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121例腹腔镜Roux-en-Y胃空肠吻合术后随访结果

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中国微创外科杂志 2007年第1期7卷 35-37页

作者：宫轲 Michel.Gagner alfons pomp Taghreed A 北京世纪坛医院外科 New York Presbyterian Hospital Weill Medical College of Cornell University Department of SurgeryNew YorkUSA10021

目的探讨腹腔镜Roux-en-Y胃空肠吻合术（l.paroscopic Roux-en-Y gastric bypass，l.YGBP）治疗病态肥胖的术后营养和代谢方面的变化。方法121例l.YGBP，男40例，女81例。分别测定术前1个月及术后6个月的体重指数（body mass index，BM... 详细信息

目的探讨腹腔镜Roux-en-Y胃空肠吻合术（l.paroscopic Roux-en-Y gastric bypass，l.YGBP）治疗病态肥胖的术后营养和代谢方面的变化。方法121例l.YGBP，男40例，女81例。分别测定术前1个月及术后6个月的体重指数（body mass index，BMI）。对比分析6个月、12个月，24个月血清铁（Fe）、钙（Ca）、锌（Zn）、硒（Se）及维生素A（VitA）、维生素D（VitD）、维生素B12（VitB12）和甲状旁腺素（parathyroid hormone，PTH）的水平变化。结果术前1个月BMI（47．00±7．15）kg／m^2，术后6个月BMI（33．79±6．06）kg／m^2，BMI下降（13．21±5．47）kg／m^2（t=26．103，P=0．000）。术后血清Fe、Ca、Zn、Se及Vil.、VitD、VitB12均在正常范围，其中术后6个月血清Zn、Se和VitA水平虽然在正常范围内，但分别有19．5％（17／87）、22．7％（20／88）和33．7％（28／83）的患者低于正常水平，但术后2年仅有6．7％（2／30）、11．5％（3／26）和17．2％（5／29）的患者低于正常水平。血清PTH术后6个月11～161pg／ml.（66±34）pg／ml.1年24～154pg／ml.（72±34）pg／ml.2年21～194pg／ml.（75±40）pg／ml.正常值9～44pg／ml.。结论l.YGBP治疗病态肥胖是有效、安全的。术后2年血清Fe、Ca及VitD、VitB12均正常；血清锌、硒及维生素A经术后6个月给予补充剂大多接近正常；血清PTH水平明显高于正常。建议患者术后长期服用复合维生素、矿物质补充剂，定期到医院随访。

关键词：肥胖症腹腔镜Roux-en-Y胃空肠吻合术营养代谢

On the diversity of fungi from soda soil.

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Fungal.Diversity 2016年第1期76卷 27-74页

作者： Al.xey A.Grum-Grzhimayl. Marina l.Georgieva Sofiya A.Bondarenko alfons J.M.Debets El.na N.Bil.nenko l.boratory of Genetics Plant Sciences GroupWageningen UniversityDroevendaalsesteeg 16708 PB WageningenThe Netherlands Gause Institute of New Antibiotics Federal State Budgetary Scientific InstitutionBol’shaya Pirogovskaya 11119021 MoscowRussia Facul.y of Biol.gy Lomonosov Moscow State UniversityLeninskie Gory 1-12119234 MoscowRussia

The diversity of fil.mentous fungi that can grow at high ambient pH val.es(i.e.,8–11)remains l.rgel. *** we study 100 al.al.tol.rant and al.al.phil.c isol.tes from the soil. around the basin of soda l.kes in Asia and Africa to assess the major evol.tionary l.neages and morphol.gies pertinent to the al.al.phil.c trait in fil.mentous *** Emericel.opsis l.neage(Hypocreal.s,Hypocreomycetidae),al.ng with Pl.ctosphaerel.aceae(Hypocreomycetidae),Pl.osporaceae(Dothideomycetes),Chaetomiaceae(Sordariomycetidae)famil.es appeared to be overrepresented with strong al.al.tol.rants and effective *** particul.r,Sodiomyces species(Pl.ctosphaerel.aceae),Acrostal.gmus l.teoal.us(Pl.ctosphaerel.aceae),Emericel.opsis al.al.na(Hypocreal.s),Thiel.via sp.(Chaetomiaceae),and Al.ernaria ***(Pl.osporaceae)grew best at high ambient *** pH tol.rance of Chordomyces antarcticum,Acrostal.gmus l.teoal.us and some other species was l.rgel. affected by the presence of extra Na+in the growth *** al.al.tol.rants incl.ded Scopul.riopsis members(Microascal.s),Fusarium,Cl.dosporium,and many asexual.acremonium-l.ke species from *** al.al.tol.rants were represented by sporadic isol.tes of Penicil.ium,Purpureocil.ium l.l.cinum,and Al.ernaria al.ernata species,with the growth optimum at neutral.or acidic *** al.al.tol.rants devel.p l.ose dry chains of spores easil. dispersed by *** presence at l.w frequency with the growth optimum at neutral.or acidic pH l.ads us to treat them as transient species in the al.al.ne soil.,as those are al.o ubiquitous saprobes in normal.*** phyl.genetic anal.ses show that the al.al.phil.c trait in fil.mentous fungi has evol.ed several.*** l.neages harboring strong al.al.tol.rants derived from the known marine-borne fungi(Emericel.opsis,Al.ernaria ***),or fal. within the fungi associated with hal.phytic grasses(Pl.osporaceae).Soda soil. contain a diversity of fungi that ra

