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    题名 作者 年代 出处 被引量
1产后出血的预防和处理指南显示文摘目的:为产后出血(PPH)的预防和临床处理作一综述,为临床医师提供预防和处理产后出血的指南。涉及方面:预防、适当干预、使其影响最小化的方法。结果:建立常规,便于临床医师鉴别可能的高危人群,一旦发生产后过多出血,可指导临床如何迅速处理。证据:遵循加拿大定期健康检查办公室制定的证据等级。评估:由产科专家完善。利弊和成本:评估子宫收缩药和其他积极处理措施的方便性、正确性、有效性和安全性。建议:根据证据的等级,本指南分等级列出了12条建议。确认:按照MeSH词表推荐的postpartum haemorrhage在medline上查询相关文献,在Cochrane图书馆查找相关研究文献,并参考the ALARMcourse Manual。发起人:由产科临床实践委员会制定和综述,并由SOGC(加拿大妇产科协会)委员会批准。Nan Schuurmans MD FRCSC, Edmonton AB Catherine MacKinnon MD FRCSC, Brantford ON Carolyn Lane MD CCFP Calgary AB Duncan Etches MD CCFP Vancouver BC 刘铭(译) 段涛(译) 2007现代妇产科进展2007,16,3:152
2Severe acute pancreatitis: pathogenesis, diagnosis and surgical management显示文摘BACKGROUND: Severe acute pancreatitis is a subtype of acute pancreatitis, associated with multiple organ failure and systemic inflammatory response syndrome. In this qualitative review we looked at the principles of pathogenesis, classification and surgical management of severe acute pancreatitis. We also looked at the current shift in paradigm in the management of severe acute pancreatitis since the guideline developed by the British Society of Gastroenterology.DATA SOURCES: Studies published between 1st January 1991 and 31st December 2015 were identified with Pub Med, MEDLINE, EMBASE and Google Scholar online search engines using the following Medical Subject Headings: 'acute pancreatitis, necrosis, mortality, pathogenesis, incidence' and the terms 'open necrosectomy and minimally invasive necrosectomy'.The National Institute of Clinical Excellence(NICE) Guidelines were also included in our study. Inclusion criteria for our clinical review included established guidelines, randomized controlled trials and non-randomized controlled trials with a follow-up duration of more than 6 weeks.RESULTS: The incidence of severe acute pancreatitis within the UK is significantly rising and pathogenetic theories are still controversial. In developed countries, the most common cause is biliary calculi. The British Society of Gastroenterology,acknowledges the Revised Atlanta criteria for prediction of severity. A newer Determinant-based system has been developed.The principle of surgical management of acute necrotizing pancreatitis requires intensive care management, identifying infection and if indicated, debridement of any infected necrotic area. The current procedures opted for include standard surgical open necrosectomy, endoscopic necrosectomy and minimally invasive necrosectomy. The current paradigm is shifting towards a step-up approach.CONCLUSIONS: Severe acute pancreatitis is still a subject of grey areas in its surgical management even though new studies have been recorded since the origin of the latest UK guidelines for management of severe acute pancreatitis.Mark Portelli Christopher David Jones 2017Hepatobiliary & Pancreatic Diseases International2017,16,2:201
3关于从MEDLINE数据库中进行知识抽取和挖掘的研究进展显示文摘本文对近年来国内外利用医学文献检索系统MEDLINE进行知识抽取和文本数据挖掘的研究进行了回顾和综述,包括Swanson等开展的从文献中发现隐藏的联系的研究,Cimino等人开展的从文献中抽取规则的研究,国外的共词及国内的共篇分析研究.并据此提出,在当前信息技术高速发展的条件下,应当充分开展知识抽取和文本挖掘的研究,为图书情报部门的服务功能从文献管理向信息管理和知识管理转化进行理论上的探索.崔雷 郑华川 2003情报学报2003,22,4:131
