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Detection and Persistence of Clinical <i>Escherichia coli</i>in Drinking Water Evaluated by a Rapid Enzyme Assay and qPCR 被引量:1
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作者 Annette S. Bukh Nina E. Hansen Peter Roslev 《Advances in Microbiology》 2012年第3期252-262,共11页
The aims of this study were to evaluate two methods, qPCR and a chemiluminescent assay (ColiLight II), for rapid detection of E. coli in water, and to examine the survival and persistence of clinical E. coli in drinki... The aims of this study were to evaluate two methods, qPCR and a chemiluminescent assay (ColiLight II), for rapid detection of E. coli in water, and to examine the survival and persistence of clinical E. coli in drinking water and biofilm using qPCR and ColiLight II. qPCR and ColiLight II were compared with a cultivation-based method (MPN), and survival and persistence of four clinical E. coli strains in water and biofilms on stainless steel (SS) and polyethylene (PE) surfaces were studied in a flow-through reactor with non-disinfected drinking water using ColiLight II, qPCR, ATP bioluminescence, and MPN. ColiLight II and qPCR correlated well with MPN. In drinking water, some clinical E. coli strains showed prolonged survival in drinking water flow-through systems, and persisted 3 - 3.4 times longer than the theoretical washout due to incorporation into biofilms. Strain specific attributes can significantly affect detection and persistence of E. coli in drinking water matrices. 展开更多
关键词 Biofilm clinical e. COLI Chemiluminescent Assay Lab-Scale DRINKING WATeR Reactor System DRINKING WATeR qPCR
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慢性荨麻疹患者血清PAF、抗-CCD IgE水平变化及临床意义分析
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作者 李椅云 毕超 +2 位作者 梁艳华 廖子青 梁碧华 《中国卫生标准管理》 2024年第18期75-78,共4页
目的探讨慢性荨麻疹患者血清血小板活化因子(platelet activating factor,PAF)、抗交叉反应性糖类决定簇免疫球蛋白E(anti-cross reactive carbohydrate determinants immunoglobulin E,抗-CCD IgE)水平变化及临床意义,为临床诊断及病... 目的探讨慢性荨麻疹患者血清血小板活化因子(platelet activating factor,PAF)、抗交叉反应性糖类决定簇免疫球蛋白E(anti-cross reactive carbohydrate determinants immunoglobulin E,抗-CCD IgE)水平变化及临床意义,为临床诊断及病情程度、预后评估提供参考依据。方法选取2021年5月—2023年5月广州市皮肤病防治所收治的100例慢性荨麻疹患者,根据荨麻疹活动评分分为轻度组(n=41)、中度组(n=35)和重度组(n=24)。采集患者空腹静脉血,通过酶联免疫吸附法测定血清PAF水平,通过斑点免疫印迹法测定抗-CCD IgE、过敏原特异性免疫球蛋白E(specific immunoglobulin E,sIgE)。比较不同病情程度慢性荨麻疹患者血清PAF水平,分析慢性荨麻疹患者血清PAF水平与荨麻疹活动评分相关性,比较不同临床特征慢性荨麻疹患者抗-CCD IgE阳性率。结果中度组、重度组患者血清PAF水平高于轻度组,重度组患者血清PAF水平高于中度组,差异有统计学意义(P<0.05)。Pearson相关分析结果显示,慢性荨麻疹患者血清PAF水平与荨麻疹活动评分呈正相关性(r=0.491,P<0.001)。年龄≥45岁、重度病情、sIgE阳性患者抗-CCD IgE阳性率高于年龄<45岁、轻度病情、sIgE阴性患者,差异有统计学意义(P<0.05)。抗-CCD IgE阳性患者中过敏原阳性最高的为尘螨组合(66.67%),其次为蟑螂、螃蟹、普通豚草,分别为55.56%、44.44%和44.44%。结论慢性荨麻疹患者血清PAF水平与病情密切相关,且抗-CCD IgE水平与sIgE水平有一定关系,抗-CCD IgE阳性表达情况对sIgE试验存在一定干扰,分析试验结果时应考虑抗-CCD IgE的影响。 展开更多
关键词 慢性荨麻疹 抗交叉反应性糖类决定簇免疫球蛋白e 血小板活化因子 免疫球蛋白e 水平变化 临床意义
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Clinical features and risk factors of acute hepatitis E with severe jaundice 被引量:11
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作者 Bin Xu Hai-Bin Yu +4 位作者 Wei Hui Jia-Li He Lin-Lin Wei Zheng Wang Xin-Hui Guo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第48期7279-7284,共6页
AIM:To compares the clinical features of patients infected with hepatitis E virus(HEV) with or without severe jaundice.In addition,the risk factors for HEV infection with severe jaundice were investigated.METHODS:We e... AIM:To compares the clinical features of patients infected with hepatitis E virus(HEV) with or without severe jaundice.In addition,the risk factors for HEV infection with severe jaundice were investigated.METHODS:We enrolled 235 patients with HEV into a cross-sectional study using multi-stage sampling to select the study group.Patients with possible acute hepatitis E showing elevated liver enzyme levels were screened for HEV infection using serologic and molecular tools.HEV infection was documented by HEV antibodies and by the detection of HEV-RNA in