检索结果-南通市图书馆

Drainage vs no drainage in secondary peritonitis with sepsis following complicated appendicitis in adults in the modern era of antibiotics

引用

World Journal of Gastrointestinal Surgery 2013年第11期5卷 300-305页

作者： Sheraz Ahmed Rather Shams UL Bari ajaz A Malik Asima Khan Department of Surgery Sheri Kashmir Institute of Medical Sciences SouraSrinagarKashmir 190006India Department of General Surgery Sheri Kashmir Institute of Medical Sciences Medical College BeminaSrinagarKashmir 190006India Resident Accident and Emergency Sheri Kashmir Institute of Medical Sciences Medical College Bemina SrinagarKashmir 190006India

AIM: To compare the profile of postoperative outcome in secondary peritonitis with sepsis due to complicated appendicitis in two cohorts(drainage vs no-drainage) after appendicectomy in adults in the modern era of effective antibiotics. METHODS: A retrospective review of all adult patients who were operated for secondary peritonitis with sepsis due to complicated appendicitis was carried out. Total of 209 patients were identified from May 2005 to April 2009 with operative findings of gangrenous or perforated appendix. The patients were divided into two cohorts, those where prophylactic drainage was established(n = 88) and those where no drain was used(n = 121). Abdominal drain was removed oncethe drainage ceased or decreased(< 10-20 mL/d in closed system of drainage or when once daily dressing was minimally soaked in open system). Broad spectrum antibiotics to cover the gut flora were started in both cohorts at diagnosis and were stopped once septic features resolved. Peritoneal fluid for aerobic culture and sensitivity were routinely obtained intra operatively; however antibiotic regimens were not changed unless patient failed to respond to the antibiotics based on the institutional protocol. The co-morbidities and their influence on primary end points were noted. Immunocompromised patients, appendicitis complicated by inflammatory bowel disorder and tumors were excluded from the study. RESULTS: Disease stratification and other demographic features were comparable in both cohorts. There was zero mortality in drainage group while as one patient(0.82%) died in the non-drainage group. The median duration(in days) of hospital stay(6.5 vs 4); antibiotic use(5 vs 3.5); regular parental analgesic use(5 vs 3.5) and paralytic ileus(2.5 vs 2) was more common in the drainage group. Incidence of major wound infection in patients 14(15.9%) vs 22(18.18%) and residual intraabdominal sepsis(inter loop collection/abscess)-7(8%) vs 13(10.74%) requiring secondary intervention was not

关键词： Appendicitis Antibiotics Drainage Gangerenous Peritonitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

A Simple and Cost-Effective EPON-Based Next Generation Mobile Backhaul RAN Architecture

引用

Wireless Engineering and Technology 2017年第1期8卷 1-19页

作者： ajaz Sana Syed R. Zaidi Shahab Hussain Mohammad Nizamuddin Department of Engineering Physics & Technology Bronx Community College of the City University of New York New York USA Nokia Westford USA Department of Electrical Engineering City College of the City University of New York New York USA

This study proposes a novel, simple and cost-effective PON-based next generation mobile backhaul RAN architecture that enables redistribution of some of the intelligence currently centralized in the Mobile Packet Core (MPC) platform out into the access nodes of the RAN. Specifically, this work proposes a fully distributed ring-based EPON architecture that enables the support of a converged PON-4G/5G mobile WiMAX/LTE access networking transport infrastructure to seamlessly backhaul both mobile and wireline multimedia traffic and services.

关键词： LTE WiMAX 4G EPON TDM PON

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Theories in Spin Dynamics of Solid-State Nuclear Magnetic Resonance Spectroscopy

引用

World Journal of Nuclear Science and Technology 2015年第1期5卷 27-42页

作者： Eugene S. Mananga Jalil Moghaddasi ajaz Sana Mostafa Sadoqi Physics and Technology Department BCC CUNY New York USA Physics Department St. John’s University of New York City New York USA

This short review article presents theories used in solid-state nuclear magnetic resonance spectroscopy. Main theories used in NMR include the average Hamiltonian theory, the Floquet theory and the developing theories are the Fer expansion or the Floquet-Magnus expansion. These approaches provide solutions to the time-dependent Schrodinger equation which is a central problem in quantum physics in general and solid-state nuclear magnetic resonance in particular. Methods of these expansion schemes used as numerical integrators for solving the time dependent Schrodinger equation are presented. The action of their propagator operators is also presented. We highlight potential future theoretical and numerical directions such as the time propagation calculated by Chebychev expansion of the time evolution operators and an interesting transformation called the Cayley method.

