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Lei-Shi Li:a giant in international nephrology 被引量:1
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作者 Zhi-Hong Liu Lance D,Dworkin Robert C.Atkim 《肾脏病与透析肾移植杂志》 CAS CSCD 北大核心 2010年第2期101-102,共2页
China and the world of nephrology lost one of their most distinguished clinicians and physician-scientists on 16 March 2010.
关键词 肾上疾病 治疗 临床 医学
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细胞因子基因等位变异与先兆子痫的关系 被引量:1
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作者 Haggerty C.L. Ferrell R.E. +1 位作者 Hubel C.A. 朱晓明 《世界核心医学期刊文摘(妇产科学分册)》 2005年第11期11-11,共1页
Objective: The purpose of this study was to examine the relationship between cytokine genotypes and preeclampsia. Study design: We conducted a case-control study that examined cytokine genotypes among 150 primiparous ... Objective: The purpose of this study was to examine the relationship between cytokine genotypes and preeclampsia. Study design: We conducted a case-control study that examined cytokine genotypes among 150 primiparous preeclamptic women and 661 primiparous, normotensive women. Analyses were adjusted for age, prepregnancy cigarette smoking, and education. Results: Preeclamptic white women were more likely than normotensive white women to carry the up-regulating tumor necrosis factor-α -308 A/A (odds ratio, 4.1; 95% CI, 1.1-15.3) genotype. Both black and white women with preeclampsia were more likely than normotensive control subjects to carry the interleukin-1α -producing-4845 G/G genotype (black odds ratio, 11.6; 95% CI, 1.5-89.3; white odds ratio, 1.7; 95% CI, 0.7-3.9), -889 C/C genotype (black odds ratio, 5.1; 95% CI, 0.6-41.6; white odds ratio, 1.9; 95% CI, 0.8-4.7), and the interleukin-1α -4845/interleukin-1α -889/tinereukin-1β -3957 GCC/GCC haplotype (black odds ratio, 3.4; 95% CI, 1.3-8.7; white odds ratio, 2.1; 95% CI, 1.4-3.2). Conclusion: Cytokine genotypes were associated with preeclampsia and may identify women who are at high risk for preeclampsia. 展开更多
关键词 细胞因子基因 先兆子痫 等位变异 高危孕妇 肿瘤坏死因子 初孕妇 病例对照研究 统计分析 研究设计
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Association study of the single nucleotide polymorphisms in adiponectin-associated genes with type 2 diabetes in Han Chinese 被引量:7
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作者 Yabing Wang Di Zhang +8 位作者 Yun Liu Yifeng Yang Teng Zhao Jie Xu Sheng Li Zuofeng Zhang Guoyin Feng Lin He He Xu 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2009年第7期417-423,共7页
Single-nucleotide polymorphisms (SNPs) of ADIPOQ, ADIPOR1, and ADIPOR2 have been associated with type 2 diabetes mellitus (T2DM), but there are many conflicting results especially in Chinese populations. To invest... Single-nucleotide polymorphisms (SNPs) of ADIPOQ, ADIPOR1, and ADIPOR2 have been associated with type 2 diabetes mellitus (T2DM), but there are many conflicting results especially in Chinese populations. To investigate the contribution of the adiponectin genes and their receptors to T2DM, a case-control study was performed and 11 SNPs ofADIPOQ, ADIPOR1, and ADIPOR2 were genotyped in 985 T2DM and 1,050 control subjects, rs 16861194 (-11426 A〉G) in the putative promoter of ADIPOQ was associated with T2DM (P = 0.007; OR = 1.29, 95% CI 1.08-1.55). None of the other 10 SNPs were associated with T2DM in this study, although rs2241766 and rs1501299 were reported to be associated with T2DM in previous Chinese studies. There was also no significant difference found from the ADIPOQ haplotype analysis, which contains rs 16861194. In addition, we also assessed potential gene-gene interactions in three genes and no interactions were found. In conclusion, our results supported the ADIPOQ gene as a possible risk factor for type 2 diabetes in Han Chinese population. 展开更多
关键词 ADIPONECTIN ADIPOQ ADIPORs SNP DIABETES
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Long-term effects of bone marrow-derived cells transplantation in patients with acute myocardial infarction: a meta-analysis 被引量:2
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作者 CHEN Long TONG Jia-yi +4 位作者 JIN Hui REN Xiao-mei J1N Hong WANG Qing-jie MA Gen-shan 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第2期353-360,共8页
