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| 1 | Endoscopic ultrasound-guided vs endoscopic retrograde cholangiopancreatography biliary drainage for obstructed distal malignant biliary strictures: A systematic review and meta-analysis显示文摘BACKGROUND For palliation of malignant biliary obstruction(MBO), the gold-standard method of biliary drainage is endoscopic retrograde cholangiopancreatography(ERCP)with the placement of metallic stents. Endoscopic ultrasound(EUS)-guided drainage is an alternative that is typically reserved for cases of ERCP failure.Recently, however, there have been robust randomized clinical trials(RCTs)comparing EUS-guided drainage and ERCP as primary approaches to MBO.AIM To compare EUS guidance and ERCP in terms of their effectiveness and safety in palliative biliary drainage for MBO.METHODS This was a systematic review and meta-analysis, in which we searched the MEDLINE, Excerpta Medica, and Cochrane Central Register of Controlled Trials databases. Only RCTs comparing EUS and ERCP for primary drainage of MBO were eligible. All of the studies selected provided data regarding the rates of technical and clinical success, as well as the duration of the procedure, adverse events, and stent patency. We assessed the risk of biases using the Jadad score and the quality of evidence using the Grading of Recommendations Assessment,Development and Evaluation criteria.RESULTS The database searches yielded 5920 records, from which we selected 3 RCTs involving a total of 222 patients(112 submitted to EUS and 110 submitted to ERCP). In the EUS and ERCP groups, the rate of technical success was 91.96%n and 91.81%, respectively, with a risk difference(RD) of 0.00%(95%CI:-0.07, 0.07;P = 0.97; I^2 = 0%). The clinical success was 84.81% and 85.53% in the EUS and ERCP groups, respectively, with an RD of-0.01%(95%CI:-0.12, 0.10; P = 0.90; I^2 =0%). The mean difference(MD) for the duration of the procedure was-0.12%(95%CI:-8.20, 7.97; P = 0.98; I^2 = 84%). In the EUS and ERCP groups, there were14 and 25 adverse events, respectively, with an RD of-0.06%(95%CI:-0.23, 0.12; P= 0.54; I^2 = 77%). The MD for stent patency was 9.32%(95%CI:-4.53, 23.18; P =0.19; I^2 = 44%). The stent dysfunction rate was significantly lower in the EUS t group(MD =-0.22%; 95 CI:-0.35,-0.08; P = 0.001; I^2 = 0%).CONCLUSION EUS represents an interesting alternative to ERCP for MBO drainage,demonstrating lower stent dysfunction rates compared with ERCP. Technical and clinical success, duration, adverse events and patency rates were similar. | Fernanda P Logiudice Wanderlei M Bernardo Facundo Galetti Vitor M Sagae Carolina O Matsubayashi Antonio C Madruga Neto Vitor O Brunaldi Diogo T H de Moura Tomazo Franzini Spencer Cheng Sergio E Matuguma Eduardo G H de Moura | 2019 | World Journal of Gastrointestinal Endoscopy2019，11，4： | 6 |
| 2 | Energetic-protein supplementation in the last 60 days of gestation improves performance of beef cows grazing tropical pastures显示文摘Background: Nutrition is one of the most important factors that affect animal performance, and it therefore also impacts on financial results in beef systems. In this way, finding the best strategy for feeding supplements is of paramount importance. Aiming to evaluate the effect of supplement feeding strategies for beef cows in the last third of gestation, two experiments were conducted. In Experiment 1, 35 pregnant Nellore cows were assigned to a completely randomized design with four treatments: control, which received no supplement; supplementation for the last 30 d of gestation(30-d; 3.0 kg/d); supplementation for the last 60 d of gestation(60-d; 1.5 kg/d); or supplementation for the last 90 d of gestation(90-d; 1.0 kg/d). All supplemented treatments received the same total amount of supplement throughout the experiment: 90 kg(20% of crude protein). A second experiment(Experiment 2) was delineated to evaluate the effects of the amounts offered in Experiment 1 on intake and metabolism. Four multiparous pregnant Nellore cows were assigned to a 4 × 4 Latin square design, with periods of15 d each.Results: There was a linear effect of the number of days of supplementation on calving body weight(BW; P < 0.05)and a quadratic effect on BW change from parturition to d 31 post-calving(P < 0.05), with cows on the 60-d strategy losing less BW post-calving. No difference was found in offspring birth BW(P > 0.10). A significant linear effect on interval from parturition to