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药物性肝损伤因果关系评估演变:从RUCAM到RECAM 被引量:2
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作者 孟尧 张萌萌 赵新颜 《肝脏》 2023年第6期631-633,共3页
Roussel Uclaf因果关系评估量表创立30年至今,肝病专家一直在寻找能真实、可靠评估可疑药物与肝损伤之间因果关系的方法。2022年初,Hayashi PH提出了药物性肝损伤因果关系评估的新方法:改良电子化因果关系评估量表(RECAM)。本文就RUCAM... Roussel Uclaf因果关系评估量表创立30年至今,肝病专家一直在寻找能真实、可靠评估可疑药物与肝损伤之间因果关系的方法。2022年初,Hayashi PH提出了药物性肝损伤因果关系评估的新方法:改良电子化因果关系评估量表(RECAM)。本文就RUCAM及RECAM的产生、各自的优势及局限性、二者之间的相同点及不同点作一综述。 展开更多
关键词 药物性肝损伤 因果关系评估 RUCAM recam
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药物性肝损伤因果关系评估量表:RECAM将取代RUCAM? 被引量:4
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作者 赖荣陶 陈成伟 +1 位作者 阳文新 于乐成 《肝脏》 2022年第7期725-729,共5页
Roussel Uclaf因果关系评估量表(RUCAM)量表是近30年来最受临床欢迎和肯定的药物性损伤(DILI)评估量表,其参数相对全面,操作界面相对友好,但也存在主观性较大、操作说明不够详细、与专家观点一致性不够高、某些参数的设置和评分标准缺... Roussel Uclaf因果关系评估量表(RUCAM)量表是近30年来最受临床欢迎和肯定的药物性损伤(DILI)评估量表,其参数相对全面,操作界面相对友好,但也存在主观性较大、操作说明不够详细、与专家观点一致性不够高、某些参数的设置和评分标准缺乏循证医学证据、存在观察偏差等不足。新近欧美部分学者提出了基于美国DILIN研究和西班牙DILI注册研究数据设计的"改良电子化因果关系评估量表"(RECAM),其保留了RUCAM的基本逻辑,但对具体内容和结构做了大幅改进,特别是将RUCAM的7类参数整合为RECAM的5个区块,剔除了RUCAM第3项(危险因素)和第4项(同时使用的药物),对第6项(药物既往肝毒性信息)采用LiverTox网站分类标准进行评分,对常见肝损伤病因的分层评估更详细,将再激发和肝活检等列为附加评估项。RECAM评分等级:≥8分,极可能(highly likely/highly probable);7~4分,很可能(probable);3~-3分,可能(possible);≤-4分,不可能或排除(unlikely/excluded)。初步研究显示,RECAM与RUCAM对诊断DILI至少一样有效,但RECAM在判断两极值方面优于RUCAM。RECAM在临床上的适用性,以及是否可用于HDS所致肝损伤的评估,尚待论证。 展开更多
关键词 药物性肝损伤 诊断 RUCAM量表 recam量表
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药物性肝损伤评估量表诊断价值研究进展
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作者 马嘉蹊 程浩 +7 位作者 姚甜甜 刘丹 张宇涵 杜思源 董琳菲 胡林慧 王艳 王贵强 《肝脏》 2024年第6期748-750,755,共4页
药物性肝损伤(DILI)发生率逐年升高,目前尚无特异性血清生物标志物,典型的组织学特征对诊断有指导性帮助。但肝组织活检为有创检查方法,难以普及,因此临床广泛应用因果关系评估量表辅助DILI诊断。DILI的评估量表诊断准确性仍需进一步验... 药物性肝损伤(DILI)发生率逐年升高,目前尚无特异性血清生物标志物,典型的组织学特征对诊断有指导性帮助。但肝组织活检为有创检查方法,难以普及,因此临床广泛应用因果关系评估量表辅助DILI诊断。DILI的评估量表诊断准确性仍需进一步验证,以便甄选诊断准确性最佳的评估量表用于临床DILI诊断。 展开更多
关键词 药物性肝损伤 诊断 RUCAM评估量表 recam评估量表
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Recent advances in the diagnosis of drug-induced liver injury 被引量:1
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作者 Taqwa Ahmed Jawad Ahmad 《World Journal of Hepatology》 2024年第2期186-192,共7页
Drug-induced liver injury(DILI)is a major problem in the United States,commonly leading to hospital admission.Diagnosing DILI is difficult as it is a diagnosis of exclusion requiring a temporal relationship between dr... Drug-induced liver injury(DILI)is a major problem in the United States,commonly leading to hospital admission.Diagnosing DILI is difficult as it is a diagnosis of exclusion requiring a temporal relationship between drug exposure and liver injury and a thorough work up for other causes.In addition,DILI has a very variable clinical and histologic presentation that can mimic many different etiologies of liver disease.Objective scoring systems can assess the probability that a drug caused the liver injury but liver biopsy findings are not part of the criteria used in these systems.This review will address some of the recent updates to the scoring systems and the role of liver biopsy in the diagnosis of DILI. 展开更多
关键词 Drug induced liver injury Liver biopsy DIAGNOSIS RUCAM recam
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特异质性药物性肝损伤的研究进展
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作者 付豪爽 谢青 《肝脏》 2024年第2期231-235,共5页
特异质性药物性肝损伤(drug-induced liver injury,DILI)是指由各种药物引起的肝脏损伤。本文就DILI的流行病学、诊断、因果关系评估、自然史和治疗等进行综述。
关键词 药物性肝损伤 RUCAM评分 recam评分
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油田污泥在橡胶制品中的开发利用研究 被引量:6