Background The long-term effects of bone marrow-derived cells (BMC) transplantation in patients with acute myocardial infarction (AMI) have not been established. The present meta-analysis of randomized controlled ... Background The long-term effects of bone marrow-derived cells (BMC) transplantation in patients with acute myocardial infarction (AMI) have not been established. The present meta-analysis of randomized controlled trials with follow-up 〉2 years was performed to investigate the long-term effects of BMC therapy in patients after AMI. Methods Specific terms were used to conduct a systematic literature search of MEDLINE, EMBASE, the Cochrane Library and the Cochrane Central Register of Controlled Trials, and the China Biological Medicine Disk database from their inception to March 2012. A standardized protocol was used to extract information, and random effect model was used to analyze all data except major adverse events. Results Five trials comprising 510 patients were included. Compared with controls, BMC therapy significantly improved left ventricular ejection fraction (LVEF) (4.18%, 95% CI: 2.02% to 6.35%, P=-0.0002), while mildly but not significantly reduced left ventricular end-systolic volume (-4.47 ml, 95% CI: -10.92 to 1.99, P=-0.17) and left ventricular end-diastolic volume (-2.29 ml, 95% CI: -9.96 to 5.39, P =0.56). Subgroup analysis revealed that significant improvement of LVEF induced by BMC therapy could be observed in patients with baseline LVEF 〈42%, but disappeared in those with baseline LVEF 〉42%. There were trends in favor of BMC therapy for most major clinical adverse events, though most differences were not significant. Conclusions Intracoronary BMC infusion in patients with AMI seems to be safe and may further improve LVEF on top of standard therapy; especially the beneficial effects could last for long term. The findings need to be validated in the future. 展开更多
关键词 myocardial infarction left ventricular function bone marrow-derived cells meta-analysis
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基于一个大型随机试验预测稳定性心绞痛队列患者死亡、心肌梗死和卒中的危险评分 被引量:2
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作者 Tim C Clayton Stuart J Pocock +4 位作者 Jacobus Lubsen Zoltán Vokó Bridget-Anne Kirwan Keith A A Fox Philip A Poole-Wilson 《英国医学杂志中文版》 2006年第1期16-19,共4页
目的对需要抗心绞痛治疗并且左心室功能代偿症状稳定的心绞痛患者建立预测全因死亡、心肌梗死和导致致残性卒中的复合危险评分。设计大型多中心临床试验数据的多变量Cox回归分析。背景西欧、以色列、加拿大、澳大利亚和新西兰的心脏专... 目的对需要抗心绞痛治疗并且左心室功能代偿症状稳定的心绞痛患者建立预测全因死亡、心肌梗死和导致致残性卒中的复合危险评分。设计大型多中心临床试验数据的多变量Cox回归分析。背景西欧、以色列、加拿大、澳大利亚和新西兰的心脏专科门诊患者。入选者7311例具有全部需要资料的患者被入选。主要结局的测量指标平均随访4.9年时间内所有原因的死亡、心肌梗死或者致残性卒中。结果1063例患者发生任何原因死亡或者持久性心肌梗死或者致残性卒中。这些复合终点的5年危险性在危险性最低的十分位患者为4%,而在危险性最高的十分位患者为35%。危险评分结合16项临床常规变量的降序排序是:年龄、左心室射血分数、吸烟、白细胞计数、糖尿病、随机血糖浓度、肌酐浓度、既往卒中病史、1周至少1次心绞痛发作、冠状动脉造影发现(如果能够获得)、降脂治疗、QT间期、收缩期血压≥150mmHg、抗心绞痛药物数量、陈旧性心肌梗死以及性别。把这个模型分别应用于任何原因所致的死亡、心肌梗死和卒中进行预测评估,所得的结果相似。危险评分似乎不能预测事件性质(39%的死亡、46%心肌梗死以及15%致残性卒中)或者冠状动脉造影或血管重建率(占29%的患者)。结论该危险评分对客观地决定稳定性心绞痛患者进一步治疗措施以减少重要预后事件发生是有帮助的。该危险评分同样可以用于将来的计划性试验。 展开更多
关键词 陈旧性心肌梗死 心绞痛患者 稳定性心绞痛 冠状动脉造影 危险评分 随机试验 血管重建 治疗措施 卒中 预测
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B-Aware试验中BIS监测对远期生存率的影响
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作者 Kate Leslie, MBBS Paul S. Myles +4 位作者 Andrew Forbes Matthew T. V. Chan 何欣(译) 翁莹琪(校) 郭曲练(校) 《麻醉与镇痛》 2012年第2期88-96,共9页
背景当使用脑电双频指数(bispectral index,Bis)监测指导麻醉药用量时,通常仅需要较低剂量的镇静药,如果用较低剂量的麻醉药,术中低血压和器官毒性作用也许能避免。然而,这是否能减少严重并发症和术后死亡率还存争议。B.Aware... 背景当使用脑电双频指数(bispectral index,Bis)监测指导麻醉药用量时,通常仅需要较低剂量的镇静药,如果用较低剂量的麻醉药,术中低血压和器官毒性作用也许能避免。然而,这是否能减少严重并发症和术后死亡率还存争议。B.Aware试验将2463例术中知晓高危的患者随机分为BIS指导麻醉组和常规麻醉组。我们假设使用BIS指导麻醉组患者死亡、心肌梗死(myocardial infarction,MI)和卒中的风险都低于常规麻醉组患者。方法对术后30天尚存活的所有患者的医疗记录进行回顾,记录他们的死亡日期、死亡原因以及心肌梗死或卒中的发生情况.然后对所有存活的点者主牛行由话随访.本研究的主要终点是存活。结果随访时间中位值4.1年(全距:0-6.5年),参加试验的患者中有548例(22.2%)术后死亡,220例(8.9%)发生了心肌梗死,115例(4.7%)发生卒中。BIS监测组与常规麻醉组的死亡风险没有显著差异{危害比=0.86[95%可信区间(CI):0.72-1.01];P=0.07]。但是,倾向性评分分析显示,BIS值〈40、持续时间〉5分钟的患者与其他BIS监测组的患者相比,死亡的危害比为1.41(95%CI:1.02-1.95;P=0.039),并且心肌梗死的优势比(OR)为1.94(95%CI:1.12-3.35;P=0.01),卒中的优势比为3.24(95%CI:1.29-8.07;P=0.01)。结论在B-Aware试验患者中,采用了BIS指导麻醉且从未出现BIS值低于40并持续超过5分钟,与存活率的增加及并发症的减少相关。 展开更多
关键词 BIS监测 E试验 远期生存率 麻醉药用量 术后死亡率 严重并发症 心肌梗死 脑电双频指数
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