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| 1 | WONCA研究论文摘要汇编——冠心病对阿尔茨海默病患者认知功能下降的影响:基层医疗中的前瞻性队列研究显示文摘背景动脉硬化性疾病增加痴呆的风险。由于二者有共同的病因和风险因素,冠心病(CHD)可以影响痴呆的病程。目的确定CHD是否加速了阿尔茨海默病的认知功能衰退,并讨论继发性心血管预防的潜在可能性,从而控制这种衰退。设计与场所基于德国6个城市的全科医生诊所开展前瞻性多中心队列研究。方法选取可能患有轻、中度阿尔茨海默病或混合型痴呆的患者〔n=118;年龄80~96岁,平均年龄(85.6±3.4)岁〕。根据家庭医师的诊断,评估CHD的存在。在以6个月为间隔的长达3年的家庭随访期间,采用简易精神状态检查量表(MMSE)和临床痴呆评定量表(CDR-So B)评估患者认知功能。并记录观察期内患者的死亡情况。结果 65例(55%)患者患CHD和/或心肌梗死后的心脏病。CHD的存在使得认知功能衰退加快约66%(由MMSE评分得出,P<0.05),认知功能能力下降约83%(由CDR-So B评分得出,P<0.05),但对存活率没有任何影响。结论研究表明,CHD对老年晚发性痴呆患者的认知功能衰退有显著影响。痴呆过程可能因此会受到心血管预防的积极影响,应该进一步证实该研究结论。 | BLECKWENN M KLEINEIDAM L WAGNER M 本刊编辑部 | 2017 | 中国全科医学2017，20，9： | 12 |
| 2 | Compared efficacy of preservation solutions on the outcome of liver transplantation:Meta-analysis显示文摘AIM To compare the effects of the four most commonly used preservation solutions on the outcome of liver transplantations.METHODS A systematic literature search was performed using MEDLINE, Scopus, EMBASE and the Cochrane Library databases up to January 31^(st), 2017. The inclusion criteria were comparative, randomized controlled trials(RCTs) for deceased donor liver(DDL) allografts with adult and pediatric donors using the gold standard University of Wisconsin(UW) solution or histidinetryptophan-ketoglutarate(HTK), Celsior(CS) and Institut Georges Lopez(IGL-1) solutions. Fifteen RCTs(1830 livers) were included; the primary outcomes were primary non-function(PNF) and one-year posttransplant graft survival(OGS-1). RESULTS All trials were homogenous with respect to donor and recipient characteristics. There was no statistical difference in the incidence of PNF with the use of UW, HTK, CS and IGL-1(RR = 0.02, 95%CI: 0.01-0.03, P = 0.356). Comparing OGS-1 also failed to reveal any difference between UW, HTK, CS and IGL-1(RR = 0.80, 95%CI: 0.80-0.80, P = 0.369). Two trials demonstrated higher PNF levels for UW in comparison with the HTK group, and individual studies described higher rates of biliary complications where HTK and CS were used compared to the UW and IGL-1 solutions. However, the meta-analysis of the data did not prove a statistically significant difference: the UW, CS, HTK and IGL-1 solutions were associated with nearly equivalent outcomes.CONCLUSION Alternative solutions for UW yield the same degree of safety and effectiveness for the preservation of DDLs, but further well-designed clinical trials are warranted. | Agnes Lilla Szilágyi Péter Mátrai Péter Hegyi Eszter Tuboly Daniella Pécz András Garami Margit Solymár Erika Pétervári Márta Balaskó Gábor Veres László Czopf Bastian Wobbe Dorottya Szabó Juliane Wagner Petra Hartmann | 2018 | World Journal of Gastroenterology2018，24，16： | 5 |
| 3 | New insights into the vitamin D requirements during pregnancy显示文摘Pregnancy represents a dynamic period with physical and physiological changes in both the mother and her developing fetus. The dramatic 2–3 fold increase in the active hormone 1,25(OH)2 D concentrations during the early weeks of pregnancy despite minimal increased calcium demands during that time of gestation and which are sustained throughout pregnancy in both the mother and fetus suggests an immunomodulatory role in preventing fetal rejection by the mother. While there have been numerous observational studies that support the premise of vitamin D's role in maintaining maternal and fetal well-being, until recently, there have been few randomized clinical trials with vitamin D supplementation. One has to exhibit caution,however, even with RCTs, whose results can be problematic when analyzed on an intent-to-treat basis and when there is high non-adherence to protocol(as if often the case), thereby diluting the potential good or harm of a given treatment at higher doses. As such, a biomarker of a drug or in this case 'vitamin' or pre-prohormone is better served. For these reasons, the effect of vitamin D therapies using the biomarker circulating 25(OH)D is a far better indicator of true 'effect.' When pregnancy outcomes are analyzed using the biomarker 25(OH)D instead of treatment dose, there are notable differences in maternal and fetal outcomes across diverse racial/ethnic groups, with improved health in those women who attain a circulating25(OH)D concentration of at least 100 nmol · L-1(40 ng · m L-1). Because an important issue is the timing or initiation of vitamin D treatment/supplementation, and given the potential effect of vitamin D on placental gene expression and its effects on inflammation within the placenta, it appears crucial to start vitamin D treatment before placentation(and trophoblast invasion); however, this question remains unanswered.Additional work is needed to decipher the vitamin D requirements of pregnant women and the optimal timing of supplementation, taking into account a variety of lifestyles, body types, baseline vitamin D status,and maternal and fetal vitamin D receptor(VDR) and vitamin D binding protein(VDBP) genotypes.Determining the role of vitamin D in nonclassical, immune pathways continues to be a challenge that once answered will substantiate recommendations and public health policies. | Bruce W Hollis Carol L Wagner | 2017 | Bone Research2017，5，3： | 5 |
