Liver最新文献

筛选
英文 中文
Pressure profile in liver sinusoids. A model of localization of sinusoidal resistance in the normal and cirrhotic liver. 肝窦压力分布。正常与肝硬化肝窦性阻力定位模型。
Liver Pub Date : 1988-04-01
J H Henriksen, N A Lassen
{"title":"Pressure profile in liver sinusoids. A model of localization of sinusoidal resistance in the normal and cirrhotic liver.","authors":"J H Henriksen,&nbsp;N A Lassen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A model of pressure profile along the sinusoids in the liver is presented. The major prerequisite is a converging sinusoidal flow pattern through a network of tubes with almost equal diameter. In this case the main hemodynamic resistance is located downstream at the outlet. Different geometric configurations (sphere, cylinder, and sections of these) are considered, and it is concluded that the precise shape of the microcirculatory unit is not crucial. The applicability in cirrhosis is considered in relation to a decreased diameter and number of the sinusoids in this condition. Estimated pressure profiles along the sinusoids indicate a steep downstream pressure fall in cirrhosis, implying that the spatial average of sinusoidal pressure is close to that of the inlet, i.e. portal pressure. Another prediction is an increased blood flow rate (flow rate per vessel) in the region near the outlet of the sinusoids.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"8 2","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"1988-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14493768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cyanamide hepatotoxicity. Incidence and clinico-pathological features. 氰氨化肝毒性。发病率及临床病理特征。
Liver Pub Date : 1987-08-01
M Bruguera, A Parés, D Heredia, J Rodés
{"title":"Cyanamide hepatotoxicity. Incidence and clinico-pathological features.","authors":"M Bruguera,&nbsp;A Parés,&nbsp;D Heredia,&nbsp;J Rodés","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ground-glass hepatocytes resembling those seen in HBsAg carriers on hematoxylin and eosin and on trichrome stained sections, but giving a negative reaction to orcein and a positive one to PAS, were found in liver biopsy specimens from nine asymptomatic former alcoholics who were on treatment with cyanamide, in one of four who had been treated with cyanamide several months before the liver biopsy procedure, in none of 15 treated with disulfiram, and in one of eight who had apparently not received aversive drugs. Portal and periportal inflammatory changes and fibrosis were more frequently observed in biopsy specimens containing PAS-positive ground-glass hepatocytes than in those without, but cirrhosis was found with a similar frequency. It is concluded that periportal PAS-positive ground-glass hepatocytes are a histological marker of cyanamide treatment.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 4","pages":"216-22"},"PeriodicalIF":0.0,"publicationDate":"1987-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14802224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hepatic venous oxygen content in alcoholic cirrhosis and non-cirrhotic alcoholic liver disease. 酒精性肝硬化和非肝硬化酒精性肝病的肝静脉氧含量。
Liver Pub Date : 1987-06-01 DOI: 10.1111/j.1600-0676.1987.tb00339.x
F Bendtsen, J H Henriksen, A Widding, K Winkler
{"title":"Hepatic venous oxygen content in alcoholic cirrhosis and non-cirrhotic alcoholic liver disease.","authors":"F Bendtsen,&nbsp;J H Henriksen,&nbsp;A Widding,&nbsp;K Winkler","doi":"10.1111/j.1600-0676.1987.tb00339.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00339.x","url":null,"abstract":"<p><p>Blood gas analyses and hepatic blood flow were determined during hepatic vein catheterization in order to establish a possible hypoxic component in alcoholic liver disease. Fifty-six patients (9 non-cirrhotic liver disease, 14 cirrhosis Child-Turcotte class A, 23 class B, 10 class C) and 10 control subjects were studied. Mean hepatic venous oxygen saturation and tension were almost the same in all groups, and hepatic blood flow was inversely correlated to the arteriohepatic venous oxygen difference (r = -0.53, P less than 0.01). Splanchnic oxygen uptake was similar in all groups studied. The arterio-hepatic venous difference of base excess was small and of the same size in all groups, indicating no enhanced production of lactic acid in the liver. Our results do not support the concept that hepatic venous oxygen content is low in alcoholic liver disease and thereby contributes to hypoxic liver damage.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 3","pages":"176-81"},"PeriodicalIF":0.0,"publicationDate":"1987-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00339.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14735922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Lymphokines and bile secretion in the rat. 大鼠的淋巴因子和胆汁分泌。
Liver Pub Date : 1987-06-01 DOI: 10.1111/j.1600-0676.1987.tb00335.x
V K Rustgi, D B Jones, C A Dinarello, J H Hoofnagle