serum.We used χ2 analysis,Fisher's exact test,and Student's t test where appropriate in this study.Significant predictors in the univariate analysis were then included in a forward,stepwise multiple logistic regression model.RESULTS:No significant differences in symptoms,alanine aminotransferase,aspartate aminotransferase,al-kaline phosphatase,or hepatitis B virus surface antigen between the two groups were observed.HEV infected patients with severe jaundice had significantly lower peak serum levels of γ-glutamyl-transpeptidase(GGT)(median:170.31 U/L vs 237.96 U/L,P = 0.007),significantly lower ALB levels(33.84 g/L vs 36.89 g/L,P = 0.000),significantly lower acetylcholine esterase(CHE) levels(4500.93 U/L vs 5815.28 U/L,P = 0.000) and significantly higher total bile acid(TBA) levels(275.56 μmol/L vs 147.03 μmol/L,P = 0.000) than those without severe jaundice.The median of the lowest point time tended to be lower in patients with severe jaundice(81.64% vs 96.12%,P = 0.000).HEV infected patients with severe jaundice had a significantly higher viral load(median:134 vs 112,P = 0.025) than those without severe jaundice.HEV infected patients with severe jaundice showed a trend toward longer median hospital stay(38.17 d vs 18.36 d,P = 0.073).Multivariate logistic regression indicated that there were significant differences in age,sex,viral load,GGT,albumin,TBA,CHE,prothrombin index,alcohol overconsumption,and duration of admission between patients infected with acute hepatitis E with and without severe jaundice.CONCLUSION:Acute hepatitis E patients may naturally present with severe jaundice. 展开更多
关键词 Hepatitis e virus Acute hepatitis e clinical features Severe jaundice Risk factor
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Tocotrienol isoforms:The molecular mechanisms underlying their effects in cancer therapy and their implementation in clinical trials
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作者 Maria Younes Ghady Loubnane +1 位作者 Christopher Sleiman Sandra Rizk 《Journal of Integrative Medicine》 SCIE CAS CSCD 2024年第1期1-11,共11页
Tocotrienols are found in a variety of natural sources,like rice bran,annatto seeds and palm oil,and have been shown to have several health-promoting properties,particularly against chronic diseases such as cancer.The... Tocotrienols are found in a variety of natural sources,like rice bran,annatto seeds and palm oil,and have been shown to have several health-promoting properties,particularly against chronic diseases such as cancer.The incidence of cancer is rapidly increasing around the world,not only a result of continued aging and population growth,but also due to the adoption of aspects of the Western lifestyle,such as high-fat diets and low-physical activity.The literature provides strong evidence that tocotrienols are able to inhibit the growth of various cancers,including breast,lung,ovarian,prostate,liver,brain,colon,myeloma and pancreatic cancers.These findings,along with the reported safety profile of tocotrienols in healthy human volunteers,encourage further research into these compounds’potential use in cancer prevention and treatment.The current review provided detailed information about the molecular mechanisms of action of different tocotrienol isoforms in various cancer models and evaluated the potential therapeutic effects of different vitamin E analogues on important cancer hallmarks,such as cellular proliferation,apoptosis,angiogenesis and metastasis.MEDLINE/PubMed and Scopus databases were used to identify recently published articles that investigated the anticancer effects of vitamin E derivatives in various types of cancer in vitro and in vivo along with clinical evidence of adjuvant chemopreventive benefits.Following an overview of pre-clinical studies,we describe several completed and ongoing clinical trials that are paving the way for the successful implementation of tocotrienols in cancer chemotherapy. 展开更多
关键词 Vitamin e Tocotrienols Cancer Molecular mechanism clinical trials