| 4 | Minimization vs tailoring:Where do we stand with personalized immunosuppression during renal transplantation in 2015?显示文摘The introduction of novel immunosuppressive agents over the last two decades and the improvement of our diagnostic tools for early detection of antibodymediated injury offer us an opportunity, if not a mandate, to better match the immunosuppression needs of the individual patients with side effects of the therapy. However, immunosuppressive regimens in the majority of programs remain mostly protocol-driven, with relatively little inter-program heterogeneity in certain areas of the world. Emerging data showing different outcomes with a particular immunosuppressive strategy in populations with varying immunological risks underscore a real potential for 'personalized medicine' in renal transplantation. Studies demonstrating marked differences in the adverse-effect profiles of individual drugs including the risk for viral infections, malignancy and renal toxicity call for a paradigm shift away from a 'one size fits all' approach to an individually tailored immunosuppressive therapy for renal transplant recipients, assisted by both screening for predictors of graft loss and paying close attention to dose or class-related adverse effects. Our paper explores some of the opportunities during the care of these patients. Potential areas of improvements may include:(1) a thorough assessment of immunological and metabolic risk profile of each renal transplant recipient;(2) screening for predictors of graft loss and early signs of antibody-mediated rejection with donor-specific antibodies, protocol biopsies and proteinuria(including close follow up of adverse effects with dose adjustments or conversions as necessary); and(3) increased awareness of the possible link between poor tolerance of a given drug at a given dose and non-adherence with the prescribed regimen. Altogether, these considerations may enable the most effective use of the drugs we already have. | Lajos Zsom László Wagner Tibor Fül?p | 2015 | World Journal of Transplantation2015，5，3： | 3 |
| 5 | Sex-specific effects of Eugenia punicifolia extract on gastric ulcer healing in rats显示文摘AIM To evaluate the sex-specific effects of a hydroalcoholic extract from Eugenia punicifolia(HEEP) leaves on gastric ulcer healing.METHODS In this rat study involving males, intact(cycling) females, and ovariectomized females, gastric ulcers were induced using acetic acid. A vehicle, lansoprazole, or HEEP was administered for 14 d after ulcer induction. Body weight was monitored throughout the treatment period. At the end of treatment, the rats were euthanized and the following in vivo and in vitro investigations were performed: macroscopic examination of the lesion area and organ weights, biochemical analysis, zymography, and evaluation of protein expression levels. Additionally, the concentration-dependent effect of HEEP was evaluated in terms of subacute toxicity and cytotoxicity.RESULTS Compared to the vehicle, HEEP demonstrated a great healing capacity by substantially reducing the ulcerative lesion area in males(52.44%), intact females(85.22%), and ovariectomized females(65.47%), confirming that HEEP accelerates the healing of acetic acidinduced gastric lesions and suggesting that this effect is modulated by female sex hormones. The antiulcer effect of HEEP was mediated by prostaglandin E2 only in male rats. Overall, the beneficial effect of HEEP was the highest in intact females. Notably, HEEP promoted the expression of vascular endothelial growth factor(intact vs ovariectomized females) and decreased the expression of Caspase-8 and Bcl-2(intact female vs male or ovariectomized female). Additionally, HEEP enhanced fibroblast proliferation and migration into a wounded area in vitro, confirming its healing effect. Finally, no sign of subacute toxicity or cytotoxicity of HEEP was observed.CONCLUSION In gastric ulcers, HEEP-induced healing(modulated by female sex hormones; in males, mediated by prostaglandin) involves extracellular matrix remodeling, with gastric mucosa cell proliferation and migration. | Larissa Lucena Périco Vinícius Peixoto Rodrigues Rie Ohara Gabriela Bueno Vania Vasti Alfieri Nunes Raquel Cássia dos Santos Ana Carolina Lima Camargo Luis Antuio Justulin Joior Sérgio Faloni de Andrade Viviane Miranda Bispo Steimbach Luísa Mota da Silva Lúcia Regina Machado da Rocha Wagner Vilegas Catarina dos Santos Clélia Akiko Hiruma-Lima | 2018 | World Journal of Gastroenterology2018，24，38： | 3 |
