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Laparoscopic resection for incidentally detected Meckel diverticulum

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World Journal of Gastroenterology 2008年第31期14卷 4961-4963页

作者： Davide Bona Luigi Stefano Schipani Marco Nencioni barbara rubino Luigi Bonavina Department of Surgery IRCCS Policlinico San Donato University of Milan Milano 20137 Italy Pathology Unit Istituto Clinico Sant’Ambrogio Milano 20137 Italy

The management of Meckel diverticulum found un-expectedly during an abdominal operation remains controversial. Most published reports have included only patients undergoing diverticulectomy or bowel resection through laparotomy. We report a case of a carcinoid tumor in a Meckel’s diverticulum which was incidentally detected and removed during laparoscopic inguinal hernia repair. Although there is no compelling evidence in the literature to recommend prophylactic diverticulectomy, laparoscopic stapled resection repre-sents a viable and safe approach in healthy individuals undergoing elective surgery for other purposes.

关键词： Laparoscopy Incidental findings Meckel's diverticulum Carcinoid tumor

Impact of low-intensity extracorporeal shockwave therapy on vascular parameters and sexual function in patients with arteriogenic erectile dysfunction

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Asian Journal of Andrology 2024年第4期26卷 344-348页

作者： Matteo rubino Anna Ricapito Marco Finati Ugo G Falagario Pasquale Annese Vito Mancini Gian Maria Busetto Luigi Cormio Giuseppe Carrieri Carlo Bettocchi Andrology Unit Department of Urology and Renal TransplantationUniversity of FoggiaFoggia 71122Italy Department of Molecular Medicine and Surgery Karolinska InstitutetStockholm 17177Sweden Department of Urology Bonomo Teaching HospitalUniversity of FoggiaAndria 76123Italy.

Previous published studies have shown an improvement of penile hemodynamic parameters after low-intensity extracorporeal shockwave therapy(Li-ESWT).However,the clinical significance of these findings remains unclear,and definitive selection criteria for Li-ESWT based on preexisting comorbidities have yet to be *** was an observational study of 113 patients with ED,evaluated between January 2019 and December 2021 in Andrology Unit at the Department of Urology and Renal Transplantation,University of Foggia(Foggia,Italy).Penile dynamic Doppler was performed to evaluate vascular parameters and 5-item version of the International Index of Erectile Dysfunction(IIEF-5)questionnaire was administered to assess the severity of *** was repeated 1 month after *** with a peak systolic velocity(PSV)30 cm s−1 at posttherapeutic penile dynamic Doppler.A clinically significant IIEF-5 score improvement was observed in 7 patients,21 patients,and 2 patients with mild-to-moderate,moderate,and severe pretreatment ED,*** different outcomes were assessed based on smoking habits,previous pelvic surgery,or use of oral phosphodiesterase-5 inhibitor(PDE5i).On the other side,only 1(6.7%)in 15 patients with diabetes mellitus showed an IIEF-5 score improvement after *** treatment determined a significant increase in PSV and correlated IIEF-5 improvement in ED *** advantage seemed particularly evident for moderate ED and was not affected by smoking habits,previous pelvic surgery,and use of ***,diabetic patients did not benefit from the treatment.

关键词： arteriogenic erectile dysfunction International Index of Erectile Function low-intensity extracorporeal shockwave therapy peak systolic velocity

Treatment of hepatitis B virus infection in children and adolescents

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World Journal of Gastroenterology 2021年第36期27卷 6053-6063页

作者： Mariangela Stinco Chiara rubino Sandra Trapani Giuseppe Indolfi Department of Health Sciences Pediatric SectionMeyer Children’s University HospitalFlorence 50139Italy Department Neurofarba University of Florence and Meyer Children’s University HospitalFlorence 50139Italy

