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韦氏黄斑水肿方治疗痰瘀互结型中心累及型糖尿病黄斑水肿的临床研究
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作者 税小丁 宫晓红 +5 位作者 韦企平 夏燕婷 陈涛 谢思嘉 祝鎏仪 廖良 《辽宁中医杂志》 CAS 北大核心 2024年第10期121-127,共7页
目的评价韦氏黄斑水肿方治疗痰瘀互结型中心累及型糖尿病黄斑水肿的临床疗效。方法采用前瞻性随机对照试验的方法(伦理审批号:JDF-IRB-20220530002),观察2022年6月—2023年1月在北京中医药大学东方医院眼科就诊的糖尿病黄斑水肿患者42例... 目的评价韦氏黄斑水肿方治疗痰瘀互结型中心累及型糖尿病黄斑水肿的临床疗效。方法采用前瞻性随机对照试验的方法(伦理审批号:JDF-IRB-20220530002),观察2022年6月—2023年1月在北京中医药大学东方医院眼科就诊的糖尿病黄斑水肿患者42例,随机将受试者分入试验组和对照组各21例,试验组给予韦氏黄斑水肿方中药颗粒口服4周联合雷珠单抗玻璃体腔注药术1次,对照组给予雷珠单抗玻璃体腔注药术1次。在治疗开始前、治疗2周、治疗4周时分别测量患者的最佳矫正视力、视网膜中央子区厚度、立方体体积、立方体平均厚度、非接触眼压;在治疗前、治疗4周时评估两组痰瘀互结中医证候评分。再予以受试者合并疾病的初步探析;最后进行整体有效率评价与安全性评价。结果治疗后两组患者最佳矫正视力、中央子区厚度、立方体体积、立方体平均厚度较治疗前均有明显改善(P<0.05);两组的中央子区厚度、立方体平均厚度在治疗4周时出现组间差异(P<0.05);治疗4周后试验组中医证候评分变化具有显著统计学意义(P<0.05)。试验组总体有效率达95%,与对照组有效率之间差异具有统计学意义(P=0.049);合并疾病中,患者最多合并罹患的疾病是高血压病。整个试验期间,仅对照组1人出现球结膜下出血,余未发生不良结局。结论韦氏黄斑水肿方可提高痰瘀互结型中心累及型糖尿病黄斑水肿患者的最佳矫正视力,降低患者黄斑相关厚度指标,显著改善患者的中医证候指标,具备临床安全性。 展开更多
关键词 氏黄斑水肿方 中心累及型糖尿病黄斑水肿 痰瘀互结 雷珠单抗 黄斑相关厚度指标
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据清华简《参不韦》补释《保训》篇的“中”字
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作者 任龙龙 《汉字汉语研究》 2024年第2期22-28,124,125,共9页
清华简《保训》里的“中”学界存在多种说法,均难成定论。清华简新发布的《参不韦》篇出现的“中”可训为“法”,指自然、人类社会运行的法则、规律。联系起来比较,《保训》之“中”也当理解为法则,指自然、人类社会运行的规律,具体而... 清华简《保训》里的“中”学界存在多种说法,均难成定论。清华简新发布的《参不韦》篇出现的“中”可训为“法”,指自然、人类社会运行的法则、规律。联系起来比较,《保训》之“中”也当理解为法则,指自然、人类社会运行的规律,具体而言即统治者借以维护统治的一套规则系统,当包括历法、伦理制度、律法制度等。 展开更多
关键词 保训 参不
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柳带韦墓志释文补正
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作者 董宪臣 郑邦宏 《中国文字研究》 2023年第1期88-90,共3页
柳带韦墓志是2014年在西安出土的一方北周墓志。发掘简报所作释文及标点大体准确,但个别之处仍可商榷。旧释“览斫为械”之“斫”,当改释为“箸”;旧释“子及之床”之“及”,当改释为“反”;旧释“升絶”之“升”,当改释为“斗”;旧释... 柳带韦墓志是2014年在西安出土的一方北周墓志。发掘简报所作释文及标点大体准确,但个别之处仍可商榷。旧释“览斫为械”之“斫”,当改释为“箸”;旧释“子及之床”之“及”,当改释为“反”;旧释“升絶”之“升”,当改释为“斗”;旧释“叔列将之坛”之“叔”,当改释为“升”;旧释“遽车”之“遽”,当改释为“蘧”等。 展开更多
关键词 柳带墓志 释文 补正
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《国语》韦昭注语法得失 被引量:2
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作者 徐朝晖 《古汉语研究》 CSSCI 北大核心 2000年第4期36-39,共4页
通语法是专书训释的重要手段之一。本文以《国语》韦昭注一书作为研究对象,对韦昭在训释时所运用的揭示词类活用、名词用作状语及虚词的用法等方面进行简略的概括。同时从误虚为实、误实为虚、不明倒装、不明词类活用几个方面对《国语... 通语法是专书训释的重要手段之一。本文以《国语》韦昭注一书作为研究对象,对韦昭在训释时所运用的揭示词类活用、名词用作状语及虚词的用法等方面进行简略的概括。同时从误虚为实、误实为虚、不明倒装、不明词类活用几个方面对《国语》韦昭注存在的一些失误进行辨析。 展开更多
关键词 《国语》昭注 语法 得失
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Three new records of lycopsids and ferns from Vietnam
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作者 LU Yu WANG Bo +2 位作者 LIN Guoliang JIANG Rihong WANG Zhenxing 《广西植物》 CAS CSCD 北大核心 2024年第10期1943-1946,共4页
Three new records from Vietnam,Phlegmariurus guangdongensis Ching,Adiantum longzhouensis A.H.Wang,F.G.Wang&F.W.Xing,and Lepisorus bicolor Ching,are reported.The identification characteristics,information of specim... Three new records from Vietnam,Phlegmariurus guangdongensis Ching,Adiantum longzhouensis A.H.Wang,F.G.Wang&F.W.Xing,and Lepisorus bicolor Ching,are reported.The identification characteristics,information of specimen,and geographical distribution of the species are described.The discovery of new records not only enriches the study of plant diversity in Vietnam,but also provides important information for biodiversity conservation and botanical research in the region.The voucher specimens are kept in the Herbarium of Kunming Institute of Botany,Chinese Academy of Sciences(KUN),Herbarium of Institute of Botany,Chinese Academy of Sciences(PE)and Herbarium of Guangxi Forestry Research Institute(GXFI). 展开更多
关键词 Phlegmariurus guangdongensis Adiantum longzhouensis Lepisorus bicolor new record VIETNAM
