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模型世界 2006年第3期 60-63页

作者： aaron wong 莴苣小浣熊

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2007年度多伦多地区模型比赛回顾

模型世界 2008年第3期 56-57页

作者：莴苣小浣熊 aaron wong

去年,多伦多地区举办了多个模型比赛。其中有两个主要的模型比赛,一个是国际塑胶模型协会伦敦赛(IPMS London),另一个是我曾经报道过的国际塑胶模型协会阿贾克斯赛(IPMS Ajax)。两个比赛我都有去观看,下面和大家分享一下比赛情况和我的... 详细信息

去年,多伦多地区举办了多个模型比赛。其中有两个主要的模型比赛,一个是国际塑胶模型协会伦敦赛(IPMS London),另一个是我曾经报道过的国际塑胶模型协会阿贾克斯赛(IPMS Ajax)。两个比赛我都有去观看,下面和大家分享一下比赛情况和我的感想。

关键词：阿贾克斯多伦多

冠状动脉口部病变介入治疗中Szabo技术应用的安全性和可行性

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中华老年心脑血管病杂志 2011年第10期13卷 867-869页

作者：杨胜利刘惠亮 aaron wong Jack Tan 刘英张蛟 LIM Soo Teik Paul Chiam Stanley Chia 武警总医院心内科北京100039 新加坡国家心脏中心心内科

目的分析冠状动脉口部病变PCI中造影和血管内超声(intra vascular ultrasonography,IVUS)结果 ,评价Szabo技术的成功率、安全性和可行性。方法回顾性分析Szabo技术治疗冠状动脉口部病变患者39例PCI结果。结果经桡动脉途径31例(79.5%),... 详细信息

目的分析冠状动脉口部病变PCI中造影和血管内超声(intra vascular ultrasonography,IVUS)结果 ,评价Szabo技术的成功率、安全性和可行性。方法回顾性分析Szabo技术治疗冠状动脉口部病变患者39例PCI结果。结果经桡动脉途径31例(79.5%),经股动脉途径8例(20.5%)。罪犯血管为左前降支26例(66.7%),右冠状动脉5例(12.8%),左回旋支及钝缘支3例(7.7%),后降支5例(12.8%)。支架置入后,对30例(76.9%)罪犯血管和9例(23.1%)边支血管进行了IVUS检查。手术成功36例(92.3%)。所有患者造影成功率为100%。IVUS检测罪犯血管准确支架置入到口部患者29例(96.7%)和支架近端轻度凸出患者1例(3.3%)。结论 Szabo技术用于冠状动脉口部病变PCI中是安全可行的,而且具有极高的造影成功率。经过IVUS检查证实大部分支架在冠状动脉口部病变处能准确置入。

关键词：冠状动脉疾病支架超声检查介入性冠状血管造影术

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冠状动脉慢性完全闭塞病变介入治疗进展

心血管康复医学杂志 2010年第6期19卷 653-655页

作者：杨胜利 Koh Tian Hai aaron wong 刘惠亮中国武警总医院心内科北京市100039 新加坡国家心脏中心心内科

冠状动脉慢性完全闭塞（Chronic coronary total occlusions,CTO）在冠心病中比较常见,对其介入治疗（PCI）具有挑战性。在诊断性冠状动脉造影中CTO占约1/3。CTO包含有纤维钙化及血栓成分,由于其复杂性,与非CTO PCI相比,CTO PCI手术成... 详细信息

冠状动脉慢性完全闭塞（Chronic coronary total occlusions,CTO）在冠心病中比较常见,对其介入治疗（PCI）具有挑战性。在诊断性冠状动脉造影中CTO占约1/3。CTO包含有纤维钙化及血栓成分,由于其复杂性,与非CTO PCI相比,CTO PCI手术成功率较低,并发症率较高,放射线照射量较多,手术操作时间较长。尽管如此,成功的CTO PCI能减轻症状,改善心室功能和提高存活率。

关键词：冠状动脉疾病血管成形术,经腔,经皮冠状动脉动脉硬化,闭塞性

Szabo技术在口部病变经皮冠状动脉介入治疗中应用的安全性和可行性(英文)

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心血管康复医学杂志 2011年第1期20卷 54-58页

作者：杨胜利刘惠亮 aaron wong Jack Tan 刘英张蛟 LIM Soo Teik Paul Chiam Stanley Chia Koh Tian Hai Philip wong 中国武警总医院心内科北京市100039 新加坡国家心脏中心心内科

背景和目的:冠状动脉口部病变的经皮冠状动脉介入(PCI)治疗手术操作难度大,易有并发症,既要支架准确植入口部病变,又要边支不受压。本研究探讨解决这一难题的Szabo技术的成功率、安全性和可行性。方法:Szabo技术是利用边支导丝(抛锚导丝... 详细信息

