检索结果-南通市图书馆

fast-track program in laparoscopic liver surgery:Theory or fact?

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

World Journal of Gastrointestinal surgery 2012年第11期4卷 246-250页

作者： belinda sánchez-Pérez José Manuel Aranda-Narváez Miguel Angel suárez-Muoz Moises elAdel-delfresno José Luis fernández-Aguilar Jose Antonio Pérez-Daga Ysabel Pulido-Roa Julio santoyo-santoyo Department of General Digestive and Transplantation SurgeryUniversity Regional Hospital Carlos Haya29010 MálagaSpain

AIM:To analyze our results after the introduction of a fast-track(fT) program after laparoscopic liver surgery in our Hepatobiliarypancreatic ***:All patients(43) undergoing laparoscopic liver surgery between March 2004 and March 2010 were included and divided into two consecutive groups:Control group(CG) from March 2004 until December 2006 with traditional perioperative cares(17 patients) and fast-track group(fTG) from January 2007 until March 2010 with fT program cares(26 patients).Primary endpoint was the influence of the program on the postoperative stay,the amount of re-admissions,morbidity and *** we considered duration of surgery,use of drains,conversion to open surgery,intensive cares needs and ***:Both groups were homogeneous in age and *** differences in technique,time of surgery or conversion to open surgery were found,but more malignant diseases were operated in the fTG,and then transfusions were higher in *** and morbidity were similar in both groups,without *** stay was similar,with a median of 3 for CG vs 2.5 for ***,the 80.8% of patients from fTG left the hospital within the first 3 d after surgery(58.8% for CG).CONCLUsION:The introduction of a fT program after laparoscopic liver surgery improves the recovery of patients without increasing complications or re-admissions,which leads to a reduction of the stay and costs.

关键词： Liver surgery Laparoscopy fast-track

Preoperative colonic stents vs emergency surgery for acute left-sided malignant colonic obstruction: meta-analysis with systematic review of the literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Meta-Analysis 2017年第1期5卷 1-13页

作者： belinda De simone fausto Catena federico Coccolini salomone Di saverio Massimo sartelli Arianna Heyer Nicola De Angelis Gian Luigi De Angelis Luca Ansaloni Department of Emergency and Trauma surgery University Hospital of Parma Department of General and Emergency surgery Papa XXIII Hospital Department of General surgery Maggiore Hospital of Bologna Department of Emergency and General surgery Macerata’s Hospital Department of Medical sciences University of California Liver Transplantation and General surgery Unit Henry Mondor Hospital Department of Gastroenterology University Hospital of Parma

AIM To investigate by meta-analytic study and systematic review, advantages of colonic stent placement in comparison with emergency *** We conducted an extensive literature search by PubMed, Google scholar, Embase and the Cochrane Libraries. We searched for all the papers in English published till february 2016, by applying combinations of the following terms: Obstructive colon cancer, colon cancer in emergency, colorectal stenting, emergency surgery for colorectal cancer, guidelines for obstructive colorectal cancer, stenting vs emergency surgery in the treatment of obstructive colorectal cancer, selfexpanding metallic stents, stenting as bridge to surgery. The study was designed following the Prismastatement. By our search, we identified 452 studies, and 57 potentially relevant studies in full-text were reviewed by 2 investigators; ultimately, 9 randomized controlled trials were considered for meta-analysis and all the others were considered for systematic *** In the meta-analysis, by comparing colonic stenting(Cs) as bridge to surgery and emergency surgery, the pooled analysis showed no significant difference between the two techniques in terms of mortality [odds ratio(oR) = 0.91], morbidity(oR = 2.38) or permanent stoma rate(oR = 1.67); primary anastomosis was more frequent in the stent group(oR = 0.45; P = 0.004) and stoma creation was more frequent in the emergency surgery group(oR = 2.36; P = 0.002). No statistical difference was found in disease-free survival and overall survival. The pooled analysis showed a significant difference between the colonic stent and emergency surgery groups(oR = 0.37), with a significantly higher 1-year recurrence rate in the stent group(P = 0.007).CONCLUsION Cs improves primary anastomosis rate with significantly high 1-year follow-up recurrence and no statistical difference in terms of disease-free survival and overall survival.

关键词： Colonic stent self-expandable metallic stent Obstructive left colon cancer Emergency surgery Endo-laparoscopic approach Oncological outcome

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

父爱的力量（英文）

第二课堂(A) 2015年第6期 4-4页

作者： belinda Elliott

父爱的力量是伟大的,这不仅仅体现在对孩子生活的帮助,更多的是对孩子成长道路的影响。

关键词：父亲节

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

新的方法

城市建筑 2013年第13期10卷 33-41页

作者：贝琳达·塔多赵丹(翻译) 邱志勇(校审) 贝琳达·塔多城市生态系统事务所 Ecosistem a Urbano

传统的方法存在并且仍然有效,因此我们没有必要重新制定。然而,我们现在正在做的是为了将来以更广泛的方式思考、检验和整合而寻找新的途径,最终形成新的方法。根据我们的经验,这些变化主要在以下四个方面影响着建筑设计的工作方式:人... 详细信息

