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排序方式: 共有346条查询结果,搜索用时 15 毫秒
51.
Chajès V Biessy C Byrnes G Deharveng G Saadatian-Elahi M Jenab M Peeters PH Ocké M Bueno-de-Mesquita HB Johansson I Hallmans G Manjer J Wirfält E Jakszyn P González CA Huerta JM Martinez C Amiano P Suárez LR Ardanaz E Tjønneland A Halkjaer J Overvad K Jakobsen MU Berrino F Pala V Palli D Tumino R Vineis P de Magistris MS Spencer EA Crowe FL Bingham S Khaw KT Linseisen J Rohrmann S Boeing H Nöethlings U Olsen KS Skeie G Lund E Trichopoulou A Zilis D Oustoglou E Clavel-Chapelon F Riboli E 《Nutrition and cancer》2011,63(8):1235-1250
Elaidic acid is the main unnatural trans fatty acid isomer occurring during partial hydrogenation of vegetable oils used as ingredients for the formulation of processed foods. The main objective is to assess associations between processed food intakes and plasma phospholipid elaidic acid concentrations within the European Prospective Investigation into Cancer and Nutrition study. A cross-sectional study was used to determine fatty acid profiles in 3,003 subjects from 16 centers. Single 24-h dietary recalls (24-HDR) were collected using a standardized computerized interview program. Food intakes were computed according to their degree of processing (moderately/nonprocessed foods, processed staple foods, highly processed foods). Adjusted ecological and individual correlations were calculated between processed food intakes and plasma elaidic acid levels. At the population level, mean intakes of highly processed foods were strongly correlated with mean levels of plasma elaidic acid in men (P = 0.0016) and in women (P = 0.0012). At the individual level, these associations remained but at a much lower level in men (r = 0.08, P = 0.006) and in women (r = 0.09, P = 0.0001). The use of an averaged 24-HDR measure of highly processed food intakes is adequate for predicting mean levels of plasma elaidic acid among European populations. 相似文献
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Sacanella E Pérez-Castejón JM Nicolás JM Masanés F Navarro M Castro P López-Soto A 《Critical care (London, England)》2011,15(2):R105-9
Introduction
Long-term outcomes of elderly patients after medical ICU care are little known. The aim of the study was to evaluate functional status and quality of life of elderly patients 12 months after discharge from a medical ICU. 相似文献54.
55.
International Multicenter Evaluation of the Clinical Utility of a Dipstick Assay for Detection of Leptospira-Specific Immunoglobulin M Antibodies in Human Serum Specimens
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Henk L. Smits Yulia V. Ananyina Annette Chereshsky Louella Dancel Rudy F. M. Lai-A-Fat Howard D. Chee Paul N. Levett Toshiyuki Masuzawa Yasutake Yanagihara M. A. Muthusethupathi Eduard J. Sanders David M. Sasaki Harry Domen Claude Yersin Tin Aye Sandra L. Bragg George C. Gussenhoven Marga G. A. Goris Wiepko J. Terpstra Rudy A. Hartskeerl 《Journal of clinical microbiology》1999,37(9):2904-2909
We performed a multicenter evaluation of a robust and easily performed dipstick assay for the serodiagnosis of human leptospirosis. The assay is aimed at the detection of Leptospira-specific immunoglobulin M (IgM) antibodies. The study involved 2,665 serum samples collected from 2,057 patients with suspected leptospirosis in 12 countries on five continents with different levels of endemicity and different surveillance systems. The patients were grouped as laboratory-confirmed leptospirosis case patients and noncase patients based on the results of culturing and the microscopic agglutination test. Paired samples from 27.7% of the subjects were tested. Of the 485 case patients, 87.4% had a positive dipstick result for one or more samples. Of the 1,513 noncase patients, only 7.2% had a positive result. Whereas most (88.4%) of the positive samples from the case patients showed moderate to strong (2+ to 4+) staining in the dipstick assay, most (68.1%) of the positive samples from the noncase patients showed weak (1+) staining. The sensitivity of the dipstick assay increased from 60.1% for acute-phase serum samples to 87.4% for convalescent-phase samples. The specificities for these two groups of samples were 94.1 and 92.7%, respectively. The dipstick assay detected a broad variety of serogroups. The results of the dipstick assay were concordant (observed agreement, 93.2%; kappa value, 0.76) with the results of an enzyme-linked immunosorbent assay for the detection of specific IgM antibodies, a test which is often used in the laboratory diagnosis of current or recent leptospirosis. This study demonstrated that this easily performed dipstick assay is a valuable and useful test for the quick screening for leptospirosis; has a wide applicability in different countries with different degrees of endemicity; can be used at all levels of the health care system, including the field; and will be useful for detecting and monitoring outbreaks of leptospirosis. 相似文献
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57.
Marga Reimer 《Neuroethics》2010,3(2):173-184
Medical professionals, including mental health professionals, largely agree that moral judgment should be kept out of clinical
settings. The rationale is simple: moral judgment has the capacity to impair clinical judgment in ways that could harm the
patient. However, when the patient is suffering from a "Cluster B" personality disorder, keeping moral judgment out of the
clinic might appear impossible, not only in practice but also in theory. For the diagnostic criteria associated with these
particular disorders (Antisocial, Borderline, Histrionic, Narcissistic) are expressed in overtly moral language. I consider
three proposals for dealing with this problem. The first is to eliminate the Cluster B disorders from the DSM on the grounds
that they are moral, rather than mental, disorders. The second is to replace the morally laden language of the diagnostic
criteria with morally neutral language. The third is to disambiguate the notion of moral judgment so as to respect the distinction
between having morally disvalued traits and having moral responsibility for those traits. Sensitivity to this distinction
enables the clinician, at least in theory, to employ morally laden diagnostic criteria without adopting the sort of morally
judgmental (and potentially harmful) attitude that results from the tacit presumption of moral responsibility. I argue against
the first two proposals and in favor of the third. In doing so, I appeal to Grice's distinction between conventional and conversational
implicature. I close with a few brief remarks on the irony of retaining overtly moral language in an ostensibly medical manual
for the diagnosis of mental disorders. 相似文献
58.
Rödel C Liersch T Becker H Fietkau R Hohenberger W Hothorn T Graeven U Arnold D Lang-Welzenbach M Raab HR Sülberg H Wittekind C Potapov S Staib L Hess C Weigang-Köhler K Grabenbauer GG Hoffmanns H Lindemann F Schlenska-Lange A Folprecht G Sauer R;German Rectal Cancer Study Group 《The lancet oncology》2012,13(7):679-687
59.
Geriatric Assessment Predicts Survival and Competing Mortality in Elderly Patients with Early Colorectal Cancer: Can It Help in Adjuvant Therapy Decision‐Making?
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60.
Andrea L. Pusic Yeliz Cemal Claudia Albornoz Anne Klassen Stefan Cano Isabel Sulimanoff Marisol Hernandez Marga Massey Peter Cordeiro Monica Morrow Babak Mehrara 《Journal of cancer survivorship》2013,7(1):83-92