Hepatitis B virus(HBV)infection is one of the main causes of morbidity and mortality *** children acquire the infection perinatally or during early childhood and develop a chronic hepatitis characterized by a high viral replication and a low-inflammation phase of infection,with normal or only slightly raised *** a conservative approach in children is usually recommended,different therapies exist and different therapeutic approaches are *** main goals of antiviral treatment for children with chronic HBV infection are to suppress viral replication and to warn the disease progression to cirrhosis and hepatocellular carcinoma,although these complications are rare in *** United States Food and Drug Administration(USFDA)and European Medicines Agency(EMA)have approved interferon alfa-2b for children aged 1 year and older,pegylated interferon alfa-2a and lamivudine for children aged 3 years and older,entecavir for use in children aged 2 years and older,and adefovir for use in those 12 years of age and *** disoproxil fumarate is approved by EMA for children aged 2 years and older and by USFDA for treatment in children aged 12 years and ***,EMA has approved the use of tenofovir alafenamide for treatment of children aged 12 years and older or for children weighing more than 35 kg independent of *** narrative review will provide the framework for summarizing indications to antiviral therapy in the management of chronic HBV infection in children and adolescents.

关键词： Hepatitis B Children Adolescents Antiviral therapy Tenofovir disoproxil fumarate Entecavir Interferon

Advances in microsurgery for upper and lower extremity reconstruction and limb preservation

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Plastic and Aesthetic Research 2019年第10期6卷 1-14页

作者： Alberto Bolletta rubino Corrado Hung-Chi Chen Department of Plastic Surgery China Medical University HospitalTaichung 404Taiwan Department of Medical Surgical and Experimental SciencesUHT of SassariPlastic Surgery UnitUniversity of SassariSassari 07100Italy

In the recent decades,microsurgical reconstruction has evolved from simple survival of the affected extremity to the improvement of functional and aesthetic *** review retraces the main contributions to the advances of microsurgery for reconstruction of upper and lower extremities and limb *** the upper extremity,it is important to restore fine motility,together with allowing prompt *** the lower limb,care must be taken in the reconstruction of weight-bearing areas and the aim must be proper ambulation and shoe *** perforator flaps can be considered for medium size *** provide thin coverage and can be performed in short operating *** use,though,is often limited by tissue *** flaps allow to overcome this problem and,thanks to the recent development in the study of perforator vessels,the microsurgeon can choose the flap with the most appropriate *** flaps can accomplish simultaneous reconstruction of different tissue components and large bone defects often require vascularized bone *** dealing with limb preservation it is very important to consider residual *** muscle transfer and targeted muscle re-innervation can be performed in these cases.A useful reconstructive tool in severely damaged limbs with limited blood supply is the use of cross-leg free *** conclusion,extremity reconstruction and limb preservation are reaching new heights thanks,not only to the work of plastic surgeons,but also to the new developments in other fields of study such as oncology,traumatology,radiology and medical engineering.

关键词： Extremity reconstruction functional and aesthetic outcome limb salvage perforator flaps free flaps weight-bearing areas cross-leg flaps

Energy Dissipation of P- and S-Waves in Fluid-Saturated Rocks: An Overview Focusing on Hydraulically Connected Fractures

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Journal of Earth Science 2015年第6期26卷 785-790页

作者： J.German rubino Beatriz Quintal Tobias M.Muller Luis Guarracino Ralf Janicke Holger Steeb Klaus Holliger Applied and Environmental Geophysics Group Institute of Earth Sciences University of Lausanne Energy Flagship Commonwealth Scientific and Industrial Research Organization CONICET Facultad de Ciencias Astronomicasy Geofisicas Universidad Nacional de La Plata Institute of Mechanics University of Bochum

An important characteristic of fractured rocks is their high seismic attenuation, which so far has been mainly attributed to wave-induced fluid flow（WIFF） between the fractures and the embedding matrix. The influence of fracture connectivity on seismic attenuation has, however, recently, only been investigated. Numerical compressibility and shear tests based on Biot＇s quasi-static poro-elastic equations illustrate that an important manifestation of WIFF arises in the presence of fracture connectivity. The corresponding energy loss, which can be significant for both P- and S-waves, is mainly due to fluid flow within the connected fractures and is sensitive to the permeabilities as well as the lengths and intersection angles of the fractures. Correspondingly, this phenomenon contains valuable information on the governing hydraulic properties of fractured rocks and hence should be accounted for whenever realistic seismic models of such media are needed.