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E光联合调Q激光治疗雀斑的临床疗效分析
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作者 王佳 魏春强 陈丽华 《中国医疗美容》 2024年第5期64-67,共4页
目的分析E光联合调Q激光治疗雀斑的临床疗效。方法对我院在2021年1月-2023年12月收治的102例雀斑患者进行回顾性分析,根据治疗方案不同将其分为3组,联合组31例,E光组35例,调Q组36例,联合组实施E光联合调Q激光治疗,E光组单独实施E光治疗,... 目的分析E光联合调Q激光治疗雀斑的临床疗效。方法对我院在2021年1月-2023年12月收治的102例雀斑患者进行回顾性分析,根据治疗方案不同将其分为3组,联合组31例,E光组35例,调Q组36例,联合组实施E光联合调Q激光治疗,E光组单独实施E光治疗,调Q组单独实施调Q激光治疗,分析3组患者临床相关数据。结果联合组患者治疗总有效率高于E光组、调Q组(χ^(2)=7.087,P=0.029);三组治疗后IEWL、角质层含水量指标均有统计学意义(P<0.05),联合组与E光组治疗后IEWL、角质层含水量指标无统计学意义(P>0.05);联合组与E光组治疗后IEWL指标低于调Q组,角质层含水量高于调Q组(P<0.05);联合组和E光组、调Q组不良反应总发生率无统计学意义(χ^(2)=3.740,P=0.154);联合组、E光组、调Q组总满意度具有统计学意义(χ^(2)=7.969,P=0.019)。结论E光联合调Q激光治疗雀斑在提高治疗效果、改善皮肤屏障功能和增加皮肤含水量方面具有优势,同时保持了与单独治疗相似的安全性水平,并且能够提高患者的总满意度。 展开更多
关键词 e 调Q激光 联合治疗 雀斑 临床疗效
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An Analysis of Epidemiological Characteristics and the Clinical Features of 394 Cases of Sporadic Acute Hepatitis E in Southwest China from 2008 to 2010
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作者 Hui Li Xiao-Dong Yang +3 位作者 Yong-Rui Yang Si-Yuan Gao De-Ying Tian Quan Yuan 《国际感染病学(电子版)》 CAS 2014年第3期114-121,共8页
Background and Aims Recently, epidemiology studies of hepatitis E in different areas are attracted more attention. Extensive studies of prevalent status and clinical manifestations could help us to broaden our knowled... Background and Aims Recently, epidemiology studies of hepatitis E in different areas are attracted more attention. Extensive studies of prevalent status and clinical manifestations could help us to broaden our knowledge, so as to excellently prevent and treat hepatitis E. The study analyzed the epidemiological characteristics and clinical features of 394 cases of sporadic acute hepatitis E(AHE) in Southwest of China from 2008 to 2010. Methods The clinical data of 394 cases with sporadic AHE in Southwest of China from 2008 to 2010 were reviewed.Results In the 394 cases with sporadic AHE, the ratio of male/female was 1.432∶1, and the mean age was(31.53 ± 18.12) years. Totally, 94(23.86%) patients aged under 18, 271(68.78%) patients aged between 18 and 60, and 29(7.36%) patients aged above 60. The incidence rate was significantly increased in summer(P = 0.000), especially in May(14.72%) and July(13.71%). In addition, the characteristics of occupation and ethnic group distribution were migrant laborers(106/394, 26.90%) and Han people(365/394, 92.64%). The length of stay, incidence of jaundice, the peak value of total bilirubin and alanine aminotransferase in male patients were all higher than those in female patients significantly(P < 0.05). The prolonged length of stay, decreased levels of ALT/ALB/CHE, increased levels of TBil, and increased incidence of jaundice and fatigue were associated with older age significantly(P < 0.05). The differences in peak values of total bilirubin(TBil), total bile acid(TBA), glutamyltransferase(GGT), cholinesterase(CHE) between AHE group and the groups of AHE accompanied respectively by chronic hepatitis B(CHB), acute alcoholic fatty liver(AFL), nonalcoholic fatty liver disease(NAFLD) were significant(P < 0.05). In addition, no significant difference was found in length of stay and biochemical indexes among anti-HEV-Ig G positive group, anti-HEV-Ig M positive group and antiHEV-Ig M/Ig G both positive group(P > 0.05).Conclusions Four epidemiological characteristics, including aged between 18 and 60, male, summer and migrant laborers, are found to be associated with acute hepatitis E. The prognosis of AHE in the majority of patients was favorable, but aged above 60 years and coexistence with CHB, AFL and NAFLD could be considerede as the factors inducing the infaust prognosis. 展开更多
关键词 Acute hepatitis e ePIDeMIOLOGY clinical feature Sporadic infection Hepatitis evirus
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不同临床病理特征卵巢浆液性肿瘤患者E-cadherin、BRCA1及P53的表达变化研究
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作者 陈冬莲 李红红 叶倩倩 《中国医学创新》 CAS 2024年第18期157-160,共4页