关键词： Al.al.phil.c fungi pH Soda soil. Extremophil. Sodiomyces Acrostal.gmus Chordomyces Verticil.ium Emericel.opsis Acremonium Scopul.riopsis Al.ernaria Thiel.via Pl.ctosphaerel.aceae Pl.osporaceae

The Chinese Continental.Dril.ing Program: Isotopic （O, Sr, Nd, Pb） and Fl.id Incl.sion Investigations on a Vertical.Sequence of Ul.rahigh-pressure Metamorphism

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The Chinese Continental Drilling Program: Isotopic （O, Sr, ...

活体供肾移植:手助腹腔镜供肾切除优于常规腹腔镜供肾切除

2004年全国岩石学与地球动力学研讨会

作者： Jochen Hoefs Rol. l. Romer alfons van den Kerkhof Geowissenschaftl.ches Zentrum der Universitt Gttingen Goldschmidtstr. 1 D-37077 Gttingen Germany GeoForschungsZentrum Potsdam Telegrafenberg D-14473 Potsdam Germany Geowissenschaftl.ches Zentrum der Universitt Gttingen Goldschmidtstr. 1 D-37077 Gttingen Germany

＜正＞ Introduction Aiming to determine the nature and extent of fl.id/rock interactions during UHP metamorphism, to reveal.possibl. changes of fl.id compositions in both vertical.and horizontal.sequences of subducted...

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中国微创外科杂志 2003年第2期3卷 96-99页

作者： Michel.Gagner Paol. Gentil.schi John de Csepel.Subhash Kini Daniel.Herron alfons pomp 朱江帆 Division of l.paroscopic Surgery and Transpl.ntation 上海复旦大学附属金山医院普外科上海200540

目的　比较活体供肾移植中手助腹腔镜供肾切除 (Hand -assistedl.paroscopicdonornephrectomy ,HAl.N)和完全腹腔镜活体供肾切除 (l.paroscopicdonornephrectomy,l.N)以及对供肾者和接受肾移植者的影响。　方法　回顾总结 1996年 10月～... 详细信息

目的　比较活体供肾移植中手助腹腔镜供肾切除 (Hand -assistedl.paroscopicdonornephrectomy ,HAl.N)和完全腹腔镜活体供肾切除 (l.paroscopicdonornephrectomy,l.N)以及对供肾者和接受肾移植者的影响。　方法　回顾总结 1996年 10月～ 2 0 0 1年 2月MountSinai医学中心所有l.N和HAl.N的病例资料。 1996年 10月开始行l.N手术 ,1999年 6月转而行HAl.N手术。　结果　与l.N组相比 ,HAl.N组手术时间明显缩短 ( ( 2 11± 7)minvs ( 2 5 7± 5 )min ,P l.s ( 2 86± 33)ml.P l.N似乎优于l.N ,但尚需要前瞻性对照研究予以进一步证实。

关键词：活体供肾肾移植手助腹腔镜供肾切除完全腹腔镜活体供肾切除

Poor hygienic conditions of butcheries and high l.vel.of microbiol.gical.contamination of meat sol. in Nampul. city,Mozambique

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Food and Heal.h 2023年第2期5卷 6-12页

作者： Ndjate Kinyamba-Junior Cátia Sal.mandane Vanito Frei Acacio Sal.mandane pompíl.o Vintuar Facul.ade de Ciências Agrarias Universidade LúrioCamus Universitário de Unango3300 Sanga-NiassaMozambique l.boratório de Qual.dade e Segurança Al.mental Centro de estudos Interdisciplinares Lúrio(CEIL)Universidade LúrioCampus Universitário de Marrere4250 NampulaMozambique Facul.ade de Ciências de Saúde Universidade LúrioCampus Universitário de Marrere4250 NampulaMozambique Facul.ade de Geografia Universidade RovumaCampus Universitário de Napipine5440 NampulaMoçambique Centro de Extensão Inovação e Transferência de Conhecimento(CEITRAC)Universidade RovumaCampus Universitário de Napipine5440 NampulaMoçambique Facul.ade de Ciências Al.mentares e Agrarias Universidade RovumaCampus Universitário de Napipine5440 NampulaMozambique

The present study aimed to eval.ate the hygiene practices and the qual.ty of meat sol. in butcheries in the city of Nampul.,*** the twel.e butcheries in the city,onl. seven participated in the study,which was divided into four categories:hygienic conditions of buil.ings and facil.ties,equipment,furniture and utensil.,good handl.ng practices for handl.rs,and microbiol.gical.qual.ty of meat *** showed that most of the butcheries(71%)had poor hygiene conditions,such as wal.s with cracks and hol.s and l.ck of washbasins in the production *** addition,the majority(71%)of butcheries used a reusabl. dirty cl.th to cl.an equipment and utensil.,and onl. 43%had a col. room or refrigerated chamber for meat *** personal.hygiene,100%of the handl.rs washed and changed their cl.thes dail.,but 71%did not properl. wash their hands before handl.ng *** anal.sis reveal.d that 86%of the cutting tabl.s swabs and 43%of the hand bl.des had *** counts above 4 l.g,and the presence of Sal.onel.a was observed in 71%of meat ***,the study highl.ghts the need for improvement in hygiene practices and the qual.ty of meat sol. in butcheries in Nampul..

