports on extracellular microenvironment remodeling,especially changes in nerve terminal *** the key molecules mediating the neuro-adipose synaptic junctions is a key *** this study,we used bioinformatics methods to identify the differentially expressed predicted secreted genes(DEPSGs)during WAT browning and BAT *** DEPSGs largely reflect changes of cytokines,extracellular matrix remodeling,vascularization,and adipocyteneuronal *** then performed functional enrichment and cellular distribution specificity *** upregulated and downregulated DEPDGs during WAT browning displayed a distinctive biological pattern and cellular *** listed a cluster of adipocyte-enriched DEPSGs,which might participate in the cross-talk between mature adipocytes and other cells;then identified a synaptogenic adhesion molecule,Clstn3.as the top gene expressed enriched in both mature white and brown *** Q-PCR and immunohistochemistry,we found significantly increased Clstn3.expression level during WAT browning and BAT activation in mice subjected to cold exposure(4℃).We further demonstrated that treatment with isoproterenol significantly increased Clstn3.and UCP1 expression in differentiated white and beige adipocytes in *** conclusion,our study demonstrates that the secretion pattern was somewhat different between WAT browning and BAT *** reveal that Clstn3.may be a key gene mediating the neuro-adipose junction formation or remodeling in WAT browning and BAT activation process.

关键词： WAT browning BAT activation Calsyntenin-3 neuro-adipose synapse isoproterenol obesity

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

小干扰RNA降脂药物药学专家共识

中国医院药学杂志 2024年第1期44卷 9-17页

小干扰RNA(small interfering RNA,siRNA)降脂药是一类新型降脂药物。目前,针对该类药物的循证证据和实践经验较少。为加强医务工作者对该类药物的认识、规范临床合理应用,由北京医院牵头,国家老年医学中心、中国医药教育协会老年药学... 详细信息

小干扰RNA(small interfering RNA,siRNA)降脂药是一类新型降脂药物。目前,针对该类药物的循证证据和实践经验较少。为加强医务工作者对该类药物的认识、规范临床合理应用,由北京医院牵头,国家老年医学中心、中国医药教育协会老年药学专业委员会联合中国药学会医院药学专业委员会组织相关临床医学、药学和循证专家,基于循证证据和临床实践、采用德尔菲法经过3.专家意见收集和充分研讨拟定本共识。共识介绍了siRNA降脂药物的作用机制,并以已获批的药物英克司兰为例,就其临床证据、药物安全性等进行了阐述,以期为siRNA降脂药物的临床规范应用提供参考。

关键词：小干扰RNA 动脉粥样硬化性心血管疾病低密度脂蛋白胆固醇英克司兰专家共识

在线全文

学校读者我要写书评

暂无评论

中国胆道结石双频双脉冲激光碎石专家建议

中华肝胆外科杂志 2021年第3期27卷 161-163页

作者：中国医师协会内镜医师分会中华医学会消化内镜学分会国家消化系统疾病临床医学研究中心(上海) 李兆申金震东胡良皞王云锋王丹赵九龙不详海军军医大学第一附属医院消化内科上海200433 海军军医大学第一附属医院消化内镜中心上海200433 海军军医大学第一附属医院

胆道结石是消化系统常见疾病,目前主要治疗手段有外科手术、内镜下介入治疗等,但部分困难结石临床上仍面临挑战。双频双脉冲激光碎石术因其安全、高效等特点,是解决困难结石的有效方法。双频双脉冲掺钕钇铝石榴石激光是目前被国家药品... 详细信息

胆道结石是消化系统常见疾病,目前主要治疗手段有外科手术、内镜下介入治疗等,但部分困难结石临床上仍面临挑战。双频双脉冲激光碎石术因其安全、高效等特点,是解决困难结石的有效方法。双频双脉冲掺钕钇铝石榴石激光是目前被国家药品监督管理局批准的可用于胆道结石碎石的激光技术,但其适应证、导入方式和操作规范等问题尚未形成共识。为此,国家消化系统疾病临床医学研究中心(上海)、中国医师协会内镜医师分会和中华医学会消化内镜学分会特邀国内消化、内镜与外科等相关领域专家,在参考国内外文献的基础上,经过充分讨论形成本专家建议,以期为国内规范开展胆道结石激光碎石提供指导和参考。

关键词：胆石激光碎石双频双脉冲激光