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Multimodal management of giant cerebral aneurysms: review of literature and case presentation

Stroke & Vascular Neurology 2020年第1期5卷 22-28页

作者： jessica K Campos Benjamin Z Ball Barry Cheaney II Alexander j Sweidan bima j hasjim Frank P K Hsu Alice S Wang Li-Mei Lin Department of Neurosurgery University of California Irvine Medical CenterOrangeCaliforniaUSA Oregon Health&Science University School of MedicinePortlandOregonUSA Department of Neurology University of California Irvine Medical CenterOrangeCaliforniaUSA Western University of Health Sciences College of Osteopathic Medicine of the PacificPomonaCaliforniaUSA Carondelet Neurological Institute St Joseph’s HospitalCarondelet Health NetworkTucsonArizonaUSA

The pathophysiology of giant cerebral aneurysms renders them difficult to *** in technology have attempted to address any shortcomings associated with open surgery or endovascular *** the introduction of the flow diversion technique,the endovascular approach with flow diversion has become the first-line modality chosen to treat giant aneurysms.A subset of these giant aneurysms may persistent despite any treatment *** the best option for these recurrent and/or persistent giant aneurysms is to employ a multimodal approach-both surgical and endovascular-rather than any single technique to provide a curative result with favourable patient *** paper provides a review of the histopathology and treatment options for giant cerebral ***,an illustrative case is presented to highlight the unique challenges of a curative solution for giant cerebral aneurysms that persist despite initial treatment.

关键词： aneurysm cerebral giant

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Comparison of ultrasound-measured properties of the common carotid artery to tobacco smoke exposure in a cohort of Indonesian patients

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World journal of Emergency Medicine 2017年第3期8卷 177-183页

作者： Allen R.Yu bima hasjim Luke E.Yu Christopher Gabriel Alexander Anshus jonathan B.Lee Michael j. Louthan Esther C.Kim Katrina Lee Christina Tse Thomas Keown Shadi Lahham Maili Alvarado Steven Bunch Abdulatif Gari j.Christian Fox School of Medicine University of California Department of Emergency Medicine University of California

BACKGROUND: The purpose of this study was to use point-of-care ultrasound(POCUS) to investigate the relationship between tobacco smoke exposure and the characteristics of the common carotid artery(CCA). The effect of both primary and secondary smoking on CCA properties was ***: We performed a prospective cross-sectional study across 20 primary care clinics in Bandung, West java, Indonesia in july 2016. Point of care ultrasound was performed on a convenience sample of Indonesian patients presenting to clinic. The CCA wall stiffness and carotid intima-media thickness(CIMT) were measured during diastole and systole. These measurements were correlated with smoke exposure and cardiovascular ***: We enrolled 663 patients in the study, with 426 patients enrolled in the smoking category and 237 patients enrolled in the second-hand smoke category. There was an overall positive correlation with the measured lifestyle factors and the ultrasound-measured variables in the group of individuals who smoked. For all variables, age seemed to contribute the most out of all of the lifestyle factors for the positive changes in CIMT and CCA wall ***: Our data yielded correlations between CCA properties and cardiovascular risk, as well as between CIMT and arterial stiffness. We were also able to demonstrate an increase in thickness of the CIMT in patients who have been exposed by tobacco through the use of ultrasound. Further large scale studies comparing patients with multiple cardiac risk factors need to be performed to confi rm the utility of ultrasound fi ndings of cardiovascular disease and stroke.

关键词： Carotid artery thickness Point of care ultrasound Indonesia Intimal thickness

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Effects of Rice Variety and Growth Location in Cambodia on Grain Composition and Starch Structure

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Rice science 2014年第1期21卷 47-58页

作者： Seila SAR Morgan j.TIZZOTTI jovin hasjim Robert G.GILBERT University of Queensland Centre for Nutrition and Food Sciences Queensland Alliance for Agriculture and Food Innovation

The effects of variety and growth location on grain composition and starch structures were investigated using three rice （Oryza sativa L.） cultivars （Phka Romduol, Sen Pidao and IR66） with different amylose contents. All the three cultivars were planted in three different agro-climatic zones （Phnom Penh, Coastal and Plateau） of Cambodia. The protein content of polished grains increased when rice was planted at a location with higher average temperature, but their lipid content decreased. The amylose content and degree of branching were not greatly affected by the minor temperature differences among the growing locations. Starch fine structures characterized by the chain-length distribution were significantly different among the cultivars, but not significantly among different locations. The results suggested that protein and lipid biosyntheses were more sensitive to the environmental temperature than that of starch in rice grains.

关键词： rice physicochemical property starch fine structure size-exclusion chromatography growth location

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