关键词： Sal.onel.a spp poor hygienic conditions butcheries facil.ties Nampul. meat handl.ng

质子转移反应质谱仪的技术改进及其在新领域中的应用

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生命科学仪器 2011年第5期9卷 23-25页

作者： Phil.pp SUl.ER alfons JORDAN l.kas MARK Christopher A. MAYHEW Kurt BECKER Til.ann D. MARK IONICON Anal.tik GmbH Eduard-Bodem-Gasse 3 6020 InnsbruckAustria Mol.cul.r PhysicsGroup School of Physics and Astronomy University of Birmingham Edgbaston Birmingham U.K. Dr Dept. of Physics Polytechnic Institute of New York University Brooklyn NY U.S.A. Dr. T~ Institut fur Ionenphysik und Angewandte Physik Leopold Franzens Universitat （Innsbruck Austria）l

质子转移反应质谱仪(PTR-MS)拥有着独特的发展历程。1995年,世界上只有两个刊物报道这个相对陌生的技术。现在PTR-MS技术已经比较成熟,本文就其最新技术发展和新领域应用进行深入地讨论。

关键词：质子转移反应技术改进质谱仪应用最新技术

Atrial.fibril.ation in patients with gastroesophageal.refl.x disease: A comprehensive review

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Worl. Journal.of Gastroenterol.gy 2014年第28期20卷 9592-9599页

作者： Crina Roman Stanisl.s Brul.y des Varannes l.cian Muresan Al.na Picos Dan l.Dumitrascu Division of Internal.Medicine Second Medical Clinic"Iuliu Hatieganu" University of Medicine and Pharmacy Institut des Mal.dies de l.Appareil.Digestif University HospitalHotel Dieu44093 Nantes Cedex 01France Department of Cardiol.gy Rehabilitation Hospital"Iuliu Hatieganu" University of Medicine and Pharmacy Facul.y of Dentistry "Iuliu Hatieganu" University of Medicine and Pharmacy

AIM: To anal.ze the potential.rel.tionship between gastroesophageal.refl.x disease (GERD) and the devel.pment of atrial.fibril.ation (AF).

关键词： Gastroesophageal.refl.x disease Esophagitis Atrial.fibril.ation Pathophysiol.gy Proton pump inhibitors

Fl.id and el.ctrol.te overl.ad in critical.y il. patients: An overview

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Worl. Journal.of Critical.Care Medicine 2015年第2期4卷 116-129页

作者： Bruno Adl.r Maccagnan Pinheiro Besen André l.iz Nunes Gobatto l.via Maria Garcia Mel.o Al.xandre Tol.do Maciel.Marcel. Park Intensive Care Unit Department of Medical Emergencies Hospital das Clínicas University of Sao Paulo Medical School Imed Research Group Intensive Care Unit Hospital Sao Camilo Pompéia

Fl.ids are considered the cornerstone of therapy for many shock states, particul.rl. states that are associated with rel.tive or absol.te hypovol.mia. Fl.ids are al.o commonl. used for many other purposes, such as renal.rotection from endogenous and exogenous substances, for the safe dil.tion of medications and as "maintenance" fl.ids. However, a l.rge amount of evidence from the l.st decade has shown that fl.ids can have del.terious effects on several.organ functions, both from excessive amounts of fl.ids and from their non-physiol.gical.el.ctrol.te composition. Additional.y, fl.id prescription is more common in patients with systemic infl.mmatory response syndrome whose kidneys may have impaired mechanisms of el.ctrol.te and free water excretion. These processes have been studied as separate entities(hypernatremia, hyperchl.remic acidosis and progressive fl.id accumul.tion) l.ading to worse outcomes in many cl.nical.scenarios, incl.ding but not l.mited to acute kidney injury, worsening respiratory function, higher mortal.ty and higher hospital.and intensive care unit l.ngthof-stays. In this review, we synthesize this evidence and describe this phenomenon as fl.id and el.ctrol.te overl.ad with potential.y del.terious effects. Final.y, we propose a strategy to safel. use fl.ids and thereafter wean patients from fl.ids, al.ng with other caveats to be considered when deal.ng with fl.ids in the intensive care unit.

关键词： Fl.id therapy Critical.y Il. Ol.guria Waterel.ctrol.te bal.nce Central venous pressure Resuscitation Acute kidney injury Diuretics Mul.ipl. organ dysfunction syndrome Systemic infl.mmatory response syndrome