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儿童接受腰椎穿刺后头痛:一个前瞻性的多中心研究

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世界核心医学期刊文摘（儿科学分册） 2005年第12期1卷 12-13页

作者： leblanc A. Catrevaux O. Guillaumat C. 贺莉 Service de Pé diatrie Centre Hospitalier Sud Francilien Hpital Louise- Michel quartier du Canal 91014 vry Cedex France

Purpose. - To investigate the frequency of post lumbar puncture headaches (PLPH) after diagnostic lumbar puncture (LP) and to search for influence factors. Patients and methods. - Conducted over 6 months into 8 paediatric services, the study concerned 2 to 15 years old children. The LP technic (cannula gauge, bevel orientation, child position, reinsertion of the stylet) was standardised. For each child questionnaires were filled with the parents 3 and 8 days after LP for inquiring headaches, postural characteristics, length and clinical consequences. Results. - Among 84 charts, 71 were exploitable. PLPH were observed in 25% of children. The mean duration was 5.9 days, mean bed rest was 1.4 day and mean antalgic treatment 1.7 day. The frequency of PLPH was not significantly influenced by age and sex, neither by the qualification of the physician performing the LP. The frequency was significantly lower when LP execution was easy (19.6 vs. 46.7% ; P < 0.05), and when the child had viral meningitis (8 vs. 34.8% ; P < 0.05). Conclusion. - We have found a more important frequency of PLPH than in previous paediatric studies. Clinical consequences justify other researches to precise influence factors and reduce the frequency of this complication.

关键词：腰椎穿刺儿科病房患儿父母临床后果穿刺针休息时间病毒性脑膜炎调查诊断影响因素儿科研究

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优秀董事长的必备特质

董事会 2011年第11期 101-103页

作者： Matteo Tonello Richard leblanc Katharina Pick 王梦菲

董事长与CEO角色分离并不必然带来更好的董事会。甚至在某些案例中，非执行董事长的设立还削弱了董事会的效力。其实。

关键词：董事长特质角色分离董事会 CEO

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碧眼少女

1989年

作者： M.·勒布朗(M. leblanc)

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水晶塞子 1版

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Relation between self-recalled childhood physical activity and adult physical activity: The women’s health initiative

丛书名：法国义侠亚森罗平传奇丛书

1987年

作者：（法）勒布朗（leblanc M.）张直刚米宁译

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Open Journal of Epidemiology 2013年第4期3卷 224-231页

作者： Deborah Goodman Hannah L. Park Marcia Stefanick Erin leblanc Jennifer Bea Lihong Qi Kristopher Kapphahn Michael Lamonte Tood Manini Manisha Desai Hoda Anton-Culver Cancer Center University of Arizona Tuscon Arizona USA Center for Health Research Kaiser Permanente Portland USA Department of Epidemiology University of California Irvine USA Department of Public Health University of California Davis Sacramento USA Department of Social and Preventive Medicine University at Buffalo Buffalo USA Institute on Aging University of Florida Gainesville USA S Stanford Prevention Research Center Stanford University Palo Alto USA

Background: Evidence suggests that childhood physical activity may play a role in the etiology and prevention of adult chronic diseases. Because researchers must often depend on self-recalled physical activity data many years after the exposure, it is important to understand factors which may influence adult recall of childhood physical activity. This study evaluated the influence of adult characteristics on reported childhood physical activity and the association between adult physical activity and self-recalled childhood physical activity. Methods: 48,066 post-menopausal women from the Women’s Health Initiative Observational Study reported their physical activity level during ages 5-9, 10-14, and 15-19. Results: In this cohort, over 65% of the population reported the same category of physical activity over the three childhood age groups. While higher levels of childhood physical activity were significantly associated with higher adult physical activity, this association varied by race/ethnicity, education, smoking, body mass index, history of diabetes or cardiovascular disease, social support and physical functional status. Women who were consistently highly active reported adult physical activity levels that were 2.82 MET-hr/week (95% C.I. = 2.43, 3.20) higher compared to women who were always physically inactive during childhood. Conclusions: It is important for researchers to understand the influence of adult characteristics on reported childhood physical activity.

关键词： Adult Childhood Physical Activity Self-Reported

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亚森·罗平探案全集 3 八一三

丛书名：世界侦探惊险名著文库

1998年

作者：（法）莫里斯·勒布朗（Maurice leblanc）李振球等译

八一三：钻石大王在旅馆遇害，身边有一张亚森·罗平的名片。还有一张写有“八一三字样的纸条。于是警察把罗平当成了杀人凶手，一个神秘的黑衣人也参与了警察对罗平的缉捕。使罗平屡陷困境。险些丧命罗平能揭开“八一三”之谜，最终还... 详细信息

