检索结果-南通市图书馆

Chinese Science Bulletin 2013年第16期58卷 1931-1935页

作者： XING LiDa BELL Phil R rothschild bruce M RAN Hao ZHANG JianPing DONG ZhiMing ZHANG Wei CURRIE Philip J Department of Biological Sciences University of Alberta School of the Earth Sciences and Resources China University of Geosciences Pipestone Creek Dinosaur Initiative Division of Vertebrate Paleontology Natural History Museum and Biodiversity Research Institute University of Kansas Key Laboratory of Ecology of Rare and Endangered Species and Environmental Protection (Guangxi Normal University) Ministry of Education Institute of Vertebrate Paleontology and Paleoanthropology Chinese Academy of Sciences Department of Computer Engineering Chengdu Electromechanical College

Pathological or traumatic loss of teeth often results in the resorption and remodeling of the affected alveoli in mammals. However, instances of alveolar remodeling in reptiles are rare. A remodeled alveolus in the maxilla of the Chinese theropod Sinosaurus (Lower Jurassic Lower Lufeng Formation) is the first confirmed example of such dental pathology in a dinosaur. Given the known relationship between feeding behavior and tooth damage in theropods (teeth with spalled enamel, tooth crowns embedded in bone) and the absence of dentary, maxillary, and premaxillary osteomyelitis, traumatic loss of a tooth is most likely the cause of alveolar remodeling. Based on the extent of remodeling, the injury and subsequent tooth loss were non-fatal in this individual.

关键词：下侏罗统兽脚类牙齿肺泡中国恐龙禄丰盆地地层

Cautionary note:Electronic medical records,a potential disaster in the making?

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 Rheumatology 2013年第1期3卷 1-2页

作者： bruce rothschild Biodiversity Institute University of KansasLawrenceKS 66066United States

Concern is expressed that electronic medical records may actually compromise *** are electronically collated with patient charts, but when are they examined? Current electronic transmission of results to patients' electronic medical records do not seem to notify of new *** unknown time from prescription to patient action and the variable time required for individual test performance seem to mandate that a physician attempting to be conscientious would have to examine all sections of every patient medical record in their practice, every *** is quite inefficient and *** medical record still contains what appear to be dangerous "bugs" which compromise our ability to provide the care we believe our patients deserve? I remain unsure that outpatient electronic medical records are "ready for prime time."

关键词： Electronic medical records Impediments to care Laboratory results Efficiency Reports

Distinguishing erosive osteoarthritis and calcium pyrophosphate deposition disease

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 Orthopedics 2013年第2期4卷 29-31页

作者： bruce M rothschild Department of Medicine Northeastern Ohio Medical University Rootstown OH 44272 United States Biodiversity Institute University of Kansas Museum of Natural History Lawrence KS 66045 United States

Erosive osteoarthritis is a term utilized to describe a specific inflammatory condition of the interphalangeal and first carpal metacarpal joints of the hands. The term has become a part of medical philosophical semantics and paradigms, but the issue is actually more complicated. Even the term osteoarthritis(nonerosive) has been controversial, with some suggesting osteoarthrosis to be more appropriate in view of the perspective that it is a non-inflammatory process undeserving of the "itis" suffix. The term "erosion" has also been a source of confusion in osteoarthritis, as it has been used to describe cartilage, not bone lesions. Inflammation in individuals with osteoarthritis actually appears to be related to complicating phenomena, such as calcium pyrophosphate and hydroxyapatite crystal deposition producing arthritis. Erosive osteoarthritis is the contentious term. It is used to describe a specific form of joint damage to specific joints. The damage has been termed erosions and the distribution of the damage is to the interphalangeal joints of the hand and first carpal metacarpal joint. Inflammation is recognized by joint redness and warmth, while X-rays reveal alteration of the articular surfaces, producing a smudged appearance. This ill-defined, joint damage has a crumbling appearance and is quite distinct from the sharply defined erosions of rheumatoid arthritis and spondyloarthropathy. The appearance is identical to those found with calcium pyrophosphate deposition disease, both in character and their unique responsiveness to hydroxychloroquine treatment. Low doses of the latter often resolve symptoms within weeks, in contrast to higher doses and the months required for response in other forms of inflammatory arthritis. Reconsidering erosive osteoarthritis as a form of calcium pyrophosphate deposition disease guides physicians to more effective therapeutic intervention.

