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基于Ajax的疾病预诊客户系统的设计与实现 被引量:1
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作者 梁兴建 陈超 +1 位作者 雷文 周刚 《自动化与仪表》 北大核心 2012年第3期10-12,24,共4页
针对现有医疗客户系统在实用性和易操作性方面的问题,提出基于Ajax技术的疾病预诊客户系统。应用Ajax框架对普通三层软件架构模式进行优化,文中分析了现有系统存在的问题及Ajax技术在本系统应用的优越性,阐述系统软件平台搭建设计方案... 针对现有医疗客户系统在实用性和易操作性方面的问题,提出基于Ajax技术的疾病预诊客户系统。应用Ajax框架对普通三层软件架构模式进行优化,文中分析了现有系统存在的问题及Ajax技术在本系统应用的优越性,阐述系统软件平台搭建设计方案及核心功能实现过程。测试表明,该系统具有增强用户体验、速度快、易操作等特性。 展开更多
关键词 疾病 客户系统 AJAX技术 用户体验
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绍兴第二医院医共体总院开展互联网+诊后疾病管理的实践与体会 被引量:1
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作者 葛孟华 章汝 +1 位作者 章小华 陈烨君 《中国医院》 北大核心 2023年第12期118-120,共3页
互联网+医疗健康服务是新形势下更好地满足人民群众对高质量医疗卫生服务需求的重要举措。笔者介绍了医院通过与第三方机构合作,建立诊后疾病管理平台,以医院为主导,组建由专科医师、专科护士、健康管理师和营养师或运动康复师等组成的... 互联网+医疗健康服务是新形势下更好地满足人民群众对高质量医疗卫生服务需求的重要举措。笔者介绍了医院通过与第三方机构合作,建立诊后疾病管理平台,以医院为主导,组建由专科医师、专科护士、健康管理师和营养师或运动康复师等组成的个案管理团队,开展线上线下相结合的健康宣教、生活方式干预、用药指导、心理辅导、复诊提醒、管理评估等诊后疾病精细化管理,有效提升了患者的依从性,改善了疾病的预后,提高了患者的满意度和医疗资源的使用效率。 展开更多
关键词 互联网+ 疾病管理 连续性医疗服务
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“互联网+手机端中医舌诊疾病分析系统” 在中医诊断实践教学中的应用 被引量:3
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作者 张岳 唐年亚 《卫生职业教育》 2021年第5期104-106,共3页
新冠肺炎疫情期间,课题组应用“互联网+手机端中医舌诊疾病分析系统”在钉钉直播和学习通平台开展中医诊断学舌诊线上实践教学。该软件能解决传统舌诊主观性强、受时空限制的问题,通过自主探究式、参与交互式教学,实现舌诊客观化,弥补... 新冠肺炎疫情期间,课题组应用“互联网+手机端中医舌诊疾病分析系统”在钉钉直播和学习通平台开展中医诊断学舌诊线上实践教学。该软件能解决传统舌诊主观性强、受时空限制的问题,通过自主探究式、参与交互式教学,实现舌诊客观化,弥补线上实践教学的不足,提升学生自学能力、动手能力和考核成绩,达到学思结合、知行合一的目的,教学效果良好。 展开更多
关键词 中医舌疾病分析系统 线上实践教学 互联网+
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超声在甲状腺腺瘤和甲状腺癌诊断和鉴别诊断中的价值
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作者 张凤先 白玲 《现代医用影像学》 2024年第4期762-764,共3页
目的:探讨两种甲状腺疾病的超声诊断价值。方法:2022年7月—2023年11月,选择良性甲状腺疾病甲状腺腺瘤30例、恶性甲状腺疾病甲状腺癌30例作为研究对象,分为甲状腺腺瘤组与甲状腺癌组,均在参与对象意识清醒状态下安排其完成超声诊断,统... 目的:探讨两种甲状腺疾病的超声诊断价值。方法:2022年7月—2023年11月,选择良性甲状腺疾病甲状腺腺瘤30例、恶性甲状腺疾病甲状腺癌30例作为研究对象,分为甲状腺腺瘤组与甲状腺癌组,均在参与对象意识清醒状态下安排其完成超声诊断,统计、对比各项诊断指标。结果:各组疾病诊出率比较无差异(P>0.05),各组血流分级、血流动力学特征比较有差异(P<0.05)。结论:甲状腺腺瘤、甲状腺癌临床诊断及鉴别过程中应用超声,具有显著价值。 展开更多