传统的方法存在并且仍然有效,因此我们没有必要重新制定。然而,我们现在正在做的是为了将来以更广泛的方式思考、检验和整合而寻找新的途径,最终形成新的方法。根据我们的经验,这些变化主要在以下四个方面影响着建筑设计的工作方式:人——协作和参与;过程——灵活性和复杂性与控制性和确定性之间良性的冲突;工具——作为社会变革方式的开放性和技术性;学习——网络学习和主动学习的环境。本文将阐述我们认为最重要的趋势,以及我们在工作中和其他情况下如何认识它们。

关键词：参与公共空间城市教育法数字环境开放性社交网络

Posterior approach (Kraske procedure) for surgical treatment of presacral tumors

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

World Journal of Gastrointestinal surgery 2012年第5期4卷 126-130页

作者： José Manuel Aranda-Narváez Antonio Jesús Gonzálezsánchez Custodia Montiel-Casado belinda sánchez-Pérez Carolina Jiménez-Mazure Marta Valle-Carbajo Julio santoyo-santoyo Department of General Digestive Surgery and Abdominal Organs TransplantationUniversity Hospital Carlos HayaCarlos Haya Avenue29010MálagaSpain

Presacral tumors are rare,but can comprise a great variety of histological *** tumors are the most *** the diagnosis is established,surgical resection is essential because of the potential for malignancy or *** biopsy is not necessary or may be even *** decide the best surgical approach(abdominal,sacral or combined) an individual and multidisciplinary analysis must be carried *** report three cases of cystic presacral masses in which a posterior approach(Kraske procedure) enabled complete resection,the only way to decrease local *** patients had a satisfactory recovery.A brief overview of retrorectal tumors is presented,focusing on classification,clinical presentation,diagnosis and surgical management.

关键词： Presacral tumors Posterior approach surgical management

Knowledge and skills in Advanced swimming and Life-saving Techniques: A Correlational study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of shipping and Ocean Engineering 2022年第1期12卷 27-32页

作者： Roderick R.Germo Brian Gil s.sarinas Emilie C.Coo Marlon R.Terunez belinda E.Gavadan Cherry Y. Bachelor of science in Marine Transportation(BsMT)Department John B.Lacson Foundation Maritime University(Arevalo)Inc.Sto.Nino SurArevaloIloilo City 5000Philippines

This descriptive-correlational study was conducted to determine the relationship between the knowledge and skills of the BsMT (Bachelor of science in Maritime Transportation) students in PE (Physical Education) 2 (Advanced swimming and Life-saving Techniques). The respondents of the study were the 40 second year BsMT students that were taken through purposive sampling. The study utilized a researcher-made questionnaire for both knowledge and skills that had undergone validity and reliability-testing. Descriptive and inferential statistics were used to analyze the data such as mean, standard deviation, and spearman’s rho. Results revealed that their knowledge on Advanced swimming and Life-saving Techniques was “fair” while the skills of the second year BsMT students were “Very good”. furthermore, the knowledge of the BsMT students had a positive correlation (substantial) with their skills on Advanced swimming and Life-saving Techniques. The second year BsMT students are encouraged to undergo trainings and upgrading to enhance their knowledge and skills in Advanced swimming and Life-saving Techniques in order for them to become life-long learners.

关键词： Maritime education advanced swimming life-saving techniques descriptive-correlational

Level of Acceptability of the Instructional Guide in Physical Education 2(Advanced swimming skills and Life-saving Techniques)

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of shipping and Ocean Engineering 2021年第2期11卷 74-79页

作者： Brian Gil s.sarinas Emilie C.Coo Roderick R.Germo Marlon R.Terunez belinda E.Gavadan Cherry Y.Jardenil June Raymund Peter V.flores Bachelor of science in Marine Transportation(BsMT)Department John B.Lacson Foundation Maritime University(Arevalo)Inc.Sto.Nino SurArevaloIloilo City 5000Philippines

This descriptive study aimed to determine the level of acceptability of the Instructional Guide in Physical Education 2(Advanced swimming skills and Life-saving Techniques).The respondents of the study were the content experts currently teaching PE(Physical Education)in other universities in Iloilo and Bacolod City,Philippines together with the BsMT(Bachelor of science Marine Transportation)students who used the instructional guide throughout the duration of the *** instrument used to evaluate the materials was adopted from Terunez(2008)and included seven evaluation criteria to include physical aspect,language,content,objectives,instructions,learning activities,and evaluation *** statistical tools employed were mean,standard deviation,and *** results of the study revealed that the level of acceptability of the instructional guide in physical aspect was“High”which means that the material was suited to the level of the intended *** significant difference was noted in the evaluation result of the content experts and student *** can be concluded that the development of Instructional Guide in Physical Education 2 is deemed to be highly beneficial in enhancing *** is recommended that this instructional material will be utilized by other maritime institutions offering courses in Advanced swimming and Life-saving Techniques.

关键词： Maritime education physical education advanced swimming skills life-saving techniques instructional guide