4Systematic review on the surgical treatment for T1 gallbladder cancer显示文摘AIM:To evaluate the efficacy of simple and extended cholecystectomy for mucosa(T1a) or muscularis(T1b) gallbladder(GB) cancer. METHODS:Original studies on simple and extended cholecystectomy for T1a or T1b GB cancer were searched from MEDLINE(PubMed) ,Cochrane Library,EMBase,and CancerLit using the search terms of GB,cancer/carcinoma/tumor/neoplasm. RESULTS:Twenty-nine out of the 2312 potentially relevant publications met the eligibility criteria.Of the 1266 patients with GB cancer included in the publications,706(55.8%) and 560(44.2%) had T1a and T1b GB cancer,respectively.Simple cholecystectomy for T1a and T1b GB cancer was performed in 590(83.6%) and 375(67.0%) patients,respectively(P<0.01) .In most series,the treatment of choice was simple cholecystectomy for T1a GB cancer patients with a 5-year survival rate of 100%.Lymph node metastasis was detected in 10.9% of the T1b GB cancer patients and in 1.8%of the T1a GB cancer patients,respectively(P<0.01) .Eight patients(1.1%) with T1a GB cancer and 52 patients(9.3%) with T1b GB cancer died of recurrent GB cancer(P<0.01) . CONCLUSION:Simple cholecystectomy represents the adequate treatment of T1a GB cancer.There is no definite evidence that extended cholecystectomy is advantageous over simple cholecystectomy for T1b GB cancer.Seung Eun Lee Jin-Young Jang Chang-Sup Lim Mee Joo Kang Sun-Whe Kim 2011World Journal of Gastroenterology2011,17,2:69
5Prevalence of depression in coronary heart disease in China:a systematic review and meta-analysis显示文摘Ren Yanping Yang Hui Colette Browning Shane Thomas Liu Meiyan 2014Chinese Medical Journal2014,,16:64
6非典型抗精神病药治疗精神分裂症的临床应用评价显示文摘目的:系统论述非典型抗精神病药治疗精神分裂症临床研究和应用的进展,评价其临床疗效和安全性。方法:通过互联网查阅Medline、Pubmed、Ovid、Science Direct、Proquest及国内外相关专业杂志所公开发表的研究报道进行综合评价和分析。结果与结论:非典型抗精神病药近10年来的临床应用研究进展迅速,除氯氮平外,大多数新型非典型抗精神病药如利培酮、奥氮平、喹硫平、齐拉西酮及阿立哌唑等已成为精神分裂症各种症状维度、不同病期和复发预防的一线临床选择,特别是在不良反应方面克服了经典抗精神病药和氯氮平的诸多严重缺点,同时,各种临床研究结果已被多项应用循证医学方法的系统研究所证实。黄继忠 张明园 2005中国医院用药评价与分析2005,5,2:58
7he Spectrum of Biopsy-Proven Glomerular Disease in China: A Systematic Review显示文摘Yue Yang Zheng Zhang Li Zhuo Da-Peng Chen Wen-Ge Li 2018Chinese Medical Journal2018,,6:53
8Pathophysiology and prevention of postoperative peritoneal adhesions显示文摘Peritoneal adhesions represent an important clinical challenge in gastrointestinal surgery. Peritoneal adhesions are a consequence of peritoneal irritation by infection or surgical trauma, and may be considered as the pathological part of healing following any peritoneal injury, particularly due to abdominal surgery. The balance between fi brin deposition and degradation is critical in determining normal peritoneal healing or adhesion formation. Postoperative peritoneal adhesions are a major cause of morbidity resulting in multiple complications, many of which may manifest several years after the initial surgical procedure. In addition to acute small bowel obstruction, peritoneal adhesions may cause pelvic or abdominal pain, and infertility. In this paper, the authors reviewed the epidemiology, pathogenesis and various prevention strategies of adhesion formation, using Medline and PubMed search. Several preventive agents against postoperative peri-toneal adhesions have been investigated. Their role aims in activating fi brinolysis, hampering coagulation, diminishing the inflammatory response, inhibiting col-lagen synthesis or creating a barrier between adjacentwound surfaces. Their results are encouraging but most of them are contradictory and achieved mostly in animal model. Until additional fi ndings from future clinical researches, only a meticulous surgery can be recommended to reduce unnecessary morbidity and mortality rates from these untoward effects of surgery. In the current state of knowledge, pre-clinical or clini-cal studies are still necessary to evaluate the effective-ness of the several proposed prevention strategies of postoperative peritoneal adhesions.Willy Arung Michel Meurisse Olivier Detry 2011World Journal of Gastroenterology2011,17,41:46