关键词 甲状腺腺瘤 甲状腺癌 超声 疾病诊出率 血流分级 血流动力学
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某基层部队医院军人转诊疾病谱调查与分析 被引量:5
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作者 余立民 黄加勇 申晋斌 《海军医学杂志》 2012年第5期323-324,共2页
我院为基层部队医院,通过对转诊的疾病进行统计和分析,有助于查找基层部队医院转诊上级医院的主要原因,从而为基层部队医疗机构的人才培养、装备建设、药品采购等提供依据。现分析报告如下。
关键词 基层部队医院 军人 疾病
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两种少见睾丸疾病的诊治体会
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作者 罗雄 《中国社区医师(医学专业)》 2009年第9期21-22,共2页
本文报道5例睾丸扭转、睾丸脱位的临床病例,结合文献对睾丸的误诊、漏诊,以及治疗加以讨论睾丸扭转,又称精索扭转。其发生时易引起睾丸缺血坏死,对睾丸扭转治疗时限必须在6小时内完成手术;对睾丸脱位疾病要充分认识提高警惕性,及... 本文报道5例睾丸扭转、睾丸脱位的临床病例,结合文献对睾丸的误诊、漏诊,以及治疗加以讨论睾丸扭转,又称精索扭转。其发生时易引起睾丸缺血坏死,对睾丸扭转治疗时限必须在6小时内完成手术;对睾丸脱位疾病要充分认识提高警惕性,及时复位,以免日久粘连形成增加手术难度,并发扭转而发生睾丸坏死。 展开更多
关键词 睾丸少见疾病/扭转脱位断/漏 治疗/手术 时限
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精神科门诊不同时点病例资料对比分析 被引量:2
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作者 李文飞 王克永 +2 位作者 夏海森 陶领知 程林 《临床心身疾病杂志》 CAS 2009年第4期332-333,345,共3页
目的探讨不同时点精神科门诊就诊结构及治疗状况。方法抽取2006年1月1日~2月10日在我院门诊就诊的480例精神病患者设为研究组,抽取2001年1月1日~2月10日在我院门诊就诊的404例精神病患者设为对照组。统计两组患者的一般资料、疾病诊... 目的探讨不同时点精神科门诊就诊结构及治疗状况。方法抽取2006年1月1日~2月10日在我院门诊就诊的480例精神病患者设为研究组,抽取2001年1月1日~2月10日在我院门诊就诊的404例精神病患者设为对照组。统计两组患者的一般资料、疾病诊断及药物治疗状况并进行对比分析。结果两组一般资料均无显著性差异(P〉0.05);研究组情感性精神病、疑似精神分裂症诊断率显著高于对照组,而分裂样精神病诊断率显著低于对照组(P均〈0.01);抗精神病药物奋乃静、舒必利选择率显著低于对照组,而阿立哌唑、喹硫平选择率显著高于对照组(P〈0.01);抗抑郁剂曲唑酮、氟西汀选择率显著低于对照组,而舍曲林、帕罗西汀、西酞普兰选择率显著高于对照组(P〈0.05或0.01);情绪稳定剂丙戊酸钠选择率显著高于对照组(P〈0.01);苯二氮革类药物氯硝西泮选择率显著低于对照组(P〈0.01)。结论精神科门诊就诊者情感性精神病及疑似精神分裂症诊断率显著增加,而分裂样精神病诊断率显著下降;新型抗精神病药物及新型抗抑郁剂使用率有明显增加趋势;苯二氮革类药物使用率有显著下降趋势。首诊病程尚无变化,人们对精神疾病的认识依然不足,有关职能部门应进一步加大宣传力度,提高人们对精神疾病的认识能力,以利于早发现、早就医。 展开更多
关键词 精神科门 疾病类型 药物应用 统计分析
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以非糖尿病首诊住院的糖尿病——附73例分析 被引量:1
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作者 邵虹 《现代临床医学生物工程学杂志》 1998年第1期42-43,共2页
我院1997年1月~1997年12月共收治糖尿病患者235例,其中无糖尿病病史者73例,占同期糖尿病住院病人总数的31%,73例的分析报告如下.
