检索结果-南通市图书馆

Clinical Criteria for Airway Assessment: Correlations with Laryngoscopy and Endotracheal Intubation Conditions

Open Journal of Anesthesiology 2013年第7期3卷 320-325页

作者： Gustavo Henrique S. Wanderley Luciana Cavalcanti Lima Tania Cursino de Menezes Couceiro Waston Vieira Silva Raquel Queiroz G. A. Coelho Andrea Cavalcanti C. Lucena anne danielle Santos soares Agreste Regional Hospital Caruaru Brazil Brazilian Society of Anesthesiology Accredited Teaching and Training Center IMIP Recife Brazil. Instituto de Medicina Integral Professor Fernando Figueira (IMIP) Recife Brazil

Difficult intubation, inadequate ventilation and esophageal intubation are the principal causes of death or brain damage related to airway manipulation. The objective of this cross-sectional study was to correlate a preanesthetic evaluation that may be capable of predicting a difficult intubation with the conditions encountered at laryngoscopy and endotracheal intubation. Eighty-one patients submitted to general anesthesia were evaluated at a preanesthetic consultation according to the modified Mallampati classification, the Wilson score and the American Society of Anesthesiologists (ASA) difficult airway algorithm. Findings were then correlated with the Cormack-Lehane classification and with the number of attempts at endotracheal intubation. No statistically significant correlations were found between the patients’ Mallampati classification and their Cormack-Lehane grade or between the Mallampati classification and the number of attempts required to achieve endotracheal intubation. Laryngoscopy proved difficult in four patients and in all of these cases the Wilson score had been indicative of a possibly difficult airway, highlighting its good predicting sensitivity. However, the specificity of this test was low, since another 24 patients had the same Wilson score but were classified as Cormack-Lehane I/II. Moreover, two patients who had a Wilson score ≥ 4 were also classified as Cormack-Lehane grade I/II. The study concluded that the Wilson score, although seldom used in clinical practice, is a highly sensitive predictor of a difficult airway;its specificity, however, is low.

关键词： Preanesthetic Evaluation Respiratory System Airway Endotracheal Intubation Measurement Tech-niques Mallampati Wilson Cormack-Lehane

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

Stimulation of the P6 Acupuncture Point for Prophylaxis of Nausea and Vomiting in Pregnant Women Submitted to Cesarean Section: A Blinded Clinical Trial

引用

Open Journal of Anesthesiology 2013年第3期3卷 161-164页

作者： Luiza Helena Castelo Branco Luciana Cavalcante Lima Maria Célia Ferreira Costa Marilia Santos Lira Raquel Queiroz Guerra de Andrade Coelho Tania Cursino de Menezes Couceiro anne danielle soares Eusa Maria Belarmino Alcoforado Maria Emilia Carvalho Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) Recife Brazil.

In pregnant women subjected to spinal anesthesia for a Cesarean section, episodes of nausea and vomiting are common both during and following surgery. Acupuncture for the prophylaxis and treatment of these complications has been gaining in popularity due to its low cost, simplicity, absence of side effects and confirmed efficacy. This study investigated the efficacy of stimulating the P6 acupoint in conjunction with the use of dexamethasone as prophylaxis for nausea and vomiting in pregnant women submitted to spinal anesthesia for a Cesarean section. The patients (n = 100) were randomly distributed into two groups. In the first group (n = 50), a site located one centimeter laterally from P6 was stimulated. This is not a true acupuncture point (sham acupuncture). In the second group (n = 50), P6 was stimulated. In both groups, 4 mg of dexamethasone were administered intravenously. A questionnaire was used to obtain information on the occurrence of nausea and vomiting during surgery and in the first 12 hours postpartum. The chi-square test and Fisher’s exact test were used to assess differences between the groups. Age and physical status were similar in both groups. The incidence of nausea during surgery was 32% (n = 16) in the control group and 22% (n = 11) in the P6 group (p > 0.05). In the first 12 hours following surgery, nausea occurred in 16% of the women in the control group (n = 6) and in 4% in the P6 group (n = 4) (p = 0.045). The incidence of vomiting in the control group was 12% (n = 6) during surgery and 10% (n = 5) in the postoperative period compared to 8% (n = 4) and 4% (n = 2), respectively, in the P6 group (p > 0.05). Although these differences were not statistically significant with the exception of the incidence of nausea in the first 12 hours postpartum, a reduction occurred in the incidence of all the outcomes evaluated in the P6 group.