目的:探究不同卵巢浆液性肿瘤中E-钙黏蛋白(E-cadherin)、乳腺癌易感基因1(BRCA1)、P53的表达变化情况。方法:选取2017年12月—2022年2月赣州市妇幼保健院的50例卵巢浆液性癌患者为A组,同时期的40例卵巢交界性浆液性肿瘤患者为B组,30例... 目的:探究不同卵巢浆液性肿瘤中E-钙黏蛋白(E-cadherin)、乳腺癌易感基因1(BRCA1)、P53的表达变化情况。方法:选取2017年12月—2022年2月赣州市妇幼保健院的50例卵巢浆液性癌患者为A组,同时期的40例卵巢交界性浆液性肿瘤患者为B组,30例卵巢良性浆液性囊腺瘤患者为C组。检测及比较三组的组织E-cadherin、BRCA1、P53表达情况,并比较A组中不同年龄、淋巴结转移情况、FIGO分期及不同病理分级者的检测结果。结果:A组的E-cadherin及BRCA1阳性率显著均低于B组及C组,B组则显著均低于C组(P<0.05);A组P53阳性率显著高于B组及C组,B组则显著高于C组(P<0.05)。A组中低级别浆液性癌者E-cadherin和BRCA1阳性率均高于高级别浆液性癌者,低级别浆液性癌者P53阳性率显著低于高级别浆液性癌者,差异均有统计学意义(P<0.05)。A组中不同年龄及FIGO分期者的组织E-cadherin、BRCA1及P53阳性率比较,差异均无统计学意义(P>0.05)。A组有淋巴结转移者E-cadherin和BRCA1阳性率均低于无淋巴结转移者,有淋巴结转移者P53阳性率高于无淋巴结转移者,差异均有统计学意义(P<0.05)。结论:卵巢浆液性癌患者中E-cadherin及BRCA1呈低表达,而P53呈高表达,且不同临床病理情况者存在差异,因此在卵巢浆液性癌的早期筛查检测中有一定的参考价值。 展开更多
关键词 卵巢浆液性肿瘤 e-钙黏蛋白 乳腺癌易感基因1 P53 临床病理
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SACI Protocol: Preliminary Guidelines for the Development of Digital Health Technologies for Clinical Trials in Brazil
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作者 Lídia Maria Lourençön Rodrigues Agia Jorge Luiz Dias Agia +2 位作者 Rui Pedro Charters Lopes Rijo Valdes Roberto Bollela Domingos Alves 《E-Health Telecommunication Systems and Networks》 2022年第3期85-100,共16页
In the last decade, evidence-based medical practice has been supported on a large scale by computerized decision support tools, aiming to reduce diagnostic and therapeutic uncertainty, complementing the actions of the... In the last decade, evidence-based medical practice has been supported on a large scale by computerized decision support tools, aiming to reduce diagnostic and therapeutic uncertainty, complementing the actions of the health professional. With technological developments, it is now possible to consider these systems as part of clinical intervention, both for the diagnosis and treatment of diseases. The literature has described the implementation of e-health tools, that is, technological innovations in the health area such as software, applications, serious games, among others, as a strategy to improve the process and adherence to treatment. However, there is still no standardized instrument in Brazil that can be used to guide the development, from the research phase, and the implementation of these tools as a health intervention, also impacting patient outcomes. With the objective of investigating a new therapeutic and preventive form, based on intervention with a computerized system, this work proposes the creation of guidelines for the registration and implementation of e-health tools as a clinical intervention. The proposal aims to be able to assist in the reporting standardization from the development stage to the application of the e-health tool helping in the treatment of diseases, registering all the experience lived in the research and applying it in different contexts of health. 展开更多
关键词 Reporting Guidelines clinical Trials Digital Health e-HeALTH
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ECT2和E2F1蛋白在乳腺癌中的表达及临床意义 被引量:11
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作者 王宏坤 郑绘霞 +1 位作者 梁建芳 肖虹 《山西医科大学学报》 CAS 2017年第8期852-855,共4页
目的探讨ECT2和E2F1蛋白在乳腺癌中的表达并分析其临床意义。方法应用免疫组织化学En Vision法检测在山西医科大学第一医院病理科收集的133例乳腺癌和80例正常乳腺组织中ECT2和E2F1蛋白的表达情况。结果ECT2和E2F1蛋白在乳腺癌中的阳性... 目的探讨ECT2和E2F1蛋白在乳腺癌中的表达并分析其临床意义。方法应用免疫组织化学En Vision法检测在山西医科大学第一医院病理科收集的133例乳腺癌和80例正常乳腺组织中ECT2和E2F1蛋白的表达情况。结果ECT2和E2F1蛋白在乳腺癌中的阳性表达率分别为55.6%和74.4%,二者分别与正常组织(8.8%和2.5%)比较,差异有统计学意义(P<0.05);ECT2和E2F1蛋白表达与患者年龄、肿瘤大小及肿瘤类型无关(P>0.05),与肿瘤分级、淋巴结转移及TNM分期有关(P<0.05)。相关性分析显示,ECT2和E2F1蛋白在乳腺癌中的表达呈显著正相关性(r=0.344,P<0.05)。结论 ECT2和E2F1蛋白表达在乳腺癌的发生发展过程中相互之间存在一定的作用,ECT2在乳腺癌中的作用可能受E2F/RB信号通路的调控,二者共同表达对评估患者预后有一定的价值。 展开更多
关键词 乳腺癌 ect2 e2F1
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胃癌患者血清miR-183 E-selectin AMBP的变化及与临床病理的关系 被引量:6
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作者 靳枫 余少康 +2 位作者 李柱 潘毅贞 王树滨 《河北医学》 CAS 2019年第12期2094-2098,共5页