9Current status and progress in gastric cancer with liver metastasis显示文摘客观这评论与肝转移(GCLM ) 在胃的癌症上在研究讨论当前的地位和进步,包含 GCLM 的线路,子类型,和预后;与转移联系的基因和分子;每种成像形式的可行性和价值;并且当前的治疗 options.Data 采购在这评论使用的数据主要从从 2005 用英语出版到 2010 年 8 月的 Medline 和 PubMed。搜索词是“胃的癌症”和“肝转移”关于 GCLM 的治疗学的选择是的特征,诊断形式,和 vadous 的 .Study 选择文章 selected.Results GCLM 的预后被肝转移的主要肿瘤,以及存在的 clinicopathological 特征影响。相关基因和分子的改进理解将导致早察觉的方法的发展并且指向治疗。为 GCLM 的诊断,每种成像形式有它的相对好处。在那里不早关于治疗学的 options.Conclusions 仍然是一致肝转移的察觉和描述为胃的癌症病人的预后是关键的。多学科的队讨论被要求设计最佳的治疗策略,它应该基于每个病人的 clinicopathological 特征。LIU Jing CHEN Lin 2011Chinese Medical Journal2011,,3:38
10Glucocorticoids affect the metabolism of bone marrow stromal cells and lead to osteonecrosis of the femoral head: a review显示文摘在 glucocorticoids 的机制考察最近的开发的目的导致了大腿骨的头( ONFH )的 osteonecrosis 并且介绍 ONFH.Data 来源的一个新理论中国语言、英语语言的文学用 MEDLINE ( 1997-2011 )被寻找, Pubmed ( 1997-2011 )和从关于 glucocorticoids 的机制的出版文章的中国语言的文学( 1997-2011 ) .Study 选择数据的索引在最近的国内、外国的文学导致了 ONFH 是 selected.Data 抽取数据TAN Gang KANG Peng-de PEI Fu-xing 2012Chinese Medical Journal2012,,1:38
11Effect of pre-procedural statin therapy on myocardial no-reflow following percutaneous coronary intervention: a meta analysis显示文摘LI Xiang-dong YANG Yue-jin HAO Yong-chen YANG Ying ZHAO Jing-lin DOU Ke-fei GU Dong-feng 2013Chinese Medical Journal2013,,9:35
12利用共词聚类分析探讨抗原CD44研究现状显示文摘利用MEDLINE检索抗原CD44专题文献 ,对高频主要主题词进行共词聚类分析 ,研究各类高频主题词之间的内在关系 ,探索抗原CD44的研究现状和热点 ,显示CD44的研究主要集中在代谢、分析、遗传、生理和免疫方面。CD44的研究正处于基础研究阶段 ,理论研究深入 ,有待通过CD44结构和功能的研究来指导临床实践 ,共词聚类分析是一种有效可行的文献计量学研究方法。郑华川 于晓欧 辛彦 2002中华医学图书情报杂志2002,11,2:36
13中国道路交通伤的流行病学特征(英文)显示文摘目的通过分析中国道路交通损伤的流行病学现状,为相关交通政策的制定和改进提供依据。方法分析近年来中国公安部发布的道路交通损伤年报以及检索MEDLINE和CAJ上有关中国道路交通损伤研究的论文和论著。结果中国交通事故伤亡人数目前增长十分迅速,其中风险驾驶行为和道路交通建设的相对滞后是影响道路交通损伤的重要因素。结论道路交通损伤在中国是一个十分复杂而严重的问题,政府应该更多关注农村地区、行人的安全问题,建立全国统一的监控体系,加强EMS体系建设。潘曙明 陈尔真 Shankuan Zhu PeterLayde Ronald Pirralo Stephen Hargarten 2005中华急诊医学杂志2005,14,9:32
14临床用药指南——外科手术预防用抗感染药物的使用指南显示文摘本专栏专为临床医师和临床药师在药物治疗过程中提供有证据的信息,但是,必需指出的是专栏中所给出的用药建议不一定适用于所有的临床情况;依据这些建议的临床用药决策必须根据医师或药师的专业判断,并考虑各个病人具体情况,包括支付能力。由于专栏中的这些建议是在综合以往临床用药的文献资料和专家意见的基础上形成的,所以,随着医药科学技术的进步和发展,临床用药指南也需要修订和增补,使用时应注意最新的文献报道。 专栏中建议的证据力度:①国家卫生部或专业学术机构发布的用药指南;②美国卫生系统药师协会发布的用药指南;③权威医学检索系统收栽的文献,如MEDLINE;④权威教科书;⑤临床专家的意见。2006药学实践杂志2006,24,1:31
15Effect of preoperative biliary drainage on malignant obstructive jaundice:A meta-analysis显示文摘AIM: To evaluate the effect of preoperative biliary drainage (PBD) on obstructive jaundice resulting from malignant tumors. METHODS: According to the requirements of Cochrane systematic review, studies in the English language were retrieved from MEDLINE and Embase databases from 1995 to 2009 with the key word 'preoperative biliary drainage'. Two reviewers independently screened the eligible studies, evaluated their academic level and extracted the data from the eligible studies confirmed by cross-checking. Data about patients with and without PBD after resection of malignant tumors were processed for meta-analysis using the Stata 9.2 software, including postoperative mortality, incidence of