背景和目的:冠状动脉口部病变的经皮冠状动脉介入(PCI)治疗手术操作难度大,易有并发症,既要支架准确植入口部病变,又要边支不受压。本研究探讨解决这一难题的Szabo技术的成功率、安全性和可行性。方法:Szabo技术是利用边支导丝(抛锚导丝)穿过支架最靠近边支的支架网眼,防止支架前进时停止在口部病变外,保证主支导丝穿过支架腔。作者回顾性分析利用Szabo技术治疗39例病人冠状动脉口部病变的结果。手术操作成功定义:支架没有脱落,边支导丝没有退出。造影成功定义:支架准确植入到口部,而边支没有受压。血管内超声定义成功:支架准确植入到口部,近段没有突出,支架完全覆盖病变。39例病人中,男性28例,女性11例,年龄43～79,平均(65±12)岁。6F和7F指引导管分别用于35例(89.7%)和4(10.3%)例病人。经桡动脉途径31(79.5%)例和经股动脉途径8(20.5%)例。病变相关血管:前降支(LAD)26(66.7%)例,右冠(RCA)5(12.8%)例,旋支及钝缘支(LCX-OM)3(7.7%)例,后降支(PDA)5(12.8%)例。支架植入后30(76.9%)例病变相关血管和9(23.1%)例边支血管经过了血管内超声(IVUS)检查。结果:手术操作成功:36例(92.3%),这36例造影均成功(100%)。IVUS检测:支架准确植入口部者96.7%(29例/30例),支架近段轻度凸出的只有1例(3.3%)。没有发生严重并发症。结论:结果说明Szabo技术用于冠状动脉口部病变PCI成功率很高,是安全和可行的,值得推广。

关键词：血管成形术,经腔,经皮冠状动脉 Szabo技术冠状动脉疾病

Szabo技术在冠脉开口病变介入治疗中的应用

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心脏杂志 2012年第5期24卷 609-612页

作者：张海涛孙津津黄丛春 aaron wong 刘朝中田建伟李玉茜空军总医院心内科北京100142 新加坡国家心脏中心心内科新加坡168752

目的:评价Szabo技术在介入处理冠脉开口部位病变中的安全性和可行性。方法:回顾性分析自2008年10月～2011年10月采用Szabo技术介入干预的16例冠心病患者,经冠脉造影提示病变符合Medina分类010/001分叉病变或者主动脉-开口部位病变。首... 详细信息

目的:评价Szabo技术在介入处理冠脉开口部位病变中的安全性和可行性。方法:回顾性分析自2008年10月～2011年10月采用Szabo技术介入干预的16例冠心病患者,经冠脉造影提示病变符合Medina分类010/001分叉病变或者主动脉-开口部位病变。首先预扩张病变,在送入第1根导丝通过开口-分叉病变后,送第2根导丝作为锚定导丝,在体外穿过支架尾端最末网眼送入另一分支远段,支架近端沿第1根导丝送入病变处,由于锚定导丝作用便可成功精确定位于病变开口。所有患者术后跟踪随访3～12月,其中10例于术后半年进行冠脉造影复查。结果:所有16例患者中,15例成功采用Szabo技术精确定位释放支架,1例因血管局部钙化支架脱载改用常规方法后成功释放支架;所有病变中9例位于前降支开口,2例位于右冠开口,2例位于回旋支与钝缘支开口,2例位于右冠后降支与左室后侧支开口;术后跟踪随访3～12月均无心绞痛发作及其它心血管不良事件发生。结论:Szabo技术在介入处理冠脉开口部位病变中可以起到精确定位完全覆盖病变的作用,但对于钙化或弯曲病变将会增加支架脱载的风险。

关键词：冠状动脉疾病血管成形术经皮冠状动脉 Szabo技术开口病变

Prehospital system delay in patients with ST-segment elevation myocardial infarction in Singapore

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World Journal of Emergency Medicine 2015年第4期6卷 277-282页

作者： Andrew Fu Wah Ho Pin Pin Pek Stephanie Fook-Chong Ting Hway wong Yih Yng Ng aaron Sung Lung wong Marcus Eng Hock Ong Singhealth Emergency Medicine Residency Program Singapore Health Services Department of Emergency Medicine Singapore General Hospital Division of Research Singapore General Hospital Department of General Surgery Singapore General Hospital Medical Department Singapore Civil Defence Force Department of Cardiology National Heart Centre

BACKGROUND: Timely reperfusion in ST-segment elevation myocardial infarction(STEMI)improves outcomes. System delay is that between first medical contact and reperfusion therapy,comprising prehospital and hospital components. This study aimed to characterize prehospital system delay in ***: A retrospective chart review was performed for 462 consecutive STEMI patients presenting to a tertiary hospital from December 2006 to April 2008. Patients with cardiac arrest secondarily presented were excluded. For those who received emergency medical services(EMS),ambulance records were reviewed. Time intervals in the hospital were collected prospectively. The patients were divided into two equal groups of high/low prehospital system delay using visual binning ***: Of 462 patients, 76 received EMS and 52 of the 76 patients were analyzed. The median system delay was 125.5 minutes and the median prehospital system delay was 33.5minutes(interquartile range [IQR]=27.0, 42.0). Delay between call-received-by-ambulance and ambulance-dispatched was 2.48 minutes(IQR=1.47, 16.55); between ambulance-dispatch and arrival-at-patient-location was 8.07 minutes(IQR=1.30, 22.13); between arrival-at- and departurefrom-patient-location was 13.12 minutes(IQR=3.12, 32.2); and between leaving-patient-location to ED-registration was 9.90 minutes(IQR=1.62, 32.92). Comparing patients with prehospital system delay of less than 35.5 minutes versus more showed that the median delay between ambulancedispatch and arrival-at-patient-location was shorter(5.75 vs. 9.37 minutes, P<0.01). The median delay between arrival-at-patient-location and leaving-patient-location was also shorter(10.78 vs.14.37 minutes, P<0.01).CONCLUSION: Prehospital system delay in our patients was suboptimal. This is the first attempt at characterizing prehospital system delay in Singapore and forms the basis for improving efficiency of STEMI care.