关键词 糖尿病 并发症 疾病
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子宫颈病变治疗后随诊
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作者 沈宗姬 《苏州医学》 2005年第2期74-75,共2页
子宫颈不同于卵巢、输卵管和子宫,易于进行直接检查。近年来宫颈病变的诊治和宫颈癌的防治有了新的发展,采用了三阶梯的诊断步骤;细胞学-阴道镜检-组织学检查(cytology-colposcopy-histology,CCH),引入了计算机辅助的自动读片系... 子宫颈不同于卵巢、输卵管和子宫,易于进行直接检查。近年来宫颈病变的诊治和宫颈癌的防治有了新的发展,采用了三阶梯的诊断步骤;细胞学-阴道镜检-组织学检查(cytology-colposcopy-histology,CCH),引入了计算机辅助的自动读片系统(CCT)、薄层液基细胞学检查(TCT),使用TBS细胞分类系统,也引进了HPV DNA检测(hC2), 展开更多
关键词 子宫颈疾病 自动读片系统 组织学检查 物理治疗 疾病 宫颈管刮术
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Advances and Challenges of Exosome Metabolomics in Body Fluids
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作者 CAO Yiqing HOU Jingxin +1 位作者 LIU Jianye LI Yan 《高等学校化学学报》 SCIE EI CAS CSCD 北大核心 2024年第11期1-15,共15页
Exosomes,ubiquitously present in body fluids,serve as non-invasive biomarkers for disease diagnosis,monitoring,and treatment.As intercellular messengers,exosomes encapsulate a rich array of proteins,nucleic acids,and ... Exosomes,ubiquitously present in body fluids,serve as non-invasive biomarkers for disease diagnosis,monitoring,and treatment.As intercellular messengers,exosomes encapsulate a rich array of proteins,nucleic acids,and metabolites,although most studies have primarily focused on proteins and RNA.Recently,exosome metabolomics has demonstrated clinical value and potential advantages in disease detection and pathophysiology,despite significant challenges,particularly in exosome isolation and metabolite detection.This review discusses the significant technical challenges in exosome isolation and metabolite detection,highlighting the advancements in these areas that support the clinical application of exosome metabolomics,and illustrates the potential of exosomal metabolites from various body fluids as biomarkers for early disease diagnosis and treatment. 展开更多
关键词 EXOSOME Metabolomics Body fluid BIOMARKER Disease diagnosis
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A Diagnostic Approach to Diseases in Pig's Respiratory System Based upon SVM Binary Tree 被引量:3
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作者 文斌 徐顺来 罗爱民 《Agricultural Science & Technology》 CAS 2011年第3期394-396,399,共4页
[Objective]To study a diagnostic approach to diseases in pig's respiratory system based upon SVM binary tree. [Method] First with the help of clustering theory,the degree of separation based upon the characteristics ... [Objective]To study a diagnostic approach to diseases in pig's respiratory system based upon SVM binary tree. [Method] First with the help of clustering theory,the degree of separation based upon the characteristics of diseases is defined. Each time the type of highest degree of separation is isolated to get a decision tree with smaller accumulated errors and SVM binary tree is applied in the diagnostic experiment of four common respiratory diseases. [Result] The method is practicable and can be applied in the diagnosis of pig's respiratory diseases at the early stage. [Conclusion] It provides references to the healthy development of pig husbandry in China and increases in breeders' incomes. 展开更多
关键词 SVM Binary tree Respiratory diseases Disease diagnosis
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MRI Differentiation Diagnosis of Occupying Lesions in Cerebellopontine Angle Area
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作者 黄力 凌雪英 +2 位作者 许卫国 傅元芳 高伟 《The Chinese-German Journal of Clinical Oncology》 CAS 2006年第3期197-199,共3页
Objective: To explore the value of magnetic resonance imaging (MRI) in diagnosis of occupying lesions in cerebellopontine angle area. Methods: MRI records of 78 patients with pathologically confirmed occupied lesi... Objective: To explore the value of magnetic resonance imaging (MRI) in diagnosis of occupying lesions in cerebellopontine angle area. Methods: MRI records of 78 patients with pathologically confirmed occupied lesions in cerebellopontine angle area were analyzed. Results: Of the 78 cases, 48 (61.5%) were unilateral acoustic neuroma, 5 (6.4%) were bilateral acoustic neuroma, 12 (15.4%) were meningioma, 4 (5.1%) were trigeminal neuroma, 3 (3.8%) were lipoma, 2 (2.6%) were melanoma, and 1 (1.3%) was medulloblastoma. According to the anatomic site, tumor lesion character, and MRI signal, the majority of cerebellopontine angle area tumors were diagnosed accurately. Conclusion: MRI plays an important role in diagnosis of occupying lesions in cerebellopontine angle area. 展开更多