关键词： Erosive osteoarthritis Calcium pyrophosphate deposition disease Rheumatoid arthritis Spondyloarthropathy Osteoarthritis Hydroxychloroquine

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

主动脉瘤产生的腰背痛骨破坏和瘫痪

颈腰痛杂志 1983年第1期 26-27页

作者：李加寿,bruce M.rothschild 105医院

bruce M. rothschild等. Clini. Orthop. 1982. 164: 123 腹主动脉瘤病人出现腰背痛和瘫痪是少见的,腰椎摄影的特殊所见有助于临床诊断,本例临床经过特别恶性。病例报告患者79岁,1978年6月发生持续性下腰痛,11月行腰椎板切除疼痛暂时... 详细信息

bruce M. rothschild等. Clini. Orthop. 1982. 164: 123 腹主动脉瘤病人出现腰背痛和瘫痪是少见的,腰椎摄影的特殊所见有助于临床诊断,本例临床经过特别恶性。病例报告患者79岁,1978年6月发生持续性下腰痛,11月行腰椎板切除疼痛暂时缓解,因双下肢严重疼痛,无力,于78年12月入芝加哥老兵医疗中心。

关键词：椎体前缘动脉瘤骨破坏腰背痛

Trochanteric area pain,the result of a quartet of bursal inflammation

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

World Journal of Orthopedics 2013年第3期4卷 100-102页

作者： bruce rothschild Department of Medicine Northeast Ohio Medical UniversityRootstownOH 44272United States Biodiversity Institute University of KansasLawrenceKS 66045United States

Bursitis is quite responsive to therapeutic intervention, once the afflicted area is accurately identified. This is especially notable for some hip complaints. Patients' use of the term "hip" can relate to anything from the low back to groin to lateral thigh pain. Trochanteric area surface localization of "hip" pain may afford an opportunity for immediate cure. Effectiveness of therapeutic intervention is predicated upon injection of not one or two, but all four peri-trochanteric bursa with a depot(minimally water-soluble) corticosteroid. The term trochanteric bursitis suggests that the inflammation is more focal than what is clinically observed. While easier to express, perhaps it is time to refer to inflammation in this area, naming all four affected bursae.

关键词： Trochanter Bursitis Bursa Hip Injection Corticosteroids Dexamethasone Triamcinolone

Mechanical solution for a mechanical problem:Tennis elbow

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 Orthopedics 2013年第3期4卷 103-106页

作者： bruce rothschild Department of Medicine Northeast Ohio Medical UniversityRootstownOH 44272United States Biodiversity Institute University of KansasLawrenceKS 66045United States

Lateral epicondylitis is a relatively common clinical prob lem, easily recognized on palpation of the lateral protu berance on the elbow. Despite the "itis" suffix, it is no an inflammatory process. Therapeutic approaches with topical non-steroidal anti-inflammatory drugs, cortico steroids and anesthetics have limited benefit, as would be expected if inflammation is not involved. Other ap proaches have included provision of healing cytokine from blood products or stem cells, based on the recog nition that this repetitive effort-derived disorder repre sents injury. Noting calcification/ossification of tendon attachments to the lateral epicondyle(enthesitis), dry needling, radiofrequency, shock wave treatments and surgical approaches have also been pursued. Physi ologic approaches, including manipulation, therapeuti ultrasound, phonophoresis, iontophoresis, acupuncture and exposure of the area to low level laser light, ha also had limited success. This contrasts with the benefi of a simple mechanical intervention, reducing the stres on the attachment area. This is based on displacemen of the stress by use of a thin(3/4-1 inch) band applied just distal to the epicondyle. Thin bands are required as thick bands(e.g., 2-3 inch wide) simply reduce mus cle strength, without significantly reducing stress. Thi approach appears to be associated with a failure rateless than 1%, assuming the afflicted individual modifies the activity that repeatedly stresses the epicondylar attachments.