{"title":"Lymphokines and bile secretion in the rat.","authors":"V K Rustgi,&nbsp;D B Jones,&nbsp;C A Dinarello,&nbsp;J H Hoofnagle","doi":"10.1111/j.1600-0676.1987.tb00335.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00335.x","url":null,"abstract":"<p><p>Sepsis is occasionally accompanied by jaundice which is marked by an intrahepatic cholestasis and scant hepatocyte necrosis. The pathogenesis is unknown. The bile fistula rat was used in this study to investigate the possibility that intrahepatic cholestasis is one of the many systemic effects of the major endogenous pyrogen, interleukin-1. The effect of acute administration of endotoxin, interleukin-2 and recombinant rat interferon gamma on biliary secretion and biliary transport mechanisms was also studied. Basal bile flow, peak bile flow and peak sodium taurocholate output were measured after 1 h in all cases, except with recombinant rat interferon gamma where the time interval was 3 h. Endotoxin significantly reduced basal and sodium taurocholate-stimulated bile flow, as well as sodium taurocholate secretion. No such effect was noted after acute administration of any of these lymphokines or chronic administration of interleukin-1. The cholestasis induced by endotoxin administration is not mediated by interleukin-1, interleukin-2 or recombinant interferon gamma.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 3","pages":"149-54"},"PeriodicalIF":0.0,"publicationDate":"1987-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00335.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14091684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Identification of different degrees of hepatitis B virus (HBV) replication by serological (HBV-DNAp, HBcAg and HBV-DNA) and histological (HBcAg) methods. 采用血清学(HBV- dnap、HBcAg和HBV- dna)和组织学(HBcAg)方法鉴定不同程度的乙型肝炎病毒(HBV)复制。
Liver Pub Date : 1987-06-01 DOI: 10.1111/j.1600-0676.1987.tb00338.x
J A Quiroga, J Bartolomé, J C Porres, I Mora, J Gutiez, C Hernández Guio, V Carreño
{"title":"Identification of different degrees of hepatitis B virus (HBV) replication by serological (HBV-DNAp, HBcAg and HBV-DNA) and histological (HBcAg) methods.","authors":"J A Quiroga,&nbsp;J Bartolomé,&nbsp;J C Porres,&nbsp;I Mora,&nbsp;J Gutiez,&nbsp;C Hernández Guio,&nbsp;V Carreño","doi":"10.1111/j.1600-0676.1987.tb00338.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00338.x","url":null,"abstract":"<p><p>The incidence of HBV-DNA polymerase, HBV-DNA and serum and liver HBcAg in 104 chronic HBsAg carriers was studied. HBV-DNA was the most frequently detected marker, followed by HBcAg and HBV-DNAp. According to their individual or combined presence, four different serological patterns of viral replication were discerned: 53 patients had all these markers, 30 had HBV-DNA but lacked HBV-DNAp (15 with and 15 without HBcAg) and 21 had no such markers detectable. The simultaneous positivity for all of those markers was observed only in HBeAg-positive patients. HBV-DNA alone or along with HBcAg was found in a similar incidence irrespective of the HBe system. Liver HBcAg was found in all but four patients with and in four without HBV-DNA. Viral DNA concentration was significantly (p less than 0.001) higher when HBV-DNAp tested positive. Indeed, HBeAg rather than anti-HBe patients had higher (p less than 0.005) levels of HBV-DNA. In HBeAg-positive patients, the nuclear HBcAg staining was significantly (p less than 0.05) higher when HBV-DNAp tested positive. In DNA polymerase-negative patients, but positive for HBV-DNA, those with or without HBcAg had a similar percentage of core antigen staining. The same distribution was seen in anti-HBe, HBV-DNA-positive patients. However, the mean percentage of hepatocytes displaying cytoplasmic HBcAg did not differ significantly among patients with HBV-DNA, irrespective of the HBe system and the HBV-DNAp status. Such patients had significantly (p less than 0.001) higher ALT levels than those without viral DNA.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 3","pages":"169-75"},"PeriodicalIF":0.0,"publicationDate":"1987-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00338.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14735921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Possible infectious causes in 651 patients with acute viral hepatitis during a 10-year period (1976-1985). 1976-1985年间651例急性病毒性肝炎患者可能的感染原因
Liver Pub Date : 1987-06-01 DOI: 10.1111/j.1600-0676.1987.tb00337.x
K Kiyosawa, Y Gibo, T Sodeyama, K Furuta, H Imai, H Yoda, Y Koike, K Yoshizawa, S Furuta