关键词 cerebellopontine angle area occupied lesions MRI DIAGNOSIS
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自身免疫性垂体炎:一种易被漏诊的疾病 被引量:1
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作者 潘长玉 《中华内分泌代谢杂志》 CAS CSCD 北大核心 2008年第5期473-475,共3页
自身免疫性垂体炎虽相对少见,却可造成严重的健康问题,大约有一半自身免疫性垂体炎的患者被误诊为垂体腺瘤而接受了不必要的手术。提高垂体自身免疫性垂体炎的诊断率,除了需要加强对该病的认识,积累更多的诊治经验外,还需深入研究... 自身免疫性垂体炎虽相对少见,却可造成严重的健康问题,大约有一半自身免疫性垂体炎的患者被误诊为垂体腺瘤而接受了不必要的手术。提高垂体自身免疫性垂体炎的诊断率,除了需要加强对该病的认识,积累更多的诊治经验外,还需深入研究和确认垂体的致病抗原,发展血清学试验以用于垂体占位病变的鉴别诊断;其次需要建立垂体自身免疫病患者的登记数据库,为进行基础和临床创新性研究提供病例来源。 展开更多
关键词 自身免疫性垂体炎 抗垂体抗体 易被漏疾病
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公犬外生殖器损伤性疾病的临床研究(Ⅳ)——包皮后损伤性疾病的临诊观察及治疗报告
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作者 全炳昭 《养犬》 1999年第1期3-7,共5页
本文根据临床所见,对公犬包皮后损伤性疾病,即包茎、嵌闭包茎、包皮囊外翻、包皮囊脱出、包皮龟头炎和阴茎骨断裂等的发生原因、临床症状和治疗措施等,进行了观察和论述。
关键词 公犬 包皮后 损伤性疾病与治疗
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吉林省卫生计生委器官移植重点专科
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《吉林医学信息》 2014年第12期41-41,共1页
吉林大学第一医院器官移植中心是吉林省卫生计生委重点专科、吉林省器官移植质量控制中心、吉林省唯一一家器官移植准人单位、吉林大学重点学科、吉林省重点实验室、吉林大学第一医院优秀学科、吉林省首家卫生部内镜诊疗技术培训基地、... 吉林大学第一医院器官移植中心是吉林省卫生计生委重点专科、吉林省器官移植质量控制中心、吉林省唯一一家器官移植准人单位、吉林大学重点学科、吉林省重点实验室、吉林大学第一医院优秀学科、吉林省首家卫生部内镜诊疗技术培训基地、吉林大学腹腔镜微创外科疾病诊疗中心、吉林省腹腔镜外科中心和吉林省腔镜外科研究所,是医学硕士、医学博士授权学科和临床医学博士后流动站。教授、主任医师傅耀文担任器官移植重点专科主任。 展开更多
关键词 器官移植 重点专科 腔镜外科 技术培训基地 临床医学博士 腹腔镜微创外科 内镜 医学硕士 疾病诊
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Characterization of microRNAs in serum: a novel class of biomarkers for diagnosis of cancer and other diseases 被引量:983
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作者 Xi Chen Yi Ba +26 位作者 Lijia Ma Xing Cai Yuan Yin Kehui Wang Jig ang Guo Yujing Zhang Jiangning Chen Xing Guo Qibin Li Xiaoying Li Wenjing Wang Yan Zhang Jin Wang Xueyuan Jiang Yang Xiang Chen Xu Pingping Zheng Juanbin Zhang Ruiqiang Li Hongjie Zhang Xiaobin Shang Ting Gong Guang Ning Jun Wang Ke Zen Junfeng Zhang Chen-Yu Zhang 《Cell Research》 SCIE CAS CSCD 2008年第10期997-1006,共10页
Dysregulated expression of microRNAs (miRNAs) in various tissues has been associated with a variety of diseases, including cancers. Here we demonstrate that miRNAs are present in the serum and plasma of humans and o... Dysregulated expression of microRNAs (miRNAs) in various tissues has been associated with a variety of diseases, including cancers. Here we demonstrate that miRNAs are present in the serum and plasma of humans and other animals such as mice, rats, bovine fetuses, calves, and horses. The levels of miRNAs in serum are stable, reproducible, and consistent among individuals of the same species. Employing Solexa, we sequenced all serum miRNAs of healthy Chinese subjects and found over 100 and 91 serum miRNAs in male and female subjects, respectively. We also identified specific expression patterns of serum miRNAs for lung cancer, colorectal cancer, and diabetes, providing evidence that serum miRNAs contain fingerprints for various diseases. Two non-small cell lung cancer-specific serum miRNAs obtained by Solexa were further validated in an independent trial of 75 healthy donors and 152 cancer patients, using quantitative reverse transcription polymerase chain reaction assays. Through these analyses, we conclude that serum miRNAs can serve as potential biomarkers for the detection of various cancers and other diseases. 展开更多
关键词 serum-microRNA expression profile FINGERPRINT blood-based biomarker Solexa CANCERS diabetes
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MicroRNAs in inflammatory bowel disease-pathogenesis,diagnostics and therapeutics 被引量:19
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作者 Mehmet Coskun Jacob Tveiten Bjerrum +1 位作者 Jakob Benedict Seidelin Ole Haagen Nielsen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第34期4629-4634,共6页
