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| 1 | Blood glucose changes surrounding initiation of tumor-necrosis factor inhibitors and conventional disease-modifying anti-rheumatic drugs in veterans with rheumatoid arthritis显示文摘AIM To determine the scope of acute hypoglycemic effects for certain anti-rheumatic medications in a large retrospective observational study. METHODS Patients enrolled in the Veterans Affairs Rheumatoid Arthritis (VARA) registry were selected who, during follow-up, initiated treatment with tumor necrosis factor inhibitors (TNFi's, including etanercept, adalimumab, infliximab, golimumab, or certolizumab), prednisone, or conventional disease-modifying anti-rheumatic drugs(DMARDs), and for whom proximate random blood glucose (RBG) measurements were available within a window 2-wk prior to, and 6 mo following, medication initiation. Similar data were obtained for patients with proximate values available for glycosylated hemoglobin A1C values within a window 2 mo preceding, and 12 mo following, medication initiation. RBG and A1C measurements were compared before and after initiation events using paired t-tests, and multivariate regression analysis was performed including established comorbidities and demographics.RESULTS Two thousands one hundred and eleven patients contributed at least one proximate measurement surrounding the initiation of any examined medication. A significant decrease in RBG was noted surrounding 653 individual hydroxychloroquine-initiation events(-3.68 mg/dL, P = 0.04), while an increase was noted for RBG surrounding 665 prednisone-initiation events(+5.85 mg/d L, P < 0.01). A statistically significant decrease in A1C was noted for sulfasalazine initiation, as measured by 49 individual initiation events(-0.70%, P < 0.01). Multivariate regression analyses, using methotrexate as the referent, suggest sulfasalazine (β =-0.58, P = 0.01) and hydroxychloroquine(β =-5.78, P = 0.01) use as predictors of lower post-medicationinitiation RBG and A1C values, respectively. Analysis by drug class suggested prednisone (or glucocorticoids) as predictive of higher medication-initiation event RBG among all start events as compared to DMARDs, while this analysis did not show any drug class-level effect for TNFi. A diagnosis of congestive heart failure(β = 4.69, P = 0.03) was predictive for higher post-initiation RBG values among all medication-initiation events.CONCLUSION No statistically significant hypoglycemic effects surrounding TNFi initiation were observed in this large cohort. Sulfasalazine and hydroxychloroquine may have epidemiologically significant acute hypoglycemic effects. | Patrick R Wood Evan Manning Joshua F Baker Bryant England Lisa Davis Grant W Cannon Ted R Mikuls Liron Caplan | 2018 | World Journal of Diabetes2018,9,2: | 8 |
| 2 | Spontaneous intramural duodenal hematoma in type 2B von Willebrand disease显示文摘Intramural duodenal hematoma is a rare cause of a proximal gastrointestinal tract obstruction.Presentation of intramural duodenal hematoma most often occurs following blunt abdominal trauma in children,but spontaneous non-traumatic cases have been linked to anticoagulant therapy,pancreatitis,malignancy,vasculitis and endoscopy.We report an unusual case of spontaneous intramural duodenal hematoma presenting as an intestinal obstruction associated with acute pancreatitis in a patient with established von Willebrand disease,type 2B.The patient presented with abrupt onset of abdominal pain,nausea,and vomiting.Computed tomography imaging identified an intramural duodenal mass consistent with blood measuring 4.7 cm×8.7 cm in the second portion of the duodenum abutting on the head of the pancreas.Serum lipase was 3828 units/L.Patient was managed conservatively with bowel rest,continuous nasogastric decompression,total parenteral nutrition,recombinant factorⅧ(humateP)and transfusion.Symptoms resolved over the course of the hospitalization.This case highlights an important complication of an inherited coagulopathy. | Derrick D Eichele Meredith Ross Patrick Tang Grant F Hutchins Mark Mailliard | 2013 | World Journal of Gastroenterology2013,19,41: | 3 |
| 3 | 查看详情显示文摘 | Chen S Cowan C F N Grant P M | | 0,,: | 2 |