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知韦地黄汤治疗肾虚火旺型IgA肾病疗效观察 被引量:1
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作者 赵桥梁 吕宏生 吕昆 《河南中医》 2022年第2期268-270,共3页
目的:观察知韦地黄汤治疗肾虚火旺型IgA肾病的临床疗效。方法:选取河南中医药大学第一附属医院2018年9月至2020年9月收治的肾虚火旺型IgA肾病97例,随机分为对照组48例和观察组49例,对照组采用替米沙坦片治疗,观察组在对照组治疗的基础... 目的:观察知韦地黄汤治疗肾虚火旺型IgA肾病的临床疗效。方法:选取河南中医药大学第一附属医院2018年9月至2020年9月收治的肾虚火旺型IgA肾病97例,随机分为对照组48例和观察组49例,对照组采用替米沙坦片治疗,观察组在对照组治疗的基础上加用知韦地黄汤治疗,比较两组患者肾功能指标、肾脏纤维化指标等。结果:治疗后两组患者尿红细胞计数、尿蛋白定量及IgA水平均降低,与治疗前比较,差异有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05)。治疗后两组患者血肌酐(serum creatinine,Scr)、尿素氮(urea nitrogen,BUN)均明显降低,肾小球滤过率(glomerular filtration rate,GFR)明显升高,与治疗前比较,差异有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05)。治疗后两组患者Ⅳ型胶原(typeⅣcollagen,C-Ⅳ)、层黏连蛋白(laminin,LN)、基质金属蛋白酶组织抑制剂-1(tissue inhibitor of matrix metalloproteinase-1,TIMP-1)均明显降低,与治疗前比较,差异有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05)。结论:知韦地黄汤能显著减轻IgA患者血尿、蛋白尿症状,改善肾功能。 展开更多
关键词 IGA肾病 肾虚火旺型 地黄汤 替米沙坦片
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《国语》韦注辨正
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作者 张新武 《语言与翻译》 2010年第2期37-40,共4页
文章讨论了《国语》韦注中的一些词句训释问题,并对清人的韦注纠谬中的一些错误进行了辨正。
关键词 《国语》 昭注 训诂
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《国语》韦昭注札记 被引量:1
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作者 徐朝晖 《古汉语研究》 CSSCI 北大核心 2006年第4期77-81,共5页
《国语》韦昭注是解读《国语》的重要材料,本文就阅读过程中碰到的一些问题提出商榷。
关键词 《国语》 札记
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《说文解字》韦部字释读汇纂
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作者 鄂海鹏 《阴山学刊》 2014年第5期60-63,共4页
《说文解字》540部,收9 353字。其中韦部有十六字,重文五。对韦部十六字逐一进行考释,因声求义,查源探流,擷采古注,旨在正读、释义。分类考释以求"韦"字本意。
关键词 《说文解字》 汇纂 因声求义 字本意
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吴虎鼎铭文补释 被引量:3
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作者 谢明文 《出土文献》 CSSCI 2022年第2期51-58,154,155,共10页
吴虎鼎铭文中“履”后一字,旧一般隶作“[丰廾]”,本文指出应径释作底部加了一横笔的“丰”,这一横笔表示的是地面,其形表示在地面上植树以为地界,是“封”的初文。铭文“内司徒”之名,研究者皆认为是“寺■”,本文指出并不存在人名“... 吴虎鼎铭文中“履”后一字,旧一般隶作“[丰廾]”,本文指出应径释作底部加了一横笔的“丰”,这一横笔表示的是地面,其形表示在地面上植树以为地界,是“封”的初文。铭文“内司徒”之名,研究者皆认为是“寺■”,本文指出并不存在人名“寺■”,“内司徒”之名应是“寺仅”,“寺”是国族名,“仅”是私名。铭文“宾内司徒寺■”后面一字,或释作“復”,或释作“璧”,本文指出应释作“徫”。“宾内司徒寺■徫”的“■徫”应该与后文“宾史■韦两”的“■韦”表示同一个词,“宾史■韦两”的“史”指前文的“史囟/西”,“宾内司徒寺■徫”的“寺”指前文“伯导内司徒寺仅”的“寺仅”,皆是承上省略了私名。此外,本文还对铭文的其他字词作了补释并指出了铭末一直被漏释的“用”字。 展开更多
关键词 吴虎鼎 ■韦
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白酒产业转型升级路径分析研究——以泸州为例
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作者 韩保林 王宇 +8 位作者 张怀山 王跃 龚虎程 田树林 杨燕 周林川 任啸虎 张淑凡 韦易涵 《酿酒科技》 2023年第11期130-134,共5页
白酒产业是泸州市特色优势产业,为泸州经济社会发展做出了重要贡献。进入“十四五”时期,泸州市白酒产业面临白酒产业政策调整、新冠肺炎疫情、中美贸易争端以及中国加快构建“双循环”新发展格局等机遇和挑战。为探究新形势下泸州市白... 白酒产业是泸州市特色优势产业,为泸州经济社会发展做出了重要贡献。进入“十四五”时期,泸州市白酒产业面临白酒产业政策调整、新冠肺炎疫情、中美贸易争端以及中国加快构建“双循环”新发展格局等机遇和挑战。为探究新形势下泸州市白酒制造业转型升级路径,本研究通过梳理文献、深入调研、座谈等方法,从行业发展的角度入手,系统梳理相关文献,对泸州白酒产业现状、面临形势进行了分析,并在此基础上提出了创新发展、绿色发展、融合发展三个方面的建议。 展开更多
关键词 泸州 白酒产业 转型升级
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Criterion of gas and solid dual-phase flow atomization crash in molten metal 被引量:1
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作者 陈刚 杨现 +1 位作者 苏斌 涂川俊 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2014年第1期208-216,共9页