postoperative pancreatic and bile leakage, abdominal abscess, delayed gastric emptying and incision infection.RESULTS: Fourteen retrospective cohort studies involving 1826 patients with malignant obstructive jaundice accorded with our inclusion criteria, and were included in meta-analysis. Their baseline characteristics were comparable in all the studies. No significant difference was found in combined risk ratio (RR) of postoperative mortality and incidence of pancreatic and bile leakage, abdominal abscess, delayed gastric emptying between patients with and without PBD. However, the combined RR for the incidence of postoperative incision infection was improved better in patients with PBD than in those without PBD (P < 0.05). CONCLUSION: PBD cannot significantly reduce the post-operative mortality and complications of malignant obstructive jaundice, and therefore should not be used as a preoperative routine procedure for malignant obstructive jaundice.Yu-Dong Qiu Jian-Ling Bai Fang-Gui Xu Yi-Tao Ding 2011World Journal of Gastroenterology2011,17,3:34
16Meta-analysis of mNGF therapy for peripheral nerve injury: a systematic review显示文摘ObjectiveTo 与外部神经 injury.MethodsSuch 在病人估计老鼠神经生长因素( mNGF )的功效和安全是的电子数据库 Cochrane 图书馆(第 1 期, 2011 ), Medline ( 1950-2011 ), Embase ( 19802011 ),国家知识基础结构( 1979-2011 )被寻找并且同时相关的杂志象 Orthopaedics 的中国杂志那样, Microsurgery 的中国杂志,神经外科的中国杂志,等等也被寻找收集所有使随机化的控制试用和伪跑包括的研究的质量根据 Cochrane 手册为干预的系统的评论推荐的标准被估计,数据被二个评论家独立地提取。元分析被包含 3 的 RevMan 5.1 software.ResultsForty 一个研究进行有外部神经损害的 304 个病人被包括。元分析的结果显示出那:(1 ) 在 mNGF 组的外部神经损害治疗的全部的有效的率在控制组显然比那高(OR=6.36, 95% CI 4.96-8.15, P < 0.01 ) ;(2 ) 在 mNGF 组的每日的生活的 20 项活动(ADL ) 在控制组比那显著地高(加权的吝啬的 difference=1.97, 95% CI 1.33-2.61, P < 0.01 ) ;( 3 )在 mNGF 组的不利反应的发生在控制组比那高,( OR= 1.66 ,95% CI 1.61-2.38 , P=0.006 ),但是不利效果是温和的,没有特定的治疗,它能被减轻或就给征兆的治疗,并且消失在 treatment.ConclusionsThe mNGF 的结束治疗为外部神经损害是有效的。它能显然改进 patient’s ADL。尽管在 mNGF 治疗组的不利反应的发生在控制组比那高,这不影响治疗结果。LIU Yan-rong LIU Qiang 2012Chinese Journal of Traumatology2012,15,2:29
172008中国大学评价显示文摘抄袭、剽窃在我国已经不是个别现象,有必要在大学评价中增加抄袭、剽窃的降分指标。EI作为中国大学评价的期刊源的重要性已经大幅降低。专著作为大学人文社会科学评价的指标会对评价结果发生很大影响。将教育部本科教学评估结果引入中国大学评价体系,将完善本研究的大学分类。武书连 吕嘉 郭石林 2008科学学与科学技术管理2008,29,1:28
18Management of acquired bronchobiliary fistula:A systematic literature review of 68 cases published in 30 years显示文摘AIM:To outline the appropriate diagnostic methods and therapeutic options for acquired bronchobiliary fistula(BBF).METHODS:Literature searches were performed in Medline,EMBASE,PHMC and LWW(January 1980August 2010)using the following keywords:biliobronchial fistula,bronchobiliary fistula,bronchobiliary fistula,biliarybronchial fistula,tracheobiliary fistula,hepatobronchial fistula,bronchopleural fistula,and biliptysis.Further articles were identified through crossreferencing.RESULTS:Sixtyeight cases were collected and reviewed.BBF secondary to tumors(32.3%,22/68),including primary tumors(19.1%,13/68)and hepatic metastases(13.2%,9/68),shared the largest proportion of all cases.Biliptysis was found in all patients,and other symptoms were respiratory symptoms,such as irritating cough,fever(36/68)and jaundice(20/68).Half of the patients were treated by lessinvasive methods such as endoscopic retrograde biliary drainage.Invasive approaches like surgery were used less frequently(41.7%,28/67).The outcome was good at the end of the followup period in 28 cases(range,2 wk to 72 mo),and the recovery rate was 87.7%(57/65).CONCLUSION:The clinical diagnosis of BBF can be established by sputum analysis.Careful assessment of this condition is needed before therapeutic procedure.Invasive approaches should be considered only when noninvasive methods failed.Guan-Qun Liao Hao Wang Guang-Yong Zhu Kai-Bin Zhu Fu-Xin Lv Sheng Tai 2011World Journal of Gastroenterology2011,17,33:28