| 4 | Cystic neoplasms of the pancreas: A diagnostic challenge显示文摘Cystic neoplasms of the pancreas are increasingly recognized due to the expanding use and improved sensitivity of cross-sectional abdominal imaging. Major advances in the last decade have led to an improved understanding of the various types of cystic lesions and their biologic behavior. Despite signifi cant improvements in imaging technology and the advent of endoscopic-ultrasound (EUS)-guided fineneedle aspiration, the diagnosis and management of pancreatic cystic lesions remains a significant clinical challenge. The fi rst diagnostic step is to differentiate between pancreatic pseudocyst and cystic neoplasm. If a pseudocyst has been effectively excluded, the cornerstone issue is then to determine the malignant potential of the pancreatic cystic neoplasm. In the majority of cases, the correct diagnosis and successful management is based not on a single test but on incorporating data from various sources including patient history, radiologic studies, endoscopic evaluation, and cyst fluid analysis. This review will focus on describing the various types of cystic neoplasms of the pancreas, their malignant potential, and will provide the clinician with a comprehensive diagnostic approach. | Grant F Hutchins Peter V Draganov | 2009 | World Journal of Gastroenterology2009,15,1: | 2 |
| 5 | Local Dissolution Phenomena Associated with S Phase(Al2CuMg) Particles in Aluminium Alloy 2024 --T3显示文摘 | BUCHHEIT R G GRANT R P HLAVAA P F | 1997 | J of the Electrochemical Society1997,144,8: | 1 |
| 6 | A problem in the analysis of geophysical data 显示文摘 | Grant F | 1957 | Geophysics1957,22,: | 1 |
| 7 | Orthogonal least squares learning algorithm for radiate basis function network显示文摘 | CHEN S COWAN C F N GRANT P M | 1991 | IEEE Transactions on Neural Network1991,2,2: | 1 |
| 8 | Chromosome numbers in Impatiens (Balsaminaceae) 显示文摘 | ZINOV' EVA-STAHEVITCH A E GRANT W F | 1984 | Canadian Journal of Botany1984,62,: | 1 |
| 9 | An XPS study of cerium dopants in sol-gel coatings for aluminum 2024-T3显示文摘 | Kasten L Grant J Grebasch N Voevodin N Arnold F Donley M | | 0,,01: | 1 |
| 10 | Local dissolution phenomena associated with S phase (Al2CuMg) particles in aluminum alloy 2024-T3 显示文摘 | BUCHHEIT R G GRANT R P HLAVA P F | 1997 | Journal of Electrochemical Society1997,144,8: | 1 |
| 11 | Association analysis of type 2 diabetes loci in type 1 diabetes 显示文摘 | QU H Q GRANT S F BRADFIELD J P | 2008 | Diabetes2008,57,7: | 1 |
| 12 | Prevalence, Cor- relates, and Disability of Personality Disorders in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions 显示文摘 | Grant B F Hasin D S Stinson F S | 2004 | J Clin Psychiatry2004,65,7: | 1 |
| 13 | Pattern and origin of stepped-bed morphology in high-gradient streams, western Cascades, Oregon显示文摘 | GRANT G SWANSON F J WOLMAN M G | 1990 | Geological Society American Bulletin1990,102,: | 1 |
| 14 | Free-standing White Diamond for Thermal and Optical Applications显示文摘 | Grant Lu Gray K J Borchelt E F | 1993 | Diamond and RelatedMaterials1993,2,: | 1 |
| 15 | Pattern and origin of stepped-bed morphology in high-gradient streams, western Caseades, Oregon 显示文摘 | Grant G Swanson F J Wolman M G | 1990 | Geological Society American Bulletin1990,102,: | 1 |
| 16 | Wilson liquid - liquid equilibria on three binary systems : Methyl eyclopropanecarboxalate + water; dimethyl sulfide + water;and dimethyl disulfide + water显示文摘 | Neil F Giles Grant M | 2006 | J Chem Eng Data2006,51,6: | 1 |
| 17 | Orthogonal least squares learning algorithm for radial basis function networks显示文摘 | Chen S Cowan C F N Grant P M | 1991 | IEEE Transactions on Neural Networks1991,2,2: | 1 |
| 18 | Diversity of the true bugs ( Hemiptera: Heteroptera) on Arnold Air Force Base, Tullahoma,Tennessee显示文摘 | LAMBDIN P L GRANT J F WIGGINS GJ | 2003 | Journal of the Tennessee Academy of Science2003,78,: | 1 |
| 19 | Orthogonal Least Squares Learning Algorithm for Radial Basis Function Networks显示文摘 | Grant P M Cowan C F N | 1991 | IEEE Transaction on Neural Network1991,2,2: | 1 |
| 20 | Variant of transeription factor 7-like 2 (TcF712) gene confers risk of type 2 diabeters 显示文摘 | Grant S F Thorleifason G Reynisdottir I | 2006 | Nat Genet2006,38,3: | 1 |