A self-invented atomization process, in which molten metal is atomized into powder by a high-velocity gas stream carrying solid particles as the atomization medium, was introduced. The characteristics of powders prepa... A self-invented atomization process, in which molten metal is atomized into powder by a high-velocity gas stream carrying solid particles as the atomization medium, was introduced. The characteristics of powders prepared by common gas atomization and dual-phase flow atomization under similar conditions were compared. The experimental results show that the dual-phase flow-atomized powders have average particle sizes that are one-half that of the common gas-atomized particles;additionally, they possess a finer microstructure and higher cooling rate under the same atomization gas pressure and the same gas flow. The Weber number in the crash criteria of liquid atomization is adopted to measure the crash ability of the atomization media. The Weber number of the dual-phase flow atomization medium is the sum of that of the gas and the solid particles. Furthermore, the critical equation of the crash model in dual-phase flow atomization is established, and the main regularities associated with this process were analyzed. 展开更多
关键词 ATOMIZATION metal powder gas and solid dual-phase flow Weber number
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Preparation and evaluation of ophthalmic thermosensitive in situ gels of penciclovir 被引量:7
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作者 李桂玲 李眉 《Journal of Chinese Pharmaceutical Sciences》 CAS 2007年第2期90-95,共6页
Aim To develop pluronic F127 (PF127) based formulations of penciclovir (PCV) aimed at enhancing its ocular bioavailability. Methods Thermosensitive in situ gels of penciclovir were prepared through combination of ... Aim To develop pluronic F127 (PF127) based formulations of penciclovir (PCV) aimed at enhancing its ocular bioavailability. Methods Thermosensitive in situ gels of penciclovir were prepared through combination of HPMC K4M or carbopol 934P and pluronic F127. Optimized formulations were examined through measuring gelation temperature, rheology speciality, drug release behavior, pharmacokinetics and ocular irritation. Results The gelation temperature was reduced by adding HPMC K4M or carbopol 934P, and the viscosity was enhanced slightly. Either HPMC K4M or carbopol 934P delayed the release of PCV from in situ gel. PCV was released by non-Fickian diffusion. The study of ocular irritation for different PCV formulations did not show any irritation or damage for the cornea. PCV bioavailability from combination of carbopol 934P and pluronic F127 gels was higher than that obtained from any other gels. Conclusion Pluronic F127 formulations of PCV can be used as liquid for administration by instilling into the eye. Facilitated by the appropriate eye temperature, the formulations were transformed to gel phase. On the basis of in vitro and in vivo results, PCV formulations containing HPMC K4M or carbopol 934P and low concentration of pluronic F127 (12%) showed potential for use as a drug delivery system with improved ocular bioavailability. 展开更多
关键词 PENCICLOVIR Thermosensitive in situ forming gel PLURONIC Rbeology Drug release Ocular irritation PHARMACOKINETICS
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Photoelectrochemical degradation of acetaminophen and valacyclovir using nanoporous titanium dioxide 被引量:5
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作者 谢国红 常欣 +2 位作者 Bal Ram Adhikari Sapanbir S.Thind 陈爱成 《Chinese Journal of Catalysis》 SCIE EI CAS CSCD 北大核心 2016年第7期1062-1069,共8页