关键词： Obstetric Surgery Cesarean Section Complications Nausea Vomiting Prophylaxis Acupuncture

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

Molecular approaches for spinal cord injury treatment

引用

Neural Regeneration Research 2023年第1期18卷 23-30页

作者： Fernanda Martins de Almeida Suelen Adriani Marques anne Caroline Rodrigues dos Santos Caio Andrade Prins Fellipe soares dos Santos Cardoso Luiza dos Santos Heringer Henrique Rocha Mendonça Ana Maria Blanco Martinez Laboratório de Neurodegeneração e Reparo Programa de Pós-Graduação em Medicina:Anatomia PatológicaDepartamento de PatologiaFaculdade de MedicinaHospital Universitário Clementino Fraga FilhoCentro de Ciências da SaúdeUniversidade Federal do Rio de JaneiroRio de JaneiroBrazil Instituto de Ciências Biomédicas Centro de Ciências da SaúdeUniversidade Federal do Rio de JaneiroRio de JaneiroBrazil Instituto de Biologia Departamento de NeurobiologiaLaboratório de Regeneração Neural e FunçãoUFFRio de JaneiroBrazil Laboratório Integrado de Morfologia Instituto de Biodiversidade e Sustentabilidade NUPEMPrograma de Pós-graduação Multicêntrico em Ciências Fisiológicas-SBFisCentro Multidisciplinar UFRJ-MacaéUniversidade Federal do Rio de JaneiroMacaéBrazil

Injuries to the spinal cord result in permanent disabilities that limit daily life *** main reasons for these poor outcomes are the limited regenerative capacity of central neurons and the inhibitory milieu that is established upon traumatic *** decades of research,there is still no efficient treatment for spinal cord *** strategies are tested in preclinical studies that focus on ameliorating the functional outcomes after spinal cord *** these,molecular compounds are currently being used for neurological recovery,with promising *** molecules target the axon collapsed growth cone,the inhibitory microenvironment,the survival of neurons and glial cells,and the re-establishment of lost *** this review we focused on molecules that are being used,either in preclinical or clinical studies,to treat spinal cord injuries,such as drugs,growth and neurotrophic factors,enzymes,and *** mechanisms of action of these molecules are discussed,considering traumatic spinal cord injury in rodents and humans.

关键词： axonal regeneration drugs enzymes growth factors molecular therapy neurotrophic factors purines spinal cord injury

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

决定巴西Espinhaco生物圈保护区森林-草地变化的环境因素

引用

Journal of Plant Ecology 2023年第5期16卷 13-25页

作者： Thais Ribeiro Costa Cristiane Coelho de Moura Leovandes soares da Silva anne Priscila Dias Gonzaga AndréRodrigo Rech Evandro Luiz Mendonga Machado Department of Forest Sciences Federal University of Vales do Jequitinhonha e Mucuri-Campus JKRodovia MGT 367Km 583n 5.000Alto da JacubaDiamantina/MGCEP39100-000Brazil

关于热带雨林(对火敏感)和开放地层(耐火)之间边界所涉及过程的认识对于保护生物多样性和生态系统服务至关重要,尤其是在气候变化和人为压力增加的情况下。本文调查了位于巴西东南部的Espinhaco生物圈保护区内的森林岛屿和湿润草原同时... 详细信息