| 6 | 多种代用资料和模型模拟得到的亚洲季风在8.2ka显著气候影响的证据(英文)显示文摘Given the likelihood of future reductions in the strength of the Atlantic Meridional Overturning Circulation(AMOC),it is important to document how changes in the AMOC have altered climate patterns in the past and to assess the skill of coupled climate models in reproducing these teleconnections.Of past abrupt changes in the AMOC,the 8.2 ka event provides a particularly useful case study because its duration,magnitude of AMOC reduction and background climate state are closest to conditions expected in the future.In this research,we present an expanded proxy synthesis of the 8.2 ka event in monsoonal Asia,including new high-resolution lake and bog records,more sites from the East Asia monsoon region and proxies of winter monsoon strength.We compare proxy evidence with a new simulation of the 8.2 ka event using the Community Climate System Model version 3(CCSM3) and prescribing North Atlantic freshwater forcing according to the latest reconstructions.We find clear and objectively-determined evidence for 8.2 ka climate anomalies at nearly all of the fourteen proxy sites,emphasizing the strong and widespread impacts of the event in monsoonal Asia during both summer and winter seasons.The model simulation corroborates that these anomalies,described generally as a weakening of the summer monsoon and strengthening of the winter monsoon,were likely caused by a reduction of the AMOC.Examination of regional anomalies in East Asia reveals some spatial heterogeneity,however,that in the model simulation is caused by contraction of the seasonal migration of the subtropical monsoon front.The duration of climate anomalies at 8.2 ka in monsoonal Asia,both in proxy records and the model simulation,generally matches the duration of the event in Greenland ice core δ^(18)O,further supporting a tight connection to the North Atlantic. | MORRILL Carrie WAGNER Amy J OTTO-BLIESNER Bette L ROSENBLOOM Nan | 2011 | 地球环境学报2011，2，3： | 3 |
| 7 | Double_stranded RNA poses puzzle显示文摘 | Wagner RW Sun L | 1998 | Nature1998，391，6669： | 2 |
| 8 | A greedy algorithm for aligning DNA sequences 显示文摘 | Zhang Z Schwartz S Wagner L | 2000 | Journal of Computational Biology2000，7，： | 1 |
| 9 | The psychometric properties of the hospital survey on patient safety culture in Dutch hospitals显示文摘 | Smits M Christiaans-Dingelhoff l Wagner C | 2008 | BMC Health Serv Res2008，8，： | 1 |
| 10 | Microstructure development during extrusion in a wrought Mg-Zn-Zr alloy显示文摘 | SHAHZAD M WAGNER L | 2009 | Scripta Materialia2009，60，7： | 1 |
| 11 | Electrophoretic, solubility, and functional properties of commercial soy protein isolartes 显示文摘 | Arrese E L Sorgentini D A Wagner J R Anon M C | 1991 | Journal of Agricultural and Food Chemistry1991，39，： | 1 |
| 12 | The influence of antiepileptic drugs on cognition : A comparison of levetiracetam with topiramate 显示文摘 | Gomer B Wagner K Frings L | 2007 | Epilepsy Behav2007，10，3： | 1 |
| 13 | Induction of collagenase and stromelysin gene expression by mechanic injury in vascular smooth - derived cell Line显示文摘 | James T W Wagner R White L A | 1993 | J cell physiol1993，157，： | 1 |
| 14 | Liver surgery in the era of tissue-preserving resections:early and late outcome in patients with primary and secondary hepatic tumors显示文摘 | Redaelli C A Wagner M Krahenbuhi L | 2002 | World J Surg2002，26，9： | 1 |
| 15 | 显示文摘 | Nelson J A Brant E L Wagner M J | 2003 | Chem Mater2003，15，： | 1 |
| 16 | Temperature-dependent development, mortality, and adult size of sweetpotato whitefly biotype B ( Homoptera : Aleyrodidae) on cotton 显示文摘 | Wagner T L | 1995 | Environmental Entomology1995，24，： | 1 |
| 17 | An aluminium heat switch made from cold-pressed Cu/A1 composite显示文摘 | Wang H L Wagner Th Eska G | 2000 | Physica B2000，28，4288： | 1 |
| 18 | Placental site trophoblastic tumor: human placental lactogen and preg- nancy-associated major basic protein as immunohistologic markers 显示文摘 | Rhoton-Vlasak A Wagner J M Rutgers J L | 1998 | numPalhol1998，29，3： | 1 |
| 19 | Association of four different calcium crystals in the antherconnective tissue and hypodermal stomium of Capsicum annuurn (Solanaceae) during microsporogenesis显示文摘 | HORNER H T WAGNER B L | 1992 | American Journal of Botany1992，79，5： | 1 |
| 20 | Haemodynamic effects of plasma-expansion with hyperoncotic albumin in cirrhotic patients with renal failure: a prospective interventional study显示文摘 | Umgelter A Wagner K Reindl W l | 2008 | BMC Gastroenterol2008，27，8： | 1 |
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