目的:分析胃癌患者血清微小核糖核酸-183(miR-183)、选择素-E(E-selectin)、α-1-微球蛋白/胰蛋白酶抑制剂前体(AMBP)的变化及与临床病理的关系。方法:选择我院2018年1月至2019年1月收治的96例胃癌患者,同期选择门诊健康体检者30例。比... 目的:分析胃癌患者血清微小核糖核酸-183(miR-183)、选择素-E(E-selectin)、α-1-微球蛋白/胰蛋白酶抑制剂前体(AMBP)的变化及与临床病理的关系。方法:选择我院2018年1月至2019年1月收治的96例胃癌患者,同期选择门诊健康体检者30例。比较胃癌组和对照组血清miR-183、E-selectin、AMBP水平,并分析以上指标和临床病理的联系,及对胃癌诊断的预测价值。结果:胃癌组血清miR-183、E-selectin、AMBP水平高于对照组,比较有统计学差异(P<0.05)。miR-183、E-selectin、AMBP水平在不同TNMⅢ~Ⅳ期、有淋巴结转移及浸润深度T3~T4者血清miR-183、E-selectin、AMBP均分别高于TNMⅠ~Ⅱ期、无淋巴结转移及浸润深度T1~T2者,比较有统计学差异(P<0.05)。miR-183的曲线下面积为0.687,敏感度和特异度分别为0.833和0.625;E-selectin曲线下面积为0.854,敏感度和特异度分别为0.831和0.829;AMBP曲线下面积为0.752,敏感度和特异度分别为0.867和0.635;联合测定曲线下面积为0.908,敏感度和特异度分别为0.900和0.843。结论:血清mi-183、E-selectin及AMBP水平和胃癌临床病理相关,且可利于胃癌的诊断,联合监测能够弥补单项指标的不足,在临床有较高的应用价值。 展开更多
关键词 胃癌 微小核糖核酸-183 选择素-e α-1-微球蛋白/胰蛋白酶抑制剂前体 临床病理
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基于E-PRE-DELIRIC风险分层模型的谵妄管理模式在重症监护病房应用的有效性及预测性能研究 被引量:2
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作者 曹烨君 张明珠 +3 位作者 潘国俊 范秀丽 祖元元 杨剑税 《解放军医学院学报》 CAS 北大核心 2023年第5期501-507,524,共8页
背景谵妄是重症监护病房常见并发症,可增加死亡风险,影响预后,其防控重要性大于治疗。国内外尚未见通过风险分层模型联合优化的评估措施筛查中高风险及亚综合型谵妄并进行早期干预的报道。目的探讨基于E-PRE-DELIRIC早期风险分层模型的... 背景谵妄是重症监护病房常见并发症,可增加死亡风险,影响预后,其防控重要性大于治疗。国内外尚未见通过风险分层模型联合优化的评估措施筛查中高风险及亚综合型谵妄并进行早期干预的报道。目的探讨基于E-PRE-DELIRIC早期风险分层模型的谵妄管理模式对重症监护病房(intensive care unit,ICU)患者谵妄发生率的影响,并对该风险预测模型进行效能验证研究。方法以常州市第四人民医院ICU病区2019年6月-2021年12月收治的患者为研究对象,干预组采用E-PRE-DELIRIC风险分层模型对入组患者进行风险分层,并建立基于logistic回归的多指标风险预测模型,通过ROC分析评估其预测效能。临床药师加入ICU谵妄管理团队,对中高风险患者实施重点药学监护,实施早期干预。对照组按常规谵妄管理模式执行。比较两组患者谵妄发生率、谵妄持续时间、疼痛评分、ICU住院时间和药物不良反应发生率。结果共纳入212例患者,干预组107例,对照组105例。两组年龄、性别、认知障碍史、酗酒史、既往病史、紧急入院、入院APACHEⅡ评分、尿素氮(blood urea nitrogen,BUN)、平均动脉压(mean arterial pressure,MAP)、糖皮质激素使用率和主要合并疾病等方面的差异均无统计学意义(P>0.05)。与对照组比较,干预组谵妄发生率显著降低[8.41%(9/98)vs 26.67%(28/77),P<0.01],疼痛评分较低[Md(IQR):0(0,0)vs 0.5(0,0.5)],ICU住院时间较短[(10.21±8.21)d vs(13.32±9.74)d],药物不良反应发生率显著降低[3.74%(4/103)vs 11.43%(12/93)],差异均有统计学意义(P<0.05)。以本研究样本所建风险预测模型:Log(P/1-P)(联合虚拟指标/概率)=-1.317+0.018×年龄+0.712×认知功能障碍史+0.215×酗酒史+0.592×治疗经历+0.008×入ICU时的MAP值+0.416×呼吸衰竭+0.011×入ICU时的BUN值。ROC分析显示,7指标联合应用对ICU患者发生谵妄的风险预测效能较高,ROC-AUC(95%CI)、敏感度、特异度、准确度分别为0.882(0.834~0.931)、0.892、0.869、0.873。结论基于E-PRE-DELIRIC早期风险预估分层模型的谵妄管理模式(药学监护及早期干预等措施)可降低ICU患者谵妄发生率,降低药物不良反应发生率,并能缩短患者的ICU住院时间。 展开更多
关键词 e-PRe-DeLIRIC模型 谵妄管理模式 重症监护病房 临床药师 谵妄发生率
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Influence of chronic HBV infection on superimposed acute hepatitis E 被引量:9
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作者 Si-Hong Cheng Li Mai +7 位作者 Feng-Qin Zhu Xing-Fei Pan Hai-Xia Sun Hong Cao Xin Shu Wei-Min Ke Gang Li Qi-Huan Xu 《World Journal of Gastroenterology》 SCIE CAS 2013年第35期5904-5909,共6页
AIM:To investigate the influence of chronic hepatitis B virus(HBV)infection[based on the status of hepatitis B e antigen(HBeAg),HBV DNA,and cirrhosis]on superimposed acute hepatitis E.METHODS:A total of 294 patients w... AIM:To investigate the influence of chronic hepatitis B virus(HBV)infection[based on the status of hepatitis B e antigen(HBeAg),HBV DNA,and cirrhosis]on superimposed acute hepatitis E.METHODS:A total of 294 patients were recruited from the Department of Infectious Diseases of the Third Affiliated Hospital,Sun Yat-sen University,from January 2003 to January 2012.The patients were classified into two groups:an HBV+hepatitis E virus(HEV)group(a group with chronic HBV infection that was superinfected with acute hepatitis E,n=118)and an HEV group(a group with acute hepatitis E,n=176).We retrospectively analyzed and compared the clinical features of the two groups.Statistical analyses were performed using theχ2test or Fisher’s exact test for categorical variables and the Student’s t test forcontinuous variables.A P value<0.05 was considered statistically significant.RESULTS:The peak values of prothrombin time,serum total bilirubin,and Model for End-Stage Liver Disease scores were significantly higher in the HBV+HEV group.More patients in the HBV+HEV group had complications(39.8%vs 16.5%,P=0.000)and developed liver failure(35.6%vs 8.5%,P=0.000).Additionally,the mortality