conception(P < 0.05) was observed, with the highest calving to conception interval being observed in the 90-d strategy. The level of supplementation did not affect forage intake or neutral detergent fiber digestibility(P > 0.10). Nitrogen excreted through urine tended to increase linearly with the level of supplementation(P < 0.10).Conclusion: Providing 1.5 kg of supplement during the last 60 d of gestation improves cow performance after calving, reducing the magnitude of BW lost, and reduces the number of days from calving to re-conception in the following breeding season compared to the usually recommended period of supplementation of 90 d pre-partum. | Aline Gomes da Silva Mário Fonseca Paulino Edenio Detmann Henrique Jorge Fernandes Lincoln da Silva Amorim Román Enrique Maza Ortega Victor Valério de Carvalho Josilaine Aparecida da Costa Lima Felipe Henrique de Moura Mariana Benevides Monteiro Jéssika Almeida Bitencourt | 2018 | Journal of Animal Science and Biotechnology2018，9，1： | 2 |
| 3 | Removal of chromium fi-om aqueous solutions by diatomite treated with microemulsion 显示文摘 | Dantas T N Neto A A Moura M C | 2001 | Water Research2001，35，9： | 1 |
| 4 | Enhanced expression of the CD71 mesangial IgA1 receptor in Berger disease and Henoch-Schonlein nephritis:Association between CD71 expression and IgA deposits显示文摘 | Haddad E Moura IC Arcos-Fajardo M | 2003 | Am SocNephro2003，14，2： | 1 |
| 5 | Discovering search engine related query using association rules显示文摘 | Fonseca B M Golgher P B Moura E S | | 0，，04： | 1 |
| 6 | Aerobic exercise im- proves physical capacity in patients under chronic hemodialysis显示文摘 | Henrique DMN De Moura Reboredo M Chaouhah A | 2010 | Arq Bras Cardi- ol2010，94，6： | 1 |
| 7 | The interference of voice change on structural vocal cords lesions显示文摘 | Santos M A Moura J M Duprat Ade C | 2007 | Braz J Otorhinolaryngol2007，73，2： | 1 |
| 8 | Failure and reliability predic- tion by support vector machines regression of time series data 显示文摘 | Moura M C Zio E Lins I D | 2011 | Reliability Engineering System Safety2011，96，11： | 1 |
| 9 | Enhanced expression of the CD71 mesangial IgA1 receptor in Berger and Henoch-Schonlein nephritis:association between CD71 expression and IgA deposits显示文摘 | Haddad E Moura IC Arcos-Fajardo M | 2003 | J Am Soc Nephrology2003，14，2： | 1 |
| 10 | Isolation of Nosema algerae from cornea of an immunnocompetent patient显示文摘 | Visvesvara G S Belloso M Moura H | 1999 | J Eukaryot Microbiol1999，46，5： | 1 |
| 11 | Relationship of PON1 192 and 55 gene polymorphisms to calcific valvular aortic stenosis显示文摘 | Moura LM Faria S Brito M | 2012 | Am J Cardiovasc Dis2012，2，： | 1 |
| 12 | Age- related changes in muscle fiber type frequencies and cross-sectional areas in straightbred and crossbred rabbits显示文摘 | BIANOSPINO E MOURA A S A M T WECHSLER F S | 2008 | Animal2008，2，11： | 1 |
| 13 | Failure and reliability prediction by support vector machines regression of time series data显示文摘 | Moura M D C Enrico Z Isis D L | 2011 | Reliability Engineering and System Safety2011，96，11： | 1 |
| 14 | Kalman filtering with intermittent observations: weak convergence to a stationary distribution显示文摘 | Kar S Sinopoli B Moura J M F | 2012 | IEEE Transactions on Automatic Control2012，57，2： | 1 |
| 15 | A particle swarm- optimized support vector machine for reliability prediction 显示文摘 | Lins I D Moura M R D C Zio E | 2012 | Quality and Reliability Engineering International2012，28，2： | 1 |
| 16 | ZnO architec- tures synthesized by a microwave-assisted hydrothermal method and their photoluminescence properties显示文摘 | Moura A P Lima R C Moreira M L | 2010 | Solid State Ionics2010，181，1516： | 1 |
| 17 | QD-Leaming:a collaborative distributed strategy for multi-agent reinforcement learning through consensus plus innovations显示文摘 | KAR S MOURA J M F POOR H V | 2013 | IEEE Transactions on Signal Processing2013，61，7： | 1 |
| 18 | Identification of the transferrin receptor as a novel immunoglobulin (Ig)A1 re- ceptor and its enhanced expres-sion on mesangial cells in IgA ne- phropathy显示文摘 | Moura IC Centelles MN Arcos-Fajardo M | 2001 | J Exp Med2001，194，： | 1 |
| 19 | Degumming of vegetable oil by microporous membrane显示文摘 | Juliana M L N de Moura a Lireny A G Gonclves a | 2005 | Journal of Food Engineering2005，70，2005： | 1 |
| 20 | Heavy metals extraction by microemulsion显示文摘 | Castro-Dantas T N Dantas-Neto A A Moura M C P A | 2003 | Water Res2003，37，： | 1 |
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