关键词： Myocardial infarction Emergency medical services Delay First medical contact Door to balloon

X-reality for phantom limb management for amputees:A systematic review and meta-analysis

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再生工程(英文) 2023年第2期4卷 134-151页

作者： James Chung-Wai Cheung Daphne Sze Ki Cheung Ming Ni Kam-Wai Chen Ye-Jiao Mao Lin Feng Wing-Kai Lam Duo Wai-Chi wong aaron Kam-Lun Leung Department of Biomedical Engineering Faculty of EngineeringThe Hong Kong Polytechnic UniversityHong KongChina School of Nursing The Hong Kong Polytechnic UniversityHong KongChina Department of Orthopaedics Ruijin HospitalShanghai Jiao Tong UniversityShanghaiChina Department of Prosthetics and Orthotics Queen Mary HospitalHong KongChina Sports Information and External Affairs Centre Hong Kong Sports InstituteHong KongChina Research Institute for Sports Science and Technology The Hong Kong Polytechnic UniversityHong KongChina Department of Rehabilitation Science The Hong Kong Polytechnic UniversityHong KongChina

Phantom limb is a disabling neuropsychiatric condition among amputees resulting in pain and disturbance that impact their functions,quality of life,and *** pharmacological approaches appeared to be ineffec-tive,the emergence and integration of X-reality,including virtual reality,augmented reality,and mixed reality,might elevate the effectiveness of mirror therapy in managing phantom *** objective of this study is to review X-reality for managing phantom pain.A systematic search was conducted on PubMed,Scopus,Web of Science,PsycINFO,Embase,and ***(n=16)studies containing 66 lower-limb and 53 upper-limb amputees were included for the review over the thematic framework of amputee characteristics and intervention designs,while thirteen(n=13)studies were further proceeded for the *** found eleven studies on virtual reality(n=11),four studies on marker-based augmented reality(n=4)and one study on mixed reality(n=1)with a total of 40 game/task themes involving,motor skills,motor control,and ***,all these interventions adopted the movement representation strategies with different ***,the X-reality interventions reduced the pain level of the amputees(mean difference:-2.30,95%CI,-3.38 to-1.22),especially the virtual reality subgroup(mean difference:-2.83,95%CI,-4.43 to-1.22).However,there were substantial heterogeneity and partially explained by the subgroup analysis on publication *** strength of evidence was limited by case reports and case series in this review.

关键词： Extended reality Limb telescoping Phantom pain Phantom sensation

Urine albumin excretion: Characterization of normal variability in healthy children

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Open Journal of Pediatrics 2013年第2期3卷 58-64页

作者： John Robert Brandt Craig Stephen wong aaron Jacobs Amy Otten Staples School of Medicine University of New Mexico Albuquerque USA

Objective: Elevated urine albumin to creatinine ratio (ACR) of >30 mg/gm is a widely agreed upon indicator of pathologic albuminuria in children. However, the most reliable specimen to measure ACR in children remains undefined. We assess the range and limits of upright and supine total albumin and ACR in healthy children. Methods: Healthy children age 6 - 18 years completed 24-hour and split upright and supine urine collections. Upright, supine and 24-hour protein, albumin and creatinine were measured. Primary outcomes are range and variation in urine albumin by diurnal status, age, gender, BMI percentile and Tanner stage. Results: In healthy children, with mean age 12.9 year (sd 3.2), upright ACR was 2-fold greater than supine (13.9 vs 6.8 mg/gm, p = 0.02). The range of ACR was much greater in the upright (2 - 323 mg/gm) compared to the supine (1.7 - 76 mg/gm) samples. The average total 24-hour urine albumin was 8.4 mg (sd 9.8) and the mean ACR was 8.9 mg/gm (sd 11.7). The 24-hour albumin increased with age and Tanner stage, but this relationship was not significant after adjusting for BSA or urine creatinine. A supine or upright ACR of >30 mg/gm was found in 5.4% of each group. However, in all subjects with an elevated ACR on an individual upright or supine sample, a second 1st am ACR sample was normal. Conclusions: In healthy children there is a marked diurnal variability in ACR with a higher value from a daytime sample compared to 1st morning specimen. Screening for pathologic albuminuria should always use a first morning urine specimen.

关键词： ACR Albuminuria Albumin to Creatinine Ratio Microalbuminuria Proteinuria