of the HBV+HEV group was significantly higher(20.3%vs 7.4%,P=0.002).Further analysis of the HBV+HEV group showed that there were no significant differences in complication occurrence,liver failure incidence,or mortality between patients with different HBeAg and HBV DNA statuses.However,in patients with underlying cirrhosis,complication occurrence and liver failure incidence significantly increased.In total,12.7%of the patients in the HBV+HEV group received anti-HBV treatment,but this therapy failed to reduce mortality in patients who developed liver failure.CONCLUSION:The presence of underlying cirrhosis in chronic HBV infection results in more severe clinical outcomes with superimposed acute hepatitis E.AntiHBV treatment cannot improve the prognosis of liver failure caused by HBV-HEV superinfection. 展开更多
关键词 CHRONIC HePATITIS B VIRUS infection Acute HePATITIS e SUPeRINFectION clinical profile Anti-hepatitis B VIRUS treatment
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Genotype E:The neglected genotype of hepatitis B virus 被引量:1
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作者 Luicer Anne Olubayo Ingasia Constance Wose Kinge Anna Kramvis 《World Journal of Hepatology》 2021年第12期1875-1891,共17页
Hepatitis B virus(HBV)(sub)genotypes A1,D3 and E circulate in sub-Saharan Africa,the region with one of the highest incidences of HBV-associated hepatocellular carcinoma globally.Although genotype E was identified mor... Hepatitis B virus(HBV)(sub)genotypes A1,D3 and E circulate in sub-Saharan Africa,the region with one of the highest incidences of HBV-associated hepatocellular carcinoma globally.Although genotype E was identified more than 20 years ago,and is the most widespread genotype in Africa,it has not been extensively studied.The current knowledge status and gaps in its origin and evolution,natural history of infection,disease progression,response to antiviral therapy and vaccination are discussed.Genotype E is an African genotype,with unique molecular characteristics that is found mainly in Western and Central Africa and rarely outside Africa except in individuals of African descent.The low prevalence of this genotype in the African descendant populations in the New World,phylogeographic analyses,the low genetic diversity and evidence of remnants of genotype E in ancient HBV samples suggests the relatively recent reintroduction into the population.There is scarcity of information on the clinical and virological characteristics of genotype E-infected patients,disease progression and outcomes and efficacy of anti-HBV drugs.Individuals infected with genotype E have been characterised with high hepatitis B e antigen-positivity and high viral load with a lower end of treatment response to interferon-alpha.A minority of genotype E-infected participants have been included in studies in which treatment response was monitored.Of concern is that current guidelines do not consider patients infected with genotype E.Thus,there is an urgent need for further large-scale investigations into genotype E,the neglected genotype of HBV. 展开更多
关键词 Hepatitis B virus Genotype e eVOLUTION clinical significance Antiviral therapy VACCINATION
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Electroviscous effect on electromagnetohydrodynamic flows of Maxwell fluids in parallel plate microchannels
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作者 Yongbo LIU Yongjun JIAN 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2019年第10期1457-1470,共14页