The pathogenesis of inflammatory bowel disease (IBD) is complex and largely unknown. Until recently, research has focused on the study of protein regulators in inflammation to reveal the cellular and molecular network... The pathogenesis of inflammatory bowel disease (IBD) is complex and largely unknown. Until recently, research has focused on the study of protein regulators in inflammation to reveal the cellular and molecular networks in the pathogenesis of IBD. However, in the last few years, new and promising insights have been generated from studies describing an association between an altered expression of a specific class of non-coding RNAs, called microRNAs (miRs or miRNAs) and IBD. The short (approximately 22 nucleotides), endogenous, single-stranded RNAs are evolutionary conserved inanimals and plants, and regulate specific target mRNAs at the post-transcriptional level. MiRNAs are involved in several biological processes, including development, cell differentiation, proliferation and apoptosis. Furthermore, it is estimated that miRNAs may be responsible for regulating the expression of nearly one-third of the genes in the human genome. Thus, miRNA deregulation often results in an impaired cellular function, and a disturbance of downstream gene regulation and signaling cascades, suggesting their implication in disease etiology. Despite the identification of more than 1900 mature human miRNAs, very little is known about their biological functions and functional targets. Recent studies have identified dysregulated miRNAs in tissue samples of IBD patients and have demonstrated similar differences in circulating miRNAs in the serum of IBD patients. Thus, there is great promise that miRNAs will aid in the early diagnosis of IBD, and in the development of personalized therapies. Here, we provide a short review of the current state-of-the-art of miRNAs in IBD pathogenesis, diagnostics and therapeutics. 展开更多
关键词 Biomarker Crohn's disease DIAGNOSTICS In-flammatory bowel disease MicroRNA THERAPEUTICS Ulcer-ative colitis
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Multiplanar reformations and minimum intensity projections using multi-detector row CT for assessing anomalies and disorders of the pancreaticobiliary tree 被引量:11
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作者 Hyun Cheol Kim Dal Mo Yang +6 位作者 Wook Jin Chang Woo Ryu Jung Kyu Ryu Sung Il Park Seong Jin Park Hyeong Cheol Shin Il Young Kim 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第31期4177-4184,共8页
CT scan is regarded as the imaging modality of choice in patients with pancreaticobiliary ductal abnormalities. However, the axial orientation of the CT images provides only limited anatomical view of pancreaticobilia... CT scan is regarded as the imaging modality of choice in patients with pancreaticobiliary ductal abnormalities. However, the axial orientation of the CT images provides only limited anatomical view of pancreaticobiliary ductal abnormalities. The technological advances of multi-de-tector row CT and three-dimensional image processing in workstations allows rapid image acquisition and a short postprocessing time. In particular, multiplanar reforma-tions (MPR) and minimum intensity projections (MinIP) offer rapid and accurate images of the anatomy and ab-normalities of the pancreaticobiliary tree. Moreover, MPR and MinIP help determine the relationship between the pancreaticobiliary ductal anatomy and the surrounding structures. This pictorial review illustrates the wide spec-trum of images obtained by the MPR and MinIP of the anomalies and disorders of the pancreaticobiliary tree. 展开更多
关键词 Multi-detector CT Bile Ducts Biliary System PANCREAS Computer Applications-3D
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Cell-permeable Tat-NBD peptide attenuates rat pancreatitis and acinus cell inflammation response 被引量:11
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作者 You-Ming Long Ken Chen +2 位作者 Xue-Jin Liu Wen-Rui Xie Hui Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第5期561-569,共9页