关于热带雨林(对火敏感)和开放地层(耐火)之间边界所涉及过程的认识对于保护生物多样性和生态系统服务至关重要,尤其是在气候变化和人为压力增加的情况下。本文调查了位于巴西东南部的Espinhaco生物圈保护区内的森林岛屿和湿润草原同时出现的主要环境因素。我们使用Costa(2018)布置的永久样地来收集森林岛屿的土壤变量(水分和化学性质)。对于湿润草原的采样,我们从岛屿边缘沿不同方向设置了4条30m的线。随后,我们在每条线上划了3个点,每个点相距10m,每个区域共12个点。我们还调查了处理火烧前后的植被覆盖情况,并对环境变量进行均值检验和主成分分析。研究结果显示,森林岛屿土壤中钾、盐基总量、阳离子交换容量和有机质的值均高于湿润草地。因此,两种植被类型之间的边界定义似乎主要与土壤肥力和水分梯度有关。在对这些地区进行火烧处理后,在岛屿边缘附近没有发现树木个体的再生。因此,这些研究结果表明,由于明确的土壤气候条件,森林岛屿无法扩张。因此,这些环境应该成为设计公共保护政策的目标焦点,因为它们增加了山地岩石草原植被景观的复杂性。

关键词：湿地土壤气候梯度岛屿森林综合火灾管理有机土

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

引用

感染、炎症、修复 2023年第3期24卷 139-157页

作者： Sicco A.Bus Isabel C.N Sacco Matilde Monteiro-soares Anita Raspovic Joanne Paton anne Rasmussen Larry A.Lavery Jaap Jvan Netten on behalf of the International Working Group on the Diabetic Foot 李恭驰王知李炳辉(译) 李秋许樟荣(审校) Amsterdam UMC University of AmsterdamDepartment of Rehabilitation MedicineAmsterdamthe Netherlands Amster-dam Movement Sciences program Rehabilitation&DevelopmentAmsterdamthe Netherlands Physical Therapy Speech and Occupational Therapy departmentSchool of MedicineUniversity of São PauloSão PauloBrazil Higher School of Health of the Portuguese Red Cross LisbonPortugal Department of Community Medicine Information and Health Decision Sciences(MEDCIDS)Faculty of MedicineUniversity of PortoPortoPortugal RISE@CINTESIS Faculty of MedicineOporto Uni-versityPortoPortugal Discipline of Podiatry School of Allied HealthHuman Services and SportLa Trobe UniversityMel-bourneVictoriaAustralia School of Health Professions University of PlymouthPlymouthUK Steno Diabetes Center Copen-hagen HerlevDenmark Department of Plastic Surgery University of Texas Southwestern Medical CenterDallasTexasUSA 不详华中科技大学同济医学院附属协和医院湖北武汉430022 华中科技大学同济医学院附属梨园医院湖北武汉430077 山东省立医院山东济南250021 战略支援部队特色医学中心北京100101

本章是2023年国际糖尿病足工作组(IWGDF)关于糖尿病相关的足溃疡预防的指南,是在2019年版指南基础上的更新。本指南面向临床医生和其他医务人员。我们遵循推荐、评估、发展和评价分级(GRADE)方法,采用患者-干预-比较-结局(PICO)的方法... 详细信息

本章是2023年国际糖尿病足工作组(IWGDF)关于糖尿病相关的足溃疡预防的指南,是在2019年版指南基础上的更新。本指南面向临床医生和其他医务人员。我们遵循推荐、评估、发展和评价分级(GRADE)方法,采用患者-干预-比较-结局(PICO)的方法来设计临床问题和关键结局,并进行了包括必要的Meta分析在内的医学科学文献的系统综述,同时撰写了推荐及其理由。这些推荐基于系统综述中证据质量、在没有足够证据的情况下的专家意见、同时考虑干预措施的有益和不良效果,以及患者的偏好、成本、公平性、可行性和适用性的权衡。我们推荐对足溃疡风险较低的糖尿病患者每年进行一次保护性感觉丧失和周围动脉病变的筛查,并对高危患者进行更高频率的筛查以及其他危险因素的筛查。为了预防足溃疡,要对有危险因素的患者进行健康教育,教育其对足部进行适当地自我护理,在没有适当的足部保护的情况下不要行走,并对溃疡前兆进行有效治疗。指导足溃疡中高危风险的糖尿病患者穿着合适、宽松的治疗性鞋类,并考虑指导他们监测足部皮肤温度。开具处方使用治疗性鞋类,这些鞋类在行走时具有缓解足底压力的效果,能够防止足底溃疡复发。推荐足溃疡中低风险人群最好制定一个有监督的足踝运动计划,以减少溃疡风险;就溃疡的风险而言,每天总共增加1000步的负重活动可能是安全的。对于有溃疡前兆的非僵直锤状趾患者,可考虑屈肌腱切断术。我们建议不要用神经松解减压术来预防足溃疡。要对足溃疡中高危的糖尿病患者给予综合足部护理,以预防溃疡复发。贯彻这些推荐有助于医疗专业人员对有足溃疡风险的糖尿病患者提供更好的护理,增加无溃疡的天数,减少患者糖尿病相关的足病的医疗负担。