Considering the influence of the streaming potential and electroviscous effects, the analytical solutions for electromagnetohydrodynamic (EMHD) flows in parallel plate microchannels are obtained. The electrolyte solut... Considering the influence of the streaming potential and electroviscous effects, the analytical solutions for electromagnetohydrodynamic (EMHD) flows in parallel plate microchannels are obtained. The electrolyte solutions in the microchannels are taken as generalized Maxwell fluids, and slip boundary conditions are adopted. To accurately analyze the EMHD flow characteristics, the variation trends of the electroviscous effects with the corresponding parameters must be understood. The results show that the electroviscous effects increase with the increase in the relaxation time De, the slip coefficient , and the wall zeta potential 0. However, the increase in the inverse of the electrical double-layer (EDL) thickness K, the electrical oscillating Reynolds number Re, and the ionic P'eclet number Pe can decrease the electroviscous effects. We also demonstrate that the electroviscous effect on the EMHD flows of generalized Maxwell fluids is larger than that of Newtonian fluids. This work will be useful in designing EMHD flows in parallel plate microchannels. 展开更多
关键词 electroviscous e ect electromagnetohydrodynamic (eMHD) ow GeNeRALIZeD MAXWeLL UID
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基于Morse势的可重建有限温度下太赫兹吸收谱的半经验模型
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作者 马慧芳 杨延邵 +3 位作者 靖衡 姜万顺 郭文跃 任浩 《Chinese Journal of Chemical Physics》 SCIE EI CAS CSCD 2023年第1期15-24,I0004-I0007,I0001,共15页
太赫兹吸收谱起源于对材料低频振动模或低频声子模的激发,强烈依赖于体系的化学组成和微观结构,它是材料的一种指纹特性.太赫兹振动激发能较低(0.414~414 meV),导致振动模对应的势能面较浅,且振动激发态可通过热涨落占据.较浅的势能面... 太赫兹吸收谱起源于对材料低频振动模或低频声子模的激发,强烈依赖于体系的化学组成和微观结构,它是材料的一种指纹特性.太赫兹振动激发能较低(0.414~414 meV),导致振动模对应的势能面较浅,且振动激发态可通过热涨落占据.较浅的势能面通常导致振动模非谐性较强,使得激发态吸收发生红移;结合较为明显的振动激发态占据,在温度升高时,太赫兹特征信号通常发生不同程度的红移.本文基于第一性原理振动分析,结合已有的低温太赫兹实验谱和Morse势函数,发展了一个半经验模型,用于描述低频振动模的非谐性效应.通过对嘌呤分子晶体的测试,模型可以重现不同温度下的太赫兹吸收谱;对实验结果的准确预测表明,该模型可用于分子晶体的太赫兹光谱表征. 展开更多
关键词 太赫兹吸收谱 非谐性效应 MORSe 半经验模型
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重症监护病房多重耐药ESKAPE-E病原体血流感染临床特征及死亡影响因素分析
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作者 段友红 梁友宝 +2 位作者 乔林爽 赵德根 常滋毓 《安徽医学》 2023年第6期655-661,共7页
目的探索多重耐药ESKAPE-E病原体血流感染危险因素和死亡风险。方法回顾性分析2019年1月至2022年12月蚌埠市第一人民医院重症监护病房收治的61例ESKAPE-E血流感染患者的临床资料。分析61例患者血培养ESKAPE-E病原体菌株和耐药机制的分... 目的探索多重耐药ESKAPE-E病原体血流感染危险因素和死亡风险。方法回顾性分析2019年1月至2022年12月蚌埠市第一人民医院重症监护病房收治的61例ESKAPE-E血流感染患者的临床资料。分析61例患者血培养ESKAPE-E病原体菌株和耐药机制的分布以及主要检出菌的耐药率。依据患者血培养ESKAPE-E病原体是否存在多重耐药分为多重耐药组(35例)和非多重耐药组(26例),应用单因素分析比较两组患者的临床资料,筛选有意义的变量纳入多因素logistic回归,分析多重耐药ESKAPE-E血流感染的独立危险因素,并且采用Kaplan‑Meier生存曲线比较两组患者的累积死亡风险;根据患者住院期间的临床结局分为死亡组(23例)和存活组(38例),运用单因素分析和Cox风险回归,探讨死亡患者的独立危险因素。结果61例患者共检出革兰阴性杆菌感染51例,主要检出菌为大肠杆菌和肺炎克雷伯菌,对三、四代头孢(28.0%~56.0%)和喹诺酮类(48.0%~63.6%)呈现了较高的耐药率,头孢哌酮/舒巴坦和头孢西丁耐药率较低(<20.0%),肺炎克雷伯菌对碳青霉烯的耐药率达到了30.8%;多因素logistic回归显示≥3种合并症(OR=4.894;95%CI:1.394~17.177)、不合理的经验性抗生素治疗(OR=3.843;95%CI:1.065~13.857)是患者多重耐药ESKAPE-E血流感染的独立危险因素。Kaplan‑Meier生存曲线显示与非多重耐药组相比,多重耐药组患者住院期间具有更高的死亡风险(χ2=5.928,P<0.05);Cox风险回归显示休克(HR=3.523;95%CI:1.024~12.115)、气管插管(HR=4.341;95%CI:1.636~11.519)、不合理的经验性抗生素治疗(HR=3.823;95%CI:1.091~13.396)是ESKAPE-E血流感染患者住院期间的独立死亡因素。结论重症监护病房患者ESKAPE-E血流感染多重耐药风险高,≥3个合并症和不合理的经验性抗生素治疗是多重耐药ESKAPE-E血流感染的独立危险因素,休克、气管插管和不合理的经验性抗生素治疗是ESKAPE-E血流感染患者住院期间死亡的独立危险因素。 展开更多
关键词 重症监护病房 eSKAPe-e 血流感染 临床特征 危险因素
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The study of technology acceptance for e-wallets application of clinic fees payment
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作者 Yi-Horng Lai 《Health》 2012年第11期1082-1087,共6页
The purpose of this study was to investigate the demand of application of e-wallet in domestic retail industry by examining the needs of adoption of small amount paying method and the reasons for customers’ using of ... The purpose of this study was to investigate the demand of application of e-wallet in domestic retail industry by examining the needs of adoption of small amount paying method and the reasons for customers’ using of IC stored value card in this industry and aimed at providing suggestions on the e-development of small amount paying methods for domestic retail and banking industries. This study was developed in a way that the model constructs in TAM were adapted to the context of using e-wallets for clinic fees. Scale items on the survey include those measuring perceived usefulness, perceived ease of use, a user's