19Effect of dietary fiber on constipation:A meta analysis显示文摘AIM:To investigate the effect of dietary fiber intake on constipation by a meta-analysis of randomized controlled trials(RCTs).METHODS:We searched Ovid MEDLINE(from 1946 to October 2011),Cochrane Library(2011),PubMed for articles on dietary fiber intake and constipation using the terms:constipation,fiber,cellulose,plant extracts,cereals,bran,psyllium,or plantago.References of important articles were searched manually for relevant studies.Articles were eligible for the meta-analysis if they were high-quality RCTs and reported data on stool frequency,stool consistency,treatment success,laxative use and gastrointestinal symptoms.The data were extracted independently by two researchers(Yang J and Wang HP) according to the described selection criteria.Review manager version 5 software was used for analysis and test.Weighted mean difference with 95%CI was used for quantitative data,odds ratio(OR)with 95%CI was used for dichotomous data.Both I2 statistic with a cut-off of ≥ 50% and the χ2 test with a P value < 0.10 were used to define a significant degree of heterogeneity.RESULTS:We searched 1322 potential relevant articles,19 of which were retrieved for further assessment,14 studies were excluded for various reasons,five studies were included in the analysis.Dietary fiber showed significant advantage over placebo in stool frequency(OR = 1.19;95%CI:0.58-1.80,P < 0.05).There was no significant difference in stool consistency,treatment success,laxative use and painful defecation between the two groups.Stool frequency were reported by five RCTs,all results showed either a trend or a significant difference in favor of the treatment group,number of stools per week increased in treatment group than in placebo group(OR = 1.19;95%CI:0.58-1.80,P < 0.05),with no significant heterogeneity among studies(I2= 0,P = 0.77).Four studies evaluated stool consistency,one of them presented outcome in terms of percentage of hard stool,which was different from others,so we included the other three studies for analysis.Two studies reported treatment success.There was significant heterogeneity between the studies(P < 0.1,I2 > 50%).Three studies reported laxative use,quantitative data was shown in one study,and the pooled analysis of the other two studies showed no significant difference between treatment and placebo groups in laxative use(OR = 1.07;95%CI 0.51-2.25),and no heterogeneity was found(P = 0.84,I2= 0).Three studies evaluated painful defecation:one study presented both quantitative and dichotomous data,the other two studies reported quantitative and dichotomous data separately.We used dichotomous data for analysis.CONCLUSION:Dietary fiber intake can obviously increase stool frequency in patients with constipation.It does not obviously improve stool consistency,treatment success,laxative use and painful defecation.Jing Yang Hai-Peng Wang Li Zhou Chun-Fang Xu 2012World Journal of Gastroenterology2012,18,48:28