关键词： fractured rocks seismic attenuation WIFF fracture connectivity embedding matrix Biot’s theory

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The Changing Role of Governance for United States Hospitals

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中国医院 2003年第6期 76-78页

作者： By Louis rubino Northridge and Governing Board Chairman at Alta Hollywood and Monrovia Community Hospitals U.S.A and Donghai Wei Assistant at California state University Ph.D.Professor at Guangzhou Medical College P.R.China Ph.D.FACHE

American has had its corporate trouble lately. Major publiccompanies are being shaken up by disclosures of improprieties bethey accounting minsrepresentations or high level executive financialresource abuse (for example, WorldCom Inc., Adelphia Communi-cations, Enron Corp). These high profile cases have caused a newconcern for the governance of organizations. Directors of companiesare now taking prudent steps to make sure control measures are inplace to oversee their organizations properly (Streitfeld 2002).This

关键词： for over it of The Changing Role of Governance for United States Hospitals that

Evolving governance during health care reform in the United States and China

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中国研究型医院 2014年第1期1卷 78-89页

作者： Donghai Wei Louis rubino Robert Peterson Guangzhou Medical University Guangdong Provincial Health Economics Association California State University

Governance of public hospitals has become an important consideration in China. Research is being conducted, consultants are being engaged, and new models are being tested to determine how a change in governance can positively affect health care reform. The United States is looked to as an example for hospital governance. Old principles and new trends for boards of directors of hospitals are discussed. Critical thought is given as to the governance principles that can be applied in China which will augment the changes taking place to make hospitals more autonomous under health care reform. Recommendations are made by the authors as to which of these principles and new methods should be considered to be adopted for China's public hospitals.

关键词： Governance Board of Directors Fiduciary Responsibility Public Hospitals Strategic Direction

“Three essential elements”of the primary health care system:A comparison between California in the US and Guangdong in China

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Family Medicine and Community Health 2015年第1期3卷 23-29页

作者： Minfang Huang Donghai Wei Louis rubino Lianshen Wang Dazhuang Li Bofeng Ding Gan Li School of Health Management Guangzhou Medical UniversityGuangzhou 510182China California State University NorthridgeLos Angeles 91325USA

The primary health care system(PHCS)is the portal and basis for the national health delivery *** are a number of elements which comprise the PHCS,but the system cannot be established and developed without the support of“three essential elements,”including general practitioners(GPs),health insurance,and government health *** comparative analysis of the“three essential elements”of the PHCS between California in the US and Guangdong in China,this article indicates that there are three important aspects in developing a PHCS in China,as follows:training qualified GPs;establishing a diversified health insurance system to strengthen the policy connections between health insurance and the PHCS thereby increasing government health investment;and broadening health financing channels.

关键词： Primary health care system(PHCS) general practitioner(GP) health insurance government health investment California Guangdong

DEVELOPING EMOTIONAL INTELLIGENCE FOR HOSPITAL ADMINISTRATORS

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中国医院 2001年第8期 56-59页

作者： Brenda Freshman,Louis rubino PhD. PhD.

This is the second part in a two part series ofarticles on Emotional Intelligence (EI) andhealth services administration. The first arti-cle described EI and its general application tohospital administration. This installment pro-vides specific training suggestions and toolsfor you to foster the development of emotionalintelligence in yourself and your workplace.

关键词： DEVELOPING EMOTIONAL INTELLIGENCE FOR HOSPITAL ADMINISTRATORS