{"title":"Possible infectious causes in 651 patients with acute viral hepatitis during a 10-year period (1976-1985).","authors":"K Kiyosawa,&nbsp;Y Gibo,&nbsp;T Sodeyama,&nbsp;K Furuta,&nbsp;H Imai,&nbsp;H Yoda,&nbsp;Y Koike,&nbsp;K Yoshizawa,&nbsp;S Furuta","doi":"10.1111/j.1600-0676.1987.tb00337.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00337.x","url":null,"abstract":"<p><p>Six hundred and fifty-one patients with acute viral hepatitis were identified serologically between January 1976 and December 1985. Of these, 109 (17%) had hepatitis A, 135 (21%) had hepatitis B, and 407 (62%) had hepatitis non-A, non-B. The possible infectious causes for acquisition of viral hepatitis occurring within 6 months before the onset of hepatitis were analysed. Approximately 80% of cases of hepatitis A and 70% of hepatitis B had no known risk factor, while in 67% of cases of hepatitis non-A, non-B possible risk factors for infection were documented. Infectious causes for hepatitis A were ingestion of raw shellfish (11%) and previous familial contact with patients with hepatitis A (10%). For hepatitis B, risk factors included medicare (24%), such as transfusion, surgical operation, accidental needle stick and acupuncture, and sexual contact (6%). For hepatitis non-A, non-B, the most important infectious cause was medical procedures (65%). The numbers of hospital employees were 2 (2%) with hepatitis A, 15 (11%) with hepatitis B and 14 (3%) with hepatitis non-A, non-B. These data suggest that hepatitis non-A, non-B can be a kind of nosocomial disease.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 3","pages":"163-8"},"PeriodicalIF":0.0,"publicationDate":"1987-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00337.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14243580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
Methodological problems in the use of indocyanine green to estimate hepatic blood flow and ICG clearance in man. 用吲哚菁绿估计人肝血流和ICG清除率的方法学问题。
Liver Pub Date : 1987-06-01 DOI: 10.1111/j.1600-0676.1987.tb00336.x
C Skak, S Keiding
{"title":"Methodological problems in the use of indocyanine green to estimate hepatic blood flow and ICG clearance in man.","authors":"C Skak,&nbsp;S Keiding","doi":"10.1111/j.1600-0676.1987.tb00336.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00336.x","url":null,"abstract":"<p><p>Liver blood flow (Q) is often measured by constant infusion of ICG (i), concentration measurements in an artery (A) and a hepatic vein (V): Q = (A-V)/A. Some authors use ICG clearance, Cl = i/A, as a measure of Q assuming complete hepatic extraction. During the infusion, the ICG concentration often increases. The importance of this for calculated values of Q and Cl was examined, and the use of Cl as a measure of Q was reevaluated. ICG was given as 0.06-0.20 mumol/min to 52 subjects with liver disease, and about 0.20 mumol/min to 86 subjects with no liver disease. ICG concentration increased steeply during the first 90 min after start of the infusion; thereafter the increment was constant as evaluated in successive 40-min periods in eleven 320-min studies (analysis of variance P greater than 0.5); on average, 6 +/- 1% per hour (+/- SD). Q was not time-dependent (P greater than 0.5). ICG clearance decreased significantly, on average 5 +/- 2% per hour (+/- SD). Hepatic extraction fraction, (A-V)/A, (measurement period 90-130 min) was 0.34 +/- 0.21 in liver patients (+/- SD) and 0.61 +/- 0.80 in controls. Cl and Q were positively correlated in both groups but with substantial scatter. Thus, not only is the calculated ICG clearance time-dependent but the extraction fraction is further so low and variable, that any use of ICG clearance as a measure of liver flow is not justified.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 3","pages":"155-62"},"PeriodicalIF":0.0,"publicationDate":"1987-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00336.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14735920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 102
Diagnosis of acute type B hepatitis by a solid phase u-antibody capture radioimmunoassay for IgM class antibody to hepatitis B core antigen: a diagnostic proposal based on a prospective study. 针对乙型肝炎核心抗原的IgM类抗体,采用固相u抗体捕获放射免疫分析法诊断急性乙型肝炎:一项基于前瞻性研究的诊断建议
Liver Pub Date : 1987-06-01 DOI: 10.1111/j.1600-0676.1987.tb00340.x
C M Chu, Y F Liaw, C Y Yang, I S Sheen
{"title":"Diagnosis of acute type B hepatitis by a solid phase u-antibody capture radioimmunoassay for IgM class antibody to hepatitis B core antigen: a diagnostic proposal based on a prospective study.","authors":"C M Chu,&nbsp;Y F Liaw,&nbsp;C Y Yang,&nbsp;I S Sheen","doi":"10.1111/j.1600-0676.1987.tb00340.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00340.x","url":null,"abstract":"The diagnostic and prognostic significance of IgM anti-HBc, studied by a solid phase u-antibody capture radioimmunoassay at a serum dilution of 1:4000, was prospectively evaluated in 73 adult patients with acute hepatitis seropositive for hepatitis B surface antigen (HBsAg). Of the 73 cases, 20 (27.4%) cleared their HBsAg within 6 months, while the remaining 53 (72.6%) did not. HBsAg seroconversion to its antibody occurred in 15 (93.8%) of the 16 patients positive for IgM anti-HBc with S/N ratios above 5.0, as did 5 (26.3%) of the 19 with S/N ratios between 2.1 to 5.0, and none (0%) of the 38 negative for IgM anti-HBc (S/N ratios less than 2.1). Therefore, a S/N ratio of IgM anti-HBc above 5.0 is diagnostic for acute type B hepatitis. However, low S/N ratios (2.1-5.0) of IgM anti-HBc were observed in the early stage of some patients with acute type B