Electrochemically treated nanoporous TiO2 was employed as a novel electrode to assist in the pho- toelectrochemical degradation of acetaminophen and valacyclovir. The prepared electrode was characterized by scanning e... Electrochemically treated nanoporous TiO2 was employed as a novel electrode to assist in the pho- toelectrochemical degradation of acetaminophen and valacyclovir. The prepared electrode was characterized by scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS). Cyclic voltammetry (CV), Mott-Schottky plots, ultraviolet-visible light (UV-vis) absorbance spec- troscopy, and a total organic carbon (TOC) analyzer were employed to investigate the photoelec- trochemical degradation of acetaminophen and valacyclovir. The results indicated no obvious re- moval of acetaminophen and valacyclovir over 3 h when separate photochemical degradation and electrochemical oxidation were employed. In contrast, acetaminophen and valacyclovir were rapid- ly eliminated via photoelectrochemical degradation. In addition, electrochemically treated nanopo~ rous TiO2 electrodes significantly enhanced the efficacy of the photoelectrochemical degradation of acetaminophen and valacyclovir, by 86.96% and 53.12%, respectively, when compared with un- treated nanoporous TiO2 electrodes. This enhanced performance may have been attributed to the formation of Ti3~, Ti2~, and oxygen vacancies, as well as an improvement in conductivity during the electrochemical reduction process. The effect of temperature was further investigated, where the activation energy of the photoelectrochemical degradation of acetaminophen and valacyclovir was determined to be 9.62 and 18.42 kJ/mol, respectively. 展开更多
关键词 Photoelectrochemical degradationNanoporous titanium dioxideAcetaminophenValacyclovirActivation energy
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《广雅疏证》《方言笺疏》中“乘”的释义指瑕 被引量:1
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作者 李艳红 《古汉语研究》 CSSCI 北大核心 2004年第1期106-108,共3页
本文就《广雅疏证》与《方言笺疏》中“乘”的释义作出分析,全面地考察了“乘禽、乘马、乘矢、乘壶、乘韦”之“乘”在上古文献中的应用情况,从而得出结论:“乘禽”之“乘”,其义为“二”,而“乘马、乘矢、乘壶、乘韦”之“乘”,其义为... 本文就《广雅疏证》与《方言笺疏》中“乘”的释义作出分析,全面地考察了“乘禽、乘马、乘矢、乘壶、乘韦”之“乘”在上古文献中的应用情况,从而得出结论:“乘禽”之“乘”,其义为“二”,而“乘马、乘矢、乘壶、乘韦”之“乘”,其义为“四”。《广雅疏证》与《方言笺疏》对“乘”所作的释义与举例是错误的。 展开更多
关键词 《广雅疏证》 《方言笺疏》 “乘” 词义 “四”
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Safety and Tolerance of Adefovir Dipivoxil in Chinese Healthy Volunteers: A PhaseⅠRandomized and Open-Label Trial
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作者 孙德清 倪梅媛 +1 位作者 王本杰 郭瑞臣 《Journal of Chinese Pharmaceutical Sciences》 CAS 2005年第4期217-222,共6页
Aim To assess the safety and tolerance of adefovir dipivoxil (ADV) in Chinese healthy volunteers. Methods A total of 52 healthy volunteers, 26 males and 26 females, aged from 19 to 26 were enrolled in the study. For... Aim To assess the safety and tolerance of adefovir dipivoxil (ADV) in Chinese healthy volunteers. Methods A total of 52 healthy volunteers, 26 males and 26 females, aged from 19 to 26 were enrolled in the study. Forty-two subjects were randomized into 5, 10, 20, 40, and 60 mg dose groups (6 - 10 subjects in each) matched by sex and weight for single-dose trial. Ten subjects were orally given 10 mg of ADV tablets once daily for 7 d for multiple-dose trial. Physical examination, vital signs examination, electrocardiography, type-B ultrasonography, chest fluoroscopy, routine blood test, routine urine test, coagulation tests, and blood biochemical test were conducted on schedule and statistically evaluated. Results Asthenia frequently occurred in multiple-dose trial, nausea, abdominal pain, and diarrhea occurred in both single- and multiple-dose trials. ALT, bilirubin, CK, and LDH were slightly elevated. All adverse reactions and laboratory abnormalities were mild, and the frequency and severity were not related to doses. Conclusion ADV is safe and well tolerated in Chinese healthy volunteers at dose of 5 - 60 mg oncedaily or 10 nag once daily for 7 d. The recommended oral dosage regimen is 10 mg once daily. Attention should be paid to renal and liver functions, CK, AMY and LDH, if we take ADV for a long period of time. 展开更多