ISBN: (纸本)7501415838

八一三：钻石大王在旅馆遇害，身边有一张亚森·罗平的名片。还有一张写有“八一三字样的纸条。于是警察把罗平当成了杀人凶手，一个神秘的黑衣人也参与了警察对罗平的缉捕。使罗平屡陷困境。险些丧命罗平能揭开“八一三”之谜，最终还自己以清白吗？炮弹片：保尔与新婚妻子来到岳父的城堡度蜜月。突然从墙上的肖像上发现岳母竟是他的杀父仇人。他愤而离去参了军德法战争中。他发现妻子的一绺金发被一个炮弹片扎在墙上。人却消失得无影无踪他妻子究竟死没死？两人能否破镜重圆？便衣侦探维克托：便衣侦探维克托屡破奇案，颇得上级器重一日他抓住了窃取巨额国防债券的银行职员。不料债券己被一女子偷走维克托顺线索追踪，发现一连串窃案，接着出现了两个“亚森·罗平”，这究竟是怎么回事呢？

关键词：长篇小说:侦探小说法国现代

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低能耗的制氨方法

化肥设计 1985年第5期 68-71+62页

作者： J.B.leblanc M.W 罗万森凯洛格公司无机化学部中国武汉化工工程公司

本文介绍现有老厂技术改造和新厂设计,以提高能量效率。制造合成氨的一个关键性指标是显著的能量消耗。特别在某些老厂,能量的消耗占氨成本的80%～90%。在未来的许多氨厂,能量消耗仍将占氨产品成本的50%以上。因此对世界来说,氨的高能... 详细信息

本文介绍现有老厂技术改造和新厂设计,以提高能量效率。制造合成氨的一个关键性指标是显著的能量消耗。特别在某些老厂,能量的消耗占氨成本的80%～90%。在未来的许多氨厂,能量消耗仍将占氨产品成本的50%以上。因此对世界来说,氨的高能量消耗及廉价能源供应的减少,促进对氨的工艺过程的严格评价。特别是对有关降低能耗这一项。

关键词：短吨英热单位凯洛格公司老厂改造制氨合成系统低热值低位发热量节能设计公用工程弛放气

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改善橡胶胶料加工性的新助剂

合成橡胶工业 1988年第S1期 127-135页

作者： J.L.leblanc,D.G.Lloyd,杨俊平 Monsanto Europe S.A.Belgium. Monsanto Europe S.A.Belgium.

本文介绍了一种添加剂能影响橡胶加工性能的机理,并提出了决定添加剂与胶料相容性的三个模型。作为本研究的一个结果,提出了本体粘度改性的概念。根据此概念,胶料的流动性能可以通过分子间作用的方法降低粘度而得以改进,而不是通过橡胶... 详细信息

本文介绍了一种添加剂能影响橡胶加工性能的机理,并提出了决定添加剂与胶料相容性的三个模型。作为本研究的一个结果,提出了本体粘度改性的概念。根据此概念,胶料的流动性能可以通过分子间作用的方法降低粘度而得以改进,而不是通过橡胶-金属界面上产生滑动来改善流动性能。证明了这样的添加剂比加工油具有一定的优越性。

关键词：胶料口型加工性能相容性改性剂加工性质化学纤维助剂本体粘度门尼粘度毛细管流变仪流变助剂压出机挤出机压出量

超声内镜引导胰腺转移瘤的细针穿刺:一项多中心试验

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世界核心医学期刊文摘（胃肠病学分册） 2005年第9期1卷 31-32页

作者： DeWitt J. Jowell P. leblanc J. 徐瑞 Department of Medicine Division of Gastroenterology Indiana University Medical Center 550 N. Universi ty Blvd Indianapolis IN 46202-5121 United States Dr.

Background: Metastatic lesions of the pancreas are a rare but important cause of focal pancreatic lesions. The purpose of this study is to describe the EUS features, cytologic diagnoses, and clinical impact of a cohort of patients with pancreatic metastases diagnosed by EUS-guided FNA (EUS-FNA). Methods: Over a 6-year period, in a retrospective, multicenter study, patients had the diagnosis of pancreatic metastases confirmed with EUS-FNA. All examinations were performed by one of 5 experienced endosonographers. The EUS and the clinical findings of pancreatic metastases were compared with those of a cohort with primary pancreatic malignancy. Results: Thirty-seven patients with possible metastases were identified, and 13 were excluded because of diagnostic uncertainty. The remaining 24 underwent EUS-FNA (mean passes 4.1) of a pancreatic mass without complications. Diagnoses included metastases from primary kidney (10), skin (6), lung (4), colon (2), liver (1), and stomach (1) cancer. In 4 (17%), 16 (67%), and 24 (100%) patients, EUS-FNA provided the initial diagnosis of malignancy, tumor recurrence, and pancreatic metastases, respectively. Four (17%) metastases initially were discovered by EUS after negative (n = 3) or inconclusive (n = 1) CT scans. Compared with primary cancer, pancreatic metastases were more likely to have well-defined margins (46%vs. 4%) compared with irregular (94%vs. 54%; p < 0.000 1) margins. No statistically significant difference between the two populations was noted for tumor size, echogenicity, consistency, location, lesion number, or number of FNA passes performed. Conclusions: Pancreatic metastases are an important cause of focal pancreatic lesions and may occasionally be discovered during EUS examination after previously negative or inconclusive CT. Use of immunocytochemistry, when available, may help to confirm a suspected diagnosis. These lesions are more likely to have well-defined EUS margins compared with primary pancreatic cancer.

关键词：多中心试验超声内镜细针穿刺免疫细胞化学法可疑诊断恶性瘤原发肿瘤细胞学诊断结肠癌团块影

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