attitude toward using and intention. The questionnaire contains no identifying information about the individual participants. A total of 320 Taipei City Hospital patients’ feedbacks were collected. Results indicate most of the relationships in the proposed model are statistically significant and in the predicted directions. Each observed variables influence with two ways: direct effect and indirect effect, and the total effect is the sum of direct effect and indirect effect. The Main effect of most of these observed variables is direct effect, but the information technology experience with the perceived usefulness. In this study, it could be finding that the perceived usefulness, the perceiver ease of use is positively associated with users’ attitude toward using, and the perceiver ease of use is positively associated with the perceived usefulness. It means the useful and easily operation of payment clinic fees with e-wallet products (such as Taipei Easy Card) is very important for the users. Besides, the easier for e-wallet using, the more people think it is usefulness. This suggestion is the same as the point at issue of Davis [1]. The users’ attitude toward using is positively associated with the intention using. 展开更多
关键词 e-Wallets clinic FeeS INFORMATION TeCHNOLOGY eXPeRIeNCe
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丙酸氟替卡松联合孟鲁司特钠治疗慢性咳嗽患儿的临床效果及其对CRP、IgE水平的影响 被引量:1
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作者 聂钊 石海莎 《临床医学工程》 2023年第8期1069-1070,共2页
目的探讨丙酸氟替卡松联合孟鲁司特钠治疗慢性咳嗽患儿的临床效果及对C反应蛋白(CRP)、免疫球蛋白E(IgE)水平的影响。方法86例慢性咳嗽患儿随机分为两组,对照组采用孟鲁司特钠治疗,观察组采用孟鲁司特钠联合丙酸氟替卡松治疗,比较两组... 目的探讨丙酸氟替卡松联合孟鲁司特钠治疗慢性咳嗽患儿的临床效果及对C反应蛋白(CRP)、免疫球蛋白E(IgE)水平的影响。方法86例慢性咳嗽患儿随机分为两组,对照组采用孟鲁司特钠治疗,观察组采用孟鲁司特钠联合丙酸氟替卡松治疗,比较两组的治疗效果及治疗前后的CRP、IgE水平。结果观察组的治疗总有效率为90.70%,显著高于对照组的74.42%(P<0.05)。治疗后,两组的CRP、IgE水平均显著低于治疗前,且观察组的CRP、IgE水平均显著低于对照组(P<0.05)。结论丙酸氟替卡松联合孟鲁司特钠治疗慢性咳嗽患儿的临床效果显著,可降低患儿CRP、IgE水平。 展开更多
关键词 慢性咳嗽 丙酸氟替卡松 孟鲁司特钠 临床疗效 C反应蛋白 免疫球蛋白e
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CYFRA21-1、CyclinE、miRNA-451在膀胱癌中的表达及意义
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作者 唐晓龙 甄洪涛 王继征 《临床研究》 2023年第8期32-35,共4页
目的探讨细胞角蛋白19抗原21-1(CYFRA21-1)、细胞周期蛋白E(CyclinE)、微小RNA-451(miRNA-451)在膀胱癌中的表达及意义。方法选取郑州大学附属郑州中心医院2021年1月至2023年1月收治的60例膀胱癌患者作为膀胱癌组,选取同期60例泌尿系良... 目的探讨细胞角蛋白19抗原21-1(CYFRA21-1)、细胞周期蛋白E(CyclinE)、微小RNA-451(miRNA-451)在膀胱癌中的表达及意义。方法选取郑州大学附属郑州中心医院2021年1月至2023年1月收治的60例膀胱癌患者作为膀胱癌组,选取同期60例泌尿系良性疾病患者作为良性疾病组,60例健康体检者作为对照组。比较三组研究对象CYFRA21-1、CyclinE、miRNA-451水平,比较不同临床特征膀胱癌患者CYFRA21-1、CyclinE、miRNA-451水平,ROC曲线分析CYFRA21-1、CyclinE、miRNA-451单独及联合检测诊断膀胱癌的价值。结果膀胱癌组CYFRA21-1、CyclinE水平高于良性疾病组和对照组,良性疾病组高于对照组;膀胱癌组miRNA-451低于良性疾病组和对照组,良性疾病组低于对照组;不同肿瘤分期膀胱癌患者CYFRA21-1、CyclinE、miRNA-451水平比较,差异有统计学意义(P<0.05)。CYFRA21-1、CyclinE、miRNA-451联合检测诊断膀胱癌的AUC值高于单项检测,差异有统计学意义(ZCYFRA21-1~联合检测=3.400,ZCyclinE~联合检测=3.581,ZmiRNA-451~联合检测=3.279,P<0.05)。结论膀胱癌患者中CYFRA21-1、CyclinE呈高表达,miRNA-451呈低表达,其表达与肿瘤分期有关,CYFRA21-1、CyclinE、miRNA-451联合检测有助于早期诊断膀胱癌。 展开更多
关键词 膀胱癌 细胞角蛋白19抗原21-1 细胞周期蛋白e 微小RNA-451 临床意义
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NSK-SD纳豆激酶在心血管疾病高危人群中应用疗效的临床研究
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作者 钱申贤 李佩璋 +7 位作者 陈宁 朱平 安奇 赵晓燕 张瑞芳 胡卫红 刘小明 吴炳南 《中华养生保健》 2024年第5期8-12,共5页
目的评估纳豆激酶在心血管疾病高危人群中应用疗效。方法纳豆激酶临床研究课题组选取2021年1月—2022年12月浙江大学医学院附属杭州市第一人民医院收治的97例心血管高危患者为研究对象,在90 d的研究期间服用8000 FU/d纳豆激酶(NSK-SD),... 目的评估纳豆激酶在心血管疾病高危人群中应用疗效。方法纳豆激酶临床研究课题组选取2021年1月—2022年12月浙江大学医学院附属杭州市第一人民医院收治的97例心血管高危患者为研究对象,在90 d的研究期间服用8000 FU/d纳豆激酶(NSK-SD),分别在基线、第30天和第90天进行采血,检测血脂、凝血四项、血小板聚集率和D-二聚体水平,在基线和第90天进行TCD检测和颈动脉彩超。结果97例患者全部完成了这项研究,依从性良好。服用纳豆激酶30 d后血浆黏度显著下降(P<0.05);服用纳豆激酶90 d,ADP血小板聚集率300 s、ADP血小板最大聚集率、D-二聚体、全血低切黏度(5/s)、全血黏度(50/s)和全血高切黏度(200/s)显著下降(P<0.05);此外,全血低切黏度1/s在服用30 d和90 d后均显著下降(P<0.05)。影像学检查显示,大脑血流速度和流速差异常患者改善率分别为71.4%和87.5%;颈动脉内斑块和中膜增厚的改善比例分别为46.7%和42.1%。结论纳豆激酶可以显著改善心血管疾病高危人群的ADP血小板聚集率300 s、ADP血小板最大聚集率和全血黏度,且疗效与治疗时间呈正相关。服用纳豆激酶90 d后的影像学检查发现患者的大脑供血得到明显改善,颈动脉粥样硬化进展也得到了明显的抑制。这表明纳豆激酶对心脑血管疾病的防治有较为显著的作用。 展开更多
关键词 纳豆激酶 心脑血管疾病 疗效 临床试验
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