关键词： Average Hamitonian Theory Floquet Theory Fer Expansion Chebychev Expansion Caley Transformation

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Study of impact materials of akhnoor meteor crater in Jammu and Kashmir (India)

引用

Natural Science 2011年第6期3卷 426-429页

作者： Naseer Iqbal ajaz Ahmad Tabasum Masood M. N Vahia Department of Physics University of Kashmir Srinagar India

A sample of Akhnoor meteor crater, which fell on 2nd January 2009 in Jammu District, Jammu & Kashmir, India, has been analyzed for ele-mental composition by Spectroscopic tech-niques. Concentrations of 17 major, minor and trace elements were determined. The authentic-ity of the meteorite sample was established by comparing its composition with those of stan-dard meteorites/chondrite. The classification of the sample has been made by comparing the abundances and concentration ratios of ele-ments with other known meteorites.

关键词： Meteor Impact Creator Stony Meteorite

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Pyogenic liver abscess: Changing patterns in approach

引用

World Journal of Gastrointestinal Surgery 2010年第12期2卷 395-401页

作者： ajaz A Malik Shams UL Bari Khawaja Abdul Rouf Khurshid Alam Wani Department of Surgery Sheri Kashmir Institute of Medical SciencesSrinagar Department of Surgery Sheri Kashmir Institute of Medical Sciences Medical CollegeBeminaSrinagar

AIM: To define optimum management of the pyogenic liver abscess and assess new trends in treatment. METHODS: One hundred and sixty nine patients with pyogenic liver abscess managed at Sher-i-Kashmir In- stitute of Medical Sciences, Srinagar, Kashmir (India) from July 2001 to August 2006 were studied to evaluate and define the optimum treatment. RESULTS: Mortality in the surgically treated group of patients was 9.4% (12/119), while those treated non-surgically had a fatality rate of 16.66% (7/42). Multiple liver abscesses treated surgically had a surprisingly low mortality of 30%. The biliary tract (64.97%) was the most common cause of liver abscess. Multiple abscesses, mixed organisms and abscess complications are all associated with a significantly increased mortality. However, the lethality of the primary disease process was the most important factor in determining ***: Transperitoneal surgical drainage and antibiotics are the mainstay of treatment. Percutaneous drainage is recommended for high risk patients only.

关键词： Liver abscess Mortality Antibiotics Surgical drainage Percutaneous drainage

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Long-term results of choledochoduodenostomy in benign biliary obstruction

引用

World Journal of Gastrointestinal Surgery 2012年第2期4卷 36-40页

作者： ajaz A Malik Shiraz A Rather Shams UL Bari Khursheed Alam Wani Department of Surgery Sheri Kashmir Institute of Medical Sciences Soura Department of General Surgery Sheri Kashmir Institute of Medical Sciences Medical College BeminaSrinagar

AIM:To determine the long-term results of choledochodudenostomy in patients with benign billiary ***:This prospective study was conducted at Sheri Kashmir Institute of Medical Sciences Srinagar Kashmir,India over a period of 10 years from January 1997 to December *** total number of patients who underwent choledochoduodenostomy during this period was *** the basis of etiology of biliary tract obstruction,patients were divided into a calculus group,an oriental cholangiohepatitis group,a benign biliary stricture group and *** were followed for a variable period of 13 mo to 15 ***:Choledochoduodenostomy(CDD) with duodenotomy was performend in four *** with removal of T-tube,CDD with left hepatic lobectomy and CDD with removal of intra biliary ruptured hydatid was performed in three patients *** the remaining patients only CDD was *** post operative complications were seen in 63(23%) patients,while long-term complications were seen in 28(11%) patients,which were statistically *** patients died during hospitalization while four patients died in the late post-operative ***:Our conclusion is that CDD is safe and produces good long term results when a permanent biliary drainage procedure is required.