AIM: To investigate the effects of Tat-NEMO-binding domain (NBD) peptide on taurocholate-induced pancreatitis and lipopolysaccharide (LPS)-stimulated AR42J acinus ceils inflammatory response in rats. METHODS: So... AIM: To investigate the effects of Tat-NEMO-binding domain (NBD) peptide on taurocholate-induced pancreatitis and lipopolysaccharide (LPS)-stimulated AR42J acinus ceils inflammatory response in rats. METHODS: Sodium taurocholate (5%) was used to induce the pancreatitis model. Forty-eight rats from the taurocholate group received an intravenous bolus of 13 mg/kg Tat-NBD (wild-type, WT) peptide, Tat- NBD (mutant-type, MT) peptide, NBD peptide or Tat peptide. The pancreatic histopathology was analyzed by hematoxylin staining. LPS was added to the culture medium to stimulate the AR42J cells. For pretreatment, cells were incubated with different peptides for 2 h before LPS stimulation. Expression of IL-1β and TNF-α mRNA was analyzed using a semi-quantitative reverse-transcript polymerase chain reaction (RT-PCR) method. IL-1β and TNF-α protein in culture medium were detected by enzyme linked immunosorbent assay (ELISA). NF-KB DNA-binding in pancreas was examined by electrophoretic mobility shift assays. P65 expression of AR42J was determined by Strept Actividin-Biotin Complex (SABC) method. RESULTS: Pretreatment with Tat-NBD (WT) peptide at a concentration of 13 mg/kg body wt showed beneficial effect in pancreaitis model. LPS (10 mg/L) resulted in an increase of IL-1β mRNA, IL-1β protein, TNF-α mRNA and TNF-α protein, whereas significantly inhibitory effects were observed when cells were incubated with Tat-NBD (WT). Consisting with p65 expression decrease analyzed by SABC method, NF-KB DNA-binding activity significantly decreased in Tat-NBD (WT) pretreatment group, especially at the largest dose. No significant changes were found in the control peptide group. CONCLUSION: Our result supports that active NF-KB participates in the pathogenesis of STC-induced acute pancreatitis in rats. Tat-NBD (WT) peptide has anti- inflammatory effects in this model and inhibits the inflammation of acinus simulated by LPS. 展开更多
关键词 PANCREATITIS Nuclear factor kappa B Cytokine PEPTIDE Pretreatment
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Different faces of gastroparesis 被引量:8
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作者 Klaus Bielefeldt Naeem Raza Susan L Zickmund 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第48期6052-6060,共9页
AIM: To test the hypothesis that pain and affect rather than impaired emptying determine symptom severity in patients with gastroparesis. METHODS: Adult patients with documented gastroparesis were enrolled prospecti... AIM: To test the hypothesis that pain and affect rather than impaired emptying determine symptom severity in patients with gastroparesis. METHODS: Adult patients with documented gastroparesis were enrolled prospectively in a single center and asked to complete the Gastroparesis Cardinal Symptom Index (GCSt), Hospital Anxiety and Depression Scale (HADS), the Short Form 12 (SF-12) as quality of life index, rate pain severity and answer 10 open-ended questions. RESULTS: A total of 55 patients (44 women) participated. Idiopathic (n = 29) or diabetic (n = 11) gastroparesis and connective tissue disease (n = 8) were the most common underlying causes. Antiemetics (n = 30) and prokinetics (n = 32) were most often prescribed. Seventeen patients used opioids on a daily basis. Nausea and/or vomiting (n = 28), pain (n = 24) and bloating (n = 14) were most commonly listed as dominant symptoms. Patients subjectively attributed symptom improvement to nutritional and dietary therapy (n= 11), prokinetics (n = 11), antiemetics (n = 10) or analgesic agents (n = 3). In univariate analyses, the physical subscore of the SF-12 and HADS, but not gastric emptying delay or symptom duration significantly correlated with disease severity as measured by the GCSI. In multivariate analyses, the combination of vomiting, bloating and depression best predicted the overall impact on quality of life. CONCLUSION: The study confirms the importance of pain and affect in gastroparesis, which requires novel approaches to improve more effectively the quality of life in patients with this disorder. 展开更多
关键词 PAIN DEPRESSION GASTROPARESIS Quality oflife
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