关键词 adefovir dipivoxil SAFETY TOLERANCE phaseⅠtrial
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Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding 被引量:20
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作者 Young-Seok Cho Hiun-Suk Chae +5 位作者 Hyung-Keun Kim Jin-Soo Kim Byung-Wook Kim Sung-Soo Kim Sok-Won Han Kyu-Yong Choi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第13期2080-2084,共5页
AIM: To compare the hemostatic efficacy and safety of two mechanical endoscopic methods: endoscopic band ligation (EBL) and endoscopic hemoclip placement (EHP) in patients with actively bleeding Mallory-Weiss syndrome... AIM: To compare the hemostatic efficacy and safety of two mechanical endoscopic methods: endoscopic band ligation (EBL) and endoscopic hemoclip placement (EHP) in patients with actively bleeding Mallory-Weiss syndrome (MWS). METHODS: A prospective randomized study to compare the efficacy and safety of EHP with EBL was performed from January 2002 to August 2005. Forty-one patients with active bleeding from MWS were treated with EHP (n = 21) or EBL (n = 20). RESULTS: There were no significant differences between groups with respect to clinical and endoscopic characteristics. The mean number of hemoclips applied was 3.2 ± 1.5 and the mean number of bands applied was 1.2 ± 0.4. Primary hemostasis was achieved in all patients. Recurrent bleeding was observed in one patient from the EHP group and two from the EBL group. Patients with recurrent bleeding were treated by the same modality as at randomization and secondary hemostasis was achieved in all. There were no significant differences between the two groups in total transfusion amount or duration of hospital stay. No complications or bleeding-related death resulted. CONCLUSION: EHP and EBL are equally effective and safe for the management of active bleeding in patients with Mallory-Weiss syndrome, even in those with shock or comorbid diseases. 展开更多
关键词 Mallory-Weiss syndrome HEMOSTASIS Endoscopic band ligation Endoscopic clipping
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Peginterferon and ribavirin treatment for hepatitis C virus infection 被引量:16
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作者 Akihito Tsubota Kiyotaka Fujise +1 位作者 Yoshihisa Namiki Norio Tada 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第4期419-432,共14页
Pegylated interferon α (IFNα) in combination with ribavirin is currently recommended as a standard-of-care treatment for chronic hepatitis C virus (HCV) infection. This combination therapy has drastically improved t... Pegylated interferon α (IFNα) in combination with ribavirin is currently recommended as a standard-of-care treatment for chronic hepatitis C virus (HCV) infection. This combination therapy has drastically improved the rate of sustained virological response, specifically in difficult-to-treat patients. Recently, individualized treatment, such as response-guided therapy, is being developed based on host-, HCV- and treatment-related factors. Furthermore, modified regimens with currently available medications, novel modified IFNα and ribavirin or combinations with specifically targeted antiviral therapy for HCV agents, are currently being investigated. The purpose of this review is to address some issues and epoch-making topics in the treatment of chronic HCV infection, and to discuss more optimal and highly individualized therapeutic strategies for HCV-infected patients. 展开更多