hepatitis, and would increase to a level greater than 5.0 when assayed again 1-2 weeks later. It was therefore suggested that repeated testing of anti-HBc IgM is mandatory for accurate diagnosis of acute type B hepatitis in patients whose initial serum specimens showed low S/N ratios of IgM anti-HBc. According to this criterion, only 22 (30.1%) of the 73 patients with acute hepatitis seropositive for HBsAg in Taiwan were true acute type B hepatitis, of whom 2 (9.1%) subsequently became chronic HBsAg carriers, while the remaining 51 (69.9%) were chronic HBsAg carriers with other superimposed forms of acute hepatic injury.","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 3","pages":"182-7"},"PeriodicalIF":0.0,"publicationDate":"1987-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00340.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14735923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Glandular elements around the intrahepatic bile ducts in man; their morphology and distribution in normal livers. 人肝内胆管周围的腺体成分;正常肝脏的形态和分布。
Liver Pub Date : 1987-02-01 DOI: 10.1111/j.1600-0676.1987.tb00308.x
T Terada, Y Nakanuma, G Ohta
{"title":"Glandular elements around the intrahepatic bile ducts in man; their morphology and distribution in normal livers.","authors":"T Terada,&nbsp;Y Nakanuma,&nbsp;G Ohta","doi":"10.1111/j.1600-0676.1987.tb00308.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00308.x","url":null,"abstract":"<p><p>The morphology and distribution of the glandular elements around the intrahepatic bile ducts, hitherto poorly described, were examined in autopsied human livers with the aid of postmortem cholangiographs. The glands could be divided into intramural and extramural. The former were small in number, scattered within the bile duct walls, and were simple tubular mucous glands. The latter were more abundant, located in the periductal connective tissue, and were branched tubuloalveolar seromucous glands. Serial section observations revealed that neither gland communicated with the hepatic parenchyma, and the extramural glands drained into the large bile duct lumina via the conduits. The mucous cells of both glands contained neutral, carboxylated and sulfated glycoproteins. The extramural glands were distributed from the hepatic to the segment ducts in almost all livers, and were also discerned around the area ducts in two-fifths of the livers. The glands seemed to decrease in number as the bile ducts became more branched.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00308.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14675794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 122
Differential diagnosis of jaundice: applicability of the Copenhagen Pocket Chart proved in Stockholm patients. 黄疸的鉴别诊断:哥本哈根袖珍图在斯德哥尔摩患者中的适用性证明。
Liver Pub Date : 1987-02-01 DOI: 10.1111/j.1600-0676.1987.tb00314.x
G Lindberg, C Thomsen, A Malchow-Møller, P Matzen, J Hilden
{"title":"Differential diagnosis of jaundice: applicability of the Copenhagen Pocket Chart proved in Stockholm patients.","authors":"G Lindberg,&nbsp;C Thomsen,&nbsp;A Malchow-Møller,&nbsp;P Matzen,&nbsp;J Hilden","doi":"10.1111/j.1600-0676.1987.tb00314.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00314.x","url":null,"abstract":"<p><p>This paper shows that an algorithm for differential diagnosis of jaundice developed in Denmark has been successfully transferred for use in a Swedish hospital. The algorithm, which is based on data from nearly 1000 patients, utilises 21 items of information from the medical history, physical examination and blood chemistry. The algorithm recognises four diagnostic groups: benign obstructive jaundice, malignant obstructive jaundice, acute non-obstructive jaundice, and chronic non-obstructive jaundice. To each item of information, a score is attached reflecting its weight of evidence. Summing the scores for the symptoms and signs that are present leads to a probabilistic statement about the diagnosis. Because of missing data in the Swedish patient material, three of the items were excluded from the original algorithm. Corrections were made for differences in the distribution of diseases. In reclassification of 985 Danish patients the modified algorithm's \"best bid\", i.e. the diagnosis given the highest probability, was correct in 78% of cases. More important, 93% of the cases given a \"confident\" diagnosis (probability greater than 0.80) were correct. The corresponding figures when the algorithm was applied to Swedish patients were 76% and 93%, respectively. In both series the predicted probabilities were matched by a corresponding proportion of actual diagnostic hits. It is concluded that the algorithm leads to reliable estimates of diagnostic probabilities in jaundice and that the algorithm seems to work well in Sweden also.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 1","pages":"43-9"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00314.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14675795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信