关键词： Epicondylitis Tennis elbow Adaptive equipment Mechanical overload Elbow Inflammation

What qualifies as rheumatoid arthritis?

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 Rheumatology 2013年第1期3卷 3-5页

作者： bruce rothschild Department of Medicine Northeastern Ohio Medical UniversityRootstownOH 44272United States Biodiversity Institute University of KansasLawrenceKS 66045United States

Expansion of diagnostic criteria for rheumatoid arthritis and deletion of exceptions increases sensitivity, but at the expense of *** decades later, modification of criteria included the caveat: "absence of an alternative diagnosis that better explains the synovitis."That puts great faith in the diagnostic skills of the evaluating individual and their perspectives of *** major confounding factor appears to be spondyloarthropathy, which shares some characteristics with rheumatoid *** of the latter on the basis of marginally distributed and symmetrical polyarticular erosions, in absence of axial(odontoid disease excepted) involvement requires modification to avoid failure to recognize a different disease, *** distribution, pure expression of disease in natural animal models and biomechanical studies clearly rule out peripheral joint fusion(at least in the absence of corticosteroid therapy) as a manifestation of rheumatoid ***, such studies identity predominant wrist and ankle involvement as characteristic of a different disease, *** is important to separate the two diagnostic groups for epidemiologic study and for clinical *** certainly differ in their pathophysiology.

关键词： Rheumatoid arthritis Spondyloarthropathy Ankylosis Accelerometry Animal models

Return to clinical in contrast to serologically-based diagnoses

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 Rheumatology 2016年第1期6卷 1-8页

作者： bruce M rothschild Department of Medicine Ohio Medical University

The future of rheumatology is predicated upon a return to *** advent and facile availability of laboratory testing led to reduction of emphasis on clinical *** that immunologic abnormalities are not limited to individuals who clearly have related pathologyprovides new motivation for reorientation of training programs to assure that graduates have appropriate information gathering,diagnostic and procedural *** accessibility to rheumatologic care requires innovative approaches and especially training and educating those individuals who provide primary *** the rheumatologist can elicit the patient's history remotely,telerheumatology will be feasible only when the individual interacting physically with the patient has confidence in their examination skills and when those skills have been *** syndromes or diseases will be modified to avoid impugning the individual or compromising their future access to health,disability and life *** will be pursued in a more cost-effective,evidence-based *** future of rheumatology is dependent upon the rheumatologist's ability to amortize the inadequate reimbursement for direct patient interaction,depending on skills of interpretation of standard X-rays,ultrasound performance and results.

关键词： Laboratory test Immunology Procedure Telerheumatology Nomenclature Radiology Ultrasound

Maligned non-steroidal anti-inflammatory drugs:Misunderstanding of their safety profile in patients with renal insufficiency

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 Rheumatology 2018年第1期8卷 1-4页

作者： bruce M rothschild Department of Medicine Indiana University Ball Memorial Hospital

Non-steroidal anti-inflammatory drugs have a fundamental and pivotal position in management of many of the disorders managed by *** of a false perspective of their toxicity has compromised our ability to advise our patients and participate in the management of their disorders. The literature sources, from which the false perspective derives, do not accurately reflect safety and fail to address the value of appropriate drug use ***, as rheumatologists, must stand up and proactively address engrained misconceptions-if we are to be able to continue to provide safe, effective care for our patients.

关键词： Non-steroidal anti-inflammatory drugs Renal function Safety Toxicity