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作者 张巧莲 徐保华 +1 位作者 付绍斌 吴仲揆 《胶体与聚合物》 1999年第2期26-29,共4页
油田污泥的主要成分为钙、镁的碳酸盐 (约 70~ 80 % ) ,及其它可溶性盐、原油有机质等杂质。将其经过相应的除杂处理后 ,可作为橡胶制品中大量所需的补强填充剂 。
关键词 油田污泥 废物利用 填充剂 橡胶 废物处理
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AASLD practice guidance on drug,herbal,and dietary supplement-induced liver injury:also useful for hepatobiliary surgeons 被引量:1
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作者 Jose María Pinazo-Bandera Miren García-Cortés Raúl J.Andrade 《Hepatobiliary Surgery and Nutrition》 SCIE 2023年第5期746-751,共6页
Drug-induced liver injury(DILI)is a term used to describe an unexpected liver reaction to drugs,but also to herbal products and dietary supplements(HDS).In the current therapeutic armamentarium,only a small number of ... Drug-induced liver injury(DILI)is a term used to describe an unexpected liver reaction to drugs,but also to herbal products and dietary supplements(HDS).In the current therapeutic armamentarium,only a small number of available drugs are still capable of causing liver damage in overdose.These include,in addition to paracetamol-the prototypical example of this group-niacin(now rarely used to treat hypercholesterolaemia),intravenous methotrexate and probably ketamine(an intravenous hypnotic used in critically ill patients for rapid sequence induction)(1). 展开更多
关键词 Drug-induced liver injury(DILI) HEPATOTOXICITY causality assessment Revised Electronic Causality Assessment Method(recam)
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ReCSA:a dedicated sort accelerator using ReRAM-based content addressable memory
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作者 Huize LI Hai JIN +2 位作者 Long ZHENG Yu HUANG Xiaofei LIAO 《Frontiers of Computer Science》 SCIE EI CSCD 2023年第2期1-13,共13页
With the increasing amount of data,there is an urgent need for efficient sorting algorithms to process large data sets.Hardware sorting algorithms have attracted much attention because they can take advantage of diffe... With the increasing amount of data,there is an urgent need for efficient sorting algorithms to process large data sets.Hardware sorting algorithms have attracted much attention because they can take advantage of different hardware's parallelism.But the traditional hardware sort accelerators suffer“memory wall”problems since their multiple rounds of data transmission between the memory and the processor.In this paper,we utilize the in-situ processing ability of the ReRAM crossbar to design a new ReCAM array that can process the matrix-vector multiplication operation and the vector-scalar comparison in the same array simultaneously.Using this designed ReCAM array,we present ReCSA,which is the first dedicated ReCAM-based sort accelerator.Besides hardware designs,we also develop algorithms to maximize memory utilization and minimize memory exchanges to improve sorting performance.The sorting algorithm in ReCSA can process various data types,such as integer,float,double,and strings.We also present experiments to evaluate the performance and energy efficiency against the state-of-the-art sort accelerators.The experimental results show that ReCSA has 90.92×,46.13×,27.38×,84.57×,and 3.36×speedups against CPU-,GPU-,FPGA-,NDP-,and PIM-based platforms when processing numeric data sets.ReCSA also has 24.82×,32.94×,and 18.22×performance improvement when processing string data sets compared with CPU-,GPU-,and FPGA-based platforms. 展开更多
关键词 recam parallel sorting architecture design processing-in-memory
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