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122-gauge core vs 22-gauge aspiration needle for endoscopic ultrasound-guided sampling of abdominal masses显示文摘AIM To compare the aspiration needle(AN) and core biopsy needle(PC) in endoscopic ultrasound-guided fine needle aspiration(EUS-FNA) of abdominal masses.METHODS Consecutive patients referred for EUS-FNA were included in this prospective single-center trial. Each patient underwent a puncture of the lesion with both standard 22-gauge(G) AN(Echo Tip Ultra; Cook Medical, Bloomington, Indiana, United States) and the novel 22 G PC(Echo Tip Pro Core; Cook Medical, Bloomington, Indiana, United States) in a randomized fashion; histology was attempted in the PC group only. The main study endpoint was the overall diagnostic accuracy, including the contribution of histology to the final diagnosis. Secondary outcome measures included material adequacy, number of needle passes, and complications.RESULTS Fifty six consecutive patients(29 men; mean age 68 years) with pancreatic lesions(n = 38), lymphadenopathy(n = 13), submucosal tumors(n = 4), or others lesions(n = 1) underwent EUS-FNA using both of the needles in a randomized order. AN and PC reached similar overall results for diagnostic accuracy(AN: 88.9 vs PC: 96.1, P = 0.25), specimen adequacy(AN: 96.4% vs PC: 91.1%, P = 0.38), mean number of passes(AN: 1.5 vs PC: 1.7, P = 0.14), mean cellularity score(AN: 1.7 vs PC: 1.1, P = 0.058), and complications(none). A diagnosis on the basis of histology was achieved in the PC group in 36(64.3%) patients, and in 2 of those as the sole modality. In patients with available histology the mean cellularity score was higher for AN(AN: 1.7 vs PC: 1.0, P = 0.034); no other differences were of statistical significance.CONCLUSION Both needles achieved high overall diagnostic yields and similar performance characteristics for cytological diagnosis; histological analysis was only possible in 2/3 of cases with the new needle.William Sterlacci Athanasios D Sioulas Lothar Veits Pervin G?nüllü Guido Schachschal Stefan Groth Mario Anders Christos K Kontos Theodoros Topalidis Andrea Hinsch Michael Vieth Thomas R?sch Ulrike W Denzer 2016World Journal of Gastroenterology2016,22,39:2
2Animal plant warfare and secondary metabolite evolution显示文摘The enduring discussion,why plants produce secondary metabolites with pharmacologically and toxicologically active towards mammals traces back to the eminent role of medicinal plants in the millennia-old history of manhood.In recent years,the concept of an animal plant warfare emerged,which focused on the co-evolution between plants and herbivores.As a reaction to herbivory,plants developed mechanical defenses such as thorns and hard shells,which paved the way for adapted animal physiques.Plants evolved further defense systems by producing chemicals that exert toxic effects on the animals that ingest them.As a result of this selective pressure,animals developed special enzymes,e.g.cytochrome P450 monooxigenases(CYP450)that metabolize xenobiotic phytochemicals.As a next step in the evolutionary competition between plants and animals,plants evolved to produce non-toxic pro-drugs,which become toxic only after ingestion by animals through metabolization by enzymes such as CYP450.Because these sequestered evolutionary developments call to mind an arms race,the term animal plant warfare has been coined.The evolutionary competition between plants and animals may help to better understand the modes of action of medicinal plants and to foster the efficient and safe use of phytotherapy nowadays.Steffen WÖLL Sun Hee KIM Henry Johannes GRETEN Thomas EFFERTH 2013Natural Products and Bioprospecting2013,3,1:2
3Determinants of directionality in lambda site-specific recombination 显示文摘 Yin S Thio LL 1984Cell1984,39,32:1
4Association mapping of disease loci, by use of a pooled DNA genomic screen 显示文摘Barcellos LF Klitz W Field LL 1997Am J Hum Genet1997,61,3:1
5Microbial biofilm显示文摘COSTERTON J W LEWANDOWSKI Z CALDWE- LL D E 1995Ann Rev Mierobiol1995,49,:1
6Unplanned extubation:a local experience显示文摘Phoa LL Pek WY Syap W 2001Singapore Med J2001,43,10:1
7Glass and medicine显示文摘Hench LL Day DE Hland W 2010Int J Appl Glass Sci2010,1,1:1
8Refractive complication of cataract surgery after radial keratometry显示文摘Koch DD liu W Hyde LL 1989Am J Ophthalmol1989,108,:1
9Soil microbial responses to experimental warming and clipping in a tallgrass prairie显示文摘Zhang W Parker KM Luo Y Wan S Wallace LL Hu S 2007中国生物学文摘2007,21,8:1
10Bcl-2 engineered MSCs inhibited apoptosis and improved heart function显示文摘Li W Ma N Ong LL Nesselmann C 2007Stem Cells2007,25,8:1
11Transcriptmne analysis of skin pho- toaging in chinese females reveals the involvement of skin home- ostasis and metabolic change显示文摘Yan W Zhang LL Yan L 2013PLoS One2013,8,61:1
12Point prevalence surveys of healthcare-associated infection in 13 hospitals in Hubei Province,China,2007-2008显示文摘Xie DS Xiong W Xiang LL 2010J Hosp Infect2010,76,2:1
13Methadone therapy for opioid dependence显示文摘Krambeer LL Mcknelly WV Gabrielli W 2001Am Fam Physician2001,63,12:1
14Diabetes-induced apoptosis in rat kidney显示文摘Zhang W Khanna P Chan LL 0,,01:1
15Point prevalence surveys of healthcare associated infection in 13 hospitals in Hubei Province,China,2007 2008显示文摘Xie DS Xiong W Xiang LL 0,,2:1
16Hepatocyte growth factor modification enhances the anti-arrhythmic properties of human bone marrow-derived mesenchymal stem cells 显示文摘Zbang J Wang LL Du W 2014PLoS One2014,9,11:1
17Bcl-2 engineered MSCs inhibited apoptosis and improved heart function 显示文摘Li W Ma N Ong LL 2007Stem Cells2007,25,8:1
18Diabetes-induced apoptosis in rat kidney显示文摘Zhang W Khanna P Chan LL 1997Biochem Mol Med1997,61,1:1
19Exocytosis and uptake of bacteria by isolated haemocyte populations of two crustaceans:evidence for cellular cooperation in the defence reaction of arthropods 显示文摘S(o)derhll K Smith V J Johansson M W 1986Cell Tissue Res1986,245,:1
20Bcl-2 engineered MSC inhibited apoptosis and improved heart function显示文摘Li W Ma N Ong LL 2007Stem Cells2007,25,8:1
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