关键词 Pegylated interferon α RIBAVIRIN Chronic hepatitis C virus infection Difficult-to-treat patient Individualized treatment Response-guided therapy Specifically targeted antiviral therapy for hepatitis C virus
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Study of Rheological Characterization of Fenugreek Gum with Modified Maxwell Model 被引量:8
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作者 宋道云 宋兴福 +2 位作者 江体乾 卢拥军 蒋滇 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2000年第1期85-88,共4页
Taking into account the viscoelasticity of the fenugreek gum, a modified Maxwell model in terms of fractional derivatives is developed. Using this model, it is observed that the fenugreek gums with at least two differ... Taking into account the viscoelasticity of the fenugreek gum, a modified Maxwell model in terms of fractional derivatives is developed. Using this model, it is observed that the fenugreek gums with at least two different concentrations obey the Cox-Merz rule. 展开更多
关键词 fenugreek gum VISCOELASTICITY fractional derivatives modified Maxwell model
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Treatment strategies using adefovir dipivoxil for individuals with lamivudine-resistant chronic hepatitis B 被引量:19
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作者 Tae Jung Yun Jin Yong Jung +12 位作者 Chang Ha Kim Soon Ho Um Hyonggin An Yeon Seok Seo Jin Dong Kim Hyung Joon Yim Bora Keum Yong Sik Kim Yoon Tae Jeen Hong Sik Lee Hoon Jai Chun Chang Duck Kim Ho Sang Ryu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第47期6987-6995,共9页
AIM:To investigate retrospectively the long-term efficacy of various treatment strategies using adefovir dipivoxil(adefovir) in patients with lamivudine-resistant chronic hepatitis B.METHODS:We included 154 consecutiv... AIM:To investigate retrospectively the long-term efficacy of various treatment strategies using adefovir dipivoxil(adefovir) in patients with lamivudine-resistant chronic hepatitis B.METHODS:We included 154 consecutive patients in two treatment groups:the "add-on" group(n = 79),in which adefovir was added to ongoing lamivudine treatment due to lamivudine resistance,and the "switch/combination" group(n = 75),in which lamivudine was first switched to adefovir and then re-added later as needed.The "switch/combination" group was then divided into two subgroups depending on whether participants followed(group A,n = 30) or violated(group B,n = 45) a proposed treatment strategy that determined whether to add lamivudine based on the serum hepatitis B virus(HBV) DNA levels(< 60 IU/mL or not) after 6 mo of treatment(roadmap concept).RESULTS:The cumulative probability of virologic response(HBV DNA < 60 IU/mL) was higher in group A than in the "add-on" group and in group B(P < 0.001).In contrast,the cumulative probability of virologic breakthrough was lower in the "add-on" group than in group B(P = 0.002).Furthermore,the risk of virologic breakthrough in the multivariate analysis was significantly lower in the "add-on" group than in group A(hazard ratio = 0.096;95%CI,0.015-0.629;P = 0.015).CONCLUSION:The selective combination of adefovir with lamivudine based upon early treatment responses increased the odds of virologic breakthrough relative to the use of uniform combination therapy from the beginning of treatment. 展开更多
关键词 Chronic hepatitis B Lamivudine-resistant ADEFOVIR Combination therapy Roadmap concept
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