20Meta-analysis of laparoscopic vs open liver resection for hepatocellular carcinoma显示文摘AIM:To conduct a meta-analysis to determine the safety and efficacy of laparoscopic liver resection(LLR) and open liver resection(OLR) for hepatocellular carcinoma(HCC).METHODS:PubMed(Medline),EMBASE and Science Citation Index Expanded and Cochrane Central Register of Controlled Trials in the Cochrane Library were searched systematically to identify relevant comparative studies reporting outcomes for both LLR and OLR for HCC between January 1992 and February 2012.Two authors independently assessed the trials for inclusion and extracted the data.Meta-analysis was performed using Review Manager Version 5.0 software(The Cochrane Collaboration,Oxford,United Kingdom).Pooled odds ratios(OR) or weighted mean differences(WMD) with 95%CI were calculated using either fixed effects(Mantel-Haenszel method) or random effects models(DerSimonian and Laird method).Evaluated endpoints were operative outcomes(operation time,intraoperative blood loss,blood transfusion requirement),postoperative outcomes(liver failure,cirrhotic decompensation/ascites,bile leakage,postoperative bleeding,pulmonary complications,intraabdominal abscess,mortality,hospital stay and oncologic outcomes(positive resection margins and tumor recurrence).RESULTS:Fifteen eligible non-randomized studies were identified,out of which,9 high-quality studies involving 550 patients were included,with 234 patients in the LLR group and 316 patients in the OLR group.LLR was associated with significantly lower intraoperative blood loss,based on six studies with 333 patients [WMD:-129.48 mL;95%CI:-224.76-(-34.21) mL;P = 0.008].Seven studies involving 416 patients were included to assess blood transfusion requirement between the two groups.The LLR group had lower blood transfusion requirement(OR:0.49;95%CI:0.26-0.91;P = 0.02).While analyzing hospital stay,six studies with 333 patients were included.Patients in the LLR group were found to have shorter hospital stay [WMD:-3.19 d;95%CI:-4.09-(-2.28) d;P < 0.00001] than their OLR counterpart.Seven studies including 416 patients were pooled together to estimate the odds of developing postoperative ascites in the patient groups.The LLR group appeared to have a lower incidence of postoperative ascites(OR:0.32;95%CI:0.16-0.61;P = 0.0006) as compared with OLR patients.Similarly,fewer patients had liver failure in the LLR group than in the OLR group(OR:0.15;95%CI:0.02-0.95;P =0.04).However,no significant differences were found between the two approaches with regards to operation time [WMD:4.69 min;95%CI:-22.62-32 min;P = 0.74],bile leakage(OR:0.55;95%CI:0.10-3.12;P = 0.50),postoperative bleeding(OR:0.54;95%CI:0.20-1.45;P = 0.22),pulmonary complications(OR:0.43;95%CI:0.18-1.04;P = 0.06),intra-abdominal abscesses(OR:0.21;95%CI:0.01-4.53;P = 0.32),mortality(OR:0.46;95%CI:0.14-1.51;P = 0.20),presence of positive resection margins(OR:0.59;95%CI:0.21-1.62;P = 0.31) and tumor recurrence(OR:0.95;95%CI:0.62-1.46;P = 0.81).CONCLUSION:LLR appears to be a safe and feasible option for resection of HCC in selected patients based on current evidence.However,further appropriately designed randomized controlled trials should be undertaken to ascertain these findings.Jun-Jie Xiong Kiran Altaf Muhammad A Javed Wei Huang Rajarshi Mukherjee Gang Mai Robert Sutton Xu-Bao Liu Wei-Ming Hu 2012World Journal of Gastroenterology2012,18,45:25
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