关键词： Choledochoduodenostomy Oriental cholangiohepatitis Biliary calculi Cholangitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

A Point-Specific Site for Placement of Epigastric Port in Iaparoscopic Management of Gallbladder Disease: An Observational Study

引用

Surgical Science 2013年第7期4卷 309-312页

作者： Mushtaq Chalkoo Shahnawaz Ahangar Faud Sadiq Baqal Alfar Ah Nafae Muntakhab Nafae Raiees Ahmad Malla ajaz Ahmad Mallar Department of Surgery Government Medical College Srinagar India

Backgound: Laparoscopic cholecystectomy has revolutionized the world in the surgical management of benign gallbladder disease. However, for any procedure to learn properly, anatomy becomes a major concern. Aims and Objectives: We present a point, a convenient site, speedily accessible by our maneuver of placing epigastric port on the patient. Materials and Methods: This is an outcome of an observation with the prospective study of 100 patients irrespective of age, sex, body habitus and severity of gallstone disease. Our point for epigastric port satisfies all the criteria for an ideal port. Results: Our general observation with majority of patients with this point specific epigastric port placement was that it is easy to locate, needs less thrust on trocar for creation, stays on the linea alba, is easily maneuverable facilitates safe, easy and speedy dissection, causes less portal bleeds and is easy to angulate towards the right of falciform ligament. Conclusion: The point specific epigastric port conveys many benefits to the operating surgeon in terms of easy location, adds safety and speed to the procedure, causes less portal bleeds, needs less thrust and is easy to angulate to the right of the falciform ligament adding technical ease to the surgeon. It is easy to be learnt, taught and practiced by the young surgeons.

关键词： Laparoscopic Cholecystectomy Epigastric Port Point Specific Anatomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

我的亦师亦友

引用

孔子学院 2017年第4期 37-39,36页

作者：何豪杰四川师范大学国际教育学院

中国有句俗话,'一日为师终生为父',我很同意这个说法。我原来想象中的中国老师应该和我们国家差不多,拥有很高的权威和地位。而在中国学习的这两年,中国的师生关系让我感受最深的,是除了值得我们崇拜和尊敬之外的另一种感情——亦师亦... 详细信息

中国有句俗话,'一日为师终生为父',我很同意这个说法。我原来想象中的中国老师应该和我们国家差不多,拥有很高的权威和地位。而在中国学习的这两年,中国的师生关系让我感受最深的,是除了值得我们崇拜和尊敬之外的另一种感情——亦师亦友。我的几位中国老师除了学识渊博以外,都喜欢运动。于是我们见面的地方除了教室以外,常常是羽毛球场。

关键词：亦师亦友排球场啦啦队

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

印度医院成本会计研究

引用

青岛医药卫生 2007年第2期39卷 153-154页

作者： Syed Amin Tabish ajaz Mustafa Rangrez RA 王振合（编译）崔爽（编译）不详青岛市卫生局 266071 青岛大学医学院第二附属医院

管理控制系统有助于管理者对资源进行最佳分配,这是由经济管理的规律和要求决定的.在一般情况下,管理控制系统都是围绕经济活动及内部组织结构建立起来的.

关键词：医院成本会计印度资源分配医疗服务需求控制系统管理者经济管理组织结构

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Idiopathic Hypereosinophilic Syndrome Presenting as IgA Nephropathy with Nephrotic Range Proteinuria

引用

Open Journal of Nephrology 2013年第2期3卷 101-103页

作者： Tajamul H. Shah ajaz N. Koul Sonaullah Shah Umar H. Khan Parvaiz A. Koul Fayaz A. Sofi Mufti S. Rafi Ahmed Jan Intrenal & Pulmonary Medicine Sheri Kashmir Institute of Medicine Srinagar India

Idiopathic hypereosinophilic syndrome (IHES) is a disorder characterized by increased eosinophil count (eosinophilia) along with organ dysfunction secondary to organ infiltration of eosinophils and release of inflammatory markers [1-4], with no obvious cause for eosinophilia. The onset of symptoms is insidious in most of the cases and eosinophilia is detected incidentally. However, in others, the initial manifestations are severe and life-threatening due to the rapid evolution of cardiac or neurologic complications [5]. Renal involvement is rarely reported [6] in IHES. Herein we reported a case of IHES with predominant renal involvement as nephrotic syndrome with focal necrotizing IgA nephropathy.

关键词： Idiopathic Hypereosinophilic Syndrome Eosinophilia Renal Involvement Nephrotic Syndrome

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：