关键词：糖尿病相关的足病足溃疡指南预防鞋具护理

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

国际糖尿病足工作组:糖尿病足溃疡预防指南——《国际糖尿病足工作组:糖尿病足防治国际指南(2019)》的一部分

引用

感染．炎症．修复 2019年第3期20卷 140-157页

作者： Sicco A.Bus Larry A.Lavery Matilde Monteiro-soares anne Rasmussen Anita Raspovic Isabel C.N.Sacco Jaap J.van Netten 无罗颖琪李炳辉(译) 许樟荣(审校) Amsterdam UMC Department of Rehabilitation MedicineAcademic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands Department of Plastic Surgery University of Texas Southwestern Medical CenterDallasTexasUSA MEDCIDES:Departamento de Medicina da Comunidade Informacao e Decisao em Saude&CINTESIS–Center for Health Technology and Services Research Faculdade de Medicina da Universidade do PortoPortoPortugal Steno Diabetes Center Copenhagen GentofteDenmark Discipline of Podiatry School of Allied HealthHuman Services and SportLa Trobe UniversityMelbourneVictoriaAustralia Physical Therapy Speech and Occupational Therapy DepartmentSchool of MedicineUniversity of Sao PauloSao PauloBrazil School of Clinical Sciences Queensland University of TechnologyBrisbaneAustralia Diabetic Foot Clinic Department of SurgeryZiekenhuisgroep TwenteAlmelo and HengeloThe Netherlands International Working Group on the Diabetic Foot(IWGDF) 华中科技大学同济医学院附属梨园医院湖北武汉430077

国际糖尿病足工作组(IWGDF)1999年发布了关于预防和管理糖尿病足病的循证指南。该指南旨在预防糖尿病患者的足部溃疡,并在2015年,IWGDF对预防指南进行了更新。我们遵循GRADE(grading of recommendations assessment development and eva... 详细信息

国际糖尿病足工作组(IWGDF)1999年发布了关于预防和管理糖尿病足病的循证指南。该指南旨在预防糖尿病患者的足部溃疡,并在2015年,IWGDF对预防指南进行了更新。我们遵循GRADE(grading of recommendations assessment development and evaluation)的评分方法,采用以患者为观察对象、有干预措施、与对照组进行比较、观察结局(patient-intervention-comparison-outcome,PICO)的方法来设计临床问题和关键成果,对医学科学文献进行系统评价,并撰写推荐意见及其理由。这些推荐基于系统评价中发现的证据质量、专家意见,以及益处及危害的权重、患者偏好、可行性和适用性以及与干预相关成本的权衡。我们建议对处于极低溃疡风险的患者每年做一次筛查,了解其是否有周围神经病变和外周血管病变,对高风险人群检查的频率要更高,以筛查其他危险因素。为了预防足溃疡,要对有危险因素的患者进行健康教育,教育患者适当地对足部进行自我护理以及对溃疡前症状进行有效治疗。指导中高危患者穿着合适的治疗鞋,并对其足部皮肤温度进行监测。处方治疗鞋在行走过程中具有明显的减轻足底压力的效果,能够防止足底溃疡复发。急性足溃疡或即将发生的足溃疡保守治疗失败,应考虑手术干预。我们不建议使用神经松解减压术。对高危患者给予综合足部医疗护理,以防溃疡复发。贯彻这些推荐将有助于医疗专业人员对有足溃疡风险的糖尿病患者提供更好的护理,降低糖尿病足溃疡的发生率,使足部健康维持更长的时间即增加无足病的天数,显著减少糖尿病患者和医疗机构的负担。

关键词：糖尿病足足溃疡指南预防鞋具自我护理自我管理教育

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

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

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

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：